Cilag International Gmbh

Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

Megadyne Medical Products, Inc.

Medical Scientific, Inc.

Long-shot Products, Ltd.

Cilag Gmbh Intemational

Other

Paul Nardella

David Yates

David C Yates

Frederick E Shelton, IV

Jason L Harris

Kevin L Houser

Jeffrey David Messerly

Jerome R Morgan

Chester O Baxter, Iii

Mark D Overmyer

Eitan T Wiener

Geoffrey S Strobl

Brett E Swensgard

Chad Paul Boudreaux

Jeffrey S Swayze

Jeffrey L Aldridge

Bret William Smith

Thomas W Huitema

Shane R Adams

Michael J Vendely

James R Giordano

Gregory J Bakos

John A Hibner

Mark S Ortiz

Barry C Worrell

Richard F Schwemberger

David A Witt

Gavin Martin Monson

Taylor W Aronhalt

Foster B Stulen

Cory G Kimball

Craig N Faller

William Bruce Weisenburgh, Ii

Richard L Leimbach

Emily A Schellin

Mark S Zeiner

Daniel W Price

Andrew T Beckman

Warren P Williamson, Iv

Richard William Timm

John V Hunt

Anil K Nalagatla

Matthew C Miller

James Walden Voegele

Rudolph Henry Nobis

Charles J Scheib

Christopher J Hess

Michael J Stokes

Timothy G Dietz

Steven G Hall

Kevin Michael Fiebig

Sean P Conlon

Galen C Robertson

Daniel J Mumaw

Robert L Koch, Jr

Tamara S Widenhouse

Mark A Davison

Gregory A Trees

Kristen G Denzinger

Chad E Eckert

Brian D Black

Ashvani K Madan

Ryan J Laurent

Darcy W Greep

Daniel J Abbott

Ryan M Asher

David N Plescia

Sarah Alexandra Worthington

Michael S Cropper

Benjamin D Dickerson

Jacob Spencer Gee

John E Brady

Richard P Nuchols

William D Fox

Donna L Korvick

Stephen M Leuck

Dale R Schulze

Katherine J Schmid

Adam David Hensel

Christopher C Miller

Lauren S Weaner

Joshua R Uth

Kevin Ross Doll

John B Schulte

Kevin D Felder

William D Dannaher

Christopher W Widenhouse

Prasanna Malaviya

Craig B Berky

Gregory G Scott

Andrew M Zwolinski

Trevor W V Speeg

Jason R Lesko

Brian D Schings

Randal T Byrum

William Eugene Clem

Geoffrey C Hueil

Jonathan A Coe

David Keith Norvell

Nicholas J Ross

Patrick A Weizman

David James Cagle

A method of operating a surgical instrument is disclosed. The surgical instrument includes an electronic system comprising an electric motor coupled to the end effector; a motor controller coupled to the motor; a parameter threshold detection module configured to monitor multiple parameter thresholds; a sensing module configured to sense tissue compression; a processor coupled to the parameter threshold detection module and the motor controller; and a memory coupled to the processor. The memory stores executable instructions that when executed by the processor cause the processor to monitor multiple levels of action thresholds and monitor speed of the motor and increment a drive unit of the motor, sense tissue compression, and provide rate and control feedback to the user of the surgical instrument.

Powered surgical instrument

A surgical system comprising a surgical instrument and a surgical hub is disclosed. The surgical instrument is configured to perform a surgical procedure and comprises a housing, a shaft assembly, an end effector, and a sensor configured to sense a parameter associated with a function of the surgical instrument. The surgical hub comprises a processor and a memory. The memory stores instructions executable by the processor to receive data from the sensor, wherein the data comprises the parameter associated with the function of the surgical instrument; infer a step of the surgical procedure being performed by the surgical instrument, based on the data from the sensor; receive data from a database, wherein the data from the database is associated with the step of the surgical procedure; compare a value of the parameter to the data received from the database; and control the surgical instrument based on the comparison.

