 System for controlling a motor driven surgical cutting instrument
专利摘要:
A system is provided for controlling the stopping position of a surgical cutting tool relative to a tissue entrance location of a cannula housing the cutting tool. A signal processor is responsive to a motor activation signal to provide a motor activation signal to a motor control unit for driving a motor, which activates the cutting tool positioned in a cannula. The signal processor is responsive to a motor stop signal and to a stop position signal to stop the cutting tool relative to the tissue entrance location of the cannula to thereby avoid trapping a portion of the tissue base between the cutting tool and a boundary of the cannula opening. 公开号:US20010007944A1 申请号:US09/789,040 申请日:2001-02-20 公开日:2001-07-12 发明作者:Joseph Mark；Michael Miller；Miklos Kara；Daniel Henry；Brian McCary 申请人:Promex Inc； IPC主号:A61B17-32002
专利说明:
[0001] The present invention relates generally to systems for controlling motor driven surgical cutting instruments, and more specifically to such systems for controlling the position of the surgical cutting instrument upon stoppage of the drive motor. More particularly, the invention relates to controlling a brush type DC motor used to drive the cutting instrument. [0001] BACKGROUND OF THE INVENTION [0002] Minimally invasive surgical cutting instruments are known and widely used to excise and remove biological tissue. Such instruments typically include a handpiece comprising a cutting tool housed within an elongated cannula, wherein the tool is disposed adjacent to an opening at or near the tip of the cannula. The cannula itself is configured for percutaneous insertion into a body via a small incision, and is manually maneuvered into position for tissue excision and removal. [0002] [0003] Various configurations of cutting tools are known and may be driven manually, pneumatically or via an electrically controlled drive motor. In any case, tissue adjacent to the opening near the tip of the cannula is typically excised by driving the cutting tool with either a rotary or reciprocal motion relative to the cannula, whereby tissue is drawn into the opening (typically via vacuum) and excised by the cutting tool. [0003] [0004] While motor driven surgical cutting instruments of the type just described have been widely used in surgical applications, many presently available designs suffer from a variety of drawbacks. For example, if the position of the cutting tool is not controlled when the drive motor is disabled, there exists a possibility that the cutting tool may come to rest in a position that traps or pinches unexcised tissue between a cutting surface of the cutting tool and the opening near the tip of the cannula. To avoid this problem, surgeons must typically maintain activation of the drive motor as the tip of the instrument is moved or removed from the surgical site, thereby compromising the accuracy and precision of the procedure. The foregoing drawback becomes more problematic as the complexity of the procedure increases, and is of particular concern when performing delicate procedures such as removing vitreous tissue during ocular surgery. [0004] [0005] Designers of such surgical cutting instruments have attempted to address the foregoing problem by providing various systems for controlling motor position when stopping or disabling the drive motor. An example of one such system for controlling the position of a three-phase brushless DC motor is given in U.S. Pat. No. 5,602,449 to Krause, et al. The Krause et al. disclosure discloses an elaborate control system including multiple sensors for determining motor armature position at 6° intervals. As is known in the art, brushless DC motors are typically speed driven rather than torque driven and accordingly have little rotational resistance associated with the operation thereof. Controlled stoppage of such a motor is thus extremely difficult, if not impossible, when the motor is operating at a high rotational speed, and the Krause et al. system is accordingly responsive to a motor stop signal to first decrease motor speed below some threshold speed level and then perform a controlled stop based on armature position. [0005] [0006] Brushed DC motors, as compared with brushless DC motors, are typically torque driven rather than speed driven, and accordingly have a substantial rotational resistance associated therewith. Thus, while the Krause et al. system may effectively provide for controlled stopping of a surgical cutting instrument driven by a brushless DC motor, such elaborate control techniques are unnecessary when driving a brushed DC motor. What is therefore needed is a simple and inexpensive control technique for controlling the stop position of a brushed DC motor driven surgical instrument. Ideally the control system should be operable to control the position of the cutting tool when the drive motor is turned off so that unexcised tissue is not trapped between the cutting tool and the opening near the tip of the cannula. [0006] SUMMARY OF THE INVENTION [0007] The foregoing shortcomings of the prior art are addressed by the present invention. In accordance with one aspect of the present invention, a tissue cutting apparatus comprises an elongated housing configured for insertion into a body site, the housing having a first end defining an opening adjacent thereto. A tissue cutting tool is disposed within the housing and defines at least one cutting surface configured for movement relative to the housing adjacent the opening to thereby excise tissue extending into the opening. [0007] [0008] In one feature of the invention, a brushed DC motor drives a drive shaft coupled to the cutting tool. While the brushed motor is rotary, the cutting tool can be driven in a rotary or reciprocating fashion with an appropriate transmission mechanism between the drive shaft and cutting tool. Means are provided for sensing a predefined position of the drive shaft relative to the housing and producing a stop position signal corresponding thereto. In one embodiment, the sensing means is a Hall effect sensor and magnet arranged between the motor and the cutting tool. [0008] [0009] A motor control circuit is provided to control operation of the motor. In one embodiment, the circuit includes a pulse-width-modulated controller. In another embodiment, the motor control circuit utilizes a current feedback to control the motor current. With either embodiment, the motor control circuit is operable in response to a motor stop signal to stop the motor with the drive shaft at the predefined position. Certain features of the motor control circuit are configured to take advantage of the natural braking characteristics of the motor and cutting tool in order to stop the motor at the appropriate position. This predefined position is arranged to orient the cutting surface of the cutting tool relative to the opening to avoid trapping unexcised tissue between the cutting surface and a boundary of the opening. [0009] [0010] In one embodiment of the invention, the motor control circuit includes an op amp driven current feedback loop to control the current provided to the brushed motor. A switch is interposed in the feedback loop to disable the current feedback signal when it is desired to stop the motor. Eliminating the current feedback improves the braking characteristics of the motor and handpiece so that the cutting blade can be accurately stopped in its predetermined position. With this embodiment, the control circuit can respond to a motor stop signal to activate the feedback loop switch. The motor is powered until the stop position signal is received indicating that the drive shaft is at the predetermined position, at which point current to the motor is ceased to stop the cutter. [0010] [0011] In another embodiment, the control circuit is responsive to a motor stop signal to drive the motor at a predefined motor speed less than the cutter operating speed. The control circuit is also responsive to a second occurrence of the stop position signal to deactivate the motor with the drive shaft at the predefined position. [0011] [0012] One object of the present invention is to provide an improved surgical cutting apparatus that is operable to avoid trapping unexcised tissue between the cutting tool and a boundary of the opening in the cannula when the cutting tool drive motor is deactivated. [0012] [0013] Another object of the present invention is to provide such improvements to surgical cutting apparatuses that have either a rotating cutting tool or a linearly reciprocating cutting tool. [0013] [0014] These and other objects of the present invention will become more apparent from the following description of the preferred embodiment. [0014] BRIEF DESCRIPTION OF THE DRAWINGS [0015] FIG. 1 is a diagrammatic illustration of one embodiment of a system for controlling the brushed DC motor of a motor driven surgical instrument, in accordance with the present invention. [0015] [0016] FIG. 2 is a diagrammatic illustration of the system of FIG. 1 showing further details of one embodiment of a motor control unit and the surgical instrument. [0016] [0017] FIG. 3A is a cross sectional illustration of the handpiece of FIG. 2 showing details of a surgical instrument stop position identification mechanism for a rotationally driven motor shaft. [0017] [0018] FIG. 3B is a cross sectional illustration of the handpiece of FIG. 2 showing details of a surgical instrument stop position identification mechanism for a linearly driven motor shaft. [0018] [0019] FIG. 4A is a cross sectional illustration of one embodiment of a rotary surgical cutting tool disposed within the cannula of the surgical instrument shown in FIG. 2. [0019] [0020] FIG. 4B is a cross sectional illustration of the surgical cutting tool of FIG. 4A, viewed along section lines [0020] 4B-4B, showing the cutting surfaces of the cutting tool positioned remote from the cannula opening. [0021] FIG. 4C is a cross sectional illustration of the surgical cutting tool of FIG. 4A, viewed along section lines [0021] 4C-4C, showing one of the cutting surfaces of the cutting tool excising a portion of the tissue forced into the opening near the cannula tip. [0022] FIG. 4D is a cross sectional illustration of the surgical cutting tool of FIG. 4A, viewed along section lines [0022] 4D-4D, showing one of the cutting surfaces of the cutting tool trapping a portion of the tissue between the cutting tool and the opening near the tip of the cannula, which condition is avoided in accordance with the present invention. [0023] FIG. 5A is a cross sectional illustration of another embodiment of a rotary surgical cutting tool disposed within the cannula of the surgical instrument shown in FIG. 2. [0023] [0024] FIG. 5B is a cross sectional illustration of the surgical cutting tool of FIG. 5A, viewed along section lines [0024] 5B-5B, showing the cutting surface of the cutting tool positioned adjacent to the cannula opening. [0025] FIG. 5C is a cross sectional illustration of the surgical cutting tool of FIG. 5A, viewed along section lines [0025] 5C-5C, showing the cutting surface of the cutting tool disposed remote from the opening near the cannula tip after excising a portion of the tissue extending into the cannula opening. [0026] FIG. 5D is a cross sectional illustration of the surgical cutting tool of FIG. 5A, viewed along section lines [0026] 5D-5D, showing the cutting surface of the cutting tool trapping a portion of the tissue between the cutting tool and the opening near the tip of the cannula, which condition is avoided in accordance with the present invention. [0027] FIG. 6A is a cross sectional illustration of one embodiment of a linearly reciprocating surgical cutting tool disposed within the cannula of the surgical instrument shown in FIG. 2 showing the cutting surface of the cutting tool positioned adjacent to the cannula opening. [0027] [0028] FIG. 6B is a cross sectional illustration of the surgical cutting tool of FIG. 6A showing the cutting surface of the cutting tool disposed remote from the opening near the cannula tip after excising a portion of the tissue extending into the cannula opening. [0028] [0029] FIG. 6C is a cross sectional illustration of the surgical cutting tool of FIG. 6A showing the cutting surface of the cutting tool trapping a portion of the tissue between the cutting tool and the opening near the tip of the cannula, which condition is avoided in accordance with the present invention. [0029] [0030] FIG. 7 is a cross sectional illustration of a further embodiment of a linearly reciprocating surgical cutting tool showing the cutting surface of the cutting tool trapping a portion of the tissue between the cutting tool and the opening near the tip of the cannula. [0030] [0031] FIG. 8 is an electrical schematic of a motor control circuit for use with one embodiment of the invention. [0031] DESCRIPTION OF THE PREFERRED MBODIMENTS [0032] For the purposes of promoting an understanding of the principles of the invention, reference will now be made to the embodiments illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended, such alterations and further modifications in the illustrated devices, and such further applications of the principles of the invention as illustrated therein being contemplated as would normally occur to one skilled in the art to which the invention relates. [0032] [0033] Referring to FIG. 1, one preferred embodiment of a system [0033] 10 for controlling a motor driven surgical cutting instrument, in accordance with the present invention, is shown. System 10 includes a main control unit (MCU) 12, which is preferably a microprocessor-based system. MCU 12, as it relates to the present invention, is operable to control the various operations of the surgical cutting instrument 26 as well as manage the overall operation of system 10. A foot switch 14, which may be of known construction, is electrically connected to a number of inputs of MCU 12 via an equal