Cilag International Gmbh

Ethicon, Gmbh

Ellen E Burkart

Demetrius N Harris

John E Brady

Stephen M Leuck

Jeffrey David Messerly

Craig N Faller

Jason R Lesko

Alexander R Cuti

Chad Paul Boudreaux

Kevin Michael Fiebig

Sean P Conlon

Amrita Singh Sawhney

Rafael J Ruiz Ortiz

Frederick E Shelton, IV

William Bruce Weisenburgh, Ii

Ryan M Asher

William Eugene Clem

Brian D Black

William D Dannaher

Mark A Davison

David C Yates

Gregory J Bakos

Shane R Adams

Barry C Worrell

William A Olson

Ion V Nicolaescu

Christopher Q Seow

Cory G Kimball

Aaron C Voegele

Carl J Draginoff, Jr

Catherine A Corbett

Jeffery D Bruns

Nathan T Cummings

Eitan T Wiener

Matthew C Miller

Geoffrey S Strobl

John V Hunt

Gregory A Trees

Benjamin D Dickerson

Zhifan F Huang

Kristen G Denzinger

Chad E Eckert

Guion Y Lucas

Candice Otrembiak

Matthew Thomas Kuhn

Amy M Krumm

Andrew Kolpitcke

Cameron D McLain

Tyler N Brehm

Grace E Waters

Christina M Hough

Andrew S Meyers

Richard W Flaker

Monica L Z Rivard

John Michael Sarley

Fajian Zhang

Geni M Giannotti

Michael A Keenan

Grace E Brooks

Robert S Bishop

Troy Q Le

Alexander S O'Leary

Jeffrey C Souder

Kai Chen

David James Cagle

Matthew S Corbin

Wei Guo

Patrick J Minnelli

Andrew W Carroll

Gregory D Bishop

Frederick L Estera

Matthew D Cowperthwait

John A Weed, Iii

Joseph Daniel Dennis, Jr

Leonardo N Rossoni

Risto Kojcev

Monica L Zeckel

John Swain

Nina Mastroianni

Laura S Downing

Felix J Bork

Lauren M Valente

Madison K Vanosdoll

Bruce Brunson, Jr

Cameron D Mclain

Laura A Schoettmer

Cody R Jackson

Joseph S Salguero

Adam Brown

Joseph H Kemper

Matjaz Jogan

Diana M Castillo Sanchez

Gabriel I Myers

Adam N Brown

Steven M Boronyak

Shaun B Schaeffer

Justin S Cramer

Jr Bruce Brunson

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

Disclosed is a surgical instrument having a housing, an end-effector, and a user interface. The end-effector includes a clamp arm and an ultrasonic blade configured to couple to an ultrasonic transducer and to a pole of an electrical generator. The clamp arm includes a clamp jaw pivotally movable about a pivot point, an electrode defining a surface configured to contact tissue and apply electrical energy to the tissue in contact therewith and configured to couple to an opposite pole of the electrical generator. The user interface includes a first activation button switch to activate a first energy source and a second button switch to select an energy mode for the activation button switch.

User interface for surgical instrument with combination energy modality end-effector

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

An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a clamp arm pad, and a cantilever electrode that is free to deflect. The cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator. Also disclosed are configurations where the clamp arm includes a peripheral cantilever electrode and a clamp arm pad extending beyond the electrode, a floating cantilever electrode and a resilient clamp arm pad, an interlocked cantilever electrode plate and a clamp arm pad configured to receive the plate, a laterally deflectable cantilever electrode and a clamp arm pad extending beyond the electrode, and a flexible cantilever electrode and a clamp arm pad extending beyond the electrode.

Deflectable support of RF energy electrode with respect to opposing ultrasonic blade

An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a first electrode and a second electrode. The first and second electrodes are operable to cooperate to apply bipolar RF energy to tissue.

End effector for instrument with ultrasonic blade and bipolar clamp arm

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 surgical instrument includes an ultrasonic waveguide extending through a body assembly. An ultrasonic blade connects to the ultrasonic waveguide. A clamp arm assembly of the surgical instrument is able to move from an opened position for receiving a tissue toward a closed position for clamping the tissue. The clamp arm assembly includes a clamp body and a clamp pad facing the ultrasonic blade. A clamp arm actuator of the surgical instrument is able to move from a first position toward a second position to direct the clamp arm assembly from the opened position toward the closed position. A modular coupling of the surgical instrument connects to the clamp pad such that at least the clamp pad can be disconnected relative to the ultrasonic blade for replacement thereof.

Surgical instrument with removable end effector components

A surgical instrument includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm movably coupled with the shaft assembly. The shaft assembly extends between the body and the end effector and includes an acoustic waveguide, a rotational driver, and a driver wrench. The rotational driver is configured to be received within the rotational drive channel and rotate the shaft assembly relative to the body. The acoustic waveguide includes a notch and the driver wrench includes a key, wherein the first notch of the acoustic waveguide is configured to receive the key.

Blade grounding mechanisms and alternative pin designs

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

An apparatus includes a body, a shaft assembly, and an end effector. The shaft assembly includes an outer tube, a proximal inner tube member, a distal inner tube member, and an acoustic waveguide. The end effector includes an ultrasonic blade and a clamp arm. A first portion of the clamp arm is pivotably coupled with a distal end of the outer tube. A second portion of the clamp arm is pivotably coupled with a distal end of the distal inner tube member. The outer tube is configured to removably couple with the body and the distal inner tube member is configured to removably couple with the proximal inner tube member such that the outer tube, the distal inner tube member, and the clamp arm are configured to removably couple with the body and the remainder of the shaft assembly and end effector as a unit.

Ultrasonic surgical instrument with removable shaft assembly portion

Growing community of inventors

Liberty Township, OH, United States of America

Ellen E Burkart