Tissue stop for surgical instrument
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0Associated
Cases -
0Associated
Defendants -
0Accused
Products -
2Forward
Citations -
0
Petitions -
2
Assignments
First Claim
1. A surgical instrument for surgically joining tissue, the surgical instrument comprising:
- an end effector having a first jaw member and a second jaw member, at least one of the first jaw member and the second jaw member being movable with respect to the other jaw member, the first jaw member being a staple cartridge assembly having a tissue contacting surface and a groove, a sled member being disposed in a staple cartridge of the staple cartridge assembly; and
a stop member disposed adjacent a distal portion of the staple cartridge assembly, the stop member being configured to impede tissue from distally escaping the jaw members;
the sled member being configured to accommodate a portion of the stop member.
2 Assignments
0 Petitions

Accused Products

Abstract
A surgical instrument including a handle assembly, an elongated portion, an end effector, and a stop member is disclosed. The end effector is disposed adjacent a distal portion of the elongated portion and includes a first jaw member and a second jaw member. At least one jaw member is movable with respect to the other jaw member between spaced and approximated positions. The first jaw member includes an upper tissue-contacting surface and a lower shelf portion. The shelf portion includes a groove disposed therein. The stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position, a significant portion of the stop member being positioned external to the first jaw member, and a second position where a lower portion of the stop member being positioned at least partially within the groove.
665 Citations
Tissue stop for surgical instrument | ||
Patent #
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Filed 05/20/2016
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Current Assignee
Covidien PLC
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Sponsoring Entity
Covidien PLC
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Tissue stop for surgical instrument | ||
Patent #
US 10,028,799 B2
Filed 03/07/2017
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Current Assignee
Covidien PLC
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Sponsoring Entity
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Tissue stop for surgical instrument | ||
Patent #
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Current Assignee
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Current Assignee
Covidien PLC
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Sponsoring Entity
Covidien PLC
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Tissue Stop for Surgical Instrument | ||
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Current Assignee
Covidien PLC
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Sponsoring Entity
Covidien PLC
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APPARATUS AND METHOD FOR PRODUCING A REINFORCED SURGICAL STAPLE LINE | ||
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Ethicon LLC
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Sponsoring Entity
Ethicon LLC
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Deep Science LLC
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Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus | ||
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Ethicon LLC
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Ethicon LLC
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Ethicon LLC
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Cable driven surgical stapling and cutting instrument with apparatus for preventing inadvertant cable disengagement | ||
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Ethicon LLC
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Ethicon LLC
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Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system | ||
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Ethicon LLC
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Ethicon LLC
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Ethicon LLC
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Ethicon LLC
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Surgical stapling and cutting instrument with improved anvil opening features | ||
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Articulated surgical instrument with improved firing mechanism | ||
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Conmed Corporation
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Endoscopic surgical instrument with pivotable and rotatable staple cartridge | ||
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Endoscopic device and method for reinforcing surgical staples | ||
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Ethicon Endo-Surgery Inc.
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Apparatus and method for applying surgical staples to attach an object to body tissue | ||
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Surgical stapler with mechanisms for reducing the firing force | ||
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Ethicon Incorporated
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Surgical stapling system and method of applying staples from multiple staple cartridges | ||
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Endoscopic surgical instrument with pivotable and rotatable staple cartridge | ||
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Ethicon Incorporated
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Gas-sealed instruments for use in laparoscopic surgery | ||
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US 5,630,539 A
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United States Surgical Corporation
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Surgical stapler having interchangeable loading units | ||
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US 5,651,491 A
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United States Surgical Corporation
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US 5,647,526 A
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United States Surgical Corporation
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United States Surgical Corporation
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Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues | ||
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Arcuate apparatus for applying two-part surgical fasteners | ||
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Ethicon Endo-Surgery Inc.
