Nothing Special   »   [go: up one dir, main page]

CN103298419A - 具有模块化轴和端部执行器的外科器械 - Google Patents

具有模块化轴和端部执行器的外科器械 Download PDF

Info

Publication number
CN103298419A
CN103298419A CN201180063919XA CN201180063919A CN103298419A CN 103298419 A CN103298419 A CN 103298419A CN 201180063919X A CN201180063919X A CN 201180063919XA CN 201180063919 A CN201180063919 A CN 201180063919A CN 103298419 A CN103298419 A CN 103298419A
Authority
CN
China
Prior art keywords
assembly
end effector
surgical instruments
coupling assembly
axle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201180063919XA
Other languages
English (en)
Other versions
CN103298419B (zh
Inventor
K·L·豪泽
C·G·金博尔
G·M·蒙森
R·W·蒂姆
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN103298419A publication Critical patent/CN103298419A/zh
Application granted granted Critical
Publication of CN103298419B publication Critical patent/CN103298419B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25—User interfaces for surgical systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • H—ELECTRICITY
    • H01—ELECTRIC ELEMENTS
    • H01M—PROCESSES OR MEANS, e.g. BATTERIES, FOR THE DIRECT CONVERSION OF CHEMICAL ENERGY INTO ELECTRICAL ENERGY
    • H01M10/00—Secondary cells; Manufacture thereof
    • H01M10/42—Methods or arrangements for servicing or maintenance of secondary cells or secondary half-cells
    • H01M10/46—Accumulators structurally combined with charging apparatus
    • H—ELECTRICITY
    • H01—ELECTRIC ELEMENTS
    • H01M—PROCESSES OR MEANS, e.g. BATTERIES, FOR THE DIRECT CONVERSION OF CHEMICAL ENERGY INTO ELECTRICAL ENERGY
    • H01M10/00—Secondary cells; Manufacture thereof
    • H01M10/42—Methods or arrangements for servicing or maintenance of secondary cells or secondary half-cells
    • H01M10/48—Accumulators combined with arrangements for measuring, testing or indicating the condition of cells, e.g. the level or density of the electrolyte
    • H—ELECTRICITY
    • H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02J—CIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J50/00—Circuit arrangements or systems for wireless supply or distribution of electric power
    • H02J50/10—Circuit arrangements or systems for wireless supply or distribution of electric power using inductive coupling
    • H—ELECTRICITY
    • H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02J—CIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/0042—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries characterised by the mechanical construction
    • H02J7/0044—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries characterised by the mechanical construction specially adapted for holding portable devices containing batteries
    • H—ELECTRICITY
    • H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02J—CIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/0042—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries characterised by the mechanical construction
    • H02J7/0045—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries characterised by the mechanical construction concerning the insertion or the connection of the batteries
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • 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
    • A61B17/285—Surgical forceps combined with cutting implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B18/1233—Generators therefor with circuits for assuring patient safety
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A61B2017/00482—Coupling with a code
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/0084—Material properties low friction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/291—Handles the position of the handle being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A61B2017/293—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft with means preventing relative rotation between the shaft and the actuating rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2931—Details of heads or jaws with releasable head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2939—Details of linkages or pivot points
    • A61B2017/294—Connection of actuating rod to jaw, e.g. releasable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00172—Connectors and adapters therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00172—Connectors and adapters therefor
    • A61B2018/00178—Electrical connectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00184—Moving parts
    • A61B2018/0019—Moving parts vibrating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595—Cauterization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607—Coagulation and cutting with the same instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063—Sealing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00988—Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1226—Generators therefor powered by a battery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1412—Blade
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0803—Counting the number of times an instrument is used
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0814—Preventing re-use
    • H—ELECTRICITY
    • H01—ELECTRIC ELEMENTS
    • H01M—PROCESSES OR MEANS, e.g. BATTERIES, FOR THE DIRECT CONVERSION OF CHEMICAL ENERGY INTO ELECTRICAL ENERGY
    • H01M2220/00—Batteries for particular applications
    • H01M2220/30—Batteries in portable systems, e.g. mobile phone, laptop
    • H—ELECTRICITY
    • H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02J—CIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J2310/00—The network for supplying or distributing electric power characterised by its spatial reach or by the load
    • H02J2310/10—The network having a local or delimited stationary reach
    • H02J2310/20—The network being internal to a load
    • H02J2310/23—The load being a medical device, a medical implant, or a life supporting device
    • H—ELECTRICITY
    • H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02J—CIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/0047—Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries with monitoring or indicating devices or circuits
    • H02J7/0048—Detection of remaining charge capacity or state of charge [SOC]
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02E—REDUCTION OF GREENHOUSE GAS [GHG] EMISSIONS, RELATED TO ENERGY GENERATION, TRANSMISSION OR DISTRIBUTION
    • Y02E60/00—Enabling technologies; Technologies with a potential or indirect contribution to GHG emissions mitigation
    • Y02E60/10—Energy storage using batteries
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49002—Electrical device making
    • Y10T29/49005—Acoustic transducer
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49826—Assembling or joining
    • Y10T29/49895—Associating parts by use of aligning means [e.g., use of a drift pin or a "fixture"]
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/53—Means to assemble or disassemble
    • Y10T29/53909—Means comprising hand manipulatable tool
    • Y10T29/53913—Aligner or center

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Power Engineering (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Chemical & Material Sciences (AREA)
  • General Chemical & Material Sciences (AREA)
  • Electrochemistry (AREA)
  • Manufacturing & Machinery (AREA)
  • Urology & Nephrology (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Electromagnetism (AREA)
  • Ophthalmology & Optometry (AREA)
  • Radiology & Medical Imaging (AREA)
  • Human Computer Interaction (AREA)
  • Robotics (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明公开了一种能够操作以切断组织的外科器械，其包括主体组件和能够选择性地联接的端部执行器组件。所述端部执行器组件可包括传输组件、端部执行器和旋转旋钮，所述旋转旋钮能够操作以使传输组件和端部执行器旋转。所述主体组件包括触发器和壳体，所述壳体具有能够容纳端部执行器组件的一部分的远侧孔。第一联接机构部分和第二联接机构部分协作地将端部执行器组件联接到主体组件以供使用。所述联接可通过多种联接机构将端部执行器组件机械地联接到和/或电联接到主体组件。例如，螺纹滑动螺母可联接到主体组件内的螺纹。在一种构型中，端部执行器组件可具有锁定接片，所述锁定接片旋转进入主体组件的旋转凹槽。锁定接片可包括电触头和/或光学上可感知的指示器。

