Cilag International Gmbh

Devicor Medical Products, Inc.

Ethicon, Gmbh

Cllag Gmbh International

General Electric Company

Kevin Michael Fiebig

Frederick E Shelton, IV

Shane R Adams

Jason L Harris

Daniel J Mumaw

Andrew Paul Nock

Edward A Rhad

Sarah Alexandra Worthington

Taylor W Aronhalt

Chad E Eckert

Morgan Robert Hunter

Adam David Hensel

Jessica Pyzoha Leimbach

Nicholas J Ross

Matthew D Cowperthwait

Kyle P Moore

Jason R Lesko

Seth Daniel Holdmeyer

Jeffrey David Messerly

John A Hibner

John E Brady

Tylor C Muhlenkamp

Nicholas Fanelli

Nicholas M Morgan

Chad Paul Boudreaux

Emmanuel V Tanghal

Gregory J Bakos

Gregory G Scott

Andrew C Deck

Michael J Vendely

Barry C Worrell

Cory G Kimball

Trevor W V Speeg

Joshua P Morgan

Eric N Johnson

Demetrius N Harris

Ellen E Burkart

Amy M Krumm

Candice Otrembiak

Kathryn M Dodd

David C Yates

Chester O Baxter, Iii

Charles J Scheib

Richard L Leimbach

Stephen M Leuck

Carl J Draginoff, Jr

Alexander R Cuti

Jeffery D Bruns

Patrick L Creamer

Kris Eren Kallenberger

Matthew Thomas Kuhn

Andrew Kolpitcke

Scott B Killinger

Jerome R Morgan

Mark S Zeiner

Anil K Nalagatla

Brett E Swensgard

John V Hunt

Rudolph Henry Nobis

Gregory A Trees

Benjamin D Dickerson

Brian D Black

David Keith Norvell

Kristen G Denzinger

David James Cagle

Aaron C Voegele

Patrick Allen Mescher

Catherine A Corbett

William A Olson

Michael D Cronin

Ion V Nicolaescu

Joseph Daniel Dennis, Jr

Scott A Jenkins

Tyler N Brehm

Shannon L Jones

Cameron D McLain

Robert Householder

Monica L Zeckel

William Bruce Weisenburgh, Ii

Christopher J Hess

Mark D Overmyer

Eitan T Wiener

Geoffrey S Strobl

Gavin Martin Monson

Ryan M Asher

William Eugene Clem

Geoffrey C Hueil

Bernhard A Fuerst

Joshua D Young

David L Hamann

Gregory D Bishop

Frederick L Estera

John Kevin Bruce

Sudhir B Patel

Benjamin M Boyd

Patrick Jarvis Scoggins

John A Weed, Iii

Raymond E Parfett

Christopher Q Seow

Bryan Robert Keller

An apparatus includes a cartridge body, a deck, an elongate slot, a plurality of pockets, and a plurality of engagement protrusions. The plurality of pockets include first and second pockets. The plurality of engagement protrusions extend from the deck and are configured to grip tissue or an adjunct material. The plurality of engagement protrusions include first and second engagement protrusions. The first engagement protrusion is associated with the first pocket. The first engagement protrusion includes a lateral portion extending longitudinally along a lateral side of the first pocket. The first engagement protrusion does not extend along a second lateral side of the first pocket such that the second lateral side opens directly to the deck. The second engagement protrusion is associated with the second pocket. The second engagement protrusion includes a lateral portion extending longitudinally along the second lateral side of the second pocket.

Surgical stapler cartridge having intermediate raised tissue engagement protrusions

An apparatus includes a jaw body, an anvil surface defined by the jaw body, and an elongate slot extending through the anvil surface and along a longitudinal axis of the jaw body. The apparatus further includes a first longitudinal row of staple forming pockets disposed on the anvil surface and configured to form a plurality of first staples such that first legs of each formed first staple are laterally aligned with each other. The apparatus also includes a second longitudinal row of staple forming pockets disposed on the anvil surface laterally outwardly of the first longitudinal row of staple forming pockets relative to the longitudinal axis, and configured to form a plurality of second staples such that second legs of each formed second staple skew laterally away from a second crown of the respective formed second staple.