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United States Surgical Corporation
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Endoscopic stapler | ||
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Current Assignee
United States Surgical Corporation
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Surgical instrument | ||
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United States Surgical Corporation
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Apparatus for endoscopically applying staples individually to body tissue | ||
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Linear stapling mechanism with cutting means | ||
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Ethicon Incorporated
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Endoscopic surgical instrument and staples for applying purse string sutures | ||
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Surgical stapler instrument | ||
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Surgical apparatus for applying surgical fasteners including a counter | ||
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Surgical stapler with mechanisms for reducing the firing force | ||
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United States Surgical Corporation
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Purse string stapler | ||
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United States Surgical Corporation
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United States Surgical Corporation
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Apparatus and method for applying surgical staples to attach an object to body tissue | ||
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Surgical staples with plated anvils | ||
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Endoscopic surgical system with sensing means | ||
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Endoscopic surgical system with sensing means | ||
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Surgical stapler with mechanisms for reducing the firing force | ||
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Soft tissue stapling buttress | ||
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Surgical stapling apparatus with biocompatible surgical fabric | ||
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Surgical stapler with improved operating lever mounting arrangement | ||
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Surgical stapler | ||
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Surgical Instrument with adjustable arms | ||
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Articulating surgical apparatus | ||
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Endoscopic surgical instrument and staples for applying purse string sutures | ||
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Ethicon Incorporated
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Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures | ||
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Soft tissue stapling buttress | ||
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Surgical stapler with mechanisms for reducing the firing force | ||
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United States Surgical Corporation
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Endoscopic surgical system with sensing means | ||
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Ethicon Incorporated
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Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge | ||
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Arcuate apparatus for applying two-part surgical fasteners | ||
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Surgical device for stapling and/or fastening body tissues | ||
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US 5,389,098 A
Filed 05/14/1993
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Current Assignee
Olympus Optical Corporation Limited
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Sponsoring Entity
Olympus Optical Corporation Limited
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Surgical stapler instrument and method for vascular hemostasis | ||
Patent #
US 5,397,324 A
Filed 03/10/1993
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Current Assignee
Brendan J. Carroll, Stewart H. Gleischman
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Sponsoring Entity
Brendan J. Carroll, Stewart H. Gleischman
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Linear surgical stapling instrument | ||
Patent #
US 5,395,034 A
Filed 09/21/1992
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Current Assignee
Sherwood Services AG
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Sponsoring Entity
AMERICAN CYNAMID COMPANY
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Endoscopic surgical instrument with electromagnetic sensor | ||
Patent #
US 5,395,033 A
Filed 05/24/1994
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Lockout mechanism for surgical apparatus | ||
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US 5,397,046 A
Filed 03/22/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Coupling apparatus for medical instrument | ||
Patent #
US 5,407,293 A
Filed 04/29/1993
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Current Assignee
Lawrence Crainich
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Sponsoring Entity
Lawrence Crainich
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Anvil for surgical staplers | ||
Patent #
US 5,405,072 A
Filed 11/05/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Apparatus and method for placing stables in laparoscopic or endoscopic procedures | ||
Patent #
US 5,413,268 A
Filed 09/30/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Staple cartridge for a surgical stapler | ||
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US 5,417,361 A
Filed 08/19/1994
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Current Assignee
Ethicon Endo-Surgery Inc.
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Ethicon Endo-Surgery Inc.
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Surgical stapler cartridge containing lockout mechanism | ||
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US 5,415,335 A
Filed 04/07/1994
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Current Assignee
Ethicon Endo-Surgery Inc.
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Sponsoring Entity
Ethicon Endo-Surgery Inc.
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Surgical stapler and staple cartridge | ||
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US 5,415,334 A
Filed 05/05/1993
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Current Assignee
Ethicon Endo-Surgery Inc.
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Sponsoring Entity
Ethicon Endo-Surgery Inc.
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Apparatus and method for placing staples in laparoscopic or endoscopic procedures | ||
Patent #
US 5,425,745 A
Filed 10/29/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures | ||
Patent #
US 5,423,471 A
Filed 03/08/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Self contained gas powered surgical apparatus | ||
Patent #
US 5,431,322 A
Filed 11/02/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue | ||
Patent #
US 5,433,721 A
Filed 07/15/1993
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Endoscopic surgical instrument with pivotable and rotatable staple cartridge | ||
Patent #
US 5,431,323 A
Filed 06/21/1993
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical fastener applying apparatus with resilient film | ||
Patent #
US 5,441,193 A
Filed 09/23/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Safety device for a surgical stapler cartridge | ||
Patent #
US 5,445,304 A
Filed 07/05/1994
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical stapler with tissue gripping ridge | ||
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US 5,452,837 A
Filed 12/05/1994
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Current Assignee
Ethicon Endo-Surgery Inc.
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Ethicon Endo-Surgery Inc.
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Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity | ||
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US 5,447,265 A
Filed 04/30/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical apparatus having articulation mechanism | ||
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US 5,456,401 A
Filed 04/21/1994
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical stapler instrument | ||
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US 5,465,895 A
Filed 02/03/1994
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Current Assignee
Ethicon Endo-Surgery Inc.
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Ethicon Endo-Surgery Inc.
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Apparatus for applying surgical fasteners | ||
Patent #
US 5,470,008 A
Filed 12/20/1993
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Current Assignee
Neil D. Gershon
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Sponsoring Entity
Neil D. Gershon
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Multiple fire endoscopic stapling mechanism | ||
Patent #
US 5,470,010 A
Filed 02/13/1995
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Laparoscopic stapler with overload sensor and interlock | ||
Patent #
US 5,470,007 A
Filed 05/02/1994
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Medical instrument and coupling apparatus for same | ||
Patent #
US 5,464,300 A
Filed 10/15/1993
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Current Assignee
Lawrence Crainich
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Sponsoring Entity
Lawrence Crainich
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Surgical device for stapling and fastening body tissues | ||
Patent #
US 5,467,911 A
Filed 04/22/1994
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Current Assignee
Olympus Optical Corporation Limited
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Sponsoring Entity
Olympus Optical Corporation Limited
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Self-contained powered surgical apparatus | ||
Patent #
US 5,474,566 A
Filed 05/05/1994
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Apparatus and method for placing staples in laparoscopic or endoscopic procedures | ||
Patent #
US 5,476,206 A
Filed 11/18/1994
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Lockout mechanism for surgical apparatus | ||
Patent #
US 5,472,132 A
Filed 12/06/1994
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical apparatus | ||
Patent #
US 5,478,003 A
Filed 10/08/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical stapler cartridge lockout device | ||
Patent #
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Filed 12/31/1991
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical stapler | ||
Patent #
US 5,275,323 A
Filed 03/20/1992
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator | ||
Patent #
US 5,282,807 A
Filed 01/24/1992
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Current Assignee
NUSURG MEDICAL INC.
