Cilag International Gmbh

Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

Megadyne Medical Products, Inc.

Janssen Pharmaceuticals, Inc.

Cllag Gmbh International

Cilag Gmbh Intemational

Other

Ehticon LLC

Devicor Medical Products, Inc.

Thicon Endo-surgery, Inc.

Frederick E Shelton, IV

Jason L Harris

Jerome R Morgan

David C Yates

Chester O Baxter, Iii

Jeffrey S Swayze

Michael J Vendely

Charles J Scheib

Gregory J Bakos

Taylor W Aronhalt

Shane R Adams

William Bruce Weisenburgh, Ii

Kevin L Houser

Kevin Michael Fiebig

Christopher J Hess

Mark D Overmyer

Mark S Ortiz

Jeffrey David Messerly

Emily A Schellin

Mark S Zeiner

Eugene L Timperman

Brett E Swensgard

Bret William Smith

Steven G Hall

Richard William Timm

Katherine J Schmid

Daniel J Mumaw

Thomas W Huitema

Michael E Setser

James R Giordano

Richard L Leimbach

Anil K Nalagatla

Tamara S Widenhouse

Adam David Hensel

Chad Paul Boudreaux

Christopher W Widenhouse

Geoffrey C Hueil

Kevin Ross Doll

Michael J Stokes

Kyle P Moore

Christopher C Miller

Shailendra Kumar Parihar

Lauren S Weaner

Douglas B Hoffman

Nicholas J Ross

Andrew T Beckman

James Walden Voegele

Morgan Robert Hunter

Joseph E Young

Gregory W Johnson

Donna L Korvick

Michael S Cropper

Joshua R Uth

Rao S Bezwada

Barry C Worrell

Ryan J Laurent

Andrew M Zwolinski

Richard F Schwemberger

Jeffrey L Aldridge

Galen C Robertson

Geoffrey S Strobl

Gary W Knight

John V Hunt

Robert L Koch, Jr

Adam R Dunki-Jacobs

David T Martin

Gregory G Scott

Craig N Faller

Zhifan F Huang

David A Witt

Cory G Kimball

Foster B Stulen

Wells D Haberstich

Matthew C Miller

Prasanna Malaviya

Gregory A Trees

Omar J Vakharia

David Keith Norvell

Eitan T Wiener

James T Spivey

Timothy G Dietz

Mark A Davison

Daniel W Price

Sean P Conlon

Brian D Black

William D Fox

Gavin Martin Monson

Jacob Spencer Gee

Bennie Thompson

John B Schulte

Dennis D Jamiolkowski

Lawrence Crainich

William D Dannaher

Ashvani K Madan

John A Hibner

David B Smith

Peter A Krulevitch

Ryan M Asher

Rudolph Henry Nobis

Simon Cohn

A surgical stapling assembly comprising a staple driver assembly is disclosed. The staple driver assembly comprises a first staple support driver supporting a first staple, a second staple support driver supporting a second staple, a first driver portion supporting the first staple support driver, and a second driver portion supporting the second staple support driver. The first staple support driver is movable within a first staple cavity. The second staple support driver is movable within a second staple cavity. The staple driver assembly further comprises a main driver to concurrently drive the first driver portion and the second driver portion during a firing stroke, wherein the first driver portion is configured to drive the first staple a first distance, wherein the second driver portion is configured to drive the second staple a second distance, and wherein the first distance is different from the second distance.

Surgical stapling instrument

A staple cartridge assembly for use with a surgical stapler and surgical stapling systems are disclosed. The staple cartridge comprises a cartridge body comprising a proximal end. A plurality of staples. A plurality of electrical contacts positioned at the proximal end of the cartridge body and electrically coupleable to the electrical connector upon the installation of the replaceable staple cartridge assembly in the end effector along a distal-to-proximal installation motion and electrically decoupleable from the electrical connector upon removal of the replaceable staple cartridge assembly from the end effector along a proximal-to-distal removal motion.

Staple cartridge electrical contacts

An apparatus includes a jaw body, an anvil surface defined by the jaw body, and an elongate slot extending through the anvil surface and along a longitudinal axis of the jaw body. The apparatus further includes a first longitudinal row of staple forming pockets disposed on the anvil surface and configured to form a plurality of first staples such that first legs of each formed first staple are laterally aligned with each other. The apparatus also includes a second longitudinal row of staple forming pockets disposed on the anvil surface laterally outwardly of the first longitudinal row of staple forming pockets relative to the longitudinal axis, and configured to form a plurality of second staples such that second legs of each formed second staple skew laterally away from a second crown of the respective formed second staple.

