Ethicon Endo-Surgery, Inc.

Ethicon, Gmbh

Cilag International Gmbh

Douglas J Turner

Craig N Faller

Frederick E Shelton, IV

Jeffrey David Messerly

Timothy G Dietz

John B Schulte

Jeffrey L Aldridge

Patrick A Weizman

William David Kelly

Mark S Ortiz

Richard William Timm

Sean P Conlon

James Walden Voegele

David A Witt

Jacob Spencer Gee

Tylor C Muhlenkamp

Michael R Lamping

Brian D Bertke

Eric B Smith

Elizabeth DeBenedictis

Randal T Byrum

Ronald John Kolata

Vincent P Battaglia, Jr

Kevin L Houser

Foster B Stulen

Daniel W Price

Anil K Nalagatla

John V Hunt

Kyle P Moore

Prasanna Malaviya

David Keith Norvell

Bennie Thompson

Donna L Korvick

Kevin D Felder

Paul T Franer

Craig T Davis

William A Olson

Robert J Beetel, Iii

John A Weed, Iii

Jeffery Kirk

John Michael Sarley

Richard F Schwemberger

Christopher W Widenhouse

Wells D Haberstich

Michael A Murray

Robert Perrin Gill

David N Plescia

Dean B Bruewer

Kip M Rupp

Robert H McKenna

Gina M Szweda

Stephen W Evans

Wells D Haberstitch

An apparatus includes a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly includes an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly includes a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.

Rotation features for ultrasonic surgical instrument

A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade includes a recess region having a plurality of recesses. The recess region is tapered such that the cross-sectional area of the recess region decreases along the length of the recess region. The ultrasonic blade is also curved such that a central longitudinal axis of the ultrasonic blade extends along a curved path. A reference circuit is used to account for voltage drops of unknown values during operation of the surgical apparatus.

Ultrasonic device for cutting and coagulating

A control circuit of a surgical device is disclosed. The control circuit includes a first circuit portion coupled to at least one switch operable between an open state and a closed state. The first circuit portion communicates with a surgical generator over a conductor pair to receive a control signal to determine a state of the at least one switch.

Surgical generator for ultrasonic and electrosurgical devices

An end effector of a surgical instrument may generally comprise a blade, and a clamp arm assembly comprising a clamp arm movable between an open position and a closed position relative to the blade, and at least one camming member rotationally attached to the clamp arm, wherein the at least one camming member is configured to rotate relative to the blade as the clamp arm moves from the open position to the closed position.

End effector with a clamp arm assembly and blade

Various examples are directed to systems and methods comprising receiving a control signal at a control circuit of a surgical device. The control circuit may comprise a first circuit portion coupled to at least one switch operable between an open state and a closed state. The first circuit portion may be configured to communicate with a surgical generator over a conductor pair to receive the control signal and may comprise at least one resistor coupled to the at least one switch. Methods may also comprise determining the state of the at least one switch based on the value of the resistor.

A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

Surgical instrument with multiple clamping mechanisms

A method and devices for accomplishing the successful anastomosis of two hollow organ structures are disclosed. The method includes bringing the structures together, applying at least one fastener to hold the structures together and form a connection site, and applying, as alternatives or in conjunction, an adhesive, a wrap and/or a buttress about the connection site. Various examples of fasteners, fastener appliers, adhesives, adhesive initiators and buttress rings also are disclosed.

Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners

Expanding or foaming adhesives are used to reduce the stomach volume to reduce the caloric intake and weight of a patient. A web structure is attached inside the stomach and an expanding or foaming adhesive is applied to the web structure. The expanding or foaming adhesive attaches to the web structure and to the stomach to partition the stomach. The partition barrier divides the stomach volume into a reduced volume available for food storage and an empty volume that the food cannot enter. The reduced volume enables the patient to feel full faster and reduce caloric intake. A passageway can be provided between the two volumes near the base of the stomach to allow food or fluids to exit from the empty volume.

Expanding adhesive foam structure to reduce stomach volume

A surgical device to stanch the flow of blood is disclosed. The surgical device can place an implantable adhesive over or around varices or other bleeders. The surgical device has a vacuum system for capturing tissue and an adhesive system to apply adhesive to the captured tissue. A vacuum chamber is used to contact tissue and contains a chamber therein for the reception of tissue. An adhesive applicator is provided within the vacuum chamber and moves longitudinally therein to apply adhesive to tissue. The surgical device can apply an adhesive patch to tissue or inject adhesive into tissue. Alternately, an adhesive actuator and a chemical agent can be dispensed to tissue within the vacuum chamber.

Use of an adhesive to treat intraluminal bleeding

An end effector for use in an endoscopic device including a cup, and a hinge extension formed separately from the cup and connected to the cup. The hinge extension has a pivot for pivotally connecting the end effector to an identical second end effector.

End effector and method of manufacture

Growing community of inventors

Cincinnati, OH, United States of America

Douglas J Turner