Description

具有模块化轴和端部执行器的外科器械
Kevin L.Houser
Cory G.Kimball
Gavin M.Monson
Richard W.Timm
优先权
本专利申请要求2010年11月5日提交的名称为“Energy-BasedSurgical Instruments”的美国临时申请序列号61/410,603的优先权，其公开内容以引用方式并入本文。
本专利申请还要求2011年5月19日提交的名称为“Energy-BasedSurgical Instruments”的美国临时申请序列号61/487,846的优先权，其公开内容以引用方式并入本文。
本专利申请还要求2011年10月10日提交的名称为“SurgicalInstrument with Modular Shaft and End Effector”的美国非临时申请序列号13/269,870，其公开内容以引用方式并入本文。
背景技术
在一些情况下，内窥镜式外科器械可优于传统的开放式外科装置，因为较小的切口可减少术后恢复时间和并发症。因此，一些内窥镜式外科器械可适于将远端执行器通过套管针的插管设置在期望的手术部位处。这些远端执行器（例如，直线切割器、抓紧器、切割器、缝合器、施夹器、进入装置、药物/基因治疗递送装置、以及使用超声、射频、激光等的能量递送装置）可按多种方式接合组织，以达到诊断或治疗效果。内窥镜式外科器械可包括轴，所述轴位于端部执行器与由临床医生操纵的柄部部分之间。此类轴可使得插入期望深度并围绕所述轴的纵向轴线旋转成为可能，从而有利于将端部执行器定位在患者体内。
内窥镜式外科器械的例子包括公开于下述专利中的那些：2008年8月26日公布的名称为“Motor-Driven Surgical Cutting and Fastening Instrumentwith Loading Force Feedback”的美国专利7,416,101，其公开内容以引用方式并入本文；2010年6月15日公布的名称为“Post-SterilizationProgramming of Surgical Instruments”的美国专利7,738,971，其公开内容以引用方式并入本文；2006年4月13日公布的名称为“Tissue Pad for Usewith an Ultrasonic Surgical Instrument”的美国公布2006/0079874，其公开内容以引用方式并入本文；2007年8月16日公布的名称为“UltrasonicDevice for Cutting and Coagulating”美国公布2007/0191713，其公开内容以引用方式并入本文；2007年12月6日公布的名称为“UltrasonicWaveguide and Blade”美国公布2007/0282333，其公开内容以引用方式并入本文；2008年8月21日公布的名称为“Ultrasonic Device for Cutting andCoagulating”美国公布2008/0200940，其公开内容以引用方式并入本文；2009年6月4日公布的名称为“Cordless Hand-held Ultrasonic CauteryCutting Device”美国专利公布2009/0143797，其公开内容以引用方式并入本文；2009年8月20日公布的名称为“Motorized Surgical Cutting andFastening Instrument Having Handle Based Power Source”美国公布2009/0209990，其公开内容以引用方式并入本文；2010年3月18日公布的名称为“Ultrasonic Device for Fingertip Control”美国公布2010/0069940，其公开内容以引用方式并入本文；以及2011年1月20日公布的名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”的美国公布2011/0015660，其公开内容以引用方式并入本文。类似地，医疗装置可适于包括便携式电源的多种方式公开于2010年11月5日提交的名称为“Energy-Based Surgical Instruments”的美国临时专利申请序列号61/410,603中，其公开内容以引用方式并入本文。
附加的示例性内窥镜式外科器械的例子包括公开于下述专利中的那些：2002年12月31日公布的名称为“Electrosurgical Systems andTechniques for Sealing Tissue”的美国专利6,500,176，其公开内容以引用方式并入本文；2006年9月26日公布的名称为“Electrosurgical Instrumentand Method of Use”的美国专利7,112,201，其公开内容以引用方式并入本文；2006年10月24日公布的名称为“Electrosurgical Working End forControlled Energy Delivery”的美国专利7,125,409，其公开内容以引用方式并入本文；2007年1月30日公布的名称为“Electrosurgical Probe andMethod of Use”的美国专利7,169,146，其公开内容以引用方式并入本文；2007年3月6日公布的名称为“Electrosurgical Jaw Structure for ControlledEnergy Delivery”的美国专利7,186,253，其公开内容以引用方式并入本文；2007年3月13日公布的名称为“Electrosurgical Instrument”的美国专利7,189,233，其公开内容以引用方式并入本文；2007年5月22日公布的名称为“Surgical Sealing Surfaces and Methods of Use”的美国专利7,220,951，其公开内容以引用方式并入本文；2007年12月18日公布的名称为“Polymer Compositions Exhibiting a PTC Property and Methods ofFabrication”的美国专利7,309,849，其公开内容以引用方式并入本文；2007年12月25日公布的名称为“Electrosurgical Instrument and Method ofUse”的美国专利7,311,709，其公开内容以引用方式并入本文；2008年4月8日公布的名称为“Electrosurgical Instrument and Method of Use”的美国专利7,354,440，其公开内容以引用方式并入本文；2008年6月3日公布的名称为“Electrosurgical Instrument”的美国专利7,381,209，其公开内容以引用方式并入本文；2011年4月14日公布的名称为“Surgical InstrumentComprising First and Second Drive Systems Actuatable by a Common TriggerMechanism”的美国公布2011/0087218，其公开内容以引用方式并入本文；以及2011年6月2日提交的名称为“Motor Driven ElectrosurgicalDevice with Mechanical and Electrical Feedback”的美国专利申请13/151,181，其公开内容以引用方式并入本文。
另外，外科器械可用于或可适用于机器人辅助的外科手术场景，例如公开于2004年8月31日公布的名称为“Robotic Surgical Tool withUltrasound Cauterizing and Cutting Instrument”的美国专利6,783,524中的那些，其公开内容以引用方式并入本文。
尽管已研制出多种系统和方法并已将其用于外科器械，但据信在本发明人之前尚无人研制出或使用所附权利要求中描述的发明。
附图说明
尽管本说明书以特别指出并明确要求保护本技术的权利要求书作出结论，但据信通过以下结合附图对某些例子所作的描述将会更好地理解本技术，附图中类似的附图标号表示相同元件，其中：
图1描绘了包括外科器械和发生器的示例性外科系统的透视图；
图2描绘了另一个示例性外科器械的柄部的侧剖面图；
图3A描绘了图2所示的外科器械的端部执行器示为处于打开位置时的侧正视图；
图3B描绘了图3A所示的端部执行器示为处于闭合位置时的侧正视图；
图4描绘了图3A所示的端部执行器的下钳口的顶部平面图；
图5A描绘了第一示例性联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了脱离的端部执行器组件；
图5B描绘了图5A所示的联接机构的侧正视图，其示出了联接到柄部组件的端部执行器组件；
图6A描绘了第二示例性联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了脱离的端部执行器组件；
图6B描绘了图6A所示的联接机构的侧正视图，其示出了联接到柄部组件的端部执行器组件；
图7A描绘了第三示例性联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了脱离的端部执行器组件；
图7B描绘了图7A所示的联接机构的侧正视图，其示出了联接到柄部组件的端部执行器组件；
图8A描绘了第四示例性联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了脱离的端部执行器组件；
图8B描绘了图8A所示的联接机构的侧正视图，其示出了联接到柄部组件的端部执行器组件；
图9A描绘了第五示例性联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了脱离的端部执行器组件；
图9B描绘了图9A所示的联接机构的侧正视图，其示出了联接到柄部组件的端部执行器组件；
图10A描绘了第六示例性联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了脱离的端部执行器组件；
图10B描绘了图10A所示的联接机构的侧正视图，其示出了联接到柄部组件的端部执行器组件；
图11A描绘了第七示例性联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了脱离的端部执行器组件；
图11B描绘了图11A所示的联接机构的侧正视图，其示出了联接到柄部组件的端部执行器组件；
图12描绘了适用于第八示例性联接机构的示例性端部执行器组件的侧剖面图；
图13描绘了图12所示的端部执行器组件的后正视图；
图14描绘了能够容纳图12的端部执行器组件的柄部组件的前正视图；
图15描绘了第一电联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了联接的端部执行器组件；
图16描绘了第二电联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了联接的端部执行器组件；并且
图17描绘了第三电联接机构的侧正视图，其中柄部组件的一部分被移除以示出其内部并且其示出了联接的端部执行器组件；
附图并非旨在以任何方式进行限制，并且预期本技术的各种实施例能够以多种其他方式来执行，包括那些并不一定描绘于附图中的方式。附图并入本说明书中并构成其一部分，其示出了本技术的多个方面，并与说明书一起用于说明本技术的原理；然而，应当理解，本技术不限于所示出的明确布置方式。
具体实施方式
对本技术的某些例子的下述描述不应用于限制其范围。通过以下说明设想用于实施本技术的最佳方式之一的描述，本技术的其他例子、结构、方面、实施例和优点对于本领域的技术人员将变得显而易见。应当认识到，本文所述的技术包括不脱离本技术的所有其他的不同和明显方面。因此，附图和说明书应被视为实质上是示例性的，而非限制性的。
应当理解，以下的教导内容可容易地应用于本文所引用的任一个参考文献中。可将下述教导内容与本文引用的参考文献组合的各种合适方式对于本领域的普通技术人员而言将是显而易见的。
I.示例性超声外科系统的概述
图1示出了示例性超声外科系统10，其包括超声外科器械50、发生器20和缆线30，该缆线能够操作以将发生器20联接到外科器械50。合适的发生器20为由Ethicon Endo-Surgery,Inc.（Cincinnati,Ohio）出售的GEN300。仅以举例的方式，发生器20可根据2011年4月14日公布的名称为“Surgical Generator for Ultrasonic and Electrosurgical Devices”的美国公布2011/0087212的教导内容来构造，其公开内容以引用方式并入本文。应该指出的是，将参考超声外科器械来描述外科器械50；然而，应当理解下文所述的技术可用于多种外科器械，包括但不限于直线切割器、抓紧器、切割器、缝合器、施夹钳、进入装置、药物/基因治疗递送装置、以及使用超声、射频、激光等的能量递送装置、和/或它们的任何组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。此外，尽管本例将参照电缆连接的外科器械50进行描述，但应当理解，外科器械50可适于无线操作，例如公开于2009年6月4日公布的名称为“Cordless Hand-held Ultrasonic Cautery Cutting Device”的美国专利公布2009/0143797中的那些，其公开内容以引用方式并入本文。此外，外科装置50也可用于或适用于机器人辅助外科装置，例如公开于2004年8月31日公布的名称为“Robotic Surgical Tool with Ultrasound Cauterizing andCutting Instrument”的美国专利6,783,524中的那些。
本例中的外科器械50包括多部件柄部组件60、细长的传输组件70和换能器100。传输组件70在其近端处连接至多部件柄部组件60并且从多部件柄部组件60朝远侧延伸。在本例中，传输组件70能够为细长的、细管状组件以用于内窥镜式用途，但应当理解，作为另外一种选择，传输组件70可为短组件，例如公开于2007年12月6日公布的名称为“UltrasonicWaveguide and Blade”的美国专利公布2007/0282333，以及2008年8月21日公布的名称为“Ultrasonic Device for Cutting and Coagulating”的美国专利公布2008/0200940中的那些，其公开内容以引用方式并入本文。本例中的传输组件70包括外部护套72、内部管状致动构件（未示出）、波导（未示出）、以及位于传输组件70的远端上的端部执行器80。在本例中，端部执行器80包括联接至波导的刀片82、能够操作以在传输组件70的近端处枢转的夹持臂84、以及可选的一个或多个联接至夹持臂84的夹持垫86。还应当理解，夹持臂84以及相关的结构可根据1999年11月9日公布的名称为“Ultrasonic Clamp Coagulator Apparatus Having ImprovedClamp Arm Pivot Mount”的美国专利5,980,510的教导内容中的至少一些来构造和操作，其公开内容以引用方式并入本文。能够将超声能量从换能器100传输到刀片82的波导可为柔性、半柔性或刚性的。一种仅为示例性的超声换能器100为由Ethicon Endo-Surgery,Inc.（Cincinnati,Ohio）出售的型号HP054。如本领域中所熟知，波导也可为能够将通过波导传输到刀片82的机械振动放大。波导还可具有控制沿波导的纵向振动增益的结构，并且具有将波导调谐至系统谐振频率的结构。
在本例中，刀片82的远端被设置在波腹附近，以便在声学组件未被组织加载时将其调谐至优选的共振频率fo。当换能器100通电时，刀片82的远端能够在例如大约10至500微米峰间范围内、并且优选地在约20至约200微米的范围内以例如55.5kHz的预定振动频率fo纵向运动。当本例中的换能器100被激活时，这些机械振荡通过波导被传输到端部执行器80。在本例中，联接到波导的刀片82在超声频率下振荡。因此，当将组织固定在刀片82与夹持臂84之间时，刀片82的超声振荡可同时切割组织并且使相邻组织细胞中的蛋白质变性，由此提供具有相对较少热扩散的促凝效果。也可通过刀片82和夹持臂84提供电流以另外烧灼组织。尽管已描述出传输组件70和换能器100的一些构型，但参考本文的教导内容，传输组件70和换能器100的其他合适构型对于本领域的普通技术人员而言将是显而易见的。
本例中的多部件柄部组件60包括配对外壳部分62和下部64。配对外壳部分62能够在其近端处容纳换能器100并且在其远端处容纳传输组件70的近端。在配对外壳部分62的远端上设有将在下文更详细地描述的孔，用于各种传输组件70的插入。在本例中示出了用于旋转传输组件70和/或换能器100的旋转旋钮66，但应当理解，旋转旋钮66仅为可选的。多部件柄部组件60的下部64包括触发器68并且能够由用户使用单手抓握。下部64的一种仅示例性替代构型描绘于2011年1月20日公布名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”的美国的专利公布2011/0015660的图1中，其公开内容以引用方式并入本文。开关按钮（未示出）可位于下部64的远侧表面上，并且能够操作以利用发生器20以不同操作水平激活换能器100。例如，第一开关按钮可激活处于最大能量水平的换能器100而第二开关按钮可激活处于最小、非零能量水平的换能器100。当然，开关按钮可为能够用于除最大和/或最小能量水平之外的能量水平，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。此外，开关按钮可位于多部件柄部组件60上、换能器100上、和/或远离外科器械50的任何其他位置，并且可提供任意数量的开关按钮。尽管已参照两个不同部分62,64来描述多部件柄部组件60，但应当理解，多部件柄部组件60可为两个部分62,64结合在一起的一体组件。作为另外一种选择，多部件柄部组件60可分成多个分立元器件，例如单独的触发器部分（可通过用户的手或脚来操作）和单独的配对外壳部分62。触发器部分可为能够操作以激活换能器100并且可远离配对外壳部分62。多部件柄部组件60可由耐用塑料（例如聚碳酸酯或液晶聚合物）、陶瓷、和/或金属、或任何其他合适的材料来构造，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。参考本文的教导内容，多部件柄部组件60的其他构型对于本领域的普通技术人员而言将是显而易见的。例如，器械50可作为机器人系统的一部分进行操作。参考本文的教导内容，多部件柄部组件60的其他构型对于本领域的普通技术人员也将是显而易见的。仅以举例的方式，外科器械50可根据下述专利的教导内容中的至少一些来构造：美国专利5,980,510、美国专利公布2006/0079874、美国专利公布2007/0191713、美国专利公布2007/0282333、美国专利公布2008/0200940、美国专利公布2011/0015660、美国专利6,500,176、美国专利公布2011/0087218、和/或美国专利公布2009/0143797中所述。
用于外科器械50的附加可选的构型和结构描述于与本专利同一天提交的名称为“Ultrasonic Surgical Instrument with Modular End Effector”的美国专利申请序列号[代理人案卷号END7012USNP.0587824]，其公开内容以引用方式并入本文。
II.示例性射频(RF)外科器械的概述
尽管一些外科器械适于使用超声能量在组织上进行操作，但是其他外科器械例如示出于图2-3B中的外科器械150，能够向患者的组织提供能量，例如电能和/或热能。外科器械150包括柄部组件152、传输组件170、以及联接到传输组件170的远端的端部执行器200（示出于图3A-3B）。如下文更详细地所述，柄部组件152可包括一个或多个开关和/或触发器以将电能提供至端部执行器200、和/或在端部执行器200内推进刀或切割构件210（同样示出于图3A-3B）以横切被定位在端部执行器200内的组织。
A.示例性柄部组件
参见图2，柄部组件152包括与电源（未示出）可操作地联接的一个或多个电输入端160，所述电源为例如发生器20和/或任何其他电源，包括例如容纳在柄部组件152内的电源。传输组件170从柄部组件152朝远侧延伸并且包括联接到传输组件170的远端的端部执行器200。电源向外科器械150提供电流，并且电源可为能够操作以控制电流的量级、持续时间、波形、和/或频率，以向外科器械150提供所需量的能量。本例中的柄部组件152包括柄部主体154，所述柄部主体能够支撑开关或触发器156以使电输入端160与延伸穿过传输组件170的第一导体220电联接，使得提供至输入端160的电流可被传输至端部执行器200。如图2所示，柄部主体154包括两个纵向均分部分，所述两个纵向均分部分组装在一起以形成柄部主体154。如图2所绘，一个部分已被省略以示出柄部组件152的多个内部部件中的一些。在各种实施例中，柄部主体154的两个半块可搭扣配合、按扣配合、焊接在一起、附着在一起、和/或彼此扣紧，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。此外，柄部组件152可为一体式部件，而不是两个离散的半块。在另一个供选择的替代方案中，所述部分可不为半块，而仅为离散的可联接部件，例如具有可移除顶部和/或侧部的柄部主体154。参考本文的教导内容，柄部主体154的其他构型对于本领域的普通技术人员而言将是显而易见的。
第一导体220包括线材，例如绝缘电线，所述线材在触发器156与第一电极230（示出于图3A-3B中的端部执行器200中）之间并且也在触发器156与输入端160之间延伸。在本例中，尽管第一导体220联接到上钳口206中的第一电极230和下钳口208中的第一电极230，但是应当理解第一电极230可仅在上钳口206中或仅在下钳口208中。第一滑环176将延伸穿过传输组件170的第一导体220的一部分电联接到容纳在柄部组件152内的第一导体220的一部分。柄部组件152还包括第二导体222，所述第二导体通过输入端160也电联接到电源并且延伸穿过传输组件170至端部执行器200至第二电极232。在本例中，尽管第二导体222联接到上钳口206中的第二电极232和下钳口208中的第二电极232，但是应当理解第二电极232可仅在上钳口206中或仅在下钳口208中。传输组件170包括外部护套172，所述外部护套与轴174共轴并且围绕轴174设置，使得轴174容纳在外部护套172内。第二导体222包括具有绝缘塑性夹套或护套的线材，以使第二导体222相对于第一导体220、轴174、和/或第一电极230绝缘。第二滑环178能够将延伸穿过传输组件170的第二导体222的一部分电联接到容纳在柄部组件152内第二导体222的一部分。本例中的滑环176,178包括被安装到柄部主体154的圆形或至少半圆形触头并且其与被安装到传输组件170的一部分的对应圆形或至少半圆形触头保持接触。滑环176,178因此允许传输组件170相对于柄部组件152旋转，而仍提供穿过传输组件170的用于第一导体220和第二导体222的电路经。
当然，柄部组件152和外科器械150可包括其他构型。例如，柄部组件152和/或外科器械150可包括组织切割元件以及将双极性射频能量传输至组织（例如，以凝结或密封组织）的一个或多个元件。此类装置的一个例子是由Ethicon Endo-Surgery,Inc.(Cincinnati,Ohio)制造的
Figure BDA00003450541500101
组织密封装置。此类装置的其他例子以及相关理念公开于下列美国专利中：2002年12月31公布的名称为“Electrosurgical Systems and Techniques forSealing Tissue”的美国专利6,500,176，其公开内容以引用方式并入本文；2006年9月26日公布的名称为“Electrosurgical Instrument and Method ofUse”的美国专利7,112,201，其公开内容以引用方式并入本文；2006年10月24日公布的名称为“Electrosurgical Working End for Controlled EnergyDelivery”的美国专利7,125,409，其公开内容以引用方式并入本文；2007年1月30日公布的名称为“Electrosurgical Probe and Method of Use”的美国专利7,169,146，其公开内容以引用方式并入本文；2007年3月6日公布的名称为“Electrosurgical Jaw Structure for Controlled Energy Delivery”的美国专利7,186,253，其公开内容以引用方式并入本文；2007年3月13日公布的名称为“Electrosurgical Instrument”的美国专利7,189,233，其公开内容以引用方式并入本文；2007年5月22日公布的名称为“SurgicalSealing Surfaces and Methods of Use”的美国专利7,220,951，其公开内容以引用方式并入本文；2007年12月18日公布的名称为“PolymerCompositions Exhibiting a PTC Property and Methods of Fabrication”的美国专利7,309,849，其公开内容以引用方式并入本文；2007年12月25日公布的名称为“Electrosurgical Instrument and Method of Use”的美国专利7,311,709，其公开内容以引用方式并入本文；2008年4月8日公布的名称为“Electrosurgical Instrument and Method of Use”的美国专利7,354,440，其公开内容以引用方式并入本文；2008年6月3日公布的名称为“Electrosurgical Instrument”的美国专利7,381,209，其公开内容以引用方式并入本文；2011年4月14日公布的名称为“Surgical InstrumentComprising First and Second Drive Systems Actuatable by a Common TriggerMechanism”的美国公布2011/0087218，其公开内容以引用方式并入本文；以及2011年6月2日提交的名称为“Motor Driven ElectrosurgicalDevice with Mechanical and Electrical Feedback”的美国专利申请13/151,181，其公开内容以引用方式并入本文。
B.示例性射频端部执行器
本例中的端部执行器200包括上钳口206和下钳口208。上钳口206能够相对于下钳口208枢转并且能够操作以经由轴174的致动来夹紧上钳口206与下钳口208之间的组织。轴174的致动可经由触发器156的致动、通过第二触发器、通过按钮、通过马达、通过螺线管、和/或通过任何其他合适的方法来完成。本例中的上钳口206和下钳口208两者均包括第一电极230，所述第一电极在端部执行器200（示出于图3A-3B中）的近端202与远端204之间延伸。如图4所示，本例中的第一电极230包括沿上钳口206和下钳口208两者的第一侧面延伸的第一侧向部分、沿上钳口206和下钳口208两者的第二侧面延伸的第二侧向部分、以及联接用于上钳口206和下钳口208两者的第一侧向部分和第二侧向部分的横向端部。本例中的上钳口206和下钳口208还包括第二电极232，所述第二电极具有类似于第一电极230的形状，但与第一电极230绝缘并且嵌入第一电极230。在一些型式中，对于上钳口206第一电极230可被嵌入第二电极232，而对于下钳口208第二电极232被嵌入第一电极230，或者反之亦然。在其他型式中，上钳口206包括仅第一电极230并且下钳口208包括仅第二电极232，或者反之亦然。在另一中构型中，第二电极232可为能够利用切割构件210致动。上钳口206和下钳口208两者均包括纵向槽（未示出），所述纵向槽能够允许切割构件210在其中纵向地平移。端部执行器200的其他构型公开于下列专利中：美国专利6,500,176、美国专利7,112,201、美国专利7,125,409、美国专利7,169,146、美国专利7,186,253、美国专利7,189,233、美国专利7,220,951、美国专利7,309,849、美国专利7,311,709、美国专利7,354,440、美国专利7,381,209、美国专利公布2011/0087218、和/或提交于2011年6月2日的名称为“Motor Driven Electrosurgical Device with Mechanical and ElectricalFeedback”的美国专利申请13/151,181，其公开内容以引用方式并入本文。
在本例中，触发器156（示出于图2）能够操作以夹紧上钳口206与下钳口208之间的组织以及通过第一导体220将来自电源的能量选择性地提供至第一电极230，尽管这仅为可选的。在一些型式中，触发器156可为能够操作以夹紧组织，同时按钮经由第一导体220将来自电源的能量选择性地提供至第一电极230。第二电极232可当电源被联接到电输入端160时经由第二导体222保持持续地联接到电源，或作为另外一种选择，第二触发器和/或按钮可将电力选择性地提供至第二电极232。因此，当触发器156被致动时，电流从第一电极230流至第二电极232以烧灼它们之间的组织。这种热量可使组织内的胶原变性，并且与由端部执行器200的钳口206,208提供的夹紧压力合作，变性的胶原可在组织内形成密封。在本例中，端部执行器200能够使用双极性射频能量以密封组织，但是应当理解在其他型式中可使用单极性射频能量和/或热量加热元件。作为促使电流流动的触发器156的另外一种选择，单独的按钮157可被用于向电极230,232提供电力。例如，触发器156可仅被用于将钳口206,208机械地夹紧在一起；而按钮157将信号发送至电源例如发生器20，以向电极230,232提供电流。除此之外或作为另外一种选择，按钮157可向触发器156提供机械锁定或机电锁定，使得触发器156不能够完全地被致动，除非按钮157同时被按下。除此之外或作为此类功能的另外一种选择，触发器156还可向按钮157提供锁定。
