Movatterモバイル変換


[0]ホーム

URL:


CN1922563A - Electrosurgical counter and locking mechanism - Google Patents

Electrosurgical counter and locking mechanism
Download PDF

Info

Publication number
CN1922563A
CN1922563ACN 200480042079CN200480042079ACN1922563ACN 1922563 ACN1922563 ACN 1922563ACN 200480042079CN200480042079CN 200480042079CN 200480042079 ACN200480042079 ACN 200480042079ACN 1922563 ACN1922563 ACN 1922563A
Authority
CN
China
Prior art keywords
indicator
sterilization
actuator
counter
electrosurgical
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN 200480042079
Other languages
Chinese (zh)
Inventor
詹姆斯·D·艾萨克森
保罗·R·博格迈尔
威廉·米勒
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
MegaDyne Medical Products Inc
Original Assignee
MegaDyne Medical Products Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by MegaDyne Medical Products IncfiledCriticalMegaDyne Medical Products Inc
Publication of CN1922563ApublicationCriticalpatent/CN1922563A/en
Pendinglegal-statusCriticalCurrent

Links

Images

Landscapes

Abstract

An electrosurgical apparatus having a counter/lockout mechanism that monitors the number of sterilization/use cycles the electrosurgical apparatus undergoes and indicates the number of sterilization/use cycles that have actually been performed. The counter/lockout mechanism includes a temperature actuated element actuated in response to each sterilization cycle and a mechanically actuated element in response to a use cycle to effectuate a change of one or a plurality of indicia. The counter/lockout mechanism causes a single increment or decrement for each sterilization/use cycle that has been completed while also impeding use of the electrosurgical apparatus when the electrosurgical apparatus has undergone a predetermined number of sterilization/use cycles. In one embodiment, the distance of movement of the mechanically actuated element when fully actuated is greater than the distance the indicator moves when illustrating a change in the number of remaining uses.