Surgical system having a surgical instrument controlled based on comparison of sensor and database data

A surgical system comprising an end effector, a closure driver, a force sensor, and a control circuit is disclosed. The end effector comprises a first jaw and a second jaw rotatable relative to the first jaw between an open position and a closed position. The closure driver is configured to apply a closure force to the second jaw to rotate the second jaw toward the closed position. The force sensor is to measure a parameter indicative of the closure force. The control circuit is to receive an output of the force sensor indicative of the parameter and set a velocity of the closure driver based on the received output and a force threshold.

Surgical system comprising control circuit to set velocity of closure driver based on sensor data

A smoke evacuation device that evacuates smoke from a surgical site and filters the smoke from the air. The smoke evacuation device can include a fluid trap for removing moisture from the smoke. The smoke evacuation device can also include a filter with a compression mechanism for compressing a filter medium. The smoke evacuation device can also include features for controlling flow parameters, noise, and vibrations of the device. A remote activation device can also be used to activate the smoke evacuation device upon detection of certain system parameters.

Smoke evacuation device

Disclosed is a method of controlling a modular battery powered handheld surgical instrument. The surgical instrument including a battery, a user input sensor, a controller, a radio frequency (RF) drive circuit, an ultrasonic transducer, ultrasonic transducer drive circuit, and an end effector. The end effector including an electrode electrically coupled to RF drive circuit, an ultrasonic blade acoustically coupled to the ultrasonic transducer, and a sensor to measure tissue parameters. The method includes applying an RF current drive signal to the electrode by the RF drive circuit; applying an ultrasonic drive signal to the ultrasonic transducer by the ultrasonic transducer drive circuit to acoustically excite the ultrasonic blade; controlling intensity, wave shape, and/or frequency of the RF current drive signal and the ultrasonic drive signal on a sensed measure of a tissue or user parameter.

Modular battery powered handheld surgical instrument and methods therefor

Surgical devices and surgical systems are disclosed. A surgical system can include a display and a control circuit configured to receive a signal from a situationally-aware surgical hub indicative of a surgical state, display a recommendation on the display based on the signal, and assign a priority level of the recommendation.

Adjustment of a surgical device function based on situational awareness

Aspects of the present disclosure include control systems of an electrosurgical system for managing the flow of fluid, such as saline, and rates of aspiration or suction, in response to various states of conditions at a surgical site. The control system(s) may monitor and adjust to impedance at the surgical site, temperature of the surgical tissue, and/or RF current of electrodes, and may account for certain undesirable conditions, such as the electrodes sticking. The control systems may include various automatic sensing scenarios, while also allowing for several manual conditions.

Systems and methods for managing fluid and suction in electrosurgical systems

A method for characterizing a state of an end effector of an ultrasonic device is disclosed. The ultrasonic device including an electromechanical ultrasonic system defined by a predetermined resonant frequency. The electromechanical ultrasonic system further including an ultrasonic transducer coupled to an ultrasonic blade. The method including applying, by an energy source, a power level to the ultrasonic transducer, measuring, by a control circuit coupled to a memory, an impedance value of the ultrasonic transducer, comparing, by the control circuit, the impedance value to a reference impedance value stored in the memory; classifying, by the control circuit, the impedance value based on the comparison; characterizing, by the control circuit, the state of the electromechanical ultrasonic system based on the classification of the impedance value; and adjusting, by the control circuit, the power level applied to the ultrasonic transducer based on the characterization of the state of the end effector.

Method for smart energy device infrastructure

A method for producing a surgical instrument is disclosed. The method comprises obtaining a handle, wherein the handle comprises a distal end comprising a shaft interface surface and a first set of magnetic elements. The method further comprises obtaining a shaft, wherein the shaft comprises a proximal end comprising a handle interface surface, a second set of magnetic elements, and a third set of magnetic elements. The method further comprises attaching the shaft to the handle, wherein the shaft interface surface is configured to engage the shaft at the handle interface surface, wherein an attractive magnetic force is configured to pull the handle towards the shaft when the first set of magnetic elements interact with the second magnetic elements, and wherein a repulsive magnetic force is configured to repel the handle from the shaft when the first set of magnetic elements interacts with the third set of magnetic elements.

Method for producing a surgical instrument comprising a smart electrical system

Disclosed is a surgical system, comprising surgical hubs configured to be communicatively coupled to surgical instruments in surgical procedures; and a cloud computing system, comprising an input/output interface configured for accessing data from the surgical hubs. The cloud computing system is configured to aggregate surgical instrument data and patient outcome date from the surgical hubs; determine a correlation between the surgical instrument data and the patient outcome data; access a live surgical procedure data for a live surgical procedure; and determine an irregularity in the live surgical procedure data based on the correlation.

Method of hub communication

A surgical system includes a control circuit, a surgical instrument, and a user interface is disclosed. The surgical instrument includes a plurality of components and a sensor. Each of the plurality of components of the surgical instrument includes a device parameter and is configured to transmit its respective device parameter to the control circuit. The sensor of the surgical instrument is configured to detect a tissue parameter associated with a proposed function of the surgical instrument, and transmit the detected tissue parameter to the control circuit. The control circuit is configured to analyze the detected tissue parameter in cooperation with each respective device parameter based on a system-defined constraint. The user interface is configured to indicate whether the surgical instrument comprising the plurality of components is appropriate to perform the proposed function.

Safety systems for smart powered surgical stapling

A method for controlling a surgical instrument is disclosed. In at least one instance, the surgical instrument comprises a shroud and the operation of the surgical instrument is modified based on input from a sensing circuit configured to sense a parameter of the shroud. In certain instances, the surgical instrument comprises a strain gage circuit and the operation of the surgical instrument is modified based on input from the strain gage circuit.

Surgical instrument comprising flex circuit

An electrosurgical instrument comprising an end effector is disclosed. The end effector comprises a first jaw and a second jaw. The first jaw comprises a first electrode. The end effector is movable from an open configuration to a closed configuration to grasp tissue. The second jaw comprises a second electrode configured to deliver a first monopolar energy to the tissue, a third electrode, and a conductive circuit selectively transitionable between a connected configuration with the third electrode and a disconnected configuration with the third electrode. In the connected configuration, the third electrode is configured to cooperate with the first electrode to deliver bipolar energy to the tissue. The conductive circuit defines a return path for the bipolar energy. In the disconnected configuration, the first electrode is configured to deliver a second monopolar energy to the tissue.

Electrosurgical instrument with electrodes operable in bipolar and monopolar modes

A surgical instrument including a surgical end effector and a threaded rotary input shaft. An actuator member is in operable engagement with the surgical end effector and is in selective threaded engagement with the threaded rotary input shaft such that when the actuator member is in an engaged configuration, rotation of said threaded rotary input shaft causes the actuator member to move axially to impart an actuation motion to the surgical end effector and when the actuator member is in a disengaged configuration, rotation of the threaded rotary input shaft will not be imparted to the actuator member. A switch may be employed for selectively moving the actuator between the engaged and disengaged configurations. A locking system may be employed for preventing axial movement of the actuator member when the actuator member is in the disengaged configuration.

Surgical instrument with selectively disengageable threaded drive systems

A surgical instrument for treating the tissue of a patient is disclosed. The surgical instrument comprises a housing including a handle, a housing frame comprising a housing connector, and a drive system comprising at least one electric motor. The surgical instrument further comprises a shaft assembly releasably assembled to the housing including a shaft frame comprising a proximal connector and a distal connector, wherein the proximal connector is releasably coupled to the housing connector and a shaft drive system comprising at least one rotatable shaft operably coupled to the electric motor. The surgical instrument further comprises an end effector releasably assembled to the shaft assembly including an end effector frame comprising an end effector connector releasably coupled to the distal connector of the shaft assembly, a plurality of staple cartridges removably stored in the end effector, and a plurality of end effector drivers operably coupled to the rotatable shaft.

Continuous use self-propelled stapling instrument

Growing community of inventors

West Chester, OH, United States of America

David C Yates