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Sponsoring Entity
NUSURG MEDICAL INC.
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Apparatus and method for applying surgical staples to attach an object to body tissue | ||
Patent #
US 5,289,963 A
Filed 10/18/1991
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Current Assignee
Tyco Healthcare Group LP
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Sponsoring Entity
United States Surgical Corporation
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Self contained gas powered surgical apparatus | ||
Patent #
US 5,312,023 A
Filed 03/01/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Linear stapling mechanism with cutting means | ||
Patent #
US 5,307,976 A
Filed 07/20/1992
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Injection molded anvils | ||
Patent #
US 5,308,576 A
Filed 10/18/1991
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Apparatus and method for placing staples in laparoscopic or endoscopic procedures | ||
Patent #
US 5,318,221 A
Filed 09/10/1992
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Self contained gas powered surgical apparatus | ||
Patent #
US 5,326,013 A
Filed 09/23/1992
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Linear stapling mechanism with cutting means | ||
Patent #
US 5,332,142 A
Filed 06/24/1993
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Laparoscopic or endoscopic anastomosis technique and associated instruments | ||
Patent #
US 5,330,486 A
Filed 11/25/1992
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Current Assignee
Peter J. Wilk
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Sponsoring Entity
Peter J. Wilk
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Method and apparatus for treating female urinary incontinence | ||
Patent #
US 5,328,077 A
Filed 11/19/1992
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Current Assignee
Ek-Seng Lou
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Sponsoring Entity
Ek-Seng Lou
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Approximating apparatus for surgical jaw structure and method of using the same | ||
Patent #
US 5,336,232 A
Filed 01/22/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Ratchet assembly for medical instrument | ||
Patent #
US 5,344,061 A
Filed 08/03/1993
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Current Assignee
Lawrence Crainich
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Sponsoring Entity
Lawrence Crainich
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Apparatus and method for applying surgical staples to attach an object to body tissue | ||
Patent #
US 5,356,064 A
Filed 09/23/1992
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Current Assignee
Tyco Healthcare Group LP
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Sponsoring Entity
United States Surgical Corporation
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Apparatus for applying two-part surgical fasteners | ||
Patent #
US 5,352,238 A
Filed 10/16/1992
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Approximating apparatus for surgical jaw structure | ||
Patent #
US 5,358,506 A
Filed 03/05/1993
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical fastening apparatus with shipping interlock | ||
Patent #
US 5,366,133 A
Filed 11/24/1992
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Staple cartridge for a surgical stapler | ||
Patent #
US 5,364,003 A
Filed 05/05/1993
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Current Assignee
Ethicon Endo-Surgery Inc.
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Sponsoring Entity
Ethicon Endo-Surgery Inc.
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Apparatus and method for applying surgical staples to attach an object to body tissue | ||
Patent #
US 5,364,002 A
Filed 03/31/1992
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Current Assignee
Tyco Healthcare Group LP
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Sponsoring Entity
United States Surgical Corporation
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Self contained gas powered surgical apparatus | ||
Patent #
US 5,364,001 A
Filed 10/01/1993
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Current Assignee
Seagate Technology plc
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Sponsoring Entity
Seagate Technology plc
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Endoscopic multi-fire flat stapler with low profile | ||
Patent #
US 5,376,095 A
Filed 11/04/1993
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Current Assignee
Ethicon Endo-Surgery Inc.
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Sponsoring Entity
Ethicon Endo-Surgery Inc.
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Linear surgical stapling instrument | ||
Patent #
US 5,180,092 A
Filed 02/05/1992
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Current Assignee
Lawrence Crainich
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Sponsoring Entity
Lawrence Crainich
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Semi-disposable surgical stapler | ||
Patent #
US 5,188,274 A
Filed 03/11/1992
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Current Assignee
Jeffrey A. Gurosh, Manssour H. Moeinzadeh, Kaplan Lawrence M.
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Sponsoring Entity
Jeffrey A. Gurosh, Manssour H. Moeinzadeh, Kaplan Lawrence M.
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Surgical procedure for joining tissue in an internal body cavity | ||
Patent #
US 5,220,928 A
Filed 01/31/1992
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Current Assignee
Stryker Sales Corporation
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Sponsoring Entity
Stryker Sales Corporation
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Surgical stapler | ||
Patent #
US 5,221,036 A
Filed 06/11/1992
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Current Assignee
Haruo Takase
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Sponsoring Entity
Haruo Takase
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Multiple fire endoscopic stapling mechanism | ||
Patent #
US 5,246,156 A
Filed 09/12/1991
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical instrument and staples for applying purse string sutures | ||
Patent #
US 5,242,457 A
Filed 05/08/1992
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Apparatus for applying two-part surgical fasteners | ||
Patent #
US 5,253,793 A
Filed 02/06/1991
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Method and apparatus for achieving hemostasis along a staple line | ||
Patent #
US 5,263,629 A
Filed 06/29/1992
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Stapler and firing device | ||
Patent #
US 5,083,695 A
Filed 12/18/1990
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
3M Company
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Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures | ||
Patent #
US 5,084,057 A
Filed 05/30/1990
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Locking mechanism for a surgical fastening apparatus | ||
Patent #
US 5,106,008 A
Filed 07/11/1991
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Semi-disposable surgical stapler | ||
Patent #
US 5,111,987 A
Filed 05/14/1990
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Current Assignee
Jeffrey A. Gurosh, Manssour H. Moeinzadeh, Kaplan Lawrence M.
