Cilag International Gmbh

Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

Verb Surgical Inc.

Delphi Technologies, Inc.

Other

Auris Health, Inc.

Inteva Products, LLC

Cilag Gmbh Intemational

Charles J Scheib

Frederick E Shelton, IV

Jason L Harris

Jeffrey S Swayze

Michael J Vendely

Jerome R Morgan

Andrew T Beckman

Steven G Hall

Emily A Schellin

Chester O Baxter, Iii

Mark S Zeiner

Gregory W Johnson

William Bruce Weisenburgh, Ii

Bret William Smith

Taylor W Aronhalt

Rao S Bezwada

Richard F Schwemberger

Kevin L Houser

Jeffrey David Messerly

Richard William Timm

Thomas W Huitema

Mark S Ortiz

Chad Paul Boudreaux

Matthew C Miller

Geoffrey S Strobl

Ryan M Asher

Daniel J Mumaw

David T Martin

Mark D Overmyer

Barry C Worrell

Jeffrey L Aldridge

Shailendra Kumar Parihar

Craig N Faller

Rudolph Henry Nobis

Galen C Robertson

Omar J Vakharia

Kyle P Moore

Michael J Stokes

David C Yates

John A Hibner

Shane R Adams

Benjamin D Dickerson

Brian F Dinardo

Cortney E Henderson

Trevor J Barton

Katherine J Schmid

Christopher C Miller

Joshua R Uth

Kevin Ross Doll

Brian D Black

Dean B Bruewer

Travis Michael Schuh

Michael S Cropper

Douglas B Hoffman

Donna L Korvick

Mark H Ransick

Gary W Knight

Jacob Spencer Gee

Adam R Dunki-Jacobs

John P Measamer

Robert J Simms

Christopher W Widenhouse

William D Fox

David James Cagle

Christopher J Schall

Joshua D Young

Geoffrey C Hueil

Andrew M Zwolinski

Patrick A Weizman

Joseph Henry Contiliano

Wells D Haberstich

Tylor C Muhlenkamp

Richard L Leimbach

Tamara S Widenhouse

Foster B Stulen

Sean P Conlon

Eugene L Timperman

Gregory A Trees

David Keith Norvell

Kristen G Denzinger

Kevin Michael Fiebig

Adam David Hensel

John B Schulte

Aaron C Voegele

Daniel L Baber

Joshua D Talbert

Stephen M Leuck

Dennis D Jamiolkowski

Leo B Kriksunov

Kent M Anderson

William Eugene Clem

Morgan Robert Hunter

Edward A Rhad

Lauren S Weaner

Chad E Eckert

William Jason White

Stephen J Balek

Michael Cardinale

Kevin Shaun Weadock

Thomas W Lytle, Iv

Systems, devices, and methods for controlling cooperative surgical instruments are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing various surgical sites from different or shared surgical approaches to achieve a common or cooperative surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with, one another to effect a desired surgical treatment.

Methods and systems for controlling cooperative surgical instruments

A surgical tool includes a stage portion that includes opposing first and second ends, a lead screw and at least one spline that extend between the first and second ends, and a first layer of a carriage movably mounted to the lead screw and the at least one spline. An instrument portion is releasably coupled to the stage portion and includes one or more additional layers of the carriage removably coupled to the first layer, and an elongate shaft extending distally from the one or more additional layers and having an end effector arranged at a distal end of the elongate shaft. The elongate shaft and the end effector penetrate the elevator layer and the first end when the instrument portion is coupled to the stage portion.

Robotic surgical tool with drop in instrumentation core

An ultrasonic surgical instrument includes an end effector having an ultrasonic blade, an ultrasonic transducer assembly, and a shaft assembly. The shaft assembly includes a tube, and an waveguide. The waveguide is received within the tube and is acoustically connected between the ultrasonic blade and ultrasonic transducer assembly to communicate ultrasonic vibrations from the ultrasonic transducer assembly to the ultrasonic blade. The waveguide includes an acoustic body, a first isolation structure, a second isolation structure and a sheath. The acoustic body extends along a longitudinal axis. The first isolation structure radially extends about the acoustic body. The second isolation structure radially extends about the acoustic body and is longitudinally spaced from the first isolation structure. The sheath is radially positioned between the first isolation structure and the tube and is further radially positioned between the second isolation structure.

Ultrasonic surgical instrument with a shaft assembly and elongated waveguide support arrangement

An apparatus includes a proximal structure configured to be positioned extracorporeally relative to a patient, and a distal structure extending distally from the proximal structure and configured to be passed through a body wall and into a body cavity of the patient. The distal structure cooperates with the primary structure to define a primary axis and a working channel sized and configured to receive and guide a surgical scope shaft distally therethrough along the primary axis. The proximal structure has a greater maximum dimension in a direction transverse to the primary axis than the distal structure. The apparatus further includes an articulation feature at a distal end of the distal structure that is configured to articulate relative to the proximal structure to direct the surgical scope shaft along a secondary axis that is angled relative to the primary axis.

