Cilag International Gmbh

Ethicon, Gmbh

Demetrius N Harris

John E Brady

Ellen E Burkart

Frederick E Shelton, IV

Stephen M Leuck

Alexander R Cuti

Matthew Thomas Kuhn

Candice Otrembiak

Kevin Michael Fiebig

Amy M Krumm

Andrew Kolpitcke

Sarah Alexandra Worthington

Amrita Singh Sawhney

Cory G Kimball

Jason R Lesko

Joshua D Young

Rafael J Ruiz Ortiz

Christopher Q Seow

Stephen D Geresy

Jason L Harris

Chad Paul Boudreaux

Geoffrey S Strobl

Ryan M Asher

Brian D Black

Chad E Eckert

Aaron C Voegele

Frederick L Estera

Carl J Draginoff, Jr

Jeffery D Bruns

Ion V Nicolaescu

Nicholas M Morgan

Tyler N Brehm

Jeffrey David Messerly

Mark S Zeiner

Richard William Timm

Sean P Conlon

Craig N Faller

Zhifan F Huang

David Keith Norvell

Joshua P Morgan

Chad S Frampton

Patrick J Minnelli

Andrew W Carroll

Gregory D Bishop

Guion Y Lucas

Cameron D McLain

Grace E Waters

Andrew S Meyers

Fajian Zhang

Nina Mastroianni

Geni M Giannotti

Alex Cuti

Bruce Brunson, Jr

Grace E Brooks

Troy Q Le

Alexander S O'Leary

Jeffrey C Souder

William A Olson

Matthew D Cowperthwait

Matthew S Schneider

Richard W Flaker

Michael D Ehninger

Monica L Rivard

Monica L Z Rivard

John Michael Sarley

Leonardo N Rossoni

Risto Kojcev

Joseph Isosaki

Laura S Downing

Lauren M Valente

Ravi C Patel

Madison K Vanosdoll

Ellen M Renner

Felix J Bork

Michael A Keenan

Wei Guo

Laura A Schoettmer

Joshua L Liebowitz

Joseph S Salguero

William D Shaw, Jr

Joseph H Kemper

Robert S Bishop

Matjaz Jogan

Diana M Castillo Sanchez

Patrick G McElhaney, Jr

Jesse Luo

Shaun B Schaeffer

David C Perdue

Christopher Pitaniello

Jr Bruce Brunson

Bruce Brunson Jr

Patrick G Mcelhaney Jr

Cameron D Mclain

Ellen T Burkhart

Andrew Kolpitke

Waters Grace E

Ellen T Burkart

Carl J Draginoff Jr

A method for treating tissue using a surgical instrument including at least one electrode and a staple cartridge is disclosed. The method includes causing the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment by the surgical instrument, deploying staples from the staple cartridge into the tissue in a second phase of the surgical treatment, monitoring a first tissue property in the first phase of the surgical treatment, switching from the first phase to the second phase if at least one of two conditions is met, setting a parameter of the second phase of the surgical treatment based on at least one measurement of the first tissue property determined in the first phase of the surgical treatment, and monitoring a second tissue property, different from the first tissue property, in the second phase of the surgical treatment.

Method for tissue treatment by surgical instrument

A method of distributing data among members of a surgical team may include receiving imaging data, by a modular control tower, from a plurality of imaging devices, receiving device-dependent data, by the modular control tower, from each of a plurality of intelligent surgical instruments, associating, by the modular control tower, a display device with a member of the surgical team, defining, by the modular control tower, a functional role for the member of the surgical team, and displaying, by the modular control tower, a augmented reality display by the display device. The augmented reality display on the display device may include virtual objects based on the imaging data, the device-dependent data, the functional role of the member of the surgical team, and a surgical activity by the member of the surgical team. An interactive surgical system may implement this method.

Customization of overlaid data and configuration

Disclosed is a surgical instrument with an end-effector adapted and configured to deliver a plurality of energy modalities to tissue at a distal end thereof. The energy modalities may be applied simultaneously, independently, or sequentially. A generator is electrically coupled to the surgical instrument and is configured to supply a plurality of energy modalities to the end-effector. In one aspect, the generator is configured to supply electrosurgical energy (e.g., monopolar or bipolar radio frequency (RF) energy) and ultrasonic energy to the end-effector to allow the end-effector to interact with the tissue. The energy modalities may be supplied to the end-effector by a single generator or multiple generators.

Method of operating a combination ultrasonic / bipolar RF surgical device with a combination energy modality end-effector

Surgical devices and systems having rotating end effector assemblies for treating tissue are provided. Methods for using the same are also provided.

Surgical devices and systems with rotating end effector assemblies having an ultrasonic blade

An end-effector and a surgical instrument including the end-effector are disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator. The clamp arm incudes a clamp jaw, a cantilever electrode, and a clamp arm. The cantilever electrode is biased in a direction toward the clamp jaw and the clamp arm includes a retainer to oppose a biasing force and maintain the cantilever electrode in a substantially flat configuration relative to the ultrasonic blade. A skirt may be disposed around the clamp jaw. The clamp arm pad may include multiple support elements arranged in multiple rows to support the cantilever electrode.

Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode

Examples herein may include a computer-implemented method for providing outcome tracking of a plurality of patients, which may include generating a respective expected patient biomarker dataset for each of the plurality of patients, wherein the expected patient biomarker dataset may represent the expected values of a patient biomarker over the duration of the patient's recovery. The computer implementing method may include receiving respective actual patient biomarker data from respective patient sensor systems for each of the plurality of patients. The method may include aggregating the respective expected patient biomarker dataset and the respective actual patient biomarker data for each of the plurality of patients. The method may include determining differences between the respective expected patient biomarker data and the respective actual patient biomarker data. The method may include generating a treatment notification based on the differences.