Description

Electrosurgical counter and blocking mechanism
Technical field
The present invention relates to electrosurgical unit.Especially, the present invention relates to a kind of counter and interlock, this equipment uses sterilization/use round-robin number of times to indicate electrosurgical unit to live through to the user with electrosurgical unit, and in case carried out the sterilization/use circulation of pre-determined number, this apparatus for blocking uses described electrosurgical unit.
Background technology
In modern surgery, because the multiple function of Electrosurgical instrument and apparatus, electrosurgical techniques is a kind of important means.Many Electrosurgical instruments and apparatus all can utilize again.Recycling Electrosurgical instrument and apparatus through sterilization, are cleanings and nontoxic and can be used for later operation to guarantee instrument after electrosurgery.Disinfecting process is expensive, also can cause the wearing and tearing of recycling Electrosurgical instrument and apparatus.In many disinfecting process, use heat to come kill microorganisms, bacterium and other PI source that in the application subsequently of Electrosurgical instrument, may occur.As other sterilization form, the heat of using in these processes can recycling Electrosurgical instrument of loss and apparatus.Therefore, recycling instrument and apparatus must be designed to stand necessary disinfecting process.
Though with discardable Electrosurgical instrument in back and apparatus may not be to be designed to bear sterilization many times especially and to use circulation, yet before must being dropped, these instruments can stand the sterilization of limited number of times and use circulation.Thus, some Electrosurgical instruments have been considered to reuse the sterilization/use circulation of pre-determined number.A problem relevant with these limited repeated use instruments is: monitor that the sterilization of process of a specific instrument or apparatus/use round-robin number of times may be very difficult.Therefore, instrument or apparatus may just be dropped before finishing predetermined access times.Also contingently be: because doctor's carelessness, the access times of Electrosurgical instrument or apparatus may be greater than predetermined access times.
Developed various mechanism and system, be used to monitor sterilization/use round-robin number of times that Electrosurgical instrument or apparatus live through, to attempt preventing very few or to use described limited reusable Electrosurgical instrument or apparatus too much.An example system that is used to monitor sterilization/use round-robin number of times has adopted a kind of temperature-response element, and it increases or reduce the counting of counter corresponding to decontamination cycle.Yet the mode that decontamination cycle is carried out makes this temperature-responsive mechanism be coarse or be invalid fully.Reason is: disinfecting process has adopted the heating and cooling circulation, and wherein in the single disinfecting process, Electrosurgical instrument has experienced the peak value and the valley of a plurality of temperature.This can cause, and temperature-response element repeatedly activates in the single disinfecting process.Thus, in the single decontamination cycle, the counting of counter may repeatedly increase/reduce, and makes to represent sterilization/use cycle index that in fact electrosurgical unit lives through exactly.An other complicated factor is: the employed circulating continuancing time of the disinfecting process of polytype and setting is that difference is very big, makes that design is difficult for the sterilization response means that each disinfecting process activates once.
Summary of the invention
The present invention relates to a kind of electrosurgical unit with counter, described counter is used with electrosurgical unit.The elapsed sterilization of described counter monitoring electrosurgical unit/uses round-robin number of times, and indicate the sterilization/use round-robin number of times that has in fact carried out.
Described counter can comprise indicator, this indicator is used to show the elapsed sterilization of electrosurgical unit/use round-robin number of times, in each sterilization/uses circulated, this indicator made reading increase or reduce by a temperature actuation element and mechanical actuation elements.Described temperature actuation element activated in response to each disinfecting process.Described mechanical actuation elements activated in response to each use of instrument.Realize circulating the change in count of counter for each complete sterilization/uses by serviceability temperature actuation element and mechanical actuation elements in combination, counter causes the single of indicator to reduce or increases.
Described counter also can be suitable for preventing that this electrosurgical unit is used after electrosurgical unit has been used predetermined sterilization/use cycle index.In an embodiment of the invention, described counter includes a mechanical lance (plunger), in case carried out the sterilization/use circulation of pre-determined number, described mechanical lance prevents that described apparatus is used.
By following description and appended claim, these and other advantage of the present invention and feature will become more clear, and perhaps, it can be known by invention described here is put into practice.
Description of drawings
In order to clarify above-mentioned and other advantage and feature of the present invention further, by obtaining more detailed description of the present invention with reference to specific implementations shown in the drawings.Should be appreciated that these accompanying drawings only show exemplary embodiment of the present invention, therefore, should not be considered to limitation of the present invention.By using accompanying drawing, will be concrete more with at length present invention is described and explanation, wherein:
Figure 1A is a stereographic map, and it shows a part according to the sample count device/blocking mechanism of one embodiment of the present invention, and mechanical lance shown in it is in the position that part is stretched out.
Figure 1B is the stereographic map of Figure 1A illustrated embodiment, and mechanical lance is in the position that is pressed into shown in it.
Fig. 1 C is the stereographic map of Figure 1A illustrated embodiment, and mechanical lance is in the locked position of coupler that stretches out fully shown in it.
Fig. 2 is the stereographic map of Figure 1A illustrated embodiment, shows the internals of this embodiment.
Fig. 3 A is the inside vertical view of Figure 1A illustrated embodiment, shows the counter before carrying out using circulation for the first time.
Fig. 3 B is the inside vertical view of Figure 1A illustrated embodiment, and the mechanical lance that shows counter is in the position that part is pressed into.
Fig. 3 C is the inside vertical view of Figure 1A illustrated embodiment, and the mechanical lance that shows counter is in the position that is pressed into fully.
Fig. 3 D finishes an inside vertical view that uses after circulating for Figure 1A illustrated embodiment, and the mechanical lance that counter is shown is in the position that part is stretched out.
Fig. 4 A is the inside vertical view of Figure 1A illustrated embodiment, and it is illustrated in after the decontamination cycle but position of using pawl spring before the circulation and mechanical lance in the end.
Fig. 4 B is the inside vertical view of Figure 1A illustrated embodiment, and it is illustrated in the mechanical lance that last use circulation is in the locked position of coupler that stretches out fully afterwards.
Fig. 5 is the inside vertical view according to another example embodiment of counter of the present invention.
Fig. 6 A is the partial perspective view of embodiment shown in Figure 5, and it shows the internals of this embodiment.
Fig. 6 B is the stereographic map of the broken section of the several internals of embodiment shown in Figure 5.
Fig. 7 is the inside vertical view of embodiment shown in Figure 5, and it shows and is in the mechanical lance that is pressed into the position fully.
Fig. 8 is the inside vertical view of embodiment shown in Figure 5, and it shows the internal operations (internal working) of counter in disinfecting process.
Fig. 9 is the partial sectional view of embodiment shown in Figure 5, and its mechanical lance that counter is shown is in the locked position of coupler that stretches out fully.
Figure 10 is the perspective interior view according to another example embodiment again of counter of the present invention.
Embodiment
The present invention relates to a kind of electrosurgical unit with counter.Electrosurgical counter/blocking mechanism of the present invention is designed to carry out two major functions.At first, it carries out a tally function, with the sterilization/use round-robin number of times and/or the remaining sterilization/use round-robin number of times of record electrosurgical unit elapsed sterilization/uses the round-robin number of times and experienced as user's demonstration.Secondly, in case electrosurgical unit has experienced the sterilization/use circulation of pre-determined number, then counter is carried out blocking function, thereby prevents from using described electrosurgical unit in other electrosurgical procedure arbitrarily.
According to one aspect of the present invention, counter comprises indicator, is used to be presented to lose remaining sterilization/use round-robin number of times before to electrosurgical unit.This indicator adopts temperature actuation element and mechanical actuation elements (for example mechanical lance) to increase/reduce counting.The temperature actuation element activated in response to the decontamination cycle that respectively lives through, and mechanical actuation elements activated in response to each use of carrying out circulation.By serviceability temperature actuation element and mechanical actuation elements in combination, eliminated the repeatedly increase of rolling counters forward in single sterilization/use/reduce.
According to one aspect of the present invention, actuator uses with temperature actuation element and mechanical actuation elements and increases/reduce indicator.In this embodiment, in decontamination cycle, the temperature actuation element is along the first direction movement actuator.When actuator when first direction moves, indicator does not increase or reduces.Therefore, a plurality of temperature peaks that may betide in the single disinfecting process can not cause repeatedly change in count.On the contrary, in using circulation, mechanical actuation elements is along the second direction movement actuator, causes the increase of indicator/reduce.A part of mechanical actuation elements (for example mechanical lance) is extended from electrosurgical unit.When the doctor uses this electrosurgical unit---for example insert with the electrosurgery generating is dynamo-electric by a plug portion with apparatus to engage, mechanical actuation elements is pressed into.Being pressed into of mechanical actuation elements makes actuator move and cause the increase of indicator/reduce along second direction.Actuator can not cause another time of indicator to increase/reduce, until the temperature actuation element in follow-up disinfecting process once more along the first direction movement actuator.Realize the change of indicator by serviceability temperature actuation element and mechanical actuation elements in combination, for each sterilization of finishing/use circulation, counter has realized that single ground increases/reduces.
According to another aspect of the present invention, when electrosurgical unit has experienced the sterilization/use circulation time of pre-determined number, counter stops electrosurgical unit to be used.In an embodiment of the invention, counter includes a mechanical lance, in case carried out the sterilization/use circulation of pre-determined number, this machinery lance physically stops apparatus to be used.
Referring now to accompanying drawing, Fig. 1 shows according to first embodiment of the present invention to Fig. 4 B, and Fig. 5 shows according to second embodiment of the present invention to Fig. 9, and Figure 10 shows according to the 3rd embodiment of the present invention.
As used in this, following term should have following meaning:
Term " sterilization/use circulation " should refer to the sterilization and the use of electrosurgical unit, and no matter these movable orders that take place.Though the description of the invention mode is " sterilization/use circulation ", be to be understood that teaching of the present invention is sufficiently wide, and be intended to comprise " use " that vice versa in " sterilization " situation afterwards; Crucial part is: between the continuous use of each electrosurgical unit (no matter think disinfecting process betide given use before or afterwards), counter of the present invention only increases/reduces single counting.
Term " reduces/increase " should to refer to be combined in reducing of employed counting in the counter of the present invention or increases, and finishes with indication sterilization/use round-robin.Though embodiments of the present invention disclosed herein are described as: for each sterilization/use circulation, counter " reduces ", but be to be understood that, teaching of the present invention is enough widely, and intention comprises that counter circulates and the situation of " increase " for each sterilization/use.
In addition, will use hereinafter agreement to describe the orientation of each member of counter of the present invention at this.
For Electrosurgical instrument, " far-end " is often referred to active electrode substantially, by this active electrode the patient carried out electrosurgery.Because the preferred implementation of counter of the present invention disclosed herein is placed in the plug-in unit---wherein this plug-in unit is used for electrosurgical electrode is connected to the electrosurgery generator, so, " far-end " when refer to counter and immediate that end of Electrosurgical instrument (promptly with Figure 1A inpower lead 4 immediate ends), and " near-end " is when finger counter and Electrosurgical instrument that end (end that promptly hastermination 8a-c in Figure 1A) farthest.Sometimes, constitute counter of the present invention each member towards also similarly term expression.
Referring now to being shown in the embodiment of Fig. 1 in the 4B, described accompanying drawing shows according to first embodiment of the present invention, and whereinelectrosurgical unit 1 includes counter 10.Counter 10 is arranged in the power connector ofelectrosurgical unit 1, and described power connector is configured to insert in the Electrosurgical power supply---electrosurgery generator (not shown) for example.Electrosurgical unit 1 comprises thehousing 2 that is used to protectelectrosurgical unit 1 internals, is used for electrosurgical current is transported to thepower lead 4 of Electrosurgical instrument (not shown), thetermination 8a-c that is used for thewindow 6 of the one or more indications on thesight indicator 22 and is used forelectrosurgical unit 1 is connected to the electrosurgical power supplies (not shown) from the generator (not shown).
Enter on Figure 1A now, counter is a part of electrosurgical unit 1.Counter is followed the tracks ofelectrosurgical unit 1 elapsed sterilization/use round-robin number of times, and in case stopselectrosurgical unit 1 to be used after having finished the sterilization of pre-determined number/use circulation.This will follow the tracks of as where working together the member of counter performed sterilization/use round-robin number of times, and after stop the further use of apparatus to be discussed.As what those skilled in the art understood, can adopt the mechanism of polytype and structure and can not depart from category of the present invention and spirit.For example, in one embodiment, can usage counter mechanism and do not use blocking mechanism.In another embodiment, can use blocking mechanism and usage counter mechanism not.
In the embodiment shown, counter includesindicator 22 and mechanical lance 40.Indicator 22 comprises a plurality of marks, and described mark illustrates to be finished or also remaining sterilization/use round-robin number of times, thereby the user can determine when electrosurgical unit should be lost.In each sterilization/use circulated,indicator 22 increased/reduces and indicates the change of sterilization/use cycle index of having finished.Thus,electrosurgical unit 1 is followed the tracks of remaining sterilization/use round-robin number of times thatelectrosurgical unit 1 can carry out, and follows the tracks of sterilization/use round-robin number of times individually and need not the user.
For illustrative purposes, describe remaining accompanying drawing with reference to following counter, this counter is presented at electrosurgical unit and should be dropped remaining before access times and adopts an indicator that all reduces after each sterilization/use circulation.As those skilled in the art are known, can use the method for polytype and structure and mechanism to show when electrosurgical unit ought be dropped and can not depart from category of the present invention and spirit.For example, in one embodiment, counter can be indicated the sterilization/use round-robin number of times that has carried out and use an indicator that all increases after each sterilization/use is circulated.In another embodiment, counter can be indicated relativeness between the sterilization/use round-robin number of times finished and the sterilization/use round-robin total degree that can carry out (for example in the 1st time, 4 times in 4 times the 2nd inferior).In another embodiment, counter may not indicated sterilization/use round-robin number of times of having carried out, but at internal monitoring sterilization/use round-robin number of times.In the embodiment of example and description, adopt the locked position of coupler of mechanical lance to indicate electrosurgical unit to have been lost herein to the user.In another embodiment, can adopt a kind of mechanism that is different from indicator to indicate user's electrosurgical unit when when being lost.
As those skilled in the art understand, can adopt the indicator of polytype and structure and can not depart from category of the present invention and spirit.For example, in one embodiment, indicator reduces after once sterilizing circulation, but can again not reduce subsequently, until after carried out using and circulated and decontamination cycle.In another embodiment, indicator is indicated the residue sterilization/use cycle index that can carry out at electrosurgical unit before being dropped.In another embodiment, sterilization/use round-robin total degree that the indicator indication was carried out.
Machinery lance 40 is operated with other member ofelectrosurgical unit 1, thereby the feasible counter of using withelectrosurgical unit 1 10 can correctly be worked.For example,mechanical lance 40 is operated with other member ofcounter 10 and is reduced the mark of indicator 22.In the embodiment shown,mechanical lance 40 is betweentermination 8a and 8b, thereby when making intermination 8a-c is inserted into an electrosurgical power supplies (not shown),mechanical lance 40 will be pressed into.When making intermination 8a-c is inserted into an electrosurgical power supplies (not shown),mechanical lance 40 contact wall, socket or other surfaces, thus the power shell that makestermination 8a-c be inserted is forced intomechanical lance 40 in thehousing 2.
In the embodiment shown,mechanical lance 40 is on the position of partly stretching out.When the sterilization of pre-determined number/when use circulation did not also reach,mechanical lance 40 arrived at the part extended position.Machinerylance 40 is to be used to survey an example using the round-robin device.Being used for surveying other this device of use round-robin is known for a person skilled in the art.For example, be used for follow-up use key removable striker and have chip software, electric light source, bar chart, can be used as and survey to use the round-robin device.
As those skilled in the art understood, the Electrosurgical counter/blocking mechanism of polytype and structure can use with the electrosurgical unit of polytype and structure and can not depart from category of the present invention and spirit.For example, in one embodiment, counter is used in the body of a surgery electroprobe or Other Instruments, rather than is used in the power connector.In another embodiment, counter is used for a part of modular electrosurgical apparatus, and this part carries out disinfection at the other parts after separating with described electrosurgical unit.In another embodiment, indicator illustrates sterilization/use round-robin number of times of having finished, and this number of times is the function of the sterilization/use cycle index of being recommended.
Figure 1B is the vertical view ofelectrosurgical unit 1, andmechanical lance 40 is in and is pressed into the position shown in it.For clarity, showntermination 8a-c is not inserted in the Electrosurgical power supply.As those skilled in the art were understandable, in a typical use was provided with, becausetermination 8a-c is inserted in socket or other the electrosurgical power supplies (not shown),mechanical lance 40 was pushed in thehousing 2 of electrosurgical unit 1.Becausemechanical lance 40 is pushed in thehousing 2 ofelectrosurgical unit 1,indicator 22 slides along the direction ofpower lead 4, makes that one or more mark ofindicator 22 is changed.The change of mark is indicated to the user: with indicated the comparing of Figure 1A, remaining access times have reduced once.
Fig. 1 C showselectrosurgical unit 1, and whereinmechanical lance 40 is in complete extended position.In the embodiment shown, the length ofmechanical lance 40 length of being stretched out from thehousing 2 ofelectrosurgical unit 1 andtermination 8a-c about equally.After the sterilization of having finished predetermined quantity/use cycle index,mechanical lance 40 moves on to the locked position of coupler that stretches out fully.Whenmechanical lance 40 moved on to the locked position of coupler that stretches out fully, it can not be pushed in thehousing 2 again.In this structure,mechanical lance 40 prevents that physicallytermination 8a-c links to each other with the power supply (not shown), thereby has stoped the further use of electrosurgical unit 1.Whenmechanical lance 40 was in the locked position of coupler that stretches out fully,window 6 makes that the user can sightindicator 22 and determine:electrosurgical unit 1 did not have remaining access times.
As those skilled in the art are known, can adopt the counter of polytype and structure and can not depart from category of the present invention and spirit.For example, in one embodiment, the mechanical lance of blocking mechanism can stretch out from housing by two or more different overhangs.In another embodiment, lance can stretch out from housing by single overhang, its role is to reduce indicator and blocking function is provided.In another embodiment, first mechanism is reduced counter as a mechanical actuation elements, and second mechanism is used as a blocking mechanism.In other embodiment, the distance that striker stretches out from housing can be greater than or less than the length of termination.
The structure of shownindicator 22 makes the user to monitor remaining access times before should abandoning electrosurgical unit 1.By remaining access times are shown,, make it before will undergoing surgery, to replace toelectrosurgical unit 1 for the user provides enough chances.As those skilled in the art understand, can adopt the counter of polytype and structure and can not depart from category of the present invention and spirit.For example, in one embodiment, can use such counter: its obstruction or prevent that electric current from flowing to power lead from the termination.At one alternatively in the embodiment, in case finished predetermined sterilization/uses cycle index, then counter can so that modular electrosurgical apparatus member before performing the operation, can not correctly assemble.
Fig. 2 is the inside three-dimensional view ofelectrosurgical unit 1, and it shows thecounter 10 according to one embodiment of the present invention.In the embodiment shown,counter 10 includesindicator assemblies 20,mechanical lance 40,bias spring 48,actuator 50,temperature actuation element 70,spring 80 andactuator engagement member 90.
Indicator assemblies 20 comprises indicator 22.In the embodiment shown,indicator 22 is indicated sterilization/use round-robin number of times remaining beforeelectrosurgical unit 1 should be dropped for theuser.Actuator 50 engages ordinatedly withindicator 22, makes the operation ofactuator 50 cause: for each sterilization of being carried out/use circulation,indicator 22 single ground reduce.
Makeactuator 50 correctly to operate by a mechanical actuation elements (being mechanical lance 40) and a temperature actuation element 70.When usingelectrosurgical unit 1,mechanical lance 40 activated at every turn.The operation oftemperature actuation element 70 and each decontamination cycle of carrying out interrelate.Machinery lance 40 causes with combining of temperature actuation element 70: for each sterilization of carrying out/use circulation,actuator 50 single actuation.In one embodiment,temperature actuation element 70 makesactuator 50 move along first and second directions withmechanical lance 40 ordinatedly.This makes thatactuator 50 canmobile indicator 22 and realize finishing the variation of one or more marks to show that sterilization/use circulates.
In the embodiment shown,mechanical lance 40 comprises pin or bar and comprises near-end 42 and far-end 44.Near-end 42 is betweentermination 8a andtermination 8b, and at extended position be pressed between the position selectively and move.The far-end 44 ofmachinery lance 40 is adjacent toactuator 50 and indicator 22 (view 3A), and is configured to engage andmobile indicator 22 with actuator 50.Being pressed intomechanical lance 40causes actuator 50 to move.In the embodiment shown, the near-end 42 ofmechanical lance 40 is in the position of stretching out.Whenmechanical lance 40 by when far-end is setovered, the far-end 44 ofmechanical lance 40 engages with actuator 50.This causesactuator 50 to move towards distal direction.