在本例中，电极230,232的第一侧面能够在组织内形成第一密封并且电极230,232的第二侧面能够在组织内形成第二密封。当然，其他构型可包括多个电极、和/或多个电极部分，其可在组织内形成任何合适数量的密封。随着组织在上钳口206和下钳口208的纵向槽的任一端上被密封，切割构件210朝远侧被致动以切断组织的两个被密封的部分。在一些型式中，切割构件210可在密封组织之后被致动。除此之外或作为上述的另外一种选择，可将射频能量提供至切割构件210以进一步帮助切断组织。实际上，在一些型式中，切割构件210可为钝的并且通过将射频能量提供至该钝的切割构件210并且朝远侧推进切割构件210来切断组织。此外，切割构件210可通过第二触发器（未示出）来致动，或作为一种选择，通过另外致动触发器156来致动。在本例中，切割构件210包括在刀片的相对端上的上凸缘和下凸缘，从而形成I形构件。随着切割构件210朝远侧被致动，所述凸缘帮助抵靠下钳口208来压缩上钳口206。
当然，端部执行器200和外科器械150也可包括其他构型，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。
III.用于模块化轴和端部执行器的示例性联接机构
在一些情况下，可能有用的是在使用相同柄部组件60,152的同时，在各种轴长度和/或各种类型的端部执行器80,200之间作出改变。例如，在一些手术中，可能需要切割大量的组织，从而要求不同长度的端部执行器80,200和/或用于传输组件70,170的轴。此类可互换的轴和/或端部执行器80,200可能允许将共同的柄部组件60,152用于多种外科手术（例如短轴用于开放性外科手术，长轴用于微创腹腔镜式外科手术等）。此外，与使用具有不同长度轴的新外科器械50,150相比，更换轴和/或端部执行器80,200而重复使用相同柄部组件60,152可能更节省时间和/或成本。仅以举例的方式，此类轴和/或端部执行器80,200可包括彩色代码以区分不同长度和/或类型。在另一个实例中，柄部组件60,152可为能够采用不同类型的端部执行器，例如柄部组件60,152可包括多个部件以操作超声端部执行器80和/或射频端部执行器200。因此，改变具有共同柄部组件60，152的轴和端部执行器80,200可节省时间和/或成本。因此，下文描述了用于将模块化轴联接到柄部组件60,152的多种联接机构。应当理解，在其中使用超声端部执行器80的型式中，换能器100的至少一部分可与轴和端部执行器80成整体，并且因此可与柄部组件60选择性地联接。作为另外一种选择，换能器100可与柄部组件60成整体，使得当轴和端部执行器80与柄部组件60选择性地联接时，轴和端部执行器80与换能器100选择性地联接。
A.轴上的示例性弹性的接片
第一示例性联接机构300包括接片302，所述接片从示例性端部执行器组件310（示出于图5A-5B中）的轴320的可插入部分延伸。在本例中，端部执行器组件310包括传输组件312、旋转旋钮314以及相对于旋转旋钮314朝近侧延伸的轴320。应当理解，旋转旋钮314仅为可选的并且可被省略。在其他型式中，旋转旋钮314可联接到柄部组件340并且端部执行器310可被插入穿过旋转旋钮314。旋转旋钮314能够操作以使传输组件312相对于柄部组件340和/或轴320旋转。端部执行器（未示出）联接到传输组件312的远端。端部执行器可包括超声端部执行器80、射频端部执行器200、和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。在超声端部执行器例如端部执行器80的实例中，穿过轴320的轴向孔（未示出）可允许传输组件312通过轴320机械地联接到柄部组件340内的部件，其可按与上述多部件柄部组件60类似的方式来构造。在射频端部执行器例如端部执行器200的情况下，轴向孔可允许传输组件312的一部分至少部分地延伸穿过轴320。传输组件312可包括内滑环连接器，所述内滑环连接器能够电联接到轴320的内部上的互补滑环连接器，使得可形成从柄部组件340至端部执行器的电联接。在另一个供选择的替代方案中，也可经由穿过轴320和/或端部执行器组件310上别处的孔形成流体联接。
在本例中，一对弹性的接片302从轴320向外延伸。弹性的接片302可包括弹性的非导电材料，例如塑料，或者弹性的接片302可包括导电材料，例如金属材料。如果弹性的接片302为导电的，那么其还能够操作以将端部执行器的部件电联接到柄部组件340内的部件。例如，弹性的接片302可电联接前述第一导体220和第二导体222的部分。当然，此类电联接仅为可选的。如图5A-5B中所示，随着弹性的接片302朝远侧延伸，其靠近轴320的近端联接到轴320并且从轴320的纵向轴线向外延伸。在本例中，柄部组件340被示出为具有远侧孔342，所述远侧孔形成于外壳344内并且能够容纳端部执行器组件310的轴320。柄部组件340还可根据2011年1月20日公布的名称为“Rotating Transducer Mount for UltrasonicSurgical Instruments”的美国专利公开2011/0015660、或2002年12月31日公布的名称为“Electrosurgical Systems and Techniques for SealingTissue”的美国专利6,500,176中的用于多部件柄部组件60、用于柄部组件152的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。在本例中，解锁滑块318位于传输组件312的近侧部分上并且联接到内部可致动构件322（以虚线显示），所述内部可致动构件联接到接片302。解锁滑块318能够操作以朝向轴320向内牵拉弹性的接片302，从而允许使用者朝远侧经过壳体344来移除轴320。作为另外一种选择，解锁滑块318可位于旋转旋钮314上。此外，柄部组件340可包括一个或多个释放按钮（未示出），当端部执行器组件310将从柄部组件340脱离时，所述一个或多个释放按钮按下弹性的接片302。
如图5A-5B中的顺序所示，当端部执行器组件310的轴320插入远侧孔342时，弹性的接片302压靠轴320，同时端部执行器310被插入。一旦弹性的接片302的远端穿过远侧孔342通过壳体344，弹性的接片302就回弹至它们的初始方向，从而将端部执行器组件310在纵向上联接到柄部组件340。在一些情况下，使用者可致动滑块318以在弹性的接片302插入远侧孔342期间手动地回缩该弹性的接片。在超声器械的实例中，端部执行器组件310的轴320可螺纹连接到换能器例如上述换能器100的焊头上。此类螺纹连接可与压缩弹性的接片302同时地发生，或在弹性的接片302已通过壳体344之后发生。作为另外一种选择，在射频器械的实例中，轴320可联接到一个或多个电连接器（未示出），以将端部执行器联接到电源。参考图15-17，示出和描述了仅示例性的电联接件。如图5B所示，端部执行器组件310在纵向上有效地固定到柄部组件340，同时允许轴320、旋转旋钮314和/或传输组件312相对于壳体314旋转运动。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件310从柄部组件340脱离时，使用者朝远侧滑动解锁滑块318直到弹性的接片302被充分地压靠轴320，以允许使用者使轴320通过远侧孔342滑过壳体344。然后，使用者可将新的端部执行器组件310联接到柄部组件340。
当然，参考本文的教导内容，第一联接机构300的其他构型对于本领域的普通技术人员而言将是显而易见的。例如，弹力构件302可包括膨胀弹簧以迫使接片302从轴320向外。此外，一个或多个弹性地偏置的凸轮可替换弹性的接片302。在其他型式中，弹性的接片302可能为可变形的弹性体式楔，以允许插入端部执行器组件310。此外，尽管描绘了两个弹性的接片302，但单个弹性的接片302或多于两个弹性的接片302可与第一联接机构300一起使用。此外，端部执行器组件310不必一定为能够从柄部组件340移除的。在所述实例中，使用者在外科手术后可仅处理端部执行器组件310和柄部组件340两者。如根据本文其后公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构也可与第一联接机构300组合。
B.示例性柔性柄部组件部分
第二示例性联接机构400包括壳体444的弹性地偏置的部分450，其能够捕获可供选择的示例性端部执行器组件410（示出于图6A-6B中）的轴420。在本例中，端部执行器组件410包括传输组件412、旋转旋钮414以及相对于旋转旋钮414朝近侧延伸的轴420。应当理解，旋转旋钮414仅为可选的并且可被省略。旋转旋钮414能够操作以使传输组件412相对于柄部组件440和/或轴420旋转。端部执行器（未示出）联接到传输组件412的远端。端部执行器可包括超声端部执行器80、射频端部执行器200、和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的技术人员将是显而易见的。在超声端部执行器例如端部执行器80的实例中，穿过轴420的轴向孔（未示出）可允许传输组件412通过轴420机械地联接到柄部组件440内的部件，其可按与上述多部件柄部组件60类似的方式来构造。在射频端部执行器例如端部执行器200的情况下，轴向孔可允许传输组件412的一部分至少部分地延伸穿过轴420。传输组件412可包括内滑环连接器，该内滑环连接器能够电联接到轴420的内部上的互补滑环连接器，使得可形成从柄部组件440到端部执行器的电联接。在另一个供选择的替代方案中，也可经由穿过轴420和/或端部执行器组件410上别处的孔形成流体联接。
在本例中，轴420包括周边斜坡422和周边凹槽424，该周边凹槽位于周边斜坡422的远侧但邻近旋转旋钮414。在本例中，柄部组件440被示出为具有远侧孔442，该远侧孔形成于壳体444内并且能够容纳端部执行器组件410的轴420。柄部组件440还可根据2011年1月20日公布的名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”的美国专利公开2011/0015660，或2002年12月31日公布的名称为“Electrosurgical Systems and Techniques for Sealing Tissue”的美国专利6,500,176中的用于多部件柄部组件60、用于柄部组件152的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。在本例中，柄部组件440包括位于柄部组件440的远端处的一个或多个弹性地偏置的部分450。如图6A-6B中所示，一个或多个柄部452联接到弹性地偏置的部分450，以允许使用者在轴420的插入期间或为了释放轴420而手动地打开柄部组件440的远端。
如图6A-6B中的顺序所示，当端部执行器组件410的轴420插入远侧孔442时，柄部组件440的弹性地偏置的部分450在轴420的周边斜坡422的影响下向外凸出。一旦弹性地偏置的部分450的末端遇到凹槽424，弹性地偏置的部分450就回弹至它们的初始位置，从而在旋转旋钮414与周边斜坡422的远侧壁之间将端部执行器组件410联接到柄部组件440。如图6B所示，端部执行器组件410在纵向上有效地固定到柄部组件440，同时允许轴420、旋转旋钮414、和/或传输组件412相对于壳体444旋转运动。在超声器械的实例中，端部执行器组件410的轴420可螺纹连接到换能器例如上述换能器100的焊头上。此类螺纹连接可与偏转弹性地偏置的部分450同时地发生，或在弹性地偏置的部分450已回弹至凹槽424中之后发生。作为另外一种选择，在射频器械的实例中，轴420可联接到一个或多个电连接器（未示出），以将端部执行器联接到电源。参考图15-17，示出和描述了仅示例性的电联接件。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件410从柄部组件440脱离时，使用者向外牵拉弹性地偏置的部分450的一个或多个柄部452，直到弹性地偏置的部分450的端部通过周边斜坡422的远侧壁，从而允许使用者使周边斜坡422和轴420滑动经过弹性地偏置的部分450并且穿过现已扩张的远侧孔442。然后，使用者可将新的端部执行器组件410联接到柄部组件440。在一些型式中，可提供接片（未示出）以使弹性地偏置的部分450枢转打开。因此，使用者可仅需按压接片以使远侧孔442扩张。
当然，参考本文的教导内容，第二联接机构400的其他构型对于本领域的普通技术人员而言将是显而易见的。在一个可供选择的构型中，弹性地偏置的部分450可省略弹簧，并且相反可为壳体444的弹性的可偏转部分。作为另外一种选择，周边斜坡422可包括围绕轴420设置的离散的斜坡，而不是单个连续的周边斜坡。此外，示出于图5A-5B中的弹性的接片302可被用于代替周边斜坡422。如根据本文在前和其后的公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构也可与第二联接机构400组合。
C.示例性滑锁
第三示例性联接机构500包括壳体544的滑动锁定部550，其能够捕获另一个示例性端部执行器组件510（示出于图7A-7B中）的轴520。在本例中，端部执行器组件510包括传输组件512、旋转旋钮514、以及相对于旋转旋钮514朝近侧延伸的轴520。应当理解，旋转旋钮514仅为可选的并且可被省略。旋转旋钮514能够操作以使传输组件512相对于柄部组件540和/或轴520旋转。端部执行器（未示出）联接到传输组件512的远端。端部执行器可包括超声端部执行器80、射频端部执行器200和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。在超声端部执行器例如端部执行器80的实例中，穿过轴520的轴向孔（未示出）可允许传输组件512通过轴520机械地联接到柄部组件540内的部件，其可按与上述多部件柄部组件60类似的方式来构造。在射频端部执行器例如端部执行器200的情况下，轴向孔可允许传输组件512的一部分至少部分地延伸穿过轴520。传输组件512可包括内滑环连接器，该内滑环连接器能够电联接到轴520的内部上的互补滑环连接器，使得可形成从柄部组件540到端部执行器的电联接。在另一个供选择的替代方案中，也可经由穿过轴520和/或端部执行器组件510上别处的孔形成流体联接。
在本例中，轴520包括具有凹槽524的环形凸缘522，该凹槽位于环形凸缘522的远侧但邻近旋转旋钮514。滑动锁定部550包括凹口552（以虚线显示），当滑动锁定部550以能够滑动的方式被平移到锁定位置中时该凹口能够固定端部执行器组件510的轴520。凹口552可类似于图11A中所示的凹口952来构造。柄部组件540还可根据2011年1月20日公布的名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”的美国专利公开2011/0015660、或2002年12月31日公布的名称为“Electrosurgical Systems and Techniques for Sealing Tissue”的美国专利6,500,176中的用于多部件柄部组件60、用于柄部组件152的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。在本例中，滑动锁定部550位于柄部组件540的远端处并且能够在打开位置（示出于图7A中）与锁定位置（示出于图7B中）之间可滑动地平移，在打开位置中开口形成于壳体544中，轴520和环形凸缘522可被插入该开口中。尽管本例中的滑动锁定部550为可手动平移的部分，但是应当理解滑动锁定部550可包括返回弹簧偏置件以使滑动锁定部返回至锁定位置。在本例中，滑动锁定部550包括接片（未示出），该接片容纳在形成于壳体544中的竖直槽（未示出）内，从而限制滑动锁定部550使其在槽内竖直平移的运动。滑动锁定部550还可包括卡扣，该卡扣能够操作以当滑动锁定部处于锁定位置时将滑动锁定部550联接到壳体544的上部。
如图7A-7B中的顺序所示，滑动锁定部550最初可滑动地向下平移以形成开口，轴520和环形凸缘522进入该开口可被插入柄部组件540。在超声器械的实例中，端部执行器组件510的轴520可螺纹连接到换能器例如上述换能器100的焊头上。此类螺纹连接可在滑动锁定部550滑入锁定位置之前、与其同时地、或之后发生。作为另外一种选择，在射频器械的实例中，轴520可联接到一个或多个电连接器（未示出），以将端部执行器联接到电源。参考图15-17，示出和描述了仅示例性的电联接件。如果采用可手动操作的滑动锁定部550，则使用者可滑动地向上平移滑动锁定部550，使得凹口552与轴520的凹槽524对齐。如图7B所示，端部执行器组件510通过滑动锁定部分550、环形凸缘522和旋转旋钮514的组合在纵向上有效地被固定到柄部组件540，同时还允许轴520、旋转旋钮514、和/或传输组件512相对于壳体544旋转运动。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件510从柄部组件540脱离时，使用者可滑动地向下平移滑动锁定部分550，直到环形凸缘522和轴520可通过滑动锁定部分550和/或凹口552。然后，使用者可将新的端部执行器组件510联接到柄部组件540。
当然，根据本文的教导内容，第三联接机构500的其他构型对于本领域的普通技术人员而言将是显而易见的。如根据本文在前和其后的公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构可与第三联接机构500组合。
D.示例性螺纹滑动螺母
第四示例性联接机构600包括围绕示例性端部执行器组件610（示出于图8A-8B）的轴620设置的螺纹滑动螺母630。在本例中，端部执行器组件610包括传输组件612、旋转旋钮614、以及相对于旋转旋钮614朝近侧延伸的轴620。应当理解，旋转旋钮614仅为可选的并且可被省略。旋转旋钮614能够操作以使传输组件612相对于柄部组件640和/或轴620旋转。端部执行器（未示出）联接到传输组件612的远端。端部执行器可包括超声端部执行器80、射频端部执行器200和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。在超声端部执行器例如端部执行器80的实例中，穿过轴620的轴向孔（未示出）可允许传输组件612通过轴620机械地联接到柄部组件640内的部件，其可按与上述多部件柄部组件60类似的方式来构造。在射频端部执行器例如端部执行器200的情况下，轴向孔可允许传输组件612的一部分至少部分地延伸穿过轴620。传输组件612可包括内滑环连接器，该内滑环连接器能够电联接到轴620的内部上的互补滑环连接器，使得可形成从柄部组件640到端部执行器的电联接。在另一个供选择的替代方案中，也可经由穿过轴620和/或端部执行器组件610上别处的孔形成流体联接。
在本例中，螺纹滑动螺母630围绕轴620可滑动地设置。螺纹滑动螺母630包括在螺纹滑动螺母630的近端处的键槽632（以虚线显示）。应当理解，作为另外一种选择，键槽632可位于螺纹滑动螺母630的远端上。本例的键槽632仅部分地延伸穿过螺纹滑动螺母630，但是作为另外一种选择，键槽632可完全延伸穿过螺纹滑动螺母630。如图8A-8B所示，键槽632能够容纳轴620的带键部分622。在本例中，轴620的带键部分622位于轴620的近端附近，并且从轴620向外延伸，但是应当理解，作为另外一种选择，带键部分622可朝远侧位于旋转旋钮614的附近或轴620的中点处。在一个仅可供选择的例子中，带键部分622可例如通过滑块（例如，示出于图5A-5B中的滑块318）的致动而相对于轴620滑动，以使带键部分622滑入键槽632。轴620还包括近侧凸缘624，该近侧凸缘位于轴620的近端上，并且其尺寸设定成防止螺纹滑动螺母630朝近侧滑离轴620。如下所述，当使用者期望将螺纹滑动螺母630螺纹连接到柄部组件640的内螺纹650时，带键部分622能够插入键槽632。然后，本例的螺纹滑动螺母630可在轴620上朝远侧滑动，以使带键部分622从键槽632脱离，从而允许轴620、旋转旋钮614和/或传输组件612相对于螺纹滑动螺母630和/或柄部组件640自由地旋转。
在某个实例中，螺纹滑动螺母630以能够滑动的方式被设置在内管上，例如上述内部管状致动构件。在这样的构型中，螺纹滑动螺母630能够螺纹连接到轭中，例如触发器轭185，其可见于2011年1月20日公开的名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”的美国专利公开2011/0015660，其公开内容以引用方式并入本文。刀片例如上述刀片82可联接到换能器，例如上述换能器100。内部管状致动构件可通过螺纹滑动螺母630联接到轭而被致动。因此，夹持臂例如上述夹持臂84可为能够操作以抵靠刀片来夹持组织。
在本例中，柄部组件640被示出为具有远侧孔642，该远侧孔形成于壳体644内，并且能够容纳端部执行器组件610的轴620和螺纹滑动螺母630。柄部组件640还可根据2011年1月20日公开的名称为“RotatingTransducer Mount for Ultrasonic Surgical Instruments”的美国专利公开2011/0015660、或2002年12月31日公布的名称为“ElectrosurgicalSystems and Techniques for Sealing Tissue”的美国专利6,500,176中的用于多件式柄部组件60、柄部组件152的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。在本例中，柄部组件640包括构件648，该构件围绕构件孔652设有内螺纹650。内螺纹650和螺纹滑动螺母630能够螺纹连接在一起，以将端部执行器组件610固定到柄部组件640。
如图8A-8B中的顺序所示，本例的螺纹滑动螺母630朝近侧滑动，使得轴620的带键部分622接合螺纹滑动螺母630的键槽632。随着螺纹滑动螺母630的旋转自由度受限于带键部分622和键槽632的接合，使用者随后将螺纹滑动螺母630螺纹连接到柄部组件640的内螺纹650。例如，L形垫片工具可被用来在轴620上抵靠凸缘624朝近侧推压螺纹滑动螺母630，同时使用者将螺纹滑动螺母630螺纹连接到内螺纹650。作为另外一种选择，使用者可手动地朝近侧推压螺纹滑动螺母630。此外，如上所述，滑块可接合螺纹滑动螺母630的一部分，以朝近侧推压螺纹滑动螺母630。当然，参考本文的教导内容，朝近侧推压螺纹滑动螺母630以接合带键部分622和键槽632的其他方法对于本领域的普通技术人员而言将是显而易见的。例如，弹簧（未示出）可围绕轴620被设置在滑动螺母630的远侧和旋转旋钮614的近侧，从而朝近侧偏压滑动螺母630，使得键槽632与带键部分622接合。当使用者期望旋转端部执行器组件610时，使用者抓握旋转旋钮614并且朝近侧推动端部执行器组件610，直到带键部分622从键槽632脱离。
一旦螺纹滑动螺母630已经充分螺纹连接到内螺纹650中（例如可使用转矩限制工具），端部执行器组件610就朝近侧滑动，以使带键部分622从键槽632脱离。端部执行器组件610可手动地朝远侧滑动，或者在一个供选择的替代方案中，位于凸缘624和螺纹滑动螺母630之间的弹簧（未示出）可朝远侧推压端部执行器组件610。在超声器械的实例中，端部执行器组件610的轴620可螺纹连接到换能器例如上述换能器100的焊头上。此类螺纹连接可在螺纹滑动螺母630螺纹连接到内螺纹650中之前、与其同时地或之后发生。作为另外一种选择，在射频器械的实例中，轴620可联接到一个或多个电连接器（未示出），以将端部执行器联接到电源。参考图15-17，示出和描述了仅示例性的电联接件。如图8B所示，端部执行器组件610在纵向上有效地被固定到柄部组件640，同时允许轴620、旋转旋钮614和/或传输组件612旋转运动。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件610从柄部组件640脱离时，使用者朝远侧牵拉端部执行器组件610，直到轴620的带键部分622接合螺纹滑动螺母630的键槽632。作为另外一种选择，L形垫片工具可被楔入螺纹滑动螺母630与旋转旋钮614之间，以朝近侧推压螺纹滑动螺母630。随着带键部分622和键槽632接合，使用者随后可从内螺纹650旋开螺纹滑动螺母630，从而使端部执行器组件610从柄部组件640脱离。然后，使用者可将新的端部执行器组件610联接到柄部组件640。
当然，根据本文的教导内容，第四联接机构600的其他构型对于本领域的普通技术人员而言将是显而易见的。例如，螺纹滑动螺母630可位于轴620的凸缘624与另一个环形凸缘（未示出）例如示出于图7A-7B中的环形凸缘522之间。在本例中，带键部分622可从轴620的凹槽（未示出）内的初始位置径向地向外致动到带键部分622与螺纹滑动螺母630的键槽632接合的位置。例如，带键部分622可通过凸轮构件致动，该凸轮构件联接到位于传输组件612和/或旋转旋钮614上的滑块，例如示出于图5A-5B中的滑块318。如根据本文在前和其后的公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构可与第四联接机构600组合。
E.示例性T形连接器
第五示例性联接机构700包括具有一个或多个周边凸缘728,730,732的一个或多个轴722,724,726，所述一个或多个周边凸缘形成用于示例性端部执行器组件710（示出于图9A-9B中）的一个或多个T形可插入连接器734,736,738。在本例中，端部执行器组件710包括传输组件712、旋转旋钮714、以及相对于旋转旋钮714朝近侧延伸的一个或多个轴722,724,726。应当理解，旋转旋钮714仅为可选的并且可被省略。旋转旋钮714能够操作以使传输组件712相对于柄部组件740和/或该一个或多个轴722,724,726旋转。端部执行器（未示出）联接到传输组件712的远端。端部执行器可包括超声端部执行器80、射频端部执行器200和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。
本示例性端部执行器组件710被构造用于射频端部执行器，例如端部执行器200。柄部组件740包括具有远侧孔742的壳体744，端部执行器组件710的近端可被插入该远侧孔。在本例中，柄部组件740还包括位于远侧孔742的近侧的一对可偏转的远侧接片748，第一致动机构760、第二致动机构770、以及电联接构件750。远侧接片748能够操作以接合远侧T形连接器734，以当端部执行器组件710被插入柄部组件740时限制端部执行器组件710的纵向运动。端部执行器组件710的近侧凸缘732包括一个或多个电触头720，该一个或多个电触头能够操作以电联接到电联接构件750上的互补触头752。互补触头752还联接到电源例如发生器20或柄部组件740内的内部电源，以向端部执行器提供电力。此类触头720,752可为互补滑环触头、环形环触头、公母连接器、和/或任何其他合适的转动或非转动的电连接件。在本例中，触头720,752包括带刷滑环电连接件。
如上所述，端部执行器组件710包括近侧T形连接器738、中间T形连接器736和远侧T形连接器734。本例中的近侧T形连接器738和中间T形连接器736能够操作以分别联接第一致动机构760和第二致动机构770。第一致动机构760和第二致动机构770能够操作以分别致动上钳口例如上钳口206和切割机构例如切割构件210。在本例中，第一致动机构760和第二致动机构770的远端各自包括倾斜的部分762,772，该倾斜的部分能够操作以当端部执行器组件710的T形连接器736,738被插入柄部组件740时使第一致动机构760和第二致动机构770的远端向外凸出。一旦T形连接器736,738通过倾斜的部分762,772的近端，近侧轴726和中间轴724，就可通过联接具有第一致动机构760和第二致动机构770的T形连接器736,738而朝近侧被致动。
此外，远侧T形连接器734能够操作以与可偏转远侧接片748联接，以在纵向上将端部执行器组件710固定到柄部组件740。如对于本领域的普通技术人员将显而易见的是，联接T形连接器734,736,738与可偏转远侧接片748、第一致动机构760、和/或第二致动机构770还允许端部执行器组件710即使在被联接到柄部组件740时仍自由地旋转。柄部组件740还可根据2011年1月20日公开的名称为“Rotating Transducer Mount forUltrasonic Surgical Instruments”的美国专利公开2011/0015660、或2002年12月31日公布的名称为“Electrosurgical Systems and Techniques for SealingTissue”的美国专利6,500,176中的用于多件式柄部组件60、柄部组件152的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。
如图9A-9B中的顺序所示，当端部执行器组件710的T形连接器734,736,738被插入远侧孔742时，可偏转远侧接片748、第一致动机构760、和/或第二致动机构770向外偏转，直到T形连接器734,736,738被捕获在其中。如图9B所示，端部执行器组件710在纵向上被有效地固定到柄部组件740，同时允许轴722,724,726、旋转旋钮714、和/或传输组件712相对于柄部组件740旋转运动。触头720,752还可电联接以向本例中的端部执行器提供电力。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件710从柄部组件740脱离时，使用者可简单地向外牵拉端部执行器组件710，直到T形连接器734,736,738从可偏转远侧接片748、第一致动机构760、和/或第二致动机构770脱离。然后，使用者可将新的端部执行器组件710联接到柄部组件740。作为另外一种选择，在本例中，柄部组件740的释放结构780可由使用者按下或滑动，以向外致动第一致动机构760和/或第二致动机构770和/或以使远侧接片748偏转。例如，释放结构780可包括一个或多个楔形构件（未示出），该楔形构件能够操作以使第一致动机构760和/或第二致动机构770凸出和/或使远侧接片748偏转打开以允许T形连接器734,736,738通过。当然，也可实现其他释放机构。例如，键槽可形成于凸缘728,730,732中以允许T形连接器734,736,738通过，或作为另外一种选择，凸缘728,730,732可为能够操作以当移除端部执行器组件710时分离。如果凸缘728,730,732能够操作以分离，那么这对于使用者也可作为端部执行器组件710在前已被使用过的指示。根据本文的教导内容，其他释放机构对于本领域的普通技术人员而言将是显而易见的。
