CA2582716A1 - Apparatus for applying surgical clips - Google Patents
Apparatus for applying surgical clips Download PDFInfo
- Publication number
- CA2582716A1 CA2582716A1 CA002582716A CA2582716A CA2582716A1 CA 2582716 A1 CA2582716 A1 CA 2582716A1 CA 002582716 A CA002582716 A CA 002582716A CA 2582716 A CA2582716 A CA 2582716A CA 2582716 A1 CA2582716 A1 CA 2582716A1
- Authority
- CA
- Canada
- Prior art keywords
- clip
- body portion
- jaws
- camming
- pair
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
- A61B2017/2837—Locking means with a locking ratchet
Abstract
A clip applying apparatus is described for applying clips seriatim to tissue.
The apparatus includes a lockout member for limiting distal movement of the camming member after the proximal-most clip has been applied to tissue. In one embodiment, the apparatus includes a jaw locking member for preventing approximation of the jaw members of the apparatus. In one embodiment, a latch assembly is provided to releasably engage a clip pusher of the apparatus to the camming member of the apparatus.
The apparatus includes a lockout member for limiting distal movement of the camming member after the proximal-most clip has been applied to tissue. In one embodiment, the apparatus includes a jaw locking member for preventing approximation of the jaw members of the apparatus. In one embodiment, a latch assembly is provided to releasably engage a clip pusher of the apparatus to the camming member of the apparatus.
Description
APPARATUS FOR APPLYING SURGICAL CLIPS
This application claims priority from U.S. Provisional application Serial No.
60/617,017 filed October 8, 2004, the entire contents of which are incorporated herein by reference.
BACKGROUND
1. Technical Field This present disclosure relates generally to an apparatus for applying surgical clips to tissue. More specifically, the present disclosure relates to an apparatus for applying a series of clips to tissue seriatim.
This application claims priority from U.S. Provisional application Serial No.
60/617,017 filed October 8, 2004, the entire contents of which are incorporated herein by reference.
BACKGROUND
1. Technical Field This present disclosure relates generally to an apparatus for applying surgical clips to tissue. More specifically, the present disclosure relates to an apparatus for applying a series of clips to tissue seriatim.
2. Background of Related Art Surgical procedures frequently require ligation of blood vessels, severed tissues and/or other organs to control or stop bleeding. Clip applying apparatus for quickly applying a surgical clip about tissue are well known. Such clip applying apparatus include single clip applicators and multiple clip applicators. In single clip applicators, a new clip is loaded into the apparatus after application of each clip. Multiple clip applicators include a series of clips which can be sequentially applied to tissue during the course of a surgical procedure.
Because surgical procedures usually require the use of a multiplicity of surgical clips, multiple clip applicators are generally preferred.
Typically, clip applying apparatus include a handle mechanism, an elongated body portion, and a clip crimping assembly, e.g., a jaw or pair ofjaws. Such clip applying apparatus are configured for endoscopic or open surgical procedures. Although known clip applying apparatus for sequentially advancing individual clips have provided good results, a continuing need exists for a clip applying apparatus which is less complex and provides effective hemostasis.
SUMMARY
In accordance with the present disclosure, an apparatus for applying surgical clips is provided which includes a handle portion including a housing and at least one movable handle and a body portion housing a clip stack. A pair ofjaws is supported at the distal end of the body portion. The body portion includes a clip pusher, a camming member and a clip follower. The clip pusher is movably positioned within the body portion and is operable to advance a distal-most clip from the clip stack to a position between the pair of jaws. The camming member is movably positioned within the body portion and is operable to approximate or move the pair of jaws toward each other to deform the distal-most clip of the clip stack. The clip follower is positioned proximally of the clip stack and is operable to urge the clip stack distally towards the pair of jaws. In one embodiment, the body portion includes a lockout member and a stop member. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. In its second position, the lockout member is positioned to abut the stop member to limit distal movement of the camming member.
In one embodiment, the lockout member includes at least one flexible leg having a projection and the camming member includes at least one slot dimensioned to receive the projection to interlock or secure the lockout member to the camming member.
The at least one flexible leg can include a pair of flexible legs and the at least one slot can include a pair of slots.
The lockout member can include a resilient finger which is positioned to releasably retain the lockout member in its first position. In one embodiment, the body portion further includes a separator plate which includes an opening dimensioned to receive a portion of the resilient finger of the lockout member to retain the lockout member in its first position. The clip follower may include a tab and the lockout member may include an engagement member such that the tab is movable into the engagement member to move the lockout member from its first position to its second position. In one embodiment, the tab is positioned to engage the engagement member after the proximal most clip has been advanced to the pair of jaws.
Alternately, the tab can be positioned to engage the engagement member when one or more clips are remaining in the apparatus.
In one embodiment, an apparatus for applying surgical clips is provided which includes a handle portion having at least one movable handle and a body portion including a clip pusher and a camming member. The clip pusher is movably supported within the body portion to advance a distal-most clip of a clip stack to a position between a pair of jaws supported at a distal end of the body portion. The camming member is movably supported within the body portion from a retracted position to an advanced position to approximate the pair ofjaws. A
latch assembly is supported on the clip pusher and includes a pivotal latch member which is movable from a first position engaged with an abutment supported on the camming member to a second position disengaged from the abutment of the camming member. The camming member is operably connected to the at least one movable handle such that movement of the at least one movable handle through an actuation stroke effects movement of the camming member from its advanced position to its retracted position. In one embodiment, the pivotal latch member is urged towards its first position by a biasing member such that movement of the camming member from its retracted position to its advanced position initially effects advancement of the clip pusher. A
latch cam is fixedly supported on the body portion and is positioned to engage the pivotal latch member after the clip pusher has advanced the distal-most clip of the clip stack to its position between the j aws to disengage the latch member from the abutment. In one embodiment, a biasing member is positioned to urge the clip pusher to a retracted position after the latch member is disengaged from the abutment. In one embodiment, the body portion includes a housing body and a housing cover and the latch cam is supported on the housing cover. The handle portion can include a yoke which is connected to a proximal end of the camming member. In one embodiment, the at least one handle is operably connected to the yoke by at least one front link such that movement of the at least one handle through an actuation stroke effects advancement of the yoke and the camming member. The handle portion can include a pair of handles with each handle operably connected to the yoke by one front link. In one embodiment, a pair of rear links are provided. Each of the rear links has a first end pivotally connected to a respective front link by a first pivot member and a second end pivotally connected to the handle portion by a second pivot member. Each of the pair of handles defines a cam channel for slidably receiving a respective one of the first pivot members.
In one embodiment, an apparatus for applying surgical clips includes a handle portion, a body portion extending distally from the handle portion, and a jaw body supported at a distal end of the body portion. The jaw body includes first and second jaws movable from a spaced position to a more approximated position. In one embodiment, the body portion includes a camming member which is movable from a retracted position to an advanced position to effect movement of the first and second jaws from their spaced position to their more approximated position. The body portion further includes a resilient jaw locking member removably positioned between the first and second jaws to prevent the jaws from moving from their spaced position to their more approximated position. In one embodiment, the jaw locking member is in the form of a resilient plate and the jaw body includes a pair of inwardly deformable legs. Each of the legs supports one of the first and second jaws and the locking member being positioned between the legs of the jaw body. A distal end of the camming is slidably positioned about the legs of the jaw body and is movable from its retracted position to its advanced position to move the locking member from between the legs of the jaw body and subsequently to effect movement of the first and second jaws to their more approximated position.
BRIEF DESCRIPTION OF THE DRAWINGS
Various embodiments of the presently disclosed clip applying apparatus are described herein with reference to the drawings, wherein:
FIG. 1 is a perspective view of one embodiment of the presently disclosed clip applying apparatus;
FIG. 2 is an enlarged perspective view of the distal end of the clip applying apparatus shown in FIG. 1;
FIG. 3 is a top view of the clip applying apparatus shown in FIG. 1;
FIG. 4 is a side view of the clip applying apparatus shown in FIG. 1;
FIG. 5 is a perspective view of the proximal portion of the clip applying apparatus shown in FIG. 4 with the top housing half-section exploded;
FIG. 6 is a perspective view of the clip applying apparatus shown in FIG. 1 with the top housing half-section removed;
FIG. 7 is an enlarged view of the indicated area of detail shown in FIG. 6;
FIG. 8 is an enlarged view of the indicated area of detail shown in FIG. 6;
FIG. 9 is a perspective view of the proximal end of the body portion and the interior of a housing half-section with the internal components of the handle portion removed;
FIG. 10 is an exploded view of the body portion of the clip applying apparatus shown in FIG. 1;
FIG. 11 is a perspective view of the clip stop member of the clip applying apparatus shown in FIG. 1;
FIG. 12 is an enlarged view of the indicated area of detail shown in FIG. 12;
FIG. 13 is a bottom perspective view of the housing cover of the clip applying apparatus shown in FIG. 1;
FIG. 14 is an enlarged view of the indicated area of detail shown in FIG. 13;
FIG. 15 is an enlarged view of the indicated area of detail shown in FIG. 13;
FIG. 16 is an enlarged view of the indicated area of detail shown in FIG. 10;
FIG. 17 is a perspective view of the proximal end of the clip pusher of the clip applying apparatus shown in FIG. 1 with the pusher latch assembly secured thereto;
FIG. 18 is a bottom perspective view of the separator plate of the clip applying apparatus shown in FIG. 1;
FIG. 19 is an enlarged view of the indicated area of detail shown in FIG. 18;
FIG. 20 is a bottom perspective view of the clip pusher of the clip applying apparatus shown in FIG. 1;
FIG. 21 is a bottom perspective view of the housing body of the clip applying apparatus shown in FIG. 1;
FIG. 22 is a top perspective view of the clip follower of the clip applying apparatus shown in FIG. 1;
FIG. 23 is a top perspective view of the jaw body of the clip applying apparatus shown in FIG. 1;
FIG. 24 is a top perspective view of the clip applying apparatus shown in FIG.
1;
FIG. 25 is an exploded perspective view of the handle portion of the clip applying apparatus shown in FIG. 1;
FIG. 26 is a perspective view of the pawl of the handle portion shown in FIG.
25;
FIG. 27 is a perspective view of the pawl biasing member of the handle portion shown in FIG. 25;
FIG. 28 is a perspective view of the yoke of the handle portion shown in FIG.
25;
FIG. 29 is a perspective view of the body portion of the clip applying apparatus shown in FIG. 1 with the housing cover removed;
FIG. 30 is an enlarged perspective view of the distal end of the body portion shown in FIG. 29;
FIG. 31 is an enlarged perspective view of the proximal end of the body portion shown in FIG. 29;
FIG. 32 is an enlarged perspective view of the distal end of the body portion shown in FIG. 29 with the clip follower biasing member and the clip stop member removed;
FIG. 33 is an enlarged perspective view of the distal end of the body portion shown in FIG. 32 with the clip stack removed;
FIG. 34 is an enlarged perspective view of the distal end of the body portion shown in FIG. 33 with the separator plate shown removed;
FIG. 35 is an enlarged perspective view of the distal end of the body portion shown in FIG. 34 with the clip pusher removed;
FIG. 36 is a top cross-sectional view of the clip applying apparatus shown in FIG. 1 prior to actuation of the apparatus;
FIG. 37 is a side cross-sectional view of the clip applying apparatus shown in FIG. 36;
FIG. 38 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 39 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 40 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 41 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 42 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 43 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 44 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 45 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 46 is a top view of the jaw body and the distal end of the camming member of the clip applying apparatus shown in FIG. 36;
FIG. 47 is a cross-sectional view taken along section lines 47-47 of FIG. 44;
FIG. 48 is a cross-sectional view taken along section lines 48-48 of FIG. 40;
FIG. 49 is a cross-sectional view taken along section lines 49-49 of FIG. 42;
FIG. 50 is an enlarged view of the indicated area of detail shown in FIG. 49;
FIG. 51 is a top cross-sectional view of the handle portion of the clip applying apparatus shown in FIG. 1 during initial actuation of the handle portion;
FIG. 52 is a side cross-sectional view of the proximal portion of the body portion of the clip applying apparatus shown in FIG. 1 during initial actuation of the handle portion.
FIG. 53 is a side cross-sectional view of the distal end of the body portion of the clip applying apparatus shown in FIG. 1 during initial actuation of the handle portion;
FIG. 54 is a side cross-sectional view of the distal end of the body portion of the clip applying apparatus shown in FIG. 1 during further actuation of the handle portion;
FIG. 55 is a side cross-sectional view of the distal end of the body portion of the clip applying apparatus shown in FIG. 1 during further actuation of the handle portion;
FIG. 56 is a side cross-sectional view of the body portion shown in FIG. 42 after further actuation of the handle portion;
FIG. 57 is a side cross-sectional view of the body portion shown in FIG. 44 after further actuation of the handle portion;
FIG. 58 is a side cross-sectional view of the body portion shown in FIG. 57 after further actuation of the handle portion;
FIG. 59 is a side cross-sectional view of the distal end of the body portion shown in FIG.
55 after further actuation of the handle portion;
FIG. 60 is a top view of the jaw body and camming member shown in FIG. 46 with the camming member advanced further distally;
FIG. 61 is a top cross-sectional view of the handle portion shown in FIG. 51 with the handle portion after further actuation of the handle portion;
FIG. 62 is a side cross-sectional view of the body portion shown in FIG. 58 after further actuation of the handle portion;
FIG. 63 is a top view of the jaw body and camming member shown in FIG. 60 with camming member fully advanced;
FIG. 64 is a top cross-section view of the handle portion shown in FIG. 61 after the handle portion has been returned to the unactuated position;
FIG. 65 is a top view of the distal portion of the body portion of the clip applying apparatus shown in FIG. 36 illustrating the lockout tab of the clip follower engaging the engagement member of the lockout;
FIG. 66 is top perspective view of a portion of the body portion of the clip applying apparatus shown in FIG. 36 illustrating the lockout engaging the stop member;
and FIG. 67 is a perspective view of a clip of the clip stack of the clip applying apparatus shown in FIG. 36 deformed about tissue.
DETAILED DESCRIPTION OF EMBODIMENTS
Embodiments of the presently disclosed surgical clip applier will now be described in detail with reference to the drawings wherein like reference numerals designate identical or corresponding elements in each of the several views. Throughout this description, the term "proximal" will refer to the portion of the instrument closest to the operator and the term "distal"
will refer to the portion of the instrument furthest from the operator.
Referring to FIGS. 1-4, the presently disclosed surgical clip applier, shown generally as 10, includes a handle portion 12, an elongated body portion 14 extending distally from handle portion 12 and first and second jaws 16 and 18 which extend from the distal end of body portion 14. Briefly, handle portion 12 includes a handle housing 20 and a pair of movable handles or triggers 22. Each handle 22 includes a finger loop 22a for receiving a finger of a surgeon's hand.
Referring also to FIGS. 5-9, handle housing 20 can be formed from molded housing half-sections 20a and 20b (FIG. 5) which are secured together using screws 30 and nuts 32.
Alternately, other fastening techniques may be used to secure housing half-sections 20a and 20b together, e.g., welding, rivets, interlocking structure, adhesives, etc. In one embodiment, the distal end of each handle 22 is pivotally secured about a pivot member 34 such that handles 22, when actuated, move in a scissor-like manner. Each pivot member 34 is positioned between recesses 36a and 36b formed in half-sections 20a and 20b, respectively, and may be formed integrally with a respective handle 22 or, in the alternative, as a separate element from a respective handle 22. In one embodiment, each handle 22 has a slip resistant grip member 40 secured to an outside surface thereof and a cam channe142 formed on an inside surface thereof.
Slip resistant grip member 40 can be formed from a cushioning material and overmolded onto each handle 22. It is also contemplated that other slip resistant materials and methods of application may be used to form grip member 40 and apply grip member 40 to a handle 22. Each cam channel 42 is configured to receive a pivot member for connecting a pair of pivotal links as will be described in more detail below.
Referring to FIG. 10, elongated body portion 14 includes a housing body 24 defining a channe126 for receiving internal components of surgical clip applier 10. A
housing cover 28 is secured to housing body 24 and covers channel 26. In one embodiment, housing cover 28 has a series of projections 50 which are dimensioned to be received within openings 52 formed along channel walls 26a of housing body 24 to secure housing cover 28 to housing body 24.
Alternately, other securement techniques are contemplated, e.g., adhesives, crimping, screws, etc.
Referring also to FIGS. 13-15, an internal surface of housing cover 28 includes a first longitudinal groove 54 and a second longitudinal groove 56. Grooves 54 and 56 accommodate other components of the elongated body portion as will be discussed in fizrther detail below. The distal end of housing cover 28 includes an outer surface 28a which is tapered or angled downwardly towards housing body 24. Angled outer surface 28a provides easier access to tissue and reduces the likelihood of the clip applier snagging tissue during use. An inner surface 28b formed on the distal end of housing cover 28 has a curvature which corresponds to the curvature of a top surface of jaws 16 and 18. Inner surface 28b is positioned in abutting relation to jaws 16 and 18 to provide stability to and prevent misalignment ofjaws 16 and 18 during operation of clip applier 10.
Referring to FIGS. 10 and 21, housing body 24 includes a pair of distally located cutouts 60 configured to slidably receive jaws 16 and 18. Cutouts 60 are dimensioned to confine jaws 16 and 18 to prevent misaligmnent of the jaws during actuation of clip applier 10 (FIG. 30). The proximal end of housing body 24 includes a pair of transversely extending wings 62 which are dimensioned to be received within recesses 64 formed in housing half-sections 20a and 20b (FIG. 9) to secure elongated body portion 14 to handle portion 12.
As illustrated in FIG. 10, the internal components of clip applier 10 include a jaw body 66, a camming member 68, a clip pusher 70, a clip pusher lockout 72, a clip stack follower 74, and a clip stack 76 including a distal-most clip 76a and a proximal-most clip 76b. Referring also to FIG. 23, jaw body 66 includes jaws 16 and 18, a proximal mounting portion 66a and a pair of spaced distally extending legs 66b. Each ofjaws 16 and 18 is supported on a distal end of a respective one of legs 66b and includes a clip channel 16a and 18a, respectively. A cam surface 70 is formed on an outer surface of each jaw 16 and 18. Cam surfaces 70 are positioned to be engaged by camming member 68 (FIG. 10) in a manner to be described in further detail below.
Jaw body 66 is mounted within channel 26 of housing body 24 using a bolt 67 or the like. Bolt 67 extends through an opening 66d in body 66 and through housing body 24.
Referring now to FIGS. 10 and 16, camming member 68 is slidably supported within channel 26 (FIG. 10) of housing body 24 and includes a distal engagement member 72 which is positioned about legs 66b ofjaw body 66 (FIG. 48). Engagement member 72 can have a substantially rectangular configuration. Alternately, other configurations are contemplated, e.g., C-shaped configuration. The proximal end of camming member 68 includes a bracket 74 to operably connect camming member 68 to handle portion 12 as will be discussed in further detail below. Handles 22 of handle portion 12 (FIG. 1) are operable to move camming member 68 between a retracted position and an advanced position along channe126 of housing body 24. In the retracted position of camming member 68, engagement member 72 is positioned about legs 66b ofjaw body 66 at a location proximal of cam surfaces 70 (FIG. 46). In the advanced position of camming member 68, engagement member 72 is positioned about jaws 16 and 18 in abutting relation to cam surfaces 70 (FIG. 60).
The proximal end of camming member 68 supports an abutment member 79. In one embodiment, abutment member 79 is supported within a cutout 78 formed in the proximal end of camming member 68. Cutout 78 includes a plurality of grooves 78a which receive tongues or projections 82 formed on abutment member 79 to secure abutment member 79 to camming member 68. It is contemplated that abutment member 79 may be attached to camming member 68 using other known fastening techniques. Alternately, abutment member 79 can be formed integrally with camming member 68. Abutment member 79 is positioned to engage a pusher latch assembly 80, as will be described in detail below.
Referring to FIGS. 10, 16, 17 and 20, clip pusher 70 includes an elongated body 82, a distal finger 84, and a proximal latch assembly mount 86. Distal finger 84 is semi-circular in shape and is positioned to engage distal-most clip 76a of the stack of clips 76 when clip pusher 70 is moved from a retracted position to an advanced position (FIG. 53). Latch assembly mount 86 includes a pair of spaced, vertical brackets 88. Brackets 88 each include an opening 90 for receiving a pivot pin 92 (FIG. 16) of pusher latch assembly 80.
Pusher latch assembly 80 includes a latch member 94, a biasing member 96, and pivot pin 92. Latch member 94 is pivotally secured at its distal end between brackets 88 of clip pusher 70 about pivot pin 92. Biasing member 96 is positioned between the proximal end of clip pusher 70 and latch member 94 to urge the proximal end of latch member 94 away from clip pusher 70 to a position to engage abutment member 79 when camming member 68 is moved from its retracted to its advanced position. Latch member 94 is pivotal against the urging of biasing member 96 towards the proximal end of clip pusher 70 to move latch member 94 out of engagement with abutment member 79 as will be discussed in further detail below.
Referring to FIGS. 10 and 18, a separator plate 98 is fixedly supported between housing body 24 and housing cover 28. Separator plate 98 includes a series of projections 100 which are received within recesses 102 formed in housing cover 28 to secure separator plate 98 to housing cover 28. The distal end of separator plate 98 includes a pair of spaced spring fingers 104 which are positioned to guide the distal-most clip 76a of clip stack 76 into jaws 16 and 18. A biasing member securement member 106 (FIG. 19) is formed on separator plate 98. A
biasing member, which can be a coil spring 108, has one end secured to securement member 106 of separator plate 98 and a second end secured to a securement member 110 (FIG. 20) formed on clip pusher 70. Coil spring 108 is in tension and urges clip pusher 70 to its retracted position. When handles 22 (FIG. 1) are operated to move camming member 68 from its retracted position to its advanced position, abutment member 79 engages latch member 94 to move latch member 94 and clip pusher 70 distally toward its advanced position against the urging of coil spring 108. As clip pusher 70 moves distally with camming member 68, distal finger 82 of clip pusher 70 engages distal-most clip 76a of clip stack 76 to advance distal-most clip 76a into jaws 16 and 18.
Referring to FIGS. 10 and 12, a pusher latch cam 110 is supported in channel 26 between housing body 24 and housing cover 28. Pusher latch cam 110 includes a pair of tabs 110a which are received within recesses 112 formed in housing cover 28 to fixedly secure pusher latch cam 110 in relation to housing cover 28. Pusher latch cam 110 is positioned in channel 26 at a position to engage the distal end of latch member 94 (FIG. 57) to pivot and disengage latch member 94 from abutment member 79 when distal-most clip 76a has been fully advanced into jaws 16 and 18. When latch member 94 is disengaged from abutment member 79, coil spring 108 returns clip pusher 70 to its retracted position. Although pusher latch cam 110 is illustrated as block shaped, other configurations are envisioned. Further, pusher latch cam may be integrally formed with housing cover 28 or housing body 24.
Referring to FIGS. 10 and 22, clip stack 76 is slidably supported on a top surface of separator plate 98. A clip follower 74 is positioned behind the proximal-most clip 76b of clip stack 76. Clip follower 74 includes a pair of distally extending arms 74a. The distal end of each ann 74a is configured to engage the backspan of proximal-most clip 76b. A top surface of clip follower 74 includes a spring securement member 112 and a lockout tab 114.
Lockout tab 114 is positioned to travel in second longitudinal groove 56 (FIG. 14) of housing cover 28 and is movable with clip follower 74 as clip follower 74 is advanced to move clip stack 76 distally within elongated body portion 14.
Referring to FIGS. 10 and 11, a clip stop member 116 includes a spring arm 118, a spring securement member 120 and a pair of anchor members 122. Anchor members 122 are dimensioned to be snap-fit into a pair of openings 124 formed through a distal portion of housing cover 28 to secure clip stop member 116 to the underside of housing cover 28.
A biasing member 126 extends between spring securement member 120 of clip stop member 116 and spring securement member 112 of follower 74. Biasing member 126, which can be a coil spring, is supported in tension between follower 74 and clip stop member 116 to urge follower 74 and clip stack 76 distally within body portion 14 towards jaws 16 and 18. Biasing member 126 is positioned within first longitudinal groove 54 of housing cover 28 (FIG. 14).