Articulating introducer cannula for surgical scope in robotic system

A surgical tool includes a handle having opposing first and second ends, a lead screw and a spline are rotatably coupled to and extend between the opposing ends. The spline is arranged a distance from the lead screw such that the lead screw assumes torsional loading generated by the spline. Another surgical tool includes first and second splines with a first activating mechanism coupled to the first spline and a second activating mechanism coupled to the second spline. Torsional loading generated by the first and second splines to operate the first and second activating mechanisms are balanced by rotating the first and second splines in opposite directions. A method of minimizing torsional loads on components of a robotic surgical tool includes actuating the surgical tool and assuming a torsional force acting on a carriage of the surgical tool with a load balancing member included in the surgical tool.

Drive patterns and spline arrangement for robotic surgical tools

Systems, devices, and methods for controlling cooperative surgical instruments are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common body cavity of a patient from different approaches to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of surgical tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and operate in concert with one another to effect a desired surgical treatment.

Methods for controlling cooperative surgical instruments

A system includes a uterine manipulator having a shaft. The uterine manipulator is coupled with the robotic arm. An imaging instrument is operable to provide an image of an exterior of the uterus of the patient. A console includes a display screen and is configured to provide a view from the imaging instrument of the exterior of the uterus of the patient, on the display screen. The console is further configured to provide an indicator on the view from the imaging instrument, on the display screen, the indicator indicating a location of a predefined anatomical structure, the indicator being provided as an overlay on the predefined anatomical structure.

Uterine manipulator control with presentation of critical structures

A staple cartridge assembly for use with a surgical stapling instrument includes a staple cartridge including a plurality of staples and a cartridge deck. The staple cartridge assembly also includes a compressible adjunct positionable against the cartridge deck, wherein the staples are deployable into tissue captured against the compressible adjunct, and wherein the compressible adjunct comprises a first biocompatible layer comprising a first portion, a second biocompatible layer comprising a second portion, and crossed spacer fibers extending between the first portion and the second portion.

Compressible adjunct with crossing spacer fibers

A method of applying a buttress to a surgical stapler end effector comprises positioning a buttress assembly between an anvil and a staple cartridge of the end effector. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material faces either an underside of the anvil or a deck of the staple cartridge. The anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge. The method further comprises moving the anvil toward the staple cartridge then moving the anvil back to the open position. The buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position. The adhesive material comprises a bioabsorbable polymer.

Method of applying a buttress to a surgical stapler

In general, devices, systems, and methods for fiducial identification and tracking are provided.

Surgical devices, systems, and methods using fiducial identification and tracking

A buttress is applied to an end effector of a surgical stapler. The buttress is loaded on a platform of a buttress applier cartridge. The end effector is closed upon the platform. An adhesive layer of the buttress secures the buttress to the end effector. The buttress is thus adhered to the end effector when the end effector is opened. The end effector is then actuated on tissue of a patient, thereby stapling the buttress to the tissue.

Method of applying a buttress to a surgical stapler end effector

Generally, a system for use in a robotic surgical system may be used to determine an attachment state between a tool driver, sterile adapter, and surgical tool of the system. The system may include sensors used to generate attachment data corresponding to the attachment state. The attachment state may be used to control operation of the tool driver and surgical tool. In some variations, one or more of the attachment states may be visually output to an operator using one or more of the tool driver, sterile adapter, and surgical tool. In some variations, the tool driver and surgical tool may include electronic communication devices configured to be in close proximity when the surgical tool is attached to the sterile adapter and tool driver.

Signaling of sterile adapter and tool attachment for use in a robotic surgical system

A robotic surgical system may include a cannula attachment device or cannula mount having a locking mechanism configured to pivot between an unlocked position and a locked over-center position. The locking mechanism may actuate a clamp or other feature that is configured to move between a closed position and an open position. The clamp may include a locating structure with one or more tapered surfaces that is configured to mate with a corresponding structure disposed on a portion of a cannula when the cannula is positioned in the cannula attachment device. The locating structure may guide the cannula into the attachment device, as well as assist with orientating the cannula relative to the attachment device.

Cannula attachment devices and methods for a surgical robotic system

A computing device may be configured to obtain first data associated with a first simulated surgical procedure and second data associated with a second simulated surgical procedure. The first data and the second data may be associated with a surgical task of the surgical procedure. The computing device may be configured to generate aggregation data from the first data and the second data. The computing device may be configured to determine from the aggregation data a first causal relation between a first surgical choice of the first data and a surgical aspect of the first data and a second causal relation between a second surgical choice of the first data and a corresponding surgical aspect of the second data. The computing device may be configured to display the first causal relation with the first data and the second causal relation with the second data.

Simulation-based surgical analysis system

A robotic surgical tool includes a handle providing a drive input, an elongate shaft extendable through the handle and having an end effector arranged at a distal end of the shaft, and an accumulator system housed within the handle and operatively coupled to the drive input such that actuation of the drive input operates the accumulator system. At least one drive cable is threaded through the accumulator system and extends distally along the shaft, wherein operation of the accumulator system acts on the at least one drive cable to operate the end effector.

Drive cable accumulation systems for robotic surgical tools

Growing community of inventors

Loveland, OH, United States of America

Charles J Scheib