当然，根据本文的教导内容，第五联接机构700的其他构型对于本领域的普通技术人员而言将是显而易见的。例如，如果包括超声端部执行器，例如端部执行器80，那么近侧轴726和/或凸缘732可通过螺纹联接到柄部组件740内的换能器，例如换能器100。远侧轴722和中间轴724还可机械地联接到柄部组件740内的其他部件以供使用，例如以操作上述夹持臂84，尽管这仅为可选的。在这种情况下，柄部组件740还可按与上述多部件柄部组件60类似的方式来构造。如根据本文在前和其后的公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构也可与第五联接机构700组合。
F.示例性弹性地偏置的轴承
第六示例性联接机构800包括设置在柄部组件840内的一对弹性地偏置的滚珠轴承构件850并且能够接合示例性端部执行器组件810（示出于图10A-10B中）的轴820的周边凹槽822。在本例中，端部执行器组件810包括传输组件812、旋转旋钮814、以及相对于旋转旋钮814朝近侧延伸的轴820。应当理解，旋转旋钮814仅为可选的并且可被省略。旋转旋钮814能够操作以使传输组件812相对于柄部组件840和/或轴820旋转。端部执行器（未示出）联接到传输组件812的远端。端部执行器可包括超声端部执行器80、射频端部执行器200和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。在超声端部执行器例如端部执行器80的实例中，穿过轴820的轴向孔（未示出）可允许传输组件812通过轴820机械地联接到柄部组件840内的部件，其可按与上述多部件柄部组件60类似的方式来构造。就射频端部执行器例如端部执行器200而言，轴向孔可允许传输组件812的一部分至少部分地延伸穿过轴820。传输组件812可包括内滑环连接器，该内滑环连接器能够电联接到轴820的内部上的互补滑环连接器，使得可形成从柄部组件840到端部执行器的电联接。例如，滚珠852可电联接到电源并且可联接到凹槽822内的触头，如下文将描述的。在另一个供选择的替代方案中，也可经由穿过轴820和/或端部执行器组件810上别处的孔形成流体联接。
在本例中，轴820包括形成于轴820近端的远侧的周边凹槽822。凹槽822可包括电触头例如铜环，以使端部执行器组件810与滚珠852电联接，尽管这仅为可选的。在本例中，柄部组件840包括壳体844、形成于壳体844中的远侧孔842、以及位于远侧孔842的近侧的一对弹性地偏置的滚珠轴承构件850。远侧孔842能够将轴820容纳在其中。弹性地偏置的滚珠轴承构件850每个包括在滚珠轴承构件850的端部处的凹槽中的滚珠852和偏动簧片854。柄部组件840还可根据2011年1月20日公开的名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”的美国专利公开2011/0015660、或2002年12月31日公布的名称为“Electrosurgical Systems and Techniques for Sealing Tissue”的美国专利6,500,176中的用于多部件柄部组件60、柄部组件152的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。
如图10A-10B中的顺序所示，当轴820插入穿过远侧孔842时，轴820最初抵靠偏动簧片854推压滚珠852。继续抵靠偏动簧片854来推压滚珠850，直到滚珠850遇到凹槽822。然后，偏动簧片854将滚珠852推入凹槽822，从而将滚珠轴承构件850联接到轴820。如图10B所示，端部执行器组件810通过滚珠轴承构件850与凹槽822的组合而在纵向上有效地被固定到柄部组件840，同时还允许轴820、旋转旋钮814、和/或传输组件812相对于柄部组件840旋转运动。在超声器械的实例中，端部执行器组件810的轴820还可被螺纹连接到换能器例如上述换能器100的焊头上。此类螺纹连接可在滚珠852遇到凹槽822之前、与其同时地或之后发生。作为另外一种选择，在射频器械的实例中，轴820可被联接到一个或多个电连接器（未示出），以将端部执行器联接到电源。参考图15-17，示出和描述了仅示例性电联接件。作为另外一种选择，滚珠852和/或偏动簧片854可为能够将端部执行器电联接到电源。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件810从柄部组件840脱离时，使用者牵拉端部执行器组件810，直到滚珠852压靠偏动簧片854并且允许轴820通过滚珠852。然后，使用者可将新的端部执行器组件810联接到柄部组件840。
当然，参考本文的教导内容，第六联接机构800的其他构型对于本领域的普通技术人员而言将是显而易见的。例如，尽管本例中仅示出了两个滚珠轴承构件850，但可在柄部组件840内周向地设置一圈弹性地偏置的滚珠轴承构件850。作为另外一种选择，就一圈滚珠轴承构件850而言，偏动簧片854可被省略并且凸轮圆柱套管（未示出）可为能够操作以将该一圈滚珠852向内致动到轴850的凹槽822中。此类圆柱套管可被弹性地偏置或通过壳体844上的外部滑块手动地致动。如根据本文在前和其后的公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构可与第三联接机构800组合。
G.示例性锁键组件
第七示例性联接机构900包括可插入锁键950，该可插入锁键能够插入柄部组件940的壳体944中的狭槽946。当另一个示例性端部执行器组件910（示出于图11A-11B中）的近侧组件920被插入穿过壳体944中的远侧孔942时，锁键950能够在纵向上固定近侧组件920。在本例中，端部执行器组件910包括传输组件912、联接到传输组件910的齿轮916、以及位于齿轮916近侧的近侧组件920。在一个仅示例性构型中，近侧组件920包括与超声端部执行器（例如上述端部执行器80）一起使用的波形弹簧组件。作为另外一种选择，近侧组件920可包括可致动部件，例如参考图9A-9B所描述的T形连接器和轴，以用于操作端部执行器组件910的机械部件。此外，近侧组件920可包括电触头以将端部执行器组件910电联接到电源，例如发生器20或柄部组件940内的电源。在另一个供选择的替代方案中，也可经由近侧组件920和/或在端部执行器组件910上别处形成流体联接。如上所述，端部执行器（未示出）联接到传输组件912的远端。端部执行器可包括超声端部执行器80、射频端部执行器200和/或任何其他端部执行器或多个端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。
柄部组件940包括壳体944、形成于壳体944中的远侧孔942、能够相对于壳体944旋转的旋转旋钮914、轭组件948、以及狭槽946，该狭槽形成于壳体944中并且位于远侧孔942的近侧。轭组件948机械地联接到触发器例如触发器68，并且能够操作以致动端部执行器组件910的一个或多个部件。在本例中，轭组件948包括锁槽949，锁键950的一部分能够插入该锁槽。轭组件948还可根据与本专利申请同一天提交的名称为“Ultrasonic Surgical Instrument with Modular End Effector”的美国专利申请序列号[代理人案卷号END7012USNP.0587824]、和/或2011年1月20日公开的名称为“Rotating Transducer Mount for Ultrasonic Surgical Instruments”美国专利公开2011/0015660的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。尽管本例将狭槽946示出为壳体944的顶侧面上的狭槽，但应当理解狭槽946可位于壳体944上的其他位置处，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。本例中的旋转旋钮914包括齿状物，该齿状物与齿轮916的那些互补并且形成于旋转旋钮914的圆柱形凹槽中，使得当端部执行器组件910联接到柄部组件940时齿轮916能够插入其中并且接合旋转旋钮914。当然，参考本文的教导内容，用于柄部组件940的其他构型和结构对于本领域的普通技术人员而言将是显而易见的。
本例中的锁键950包括半圆形凹口952，当端部执行器910被插入柄部组件940并且锁键950被插入狭槽946时，该半圆形凹口能够部分地环绕传输组件912。凹口952的尺寸设定成小于近侧组件920，使得当锁键950接合传输组件912时近侧组件920可不被朝远侧平移。在一个供选择的替代方案中，凹口952可为能够部分地环绕近侧组件920的一部分。此外，凹口952可为矩形凹口，其能够接合传输组件912和/或近侧组件920上的平坦部分（未示出）。例如，近侧组件920的旋转运动可由锁键950的矩形凹口限制，并且近侧组件920可通过将锁键950插入狭槽946和锁槽949而同时联接到轭组件948。当然，参考本文的教导内容，锁键950、端部执行器组件910、和/或柄部组件940的其他构型对于本领域的普通技术人员而言将是显而易见的。例如，柄部组件940还可根据2011年1月20日公开的名称为“Rotating Transducer Mount for Ultrasonic SurgicalInstruments”的美国专利公开2011/0015660、或2002年12月31日公布的名称为“Electrosurgical Systems and Techniques for Sealing Tissue”的美国专利6,500,176中的用于多部件柄部组件60、柄部组件152的教导内容中的至少一些来构造，所述专利的公开内容以引用方式并入本文。
如图11A所示，锁键950最初从柄部组件940被移除。然后，近侧组件920和传输组件912的近侧部分被插入穿过旋转旋钮914中的开口，直到齿轮916遇到旋转旋钮914。然后使齿轮916旋转，直到有可能将其插入旋转旋钮914的圆柱形凹槽中的互补齿状物。一旦齿轮916被插入旋转旋钮914，近侧组件920就可任选地向下被扭转到换能器（例如上述换能器100）的焊头上、电联接到柄部组件940中的电连接件、和/或换句话讲联接于此。参考图15-17，示出和描述了仅示例性的电联接件。此类螺纹连接、电联接、和/或其他方式可在将齿轮916插入旋转旋钮914之前、与其同时或之后发生。如果传输组件912和/或近侧组件920上包括有平坦部分，那么可旋转旋转旋钮914和/或传输组件912以使该平坦部分与狭槽946对齐。在本例中，不需要旋转旋转旋钮914，因为凹口952是半圆形凹口，其能够装配在传输组件912的周围。锁键950然后被插入狭槽946和锁槽949以将端部执行器组件910固定到柄部组件940和/或将轭组件948固定于此。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件910从柄部组件940脱离时，使用者移除锁键950并拉出端部执行器组件910。然后，使用者可将新的端部执行器组件910联接到柄部组件940。
当然，参考本文的教导内容，第七联接机构900的其他构型对于本领域的普通技术人员而言将是显而易见的。例如，锁键950可包括卡扣（未示出）和/或密封件以将锁键950联接和/或密封到壳体944。锁键950还可包括弹性的端部以按扣在传输组件912和/或近侧组件920的周围。如根据本文在前和其后的公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构可与第七联接机构900组合。
H.示例性锁定接片组件
第八示例性联接机构包括端部执行器组件1000，该端部执行器组件具有从螺栓部分1040的相对侧延伸的一对锁定接片1050，其旋转地锁定到柄部组件1100的旋转凹槽1110中，如图12-14中所示。首先参考图12，端部执行器组件1000包括传输组件1010、旋转部分1020、以及螺栓部分1040。如图12中的横截面所示，传输组件1010被固定地固定到旋转部分1020并延伸穿过旋转部分1020。应当理解，旋转部分1020仅为可选的，并且传输组件1010可被固定地联接到螺栓部分1040或联接成使得传输组件1010可相对于螺栓部分1040旋转。旋转部分1020包括旋转旋钮1022，该旋转旋钮能够操作以使传输组件1010相对于柄部组件1100和/或螺栓部分1040旋转。端部执行器（未示出）联接到传输组件1010的远端。端部执行器可包括超声端部执行器80、射频端部执行器200、和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。在所示出的例子中，导电线材1012延伸穿过传输组件1010并联接到安装在旋转部分1040的外表面上的第一滑环1024，该旋转部分位于端部执行器组件1000的近端附近处。
螺栓部分1040包括被安装到螺栓部分1040的内表面的滑环触头1044（例如刷、插脚等），该螺栓部分电联接到第一滑环1024，使得第一滑环1024和第二滑环1044电联接，同时允许旋转部分1020相对于螺栓部分1040旋转360度。在本例中，螺栓部分1040为围绕旋转部分1020的一部分设置的共轴管状圆柱体，如图12-13所示。旋转部分1020上的近侧凸缘1026、螺栓部分1040的近端1042处的近侧凸缘1046、旋转部分1020上的远侧凸缘1028、以及螺栓部分1040的远端1041处的远侧凸缘1048限制螺栓部分1040相对于旋转部分1020纵向运动，同时允许螺栓部分1040和/或旋转部分1020相对于其他部分和/或柄部组件1100旋转。
螺栓部分1040还包括从螺栓部分1040的相对侧上螺栓部分1040向外延伸的一对锁定接片1050。尽管图12-13中示出的是一对锁定接片1050，但应当理解，可包括单个锁定接片1050或多于两个的锁定接片1050。例如，在一些仅示例性供选择的替代方案中，三个接片1050或四个接片1050可从螺栓部分1040延伸。本例中的锁定接片1050包括一个或多个电触头1052，该电触头电联接到第二滑环1044，使得当将电源联接到电触头1052时电触头1052可向端部执行器提供电力。锁定接片1050还包括一个或多个光学上可感知的指示器1054（例如开口），该指示器能够操作以当其被联接到柄部组件1100时识别该端部执行器组件1000。例如，在凹槽1110处可包括一个或多个光电传感器1116（示出于图14中），以在锁定接片1050上的各种位置处检测是否存在指示器1054。此类缺失和/或检测可被转化成一些数据，这些数据可用来识别端部执行器组件1000的类型、尺寸、和/或其他特征。作为另外一种选择，光学上可感知的指示器1054可能被配置成将数据从端部执行器处一个或多个传感器传输至光电传感器1116（例如，光纤传输装置）。此外，指示器1054可能被RFID部件替换，并且光电传感器1116可被RFID读取器替换。例如，可使用近场RFID系统。仅以举例的方式，此类数据和/或信息可用来调节发生器20、柄部组件1100内的控制模块的控制设置、和/或任何其他可调电子元件的设置。例如，可根据所附接的端部执行器的类型和/或尺寸来调节开关按钮1120（示出于图14中）的操作设置。在一些型式中，指示器1054和光电传感器1116（或其变型，例如RFID部件）可为能够鉴定端部执行器组件1000是否为合适的和/或被授权与柄部组件1100一起使用的端部执行器组件。
柄部组件1100（示出于图14中）包括壳体1102、能够容纳端部执行器1100的近端的远侧孔1104、一个或多个开关按钮1120、触发器1130、以及位于远侧孔1104的近侧的一对旋转凹槽1110（以虚线显示）。尽管远侧孔1104包括圆形部分1106和竖直接片部分1108，但应当理解，接片部分1108可为水平取向的或成任何其他角度。旋转凹槽1110被示出为相对于竖直接片部分1108具有大约45度的旋转角度，使得当锁定接片1050被插入远侧孔1104并旋转到旋转凹槽1110中时，旋转凹槽1110和锁定接片1050防止端部执行器组件1000朝远侧平移出远侧孔1104。应当理解，旋转凹槽1110可延伸穿过大约10度至180度的角度范围。在一些构型中，旋转凹槽1110的角度范围可小于10度，例如1度，如果此类旋转度防止端部执行器组件1000朝远侧平移出远侧孔1104的话。闭锁装置1112（也以虚线显示）被设置在旋转凹槽1110的一部分上以抵制锁定接片1050的旋转运动，从而进一步将锁定接片1050固定在旋转凹槽1110内。应当理解，闭锁装置1112仅为可选的。一个或多个电触头1114以及光电传感器1116联接到旋转凹槽1110的内部旋转面，以分别联接到和/或感知电触头1052和/或光学上可感知的指示器1054。当然，此类部件可被省略。此外，弹簧（未示出）可被设置在柄部组件1100内的近侧壁上以当端部执行器组件1100被插入时接合螺栓部分1040和/或旋转部分1020的近端1042。因此，该弹簧可提供远侧偏压以有利于使螺栓部分1040从柄部组件1100内单手移除。
当使用者期望根据当前描述的第八示例性联接机构将端部执行器组件1000联接到柄部组件1100时，使用者最初使锁定接片1050与远侧孔1104的竖直部分1108对齐并且将端部执行器组件1000的近端插入远侧孔1104。如果在近侧壁处设有弹簧，那么螺栓部分1040和/或旋转部分1020的近端1042可接合该弹簧。随着使用者进一步插入端部执行器组件1000，该弹簧压缩。当旋转螺栓部分1040时，弹簧可处于压缩状态以将锁定接片1050锁入旋转凹槽1110。在一些型式中，使用者可抓握螺栓部分1040的远侧部分（其可包括滚花、脊皱、凹坑等）以旋转锁定接片1050使其进入锁定凹槽1110。本例中的锁定接片1050旋转经过由闭锁装置1112提供的阻力并且被固定，使得一个或多个电触头1114联接到电触头1052，并且光电传感器1116感测指示器1054。然后，使用者可使用组装的外科器械以用于手术。当使用者期望使端部执行器组件1000从柄部组件1100脱离时，使用者旋转螺栓部分1040以克服闭锁装置1112的阻力。一旦锁定接片1050与远侧孔1104的竖直部分1108竖直地对齐时，那么使用者就将端部执行器组件1000从柄部组件1100拉出。如果弹簧已被包括在近侧壁上，那么该弹簧可有助于端部执行器组件1000从柄部组件1100弹出。然后，使用者可将新的端部执行器组件1000联接到柄部组件1100。
在一种与超声端部执行器例如端部执行器80一起使用的构型中，传输组件1010可朝近侧延伸到螺栓部分1040的近侧面1042之外。传输组件1010可机械地联接到换能器例如换能器100的焊头、和/或柄部组件1100内的其他机械联接件例如致动夹持臂84，其可按与上述多部件柄部组件60类似的方式来构造。就射频端部执行器例如端部执行器200而言，传输组件1010可机械地联接到和/或电联接到柄部组件1100内的部件。作为另外一种选择，如上所述，锁定接片1050可通过联接到电触头1052的电触头1114来向射频端部执行器提供电力。在另一种变型中，锁定接片1050可锁入轭组件，例如上述轭组件948。参考本文的教导内容，端部执行器组件1000和/或柄部组件1100的另外的构型对于本领域的普通技术人员而言将是显而易见的。例如，在一种仅示例性供选择的构型中，旋转凹槽1110可为能够螺旋状成型的凹槽，其从竖直部分1108朝近侧延伸，使得在端部执行器组件1000被推入柄部组件1100时锁定接片1050遵循该螺旋状路径。闭锁装置1112可固定螺旋状凹槽内的锁定接片1050。
当然，根据本文的教导内容，第八联接机构的其他构型对于本领域的普通技术人员而言将是显而易见的。如根据本文在前和其后的公开内容将变得显而易见的是，各种其他电和/或机械联接机构和/或结构可与第八联接机构组合。例如，光学上可感知的指示器1054和光电传感器1116可被结合到本文所述的任何端部执行器组件和柄部组件中。
虽然前述联接机构集中于具有柄部组件的各种端部执行器组件的机械联接（尽管也描述了各种电联接件），但是对于多种端部执行器，也可包括电联接。因此，下列描述内容描述了各种电联接机构，其可全部地或部分地与前述联接机构和/或任何其他联接机构结合。
I.示例性螺纹电极连接件
示例性第一电联接机构1200包括在端部执行器组件1210上的一个或多个螺纹电极1230，其旋入柄部组件1240内的螺纹构件1250的互补螺纹1252，如图15中所示。在本例中，示例性端部执行器组件1210包括传输组件1212、旋转旋钮1214、以及相对于旋转旋钮1214朝近侧延伸的轴1220。应当理解，旋转旋钮1214仅为可选的并且可被省略。旋转旋钮1214能够操作以使传输组件1212相对于柄部组件1240和/或轴1220旋转。端部执行器（未示出）联接到传输组件1212的远端。端部执行器可包括超声端部执行器80、射频端部执行器200、和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。
在本例中，第二轴1222从轴1220朝近侧延伸。一个或多个螺纹电极1230联接到第二轴1222并且能够旋入柄部组件1240内的螺纹构件1250的互补螺纹1252。如果包括多于一个的螺纹电极1230（例如，与电极1230纵向地和/或径向地间隔开），那么绝缘体（未示出）可将相邻的电极1230分开。接线柱1224从螺纹电极1230朝近侧延伸。相反极性的触头1232联接到接线柱1224的近端并且能够电联接到螺纹构件1250内的对应的触头1256。一个或多个绝缘线材可延伸穿过接线柱1224、第二轴1222、轴1220、和/或传输组件1212以将端部执行器电联接到螺纹电极1230和/或触头1232。在本例中，螺纹构件1250为在远端处具有互补螺纹1252的管状构件。螺纹构件1250围绕共轴管状绝缘体1254设置，该共轴管状绝缘体继而围绕对应的触头1256设置。在本例中，螺纹构件1250为导电部件，其电联接到电源的阴极并且对应的触头1256电联接到电源的阳极。当然，可使极性反向。绝缘体1254使螺纹构件1250与对应的触头1256分离。
当端部执行器组件1210联接到柄部组件1240（通过前述联接机构中的一者和/或其他方式）时，螺纹电极1230被旋入互补螺纹1252，从而使螺纹电极1232与螺纹构件1250电联接。螺纹电极1230可继续旋入互补螺纹1252，直到触头1232邻接并电联接到对应的触头1256。因此，电力可被提供至端部执行器组件1200的端部执行器。
当然，可使用第一电联接机构1200的其他构型。实际上，在一种供选择的替代方案中，触头1232和对应的触头1256可为互补的螺纹部件并且螺纹电极1230可为阀盘，其能够邻接螺纹构件1250并电联接到螺纹构件1250。触头1232和螺纹电极1230可均为螺纹部件或可均为接触式电连接件。根据本文的教导内容，第一联接机构1200的其他构型对于本领域的普通技术人员而言将是显而易见的。如根据本文的公开内容显而易见的是，各种其他电和/或机械联接机构和/或结构也可与第一电联接机构1200组合。
J.示例性弹性地偏置的电连接件
示例性第二电联接机构1300包括位于柄部组件1340内的一个或多个弹簧加载的触头1350以接触和电联接到另一个示例性端部执行器组件1310（示出于图16中）上的对应的触头1322,1324。在本例中，示例性端部执行器组件1310包括传输组件1312、旋转旋钮1314、以及相对于旋转旋钮1314朝近侧延伸的轴1320。应当理解，旋转旋钮1314仅为可选的并且可被省略。旋转旋钮1314能够操作以使传输组件1312相对于柄部组件1340和/或轴1320旋转。端部执行器（未示出）联接到传输组件1312的远端。端部执行器可包括超声端部执行器80、射频端部执行器200和/或任何其他端部执行器或端部执行器的组合，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。
在本例中，触头1322,1324为联接到轴1320并围绕轴1320周向地设置的环触头。如图16所示，弹簧加载的触头1350被弹簧1352偏压朝向轴1320。当端部执行器1310被插入柄部组件1340并且在纵向上对齐（例如通过本文所述的联接机构中的一个）时，那么第一弹簧加载的触头1350电联接到对应的触头1322并且第二弹簧加载的触头1350电联接到另一个对应的触头1324。因此，可通过使弹簧加载的触头1350与触头1322,1324电联接来向端部执行器组件1310的端部执行器提供电力，即使当端部执行器组件1310相对于柄部组件1340旋转时也是如此。在一些型式中，可使用偏置片簧触头，而不是弹簧加载的触头1350。
当然，可使用第二电联接机构1300的其他构型。实际上，在一个供选择的替代方案中，在图17中描绘了第三电联接机构1400。类似于第二电联接机构1300，一对弹簧加载的触头1450被安装在外壳组件1440中，尽管在本例中，弹簧加载的触头1450为水平地安装的。端部执行器组件1410包括轴1420，与轴1420的轴线共轴的环形触头1422以及位于轴1420的轴线上的中心触头1424在该轴的近端上。当端部执行器组件1410被插入外壳组件1440时，第一弹簧加载的触头1450电联接到环形触头1422并且第二弹簧加载的触头1450电联接到中心触头1424。因此，可通过使弹簧加载的触头1450与触头1422,1424电联接向端部执行器组件1410的端部执行器提供电力，即使当端部执行器组件1410旋转时也是如此。参考本文的教导内容，第二电联接机构1300和/或第三电联接机构1400对于本领域的普通技术人员而言将是显而易见的。如根据本文的公开内容显而易见的是，各种其他电和/或机械联接机构和/或结构也可与第二电联接机构1300和/或第三电联接机构1400组合。
对于前述例子，应当理解，柄部组件和/或端部执行器可为可重复使用的、耐高压灭菌的和/或一次性的。例如，前述端部执行器可为一次性的，而柄部组件为可重复使用的和/或耐高压灭菌的。此外，如果内部电源用于前述柄部组件，那么该内部电源可为可再充电的。例如，通过移除电池和对电池再充电，通过感应，和/或通过任何其他方法，柄部组件可以插上电源再充电，参考本文的教导内容，这对于本领域的普通技术人员而言将是显而易见的。此外，可包括对准结构或引导件，以帮助端部执行器与柄部组件的对准和联接。这样的引导件可能有助于在外科器械组装期间防止对端部执行器和/或柄部组件的损坏。
尽管已描述出示例性外科器械的某些构型，但参考本文的教导内容，其中可构造外科器械的各种其他方式对于本领域的普通技术人员而言将是显而易见的。仅以举例的方式，本文提及的外科器械可根据下列专利的教导内容中的至少一些来构造：美国专利6,500,176、美国专利6,783,524、美国专利7,416,101、美国专利7,738,971、美国专利6,783,524、美国公布2006/0079874、美国公布2007/0191713、美国公布2007/0282333、美国公布2008/0200940、美国公布2009/0209990、美国公布2009/043797、美国公布2010/0069940、和/或美国临时申请序列号61/410,603，所述专利的公开内容以引用方式并入本文。
应当理解，所述以引用方式并入本文中的任何专利、专利公开或其他公开材料，无论是全文或部分，仅在并入的材料与本公开中给出的定义、陈述或其他公开材料不冲突的范围内并入本文。由此，在必要的程度下，本文所明确阐述的公开内容将取代以引用方式并入本文的任何相冲突材料。如果据述以引用方式并入本文但与本文所述的现有定义、陈述或其他公开材料相冲突的任何材料或其部分，仅在所并入的材料和现有的公开材料之间不产生冲突的程度下并入本文。
本发明的一些实施例可被应用于常规的内窥镜检查和开放性手术器械以及机器人辅助手术中。例如，本领域的普通技术人员将认识到，本文的各种教导内容可易于与2004年8月31日公布的名称为“Robotic SurgicalTool with Ultrasound Cauterizing and Cutting Instrument”的美国专利6,783,524的各种教导内容相结合，其公开内容以引用方式并入本文。
仅以举例的方式，可在外科手术前对本文所述的实施例进行处理。首先，可获取新的或用过的器械，并根据需要清洗。然后可对器械消毒。在一种消毒技术中，将该器械放置在闭合且密封的容器中，例如塑料或TYVEK袋中。然后可将容器和器械放置在可穿透该容器的辐射场，例如γ辐射、X射线或高能电子中。辐射可将器械上和容器中的细菌杀死。然后可将消毒后的器械存储在消毒容器中。该密封容器可将器械保持在无菌状态，直到在医疗设施中打开该容器。还可使用本领域已知的任何其他技术对装置消毒，所述技术包括但不限于β辐射或γ辐射、环氧乙烷或蒸汽消毒。
本文所公开的装置的实施例可在至少一次使用之后进行修复以供再使用。修复可包括以下步骤的任意组合：拆卸装置、然后清洗或更换特定部件以及随后重新组装。具体地讲，可对本文所公开的装置的实施例进行拆卸，并且可选择性地、以任何组合更换或拆除装置的任意数量的具体部件或零件。在清洗和/或更换特定零件时，装置的实施例可在修复设施中重新组装或者在即将进行外科手术前由外科手术团队重新组装，以供随后使用。本领域的技术人员将会知道，修复装置时可利用多种技术进行拆卸、清洗/更换和重新组装。这些技术的使用以及所得的修复装置均在本发明的范围内。
已经示出和描述了本发明的多个实施例，可由本领域的普通技术人员进行适当修改来实现本文描述的方法和系统的进一步改进而不脱离本发明的范围。已经提及了多种此类潜在的修改形式，并且其他修改形式对于本领域的技术人员将显而易见。例如，上面讨论的例子、实施例、几何形状、材料、尺寸、比率、步骤等均是示例性的而非必需的。因此，本发明的范围应以下面的权利要求书进行考虑，并且应理解为并不限于说明书和附图中示出和描述的结构和操作细节。

