Ethicon Endo-surgery, Inc.

Ethicon, Gmbh

Cilag International Gmbh

Ashvani K Madan

Foster B Stulen

Timothy G Dietz

Kevin L Houser

Cory G Kimball

Donna L Korvick

David C Yates

Eitan T Wiener

Stephen J Balek

Benjamin M Boyd

David A Witt

Benjamin D Dickerson

Michael R Lamping

William D Dannaher

Kristen G Denzinger

Aron O Zingman

John W Willis

Craig N Faller

Jacob Spencer Gee

Tylor C Muhlenkamp

Kenneth S Kramer

Michael J Stokes

Jeffrey L Aldridge

William Eugene Clem

Sora Rhee

David C Groene

Chad Paul Boudreaux

John A Hibner

Daniel W Price

Gavin Martin Monson

John B Schulte

Craig T Davis

Paul F Riestenberg

Frederick E Shelton, IV

Brian D Black

Kevin D Felder

Shan Wan

Danius P Silkaitis

Jeffrey David Messerly

Barry C Worrell

Richard William Timm

Sean P Conlon

Richard C Smith

David Alexander Monroe

William C Horton

Thomas C Gallmeyer

Jacqueline C Aronhalt

Chester O Baxter, Iii

William Bruce Weisenburgh, Ii

Matthew C Miller

Geoffrey S Strobl

Bret William Smith

Ryan M Asher

Joseph E Young

Aaron C Voegele

Nathan Daniel Grubbs

Amy L Marcotte

Benjamin J Danziger

Thomas B Remm

Jean Michael Beaupre

Rafael J Ruiz Ortiz

Catherine A Corbett

John A Weed, Iii

Scott A Nield

Joseph Daniel Dennis, Jr

Peter K Shires

Daniel James Prenger

Robert A Kemerling

Timothy S Holland

David M Locke

Joseph E Hollo

Jeffrey A Bullock

Joseph Isosaki

Stephen E Eichmann

Christina M Hough

Christopher B Anderson

Amy L Benchek

Benjamin V Vins

Jerome R Morgan

Richard F Schwemberger

John V Hunt

William T Donofrio

Roman Lomeli

Robert Perrin Gill

Joseph Peterson

Robert J Laird

Matthew D Holcomb

Amy M Krumm

Matthew Parsons

Mark E Tebbe

Robert G Cook

Karen K Isaacs

Paul C Daly

Hitesh Jain

Nabeel Mark Jadeed

Shawn D Bialczak

Karen M Kowalski

Mark D Mihal

William B Weisenburgh

A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section includes a collar that is located distal to a nodal portion of the waveguide and is operable to deflect the end effector away from the longitudinal axis. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation drive assembly is operable to drive articulation of the articulation section. The articulation drive assembly comprises at least one translating articulation driver coupled with the collar. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue even when the articulation section is in an articulated state.

Articulation features for ultrasonic surgical instrument

An ultrasonic instrument includes a body and a shaft assembly extending distally from the body. The shaft assembly includes an acoustic waveguide. The instrument further includes an end effector including an ultrasonic blade. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The instrument further includes a sensor configured to sense at least one characteristic of the shaft assembly and/or the end effector. The end effector is configured to be activated at varying power levels based on the at least one characteristic sensed by the sensor.

Surgical instrument with variable clamping force

An ultrasonic surgical system is disclosed comprising a surgical instrument and a wrench assembly. The surgical instrument comprises a handle assembly and a body member pivotably coupled to the handle assembly. The handle assembly comprises a first finger grip, an ultrasonic blade, and a waveguide extending proximally from the ultrasonic blade. The body member comprises a second finger grip, a clamp arm movable relative to the ultrasonic blade to capture tissue therebetween, a first body surface defined on a first side of the body member, and a second body surface defined on a second side of the body member. The wrench assembly comprises a wrench and an adapter operably coupled to the wrench. The adapter comprises a first wrench surface configured to engage the first body surface and a second wrench surface configured to engage the second body surface.

Ultrasonic device for cutting and coagulating

A method for coagulating and dissecting tissue. The method includes measuring a tissue property and delivering multiple energy modalities to the tissue based on the tissue property. The energy modalities being delivered from a generator either alone or in combination.

Surgical instrument with user adaptable techniques

Systems, devices, and methods are operable to track usage of a surgical instrument and modify the performance of the surgical instrument based on the prior usage of the surgical instrument. Some surgical instruments are designed to have a limited service life beginning at their first use, or a limit to their overall usage in order to ensure safe use of the sensitive instruments. However, a lack of ability to track usage characteristics when the instrument is separated from an external power supply allows for user abuse and avoidance of such safety mechanisms. Adding a battery or capacitor to the instrument may allow for an ability to track usage when the instrument is separated from an external power supply. Implementing special user prompts, device use ratios, and device use half-life upon powering down of an instrument may additionally be used to prevent circumvention of safety features.

