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

Charles J Scheib

Jeffrey S Swayze

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

Cory G Kimball

Adam R Dunki-Jacobs

Mark A Davison

Richard L Leimbach

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

Joshua R Uth

David B Smith

James T Spivey

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

Mark H Ransick

William Jason White

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 preparing a staple cartridge includes forming first staples with a first alloy, and forming second staples with a second alloy that is different than the first alloy. The method includes positioning the first staples into staple cavities of a first row of staple cavities of the staple cartridge, the first row of staple cavities being a first distance from an elongate slot of the staple cartridge, and positioning the second staples into staple cavities of a second row of staple cavities, the second row of staple cavities being a second distance from the elongate slot of the staple cartridge. The second distance is greater than the first distance. The first staples are configured to degrade at a first rate in a tissue environment, and the second staples are configured to degrade at a second rate that is different than the first rate.

Method for implementing a staple system

A surgical system is for use in a surgical procedure. The surgical system includes a surgical instrument configured to treat tissue in the surgical procedure; an imaging device; a display configured to show a livestream of a surgical field of the surgical procedure, wherein the livestream is captured by the imaging device; and a control module. The control module is configured to detect a surgical risk; assign a display priority to the surgical risk; and determine a display arrangement of the surgical risk based on the display priority, wherein the display arrangement comprises overlaying an alert feature on the livestream.

Risk based prioritization of display aspects in surgical field view

A replaceable staple cartridge is disclosed which is seatable in a jaw of a surgical stapling instrument. If the staple cartridge is not fully seated in the jaw, the closure of the surgical stapling instrument will fully seat the staple cartridge.

Staple cartridge comprising a seating cam

A surgical instrument cartridge is usable with different versions of surgical instruments. The surgical instrument includes a sensor having different output modes and a control circuit coupled to the sensor. The control circuit is configured to determine whether a version of the modular component corresponds to a version of the surgical instrument and cause the sensor to output data detected by the sensor in different output formats that are compatible with the version of the particular surgical instrument in which the cartridge has been inserted.

Variable output cartridge sensor assembly

A surgical instrument is disclosed including an end effector, a firing member movable from an unfired position toward a fired position during a firing stroke, a firing system comprising a motor, and a control system. The end effector comprises a first jaw, a second jaw moveable relative to the first jaw, and a staple cartridge. The firing system is configured to drive the firing member through the firing stroke. The control system is configured to drive the firing member from the unfired position toward the fired position with the firing system, detect a force to fire the firing member toward the fired position, predict a future force to fire the firing member, based on the detected force to fire, and dynamically adjust a firing algorithm of the firing system, based on the prediction.

Utilizing local firing parameters to initiate motor control adjustments in surgical systems

A staple cartridge assembly includes a cartridge body with a deck, a longitudinal slot defined in the deck, and staple cavities defined in the deck. The staple cartridge assembly includes staples removably stored in the staple cavities, wherein the staples are deployable from the staple cavities into tissue of a patient, and wherein the staples comprise substrates comprised of metal that degrades when exposed to a degradation source in the patient. The staple cartridge assembly includes an implantable adjunct, wherein the staples are configured to hold the implantable adjunct to the tissue, and wherein the implantable adjunct is configured to delay an initiation of the degradation of regions of the metal in contact with the implantable adjunct in the patient, and wherein the implantable adjunct is configured to modify a local environment surrounding the staples to control a degradation rate of the staples after the initial delay.

Cartridge assemblies with absorbable metal staples and absorbable implantable adjuncts

Various exemplary devices and methods are provided for performing surgical procedures. In general, one or more adjuncts can be used in conjunction with surgical instruments. The adjunct(s) can have medicant(s) thereon and/or therein. The medicant(s) can vary depending on the desired effect of the medicant(s) on surrounding tissue. As a non-limiting example, medicant(s) can be provided to influence hemostasis, inflammation, macrophages, and/or fibroblasts. When used in conjunction with a surgical stapler, the adjunct(s) can be disposed between and/or on jaws of the stapler, incorporated into a staple cartridge disposed in the jaws, or otherwise placed in proximity to the staples. When staples are deployed, the adjunct(s) can remain at the treatment site with the staples.

Medicant eluting adjuncts and methods of using medicant eluting adjuncts

A method of surgical stapling uses a surgical instrument operable to compress, staple, and cut tissue. The instrument includes a body, a shaft, and an end effector with a pair of jaws. A placement tip extends distally from one of the jaws of the end effector. The placement tip is elastically deformable when the placement tip is subject to a clamping force. In some instances the placement tip includes an arcuate bend, while in other instances the placement tip is straight. The placement tip can have a variety of non-rectangular lateral cross-sectional shapes. In some instances, the placement tip is made of a material of a specified durometer range and having a high color contrast. A distal end of the placement tip may change position based on the state of deflection of the placement tip in response to the clamping force.

Method of surgical stapling with end effector component having a curved tip

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 various surgical sites from different or shared surgical approaches to achieve a common or cooperative surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with, one another to effect a desired surgical treatment.

Methods and systems for controlling cooperative surgical instruments

A surgical instrument comprising an end effector, a closure tube, an articulation joint, an articulation driver, and an articulation lock is disclosed. The articulation driver is to rotate the end effector about the articulation joint and comprises first teeth. The articulation lock comprises a cam surface and second teeth, and the articulation lock is rotatable relative to the articulation driver between a first position, where the second teeth are demeshed from the first teeth and the articulation driver is permitted to rotate the end effector about the articulation joint, and a second position, where the second teeth are meshed with the first teeth and the articulation driver is prevented from rotating the end effector about the articulation joint. The cam is to engage the cam surface of the articulation lock and rotate the articulation lock toward the second position based on the closure tube moving toward a distal position.

Surgical instrument having articulation lock actuated by closure tube displacement

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

Growing community of inventors

Lebanon, OH, United States of America

Jason L Harris