Claims (20)

1.一种外科器械，包括：
(a)主体组件，所述主体组件包括：
i.触发器，
ii.壳体，所述壳体具有形成于所述壳体的远端中的远侧孔，和
iii.第一联接组件部分；和
(b)端部执行器组件，所述端部执行器组件包括：
i.近侧轴，
ii.传输组件，所述传输组件从所述近侧轴朝远侧延伸，
iii.端部执行器，所述端部执行器联接到所述传输组件的远端，和
iv.第二联接组件部分；
其中所述第二联接组件部分能够插入所述远侧孔，其中所述第二联接组件部分能够操作以可拆卸地联接到所述第一联接组件部分，并且其中通过将所述第一联接组件部分联接到所述第二联接组件部分来防止所述端部执行器组件朝远侧平移。
2.根据权利要求1所述的外科器械，其中所述端部执行器组件还包括可旋转旋钮，所述可旋转旋钮联接到所述传输组件并且被设置在所述近侧轴的远侧，其中所述可旋转旋钮能够操作以使所述传输组件相对于所述主体组件旋转。
3.根据权利要求1所述的外科器械，其中所述第一联接组件部分和所述第二联接组件部分能够操作，以当所述第一联接组件部分和所述第二联接组件部分联接在一起时，将所述端部执行器的可致动部分机械地联接到所述主体组件。
4.根据权利要求1所述的外科器械，其中所述第一联接组件部分和第二联接组件部分能够操作，以当所述第一联接组件部分和所述第二联接组件部分联接在一起时，将所述端部执行器的一部分电联接到电源。
5.根据权利要求1所述的外科器械，其中所述第一联接组件部分和所述第二联接组件部分能够操作，以当所述第一联接组件部分和所述第二联接组件部分联接在一起时：
(a)将所述端部执行器的可致动部分机械地联接到所述主体组件，以及
(b)将所述端部执行器的一部分电联接到电源。
6.根据权利要求1所述的外科器械，其中所述第一联接机构部分包括所述壳体的一部分，并且所述第二联接机构部分包括从所述近侧轴向外延伸的一个或多个弹性的接片。
7.根据权利要求1所述的外科器械，其中所述第一联接组件部分包括所述壳体的一个或多个弹性地偏置的部分，并且所述第二联接组件部分包括从所述近侧轴向外延伸的周边斜坡。
8.根据权利要求1所述的外科器械，其中所述第一联接组件部分包括所述壳体的可平移部分，并且所述第二联接组件部分包括在所述近侧轴上的环形凸缘。
9.根据权利要求1所述的外科器械，其中所述第一联接组件部分包括所述壳体内的螺纹构件，并且所述第二联接组件部分包括围绕所述近侧轴设置的螺纹螺母。
10.根据权利要求9所述的外科器械，其中所述近侧轴包括一个或多个带键部分以及位于所述近侧轴的近端上的凸缘，其中所述螺纹螺母以能够滑动的方式被设置在所述凸缘的远侧，并且其中所述螺纹螺母包括键槽。
11.根据权利要求1所述的外科器械，其中所述第一联接组件部分包括一个或多个弹性地偏置的轴承构件，并且所述第二联接机构部分包括形成于所述近侧轴的一部分中的周边凹槽。
12.根据权利要求1所述的外科器械，其中所述第一联接组件部分包括锁键，并且所述第二联接组件部分包括所述传输组件的近侧区段，其中所述壳体包括能够容纳所述锁键的一部分的狭槽，其中所述锁键联接到所述传输组件的所述近侧区段并且限制所述近侧轴的远侧平移。
13.根据权利要求12所述的外科器械，其中所述主体组件包括具有锁槽的轭组件，所述锁槽能够容纳所述锁键的一部分，其中所述轭组件能够操作以当所述锁键插入所述锁槽时朝近侧致动所述近侧轴。
14.根据权利要求1所述的外科器械，其中所述端部执行器包括超声端部执行器。
15.根据权利要求1所述的外科器械，其中所述端部执行器包括射频电外科端部执行器。
16.一种外科器械，包括：
(a)主体组件，所述主体组件包括：
i.触发器，
ii.壳体，所述壳体具有形成于所述壳体的远端中的远侧孔，和
iii.一个或多个旋转凹槽，所述一个或多个旋转凹槽被设置在所述远侧孔的近侧；和
(b)端部执行器组件，所述端部执行器组件包括：
i.螺栓部分，所述螺栓部分具有从所述螺栓部分向外延伸的一个或多个锁定接片，
ii.传输组件，所述传输组件联接到所述螺栓部分并且从所述螺栓部分朝远侧延伸，和
iii.端部执行器，所述端部执行器联接到所述传输组件的远端；
其中所述螺栓部分的具有一个或多个锁定接片的部分能够插入穿过所述壳体的所述远侧孔，并且其中所述螺栓部分能够操作以使所述一个或多个锁定接片旋转进入所述一个或多个旋转凹槽。
17.根据权利要求16所述的外科器械，其中所述一个或多个锁定接片包括电触头，其中所述一个或多个旋转凹槽包括互补电触头，其中所述电触头和所述互补电触头能够当所述一个或多个锁定接片旋转进入所述一个或多个旋转凹槽时电联接。
18.根据权利要求16所述的外科器械，其中所述端部执行器组件还包括一个或多个指示器，其中所述主体组件还包括一个或多个传感器，其中所述一个或多个传感器能够操作以当所述端部执行器组件联接到所述主体组件时感知所述一个或多个指示器。
19.根据权利要求16所述的外科器械，其中所述端部执行器组件还包括旋转部分，所述旋转部分联接到所述传输组件并且能够操作以使所述传输组件相对于所述主体组件旋转。
20.一种外科器械，包括：
(a)主体组件；
(b)端部执行器组件；和
(c)联接组件，所述联接组件能够操作以将所述端部执行器组件选择性地联接到所述主体组件；
其中所述联接组件能够操作以将所述端部执行器组件机械地联接到所述主体组件；
其中所述端部执行器组件相对于所述主体组件在纵向上固定，并且所述端部执行器组件能够相对于所述主体组件旋转；并且
其中所述联接组件还能够操作以将所述端部执行器组件电联接到电源。
CN201180063919.XA 2010-11-05 2011-11-03 具有模块化轴和端部执行器的外科器械 Active CN103298419B (zh)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US41060310P 2010-11-05 2010-11-05
US61/410,603 2010-11-05
US201161487846P 2011-05-19 2011-05-19
US61/487,846 2011-05-19
US13/269,870 2011-10-10
US13/269,870 US9510895B2 (en) 2010-11-05 2011-10-10 Surgical instrument with modular shaft and end effector
PCT/US2011/059217 WO2012061640A1 (en) 2010-11-05 2011-11-03 Surgical instrument with modular shaft and end effector

Publications (2)

Publication Number Publication Date
CN103298419A true CN103298419A (zh) 2013-09-11
CN103298419B CN103298419B (zh) 2016-06-22

Family

ID=69721100

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201180063919.XA Active CN103298419B (zh) 2010-11-05 2011-11-03 具有模块化轴和端部执行器的外科器械

Country Status (7)

Country Link
US (6) US9510895B2 (zh)
EP (1) EP2635205B1 (zh)
JP (1) JP5992425B2 (zh)
CN (1) CN103298419B (zh)
AU (1) AU2011323281B2 (zh)
CA (1) CA2816899A1 (zh)
WO (1) WO2012061640A1 (zh)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105322342A (zh) * 2014-07-21 2016-02-10 神讯电脑(昆山)有限公司 电烧刀快拆结构
CN107106220A (zh) * 2014-10-28 2017-08-29 奥林巴斯株式会社 外科手术装置
CN107847262A (zh) * 2015-06-30 2018-03-27 伊西康有限责任公司 利用基于组织参数采用同时能量模态的用户自适应技术的外科系统
WO2021136254A1 (zh) * 2020-01-02 2021-07-08 上海逸思医疗科技股份有限公司 一种可拆装器械
CN113747847A (zh) * 2019-03-11 2021-12-03 微线外科公司 可重复使用微创外科器械
WO2024159842A1 (zh) * 2022-12-29 2024-08-08 青岛迈博思医疗科技有限公司 外科器械、外套管、套管组件及超电混合能量平台