In the embodiment shown,temperature actuation element 70 is by marmem---for example for still being not limited to NitinolWhentemperature actuation element 70 is in enough following times of temperature, it is returned to initial shape and is rigidity, is not easy to bending.Thereby whenelectrosurgical unit 1 experience once sterilizing circulation time, because the hardening oftemperature actuation element 70,temperature actuation element 70 is from the configuration of the more linearly type shown in the topographical variations one-tenth of a bending.The hardening oftemperature actuation element 70 pushes awayactuator 50 direction ofpast termination 8a-c.This causesactuator 50 with respect toindicator 22 displacements.Temperature actuation element 70 is an example that is used for surveying the device of the temperature that is higher than room temperature.Can adopt the device of polytype and structure to survey the temperature that is higher than room temperature and can not depart from category of the present invention and spirit.For example, in one embodiment, can adopt such temperature actuation element: its magnetic can vary with temperature.In another embodiment, can adopt so a kind of temperature actuation element: the part that it comprises the liquid part of a response temperature fluctuation or is filled with liquid.
Biasspring 48 is holding mechanical lance 40.Biasspring 48 with 40 biasings of mechanical lance to proximal direction, thereby do not stretch out fromhousing 2 when making near-end 42 whenmechanical lance 40 with wall, socket or other surperficial contact.After the sterilization of having finished pre-determined number/use circulation,spring 80 impelsmechanical lance 40 to arrive at locked position of coupler.Activate engagement member 90 andimpel actuator 50 laterally to move, to guarantee the each actuating foractuator 50,indicator 22 single ground reduce.In addition, activateengagement member 90 andmechanical lance 40 interactions, thereby maintain the mobile route of the expectation ofmechanical lance 40, control stretching out ofmechanical lance 40 simultaneously, until the sterilization of having finished pre-determined number/use circulation.
Fig. 3 A is the inside vertical view ofelectrosurgical unit 1, its show according to the parts of thecounter 10 of one embodiment of the present invention and connect setting.In the embodiment shown, thecounter 10 that illustrates is before the use first of electrosurgical unit 1.In the illustrated embodiment,indicator assemblies 20 is shown.Indicator assemblies 20 comprisesindicator 22,guide member 29,pawl spring 30 and clamp structure 34.Indicator 22 is indicated sterilization/use round-robin number of times remaining before should abandoningelectrosurgical unit 1 to the user.
In the embodiment shown,indicator 22 comprisesmark 24,tooth 26, guide channel 27 (view 2) and latch portion 28.Mark 24 is positioned on the upper surface of indicator 22.In the embodiment shown,mark 24 includes a plurality of lines and relevant reference number.A plurality of lines and relevant reference number indication remaining access times before should abandoning electrosurgical unit 1.The position ofindicator 22 is so selected: when corresponding residue access times did not also carry out, suitably the position of mark (lines and relevant reference number) was located at and can observes part (view 1A-1C) by window 6.Along withindicator 22 leaves its near-end, also changed by the observed one or more marks of window 6 (Fig. 1).In the embodiment shown,indicator 22 reduces towards the mobile counter that makes of distal direction.
Tooth 26 interacts ordinatedly withactuator 50 and movesindicator 22 along distal direction.Select number, size and the position oftooth 26, make thatmark 24 individually reduces for the sterilization of carrying out/use circulation at every turn.In the embodiment shown,tooth 26 stretches out with respect to the distal direction ofindicator 22 bodies and promotes thatactuator 50 is displaced to farther position with respect to indicator 22.As shown in Figure 2, aguide channel 27 is positioned at the downside ofindicator 22, is used for holding guide member 29.Guide channel 27 interacts ordinatedly withguide member 29, from allowindicator 22 when indicator moves to a position far away from a nearer position smoothly and predictably mobile.
Get back to Fig. 3 A,latch portion 28 is positioned near themechanical lance 40, be in the nearly angle of indicator 22.Latch portion 28 is configured to: whenindicator 22 was shifted to its farthest position,mechanical lance 40 can activateengagement member 90 along laterally moving apart.Pawlspring 30 is fastened on the indicator 22.Pawlspring 30 is cooperated withclamp structure 34, thereby makes the accidental movement ofindicator 22 to minimize.Pawlspring 30 compriseselastic arm 31 and pawl spring soldered tooth 32.Elastic arm 31 is out of shape and makes pawl spring solderedtooth 32 to move with respect to the tooth of clamp structure 34.Pawl spring solderedtooth 32 is configured to be arranged on respectively organizing between the tooth or engaging one or more teeth ofclamp structure 34 or between the adjacent teeth ofclamp structure 34 ofclamp structure 34, thereby makes that the accidental movement ofindicator 22 is minimized.Whenactuator 50 made thatindicator 22 moves, the flexibility ofelastic arm 31 was enough to allow pawl spring solderedtooth 32 to move apartclamp structure 34 along the direction of indicator 22.This makes pawl spring solderedtooth 32 can remove, cross the tooth far away first group of tooth from the position between first group of tooth and enter between second group of tooth.In the embodiment shown, pawl spring solderedtooth 32 is between first group of tooth.This be because:electrosurgical unit 1 does not also live through and uses for the first time circulation, andmechanical lance 40 does not also use in the circulation for the first time and is not pressed into.
As those skilled in the art understand, can use the indicator of polytype and structure and can not depart from category of the present invention and spirit.For example, in one embodiment, indicator comprises seven-segment display, and described indicator is illustrated in and should abandons electrosurgical unit remaining access times before.In another embodiment, indicator includes a ring-type element.In another embodiment, indicator is a gear drive.In another embodiment, indicator comprises digital indicator.
Continue with reference to figure 3A,actuator 50 engagesindicator 22 ordinatedly and causesindicator 22 to move backward.In the embodiment shown,actuator 50 includesprojection 52,cam path 56, indicator solderedtooth 60 andgroove 64, showsgroove 64 in Fig. 2 in more detail.As shown in Figure 3A,projection 52 interacts withactuating engagement member 90 and impelsactuator 50 pivotingactions.Cam path 56 interacts withpin 58 and causes actuator 50 to move backward, makes also that simultaneously actuator 50 can the motion pivotally in response to being pressed into of mechanical lance 40.The pivoting action ofactuator 50 makesactuator 50 thatindicator 22 is moved single decrease, and irrelevant with the difference in the displacement of the displacement of single sterilization/use circulation backpointer 22 andmechanical lance 40.
During the initial reverse ofactuator 50, indicator solderedtooth 60 engages with thetooth 26 of indicator 22.Duringpower lead 4 motion, along with the nearly portion ofactuator 50 begins horizontal pivot, indicator solderedtooth 60 breaks away from thetooth 26 ofindicators 22 at actuator 50.In case indicator solderedtooth 60 breaks away from thetooth 26 ofindicator 22,indicator 22 further moves backward and stops.
In the embodiment shown, theprojection 52 of first end, the 82 contact activateddevices 50 ofspring 80 and remain on the position of expectation by the supportingconstruction 88 that is formed in the housing 2.Whenmechanical lance 40 was not betweenactuator 50 andindicator 22,first end 82 ofspring 80 toindicator 22, activatedprojection 52 biasings near theengagement member 90 therebyprojection 52 is placed.Actuator 50 comprises groove 64 (also seeingview 2).The near-end 72 ofgroove 64 ccontaining temperature actuation elements 70.By makingtemperature actuation element 70 to locate simply and effectively with respect toactuator 50,groove 64 helps the assembling of locking/counter mechanism 10.The structure ofgroove 64 andtemperature actuation element 70 makesactuator 50 motion as required in response to decontamination cycle, too accurately makes or assembles and need not counter 10 parts.
Describe very much the operation ofactuator 50 in detail with reference to Fig. 3 B-4B.Fig. 3 B is the inside vertical view ofelectrosurgical unit 1, and it illustrates the motion that actuator 50 is pressed in response to the part of mechanical lance 40.In the embodiment shown, the near-end 52 ofmechanical lance 40 has moved towards distal direction, but it moves the inside that whole length that degree do not makemechanical lance 40 all is positioned at housing 2.When being setovered towards the distally along withmechanical lance 40, the far-end 44 ofmechanical lance 40 engages with actuator 50.This causesactuator 50 to move towards distal direction.Along withactuator 50 moves towards distal direction, indicator solderedtooth 60 engages with atooth 26 of indicator 22.When actuator 50 engaged with indicator solderedtooth 60, along withactuator 50 distad moves,indicator 22 moved along distal direction.Whenindicator 22 along distal direction move past one predetermined apart from the time, realized the change of mark.The user that changes into of mark is illustrated in remaining access times after the sterilization finished/use circulation.In the embodiment shown, along with moving of at first 0.06 inch ofactuator 50, the change of mark and pawl spring solderedtooth 32 move.
Be pressed further into along withmechanical lance 40 in the housing of electrosurgical unit 1 (moving to the position of Fig. 3 C from the position of Fig. 3 B),actuator 50 pivots and leavesindicator 22, prevents thatindicator 22 from further moving backward.In Fig. 3 B, thetooth 26 that the nearly portion ofactuator 50 begins to pivot and leaves indicator 22.Yet actuator solderedtooth 60 does not also separate with tooth 26.The structure ofprojection 52 andactuator engagement member 90 is convenient toactuator 50 and is left fromindicator 22 pivots.Beforemechanical lance 40 was pressed into,projection 52 was arranged in thegroove 92 ofactuator engagement member 90, as shown in Figure 3A.When 40 beginnings of mechanical lance along shown in Fig. 3 B backward duringmovement actuator 50, the horizontaltranslational surface 94 of the horizontaltranslational surface 54 contact activateddevice engagement members 90 of projection 52.Laterallytranslational surface 54 causesprojection 52 to begin pivot with the horizontal interaction between thetranslational surface 94 leavingindicator 22.
Incase projection 52 begins to pivot, far-end 44 beginnings ofmechanical lance 40 contact with the inclined-plane 62 of indicator soldered tooth 60.When the far-end 44 ofmechanical lance 40 by when distal direction promotes, 62 the length slip ofmechanical lance 40 along the inclined-plane.This causesprojection 52 to pivot further and laterally moves apart indicator 22.Laterally moving ofprojection 52 also causes laterally moving of indicator soldered tooth 60.Cam path 56 makesactuator 50 to move pivotally with the structure ofpin 58, and this pivoting action is owing to following factors becomes easy: (a) the laterally interaction between thetranslational surface 54 and 94; And (b) interaction between the inclined-plane 62 of the far-end 44 ofmechanical lance 40 and indicator solderedtooth 60.
Whenmechanical lance 40 repeatedly partly was pressed into, the structure of thetooth 26 ofindicator 22 and indicator solderedtooth 60 prevented that with respect to the set-up mode oftooth 26 more than 22 ground of indicator from reducing.Whenmechanical lance 40 is pressed into fully and causesindicator 22 to reduce, in that being pressed into,mechanical lance 40 follow-up can cause needing activationtemperature actuation element 70 beforeindicator 22 reduces further.Thus, the user can repeatedly insert or extracttermination 8a-c, perhaps is pressed intomechanical lance 40 and can cause reducing ofindicator 22.
Fig. 3 C is the inside vertical view ofelectrosurgical unit 1, and whereinmechanical lance 40 fully is pressed in the housing 2.The pivot ofactuator 50 causes indicator solderedtooth 60 to break away from thetooth 26 of indicator 22.The further reverse ofactuator 50 and/ormechanical lance 40 can not makeindicator 22 move further, because the tooth of indicator solderedtooth 60 andindicator 22 is what to separate.The far-end 44 ofmachinery lance 40 keeps separating between mobile between indicator solderedtooth 60 and thetooth 26 makesactuator 50 andindicator 22.
The pivoting action ofactuator 50 makes: no matter the displacement of the displacement ofmechanical lance 40 andindicator 22 how, actuator 50 can makeindicator 22 reduce single position.In one embodiment, in each actuating ofmechanical lance 40,mechanical lance 40 is pressed into roughly 0.25 inch.In one embodiment, in each actuating ofmechanical lance 40,indicator 22 only moves 0.060 inch.As those skilled in the art understand, can change the amount of movement of mechanical lance with respect to the amount of movement of indicator and can not depart from category of the present invention and spirit.In one embodiment, indicator is removable 0.01 inch to 0.75 inch.In another embodiment, indicator is removable 0.02 inch to 0.125 inch.In another embodiment, the distance that lance moved is greater than distance that indicator moved.In another embodiment, the distance that moves of lance and indicator depends on the size of the housing of electrosurgery blocking mechanism and ccontaining this electrosurgery blocking mechanism at least in part.In addition, the actuator of polytype and structure be can adopt and category of the present invention and spirit can not departed from.
When actuator 50 along far when mobile, masterpiece is used on thetemperature actuation element 70, increases the curvature of temperature actuation element 70.Whentemperature actuation element 70 did not cause the rigidity oftemperature actuation element 70 to increase because of being heated, the curvature oftemperature actuation element 70 increased.Thus,temperature actuation element 70 provides minimum resistance, makes the far-end 74 oftemperature actuation element 70 more near the near-end 72 (Fig. 2) of temperature actuation element 70.Because the position oftemperature actuation element 70 far-ends 74 keeps byseat 76, so the near-end 72 oftemperature actuation element 70 will move towards the direction of far-end 74.
Incase actuator 50 breaks away fromindicator 22, extracting and inserting subsequently of termination will can not cause moving ofindicator 22 in the socket.Reason be because: indicator solderedtooth 60 no longer contacts with indicator 22.Machinery lance 40 can not causeactuator 50 to move towardsindicator 22 directions along moving oftermination 8a-c direction, can not causeindicator 22 to be engaged by indicator solderedtooth 60 yet.Thus, the user can repeatedly extract and insert the termination and can not reduce indicator 22.Whenmechanical lance 40 was pressed into,flange 46 caused the compression ofbias spring 48 near bias spring contact member 96.The compression ofbias spring 48 causes a bias force to act on theflange 46, and the direction of this power deviates from biasspring contact member 96, as long aselectrosurgical unit 1 is pulled up from the electrosurgical power supplies (not shown), this power will forcemechanical lance 40 to be returned to its extended position.
Along with sterilization/use round-robin repeatedly carries out,indicator 22 will move step by step along the direction of power lead 4.Along with the direction ofindicator 22 alongpower lead 4 moves further, one ormore marks 24 show, for the user indicates remaining sterilization/use round-robin number of times.As those skilled in the art understand, can adopt the blocking mechanism of polytype and structure and can not depart from category of the present invention and spirit.
As indicated above, in the embodiment shown in Fig. 1-4B,indicator 22 comprisespawl spring 30, and thispawl spring 30 makesindicator 22 as one manreduce.Pawl spring 30 comprisesflexible arm 31, contacting between the pawl spring solderedtooth 32 that thisarm 31 keeps pawl springs 30 and the tooth of clamp structure 34.In Fig. 3 B, pawl spring solderedtooth 32 is between one group of tooth, and this group tooth is immediately following after 32 residing those group teeth of pawl spring soldered tooth in Fig. 3 A.Reason be because:electrosurgical unit 1 has experienced for the first time and to have used circulation, and this circulation causesindicator 22 to move.
As mentioned above,pawl spring 30 compriseselastic arm 31, and this elastic arm keeps contacting between the tooth of pawl spring solderedtooth 32 and clamp structure 34.Along withindicator 22 reduces, the power that acts on theindicator 22 byactuator 50 causes moving of pawl spring soldered tooth 32.Engaging between pawl spring solderedtooth 32 and theclamp structure 34 prevents moving ofindicator 22, until the power that onindicator 22, act on bylance 40 andactuator 50 above a threshold value.This makes when never the being pressed intolance 40wittingly indicator 22 non-possibility minimums that desirably move.Lance 40 had a mind to that to be pressed into---for example when being inserted intotermination 8a-c in the electrosurgical power supplies (not shown) produce---sufficiently big and exceeded mobile pawl spring solderedtooth 32 and make it to break away from the position that is between 34 first groups of teeth of clamp structure, cross a tooth in this group tooth and enter the threshold value of the required power in the position between second group of tooth everywhere.In addition, the structure of the tooth ofclamp structure 34 prevents pawl spring solderedtooth 32 towards proximad moving, and allow pawl spring solderedtooth 32 towards far to move.
By the distance that makes that pawl spring solderedtooth 32 is advanced and limited betweenmechanical lance 40 is pressed into for twice,pawl spring 30, pawl spring solderedtooth 32 andclamp structure 34 also make indicator keep correctly reducing.As those skilled in the art understand, can adopt the mechanism of polytype and structure to make the non-desired motion of indicator minimize and can not depart from category of the present invention and spirit.
Turn to Fig. 3 D, its show afterelectrosurgical unit 1 uses but before the decontamination cycle subsequently when the partly operation ofactuator 50 whenhousing 2 stretches out of mechanical lance 40.Fig. 3 D shows: when the position of movingelectrosurgical unit 1 internal part when indicating electrosurgical unit to be used a time to the user fully ofindicator 22.
As shown in the figure,spring 80adjacent actuator 50 andmechanical lance 40 are providedwith.Spring 80 is configured to keep the parts ofcounter 10 correctly to work.First end 82 ofspring 80 contacts with theprojection 52 of actuator 50.Whenmechanical lance 40 no longer was between thetooth 26 of indicator solderedtooth 60 andindicator 22,spring 80 was with the direction biasing towardsindicator 22 of theprojection 52 of actuator 50.In one embodiment, the biasing to actuator 50 can impel indicator solderedtooth 60 to engage with thetooth 26 of indicator 22.In another embodiment, need activationtemperature actuation element 70 to make indicator solderedtooth 60 engage with thetooth 26 ofindicator 22.
Whenindicator 22 was not in the displacement of distal direction maximum,indicator 22 contacted at least one part ofmechanical lance 40 at adjacentdistal end 44 places, and provided cross-brace along this part one side, forsecond end 84 ofspring 80 provides a reacting force.Second end 84 ofspring 80 and the reacting force ofindicator 22 are controlled laterally moving of mechanical lance 40.In the embodiment shown, the far-end 44 ofmechanical lance 40 slightly is thicker than the other parts of mechanical lance 40.The section thickness of far-end 44 is so selected: far-end 44 is wideer thantooth 26 and the gap that activates between theengagement member 90, makes the inside surface that activates engagement member 90 (promptly facing to that surface of the lance 40) prevent that the far-end 44 ofmechanical lance 40 from crossing and activatesengagement member 90.
Turn to Fig. 4 A, it showselectrosurgical unit 1 after activationtemperature actuation element 70 but the inside vertical view after a series of sterilizations/use circulation.When activateding,temperature actuation element 70 is returned toactuator 50 on the such position: wherein indicator solderedtooth 60 engages with thetooth 26 ofindicator 22 once more.To the actuating oftemperature actuation element 70 beindicator 22 reduce get ready.In the embodiment shown,temperature actuation element 70 engages withactuator 50, makes activateding backtemperature actuation element 70 maintenance nonlinear type configurations.By keeping the nonlinear type configuration, when needs were pressed intomechanical lance 40,temperature actuation element 70 stoped the bulged-in possibility ofmechanical lance 40 to reduce.
In Fig. 4 A,temperature actuation element 70 comprises marmem---such as but not limited to NitinilWhentemperature actuation element 70 is subjected to enough temperature, its be returned to initial shape and be rigidity and be not easy to bending.Thereby whenelectrosurgical unit 1 experience once sterilizing circulation, thentemperature actuation element 70 is transformed into a more linear configuration from a bent position (Fig. 3 C), shown in Fig. 4 A.The more linear configuration oftemperature actuation element 70 is caused by firmization of temperature actuation element 70.Firmization oftemperature actuation element 70 promotesactuator 50 along the direction oftermination 8a-c, contacts until the far-end ofpin 58 with cam path 56.This causesactuator 50 with respect toindicator 22 displacements.
With reference to Fig. 2 and 4A,temperature actuation element 70 is arranged in aseat 76, and describedseat 76 is formed in thehousing 2 of electrosurgical unit 1.The far-end 74 oftemperature actuation element 70 engages withseat 76 and the far-end 74 that preventstemperature actuation element 70 moves along the direction of power lead 4.The near-end 72 oftemperature actuation element 70 engages atgroove 64 places withactuator 50, and this groove (can see best in Fig. 2) is formed in the sidepiece ofactuator 50.
Whentemperature actuation element 70 is heated to a predetermined temperature (for example in disinfecting process), the rigidity oftemperature actuation element 70 increases, intensity increases and flexibility reduces.Firmization oftemperature actuation element 70 reduced the curvature of temperature actuation element 70.Whentemperature actuation element 70 was subjected to enough heating, its configuration from general curved (Fig. 3 C) was transformed into the more configuration of linear pattern and rigidity, caused near-end 72 to promoteactuator 50 along the direction oftermination 8a-c, shown in Fig. 4 A.
In Fig. 4 A,temperature actuation element 70 provides one to promote and movement actuator 50.By utilizing this to promote,temperature actuation element 70 has reduced the manufacturing cost and the complexity ofcounter 10, has improved the fiduciary level of system simultaneously.Reason is: firmization oftemperature actuation element 70 moved actuator 50 effectively and do not needed accurately to make size, thickness and the length of temperature actuation element 70.This has reduced the design and the manufacturing cost of temperature actuation element 70.In addition,temperature actuation element 70 does not need to be coupled to integratedly other parts ofcounter 10 to remain on needed tolerance in the pull-up activated apparatus.On the contrary, at assembly process,temperature actuation element 70 can be easily positioned inseat 76 and the groove 64 (view 2), has greatly reduced assembling complexity, expense and the degree of difficulty of counter 10.As those skilled in the art understand, can adopt the actuation element of polytype and structure and can not depart from category of the present invention and spirit.In one embodiment, the temperature actuation element is configured to provide a pulling force, thereby causes the correct actuating of indicator.
Continue with reference to figure 4A, because the structure of the indicator solderedtooth 60 of thetooth 26 ofindicator 22 andactuator 50, actuator can't cause moving ofindicator 22 towards moving oftermination 8a-c direction.In addition, the repetition heating and cooling oftemperature actuation element 70 can not cause repeatedly reducing of counter, because moving ofindicator 22 only takes place in response to being pressed into of mechanical lance 40.Thus,actuator 50 can not cause the change of one ormore marks 24, has experienced decontamination cycle and along adirection movement actuator 50 and the use thatmechanical lance 40 has experienced to be indicated by being pressed into of lance circulation and along oppositedirection movement actuator 50 untiltemperature actuation element 70.
Fig. 4 B is the inside vertical view ofelectrosurgical unit 1, and it shows the position of theelectrosurgical unit 1 different internal parts after decontamination cycle, and this electrosurgical unit has exceeded the sterilization number of times of being recommended.As shown in the figure,spring 80 andindicator 22 are fastened onmechanical lance 40 on the position of stretching out ordinatedly.In the embodiment shown,indicator 22 has been finished its last reducing, and no longer contacts with the far-end 44 of mechanical lance 40.Whenindicator 22 no longer contacted with the far-end 44 ofmechanical lance 40, it no longer provided cross-brace and no longer provides a reacting force to stopsecond end 84 ofspring 80 forsecond end 84 of spring 80.Thus,second end 84 ofspring 80 contacts the far-end 44 ofmechanical lance 40 and it is biased into thelatch portion 28 of indicator 22.This makes far-end 44 crossactuating engagement member 90, and allowsmechanical lance 40 to move to a locked position of coupler that stretches out fully, shown in Fig. 4 B.
Machinery lance 40 is moved to the position of stretching out fully by bias spring 48.Beforebias spring 48 moved to the position of stretching out fully withmechanical lance 40,bias spring 48 was compressed betweenflange 46 and the bias spring contact member 96.Flange 46 can not be coupled tomechanical lance 40 movably.Bias spring element 96 is coupled to the bottom ofhousing 2 integratedly.