number, K, of signal paths 16, wherein K may be any integer. As is known in the art, foot switch 14 is operated by the surgeon to provide MCU 12 with control signals to signal activation and deactivation of the cutting instrument 26 as well as to control the cutting speed thereof. [0034] A control panel [0034] 18, which may be of known construction, is electrically connected to a number of inputs of MCU 12 via an equal number, J, of signal paths 20, wherein J may be any integer. Control panel 18 may include a number of control mechanisms for controlling various features the cutting instrument or handpiece 26. Examples of such features may include, but are not limited to, the flow of irrigation fluid (not shown) provided to the handpiece 26, control of a vacuum source 42 connected to the handpiece 26, and the like. [0035] A display unit [0035] 22, which may be of known construction, is electrically connected to a number of outputs of MCU 12 via an equal number, Q, of signal paths 24, wherein Q may be any integer. Display unit 22 preferably includes provisions for displaying various operational parameters of system 10 including, but not limited to, operational status of the cutting instrument 26, the speed of operation of the cutting tool 36, vacuum level, and the like. [0036] A surgical cutting instrument [0036] 36 is disposed within a handpiece 26 and includes a brushed DC electrical motor 34 coupled to the cutting instrument or tool 36 via a motor drive shaft as will be described more fully hereinafter. The motor 34 is electrically connected to a motor control unit 28 via a number, M, of signal paths 30 wherein M may be any integer. The motor control unit 28 is, in turn, connected to a number of outputs of MCU 12 via an equal number, N, of signal paths 32. A motor shaft position sensor 38 is electrically connected to a motor shaft position feedback input (SPF) of MCU 12 via signal path 40, and provides a motor stop identification signal thereon as will be more fully described hereinafter. As it relates to the present invention, the motor shaft stop identification signal provided by sensor 38 on signal path 40 preferably provides MCU 12 with a motor stop identification signal as well as a cutter speed signal that is proportional to the motor speed for a geared system or identical to the motor speed for a direct drive system. [0037] Handpiece [0037] 26 is further mechanically connected to a vacuum unit 42 via conduit 44, whereby the vacuum unit 42 provides a controllable vacuum level to handpiece 26 for suctioning excised tissue as is known in the art. Vacuum unit 42 is electrically connected to a vacuum control unit 46 via a number, P, of signal paths wherein P may be any integer. The vacuum control unit 46 is, in turn, connected to a number of outputs of MCU 12 via an equal number, L, of signal paths 50, wherein L may be any integer. A vacuum sensor 52, which may be a temperature compensated solid-state pressure sensor, is preferably positioned within the conduit 44 and is electrically connected to a vacuum feedback (VF) input of MCU 12 via signal path 54. Alternatively, the vacuum sensor 52 may be disposed within handpiece 26 or within the vacuum unit 42 itself. [0038] In operation, the MCU [0038] 12 is responsive to a vacuum command signal, preferably provided by a corresponding control mechanism associated with control panel 18 or equivalent control mechanism, to provide one or more corresponding vacuum control signals to vacuum control unit 46 along signal paths 50. The vacuum control unit 46, in turn, is responsive to the one or more vacuum control signals to activate the vacuum unit 42 to thereby provide handpiece 26 with a desired level of vacuum. The actual vacuum level provided to handpiece 26 is sensed by vacuum sensor 52 which provides a corresponding vacuum feedback signal to the vacuum feedback input VF of MCU 12. The MCU 12 is then operable to compare the vacuum feedback signal with the vacuum command signal and correspondingly adjust the one or more vacuum control signals to achieve the desired vacuum level within handpiece 26. Such closed-loop feedback techniques are well known in the control systems art. [0039] In one alternative embodiment, the MCU [0039] 12 can be replaced by individual microprocessors controlling the input and output for controlling the operation of the motor driver 58 and the vacuum generator unit 42. In this alternative embodiment, the motor control and vacuum control microprocessors can be PIC16Cxx Series microcontrollers provided by Microchip, Inc. of Chandler Ariz. The motor control microcontrollers can receive input signals from the motor driver 58 and position sensor 38, as well as the foot switch 14 and panel controls 18. Likewise, the vacuum microcontroller can receive input signals from the vacuum sensor 52, the foot switch and panel controls. Each microcontroller can provide its own output to its driven component and have its own display, such as an LED display, indicative of its operational status. Moreover, the two units can communicate with each other to ensure clean cutting by proper timing of the cutting and aspiration functions. [0040] In one preferred embodiment, the handpiece, or tissue cutting instrument, [0040] 26 includes a control portion 62 having an elongated housing or cannula 64 extending therefrom. The cannula 64 terminates at a cannula tip 66 and defines an opening 68 near the tip 66. The cannula 64 is generally hollow and houses any of the various embodiments of the tissue cutting tool 36 as illustrated in FIGS. 4A, 5A, 6A and 7. In any case, cannula 64 is configured for insertion into a body site, and in one specific application of system 10 cannula 64 is configured to perform percutaneous ocular surgery. The connection of the vacuum unit 42 to cutting instrument 26 via conduit 44 is omitted in FIG. 2 for brevity and clarity of illustration of the brushed DC drive motor 34 and related components. It is to be understood, however, that such a vacuum connection is made to instrument 26 and is typically made between cannula 64 and control section 62. Moreover, although not specifically shown in the drawings, an irrigation fluid connection may also be made to cutting instrument 26 so that irrigation fluid may be passed to the surgical site via cannula opening 68. [0041] Referring now to FIGS. 2 and 3A, preferred embodiments of the motor control unit [0041] 28 and handpiece 26 are shown in greater detail. The motor control unit 28 in one embodiment includes a pulse width modulation (PWM) generator circuit 56 having a motor speed input connected to one of the MCU outputs 32 1. The output 32 1 can provide a variable voltage signal indicative of a desired motor speed and based upon the position of a throttle or foot pedal. In certain embodiments, an additional input is connected to another one of the MCU outputs 32 2. The signal at this output 32 2 can be a motor slowdown signal as described below. Alternatively, the output 32 2 can constitute a braking signal used in connection with a current feedback motor controller, as depicted in FIG. 8. As a further alternative, the slowdown command may be communicated via the motor speed command itself, rather than through a separate signal 32 2. In this instance, the output 32 2 may not be required. [0042] In the illustrated embodiment, the PWM is disposed within the motor control unit. Alternatively, the PWM can be integrated into the MCU [0042] 12, or into the separate motor control microprocessor discussed above. The motor speed input receives a motor speed signal from MCU 12 indicative of desired operational speed of the drive motor 34. The slowdown input can receive a speed adjustment signal from the MCU 12 based on the actual motor speed signal provided by a motor sensor 76 associated with the drive motor 34, which motor sensor 76 will be described in greater detail hereinafter. [0043] A motor driver circuit [0043] 58 is electrically connected to PWM generator circuit 56 via signal path 60 and receives a PWM drive signal therefrom, which is a pulse width modulated signal indicative of desired drive motor speed. The motor driver circuit 58 provides a motor drive signal (MD) to drive motor 34 via signal path 30. While the preferred embodiment contemplates digital control of the motor using the PWM generator circuit 56, alternative embodiments can utilize closed loop feedback analog circuits, particularly where slower cutting speeds are contemplated. One alternative controller is illustrated in FIG. 8 and described in more detail herein. [0044] The motor drive signal includes a motor stop input that is connected to another one of the MCU outputs [0044] 32 3. In accordance with the present invention, MCU provides a motor stop signal on signal path 32 3, based on a motor deactivation command provided by foot switch 14 and also based on a motor stop identification signal provided by sensor 38, to stop the tissue cutting tool 36 in a desired position, as will be more fully described hereinafter. In certain embodiments, only the motor stop signal is utilized to command the motor to stop at the predetermined position. In these certain embodiments, the motor slowdown signal on path 32 2 can be eliminated, or the input on path 32 2 can be used for other control signals to the motor control circuit. [0045] Drive motor [0045] 34 is preferably a known brushed DC electrical motor operable to drive a rotary motor shaft 70 connected thereto. In one embodiment of the present invention, the rotary motor shaft 70 is connected directly to a drive shaft 74 of a rotary cutting tool (see FIGS. 4A-4D and 5A-5D) disposed within the cannula 64 so that the cutting tool rotates about a longitudinal axis defined by the elongated cannula 64. In an alternative embodiment, the rotary motor shaft 70 is connected to one end of a transmission mechanism 72 which is operable to convert the rotary motion of the shaft 70 to a linearly reciprocating motion. The opposite end of the transmission mechanism 72 is connected to the drive shaft 74 of a linearly reciprocating cutting tool (see FIGS. 6A-6C, or 7) disposed within the cannula 64 so that the cutting tool reciprocates along the longitudinal axis of the cannula 64. An example of one known transmission mechanism for converting the rotary motion of shaft 70 to a linearly reciprocating motion is described in U.S. Pat. No. 5, 411,513 to Ireland et al., the disclosure of which is incorporated herein by reference. [0046] Referring now to FIGS. 3A and 3B, preferred embodiments of a mechanism for determining the motor stop identification signal are shown. In the case that motor drive shaft [0046] 70 is connected directly to the drive shaft 74 of a rotary cutting instrument (FIGS. 4A and 5A), as shown in FIG. 3A, sensor 38 is preferably disposed within, or attached to, an inner surface of handpiece 26. A channel 25 is preferably formed within handpiece 26 and signal path 40 is disposed within channel 25 and electrically connected to sensor 38. In this manner, signal path 40 is isolated from the interior of handpiece 26. Shaft 70, shown in FIG. 3A as rotatably driven in the direction indicated by arrow 75, includes a shaft position identification mark 76 attached thereto or formed integral therewith. In the case that motor drive shaft 70 is connected to a transmission unit 72 which is then connected to the drive shaft 74 of a linearly reciprocating cutting instrument (see FIGS. 6A and 7), as shown in FIG. 3B, shaft 74 is linearly driven in the direction indicated by arrow 79 and includes a shaft position identification mark 77 attached thereto or formed integral therewith. Alternatively, mark 76 positioned on shaft 70 may be used even though handpiece 26 includes a transmission unit 72. In any case, sensor 38 is preferably a known Hall effect sensor, although the present invention contemplates utilizing other known sensors such as a variable reluctance sensor and the like. Marks 76 and 77 are preferably magnetized identifiers that align with sensor 38 when the cutting instrument is in a preferred stop position. Sensor 38 is operable to sense passage thereby of mark 76 or 77 and provide corresponding shaft speed and motor stop identification signals to input shaft position feedback input SPF of MCU 12 via signal path 40. [0047] Referring now to FIGS. [0047] 4A-4D, one embodiment 80 of the tissue cutting tool 36 of FIG. 1 in relation to the cannula 64 is shown. The rotary tissue cutting tool 80, as shown in FIG. 4A, preferably includes a shaft 82 connected to, or integral with, the rotary drive shaft 70 of FIG. 2. Since cutting tool 80 is configured for rotary motion within cannula 64, the transmission mechanism 72 is omitted and drive shafts 70 and 74 comprise a single drive shaft. Adjacent to the opening 68 formed near the tip 66 of cannula 64, the cutting tool 80 defines a number of blades or fins 84 that act as cutting surfaces. A vacuum is established within the cannula 64 via vacuum unit 42 (FIG. 1) so that a suction force is developed at the cannula opening 68 in the direction indicated by arrow 85. [0048] Referring to FIG. 4B, the drive motor [0048] 34 is activated pursuant to a motor activation command, typically provided via foot switch 14, wherein MCU 12 and motor control unit 28 are operable to process such a command as described hereinabove to cause motor 34 to rotate the one or more blades 84 in the direction indicated by arrow 86. The suction developed at the opening 68 of the cannula draws nearby tissue T into the opening 68 when the one or more blades 84 are disposed remote from the opening 68. As the one or more blades 84 rotate adjacent to the cannula opening 68, a portion of the tissue ET extending into opening 68 is excised as shown in FIG. 4C. The excised tissue ET is drawn away from opening 68 via vacuum and is collected by a suitable tissue container (not shown). [0049] The brushed DC drive motor [0049] 34 is deactivated, and the one or more blades 84 correspondingly cease to rotate, pursuant