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Sponsoring Entity
Jeffrey A. Gurosh, Manssour H. Moeinzadeh, Kaplan Lawrence M.
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Surgical stapler | ||
Patent #
US 5,129,570 A
Filed 11/30/1990
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Stapler and firing device | ||
Patent #
US 5,141,144 A
Filed 10/23/1991
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
3M Company
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Apparatus for applying two-part surgical fasteners | ||
Patent #
US 5,156,614 A
Filed 11/14/1991
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Arcuate apparatus for applying two-part surgical fasteners | ||
Patent #
US 5,156,315 A
Filed 04/26/1991
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Circumcision instrument with staple means | ||
Patent #
US 5,163,943 A
Filed 03/12/1992
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Current Assignee
Mohammed M. Mohiuddin, Mohammed T. Mohiuddin
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Sponsoring Entity
Mohammed M. Mohiuddin, Mohammed T. Mohiuddin
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Method for annealing stapler anvils | ||
Patent #
US 5,173,133 A
Filed 07/23/1991
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Endoscopic multiple ligating clip applier with rotating shaft | ||
Patent #
US 5,171,247 A
Filed 10/17/1991
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Laparoscopic stapler with knife means | ||
Patent #
US 5,170,925 A
Filed 03/18/1991
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical stapling instrument | ||
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US 4,991,764 A
Filed 01/23/1989
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Current Assignee
Teleflex Medical Incorporated
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Sponsoring Entity
EDWARD WECK INCORPORATED
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Surgical stapling apparatus | ||
Patent #
US 5,014,899 A
Filed 03/30/1990
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Locking mechanism for surgical fastening apparatus | ||
Patent #
US 5,031,814 A
Filed 09/10/1990
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Apparatus and method for placing staples in laparoscopic or endoscopic procedures | ||
Patent #
US 5,040,715 A
Filed 05/26/1989
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical stapler with locking means | ||
Patent #
US 5,065,929 A
Filed 04/01/1991
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical stapler | ||
Patent #
US 5,074,454 A
Filed 06/04/1990
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Current Assignee
Ronald L. Peters
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Sponsoring Entity
Ronald L. Peters
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Surgical instrument | ||
Patent #
US 5,071,430 A
Filed 11/13/1989
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical stapler cartridge lockout device | ||
Patent #
US 4,892,244 A
Filed 11/07/1988
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Locking mechanism for a surgical fastening apparatus | ||
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US 4,955,959 A
Filed 05/26/1989
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Three staple drive member | ||
Patent #
US 4,978,049 A
Filed 05/26/1989
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical stapling instrument | ||
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US 4,863,088 A
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
3M Company
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Energy storage means for a surgical stapler | ||
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US 4,869,415 A
Filed 09/26/1988
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical stapler apparatus with improved tissue shield | ||
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US 4,881,544 A
Filed 12/19/1988
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Articulated surgical fastener applying apparatus | ||
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US 4,728,020 A
Filed 08/30/1985
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical fastener and surgical stapling apparatus | ||
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US 4,752,024 A
Filed 10/17/1986
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical suturing instrument | ||
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US 4,784,137 A
Filed 11/16/1987
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Current Assignee
Ussr Blagoveschensk Problemnaya Nauchno-Issledovatelskaya Laboratoria Vcpomogatelnogo Krovoobraschenia
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Sponsoring Entity
Ussr Blagoveschensk Problemnaya Nauchno-Issledovatelskaya Laboratoria Vcpomogatelnogo Krovoobraschenia
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Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge | ||
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Filed 03/15/1985
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Current Assignee
HP Inc.
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Sponsoring Entity
HP Inc.
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Surgical stapling instrument with jaw clamping mechanism | ||
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US 4,633,861 A
Filed 10/19/1984
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Flexible surgical stapler assembly | ||
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US 4,671,445 A
Filed 08/09/1984
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
3M Company
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Cartridge assembly for a surgical stapling instrument | ||
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US 4,700,703 A
Filed 03/27/1986
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Current Assignee
Semion Resnick
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Sponsoring Entity
Semion Resnick
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Collapsible purse string aid for use with intraluminal stapling device | ||
Patent #
US 4,703,887 A
Filed 01/28/1985
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical stapling apparatus | ||
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US 4,596,351 A
Filed 08/17/1984
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Current Assignee
VSESOJUZNY NAUCHNO-ISSLEDOVATELSKY I ISPYTATELNY INSTITUT MEDITSINSKOI TEKHNIKI
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Sponsoring Entity
VSESOJUZNY NAUCHNO-ISSLEDOVATELSKY I ISPYTATELNY INSTITUT MEDITSINSKOI TEKHNIKI
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Method and instrument for applying a fastener to a tissue using means to grasp, guide and pull the fastener through the tissue | ||
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US 4,602,634 A
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical stapling instrument with dual staple height mechanism | ||
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US 4,605,001 A
Filed 10/19/1984
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Disposable linear surgical stapler | ||
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US 4,610,383 A
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Surgical stapling instrument with staple height adjusting mechanism | ||
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US 4,608,981 A
Filed 10/19/1984
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Current Assignee
Ethicon Incorporated
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Sponsoring Entity
Ethicon Incorporated
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Expandable anvil surgical stapler | ||
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Filed 10/12/1983
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Current Assignee
Filipi Charles J.
