Cilag International Gmbh

Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

The General Hospital Corporation

Megadyne Medical Products, Inc.

Janssen Pharmaceuticals, Inc.

Harvard College

Cilag Gmbh Intemational

Johnson & Johnson Consumer Inc.

Carbon, Inc.

Cllag Gmbh International

Other

University of Cincinnati

Ehticon LLC

The General Hospital Corporation General Hospital

Jason L Harris

Frederick E Shelton, IV

David C Yates

Gregory J Bakos

Michael J Vendely

Chester O Baxter, Iii

Jerome R Morgan

Mark S Zeiner

Jeffrey S Swayze

Charles J Scheib

Shane R Adams

Taylor W Aronhalt

Mark D Overmyer

Jeffrey David Messerly

Chad E Eckert

Kevin L Houser

Michael J Stokes

Emily A Schellin

Tamara S Widenhouse

Christopher J Hess

Kevin Michael Fiebig

Anil K Nalagatla

Daniel J Mumaw

Lawrence Crainich

Trevor J Barton

Sarah Alexandra Worthington

Andrew T Beckman

Adam David Hensel

Rao S Bezwada

Thomas W Huitema

Mark S Ortiz

Jeffrey L Aldridge

Morgan Robert Hunter

Chad Paul Boudreaux

Geoffrey C Hueil

Brett E Swensgard

Kevin D Felder

Zhifan F Huang

Nicholas J Ross

Bret William Smith

Prasanna Malaviya

Foster B Stulen

Gregory W Johnson

Robert L Koch, Jr

Tamara Colette Baynham

James Walden Voegele

Darcy W Greep

Shailendra Kumar Parihar

Geoffrey S Strobl

Steven G Hall

John V Hunt

Christopher C Miller

Lauren S Weaner

Gregory G Scott

Richard William Timm

Adam R Dunki-Jacobs

Mark A Davison

Richard L Leimbach

Cory G Kimball

William Bruce Weisenburgh, Ii

Eitan T Wiener

Timothy G Dietz

David A Witt

Jeffrey Cerier

Kevin Ross Doll

John E Brady

Daniel W Price

Sean P Conlon

David T Martin

Michael S Cropper

Christopher W Widenhouse

Dennis D Jamiolkowski

Galen C Robertson

Omar J Vakharia

Michael E Setser

Peter A Krulevitch

Brian D Black

David B Smith

James T Spivey

Joshua R Uth

David Keith Norvell

Ryan J Laurent

Andrew M Zwolinski

Michael A Murray

Rudolph Henry Nobis

Craig N Faller

Gregory A Trees

Kristen G Denzinger

Patrick A Weizman

William Jason White

Mark H Ransick

Matthew C Miller

James R Giordano

Gavin Martin Monson

Simon Cohn

Douglas B Hoffman

Donna L Korvick

Travis Michael Schuh

David James Cagle

Michael Cardinale

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 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

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 smoke evacuation device that evacuates smoke from a surgical site and filters the smoke from the air. The smoke evacuation device can include a fluid trap for removing moisture from the smoke. The smoke evacuation device can also include a filter with a compression mechanism for compressing a filter medium. The smoke evacuation device can also include features for controlling flow parameters, noise, and vibrations of the device. A remote activation device can also be used to activate the smoke evacuation device upon detection of certain system parameters.

Smoke evacuation device

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 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

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

A surgical instrument including a signal interference detection system.

Surgical instrument comprising a signal interference resolution system

Growing community of inventors

Lebanon, OH, United States of America

Jason L Harris