In the time ofnear latch portion 28 is positioned at actuatingengagement member 90,second end 84 ofspring 80 is along the far-end 44 of lateral offset machinery lance 40.This provides the extra distance that activates betweenengagement member 90 and theindicator 22, thereby the distance between feasibleactuating engagement member 90 and theindicator 22 is greater than the width ofmechanical lance 40 far-ends 44.Thus, activatingengagement member 90 no longer contacts with the far-end 44 ofmechanical lance 40 in the mode that the reacting force ofbias spring 48 onflange 46 is provided.When not existing, causemechanical lance 40 mobile towards proximad bybias spring 48 the power on theflange 46 of acting on because of when activatingengagement member 90 reacting force that provides be provided.In an embodiment of the invention, bias spring contact member and actuating engagement member and lower part of frame form.In optional embodiment, bias spring contact member and actuating engagement member can not be fixed on one or more parts ofhousing 2 movably.
In the embodiment shown, when flange 46 contacted with the inside surface ofhousing 2, proximad moving ofmechanical lance 40 stopped.When flange 46 contacted with the inside surface ofhousing 2,mechanical lance 40 fully stretched out from housing 2.Second end 84 ofspring 80 contacts withindicator 22 andmechanical lance 40 is fastened in the position of stretchingout.Indicator 22 be in its maximum far on the shift position, and contact with backstop 25.Backstop 25 is formed by the bottom of housing 2.Backstop 25 prevents thatindicator 22 is back further to displacement.
The far-end 44 ofindicator 22,second end 84 andmechanical lance 40 prevents thatmechanical lance 40 is pressed into.Shown in the position on,mechanical lance 40 is shifted from housing the biglyyest.By preventing thatmechanical lance 40 is pressed into, prevented engaging oftermination 8a-c and power supply (not shown).Thus, in case finished after the sterilization/use circulation of pre-determined number, counter 10 stops the user to use electrosurgical unit 1.In the embodiment shown, pawlspring Contact Tooth 32 is between last group tooth of clamp structure 34.This be because:electrosurgical unit 1 has experienced the sterilization of pre-determined number/uses and has circulated, andindicator 22 is positioned on its shift position farthest.
As those skilled in the art understand, can adopt the blocking mechanism of polytype and structure and can not depart from category of the present invention with spirit.For example, in one embodiment, blocking mechanism adopts the lateral offset mechanism that comprises the sheet spring.In another embodiment, blocking mechanism adopts the lateral offset mechanism that does not comprise the sheet spring.In another embodiment, blocking mechanism does not adopt lateral offset mechanism.In another embodiment, blocking mechanism does not comprise latch portion.
Fig. 5 is the interior views ofelectrosurgical unit 100, and it illustrates thecounter 110 according to another embodiment of the present invention.In order to help to explain the structure and the function ofelectrosurgical unit 100 sum counters/blocking mechanism 110, in Fig. 5-9, never illustrate frompower lead 104 up to the electric wire oftermination 108a-c or other the equipment that is electrically connected.
In the embodiment shown,counter 110 comprisesindicator 122,actuator 150,temperature actuation element 170 and mechanical lance 140.Temperature actuation element 170 andmechanical lance 140make actuator 150 move along first and second directions ordinatedly.This makes thatactuator 150 canmobile indicator 122 and realize finishing the change of one or more marks thereby sterilization/use circulation is shown.
In the embodiment shown,temperature actuation element 170 is marmems---for example, still be not limited to NitinolWhentemperature actuation element 170 is in enough following times of temperature, it is returned to initial shape and is rigidity, is not easy to bending.Thereby whenelectrosurgical unit 100 experience once sterilizing circulation times, because 170 hardening of temperature actuation element,temperature actuation element 170 is varied to the more linearly configuration of type (as shown in Figure 8) from the bending position shown in.The hardening oftemperature actuation element 170 pushes away actuator 150 direction ofpast termination 108a-c.This causes actuator 150 with respect toindicator 122 displacements.
Temperature actuation element 170 is an example that is used for surveying the device of the temperature that is higher than room temperature.The device that is used for surveying the temperature that is higher than room temperature of polytype and structure can be adopted and category of the present invention and spirit can be do not departed from.For example, in one embodiment, can adopt a such temperature actuation element: its magnetic can vary with temperature.In another embodiment, can adopt so a kind of temperature actuation element: the part that it comprises the liquid part of a response temperature fluctuation or is filled with liquid.
After decontamination cycle, when the user is intended to useelectrosurgical unit 100---for example bytermination 108a-c being inserted into electrosurgery outlet (not shown), the near-end ofmechanical lance 140 will be touched and be pushed into the inside ofhousing 102.Actuator 150 is around themechanical lance 140 of a part.The part thatmachinery lance 140 is positioned atactuator 150 inside engages with the inside surface of actuator 150.Thus, whenmechanical lance 140 when the direction ofpower lead 104 moves,actuator 150 moves along the direction of power lead 104.In other words, whenmechanical lance 140 was forced in thehousing 102,actuator 150 was pushed to the direction of power lead 104.When actuator 150 was pushed to the direction ofpower lead 104, the surface that actuator 150 engages with the complementary surface ofindicator 122 causedindicator 122 to move along the direction of power lead 104.Indicator 122 mobile makes the position change of mark, thereby indication sterilization/use circulates and finishes.This also causeselectrosurgical unit 100 remaining access times to reduce.
When external force no longer acted on the near-end ofmechanical lance 140, bias spring can be so thatmechanical lance 140 stretches out from housing 2.This causes the near-end ofmechanical lance 140 to stretch out from housing 2.Yetactuator 150 does not move towardstermination 108a-c direction, activated in response to decontamination cycle until temperature actuation element 170.Thus, further being pressed into ofmechanical lance 140 can not causeactuator 150 andindicator 122 to move, until having carried out decontamination cyclesubsequently.Machinery lance 140 is one and surveys an example using the round-robin device.For those skilled in the art, other sniffer is known.For example being used for the removable striker of key of follow-up use and the software, electric light source, the bar chart that have a chip can be used as to survey and uses the round-robin device.
Fig. 6 A and 6B are the partial sectional view ofelectrosurgical unit 100, and it illustrates the parts of Electrosurgical counter/blocking mechanism 110 and a kind of connecting mode (view 6B) oftemperature actuation element 170 and mechanical actuation elements (being mechanical lance 140) and actuator 170.In the embodiment shown in Fig. 6 A,temperature actuation element 170 be arranged in the seat 176---this is formed at thehousing 102 of electrosurgical unit 100.The far-end 174 oftemperature actuation element 170 engages with seat 176 and prevents thattemperature actuation element 170 from moving along the direction of power lead 104.The near-end 172 oftemperature actuation element 170 engages (not shown) withactuator 150.
When the temperature oftemperature actuation element 170 raises (for example in disinfecting process),temperature actuation element 170 rigidity and intensity increase, and the flexibility oftemperature actuation element 170 reduces.Firmization oftemperature actuation element 170 reduced the curvature of temperature actuation element 170.Whentemperature actuation element 170 was sufficiently heated, its configuration from general curved changed over the more configuration of linear pattern and rigidity, and wherein near-end 172 promotesactuator 150 towards the direction oftermination 108a-c.
Push movingly by utilization,temperature actuation element 170 has reduced the manufacturing expense and the complexity ofblocking mechanism 110, has improved the reliability of system simultaneously.This be because: firmization oftemperature actuation element 170 moved actuator 150 effectively and do not needed accurately to make size, thickness and the length of temperature actuation element.This has reduced the design and the manufacturing cost of temperature actuation element 170.In addition,temperature actuation element 170 other parts of not needing to be coupled to counter 110 integratedly keep needed tolerance in the pull-up activated apparatus.On the contrary,temperature actuation element 170 can be provided with in present 176, has greatly reduced assembling complexity, expense and the degree of difficulty ofcounter 110.
In the embodiment shown, the near-end 142 oflance 140 is positioned at outside thehousing 102 of electrosurgical unit 100.The far-end 144 oflance 140 is suitable for being positioned at the inside (view 6B) of actuator 150.The far-end 144 ofmachinery lance 140 engages withactuator 150, thereby causesactuator 150 to move whenmechanical lance 140 is pressed into.The engagement ridge 145 (view 6B) ofmachinery lance 140 engages with engagement member 190, and this engagement member 190 is coupled to thehousing 102 of electrosurgery 100.Engagement member 190 prevents thatengagement ridge 145 from moving and crosses a given position on the direction oftermination 108a-c.Thus, the near-end 142 ofmechanical lance 140 can not be crossed a given position along moving oftermination 108a-c direction.
Bias spring 148 is around the part oflance 140, thereby between theflange 146 and engagement member 190 of lance 140.Bias spring 148 provides a bias force alongtermination 108a-c direction, the near-end 142 ofmechanical lance 140 is not released outside thehousings 102 when being pressed into contacting of wall outlet, socket or other barrier at mechanical lance 140.Whenmechanical lance 140 was pressed into, far-end 144 moved towards the direction of power lead 104.Far-end 144 interacts (view 6B) with the inside surface ofactuator 150, thereby towards thedirection movement actuator 150 of power lead 104.As those skilled in the art understand, can adopt the mechanical lance of polytype and structure and do not depart from category of the present invention with spirit.For example, in one embodiment, mechanical lance can keep being pressed into there not being external pressure to do the time spent.
For operation easy and that more be shown clearly in the counter parts, several parts that Fig. 6 B illustratesactuator 150 and counter separate.In the embodiment shown,actuator 150 comprisesbody 152,conduit 154 and tooth 156.Body 152 keeps the rigidity and the structure ofactuator 150, and provides enough intensity to come mobile indicator 122 (when being engaged by temperature actuation element 170 (referring to view 6A)) and mechanical lance 140.Conduit 154 is limited and is suitable for the far-end 144 of ccontainingmechanical lance 140 by body 152.This maintained actuator 150 towards, make laterally moving ofmechanical lance 140 far-ends 144 minimizesimultaneously.Tooth 156 is formed in thebody 152 of actuator 150.Thetooth 156 ofactuator 150 engages with thetooth 126 of indicator 122.When actuator 150 was mobile backwards, the structure oftooth 156 andtooth 126 madeindicator 122 backwards to moving.When actuator 150 when forward direction moves, the structure oftooth 156 andtooth 126 can not make that indicator moves.
Get back to Fig. 6 A,indicator assemblies 120 includesindicator 122 and guide member 129.Indicator 122 is suitable for moving with respect to other parts ofelectrosurgical unit 100, is used to refer to sterilization/use round-robin number of times of having finished andchanges.Guide member 129 engagesindicator 122 ordinatedly, so that laterally moving ofindicator 122 minimizes and guarantee thatindicator 122 steadily and effectively slides in response to moving of actuator 150.In the embodiment shown,guide member 129 comprises the sliding part that the height that is positioned at conduit rises, and this channel shaped is formed in the bottom ofindicator 122.
As those skilled in the art understand, can adopt the guide member of polytype and structure and can not depart from category of the present invention and spirit.In one embodiment, guide member includes a plurality of non-desirably tooth (not shown)s of motion of indicator that prevent.In another embodiment, anti-skidding material (not shown) is arranged between the bottom surface of the top of guide member and indicator, move with the non-expectation that prevents indicator.In another embodiment, guide member includes a surface, produces enough rubbing contact between this surface and the indicator, thus the non-expectation that prevents indicator move, promptly any is not with respect to moving of actuator and moving of causing by mechanical lance.
Tooth 126 is formed in the indicator 122.Tooth 126 engages with thetooth 156 of actuator 150.In the embodiment shown,tooth 126 makes with the structure of tooth 156: when actuator 150 whentermination 108a-c direction moves,actuator 150 is with respect toindicator 122 displacements, andindicator 122 does not move.When actuator 150 whenpower lead 104 directions move, in response to being pressed into ofmechanical lance 140, thetooth 156 ofactuator 150 engages with thetooth 126 ofindicator assemblies 120, and movesindicator 122 towards the direction ofpower lead 104.
In one embodiment, towards the needed power of termination direction movement actuator much smaller than along power lead direction movement actuator and the needed power of indicator.In another embodiment, the power of movement actuator of being used for that is provided by the temperature actuation element is used for the power of movement actuator and indicator much smaller than mechanical actuation elements provided.In the embodiment shown,mechanical lance 140 applies a power on actuator 150.Then, actuator 150 engagesactuator 122 and transmitmovement actuator 122 neededpower.Actuator 150 is described in more detail andindicator 122 moves in response to sterilization/use round-robin with reference to Fig. 7 and 8.
Indicator 122 further comprises latch portion 128.Latch portion 128 comprises a space, and this space is suitable forccontaining actuator 150 whenindicator 122 moves nearpower lead 104 places.The mobile ofactuator 150 makesmechanical lance 140 to shift to most proximal end with respect totermination 108a-c, and the far-end 144 oflatch portion 128,actuator 150 andlance 140 and connect the far-end 144 that setting (juxtaposition) preventsmechanical lance 140 and shift topower lead 104.
Fig. 7 illustrates the interior views ofelectrosurgical unit 100, and it showsindicator 122 and moves moving of being carried out in response tomechanical lance 140---when the position ofindicator 122 among comparison diagram 5 and Fig. 7.In Fig. 7,mechanical lance 140 is pressed into, thereby makes the whole length ofmechanical lance 140 all be positioned at the inside of housing 102.As indicated above, the far-end 144 of mechanical lance 140 (view 6B) engages actuator 150.This causes actuator 150 to move along the direction of power lead 104.When actuator 150 when the direction ofpower lead 104 moves, thetooth 156 ofactuator 150 engages thetooth 126 of indicators 122.This causesindicator 122 to move along the direction of power lead 104.Whenindicator 122 when the direction ofpower lead 104 moves, mark has changed, and finishes remaining access times after once sterilizing/use circulation for the user is presented at.In addition, whenactuator 150 when the direction ofpower lead 104 moves,temperature actuation element 170 is returned to such structure: under the effect that is being applied to power on theactuator 150 or influence bymechanical lance 140, the temperature actuation element has curvature largely.Whentemperature actuation element 170 does not bear the temperature of the rigidity increase that causestemperature actuation element 170, the described curvature largely thattemperature actuation element 170 can have.Thus,temperature actuation element 170 provides minimum resistance, make near-end 172 can more close joint far-ends 174 in present 176.
Whenmechanical lance 140 was pressed into,flange 146 shifted near engagement member 190, caused the further compression of bias spring 148.Being compressed in ofbias spring 148 applied a power on theflange 146, in case make that near-end 142 will stretch out from thehousing 102 ofelectrosurgical unit 100 when interaction force no longer was applied on the near-end 142 of mechanical lance 140.In case whenactuator 150 is in present position,termination 108a-c extracted and insert subsequently will can not causes the extra ofactuator 150 to be moved in the socket.This be because:lance 140 far-ends are engaged in theactuator 150slidably.Machinery lance 140 can not cause actuator 150 moving alongtermination 108a-c direction along moving oftermination 108a-c.Thus, the user can repeatedly insert and extracttermination 108a-c and can not make thatindicator 122 reduces.
Fig. 8 illustrateselectrosurgical unit 110 and is in the decontamination cycle.In the embodiment shown,temperature actuation element 170 changes to more linear configuration from bent configuration shown in Figure 7.More linear configuration is the structure that rigidity increases, and the reason that this rigidity increases is the temperature variation during decontamination cycle.The rigidity that is increased provides a such pulling strengrth: it has exceeded the pulling strengrth whentemperature actuation element 170 does not bear high temperature.When being in more linear configuration, the near-end 172 oftemperature actuation element 170 promotesactuator 150 alongtermination 108a-c direction.
Because the structure of thetooth 126 ofindicator 122 and the tooth ofactuator 150,actuator 150 does not cause moving ofindicator 122 along moving oftermination 108a-c direction.In addition, owing toindicator 122 only moves in response to being pressed into ofmechanical lance 140, sotemperature actuation element 170 repeat heat up and cool off the repeatedly increase that can not cause counter and/or reduce.Thus,actuator 150 can not cause the change of mark, has experienced once sterilizing circulation and has experienced one along adirection movement actuator 150 andmechanical lance 140 and used circulation and along oppositedirection movement actuator 150 untiltemperature actuation element 170.
Along with having carried out repeatedly sterilization/use circulation,indicator 122 will progressively move along 104 direction.Whenindicator 122 further when 104 direction moves, demonstrate different marks, indicate the change of the remaining access times ofelectrosurgical unit 100 for the user.As those skilled in the art understand, can adopt thecounter 110 of polytype and structure and can not depart from category of the present invention and spirit.For example in one embodiment, temperature actuation element movement actuator and indicator, and mechanical lance makes actuator move with respect to indicator.In another embodiment, temperature actuation element and lance both or one of directly do not link to each other but movement actuator indirectly with actuator.In another embodiment, temperature actuation element and lance do not use actuator just to make mark change.In another embodiment, actuator spurs indicator and makes indicator move.
Fig. 9 shows Electrosurgical counter/blocking mechanism 110, and whereinindicator 122 moves to the mostclose power lead 104 places, andmechanical lance 140 is in locked position ofcoupler.In case indicator 122 moves to the mostclose power lead 104 places,latch portion 128 is positioned near the actuator 150.Sheet spring 180 applies a transverse force alongindicator 122 directions on actuator 150.Indicator 122 is positioned at the position of the mostclose power lead 104, makes thatlatch portion 128 can ccontaining actuator 150.This causes actuator 150 transverse shifts in thelatch portion 128 ofindicator 122.
The far-end 144 ofmachinery lance 140 is positioned at the conduit 154 (view 6B) of actuator 150.Actuator 150 transverse shifts cause the direction transverse shift of the far-end 144 ofmechanical lance 140 alongindicator 122 in latch portion 128.The transverse shift of far-end 144 causesengagement ridge 145 to be disengaged member 190 (view 6B).Thus, thus engagement member 190 can not offset again bybias spring 148 and be applied to the power that is applied on theflange 146 on themechanical lance 140 alongtermination 108a-c direction.In the embodiment shown,bias spring 148 applies the power alongtermination 108a-c direction atflange 146, make length that the near-end 142 ofmechanical lance 140 stretches out from housing andtermination 108a-c length about equally.In another embodiment, the length of mechanical lance length of stretching out from housing and termination and unequal or close.
Afterelectrosurgical unit 100 had been finished its last sterilization/use circulation,indicator 122 contacted with backstop 125.Backstop 125 is formed by the bottom of housing 102.Indicator 122 is stoped bybackstop 125 along further moving ofpower lead 104 directions.When actuator 150 is pushed into when engaging withlatch portion 128,actuator 150 is stoped bylatch portion 128 along moving ofpower lead 104 directions.The machinery lance alongpower lead 104 directions move by contacting between the front surface of the far-end 144 ofmechanical lance 140 andactuator 150 stop.
When actuator 150 is pushed into when engaging withlatch portion 128,actuator 150 laterally is shifted.The transverse shift ofactuator 150 makes theconduit 154 and the far-end 144 ofmechanical lance 140 not line up.Thus, the far-end 144 ofmechanical lance 140 contacts rather than slips in theconduit 154 with the front surface of actuator 150.In addition,sheet spring 180 engages withactuator 150, prevents that lateral actuator from moving and guarantees that the far-end 144 ofmechanical lance 140 does not slip back in theconduit 154 ofactuator 150.
Contacting between the far-end 144 of the front surface ofactuator 150 andmechanical lance 140 stopsmechanical lance 140 moving towardspower lead 104 directions.In other words,indicator 122,actuator 150 andmechanical lance 140 and connect to be provided with and prevent thatmechanical lance 140 is pushed in the housing 102.Thus, in case finished predetermined sterilization/use cycle index, when user's intention was inserted intotermination 108a-c in the Electrosurgical power supply (not shown),mechanical lance 140 stopedelectrosurgical unit 100 to be used.
As those skilled in the art understand, can adopt the blocking mechanism of polytype and structure and can not depart from category of the present invention and spirit.For example, in one embodiment, blocking mechanism disconnects the electrical connection of an inside, stops electric current flowing in electrosurgical unit.In another embodiment, blocking mechanism stops the coupling of modular electrosurgical apparatus part, thereby prevents that effectively electrosurgical unit is used.
With reference now to Figure 10,, shows optional structure according to the Electrosurgical counter/blocking mechanism of one aspect of the invention.In the embodiment shown, temperature actuation element 270 and mechanical actuation elements (for example mechanical lance 240) engage with actuator 250.Actuator 250 causesindicator 222 to move.In the embodiment shown,indicator 222 is rotary-type indicators, and it has a plurality of teeth 226 and a plurality of mark 224.Tooth 226 engages androtation indicator 222 with actuator 250.Indicator 222 mobile causes demonstrating different mark 224, and described a plurality of marks 224 are positioned on theindicator 222.
Very similar with the Electrosurgical counter/blocking mechanism among Fig. 1-9, in using circulation, the lance 240 of counter 210 is moved in the housing.This causesindicator 222 to rotate, and reason is because the tooth that is formed in actuator 250 (not shown)s engages ordinatedly with one or more teeth 226 of indicator 222.Temperature actuation element 270 activated in response to the heat that is used for decontamination cycle.Temperature actuation element 270 is firmization in response to decontamination cycle, causes actuator 250 to move along the termination direction of electrosurgical unit.This so locatees actuator 250: be pressed into the rotation that mechanical lance 240 will causeindicator 222 in response to using circulation.The structure of temperature actuation element 270 and mechanical lance 240 has been guaranteed: for each sterilization/use circulation, single change is realized in the position of mark 224 on theindicator 222.
In the embodiment shown,indicator 222 comprises latch portion 228.Latch portion 228 is configured to the nearly portion of ccontaining lance 240 and/or the part of actuator 250, thereby prevents that lance 240 is forced in the housing of electrosurgical unit after having finished the sterilization of pre-determined number/use circulation.In the embodiment shown, in case finished the sterilization/use circulation of pre-determined number, latch portion 228 is positioned near the actuator 250.Lateral offset member 280 applies a lateral offset power on mechanical lance 240, the nearly portion that causes mechanical lance 240 moves towards the direction of indicator 222.The transverse movement of machinery lance 240 causes mechanical lance 240 to separate from engagement member 290, allows bias spring 248 mechanically moving lances 240, thereby makes the far-end of mechanical lance 240 stretch out the length length about equally with contiguous termination.In case mechanical lance 240 stretches out, laterally mobile mechanical actuator 250 is moved into latch portion 228 of mechanical lance 240 and lateral offset member 280 engages, thereby stops the nearly portion of mechanical lance 240 to be inserted once more in the actuator 250.Thus, prevent that mechanical lance 240 is withdrawn in the housing of electrosurgical unit.
As those skilled in the art understand, can adopt the indicator of polytype and structure and can not depart from category of the present invention with spirit.For example, in one embodiment, indicator includes a plurality of marks, and described a plurality of marks can be independent of moving of indicator and move.According to another embodiment of the invention, indicator includes a seven-segment display, and described indicator is based on simulation or digital signal and increase.
The present invention can other specific forms implements and can not depart from its spirit or principal character.Described true mode will be understood that it is exemplary rather than restrictive.Therefore, category of the present invention is determined by appended claim rather than is determined by description above.All drop on the implication and the interior variation of scope that are equal to claim and all are included within its category.