to a motor stop command provided by foot switch 14. However, unless the position of the rotary shaft 70, and hence the position of the one or more blades 84 relative to the cannula opening 68, is appropriately controlled when the motor 34 is deactivated, one of the blades 84 may come to rest partially disposed over opening 68 and consequently trap a portion of the tissue T′ between the blade 84 and a boundary of the opening 68 as illustrated in FIG. 4D. Efforts at withdrawing the cannula 64 from the surgical site may accordingly result in tearing of the tissue portion T′ away from the tissue base T. Heretofore, the surgeon encountering such tissue trapping would typically be required to re-activate the cutting tool 80 to release the tissue portion T′ from its base T. In accordance with the present invention, however, such tissue trapping is avoided. [0050] Referring now to FIGS. [0050] 5A-5D, another embodiment 90 of the tissue cutting tool 36 of FIG. 1 in relation to the cannula 64 is shown. The rotary tissue cutting tool 90, as shown in FIG. 5A, preferably includes an elongated hollow tube 92 connected to, or integral with, the rotary drive shaft 70 of FIG. 2. Since cutting tool 90 is configured for rotary motion within cannula 64, the transmission mechanism 72 is omitted and drive shafts 70 and 74 comprise a single drive shaft. Adjacent to the opening 68 formed near the tip 66 of cannula 64, the cutting tool 90 defines an opening 94 defining a cutting surface at its boundary. Vacuum is established within the cannula 64 via vacuum unit 42 (FIG. 1) so that a suction force is developed at the cannula opening 68 in the direction indicated by arrow 95. [0051] Referring to FIG. 5B, the drive motor [0051] 34 is activated as described above to cause motor 34 to rotate the cutting opening 94 defined within cutting tool 90 in the direction indicated by arrow 96. The suction developed at the opening 68 of the cannula draws nearby tissue T into the opening 68 when the cutting tool opening 94 is aligned with the cannula opening 68. As the cutting tool opening 94 rotates away from the cannula opening 68, a portion of the tissue ET extending into openings 68 and 94 is excised as shown in FIG. 5C. The excised tissue ET is drawn away from opening 68 via vacuum and is collected by a suitable tissue container (not shown). [0052] As with the embodiment illustrated in FIGS. [0052] 4A-4D, the cutting tool opening 94 may come to rest partially disposed over opening 68 and consequently trap a portion of the tissue T′ between a boundary of the cutting tool opening 94 and a boundary of the cannula opening 68, as illustrated in FIG. 5D, unless the position of the rotary shaft 70, and hence the position of the cutting tool opening 94 relative to the cannula opening 68, is appropriately controlled when the motor 34 is deactivated. Again, efforts at withdrawing the cannula 64 from the surgical site may accordingly result in tearing of the tissue portion T′ away from the tissue base T, and a surgeon encountering such tissue trapping would typically be required to re-activate the cutting tool 90 to release the tissue portion T′ from its base T. [0053] Referring now to FIGS. [0053] 6A-6C, yet another embodiment 100 of the tissue cutting tool 36 of FIG. 1 in relation to the cannula 64 is shown. The linearly reciprocating tissue cutting tool 100 preferably includes an elongated hollow tube 102 connected to, or integral with, the drive shaft 74 of FIG. 2. Since cutting tool 100 is configured for linearly reciprocating motion within cannula 64, the transmission mechanism 72 is operatively connected between drive shafts 70 and 74. Adjacent to the opening 68 formed near the tip 66 of cann1aula 64, the cutting tool 100 defines an opening 104 defining a cutting surface at its boundary. Vacuum is established within the cannula 64 via vacuum unit 42 (FIG. 1) so that a suction force is developed at the cannula opening 68 in the direction indicated by arrow 105. [0054] The drive motor [0054] 34 operates as described to reciprocate the cutting opening 104 defined within cutting tool 100 linearly along the longitudinal axis of cannula 64. The suction developed at the opening 68 of the cannula draws nearby tissue T into the opening 68 when the cutting tool opening 104 is aligned with the cannula opening 68. As the cutting tool opening 94 pulls away from the cannula opening 68, a portion of the tissue ET extending into openings 68 and 104 is excised as shown in FIG. 5B. The excised tissue ET is drawn away from opening 68 via vacuum and is collected by a suitable tissue container (not shown). [0055] As with the embodiments illustrated in FIGS. [0055] 4A-4D and 5A-5D, the cutting tool opening 104 may come to rest partially disposed over opening 68 and consequently trap a portion of the tissue T′ between a boundary of the cutting tool opening 104 and a boundary of the cannula opening 68, as illustrated in FIG. 6C, unless the position of the rotary shaft 70, and hence the position of the cutting tool opening 104 relative to the cannula opening 68, is appropriately controlled when the motor 34 is deactivated. Again, efforts at withdrawing the cannula 64 from the surgical site may accordingly result in tearing of the tissue portion T′ away from the tissue base T, and a surgeon encountering such tissue trapping would typically be required to re-activate the cutting tool 100 to release the tissue portion T′ from its base T. [0056] The reciprocating cutting instrument shown in FIGS. [0056] 6A-C can be modified to an end cutting configuration, such as depicted in FIG. 7. In this configuration, the cutting tool 106 is open at its distal end. The distal end 108 defines a circumferential cutting surface that excises the tissue T. As shown in FIG. 7, the cutting tool 106 can be stopped in a position in which a portion of the tissue is trapped between the cutting opening in the outer cannula and the cutting surface 108, leading to the phenomena described above. The motor control system according to the illustrated embodiments of the present invention can adjust the stopped position of the cutting tool 106 so the end cutting surface 108 is clear of the cannula cutting opening. [0057] In accordance with the present invention, the tissue trapping conditions illustrated in FIGS. 4D, 5D, [0057] 6C and 7 are avoided by controlling deactivation of the drive motor 34 in such a manner that the cutting surface(s) of the various cutting tools are positioned remote from the cannula opening 68. Referring again to FIGS. 2, 3A and 3B, controlled deactivation of the drive motor 34 will now be described in detail. [0058] When it is desired to deactivate a presently activated cutting tool, such as any of the cutting tools illustrated in FIGS. [0058] 4A-4D, 5A-5D, 6A-6C or 7, a motor stop command is provided via foot switch 14 (FIG. 1). In one embodiment, MCU 12 is responsive to the motor stop command to provide a slowdown signal to the PWM generator via signal path 322 which slows the action of motor 34. Preferably, the slowdown signal corresponds to a predefined signal level operable to drive the motor 34 at a motor speed below a motor speed threshold level. Since motor 34 is a brushed DC motor, it has a rotational resistance or resistive torque associated therewith as described above. In addition, in some cases friction between the inner and outer needles will increase the rotational resistance. Due to this combined rotational resistance, operation of the motor 34 will cease very rapidly or nearly instantly if the motor drive signal on signal path 30 is disabled while driving motor 34 below the motor speed threshold. Accordingly, alignment of mark 76 or 77 with sensor 38 preferably corresponds to a position of the cutting instrument at which there is no danger of trapping tissue between a cutting surface thereof and the cannula opening, and sensor 38 is operable to produce the motor stop identification signal when so aligned with mark 76 or 77. Alternatively, although mark 76 or 77 is preferably at the open position, it may be located at any known displacement from the open position, so long as sufficient delay is controllably introduced in the activation of the brake signal. This delay can compensate for the displacement of the alignment mark 76 or 77. [0059] In one embodiment, MCU [0059] 12 is preferably operable to produce a motor stop signal on signal path 323 when sensor 38 detects alignment of mark 76 or 77 therewith after one passage thereby of mark 76 or 77 since producing the slowdown signal on signal path 322. Allowing one passage of mark 76 or 77 by sensor 38 after issuing the slowdown signal ensures that the drive speed of motor 34 is at or below the motor speed threshold when subsequently issuing the motor stop command, regardless of the position of mark 76 or 77 relative to sensor 38 when the slowdown command was issued. After one passage of mark 76 or 77 by sensor 38 since issuing the slowdown signal, MCU 12 is responsive to the signal provided by sensor 38 indicative of alignment of mark 76 or 77 therewith, to produce the motor stop signal on signal path 323. The motor driver 58 is responsive to the motor stop signal to produce a motor disable signal on signal path 30. Due to the inherent rotational resistance, motor 34 is responsive to the motor disable signal to immediately cease operation thereof with mark 76 or 77 substantially aligned with sensor 38, and with the cutting instrument accordingly positioned so as not to trap tissue between any cutting surface thereof and the cannula opening. It is contemplated that the stopped position of the motor, and therefore the cutting surface, may be instead aligned with a predetermined differential distance between the mark 76/77 and the sensor 38. The braking characteristics of the cutter and its motor can be ascertained and the stopping distance determined so that this predetermined differential distance can be calibrated accordingly. [0060] For example, with cutting tool [0060] 80, MCU 12 is preferably operable to stop the drive motor 34 as just described with the cutting blades 84 positioned as illustrated in FIG. 4B, although the present invention contemplates stopping the drive motor 34 with cutting blades 84 positioned otherwise relative to cannula opening 68 so long as tissue pinching does not occur as illustrated in FIG. 4D. With cutting tool 90, MCU 12 is preferably operable to stop the drive motor 34 as just described with the cutting opening 94 positioned as illustrated in FIG. 5C, although the present invention contemplates stopping the drive motor 34 with cutting opening 94 positioned otherwise relative to cannula opening 68 so long as tissue pinching does not occur as illustrated in FIG. 5D. Finally, with cutting tool 100, MCU 12 is preferably operable to stop the drive motor 34 as just described with the cutting opening 104 positioned as illustrated in FIG. 6B, although the present invention contemplates stopping the drive motor 34 with cutting opening 104 positioned otherwise relative to cannula opening 68 so long as tissue pinching does not occur as illustrated in FIG. 6C. [0061] In some instances, the actual motor speed will be below the motor speed threshold when the motor stop command is issued by the surgeon. In these instances, the MCU can be programmed to recognize this condition and bypass the requirement of one passage of the mark [0061] 76 or 77 past the sensor. If the motor speed is already sufficiently slow, the MCU can simply disable the motor when the mark first encounters the sensor. [0062] In a further modification, the motor disable signal can be provided to a relay spanning the motor terminals, such as relay [0062] 110 shown in phantom within the handpiece depicted in FIG. 2. Energizing the relay shorts across the terminals to immediately “kill” the motor. This motor short approach adds to the rotational resistance described above to ensure that the motor can be stopped repeatably and reliably. In addition, the shorting relay serves as a sort of fail-safe feature that prevents the possibility that motor can become re-energized while the cutting instrument is being removed from the patient. Alternatively, the motor slowdown signal can be eliminated, but the motor speed signal set to a speed of zero, which effectively results in shorting of the drive outputs. This action is equivalent to activating the relay 110, with the same improvements in stopping time. [0063] In an alternative approach, the motor slowdown signal is eliminated. In this instance, the rotational resistance or natural braking characteristics of the motor and cutter can be quantified to determine how far the motor will rotate once current is terminated to the motor. Current can be supplied to the motor even after a motor stop signal has been received, until the motor control circuit receives a motor stop identification signal generated by the sensor [0063] 38. With the approach, the sensor 38 can be placed offset from the predetermined position at which cutting surface is clear of the cannula cutting opening. Thus, when the signal from sensor 38 is received, current to the motor can be terminated and the motor will coast to a stop at the appropriate position. [0064] In the prior embodiment, the motor control circuit implements pulse width modulation to control the motor speed and operation. In a further embodiment, a control circuit shown in FIG. 8 relies upon current feedback to control the motor speed. Specifically, the control circuit [0064] 110 includes a current sensor 112 and a power amplifier circuit 112. The motor drive signal 116 is provided at the output of the power amplifier circuit 112. A speed control signal 118 is supplied as an input to the amplifier 114 circuit based upon a throttle position. The speed control signal 118 can be supplied at the signal path 32 (FIG. 1). Current to the motor drive signal 116 is delivered through the resistor 122. The output of the power amplifier circuit 112 is fed directly and through resistor 122 to a difference amplifier 124 in the current sensor 114. The output 126 of the difference amplifier is provided as a feedback signal to an input of the power amplifier circuit 112. [0065] The amplifier circuit includes an op amp [0065] 128 that receives the feedback output 126 and the signal input 118 conditioned through a resistor 130. A resistor 134 scales and amplifies the input signals to supply the current signal to the motor drive signal 116. [0066] In one aspect of the present embodiment, a feedback disable switch [0066] 136 is interposed between the feedback output 126 and the input to the power amplifier circuit 112. A braking signal 120 is supplied to the switch 136 to determine its state. In the illustrated position in FIG. 8, the switch 136 connects the feedback output 126 to the power amplifier circuit input. In its alternative position, the switch 136 connects the feedback output 126 to ground, thereby disabling the current feedback control feature of the drive circuit 110. In this instance, the absence of the current feedback increases the natural braking characteristics of the handpiece and drive motor. [0067] The braking signal input [0067] 120 can be derived from the motor stop signal 32 3 identified in FIG. 2. Alternatively, the braking signal input 120 can be connected to the output 32 2, which had been used for a slowdown signal with the motor control circuit shown in FIG. 2. As with the prior embodiments, the motor control circuit 110 relies upon the natural rotational resistance and braking characteristics of the motor and cutter. These characteristics are particularly pronounced for a brushed DC motor and can be readily quantified. [0068] While the invention has been illustrated and described in detail in the foregoing drawings and description, the same is to be considered as illustrative and not restrictive in character, it being understood that only the preferred embodiments have been shown and described and that all changes and modifications that come within the spirit of the invention are desired to be protected. [0068]
