Ethicon Endo-surgery, Inc.

Ethicon, Gmbh

Cilag International Gmbh

The General Hospital Corporation

Kevin D Felder

Jason L Harris

Michael J Stokes

Mark S Zeiner

Lawrence Crainich

Justin W Sherrill

Timothy G Dietz

Jeffrey David Messerly

Kevin L Houser

Jeffrey L Aldridge

Craig N Faller

Christopher C Miller

Sora Rhee

Johnny H Alexander, Iii

John F Cummings

Jerome R Morgan

Carl J Shurtleff

John W Willis

Edward G Chekan

Venkataramanan Mandakolathur Vasudevan

William Bruce Weisenburgh, Ii

John V Hunt

Jacob Spencer Gee

Ashvani K Madan

Donna L Korvick

Patrick A Weizman

Brian F Dinardo

Barry Thomas Jamison

Cortney E Henderson

Patrick Jarvis Scoggins

Patrick J Swindon

Joseph P Schowalter

Frederick E Shelton, IV

David C Yates

Chester O Baxter, Iii

Mark S Ortiz

Daniel W Price

Cory G Kimball

Gavin Martin Monson

Michel Bruehwiler

Adam R Dunki-Jacobs

Cole Constantineau

Joseph E Young

David James Cagle

David N Plescia

Aron O Zingman

Jeffrey Thomas Chagnon

John A Weed, Iii

Eric W Thompson

Daniel J Yasevac

Mary Teresa Carter

Chad Paul Boudreaux

James R Giordano

James Walden Voegele

Steven G Hall

Bret William Smith

Rudolph Henry Nobis

David A Witt

William D Dannaher

Jonathan A Coe

Prasanna Malaviya

David Keith Norvell

Tylor C Muhlenkamp

Paul T Franer

Michael D Auld

Amy L Marcotte

Craig T Davis

Robert J Beetel, Iii

Alessandro Pastorelli

Jeffery Kirk

Douglas J Turner

Jeffrey S Swayze

Foster B Stulen

Geoffrey S Strobl

Gregory A Trees

Morgan Robert Hunter

John B Schulte

Mark A Davison

Aaron C Voegele

Joshua D Young

William David Kelly

Thomas Edward Albrecht

Robert J Laird

Michael J Andreyko

Emmanuel V Tanghal

Jonathan T Batross

Michele D'Arcangelo

Kip M Rupp

Scott A Nield

Patrick L Creamer

Lee M Kaplan

David T Krumanaker

Pablo Eduardo Garcia Kilroy

James M McKale

Scott B Killinger

Bernard K Siu

Bingshi Wang

Cara Shapiro

Veaceslav Arabagi

William B Weisenburgh

A surgical instrument is disclosed herein. The surgical instrument can include an end effector that includes jaws configured to transition between an opened condition and a closed condition, a plurality of electrodes positioned within the jaws of the end effector, a control circuit, and a memory configured to store an algorithm configured to cause the control circuit to determine an impedance signal based on signals received from the plurality of electrodes, detect a media positioned between the jaws of the end effector based on the determined impedance signal, determine a position of the detected media based on the received signals, and generate an alert associated with the detected media and the determined position.

Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation

An apparatus comprises a body, a shaft assembly, an end effector, and a shield member. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is movable toward the ultrasonic blade to compress tissue against the ultrasonic blade. The shield member is selectively movable from a first position to a second position in response to movement of the clamp arm toward the ultrasonic blade. The shield member is configured cover at least a first portion of the ultrasonic blade in the first position. The shield member is configured to uncover the first portion of the ultrasonic blade in the second position.

Shielding features for ultrasonic blade of a surgical instrument

Described herein include various embodiments of a tool assembly for performing endoscopic surgery that can be used manually and/or with a robotic surgical system. The tool assembly can include a shaft assembly that extends from a housing of the tool assembly. A distal end of the shaft can include an end effector that includes a clamp arm pivotally coupled to a blade for cutting and/or sealing tissue. Pivoting of the clamp arm between the open and closed configurations can be caused by movement of a yoke that is slidably disposed within the housing of the tool assembly. For example, the yoke can be caused to move by one or more outputs (e.g., a manual output, a rotary output, and/or a linear mechanical output). Furthermore, some tool assembly embodiments can include a biasing system that biases the yoke such that the clamp arm is in the open configuration. In some embodiments, the tool assembly can be configured for tissue spread dissection using the clamp arm and blade.