Claims (53)

CN 2004800420792004-02-252004-12-22 Electrosurgical counter and locking mechanismPendingCN1922563A (en)

Applications Claiming Priority (3)

Application NumberPriority DateFiling DateTitle
US54767504P2004-02-252004-02-25
US60/547,6752004-02-25
US10/873,3802004-06-21

Publications (1)

Publication NumberPublication Date
CN1922563Atrue CN1922563A (en)2007-02-28

Family

ID=37779351

Family Applications (1)

Application NumberTitlePriority DateFiling Date
CN 200480042079PendingCN1922563A (en)2004-02-252004-12-22 Electrosurgical counter and locking mechanism

Country Status (1)

CountryLink
CN (1)CN1922563A (en)

Cited By (170)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN102090911A (en)*2009-12-092011-06-15Tyco医疗健康集团Surgical clip applier
US8182502B2 (en)2007-11-302012-05-22Ethicon Endo-Surgery, Inc.Folded ultrasonic end effectors with increased active length
USD661804S1 (en)2007-10-052012-06-12Ethicon Endo-Surgery, Inc.User interface for a surgical instrument
US8226675B2 (en)2007-03-222012-07-24Ethicon Endo-Surgery, Inc.Surgical instruments
US8236019B2 (en)2007-03-222012-08-07Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument and cartilage and bone shaping blades therefor
US8253303B2 (en)2008-08-062012-08-28Ethicon Endo-Surgery, Inc.Ultrasonic device for cutting and coagulating with stepped output
US8319400B2 (en)2009-06-242012-11-27Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US8323302B2 (en)2010-02-112012-12-04Ethicon Endo-Surgery, Inc.Methods of using ultrasonically powered surgical instruments with rotatable cutting implements
US8348967B2 (en)2007-07-272013-01-08Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US8382782B2 (en)2010-02-112013-02-26Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement
US8419759B2 (en)2010-02-112013-04-16Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument with comb-like tissue trimming device
US8461744B2 (en)2009-07-152013-06-11Ethicon Endo-Surgery, Inc.Rotating transducer mount for ultrasonic surgical instruments
CN103156681A (en)*2013-03-162013-06-19南昌华安众辉健康科技有限公司Self-destruction type device for limiting using times and on disposable electrosurgical pencil
US8469981B2 (en)2010-02-112013-06-25Ethicon Endo-Surgery, Inc.Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8486096B2 (en)2010-02-112013-07-16Ethicon Endo-Surgery, Inc.Dual purpose surgical instrument for cutting and coagulating tissue
USD687549S1 (en)2011-10-242013-08-06Ethicon Endo-Surgery, Inc.Surgical instrument
US8512365B2 (en)2007-07-312013-08-20Ethicon Endo-Surgery, Inc.Surgical instruments
US8523889B2 (en)2007-07-272013-09-03Ethicon Endo-Surgery, Inc.Ultrasonic end effectors with increased active length
US8531064B2 (en)2010-02-112013-09-10Ethicon Endo-Surgery, Inc.Ultrasonically powered surgical instruments with rotating cutting implement
US8546996B2 (en)2008-08-062013-10-01Ethicon Endo-Surgery, Inc.Devices and techniques for cutting and coagulating tissue
USD691265S1 (en)2011-08-232013-10-08Covidien AgControl assembly for portable surgical device
US8579928B2 (en)2010-02-112013-11-12Ethicon Endo-Surgery, Inc.Outer sheath and blade arrangements for ultrasonic surgical instruments
US8591536B2 (en)2007-11-302013-11-26Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument blades
CN103462684A (en)*2013-09-092013-12-25广东百生医疗器械有限公司Mechanical self-disconnection self-destruction high-frequency surgical electrode handle
US8663220B2 (en)2009-07-152014-03-04Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US8709031B2 (en)2007-07-312014-04-29Ethicon Endo-Surgery, Inc.Methods for driving an ultrasonic surgical instrument with modulator
US8808319B2 (en)2007-07-272014-08-19Ethicon Endo-Surgery, Inc.Surgical instruments
US8882791B2 (en)2007-07-272014-11-11Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US8900259B2 (en)2007-03-222014-12-02Ethicon Endo-Surgery, Inc.Surgical instruments
CN104334106A (en)*2012-05-022015-02-04柯惠有限合伙公司External reader for device management
US8951272B2 (en)2010-02-112015-02-10Ethicon Endo-Surgery, Inc.Seal arrangements for ultrasonically powered surgical instruments
US8951248B2 (en)2009-10-092015-02-10Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US8961547B2 (en)2010-02-112015-02-24Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments with moving cutting implement
US9017326B2 (en)2009-07-152015-04-28Ethicon Endo-Surgery, Inc.Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
US9044261B2 (en)2007-07-312015-06-02Ethicon Endo-Surgery, Inc.Temperature controlled ultrasonic surgical instruments
US9095367B2 (en)2012-10-222015-08-04Ethicon Endo-Surgery, Inc.Flexible harmonic waveguides/blades for surgical instruments
US9168054B2 (en)2009-10-092015-10-27Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US9198714B2 (en)2012-06-292015-12-01Ethicon Endo-Surgery, Inc.Haptic feedback devices for surgical robot
US9226766B2 (en)2012-04-092016-01-05Ethicon Endo-Surgery, Inc.Serial communication protocol for medical device
US9226767B2 (en)2012-06-292016-01-05Ethicon Endo-Surgery, Inc.Closed feedback control for electrosurgical device
US9232979B2 (en)2012-02-102016-01-12Ethicon Endo-Surgery, Inc.Robotically controlled surgical instrument
US9237921B2 (en)2012-04-092016-01-19Ethicon Endo-Surgery, Inc.Devices and techniques for cutting and coagulating tissue
US9241728B2 (en)2013-03-152016-01-26Ethicon Endo-Surgery, Inc.Surgical instrument with multiple clamping mechanisms
US9241731B2 (en)2012-04-092016-01-26Ethicon Endo-Surgery, Inc.Rotatable electrical connection for ultrasonic surgical instruments
US9259234B2 (en)2010-02-112016-02-16Ethicon Endo-Surgery, LlcUltrasonic surgical instruments with rotatable blade and hollow sheath arrangements
US9283045B2 (en)2012-06-292016-03-15Ethicon Endo-Surgery, LlcSurgical instruments with fluid management system
US9326788B2 (en)2012-06-292016-05-03Ethicon Endo-Surgery, LlcLockout mechanism for use with robotic electrosurgical device
US9351754B2 (en)2012-06-292016-05-31Ethicon Endo-Surgery, LlcUltrasonic surgical instruments with distally positioned jaw assemblies
US9393037B2 (en)2012-06-292016-07-19Ethicon Endo-Surgery, LlcSurgical instruments with articulating shafts
US9408622B2 (en)2012-06-292016-08-09Ethicon Endo-Surgery, LlcSurgical instruments with articulating shafts
US9439669B2 (en)2007-07-312016-09-13Ethicon Endo-Surgery, LlcUltrasonic surgical instruments
US9439668B2 (en)2012-04-092016-09-13Ethicon Endo-Surgery, LlcSwitch arrangements for ultrasonic surgical instruments
US9700339B2 (en)2009-05-202017-07-11Ethicon Endo-Surgery, Inc.Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US9707027B2 (en)2010-05-212017-07-18Ethicon Endo-Surgery, LlcMedical device
US9724118B2 (en)2012-04-092017-08-08Ethicon Endo-Surgery, LlcTechniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9820768B2 (en)2012-06-292017-11-21Ethicon LlcUltrasonic surgical instruments with control mechanisms
US9883884B2 (en)2007-03-222018-02-06Ethicon LlcUltrasonic surgical instruments
US9918775B2 (en)2011-04-122018-03-20Covidien LpSystems and methods for calibrating power measurements in an electrosurgical generator
CN107847623A (en)*2015-07-272018-03-27蛇牌股份公司Equipment for being counted to sterilising cycle
US10010339B2 (en)2007-11-302018-07-03Ethicon LlcUltrasonic surgical blades
US10034704B2 (en)2015-06-302018-07-31Ethicon LlcSurgical instrument with user adaptable algorithms
US10034684B2 (en)2015-06-152018-07-31Ethicon LlcApparatus and method for dissecting and coagulating tissue
US10154852B2 (en)2015-07-012018-12-18Ethicon LlcUltrasonic surgical blade with improved cutting and coagulation features
US10172669B2 (en)2009-10-092019-01-08Ethicon LlcSurgical instrument comprising an energy trigger lockout
US10179022B2 (en)2015-12-302019-01-15Ethicon LlcJaw position impedance limiter for electrosurgical instrument
US10194973B2 (en)2015-09-302019-02-05Ethicon LlcGenerator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US10201365B2 (en)2012-10-222019-02-12Ethicon LlcSurgeon feedback sensing and display methods
US10226273B2 (en)2013-03-142019-03-12Ethicon LlcMechanical fasteners for use with surgical energy devices
US10245064B2 (en)2016-07-122019-04-02Ethicon LlcUltrasonic surgical instrument with piezoelectric central lumen transducer
US10251664B2 (en)2016-01-152019-04-09Ethicon LlcModular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly
US10278721B2 (en)2010-07-222019-05-07Ethicon LlcElectrosurgical instrument with separate closure and cutting members
USD847990S1 (en)2016-08-162019-05-07Ethicon LlcSurgical instrument
US10285723B2 (en)2016-08-092019-05-14Ethicon LlcUltrasonic surgical blade with improved heel portion
US10285724B2 (en)2014-07-312019-05-14Ethicon LlcActuation mechanisms and load adjustment assemblies for surgical instruments
US10314638B2 (en)2015-04-072019-06-11Ethicon LlcArticulating radio frequency (RF) tissue seal with articulating state sensing
US10321950B2 (en)2015-03-172019-06-18Ethicon LlcManaging tissue treatment
US10342602B2 (en)2015-03-172019-07-09Ethicon LlcManaging tissue treatment
US10349999B2 (en)2014-03-312019-07-16Ethicon LlcControlling impedance rise in electrosurgical medical devices
US10357303B2 (en)2015-06-302019-07-23Ethicon LlcTranslatable outer tube for sealing using shielded lap chole dissector
US10376305B2 (en)2016-08-052019-08-13Ethicon LlcMethods and systems for advanced harmonic energy
US10420580B2 (en)2016-08-252019-09-24Ethicon LlcUltrasonic transducer for surgical instrument
US10433900B2 (en)2011-07-222019-10-08Ethicon LlcSurgical instruments for tensioning tissue
US10441345B2 (en)2009-10-092019-10-15Ethicon LlcSurgical generator for ultrasonic and electrosurgical devices
US10456193B2 (en)2016-05-032019-10-29Ethicon LlcMedical device with a bilateral jaw configuration for nerve stimulation
US10463421B2 (en)2014-03-272019-11-05Ethicon LlcTwo stage trigger, clamp and cut bipolar vessel sealer
US10485607B2 (en)2016-04-292019-11-26Ethicon LlcJaw structure with distal closure for electrosurgical instruments
US10524854B2 (en)2010-07-232020-01-07Ethicon LlcSurgical instrument
US10537352B2 (en)2004-10-082020-01-21Ethicon LlcTissue pads for use with surgical instruments
US10555769B2 (en)2016-02-222020-02-11Ethicon LlcFlexible circuits for electrosurgical instrument
US10575892B2 (en)2015-12-312020-03-03Ethicon LlcAdapter for electrical surgical instruments
US10595929B2 (en)2015-03-242020-03-24Ethicon LlcSurgical instruments with firing system overload protection mechanisms
US10595930B2 (en)2015-10-162020-03-24Ethicon LlcElectrode wiping surgical device
US10603117B2 (en)2017-06-282020-03-31Ethicon LlcArticulation state detection mechanisms
US10603064B2 (en)2016-11-282020-03-31Ethicon LlcUltrasonic transducer
US10639092B2 (en)2014-12-082020-05-05Ethicon LlcElectrode configurations for surgical instruments
US10646269B2 (en)2016-04-292020-05-12Ethicon LlcNon-linear jaw gap for electrosurgical instruments
USRE47996E1 (en)2009-10-092020-05-19Ethicon LlcSurgical generator for ultrasonic and electrosurgical devices
US10702329B2 (en)2016-04-292020-07-07Ethicon LlcJaw structure with distal post for electrosurgical instruments
US10716615B2 (en)2016-01-152020-07-21Ethicon LlcModular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US10751117B2 (en)2016-09-232020-08-25Ethicon LlcElectrosurgical instrument with fluid diverter
US10751109B2 (en)2014-12-222020-08-25Ethicon LlcHigh power battery powered RF amplifier topology
US10765470B2 (en)2015-06-302020-09-08Ethicon LlcSurgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US10779876B2 (en)2011-10-242020-09-22Ethicon LlcBattery powered surgical instrument
US10779879B2 (en)2014-03-182020-09-22Ethicon LlcDetecting short circuits in electrosurgical medical devices
US10779845B2 (en)2012-06-292020-09-22Ethicon LlcUltrasonic surgical instruments with distally positioned transducers
US10779848B2 (en)2006-01-202020-09-22Ethicon LlcUltrasound medical instrument having a medical ultrasonic blade
US10799284B2 (en)2017-03-152020-10-13Ethicon LlcElectrosurgical instrument with textured jaws
US10820920B2 (en)2017-07-052020-11-03Ethicon LlcReusable ultrasonic medical devices and methods of their use
US10835307B2 (en)2001-06-122020-11-17Ethicon LlcModular battery powered handheld surgical instrument containing elongated multi-layered shaft
US10842522B2 (en)2016-07-152020-11-24Ethicon LlcUltrasonic surgical instruments having offset blades
US10856934B2 (en)2016-04-292020-12-08Ethicon LlcElectrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10856929B2 (en)2014-01-072020-12-08Ethicon LlcHarvesting energy from a surgical generator
US10856896B2 (en)2005-10-142020-12-08Ethicon LlcUltrasonic device for cutting and coagulating
US10874418B2 (en)2004-02-272020-12-29Ethicon LlcUltrasonic surgical shears and method for sealing a blood vessel using same
US10881449B2 (en)2012-09-282021-01-05Ethicon LlcMulti-function bi-polar forceps
US10893883B2 (en)2016-07-132021-01-19Ethicon LlcUltrasonic assembly for use with ultrasonic surgical instruments
US10898256B2 (en)2015-06-302021-01-26Ethicon LlcSurgical system with user adaptable techniques based on tissue impedance
US10912603B2 (en)2013-11-082021-02-09Ethicon LlcElectrosurgical devices
US10912580B2 (en)2013-12-162021-02-09Ethicon LlcMedical device
US10925659B2 (en)2013-09-132021-02-23Ethicon LlcElectrosurgical (RF) medical instruments for cutting and coagulating tissue
US10952759B2 (en)2016-08-252021-03-23Ethicon LlcTissue loading of a surgical instrument
US10959771B2 (en)2015-10-162021-03-30Ethicon LlcSuction and irrigation sealing grasper
US10959806B2 (en)2015-12-302021-03-30Ethicon LlcEnergized medical device with reusable handle
US10987156B2 (en)2016-04-292021-04-27Ethicon LlcElectrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US10987123B2 (en)2012-06-282021-04-27Ethicon LlcSurgical instruments with articulating shafts
US11020140B2 (en)2015-06-172021-06-01Cilag Gmbh InternationalUltrasonic surgical blade for use with ultrasonic surgical instruments
US11033323B2 (en)2017-09-292021-06-15Cilag Gmbh InternationalSystems and methods for managing fluid and suction in electrosurgical systems
US11033325B2 (en)2017-02-162021-06-15Cilag Gmbh InternationalElectrosurgical instrument with telescoping suction port and debris cleaner
US11033292B2 (en)2013-12-162021-06-15Cilag Gmbh InternationalMedical device
US11051873B2 (en)2015-06-302021-07-06Cilag Gmbh InternationalSurgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11090104B2 (en)2009-10-092021-08-17Cilag Gmbh InternationalSurgical generator for ultrasonic and electrosurgical devices
US11129669B2 (en)2015-06-302021-09-28Cilag Gmbh InternationalSurgical system with user adaptable techniques based on tissue type
US11129670B2 (en)2016-01-152021-09-28Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US11229471B2 (en)2016-01-152022-01-25Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11266430B2 (en)2016-11-292022-03-08Cilag Gmbh InternationalEnd effector control and calibration
US11311326B2 (en)2015-02-062022-04-26Cilag Gmbh InternationalElectrosurgical instrument with rotation and articulation mechanisms
US11324527B2 (en)2012-11-152022-05-10Cilag Gmbh InternationalUltrasonic and electrosurgical devices
US11337747B2 (en)2014-04-152022-05-24Cilag Gmbh InternationalSoftware algorithms for electrosurgical instruments
US11399855B2 (en)2014-03-272022-08-02Cilag Gmbh InternationalElectrosurgical devices
US11452525B2 (en)2019-12-302022-09-27Cilag Gmbh InternationalSurgical instrument comprising an adjustment system
US11484358B2 (en)2017-09-292022-11-01Cilag Gmbh InternationalFlexible electrosurgical instrument
US11490951B2 (en)2017-09-292022-11-08Cilag Gmbh InternationalSaline contact with electrodes
US11497546B2 (en)2017-03-312022-11-15Cilag Gmbh InternationalArea ratios of patterned coatings on RF electrodes to reduce sticking
US11589916B2 (en)2019-12-302023-02-28Cilag Gmbh InternationalElectrosurgical instruments with electrodes having variable energy densities
US11660089B2 (en)2019-12-302023-05-30Cilag Gmbh InternationalSurgical instrument comprising a sensing system
US11684412B2 (en)2019-12-302023-06-27Cilag Gmbh InternationalSurgical instrument with rotatable and articulatable surgical end effector
US11696776B2 (en)2019-12-302023-07-11Cilag Gmbh InternationalArticulatable surgical instrument
US11723716B2 (en)2019-12-302023-08-15Cilag Gmbh InternationalElectrosurgical instrument with variable control mechanisms
US11759251B2 (en)2019-12-302023-09-19Cilag Gmbh InternationalControl program adaptation based on device status and user input
US11779387B2 (en)2019-12-302023-10-10Cilag Gmbh InternationalClamp arm jaw to minimize tissue sticking and improve tissue control
US11779329B2 (en)2019-12-302023-10-10Cilag Gmbh InternationalSurgical instrument comprising a flex circuit including a sensor system
US11786291B2 (en)2019-12-302023-10-17Cilag Gmbh InternationalDeflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11812957B2 (en)2019-12-302023-11-14Cilag Gmbh InternationalSurgical instrument comprising a signal interference resolution system
US11911063B2 (en)2019-12-302024-02-27Cilag Gmbh InternationalTechniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11937863B2 (en)2019-12-302024-03-26Cilag Gmbh InternationalDeflectable electrode with variable compression bias along the length of the deflectable electrode
US11937866B2 (en)2019-12-302024-03-26Cilag Gmbh InternationalMethod for an electrosurgical procedure
US11944366B2 (en)2019-12-302024-04-02Cilag Gmbh InternationalAsymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11950797B2 (en)2019-12-302024-04-09Cilag Gmbh InternationalDeflectable electrode with higher distal bias relative to proximal bias
US11957342B2 (en)2021-11-012024-04-16Cilag Gmbh InternationalDevices, systems, and methods for detecting tissue and foreign objects during a surgical operation
US11986201B2 (en)2019-12-302024-05-21Cilag Gmbh InternationalMethod for operating a surgical instrument
US12023086B2 (en)2019-12-302024-07-02Cilag Gmbh InternationalElectrosurgical instrument for delivering blended energy modalities to tissue
US12053224B2 (en)2019-12-302024-08-06Cilag Gmbh InternationalVariation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US12064109B2 (en)2019-12-302024-08-20Cilag Gmbh InternationalSurgical instrument comprising a feedback control circuit
US12076006B2 (en)2019-12-302024-09-03Cilag Gmbh InternationalSurgical instrument comprising an orientation detection system
US12082808B2 (en)2019-12-302024-09-10Cilag Gmbh InternationalSurgical instrument comprising a control system responsive to software configurations
US12114912B2 (en)2019-12-302024-10-15Cilag Gmbh InternationalNon-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US12193698B2 (en)2016-01-152025-01-14Cilag Gmbh InternationalMethod for self-diagnosing operation of a control switch in a surgical instrument system
US12262937B2 (en)2019-12-302025-04-01Cilag Gmbh InternationalUser interface for surgical instrument with combination energy modality end-effector
US12336747B2 (en)2019-12-302025-06-24Cilag Gmbh InternationalMethod of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector
US12343063B2 (en)2019-12-302025-07-01Cilag Gmbh InternationalMulti-layer clamp arm pad for enhanced versatility and performance of a surgical device

