05588581 is referenced by 700 patents and cites 163 patents.

Various mechanisms are provided for use in a surgical instrument. A shaft and an engaged lost motion operating knob are provided for rotation relative to a handle portion. A latch system prevents rotation of the shaft unless the shaft is rotated by the knob. A cartridge is provided for rotation at the distal end of the shaft. Engaging structures are provided for preventing rotation of the cartridge relative to the shaft when axial forces are applied to the cartridge. A loading tool is provided for engaging the cartridge to install the cartridge on the instrument. The cartridge includes a washer for engaging a carrier on which the cartridge is mounted so as to prevent rotation of the washer. The washer is adapted to engage a fastener advancing member in a first angular orientation and is disengaged when the cartridge is rotated to establish a second relative angular orientation. In the first angular orientation, the fastener advancing member is restrained against longitudinal movement to assist in installation of the cartridge onto the instrument. The distal end of the instrument can be articulated, and a helical gear operator is provided for effecting the articulation.

Title
Surgical instrument
Application Number
959184
Publication Number
5588581
Application Date
May 23, 1996
Publication Date
December 31, 1996
Inventor
Gregory D Bishop
Hamilton
OH, US
Livyn O Okorocha
Cincinnati
OH, US
John A Hibner
Mainville
OH, US
Saleem U Oureshi
West Chester
OH, US
Sean P Conlon
Cincinnati
OH, US
Agent
Dressler Goldsmith Milnamow & Katz
Assignee
Ethicon Endo Surgery
OH, US
IPC
A61B 17/11
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