Surgical stapler anvil having staple forming pockets with laterally varying orientations

A surgical instrument system comprising a drive train and a control circuit is disclosed. The drive train comprises a motor and a shaft actuatable by the motor to actuate a function of an end effector. The control circuit is coupled to the motor, wherein the control circuit is configured to determine a relative excess capacity of the drive train, compare the relative excess capacity to a predetermined shifting threshold, and increase the speed of the motor based on the relative excess capacity exceeding the predetermined shifting threshold.

Surgical system with motor relative capacity interrogations

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

A surgical instrument. The surgical instrument has a force delivery system which communicates a changing force to a user of the surgical instrument when a limit of a surgical function is reached. A sensor senses position of a moving element to communicate a signal to the force delivery system. In various embodiments, the system generates a vibratory force to signal the user.

Surgical instrument having force feedback capabilities

A surgical instrument is disclosed including a motor-powered firing system comprising a firing motor, a motor-powered closure system comprising a closure motor, and a control system. The firing motor is configured to drive a firing member between an unfired position and a fired position. The closure motor is configured to transition an end effector between an open state and a clamped state. The control system is configured to set a first parameter of the motor-powered closure system, based on a received first input, drive the end effector toward the clamped state with the motor-powered closure system using the first parameter, monitor a second parameter associated with the end effector transitioning toward the clamped state, set a third parameter of the motor-powered firing system, based on a received second input and the monitored second parameter, and drive the firing member toward the fired position using the third parameter.

Adaptation of independent firing and closure powered stapling systems

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

Disclosed is a method of adapting energy modality due to a short circuit or tissue type grasped in the jaws of an end effector of a surgical instrument and a system with a control circuit configured to execute the method. The method includes determining a first and second electrode of an array of segmented electrodes are shorted to each other, blending monopolar and bipolar RF energy to the array of segmented electrodes, and determining that the first and second electrodes remain shorted after the blending step. Additionally, or alternatively, the method may include determining that the first and second electrodes are no longer shorted after the blending step, sensing an electrical parameter of tissue grasped within jaws of the end effector, and determining an energy sealing and cutting procedure based on the sensed electrical parameter of the tissue.

Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity

A surgical instrument includes a handle assembly, an elongate shaft, an end effector, and control system having a processor and a memory. The handle assembly is movable between a plurality of positions and includes an interface. The control system can cause the processor to toggle between a plurality of interface configurations each associated with one of the positions of the handle assembly. Additionally, or alternatively, the control system can toggle the interface between a primary interface configuration with operational controls and a secondary interface configuration with navigation controls. Additionally, or alternatively, the interface can include a touchscreen configured to provide a firing input signal to the processor. Additionally, or alternatively, a surgical assembly can include the surgical instrument and a remote operating unit with a secondary interface configured to control the end effector.

Surgical instrument with multiple interface configurations

A stapling assembly for a surgical instrument includes a body extending along a longitudinal axis and having an upper deck, a plurality of pockets extending through the upper deck for receiving respective staples and arranged in at least two longitudinal rows, a plurality of staple drivers, and a staple driver actuator. The stapling assembly also includes a plurality of pocket extenders extending upwardly from the upper deck. Each pocket extender has a respective top surface. The stapling assembly further includes at least one upwardly-facing surface configured to contact an adhesive of an adjunct for securing the adjunct to the stapling assembly. The at least one upwardly-facing surface is disposed at least partially between at least a portion of the upper deck and the top surfaces of the plurality of pocket extenders, and spans laterally at least partially across at least two longitudinal rows of the plurality of pockets.

Surgical stapler cartridge having raised surface to promote buttress adhesion

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 system and method for evaluating an operational capacity of a powered surgical system is disclosed. A sensor is configured to monitor an operational condition of the powered surgical system. A control circuit is configured to receive the operational condition of the powered surgical system from the sensor, store the received operational condition of the powered surgical system in the memory, evaluate the operational capacity of the powered surgical system based on the stored operational condition of the powered surgical system, and disable the powered surgical system in response to the evaluation of the operational capacity of the powered surgical system.

Evaluating operational capacity of a power surgical system

A method for creating a flexible fastener line is disclosed. The fastener line comprises fasteners oriented in directions which are transverse or oblique to a tissue incision created by a cutting member. The fasteners can translate and/or rotate within the tissue when the tissue is stretched thereby creating flexibility within the tissue.

Method for creating a flexible staple line

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

Growing community of inventors

Hillsboro, OH, United States of America

Frederick E Shelton, IV