Families Citing this family (732)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
US8361067B2 (en) 2002-09-30 2013-01-29 Relievant Medsystems, Inc. Methods of therapeutically heating a vertebral body to treat back pain
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US20060079874A1 (en) 2004-10-08 2006-04-13 Faller Craig N Tissue pad for use with an ultrasonic surgical instrument
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US8991676B2 (en) 2007-03-15 2015-03-31 Ethicon Endo-Surgery, Inc. Surgical staple having a slidable crown
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
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
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
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
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US8720766B2 (en) 2006-09-29 2014-05-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments and staples
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
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
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
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7434717B2 (en) 2007-01-11 2008-10-14 Ethicon Endo-Surgery, Inc. Apparatus for closing a curved anvil of a surgical stapling device
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8226675B2 (en) 2007-03-22 2012-07-24 Ethicon Endo-Surgery, Inc. Surgical instruments
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8882791B2 (en) 2007-07-27 2014-11-11 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
JP2010540186A (ja) 2007-10-05 2010-12-24 エシコン・エンド−サージェリィ・インコーポレイテッド 人間工学的外科用器具
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
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
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9107688B2 (en) 2008-09-12 2015-08-18 Ethicon Endo-Surgery, Inc. Activation feature for surgical instrument with pencil grip
AU2009291688A1 (en) * 2008-09-12 2010-03-18 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7954686B2 (en) 2008-09-19 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical stapler with apparatus for adjusting staple height
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US10028753B2 (en) 2008-09-26 2018-07-24 Relievant Medsystems, Inc. Spine treatment kits
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
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
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
WO2010090940A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8334635B2 (en) 2009-06-24 2012-12-18 Ethicon Endo-Surgery, Inc. Transducer arrangements for ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9217688B2 (en) * 2009-10-08 2015-12-22 Piotr Anatolij Levin Fiber optic end face inspection probe and system
US8956349B2 (en) 2009-10-09 2015-02-17 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
USRE47996E1 (en) 2009-10-09 2020-05-19 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8579928B2 (en) 2010-02-11 2013-11-12 Ethicon Endo-Surgery, Inc. Outer sheath and blade arrangements for ultrasonic surgical instruments
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8961547B2 (en) 2010-02-11 2015-02-24 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with moving cutting implement
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
RU2013119928A (ru) 2010-09-30 2014-11-10 Этикон Эндо-Серджери, Инк. Сшивающая система, содержащая удерживающую матрицу и выравнивающую матрицу
US9168038B2 (en) 2010-09-30 2015-10-27 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a tissue thickness compensator
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
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
US10881448B2 (en) 2010-11-05 2021-01-05 Ethicon Llc Cam driven coupling between ultrasonic transducer and waveguide in surgical instrument
US10959769B2 (en) 2010-11-05 2021-03-30 Ethicon Llc Surgical instrument with slip ring assembly to power ultrasonic transducer
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US20120116381A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging station and wireless communication
US9510895B2 (en) 2010-11-05 2016-12-06 Ethicon Endo-Surgery, Llc Surgical instrument with modular shaft and end effector
US10660695B2 (en) 2010-11-05 2020-05-26 Ethicon Llc Sterile medical instrument charging device
US9782215B2 (en) 2010-11-05 2017-10-10 Ethicon Endo-Surgery, Llc Surgical instrument with ultrasonic transducer having integral switches
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
US9444517B2 (en) * 2010-12-01 2016-09-13 Triune Systems, LLC Coupled inductor power transfer system
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
JP6026509B2 (ja) 2011-04-29 2016-11-16 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． ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9636167B2 (en) 2011-05-31 2017-05-02 Covidien Lp Surgical device with DC power connection
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
JP5931497B2 (ja) 2011-08-04 2016-06-08 オリンパス株式会社 手術支援装置およびその組立方法
JP6005950B2 (ja) 2011-08-04 2016-10-12 オリンパス株式会社 手術支援装置及びその制御方法
JP6021484B2 (ja) 2011-08-04 2016-11-09 オリンパス株式会社 医療用マニピュレータ
JP6009840B2 (ja) * 2011-08-04 2016-10-19 オリンパス株式会社 医療機器
JP5953058B2 (ja) 2011-08-04 2016-07-13 オリンパス株式会社 手術支援装置およびその着脱方法
JP6081061B2 (ja) 2011-08-04 2017-02-15 オリンパス株式会社 手術支援装置
WO2013018908A1 (ja) 2011-08-04 2013-02-07 オリンパス株式会社 医療用マニピュレータおよび手術支援装置
JP5936914B2 (ja) 2011-08-04 2016-06-22 オリンパス株式会社 操作入力装置およびこれを備えるマニピュレータシステム
WO2013018861A1 (ja) 2011-08-04 2013-02-07 オリンパス株式会社 医療用マニピュレータおよびその制御方法
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US20130085419A1 (en) * 2011-09-29 2013-04-04 Tyco Healthcare Group Lp Transducer/Waveguide Engagement Mechanisms for Ultrasonic Surgical Instruments
US8864795B2 (en) * 2011-10-03 2014-10-21 Covidien Lp Surgical forceps
US9050125B2 (en) 2011-10-10 2015-06-09 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with modular end effector
US9636178B2 (en) * 2011-12-07 2017-05-02 Specialty Surgical Instrumentation, Inc. System and method for an articulating shaft
US10390877B2 (en) 2011-12-30 2019-08-27 Relievant Medsystems, Inc. Systems and methods for treating back pain
US8894647B2 (en) 2012-01-13 2014-11-25 Covidien Lp System and method for performing surgical procedures with a reusable instrument module
US9636091B2 (en) 2012-01-13 2017-05-02 Covidien Lp Hand-held electromechanical surgical system
US9241757B2 (en) 2012-01-13 2016-01-26 Covidien Lp System and method for performing surgical procedures with a reusable instrument module
EP2811932B1 (en) 2012-02-10 2019-06-26 Ethicon LLC Robotically controlled surgical instrument
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
US9364249B2 (en) 2012-03-22 2016-06-14 Ethicon Endo-Surgery, Llc Method and apparatus for programming modular surgical instrument
US20130253480A1 (en) 2012-03-22 2013-09-26 Cory G. Kimball Surgical instrument usage data management
CN104379068B (zh) 2012-03-28 2017-09-22 伊西康内外科公司 包括组织厚度补偿件的保持器组件
MX350846B (es) 2012-03-28 2017-09-22 Ethicon Endo Surgery Inc Compensador de grosor de tejido que comprende cápsulas que definen un ambiente de baja presión.
CN104321024B (zh) 2012-03-28 2017-05-24 伊西康内外科公司 包括多个层的组织厚度补偿件
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9226766B2 (en) 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9241731B2 (en) 2012-04-09 2016-01-26 Ethicon Endo-Surgery, Inc. Rotatable electrical connection for ultrasonic surgical instruments
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9668807B2 (en) * 2012-05-01 2017-06-06 Covidien Lp Simplified spring load mechanism for delivering shaft force of a surgical instrument
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US9572592B2 (en) 2012-05-31 2017-02-21 Ethicon Endo-Surgery, Llc Surgical instrument with orientation sensing
US9681884B2 (en) 2012-05-31 2017-06-20 Ethicon Endo-Surgery, Llc Surgical instrument with stress sensor
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9101385B2 (en) * 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
ES2915681T3 (es) * 2012-06-29 2022-06-24 Gyrus Acmi Inc Mecanismo de retención de cuchilla para instrumento quirúrgico
US9283045B2 (en) 2012-06-29 2016-03-15 Ethicon Endo-Surgery, Llc Surgical instruments with fluid management system
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9161769B2 (en) 2012-07-30 2015-10-20 Covidien Lp Endoscopic instrument
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US9277957B2 (en) * 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US10588691B2 (en) 2012-09-12 2020-03-17 Relievant Medsystems, Inc. Radiofrequency ablation of tissue within a vertebral body
JP6275727B2 (ja) 2012-09-28 2018-02-07 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． 多機能バイポーラ鉗子
US10201365B2 (en) 2012-10-22 2019-02-12 Ethicon Llc Surgeon feedback sensing and display methods
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
AU2013337680B2 (en) 2012-11-05 2019-04-18 Relievant Medsystems, Inc. Systems and methods for creating curved paths through bone and modulating nerves within the bone
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9901399B2 (en) 2012-12-17 2018-02-27 Covidien Lp Ablation probe with tissue sensing configuration
US20140207124A1 (en) 2013-01-23 2014-07-24 Ethicon Endo-Surgery, Inc. Surgical instrument with selectable integral or external power source
CN103110441B (zh) * 2013-01-29 2016-06-15 北京派尔特医疗科技股份有限公司 电动外科装订器械的通用手柄
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
US9358003B2 (en) 2013-03-01 2016-06-07 Ethicon Endo-Surgery, Llc Electromechanical surgical device with signal relay arrangement
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US10470762B2 (en) 2013-03-14 2019-11-12 Ethicon Llc Multi-function motor for a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9241728B2 (en) 2013-03-15 2016-01-26 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9814460B2 (en) 2013-04-16 2017-11-14 Ethicon Llc Modular motor driven surgical instruments with status indication arrangements
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9956677B2 (en) * 2013-05-08 2018-05-01 Black & Decker Inc. Power tool with interchangeable power heads
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9872719B2 (en) 2013-07-24 2018-01-23 Covidien Lp Systems and methods for generating electrosurgical energy using a multistage power converter
US9924964B2 (en) 2013-07-25 2018-03-27 Cardiovascular Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
US9844390B2 (en) 2013-07-25 2017-12-19 Cardiovascular Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
US9724123B2 (en) 2013-07-25 2017-08-08 Cardiovascular Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
US9439674B2 (en) 2013-07-25 2016-09-13 Cardiovascular Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
US9907566B2 (en) 2013-07-25 2018-03-06 Cardiovascualar Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
US9750526B2 (en) 2013-07-25 2017-09-05 Cardiovascular Systems, Inc. Rotational atherectomy device with exchangeable drive shaft and meshing gears
US9724151B2 (en) 2013-08-08 2017-08-08 Relievant Medsystems, Inc. Modulating nerves within bone using bone fasteners
US9636112B2 (en) * 2013-08-16 2017-05-02 Covidien Lp Chip assembly for reusable surgical instruments
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US9924942B2 (en) 2013-08-23 2018-03-27 Ethicon Llc Motor-powered articulatable surgical instruments
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
US10368892B2 (en) 2013-11-22 2019-08-06 Ethicon Llc Features for coupling surgical instrument shaft assembly with instrument body
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9585662B2 (en) 2013-12-23 2017-03-07 Ethicon Endo-Surgery, Llc Fastener cartridge comprising an extendable firing member
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9706674B2 (en) * 2014-02-04 2017-07-11 Covidien Lp Authentication system for reusable surgical instruments
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9974541B2 (en) * 2014-02-14 2018-05-22 Covidien Lp End stop detection
CN106232029B (zh) 2014-02-24 2019-04-12 伊西康内外科有限责任公司 包括击发构件锁定件的紧固系统
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
US9675374B2 (en) 2014-03-24 2017-06-13 Ethicon Llc Ultrasonic forceps
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9690362B2 (en) 2014-03-26 2017-06-27 Ethicon Llc Surgical instrument control circuit having a safety processor
US20150272582A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Power management control systems for surgical instruments
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
CN106413581B (zh) * 2014-03-26 2019-12-17 伊西康内外科有限责任公司 具有可拆卸轴组件的模块化加电外科器械
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US10470768B2 (en) 2014-04-16 2019-11-12 Ethicon Llc Fastener cartridge including a layer attached thereto
BR112016023807B1 (pt) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US9751176B2 (en) * 2014-05-30 2017-09-05 Black & Decker Inc. Power tool accessory attachment system
US20150351828A1 (en) * 2014-06-05 2015-12-10 Covidien Lp Surgical instrument including re-usable portion
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US10135242B2 (en) 2014-09-05 2018-11-20 Ethicon Llc Smart cartridge wake up operation and data retention
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US20170303953A1 (en) * 2014-09-12 2017-10-26 Massachusetts Institute Of Technology Surgical Instruments with Selectively Rotating Handles
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
CN107427300B (zh) 2014-09-26 2020-12-04 伊西康有限责任公司 外科缝合支撑物和辅助材料
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
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
US10136938B2 (en) 2014-10-29 2018-11-27 Ethicon Llc Electrosurgical instrument with sensor
DE102014116065A1 (de) * 2014-11-04 2016-05-04 Aesculap Ag Bipolares chirurgisches Instrument mit Mehrweghandgriff und Einwegwerkzeug
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US9814516B2 (en) * 2014-11-17 2017-11-14 Covidien Lp Deployment mechanisms for multi-function surgical instruments
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
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
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
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US10285698B2 (en) * 2015-02-26 2019-05-14 Covidien Lp Surgical apparatus
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International 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
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
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
US11090097B2 (en) 2015-03-17 2021-08-17 Covidien Lp Connecting end effectors to surgical devices
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
US20180110560A1 (en) * 2015-05-11 2018-04-26 Zamenis Surgical Llc Minimally invasive surgical devices
US10034684B2 (en) 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
USD785173S1 (en) * 2015-06-16 2017-04-25 Ethicon Endo-Surgery, Llc Handle for laparoscopic surgery instruments
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10154841B2 (en) 2015-06-18 2018-12-18 Ethicon Llc Surgical stapling instruments with lockout arrangements for preventing firing system actuation when a cartridge is spent or missing
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
ES2932750T3 (es) 2015-08-12 2023-01-25 Reach Surgical Inc Cuchilla quirúrgica ultrasónica curvada
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10130383B2 (en) * 2015-08-25 2018-11-20 Ethicon Llc Ultrasonic surgical instrument with rotatable actuation levers and mechanical lockout
JP6828018B2 (ja) 2015-08-26 2021-02-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ
US10258361B2 (en) * 2015-08-26 2019-04-16 Ethicon Llc Ultrasonic surgical instrument with slidable flexing activation member
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
US10188394B2 (en) 2015-08-26 2019-01-29 Ethicon Llc Staples configured to support an implantable adjunct
US10251648B2 (en) 2015-09-02 2019-04-09 Ethicon Llc Surgical staple cartridge staple drivers with central support features
MX2022006191A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
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
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10603039B2 (en) 2015-09-30 2020-03-31 Ethicon Llc Progressively releasable implantable adjunct for use with a surgical stapling instrument
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
WO2017058618A1 (en) * 2015-09-30 2017-04-06 Ethicon Endo-Surgery, Llc Circuits for supplying isolated direct current (dc) voltage to surgical instruments
ITUB20155057A1 (it) * 2015-10-16 2017-04-16 Medical Microinstruments S R L Assieme robotico di chirurgia
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10492820B2 (en) * 2015-10-16 2019-12-03 Ethicon Llc Ultrasonic surgical instrument with removable shaft assembly portion
JP6609699B2 (ja) * 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 内視鏡用の部分使い捨て外科用クリップアプライア
US10143515B2 (en) * 2015-11-13 2018-12-04 Ethicon Llc Detachable bailout shaft for motorized RF device
TWI633869B (zh) 2015-12-08 2018-09-01 天津瑞奇外科器械股份有限公司 超音波外科手術器械
US10952726B2 (en) 2015-12-10 2021-03-23 Covidien Lp Handheld electromechanical surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10779849B2 (en) 2016-01-15 2020-09-22 Ethicon Llc Modular battery powered handheld surgical instrument with voltage sag resistant battery pack
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10582962B2 (en) 2016-01-23 2020-03-10 Covidien Lp System and method for harmonic control of dual-output generators
CN108882932B (zh) 2016-02-09 2021-07-23 伊西康有限责任公司 具有非对称关节运动构造的外科器械
US10245029B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instrument with articulating and axially translatable end effector
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
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
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses 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
US10828028B2 (en) 2016-04-15 2020-11-10 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
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10869712B2 (en) 2016-05-02 2020-12-22 Covidien Lp System and method for high frequency leakage reduction through selective harmonic elimination in electrosurgical generators
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
WO2017203628A1 (ja) * 2016-05-25 2017-11-30 オリンパス株式会社 把持処置具
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
US10792064B2 (en) 2016-08-12 2020-10-06 Covidien Lp Energy-based surgical instrument for treating tissue
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10828056B2 (en) 2016-08-25 2020-11-10 Ethicon Llc Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US20180056496A1 (en) * 2016-08-26 2018-03-01 Robert Bosch Tool Corporation Modular Handheld Power Tool
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
JP7086963B2 (ja) 2016-12-21 2022-06-20 エシコン エルエルシー エンドエフェクタロックアウト及び発射アセンブリロックアウトを備える外科用器具システム
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US11571210B2 (en) 2016-12-21 2023-02-07 Cilag Gmbh International Firing assembly comprising a multiple failed-state fuse
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
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
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10471282B2 (en) 2016-12-21 2019-11-12 Ethicon Llc Ultrasonic robotic tool actuation
US10779823B2 (en) 2016-12-21 2020-09-22 Ethicon Llc Firing member pin angle
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
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
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10639035B2 (en) 2016-12-21 2020-05-05 Ethicon Llc Surgical stapling instruments and replaceable tool assemblies thereof
USD865964S1 (en) 2017-01-05 2019-11-05 Ethicon Llc Handle for electrosurgical instrument
DE102017102176A1 (de) * 2017-02-03 2018-08-09 Aesculap Ag Chirurgisches Instrument mit einem Lösemechanismus zur Entkopplung eines Schaftabschnitts von einem Griff
US10932807B2 (en) * 2017-02-08 2021-03-02 Covidien Lp Assembly tool for ultrasonic surgical instruments and kits and methods including the same
US10456145B2 (en) * 2017-05-16 2019-10-29 Arthrex, Inc. Expandable reamers
TWI721278B (zh) 2017-06-15 2021-03-11 大陸商天津瑞奇外科器械股份有限公司 超聲外科手術器械
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
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
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
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting 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
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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10588633B2 (en) 2017-06-28 2020-03-17 Ethicon Llc Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
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
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member 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
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation 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
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
USD868693S1 (en) * 2017-08-23 2019-12-03 Synaptive Medical (Barbados) Inc. Snap connector
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display 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
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
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
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
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
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
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
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
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
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
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
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
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
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
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11179152B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a tissue grasping system
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
CN211066895U (zh) * 2017-12-25 2020-07-24 上海逸思医疗科技有限公司 一种套管组件可拆卸的超声手术器械
US11445893B2 (en) * 2018-01-05 2022-09-20 Boston Scientific Scimed, Inc. Medical device connection member
US11229449B2 (en) * 2018-02-05 2022-01-25 Covidien Lp Ultrasonic horn, ultrasonic transducer assembly, and ultrasonic surgical instrument including the same
US11051841B2 (en) * 2018-04-12 2021-07-06 Ethicon Llc Mechanical lockout for ultrasonic surgical instrument
US10905416B2 (en) 2018-04-23 2021-02-02 Covidien Lp Over-molded connector for surgical instruments
CN108542470B (zh) * 2018-05-22 2023-12-29 深圳普汇医疗科技有限公司 一种扳手及外科系统
US11712290B2 (en) * 2018-06-08 2023-08-01 RELIGN Corporation Arthroscopic devices and methods
US12121680B2 (en) * 2018-06-20 2024-10-22 Basecamp Vascular Medical device comprising a smart handle for improving handling of an elongated functional system
CN112135573B (zh) 2018-07-09 2024-06-14 奥林巴斯株式会社 医疗设备的再制造方法
US10786273B2 (en) * 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
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
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
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
USD895112S1 (en) 2018-11-15 2020-09-01 Ethicon Llc Laparoscopic bipolar electrosurgical device
EP3669807B1 (en) 2018-12-20 2024-05-01 Covidien LP Electrosurgical forceps
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
US11147551B2 (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
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11123095B2 (en) 2019-04-30 2021-09-21 Cilag Gmbh International Blade grounding mechanisms and alternative pin designs
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
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
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11123093B2 (en) * 2019-07-09 2021-09-21 Covidien Lp Jaw drive arm for surgical instruments and surgical instruments incorporating the same
CN110448357B (zh) * 2019-08-15 2024-01-09 以诺康医疗科技（苏州）有限公司 可重复利用的超声波手术刀
AU2020346827A1 (en) 2019-09-12 2022-03-31 Relievant Medsystems, Inc. Systems and methods for tissue modulation
US20210106376A1 (en) * 2019-10-10 2021-04-15 Covidien Lp Surgical cutting instrument with guard
US11317899B2 (en) * 2019-10-14 2022-05-03 Terumo Cardiovascular Systems Corporation Ball-to-shaft quick connect adapter for surgical retraction tools
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
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
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US20210196359A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instruments with electrodes having energy focusing features
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US20210196363A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US20210196357A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with asynchronous energizing electrodes
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
CN115190774A (zh) * 2020-01-09 2022-10-14 波士顿科学国际有限公司 可旋转的医疗装置
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 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
AU2021337517B2 (en) 2020-09-02 2024-08-29 Pulse Biosciences, Inc. Universal handpiece for electrical treatment applicator
US12082876B1 (en) 2020-09-28 2024-09-10 Relievant Medsystems, Inc. Introducer drill
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
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
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
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
IL303851A (en) 2020-12-22 2023-08-01 Relievant Medsystems Inc Predicting candidates for spinal neuromodulation
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
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
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
TWM614039U (zh) * 2021-03-10 2021-07-01 康健生醫科技股份有限公司 具有鎖件裝置的旋切器
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
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
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
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
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US20220378426A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
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
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
WO2024020430A2 (en) * 2022-07-20 2024-01-25 Mark Dassel Rotational assistance device for surgical instruments
GB2622617A (en) * 2022-09-22 2024-03-27 Gyrus Medical Ltd Surgical device connector
US20240181211A1 (en) * 2022-12-01 2024-06-06 Freudenberg Medical, Llc Handle assembly including a smart catheter ring connector
WO2024173953A1 (en) * 2023-02-19 2024-08-22 Asensus Surgical Us, Inc. Slip ring assemblies for coupling electrosurgical energy to robotically manipulated surgical instruments
CN116253256B (zh) * 2023-05-16 2023-07-21 河南科技学院 一种塔式起重机标准节连接螺栓组件及状态检测方法

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5308358A (en) * 1992-08-25 1994-05-03 Bond Albert L Rigid-shaft surgical instruments that can be disassembled for improved cleaning
US5578052A (en) * 1992-10-27 1996-11-26 Koros; Tibor Insulated laparoscopic grasper with removable shaft
WO1997024072A1 (en) * 1995-12-29 1997-07-10 Riza Erol D Laparoscopic surgical instrument with adjustable grip
US20030135224A1 (en) * 2002-01-17 2003-07-17 Blake Joseph W. Repeating multi-clip applier
EP2042118A1 (de) * 2007-09-25 2009-04-01 Karl Storz GmbH & Co. KG Bipolares medizinisches Instrument
WO2010009218A2 (en) * 2008-07-16 2010-01-21 Intuitive Surgical, Inc. Medical instrument electrically energized using drive cables

