Ethicon Endo-Surgery, Inc.

Ethicon, Gmbh

Cilag International Gmbh

Acclarent, Inc.

Devicor Medical Products, Inc.

Orbit Biomedical Limited

Gyroscope Therapeutics Limited

Gregory W Johnson

Frederick E Shelton, IV

Jeffrey S Swayze

Charles J Scheib

Barry C Worrell

Kevin L Houser

Daniel J Mumaw

David T Martin

Foster B Stulen

Richard William Timm

Chester O Baxter, Iii

Jerome R Morgan

Ryan M Asher

Jason L Harris

John A Hibner

Shailendra Kumar Parihar

William Bruce Weisenburgh, Ii

Daniel W Price

Jeffrey L Aldridge

Matthew C Miller

Jacob Spencer Gee

William D Dannaher

Prasanna Malaviya

Wells D Haberstich

William Jason White

Cory G Kimball

Geoffrey S Strobl

Timothy G Dietz

Gregory A Trees

Frederick L Estera

Jeffrey David Messerly

Craig N Faller

Benjamin D Dickerson

Emron Jackson Henry

Mark S Ortiz

Taylor W Aronhalt

Brian D Black

John B Schulte

David James Cagle

Stephen M Leuck

Paul B Guerra

Craig T Davis

Shawn C Snyder

Mary E Mootoo

Clinton W Denlinger

Daniel H Duke

Andrew T Beckman

Sean P Conlon

Omar J Vakharia

Michael S Cropper

David Keith Norvell

Kristen G Denzinger

Christopher J Schall

Carl J Shurtleff

Shan Wan

Michael J Andreyko

Jonathan T Batross

Nicholas G Molitor

Mark J Reese

Kristen T Shoger

Chad Paul Boudreaux

Eitan T Wiener

David A Witt

Galen C Robertson

Kyle P Moore

Katherine J Schmid

Tylor C Muhlenkamp

Richard C Smith

David Alexander Monroe

Joseph E Hollo

Jason R Sullivan

James Walden Voegele

Steven G Hall

Zhifan F Huang

Joseph E Young

Darius D Eghbal

Jason R Lesko

Jeffery Kirk

Amy M Krumm

John R Dugan

Candice Otrembiak

Raymond M Banks

Jose Domingo Vasquez

Hamilton E González

Tamara S Widenhouse

Sora Rhee

Eric M Roberson

Nathan T Cummings

Eric B Smith

Ion V Nicolaescu

Kenneth E Carper

John F Cummings

Daniel L Geiger

Al Mirel

Timothy S Holland

David M Locke

Timothy P Lessek

Geni M Giannotti

Cara Shapiro

Amelia Pierce

An end effector of an instrument is positioned in a patient. An ultrasonic blade of the end effector is positioned against tissue in the patient. The ultrasonic blade is activated to vibrate ultrasonically while the ultrasonic blade is positioned against tissue. At least one electrode of the end effector is positioned against tissue in the patient. The at least one electrode is activated to apply RF electrosurgical energy to tissue against which the at least one electrode is positioned against tissue.

Method of treating tissue using end effector with ultrasonic and electrosurgical features

A surgical apparatus includes a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide includes a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section includes a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector includes an ultrasonic blade in acoustic communication with the waveguide. The rigidizing member is configured to selectively engage at least a portion of the articulation section to thereby selectively provide rigidity to the articulation section.

Ultrasonic surgical instrument with movable rigidizing member

A surgical instrument includes a shaft assembly and an articulation control assembly. The shaft assembly includes an articulation section that is configured to deflect a distal end portion from the longitudinal axis. The articulation control assembly includes an articulation control member and a transmission assembly. The articulation control member is rotatably mounted relative to the shaft assembly. The transmission assembly is operatively connected between the articulation control member and the articulation section of the shaft assembly. The transmission assembly is configured to transmit selective manipulation of the articulation control member to the articulation section and selectively actuate the articulation section. The articulation control assembly is configured to lock without selective manipulation of the articulation control member to thereby inhibit actuation of the articulation section and unlock with selective manipulation of the articulation control member to thereby actuate the articulation section.

Surgical instrument with locking articulation drive wheel

Various embodiments of surgical robot control systems are disclosed. In one example embodiment, the surgical robot control system comprises a housing. A controller is located within the housing and is coupled to a socket. The socket receives a handheld surgical user interface therein to control a surgical instrument. The surgical instrument is connected to the surgical robot and comprises an end effector and a mechanical interface to manipulate the end effector. The mechanical interface is coupled to the controller. At least one sensor is coupled to the controller and the socket to convert movement of the handheld surgical user interface into electrical signals corresponding to the movement of the surgical instrument. At least one feedback device is coupled to the controller to provide feedback to a user. The feedback is associated with a predetermined function of the surgical instrument.