Surgical stapler anvil having staple forming pockets with laterally varying orientations

A stapling assembly for a surgical instrument includes a body extending along a longitudinal axis and having an upper deck, a plurality of pockets extending through the upper deck for receiving respective staples and arranged in at least two longitudinal rows, a plurality of staple drivers, and a staple driver actuator. The stapling assembly also includes a plurality of pocket extenders extending upwardly from the upper deck. Each pocket extender has a respective top surface. The stapling assembly further includes at least one upwardly-facing surface configured to contact an adhesive of an adjunct for securing the adjunct to the stapling assembly. The at least one upwardly-facing surface is disposed at least partially between at least a portion of the upper deck and the top surfaces of the plurality of pocket extenders, and spans laterally at least partially across at least two longitudinal rows of the plurality of pockets.

Surgical stapler cartridge having raised surface to promote buttress adhesion

A loading unit for use with a surgical stapling instrument is disclosed. The loading unit comprises a shaft and an end effector extending from the shaft. The end effector comprises a first jaw that comprising an anvil, and a second jaw. At least one of the first jaw and the second jaw is movable relative to the other to grasp tissue. The second jaw comprises an elongated channel comprising retaining features, and a staple cartridge insertable into the elongated channel for assembly therewith. The staple cartridge comprises a cartridge pan, and a sled translatable relative to the cartridge pan from a first position toward a second position. The retaining features are configured to resist a movement by the sled beyond the first position up to a predetermined force.

Surgical instruments with interactive features to remedy incidental sled movements

A surgical stapling assembly comprising a first jaw, a second jaw, and a staple cartridge assembly positioned in the first jaw is disclosed. The staple cartridge assembly comprises a plurality of staples, a plurality of staple drivers, and a cartridge body. The cartridge body comprises a deck surface configured to support patient tissue, a longitudinal slot defined in the cartridge body, a plurality of staple cavities, and a longitudinal wall extending vertically below the deck surface. The longitudinal wall comprises a first zone comprising a first wall height and a second zone comprising a second wall height. The staple cartridge assembly further comprises a sled movable longitudinally through the cartridge body, wherein the sled is sized and configured resist deflection of the cartridge body during the firing stroke within the second zone.

Integral cartridge stiffening features to reduce cartridge deflection

An electrosurgical instrument comprising an end effector is disclosed. The end effector comprises a first jaw and a second jaw. The first jaw comprises a first electrode. The end effector is movable from an open configuration to a closed configuration to grasp tissue. The second jaw comprises a second electrode configured to deliver a first monopolar energy to the tissue, a third electrode, and a conductive circuit selectively transitionable between a connected configuration with the third electrode and a disconnected configuration with the third electrode. In the connected configuration, the third electrode is configured to cooperate with the first electrode to deliver bipolar energy to the tissue. The conductive circuit defines a return path for the bipolar energy. In the disconnected configuration, the first electrode is configured to deliver a second monopolar energy to the tissue.

Electrosurgical instrument with electrodes operable in bipolar and monopolar modes

A staple cartridge for use with a surgical stapling instrument is disclosed. The staple cartridge comprises a deck comprising a first staple cavity adjacent a longitudinal slot, a second staple cavity laterally and longitudinally offset relative to the first cavity, and a third staple cavity laterally and longitudinally offset relative to the second cavity. A first projection surrounds the first staple cavity, a second projection surrounds the second staple cavity, and a pair of third projections surrounds first and second portions of the third staple cavity, respectively. The first projection and the second projection are coupled together, and the second projection and one third projection are coupled together. The projections define a localized tissue-facing surface area. A localized valley is defined on the deck between the projections. The area of the localized valley area is greater than the localized tissue-facing area.

Staple cartridges comprising staple retention features

A computing device may be configured to obtain first data associated with a first simulated surgical procedure and second data associated with a second simulated surgical procedure. The first data and the second data may be associated with a surgical task of the surgical procedure. The computing device may be configured to generate aggregation data from the first data and the second data. The computing device may be configured to determine from the aggregation data a first causal relation between a first surgical choice of the first data and a surgical aspect of the first data and a second causal relation between a second surgical choice of the first data and a corresponding surgical aspect of the second data. The computing device may be configured to display the first causal relation with the first data and the second causal relation with the second data.