权利要求:
Claims (26) [1" id="US-20010007944-A1-CLM-00001] 1. A tissue cutting apparatus comprising: an elongated housing configured for insertion into a body site, said housing having a first end defining an opening adjacent thereto; a tissue cutting tool disposed within said housing and defining at least one cutting surface configured for movement relative to said housing adjacent said opening to thereby excise tissue extending into said opening; a motor driving a drive shaft extending therefrom and coupled to said cutting tool, said motor operable to drive said cutting tool at a cutting speed to excise tissue at said opening; means for sensing a predefined position of said drive shaft relative to said housing and producing a stop position signal corresponding thereto, said predefined position corresponding to a position of said at least one cutting surface relative to said opening to avoid trapping unexcised tissue therebetween; means for generating a motor stop signal when it is desired to stop said cutting tool; and a control circuit responsive to said motor stop signal to deactivate said motor with said drive shaft at a position prior to said predefined position so that said motor stops with said drive shaft substantially at said predefined position. [2" id="US-20010007944-A1-CLM-00002] 2. The tissue cutting apparatus of claim 1 , wherein said motor is a brushed DC motor. [3" id="US-20010007944-A1-CLM-00003] 3. The tissue cutting apparatus of claim 1 wherein said motor is responsive to a motor activation signal provided by said control circuit to rotationally drive said drive shaft. [4" id="US-20010007944-A1-CLM-00004] 4. The tissue cutting apparatus of claim 3 wherein said drive shaft is connected to said cutting tool to thereby drive said cutting tool rotationally about a longitudinal axis defined by said elongated housing. [5" id="US-20010007944-A1-CLM-00005] 5. The tissue cutting apparatus of claim 3 further including transmission means disposed between said motor and said cutting tool for converting rotary motion from said rotating drive shaft to reciprocating linear motion of said cutting tool to thereby drive said cutting tool in a linearly reciprocating fashion relative to a longitudinal axis defined by said elongated housing. [6" id="US-20010007944-A1-CLM-00006] 6. The tissue cutting apparatus of claim 3 wherein said means for sensing a predefined position of said drive shaft relative to said housing includes: a mark associated with said drive shaft; and a sensor operable to sense passage thereby of said mark and produce said stop position signal. [7" id="US-20010007944-A1-CLM-00007] 7. The tissue cutting apparatus of claim 6 wherein said mark is a magnetized identifier attached to said drive shaft. [8" id="US-20010007944-A1-CLM-00008] 8. The tissue cutting apparatus of claim 7 , wherein said sensor is a Hall effect sensor attached to said housing. [9" id="US-20010007944-A1-CLM-00009] 9. The tissue cutting apparatus of claim 3 wherein: said motor activation signal is a variable motor speed signal; and further including a motor control circuit disposed between said control circuit and said motor, said motor control circuit responsive to said variable motor speed signal to drive said motor at a corresponding rotational speed. [10" id="US-20010007944-A1-CLM-00010] 10. The tissue cutting apparatus of claim 9 , wherein said motor control circuit includes: a power amplifier providing a current signal to said motor; and a current sensor sensing the current provided to said motor and providing a current feedback to said power amplifier, whereby said power amplifier is responsive to said current feedback to control the current signal provided to said motor. [11" id="US-20010007944-A1-CLM-00011] 11. The tissue cutting apparatus of claim 10 , wherein said motor control circuit includes a switch disposed between said current sensor and said power amplifier operable to disable said current feedback in response to said motor stop signal. [12" id="US-20010007944-A1-CLM-00012] 12. The tissue cutting apparatus of claim 9 wherein said motor control circuit includes: a pulse width modulation (PWM) signal generator responsive to said motor speed signal to produce a corresponding PWM signal; and a motor driver circuit responsive to said PWM signal to drive said motor at a corresponding rotational speed. [13" id="US-20010007944-A1-CLM-00013] 13. The tissue cutting apparatus of claim 1 further including a vacuum unit coupled to said housing for creating a vacuum therein. [14" id="US-20010007944-A1-CLM-00014] 14. The tissue cutting apparatus of claim 13 further including a vacuum control circuit disposed between said control circuit and said vacuum unit, said vacuum control circuit responsive to at least one vacuum control signal provided by said control circuit to control said vacuum unit. [15" id="US-20010007944-A1-CLM-00015] 15. The tissue cutting apparatus of claim 1 , wherein: said motor includes motor terminals for receiving signals from said control circuit; and said control circuit includes a relay spanning said motor terminals and operable in response to said motor stop signal to cause a short circuit across said terminals. [16" id="US-20010007944-A1-CLM-00016] 16. A tissue cutting apparatus comprising: an elongated housing configured for insertion into a body site, said housing having a first end defining an opening adjacent thereto; a tissue cutting tool disposed within said housing and defining at least one cutting surface configured for movement relative to said housing adjacent said opening to thereby excise tissue extending into said opening; a motor driving a drive shaft extending therefrom and coupled to said cutting tool, said motor operable to drive said cutting tool at a cutting speed to excise tissue at said opening; means for sensing a predefined position of said drive shaft relative to said housing and producing a stop position signal corresponding thereto, said predefined position corresponding to a position of said at least one cutting surface relative to said opening to avoid trapping unexcised tissue therebetween; means for generating a motor stop signal when it is desired to stop the cutting apparatus; and a control circuit responsive to said motor stop signal to drive said motor at a predefined motor speed substantially less than said cutting speed and thereafter responsive to said stop position signal to deactivate said motor with said drive shaft at said predefined position [17" id="US-20010007944-A1-CLM-00017] 17. The tissue cutting apparatus of claim 16 , wherein said motor is a brushed DC motor. [18" id="US-20010007944-A1-CLM-00018] 18. A method for controlling a brushed DC motor in a tissue cutting apparatus having a cutting member, comprising the steps of: operating the brushed DC motor at a cutting speed effective to excise tissue with the tissue cutting apparatus; sensing a stop signal indicative of a command to stop the tissue cutting apparatus; thereafter sensing a first passage of the cutting member by a fixed location relative to the cutting member; and thereafter de-energizing the brushed DC motor when the cutting member is at the fixed location so that movement of the motor stops with the cutting member substantially at a predetermined position relative to the fixed location. [19" id="US-20010007944-A1-CLM-00019] 19. The method according to claim 18 , wherein: the step of operating the brushed DC motor includes controlling the speed of the motor using a current feedback loop; and further comprising the step of disconnecting the current feedback loop after sensing the stop signal. [20" id="US-20010007944-A1-CLM-00020] 20. The method according to claim 18 further comprising: after sensing the first passage of the cutting member, reducing the speed of the motor to a reduced speed effective to overcome the rotational resistance of the brushed DC motor but substantially less than said cutting speed. [21" id="US-20010007944-A1-CLM-00021] 21. The method according to claim 20 , wherein the step of de-energizing the motor occurs after sensing a second passage of the cutting member by the fixed location. [22" id="US-20010007944-A1-CLM-00022] 22. The method according to claim 18 , wherein the steps of sensing the passage of the cutting member includes: providing a marker at a predetermined position on the cutting member; and providing a sensor at the fixed location on the cutting apparatus, the sensor operable to generate a signal when the marker passes by the sensor. [23" id="US-20010007944-A1-CLM-00023] 23. A method for controlling a brushed DC motor in a tissue cutting apparatus having a cutting member, comprising the steps of: operating the brushed DC motor at a cutting speed effective to excise tissue with the tissue cutting apparatus; sensing a stop signal indicative of a command to stop the tissue cutting apparatus; sensing a first passage of the cutting member by a fixed location relative to the cutting member; sensing a second passage of the cutting member by the fixed location; and stopping the brushed DC motor substantially immediately upon sensing the second passage to stop the cutting member at a predetermined position. [24" id="US-20010007944-A1-CLM-00024] 24. A tissue cutting apparatus comprising: an elongated housing configured for insertion into a body site, said housing defining a cutting opening sized to receive tissue therethrough; a cutting member operatively disposed within said housing and defining a cutting surface adjacent said cutting opening configured to excise tissue projecting through said opening; a brushed DC motor having a rotating output shaft coupled to said cutting member and operable to drive said cutting member at a cutting speed sufficient to excise tissue, said brushed DC motor generating a resistance torque in a direction opposite to the direction of rotation of said output shaft; a position identifier mark associated with either of said output shaft or said cutting member; a position sensor mounted in said housing in alignment with said position identifier mark, said sensor having a predetermined position relative to said cutting opening so that when said position identifier mark is immediately adjacent said position sensor, said cutting surface is disposed relative to said opening so that tissue projecting through said cutting opening is not trapped by said cutting surface; and means for generating a stop signal when it is desired to stop operation of said cutting member; and a motor controller providing power to said brushed DC motor and having means for controlling the operation of said motor, said means operable in a first state to control said motor at said cutting speed, in a second state to control said motor at a reduced speed sufficient only to overcome said resistive torque in response to said stop signal, and a third state to terminate power to said motor immediately after the second passage of said position identifier mark by said position sensor. [25" id="US-20010007944-A1-CLM-00025] 25. The tissue cutting apparatus according to claim 24 , wherein said motor controller includes: a power amplifier providing a current signal to said motor; a current sensor sensing the current provided to said motor and providing a current feedback to said power amplifier, whereby said power amplifier is responsive to said current feedback to control the current signal provided to said motor; and a switch disposed between said current sensor and said power amplifier operable to disable said current feedback to said power amplifier in response to said stop signal. [26" id="US-20010007944-A1-CLM-00026] 26. The tissue cutting apparatus of claim 25 , wherein: said motor includes motor terminals for receiving signals from said control circuit; and said motor controller includes a relay spanning said motor terminals and operable in response to said stop signal to cause a short circuit across said terminals.