Cited By (365)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
US10835307B2 (en)2001-06-122020-11-17Ethicon LlcModular battery powered handheld surgical instrument containing elongated multi-layered shaft
US11229472B2 (en)2001-06-122022-01-25Cilag Gmbh InternationalModular battery powered handheld surgical instrument with multiple magnetic position sensors
US11730507B2 (en)2004-02-272023-08-22Cilag Gmbh InternationalUltrasonic surgical shears and method for sealing a blood vessel using same
US10874418B2 (en)2004-02-272020-12-29Ethicon LlcUltrasonic surgical shears and method for sealing a blood vessel using same
US11006971B2 (en)2004-10-082021-05-18Ethicon LlcActuation mechanism for use with an ultrasonic surgical instrument
US10537352B2 (en)2004-10-082020-01-21Ethicon LlcTissue pads for use with surgical instruments
US10856896B2 (en)2005-10-142020-12-08Ethicon LlcUltrasonic device for cutting and coagulating
US11998229B2 (en)2005-10-142024-06-04Cilag Gmbh InternationalUltrasonic device for cutting and coagulating
US10779848B2 (en)2006-01-202020-09-22Ethicon LlcUltrasound medical instrument having a medical ultrasonic blade
US12042168B2 (en)2006-01-202024-07-23Cilag Gmbh InternationalUltrasound medical instrument having a medical ultrasonic blade
US10828057B2 (en)2007-03-222020-11-10Ethicon LlcUltrasonic surgical instruments
US10722261B2 (en)2007-03-222020-07-28Ethicon LlcSurgical instruments
US9987033B2 (en)2007-03-222018-06-05Ethicon LlcUltrasonic surgical instruments
US8236019B2 (en)2007-03-222012-08-07Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument and cartilage and bone shaping blades therefor
US9050124B2 (en)2007-03-222015-06-09Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument and cartilage and bone shaping blades therefor
US9801648B2 (en)2007-03-222017-10-31Ethicon LlcSurgical instruments
US8900259B2 (en)2007-03-222014-12-02Ethicon Endo-Surgery, Inc.Surgical instruments
CN101674782B (en)*2007-03-222014-06-11伊西康内外科公司 Surgical Instruments
US9504483B2 (en)2007-03-222016-11-29Ethicon Endo-Surgery, LlcSurgical instruments
US9883884B2 (en)2007-03-222018-02-06Ethicon LlcUltrasonic surgical instruments
US8226675B2 (en)2007-03-222012-07-24Ethicon Endo-Surgery, Inc.Surgical instruments
US8523889B2 (en)2007-07-272013-09-03Ethicon Endo-Surgery, Inc.Ultrasonic end effectors with increased active length
US10398466B2 (en)2007-07-272019-09-03Ethicon LlcUltrasonic end effectors with increased active length
US9636135B2 (en)2007-07-272017-05-02Ethicon Endo-Surgery, LlcUltrasonic surgical instruments
US11607268B2 (en)2007-07-272023-03-21Cilag Gmbh InternationalSurgical instruments
US9642644B2 (en)2007-07-272017-05-09Ethicon Endo-Surgery, LlcSurgical instruments
US9707004B2 (en)2007-07-272017-07-18Ethicon LlcSurgical instruments
US10531910B2 (en)2007-07-272020-01-14Ethicon LlcSurgical instruments
US11690641B2 (en)2007-07-272023-07-04Cilag Gmbh InternationalUltrasonic end effectors with increased active length
US8348967B2 (en)2007-07-272013-01-08Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US9913656B2 (en)2007-07-272018-03-13Ethicon LlcUltrasonic surgical instruments
US9220527B2 (en)2007-07-272015-12-29Ethicon Endo-Surgery, LlcSurgical instruments
US8882791B2 (en)2007-07-272014-11-11Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US9414853B2 (en)2007-07-272016-08-16Ethicon Endo-Surgery, LlcUltrasonic end effectors with increased active length
US8808319B2 (en)2007-07-272014-08-19Ethicon Endo-Surgery, Inc.Surgical instruments
US12324602B2 (en)2007-07-272025-06-10Cilag Gmbh InternationalUltrasonic end effectors with increased active length
US8709031B2 (en)2007-07-312014-04-29Ethicon Endo-Surgery, Inc.Methods for driving an ultrasonic surgical instrument with modulator
US9439669B2 (en)2007-07-312016-09-13Ethicon Endo-Surgery, LlcUltrasonic surgical instruments
US9044261B2 (en)2007-07-312015-06-02Ethicon Endo-Surgery, Inc.Temperature controlled ultrasonic surgical instruments
US12220143B2 (en)2007-07-312025-02-11Cilag Gmbh InternationalTemperature controlled ultrasonic surgical instruments
US8512365B2 (en)2007-07-312013-08-20Ethicon Endo-Surgery, Inc.Surgical instruments
US10426507B2 (en)2007-07-312019-10-01Ethicon LlcUltrasonic surgical instruments
US11666784B2 (en)2007-07-312023-06-06Cilag Gmbh InternationalSurgical instruments
US10420579B2 (en)2007-07-312019-09-24Ethicon LlcSurgical instruments
US12268900B2 (en)2007-07-312025-04-08Cilag Gmbh InternationalSurgical instruments
US9445832B2 (en)2007-07-312016-09-20Ethicon Endo-Surgery, LlcSurgical instruments
US11058447B2 (en)2007-07-312021-07-13Cilag Gmbh InternationalTemperature controlled ultrasonic surgical instruments
US11877734B2 (en)2007-07-312024-01-23Cilag Gmbh InternationalUltrasonic surgical instruments
US10828059B2 (en)2007-10-052020-11-10Ethicon LlcErgonomic surgical instruments
US8623027B2 (en)2007-10-052014-01-07Ethicon Endo-Surgery, Inc.Ergonomic surgical instruments
USD661804S1 (en)2007-10-052012-06-12Ethicon Endo-Surgery, Inc.User interface for a surgical instrument
USD661802S1 (en)2007-10-052012-06-12Ethicon Endo-Surgery, Inc.User interface for a surgical instrument
US9848902B2 (en)2007-10-052017-12-26Ethicon LlcErgonomic surgical instruments
USD661801S1 (en)2007-10-052012-06-12Ethicon Endo-Surgery, Inc.User interface for a surgical instrument
US9486236B2 (en)2007-10-052016-11-08Ethicon Endo-Surgery, LlcErgonomic surgical instruments
USD661803S1 (en)2007-10-052012-06-12Ethicon Endo-Surgery, Inc.User interface for a surgical instrument
US10245065B2 (en)2007-11-302019-04-02Ethicon LlcUltrasonic surgical blades
US12369939B2 (en)2007-11-302025-07-29Cilag Gmbh InternationalUltrasonic surgical blades
US8372102B2 (en)2007-11-302013-02-12Ethicon Endo-Surgery, Inc.Folded ultrasonic end effectors with increased active length
US10441308B2 (en)2007-11-302019-10-15Ethicon LlcUltrasonic surgical instrument blades
US10463887B2 (en)2007-11-302019-11-05Ethicon LlcUltrasonic surgical blades
US10433865B2 (en)2007-11-302019-10-08Ethicon LlcUltrasonic surgical blades
US9066747B2 (en)2007-11-302015-06-30Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument blades
US8182502B2 (en)2007-11-302012-05-22Ethicon Endo-Surgery, Inc.Folded ultrasonic end effectors with increased active length
US10265094B2 (en)2007-11-302019-04-23Ethicon LlcUltrasonic surgical blades
US11439426B2 (en)2007-11-302022-09-13Cilag Gmbh InternationalUltrasonic surgical blades
US8591536B2 (en)2007-11-302013-11-26Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument blades
US11690643B2 (en)2007-11-302023-07-04Cilag Gmbh InternationalUltrasonic surgical blades
US11266433B2 (en)2007-11-302022-03-08Cilag Gmbh InternationalUltrasonic surgical instrument blades
US12383296B2 (en)2007-11-302025-08-12Cilag Gmbh InternationalUltrasonic surgical instrument blades
US11253288B2 (en)2007-11-302022-02-22Cilag Gmbh InternationalUltrasonic surgical instrument blades
US10010339B2 (en)2007-11-302018-07-03Ethicon LlcUltrasonic surgical blades
US10045794B2 (en)2007-11-302018-08-14Ethicon LlcUltrasonic surgical blades
US10433866B2 (en)2007-11-302019-10-08Ethicon LlcUltrasonic surgical blades
US11766276B2 (en)2007-11-302023-09-26Cilag Gmbh InternationalUltrasonic surgical blades
US10888347B2 (en)2007-11-302021-01-12Ethicon LlcUltrasonic surgical blades
US9339289B2 (en)2007-11-302016-05-17Ehticon Endo-Surgery, LLCUltrasonic surgical instrument blades
US10022567B2 (en)2008-08-062018-07-17Ethicon LlcDevices and techniques for cutting and coagulating tissue
US11890491B2 (en)2008-08-062024-02-06Cilag Gmbh InternationalDevices and techniques for cutting and coagulating tissue
US10022568B2 (en)2008-08-062018-07-17Ethicon LlcDevices and techniques for cutting and coagulating tissue
US10335614B2 (en)2008-08-062019-07-02Ethicon LlcDevices and techniques for cutting and coagulating tissue
US8749116B2 (en)2008-08-062014-06-10Ethicon Endo-Surgery, Inc.Devices and techniques for cutting and coagulating tissue
US8704425B2 (en)2008-08-062014-04-22Ethicon Endo-Surgery, Inc.Ultrasonic device for cutting and coagulating with stepped output
US8779648B2 (en)2008-08-062014-07-15Ethicon Endo-Surgery, Inc.Ultrasonic device for cutting and coagulating with stepped output
US9795808B2 (en)2008-08-062017-10-24Ethicon LlcDevices and techniques for cutting and coagulating tissue
US8253303B2 (en)2008-08-062012-08-28Ethicon Endo-Surgery, Inc.Ultrasonic device for cutting and coagulating with stepped output
US9504855B2 (en)2008-08-062016-11-29Ethicon Surgery, LLCDevices and techniques for cutting and coagulating tissue
US9072539B2 (en)2008-08-062015-07-07Ethicon Endo-Surgery, Inc.Devices and techniques for cutting and coagulating tissue
US9089360B2 (en)2008-08-062015-07-28Ethicon Endo-Surgery, Inc.Devices and techniques for cutting and coagulating tissue
US8546996B2 (en)2008-08-062013-10-01Ethicon Endo-Surgery, Inc.Devices and techniques for cutting and coagulating tissue
US9700339B2 (en)2009-05-202017-07-11Ethicon Endo-Surgery, Inc.Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US10709906B2 (en)2009-05-202020-07-14Ethicon LlcCoupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8650728B2 (en)2009-06-242014-02-18Ethicon Endo-Surgery, Inc.Method of assembling a transducer for a surgical instrument
US8546999B2 (en)2009-06-242013-10-01Ethicon Endo-Surgery, Inc.Housing arrangements for ultrasonic surgical instruments
US8754570B2 (en)2009-06-242014-06-17Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments comprising transducer arrangements
US9498245B2 (en)2009-06-242016-11-22Ethicon Endo-Surgery, LlcUltrasonic surgical instruments
US8319400B2 (en)2009-06-242012-11-27Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US8334635B2 (en)2009-06-242012-12-18Ethicon Endo-Surgery, Inc.Transducer arrangements for ultrasonic surgical instruments
US8344596B2 (en)2009-06-242013-01-01Ethicon Endo-Surgery, Inc.Transducer arrangements for ultrasonic surgical instruments
US8461744B2 (en)2009-07-152013-06-11Ethicon Endo-Surgery, Inc.Rotating transducer mount for ultrasonic surgical instruments
US9764164B2 (en)2009-07-152017-09-19Ethicon LlcUltrasonic surgical instruments
US8663220B2 (en)2009-07-152014-03-04Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments
US11717706B2 (en)2009-07-152023-08-08Cilag Gmbh InternationalUltrasonic surgical instruments
US10688321B2 (en)2009-07-152020-06-23Ethicon LlcUltrasonic surgical instruments
US8773001B2 (en)2009-07-152014-07-08Ethicon Endo-Surgery, Inc.Rotating transducer mount for ultrasonic surgical instruments
US9017326B2 (en)2009-07-152015-04-28Ethicon Endo-Surgery, Inc.Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
US9060776B2 (en)2009-10-092015-06-23Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US11871982B2 (en)2009-10-092024-01-16Cilag Gmbh InternationalSurgical generator for ultrasonic and electrosurgical devices
US8956349B2 (en)2009-10-092015-02-17Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US8951248B2 (en)2009-10-092015-02-10Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US10172669B2 (en)2009-10-092019-01-08Ethicon LlcSurgical instrument comprising an energy trigger lockout
US9039695B2 (en)2009-10-092015-05-26Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en)2009-10-092019-10-15Ethicon LlcSurgical generator for ultrasonic and electrosurgical devices
US9050093B2 (en)2009-10-092015-06-09Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US9623237B2 (en)2009-10-092017-04-18Ethicon Endo-Surgery, LlcSurgical generator for ultrasonic and electrosurgical devices
US8986302B2 (en)2009-10-092015-03-24Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US10265117B2 (en)2009-10-092019-04-23Ethicon LlcSurgical generator method for controlling and ultrasonic transducer waveform for ultrasonic and electrosurgical devices
US9060775B2 (en)2009-10-092015-06-23Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US10263171B2 (en)2009-10-092019-04-16Ethicon LlcSurgical generator for ultrasonic and electrosurgical devices
US10201382B2 (en)2009-10-092019-02-12Ethicon LlcSurgical generator for ultrasonic and electrosurgical devices
US9168054B2 (en)2009-10-092015-10-27Ethicon Endo-Surgery, Inc.Surgical generator for ultrasonic and electrosurgical devices
US11090104B2 (en)2009-10-092021-08-17Cilag Gmbh InternationalSurgical generator for ultrasonic and electrosurgical devices
US12408967B2 (en)2009-10-092025-09-09Cilag Gmbh InternationalSurgical generator for ultrasonic and electrosurgical devices
USRE47996E1 (en)2009-10-092020-05-19Ethicon LlcSurgical generator for ultrasonic and electrosurgical devices
CN102090911A (en)*2009-12-092011-06-15Tyco医疗健康集团Surgical clip applier
CN102090911B (en)*2009-12-092014-12-03柯惠Lp公司Surgical clip applier
US11382642B2 (en)2010-02-112022-07-12Cilag Gmbh InternationalRotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US9259234B2 (en)2010-02-112016-02-16Ethicon Endo-Surgery, LlcUltrasonic surgical instruments with rotatable blade and hollow sheath arrangements
US9427249B2 (en)2010-02-112016-08-30Ethicon Endo-Surgery, LlcRotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US8951272B2 (en)2010-02-112015-02-10Ethicon Endo-Surgery, Inc.Seal arrangements for ultrasonically powered surgical instruments
US8323302B2 (en)2010-02-112012-12-04Ethicon Endo-Surgery, Inc.Methods of using ultrasonically powered surgical instruments with rotatable cutting implements
US8382782B2 (en)2010-02-112013-02-26Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement
US8531064B2 (en)2010-02-112013-09-10Ethicon Endo-Surgery, Inc.Ultrasonically powered surgical instruments with rotating cutting implement
US8579928B2 (en)2010-02-112013-11-12Ethicon Endo-Surgery, Inc.Outer sheath and blade arrangements for ultrasonic surgical instruments
US11369402B2 (en)2010-02-112022-06-28Cilag Gmbh InternationalControl systems for ultrasonically powered surgical instruments
US9962182B2 (en)2010-02-112018-05-08Ethicon LlcUltrasonic surgical instruments with moving cutting implement
US8419759B2 (en)2010-02-112013-04-16Ethicon Endo-Surgery, Inc.Ultrasonic surgical instrument with comb-like tissue trimming device
US10117667B2 (en)2010-02-112018-11-06Ethicon LlcControl systems for ultrasonically powered surgical instruments
US9848901B2 (en)2010-02-112017-12-26Ethicon LlcDual purpose surgical instrument for cutting and coagulating tissue
US8961547B2 (en)2010-02-112015-02-24Ethicon Endo-Surgery, Inc.Ultrasonic surgical instruments with moving cutting implement
US9510850B2 (en)2010-02-112016-12-06Ethicon Endo-Surgery, LlcUltrasonic surgical instruments
US9649126B2 (en)2010-02-112017-05-16Ethicon Endo-Surgery, LlcSeal arrangements for ultrasonically powered surgical instruments
US8469981B2 (en)2010-02-112013-06-25Ethicon Endo-Surgery, Inc.Rotatable cutting implement arrangements for ultrasonic surgical instruments
US10835768B2 (en)2010-02-112020-11-17Ethicon LlcDual purpose surgical instrument for cutting and coagulating tissue
US9107689B2 (en)2010-02-112015-08-18Ethicon Endo-Surgery, Inc.Dual purpose surgical instrument for cutting and coagulating tissue
US10299810B2 (en)2010-02-112019-05-28Ethicon LlcRotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US8486096B2 (en)2010-02-112013-07-16Ethicon Endo-Surgery, Inc.Dual purpose surgical instrument for cutting and coagulating tissue
US11090103B2 (en)2010-05-212021-08-17Cilag Gmbh InternationalMedical device
US9707027B2 (en)2010-05-212017-07-18Ethicon Endo-Surgery, LlcMedical device
US10278721B2 (en)2010-07-222019-05-07Ethicon LlcElectrosurgical instrument with separate closure and cutting members
US10524854B2 (en)2010-07-232020-01-07Ethicon LlcSurgical instrument
US9918775B2 (en)2011-04-122018-03-20Covidien LpSystems and methods for calibrating power measurements in an electrosurgical generator
US10433900B2 (en)2011-07-222019-10-08Ethicon LlcSurgical instruments for tensioning tissue
USD700967S1 (en)2011-08-232014-03-11Covidien AgHandle for portable surgical device
USD700966S1 (en)2011-08-232014-03-11Covidien AgPortable surgical device
USD691265S1 (en)2011-08-232013-10-08Covidien AgControl assembly for portable surgical device
USD700699S1 (en)2011-08-232014-03-04Covidien AgHandle for portable surgical device
US10779876B2 (en)2011-10-242020-09-22Ethicon LlcBattery powered surgical instrument
USD687549S1 (en)2011-10-242013-08-06Ethicon Endo-Surgery, Inc.Surgical instrument
US9232979B2 (en)2012-02-102016-01-12Ethicon Endo-Surgery, Inc.Robotically controlled surgical instrument
US10729494B2 (en)2012-02-102020-08-04Ethicon LlcRobotically controlled surgical instrument
US9925003B2 (en)2012-02-102018-03-27Ethicon Endo-Surgery, LlcRobotically controlled surgical instrument
US9241731B2 (en)2012-04-092016-01-26Ethicon Endo-Surgery, Inc.Rotatable electrical connection for ultrasonic surgical instruments
US9700343B2 (en)2012-04-092017-07-11Ethicon Endo-Surgery, LlcDevices and techniques for cutting and coagulating tissue
US9439668B2 (en)2012-04-092016-09-13Ethicon Endo-Surgery, LlcSwitch arrangements for ultrasonic surgical instruments
US9724118B2 (en)2012-04-092017-08-08Ethicon Endo-Surgery, LlcTechniques for cutting and coagulating tissue for ultrasonic surgical instruments
US11419626B2 (en)2012-04-092022-08-23Cilag Gmbh InternationalSwitch arrangements for ultrasonic surgical instruments
US9226766B2 (en)2012-04-092016-01-05Ethicon Endo-Surgery, Inc.Serial communication protocol for medical device
US10517627B2 (en)2012-04-092019-12-31Ethicon LlcSwitch arrangements for ultrasonic surgical instruments
US9237921B2 (en)2012-04-092016-01-19Ethicon Endo-Surgery, Inc.Devices and techniques for cutting and coagulating tissue
US12167866B2 (en)2012-04-092024-12-17Cilag Gmbh InternationalSwitch arrangements for ultrasonic surgical instruments
CN104334106B (en)*2012-05-022017-09-01柯惠有限合伙公司External reader for equipment control
US9763725B2 (en)2012-05-022017-09-19Covidien LpExternal reader for device management
CN104334106A (en)*2012-05-022015-02-04柯惠有限合伙公司External reader for device management
US10987123B2 (en)2012-06-282021-04-27Ethicon LlcSurgical instruments with articulating shafts
US9283045B2 (en)2012-06-292016-03-15Ethicon Endo-Surgery, LlcSurgical instruments with fluid management system
US9351754B2 (en)2012-06-292016-05-31Ethicon Endo-Surgery, LlcUltrasonic surgical instruments with distally positioned jaw assemblies
US10543008B2 (en)2012-06-292020-01-28Ethicon LlcUltrasonic surgical instruments with distally positioned jaw assemblies
US10524872B2 (en)2012-06-292020-01-07Ethicon LlcClosed feedback control for electrosurgical device
US10335183B2 (en)2012-06-292019-07-02Ethicon LlcFeedback devices for surgical control systems
US11096752B2 (en)2012-06-292021-08-24Cilag Gmbh InternationalClosed feedback control for electrosurgical device
US12268408B2 (en)2012-06-292025-04-08Cilag Gmbh InternationalHaptic feedback devices for surgical robot
US11871955B2 (en)2012-06-292024-01-16Cilag Gmbh InternationalSurgical instruments with articulating shafts
US9713507B2 (en)2012-06-292017-07-25Ethicon Endo-Surgery, LlcClosed feedback control for electrosurgical device
US10441310B2 (en)2012-06-292019-10-15Ethicon LlcSurgical instruments with curved section
US9737326B2 (en)2012-06-292017-08-22Ethicon Endo-Surgery, LlcHaptic feedback devices for surgical robot
US10842580B2 (en)2012-06-292020-11-24Ethicon LlcUltrasonic surgical instruments with control mechanisms
US9326788B2 (en)2012-06-292016-05-03Ethicon Endo-Surgery, LlcLockout mechanism for use with robotic electrosurgical device
US10966747B2 (en)2012-06-292021-04-06Ethicon LlcHaptic feedback devices for surgical robot
US11717311B2 (en)2012-06-292023-08-08Cilag Gmbh InternationalSurgical instruments with articulating shafts
US9393037B2 (en)2012-06-292016-07-19Ethicon Endo-Surgery, LlcSurgical instruments with articulating shafts