Ultrasonic robotic tool actuation

A system includes a medical device and a charging device. A sterile barrier may be interposed between the medical device and the charging device. The medical device includes an integral power source and an active element. The charging device is configured to charge the integral power source. The charging device may charge the integral power source through direct contact between features of the charging device and features the medical device. The charging device may alternatively charge the integral power source wirelessly, such as through inductive coupling. The medical device may include conductive prongs that are retained by the charging device. The charging device may physically couple with the medical device via magnets. The medical device and the charging device may be provided together in a sterile package as a kit. The kit may also include a reclamation bag to facilitate reclamation of electrical components.

Sterile medical instrument charging device

Various exemplary systems, devices, and methods for robotic bi-polar instruments are provided. In general, a surgical tool can include an elongate shaft, an end effector, a wrist that couples the end effector to the shaft at a distal end of the shaft, and a tool housing coupled to a proximal end of the shaft that is configured to control the operation various features associated with the end effector and to operatively couple to a robotic surgical system.

Robotic bi-polar instruments

A surgical instrument comprising a waveguide, an end effector, and an electrical switch is disclosed. The waveguide comprises a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm. The ultrasonic blade is mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm comprises a movable jaw member electrically coupled to another output of the RF generator. The electrical switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

Ultrasonic and electrosurgical devices

Methods and compositions are provided for treating metabolic disorders by modulating bile acid levels. Generally, the methods and compositions can modulate bile acid levels, such as serum bile acid levels, to treat a metabolic disorder. In one embodiment, a method of modulating a bile acid level includes measuring a bile acid level and delivering a composition effective to modulate the bile acid level. A method for modulating a bile acid profile includes comparing a bile acid profile to a target profile and delivering a bile acid cocktail to increase bile acid levels. In another embodiment, a pharmaceutical composition for increasing bile acid levels includes a bile acid cocktail effective to increase bile acid levels. The composition is further useful as part of an implantable system.

Methods and compositions of bile acids

Surgical systems and methods are provided for controlling actuation and movement of various surgical devices.

Electrically-powered surgical systems for cutting and welding solid organs

Various exemplary systems, devices, and methods for articulating electrosurgical tools are provided. In general, a surgical tool can be configured to articulate in two planes by selectively pivoting at first and second joints of the surgical tool. The surgical tool can include a plurality of cables configured to facilitate the articulation. Each of the cables can be configured to flex or bend at the first and second joints and can be configured to be selectively actuated to cause the pivoting at the first and second joints. The surgical tool can be configured to releasably couple to a robotic surgical system configured to control a variety of movements and actions associated with the surgical tool, such as the pivoting at the first and second joints.

Articulating electrosurgical tools

Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.

Devices and methods for endoluminal plication

Devices and methods for forming and securing a tissue plication are disclosed herein. In one aspect, a tissue manipulation device is described that includes a first jaw member pivotally coupled to a distal end of an elongate shaft and having an articulating portion located distal to the proximal end of the first jaw member. The device also includes a second jaw member pivotally coupled to the first jaw member such that the jaws move in a first plane, and a fastener delivery member attached to the second jaw member. The articulating portion of the first jaw member is configured to move the first and second jaw members between a straight configuration in which a longitudinal axis of the elongate shaft is contained within the first plane and an articulated configuration in which the longitudinal axis of the elongate shaft is transverse to the first plane.

Methods and devices for creating tissue plications

A surgical stapler has a body, a shaft assembly extending distally from the body, and an end effector coupled with a distal end of the shaft assembly. The end effector has a stapling head assembly, an anvil, and a vacuum port. The vacuum port is operable to draw tissue between the stapling head assembly and the anvil. The anvil is operable to move toward and away from the stapling head assembly to thereby capture the tissue drawn between the stapling head assembly and the anvil. The stapling head assembly comprises a plurality of wheel assemblies and staple cartridges. At least one wheel assembly is operable to rotate to thereby move the anvil toward and away from the body. The remaining wheel assemblies are operable to rotate to thereby drive staples through the captured tissue. The body includes user input features operable to drive the wheel assemblies.

Endoluminal stapler with rotating wheel cam for multi-staple firing

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Cincinnati, OH, United States of America

Kevin D Felder