Clip stop member 116 prevents distal-most clip 76a from being pushed distally into.jaws 16 and 18 until clip pusher 70 is moved to its advanced position. When clip pusher 70 is moved to its advanced position, clip stop member 116 is deflected upwardly by movement of distal-most clip 76a (FIG.
53).
Ajaw locking member, e.g., plate 130 (FIG. 10) is secured to housing body 24 within channe126 of housing body 24. Jaw locking plate 130 includes openings 131 which are dimensioned to receive projections 133 (FIG. 59) formed on housing body 24 to secure plate 130 to body 24. Jaw locking plate 130 has a resilient and flexible arm 130a which is positioned between legs 66b ofjaw body 66 to prevent jaws 16 and 18 from being closed inadvertently during positioning of clip applier 10 at a surgical site. When camming member 68 is moved to its advanced position, the distal end of engagement member 72 of camming member 68 deflects arm 130a downwardly to move arm 130a from between jaws 16 and 18 and allow for closure of jaws 16 and 18 (FIG. 59). Alternately, the jaw locking member need not be in the form of a flat plate but rather other configurations are envisioned, e.g., cylindrical or any configuration positionable between jaws 16 and 18 to prevent closure of the jaws.
Referring to FIGS. 10 and 24, a lockout member 72 is positioned above camming member 68 within channel 26 of housing body 24. Lockout member 72 includes a central body portion 140, a pair of flexible legs 142 and a distally extending engagement member or flag 144.
Central body portion 140 includes a proximally extending resilient finger 146 which extends upwardly towards separator plate 98 and includes a downwardly curved end 146a.
End 146a is positioned to extend through an elongated slot 148 formed in clip pusher 70 and to be partially received within an opening 150 formed in separator plate 98. Engagement of end 146a of finger 146 in opening 150 of separator plate 98 releasably retains lockout 72 at a fixed position in relation to separator plate 98 until an external force is applied to engagement member 144 as will be discussed in detail below.
Each of flexible legs 142 of lockout 72 includes a radial projection 142a.
Legs 142 are positioned within the confines of sidewalls 152 of camming member 68 and are urged inwardly by sidewalls 152. A pair of slots 152a are formed in sidewalls 152 such that when projections 142a are moved into alignment with slots 152a, legs 142 spring outwardly to move radial projections 142a into slots 152a. When projections 142a are positioned within slots 152a, lockout 72 is fixedly secured to camming member 68.
As discussed above, follower 74 is urged distally by biasing member 126 to urge clip stack 76 distally along separator plate 98. As each clip 76a is advanced into jaws 16 and 18, follower 74 moves further distally within elongated body 14. As the proximal-most clip 76b is advanced in jaws 16 and 18, lockout tab 114 of follower 74 engages engagement member or flag 144 of lockout 72 and effects distal movement of lockout 72 in relation to camming member 68, such that after proximal-most clip 76b is crimped between jaws 16 and 18 and camming member 68 is returned to its retracted position, radial projections 142a align with slots 152a in camming member 68 to fixedly secure lockout 72 to camming member 68.
A stop member 156 (FIG. 10) is secured to a proximal end of mounting portion 66a of jaw body 66. In one embodiment, stop member 156 includes a cylindrical dowel.
Alternately, other stop member configurations are envisioned. The distal end of lockout 72 includes a recess 158 for receiving stop member 156. Since stop member 156 is fixedly secured within channel 26 of housing body 24, engagement between lockout 72 and stop member 156 prevents further distal advancement of lockout 72. As discussed above, after the proximal-most clip 76b has been applied to tissue, lockout 72 is fixedly secured to camming member 68.
Stop member 156 is also received in recess 158 of lockout 72. Thus, after proximal-most clip 76b has been applied to tissue and lockout 72 is fixed to caanming member 86, engagement between lockout 72 and stop member 156 prevents distal advancement of canuning member 68. As will be discussed below, since camming member 68 is connected via linkages to handles 22 (FIG.
1), engagement between lockout 72 and stop member 156 will prevent actuation of handles 22 and thus, indicate to a surgeon that the clip applier clip stack 76 has been depleted.
Referring to FIGS. 5, 8, 25 and 28, handle portion 12 includes a yoke 170 which is slidably positioned between housing half-sections 20a and 20b between retracted and advanced positions. The distal end of yoke 170 includes an annular recess 172 which is dimensioned to be positioned in a semi-circular slot 174 (FIG. 16) formed in bracket 74 of camming member 68 to attach yoke 170 to camming member 68. The proximal end of yoke 170 includes a U-shaped connector 176 having a throughbore 178 dimensioned to receive a pivot pin 180.
Pivot pin 180 pivotally connects yoke 170 to the distal end of front links 182a and 182b of a linkage assembly which connects handles 22 to yoke 170. The proxinial end of front links 182a and 182b are pivotally secured to the distal end of rear links 184a and 184b, respectively, by pivot members 186. The proximal ends of rear links 184a and 184b are connected to each other and to handle housing 20 by a pivot member 188. Pivot member 188 is pivotally mounted between bores 190 formed in housing half-sections 20a and 20b (FIG. 5). Pivot members 186 are received within a respective cam channel 42 fonned in a respective handle 22. When handles 22 are actuated, i.e., moved towards housing 20, pivot members 186 are caused to move through cam channels 42 such that front links 182a, 182b and rear links 184a, 184b are moved from a first misaligned position towards an aligned position (FIG. 51). Since the proximal end of rear links 184a and 184b are axially fixed between housing half-sections 20a and 20b, movement of front links 182a and 182b and rear links 184a and 184b toward an aligned position moves the distal end of front links 182a and 182b distally within housing 20. As discussed above, the distal end of front links 182a and 182b is axially fixed to yoke 170 by pivot member 180. As such, when handles 22 are actuated, yoke 170 is moved distally to move camming member 68 distally. A
biasing member, e.g., coil spring 179, is positioned about a distal end of yoke 170 and abuts a spring stop 181 supported within housing 20 to urge yoke 170 to its retracted position.
Referring to FIGS. 25-27, handle portion 12 includes an anti-reverse ratchet mechanism which includes a pawl 192, a rack 194, and a pawl biasing member 196. Rack 194 includes a series of teeth 194a and is supported within a recess 198 formed in housing half-section 20a. In one embodiment, recess 198 is dovetail shaped and the backside of rack 194 has a dovetail shape projection 194b which is slidably received within recess 198 to secure rack 194 within housing 20. Alternately, other fastening techniques can be used to secure rack 194 within housing 20, e.g., adhesives, pins, welding, etc.
Pawl 192 includes a bore 192a dimensioned to receive pivot member 180 such that pawl 192 is rotatably mounted to yoke 170 about pivot member 180. Pawl biasing member 196 includes a pair of mounting holes 200 for securing bracket 196 to a plate extension 202 (FIG. 28) of yoke 170. Pawl biasing member 196 also includes a semi-circular cutout 204 which is positioned to be clipped partially about pivot member 180, and a cantilever or spring arm 206 which is positioned within a slot 192b formed in a backside of pawl 192.
Cantilever arm 206 is resilient and provides a biasing force to urge pawl 192 to a position in which pawl finger 192c is substantially perpendicular to arm 206. Finger 192c is positioned to engage teeth 194a of rack 194 to retain yoke 170 at partially advanced positions during actuation of clip applier 10 against the bias of spring 179 which urges yoke 170 to its retracted position. The anti-reverse ratchet mechanism prevents retraction of yoke 170 and camming member 68 after handles 22 have been partially actuated until the clip applier has been fully actuated.
Referring to FIGS. 36-67, operation of clip applier 10 will now be described.
FIGS. 36-50 illustrate clip applier 10 prior to actuation of handles 22, i.e., in the prefired position. In the prefired position, biasing member 179 urges yoke 170 to its retracted position. When yoke 170 is in its retracted position, pivot members 186 are positioned within cam channels 42 (FIG. 36) such that front links 182a and 182b and rear links 184a and 184b are in their misaligned position, handles 22 are spaced from housing 20 of clip applier 10, and pawl 192 (FIG.
38) is positioned proximally of rack 194 (FIG. 38). Referring to FIGS. 40-50, in the prefired position, camining member 68 is urged to its retracted position by yoke 170 and biasing member 179 (FIG. 39).
Clip pusher 70 is urged to its retracted position by biasing member 108 (FIG.
42). Clip stack 76 is urged by follower 74 (FIG. 44) and biasing member 126 distally within body 14, but distal-most clip 76a is prevented from moving into jaws 16 and 18 by spring arm 118 of clip stop member 116 (FIG. 40). Jaw locking plate 130 is positioned between jaw legs 66b to prevent inadvertent closure ofjaws 16 and 18 (FIG. 40). It is also noted that latch member 94 of pusher latch assembly 80 is spaced distally of but in a position to engage abutment member 79 which is supported on camming member 68 (FIG. 44). Further, radial projections 142a of lockout 72 are positioned proximally of slots 152a of camming member 68 and recess 158 of lockout 72 is positioned proximally of stop member 156.
FIGS. 51-63 illustrate clip applier 10 in various stages of operation.
Referring to FIG.
51, handles 22 have been partially actuated or moved towards housing 20 in the direction indicated by arrow "A". Actuation of handles 22 moves front links 182a and 182b towards their aligned position to advance yoke 170 distally in the direction indicated by arrow "B". Referring to FIG. 52, as yoke 170 is advanced, camming member 68 which is secured to yoke 170 is advanced distally within elongated body 14 of clip applier 10. Abutment member 79 is supported on camming member 68 and is also advanced distally within elongated body 14 in the direction indicated by arrow "C". During the initial actuation stroke of handles 22, abutment member 79 engages latch member 94 of pusher latch assembly 80 to effect advancement of clip pusher 70 in the direction indicated by arrow "D". Referring to FIG. 53, as clip pusher 70 advances, engagement finger 84 of clip pusher 70 advances distal-most clip 76a of clip stack 76 past spring arm 118 of clip stop member 116 into jaws 16 and 18. As the distal-most clip 76a of clip stack 76 is advanced into the jaws, follower 74 (FIG. 52) under the force of biasing member 126 advances clip stack 76 distally in the direction indicated by arrow "E" in FIG. 53 to position the second distal-most clip 77 adjacent clip stop menlber 116 (See FIGS. 53-55).
Referring to FIGS. 55-57, as camming member 68 and clip pusher 70 advance within elongated body 14, the tension in spring 108 is increased, i.e., spring 108 is stretched (FIG. 56).
When distal-most clip 76a is fully positioned within jaws 16 and 18, pusher latch cam 110 engages a distal end of latch member 94 and pivots latch member 94 in the direction indicated by arrow "F" against the urging of biasing member 96 to release latch member 94 from abutment member 79. When latch member 94 is released from abutment member 79, biasing member 108 returns clip pusher 70 to its retracted position (FIGS. 58 and 59).
As handles 22 are more fully actuated, i.e., moved closer to housing 20, camming member 68 engages finger 130a ofjaw locking plate 130 (FIG. 55) to deform plate 130 downwardly from between legs 66b ofjaw body 66. Continued advancement of camming member 68 advances engagement member 72 into camming surfaces 70 ofjaws 16 and 18 to move jaws 16 and 18 from a spaced position (FIG. 46) to a crimping position (FIG. 63).
Referring to FIG. 51, as yoke 170 is moved from its retracted position within housing 20 to its advanced position, a finger 192c of pawl 192 engages teeth 194a of rack 194 to prevent spring 179 from returning yoke 170 to its retracted position when handles 22 are released. As such, once handles 22 begin to be actuated and pawl 192 engages rack 194 (FIG.
51) yoke 170 cannot be returned to its retracted position until clip applier 10 is fully actuated. When yoke 170 is moved to its advanced position, pawl 192 passes by the distal end of rack 194 (FIG. 61) and cantilevered or spring arm 206 of pawl biasing member 196 will rotate pawl 192 in the direction indicated by arrow "G" in FIG. 61 to a position in which finger 192a of paw1192 is positioned at 12:00. Thus, when handles 22 are released and spring 179 returns yoke 170 to its retracted positioned (FIG. 64) finger 192c will engage the distal end of rack 194 and rotate counter-clockwise in the direction indicated by arrow "H" in FIG. 64 and ratchet over teeth 194a of rack 194. Note, in the fully retracted position of yoke 170, pawl 192 is positioned proximally of rack 194. In this position cantilevered arm 206 (FIG. 61) returns finger 192c of paw1192 to the 12:00 position.
After the device has been fully actuated as shown in FIGS. 61-63 and handles 22 have been released, yoke 170 is moved to its retracted position by spring 179.
Camming member 68, which is secured to yoke 170, is also moved toward its retracted position. As this occurs, resilient jaws 16 and 18 return to their spaced position and camming member 68 moves past jaw locking plate 130 allowing locking plate finger 130a to return to a position located between legs 66b ofjaw body 66. As discussed above, the positioning of locking plate 130 between legs 66b ofjaw body 66 prevents inadvertent closure of jaws 16 and 18.
Referring to FIGS. 65 and 66, after the proximal-most clip 76b has been advanced beyond clip stop member 116, clip follower 74 is advanced towards its fully advanced position by biasing member 126. As this occurs, lockout tab 114 formed on follower 74 engages engagement member 144 of lockout 72 to advance lockout 72 distally in relation to camming member 68 to move radial projections 142a of flexible legs 142 of lockout 72 into slots 152a of calzuZling member 68 and secure or interlock lockout 72 to camming member 68.
When lockout 72 is moved distally within elongated body 14 by follower 74, distal recess 158 of lockout 72 receives stop member 156, which is secured to mounting portion 66a ofjaw body 66 such that the distal end of lockout 72 engages stop member 156. Engagement between the distal end of lockout 72 and stop member 156 prevents further distal movement of lockout 72 and, thus, camming member 68.
It will be understood that various modifications may be made to the embodiments disclosed herein. Therefore, the above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Because surgical procedures usually require the use of a multiplicity of surgical clips, multiple clip applicators are generally preferred.
Typically, clip applying apparatus include a handle mechanism, an elongated body portion, and a clip crimping assembly, e.g., a jaw or pair ofjaws. Such clip applying apparatus are configured for endoscopic or open surgical procedures. Although known clip applying apparatus for sequentially advancing individual clips have provided good results, a continuing need exists for a clip applying apparatus which is less complex and provides effective hemostasis.
SUMMARY
In accordance with the present disclosure, an apparatus for applying surgical clips is provided which includes a handle portion including a housing and at least one movable handle and a body portion housing a clip stack. A pair ofjaws is supported at the distal end of the body portion. The body portion includes a clip pusher, a camming member and a clip follower. The clip pusher is movably positioned within the body portion and is operable to advance a distal-most clip from the clip stack to a position between the pair of jaws. The camming member is movably positioned within the body portion and is operable to approximate or move the pair of jaws toward each other to deform the distal-most clip of the clip stack. The clip follower is positioned proximally of the clip stack and is operable to urge the clip stack distally towards the pair of jaws. In one embodiment, the body portion includes a lockout member and a stop member. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. In its second position, the lockout member is positioned to abut the stop member to limit distal movement of the camming member.
In one embodiment, the lockout member includes at least one flexible leg having a projection and the camming member includes at least one slot dimensioned to receive the projection to interlock or secure the lockout member to the camming member.
The at least one flexible leg can include a pair of flexible legs and the at least one slot can include a pair of slots.
The lockout member can include a resilient finger which is positioned to releasably retain the lockout member in its first position. In one embodiment, the body portion further includes a separator plate which includes an opening dimensioned to receive a portion of the resilient finger of the lockout member to retain the lockout member in its first position. The clip follower may include a tab and the lockout member may include an engagement member such that the tab is movable into the engagement member to move the lockout member from its first position to its second position. In one embodiment, the tab is positioned to engage the engagement member after the proximal most clip has been advanced to the pair of jaws.
Alternately, the tab can be positioned to engage the engagement member when one or more clips are remaining in the apparatus.
In one embodiment, an apparatus for applying surgical clips is provided which includes a handle portion having at least one movable handle and a body portion including a clip pusher and a camming member. The clip pusher is movably supported within the body portion to advance a distal-most clip of a clip stack to a position between a pair of jaws supported at a distal end of the body portion. The camming member is movably supported within the body portion from a retracted position to an advanced position to approximate the pair ofjaws. A
latch assembly is supported on the clip pusher and includes a pivotal latch member which is movable from a first position engaged with an abutment supported on the camming member to a second position disengaged from the abutment of the camming member. The camming member is operably connected to the at least one movable handle such that movement of the at least one movable handle through an actuation stroke effects movement of the camming member from its advanced position to its retracted position. In one embodiment, the pivotal latch member is urged towards its first position by a biasing member such that movement of the camming member from its retracted position to its advanced position initially effects advancement of the clip pusher. A
latch cam is fixedly supported on the body portion and is positioned to engage the pivotal latch member after the clip pusher has advanced the distal-most clip of the clip stack to its position between the j aws to disengage the latch member from the abutment. In one embodiment, a biasing member is positioned to urge the clip pusher to a retracted position after the latch member is disengaged from the abutment. In one embodiment, the body portion includes a housing body and a housing cover and the latch cam is supported on the housing cover. The handle portion can include a yoke which is connected to a proximal end of the camming member. In one embodiment, the at least one handle is operably connected to the yoke by at least one front link such that movement of the at least one handle through an actuation stroke effects advancement of the yoke and the camming member. The handle portion can include a pair of handles with each handle operably connected to the yoke by one front link. In one embodiment, a pair of rear links are provided. Each of the rear links has a first end pivotally connected to a respective front link by a first pivot member and a second end pivotally connected to the handle portion by a second pivot member. Each of the pair of handles defines a cam channel for slidably receiving a respective one of the first pivot members.
In one embodiment, an apparatus for applying surgical clips includes a handle portion, a body portion extending distally from the handle portion, and a jaw body supported at a distal end of the body portion. The jaw body includes first and second jaws movable from a spaced position to a more approximated position. In one embodiment, the body portion includes a camming member which is movable from a retracted position to an advanced position to effect movement of the first and second jaws from their spaced position to their more approximated position. The body portion further includes a resilient jaw locking member removably positioned between the first and second jaws to prevent the jaws from moving from their spaced position to their more approximated position. In one embodiment, the jaw locking member is in the form of a resilient plate and the jaw body includes a pair of inwardly deformable legs. Each of the legs supports one of the first and second jaws and the locking member being positioned between the legs of the jaw body. A distal end of the camming is slidably positioned about the legs of the jaw body and is movable from its retracted position to its advanced position to move the locking member from between the legs of the jaw body and subsequently to effect movement of the first and second jaws to their more approximated position.
BRIEF DESCRIPTION OF THE DRAWINGS
Various embodiments of the presently disclosed clip applying apparatus are described herein with reference to the drawings, wherein:
FIG. 1 is a perspective view of one embodiment of the presently disclosed clip applying apparatus;
FIG. 2 is an enlarged perspective view of the distal end of the clip applying apparatus shown in FIG. 1;
FIG. 3 is a top view of the clip applying apparatus shown in FIG. 1;
FIG. 4 is a side view of the clip applying apparatus shown in FIG. 1;
FIG. 5 is a perspective view of the proximal portion of the clip applying apparatus shown in FIG. 4 with the top housing half-section exploded;
FIG. 6 is a perspective view of the clip applying apparatus shown in FIG. 1 with the top housing half-section removed;
FIG. 7 is an enlarged view of the indicated area of detail shown in FIG. 6;
FIG. 8 is an enlarged view of the indicated area of detail shown in FIG. 6;
FIG. 9 is a perspective view of the proximal end of the body portion and the interior of a housing half-section with the internal components of the handle portion removed;
FIG. 10 is an exploded view of the body portion of the clip applying apparatus shown in FIG. 1;
FIG. 11 is a perspective view of the clip stop member of the clip applying apparatus shown in FIG. 1;
FIG. 12 is an enlarged view of the indicated area of detail shown in FIG. 12;
FIG. 13 is a bottom perspective view of the housing cover of the clip applying apparatus shown in FIG. 1;
FIG. 14 is an enlarged view of the indicated area of detail shown in FIG. 13;
FIG. 15 is an enlarged view of the indicated area of detail shown in FIG. 13;
FIG. 16 is an enlarged view of the indicated area of detail shown in FIG. 10;
FIG. 17 is a perspective view of the proximal end of the clip pusher of the clip applying apparatus shown in FIG. 1 with the pusher latch assembly secured thereto;
FIG. 18 is a bottom perspective view of the separator plate of the clip applying apparatus shown in FIG. 1;
FIG. 19 is an enlarged view of the indicated area of detail shown in FIG. 18;
FIG. 20 is a bottom perspective view of the clip pusher of the clip applying apparatus shown in FIG. 1;
FIG. 21 is a bottom perspective view of the housing body of the clip applying apparatus shown in FIG. 1;
FIG. 22 is a top perspective view of the clip follower of the clip applying apparatus shown in FIG. 1;
FIG. 23 is a top perspective view of the jaw body of the clip applying apparatus shown in FIG. 1;
FIG. 24 is a top perspective view of the clip applying apparatus shown in FIG.
1;
FIG. 25 is an exploded perspective view of the handle portion of the clip applying apparatus shown in FIG. 1;
FIG. 26 is a perspective view of the pawl of the handle portion shown in FIG.
25;
FIG. 27 is a perspective view of the pawl biasing member of the handle portion shown in FIG. 25;
FIG. 28 is a perspective view of the yoke of the handle portion shown in FIG.
25;
FIG. 29 is a perspective view of the body portion of the clip applying apparatus shown in FIG. 1 with the housing cover removed;
FIG. 30 is an enlarged perspective view of the distal end of the body portion shown in FIG. 29;
FIG. 31 is an enlarged perspective view of the proximal end of the body portion shown in FIG. 29;
FIG. 32 is an enlarged perspective view of the distal end of the body portion shown in FIG. 29 with the clip follower biasing member and the clip stop member removed;
FIG. 33 is an enlarged perspective view of the distal end of the body portion shown in FIG. 32 with the clip stack removed;
FIG. 34 is an enlarged perspective view of the distal end of the body portion shown in FIG. 33 with the separator plate shown removed;
FIG. 35 is an enlarged perspective view of the distal end of the body portion shown in FIG. 34 with the clip pusher removed;
FIG. 36 is a top cross-sectional view of the clip applying apparatus shown in FIG. 1 prior to actuation of the apparatus;
FIG. 37 is a side cross-sectional view of the clip applying apparatus shown in FIG. 36;
FIG. 38 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 39 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 40 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 41 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 42 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 43 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 44 is an enlarged view of the indicated area of detail shown in FIG. 37;
FIG. 45 is an enlarged view of the indicated area of detail shown in FIG. 36;
FIG. 46 is a top view of the jaw body and the distal end of the camming member of the clip applying apparatus shown in FIG. 36;
FIG. 47 is a cross-sectional view taken along section lines 47-47 of FIG. 44;
FIG. 48 is a cross-sectional view taken along section lines 48-48 of FIG. 40;
FIG. 49 is a cross-sectional view taken along section lines 49-49 of FIG. 42;
FIG. 50 is an enlarged view of the indicated area of detail shown in FIG. 49;
FIG. 51 is a top cross-sectional view of the handle portion of the clip applying apparatus shown in FIG. 1 during initial actuation of the handle portion;
FIG. 52 is a side cross-sectional view of the proximal portion of the body portion of the clip applying apparatus shown in FIG. 1 during initial actuation of the handle portion.
FIG. 53 is a side cross-sectional view of the distal end of the body portion of the clip applying apparatus shown in FIG. 1 during initial actuation of the handle portion;
FIG. 54 is a side cross-sectional view of the distal end of the body portion of the clip applying apparatus shown in FIG. 1 during further actuation of the handle portion;
FIG. 55 is a side cross-sectional view of the distal end of the body portion of the clip applying apparatus shown in FIG. 1 during further actuation of the handle portion;
FIG. 56 is a side cross-sectional view of the body portion shown in FIG. 42 after further actuation of the handle portion;
FIG. 57 is a side cross-sectional view of the body portion shown in FIG. 44 after further actuation of the handle portion;
FIG. 58 is a side cross-sectional view of the body portion shown in FIG. 57 after further actuation of the handle portion;
FIG. 59 is a side cross-sectional view of the distal end of the body portion shown in FIG.