Haptic feedback devices for surgical robot

A system configured to control operation of an ultrasonic surgical instrument is disclosed. The system comprises a generator configured to generate a signal, and a computer communicably coupled to the generator. The computer is configured to receive a first set of variables corresponding to a first signal at a first power level of the instrument, evaluate the first set of variables with a model to generate a first output, wherein the first output comprises a value between the first set of variables and a condition set, and wherein the condition set comprises a plurality of conditions that correspond to a plurality of responses, determine the first output meets a first threshold value for a first condition; determine a first response corresponding to the first condition, wherein the first response is a second power level for the instrument, and transmit the second power level to the generator for a second signal.

Switch arrangements for ultrasonic surgical instruments

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

Surgical instrument with multi-function button

An ultrasonic instrument includes a housing, an ultrasonic transducer support by the housing, and an integrated usage indicator. The housing is configured to removably connect to a shaft assembly. The ultrasonic transducer is configured to be acoustically connected to a waveguide and operated a predetermined number of use cycles. The integrated usage indicator is operatively connected to the housing and includes a used state indicator. The used state indicator is configured to indicate to a clinician in a used state when the ultrasonic transducer has been operated at least the predetermined number of use cycles for limiting usage of the ultrasonic transducer to the predetermined number of use cycles.

Surgical instrument use indicator

A tissue thickness compensator comprising a first compensation layer, a second compensation layer, and a pocket situated between the compensation layers can be positioned in the end effector of a surgical instrument. A fastener cartridge positioned in the end effector can comprise a fastener moveable between an initial position and a fired position. When the fastener is moved from the initial position to the fired position, the fastener can move through the pocket and can compress a portion of the tissue thickness compensator. A support can be positioned between the first and second compensation layers. When the fastener compresses the tissue thickness compensator, at least one of the support, first compensation layer and second compensation layer can be deformed. The tissue thickness compensator can also comprise a tab and/or a limiting plate to control deformation of the compensation layers and/or the support.

Tissue thickness compensator comprising a plurality of layers

Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.

Surgical access devices and methods providing seal movement in predefined movement regions

Methods and devices for using surgical devices with articulating end effectors are provided. Surgical devices with articulating end effectors can provide rotary driven pivoting of the end effector. In some embodiments, the device can include a handle, a first and a second tube extending from the handle, the second tube disposed within the first tube, and an end effector that includes a pair of distal jaws configured to move in response to rotation of the first tube about a longitudinal axis thereof and rotation of the second tube about a longitudinal axis thereof. The jaws can move in two different ways depending on whether the first and second tubes are rotating in a same direction as one another or in different ways than each other. The jaws can open/close and articulate using the same mechanical mechanism. The device can be powered, or the device can be non-powered.

Surgical devices with articulating end effectors and methods of using surgical devices with articulating end effectors

A surgical instrument includes a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is located at a distal end portion of the shaft assembly. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is removably coupled with the shaft assembly in a connected state and separated from the shaft assembly in a disconnected state. The body includes a drive feature configured to drive operation of the active feature of the effector. The drive feature includes at least one of an ultrasonic drive feature or a mechanical drive feature. A proximal end portion of the shaft assembly is configured to be removed from the body to separate the at least one activation feature from the drive feature.

Surgical instrument with separable shaft assembly and body

A robotic surgical system for treating a patient is disclosed including a surgical tool movable relative to the patient and a user input device including a base and a space joint including a central portion movable relative to the base to effect a motion. The robotic surgical system further includes a control circuit configured to receive a user selection signal indicative of a selection between a first motion scaling profile of the motion of the surgical tool and a second motion scaling profile of the motion of the surgical tool, receive a motion control signal from the user input device indicative of a user input force, and cause the surgical tool to be moved in response to the motion control signal in accordance with the first motion scaling profile or the second motion scaling profile based on the user selection signal. The first motion scaling profile is different than the second motion scaling profile.

Selectable variable response of shaft motion of surgical robotic systems

A robotic surgical system for treating a patient is disclosed including a surgical tool movable relative to the patient and a user input device configured to remotely control the surgical tool. The surgical tool includes a shaft and an end effector. The user input device includes a base and a controller movable to effect a first control motion a second control motion. The controller includes a first accessibility mode and a second accessibility mode. The robotic surgical system further includes a control circuit configured to receive a motion control signal from the user input device, determine a controller accessibility mode, permit the first control motion in response to the motion control signal in the first accessibility mode and in the second accessibility mode and permit the second control motion in response to the motion control signal in the second accessibility mode but not the first accessibility mode.

Segmented control inputs for surgical robotic systems

Growing community of inventors

Milford, OH, United States of America

Gregory W Johnson