US10398497B2 (en)2012-06-292019-09-03Ethicon LlcLockout mechanism for use with robotic electrosurgical device
US9820768B2 (en)2012-06-292017-11-21Ethicon LlcUltrasonic surgical instruments with control mechanisms
US9226767B2 (en)2012-06-292016-01-05Ethicon Endo-Surgery, Inc.Closed feedback control for electrosurgical device
US11426191B2 (en)2012-06-292022-08-30Cilag Gmbh InternationalUltrasonic surgical instruments with distally positioned jaw assemblies
US10993763B2 (en)2012-06-292021-05-04Ethicon LlcLockout mechanism for use with robotic electrosurgical device
US10335182B2 (en)2012-06-292019-07-02Ethicon LlcSurgical instruments with articulating shafts
US9408622B2 (en)2012-06-292016-08-09Ethicon Endo-Surgery, LlcSurgical instruments with articulating shafts
US11602371B2 (en)2012-06-292023-03-14Cilag Gmbh InternationalUltrasonic surgical instruments with control mechanisms
US11583306B2 (en)2012-06-292023-02-21Cilag Gmbh InternationalSurgical instruments with articulating shafts
US10779845B2 (en)2012-06-292020-09-22Ethicon LlcUltrasonic surgical instruments with distally positioned transducers
US9198714B2 (en)2012-06-292015-12-01Ethicon Endo-Surgery, Inc.Haptic feedback devices for surgical robot
US10881449B2 (en)2012-09-282021-01-05Ethicon LlcMulti-function bi-polar forceps
US11179173B2 (en)2012-10-222021-11-23Cilag Gmbh InternationalSurgical instrument
US10201365B2 (en)2012-10-222019-02-12Ethicon LlcSurgeon feedback sensing and display methods
US9095367B2 (en)2012-10-222015-08-04Ethicon Endo-Surgery, Inc.Flexible harmonic waveguides/blades for surgical instruments
US9795405B2 (en)2012-10-222017-10-24Ethicon LlcSurgical instrument
US11324527B2 (en)2012-11-152022-05-10Cilag Gmbh InternationalUltrasonic and electrosurgical devices
US10226273B2 (en)2013-03-142019-03-12Ethicon LlcMechanical fasteners for use with surgical energy devices
US11272952B2 (en)2013-03-142022-03-15Cilag Gmbh InternationalMechanical fasteners for use with surgical energy devices
US9743947B2 (en)2013-03-152017-08-29Ethicon Endo-Surgery, LlcEnd effector with a clamp arm assembly and blade
US9241728B2 (en)2013-03-152016-01-26Ethicon Endo-Surgery, Inc.Surgical instrument with multiple clamping mechanisms
CN103156681A (en)*2013-03-162013-06-19南昌华安众辉健康科技有限公司Self-destruction type device for limiting using times and on disposable electrosurgical pencil
CN103462684B (en)*2013-09-092015-05-06广东百生医疗器械有限公司Mechanical self-disconnection self-destruction high-frequency surgical electrode handle
CN103462684A (en)*2013-09-092013-12-25广东百生医疗器械有限公司Mechanical self-disconnection self-destruction high-frequency surgical electrode handle
US10925659B2 (en)2013-09-132021-02-23Ethicon LlcElectrosurgical (RF) medical instruments for cutting and coagulating tissue
US10912603B2 (en)2013-11-082021-02-09Ethicon LlcElectrosurgical devices
US11033292B2 (en)2013-12-162021-06-15Cilag Gmbh InternationalMedical device
US10912580B2 (en)2013-12-162021-02-09Ethicon LlcMedical device
US10856929B2 (en)2014-01-072020-12-08Ethicon LlcHarvesting energy from a surgical generator
US10779879B2 (en)2014-03-182020-09-22Ethicon LlcDetecting short circuits in electrosurgical medical devices
US10932847B2 (en)2014-03-182021-03-02Ethicon LlcDetecting short circuits in electrosurgical medical devices
US11399855B2 (en)2014-03-272022-08-02Cilag Gmbh InternationalElectrosurgical devices
US10463421B2 (en)2014-03-272019-11-05Ethicon LlcTwo stage trigger, clamp and cut bipolar vessel sealer
US10349999B2 (en)2014-03-312019-07-16Ethicon LlcControlling impedance rise in electrosurgical medical devices
US11471209B2 (en)2014-03-312022-10-18Cilag Gmbh InternationalControlling impedance rise in electrosurgical medical devices
US11337747B2 (en)2014-04-152022-05-24Cilag Gmbh InternationalSoftware algorithms for electrosurgical instruments
US11413060B2 (en)2014-07-312022-08-16Cilag Gmbh InternationalActuation mechanisms and load adjustment assemblies for surgical instruments
US10285724B2 (en)2014-07-312019-05-14Ethicon LlcActuation mechanisms and load adjustment assemblies for surgical instruments
US10639092B2 (en)2014-12-082020-05-05Ethicon LlcElectrode configurations for surgical instruments
US10751109B2 (en)2014-12-222020-08-25Ethicon LlcHigh power battery powered RF amplifier topology
US11311326B2 (en)2015-02-062022-04-26Cilag Gmbh InternationalElectrosurgical instrument with rotation and articulation mechanisms
US10321950B2 (en)2015-03-172019-06-18Ethicon LlcManaging tissue treatment
US10342602B2 (en)2015-03-172019-07-09Ethicon LlcManaging tissue treatment
US10595929B2 (en)2015-03-242020-03-24Ethicon LlcSurgical instruments with firing system overload protection mechanisms
US10314638B2 (en)2015-04-072019-06-11Ethicon LlcArticulating radio frequency (RF) tissue seal with articulating state sensing
US10034684B2 (en)2015-06-152018-07-31Ethicon LlcApparatus and method for dissecting and coagulating tissue
US11020140B2 (en)2015-06-172021-06-01Cilag Gmbh InternationalUltrasonic surgical blade for use with ultrasonic surgical instruments
US12156674B2 (en)2015-06-172024-12-03Cilag Gmbh InternationalUltrasonic surgical blade for use with ultrasonic surgical instruments
US10952788B2 (en)2015-06-302021-03-23Ethicon LlcSurgical instrument with user adaptable algorithms
US11903634B2 (en)2015-06-302024-02-20Cilag Gmbh InternationalSurgical instrument with user adaptable techniques
US10034704B2 (en)2015-06-302018-07-31Ethicon LlcSurgical instrument with user adaptable algorithms
US10357303B2 (en)2015-06-302019-07-23Ethicon LlcTranslatable outer tube for sealing using shielded lap chole dissector
US10765470B2 (en)2015-06-302020-09-08Ethicon LlcSurgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US11553954B2 (en)2015-06-302023-01-17Cilag Gmbh InternationalTranslatable outer tube for sealing using shielded lap chole dissector
US11051873B2 (en)2015-06-302021-07-06Cilag Gmbh InternationalSurgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11141213B2 (en)2015-06-302021-10-12Cilag Gmbh InternationalSurgical instrument with user adaptable techniques
US11129669B2 (en)2015-06-302021-09-28Cilag Gmbh InternationalSurgical system with user adaptable techniques based on tissue type
US10898256B2 (en)2015-06-302021-01-26Ethicon LlcSurgical system with user adaptable techniques based on tissue impedance
US10154852B2 (en)2015-07-012018-12-18Ethicon LlcUltrasonic surgical blade with improved cutting and coagulation features
CN107847623B (en)*2015-07-272021-05-14蛇牌股份公司 Equipment for counting sterilization cycles
CN107847623A (en)*2015-07-272018-03-27蛇牌股份公司Equipment for being counted to sterilising cycle
US10624691B2 (en)2015-09-302020-04-21Ethicon LlcTechniques for operating generator for digitally generating electrical signal waveforms and surgical instruments
US10751108B2 (en)2015-09-302020-08-25Ethicon LlcProtection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US11058475B2 (en)2015-09-302021-07-13Cilag Gmbh InternationalMethod and apparatus for selecting operations of a surgical instrument based on user intention
US10194973B2 (en)2015-09-302019-02-05Ethicon LlcGenerator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US11766287B2 (en)2015-09-302023-09-26Cilag Gmbh InternationalMethods for operating generator for digitally generating electrical signal waveforms and surgical instruments
US10610286B2 (en)2015-09-302020-04-07Ethicon LlcTechniques for circuit topologies for combined generator
US10687884B2 (en)2015-09-302020-06-23Ethicon LlcCircuits for supplying isolated direct current (DC) voltage to surgical instruments
US11559347B2 (en)2015-09-302023-01-24Cilag Gmbh InternationalTechniques for circuit topologies for combined generator
US10736685B2 (en)2015-09-302020-08-11Ethicon LlcGenerator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US11033322B2 (en)2015-09-302021-06-15Ethicon LlcCircuit topologies for combined generator
US11666375B2 (en)2015-10-162023-06-06Cilag Gmbh InternationalElectrode wiping surgical device
US10595930B2 (en)2015-10-162020-03-24Ethicon LlcElectrode wiping surgical device
US10959771B2 (en)2015-10-162021-03-30Ethicon LlcSuction and irrigation sealing grasper
US10959806B2 (en)2015-12-302021-03-30Ethicon LlcEnergized medical device with reusable handle
US10179022B2 (en)2015-12-302019-01-15Ethicon LlcJaw position impedance limiter for electrosurgical instrument
US10575892B2 (en)2015-12-312020-03-03Ethicon LlcAdapter for electrical surgical instruments
US12201339B2 (en)2016-01-152025-01-21Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11051840B2 (en)2016-01-152021-07-06Ethicon LlcModular battery powered handheld surgical instrument with reusable asymmetric handle housing
US11129670B2 (en)2016-01-152021-09-28Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US11974772B2 (en)2016-01-152024-05-07Cilag GmbH IntemationalModular battery powered handheld surgical instrument with variable motor control limits
US11751929B2 (en)2016-01-152023-09-12Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10299821B2 (en)2016-01-152019-05-28Ethicon LlcModular battery powered handheld surgical instrument with motor control limit profile
US11134978B2 (en)2016-01-152021-10-05Cilag Gmbh InternationalModular battery powered handheld surgical instrument with self-diagnosing control switches for reusable handle assembly
US12239360B2 (en)2016-01-152025-03-04Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10842523B2 (en)2016-01-152020-11-24Ethicon LlcModular battery powered handheld surgical instrument and methods therefor
US10828058B2 (en)2016-01-152020-11-10Ethicon LlcModular battery powered handheld surgical instrument with motor control limits based on tissue characterization
US10537351B2 (en)2016-01-152020-01-21Ethicon LlcModular battery powered handheld surgical instrument with variable motor control limits
US11896280B2 (en)2016-01-152024-02-13Cilag Gmbh InternationalClamp arm comprising a circuit
US12402906B2 (en)2016-01-152025-09-02Cilag Gmbh InternationalModular battery powered handheld surgical instrument and methods therefor
US10779849B2 (en)2016-01-152020-09-22Ethicon LlcModular battery powered handheld surgical instrument with voltage sag resistant battery pack
US10709469B2 (en)2016-01-152020-07-14Ethicon LlcModular battery powered handheld surgical instrument with energy conservation techniques
US11684402B2 (en)2016-01-152023-06-27Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10716615B2 (en)2016-01-152020-07-21Ethicon LlcModular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11058448B2 (en)2016-01-152021-07-13Cilag Gmbh InternationalModular battery powered handheld surgical instrument with multistage generator circuits
US11229450B2 (en)2016-01-152022-01-25Cilag Gmbh InternationalModular battery powered handheld surgical instrument with motor drive
US12193698B2 (en)2016-01-152025-01-14Cilag Gmbh InternationalMethod for self-diagnosing operation of a control switch in a surgical instrument system
US10251664B2 (en)2016-01-152019-04-09Ethicon LlcModular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly
US11229471B2 (en)2016-01-152022-01-25Cilag Gmbh InternationalModular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11202670B2 (en)2016-02-222021-12-21Cilag Gmbh InternationalMethod of manufacturing a flexible circuit electrode for electrosurgical instrument
US10555769B2 (en)2016-02-222020-02-11Ethicon LlcFlexible circuits for electrosurgical instrument
US10702329B2 (en)2016-04-292020-07-07Ethicon LlcJaw structure with distal post for electrosurgical instruments
US10646269B2 (en)2016-04-292020-05-12Ethicon LlcNon-linear jaw gap for electrosurgical instruments
US10856934B2 (en)2016-04-292020-12-08Ethicon LlcElectrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10485607B2 (en)2016-04-292019-11-26Ethicon LlcJaw structure with distal closure for electrosurgical instruments
US10987156B2 (en)2016-04-292021-04-27Ethicon LlcElectrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US11864820B2 (en)2016-05-032024-01-09Cilag Gmbh InternationalMedical device with a bilateral jaw configuration for nerve stimulation
US10456193B2 (en)2016-05-032019-10-29Ethicon LlcMedical device with a bilateral jaw configuration for nerve stimulation
US10966744B2 (en)2016-07-122021-04-06Ethicon LlcUltrasonic surgical instrument with piezoelectric central lumen transducer
US11883055B2 (en)2016-07-122024-01-30Cilag Gmbh InternationalUltrasonic surgical instrument with piezoelectric central lumen transducer
US10245064B2 (en)2016-07-122019-04-02Ethicon LlcUltrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en)2016-07-132021-01-19Ethicon LlcUltrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en)2016-07-152020-11-24Ethicon LlcUltrasonic surgical instruments having offset blades
US10376305B2 (en)2016-08-052019-08-13Ethicon LlcMethods and systems for advanced harmonic energy
US11344362B2 (en)2016-08-052022-05-31Cilag Gmbh InternationalMethods and systems for advanced harmonic energy
US12114914B2 (en)2016-08-052024-10-15Cilag Gmbh InternationalMethods and systems for advanced harmonic energy
US10285723B2 (en)2016-08-092019-05-14Ethicon LlcUltrasonic surgical blade with improved heel portion
USD1049376S1 (en)2016-08-162024-10-29Cilag Gmbh InternationalSurgical instrument
USD924400S1 (en)2016-08-162021-07-06Cilag Gmbh InternationalSurgical instrument
USD847990S1 (en)2016-08-162019-05-07Ethicon LlcSurgical instrument
US10779847B2 (en)2016-08-252020-09-22Ethicon LlcUltrasonic transducer to waveguide joining
US10420580B2 (en)2016-08-252019-09-24Ethicon LlcUltrasonic transducer for surgical instrument
US10952759B2 (en)2016-08-252021-03-23Ethicon LlcTissue loading of a surgical instrument
US11925378B2 (en)2016-08-252024-03-12Cilag Gmbh InternationalUltrasonic transducer for surgical instrument
US11350959B2 (en)2016-08-252022-06-07Cilag Gmbh InternationalUltrasonic transducer techniques for ultrasonic surgical instrument
US10751117B2 (en)2016-09-232020-08-25Ethicon LlcElectrosurgical instrument with fluid diverter
US11839422B2 (en)2016-09-232023-12-12Cilag Gmbh InternationalElectrosurgical instrument with fluid diverter
US12295644B2 (en)2016-09-232025-05-13Cilag Gmbh InternationalElectrosurgical instrument with fluid diverter
US10603064B2 (en)2016-11-282020-03-31Ethicon LlcUltrasonic transducer
US11266430B2 (en)2016-11-292022-03-08Cilag Gmbh InternationalEnd effector control and calibration
US11998230B2 (en)2016-11-292024-06-04Cilag Gmbh InternationalEnd effector control and calibration
US11033325B2 (en)2017-02-162021-06-15Cilag Gmbh InternationalElectrosurgical instrument with telescoping suction port and debris cleaner
US10799284B2 (en)2017-03-152020-10-13Ethicon LlcElectrosurgical instrument with textured jaws
US12023087B2 (en)2017-03-152024-07-02Cilag Gmbh InternationalElectrosurgical instrument with textured jaws
US11497546B2 (en)2017-03-312022-11-15Cilag Gmbh InternationalArea ratios of patterned coatings on RF electrodes to reduce sticking
US10603117B2 (en)2017-06-282020-03-31Ethicon LlcArticulation state detection mechanisms
US10820920B2 (en)2017-07-052020-11-03Ethicon LlcReusable ultrasonic medical devices and methods of their use
US11484358B2 (en)2017-09-292022-11-01Cilag Gmbh InternationalFlexible electrosurgical instrument
US11490951B2 (en)2017-09-292022-11-08Cilag Gmbh InternationalSaline contact with electrodes
US11033323B2 (en)2017-09-292021-06-15Cilag Gmbh InternationalSystems and methods for managing fluid and suction in electrosurgical systems
US12390264B2 (en)2017-09-292025-08-19Cilag Gmbh InternationalSystems and methods for managing fluid and suction in electrosurgical systems
US11779329B2 (en)2019-12-302023-10-10Cilag Gmbh InternationalSurgical instrument comprising a flex circuit including a sensor system
US11759251B2 (en)2019-12-302023-09-19Cilag Gmbh InternationalControl program adaptation based on device status and user input
US11944366B2 (en)2019-12-302024-04-02Cilag Gmbh InternationalAsymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11937866B2 (en)2019-12-302024-03-26Cilag Gmbh InternationalMethod for an electrosurgical procedure
US12023086B2 (en)2019-12-302024-07-02Cilag Gmbh InternationalElectrosurgical instrument for delivering blended energy modalities to tissue
US11937863B2 (en)2019-12-302024-03-26Cilag Gmbh InternationalDeflectable electrode with variable compression bias along the length of the deflectable electrode
US11911063B2 (en)2019-12-302024-02-27Cilag Gmbh InternationalTechniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US12053224B2 (en)2019-12-302024-08-06Cilag Gmbh InternationalVariation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US12064109B2 (en)2019-12-302024-08-20Cilag Gmbh InternationalSurgical instrument comprising a feedback control circuit
US12076006B2 (en)2019-12-302024-09-03Cilag Gmbh InternationalSurgical instrument comprising an orientation detection system
US12082808B2 (en)2019-12-302024-09-10Cilag Gmbh InternationalSurgical instrument comprising a control system responsive to software configurations
US11812957B2 (en)2019-12-302023-11-14Cilag Gmbh InternationalSurgical instrument comprising a signal interference resolution system
US12114912B2 (en)2019-12-302024-10-15Cilag Gmbh InternationalNon-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US11786291B2 (en)2019-12-302023-10-17Cilag Gmbh InternationalDeflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11786294B2 (en)2019-12-302023-10-17Cilag Gmbh InternationalControl program for modular combination energy device
US11950797B2 (en)2019-12-302024-04-09Cilag Gmbh InternationalDeflectable electrode with higher distal bias relative to proximal bias
US11986234B2 (en)2019-12-302024-05-21Cilag Gmbh InternationalSurgical system communication pathways
US11744636B2 (en)2019-12-302023-09-05Cilag Gmbh InternationalElectrosurgical systems with integrated and external power sources
US11779387B2 (en)2019-12-302023-10-10Cilag Gmbh InternationalClamp arm jaw to minimize tissue sticking and improve tissue control
US11723716B2 (en)2019-12-302023-08-15Cilag Gmbh InternationalElectrosurgical instrument with variable control mechanisms
US12262937B2 (en)2019-12-302025-04-01Cilag Gmbh InternationalUser interface for surgical instrument with combination energy modality end-effector
US11707318B2 (en)2019-12-302023-07-25Cilag Gmbh InternationalSurgical instrument with jaw alignment features
US11696776B2 (en)2019-12-302023-07-11Cilag Gmbh InternationalArticulatable surgical instrument
US11684412B2 (en)2019-12-302023-06-27Cilag Gmbh InternationalSurgical instrument with rotatable and articulatable surgical end effector
US11660089B2 (en)2019-12-302023-05-30Cilag Gmbh InternationalSurgical instrument comprising a sensing system
US12336747B2 (en)2019-12-302025-06-24Cilag Gmbh InternationalMethod of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector
US12343063B2 (en)2019-12-302025-07-01Cilag Gmbh InternationalMulti-layer clamp arm pad for enhanced versatility and performance of a surgical device
US12349961B2 (en)2019-12-302025-07-08Cilag Gmbh InternationalElectrosurgical instrument with electrodes operable in bipolar and monopolar modes
US11589916B2 (en)2019-12-302023-02-28Cilag Gmbh InternationalElectrosurgical instruments with electrodes having variable energy densities
US11986201B2 (en)2019-12-302024-05-21Cilag Gmbh InternationalMethod for operating a surgical instrument
US11974801B2 (en)2019-12-302024-05-07Cilag Gmbh InternationalElectrosurgical instrument with flexible wiring assemblies
US11452525B2 (en)2019-12-302022-09-27Cilag Gmbh InternationalSurgical instrument comprising an adjustment system
US11957342B2 (en)2021-11-012024-04-16Cilag Gmbh InternationalDevices, systems, and methods for detecting tissue and foreign objects during a surgical operation