55 after further actuation of the handle portion;
FIG. 60 is a top view of the jaw body and camming member shown in FIG. 46 with the camming member advanced further distally;
FIG. 61 is a top cross-sectional view of the handle portion shown in FIG. 51 with the handle portion after further actuation of the handle portion;
FIG. 62 is a side cross-sectional view of the body portion shown in FIG. 58 after further actuation of the handle portion;
FIG. 63 is a top view of the jaw body and camming member shown in FIG. 60 with camming member fully advanced;
FIG. 64 is a top cross-section view of the handle portion shown in FIG. 61 after the handle portion has been returned to the unactuated position;
FIG. 65 is a top view of the distal portion of the body portion of the clip applying apparatus shown in FIG. 36 illustrating the lockout tab of the clip follower engaging the engagement member of the lockout;
FIG. 66 is top perspective view of a portion of the body portion of the clip applying apparatus shown in FIG. 36 illustrating the lockout engaging the stop member;
and FIG. 67 is a perspective view of a clip of the clip stack of the clip applying apparatus shown in FIG. 36 deformed about tissue.
DETAILED DESCRIPTION OF EMBODIMENTS
Embodiments of the presently disclosed surgical clip applier will now be described in detail with reference to the drawings wherein like reference numerals designate identical or corresponding elements in each of the several views. Throughout this description, the term "proximal" will refer to the portion of the instrument closest to the operator and the term "distal"
will refer to the portion of the instrument furthest from the operator.
Referring to FIGS. 1-4, the presently disclosed surgical clip applier, shown generally as 10, includes a handle portion 12, an elongated body portion 14 extending distally from handle portion 12 and first and second jaws 16 and 18 which extend from the distal end of body portion 14. Briefly, handle portion 12 includes a handle housing 20 and a pair of movable handles or triggers 22. Each handle 22 includes a finger loop 22a for receiving a finger of a surgeon's hand.
Referring also to FIGS. 5-9, handle housing 20 can be formed from molded housing half-sections 20a and 20b (FIG. 5) which are secured together using screws 30 and nuts 32.
Alternately, other fastening techniques may be used to secure housing half-sections 20a and 20b together, e.g., welding, rivets, interlocking structure, adhesives, etc. In one embodiment, the distal end of each handle 22 is pivotally secured about a pivot member 34 such that handles 22, when actuated, move in a scissor-like manner. Each pivot member 34 is positioned between recesses 36a and 36b formed in half-sections 20a and 20b, respectively, and may be formed integrally with a respective handle 22 or, in the alternative, as a separate element from a respective handle 22. In one embodiment, each handle 22 has a slip resistant grip member 40 secured to an outside surface thereof and a cam channe142 formed on an inside surface thereof.
Slip resistant grip member 40 can be formed from a cushioning material and overmolded onto each handle 22. It is also contemplated that other slip resistant materials and methods of application may be used to form grip member 40 and apply grip member 40 to a handle 22. Each cam channel 42 is configured to receive a pivot member for connecting a pair of pivotal links as will be described in more detail below.
Referring to FIG. 10, elongated body portion 14 includes a housing body 24 defining a channe126 for receiving internal components of surgical clip applier 10. A
housing cover 28 is secured to housing body 24 and covers channel 26. In one embodiment, housing cover 28 has a series of projections 50 which are dimensioned to be received within openings 52 formed along channel walls 26a of housing body 24 to secure housing cover 28 to housing body 24.
Alternately, other securement techniques are contemplated, e.g., adhesives, crimping, screws, etc.
Referring also to FIGS. 13-15, an internal surface of housing cover 28 includes a first longitudinal groove 54 and a second longitudinal groove 56. Grooves 54 and 56 accommodate other components of the elongated body portion as will be discussed in fizrther detail below. The distal end of housing cover 28 includes an outer surface 28a which is tapered or angled downwardly towards housing body 24. Angled outer surface 28a provides easier access to tissue and reduces the likelihood of the clip applier snagging tissue during use. An inner surface 28b formed on the distal end of housing cover 28 has a curvature which corresponds to the curvature of a top surface of jaws 16 and 18. Inner surface 28b is positioned in abutting relation to jaws 16 and 18 to provide stability to and prevent misalignment ofjaws 16 and 18 during operation of clip applier 10.
Referring to FIGS. 10 and 21, housing body 24 includes a pair of distally located cutouts 60 configured to slidably receive jaws 16 and 18. Cutouts 60 are dimensioned to confine jaws 16 and 18 to prevent misaligmnent of the jaws during actuation of clip applier 10 (FIG. 30). The proximal end of housing body 24 includes a pair of transversely extending wings 62 which are dimensioned to be received within recesses 64 formed in housing half-sections 20a and 20b (FIG. 9) to secure elongated body portion 14 to handle portion 12.
As illustrated in FIG. 10, the internal components of clip applier 10 include a jaw body 66, a camming member 68, a clip pusher 70, a clip pusher lockout 72, a clip stack follower 74, and a clip stack 76 including a distal-most clip 76a and a proximal-most clip 76b. Referring also to FIG. 23, jaw body 66 includes jaws 16 and 18, a proximal mounting portion 66a and a pair of spaced distally extending legs 66b. Each ofjaws 16 and 18 is supported on a distal end of a respective one of legs 66b and includes a clip channel 16a and 18a, respectively. A cam surface 70 is formed on an outer surface of each jaw 16 and 18. Cam surfaces 70 are positioned to be engaged by camming member 68 (FIG. 10) in a manner to be described in further detail below.
Jaw body 66 is mounted within channel 26 of housing body 24 using a bolt 67 or the like. Bolt 67 extends through an opening 66d in body 66 and through housing body 24.
Referring now to FIGS. 10 and 16, camming member 68 is slidably supported within channel 26 (FIG. 10) of housing body 24 and includes a distal engagement member 72 which is positioned about legs 66b ofjaw body 66 (FIG. 48). Engagement member 72 can have a substantially rectangular configuration. Alternately, other configurations are contemplated, e.g., C-shaped configuration. The proximal end of camming member 68 includes a bracket 74 to operably connect camming member 68 to handle portion 12 as will be discussed in further detail below. Handles 22 of handle portion 12 (FIG. 1) are operable to move camming member 68 between a retracted position and an advanced position along channe126 of housing body 24. In the retracted position of camming member 68, engagement member 72 is positioned about legs 66b ofjaw body 66 at a location proximal of cam surfaces 70 (FIG. 46). In the advanced position of camming member 68, engagement member 72 is positioned about jaws 16 and 18 in abutting relation to cam surfaces 70 (FIG. 60).
The proximal end of camming member 68 supports an abutment member 79. In one embodiment, abutment member 79 is supported within a cutout 78 formed in the proximal end of camming member 68. Cutout 78 includes a plurality of grooves 78a which receive tongues or projections 82 formed on abutment member 79 to secure abutment member 79 to camming member 68. It is contemplated that abutment member 79 may be attached to camming member 68 using other known fastening techniques. Alternately, abutment member 79 can be formed integrally with camming member 68. Abutment member 79 is positioned to engage a pusher latch assembly 80, as will be described in detail below.
Referring to FIGS. 10, 16, 17 and 20, clip pusher 70 includes an elongated body 82, a distal finger 84, and a proximal latch assembly mount 86. Distal finger 84 is semi-circular in shape and is positioned to engage distal-most clip 76a of the stack of clips 76 when clip pusher 70 is moved from a retracted position to an advanced position (FIG. 53). Latch assembly mount 86 includes a pair of spaced, vertical brackets 88. Brackets 88 each include an opening 90 for receiving a pivot pin 92 (FIG. 16) of pusher latch assembly 80.
Pusher latch assembly 80 includes a latch member 94, a biasing member 96, and pivot pin 92. Latch member 94 is pivotally secured at its distal end between brackets 88 of clip pusher 70 about pivot pin 92. Biasing member 96 is positioned between the proximal end of clip pusher 70 and latch member 94 to urge the proximal end of latch member 94 away from clip pusher 70 to a position to engage abutment member 79 when camming member 68 is moved from its retracted to its advanced position. Latch member 94 is pivotal against the urging of biasing member 96 towards the proximal end of clip pusher 70 to move latch member 94 out of engagement with abutment member 79 as will be discussed in further detail below.
Referring to FIGS. 10 and 18, a separator plate 98 is fixedly supported between housing body 24 and housing cover 28. Separator plate 98 includes a series of projections 100 which are received within recesses 102 formed in housing cover 28 to secure separator plate 98 to housing cover 28. The distal end of separator plate 98 includes a pair of spaced spring fingers 104 which are positioned to guide the distal-most clip 76a of clip stack 76 into jaws 16 and 18. A biasing member securement member 106 (FIG. 19) is formed on separator plate 98. A
biasing member, which can be a coil spring 108, has one end secured to securement member 106 of separator plate 98 and a second end secured to a securement member 110 (FIG. 20) formed on clip pusher 70. Coil spring 108 is in tension and urges clip pusher 70 to its retracted position. When handles 22 (FIG. 1) are operated to move camming member 68 from its retracted position to its advanced position, abutment member 79 engages latch member 94 to move latch member 94 and clip pusher 70 distally toward its advanced position against the urging of coil spring 108. As clip pusher 70 moves distally with camming member 68, distal finger 82 of clip pusher 70 engages distal-most clip 76a of clip stack 76 to advance distal-most clip 76a into jaws 16 and 18.
Referring to FIGS. 10 and 12, a pusher latch cam 110 is supported in channel 26 between housing body 24 and housing cover 28. Pusher latch cam 110 includes a pair of tabs 110a which are received within recesses 112 formed in housing cover 28 to fixedly secure pusher latch cam 110 in relation to housing cover 28. Pusher latch cam 110 is positioned in channel 26 at a position to engage the distal end of latch member 94 (FIG. 57) to pivot and disengage latch member 94 from abutment member 79 when distal-most clip 76a has been fully advanced into jaws 16 and 18. When latch member 94 is disengaged from abutment member 79, coil spring 108 returns clip pusher 70 to its retracted position. Although pusher latch cam 110 is illustrated as block shaped, other configurations are envisioned. Further, pusher latch cam may be integrally formed with housing cover 28 or housing body 24.
Referring to FIGS. 10 and 22, clip stack 76 is slidably supported on a top surface of separator plate 98. A clip follower 74 is positioned behind the proximal-most clip 76b of clip stack 76. Clip follower 74 includes a pair of distally extending arms 74a. The distal end of each ann 74a is configured to engage the backspan of proximal-most clip 76b. A top surface of clip follower 74 includes a spring securement member 112 and a lockout tab 114.
Lockout tab 114 is positioned to travel in second longitudinal groove 56 (FIG. 14) of housing cover 28 and is movable with clip follower 74 as clip follower 74 is advanced to move clip stack 76 distally within elongated body portion 14.
Referring to FIGS. 10 and 11, a clip stop member 116 includes a spring arm 118, a spring securement member 120 and a pair of anchor members 122. Anchor members 122 are dimensioned to be snap-fit into a pair of openings 124 formed through a distal portion of housing cover 28 to secure clip stop member 116 to the underside of housing cover 28.
A biasing member 126 extends between spring securement member 120 of clip stop member 116 and spring securement member 112 of follower 74. Biasing member 126, which can be a coil spring, is supported in tension between follower 74 and clip stop member 116 to urge follower 74 and clip stack 76 distally within body portion 14 towards jaws 16 and 18. Biasing member 126 is positioned within first longitudinal groove 54 of housing cover 28 (FIG. 14).
Clip stop member 116 prevents distal-most clip 76a from being pushed distally into.jaws 16 and 18 until clip pusher 70 is moved to its advanced position. When clip pusher 70 is moved to its advanced position, clip stop member 116 is deflected upwardly by movement of distal-most clip 76a (FIG.
53).
Ajaw locking member, e.g., plate 130 (FIG. 10) is secured to housing body 24 within channe126 of housing body 24. Jaw locking plate 130 includes openings 131 which are dimensioned to receive projections 133 (FIG. 59) formed on housing body 24 to secure plate 130 to body 24. Jaw locking plate 130 has a resilient and flexible arm 130a which is positioned between legs 66b ofjaw body 66 to prevent jaws 16 and 18 from being closed inadvertently during positioning of clip applier 10 at a surgical site. When camming member 68 is moved to its advanced position, the distal end of engagement member 72 of camming member 68 deflects arm 130a downwardly to move arm 130a from between jaws 16 and 18 and allow for closure of jaws 16 and 18 (FIG. 59). Alternately, the jaw locking member need not be in the form of a flat plate but rather other configurations are envisioned, e.g., cylindrical or any configuration positionable between jaws 16 and 18 to prevent closure of the jaws.
Referring to FIGS. 10 and 24, a lockout member 72 is positioned above camming member 68 within channel 26 of housing body 24. Lockout member 72 includes a central body portion 140, a pair of flexible legs 142 and a distally extending engagement member or flag 144.
Central body portion 140 includes a proximally extending resilient finger 146 which extends upwardly towards separator plate 98 and includes a downwardly curved end 146a.
End 146a is positioned to extend through an elongated slot 148 formed in clip pusher 70 and to be partially received within an opening 150 formed in separator plate 98. Engagement of end 146a of finger 146 in opening 150 of separator plate 98 releasably retains lockout 72 at a fixed position in relation to separator plate 98 until an external force is applied to engagement member 144 as will be discussed in detail below.
Each of flexible legs 142 of lockout 72 includes a radial projection 142a.
Legs 142 are positioned within the confines of sidewalls 152 of camming member 68 and are urged inwardly by sidewalls 152. A pair of slots 152a are formed in sidewalls 152 such that when projections 142a are moved into alignment with slots 152a, legs 142 spring outwardly to move radial projections 142a into slots 152a. When projections 142a are positioned within slots 152a, lockout 72 is fixedly secured to camming member 68.
As discussed above, follower 74 is urged distally by biasing member 126 to urge clip stack 76 distally along separator plate 98. As each clip 76a is advanced into jaws 16 and 18, follower 74 moves further distally within elongated body 14. As the proximal-most clip 76b is advanced in jaws 16 and 18, lockout tab 114 of follower 74 engages engagement member or flag 144 of lockout 72 and effects distal movement of lockout 72 in relation to camming member 68, such that after proximal-most clip 76b is crimped between jaws 16 and 18 and camming member 68 is returned to its retracted position, radial projections 142a align with slots 152a in camming member 68 to fixedly secure lockout 72 to camming member 68.
A stop member 156 (FIG. 10) is secured to a proximal end of mounting portion 66a of jaw body 66. In one embodiment, stop member 156 includes a cylindrical dowel.
Alternately, other stop member configurations are envisioned. The distal end of lockout 72 includes a recess 158 for receiving stop member 156. Since stop member 156 is fixedly secured within channel 26 of housing body 24, engagement between lockout 72 and stop member 156 prevents further distal advancement of lockout 72. As discussed above, after the proximal-most clip 76b has been applied to tissue, lockout 72 is fixedly secured to camming member 68.
Stop member 156 is also received in recess 158 of lockout 72. Thus, after proximal-most clip 76b has been applied to tissue and lockout 72 is fixed to caanming member 86, engagement between lockout 72 and stop member 156 prevents distal advancement of canuning member 68. As will be discussed below, since camming member 68 is connected via linkages to handles 22 (FIG.
1), engagement between lockout 72 and stop member 156 will prevent actuation of handles 22 and thus, indicate to a surgeon that the clip applier clip stack 76 has been depleted.
Referring to FIGS. 5, 8, 25 and 28, handle portion 12 includes a yoke 170 which is slidably positioned between housing half-sections 20a and 20b between retracted and advanced positions. The distal end of yoke 170 includes an annular recess 172 which is dimensioned to be positioned in a semi-circular slot 174 (FIG. 16) formed in bracket 74 of camming member 68 to attach yoke 170 to camming member 68. The proximal end of yoke 170 includes a U-shaped connector 176 having a throughbore 178 dimensioned to receive a pivot pin 180.
Pivot pin 180 pivotally connects yoke 170 to the distal end of front links 182a and 182b of a linkage assembly which connects handles 22 to yoke 170. The proxinial end of front links 182a and 182b are pivotally secured to the distal end of rear links 184a and 184b, respectively, by pivot members 186. The proximal ends of rear links 184a and 184b are connected to each other and to handle housing 20 by a pivot member 188. Pivot member 188 is pivotally mounted between bores 190 formed in housing half-sections 20a and 20b (FIG. 5). Pivot members 186 are received within a respective cam channel 42 fonned in a respective handle 22. When handles 22 are actuated, i.e., moved towards housing 20, pivot members 186 are caused to move through cam channels 42 such that front links 182a, 182b and rear links 184a, 184b are moved from a first misaligned position towards an aligned position (FIG. 51). Since the proximal end of rear links 184a and 184b are axially fixed between housing half-sections 20a and 20b, movement of front links 182a and 182b and rear links 184a and 184b toward an aligned position moves the distal end of front links 182a and 182b distally within housing 20. As discussed above, the distal end of front links 182a and 182b is axially fixed to yoke 170 by pivot member 180. As such, when handles 22 are actuated, yoke 170 is moved distally to move camming member 68 distally. A
biasing member, e.g., coil spring 179, is positioned about a distal end of yoke 170 and abuts a spring stop 181 supported within housing 20 to urge yoke 170 to its retracted position.
Referring to FIGS. 25-27, handle portion 12 includes an anti-reverse ratchet mechanism which includes a pawl 192, a rack 194, and a pawl biasing member 196. Rack 194 includes a series of teeth 194a and is supported within a recess 198 formed in housing half-section 20a. In one embodiment, recess 198 is dovetail shaped and the backside of rack 194 has a dovetail shape projection 194b which is slidably received within recess 198 to secure rack 194 within housing 20. Alternately, other fastening techniques can be used to secure rack 194 within housing 20, e.g., adhesives, pins, welding, etc.
Pawl 192 includes a bore 192a dimensioned to receive pivot member 180 such that pawl 192 is rotatably mounted to yoke 170 about pivot member 180. Pawl biasing member 196 includes a pair of mounting holes 200 for securing bracket 196 to a plate extension 202 (FIG. 28) of yoke 170. Pawl biasing member 196 also includes a semi-circular cutout 204 which is positioned to be clipped partially about pivot member 180, and a cantilever or spring arm 206 which is positioned within a slot 192b formed in a backside of pawl 192.
Cantilever arm 206 is resilient and provides a biasing force to urge pawl 192 to a position in which pawl finger 192c is substantially perpendicular to arm 206. Finger 192c is positioned to engage teeth 194a of rack 194 to retain yoke 170 at partially advanced positions during actuation of clip applier 10 against the bias of spring 179 which urges yoke 170 to its retracted position. The anti-reverse ratchet mechanism prevents retraction of yoke 170 and camming member 68 after handles 22 have been partially actuated until the clip applier has been fully actuated.
Referring to FIGS. 36-67, operation of clip applier 10 will now be described.
FIGS. 36-50 illustrate clip applier 10 prior to actuation of handles 22, i.e., in the prefired position. In the prefired position, biasing member 179 urges yoke 170 to its retracted position. When yoke 170 is in its retracted position, pivot members 186 are positioned within cam channels 42 (FIG. 36) such that front links 182a and 182b and rear links 184a and 184b are in their misaligned position, handles 22 are spaced from housing 20 of clip applier 10, and pawl 192 (FIG.
38) is positioned proximally of rack 194 (FIG. 38). Referring to FIGS. 40-50, in the prefired position, camining member 68 is urged to its retracted position by yoke 170 and biasing member 179 (FIG. 39).
Clip pusher 70 is urged to its retracted position by biasing member 108 (FIG.
42). Clip stack 76 is urged by follower 74 (FIG. 44) and biasing member 126 distally within body 14, but distal-most clip 76a is prevented from moving into jaws 16 and 18 by spring arm 118 of clip stop member 116 (FIG. 40). Jaw locking plate 130 is positioned between jaw legs 66b to prevent inadvertent closure ofjaws 16 and 18 (FIG. 40). It is also noted that latch member 94 of pusher latch assembly 80 is spaced distally of but in a position to engage abutment member 79 which is supported on camming member 68 (FIG. 44). Further, radial projections 142a of lockout 72 are positioned proximally of slots 152a of camming member 68 and recess 158 of lockout 72 is positioned proximally of stop member 156.
FIGS. 51-63 illustrate clip applier 10 in various stages of operation.
Referring to FIG.
51, handles 22 have been partially actuated or moved towards housing 20 in the direction indicated by arrow "A". Actuation of handles 22 moves front links 182a and 182b towards their aligned position to advance yoke 170 distally in the direction indicated by arrow "B". Referring to FIG. 52, as yoke 170 is advanced, camming member 68 which is secured to yoke 170 is advanced distally within elongated body 14 of clip applier 10. Abutment member 79 is supported on camming member 68 and is also advanced distally within elongated body 14 in the direction indicated by arrow "C". During the initial actuation stroke of handles 22, abutment member 79 engages latch member 94 of pusher latch assembly 80 to effect advancement of clip pusher 70 in the direction indicated by arrow "D". Referring to FIG. 53, as clip pusher 70 advances, engagement finger 84 of clip pusher 70 advances distal-most clip 76a of clip stack 76 past spring arm 118 of clip stop member 116 into jaws 16 and 18. As the distal-most clip 76a of clip stack 76 is advanced into the jaws, follower 74 (FIG. 52) under the force of biasing member 126 advances clip stack 76 distally in the direction indicated by arrow "E" in FIG. 53 to position the second distal-most clip 77 adjacent clip stop menlber 116 (See FIGS. 53-55).
Referring to FIGS. 55-57, as camming member 68 and clip pusher 70 advance within elongated body 14, the tension in spring 108 is increased, i.e., spring 108 is stretched (FIG. 56).
When distal-most clip 76a is fully positioned within jaws 16 and 18, pusher latch cam 110 engages a distal end of latch member 94 and pivots latch member 94 in the direction indicated by arrow "F" against the urging of biasing member 96 to release latch member 94 from abutment member 79. When latch member 94 is released from abutment member 79, biasing member 108 returns clip pusher 70 to its retracted position (FIGS. 58 and 59).
As handles 22 are more fully actuated, i.e., moved closer to housing 20, camming member 68 engages finger 130a ofjaw locking plate 130 (FIG. 55) to deform plate 130 downwardly from between legs 66b ofjaw body 66. Continued advancement of camming member 68 advances engagement member 72 into camming surfaces 70 ofjaws 16 and 18 to move jaws 16 and 18 from a spaced position (FIG. 46) to a crimping position (FIG. 63).
Referring to FIG. 51, as yoke 170 is moved from its retracted position within housing 20 to its advanced position, a finger 192c of pawl 192 engages teeth 194a of rack 194 to prevent spring 179 from returning yoke 170 to its retracted position when handles 22 are released. As such, once handles 22 begin to be actuated and pawl 192 engages rack 194 (FIG.
51) yoke 170 cannot be returned to its retracted position until clip applier 10 is fully actuated. When yoke 170 is moved to its advanced position, pawl 192 passes by the distal end of rack 194 (FIG. 61) and cantilevered or spring arm 206 of pawl biasing member 196 will rotate pawl 192 in the direction indicated by arrow "G" in FIG. 61 to a position in which finger 192a of paw1192 is positioned at 12:00. Thus, when handles 22 are released and spring 179 returns yoke 170 to its retracted positioned (FIG. 64) finger 192c will engage the distal end of rack 194 and rotate counter-clockwise in the direction indicated by arrow "H" in FIG. 64 and ratchet over teeth 194a of rack 194. Note, in the fully retracted position of yoke 170, pawl 192 is positioned proximally of rack 194. In this position cantilevered arm 206 (FIG. 61) returns finger 192c of paw1192 to the 12:00 position.
After the device has been fully actuated as shown in FIGS. 61-63 and handles 22 have been released, yoke 170 is moved to its retracted position by spring 179.
Camming member 68, which is secured to yoke 170, is also moved toward its retracted position. As this occurs, resilient jaws 16 and 18 return to their spaced position and camming member 68 moves past jaw locking plate 130 allowing locking plate finger 130a to return to a position located between legs 66b ofjaw body 66. As discussed above, the positioning of locking plate 130 between legs 66b ofjaw body 66 prevents inadvertent closure of jaws 16 and 18.