Simulation-based surgical analysis system

A surgical instrument comprises a shaft and an end effector extending from the shaft, the end effector comprising a staple cartridge comprising: a cartridge deck, a cartridge body, and a cartridge antenna supported by the cartridge body; a longitudinal channel, comprising: a base, a first wall extending from the base, a second wall extending from the base, wherein the second wall is spaced apart from the first wall to accommodate the staple cartridge therebetween in an assembled configuration, and a channel antenna supported by the first wall, wherein the cartridge antenna and the channel antenna are to cooperatively define a wireless signal-transfer circuit in the assembled configuration; and an aligner to interlock the staple cartridge and the longitudinal channel in the assembled configuration, wherein the aligner is adjacent the channel antenna and the staple cartridge antenna to maintain a predefined spatial relation between the channel antenna and the cartridge antenna in the assembled configuration.

Surgical system with wireless array for power and data transfer

A surgical stapler kit includes a surgical stapler having a body, a shaft, and an end effector. The kit includes a first staple cartridge having a first cartridge body and a first sled, and a second staple cartridge having a second cartridge body and a second sled. When the first staple cartridge is at least partially seated within a cartridge jaw with the first sled in a proximal undisplaced position, a knife drives the first sled distally to deploy staples from the first cartridge body. When the second staple cartridge is at least partially seated within the cartridge jaw with the second sled in a proximal undisplaced position, the knife advances distally into a lockout position before causing any staples to be deployed from the second cartridge body.

Incompatible staple cartridge use prevention features for surgical stapler

An apparatus includes a plurality of beads and a linking assembly joining the beads together. The beads include a first bead having a first external contact surface, and a second bead having a second external contact surface. A magnet is contained within the housing. The beads and the linking assembly are arranged in an annular arrangement and sized to form a loop around an anatomical structure in a patient. The loop may move between a contracted and expanded configuration. The loop is magnetically biased toward the contracted configuration by a magnetic bias of the beads. The first external contact surface and the second external contact surface engage each other as the loop transitions into the contracted configuration to drive the first bead and the second bead into a predetermined orientation relative to each other about the linking assembly in the contracted configuration.

Implantable sphincter device with bead orientation control based on bead interactive geometry

An augmented reality display system and method for use during a surgical procedure are disclosed. An imaging device captures a real image of a surgical area during the surgical procedure generates a first data feed. A sensor device generates a second data feed. An augmented reality device including an augmented reality display generates an augmented overlay based on the first and second data feeds. The augmented overlay includes a visual portion and a non-visual visual portion. A processor receives the first and second data feeds and combines the first and second data feeds to generate the augmented overlay.

Mixed reality feedback systems that cooperate to increase efficient perception of complex data feeds

A staple cartridge comprising a cartridge body including a deck and projections extending from the deck is disclosed. When used with a surgical stapling instrument, the deck of the staple cartridge can be compressed against patient tissue before the staples contained in the staple cartridge are ejected. The projections are engaged with the patient tissue and hold the patient tissue in place. The staple cartridge further comprises an electrical trace defined on the deck that extends between at least two of the projections. The electrical trace is part of a sensor system that detects properties of the patient tissue positioned against the projections.

Staple cartridges comprising trace retention features

Systems, methods, and instrumentalities may be described herein associated with data processing associated with multiple system hierarchical levels and compartmentalizing a machine learning algorithm into a plurality of parts. A surgical hub/edge device may obtain surgical data associated with a surgical task and determine sets of parameters associated with various surgical data subblocks. The surgical hub/edge device may determine processing levels to be used for processing each of the surgical data subblocks based on a capability associated with a processing device that is located in a computational hierarchy of the healthcare provider's network. The surgical hub/edge device may send the surgical data subblocks to the respective processing devices based on the parameters associated with the surgical data subblocks and the processing levels. Scaling of a surgical data attribute to be analyzed by a machine learning algorithm may be adjusted based on a resource-time relationship of a surgical hub/edge device.

Surgical data processing associated with multiple system hierarchy levels

A surgical instrument system comprising a motor system and a control circuit is disclosed. The motor system comprises a motor and a drive train movable by the motor to actuate a firing member through a staple firing stroke. The control circuit is coupled to the motor, wherein, during the staple firing stroke, the control circuit is configured to perform a first sensory action to determine if a speed of the motor can be increased to a first target speed, monitor a result of the first sensory action, adjust a parameter of a subsequent sensory action based on the monitored result of the first sensory action, and perform the subsequent sensory action with the adjusted parameter.

Surgical algorithms with incremental sensory actions

Growing community of inventors

Cincinnati, OH, United States of America

Kevin Michael Fiebig