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同族专利:
公开号 | 公开日 EP1123049A4|2002-07-31| EP1123049A1|2001-08-16| EP1123049B1|2007-01-31| JP2002527186A|2002-08-27| DE69935041T2|2007-11-15| US6358263B2|2002-03-19| DE69935041D1|2007-03-22| JP4245276B2|2009-03-25| WO2000022994A1|2000-04-27| US6245084B1|2001-06-12|
引用文献:
公开号 | 申请日 | 公开日 | 申请人 | 专利标题 US20060047271A1|2004-08-31|2006-03-02|Medtronic, Inc.|Surgical apparatus including a hand-activated, cable assembly and method of using same| US20080132928A1|2006-12-05|2008-06-05|Jezierski Rafal Z|Cutting Tool Having a Magnetically Controlled Pre-Load Force| US20080234714A1|2006-12-05|2008-09-25|Smith & Nephew, Inc|Cutting Tool Having A Magnetically Controlled Pre-Load Force| US20080255418A1|2007-04-13|2008-10-16|Zemlok Michael A|Powered surgical instrument| US20110144681A1|2001-03-14|2011-06-16|Tyco Healthcare Group Lp|Trocar device| US20120078279A1|2008-12-16|2012-03-29|Mark Joseph L|Multi-functional surgical device for neurosurgical and spinal surgery applications| US20160000431A1|2007-01-10|2016-01-07|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and remote sensor|US4167943A|1977-06-27|1979-09-18|Surgical Design Corp.|Blade type rotatable surgical cutting instrument with improved cutter blade wear| US4200106A|1977-10-11|1980-04-29|Dinkelkamp Henry T|Fixed arc cyclic ophthalmic surgical instrument| US4203444B1|1977-11-07|1987-07-21||| US4210146A|1978-06-01|1980-07-01|Anton Banko|Surgical instrument with flexible blade| US4274414A|1979-02-21|1981-06-23|Dyonics, Inc.|Surgical instrument| JPH0245202B2|1979-10-09|1990-10-08|Fanuc Ltd|| JPS6247655B2|1979-12-31|1987-10-08|Fanuc Ltd|| USRE34556E|1985-01-23|1994-03-01|Smith & Nephew Dyonics Inc.|Surgical system for powered instruments| US4705038A|1985-01-23|1987-11-10|Dyonics, Inc.|Surgical system for powered instruments| US4728876A|1986-02-19|1988-03-01|Minnesota Mining And Manufacturing Company|Orthopedic drive assembly| US5217478A|1987-02-18|1993-06-08|Linvatec Corporation|Arthroscopic surgical instrument drive system| JPH01174283A|1987-12-28|1989-07-10|Fanuc Ltd|Main spindle orientation control device| DE3805179A1|1988-02-19|1989-08-31|Wolf Gmbh Richard|DEVICE WITH A ROTATING DRIVEN SURGICAL INSTRUMENT| US4867155A|1988-06-21|1989-09-19|Nu-Tech Industries, Inc.|Arthroscopic cutting device| US5431673A|1989-02-17|1995-07-11|American Biomed, Inc.|Distal atherectomy catheter| US5059204A|1989-10-26|1991-10-22|Site Microsurgical Systems, Inc.|Ocular cutter with enhanced cutting action| US5048538A|1989-11-27|1991-09-17|Vance Products Incorporated|Biopsy instrument| US5171245A|1990-09-27|1992-12-15|Stryker Corporation|Surgical apparatus including a spring activated locking device| US5207697A|1991-06-27|1993-05-04|Stryker Corporation|Battery powered surgical handpiece| US5336167A|1991-07-22|1994-08-09|Theratek International, Inc.|Controller for intravascular catheter system| US5222953A|1991-10-02|1993-06-29|Kambiz Dowlatshahi|Apparatus for interstitial laser therapy having an improved temperature sensor for tissue being treated| US5672945A|1992-04-13|1997-09-30|Smith & Nephew Endoscopy, Inc.|Motor controlled surgical system and method having self clearing motor control| US5270622A|1992-04-13|1993-12-14|Smith & Nephew Dyonics, Inc.|Brushless motor control system| US5602449A|1992-04-13|1997-02-11|Smith & Nephew Endoscopy, Inc.|Motor controlled surgical system and method having positional control| US5323543A|1992-09-29|1994-06-28|Keratron Group|Apparatus and method for calibrating a surgical knife| US5403276A|1993-02-16|1995-04-04|Danek Medical, Inc.|Apparatus for minimally invasive tissue removal| CA2167367A1|1993-07-21|1995-02-02|Charles H. Klieman|Surgical instrument for endoscopic and general surgery| US5490860A|1993-12-08|1996-02-13|Sofamor Danek Properties, Inc.|Portable power cutting tool| US5411513A|1994-02-24|1995-05-02|Danek Medical, Inc.|Transmission mechanism for a surgical cutting instrument| US5422730A|1994-03-25|1995-06-06|Barlow; Clyde H.|Automated optical detection of tissue perfusion by microspheres| US5669921A|1994-07-19|1997-09-23|Linvatec Corporation|Endoscopic shaver blade window positioning system| US5665101A|1996-04-01|1997-09-09|Linvatec Corporation|Endoscopic or open lipectomy instrument|US5649547A|1994-03-24|1997-07-22|Biopsys Medical, Inc.|Methods and devices for automated biopsy and collection of soft tissue| NL1006944C2|1997-09-04|1999-03-11|Mark Hans Emanuel|Surgical endoscopic cutting device.| US20080146965A1|2003-08-11|2008-06-19|Salvatore Privitera|Surgical Device for The Collection of Soft Tissue| US20010047183A1|2000-04-05|2001-11-29|Salvatore Privitera|Surgical device for the collection of soft tissue| US6565554B1|1999-04-07|2003-05-20|Intuitive Surgical, Inc.|Friction compensation in a minimally invasive surgical apparatus| US6428487B1|1999-12-17|2002-08-06|Ethicon Endo-Surgery, Inc.|Surgical biopsy system with remote control for selecting an operational mode| US6428508B1|2000-02-01|2002-08-06|Enlighten Technologies, Inc.|Pulsed vacuum cataract removal system| US6821280B1|2000-08-03|2004-11-23|Charanpreet S. Bagga|Distracting and curetting instrument| ES2291353T3|2000-09-24|2008-03-01|Medtronic, Inc.|ENGINE CONTROL SYSTEM FOR A SURGICAL MANUAL PART.| US6602203B2|2000-10-13|2003-08-05|Ethicon Endo-Surgery, Inc.|Remote thumbwheel for a surgical biopsy device| US7226459B2|2001-10-26|2007-06-05|Smith & Nephew, Inc.|Reciprocating rotary arthroscopic surgical instrument| US20040092992A1|2002-10-23|2004-05-13|Kenneth Adams|Disposable battery powered rotary tissue cutting instruments and methods therefor| US9060770B2|2003-05-20|2015-06-23|Ethicon Endo-Surgery, Inc.|Robotically-driven surgical instrument with E-beam driver| US20070084897A1|2003-05-20|2007-04-19|Shelton Frederick E Iv|Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism| US7708751B2|2004-05-21|2010-05-04|Ethicon Endo-Surgery, Inc.|MRI biopsy device| US9638770B2|2004-05-21|2017-05-02|Devicor Medical Products, Inc.|MRI biopsy apparatus incorporating an imageable penetrating portion| US8932233B2|2004-05-21|2015-01-13|Devicor Medical Products, Inc.|MRI biopsy device| US8215531B2|2004-07-28|2012-07-10|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a medical substance dispenser| US8062214B2|2004-08-27|2011-11-22|Smith & Nephew, Inc.|Tissue resecting system| US20060261763A1|2005-05-23|2006-11-23|Masco Corporation|Brushed motor position control based upon back current detection| US7669746B2|2005-08-31|2010-03-02|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights| US9237891B2|2005-08-31|2016-01-19|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical stapling devices that produce formed staples having different lengths| US10159482B2|2005-08-31|2018-12-25|Ethicon Llc|Fastener cartridge assembly comprising a fixed anvil and different staple heights| US7673781B2|2005-08-31|2010-03-09|Ethicon Endo-Surgery, Inc.|Surgical stapling device with staple driver that supports multiple wire diameter staples| US7934630B2|2005-08-31|2011-05-03|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights| US20070106317A1|2005-11-09|2007-05-10|Shelton Frederick E Iv|Hydraulically and electrically actuated articulation joints for surgical instruments| US7753904B2|2006-01-31|2010-07-13|Ethicon Endo-Surgery, Inc.|Endoscopic surgical instrument with a handle that can articulate with respect to the shaft| US11207064B2|2011-05-27|2021-12-28|Cilag Gmbh International|Automated end effector component reloading system for use with a robotic system| US8186555B2|2006-01-31|2012-05-29|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with mechanical closure system| US7422139B2|2006-01-31|2008-09-09|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting fastening instrument with tactile position feedback| US11224427B2|2006-01-31|2022-01-18|Cilag Gmbh International|Surgical stapling system including a console and retraction assembly| US8708213B2|2006-01-31|2014-04-29|Ethicon Endo-Surgery, Inc.|Surgical instrument having a feedback system| US7416101B2|2006-01-31|2008-08-26|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with loading force feedback| US20110290856A1|2006-01-31|2011-12-01|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical instrument with force-feedback capabilities| US8820603B2|2006-01-31|2014-09-02|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument| US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities| US20120292367A1|2006-01-31|2012-11-22|Ethicon Endo-Surgery, Inc.|Robotically-controlled end effector| US7770775B2|2006-01-31|2010-08-10|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with adaptive user feedback| US9861359B2|2006-01-31|2018-01-09|Ethicon Llc|Powered surgical instruments with firing system lockout arrangements| US7766210B2|2006-01-31|2010-08-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with user feedback system| US8992422B2|2006-03-23|2015-03-31|Ethicon Endo-Surgery, Inc.|Robotically-controlled endoscopic accessory channel| US8236010B2|2006-03-23|2012-08-07|Ethicon Endo-Surgery, Inc.|Surgical fastener and cutter with mimicking end effector| US8560047B2|2006-06-16|2013-10-15|Board Of Regents Of The University Of Nebraska|Method and apparatus for computer aided surgery| US8322455B2|2006-06-27|2012-12-04|Ethicon Endo-Surgery, Inc.|Manually driven surgical cutting and fastening instrument| US10130359B2|2006-09-29|2018-11-20|Ethicon Llc|Method for forming a staple| US20080078802A1|2006-09-29|2008-04-03|Hess Christopher J|Surgical staples and stapling instruments| US10568652B2|2006-09-29|2020-02-25|Ethicon Llc|Surgical staples having attached drivers of different heights and stapling instruments for deploying the same| US20140039343A1|2006-12-13|2014-02-06|Devicor Medical Products, Inc.|Biopsy system| US8480595B2|2006-12-13|2013-07-09|Devicor Medical Products, Inc.|Biopsy device with motorized needle cocking| US8251916B2|2006-12-13|2012-08-28|Devicor Medical Products, Inc.|Revolving tissue sample holder for biopsy device| US7938786B2|2006-12-13|2011-05-10|Devicor Medical Products, Inc.|Vacuum timing algorithm for biopsy device| US7981049B2|2006-12-13|2011-07-19|Devicor Medical Products, Inc.|Engagement interface for biopsy system vacuum module| US9345457B2|2006-12-13|2016-05-24|Devicor Medical Products, Inc.|Presentation of biopsy sample by biopsy device| US8652120B2|2007-01-10|2014-02-18|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and sensor transponders| US20080169332A1|2007-01-11|2008-07-17|Shelton Frederick E|Surgical stapling device with a curved cutting member| US11039836B2|2007-01-11|2021-06-22|Cilag Gmbh International|Staple cartridge for use with a surgical stapling instrument| US20090005809A1|2007-03-15|2009-01-01|Hess Christopher J|Surgical staple having a slidable crown| JP5132172B2|2007-03-26|2013-01-30|オンセミコンダクター・トレーディング・リミテッド|Motor drive integrated circuit| US8893946B2|2007-03-28|2014-11-25|Ethicon Endo-Surgery, Inc.|Laparoscopic tissue thickness and clamp load measuring devices| AU2008242981B2|2007-04-16|2014-06-12|Smith & Nephew, Inc.|Powered surgical system| US8931682B2|2007-06-04|2015-01-13|Ethicon Endo-Surgery, Inc.|Robotically-controlled shaft based rotary drive systems for surgical instruments| US8408439B2|2007-06-22|2013-04-02|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with an articulatable end effector| US7753245B2|2007-06-22|2010-07-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments| US8808200B2|2007-10-01|2014-08-19|Suros Surgical Systems, Inc.|Surgical device and method of using same| US8202229B2|2007-10-01|2012-06-19|Suros Surgical Systems, Inc.|Surgical device| US8454531B2|2007-11-20|2013-06-04|Devicor Medical Products, Inc.|Icon-based user interface on biopsy system control module| US7806835B2|2007-11-20|2010-10-05|Devicor Medical Products, Inc.