Family Cites Families (398)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1754806A (en) 1929-09-05 1930-04-15 Holland N Stevenson Surgical instrument
US2340822A (en) * 1941-05-01 1944-02-01 Eben L Scott Electrical connecting socket and plug
US3297192A (en) 1965-04-16 1967-01-10 Rexall Drug Chemical Hinged cap
BE686975A (zh) 1965-09-20 1967-03-01
GB1211047A (en) 1968-06-21 1970-11-04 Girling Ltd Two pedal hydraulic braking system
JPS462681Y1 (zh) 1968-11-05 1971-01-29
US3619671A (en) 1969-12-29 1971-11-09 Branson Instr Transducer for ultrasonic machine tool
JPS4836148A (zh) 1971-09-14 1973-05-28
US3806225A (en) 1972-11-28 1974-04-23 G Codrino Terminal fastener for light-guide cables
US4034762A (en) 1975-08-04 1977-07-12 Electro Medical Systems, Inc. Vas cautery apparatus
US4057220A (en) 1976-06-10 1977-11-08 Kudlacek Donald S Ratchet type operator for cable winches and the like
US4535773A (en) 1982-03-26 1985-08-20 Inbae Yoon Safety puncturing instrument and method
US4878493A (en) 1983-10-28 1989-11-07 Ninetronix Venture I Hand-held diathermy apparatus
DE3413962A1 (de) 1984-02-23 1985-08-29 BBC Aktiengesellschaft Brown, Boveri & Cie., Baden, Aargau Hochspannungsschalter
EP0270868B1 (de) 1984-06-28 1991-01-30 Roche Diagnostics GmbH Behälter für diagnostische Testträger
US4641076A (en) 1985-01-23 1987-02-03 Hall Surgical-Division Of Zimmer, Inc. Method and apparatus for sterilizing and charging batteries
DE3511107A1 (de) 1985-03-27 1986-10-02 Fischer MET GmbH, 7800 Freiburg Vorrichtung zur bipolaren hochfrequenzkoagulation von biologischem gewebe
US5597531A (en) 1985-10-04 1997-01-28 Immunivest Corporation Resuspendable coated magnetic particles and stable magnetic particle suspensions
US4662068A (en) 1985-11-14 1987-05-05 Eli Polonsky Suture fusing and cutting apparatus
US4666037A (en) 1986-02-24 1987-05-19 Bernard Weissman Dental model carrier
US4768969A (en) 1986-03-10 1988-09-06 C. R. Bard, Inc. Electrical connector
US4717050A (en) 1986-05-19 1988-01-05 Sunbeam Plastics Corporation Multiple orifice dispensing closure
US4721097A (en) 1986-10-31 1988-01-26 Circon Corporation Endoscope sheaths and method and apparatus for installation and removal
US4800878A (en) 1987-08-26 1989-01-31 Becton, Dickinson And Company Electrosurgical knife with visual alarm
US4844259A (en) 1987-12-22 1989-07-04 Osteotech, Inc. Medical and surgical procedure pack
US5653713A (en) 1989-04-24 1997-08-05 Michelson; Gary Karlin Surgical rongeur
US5176677A (en) 1989-11-17 1993-01-05 Sonokinetics Group Endoscopic ultrasonic rotary electro-cauterizing aspirator
JPH03234450A (ja) 1990-02-06 1991-10-18 Brother Ind Ltd 超音波加工機
US5454378A (en) 1993-02-11 1995-10-03 Symbiosis Corporation Biopsy forceps having a detachable proximal handle and distal jaws
US5507297A (en) 1991-04-04 1996-04-16 Symbiosis Corporation Endoscopic instruments having detachable proximal handle and distal portions
US5071417A (en) 1990-06-15 1991-12-10 Rare Earth Medical Lasers, Inc. Laser fusion of biological materials
JP2530518B2 (ja) 1990-11-16 1996-09-04 東京パーツ工業株式会社 円筒コアレス振動モ―タ
US6394973B1 (en) 1990-12-14 2002-05-28 Robert L. Cucin Power-assisted liposuction instrument with cauterizing cannula assembly
DE4104358A1 (de) 1991-02-13 1992-08-20 Implex Gmbh Implantierbares hoergeraet zur anregung des innenohres
US5339799A (en) 1991-04-23 1994-08-23 Olympus Optical Co., Ltd. Medical system for reproducing a state of contact of the treatment section in the operation unit
US5169733A (en) 1991-07-08 1992-12-08 Motorola, Inc. Shock absorbing battery cell interconnect
CA2111975C (en) 1991-08-02 2004-06-22 Bruce E. Chester Packaged dental article
EP0625077B1 (en) 1992-02-07 1997-07-09 Valleylab, Inc. Ultrasonic surgical apparatus
US5246109A (en) 1992-05-22 1993-09-21 Biomedical Sensors, Ltd. Package for an active medical device
US5361902A (en) 1992-06-05 1994-11-08 Leonard Bloom Surgical blade dispenser and disposal system for use during an operating procedure and method thereof
US5273177A (en) 1992-07-20 1993-12-28 Campbell Phillip J Press-to-open dispensing closure
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
DE4307539B4 (de) 1993-03-10 2005-08-25 Karl Storz Gmbh & Co. Kg Medizinische Zange
US5449370A (en) 1993-05-12 1995-09-12 Ethicon, Inc. Blunt tipped ultrasonic trocar
JPH06325819A (ja) 1993-05-13 1994-11-25 Yazaki Corp 充電コネクタの防水構造
US5317485A (en) 1993-06-04 1994-05-31 American Surgical Technologies Corporation Connector and method for coupling an end of a light-transmitting conduit
JPH06349544A (ja) 1993-06-14 1994-12-22 Sumitomo Wiring Syst Ltd 車両用充電コネクタ構造
US5800336A (en) 1993-07-01 1998-09-01 Symphonix Devices, Inc. Advanced designs of floating mass transducers
US5582617A (en) 1993-07-21 1996-12-10 Charles H. Klieman Surgical instrument for endoscopic and general surgery
US5358508A (en) 1993-09-15 1994-10-25 Eric Cobb Laparoscopic device
US5561881A (en) 1994-03-22 1996-10-08 U.S. Philips Corporation Electric toothbrush
US5597371A (en) 1994-07-22 1997-01-28 Nissan Motor Co., Ltd. Engine torque controller
US5599350A (en) 1995-04-03 1997-02-04 Ethicon Endo-Surgery, Inc. Electrosurgical clamping device with coagulation feedback
US6056735A (en) 1996-04-04 2000-05-02 Olympus Optical Co., Ltd. Ultrasound treatment system
AU704070B2 (en) 1995-04-07 1999-04-15 Linvatec Corporation Package retainer for surgical screw
US5707369A (en) 1995-04-24 1998-01-13 Ethicon Endo-Surgery, Inc. Temperature feedback monitor for hemostatic surgical instrument
US5590778A (en) 1995-06-06 1997-01-07 Baxter International Inc. Double-sterile package for medical apparatus and method of making
US5697925A (en) * 1995-06-09 1997-12-16 Engineering & Research Associates, Inc. Apparatus and method for thermal ablation
US5630420A (en) 1995-09-29 1997-05-20 Ethicon Endo-Surgery, Inc. Ultrasonic instrument for surgical applications
US5871493A (en) 1995-10-31 1999-02-16 Smith & Nephew Endoscopy Inc. Surgical instrument handpiece and system
US5592065A (en) 1995-11-06 1997-01-07 Motorola, Inc. Battery charger having battery temperature measurement probe
US6099537A (en) 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
US5951575A (en) 1996-03-01 1999-09-14 Heartport, Inc. Apparatus and methods for rotationally deploying needles
FR2747591B1 (fr) 1996-04-19 1998-05-22 Hospal Ind Appareil medical pour le traitement extracorporel du sang ou du plasma et procedes de fabrication de cet appareil
US5741305A (en) 1996-05-06 1998-04-21 Physio-Control Corporation Keyed self-latching battery pack for a portable defibrillator
US5630456A (en) 1996-05-08 1997-05-20 Hugo; Marie J. R. Window blind cord winding apparatus
US6036667A (en) 1996-10-04 2000-03-14 United States Surgical Corporation Ultrasonic dissection and coagulation system
JP3091420B2 (ja) 1996-10-18 2000-09-25 株式会社貝印刃物開発センター 内視鏡用処置具
US5776155A (en) 1996-12-23 1998-07-07 Ethicon Endo-Surgery, Inc. Methods and devices for attaching and detaching transmission components
US6063098A (en) 1996-12-23 2000-05-16 Houser; Kevin Articulable ultrasonic surgical apparatus
US6051010A (en) 1996-12-23 2000-04-18 Ethicon Endo-Surgery, Inc. Methods and devices for joining transmission components
US6113596A (en) * 1996-12-30 2000-09-05 Enable Medical Corporation Combination monopolar-bipolar electrosurgical instrument system, instrument and cable
US5893874A (en) 1997-02-07 1999-04-13 Smith & Nephew, Inc. Surgical instrument
US5944737A (en) 1997-10-10 1999-08-31 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved waveguide support member
US6626901B1 (en) 1997-03-05 2003-09-30 The Trustees Of Columbia University In The City Of New York Electrothermal instrument for sealing and joining or cutting tissue
US7027869B2 (en) 1998-01-07 2006-04-11 Asthmatx, Inc. Method for treating an asthma attack
US5938633A (en) 1997-07-09 1999-08-17 Ethicon Endo-Surgery, Inc. Ultrasonic surgical devices
US6083223A (en) 1997-08-28 2000-07-04 Baker; James A. Methods and apparatus for welding blood vessels
US6815206B2 (en) 1997-09-19 2004-11-09 Ethicon, Inc. Container monitoring system
US5893835A (en) 1997-10-10 1999-04-13 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having dual rotational positioning
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US6270464B1 (en) 1998-06-22 2001-08-07 Artemis Medical, Inc. Biopsy localization method and device
US5882310A (en) 1997-12-01 1999-03-16 Acuson Corporation Ultrasound transducer connector and multiport imaging system receptacle arrangement
US5868244A (en) 1997-12-01 1999-02-09 Ethicon, Inc. Microbial barrier vented package for sterile medical devices and method of packaging
JPH11178833A (ja) 1997-12-24 1999-07-06 Olympus Optical Co Ltd 超音波処置具
US5997531A (en) 1998-01-29 1999-12-07 Cardiodyne, Inc. User actuated laser energy device and procedure for forming a channel within tissue
AU2125499A (en) 1998-03-30 1999-10-14 Ethicon Endo-Surgery, Inc. Methods and apparatus to recognize surgical apparatus
US5935144A (en) 1998-04-09 1999-08-10 Ethicon Endo-Surgery, Inc. Double sealed acoustic isolation members for ultrasonic
US6165191A (en) 1998-05-28 2000-12-26 Olympus Optical Co., Ltd. Ultrasonic treating tool
US6018227A (en) 1998-06-22 2000-01-25 Stryker Corporation Battery charger especially useful with sterilizable, rechargeable battery packs
US6179860B1 (en) 1998-08-19 2001-01-30 Artemis Medical, Inc. Target tissue localization device and method
US6123702A (en) 1998-09-10 2000-09-26 Scimed Life Systems, Inc. Systems and methods for controlling power in an electrosurgical probe
US6398755B1 (en) 1998-10-06 2002-06-04 Scimed Life Systems, Inc. Driveable catheter system
US6246896B1 (en) 1998-11-24 2001-06-12 General Electric Company MRI guided ablation system
US6113593A (en) 1999-02-01 2000-09-05 Tu; Lily Chen Ablation apparatus having temperature and force sensing capabilities
US6666875B1 (en) 1999-03-05 2003-12-23 Olympus Optical Co., Ltd. Surgical apparatus permitting recharge of battery-driven surgical instrument in noncontact state
US6190386B1 (en) 1999-03-09 2001-02-20 Everest Medical Corporation Electrosurgical forceps with needle electrodes
US6520185B1 (en) 1999-03-17 2003-02-18 Ntero Surgical, Inc. Systems and methods for reducing post-surgical complications
US6338013B1 (en) 1999-03-19 2002-01-08 Bryan John Ruffner Multifunctional mobile appliance
US6181105B1 (en) 1999-04-26 2001-01-30 Exonix Corporation Self contained transportable power source maintenance and charge
US6214023B1 (en) 1999-06-21 2001-04-10 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with removable clamp arm
US6982696B1 (en) 1999-07-01 2006-01-03 Immersion Corporation Moving magnet actuator for providing haptic feedback
WO2001018616A2 (en) 1999-09-08 2001-03-15 Curon Medical, Inc. System for controlling use of medical devices
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US6204592B1 (en) 1999-10-12 2001-03-20 Ben Hur Ultrasonic nailing and drilling apparatus
US6287304B1 (en) 1999-10-15 2001-09-11 Neothermia Corporation Interstitial cauterization of tissue volumes with electrosurgically deployed electrodes
US6311838B1 (en) 1999-12-21 2001-11-06 Cobe Cardiovascular, Inc. Packaging system for medical components
ATE397900T1 (de) 2000-03-06 2008-07-15 Salient Surgical Technologies Flüssigkeitsabgabesystem und steuerung für elektrochirurgische geräte
WO2001073866A2 (en) 2000-03-24 2001-10-04 Cymbet Corporation Method and apparatus for integrated-battery devices
US6339368B1 (en) 2000-03-31 2002-01-15 Zilog, Inc. Circuit for automatically driving mechanical device at its resonance frequency
AU2001249874A1 (en) 2000-04-27 2001-11-12 Medtronic, Inc. System and method for assessing transmurality of ablation lesions
AUPQ750500A0 (en) 2000-05-15 2000-06-08 Energy Storage Systems Pty Ltd A power supply
AUPQ750400A0 (en) 2000-05-15 2000-06-08 Energy Storage Systems Pty Ltd A power supply
US20030204188A1 (en) 2001-11-07 2003-10-30 Artemis Medical, Inc. Tissue separating and localizing catheter assembly
US7296804B2 (en) 2000-06-24 2007-11-20 Precimed S.A. Hand-held instrument holder for surgical use
US6761698B2 (en) 2000-07-28 2004-07-13 Olympus Corporation Ultrasonic operation system
JP3949912B2 (ja) 2000-08-08 2007-07-25 株式会社エヌ・ティ・ティ・ドコモ 携帯型電子機器、電子機器、振動発生器、振動による報知方法および報知制御方法
DE60143621D1 (de) 2000-09-13 2011-01-20 Gerät zur konditionierung von muskeln im schlaf
DK1322245T3 (da) 2000-10-04 2006-03-20 Synthes Ag Apparat til at forsyne en elektropen med elektrisk energi
JP2002186627A (ja) 2000-10-11 2002-07-02 Olympus Optical Co Ltd 超音波処置装置
US7077853B2 (en) 2000-10-20 2006-07-18 Ethicon Endo-Surgery, Inc. Method for calculating transducer capacitance to determine transducer temperature
US6623500B1 (en) 2000-10-20 2003-09-23 Ethicon Endo-Surgery, Inc. Ring contact for rotatable connection of switch assembly for use in a surgical system
US6656177B2 (en) 2000-10-23 2003-12-02 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6500176B1 (en) 2000-10-23 2002-12-31 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
WO2002076281A2 (en) 2000-11-07 2002-10-03 Artemis Medical Inc. Tissue separator assembly and method
AU2002245243B2 (en) 2001-01-11 2007-03-22 Angiodynamics, Inc. Bone-treatment instrument and method
US6500188B2 (en) 2001-01-29 2002-12-31 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with finger actuator
US6561983B2 (en) 2001-01-31 2003-05-13 Ethicon Endo-Surgery, Inc. Attachments of components of ultrasonic blades or waveguides
TW505934B (en) 2001-02-01 2002-10-11 Luxon Energy Devices Corp Manufacture method of electrochemical capacitor
US20040097911A1 (en) 2001-02-13 2004-05-20 Olympus Optical Co., Ltd. Ultrasonic operating apparartus and tool for changing tip thereof
AU2002255568B8 (en) 2001-02-20 2014-01-09 Adidas Ag Modular personal network systems and methods
US6562032B1 (en) 2001-03-26 2003-05-13 Ellman Alan G Electrosurgical instrument with vibration
US6514267B2 (en) 2001-03-26 2003-02-04 Iep Pharmaceutical Devices Inc. Ultrasonic scalpel
US7101371B2 (en) 2001-04-06 2006-09-05 Dycus Sean T Vessel sealer and divider
US6647281B2 (en) 2001-04-06 2003-11-11 Scimed Life Systems, Inc. Expandable diagnostic or therapeutic apparatus and system for introducing the same into the body
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
ES2381407T3 (es) 2001-04-20 2012-05-28 Tyco Healthcare Group Lp Dispositivo quirúrgico bipolar o ultrasónico
US7250048B2 (en) 2001-04-26 2007-07-31 Medtronic, Inc. Ablation system and method of use
US20020165577A1 (en) 2001-05-04 2002-11-07 Ethicon Endo-Surgery, Inc. Easily detachable ultrasonic clamping device
US6998822B2 (en) 2001-05-15 2006-02-14 Energy Storage Systems Pty Ltd Power supply for a pulsed load
DE10125936A1 (de) 2001-05-23 2003-01-02 Hmt Ag Medizinisches Gerät
US7182604B2 (en) 2001-06-01 2007-02-27 Sherwood Services Ag Return pad cable connector
US6609414B2 (en) 2001-07-19 2003-08-26 Mocon, Inc. Apparatus for conducting leakage tests on sealed packages
WO2003013374A1 (en) 2001-08-06 2003-02-20 Penn State Research Foundation Multifunctional tool and method for minimally invasive surgery
DE60239812D1 (de) 2001-08-08 2011-06-01 Stryker Corp Chirurgisches werkzeugsystem mit komponenten, die einen induktiven datentransfer durchführen
NL1018874C2 (nl) 2001-09-03 2003-03-05 Michel Petronella Hub Vleugels Chirurgisch instrument.
US6717193B2 (en) 2001-10-09 2004-04-06 Koninklijke Philips Electronics N.V. Metal-insulator-metal (MIM) capacitor structure and methods of fabricating same
US6929644B2 (en) 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US7354440B2 (en) 2001-10-22 2008-04-08 Surgrx, Inc. Electrosurgical instrument and method of use
US7125409B2 (en) 2001-10-22 2006-10-24 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
US7189233B2 (en) 2001-10-22 2007-03-13 Surgrx, Inc. Electrosurgical instrument
US7311709B2 (en) 2001-10-22 2007-12-25 Surgrx, Inc. Electrosurgical instrument and method of use
US7889489B2 (en) 2001-11-19 2011-02-15 Otter Products, Llc Detachable pod assembly for protective case
US20030109802A1 (en) 2001-12-12 2003-06-12 Laeseke Paul F. Cauterizing biopsy system
US7083589B2 (en) 2001-12-13 2006-08-01 Surgical Design Corporation Ultrasonic instrument with coupler for work tip
US20030114851A1 (en) 2001-12-13 2003-06-19 Csaba Truckai Electrosurgical jaws for controlled application of clamping pressure
US20030144680A1 (en) 2002-01-22 2003-07-31 Sontra Medical, Inc. Portable ultrasonic scalpel/cautery device
CA2733282C (en) 2002-01-22 2017-02-14 Surgrx, Inc. Electrosurgical instrument and method of use
US6676660B2 (en) 2002-01-23 2004-01-13 Ethicon Endo-Surgery, Inc. Feedback light apparatus and method for use with an electrosurgical instrument
US6821671B2 (en) 2002-03-01 2004-11-23 Lg Chem, Ltd. Method and apparatus for cooling and positioning prismatic battery cells
EP1363386B1 (en) 2002-05-13 2005-01-05 Luxon Energy Devices Corporation High current pulse generator
US6753673B2 (en) 2002-05-14 2004-06-22 Luxon Energy Devices Corporation Power module for providing impulses of various levels by charging or discharging capacitors therewith
US9072543B2 (en) 2002-05-31 2015-07-07 Vidacare LLC Vascular access kits and methods
US6923807B2 (en) 2002-06-27 2005-08-02 Ethicon, Inc. Helical device and method for aiding the ablation and assessment of tissue
US7699856B2 (en) 2002-06-27 2010-04-20 Van Wyk Robert A Method, apparatus, and kit for thermal suture cutting
US20050203546A1 (en) 2002-06-27 2005-09-15 Van Wyk Robert A. Method, apparatus, and kit for thermal suture cutting
US7061749B2 (en) 2002-07-01 2006-06-13 Georgia Tech Research Corporation Supercapacitor having electrode material comprising single-wall carbon nanotubes and process for making the same
EP1391961B1 (en) 2002-08-19 2006-03-29 Luxon Energy Devices Corporation Battery with built-in load leveling
US7349741B2 (en) 2002-10-11 2008-03-25 Advanced Bionics, Llc Cochlear implant sound processor with permanently integrated replenishable power source
US20050142515A1 (en) 2002-12-12 2005-06-30 Hiam Levy Dental tool having a hand grip
JP2004208922A (ja) * 2002-12-27 2004-07-29 Olympus Corp 医療装置及び医療用マニピュレータ並びに医療装置の制御方法
US7031155B2 (en) 2003-01-06 2006-04-18 Intel Corporation Electronic thermal management
US7087051B2 (en) 2003-01-15 2006-08-08 Boston Scientific Scimed, Inc. Articulating radio frequency probe handle
US7169146B2 (en) 2003-02-14 2007-01-30 Surgrx, Inc. Electrosurgical probe and method of use
US6838862B2 (en) 2003-04-04 2005-01-04 Harris Corporation Pulse width modulator having reduced signal distortion at low duty cycles
US7369101B2 (en) 2003-06-12 2008-05-06 Siemens Medical Solutions Usa, Inc. Calibrating real and virtual views
JP2005040222A (ja) 2003-07-24 2005-02-17 Olympus Corp 超音波処置装置
EP1535585A3 (en) 2003-09-17 2006-04-19 Konica Minolta Medical & Graphic, Inc. Digital camera for medical service, photography operating device and photographic image diagnosis system for medical service
ES2386915T3 (es) 2003-09-18 2012-09-05 Commonwealth Scientific And Industrial Researchorganisation Dispositivos de almacenamiento de energía de alto rendimiento
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US7270910B2 (en) 2003-10-03 2007-09-18 Black & Decker Inc. Thermal management systems for battery packs
US7232440B2 (en) 2003-11-17 2007-06-19 Sherwood Services Ag Bipolar forceps having monopolar extension
WO2005052959A2 (en) 2003-11-19 2005-06-09 Surgrx, Inc. Polymer compositions exhibiting a ptc property and method of fabrication
US20050171522A1 (en) 2004-01-30 2005-08-04 Christopherson Mark A. Transurethral needle ablation system with needle position indicator
AU2005214040B2 (en) 2004-02-12 2011-03-31 Neo Vista, Inc. Methods and apparatus for intraocular brachytherapy
US7244024B2 (en) 2004-02-18 2007-07-17 Biscardi Henry M Eye target apparatus
WO2005086874A2 (en) 2004-03-11 2005-09-22 Medrad, Inc. Energy assisted medical devices, systems and methods
JP4253605B2 (ja) * 2004-03-15 2009-04-15 オリンパス株式会社 超音波処置具
KR20070012658A (ko) 2004-03-30 2007-01-26 올림푸스 가부시키가이샤 초음파 처치 장치 및 이 장치의 조립, 분해 방법, 및 초음파 처치 시스템
JP4602681B2 (ja) 2004-03-30 2010-12-22 オリンパス株式会社 超音波凝固切開装置およびこの装置の組み立て、分解方法
US7220951B2 (en) 2004-04-19 2007-05-22 Surgrx, Inc. Surgical sealing surfaces and methods of use
US8333764B2 (en) 2004-05-12 2012-12-18 Medtronic, Inc. Device and method for determining tissue thickness and creating cardiac ablation lesions
WO2005114833A2 (en) 2004-05-18 2005-12-01 Nphysics, Inc. Self-oscillation switching amplifier
WO2006088484A2 (en) 2004-06-18 2006-08-24 The Boc Group, Inc. Antimicrobial lining for gas cylinders and coupling components
US7862579B2 (en) 2004-07-28 2011-01-04 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for grasper
CN100394897C (zh) 2004-08-03 2008-06-18 张毓笠 复合振动的超声骨骼手术仪
US9011336B2 (en) 2004-09-16 2015-04-21 Guided Therapy Systems, Llc Method and system for combined energy therapy profile
US8337097B2 (en) 2004-09-22 2012-12-25 Densen Cao Modular surgical laser systems
US20060071088A1 (en) 2004-10-05 2006-04-06 Paul Adams Fuel cartridge with an environmentally sensitive valve
US20060079874A1 (en) 2004-10-08 2006-04-13 Faller Craig N Tissue pad for use with an ultrasonic surgical instrument
TWI246099B (en) 2004-12-07 2005-12-21 Luxon Energy Devices Corp Power supply apparatus and power supply method
US7494492B2 (en) 2004-12-10 2009-02-24 Therative, Inc. Skin treatment device
US8295940B2 (en) 2004-12-17 2012-10-23 De Puy Products, Inc. System for recharging medical instruments
GB2423199B (en) 2005-02-11 2009-05-13 Pa Consulting Services Power supply systems for electrical devices
US20060253176A1 (en) 2005-02-18 2006-11-09 Palomar Medical Technologies, Inc. Dermatological treatment device with deflector optic
US20080188810A1 (en) 2005-02-25 2008-08-07 Novo Nordisk A/S Pump Assembly With Safety Valve
US7918848B2 (en) 2005-03-25 2011-04-05 Maquet Cardiovascular, Llc Tissue welding and cutting apparatus and method
US20100249790A1 (en) 2009-03-26 2010-09-30 Martin Roche System and method for soft tissue tensioning in extension and flexion
US7594925B2 (en) 2005-04-21 2009-09-29 Asthmatx, Inc. Control systems for delivering energy
US7560903B2 (en) 2005-04-28 2009-07-14 Maxwell Technologies, Inc. Apparatus and method for discharging electrical energy storage cells
GB2425874A (en) 2005-05-06 2006-11-08 Cambridge Consultants Eye-wear incorporating a segmented display
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US20080147058A1 (en) 2005-06-13 2008-06-19 Horrell Robin S Electrocautery system, provided with safe lighting during operational use
JP4857886B2 (ja) 2005-06-24 2012-01-18 セイコーエプソン株式会社 圧電アクチュエータの耐衝撃装置、これを備えた電子機器
KR101440740B1 (ko) 2005-06-28 2014-09-18 스트리커 코포레이션 모터 로터의 상태를 모니터링하는 센서를 포함하는 동력이 있는 수술 도구용 제어 어셈블리
JP2007007810A (ja) 2005-07-01 2007-01-18 Bosch Corp 超音波加工スピンドル装置
US20070015999A1 (en) 2005-07-15 2007-01-18 Heldreth Mark A System and method for providing orthopaedic surgical information to a surgeon
US20070052389A1 (en) 2005-07-19 2007-03-08 Michiel Kooij Battery receptacle
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US20070027447A1 (en) 2005-07-27 2007-02-01 Microline Pentax Inc. Seal for medical instrument
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
EP1767464A1 (en) 2005-09-23 2007-03-28 Crown Packaging Technology, Inc Sealing device for a container
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
CA2626793C (en) 2005-10-21 2016-02-16 Stryker Corporation System and method for recharging a battery exposed to a harsh environment
US20070103437A1 (en) 2005-10-26 2007-05-10 Outland Research, Llc Haptic metering for minimally invasive medical procedures
US8246642B2 (en) 2005-12-01 2012-08-21 Ethicon Endo-Surgery, Inc. Ultrasonic medical instrument and medical instrument connection assembly
US20100060231A1 (en) 2006-01-05 2010-03-11 Tpl, Inc. Method and Apparatus for Energy Harvesting and/or Generation, Storage, and Delivery
US7692411B2 (en) 2006-01-05 2010-04-06 Tpl, Inc. System for energy harvesting and/or generation, storage, and delivery
US8298232B2 (en) 2006-01-24 2012-10-30 Tyco Healthcare Group Lp Endoscopic vessel sealer and divider for large tissue structures
US7766910B2 (en) 2006-01-24 2010-08-03 Tyco Healthcare Group Lp Vessel sealer and divider for large tissue structures
US7705559B2 (en) 2006-01-27 2010-04-27 Stryker Corporation Aseptic battery with a removal cell cluster, the cell cluster configured for charging in a socket that receives a sterilizable battery
US7952322B2 (en) 2006-01-31 2011-05-31 Mojo Mobility, Inc. Inductive power source and charging system
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7451870B2 (en) 2006-02-06 2008-11-18 Zimmer Dental, Inc. Medical implant package with a cap having a cavity
US7802121B1 (en) 2006-03-27 2010-09-21 Network Appliance, Inc. Auxiliary power system
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
EP2020072A4 (en) 2006-04-26 2010-12-22 Demain Technology Pty Ltd CHARGING DEVICES AND RECHARGEABLE DEVICES
US20070261978A1 (en) 2006-05-10 2007-11-15 David Sanderson Waterproof case for electronic devices
US20070265613A1 (en) 2006-05-10 2007-11-15 Edelstein Peter Seth Method and apparatus for sealing tissue
DE102006058359A1 (de) 2006-12-05 2008-06-12 Carl Zeiss Surgical Gmbh Fernsteuerungssystem für medizinische Geräte
DE202006020056U1 (de) 2006-05-15 2007-09-20 Olympus Winter & Ibe Gmbh Zange zur Gefäßkoagulation
WO2007137115A2 (en) 2006-05-18 2007-11-29 Stryker Corporation Multi-display medical/surgical image and data viewer system that presentes user-defined, custom panoramas
AU2007254545B2 (en) 2006-05-19 2009-08-20 Ethicon Endo-Surgery, Inc. Electrical surgical instrument
US7948208B2 (en) 2006-06-01 2011-05-24 Mojo Mobility, Inc. Power source, charging system, and inductive receiver for mobile devices
US8114104B2 (en) 2006-06-01 2012-02-14 Ethicon Endo-Surgery, Inc. Mechanism for assembly of ultrasonic instrument
US20070290654A1 (en) 2006-06-14 2007-12-20 Assaf Govari Inductive charging of tools on surgical tray
US7952873B2 (en) 2006-06-26 2011-05-31 Raytheon Company Passive conductive cooling module
EP2034910B1 (en) 2006-06-30 2012-02-15 Bovie Medical Corporation Surgical instrument with detachable tool assembly
US7776037B2 (en) 2006-07-07 2010-08-17 Covidien Ag System and method for controlling electrode gap during tissue sealing
US7643378B2 (en) 2006-07-25 2010-01-05 Amir Genosar Package showing elapsed time since opening
GB2440566A (en) 2006-08-01 2008-02-06 Incorporating Courtesy Ltd Vechicle message display
US7731717B2 (en) 2006-08-08 2010-06-08 Covidien Ag System and method for controlling RF output during tissue sealing
US7658247B2 (en) 2006-09-20 2010-02-09 Gatekeeper Systems, Inc. Systems and methods for power storage and management from intermittent power sources
US8733614B2 (en) 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
US8240498B2 (en) 2006-10-31 2012-08-14 Crown Packaging Technology, Inc. Resealable closure
FR2909884B1 (fr) 2006-12-14 2014-08-22 Eurofeedback Sa Appareil de traitement par emission de flashs lumineux avec dispositif d'anti-eblouissement
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
EP2111166B1 (en) 2007-01-16 2021-03-03 Ethicon LLC Ultrasonic device for cutting and coagulating
GB0703417D0 (en) 2007-02-22 2007-04-04 Eschmann Holdings Ltd Electro-surgical systems
AU2008222313A1 (en) 2007-03-07 2008-09-12 Galmedics Biotech Ltd. Devices, systems and methods for shortening menstrual period duration
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US20080281301A1 (en) 2007-04-20 2008-11-13 Deboer Charles Personal Surgical Center
ES2400538T3 (es) 2007-04-20 2013-04-10 Doheny Eye Institute Centro quirúrgico independiente
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US8428581B2 (en) 2007-06-20 2013-04-23 Qualcomm Incorporated Method and apparatus for supporting location services for a roaming mobile station
US7761198B2 (en) 2007-06-25 2010-07-20 General Electric Company Methods and systems for power system management
WO2009018223A1 (en) 2007-07-27 2009-02-05 Sparkip, Inc. System and methods for clustering large database of documents
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
EP2020723A3 (en) 2007-07-31 2012-11-21 Yamaha Corporation Battery charger, secondary battery unit and electric apparatus equipped therewith
EP2626028B1 (en) 2007-08-14 2020-04-22 Koninklijke Philips N.V. Robotic instrument systems and methods utilizing optical fiber sensors
JP2009056164A (ja) * 2007-08-31 2009-03-19 Terumo Corp 医療用マニピュレータシステム
US20090076506A1 (en) 2007-09-18 2009-03-19 Surgrx, Inc. Electrosurgical instrument and method
US7766929B2 (en) 2007-09-28 2010-08-03 Olympus Medical Systems Corp. Surgical operating apparatus
JP2010540186A (ja) 2007-10-05 2010-12-24 エシコン・エンド−サージェリィ・インコーポレイテッド 人間工学的外科用器具
USD594983S1 (en) 2007-10-05 2009-06-23 Ethicon Endo-Surgery, Inc. Handle assembly for surgical instrument
US7573151B2 (en) 2007-10-11 2009-08-11 Lear Corporation Dual energy-storage for a vehicle system
JP5236247B2 (ja) 2007-10-19 2013-07-17 パナソニック株式会社 超音波プローブ、充電器、超音波診断装置及び超音波診断システム
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US8195271B2 (en) 2007-11-06 2012-06-05 Siemens Aktiengesellschaft Method and system for performing ablation to treat ventricular tachycardia
DE102007053336A1 (de) 2007-11-08 2009-05-20 Erbe Elektromedizin Gmbh Signaleinrichtung für elektrochirurgische Instrumente, Adapter zum Anschluss eines elektrochirurgischen Instruments
WO2009064808A1 (en) 2007-11-13 2009-05-22 Boston Scientific Scimed, Inc. Apparatus system and method for coagulating and cutting tissue
US8758342B2 (en) 2007-11-28 2014-06-24 Covidien Ag Cordless power-assisted medical cauterization and cutting device
US8377059B2 (en) 2007-11-28 2013-02-19 Covidien Ag Cordless medical cauterization and cutting device
US8419757B2 (en) 2007-12-03 2013-04-16 Covidien Ag Cordless hand-held ultrasonic cautery cutting device
US8435257B2 (en) 2007-12-03 2013-05-07 Covidien Ag Cordless hand-held ultrasonic cautery cutting device and method
EP2231230A4 (en) 2007-12-21 2013-01-23 Carticept Medical Inc ARTICULAR INJECTION SYSTEM
US8147488B2 (en) 2007-12-28 2012-04-03 Olympus Medical Systems Corp. Surgical operating apparatus
US8301262B2 (en) 2008-02-06 2012-10-30 Cardiac Pacemakers, Inc. Direct inductive/acoustic converter for implantable medical device
US8221418B2 (en) 2008-02-07 2012-07-17 Tyco Healthcare Group Lp Endoscopic instrument for tissue identification
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
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
US20100021022A1 (en) 2008-02-25 2010-01-28 Arkady Pittel Electronic Handwriting
US8097011B2 (en) 2008-02-26 2012-01-17 Olympus Medical Systems Corp. Surgical treatment apparatus
US8328802B2 (en) 2008-03-19 2012-12-11 Covidien Ag Cordless medical cauterization and cutting device
US8075530B2 (en) 2008-03-20 2011-12-13 Applied Medical Resources Corporation Instrument seal with inverting shroud
JP5210014B2 (ja) * 2008-03-24 2013-06-12 テルモ株式会社 マニピュレータ
ES2428719T3 (es) 2008-03-31 2013-11-11 Applied Medical Resources Corporation Sistema electroquirúrgico con medios para medir permitividad y conductividad del tejido
US9078671B2 (en) 2008-04-17 2015-07-14 Warsaw Orthopedic, Inc. Surgical tool
US7563142B1 (en) 2008-04-30 2009-07-21 Medtronic, Inc. Medical device packaging systems including electrical interfaces
WO2009137421A1 (en) 2008-05-05 2009-11-12 Stryker Corporation Surgical tool system including a tool and a console, the console capable of reading data from a memory integral with the tool over the conductors over which power is sourced to the tool
US8052605B2 (en) 2008-05-07 2011-11-08 Infraredx Multimodal catheter system and method for intravascular analysis
JP2011519687A (ja) 2008-05-07 2011-07-14 インフラレデックス、インク． 回転超音波トランシーバボードを有するカテーテル
WO2009137699A2 (en) 2008-05-07 2009-11-12 Sanuwave, Inc. Medical treatment system including an ancillary medical treatment apparatus with an associated data storage medium
US8968648B2 (en) 2008-05-16 2015-03-03 Terumo Kabushiki Kaisha Method for radiation sterilization of hydrophilic polymer-coated medical device
US8834465B2 (en) 2008-07-15 2014-09-16 Immersion Corporation Modular tool with signal feedback
US8487487B2 (en) 2008-07-15 2013-07-16 Ethicon Endo-Surgery, Inc. Magnetostrictive actuator of a medical ultrasound transducer assembly, and a medical ultrasound handpiece and a medical ultrasound system having such actuator
US20100030218A1 (en) 2008-08-01 2010-02-04 Warsaw Orthopedic, Inc. Surgical Instrumentation for Forming Threaded Openings in Bone
US8058771B2 (en) 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
US8038025B2 (en) 2008-08-07 2011-10-18 Becton, Dickinson And Company Medical waste container hinged lid
US7977921B2 (en) 2008-08-15 2011-07-12 National Semiconductor Corporation AC-to-DC voltage conversion and charging circuitry
AU2009291688A1 (en) 2008-09-12 2010-03-18 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
JP4836148B2 (ja) 2008-09-18 2011-12-14 早乙女 多寿代 手術用鉗子
EP2165671B1 (de) 2008-09-19 2011-06-01 BrainLAB AG Chirurgisches Pointerinstrument mit Spitzensensor
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
DE102008051866B3 (de) 2008-10-16 2010-01-07 Bowa Electronic Gmbh & Co. Kg Funktionsmodul für ein chirurgisches Instrument und chirurgisches Instrument
US20100106146A1 (en) 2008-10-24 2010-04-29 Boitor Mihai I A Hand-held portable laser surgical device
JP5401918B2 (ja) 2008-10-29 2014-01-29 パナソニック株式会社 穿刺装置
US20110009694A1 (en) 2009-07-10 2011-01-13 Schultz Eric E Hand-held minimally dimensioned diagnostic device having integrated distal end visualization
US20100125172A1 (en) 2008-11-14 2010-05-20 Prash Jayaraj Surgical pencil providing an illuminated surgical site
DE102008054577A1 (de) 2008-12-12 2010-06-17 Robert Bosch Gmbh Überdruckventil eines Gehäuses für eine elektrische/elektronische Einheit
US20100152610A1 (en) 2008-12-16 2010-06-17 Parihar Shailendra K Hand Actuated Tetherless Biopsy Device with Pistol Grip
WO2010075547A2 (en) 2008-12-24 2010-07-01 Guided Therapy Systems, Llc Methods and systems for fat reduction and/or cellulite treatment
US8216212B2 (en) 2009-01-15 2012-07-10 Immersion Corporation Providing haptic feedback to the handle of a tool
US20100201311A1 (en) 2009-02-10 2010-08-12 Qualcomm Incorporated Wireless charging with separate process
US8708211B2 (en) 2009-02-12 2014-04-29 Covidien Lp Powered surgical instrument with secondary circuit board
EP2398548B1 (en) 2009-02-17 2017-04-19 The Board Of Trustees Of The Leland Closure device
DE102009013034B4 (de) 2009-03-16 2015-11-19 Olympus Winter & Ibe Gmbh Autoklavierbare Aufladevorrichtung für einen Energiespeicher eines chirurgischen Instruments sowie Verfahren zum Aufladen eines wiederaufladbaren Energiespeichers in einem autoklavierten chirurgischen Instrument oder für ein autoklaviertes chirurgisches Instrument
US8251994B2 (en) 2009-04-07 2012-08-28 Tyco Healthcare Group Lp Vessel sealer and divider with blade deployment alarm
US20100274160A1 (en) 2009-04-22 2010-10-28 Chie Yachi Switching structure and surgical equipment
US8277446B2 (en) 2009-04-24 2012-10-02 Tyco Healthcare Group Lp Electrosurgical tissue sealer and cutter
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US8430824B2 (en) 2009-10-29 2013-04-30 Bard Peripheral Vascular, Inc. Biopsy driver assembly having a control circuit for conserving battery power
US8278873B2 (en) 2009-09-10 2012-10-02 Syntheon, Llc Surgical sterilizer with integrated battery charging device
US20110074336A1 (en) 2009-09-25 2011-03-31 John Boyd Miller Apparatus with a capacitive ceramic-based electrical energy storage unit (eesu) with on-board electrical energy generation and with interface for external electrical energy transfer
US8152904B2 (en) 2009-09-29 2012-04-10 Liposonix, Inc. Liquid degas system
US20110080134A1 (en) 2009-10-01 2011-04-07 John Boyd Miller Apparatus with electric element sourced by a capacitive ceramic-based electrical energy storage unit (eesu) with storage charging from on-board electrical energy generation and external interface
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
US8956349B2 (en) 2009-10-09 2015-02-17 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
AU2010316657A1 (en) 2009-11-09 2012-06-21 Ionmed Ltd Plasma head for tissue welding
US8550981B2 (en) 2009-12-17 2013-10-08 Ethicon Endo-Surgery, Inc. Implantable port with vibratory feedback
US20110172659A1 (en) 2010-01-13 2011-07-14 Vivant Medical, Inc. Ablation Device With User Interface at Device Handle, System Including Same, and Method of Ablating Tissue Using Same
US20110237981A1 (en) 2010-01-25 2011-09-29 Switech Medical Ag Medical device and method for operating a medical device
US8864761B2 (en) 2010-03-10 2014-10-21 Covidien Lp System and method for determining proximity relative to a critical structure
US20110221398A1 (en) 2010-03-15 2011-09-15 Electronvault, Inc. Impedence Balancer
EP2366430B1 (en) 2010-03-19 2016-01-06 Enraf Nonius B.V. Ultrasound application device
US8298253B2 (en) 2010-05-27 2012-10-30 Alcon Research, Ltd. Variable drive vitrectomy cutter
US8444653B2 (en) 2010-08-30 2013-05-21 Biomet Manufacturing Corp. Intramedullary rod implantation system
US9782215B2 (en) 2010-11-05 2017-10-10 Ethicon Endo-Surgery, Llc Surgical instrument with ultrasonic transducer having integral switches
US20120111591A1 (en) 2010-11-05 2012-05-10 Shelton Iv Frederick E Packaging For Reclaimable Component Of A Medical Device
US9510895B2 (en) 2010-11-05 2016-12-06 Ethicon Endo-Surgery, Llc Surgical instrument with modular shaft and end effector
US9247986B2 (en) 2010-11-05 2016-02-02 Ethicon Endo-Surgery, Llc Surgical instrument with ultrasonic transducer having integral switches
US9597143B2 (en) 2010-11-05 2017-03-21 Ethicon Endo-Surgery, Llc Sterile medical instrument charging device
US9526921B2 (en) 2010-11-05 2016-12-27 Ethicon Endo-Surgery, Llc User feedback through end effector of surgical instrument
US20120116381A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging station and wireless communication
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US20120116261A1 (en) 2010-11-05 2012-05-10 Mumaw Daniel J Surgical instrument with slip ring assembly to power ultrasonic transducer
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
US10660695B2 (en) 2010-11-05 2020-05-26 Ethicon Llc Sterile medical instrument charging device
US9039720B2 (en) 2010-11-05 2015-05-26 Ethicon Endo-Surgery, Inc. Surgical instrument with ratcheting rotatable shaft
US10959769B2 (en) 2010-11-05 2021-03-30 Ethicon Llc Surgical instrument with slip ring assembly to power ultrasonic transducer
US10881448B2 (en) 2010-11-05 2021-01-05 Ethicon Llc Cam driven coupling between ultrasonic transducer and waveguide in surgical instrument
US9000720B2 (en) 2010-11-05 2015-04-07 Ethicon Endo-Surgery, Inc. Medical device packaging with charging interface
US9017851B2 (en) 2010-11-05 2015-04-28 Ethicon Endo-Surgery, Inc. Sterile housing for non-sterile medical device component
US9072523B2 (en) 2010-11-05 2015-07-07 Ethicon Endo-Surgery, Inc. Medical device with feature for sterile acceptance of non-sterile reusable component
US10085792B2 (en) 2010-11-05 2018-10-02 Ethicon Llc Surgical instrument with motorized attachment feature
US9375255B2 (en) 2010-11-05 2016-06-28 Ethicon Endo-Surgery, Llc Surgical instrument handpiece with resiliently biased coupling to modular shaft and end effector
US9089338B2 (en) 2010-11-05 2015-07-28 Ethicon Endo-Surgery, Inc. Medical device packaging with window for insertion of reusable component
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
US9421062B2 (en) 2010-11-05 2016-08-23 Ethicon Endo-Surgery, Llc Surgical instrument shaft with resiliently biased coupling to handpiece
US9011471B2 (en) 2010-11-05 2015-04-21 Ethicon Endo-Surgery, Inc. Surgical instrument with pivoting coupling to modular shaft and end effector
US9161803B2 (en) 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US9649150B2 (en) 2010-11-05 2017-05-16 Ethicon Endo-Surgery, Llc Selective activation of electronic components in medical device
US9017849B2 (en) 2010-11-05 2015-04-28 Ethicon Endo-Surgery, Inc. Power source management for medical device
US10080813B2 (en) 2011-06-02 2018-09-25 Ethicon Llc Sterile package system for medical device
US9364288B2 (en) 2011-07-06 2016-06-14 Ethicon Endo-Surgery, Llc Sterile battery containment
WO2013014784A1 (ja) 2011-07-28 2013-01-31 ブラザー工業株式会社 液体カートリッジ及び液体吐出装置
US9629652B2 (en) 2011-10-10 2017-04-25 Ethicon Endo-Surgery, Llc Surgical instrument with clutching slip ring assembly to power ultrasonic transducer
US9050125B2 (en) 2011-10-10 2015-06-09 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with modular end effector
US20130118733A1 (en) 2011-11-15 2013-05-16 Baker Hughes Incorporated Wellbore condition monitoring sensors
US9318271B2 (en) 2012-06-21 2016-04-19 Schlumberger Technology Corporation High temperature supercapacitor
US11737896B2 (en) 2012-07-31 2023-08-29 Purdue Research Foundation Wirelessly-powered implantable EMG recording system