System and method to track usage of surgical instrument

An ultrasonic instrument comprises an ultrasonic transducer, an acoustic waveguide, and an ultrasonic blade. The blade includes a pair of obliquely extending edges. The obliquely extending edges diverge away from the longitudinal axis of the waveguide and away from each other along respective paths extending distally in relation to the waveguide. A distal portion of the blade is wider than a proximal portion of the blade along a plane. The blade further includes a curved distal edge and several laterally presented surfaces. The laterally presented surfaces may provide combinations of concave and convex curvatures. The laterally presented surfaces may be angled and/or curved along one or more orthogonal planes associated with the longitudinal axis of the waveguide.

Ultrasonic surgical blade

A system includes a medical device and a charging device. A sterile barrier may be interposed between the medical device and the charging device. The medical device includes an integral power source and an active element. The charging device is configured to charge the integral power source. The charging device may charge the integral power source through direct contact between features of the charging device and features the medical device. The charging device may alternatively charge the integral power source wirelessly, such as through inductive coupling. The medical device may include conductive prongs that are retained by the charging device. The charging device may physically couple with the medical device via magnets. The medical device and the charging device may be provided together in a sterile package as a kit. The kit may also include a reclamation bag to facilitate reclamation of electrical components.

Sterile medical instrument charging device

An ultrasonic surgical instrument is disclosed including an ultrasonic blade, an ultrasonic transducer operably coupled to the ultrasonic blade, and a control circuit. The ultrasonic transducer is configured to transmit ultrasonic vibrations to the ultrasonic blade based on a drive signal. The control circuit is configured to provide the drive signal to the ultrasonic transducer, monitor a vibration frequency of the drive signal, and modify the drive signal based on a change in the vibration frequency of the drive signal.

Surgical instruments

An apparatus includes a body assembly, an acoustic waveguide, an ultrasonic blade, a liquid dispensing feature, and a control module. The liquid dispensing feature is positioned distally relative to the body assembly. The liquid dispensing feature is positioned adjacent to the ultrasonic blade. The liquid dispensing feature is configured to deliver a flow of cooling liquid to the ultrasonic blade. The control module is operable to regulate fluid flow through the liquid dispensing feature.

Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument

A bone cutting surgical instrument includes features to mitigate heat generation during use. Excessive heat can be detrimental to bone health as well as to the instrument itself. In one example a liquid dispensing feature provides a flow of cooling liquid to an ultrasonic blade via a lumen in a waveguide of the instrument. In another example, the blade has a serrated edge with a plurality of teeth arranged in a pattern to provide dimension and space during cutting actions. In another example, the blade has an oversize distal portion that creates an oversize slot when cutting to avoid excessive contact between the cut bone and proximal portions of the blade. In another example the blade includes an irrigation slot and also a micro slot in a distal end of the blade that connects with the irrigation slot.

Ultrasonic surgical instrument blade with heat reduction feature

A surgical instrument includes a shaft assembly, an ultrasonic blade, and a cleaning device. The shaft assembly includes a first tube and an acoustic waveguide. The first tube has a first inner diameter and a distal end. The waveguide has a first outer diameter. The waveguide extends within the first tube. The first outer diameter of the acoustic waveguide and the first inner diameter of the first tube together define a gap. The ultrasonic blade extends distally from the distal end of the first tube. The acoustic waveguide is configured to communicate ultrasonic energy to the ultrasonic blade. The cleaning device is configured to actuate within the gap to thereby clean at least a portion of the shaft assembly and/or at least a portion of the ultrasonic blade.

Ultrasonic surgical instrument with blade cleaning feature

A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer.

Surgical instrument with orientation sensing

A surgical apparatus comprises a transducer assembly and a shaft assembly. The transducer assembly is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises an ultrasonic waveguide, a sheath, a shroud, and a torque transfer assembly. The waveguide is configured to couple with the transducer assembly. The waveguide is disposed within the sheath. The sheath extends through the shroud. The torque transfer assembly is contained within the shroud. The torque transfer assembly is configured to transfer a predetermined range of torque from the shroud to the waveguide to thereby couple the waveguide with the transducer assembly. The torque transfer assembly is further configured to prevent transfer of torque from the shroud to the waveguide beyond an upper limit of the predetermined range.

Methods and features for coupling ultrasonic surgical instrument components together

An ultrasonic surgical instrument and method of sealing a tissue includes generating a desired burst pressure in the tissue, sealing the tissue, verifying that the tissue is sealed with further application of at least one of the ultrasonic energy and the RF energy. The ultrasonic surgical instrument further includes an end effector having an ultrasonic blade, an RF electrode, and a controller. The controller operatively connects to the ultrasonic blade and the RF electrode and is configured to direct application of ultrasonic and RF energies according to an initial phase, a power phase, and a termination phase for respectively generating a desired burst pressure in the tissue, sealing the tissue, and verifying the sealing of the tissue while inhibiting transection of the tissue.

Combination ultrasonic and electrosurgical instrument and method for sealing tissue in successive phases

Growing community of inventors

Mason, OH, United States of America

Ashvani K Madan