|Biopsy device with sharps reduction feature| US7858038B2|2007-11-20|2010-12-28|Devicor Medical Products, Inc.|Biopsy device with illuminated tissue holder| US8052616B2|2007-11-20|2011-11-08|Devicor Medical Products, Inc.|Biopsy device with fine pitch drive train| US20090131821A1|2007-11-20|2009-05-21|Speeg Trevor W V|Graphical User Interface For Biopsy System Control Module| US9039634B2|2007-11-20|2015-05-26|Devicor Medical Products, Inc.|Biopsy device tissue sample holder rotation control| US20090131819A1|2007-11-20|2009-05-21|Ritchie Paul G|User Interface On Biopsy Device| US8561870B2|2008-02-13|2013-10-22|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument| US8657174B2|2008-02-14|2014-02-25|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument having handle based power source| US8636736B2|2008-02-14|2014-01-28|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument| US7819298B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with control features operable with one hand| US9179912B2|2008-02-14|2015-11-10|Ethicon Endo-Surgery, Inc.|Robotically-controlled motorized surgical cutting and fastening instrument| US8573465B2|2008-02-14|2013-11-05|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical end effector system with rotary actuated closure systems| RU2493788C2|2008-02-14|2013-09-27|Этикон Эндо-Серджери, Инк.|Surgical cutting and fixing instrument, which has radio-frequency electrodes| US8758391B2|2008-02-14|2014-06-24|Ethicon Endo-Surgery, Inc.|Interchangeable tools for surgical instruments| US7866527B2|2008-02-14|2011-01-11|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with interlockable firing system| US10390823B2|2008-02-15|2019-08-27|Ethicon Llc|End effector comprising an adjunct| US7905381B2|2008-09-19|2011-03-15|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with cutting member arrangement| US9005230B2|2008-09-23|2015-04-14|Ethicon Endo-Surgery, Inc.|Motorized surgical instrument| US8210411B2|2008-09-23|2012-07-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument| US9386983B2|2008-09-23|2016-07-12|Ethicon Endo-Surgery, Llc|Robotically-controlled motorized surgical instrument| US8608045B2|2008-10-10|2013-12-17|Ethicon Endo-Sugery, Inc.|Powered surgical cutting and stapling apparatus with manually retractable firing system| US8430825B2|2008-12-16|2013-04-30|Nico Corporation|Tissue removal device for neurosurgical and spinal surgery applications| US20100152762A1|2008-12-16|2010-06-17|Mark Joseph L|Tissue removal system with multi-directional foot actuator assembly for neurosurgical and spinal surgery applications| US9820480B2|2008-12-16|2017-11-21|Nico Corporation|System for collecting and preserving tissue cores| US8357175B2|2008-12-16|2013-01-22|Nico Corporation|Positioning system for tissue removal device| US10080578B2|2008-12-16|2018-09-25|Nico Corporation|Tissue removal device with adjustable delivery sleeve for neurosurgical and spinal surgery applications| US9216031B2|2008-12-16|2015-12-22|Nico Corporation|Tissue removal device with adjustable fluid supply sleeve for neurosurgical and spinal surgery applications| US9504247B2|2008-12-16|2016-11-29|Nico Corporation|System for collecting and preserving tissue cores| US8460327B2|2008-12-16|2013-06-11|Nico Corporation|Tissue removal device for neurosurgical and spinal surgery applications| US9931105B2|2008-12-16|2018-04-03|Nico Corporation|System and method of taking and collecting tissue cores for treatment| US9279751B2|2008-12-16|2016-03-08|Nico Corporation|System and method of taking and collecting tissue cores for treatment| US8657841B2|2008-12-16|2014-02-25|Nico Corporation|Tissue removal device for neurosurgical and spinal surgery applications| US8702738B2|2008-12-16|2014-04-22|Nico Corporation|Tissue removal device for neurosurgical and spinal surgery applications| US8496599B2|2008-12-16|2013-07-30|Nico Corporation|Tissue removal device for neurosurgical and spinal surgery applications| US9655639B2|2008-12-16|2017-05-23|Nico Corporation|Tissue removal device for use with imaging devices in neurosurgical and spinal surgery applications| US8702623B2|2008-12-18|2014-04-22|Devicor Medical Products, Inc.|Biopsy device with discrete tissue chambers| FR2940551B1|2008-12-23|2010-12-17|Thales Sa|CONTROL SYSTEM FOR DIRECT CURRENT MOTOR ACTUATOR WITH RIGHT NOTCHES| US8517239B2|2009-02-05|2013-08-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising a magnetic element driver| US8444036B2|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| US20110024477A1|2009-02-06|2011-02-03|Hall Steven G|Driven Surgical Stapler Improvements| US8453907B2|2009-02-06|2013-06-04|Ethicon Endo-Surgery, Inc.|Motor driven surgical fastener device with cutting member reversing mechanism| US8220688B2|2009-12-24|2012-07-17|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument with electric actuator directional control assembly| US9168057B2|2010-07-15|2015-10-27|Kebomed Ag|Surgical apparatus| US9155454B2|2010-09-28|2015-10-13|Smith & Nephew, Inc.|Hysteroscopic system| US9629814B2|2010-09-30|2017-04-25|Ethicon Endo-Surgery, Llc|Tissue thickness compensator configured to redistribute compressive forces| US9848875B2|2010-09-30|2017-12-26|Ethicon Llc|Anvil layer attached to a proximal end of an end effector| US10945731B2|2010-09-30|2021-03-16|Ethicon Llc|Tissue thickness compensator comprising controlled release and expansion| CN104321024B|2012-03-28|2017-05-24|伊西康内外科公司|Tissue thickness compensator comprising a plurality of layers| CA2834649C|2011-04-29|2021-02-16|Ethicon Endo-Surgery, Inc.|Staple cartridge comprising staples positioned within a compressible portion thereof| US10123798B2|2010-09-30|2018-11-13|Ethicon Llc|Tissue thickness compensator comprising controlled release and expansion| US9220501B2|2010-09-30|2015-12-29|Ethicon Endo-Surgery, Inc.|Tissue thickness compensators| CN104379068B|2012-03-28|2017-09-22|伊西康内外科公司|Holding device assembly including tissue thickness compensation part| US9314246B2|2010-09-30|2016-04-19|Ethicon Endo-Surgery, Llc|Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent| RU2013119928A|2010-09-30|2014-11-10|Этикон Эндо-Серджери, Инк.|A STAPLING SYSTEM CONTAINING A RETAINING MATRIX AND A LEVELING MATRIX| US9055941B2|2011-09-23|2015-06-16|Ethicon Endo-Surgery, Inc.|Staple cartridge including collapsible deck| US9332974B2|2010-09-30|2016-05-10|Ethicon Endo-Surgery, Llc|Layered tissue thickness compensator| US9364233B2|2010-09-30|2016-06-14|Ethicon Endo-Surgery, Llc|Tissue thickness compensators for circular surgical staplers| US9386984B2|2013-02-08|2016-07-12|Ethicon Endo-Surgery, Llc|Staple cartridge comprising a releasable cover| US9204880B2|2012-03-28|2015-12-08|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising capsules defining a low pressure environment| US9517063B2|2012-03-28|2016-12-13|Ethicon Endo-Surgery, Llc|Movable member for use with a tissue thickness compensator| US9351730B2|2011-04-29|2016-05-31|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising channels| US8746535B2|2010-09-30|2014-06-10|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising detachable portions| US9386988B2|2010-09-30|2016-07-12|Ethicon End-Surgery, LLC|Retainer assembly including a tissue thickness compensator| US9301752B2|2010-09-30|2016-04-05|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising a plurality of capsules| US8695866B2|2010-10-01|2014-04-15|Ethicon Endo-Surgery, Inc.|Surgical instrument having a power control circuit| GB201017968D0|2010-10-23|2010-12-08|Sra Dev Ltd|Ergonomic handpiece for laparoscopic and open surgery| US9872694B2|2011-01-05|2018-01-23|Hologic, Inc.|Tissue removal system| US9254142B2|2011-04-11|2016-02-09|Iogyn, Inc.|Tissue extraction devices and methods| US9072535B2|2011-05-27|2015-07-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments with rotatable staple deployment arrangements| US8512326B2|2011-06-24|2013-08-20|Arqos Surgical, Inc.|Tissue extraction devices and methods| WO2012178119A2|2011-06-24|2012-12-27|Arqos Surgical, Inc.|Tissue extraction devices and methods| US10105149B2|2013-03-15|2018-10-23|Board Of Regents Of The University Of Nebraska|On-board tool tracking system and methods of computer assisted surgery| CN106913366B|2011-06-27|2021-02-26|内布拉斯加大学评议会|On-tool tracking system and computer-assisted surgery method| US9498231B2|2011-06-27|2016-11-22|Board Of Regents Of The University Of Nebraska|On-board tool tracking system and methods of computer assisted surgery| US9233193B2|2011-06-29|2016-01-12|Iogyn, Inc.|Surgical fluid management systems and methods| US9737362B2|2011-07-06|2017-08-22|Boston Scientific Scimed, Inc.|Tissue cutting systems and methods| US9439720B2|2011-09-01|2016-09-13|Iogyn, Inc.|Tissue extraction devices and methods| US9084847B2|2011-09-22|2015-07-21|Iogyn, Inc.|Surgical fluid management systems and methods| US8753344B2|2011-09-23|2014-06-17|Smith & Nephew, Inc.|Dynamic orthoscopic sensing| US9050084B2|2011-09-23|2015-06-09|Ethicon Endo-Surgery, Inc.|Staple cartridge including collapsible deck arrangement| US8568418B2|2011-10-03|2013-10-29|Gyrus Ent L.L.C.|Apparatus for controlling position of rotary surgical instrument| US9597149B2|2011-11-04|2017-03-21|Iogyn, Inc.|Tissue extraction devices and methods| US10070990B2|2011-12-08|2018-09-11|Alcon Research, Ltd.|Optimized pneumatic drive lines| US9439677B2|2012-01-20|2016-09-13|Iogyn, Inc.|Medical device and methods| US9044230B2|2012-02-13|2015-06-02|Ethicon Endo-Surgery, Inc.|Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status| CN104334098B|2012-03-28|2017-03-22|伊西康内外科公司|Tissue thickness compensator comprising capsules defining a low pressure environment| US9307989B2|2012-03-28|2016-04-12|Ethicon Endo-Surgery, Llc|Tissue stapler having a thickness compensator incorportating a hydrophobic agent| US20130324882A1|2012-05-30|2013-12-05|Devicor Medical Products, Inc.|Control for biopsy device| US9883881B2|2012-05-31|2018-02-06|Nico Corporation|Motor driven surgical instrument with fluid control circuit| US9101358B2|2012-06-15|2015-08-11|Ethicon Endo-Surgery, Inc.|Articulatable surgical instrument comprising a firing drive| US9289256B2|2012-06-28|2016-03-22|Ethicon Endo-Surgery, Llc|Surgical end effectors having angled tissue-contacting surfaces| US11202631B2|2012-06-28|2021-12-21|Cilag Gmbh International|Stapling assembly comprising a firing lockout| US9649111B2|2012-06-28|2017-05-16|Ethicon Endo-Surgery, Llc|Replaceable clip cartridge for a clip applier| US9364230B2|2012-06-28|2016-06-14|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with rotary joint assemblies| US20140001231A1|2012-06-28|2014-01-02|Ethicon Endo-Surgery, Inc.|Firing system lockout arrangements for surgical instruments| US9204879B2|2012-06-28|2015-12-08|Ethicon Endo-Surgery, Inc.|Flexible drive member| US9498244B2|2012-10-19|2016-11-22|Iogyn, Inc.|Medical systems and methods| EP2916751B1|2012-11-08|2016-09-28|Covidien LP|Tissue-removing catheter including operational control mechanism| JP6345707B2|2013-03-01|2018-06-20|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．|Surgical instrument with soft stop| US9554794B2|2013-03-01|2017-01-31|Ethicon Endo-Surgery, Llc|Multiple processor motor control for modular surgical instruments| JP6382235B2|2013-03-01|2018-08-29|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．|Articulatable surgical instrument with a conductive path for signal communication| US9345481B2|2013-03-13|2016-05-24|Ethicon Endo-Surgery, Llc|Staple cartridge tissue thickness sensor system| US10470762B2|2013-03-14|2019-11-12|Ethicon Llc|Multi-function motor for a surgical instrument| US9629629B2|2013-03-14|2017-04-25|Ethicon Endo-Surgey, LLC|Control systems for surgical instruments| US9332984B2|2013-03-27|2016-05-10|Ethicon Endo-Surgery, Llc|Fastener cartridge assemblies| US9795384B2|2013-03-27|2017-10-24|Ethicon Llc|Fastener cartridge comprising a tissue thickness compensator and a gap setting element| US9572577B2|2013-03-27|2017-02-21|Ethicon Endo-Surgery, Llc|Fastener cartridge comprising a tissue thickness compensator including openings therein| EP2983600B1|2013-04-08|2018-05-23|Boston Scientific Scimed, Inc.