Patient biomarker monitoring with outcomes to monitor overall healthcare delivery

A gyroscopic stabilizer configured to stabilize a surgical instrument relative to a patient includes a frame having a central axis and a hub configured to releasably couple with the surgical instrument. A first gyroscope assembly is coupled with a first frame portion and a second gyroscope assembly is coupled with a second frame portion. Each gyroscope assembly includes a gimbal pivotably coupled with the respective frame portion about a precession axis, a motor, and a rotor rotatably coupled with the motor about a spin axis perpendicular to the respective precession axis. Each gyroscope assembly is operable generate a torque in a torque plane that contains the respective spin axis and the respective precession axis. The torques are configured to resist rotation of the gyroscopic stabilizer relative to the patient about respective device axes that are perpendicular to the central axis and to one another.

Stabilizer for surgical shafts or cannulas

A method includes positioning a surgical tool with an end effector adjacent a surgical site, the end effector including a housing having a tapered section that defines an inner surface, first and second arcuate jaw members protruding distally from the housing and defining a channel therebetween, each arcuate jaw member exhibiting a curved profile shaped to receive an arcuate surgical clip, and a feedbar movable within the housing. The method further including urging the arcuate surgical clip against the inner surface, advancing the feedbar within the housing to engage and follow the inner surface and thereby flexing the feedbar downward and into engagement with the arcuate surgical clip, advancing the arcuate surgical clip with the feedbar into interposition between the first and second arcuate jaw members, and collapsing the first and second arcuate jaw members to crimp the arcuate surgical clip.

Surgical clip applier employing arcuate surgical clips

An ultrasonic surgical instrument and method of assembly with a predetermined alignment includes first and second modular assemblies and an electrical lockout. The first modular assembly includes at least a portion of an end effector configured to manipulate a tissue. The second modular assembly includes a transducer power circuit and an activation switch electrically connected to the transducer power circuit. The electrical lockout is electrically connected to the transducer power circuit and configured to inhibit the activation switch from powering the ultrasonic transducer with the first and second modular assemblies misaligned from the predetermined alignment such that the first and second modular assemblies are in a locked-out state. The electrical lockout is further configured to allow the activation switch to power the ultrasonic transducer with the first and second modular assemblies in the predetermined alignment such that the first and second modular assemblies are in an operational state.

Electrical lockout for ultrasonic surgical instrument

An ultrasonic surgical instrument includes a first modular assembly including at least one operator input feature an ultrasonic transducer supported by the first modular assembly, and a second modular assembly configured to be removably coupled with the first modular assembly. The second modular assembly includes at least a portion of an end effector extending distally from a distal end portion of the second modular assembly. The instrument includes a mechanical lockout assembly configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the first modular assembly and the second modular assembly are partially coupled together such that the operator is physically prevented from activating the instrument using the operator input feature. In the unlocked configuration, the first modular assembly and the second modular assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

Mechanical lockout for ultrasonic surgical instrument

A surgical instrument is disclosed herein. The surgical instrument includes a handheld device and an adapter assembly. The handheld device includes a first drive assembly and a power source. The adapter assembly includes an outer housing that defines an internal cavity configured to accommodate a handheld device. The adapter assembly is configured to establish a sterile barrier around the handheld device. The surgical instrument includes an energy management system configured to extract energy dissipated by the handheld device from the internal cavity without disrupting the sterile barrier. In some aspects, the surgical instrument further includes a plurality of interchangeable end effectors and the adapter assembly includes a drive interface assembly. The plurality of interchangeable end effectors can include different drive interfaces and operating modes, and the drive interface assembly can connect the first drive assembly of the handheld device to each end effector of the plurality of interchangeable end effectors.

Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings

A surgical instrument includes a body, a shaft assembly, an end effector, a clamp actuator, and a blade cooling system. The end effector has a clamp arm and an ultrasonic blade coupled with an ultrasonic transducer. The clamp arm is configured to selectively move from a first actuator position toward a second actuator position thereby directing movement of the clamp arm from the open position toward the closed position, respectively. The cooling system is operable to deliver fluid coolant to the ultrasonic blade to thereby cool the ultrasonic blade while the clamp actuator remains in the first actuator position.

Blade cooling gas/fluid storage

A computing system and/or a method may be provided for using a risk assessment to provide a notification. The computing system may comprise a processor. The processor may be configured to perform the method. A biomarker may be received for a patient from a sensing system. A data collection that includes pre-surgical data may be received for a patient. A probability of a patient outcome due to a surgery performed on the patient may be determined using the biomarker and the data collection. A notification may be sent to a user. The notification may indicate that the probability of the surgical complication may exceed a threshold.

Predictive based system adjustments based on biomarker trending

In general, surgical devices including visual indicators thereon are provided. A user of the device therefore may quickly visually ascertain various operational details of the surgical device and/or various pieces of information about the device and/or tissue of a patient being operated on.

Surgical devices with visual indicators

A surgical instrument includes a reusable assembly having an inner tube and an ultrasonic blade positioned within the inner tube. The inner tube includes at least one opening to receive a sterilization fluid therethrough for sterilizing the ultrasonic blade within the inner tube. The surgical instrument further includes a sterilization detection system to determine whether the reusable assembly has been sterilized during a sterilization cycle. A seal is selectively couplable with the at least one opening of the inner tube to fluidly seal the at least one opening for inhibiting bodily fluid from entering the at least one opening during a surgical procedure.

Dual sterilization and temperature based sterilization detection

Growing community of inventors

Cincinnati, OH, United States of America

Demetrius N Harris