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Filipi Charles J.
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Surgical instruments | ||
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical instruments | ||
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Filed 07/01/1982
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Current Assignee
United States Surgical Corporation
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Sponsoring Entity
United States Surgical Corporation
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Surgical instrument for suturing organs | ||
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Vladimir M. Fedotov, Nikolai N. Kapitanov, Natalya P. Petrova, Oleg B. Milonov, Marya D. Patsiora, Kim N. Tsatsanidi
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Sponsoring Entity
Vladimir M. Fedotov, Nikolai N. Kapitanov, Natalya P. Petrova, Oleg B. Milonov, Marya D. Patsiora, Kim N. Tsatsanidi
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Ligating and dividing organic structures | ||
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United States Surgical Corporation
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United States Surgical Corporation
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Forceps | ||
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Siegfried Hiltebrandt
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Siegfried Hiltebrandt
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ROBOTICALLY-CONTROLLED CABLE-BASED SURGICAL END EFFECTORS | ||
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US 20120138660A1
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Ethicon LLC
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Ethicon LLC
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Tissue stop for surgical instrument | ||
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Covidien PLC
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Covidien PLC
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Surgical instrument and loading unit for use therewith | ||
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US 8,360,298 B2
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Covidien PLC
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Covidien PLC
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Surgical clip and applicator | ||
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Research Corporation
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Research Corporation
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SURGICAL CLIP APPLICATOR | ||
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Current Assignee
Edward Weck Company Inc. Long Island City NY
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Edward Weck Company Inc. Long Island City NY
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INSTRUMENT FOR PLACING LATERAL GASTROINTESTINAL ANASTOMOSES | ||
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Green David T., Phillip W. King
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Green David T., Phillip W. King
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Surgical suturing instrument | ||
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Arnold Sampson
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Arnold Sampson
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Instrument for placing lateral gastrointestinal anastomoses | ||
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Current Assignee
Sergeevich Bobrov Boris, Jakovlevich Gritzman Jurji
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Sponsoring Entity
Sergeevich Bobrov Boris, Jakovlevich Gritzman Jurji
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Tissue stop for surgical instrument | ||
Patent #
US 9,107,664 B2
Filed 06/11/2012
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Current Assignee
Covidien PLC
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Sponsoring Entity
Covidien PLC
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10 Claims
- 1. A surgical instrument for surgically joining tissue, the surgical instrument comprising:
an end effector having a first jaw member and a second jaw member, at least one of the first jaw member and the second jaw member being movable with respect to the other jaw member, the first jaw member being a staple cartridge assembly having a tissue contacting surface and a groove, a sled member being disposed in a staple cartridge of the staple cartridge assembly; and a stop member disposed adjacent a distal portion of the staple cartridge assembly, the stop member being configured to impede tissue from distally escaping the jaw members; the sled member being configured to accommodate a portion of the stop member. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
- 9. A surgical instrument for surgically joining tissue, the surgical instrument comprising:
an end effector having a first jaw member and a second jaw member, at least one of the first jaw member and the second jaw member being movable with respect to the other jaw member, the first jaw member being a staple cartridge assembly having a tissue contacting surface and a groove, a sled member being disposed in a staple cartridge of the staple cartridge assembly; and a stop member disposed adjacent a distal portion of the staple cartridge assembly, the stop member being configured to impede tissue from distally escaping the jaw members; the sled member being configured to accommodate a portion of the stop member, wherein the stop member has a lip, the sled member being configured to accommodate the lip. - View Dependent Claims (10)
1 Specification
The present application is a Continuation of U.S. patent application Ser. No. 13/493,346, filed Jun. 11, 2012, which is a Continuation of U.S. patent application Ser. No. 12/952,371, filed Nov. 23, 2010, now U.S. Pat. No. 8,215,532, which is a Continuation-In-Part of U.S. patent application Ser. No. 12/759,897, filed Apr. 14, 2010, now U.S. Pat. No. 8,360,298, which is a Continuation-In-Part of U.S. patent application Ser. No. 12/553,174, filed Sep. 3, 2009, now U.S. Pat. No. 7,988,028, which is a Continuation-In-Part and claims benefit of, and claims priority to U.S. patent application Ser. No. 12/235,751, filed Sep. 23, 2008, now U.S. Pat. No. 7,896,214. The entire contents of this application are incorporated herein by reference.