|Medical systems| US9649110B2|2013-04-16|2017-05-16|Ethicon Llc|Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output| US9486233B2|2013-04-26|2016-11-08|Iogyn, Inc.|Tissue resecting systems and methods| US9574644B2|2013-05-30|2017-02-21|Ethicon Endo-Surgery, Llc|Power module for use with a surgical instrument| MX369362B|2013-08-23|2019-11-06|Ethicon Endo Surgery Llc|Firing member retraction devices for powered surgical instruments.| US9808249B2|2013-08-23|2017-11-07|Ethicon Llc|Attachment portions for surgical instrument assemblies| US9943639B2|2013-10-28|2018-04-17|Boston Scientific Scimed, Inc.|Fluid management system and methods| US9549735B2|2013-12-23|2017-01-24|Ethicon Endo-Surgery, Llc|Fastener cartridge comprising a firing member including fastener transfer surfaces| US20150173756A1|2013-12-23|2015-06-25|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling methods| US9724092B2|2013-12-23|2017-08-08|Ethicon Llc|Modular surgical instruments| US9839428B2|2013-12-23|2017-12-12|Ethicon Llc|Surgical cutting and stapling instruments with independent jaw control features| US9962161B2|2014-02-12|2018-05-08|Ethicon Llc|Deliverable surgical instrument| US20140166725A1|2014-02-24|2014-06-19|Ethicon Endo-Surgery, Inc.|Staple cartridge including a barbed staple.| CN106232029B|2014-02-24|2019-04-12|伊西康内外科有限责任公司|Fastening system including firing member locking piece| US20150272557A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Modular surgical instrument system| US20150272580A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Verification of number of battery exchanges/procedure count| US9913642B2|2014-03-26|2018-03-13|Ethicon Llc|Surgical instrument comprising a sensor system| JP6573904B2|2014-03-26|2019-09-11|エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ|Power management via segmented circuit sleep option and wake-up control| US9826977B2|2014-03-26|2017-11-28|Ethicon Llc|Sterilization verification circuit| US9877721B2|2014-04-16|2018-01-30|Ethicon Llc|Fastener cartridge comprising tissue control features| US10045781B2|2014-06-13|2018-08-14|Ethicon Llc|Closure lockout systems for surgical instruments| US9724094B2|2014-09-05|2017-08-08|Ethicon Llc|Adjunct with integrated sensors to quantify tissue compression| BR112017004361A2|2014-09-05|2017-12-05|Ethicon Llc|medical overcurrent modular power supply| BR112017005981A2|2014-09-26|2017-12-19|Ethicon Llc|surgical staplers and ancillary materials| US10206677B2|2014-09-26|2019-02-19|Ethicon Llc|Surgical staple and driver arrangements for staple cartridges| US10076325B2|2014-10-13|2018-09-18|Ethicon Llc|Surgical stapling apparatus comprising a tissue stop| US9924944B2|2014-10-16|2018-03-27|Ethicon Llc|Staple cartridge comprising an adjunct material| US11141153B2|2014-10-29|2021-10-12|Cilag Gmbh International|Staple cartridges comprising driver arrangements| US10517594B2|2014-10-29|2019-12-31|Ethicon Llc|Cartridge assemblies for surgical staplers| US9844376B2|2014-11-06|2017-12-19|Ethicon Llc|Staple cartridge comprising a releasable adjunct material| US10736636B2|2014-12-10|2020-08-11|Ethicon Llc|Articulatable surgical instrument system| WO2016100522A1|2014-12-16|2016-06-23|Smith & Nephew, Inc.|Surgical device with incorporated tissue extraction| US9844374B2|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| US10117649B2|2014-12-18|2018-11-06|Ethicon Llc|Surgical instrument assembly comprising a lockable articulation system| US9968355B2|2014-12-18|2018-05-15|Ethicon Llc|Surgical instruments with articulatable end effectors and improved firing beam support arrangements| US9844375B2|2014-12-18|2017-12-19|Ethicon Llc|Drive arrangements for articulatable surgical instruments| US10085748B2|2014-12-18|2018-10-02|Ethicon Llc|Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors| US9987000B2|2014-12-18|2018-06-05|Ethicon Llc|Surgical instrument assembly comprising a flexible articulation system| US10188385B2|2014-12-18|2019-01-29|Ethicon Llc|Surgical instrument system comprising lockable systems| EP3250105B1|2015-01-28|2020-11-11|Covidien LP|Tissue resection system| US9931118B2|2015-02-27|2018-04-03|Ethicon Endo-Surgery, Llc|Reinforced battery for a surgical instrument| US11154301B2|2015-02-27|2021-10-26|Cilag Gmbh International|Modular stapling assembly| US10226250B2|2015-02-27|2019-03-12|Ethicon Llc|Modular stapling assembly| US10180463B2|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| US9895148B2|2015-03-06|2018-02-20|Ethicon Endo-Surgery, Llc|Monitoring speed control and precision incrementing of motor for powered surgical instruments| US9901342B2|2015-03-06|2018-02-27|Ethicon Endo-Surgery, Llc|Signal and power communication system positioned on a rotatable shaft| US9993248B2|2015-03-06|2018-06-12|Ethicon Endo-Surgery, Llc|Smart sensors with local signal processing| US10617412B2|2015-03-06|2020-04-14|Ethicon Llc|System for detecting the mis-insertion of a staple cartridge into a surgical stapler| US10052044B2|2015-03-06|2018-08-21|Ethicon Llc|Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures| US9924961B2|2015-03-06|2018-03-27|Ethicon Endo-Surgery, Llc|Interactive feedback system for powered surgical instruments| US10245033B2|2015-03-06|2019-04-02|Ethicon Llc|Surgical instrument comprising a lockable battery housing| US10687806B2|2015-03-06|2020-06-23|Ethicon Llc|Adaptive tissue compression techniques to adjust closure rates for multiple tissue types| US10045776B2|2015-03-06|2018-08-14|Ethicon Llc|Control techniques and sub-processor contained within modular shaft with select control processing from handle| US10441279B2|2015-03-06|2019-10-15|Ethicon Llc|Multiple level thresholds to modify operation of powered surgical instruments| US9808246B2|2015-03-06|2017-11-07|Ethicon Endo-Surgery, Llc|Method of operating a powered surgical instrument| US10433844B2|2015-03-31|2019-10-08|Ethicon Llc|Surgical instrument with selectively disengageable threaded drive systems| WO2016191422A1|2015-05-26|2016-12-01|Covidien Lp|Systems and methods for generating a fluid bearing for an operative procedure| WO2016205359A2|2015-06-17|2016-12-22|Smith & Nephew, Inc.|Surgical instrument with phase change cooling| EP3310241B1|2015-06-17|2020-08-05|Covidien LP|Endoscopic device with drip flange| WO2016205197A1|2015-06-18|2016-12-22|Covidien Lp|Surgical instrument with suction control| US10182818B2|2015-06-18|2019-01-22|Ethicon Llc|Surgical end effectors with positive jaw opening arrangements| US10226276B2|2015-06-26|2019-03-12|Covidien Lp|Tissue-removing catheter including operational control mechanism| US10617418B2|2015-08-17|2020-04-14|Ethicon Llc|Implantable layers for a surgical instrument| RU2725081C2|2015-08-26|2020-06-29|ЭТИКОН ЭлЭлСи|Strips with surgical staples allowing the presence of staples with variable properties and providing simple loading of the cartridge| US10357251B2|2015-08-26|2019-07-23|Ethicon Llc|Surgical staples comprising hardness variations for improved fastening of tissue| US10238390B2|2015-09-02|2019-03-26|Ethicon Llc|Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns| US11213295B2|2015-09-02|2022-01-04|Cilag Gmbh International|Surgical staple configurations with camming surfaces located between portions supporting surgical staples| US10327769B2|2015-09-23|2019-06-25|Ethicon Llc|Surgical stapler having motor control based on a drive system component| US10085751B2|2015-09-23|2018-10-02|Ethicon Llc|Surgical stapler having temperature-based motor control| US10105139B2|2015-09-23|2018-10-23|Ethicon Llc|Surgical stapler having downstream current-based motor control| US10076326B2|2015-09-23|2018-09-18|Ethicon Llc|Surgical stapler having current mirror-based motor control| US10238386B2|2015-09-23|2019-03-26|Ethicon Llc|Surgical stapler having motor control based on an electrical parameter related to a motor current| US10363036B2|2015-09-23|2019-07-30|Ethicon Llc|Surgical stapler having force-based motor control| US10299878B2|2015-09-25|2019-05-28|Ethicon Llc|Implantable adjunct systems for determining adjunct skew| US10478188B2|2015-09-30|2019-11-19|Ethicon Llc|Implantable layer comprising a constricted configuration| US10271849B2|2015-09-30|2019-04-30|Ethicon Llc|Woven constructs with interlocked standing fibers| US10980539B2|2015-09-30|2021-04-20|Ethicon Llc|Implantable adjunct comprising bonded layers| US9585675B1|2015-10-23|2017-03-07|RELIGN Corporation|Arthroscopic devices and methods| US10292704B2|2015-12-30|2019-05-21|Ethicon Llc|Mechanisms for compensating for battery pack failure in powered surgical instruments| US10368865B2|2015-12-30|2019-08-06|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments| US10265068B2|2015-12-30|2019-04-23|Ethicon Llc|Surgical instruments with separable motors and motor control circuits| US10245030B2|2016-02-09|2019-04-02|Ethicon Llc|Surgical instruments with tensioning arrangements for cable driven articulation systems| US11213293B2|2016-02-09|2022-01-04|Cilag Gmbh International|Articulatable surgical instruments with single articulation link arrangements| US11224426B2|2016-02-12|2022-01-18|Cilag Gmbh International|Mechanisms for compensating for drivetrain failure in powered surgical instruments| US10448948B2|2016-02-12|2019-10-22|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments| US10258331B2|2016-02-12|2019-04-16|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments| US10413297B2|2016-04-01|2019-09-17|Ethicon Llc|Surgical stapling system configured to apply annular rows of staples having different heights| US10617413B2|2016-04-01|2020-04-14|Ethicon Llc|Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts| US10335145B2|2016-04-15|2019-07-02|Ethicon Llc|Modular surgical instrument with configurable operating mode| US10828028B2|2016-04-15|2020-11-10|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion| US10492783B2|2016-04-15|2019-12-03|Ethicon, Llc|Surgical instrument with improved stop/start control during a firing motion| US11179150B2|2016-04-15|2021-11-23|Cilag Gmbh International|Systems and methods for controlling a surgical stapling and cutting instrument| US10357247B2|2016-04-15|2019-07-23|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion| US10405859B2|2016-04-15|2019-09-10|Ethicon Llc|Surgical instrument with adjustable stop/start control during a firing motion| US10426467B2|2016-04-15|2019-10-01|Ethicon Llc|Surgical instrument with detection sensors| US10456137B2|2016-04-15|2019-10-29|Ethicon Llc|Staple formation detection mechanisms| US10368867B2|2016-04-18|2019-08-06|Ethicon Llc|Surgical instrument comprising a lockout| USD850617S1|2016-06-24|2019-06-04|Ethicon Llc|Surgical fastener cartridge| USD826405S1|2016-06-24|2018-08-21|Ethicon Llc|Surgical fastener| USD847989S1|2016-06-24|2019-05-07|Ethicon Llc|Surgical fastener cartridge| US11000278B2|2016-06-24|2021-05-11|Ethicon Llc|Staple cartridge comprising wire staples and stamped staples| US10299819B2|2016-07-28|2019-05-28|Covidien Lp|Reciprocating rotary surgical cutting device and system for tissue resecting, and method for its use| US10299803B2|2016-08-04|2019-05-28|Covidien Lp|Self-aligning drive coupler| US10945727B2|2016-12-21|2021-03-16|Ethicon Llc|Staple cartridge with deformable driver retention features| US11179155B2|2016-12-21|2021-11-23|Cilag Gmbh International|Anvil arrangements for surgical staplers| US10588632B2|2016-12-21|2020-03-17|Ethicon Llc|Surgical end effectors and firing members thereof| JP2020501779A|2016-12-21|2020-01-23|エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ|Surgical