Similar Documents

PublicationPublication DateTitle
CN1922563A (en) Electrosurgical counter and locking mechanism
US10987205B2 (en)Surgical systems and trays
KR102192478B1 (en)Endoscope with pannable camera
US20190200977A1 (en)Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
JP6526670B2 (en) Interactive display for surgical instruments
US11850116B2 (en)Surgical systems and trays
US10258438B2 (en)Oral automatic scanner
JP2021514717A (en) Endoscope with separate probe
JP2021509332A (en) Staple fastening device with both arbitrary lockout and forced lockout based on sensed parameters
BR112016003537B1 (en) SURGICAL INSTRUMENT, EQUIPPED WITH A MOTOR, WITH SECONDARY BATTERY PROVISIONS
EP2756791B1 (en)Cooling device for an endoscope and/or medical instrument
JP2010523163A (en) Endoscopic device that can be inserted into a body cavity and movable in a predetermined direction
CA2553105A1 (en)Electrosurgical counter and lockout mechanism
CN106470632A (en)Medical device and the control method of medical device
KR101847548B1 (en)Atomatic Acupuncture Apparatus
JP6905215B2 (en) Detachable separable endoscope
CN106028996A (en)Surgical manipulator operating device and surgical manipulator system
US9987039B2 (en)Medical intervention apparatus
BR112021008505A2 (en) self-advancing endoscopic probe and system comprising it
WO2017222764A2 (en)Illuminator circuit board assembly for an endoscope
BR112016003415B1 (en) END ACTUATOR FOR USE WITH A SURGICAL INSTRUMENT AND SURGICAL INSTRUMENT SYSTEM
US20220265133A1 (en)Slotted imaging probe
US20170325665A1 (en)Illuminator Circuit Board Assembly for An Endoscope
JP2016032533A (en)Medical manipulator and treatment instrument package
EP4218533A1 (en)Endoscope handle and driving device

Legal Events

DateCodeTitleDescription
C06Publication
PB01Publication
C10Entry into substantive examination
SE01Entry into force of request for substantive examination
C02Deemed withdrawal of patent application after publication (patent law 2001)
WD01Invention patent application deemed withdrawn after publication

Open date:20070228


[8]ページ先頭

©2009-2025 Movatter.jp