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

Gregory J Bakos

Charles J Scheib

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

Tamara S Widenhouse

Richard L Leimbach

Anil K Nalagatla

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

Douglas B Hoffman

Lauren S Weaner

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

Richard F Schwemberger

Jeffrey L Aldridge

Geoffrey S Strobl

Galen C Robertson

Gary W Knight

John V Hunt

Robert L Koch, Jr

Adam R Dunki-Jacobs

Gregory G Scott

David T Martin

Craig N Faller

Zhifan F Huang

Cory G Kimball

David A Witt

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

Kristen G Denzinger

William D Fox

Gavin Martin Monson

Jacob Spencer Gee

John B Schulte

Bennie Thompson

Dennis D Jamiolkowski

Lawrence Crainich

William D Dannaher

Ashvani K Madan

John A Hibner

Peter A Krulevitch

David B Smith

Ryan M Asher

Rudolph Henry Nobis

Simon Cohn

William Eugene Clem

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 computing system may predict a complication based on measurements of related biomarker(s) obtained via one or more sensing systems, and generate an adjustment of a surgical parameter associated with a surgery. The biomarker measurements may include pre-surgical and/or in-surgical measurements. The hemostasis-related biomarker(s) measured pre-surgery may include blood pressure, blood pH, edema, heart rate, blood perfusion rate, coagulation status and/or the like. Based on the prediction, the computing system may generate a control signal configured to alter a matter in which a surgical cutting and stapling device and/or a surgical energy operate, to adjust a surgical procedure plan, to adjust to a surgical instrument selection, indicate a probability of the hemostasis complication, and/or to indicate a suggested adjustment to surgical procedure plan, surgical approach, and/or surgical instrument selection.

Prediction of hemostasis issues based on biomarker monitoring

A surgical instrument. The surgical instrument includes an elongated channel configured to support a staple cartridge, an anvil pivotably connected to the elongated channel, a knife mechanically coupled to the staple cartridge, an electric motor and a control circuit electrically connected to the electric motor. The control circuit is configured to change a firing motion a first way based on a first value of a projected peak firing force and a second way based on a second value of the projected peak firing force value.

Surgical instrument with multiple program responses during a firing motion

A surgical system is disclosed including an imaging device, a display, and a control system operably coupled to the imaging device and the display. The display is configured to show a livestream of a surgical field of a surgical procedure. The livestream is captured by the imaging device. The control system is configured to overlay, on the livestream, a first amount of information associated with the surgical procedure, detect an event configured to cause the first amount of information being overlaid to increase to a second amount of information being overlaid, compare the second amount of information to a distraction threshold, adjust the second amount of information to a third amount of information based on the comparison, and overlay, on the livestream, the third amount of information based on the second amount of information being adjusted. The third amount of information is less than the distraction threshold.

Systems and methods for controlling surgical data overlay

A surgical system for use in a surgical procedure to perform sequential firings of staple cartridges is disclosed. A control circuit is to monitor a parameter indicative of a tissue response associated with a first firing, assess the tissue response based on the parameter, and adjust an operational parameter associated with a second firing based on the tissue response during the first firing.

Learned triggers for adaptive control of surgical stapling systems

The present invention is directed to a surgical instrument with a robotics system, a memory device and an end effector having an elongate channel, knife position sensor(s) and a firing bar coupled to a knife. In response to drive motions initiated by the robotics system, the firing bar may translate within the elongate channel. As the firing bar translates, the sensor(s) transmit a signal to the memory device. The position of the knife may be determined from the output signals and may be communicated to the robotics system or instrument user. The sensors may be Hall Effect sensors.

Robotically-controlled end effector

A staple cartridge system is disclosed which can be interchangeably used with a staple cartridge comprising wire staples and a staple cartridge comprising stamped staples.

Stapling system for use with wire staples and stamped staples

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

In general, interconnection of drug administration systems is provided. In an exemplary embodiment, a drug administration device and a remotely located server can establish a unique key for wireless communication between the device and the server. The drug administration device can be configured to sense information relating to at least one of the device and a drug and can be configured to anonymize data indicative of the sensed information using the key stored in memory of the device. The drug administration device can also be configured to use the key in decrypting data received from the server.

Interconnection of drug administration systems

An apparatus includes a cartridge body, a deck, an elongate slot, a plurality of pockets, and a plurality of engagement protrusions. The plurality of pockets include first and second pockets. The plurality of engagement protrusions extend from the deck and are configured to grip tissue or an adjunct material. The plurality of engagement protrusions include first and second engagement protrusions. The first engagement protrusion is associated with the first pocket. The first engagement protrusion includes a lateral portion extending longitudinally along a lateral side of the first pocket. The first engagement protrusion does not extend along a second lateral side of the first pocket such that the second lateral side opens directly to the deck. The second engagement protrusion is associated with the second pocket. The second engagement protrusion includes a lateral portion extending longitudinally along the second lateral side of the second pocket.

Surgical stapler cartridge having intermediate raised tissue engagement protrusions

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 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

Growing community of inventors

Hillsboro, OH, United States of America

Frederick E Shelton, IV