Cilag International Gmbh

Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

The General Hospital Corporation

Megadyne Medical Products, Inc.

Harvard College

Janssen Pharmaceuticals, Inc.

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

Michael J Vendely

Gregory J Bakos

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

Christopher J Hess

Tamara S Widenhouse

Kevin Michael Fiebig

Daniel J Mumaw

Anil K Nalagatla

Lawrence Crainich

Trevor J Barton

Sarah Alexandra Worthington

Andrew T Beckman

Rao S Bezwada

Thomas W Huitema

Adam David Hensel

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

Shailendra Kumar Parihar

Steven G Hall

Darcy W Greep

Geoffrey S Strobl

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

Brian D Schings

Jeffrey Cerier

Kevin Ross Doll

John E Brady

Daniel W Price

David T Martin

Michael S Cropper

Christopher W Widenhouse

Dennis D Jamiolkowski

Matthew C Miller

James R Giordano

Sean P Conlon

Galen C Robertson

Omar J Vakharia

Michael E Setser

Brian D Black

James T Spivey

David B Smith

David Keith Norvell

Joshua R Uth

Ryan J Laurent

Andrew M Zwolinski

Michael A Murray

Rudolph Henry Nobis

Craig N Faller

Peter A Krulevitch

Gregory A Trees

Patrick A Weizman

Kristen G Denzinger

Mark H Ransick

William Jason White

Gavin Martin Monson

Simon Cohn

Donna L Korvick

Travis Michael Schuh

David James Cagle

Michael Cardinale

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

A method for producing a surgical instrument is disclosed. The method comprises obtaining a handle, wherein the handle comprises a distal end comprising a shaft interface surface and a first set of magnetic elements. The method further comprises obtaining a shaft, wherein the shaft comprises a proximal end comprising a handle interface surface, a second set of magnetic elements, and a third set of magnetic elements. The method further comprises attaching the shaft to the handle, wherein the shaft interface surface is configured to engage the shaft at the handle interface surface, wherein an attractive magnetic force is configured to pull the handle towards the shaft when the first set of magnetic elements interact with the second magnetic elements, and wherein a repulsive magnetic force is configured to repel the handle from the shaft when the first set of magnetic elements interacts with the third set of magnetic elements.

Method for producing a surgical instrument comprising a smart electrical system

Disclosed is a surgical system, comprising surgical hubs configured to be communicatively coupled to surgical instruments in surgical procedures; and a cloud computing system, comprising an input/output interface configured for accessing data from the surgical hubs. The cloud computing system is configured to aggregate surgical instrument data and patient outcome date from the surgical hubs; determine a correlation between the surgical instrument data and the patient outcome data; access a live surgical procedure data for a live surgical procedure; and determine an irregularity in the live surgical procedure data based on the correlation.

Method of hub communication

Systems, devices, and methods for controlling cooperative surgical instruments are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common body cavity of a patient from different approaches to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of surgical tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and operate in concert with one another to effect a desired surgical treatment.

Methods for controlling cooperative surgical instruments

A surgical system includes a control circuit, a surgical instrument, and a user interface is disclosed. The surgical instrument includes a plurality of components and a sensor. Each of the plurality of components of the surgical instrument includes a device parameter and is configured to transmit its respective device parameter to the control circuit. The sensor of the surgical instrument is configured to detect a tissue parameter associated with a proposed function of the surgical instrument, and transmit the detected tissue parameter to the control circuit. The control circuit is configured to analyze the detected tissue parameter in cooperation with each respective device parameter based on a system-defined constraint. The user interface is configured to indicate whether the surgical instrument comprising the plurality of components is appropriate to perform the proposed function.

Safety systems for smart powered surgical stapling

A method for controlling a surgical instrument is disclosed. In at least one instance, the surgical instrument comprises a shroud and the operation of the surgical instrument is modified based on input from a sensing circuit configured to sense a parameter of the shroud. In certain instances, the surgical instrument comprises a strain gage circuit and the operation of the surgical instrument is modified based on input from the strain gage circuit.

Surgical instrument comprising flex circuit

A staple cartridge assembly for use with a surgical stapling instrument includes a staple cartridge including a plurality of staples and a cartridge deck. The staple cartridge assembly also includes a compressible adjunct positionable against the cartridge deck, wherein the staples are deployable into tissue captured against the compressible adjunct, and wherein the compressible adjunct comprises a first biocompatible layer comprising a first portion, a second biocompatible layer comprising a second portion, and crossed spacer fibers extending between the first portion and the second portion.

Compressible adjunct with crossing spacer fibers

A fastener cartridge can comprise fastener cavities arranged in longitudinal rows. A first fastener having a first configuration and a second fastener having a second configuration can be stored within a longitudinal row. First fasteners having a first configuration can be stored within a first longitudinal row and second fasteners having a second configuration can be stored within a second longitudinal row. Each first fastener can have a proximal leg, or leg portion, extending at a first proximal angle and a distal leg, or leg portion, extending at a first distal angle and each second fastener can have a proximal leg, or leg portion, extending at a second proximal angle and a distal leg, or leg portion, extending at a second distal angle. The first proximal angle can be different than the second proximal angle and/or the first distal angle can be different than the second distal angle.

Fastener cartridge and fastener cartridge layer

A surgical instrument includes a wireless transmission system for transmitting at least one of power and a data signal through between an end effector and an instrument housing of the surgical instrument. The surgical instrument includes the sensor monitoring and processing circuit.

Monitoring of multiple sensors over time to detect moving characteristics of tissue

A method of applying a buttress to a surgical stapler end effector comprises positioning a buttress assembly between an anvil and a staple cartridge of the end effector. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material faces either an underside of the anvil or a deck of the staple cartridge. The anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge. The method further comprises moving the anvil toward the staple cartridge then moving the anvil back to the open position. The buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position. The adhesive material comprises a bioabsorbable polymer.

Method of applying a buttress to a surgical stapler

Growing community of inventors

Lebanon, OH, United States of America

Jason L Harris