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5308358A (en) * 1992-08-25 1994-05-03 Bond Albert L Rigid-shaft surgical instruments that can be disassembled for improved cleaning
US5578052A (en) * 1992-10-27 1996-11-26 Koros; Tibor Insulated laparoscopic grasper with removable shaft
WO1997024072A1 (en) * 1995-12-29 1997-07-10 Riza Erol D Laparoscopic surgical instrument with adjustable grip
US20030135224A1 (en) * 2002-01-17 2003-07-17 Blake Joseph W. Repeating multi-clip applier
EP2042118A1 (de) * 2007-09-25 2009-04-01 Karl Storz GmbH & Co. KG Bipolares medizinisches Instrument
WO2010009218A2 (en) * 2008-07-16 2010-01-21 Intuitive Surgical, Inc. Medical instrument electrically energized using drive cables

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105322342A (zh) * 2014-07-21 2016-02-10 神讯电脑(昆山)有限公司 电烧刀快拆结构
CN107106220A (zh) * 2014-10-28 2017-08-29 奥林巴斯株式会社 外科手术装置
US10368935B2 (en) 2014-10-28 2019-08-06 Olympus Corporation Surgical treatment apparatus
CN107106220B (zh) * 2014-10-28 2019-10-08 奥林巴斯株式会社 外科手术装置
CN107847262A (zh) * 2015-06-30 2018-03-27 伊西康有限责任公司 利用基于组织参数采用同时能量模态的用户自适应技术的外科系统
CN113747847A (zh) * 2019-03-11 2021-12-03 微线外科公司 可重复使用微创外科器械
WO2021136254A1 (zh) * 2020-01-02 2021-07-08 上海逸思医疗科技股份有限公司 一种可拆装器械
WO2024159842A1 (zh) * 2022-12-29 2024-08-08 青岛迈博思医疗科技有限公司 外科器械、外套管、套管组件及超电混合能量平台

Also Published As

Publication number Publication date
US20170042569A1 (en) 2017-02-16
US10945783B2 (en) 2021-03-16
EP2635205A1 (en) 2013-09-11
EP2635205B1 (en) 2018-02-21
CA2816899A1 (en) 2012-05-10
US20120116396A1 (en) 2012-05-10
US20120116388A1 (en) 2012-05-10
US10376304B2 (en) 2019-08-13
JP2013545532A (ja) 2013-12-26
US9308009B2 (en) 2016-04-12
WO2012061640A1 (en) 2012-05-10
CN103298419B (zh) 2016-06-22
US20200078084A1 (en) 2020-03-12
US8998939B2 (en) 2015-04-07
US20120116266A1 (en) 2012-05-10
US9510895B2 (en) 2016-12-06
JP5992425B2 (ja) 2016-09-14
AU2011323281B2 (en) 2015-12-17
US20120116395A1 (en) 2012-05-10
AU2011323281A1 (en) 2013-05-23

Similar Documents

Publication Publication Date Title
CN103298419A (zh) 具有模块化轴和端部执行器的外科器械
US20220202438A1 (en) Ultrasonic surgical instrument with removable handle assembly
CN103313672B (zh) 具有模块化端部执行器的外科器械
CN103027719B (zh) 具有模块化端部执行器的超声外科器械
JP5356750B2 (ja) 動力付きの外科用機器
CN104363841B (zh) 用于外科器械端部执行器的加载仓
CN103796600B (zh) 具有连接至功率超声换能器的滑环组件的外科器械
CN105939679B (zh) 用于超声外科器械的联接结构
CN103027720A (zh) 具有换能器载体组件的外科器械
CN103027718A (zh) 具有限定流体内腔的超声波导的外科器械
CN103315807A (zh) 用于编程模块化外科器械的方法和设备
CN106659517A (zh) 具有可移除的柄部组件的超声外科器械
CN103040520A (zh) 用于外科器械中的滑环组件和超声换能器的连接
CN103561664A (zh) 弹性偏置地联接至手持件的外科器械轴
CN103281983A (zh) 具有传感器和动力控制的外科器械
EP3282971B1 (en) Ultrasonic surgical instrument with removable handle assembly
CN110602999A (zh) 具有换能器滑动接头的超声外科器械

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant