Cilag International Gmbh

Devicor Medical Products, Inc.

Ethicon, Gmbh

Cllag Gmbh International

General Electric Company

Cilag Gmbh Intenational

Kevin Michael Fiebig

Frederick E Shelton, IV

Shane R Adams

Jason L Harris

Daniel J Mumaw

Andrew Paul Nock

Taylor W Aronhalt

Edward A Rhad

Adam David Hensel

Sarah Alexandra Worthington

Chad E Eckert

Morgan Robert Hunter

Nicholas J Ross

Kyle P Moore

John E Brady

Jeffrey David Messerly

John A Hibner

Gregory J Bakos

Chad Paul Boudreaux

Cory G Kimball

Gregory G Scott

Michael J Vendely

Barry C Worrell

Trevor W V Speeg

David C Yates

Chester O Baxter, Iii

Charles J Scheib

Mark S Zeiner

Richard L Leimbach

Jerome R Morgan

Brett E Swensgard

Anil K Nalagatla

Rudolph Henry Nobis

Gregory A Trees

Benjamin D Dickerson

Brian D Black

David Keith Norvell

Kristen G Denzinger

David James Cagle

William Bruce Weisenburgh, Ii

Christopher J Hess

Mark D Overmyer

Foster B Stulen

Jessica Pyzoha Leimbach

Matthew D Cowperthwait

Nicholas Fanelli

Seth Daniel Holdmeyer

Jason R Lesko

Tylor C Muhlenkamp

Nicholas M Morgan

Emmanuel V Tanghal

Andrew C Deck

Demetrius N Harris

Jeffery D Bruns

Joshua P Morgan

Eric N Johnson

Ellen E Burkart

Amy M Krumm

Candice Otrembiak

Stephen M Leuck

Carl J Draginoff, Jr

Alexander R Cuti

Scott A Jenkins

Patrick L Creamer

Kris Eren Kallenberger

Matthew Thomas Kuhn

Shannon L Jones

Andrew Kolpitcke

Monica L Z Rivard

John V Hunt

Aaron C Voegele

Patrick Allen Mescher

William A Olson

Catherine A Corbett

Ion V Nicolaescu

Michael D Cronin

Joseph Daniel Dennis, Jr

Tyler N Brehm

Kristin L Jambor

Cameron D McLain

Robert Householder

Eitan T Wiener

Geoffrey S Strobl

Gavin Martin Monson

Ryan M Asher

William Eugene Clem

Geoffrey C Hueil

Bernhard A Fuerst

Joshua D Young

Brendan J Oberkircher

David L Hamann

Gregory D Bishop

Frederick L Estera

John Kevin Bruce

Sudhir B Patel

Benjamin M Boyd

John A Weed, Iii

Patrick Jarvis Scoggins

Christopher Q Seow

Raymond E Parfett

A device, such as a computing device or a surgical device, may receive surgical operation data associated with a surgical operation. Based on the surgical operation data, a device may identify a surgical device to be used for a surgical operation and/or one or more surgical steps associated with a surgical operation. Based on the identified surgical device, the one or more surgical steps, and/or the surgical operation data, a device may determine an allowable operation range controlling a surgical device for a surgical procedure. A device may receive an adjustment input configuration to control a surgical device for a surgical step. A device may determine whether the adjustment input configuration is outside of the determined allowable operation range. Based on a determination that the adjustment input configuration is outside of the determined allowable operation range, a device may block the adjustment input configuration to control a surgical device.

Adaptable operation range for a surgical device

A method for treating tissue using a surgical instrument including at least one electrode and a staple cartridge is disclosed. The method includes causing the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment by the surgical instrument, deploying staples from the staple cartridge into the tissue in a second phase of the surgical treatment, monitoring a first tissue property in the first phase of the surgical treatment, switching from the first phase to the second phase if at least one of two conditions is met, setting a parameter of the second phase of the surgical treatment based on at least one measurement of the first tissue property determined in the first phase of the surgical treatment, and monitoring a second tissue property, different from the first tissue property, in the second phase of the surgical treatment.

Method for tissue treatment by surgical instrument

A method of operating a surgical instrument includes clamping tissue with a surgical instrument end effector and actuating the end effector to drive staples into the clamped tissue, including a first longitudinal row having at least one first formed staple with a first formed shape in which the first legs are aligned laterally with each other and with the first crown; a second longitudinal row having at least one second formed staple with a second formed shape in which each second leg is skewed laterally away from the second crown at a first angle; and a third longitudinal row of third formed staples having at least one third formed staple with a third formed shape in which each third leg is skewed laterally away from the third crown at a second angle.

Method of surgical stapling

A surgical system is configured to deploy staples from a staple cartridge reload into tissue. The surgical system includes a first sensor configured to measure a first parameter indicative of a force to form the staples, and a second sensor configured to measure a second parameter indicative of a position of a sled along a staple-forming distance. The system further includes a control circuit communicatively connected to a motor, the first sensor, and the second sensor, wherein the control circuit is configured to: receive a first signal from the first sensor indicative of the first parameter; receive a second signal from the second sensor indicative of the second parameter; and detect staple malformation of the staples based on the first signal and the second signals.

Surgical stapling systems with adaptive staple firing algorithms

A surgical instrument comprising a staple cartridge including a cartridge body, staples removably stored in the cartridge body, and staple drivers movable within the cartridge body to eject, or deploy, the staples from the cartridge body is disclosed herein. The staple drivers and the cartridge body comprise control surfaces that promote the efficient deployment of the staples from the cartridge body.

Control surfaces on a staple driver of a surgical staple cartridge

A surgical stapling instrument includes a shaft assembly, an end effector, and a flexible firing member. The end effector includes a driving assembly translatable distally relative to a first jaw and a second jaw to thereby transition the first and second jaws from an open state to a closed state. The flexible firing member is configured to selectively advance the driving assembly distally and retract the driving assembly proximally. The flexible firing member includes a plurality of segments, at least one axial force transmission feature configured to transmit axial forces between the segments, and at least one lateral alignment feature configured to resist lateral misalignment of the segments.

Deflectable firing member for surgical stapler

Systems, methods, and instrumentalities are disclosed for data storage and data retrieval based on processing, analysis, and/or usage needs. The data storage and data retrieval may include distributed and/or redundant data storage, for example, based on usage location of the data. Data storage and retrieval may be performed based on location and surgical procedure specific data. Data relating to, for example, a particular operating room and/or surgical procedure may be compiled and stored together. The data may be retrieved for future use. A surgical hub may obtain location and surgical procedure specific data for a specific location and surgical procedure. The surgical hub may generate surgical procedure information using the obtained location and surgical procedure specific data, for example, to use for an upcoming surgical procedure. The surgical hub may communicate the surgical procedure information to modules and/or surgical systems, for example, to perform the surgical procedure.

Location and surgical procedure specific data storage and retrieval

A surgical system is disclosed including an imaging device, a display, and a control system operably coupled to the imaging device and the display. The display is configured to show a livestream of a surgical field of a surgical procedure. The livestream is captured by the imaging device. The control system is configured to overlay, on the livestream, a first amount of information associated with the surgical procedure, detect an event configured to cause the first amount of information being overlaid to increase to a second amount of information being overlaid, compare the second amount of information to a distraction threshold, adjust the second amount of information to a third amount of information based on the comparison, and overlay, on the livestream, the third amount of information based on the second amount of information being adjusted. The third amount of information is less than the distraction threshold.

Systems and methods for controlling surgical data overlay

A surgical system for use in a surgical procedure to perform sequential firings of staple cartridges is disclosed. A control circuit is to monitor a parameter indicative of a tissue response associated with a first firing, assess the tissue response based on the parameter, and adjust an operational parameter associated with a second firing based on the tissue response during the first firing.

Learned triggers for adaptive control of surgical stapling systems

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

Growing community of inventors

Cincinnati, OH, United States of America

Kevin Michael Fiebig