1. Technical Field
The present disclosure relates generally to surgical instruments and, more specifically, to surgical instruments for surgically joining tissue.
2. Background of Related Art
Surgical stapling instruments used for applying parallel rows of staples through compressed living tissue are well known in the art. These surgical instruments are commonly employed for closing tissue or organs prior to transaction or resection, for occluding organs in thoracic and abdominal procedures, and for fastening tissue in anastomoses.
Typically, such surgical stapling instruments include an anvil assembly, a cartridge assembly for supporting an array of surgical staples, an approximation mechanism for approximating the anvil and cartridge and anvil assemblies, and a firing mechanism for ejecting the surgical staples from the cartridge assembly.
In use, a surgeon generally initially approximates the anvil and cartridge members. Next, the surgeon can fire the instrument to place staples in tissue. Additionally, the surgeon may use the same instrument or a separate instrument to cut the tissue adjacent or between the row(s) of staples. Alternatively, the surgical stapling instrument can sequentially eject the staples while the anvil and cartridge are approximated.
The present disclosure relates to a surgical instrument including a handle assembly, an elongated portion, an end effector, and a stop member. The elongated portion extends distally from the handle assembly. The end effector is disposed adjacent a distal portion of the elongated portion and includes a first jaw member and a second jaw member. At least one jaw member is movable with respect to the other jaw member between spaced and approximated positions. The first jaw member includes an upper tissue-contacting surface and a lower shelf portion. The shelf portion includes a groove disposed therein. The stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position, a significant portion of the stop member being positioned external to the first jaw member, and a second position where a lower portion of the stop member being positioned at least partially within the groove.
In certain embodiments, the cartridge is curved with respect to the longitudinal axis. A biasing member may be provided and disposed in mechanical cooperation with the stop member, wherein the biasing member biases stop member towards its first position. The stop member can be pivotally coupled to the first jaw member.
In certain embodiments, the first jaw member includes a knife channel. The stop member can have a first leg and a second leg, the first leg and the second leg being positioned on opposite sides of the knife channel.
In certain desirable embodiments, a sled is translatable along the shelf of the first jaw member. The sled can include a plurality of cam wedges, and wherein each cam wedge is connected to an adjacent cam wedge by a transversely-disposed connecting member. The connecting member can be disposed adjacent a proximal portion of the sled. A distal portion each of the cam wedges can cantileveredly extend from the connecting member. The wedges may extend from the connecting member and define a space in which the stop member is disposed when the sled is disposed at the distal end of the first jaw member.
In certain embodiments, the instrument includes a beam assembly for pushing the sled toward the distal end of the first jaw member, the beam assembly having a notch, the connecting member of the sled being in engagement with the beam assembly at the notch.
The present disclosure also relates to a tool assembly for use with a surgical instrument. The tool assembly comprises an end effector and a stop member. The end effector includes a first jaw member and a second jaw member, at least one jaw member is movable with respect to the other jaw member between spaced and approximated positions. The first jaw member includes an upper tissue-contacting surface and a lower shelf portion. The shelf portion includes a groove disposed therein. The stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position wherein at least a portion of the stop member is positioned external to the first jaw member, and a second position wherein at least a portion of the stop member is positioned within the groove. The relative movement of the jaw members toward the approximated position causes at least a portion of the stop member to move toward the first jaw member.
In certain embodiments, the cartridge of the tool assembly is curved with respect to the longitudinal axis. A biasing member may be provided and disposed in mechanical cooperation with the stop member, wherein the biasing member biases stop member towards its first position. The stop member can be pivotally coupled to the first jaw member.
In certain embodiments, the first jaw member of the tool assembly includes a knife channel. The stop member can have a first leg and a second leg, the first leg and the second leg being positioned on opposite sides of the knife channel.
In certain embodiments, the tool assembly had a sled which is translatable along the shelf of the first jaw member. The sled can include a plurality of cam wedges, and wherein each cam wedge is connected to an adjacent cam wedge by a transversely-disposed connecting member. The connecting member can be disposed adjacent a proximal portion of the sled. A distal portion each of the cam wedges can cantileveredly extend from the connecting member. The wedges may extend from the connecting member and define a space in which the stop member is disposed when the sled is disposed at the distal end of the first jaw member.
In certain embodiments, the tool assembly includes a beam assembly for pushing the sled toward the distal end of the first jaw member, the beam assembly having a notch, the connecting member of the sled being in engagement with the beam assembly at the notch.
In a further aspect of the disclosure, a surgical instrument includes a handle assembly, an elongated portion, an end effector, and a stop member. The elongated portion extends distally from the handle assembly. The end effector is disposed adjacent a distal portion of the elongated portion and includes a first jaw member and a second jaw member. At least one jaw member is movable with respect to the other jaw member between spaced and approximated positions. The first jaw member includes an upper tissue-contacting surface and a lower shelf portion. The stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position, a significant portion of the stop member being positioned external to the first jaw member. The instrument also comprises a sled translatable along the shelf portion of the first jaw member, the sled including a connecting member disposed at a proximal portion of the sled, and a beam assembly for pushing the sled distally the beam assembly having a notch and the connecting member being disposed in the notch, the sled defining a space for receiving the stop member when the sled is disposed at the distal portion of the first jaw member.
The shelf portion of the first jaw member may include a groove disposed therein for receiving a portion of the stop member. The first jaw member desirably includes a knife channel. The stop member may have two legs positioned on opposite sides of the knife channel.
In another aspect of the present disclosure, a loading unit has a first jaw member including an upper tissue-contacting surface and a lower shelf portion. The shelf portion includes a groove disposed therein. A stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position wherein at least a portion of the stop member is positioned external to the first jaw member, and a second position wherein at least a portion of the stop member is positioned within the groove. The stop member is pivotably mounted so that at least a portion of the stop member can move toward the first jaw member. In certain embodiments, the stop member has two legs for receiving a knife member included in the loading unit. The loading unit may also include a sled having a connecting member at a proximal portion thereof. In certain embodiments, the sled defines a space for receiving the stop member when the sled is disposed at the distal portion of the first jaw member. The loading unit may include a beam assembly, the beam assembly being connected to the sled at the connecting member.
Various embodiments of the presently disclosed surgical instrument are disclosed herein with reference to the drawings, wherein:
Embodiments of the presently disclosed surgical instrument are described in detail with reference to the drawings, wherein like reference numerals designate similar or identical elements in each of the several views. In the drawings and the description that follows, the term “proximal” refers to the end of the surgical instrument that is closest to the operator, whereas the term “distal” refers to the end of the surgical instrument that is farthest from the operator. As appreciated by one skilled in the art, the depicted surgical instrument fires staples, but it may be adapted to fire any other suitable fastener such as clips and two-part fasteners. Additionally, the disclosed stop member may be used with an electrosurgical forceps. Further details of electrosurgical forceps are described in commonly-owned patent application Ser. No. 10/369,894, filed on Feb. 20, 2003, entitled VESSEL SEALER AND DIVIDER AND METHOD OF MANUFACTURING THE SAME, the entire contents of which are hereby incorporated by reference herein.
With reference to
Surgical instrument 100 is configured to clamp, fasten, and/or cut tissue. In general, surgical instrument 100 includes a handle assembly 160, an elongate portion 120 extending distally from handle assembly 160 and defining a longitudinal axis “A-A,” and a tool assembly 150 adapted to clamp and fasten tissue. Elongate portion 120 has a proximal portion 122 and a distal portion 124 and operatively couples handle assembly 160 with tool assembly 150. Tool assembly 150 includes end effector 154 and stop member 170. End effector 154, which is disposed adjacent distal portion 124 of elongated portion 120, includes a first jaw member 130 and a second jaw member 140. At least one of the jaw members 130, 140 is adapted to move relative to the other jaw member (130 or 140) between spaced and approximated positions. In the illustrated embodiment, first jaw member 130 contains a cartridge assembly 132, while second jaw member 140 includes an anvil assembly 142. The tool assembly 150 can be mounted onto the distal end of the elongate portion 120, or the tool assembly 150 can be incorporated into a replaceable loading unit 121. By way of example,
As discussed below, the anvil assembly 142 shown in
Handle assembly 160 includes a stationary handle 162 and a movable handle 164. Movable handle 164 is adapted to move pivotally toward or away from stationary handle 162. Further, movable handle 164 is operatively connected to anvil assembly 140 through a mechanism adapted to convert at least a partial actuation of movable handle 164 into a pivoting motion of at least one of cartridge assembly 132 and anvil assembly 142 between spaced and approximated positions. As recognized by one skilled in the art, any conventional actuation mechanism may be employed to operatively couple movable handle 164 to tool assembly 150.
With reference to
In addition to fastener retaining slots 134, cartridge assembly 132 has a knife channel 138 adapted to slidably receive a knife (not shown) or any other suitable cutting tool. Knife channel 138 is disposed between rows of fastener retaining slots 136 and extends along tissue-contacting surface 134. In operation, a knife (not shown) slides through knife channel 138 when movable handle 164 pivots toward stationary handle 162. Alternatively, other mechanisms can be used to drive the knife through knife channel 138. In addition to knife channel 138, cartridge assembly 132 has a pair of slots 139 formed on tissue-contacting surface 134. Each slot 139 provides access to an inner portion of cartridge assembly 132 and is configured to receive portions of stop member 170.
In disclosed embodiments, handle assembly 160 contains an actuation mechanism for deploying the fasteners from fastener retaining slots 136 and advancing a knife along knife channel 138. This actuation mechanism includes a firing rod operatively connected to movable handle 164. In operation, pivoting movable handle 164 toward stationary handle 162 causes firing rod to advance distally. Firing rod is in turn operatively coupled to an axial drive assembly at least partially positioned within tool assembly 150. Axial drive assembly is configured to move distally in response to a distal translation of firing rod. The axial drive assembly includes a beam that has an upper portion for engaging the anvil assembly and a lower portion for engaging the cartridge assembly. As the axial drive assembly translates distally through the anvil assembly and cartridge assembly, the engagement of the upper portion and lower portion causes the second jaw member 140 to pivot toward first jaw member 130. In addition, the axial drive assembly pushes an actuation sled disposed within first jaw member 130 in a distal direction, while the actuation sled translates distally through end effector 154. As the actuation sled advances distally through first jaw member 130, this actuation sled urges the fasteners out of the fastener retaining slots 136. In certain embodiments, axial drive assembly includes a blade mounted on a distal portion thereof. In operation, this knife moves through knife channel 138 of the cartridge assembly 132 when axial drive assembly moves distally through end effector 154. Likewise, the anvil plate 143 of the anvil assembly 142 defines a slot to allow translation of the axial drive assembly. The knife blade faces distally in the tool assembly 150 so that tissue between the jaws of the tool assembly 150 is progressively cut as the fasteners are formed.