stapling system| US10426471B2|2016-12-21|2019-10-01|Ethicon Llc|Surgical instrument with multiple failure response modes| US10542982B2|2016-12-21|2020-01-28|Ethicon Llc|Shaft assembly comprising first and second articulation lockouts| US10695055B2|2016-12-21|2020-06-30|Ethicon Llc|Firing assembly comprising a lockout| US10758230B2|2016-12-21|2020-09-01|Ethicon Llc|Surgical instrument with primary and safety processors| US10993715B2|2016-12-21|2021-05-04|Ethicon Llc|Staple cartridge comprising staples with different clamping breadths| US10675026B2|2016-12-21|2020-06-09|Ethicon Llc|Methods of stapling tissue| US10588630B2|2016-12-21|2020-03-17|Ethicon Llc|Surgical tool assemblies with closure stroke reduction features| US11134942B2|2016-12-21|2021-10-05|Cilag Gmbh International|Surgical stapling instruments and staple-forming anvils| US10687810B2|2016-12-21|2020-06-23|Ethicon Llc|Stepped staple cartridge with tissue retention and gap setting features| US10568625B2|2016-12-21|2020-02-25|Ethicon Llc|Staple cartridges and arrangements of staples and staple cavities therein| US10485543B2|2016-12-21|2019-11-26|Ethicon Llc|Anvil having a knife slot width| US20180168650A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Connection portions for disposable loading units for surgical stapling instruments| US10898186B2|2016-12-21|2021-01-26|Ethicon Llc|Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls| US20180168619A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems| US10888322B2|2016-12-21|2021-01-12|Ethicon Llc|Surgical instrument comprising a cutting member| US10772654B2|2017-03-02|2020-09-15|Covidien Lp|Fluid-driven tissue resecting instruments, systems, and methods| US11065023B2|2017-03-17|2021-07-20|RELIGN Corporation|Arthroscopic devices and methods| US10390841B2|2017-06-20|2019-08-27|Ethicon Llc|Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation| US10368864B2|2017-06-20|2019-08-06|Ethicon Llc|Systems and methods for controlling displaying motor velocity for a surgical instrument| US10307170B2|2017-06-20|2019-06-04|Ethicon Llc|Method for closed loop control of motor velocity of a surgical stapling and cutting instrument| USD890784S1|2017-06-20|2020-07-21|Ethicon Llc|Display panel with changeable graphical user interface| USD879808S1|2017-06-20|2020-03-31|Ethicon Llc|Display panel with graphical user interface| US11090046B2|2017-06-20|2021-08-17|Cilag Gmbh International|Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument| US10813639B2|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| US10646220B2|2017-06-20|2020-05-12|Ethicon Llc|Systems and methods for controlling displacement member velocity for a surgical instrument| US10881396B2|2017-06-20|2021-01-05|Ethicon Llc|Surgical instrument with variable duration trigger arrangement| US11071554B2|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| US10980537B2|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| USD879809S1|2017-06-20|2020-03-31|Ethicon Llc|Display panel with changeable graphical user interface| US10888321B2|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| US10779820B2|2017-06-20|2020-09-22|Ethicon Llc|Systems and methods for controlling motor speed according to user input for a surgical instrument| US10881399B2|2017-06-20|2021-01-05|Ethicon Llc|Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument| US10327767B2|2017-06-20|2019-06-25|Ethicon Llc|Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation| US10624633B2|2017-06-20|2020-04-21|Ethicon Llc|Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument| US20180368843A1|2017-06-27|2018-12-27|Ethicon Llc|Surgical firing member arrangements| US10993716B2|2017-06-27|2021-05-04|Ethicon Llc|Surgical anvil arrangements| US11090049B2|2017-06-27|2021-08-17|Cilag Gmbh International|Staple forming pocket arrangements| US10772629B2|2017-06-27|2020-09-15|Ethicon Llc|Surgical anvil arrangements| USD851762S1|2017-06-28|2019-06-18|Ethicon Llc|Anvil| US10211586B2|2017-06-28|2019-02-19|Ethicon Llc|Surgical shaft assemblies with watertight housings| USD869655S1|2017-06-28|2019-12-10|Ethicon Llc|Surgical fastener cartridge| US10903685B2|2017-06-28|2021-01-26|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies forming capacitive channels| USD854151S1|2017-06-28|2019-07-16|Ethicon Llc|Surgical instrument shaft| USD906355S1|2017-06-28|2020-12-29|Ethicon Llc|Display screen or portion thereof with a graphical user interface for a surgical instrument| US10588633B2|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| US10716614B2|2017-06-28|2020-07-21|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies with increased contact pressure| US11083455B2|2017-06-28|2021-08-10|Cilag Gmbh International|Surgical instrument comprising an articulation system ratio| US10765427B2|2017-06-28|2020-09-08|Ethicon Llc|Method for articulating a surgical instrument| US11007022B2|2017-06-29|2021-05-18|Ethicon Llc|Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument| US10898183B2|2017-06-29|2021-01-26|Ethicon Llc|Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing| US10932772B2|2017-06-29|2021-03-02|Ethicon Llc|Methods for closed loop velocity control for robotic surgical instrument| US10258418B2|2017-06-29|2019-04-16|Ethicon Llc|System for controlling articulation forces| US10398434B2|2017-06-29|2019-09-03|Ethicon Llc|Closed loop velocity control of closure member for robotic surgical instrument| USD917500S1|2017-09-29|2021-04-27|Ethicon Llc|Display screen or portion thereof with graphical user interface| USD907647S1|2017-09-29|2021-01-12|Ethicon Llc|Display screen or portion thereof with animated graphical user interface| USD907648S1|2017-09-29|2021-01-12|Ethicon Llc|Display screen or portion thereof with animated graphical user interface| US10796471B2|2017-09-29|2020-10-06|Ethicon Llc|Systems and methods of displaying a knife position for a surgical instrument| US10765429B2|2017-09-29|2020-09-08|Ethicon Llc|Systems and methods for providing alerts according to the operational state of a surgical instrument| US10743872B2|2017-09-29|2020-08-18|Ethicon Llc|System and methods for controlling a display of a surgical instrument| US10729501B2|2017-09-29|2020-08-04|Ethicon Llc|Systems and methods for language selection of a surgical instrument| US11090075B2|2017-10-30|2021-08-17|Cilag Gmbh International|Articulation features for surgical end effector| US11134944B2|2017-10-30|2021-10-05|Cilag Gmbh International|Surgical stapler knife motion controls| US10842490B2|2017-10-31|2020-11-24|Ethicon Llc|Cartridge body design with force reduction based on firing completion| US10779903B2|2017-10-31|2020-09-22|Ethicon Llc|Positive shaft rotation lock activated by jaw closure| US10869666B2|2017-12-15|2020-12-22|Ethicon Llc|Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument| US11071543B2|2017-12-15|2021-07-27|Cilag Gmbh International|Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges| US10743874B2|2017-12-15|2020-08-18|Ethicon Llc|Sealed adapters for use with electromechanical surgical instruments| US10779826B2|2017-12-15|2020-09-22|Ethicon Llc|Methods of operating surgical end effectors| US11006955B2|2017-12-15|2021-05-18|Ethicon Llc|End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments| US10743875B2|2017-12-15|2020-08-18|Ethicon Llc|Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member| US11033267B2|2017-12-15|2021-06-15|Ethicon Llc|Systems and methods of controlling a clamping member firing rate of a surgical instrument| US10687813B2|2017-12-15|2020-06-23|Ethicon Llc|Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments| US11197670B2|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| US10779825B2|2017-12-15|2020-09-22|Ethicon Llc|Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments| US10828033B2|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| US10966718B2|2017-12-15|2021-04-06|Ethicon Llc|Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments| US10716565B2|2017-12-19|2020-07-21|Ethicon Llc|Surgical instruments with dual articulation drivers| US11020112B2|2017-12-19|2021-06-01|Ethicon Llc|Surgical tools configured for interchangeable use with different controller interfaces| USD910847S1|2017-12-19|2021-02-16|Ethicon Llc|Surgical instrument assembly| US10729509B2|2017-12-19|2020-08-04|Ethicon Llc|Surgical instrument comprising closure and firing locking mechanism| US10835330B2|2017-12-19|2020-11-17|Ethicon Llc|Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly| US11045270B2|2017-12-19|2021-06-29|Cilag Gmbh International|Robotic attachment comprising exterior drive actuator| US11129680B2|2017-12-21|2021-09-28|Cilag Gmbh International|Surgical instrument comprising a projector| US11076853B2|2017-12-21|2021-08-03|Cilag Gmbh International|Systems and methods of displaying a knife position during transection for a surgical instrument| US20190192146A1|2017-12-21|2019-06-27|Ethicon Llc|Self-guiding stapling instrument| US10869684B2|2018-02-13|2020-12-22|Covidien Lp|Powered tissue resecting device| US10779821B2|2018-08-20|2020-09-22|Ethicon Llc|Surgical stapler anvils with tissue stop features configured to avoid tissue pinch| US10842492B2|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| USD914878S1|2018-08-20|2021-03-30|Ethicon Llc|Surgical instrument anvil| US11083458B2|2018-08-20|2021-08-10|Cilag Gmbh International|Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions| US11039834B2|2018-08-20|2021-06-22|Cilag Gmbh International|Surgical stapler anvils with staple directing protrusions and tissue stability features| US11045192B2|2018-08-20|2021-06-29|Cilag Gmbh International|Fabricating techniques for surgical stapler anvils| US10856870B2|2018-08-20|2020-12-08|Ethicon Llc|Switching arrangements for motor powered articulatable surgical instruments| US11207065B2|2018-08-20|2021-12-28|Cilag Gmbh International|Method for fabricating surgical stapler anvils| US10912559B2|2018-08-20|2021-02-09|Ethicon Llc|Reinforced deformable anvil tip for surgical stapler anvil| US11065147B2|2018-10-18|2021-07-20|Covidien Lp|Devices, systems, and methods for pre-heating fluid to be introduced into a patient during a surgical procedure| US11197710B2|2018-10-26|2021-12-14|Covidien Lp|Tissue resecting device including a blade lock and release mechanism| US11083481B2|2019-02-22|2021-08-10|Covidien Lp|Tissue resecting instrument including an outflow control seal| US11154318B2|2019-02-22|2021-10-26|Covidien Lp|Tissue resecting instrument including an outflow control seal| US10898218B2|2019-02-25|2021-01-26|Covidien Lp|Tissue resecting device including a motor cooling assembly| US10945752B2|2019-03-20|2021-03-16|Covidien Lp|Tissue resecting instrument including a rotation lock feature| US11147551B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems| US11147553B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems| US11172929B2|2019-03-25|2021-11-16|Cilag Gmbh International|Articulation drive arrangements for surgical systems| US11219455B2|2019-06-28|2022-01-11|Cilag Gmbh International|Surgical instrument including a lockout key| US11051807B2|2019-06-28|2021-07-06|Cilag Gmbh International|Packaging assembly including a particulate trap| US11224497B2|2019-06-28|2022-01-18|Cilag Gmbh International|Surgical systems with multiple RFID tags| US11179172B2|2019-12-05|2021-11-23|Covidien Lp|Tissue resecting instrument|
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申请号 | 申请日 | 专利标题 US09/175,293|US6245084B1|1998-10-20|1998-10-20|System for controlling a motor driven surgical cutting instrument| US09/789,040|US6358263B2|1998-10-20|2001-02-20|System for controlling a motor driven surgical cutting instrument|US09/789,040| US6358263B2|1998-10-20|2001-02-20|System for controlling a motor driven surgical cutting instrument| 相关专利
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