Referring to FIGS. 65 and 66, after the proximal-most clip 76b has been advanced beyond clip stop member 116, clip follower 74 is advanced towards its fully advanced position by biasing member 126. As this occurs, lockout tab 114 formed on follower 74 engages engagement member 144 of lockout 72 to advance lockout 72 distally in relation to camming member 68 to move radial projections 142a of flexible legs 142 of lockout 72 into slots 152a of calzuZling member 68 and secure or interlock lockout 72 to camming member 68.
When lockout 72 is moved distally within elongated body 14 by follower 74, distal recess 158 of lockout 72 receives stop member 156, which is secured to mounting portion 66a ofjaw body 66 such that the distal end of lockout 72 engages stop member 156. Engagement between the distal end of lockout 72 and stop member 156 prevents further distal movement of lockout 72 and, thus, camming member 68.
It will be understood that various modifications may be made to the embodiments disclosed herein. Therefore, the above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Claims (19)
1. ~An apparatus for applying surgical clips comprising:
a body portion housing a clip stack; and a pair of jaws supported at a distal end of the body portion;
the body portion including a clip pusher, a camming member and a clip follower, the clip pusher being movably positioned within the body portion and being operable to advance a distal-most clip from the clip stack to a position between the pair of jaws, the camming member being movably positioned within the body portion and being operable to approximate the pair of jaws to deform the distal-most clip, and the clip follower being positioned proximally of the clip stack and operable to urge the clip stack distally towards the pair of jaws;
wherein the body portion further includes a lockout member and a stop member, the lockout member being movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member, wherein in its second position, the lockout member is positioned to abut the stop member to limit distal movement of the camming member.
a body portion housing a clip stack; and a pair of jaws supported at a distal end of the body portion;
the body portion including a clip pusher, a camming member and a clip follower, the clip pusher being movably positioned within the body portion and being operable to advance a distal-most clip from the clip stack to a position between the pair of jaws, the camming member being movably positioned within the body portion and being operable to approximate the pair of jaws to deform the distal-most clip, and the clip follower being positioned proximally of the clip stack and operable to urge the clip stack distally towards the pair of jaws;
wherein the body portion further includes a lockout member and a stop member, the lockout member being movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member, wherein in its second position, the lockout member is positioned to abut the stop member to limit distal movement of the camming member.
2. ~An apparatus according to Claim 1, wherein the lockout member includes at least one flexible leg having a projection and the camming member includes at least one slot dimensioned to receive the projection to interlock the lockout member to the lockout member.
3.~An apparatus according to Claim 2, wherein the at least one flexible leg includes a pair of flexible legs and the at least one slot includes a pair of slots.
4. ~An apparatus according to any of the preceding claims, wherein the lockout member includes a resilient finger which is positioned to releasably retain the lockout member in its first position.
5. ~An apparatus according to Claim 4, wherein the body portion further includes a separator plate, the separator plate including an opening dimensioned to receive a portion of the resilient finger of the lockout member.
6. ~An apparatus according to any of the preceding claims, wherein the clip follower includes a tab and the lockout member includes an engagement member, the tab being movable into the engagement member to move the lockout member from its first position to its second position.
7. ~An apparatus according to Claim 6, wherein the tab is positioned to engage the engagement member after the proximal most clip has been advanced to the pair of jaws.
8. ~An apparatus for applying surgical clips comprising:
a handle portion including at least one movable handle;
a body portion including a clip pusher and a camming member, the clip pusher being movably supported within the body portion to advance a distal-most clip of a clip stack to a position between a pair of jaws supported at a distal end of the body portion, the camming member being movably supported within the body portion from a retracted position to an advanced position to approximate the pair of jaws; and a latch assembly supported on the clip pusher, the latch assembly including a pivotal latch member which is movable from a first position to engage an abutment supported on the camming member to a second position to disengage from the abutment of the camming member;
wherein the camming member is operably connected to the at least one movable handle such that movement of the at least one movable handle through an actuation stroke effects movement of the camming member from its advanced position to its retracted position.
a handle portion including at least one movable handle;
a body portion including a clip pusher and a camming member, the clip pusher being movably supported within the body portion to advance a distal-most clip of a clip stack to a position between a pair of jaws supported at a distal end of the body portion, the camming member being movably supported within the body portion from a retracted position to an advanced position to approximate the pair of jaws; and a latch assembly supported on the clip pusher, the latch assembly including a pivotal latch member which is movable from a first position to engage an abutment supported on the camming member to a second position to disengage from the abutment of the camming member;
wherein the camming member is operably connected to the at least one movable handle such that movement of the at least one movable handle through an actuation stroke effects movement of the camming member from its advanced position to its retracted position.
9. ~An apparatus according to any of claims 8 and 9, wherein the pivotal latch member is urged towards its first position by a biasing member such that movement of the camming member from its retracted position to its advanced position initially affects advancement of the clip pusher.
10. ~An apparatus according to Claim 9, further including a latch cam fixedly supported on the body portion, the latch cam being positioned to engage the pivotal latch member after the clip pusher has advanced the distal-most clip of the clip stack to the position between the jaws to disengage the latch member from the abutment.
11. ~An apparatus according to Claim 10, further including a biasing member positioned to urge the clip pusher to a retracted position after the latch member is disengaged from the abutment.
12. ~An apparatus according to any of Claims 10 and 11, wherein the body portion includes a housing body and a housing cover, the latch cam being supported on the housing cover.
13.~An apparatus according to any of Claims 8-13, wherein the handle portion includes a yoke which is connected to a proximal end of the camming member, the at least one handle being operably connected to the yoke by at least one front link such that movement of the at least one handle through an actuation stroke effects advancement of the yoke and the camming member.
14. ~An apparatus according to Claim 13, wherein the handle portion includes a pair of handles and each handle is operably connected to the yoke by one said front link.
15. An apparatus according to Claim 14, further including a pair of rear links, each of the rear links having a first end pivotally connected to a respective front link by a first pivot member and a second end pivotally connected to the handle portion by a second pivot member.
16. An apparatus according to Claim 15, wherein each of the pair of handles defines a cam channel for slidably receiving a respective one of the first pivot members.
17. An apparatus for applying surgical clips comprising:
a handle portion;
a body portion extending distally from the handle portion; and a jaw body supported at a distal end of the body portion, the jaw body including first and second jaws movable from a spaced position to a more approximated position;
wherein the body portion includes a camming member which is movable from a retracted position to an advanced position to effect movement of the first and second jaws from their spaced position to their more approximated position, the body portion further including a resilient jaw locking member removably positioned between the first and second jaws to prevent the jaws from moving from their spaced position to their more approximated position.
a handle portion;
a body portion extending distally from the handle portion; and a jaw body supported at a distal end of the body portion, the jaw body including first and second jaws movable from a spaced position to a more approximated position;
wherein the body portion includes a camming member which is movable from a retracted position to an advanced position to effect movement of the first and second jaws from their spaced position to their more approximated position, the body portion further including a resilient jaw locking member removably positioned between the first and second jaws to prevent the jaws from moving from their spaced position to their more approximated position.
18. An apparatus according to Claim 17, wherein the jaw locking member is in the form of a resilient plate and the jaw body includes a pair of inwardly deformable legs, each of the legs supporting one of the first and second jaws, the locking member being positioned between the legs of the jaw body.
19. An apparatus according to Claim 18, wherein a distal end of the camming member is slidably positioned about the legs of the jaw body and is movable from its retracted position to its advanced position to move the locking member from between the legs of the jaw body and to effect movement of the first and second jaws to their more approximated position.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA2809110A CA2809110A1 (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US61701704P | 2004-10-08 | 2004-10-08 | |
US60/617,017 | 2004-10-08 | ||
PCT/US2005/036148 WO2006042110A2 (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2809110A Division CA2809110A1 (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2582716A1 true CA2582716A1 (en) | 2006-04-20 |
CA2582716C CA2582716C (en) | 2013-05-28 |
Family
ID=36148943
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2809110A Abandoned CA2809110A1 (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
CA2869759A Abandoned CA2869759A1 (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
CA2582716A Expired - Fee Related CA2582716C (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2809110A Abandoned CA2809110A1 (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
CA2869759A Abandoned CA2869759A1 (en) | 2004-10-08 | 2005-10-07 | Apparatus for applying surgical clips |
Country Status (7)
Country | Link |
---|---|
US (3) | US8920438B2 (en) |
EP (2) | EP1805849B1 (en) |
JP (1) | JP4783372B2 (en) |
AU (1) | AU2005294178B2 (en) |
CA (3) | CA2809110A1 (en) |
ES (1) | ES2616731T3 (en) |
WO (1) | WO2006042110A2 (en) |
Families Citing this family (572)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3170459A1 (en) | 2003-03-11 | 2017-05-24 | Covidien LP | Clip applying apparatus with angled jaw |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
JP4783372B2 (en) | 2004-10-08 | 2011-09-28 | タイコ ヘルスケア グループ エルピー | Device for applying a surgical clip |
EP2641549B1 (en) | 2004-10-08 | 2015-08-12 | Covidien LP | An endoscopic surgical clip applier |
US7819886B2 (en) * | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
US7846188B2 (en) | 2005-04-12 | 2010-12-07 | Moskowitz Nathan C | Bi-directional fixating transvertebral body screws, zero-profile horizontal intervertebral miniplates, total intervertebral body fusion devices, and posterior motion-calibrating interarticulating joint stapling device for spinal fusion |
FR2886534A1 (en) * | 2005-06-03 | 2006-12-08 | Theraclion Soc Par Actions Sim | IMAGING AND PROCESSING HEAD OF LIVING ORGANS AND METHOD OF MANUFACTURING |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US20070194082A1 (en) | 2005-08-31 | 2007-08-23 | Morgan Jerome R | Surgical stapling device with anvil having staple forming pockets of varying depths |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
WO2007131110A2 (en) | 2006-05-03 | 2007-11-15 | Raptor Ridge, Llc | Systems and methods of tissue closure |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US8485412B2 (en) | 2006-09-29 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical staples having attached drivers and stapling instruments for deploying the same |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
EP1913881B1 (en) * | 2006-10-17 | 2014-06-11 | Covidien LP | Apparatus for applying surgical clips |
AU2013221943B2 (en) * | 2006-10-17 | 2015-03-19 | Covidien Lp | Apparatus for applying surgical clips |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8701958B2 (en) | 2007-01-11 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Curved end effector for a surgical stapling device |
US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
CA2679523C (en) | 2007-03-26 | 2015-06-23 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
CN101677813B (en) * | 2007-04-11 | 2012-12-05 | Tyco医疗健康集团 | Surgical clip applier |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
BRPI0901282A2 (en) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | surgical cutting and fixation instrument with rf electrodes |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US9615826B2 (en) | 2010-09-30 | 2017-04-11 | Ethicon Endo-Surgery, Llc | Multiple thickness implantable layers for surgical stapling devices |
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
US20110208212A1 (en) | 2010-02-19 | 2011-08-25 | Zergiebel Earl M | Surgical clip applier |
US8056565B2 (en) | 2008-08-25 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical clip applier and method of assembly |
US8267944B2 (en) | 2008-08-29 | 2012-09-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier with lock out |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | 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 |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
JP2012517287A (en) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | Improvement of driven surgical stapler |
DE102009022692B8 (en) * | 2009-05-26 | 2013-09-12 | Joimax Gmbh | Apparatus and method for applying a medical lockable clip in a tissue area |
KR101075531B1 (en) * | 2009-09-14 | 2011-10-20 | 국립암센터 | Hemostatic clip and hemostatic clip operation apparatus using the same |
US8734469B2 (en) | 2009-10-13 | 2014-05-27 | Covidien Lp | Suture clip applier |
US9186136B2 (en) | 2009-12-09 | 2015-11-17 | Covidien Lp | Surgical clip applier |
US8545486B2 (en) | 2009-12-15 | 2013-10-01 | Covidien Lp | Surgical clip applier |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9220500B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising structure to produce a resilient load |
US9700317B2 (en) | 2010-09-30 | 2017-07-11 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a releasable tissue thickness compensator |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9113865B2 (en) | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a layer |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
CA2812553C (en) | 2010-09-30 | 2019-02-12 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US9011464B2 (en) | 2010-11-02 | 2015-04-21 | Covidien Lp | Self-centering clip and jaw |
US9186153B2 (en) | 2011-01-31 | 2015-11-17 | Covidien Lp | Locking cam driver and jaw assembly for clip applier |
US9775623B2 (en) | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
AU2012250197B2 (en) | 2011-04-29 | 2017-08-10 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US20130131697A1 (en) | 2011-11-21 | 2013-05-23 | Covidien Lp | Surgical clip applier |
US9364239B2 (en) | 2011-12-19 | 2016-06-14 | Covidien Lp | Jaw closure mechanism for a surgical clip applier |
US9364216B2 (en) | 2011-12-29 | 2016-06-14 | Covidien Lp | Surgical clip applier with integrated clip counter |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
BR112014024098B1 (en) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | staple cartridge |
RU2644272C2 (en) | 2012-03-28 | 2018-02-08 | Этикон Эндо-Серджери, Инк. | Limitation node with tissue thickness compensator |
JP6305979B2 (en) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | Tissue thickness compensator with multiple layers |
US9408610B2 (en) | 2012-05-04 | 2016-08-09 | Covidien Lp | Surgical clip applier with dissector |
US9532787B2 (en) | 2012-05-31 | 2017-01-03 | Covidien Lp | Endoscopic clip applier |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9408606B2 (en) | 2012-06-28 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Robotically powered surgical device with manually-actuatable reversing system |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9282974B2 (en) * | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
JP6290201B2 (en) | 2012-06-28 | 2018-03-07 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | Lockout for empty clip cartridge |
US9968362B2 (en) | 2013-01-08 | 2018-05-15 | Covidien Lp | Surgical clip applier |
US9113892B2 (en) | 2013-01-08 | 2015-08-25 | Covidien Lp | Surgical clip applier |
US9750500B2 (en) | 2013-01-18 | 2017-09-05 | Covidien Lp | Surgical clip applier |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
RU2669463C2 (en) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Surgical instrument with soft stop |
US20140249557A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Thumbwheel switch arrangements for surgical instruments |
BR112015021098B1 (en) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US9427230B2 (en) * | 2013-03-14 | 2016-08-30 | C.R. Bard, Inc. | Handling of fasteners within a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9474530B2 (en) | 2013-03-14 | 2016-10-25 | C.R. Bard, Inc. | Handling of fasteners within a surgical instrument |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
US10136887B2 (en) | 2013-04-16 | 2018-11-27 | Ethicon Llc | Drive system decoupling arrangement for a surgical instrument |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
MX369362B (en) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Firing member retraction devices for powered surgical instruments. |
US9924942B2 (en) | 2013-08-23 | 2018-03-27 | Ethicon Llc | Motor-powered articulatable surgical instruments |
US9775624B2 (en) | 2013-08-27 | 2017-10-03 | Covidien Lp | Surgical clip applier |
US10779838B1 (en) | 2013-11-13 | 2020-09-22 | Joseph W Blake, III | Instrument for serially applying clips to a surgical site |
US10485545B2 (en) | 2013-11-19 | 2019-11-26 | Datascope Corp. | Fastener applicator with interlock |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9585662B2 (en) | 2013-12-23 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising an extendable firing member |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
CN106232029B (en) | 2014-02-24 | 2019-04-12 | 伊西康内外科有限责任公司 | Fastening system including firing member locking piece |
US20140166725A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple. |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US20150272580A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Verification of number of battery exchanges/procedure count |
US9804618B2 (en) | 2014-03-26 | 2017-10-31 | Ethicon Llc | Systems and methods for controlling a segmented circuit |
US20150297222A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
BR112016023825B1 (en) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | STAPLE CARTRIDGE FOR USE WITH A SURGICAL STAPLER AND STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US9801628B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
JP6532889B2 (en) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーEthicon LLC | Fastener cartridge assembly and staple holder cover arrangement |
CN106456176B (en) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | Fastener cartridge including the extension with various configuration |
US11185330B2 (en) | 2014-04-16 | 2021-11-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
DE102014207900A1 (en) | 2014-04-28 | 2015-10-29 | Aesculap Ag | Jaw part for a surgical tubular shaft instrument |
DE102014207971A1 (en) | 2014-04-28 | 2015-10-29 | Aesculap Ag | Jaw with layered structure for a surgical instrument |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10098641B1 (en) | 2014-08-21 | 2018-10-16 | Joseph W Blake, III | Jaws and cams for clip applying instruments |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
MX2017003960A (en) | 2014-09-26 | 2017-12-04 | Ethicon Llc | Surgical stapling buttresses and adjunct materials. |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US9968363B2 (en) | 2014-10-20 | 2018-05-15 | Joseph W. Blake, III | Multi-clip applier |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10702278B2 (en) | 2014-12-02 | 2020-07-07 | Covidien Lp | Laparoscopic surgical ligation clip applier |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
EP3229708B1 (en) * | 2014-12-11 | 2019-08-28 | Covidien LP | Stapler with automatic lockout mechanism |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
RU2703684C2 (en) | 2014-12-18 | 2019-10-21 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Surgical instrument with anvil which is selectively movable relative to staple cartridge around discrete fixed axis |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
US10368876B2 (en) | 2015-01-15 | 2019-08-06 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10292712B2 (en) | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10159491B2 (en) | 2015-03-10 | 2018-12-25 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10405863B2 (en) | 2015-06-18 | 2019-09-10 | Ethicon Llc | Movable firing beam support arrangements for articulatable surgical instruments |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10098642B2 (en) | 2015-08-26 | 2018-10-16 | Ethicon Llc | Surgical staples comprising features for improved fastening of tissue |
BR112018003693B1 (en) | 2015-08-26 | 2022-11-22 | Ethicon Llc | SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL STAPPING INSTRUMENT |
US10238390B2 (en) | 2015-09-02 | 2019-03-26 | Ethicon Llc | Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns |
MX2022006189A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US10561420B2 (en) | 2015-09-30 | 2020-02-18 | Ethicon Llc | Tubular absorbable constructs |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
JP6683807B2 (en) | 2015-10-10 | 2020-04-22 | コヴィディエン リミテッド パートナーシップ | Endoscopic surgical clip applier |
WO2017075752A1 (en) | 2015-11-03 | 2017-05-11 | Covidien Lp | Endoscopic surgical clip applier |
CA2999906A1 (en) | 2015-11-10 | 2017-05-18 | Covidien Lp | Endoscopic reposable surgical clip applier |
JP6609699B2 (en) | 2015-11-10 | 2019-11-20 | コヴィディエン リミテッド パートナーシップ | Partially disposable surgical clip applier for endoscope |
US10390831B2 (en) | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
WO2017120734A1 (en) | 2016-01-11 | 2017-07-20 | Covidien Lp | Endoscopic reposable surgical clip applier |
CN108472027B (en) | 2016-01-18 | 2020-12-29 | 柯惠有限合伙公司 | Endoscopic surgical clip applier |
US10433837B2 (en) | 2016-02-09 | 2019-10-08 | Ethicon Llc | Surgical instruments with multiple link articulation arrangements |
BR112018016098B1 (en) | 2016-02-09 | 2023-02-23 | Ethicon Llc | SURGICAL INSTRUMENT |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10485542B2 (en) | 2016-04-01 | 2019-11-26 | Ethicon Llc | Surgical stapling instrument comprising multiple lockouts |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
CN109310431B (en) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | Staple cartridge comprising wire staples and punch staples |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10675024B2 (en) | 2016-06-24 | 2020-06-09 | Ethicon Llc | Staple cartridge comprising overdriven staples |
US20180008277A1 (en) * | 2016-07-11 | 2018-01-11 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10806464B2 (en) | 2016-08-11 | 2020-10-20 | Covidien Lp | Endoscopic surgical clip applier and clip applying systems |
JP2019524326A (en) | 2016-08-25 | 2019-09-05 | コヴィディエン リミテッド パートナーシップ | Endoscopic surgical clip applier and clip application system |
US10639044B2 (en) | 2016-10-31 | 2020-05-05 | Covidien Lp | Ligation clip module and clip applier |
US10660651B2 (en) | 2016-10-31 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10426489B2 (en) | 2016-11-01 | 2019-10-01 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10610236B2 (en) | 2016-11-01 | 2020-04-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10492795B2 (en) | 2016-11-01 | 2019-12-03 | Covidien Lp | Endoscopic surgical clip applier |
TWI627933B (en) * | 2016-11-10 | 2018-07-01 | 亞培高利控股有限公司 | Clip pusher structure of clip applier |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
BR112019011947A2 (en) | 2016-12-21 | 2019-10-29 | Ethicon Llc | surgical stapling systems |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US20180168648A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Durability features for end effectors and firing assemblies of surgical stapling instruments |
CN110099619B (en) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | Lockout device for surgical end effector and replaceable tool assembly |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US20180168608A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical instrument system comprising an end effector lockout and a firing assembly lockout |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10517595B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
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 |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10709455B2 (en) | 2017-02-02 | 2020-07-14 | Covidien Lp | Endoscopic surgical clip applier |
CN110267606B (en) | 2017-02-06 | 2022-06-03 | 柯惠有限合伙公司 | Surgical clip applier with user feedback feature |
US10758244B2 (en) | 2017-02-06 | 2020-09-01 | Covidien Lp | Endoscopic surgical clip applier |
US10660725B2 (en) | 2017-02-14 | 2020-05-26 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10603038B2 (en) | 2017-02-22 | 2020-03-31 | Covidien Lp | Surgical clip applier including inserts for jaw assembly |
US11583291B2 (en) | 2017-02-23 | 2023-02-21 | Covidien Lp | Endoscopic surgical clip applier |
US10548602B2 (en) | 2017-02-23 | 2020-02-04 | Covidien Lp | Endoscopic surgical clip applier |
US10675043B2 (en) | 2017-05-04 | 2020-06-09 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10722235B2 (en) | 2017-05-11 | 2020-07-28 | Covidien Lp | Spring-release surgical clip |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
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 |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10639032B2 (en) | 2017-06-30 | 2020-05-05 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10660723B2 (en) | 2017-06-30 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US10675112B2 (en) | 2017-08-07 | 2020-06-09 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10863992B2 (en) | 2017-08-08 | 2020-12-15 | Covidien Lp | Endoscopic surgical clip applier |
US10932790B2 (en) | 2017-08-08 | 2021-03-02 | Covidien Lp | Geared actuation mechanism and surgical clip applier including the same |
US10786262B2 (en) | 2017-08-09 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10617429B2 (en) * | 2017-08-10 | 2020-04-14 | Ethicon Llc | Surgical clip applier |
US10786263B2 (en) | 2017-08-15 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10835341B2 (en) | 2017-09-12 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10653429B2 (en) | 2017-09-13 | 2020-05-19 | Covidien Lp | Endoscopic surgical clip applier |
US10835260B2 (en) | 2017-09-13 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10758245B2 (en) | 2017-09-13 | 2020-09-01 | Covidien Lp | Clip counting mechanism for surgical clip applier |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US11376015B2 (en) | 2017-11-03 | 2022-07-05 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10828036B2 (en) | 2017-11-03 | 2020-11-10 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10945734B2 (en) | 2017-11-03 | 2021-03-16 | Covidien Lp | Rotation knob assemblies and surgical instruments including the same |
US11116513B2 (en) | 2017-11-03 | 2021-09-14 | Covidien Lp | Modular surgical clip cartridge |
US10932791B2 (en) | 2017-11-03 | 2021-03-02 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10722236B2 (en) | 2017-12-12 | 2020-07-28 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10849630B2 (en) | 2017-12-13 | 2020-12-01 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10959737B2 (en) | 2017-12-13 | 2021-03-30 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10743887B2 (en) * | 2017-12-13 | 2020-08-18 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11179151B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a display |
US11051827B2 (en) | 2018-01-16 | 2021-07-06 | Covidien Lp | Endoscopic surgical instrument and handle assemblies for use therewith |
AU2019243731A1 (en) | 2018-03-28 | 2020-10-08 | Datascope Corp. | Device for atrial appendage exclusion |
US10993721B2 (en) | 2018-04-25 | 2021-05-04 | Covidien Lp | Surgical clip applier |
US10786273B2 (en) | 2018-07-13 | 2020-09-29 | Covidien Lp | Rotation knob assemblies for handle assemblies |
US11259887B2 (en) | 2018-08-10 | 2022-03-01 | Covidien Lp | Feedback mechanisms for handle assemblies |
US11253267B2 (en) | 2018-08-13 | 2022-02-22 | Covidien Lp | Friction reduction mechanisms for handle assemblies |
US11246601B2 (en) | 2018-08-13 | 2022-02-15 | Covidien Lp | Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same |
US11344316B2 (en) | 2018-08-13 | 2022-05-31 | Covidien Lp | Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same |
US11278267B2 (en) | 2018-08-13 | 2022-03-22 | Covidien Lp | Latch assemblies and surgical instruments including the same |
US11033256B2 (en) | 2018-08-13 | 2021-06-15 | Covidien Lp | Linkage assembly for reusable surgical handle assemblies |
US11051828B2 (en) | 2018-08-13 | 2021-07-06 | Covidien Lp | Rotation knob assemblies and surgical instruments including same |
US11219463B2 (en) | 2018-08-13 | 2022-01-11 | Covidien Lp | Bilateral spring for surgical instruments and surgical instruments including the same |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11147566B2 (en) | 2018-10-01 | 2021-10-19 | Covidien Lp | Endoscopic surgical clip applier |
CN111248970B (en) * | 2018-11-30 | 2021-06-18 | 苏州英途康医疗科技有限公司 | Medical instrument |
US11524398B2 (en) | 2019-03-19 | 2022-12-13 | Covidien Lp | Gear drive mechanisms for surgical instruments |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
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 |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
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 |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11779340B2 (en) | 2020-01-02 | 2023-10-10 | Covidien Lp | Ligation clip loading device |
US11723669B2 (en) | 2020-01-08 | 2023-08-15 | Covidien Lp | Clip applier with clip cartridge interface |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
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 |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US20220031350A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with double pivot articulation joint arrangements |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation 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 |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
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 |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
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 |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US20220378426A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a mounted shaft orientation sensor |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (730)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3120230A (en) | 1960-10-24 | 1964-02-04 | Jack H Sanders | Surgical clamp |
US3363628A (en) | 1964-09-28 | 1968-01-16 | Peter B Samuels | Hemostatic clip |
US3675688A (en) | 1970-04-27 | 1972-07-11 | United States Surgical Corp | Instrument for ligating, suturing and dividing organic tubular structures |
US3735762A (en) | 1970-04-27 | 1973-05-29 | Us Corp Baltimo E | Instrument for ligating suturing and dividing organic tubular structures |
US3638847A (en) | 1970-07-06 | 1972-02-01 | United States Surgical Corp | Ratchet-driven cartridge for surgical instruments |
US3867944A (en) | 1972-10-27 | 1975-02-25 | Wood Ernest C | Hemostatic clip and applicator therefor |
US4412539A (en) | 1976-10-08 | 1983-11-01 | United States Surgical Corporation | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
CA1124605A (en) | 1977-08-05 | 1982-06-01 | Charles H. Klieman | Surgical stapler |
US4611595A (en) | 1977-08-05 | 1986-09-16 | Charles H. Klieman | Spring activated hemostatic clip applicator |
DE2857460C2 (en) | 1977-10-17 | 1982-05-06 | United States Surgical Corp., 06850 Norwalk, Conn. | Device for preventing backward displacement of a surgical clip |
US4242902A (en) * | 1978-05-11 | 1981-01-06 | United States Surgical Corporation | Surgical clip applicator |
JPS5499386U (en) | 1977-12-23 | 1979-07-13 | ||
US4418694A (en) | 1979-06-18 | 1983-12-06 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips |
US4296751A (en) | 1979-08-02 | 1981-10-27 | Blake Joseph W Iii | Surgical device |
US4372316A (en) | 1979-08-02 | 1983-02-08 | Blake Joseph W Iii | Surgical device |
US4532925A (en) | 1979-08-02 | 1985-08-06 | Joseph W. Blake, III | Ligator device |
US4662374A (en) | 1979-08-02 | 1987-05-05 | American Hospital Supply Corp. | Ligator device |
US4480640A (en) | 1980-04-22 | 1984-11-06 | Senco Products, Inc. | Ligating device |
US4408603A (en) | 1980-10-24 | 1983-10-11 | Blake Joseph W Iii | Surgical device |
US4500024A (en) * | 1980-11-19 | 1985-02-19 | Ethicon, Inc. | Multiple clip applier |
US4430997A (en) * | 1980-11-19 | 1984-02-14 | Ethicon, Inc. | Multiple clip applier |
CA1163889A (en) | 1981-02-02 | 1984-03-20 | Allegiance Corporation | Surgical device |
US4522207A (en) | 1981-02-06 | 1985-06-11 | Charles H. Klieman | Spring activated hemostatic clip applicator |
US4646740A (en) * | 1981-02-23 | 1987-03-03 | Edward Weck & Co., Inc. | Automatic hemoclip applier |
US4576166A (en) * | 1981-06-29 | 1986-03-18 | American Cyanamid Company | Surgical ligating instrument |
US4662373A (en) | 1981-06-29 | 1987-05-05 | American Cyanamid Company | Surgical ligating instrument |
US4449531A (en) | 1981-08-27 | 1984-05-22 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips with interlocking latch means |
US4498476A (en) | 1981-08-27 | 1985-02-12 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips with interlocking latch means |
US4487204A (en) | 1981-10-14 | 1984-12-11 | Nomel | Device for applying haemostatic clips |
US4471780A (en) | 1982-02-05 | 1984-09-18 | Ethicon, Inc. | Multiple ligating clip applier instrument |
US4480641A (en) | 1982-02-05 | 1984-11-06 | Ethicon, Inc. | Tip configuration for a ligating clip applier |
US4491133A (en) * | 1982-02-05 | 1985-01-01 | Ethicon, Inc. | Folding cartridge for a multiple clip applier |
US4478220A (en) | 1982-02-05 | 1984-10-23 | Ethicon, Inc. | Ligating clip cartridge |
DE3204522A1 (en) | 1982-02-10 | 1983-08-25 | B. Braun Melsungen Ag, 3508 Melsungen | SURGICAL SKIN CLIP DEVICE |
US4509518A (en) | 1982-02-17 | 1985-04-09 | United States Surgical Corporation | Apparatus for applying surgical clips |
US4487205A (en) | 1982-04-26 | 1984-12-11 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips |
US4545377A (en) | 1982-09-24 | 1985-10-08 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips (two piece configured to lock tighter the larger the vessel being closed) |
US4815466A (en) | 1982-09-30 | 1989-03-28 | Perlin Alfred R | Surgical clip |
US4492232A (en) * | 1982-09-30 | 1985-01-08 | United States Surgical Corporation | Surgical clip applying apparatus having fixed jaws |
US4512345A (en) | 1982-09-30 | 1985-04-23 | United States Surgical Corporation | Surgical clip applying apparatus, and clips and clip train for use therein |
US4674504A (en) | 1982-10-06 | 1987-06-23 | Klieman Charles H | Spring activated hemostatic clip applicator |
US4534351A (en) | 1982-10-20 | 1985-08-13 | Senmed, Inc. | Ligator |
US4796625A (en) * | 1982-11-15 | 1989-01-10 | Codman & Shurtleff, Inc. | Aneurysm clip |
US4562839A (en) * | 1983-01-06 | 1986-01-07 | Blake Joseph W Iii | Surgical instrument |
US4556058A (en) | 1983-08-17 | 1985-12-03 | United States Surgical Corporation | Apparatus for ligation and division with fixed jaws |
US4602631A (en) | 1983-09-08 | 1986-07-29 | Noboru Funatsu | Forceps for clamping surgical clips |
US4637395A (en) * | 1983-10-04 | 1987-01-20 | Aesculap-Werke Ag | Applicator for C-shaped scalp clips |
DE3335985C2 (en) | 1983-10-04 | 1986-12-04 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Magazine for holding C-shaped scalp clips |
US4549544A (en) | 1983-10-31 | 1985-10-29 | Senmed, Inc. | Clip stop for a surgical ligating instrument |
US4733664A (en) * | 1983-12-01 | 1988-03-29 | University Of New Mexico | Surgical clip, applier, and method |
US4576165A (en) * | 1984-01-23 | 1986-03-18 | United States Surgical Corporation | Surgical ligation and cutting device with safety means |
US4557263A (en) | 1984-01-23 | 1985-12-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
US4616650A (en) | 1984-07-27 | 1986-10-14 | United States Surgical Corporation | Apparatus for applying surgical clips |
US4598711A (en) | 1984-08-09 | 1986-07-08 | American Cyanamid Company | Surgical instrument |
US4590937A (en) | 1985-01-07 | 1986-05-27 | American Cyanamid Company | Nonmetallic surgical clip |
US5127915A (en) | 1984-10-29 | 1992-07-07 | Mattson Philip D | Surgical instrument for severing and clamping an umbilical cord |
US4572183A (en) * | 1984-11-26 | 1986-02-25 | Senmed, Inc. | Positive feed system for a surgical ligating instrument |
GB2168990B (en) * | 1984-12-22 | 1988-07-06 | Hoechst Gosei Kk | Dispersion of solvent-suspendible pressure sensitive adhesive particles and pressure sensitive adhesive sheet utilizing the dispersion |
US4821721A (en) | 1985-01-14 | 1989-04-18 | Thomas J. Fogarty | Apparatus and method for applying hemostatic scalp clips |
US4671278A (en) | 1985-01-14 | 1987-06-09 | Thomas J. Fogarty | Scalp hemostatic clip and dispenser therefor |
US5122150A (en) | 1985-03-27 | 1992-06-16 | Puig Ana E | Neurosurgical clip applier |
US4616651A (en) | 1985-04-15 | 1986-10-14 | Ethicon, Inc. | Surgical clip applier instrument adapter jaws |
US4712549A (en) | 1985-07-01 | 1987-12-15 | Edward Weck & Co. | Automatic hemostatic clip applier |
US5047038A (en) | 1985-07-01 | 1991-09-10 | Edward Weck Incorporated | Automatic hemostatic clip applier |
US4702247A (en) | 1985-08-20 | 1987-10-27 | American Hospital Supply Corporation | Ligating clip |
US4706668A (en) | 1985-09-16 | 1987-11-17 | B & B Tools | Aneurysm clip pliers |
DE3533423A1 (en) | 1985-09-19 | 1987-03-26 | Wolf Gmbh Richard | APPLICATOR PLIERS FOR SURGICAL HANDLING FOR USE IN ENDOSCOPY |
US4671282A (en) | 1985-10-04 | 1987-06-09 | Tretbar Lawrence L | Clip apparatus |
US4696396A (en) | 1985-12-19 | 1987-09-29 | Samuels Peter B | Hemostatic clip cartridge |
US4658822A (en) | 1985-12-31 | 1987-04-21 | Kees Jr George | Aneurysm clip |
US4660558A (en) | 1985-12-31 | 1987-04-28 | Kees Jr George | Aneurysm clip and method of manufacture |
US4681107A (en) | 1985-12-31 | 1987-07-21 | Kees Surgical Specialty Co. | Device for holding an aneurysm clip |
US4733666A (en) * | 1986-01-13 | 1988-03-29 | Texas Tech University Health Sciences Center | Surgical clip for cholangiography |
US4777950A (en) | 1986-04-11 | 1988-10-18 | Kees Surgical Specialty Co. | Vascular clip |
US4967949A (en) | 1986-07-11 | 1990-11-06 | Vastech Medical Products Inc. | Apparatus for effecting occlusion of the vas deferens |
US4856517A (en) | 1986-09-22 | 1989-08-15 | Collins Jason H | Umbilical cord clamp apparatus |
US4929239A (en) | 1987-02-16 | 1990-05-29 | Aesculap-Werke Ag Vormals Jetter & Scheerer | Device for filling the magazine of a scalp clip applicator with C-shaped scalp clips |
DE3704760C1 (en) | 1987-02-16 | 1988-03-03 | Aesculap Werke Ag | Application device for C-shaped scalp clips |
US4765335A (en) | 1987-03-16 | 1988-08-23 | Intermar, Inc. | Aneurysm clip |
US4850355A (en) * | 1987-04-06 | 1989-07-25 | Richard-Allan Medical Industries, Inc. | Hemostatic clip applicator for applying multiple hemostatic clips |
US4799481A (en) * | 1987-04-08 | 1989-01-24 | Ethicon, Inc. | Surgical hemostatic clips |
US4777949A (en) | 1987-05-08 | 1988-10-18 | Metatech Corporation | Surgical clip for clamping small blood vessels in brain surgery and the like |
US4822348A (en) | 1987-05-13 | 1989-04-18 | Donn Casey | Surgical clips |
US5542949A (en) | 1987-05-14 | 1996-08-06 | Yoon; Inbae | Multifunctional clip applier instrument |
US5171250A (en) | 1987-05-14 | 1992-12-15 | Inbae Yoon | Surgical clips and surgical clip applicator and cutting and transection device |
US5366459A (en) | 1987-05-14 | 1994-11-22 | Inbae Yoon | Surgical clip and clip application procedures |
US4834096A (en) | 1987-10-26 | 1989-05-30 | Edward Weck Incorporated | Plastic ligating clips |
GB2212201B (en) | 1987-11-10 | 1992-06-03 | Donn Casey | Surgical clip |
US6974475B1 (en) | 1987-12-08 | 2005-12-13 | Wall W Henry | Angioplasty stent |
US4951860A (en) | 1987-12-28 | 1990-08-28 | Edward Weck & Co. | Method and apparatus for storing, dispensing and applying surgical staples |
US5197970A (en) * | 1988-01-15 | 1993-03-30 | United States Surgical Corporation | Surgical clip applicator |
US5383881A (en) * | 1989-07-18 | 1995-01-24 | United States Surgical Corporation | Safety device for use with endoscopic instrumentation |
US5129885A (en) | 1990-02-13 | 1992-07-14 | United States Surgical Corporation | Safety device for trocars and surgical instruments therefor |
US5030226A (en) | 1988-01-15 | 1991-07-09 | United States Surgical Corporation | Surgical clip applicator |
US5100420A (en) | 1989-07-18 | 1992-03-31 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5084057A (en) * | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5049152A (en) * | 1989-03-07 | 1991-09-17 | Richard-Allan Medical Industries | Hemostatic clip applicator |
US5053045A (en) | 1988-09-16 | 1991-10-01 | Schmidt Ferenc J | Surgical clip |
US4957500A (en) | 1988-10-27 | 1990-09-18 | Montefiore Hospital Association Of Western Pennsylvania | Normally closed clamp |
US5059202A (en) | 1988-10-27 | 1991-10-22 | The Montefiore Hospital Association Of Western Pennsylvania | Tendon approximator |
US4983176A (en) | 1989-03-06 | 1991-01-08 | University Of New Mexico | Deformable plastic surgical clip |
US5062846A (en) | 1989-03-28 | 1991-11-05 | Edward Weck Incorporated | Penetrating plastic ligating clip |
US5062563A (en) | 1989-04-10 | 1991-11-05 | United States Surgical Corporation | Fascia stapler |
US5104395A (en) | 1989-07-03 | 1992-04-14 | Edward Weck Incorporated | Automatic hemostatic clip applicator |
CA2018472A1 (en) * | 1989-07-03 | 1991-01-03 | Curtis W. Thornton | Automatic hemostatic clip applicator |
US5382254A (en) * | 1989-07-18 | 1995-01-17 | United States Surgical Corporation | Actuating handle for surgical instruments |
US4966603A (en) | 1989-07-24 | 1990-10-30 | Rms Company | Aneurysm clip |
US4931058A (en) | 1989-08-16 | 1990-06-05 | Applied Vascular Devices, Inc. | Parallel jaw spring clip and method of making same |
US5030224A (en) | 1989-09-25 | 1991-07-09 | Pioneering Technologies, Inc. | Coronary artery retraction clip |
US5100416A (en) * | 1989-10-17 | 1992-03-31 | Edward Weck Incorporated | Ligating clip applying instrument |
US5026379A (en) | 1989-12-05 | 1991-06-25 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
US5217473A (en) | 1989-12-05 | 1993-06-08 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
US5049153A (en) | 1989-12-26 | 1991-09-17 | Nakao Naomi L | Endoscopic stapling device and method |
US4988355A (en) | 1990-01-16 | 1991-01-29 | Leveen Eric G | Arterial clamp |
US5035692A (en) | 1990-02-13 | 1991-07-30 | Nicholas Herbert | Hemostasis clip applicator |
US5032127A (en) | 1990-03-07 | 1991-07-16 | Frazee John G | Hemostatic clip and applicator therefor |
US5078731A (en) | 1990-06-05 | 1992-01-07 | Hayhurst John O | Suture clip |
DE4024106C1 (en) | 1990-07-30 | 1992-04-23 | Ethicon Gmbh & Co Kg, 2000 Norderstedt, De | |
US5207692A (en) | 1990-07-30 | 1993-05-04 | Codman & Shurtleff, Inc. | Surgical clip applier with reciprocating clip sleeve and dual ratchet mechanism |
US5282807A (en) * | 1990-11-05 | 1994-02-01 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator |
US5104394A (en) | 1990-11-05 | 1992-04-14 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter and suction irrigator |
US5366458A (en) * | 1990-12-13 | 1994-11-22 | United States Surgical Corporation | Latchless surgical clip |
USRE36720E (en) | 1990-12-13 | 2000-05-30 | United States Surgical Corporation | Apparatus and method for applying latchless surgical clips |
US5171252A (en) | 1991-02-05 | 1992-12-15 | Friedland Thomas W | Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip |
US5171253A (en) | 1991-03-22 | 1992-12-15 | Klieman Charles H | Velcro-like closure system with absorbable suture materials for absorbable hemostatic clips and surgical strips |
US5171247A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier with rotating shaft |
US5171249A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier |
US5395375A (en) | 1992-11-18 | 1995-03-07 | Symbiosis Corporation | Arthroscopic surgical instruments |
US5112343A (en) | 1991-04-05 | 1992-05-12 | Edward Weck Incorporated | Endoscopic clip appliers |
EP0596543B1 (en) | 1991-05-14 | 1999-08-11 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5160339A (en) | 1991-06-18 | 1992-11-03 | Ethicon, Inc. | Endoscopic suture clip |
US5201746A (en) | 1991-10-16 | 1993-04-13 | United States Surgical Corporation | Surgical hemostatic clip |
US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5199566A (en) | 1991-10-18 | 1993-04-06 | Ethicon, Inc. | Surgical clip applier |
US5163945A (en) | 1991-10-18 | 1992-11-17 | Ethicon, Inc. | Surgical clip applier |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5207691A (en) | 1991-11-01 | 1993-05-04 | Medical Scientific, Inc. | Electrosurgical clip applicator |
US5284381A (en) * | 1991-11-19 | 1994-02-08 | Tachi-S Co. Ltd. | Structure of seat cushion frame in automotive seat |
US5290299A (en) * | 1991-12-11 | 1994-03-01 | Ventritex, Inc. | Double jaw apparatus for attaching implanted materials to body tissue |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US6963792B1 (en) | 1992-01-21 | 2005-11-08 | Sri International | Surgical method |
CA2088883A1 (en) | 1992-02-13 | 1993-08-14 | David T. Green | Endoscopic ligating instrument |
US5201900A (en) | 1992-02-27 | 1993-04-13 | Medical Scientific, Inc. | Bipolar surgical clip |
US5219353A (en) | 1992-02-28 | 1993-06-15 | Garvey Iii Thomas Q | Surgical endoclip |
US5171251A (en) | 1992-03-02 | 1992-12-15 | Ethicon, Inc. | Surgical clip having hole therein and method of anchoring suture |
CA2090980C (en) | 1992-03-06 | 2004-11-30 | David Stefanchik | Ligating clip applier |
US5246450A (en) | 1992-03-10 | 1993-09-21 | Edward Weck Incorporated | High capacity medical clip feeding and dispensing mechanism |
US5304183A (en) | 1992-03-23 | 1994-04-19 | Laparomed Corporation | Tethered clamp retractor |
CA2094463A1 (en) | 1992-04-28 | 1993-10-29 | Claude Vidal | Vessel clips |
GR1002336B (en) * | 1992-05-06 | 1996-05-21 | Ethicon Inc. | Endoscopic surgical apparatus capable of ligation and division. |
DE4215449C1 (en) | 1992-05-11 | 1993-09-02 | Ethicon Gmbh & Co Kg, 2000 Norderstedt, De | |
US5431667A (en) | 1992-05-26 | 1995-07-11 | Origin Medsystems, Inc. | Gas-sealed instruments for use in laparoscopic surgery |
US5192288A (en) | 1992-05-26 | 1993-03-09 | Origin Medsystems, Inc. | Surgical clip applier |
US5269792A (en) | 1992-05-26 | 1993-12-14 | Origin Medsystems, Inc. | Surgical clip |
US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5906625A (en) | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
NL9201118A (en) | 1992-06-24 | 1994-01-17 | Leuven K U Res & Dev | TOOL KIT FOR LAPAROSCOPIC VAGINAL HYSTERECTOMY. |
US5354304A (en) | 1992-10-13 | 1994-10-11 | American Cyanamid Co. | Modular ligation clip applicator |
US5306283A (en) | 1992-06-30 | 1994-04-26 | American Cyanamid Company | Two-part surgical ligation clip |
CA2104345A1 (en) | 1992-09-02 | 1994-03-03 | David T. Green | Surgical clamp apparatus |
DE4230102C2 (en) | 1992-09-09 | 1994-08-04 | Kernforschungsz Karlsruhe | Clip for use in surgery and clip applicator |
US5342373A (en) * | 1992-09-14 | 1994-08-30 | Ethicon, Inc. | Sterile clips and instrument for their placement |
US5282832A (en) | 1992-10-09 | 1994-02-01 | United States Surgical Corporation | Suture clip |
CA2133687C (en) * | 1992-10-09 | 2007-03-27 | David T. Green | Surgical clip applier |
US5725538A (en) * | 1992-10-09 | 1998-03-10 | United States Surgical Corporation | Surgical clip applier |
US5868761A (en) * | 1992-10-09 | 1999-02-09 | United States Surgical Corporation | Surgical clip applier |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5330442A (en) | 1992-10-09 | 1994-07-19 | United States Surgical Corporation | Suture retaining clip |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5300081A (en) | 1992-10-09 | 1994-04-05 | United States Surgical Corporation | Surgical clip applier having clip advancement control |
CA2107635C (en) * | 1992-10-09 | 1999-08-17 | David T. Green | Surgical clip applier |
US5381943A (en) | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
US5409498A (en) | 1992-11-05 | 1995-04-25 | Ethicon, Inc. | Rotatable articulating endoscopic fastening instrument |
US5464416A (en) | 1992-11-10 | 1995-11-07 | Ethicon, Inc. | Ligating clip |
US5281228A (en) | 1992-11-23 | 1994-01-25 | Fred Wolfson | Umbilical clamp identification device for infants |
US5330487A (en) | 1992-12-17 | 1994-07-19 | Tfi Acquistion Corp. | Drive mechanism for surgical instruments |
US5662679A (en) | 1992-12-21 | 1997-09-02 | Shatzu Health Products, Inc. | Tragus acupressure clip with over-opening prevention and pressure adjustment |
US5403327A (en) | 1992-12-31 | 1995-04-04 | Pilling Weck Incorporated | Surgical clip applier |
WO1994015535A1 (en) | 1993-01-07 | 1994-07-21 | Hayhurst, John, O. | Clip for suture |
US5382255A (en) * | 1993-01-08 | 1995-01-17 | United States Surgical Corporation | Apparatus and method for assembly of surgical instruments |
US5569274A (en) | 1993-02-22 | 1996-10-29 | Heartport, Inc. | Endoscopic vascular clamping system and method |
US5382253A (en) * | 1993-03-05 | 1995-01-17 | Unisurge, Inc. | Clip applier tool |
US5312426A (en) | 1993-03-12 | 1994-05-17 | Mizuho Ika Kogyo Kabushiki Kaisha | Surgical clip |
DE4308221C2 (en) * | 1993-03-15 | 1996-12-12 | Metzeler Automotive Profiles | Sealing arrangement for a lid on a vehicle roof |
FR2702647B1 (en) | 1993-03-18 | 1995-05-05 | Baudet Jacques | Process of micro-anastomosis of blood vessels and automatic clamp for its implementation. |
CA2120828C (en) | 1993-04-16 | 1999-11-02 | Paul J. Phillips | Surgical hemostatic clip |
FR2704135B1 (en) | 1993-04-19 | 1995-07-07 | Savornin Claude | OSTEOSYNTHESIS STAPLE. |
EP0622048B1 (en) | 1993-04-27 | 1997-05-21 | American Cyanamid Company | Automatic laparoscopic ligation clip applicator |
GR1002376B (en) | 1993-04-29 | 1996-06-25 | Ethicon Inc. | Combined open procedure endoscopic mechanism and method of use. |
US5431668A (en) * | 1993-04-29 | 1995-07-11 | Ethicon, Inc. | Ligating clip applier |
US5439468A (en) | 1993-05-07 | 1995-08-08 | Ethicon Endo-Surgery | Surgical clip applier |
DE4319829C1 (en) | 1993-06-16 | 1994-08-25 | Lerch Karl Dieter | Set for treating vascular deformities |
US5562687A (en) | 1993-07-12 | 1996-10-08 | Mitek Surgical Products, Inc. | Surgical repair kit and its method of use |
US5431669A (en) | 1993-07-16 | 1995-07-11 | Origin Medsystems, Inc. | Surgical clip applier with distal hook |
US5827323A (en) | 1993-07-21 | 1998-10-27 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5368600A (en) | 1993-07-23 | 1994-11-29 | Ethicon, Inc. | Steerable bulldog clamp applier |
US5858018A (en) | 1993-08-25 | 1999-01-12 | Apollo Camera, Llc | Low profile tool for applying spring action ligation clips |
JPH08504120A (en) | 1993-08-25 | 1996-05-07 | アポロ キャメラ,リミテッド ライアビリティー カンパニー | Surgical ligation clip |
DK110193A (en) | 1993-09-30 | 1995-03-31 | Per Baunsgaard | Terminal device |
US5607436A (en) * | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5487499A (en) | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5776146A (en) | 1993-10-20 | 1998-07-07 | Applied Medical Resources | Laparoscopic surgical clamp |
US5496333A (en) | 1993-10-20 | 1996-03-05 | Applied Medical Resources Corporation | Laparoscopic surgical clamp |
US5776147A (en) | 1993-10-20 | 1998-07-07 | Applied Medical Resources Corporation | Laparoscopic surgical clamp |
US5462555A (en) | 1993-12-30 | 1995-10-31 | United States Surgical Corporation | Umbilical cord clip and applicator |
GB9400739D0 (en) | 1994-01-15 | 1994-03-16 | Femcare Ltd | Medical clip |
US5527320A (en) | 1994-02-10 | 1996-06-18 | Pilling Weck Inc. | Surgical clip applying instrument |
CH687060A5 (en) | 1994-02-11 | 1996-09-13 | Alice Walder Utz Dr | Piece surgical clip. |
US5501698A (en) | 1994-02-14 | 1996-03-26 | Heartport, Inc. | Endoscopic microsurgical instruments and methods |
CA2143560C (en) * | 1994-03-02 | 2007-01-16 | Mark Fogelberg | Sterile occlusion fasteners and instrument and method for their placement |
US5681330A (en) | 1994-03-02 | 1997-10-28 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
US5833700A (en) * | 1995-03-15 | 1998-11-10 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
DE4415521C2 (en) | 1994-05-04 | 2003-01-30 | Storz Reling Sybill Gesamthand | Instrument for use in endoscopic procedures |
US5474566A (en) | 1994-05-05 | 1995-12-12 | United States Surgical Corporation | Self-contained powered surgical apparatus |
DE4415891A1 (en) | 1994-05-05 | 1995-11-09 | Wilo Medizintechnik Gmbh | Surgical staple gun |
USRE38445E1 (en) * | 1994-05-05 | 2004-02-24 | Tyco Healthcare Group, Lp | Pistols for setting surgical clamps |
US5425740A (en) | 1994-05-17 | 1995-06-20 | Hutchinson, Jr.; William B. | Endoscopic hernia repair clip and method |
DE4422621C1 (en) * | 1994-06-28 | 1995-08-31 | Aesculap Ag | Surgical instrument for gripping, transporting or fixing objects |
US5501693A (en) * | 1994-07-06 | 1996-03-26 | United States Surgical Corporation | Surgical hemostatic clip |
US5833695A (en) | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
US5697942A (en) | 1994-07-31 | 1997-12-16 | Palti; Yoram | Internal vascular clamp |
AU694225B2 (en) | 1994-08-02 | 1998-07-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic hemostatic and cutting instrument |
US5582616A (en) | 1994-08-05 | 1996-12-10 | Origin Medsystems, Inc. | Surgical helical fastener with applicator |
US5462558A (en) | 1994-08-29 | 1995-10-31 | United States Surgical Corporation | Suture clip applier |
US5626585A (en) | 1994-09-16 | 1997-05-06 | United States Surgical Corporation | Ligating clip advance |
DE4434864C2 (en) | 1994-09-29 | 1997-06-19 | United States Surgical Corp | Surgical staple applicator with interchangeable staple magazine |
US5487746A (en) | 1994-11-23 | 1996-01-30 | Yu; George W. | Surgical clip having a longitudinal opening through which clamped tissue protrudes |
WO1996017073A1 (en) | 1994-11-29 | 1996-06-06 | Takara Shuzo Co., Ltd. | Process for producing transformed cell |
US5620452A (en) | 1994-12-22 | 1997-04-15 | Yoon; Inbae | Surgical clip with ductile tissue penetrating members |
US5976159A (en) | 1995-02-24 | 1999-11-02 | Heartport, Inc. | Surgical clips and methods for tissue approximation |
US6464710B1 (en) | 1995-03-06 | 2002-10-15 | Cook Urological Incorporated | Releasable, surgical clamp |
US5897565A (en) | 1995-03-06 | 1999-04-27 | Vance Products Incorporated | Releasable, surgical clamp |
US5695505A (en) * | 1995-03-09 | 1997-12-09 | Yoon; Inbae | Multifunctional spring clips and cartridges and applicators therefor |
ATE195236T1 (en) | 1995-03-15 | 2000-08-15 | Ethicon Endo Surgery Inc | DEVICE FOR APPLYING SURGICAL CLAPPS |
US5571121A (en) | 1995-03-28 | 1996-11-05 | Heifetz; Milton D. | Atraumatic clamp for temporary occlusion of blood vessels |
US5665097A (en) | 1995-04-21 | 1997-09-09 | Baker; John W. | Clip applicator |
US5748651A (en) | 1995-05-05 | 1998-05-05 | Trumble Navigation Limited | Optimum utilization of pseudorange and range rate corrections by SATPS receiver |
US5593421A (en) * | 1995-06-06 | 1997-01-14 | Bauer; William | Suture element delivery device and method |
US5653720A (en) | 1995-07-18 | 1997-08-05 | Applied Medical Resources | Surgical clip and method of assembly |
US5683405A (en) | 1995-08-25 | 1997-11-04 | Research Medical Inc. | Vascular occluder |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US5676676A (en) | 1995-08-30 | 1997-10-14 | Porter; Wayne | Ligating clip having ramp-shaped vessel-clamping members |
US5713912A (en) | 1995-08-30 | 1998-02-03 | Stress Management, Inc. | Ligating clip having ramp-shaped vessel clamping members and tool for applying same |
US5584840A (en) | 1995-09-05 | 1996-12-17 | Ramsey; James E. | Umbilical cord cutting and clamping device |
DE19534322A1 (en) | 1995-09-15 | 1997-03-20 | Aesculap Ag | Surgical clip, especially a vascular clip |
US5700270A (en) | 1995-10-20 | 1997-12-23 | United States Surgical Corporation | Surgical clip applier |
US5700271A (en) | 1995-10-20 | 1997-12-23 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5582615A (en) | 1995-10-30 | 1996-12-10 | Pilling Weck, Incorporated | Handle for surgical clip applicator systems |
US5810853A (en) | 1996-01-16 | 1998-09-22 | Yoon; Inbae | Knotting element for use in suturing anatomical tissue and methods therefor |
US5846255A (en) | 1996-01-31 | 1998-12-08 | Casey Medical Products Limited | Surgical clip |
DE19603889C2 (en) | 1996-02-03 | 1999-05-06 | Aesculap Ag & Co Kg | Surgical application device |
US5797922A (en) | 1996-02-06 | 1998-08-25 | Balagan Medical Inc. | Umbilical cord clamping device |
US5913876A (en) | 1996-02-20 | 1999-06-22 | Cardiothoracic Systems, Inc. | Method and apparatus for using vagus nerve stimulation in surgery |
US6099537A (en) | 1996-02-26 | 2000-08-08 | Olympus Optical Co., Ltd. | Medical treatment instrument |
JP3776529B2 (en) | 1996-02-29 | 2006-05-17 | オリンパス株式会社 | Clip device |
US6692594B1 (en) * | 1996-03-05 | 2004-02-17 | Bonnie M. Pemberton | Method and device for preventing cat from clawing home furnishings |
US5782844A (en) | 1996-03-05 | 1998-07-21 | Inbae Yoon | Suture spring device applicator |
US5772673A (en) * | 1996-03-07 | 1998-06-30 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5817116A (en) | 1996-04-01 | 1998-10-06 | Piolax Inc. | Detaching tool for a tube for medical treatment |
WO1997038634A1 (en) | 1996-04-18 | 1997-10-23 | Applied Medical Resources Corporation | Malleable clip applier and method |
EP0893970B1 (en) | 1996-04-19 | 2006-06-21 | Applied Medical Resources Corporation | Grasping clip applier |
US5835199A (en) | 1996-05-17 | 1998-11-10 | Coherent Technologies | Fiber-based ladar transceiver for range/doppler imaging with frequency comb generator |
US5824548A (en) | 1996-05-29 | 1998-10-20 | Wisconsin Alumni Research Foundation | Method of increasing survival of cultured primate embryos in medium containing exogenous gonadotrophin releasor hormone |
US5769857A (en) | 1996-06-11 | 1998-06-23 | Mgf Group Inc. | Ligating clip applier |
US5876410A (en) * | 1996-07-22 | 1999-03-02 | Phillip J. Petillo | Hydraulic powered surgical device |
DE29616632U1 (en) | 1996-09-24 | 1996-11-28 | Aesculap Ag | Surgical application device for U-shaped clips |
US5722982A (en) | 1996-09-26 | 1998-03-03 | University Technology Corporation | Strabismus surgery apparatus and method |
US5792149A (en) | 1996-10-03 | 1998-08-11 | United States Surgical Corporation | Clamp applicator |
US5713911A (en) * | 1996-10-03 | 1998-02-03 | United States Surgical Corporation | Surgical clip |
US5833696A (en) | 1996-10-03 | 1998-11-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5827279A (en) * | 1996-12-06 | 1998-10-27 | Ethicon Endo-Surgery, Inc. | Knife coupler mechanism for an endoscopic instrument |
US6579304B1 (en) | 1997-02-03 | 2003-06-17 | Applied Medical Resources Corporation | Surgical clamp with improved traction |
EP1011462B1 (en) | 1997-02-03 | 2005-11-23 | Applied Medical Resources Corporation | Surgical instruments with improved traction |
US5861005A (en) * | 1997-02-11 | 1999-01-19 | X-Site, L.L.C. | Arterial stapling device |
CA2283571C (en) | 1997-03-10 | 2007-07-24 | Applied Medical Resources Corporation | Surgical clips and clamps |
US5913862A (en) | 1997-04-25 | 1999-06-22 | James Ramsey | Umbilical cord cutting and clamping device |
US6017358A (en) * | 1997-05-01 | 2000-01-25 | Inbae Yoon | Surgical instrument with multiple rotatably mounted offset end effectors |
US5843101A (en) | 1997-05-02 | 1998-12-01 | Fry; William R. | Disposable clip for temporary vessel occulsion |
US5921996A (en) | 1997-05-02 | 1999-07-13 | Cardio Thoracic Systems, Inc. | Surgical clamp applier/remover and detachable clamp |
US5976158A (en) | 1997-06-02 | 1999-11-02 | Boston Scientific Corporation | Method of using a textured ligating band |
US5928251A (en) | 1997-09-18 | 1999-07-27 | United States Surgical Corporation | Occlusion clamp and occlusion clamp applicator |
US5972003A (en) | 1997-10-01 | 1999-10-26 | Sherwood Services Ag | Single-free ligation clip module |
US5868759A (en) * | 1997-10-10 | 1999-02-09 | United States Surgical Corporation | Surgical clip applier |
DE19752331C1 (en) * | 1997-11-26 | 1999-09-30 | Aesculap Ag & Co Kg | Magazine for a surgical clip applier |
DE19752332C1 (en) | 1997-11-26 | 1999-04-08 | Aesculap Ag & Co Kg | Surgical clip applicator for blood vessels |
US6036149A (en) * | 1998-01-02 | 2000-03-14 | Gilberto Del Pino, deceased | Hanger for gypsum board by compression |
US20020087148A1 (en) | 1998-02-24 | 2002-07-04 | Brock David L. | Flexible instrument |
US6241740B1 (en) * | 1998-04-09 | 2001-06-05 | Origin Medsystems, Inc. | System and method of use for ligating and cutting tissue |
FR2778081B1 (en) | 1998-04-29 | 2000-08-25 | Fabrice Thevenet | REINFORCEMENT IMPLANTS FOR TISSUE SUTURES |
US6514265B2 (en) | 1999-03-01 | 2003-02-04 | Coalescent Surgical, Inc. | Tissue connector apparatus with cable release |
US6322571B1 (en) | 1998-06-05 | 2001-11-27 | Brian D. Adams | Apparatus and method for placing sutures in the lacerated end of a tendon and similar body tissues |
US6059799A (en) | 1998-06-25 | 2000-05-09 | United States Surgical Corporation | Apparatus for applying surgical clips |
US6261302B1 (en) | 1998-06-26 | 2001-07-17 | Ethicon Endo-Surgery, Inc. | Applier for implantable surgical marker |
US6228098B1 (en) * | 1998-07-10 | 2001-05-08 | General Surgical Innovations, Inc. | Apparatus and method for surgical fastening |
US5951574A (en) | 1998-10-23 | 1999-09-14 | Ethicon Endo-Surgery, Inc. | Multiple clip applier having a split feeding mechanism |
US6530933B1 (en) | 1998-12-31 | 2003-03-11 | Teresa T. Yeung | Methods and devices for fastening bulging or herniated intervertebral discs |
US6053908A (en) * | 1999-01-07 | 2000-04-25 | Design Standards Corporation | Ratchet assembly for surgical instrument |
US6193732B1 (en) | 1999-01-08 | 2001-02-27 | Cardiothoracic System | Surgical clips and apparatus and method for clip placement |
US6228097B1 (en) | 1999-01-22 | 2001-05-08 | Scion International, Inc. | Surgical instrument for clipping and cutting blood vessels and organic structures |
US6217590B1 (en) | 1999-01-22 | 2001-04-17 | Scion International, Inc. | Surgical instrument for applying multiple staples and cutting blood vessels and organic structures and method therefor |
DE60042150D1 (en) | 1999-01-25 | 2009-06-18 | Applied Med Resources | MODULAR LIGGER DEVICE AND METHOD |
US8529588B2 (en) | 1999-01-25 | 2013-09-10 | Applied Medical Resources Corporation | Multiple clip applier apparatus and method |
US6896683B1 (en) | 1999-01-25 | 2005-05-24 | Applied Material Resources Corporation | Surgical instrument with improved handle assembly |
US6350269B1 (en) * | 1999-03-01 | 2002-02-26 | Apollo Camera, L.L.C. | Ligation clip and clip applier |
US6964668B2 (en) | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
US7666204B2 (en) | 1999-04-09 | 2010-02-23 | Evalve, Inc. | Multi-catheter steerable guiding system and methods of use |
IT1312196B1 (en) | 1999-04-21 | 2002-04-09 | Implant Italia S R L | SEMI-RIGID COMPRESSION CLAMP FOR STERNOTOMY, AND CLAMP FOR ITS APPLICATION. |
US20050222665A1 (en) | 1999-04-23 | 2005-10-06 | Ernest Aranyi | Endovascular fastener applicator |
AU5003100A (en) | 1999-05-11 | 2000-11-21 | Craig Berky | Surgical clamp devices and methods especially useful in cardiac surgery |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US6821285B2 (en) | 1999-06-22 | 2004-11-23 | Ndo Surgical, Inc. | Tissue reconfiguration |
US6835200B2 (en) | 1999-06-22 | 2004-12-28 | Ndo Surgical. Inc. | Method and devices for tissue reconfiguration |
GB9916484D0 (en) | 1999-07-15 | 1999-09-15 | Femcare Ltd | Surgical clip |
US7214232B2 (en) | 1999-07-23 | 2007-05-08 | Ethicon, Inc. | Graft fixation device |
DE19934634C1 (en) * | 1999-07-23 | 2000-12-21 | Aesculap Ag & Co Kg | Surgical clip application instrument has clips in clip magazine fed forwards via reciprocating displacement plate acted on by displacement device at point at least halfway along its length |
DE19935904C1 (en) | 1999-07-30 | 2001-07-12 | Karlsruhe Forschzent | Applicator tip of a surgical applicator for placing clips / clips for the connection of tissue |
EP1207789A4 (en) | 1999-08-30 | 2006-05-31 | Applied Med Resources | Improved surgical clip |
US7341595B2 (en) | 1999-09-13 | 2008-03-11 | Rex Medical, L.P | Vascular hole closure device |
FR2799118B1 (en) | 1999-10-01 | 2002-07-12 | Medical Innovation Dev | ADJUSTABLE GASTRIC IMPLANT |
US6610073B1 (en) | 1999-10-19 | 2003-08-26 | Scion International, Inc. | Surgical clip, clip applicator and method therefor |
US6926730B1 (en) | 2000-10-10 | 2005-08-09 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
US6387104B1 (en) * | 1999-11-12 | 2002-05-14 | Scimed Life Systems, Inc. | Method and apparatus for endoscopic repair of the lower esophageal sphincter |
IL132913A (en) | 1999-11-14 | 2004-09-27 | Porat Michael | Device and method for clamping and cutting a flexible deformable tube |
US6428548B1 (en) | 1999-11-18 | 2002-08-06 | Russell F. Durgin | Apparatus and method for compressing body tissue |
US6911032B2 (en) | 1999-11-18 | 2005-06-28 | Scimed Life Systems, Inc. | Apparatus and method for compressing body tissue |
IT1306690B1 (en) | 1999-11-18 | 2001-10-02 | Gianfranco Bidoia | COMPRESSION SUTURE DEVICE. |
US6695854B1 (en) * | 1999-11-29 | 2004-02-24 | General Surgical Innovations, Inc. | Blood vessel clip and applicator |
EP1233708B1 (en) | 1999-12-03 | 2010-05-19 | Applied Medical Resources, Inc. | Vessel occlusion clamp |
US6942674B2 (en) | 2000-01-05 | 2005-09-13 | Integrated Vascular Systems, Inc. | Apparatus and methods for delivering a closure device |
EP1251786B1 (en) | 2000-01-18 | 2007-03-14 | Tyco Healthcare Group Lp | Anastomosis instrument |
EP1251784B1 (en) * | 2000-02-04 | 2007-09-05 | Conmed Corporation | Surgical clip applier |
US6277131B1 (en) | 2000-02-15 | 2001-08-21 | Microline, Inc | Ladder-type medical clip feeding mechanism |
US6306149B1 (en) | 2000-02-15 | 2001-10-23 | Microline, Inc. | Medical clip device with cyclical pusher mechanism |
US6911033B2 (en) | 2001-08-21 | 2005-06-28 | Microline Pentax Inc. | Medical clip applying device |
US7141056B2 (en) | 2000-02-15 | 2006-11-28 | Microline Pentax Inc. | Multiplier extension arrangement |
US6840945B2 (en) * | 2001-02-28 | 2005-01-11 | Microline, Inc. | Medical clip applier safety arrangement |
US6569171B2 (en) | 2001-02-28 | 2003-05-27 | Microline, Inc. | Safety locking mechanism for a medical clip device |
US7770773B2 (en) | 2005-07-27 | 2010-08-10 | Power Medical Interventions, Llc | Surgical device |
US6648898B1 (en) | 2000-03-02 | 2003-11-18 | Cardiothoracic Systems, Inc. | Clip applying apparatuses and methods for vascular ligation |
JP2004500206A (en) | 2000-03-03 | 2004-01-08 | シー・アール・バード・インク | Suture clip, supply device and method |
US6423079B1 (en) | 2000-03-07 | 2002-07-23 | Blake, Iii Joseph W | Repeating multi-clip applier |
AU2001245504A1 (en) | 2000-03-07 | 2002-02-25 | Metacardia, Inc. | Everting staple devices and methods |
GB0006354D0 (en) | 2000-03-17 | 2000-05-03 | Femcare Ltd | Applicator for surgical clips |
US6391035B1 (en) | 2000-03-24 | 2002-05-21 | Timothy Appleby | Hemostatic clip removal instrument |
DE20007177U1 (en) | 2000-04-19 | 2000-08-03 | Storz Karl Gmbh & Co Kg | Medical instrument with lockable power transmission element |
US6546935B2 (en) | 2000-04-27 | 2003-04-15 | Atricure, Inc. | Method for transmural ablation |
US6896684B2 (en) | 2000-06-12 | 2005-05-24 | Niti Medical Technologies Ltd. | Surgical clip applicator device |
US6793664B2 (en) | 2000-06-19 | 2004-09-21 | Image-Guided Neurologics | System and method of minimally-invasive exovascular aneurysm treatment |
US7264625B1 (en) | 2000-06-19 | 2007-09-04 | Buncke Harry J | Surgical clip applier with remote operation |
US6494886B1 (en) | 2000-06-22 | 2002-12-17 | Granit Medical Innovation, Inc. | Off-set clamp mechanism and associated method for minimally invasive surgery |
DE10034270A1 (en) | 2000-07-14 | 2002-02-14 | Disetronic Licensing Ag | Storage container with a metering device for the metered delivery of an injectable product to an injection device |
DE10035555A1 (en) | 2000-07-21 | 2002-01-31 | Mann & Hummel Filter | Interchangeable filter cartridge with support body or liquid filter with this same filter cartridge |
ATE308935T1 (en) | 2000-08-14 | 2005-11-15 | Boston Scient Ltd | DIRECTORABLE SPHINCTEROTOME |
GB0020263D0 (en) | 2000-08-18 | 2000-10-04 | Femcare Cyprus Ltd | Improvements in or relating to applicators |
EP1317213A2 (en) * | 2000-09-01 | 2003-06-11 | Advanced Vascular Technologies LLC | Multi-fastener surgical apparatus and method |
JP4014792B2 (en) | 2000-09-29 | 2007-11-28 | 株式会社東芝 | manipulator |
JP4472217B2 (en) | 2000-10-16 | 2010-06-02 | オリンパス株式会社 | Biological tissue clip device |
US6773438B1 (en) | 2000-10-19 | 2004-08-10 | Ethicon Endo-Surgery | Surgical instrument having a rotary lockout mechanism |
US7485124B2 (en) | 2000-10-19 | 2009-02-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a fastener delivery mechanism |
US6551333B2 (en) * | 2000-10-19 | 2003-04-22 | Ethicon Endo-Surgery, Inc. | Method for attaching hernia mesh |
US6599298B1 (en) | 2000-10-23 | 2003-07-29 | Vitalitec International, S.A. | Automatic surgical clip applier |
US6966917B1 (en) | 2000-11-09 | 2005-11-22 | Innovation Interventional Technologies B.V. | Deformable connector for mechanically connecting hollow structures |
US6896682B1 (en) | 2000-11-14 | 2005-05-24 | Biomedical Engineering Solutions, Inc. | Method and system for internal ligation of tubular structures |
US7232445B2 (en) | 2000-12-06 | 2007-06-19 | Id, Llc | Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US8062314B2 (en) | 2000-12-06 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Methods for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US6974466B2 (en) | 2000-12-06 | 2005-12-13 | Wilson-Cook Medical Inc. | Ligating band delivery apparatus |
US6716226B2 (en) | 2001-06-25 | 2004-04-06 | Inscope Development, Llc | Surgical clip |
JP4202138B2 (en) | 2001-01-31 | 2008-12-24 | レックス メディカル インコーポレイテッド | Apparatus and method for stapling and ablating gastroesophageal tissue |
JP4097924B2 (en) | 2001-02-05 | 2008-06-11 | オリンパス株式会社 | Biological tissue clip device |
JP2002224124A (en) | 2001-02-06 | 2002-08-13 | Olympus Optical Co Ltd | Ligating device |
US6723109B2 (en) | 2001-02-07 | 2004-04-20 | Karl Storz Endoscopy-America, Inc. | Deployable surgical clamp with delivery/retrieval device and actuator |
US6494884B2 (en) | 2001-02-09 | 2002-12-17 | Concentric Medical, Inc. | Methods and devices for delivering occlusion elements |
US6981505B2 (en) * | 2001-02-13 | 2006-01-03 | Krause William R | Urological device for the incontinent male |
US7041119B2 (en) | 2001-02-27 | 2006-05-09 | Green David T | Apparatus for suturing a blood vessel |
US6991597B2 (en) * | 2001-03-09 | 2006-01-31 | Boston Scientific Scimed, Inc. | System for implanting an implant and method thereof |
JP4578708B2 (en) | 2001-03-26 | 2010-11-10 | オリンパス株式会社 | Biological tissue clip device |
CA2442362C (en) | 2001-03-28 | 2009-08-11 | Vascular Control Systems, Inc. | Method and apparatus for the detection and ligation of uterine arteries |
KR100401574B1 (en) | 2001-03-29 | 2003-10-17 | 이용우 | An automatic clip driver |
DE10120367A1 (en) | 2001-04-25 | 2002-10-31 | Arnold Pier | Surgical clip applicator |
US20020173803A1 (en) | 2001-05-01 | 2002-11-21 | Stephen Ainsworth | Self-closing surgical clip for tissue |
US6685715B2 (en) | 2001-05-02 | 2004-02-03 | Novare Surgical Systems | Clamp having bendable shaft |
US6592597B2 (en) | 2001-05-07 | 2003-07-15 | Ethicon Endo-Surgery, Inc. | Adhesive for attaching buttress material to a surgical fastening device |
US6916332B2 (en) | 2001-05-23 | 2005-07-12 | Scimed Life Systems, Inc. | Endoluminal fundoplication device and related method for installing tissue fastener |
US6991634B2 (en) | 2001-05-23 | 2006-01-31 | Pentax Corporation | Clip device of endoscope |
US7727248B2 (en) | 2001-06-25 | 2010-06-01 | Ethicon Endo-Surgery, Inc. | Surgical clip |
JP4689099B2 (en) * | 2001-07-24 | 2011-05-25 | 株式会社トップ | Surgical clip applier |
US6972023B2 (en) | 2001-07-05 | 2005-12-06 | Converge Medical, Inc. | Distal anastomosis system |
JP2004534591A (en) | 2001-07-09 | 2004-11-18 | タイコ ヘルスケア グループ エルピー | Right angle clip applier device and method |
US6824547B2 (en) | 2001-07-13 | 2004-11-30 | Pilling Weck Incorporated | Endoscopic clip applier and method |
AUPR668901A0 (en) | 2001-07-31 | 2001-08-23 | Research Surgical Pty Ltd | Surgical clamps |
JP3926119B2 (en) | 2001-08-10 | 2007-06-06 | 株式会社東芝 | Medical manipulator |
US7338503B2 (en) | 2002-08-08 | 2008-03-04 | Interrad Medical, Inc. | Non-invasive surgical ligation clip system and method of using |
US7179265B2 (en) | 2001-08-21 | 2007-02-20 | Microline Pentax, Inc. | Reduced diameter clip applying arrangement |
US20050267495A1 (en) | 2004-05-17 | 2005-12-01 | Gateway Medical, Inc. | Systems and methods for closing internal tissue defects |
US6776784B2 (en) | 2001-09-06 | 2004-08-17 | Core Medical, Inc. | Clip apparatus for closing septal defects and methods of use |
JP2005502416A (en) | 2001-09-14 | 2005-01-27 | オーナックス・メディカル・インコーポレーテッド | Surgical suture instrument and method of use |
JP3921681B2 (en) * | 2001-10-01 | 2007-05-30 | ニプロ株式会社 | Intracardiac suture device |
US7094245B2 (en) | 2001-10-05 | 2006-08-22 | Scimed Life Systems, Inc. | Device and method for through the scope endoscopic hemostatic clipping |
EP1437972B1 (en) | 2001-10-24 | 2006-11-22 | Boston Scientific Limited | Multiple hemoclip system for an endoscope |
US20050149069A1 (en) | 2001-12-04 | 2005-07-07 | Bertolero Arthur A. | Left atrial appendage devices and methods |
US20050277956A1 (en) | 2004-06-14 | 2005-12-15 | Francese Jose L | Clip storage for endoscopic clip applier |
JP4116567B2 (en) | 2001-12-13 | 2008-07-09 | 住友ベークライト株式会社 | Endoscope clip device and endoscope clip used therefor |
US6974462B2 (en) | 2001-12-19 | 2005-12-13 | Boston Scientific Scimed, Inc. | Surgical anchor implantation device |
US6729119B2 (en) | 2001-12-28 | 2004-05-04 | The Schnipke Family Limited Liability Company | Robotic loader for surgical stapling cartridge |
US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US6869435B2 (en) * | 2002-01-17 | 2005-03-22 | Blake, Iii John W | Repeating multi-clip applier |
US6869436B2 (en) * | 2002-02-07 | 2005-03-22 | Scimed Life Systems, Inc. | Surgical clip with a self-releasing fluid reservoir |
US6743241B2 (en) | 2002-03-01 | 2004-06-01 | Intellimed Surgical Solutions Llc | Laparoscopic port site fascial closure device |
US6939356B2 (en) | 2002-03-06 | 2005-09-06 | Elie G. Debbas | Medical instrument for closure of trocar site openings and method for use of same |
US6802848B2 (en) | 2002-03-12 | 2004-10-12 | Novare Surgical Systems, Inc. | Surgical clip with adjustable biasing force |
US6942676B2 (en) | 2002-03-21 | 2005-09-13 | Novare Surgical Systems, Inc. | Surgical clamp pads with deflecting elements |
US6953465B2 (en) | 2002-03-25 | 2005-10-11 | Concentric Medical, Inc. | Containers and methods for delivering vaso-occluding filaments and particles |
MXPA04009907A (en) | 2002-04-10 | 2004-12-07 | Tyco Healthcare | Surgical clip applier with high torque jaws. |
WO2003088822A2 (en) | 2002-04-22 | 2003-10-30 | Tyco Healthcare Group, Lp | Endoscopic surgical clip |
EP1499246B1 (en) | 2002-04-29 | 2009-11-11 | Tyco Healthcare Group Lp | Ligation clip applier |
US20030225423A1 (en) | 2002-05-30 | 2003-12-04 | Huitema Thomas W. | Surgical clip |
US7056330B2 (en) | 2002-05-31 | 2006-06-06 | Ethicon Endo-Surgery, Inc. | Method for applying tissue fastener |
US20030229360A1 (en) | 2002-05-31 | 2003-12-11 | Gayton John F. | Tissue fastener having a shaft with a reduced cross-section |
US7232447B2 (en) | 2002-06-12 | 2007-06-19 | Boston Scientific Scimed, Inc. | Suturing instrument with deflectable head |
EP1530441B1 (en) | 2002-06-13 | 2017-08-02 | Ancora Heart, Inc. | Devices and methods for heart valve repair |
US7753924B2 (en) | 2003-09-04 | 2010-07-13 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
WO2004000093A2 (en) | 2002-06-20 | 2003-12-31 | Tyco Healthcare Group, Lp | Method and apparatus for anastomosis including annular joining member |
US8074857B2 (en) | 2002-06-25 | 2011-12-13 | Incisive Surgical, Inc. | Method and apparatus for tissue fastening with single translating trigger operation |
US6972027B2 (en) | 2002-06-26 | 2005-12-06 | Stryker Endoscopy | Soft tissue repair system |
US6773440B2 (en) | 2002-07-02 | 2004-08-10 | Satiety, Inc. | Method and device for use in tissue approximation and fixation |
JP4109030B2 (en) | 2002-07-19 | 2008-06-25 | オリンパス株式会社 | Biological tissue clip device |
US20050256529A1 (en) | 2002-07-23 | 2005-11-17 | Haruyasu Yawata | Clip applier cartridge with internal ratchet |
US7727247B2 (en) | 2002-08-21 | 2010-06-01 | Olympus Corporation | Living tissue ligation device |
US7211091B2 (en) | 2002-08-27 | 2007-05-01 | Pilling Weck Incorporated | Fingertip-actuated surgical clip applier and related methods |
JP4660714B2 (en) * | 2002-09-06 | 2011-03-30 | シー・アール・バード・インク | Endoscopic tissue acquisition system |
WO2004023976A2 (en) | 2002-09-13 | 2004-03-25 | Damage Control Surgical Technologies, Inc. | Method and apparatus for vascular and visceral clipping |
US6966919B2 (en) | 2002-09-20 | 2005-11-22 | Id, Llc | Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD) |
EP2238917B1 (en) | 2002-10-04 | 2012-12-05 | Tyco Healthcare Group LP | Tool assembly for a surgical stapling device |
EP1545335A1 (en) | 2002-10-04 | 2005-06-29 | Tyco Healthcare Group Lp | Angled surgical fastener apparatus |
US7678125B2 (en) | 2002-11-12 | 2010-03-16 | Apollo Camera, L.L.C. | Surgical ligation clip |
US6945978B1 (en) | 2002-11-15 | 2005-09-20 | Advanced Cardiovascular Systems, Inc. | Heart valve catheter |
US7211092B2 (en) * | 2002-11-19 | 2007-05-01 | Pilling Weck Incorporated | Automated-feed surgical clip applier and related methods |
US7052504B2 (en) * | 2002-11-19 | 2006-05-30 | Teleflex Incorporated | Automated-feed surgical clip applier and related methods |
US7316708B2 (en) | 2002-12-05 | 2008-01-08 | Cardiac Dimensions, Inc. | Medical device delivery system |
AU2003298861A1 (en) * | 2002-12-10 | 2004-06-30 | Joseph W. Blake Iii | Anti-backup mechanism for repeating multi-clip applier |
US6849079B1 (en) * | 2002-12-10 | 2005-02-01 | Joseph W. Blake, III | Clip detent spring for repeating multi-clip applier |
US20040176783A1 (en) | 2002-12-16 | 2004-09-09 | Edrich Vascular Devices, Inc. | Vascular suturing clip |
US20060100649A1 (en) | 2002-12-17 | 2006-05-11 | Hart Charles C | Surgical staple-clip and applier |
US6821284B2 (en) | 2003-01-22 | 2004-11-23 | Novare Surgical Systems, Inc. | Surgical clamp inserts with micro-tractive surfaces |
GB0302098D0 (en) | 2003-01-29 | 2003-02-26 | Univ London | Improvements in and relating to surgical clips |
US7857828B2 (en) * | 2003-01-30 | 2010-12-28 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
FR2851451B1 (en) | 2003-02-24 | 2005-05-20 | Sofradim Production | DEVICE FOR LIGATURING ANATOMICAL STRUCTURE |
WO2004080275A2 (en) | 2003-03-06 | 2004-09-23 | Applied Medical Resources Corporation | Spring clip and method for assembling same |
US6908484B2 (en) | 2003-03-06 | 2005-06-21 | Spinecore, Inc. | Cervical disc replacement |
EP3170459A1 (en) | 2003-03-11 | 2017-05-24 | Covidien LP | Clip applying apparatus with angled jaw |
US20040193213A1 (en) | 2003-03-11 | 2004-09-30 | Ernest Aranyi | Clip applying apparatus with curved jaws, and clip |
GB0305976D0 (en) | 2003-03-14 | 2003-04-23 | Wild Andrew M | Surgical clip |
KR101078544B1 (en) | 2003-03-17 | 2011-11-01 | 스미또모 베이크라이트 가부시키가이샤 | Clip and clipping instrument for biological tissues |
US7105000B2 (en) | 2003-03-25 | 2006-09-12 | Ethicon Endo-Surgery, Inc. | Surgical jaw assembly with increased mechanical advantage |
DE602004030891D1 (en) | 2003-03-26 | 2011-02-17 | Tyco Healthcare | IN SPRING SAVED ENERGY WITH CONTROLLED RELEASE |
US20050107871A1 (en) | 2003-03-30 | 2005-05-19 | Fidel Realyvasquez | Apparatus and methods for valve repair |
ES2279231T3 (en) | 2003-05-09 | 2007-08-16 | Tyco Healthcare Group Lp | ANASTOMOTIC STAPLE WITH CAPILLARY TUBE THAT DISPENSES FLUIDS. |
US6978921B2 (en) | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
US8172870B2 (en) | 2003-06-09 | 2012-05-08 | Microline Surgical, Inc. | Ligation clip applier |
US7144402B2 (en) | 2003-06-16 | 2006-12-05 | Synovis Life Technologies, Inc. | Vascular clamp |
US7510562B2 (en) * | 2003-07-08 | 2009-03-31 | Terumo Corporation | Vein dissector, cauterizing and ligating apparatus for endoscopic harvesting of blood vessels |
US7213736B2 (en) | 2003-07-09 | 2007-05-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint |
US6964363B2 (en) | 2003-07-09 | 2005-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having articulation joint support plates for supporting a firing bar |
US6981628B2 (en) * | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
CN100444905C (en) | 2003-07-17 | 2008-12-24 | 郡是株式会社 | Suture prosthetic material for automatic sewing device |
US7182769B2 (en) | 2003-07-25 | 2007-02-27 | Medtronic, Inc. | Sealing clip, delivery systems, and methods |
DE10334083A1 (en) | 2003-07-26 | 2005-02-24 | Carl Stahl Gmbh | Method and device for endoscopic application of closing medical clips |
US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
US7494461B2 (en) * | 2003-09-30 | 2009-02-24 | Boston Scientific Scimed, Inc. | Through the scope tension member release clip |
AU2004277994B2 (en) | 2003-09-30 | 2010-04-01 | Boston Scientific Limited | Through the scope tension member release clip |
US6960218B2 (en) | 2003-10-20 | 2005-11-01 | Henry Rennich | External incontinence clamp |
US7572266B2 (en) | 2003-10-21 | 2009-08-11 | Young Wayne P | Clip applier tool having a discharge configuration |
US20050096670A1 (en) | 2003-10-31 | 2005-05-05 | Parris Wellman | Surgical end effector |
US20050096671A1 (en) | 2003-10-31 | 2005-05-05 | Parris Wellman | Control mechanism for a surgical instrument |
AU2004289214B2 (en) | 2003-11-07 | 2011-05-19 | Scimed Life Systems, Inc. | Endoscopic hemoscopic clipping apparatus |
US7736372B2 (en) | 2003-11-13 | 2010-06-15 | Usgi Medical, Inc. | Apparatus and methods for endoscopic suturing |
US7175648B2 (en) | 2003-11-18 | 2007-02-13 | Granit Medical Innovations, Llc | Deep endoscopic staple and stapler |
US20050208095A1 (en) | 2003-11-20 | 2005-09-22 | Angiotech International Ag | Polymer compositions and methods for their use |
US20050149068A1 (en) | 2003-12-17 | 2005-07-07 | Mathew Williams | Left atrial appendage exclusion device |
US7766207B2 (en) | 2003-12-30 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Articulating curved cutter stapler |
US7316696B2 (en) | 2004-01-22 | 2008-01-08 | Teleflex Medical Incorporated | Ligating clip with integral interlocking latch mechanism |
US7326223B2 (en) | 2004-01-22 | 2008-02-05 | Teleflex Medical Incorporated | Ligating clip with integral cutting guide |
US7585304B2 (en) | 2004-02-02 | 2009-09-08 | Teleflex Medical Incorporated | Endoscopic clip applying apparatus with improved aperture for clip release and related method |
US20050177176A1 (en) | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
US20060009792A1 (en) * | 2004-02-20 | 2006-01-12 | Esophyx, Inc. | Tissue fixation assembly having prepositioned fasteners and method |
US20050216056A1 (en) | 2004-03-08 | 2005-09-29 | Lutheran Medical Center | Surgical dynamic compression staple |
US8628547B2 (en) | 2004-03-09 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
US9028511B2 (en) | 2004-03-09 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
WO2005091457A1 (en) | 2004-03-18 | 2005-09-29 | Preformed Line Products (Australia) Pty Ltd | Safety device for cables |
US20050216036A1 (en) | 2004-03-29 | 2005-09-29 | Nakao Naomi L | Endoscopic fastening system with multiple fasteners |
US8475473B2 (en) | 2004-03-30 | 2013-07-02 | Applied Medical Resources Corporation | Convertible surgical clip applier system |
US7578827B2 (en) | 2004-04-02 | 2009-08-25 | Applied Medical Resources Corporation | Suture clip with stop ribs and method for making same |
US7621926B2 (en) | 2004-04-16 | 2009-11-24 | Applied Medical Resources Corporation | Multi-fire surgical clip applier |
US20050273122A1 (en) | 2004-06-02 | 2005-12-08 | Microline, Inc. | Clip with enhanced gripping arrangement |
US8216255B2 (en) | 2004-06-14 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Endoscopic clip applier actuator |
AU2005262460B2 (en) | 2004-06-16 | 2011-12-15 | Smith & Nephew, Inc. | Suture passing |
US20060004388A1 (en) * | 2004-06-18 | 2006-01-05 | Ablatrics, Inc. | System for tissue cavity closure |
EP1768575B1 (en) * | 2004-06-18 | 2019-01-16 | Medtronic, Inc. | Devices for occlusion of an atrial appendage |
US20050288689A1 (en) | 2004-06-25 | 2005-12-29 | Kammerer Gene W | Applicator and method for deploying a surgical fastener |
US7059508B2 (en) | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
BRMU8401529U (en) | 2004-07-02 | 2006-02-21 | Milton Tatsuo Tanaka | laparoscopic curved surgical clip |
US7914551B2 (en) | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
US7261725B2 (en) | 2005-01-13 | 2007-08-28 | Binmoeller Kenneth F | Endoscopic device with independently actuated legs |
US7540872B2 (en) | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
WO2006034403A2 (en) * | 2004-09-23 | 2006-03-30 | Tyco Healthcare Group, Lp | Clip applying apparatus and ligation clip |
JP4783372B2 (en) | 2004-10-08 | 2011-09-28 | タイコ ヘルスケア グループ エルピー | Device for applying a surgical clip |
US8409222B2 (en) | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
US7819886B2 (en) | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
EP2641549B1 (en) | 2004-10-08 | 2015-08-12 | Covidien LP | An endoscopic surgical clip applier |
ES2389208T3 (en) | 2004-10-18 | 2012-10-24 | Tyco Healthcare Group Lp | Annular adhesive structure |
US7641671B2 (en) | 2004-11-22 | 2010-01-05 | Design Standards Corporation | Closing assemblies for clamping device |
JP2006154230A (en) | 2004-11-29 | 2006-06-15 | Nikon Corp | Zoom microscope |
JP4758173B2 (en) | 2004-12-24 | 2011-08-24 | オリンパス株式会社 | Ligation device |
US8080021B2 (en) | 2005-01-11 | 2011-12-20 | Boston Scientific Scimed, Inc. | Multiple clip deployment magazine |
TWI257087B (en) | 2005-01-25 | 2006-06-21 | Ritek Corp | Optical disk driver |
US20060173470A1 (en) | 2005-01-31 | 2006-08-03 | Oray B N | Surgical fastener buttress material |
US20060190013A1 (en) | 2005-02-22 | 2006-08-24 | Microline, Inc. | Curved closure jaw arrangement for a medical clip applier device |
EP1861020B1 (en) | 2005-03-11 | 2009-01-21 | Wilson-Cook Medical Inc. | Multi-clip device |
US20070203510A1 (en) | 2006-02-28 | 2007-08-30 | Bettuchi Michael J | Annular disk for reduction of anastomotic tension and methods of using the same |
US7942890B2 (en) | 2005-03-15 | 2011-05-17 | Tyco Healthcare Group Lp | Anastomosis composite gasket |
US20060217749A1 (en) | 2005-03-24 | 2006-09-28 | Pilling Weck Incorporated | Reduced closure force ligating clip |
JP2006277221A (en) | 2005-03-29 | 2006-10-12 | Matsushita Electric Ind Co Ltd | Information reader/writer |
US20060224170A1 (en) | 2005-03-30 | 2006-10-05 | Michael Duff | Surgical marker clip and method for cholangiography |
US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
US7261724B2 (en) | 2005-04-14 | 2007-08-28 | Ethicon Endo-Surgery, Inc. | Surgical clip advancement mechanism |
US7288098B2 (en) | 2005-04-14 | 2007-10-30 | Ethicon Endo-Surgery, Inc. | Force limiting mechanism for medical instrument |
US7699860B2 (en) | 2005-04-14 | 2010-04-20 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US8523882B2 (en) | 2005-04-14 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Clip advancer mechanism with alignment features |
US8038686B2 (en) | 2005-04-14 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Clip applier configured to prevent clip fallout |
US7686820B2 (en) | 2005-04-14 | 2010-03-30 | Ethicon Endo-Surgery, Inc. | Surgical clip applier ratchet mechanism |
US7740641B2 (en) | 2005-04-14 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Clip applier with migrational resistance features |
US7731724B2 (en) | 2005-04-14 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical clip advancement and alignment mechanism |
US20080045981A1 (en) | 2005-04-22 | 2008-02-21 | Ilya Margolin | Ligating clip and ligating clip applicator |
WO2006135479A2 (en) | 2005-05-10 | 2006-12-21 | Angiotech International Ag | Anti-scarring agents, therapeutic compositions, and use thereof |
US8419760B2 (en) | 2005-06-25 | 2013-04-16 | Stryker Corporation | Cutting accessory for a powered surgical handpiece, the cutting accessory including features to facilitate the alignment of the accessory with the handpiece, hold the accessory to the handpiece, facilitate the transfer of torque to the accessory and reduce the wobble of the accessory |
US8313497B2 (en) | 2005-07-01 | 2012-11-20 | Abbott Laboratories | Clip applier and methods of use |
US8945151B2 (en) | 2005-07-13 | 2015-02-03 | Atricure, Inc. | Surgical clip applicator and apparatus including the same |
US7871416B2 (en) | 2005-07-22 | 2011-01-18 | Phillips Edward H | Clamp device to plicate the stomach |
US7559937B2 (en) | 2005-08-09 | 2009-07-14 | Towertech Research Group | Surgical fastener apparatus and reinforcing material |
US20070038233A1 (en) | 2005-08-11 | 2007-02-15 | Medical Device Concepts Llc | Surgical clips, systems and methods thereof |
US7419495B2 (en) | 2005-08-25 | 2008-09-02 | Microline Pentax Inc. | Trigger lockout device for clip applying instrument |
US20070185504A1 (en) | 2005-08-25 | 2007-08-09 | Microline Pentax, Inc. | Medical clip feeding mechanism |
US20070049947A1 (en) | 2005-08-25 | 2007-03-01 | Microline Pentax Inc. | Cinch control device |
JPWO2007026798A1 (en) | 2005-09-02 | 2009-03-26 | 三井化学ポリウレタン株式会社 | (Meth) acrylate graft polyether polyol, method for producing the same, and use thereof |
US9326776B2 (en) | 2005-09-29 | 2016-05-03 | Applied Medical Resources Corporation | Manually actuated surgical clip applier |
US20070083218A1 (en) | 2005-10-12 | 2007-04-12 | A Morris Steven | Coated ligating clip |
US7752853B2 (en) | 2005-10-21 | 2010-07-13 | Emerson Retail Services, Inc. | Monitoring refrigerant in a refrigeration system |
US8192449B2 (en) | 2005-10-25 | 2012-06-05 | Brainlab Ag | Non-penetrating fixing device |
US8080004B2 (en) | 2005-10-26 | 2011-12-20 | Earl Downey | Laparoscopic surgical instrument |
US7901420B2 (en) | 2005-11-02 | 2011-03-08 | University Of Massachusetts | Tissue clamp |
WO2007058877A2 (en) | 2005-11-10 | 2007-05-24 | Mayo Foundation For Medical Education And Research | Vein closure and injection kits and methods |
US20070112365A1 (en) | 2005-11-15 | 2007-05-17 | Applied Medical Resources Corporation | Partial occlusion surgical guide clip |
US20070118161A1 (en) | 2005-11-22 | 2007-05-24 | Kennedy Daniel L | Non-snag polymer ligating clip |
US7896895B2 (en) | 2005-11-23 | 2011-03-01 | Ethicon Endo-Surgery, Inc. | Surgical clip and applier device and method of use |
US9480480B2 (en) | 2005-12-22 | 2016-11-01 | Albert N. Santilli | Vascular and intestinal occlusion |
US9486225B2 (en) | 2005-12-22 | 2016-11-08 | Robert E. Michler | Exclusion of the left atrial appendage |
DE202006000329U1 (en) | 2006-01-11 | 2006-03-02 | Aesculap Ag & Co. Kg | Surgical ligature clip |
US20070173866A1 (en) | 2006-01-23 | 2007-07-26 | Tyco Healthcare Group, Lp | Surgical hemostatic clip |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US7793813B2 (en) | 2006-02-28 | 2010-09-14 | Tyco Healthcare Group Lp | Hub for positioning annular structure on a surgical device |
US7892244B2 (en) | 2006-03-09 | 2011-02-22 | Niti Surgical Solutions Ltd. | Surgical compression clips |
WO2007106342A2 (en) | 2006-03-10 | 2007-09-20 | Wilson-Cook Medical Inc. | A clip device and a protective cap for drawing the target tissue into it before the clip is deployed |
JP2007250843A (en) | 2006-03-16 | 2007-09-27 | Teijin Dupont Films Japan Ltd | Film for electromagnetic shielding |
US8808310B2 (en) | 2006-04-20 | 2014-08-19 | Integrated Vascular Systems, Inc. | Resettable clip applier and reset tools |
WO2007124579A1 (en) | 2006-04-29 | 2007-11-08 | Klassen James B | Surgical clip, applicator, and applicator methods |
AU2007255016A1 (en) | 2006-06-01 | 2007-12-13 | Cook Medical Technologies Llc | Release mechanisms for a clip device |
JP2008017876A (en) | 2006-07-10 | 2008-01-31 | Tetsuya Araki | Medical treatment instrument |
JP4783239B2 (en) | 2006-08-21 | 2011-09-28 | 株式会社神戸製鋼所 | Electron emitter material and electron emission application device |
US8485412B2 (en) | 2006-09-29 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical staples having attached drivers and stapling instruments for deploying the same |
US8177794B2 (en) | 2006-10-05 | 2012-05-15 | Tyco Healthcare Group Lp | Flexible endoscopic stitching devices |
US8708210B2 (en) | 2006-10-05 | 2014-04-29 | Covidien Lp | Method and force-limiting handle mechanism for a surgical instrument |
EP1913881B1 (en) | 2006-10-17 | 2014-06-11 | Covidien LP | Apparatus for applying surgical clips |
US20080147092A1 (en) | 2006-10-23 | 2008-06-19 | Michael Rogge | Hybrid energy instrument combined with clip application capability |
US20080103510A1 (en) | 2006-10-25 | 2008-05-01 | Apogee Surgical Instruments | Bio-absorbable tissue closure system |
JP4716513B2 (en) | 2006-11-09 | 2011-07-06 | Hoya株式会社 | Endoscopic clip device |
US20070118174A1 (en) | 2006-11-16 | 2007-05-24 | Chu David Z J | Laparoscopic surgical clamp and suturing methods |
US8585716B2 (en) | 2006-12-13 | 2013-11-19 | Boston Scientific Scimed, Inc. | Apparatus for applying hemostatic clips |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US20080173691A1 (en) | 2007-01-24 | 2008-07-24 | Medtronic Vascular, Inc. | Low-Profile Vascular Closure Systems and Methods of Using Same |
DE202007003398U1 (en) | 2007-02-28 | 2007-06-14 | Aesculap Ag & Co. Kg | Surgical instrument for endoscopic interference for treating body tissues, has deformation unit for simultaneous deformation of two clamping units with similar or same dimensions and/or deformation characteristics |
US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8011555B2 (en) | 2007-03-06 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7533790B1 (en) | 2007-03-08 | 2009-05-19 | Cardica, Inc. | Surgical stapler |
US7473258B2 (en) | 2007-03-08 | 2009-01-06 | Cardica, Inc. | Surgical stapler |
US20080228199A1 (en) | 2007-03-16 | 2008-09-18 | Ethicon Endo-Surgery, Inc. | Endoscopic tissue approximation method |
AU2013254887A1 (en) | 2007-03-26 | 2013-11-21 | Covidien Lp | Endoscopic surgical clip applier |
CA2679523C (en) * | 2007-03-26 | 2015-06-23 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
CN101677813B (en) | 2007-04-11 | 2012-12-05 | Tyco医疗健康集团 | Surgical clip applier |
US20080255589A1 (en) | 2007-04-11 | 2008-10-16 | Terumo Cardiovascular Systems Corporation | Multi-function clipping and harvesting device |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
JP2008302045A (en) | 2007-06-08 | 2008-12-18 | Hoya Corp | Clip device for endoscope |
JP2008302097A (en) | 2007-06-11 | 2008-12-18 | Hoya Corp | Clip device for endoscope |
JP2008307168A (en) | 2007-06-13 | 2008-12-25 | Hoya Corp | Clip device for endoscope |
WO2009016637A2 (en) | 2007-08-01 | 2009-02-05 | Medingo Ltd. | A device for drug delivery |
ES2534292T5 (en) | 2007-09-21 | 2018-07-04 | Covidien Lp | Surgical device |
JP2009078032A (en) | 2007-09-27 | 2009-04-16 | Machida Endscope Co Ltd | Clip applier |
CA2640345C (en) | 2007-10-05 | 2017-11-07 | Tyco Healthcare Group Lp | Surgical stapler having an articulation mechanism |
JP5006753B2 (en) | 2007-10-17 | 2012-08-22 | Hoya株式会社 | Endoscopic clip device |
US8088548B2 (en) | 2007-10-23 | 2012-01-03 | Az Electronic Materials Usa Corp. | Bottom antireflective coating compositions |
US9445820B2 (en) | 2007-12-31 | 2016-09-20 | Teleflex Medical Incorporated | Ligation clip with flexible clamping feature |
CA2711130C (en) | 2008-01-10 | 2016-08-30 | Power Medical Interventions, Llc | Imaging system for a surgical device |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US20090206142A1 (en) * | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical stapling instrument |
JP5332232B2 (en) | 2008-02-25 | 2013-11-06 | セイコーエプソン株式会社 | Pixel circuit, digital drive type electro-optical device and electronic apparatus |
US20090228023A1 (en) | 2008-03-04 | 2009-09-10 | Fujifilm Corporation | Clipping device |
US8366726B2 (en) | 2008-03-21 | 2013-02-05 | Gyrx Llc | Vessel occlusion clip and application thereof |
US8021375B2 (en) | 2008-04-21 | 2011-09-20 | Conmed Corporation | Surgical clip applicator |
CN102076271B (en) | 2008-05-05 | 2014-07-09 | 尼蒂外科设备有限公司 | Endoscopic compression clip and system and method for use thereof |
US8424738B2 (en) | 2008-06-04 | 2013-04-23 | Covidien Lp | Attachable clamp for surgical stapler |
AU2009260236B2 (en) | 2008-06-19 | 2014-06-12 | Boston Scientific Scimed, Inc. | Hemostatic clipping devices and methods |
JP2010029629A (en) | 2008-06-30 | 2010-02-12 | Fujifilm Corp | Clip treatment tool |
US8011551B2 (en) | 2008-07-01 | 2011-09-06 | Tyco Healthcare Group Lp | Retraction mechanism with clutch-less drive for use with a surgical apparatus |
EP2145589A2 (en) | 2008-07-17 | 2010-01-20 | FUJIFILM Corporation | Manipulating handle for successive clipping device, successive clipping device, manipulating handle for clipping device, and clipping device |
EP2156797A3 (en) | 2008-08-21 | 2010-08-25 | FUJIFILM Corporation | Clip package for clip application apparatus |
US20110208212A1 (en) | 2010-02-19 | 2011-08-25 | Zergiebel Earl M | Surgical clip applier |
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
US8056565B2 (en) | 2008-08-25 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical clip applier and method of assembly |
US8585717B2 (en) | 2008-08-29 | 2013-11-19 | Covidien Lp | Single stroke endoscopic surgical clip applier |
CN103083059B (en) | 2008-08-29 | 2015-03-18 | 柯惠Lp公司 | Endoscopic surgical clip applier with connector plate |
US9358015B2 (en) * | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
US8267944B2 (en) | 2008-08-29 | 2012-09-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier with lock out |
US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
ES2363582T3 (en) | 2008-08-29 | 2011-08-09 | Tyco Healthcare Group Lp | ENDOSCOPIC APPLICATOR OF SURGICAL STAPLES WITH LOCK SYSTEM. |
CA2740831A1 (en) | 2008-10-16 | 2010-04-22 | Aptus Endosystems, Inc. | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
FR2938422A1 (en) | 2008-11-17 | 2010-05-21 | Pierre Sarradon | VASCULAR ANASTOMOSIS CLIPS AND METHOD OF APPLICATION |
US8142451B2 (en) | 2009-01-26 | 2012-03-27 | Microline Surgical, Inc. | Actuator and detachable connector of flexible clip applier |
JP5885506B2 (en) | 2009-02-17 | 2016-03-15 | ザ ボード オブ トラスティーズ オブ ザ レランド スタンフォード ジュニア ユニバーシティー | Suture device and method |
US7988027B2 (en) | 2009-03-31 | 2011-08-02 | Tyco Healthcare Group Lp | Crimp and release of suture holding buttress material |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
DE202009006113U1 (en) | 2009-04-24 | 2009-07-02 | Aesculap Ag | Surgical instrument for applying ligature clips |
DE102009018819A1 (en) | 2009-04-24 | 2010-10-28 | Aesculap Ag | Surgical instrument for applying ligature clips |
DE102009018821A1 (en) | 2009-04-24 | 2010-10-28 | Aesculap Ag | Surgical instrument for applying ligature clips |
DE102009018820A1 (en) | 2009-04-24 | 2010-10-28 | Aesculap Ag | Magazine with a variety of C-shaped ligature clips |
JP2010264001A (en) | 2009-05-13 | 2010-11-25 | Fujifilm Corp | Repetitive clipping tool |
TWI391119B (en) | 2009-06-15 | 2013-04-01 | Ming Huei Cheng | Integrated double clips applier cvith division device for clamping clips |
US8430892B2 (en) | 2009-10-06 | 2013-04-30 | Covidien Lp | Surgical clip applier having a wireless clip counter |
US8939974B2 (en) | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8267945B2 (en) | 2009-10-09 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Clip advancer with lockout mechanism |
US8262679B2 (en) | 2009-10-09 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Clip advancer |
US8734469B2 (en) | 2009-10-13 | 2014-05-27 | Covidien Lp | Suture clip applier |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US9186136B2 (en) | 2009-12-09 | 2015-11-17 | Covidien Lp | Surgical clip applier |
US20110144662A1 (en) | 2009-12-15 | 2011-06-16 | Mclawhorn Tyler E | Clip devices and systems and methods for deployment |
US8545486B2 (en) * | 2009-12-15 | 2013-10-01 | Covidien Lp | Surgical clip applier |
ES2671595T3 (en) | 2010-01-29 | 2018-06-07 | Advanced Bariatric Technology, Llc | Surgical clamp |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
TW201130457A (en) | 2010-03-03 | 2011-09-16 | Ming-Huei Cheng | Automatic clip applier for clamping two ligating clips simultaneously |
WO2011112577A1 (en) | 2010-03-09 | 2011-09-15 | Teleflex Medical Incorporated | Narrow profile surgical ligation clip |
WO2011112877A1 (en) | 2010-03-10 | 2011-09-15 | Menn Pavel | Surgical clips for laparoscopic procedures |
US20120265220A1 (en) | 2010-04-06 | 2012-10-18 | Pavel Menn | Articulating Steerable Clip Applier for Laparoscopic Procedures |
WO2011127223A1 (en) | 2010-04-06 | 2011-10-13 | Pavel Menn | Hermetic rotating handle assembly for a surgical clip applier for laparoscopic procedures |
US8623044B2 (en) | 2010-04-12 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Cable actuated end-effector for a surgical instrument |
CN201683954U (en) | 2010-05-05 | 2010-12-29 | 王水良 | Disposable automatic continuous-running titanium clamp |
US20110295290A1 (en) | 2010-05-28 | 2011-12-01 | Whitfield Kenneth H | Surgical hemostatic clip including work-hardened, movement-inhibiting structure and method of manufacturing same |
US20110313437A1 (en) | 2010-06-16 | 2011-12-22 | Top-Bound Enterprise Co., Ltd. | Vascular clamp structure |
US8968337B2 (en) * | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
CA2807385C (en) | 2010-08-10 | 2016-05-10 | Cook Medical Technologies Llc | Clip devices and methods of delivery and deployment |
US20120053406A1 (en) | 2010-09-01 | 2012-03-01 | Conlon Sean P | Minimally invasive surgery |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9011464B2 (en) | 2010-11-02 | 2015-04-21 | Covidien Lp | Self-centering clip and jaw |
US8348130B2 (en) * | 2010-12-10 | 2013-01-08 | Covidien Lp | Surgical apparatus including surgical buttress |
US9186153B2 (en) | 2011-01-31 | 2015-11-17 | Covidien Lp | Locking cam driver and jaw assembly for clip applier |
WO2012122006A2 (en) | 2011-03-04 | 2012-09-13 | Jenkins Clinic, Inc. | Surgical ligation clip and applicator device |
US9775623B2 (en) | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
US20120330326A1 (en) | 2011-06-22 | 2012-12-27 | Tyco Healthcare Group Lp | Surgical clip applier including atraumatic jaw feature |
JP2014531248A (en) | 2011-09-15 | 2014-11-27 | テレフレックス メディカル インコーポレイテッドTeleflex Medical Incorporated | Automatic surgical ligation clip applier |
WO2013059432A1 (en) | 2011-10-19 | 2013-04-25 | Ethicon Endo-Surgery, Inc. | Clip applier adapted for use with a surgical robot |
US20130131697A1 (en) | 2011-11-21 | 2013-05-23 | Covidien Lp | Surgical clip applier |
US9364239B2 (en) | 2011-12-19 | 2016-06-14 | Covidien Lp | Jaw closure mechanism for a surgical clip applier |
US9931123B2 (en) | 2011-12-21 | 2018-04-03 | Joseph W Blake, III | Surgical clip applier |
DE102011056821A1 (en) | 2011-12-21 | 2013-06-27 | Aesculap Ag | Medical clip carrier device |
US20130172910A1 (en) | 2011-12-29 | 2013-07-04 | Covidien Lp | Surgical clip applier |
US9364216B2 (en) | 2011-12-29 | 2016-06-14 | Covidien Lp | Surgical clip applier with integrated clip counter |
US9775612B2 (en) | 2011-12-30 | 2017-10-03 | Boston Scientific Scimed, Inc. | Linear rotation mechanism for hemostasis clip device and other devices |
US9549738B2 (en) | 2012-01-05 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Ratcheting feature on tissue staple trigger to prevent premature jaw opening |
US20130226200A1 (en) | 2012-02-28 | 2013-08-29 | Boston Scientific Scimed, Inc. | Clip applier |
US9408610B2 (en) | 2012-05-04 | 2016-08-09 | Covidien Lp | Surgical clip applier with dissector |
US8518055B1 (en) | 2012-05-11 | 2013-08-27 | Ethicon, Inc. | Applicator instruments for dispensing surgical fasteners during open repair procedures |
US9532787B2 (en) | 2012-05-31 | 2017-01-03 | Covidien Lp | Endoscopic clip applier |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US20140074143A1 (en) | 2012-09-07 | 2014-03-13 | Sinocclusive Llc | Insertion tool and insertion method for arterial tamponade device |
US9220507B1 (en) | 2012-10-14 | 2015-12-29 | Manoj B. Patel | Tissue spreading vascular clips with locking mechanism and non-slip clamping surfaces |
US9968362B2 (en) | 2013-01-08 | 2018-05-15 | Covidien Lp | Surgical clip applier |
US9113892B2 (en) | 2013-01-08 | 2015-08-25 | Covidien Lp | Surgical clip applier |
US9750500B2 (en) | 2013-01-18 | 2017-09-05 | Covidien Lp | Surgical clip applier |
US9208429B2 (en) | 2013-01-31 | 2015-12-08 | Teleflex Medical Incorporated | Multiple delivery device counter and counting method |
US9883860B2 (en) | 2013-03-14 | 2018-02-06 | Ethicon Llc | Interchangeable shaft assemblies for use with a surgical instrument |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9775624B2 (en) | 2013-08-27 | 2017-10-03 | Covidien Lp | Surgical clip applier |
US20160113655A1 (en) | 2014-10-24 | 2016-04-28 | Covidien Lp | Reposable multiplatform endoscopic surgical clip applier |
US10702278B2 (en) | 2014-12-02 | 2020-07-07 | Covidien Lp | Laparoscopic surgical ligation clip applier |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
US10368876B2 (en) | 2015-01-15 | 2019-08-06 | Covidien Lp | Endoscopic reposable surgical clip applier |
JP2018505729A (en) | 2015-01-20 | 2018-03-01 | コヴィディエン リミテッド パートナーシップ | Surgical clip applier with multiple clip supply mechanism |
CN104605911B (en) | 2015-01-21 | 2017-02-01 | 天津万和医疗器械有限公司 | Titanium clamp counting device and repeating type titanium clamp applying same |
US10292712B2 (en) | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10159491B2 (en) | 2015-03-10 | 2018-12-25 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2016192718A2 (en) | 2015-06-02 | 2016-12-08 | Behzad Sahabi | Clip, clip applier, system composed of clip applier and at least one clip, and clip magazine |
WO2016192096A1 (en) | 2015-06-05 | 2016-12-08 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2016197350A1 (en) | 2015-06-11 | 2016-12-15 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2016206015A1 (en) | 2015-06-24 | 2016-12-29 | Covidien Lp | Surgical clip applier with multiple clip feeding mechanism |
JP6683807B2 (en) | 2015-10-10 | 2020-04-22 | コヴィディエン リミテッド パートナーシップ | Endoscopic surgical clip applier |
WO2017075752A1 (en) | 2015-11-03 | 2017-05-11 | Covidien Lp | Endoscopic surgical clip applier |
US10390831B2 (en) | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
JP6609699B2 (en) | 2015-11-10 | 2019-11-20 | コヴィディエン リミテッド パートナーシップ | Partially disposable surgical clip applier for endoscope |
US20170172780A1 (en) | 2015-12-22 | 2017-06-22 | Covidien Lp | Methods of performing a bariatric procedure and surgical devices for use therewith |
CN108472027B (en) | 2016-01-18 | 2020-12-29 | 柯惠有限合伙公司 | Endoscopic surgical clip applier |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
US20170340325A1 (en) | 2016-05-31 | 2017-11-30 | Covidien Lp | Endoscopic reposable surgical clip applier |
US20180008277A1 (en) | 2016-07-11 | 2018-01-11 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10660651B2 (en) | 2016-10-31 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10639044B2 (en) | 2016-10-31 | 2020-05-05 | Covidien Lp | Ligation clip module and clip applier |
US10492795B2 (en) | 2016-11-01 | 2019-12-03 | Covidien Lp | Endoscopic surgical clip applier |
US10610236B2 (en) | 2016-11-01 | 2020-04-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10426489B2 (en) | 2016-11-01 | 2019-10-01 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10709455B2 (en) | 2017-02-02 | 2020-07-14 | Covidien Lp | Endoscopic surgical clip applier |
US10758244B2 (en) | 2017-02-06 | 2020-09-01 | Covidien Lp | Endoscopic surgical clip applier |
US10660725B2 (en) | 2017-02-14 | 2020-05-26 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10603038B2 (en) | 2017-02-22 | 2020-03-31 | Covidien Lp | Surgical clip applier including inserts for jaw assembly |
US10548602B2 (en) | 2017-02-23 | 2020-02-04 | Covidien Lp | Endoscopic surgical clip applier |
US20180271526A1 (en) | 2017-03-22 | 2018-09-27 | Covidien Lp | Endoscopic surgical clip applier |
US10675043B2 (en) | 2017-05-04 | 2020-06-09 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10722235B2 (en) | 2017-05-11 | 2020-07-28 | Covidien Lp | Spring-release surgical clip |
US10660723B2 (en) | 2017-06-30 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10639032B2 (en) | 2017-06-30 | 2020-05-05 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
-
2005
- 2005-10-07 JP JP2007535839A patent/JP4783372B2/en not_active Expired - Fee Related
- 2005-10-07 EP EP05802686.5A patent/EP1805849B1/en not_active Expired - Fee Related
- 2005-10-07 CA CA2809110A patent/CA2809110A1/en not_active Abandoned
- 2005-10-07 CA CA2869759A patent/CA2869759A1/en not_active Abandoned
- 2005-10-07 US US11/245,866 patent/US8920438B2/en active Active
- 2005-10-07 ES ES14192026.4T patent/ES2616731T3/en active Active
- 2005-10-07 EP EP14192026.4A patent/EP2875786B1/en not_active Expired - Fee Related
- 2005-10-07 AU AU2005294178A patent/AU2005294178B2/en not_active Ceased
- 2005-10-07 CA CA2582716A patent/CA2582716C/en not_active Expired - Fee Related
- 2005-10-07 WO PCT/US2005/036148 patent/WO2006042110A2/en active Application Filing
-
2014
- 2014-11-24 US US14/551,546 patent/US9687247B2/en not_active Expired - Fee Related
-
2017
- 2017-05-26 US US15/606,020 patent/US10349950B2/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
EP2875786A2 (en) | 2015-05-27 |
EP2875786A3 (en) | 2015-08-19 |
AU2005294178B2 (en) | 2009-06-11 |
EP1805849A2 (en) | 2007-07-11 |
US20150080916A1 (en) | 2015-03-19 |
EP1805849B1 (en) | 2014-12-03 |
CA2869759A1 (en) | 2006-04-20 |
JP2008515555A (en) | 2008-05-15 |
JP4783372B2 (en) | 2011-09-28 |
AU2005294178A1 (en) | 2006-04-20 |
EP2875786B1 (en) | 2017-02-01 |
US10349950B2 (en) | 2019-07-16 |
US8920438B2 (en) | 2014-12-30 |
CA2582716C (en) | 2013-05-28 |
US20060079115A1 (en) | 2006-04-13 |
WO2006042110A3 (en) | 2009-04-09 |
WO2006042110A2 (en) | 2006-04-20 |
CA2809110A1 (en) | 2006-04-20 |
US9687247B2 (en) | 2017-06-27 |
ES2616731T3 (en) | 2017-06-14 |
EP1805849A4 (en) | 2012-02-15 |
US20170258472A1 (en) | 2017-09-14 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US10349950B2 (en) | Apparatus for applying surgical clips | |
US8128643B2 (en) | Apparatus for applying surgical clips | |
EP3520710B1 (en) | Releaseable coupling features for proximal portions of linear surgical stapler | |
KR101283901B1 (en) | Clip applier with migrational resistance features | |
KR101283902B1 (en) | Clip applier configured to prevent clip fallout | |
KR101296092B1 (en) | Clip advancer mechanism with alignment features | |
US6824547B2 (en) | Endoscopic clip applier and method | |
JP4002640B2 (en) | Surgical clip applier | |
US7770774B2 (en) | Surgical stapler | |
US7585304B2 (en) | Endoscopic clip applying apparatus with improved aperture for clip release and related method | |
US20070073314A1 (en) | Manually actuated surgical clip applier | |
US20060201990A1 (en) | Surgical stapler | |
EP0543149A2 (en) | Surgical stapling apparatus | |
WO2023221028A1 (en) | Surgical stapling device with firing trigger pawl |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed |
Effective date: 20161007 |
|
MKLA | Lapsed |
Effective date: 20161007 |