Stop member 170 is disposed adjacent a distal portion 137 of first jaw member 130 (which is shown as cartridge assembly 132, but may also be anvil assembly 142). The stop member 170 is pivotable with respect to the first jaw member 130 between a first position, as illustrated in
Stop member 170 includes a base 172 adapted to engage an outer surface of distal portion 137 of first jaw member 130 and a stopping portion 174 adapted to engage tissue. A pivot pin 176, or any other suitable apparatus, pivotally connects stopping portion 174 to base 172. Consequently, stopping portion 174 is configured to pivot away and toward tissue-contacting surface 134. In one embodiment, stop member 170 includes a biasing member (e.g., a spring) for biasing stopping portion 174 away from first jaw member 130.
Stopping portion 174 contains a body 175 and at least one leg 177 extending proximally from body 175. In the embodiment depicted in
Referring to
The present disclosure also contemplates stop member 170 being releasably attachable to end effector 150 via conventional mechanical means, e.g., bayonet coupling, latch, detent or snap-fit connection.
With reference to
First jaw member 230 includes an opening 239 (
The term “distal” typically refers to that part or component of the instrument that is farther away from the user. As used herein, the terms “distal” and “proximal” will take into account the curvature of curved parts of the surgical instrument 10 of the present disclosure. For example, “distal” will refer to the portion of the curved part that is farthest from the user, along a trajectory defined by the curved part, such as trajectory C-C shown in
In general, first jaw member 230 includes a curved housing 231 and a curved cartridge assembly 232. Housing 231 has a curved channel 233 adapted to receive curved cartridge assembly 232. Curved cartridge assembly 232 contains a tissue-contacting surface 234 configured to engage tissue, rows of fastener retaining slots 236 extending along its curved profile, and a knife channel 238 adapted to slidably receive a knife (not shown). Knife channel 238 is disposed between the rows of fastener retaining slots 236.
As discussed above, actuating handle assembly 160 not only ejects the fasteners, but also drives a knife along knife channel 238 (e.g., via a single stroke or multiple strokes of movable handle 164). Knife channel 238 leads to an opening 239 formed on distal portion 237 of cartridge assembly 232. A recess 280 is positioned distally of opening 239 and includes an inclined wall 282 (see
Stop member 270 includes a body 275, a pair of legs extending proximally from body 275, and a pivoting protrusion 286 extending transversely from body 275. Legs 277 define a space therebetween dimensioned to receive a knife. Each leg 277 has a proximal surface 273 that defines an oblique angle relative to tissue-contacting surface 234 when stop portion 270 is in the first position, as shown in
Body 275 defines an oblique angle with respect to the tissue-contacting surface 234. Pivoting protrusion 286 of stop member 270 is adapted to be received within cavity 284 and has a hole 288 configured to receive pivot pin 276. Pivot pin 276 extends through hole 235 of cartridge assembly 270 and hole 280 of pivoting protrusion 286 and allows stop member 270 to pivot from a first position where at least a portion of the stop member 270 is positioned external to first jaw member 230, as seen in
As seen in
The operation of first jaw member 230 is substantially similar to the operation of first jaw member 130. First jaw member 230 works jointly with an anvil assembly to cut and/or fasten tissue. As a user actuates handle assembly 160, the jaw members approximate, which urges stop member 230 from the first position (see
With particular reference to
An actuation sled 400 is illustrated in
In the illustrated embodiments, actuation sled 400 includes four cam wedges 402a, 402b, 402c, and 402d and a transversely-extending connecting member 404 which operably connects each cam wedge with its adjacent cam wedge(s). As illustrated, connecting member 404 is proximally disposed with respect to each cam wedge 402. The proximal location of connecting member 404 with respect to cam wedges 402 creates distal portions of each of cam wedge 402 that are elongated and that cantileveredly extend from connecting member 404. It is also envisioned that portions (e.g., distal portions) of wedge 402a are connected to adjacent wedge 402b, and that portions of wedge 402c are connected to adjacent wedge 402d via connecting member 404 and/or a separate member, to enhance stability of actuation sled, for instance. The present disclosure also includes an actuation sled 400 including more or fewer than the illustrated four cam wedges.
Actuation sled 400 is configured to accommodate tissue stop 370, and in particular, lip 372 of tissue stop 370. In particular, the proximal orientation of connecting member 404 enables distal portions of cam wedges 402 to contact fasteners or pusher members (not explicitly illustrated in
Referring back to
With reference to
It will be understood that various modifications may be made to the embodiments of the presently disclosed surgical instruments. Therefore, the above description should not be construed as limiting, but merely as exemplifications of embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the present disclosure.