Cilag International Gmbh

Matthew D Cowperthwait

Shane R Adams

Frederick E Shelton, IV

Nicholas J Ross

Kevin Michael Fiebig

Cory G Kimball

Risto Kojcev

Leonardo N Rossoni

Felix J Bork

Taylor W Aronhalt

Monica L Z Rivard

Curtis A Maples

Eric B Lafay

Jason L Harris

Christopher A Denzinger

Jacqueline C Aronhalt

Christopher Q Seow

Joseph D Paulowski

Logan R Rose

Matjaz Jogan

David C Yates

Gregory J Bakos

Adam David Hensel

Zhifan F Huang

John E Brady

Tylor C Muhlenkamp

Matthew S Corbin

Joshua P Morgan

Brendan J Oberkircher

Austin E Wise

Demetrius N Harris

Scott A Jenkins

Ellen E Burkart

Bradley A Arnold

Tyler N Brehm

Monica L Rivard

Ryan W McGhee

Laura S Downing

Madison K Vanosdoll

Grace E Brooks

Daniel V Boguszewski

Sean M Starrett

Shaun B Schaeffer

Marc A Molnar

Monica Lz Rivard

Matthew J Thiel

Melissa Schweizer

Jose Luis De Cordoba Matilla

Monica LZ Rivard

A method of assessing inter-device communication pairing in a surgical setting, may include transmitting, by a first intelligent medical device, wireless communication data within the surgical setting, receiving, by a second intelligent medical device, the wireless communication data from the first intelligent medical device, determining, by the second intelligent medical device, communication pairing data indicative of an inter-device communication pairing of the second intelligent medical device with the first intelligent medical device, transmitting, by the second intelligent medical device, the communication pairing data to a modular control tower, and displaying, by the modular control tower on a display device, an augmented reality display comprising one or more virtual objects indicative of the inter-device communication pairing. An interactive surgical system may include multiple intelligent medical devices and displays which can form communication pairs in this manner.

Indication of the couple pair of remote controls with remote devices functions

A system, method, and device for displaying relevant augmented reality (AR) content to a surgical staff members without over-saturating the augmented display with virtual elements. The surgical staff members (e.g., doctors, nurses, surgeons, technicians, etc.) require AR content that is delicately balanced between displaying helpful information without distracting the surgeon. A surgical hub receives a plurality of inputs related to surgical environment and displays only necessary information to allow the surgeon to provide effective care to the patient, based on a determined trigger event.

Utilizing contextual parameters of one or more surgical devices to predict a frequency interval for displaying surgical information

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 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

A surgical instrument system comprising a drive train and a control circuit is disclosed. The drive train comprises a motor and a shaft actuatable by the motor to actuate a function of an end effector. The control circuit is coupled to the motor, wherein the control circuit is configured to determine a relative excess capacity of the drive train, compare the relative excess capacity to a predetermined shifting threshold, and increase the speed of the motor based on the relative excess capacity exceeding the predetermined shifting threshold.

Surgical system with motor relative capacity interrogations

The present disclosure provides a circular stapler. The circular stapler includes a stapling head assembly. A trocar is positioned at least partially within the stapling head assembly. An anvil is detachably attachable to the trocar. A knob rotatable to cause translation of the trocar to adjust a position of the anvil with respect to the stapling head assembly. One or more sensors are configured to generate data associated with a trocar position or an anvil state. A communication element is configured to provide the generated data to a hub, wherein the hub is configured to provide an indicator associated with the trocar position or the anvil state based on the generated data.

Surgical stapler for sensing and communicating trocar position and anvil state

A method of distributing data among members of a surgical team may include receiving imaging data, by a modular control tower, from a plurality of imaging devices, receiving device-dependent data, by the modular control tower, from each of a plurality of intelligent surgical instruments, associating, by the modular control tower, a display device with a member of the surgical team, defining, by the modular control tower, a functional role for the member of the surgical team, and displaying, by the modular control tower, a augmented reality display by the display device. The augmented reality display on the display device may include virtual objects based on the imaging data, the device-dependent data, the functional role of the member of the surgical team, and a surgical activity by the member of the surgical team. An interactive surgical system may implement this method.

Customization of overlaid data and configuration

The present disclosure provides a circular stapler. The circular stapler includes a stapling head assembly, an anvil detachably attachable to the stapling head assembly, and a handle assembly. The handle assembly includes a handle controller, a connector, and handle transceiver configured to wirelessly transmit a first signal to an external hub. The handle transceiver is separated from the handle controller and is in electrical communication with the handle controller via the connector.

Wireless arrays for surgical staplers

A surgical instrument is disclosed including an end effector configurable between an open state and a clamped state, a firing member movable from an unfired position toward a fired position during a firing stroke, a manually-driveable closure system, a motor-powered firing system, and a control system. The motor-powered firing system is configured to drive the firing member through the firing stroke. The control system is configured to detect, at a first time point, the end effector reaching the clamped state with the manually-driveable closure system, detect, at a second time point, the actuation of the motor-powered firing system, set a firing motion parameter of the motor-powered firing system based on an elapsed time from the first time point to the second time point, and drive the firing member through the firing stroke with the motor-powered firing system using the firing motion parameter.

Adaptive firing control algorithm based on mechanical actuation of user controls

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 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

Apparatuses, systems, and methods for displaying a cooperative overlays based on interacting instruments are disclosed herein. In one aspect, a method for displaying cooperative overlays includes communicatively coupling a first augmented reality display device to a surgical hub; generating, by the first augmented reality display device, a first intraoperative display of a surgical field; displaying, by the first intraoperative display, a first data overlay based on operation of a first surgical instrument; interacting the first surgical instrument with a second surgical instrument; and displaying, by the first intraoperative display, an indicator of the interaction based on the interaction between the first and second surgical instruments.

Cooperative overlays of interacting instruments which result in both overlays being effected

The present disclosure provides a stapling apparatus. The apparatus includes a trocar, a stapling head assembly, and an anvil. The stapling head assembly includes one or more lights positioned on a surface of a tubular casing of the stapling head assembly, the lights extending parallel to a longitudinal axis of the stapling head assembly. The row of lights provide an illumination system to provide indicators of device orientation or location.

Illumination systems for surgical staplers

A powered surgical instrument disclosed. The instrument includes a first circuit portion operable at a first voltage level, a second circuit portion operable at a second voltage level, a voltage source to supply the first voltage level to supply power to electrical components in the first circuit portion; a transistor comprising a control terminal, a first conduction terminal, and a second conduction terminal, and a control circuit coupled to the control terminal of the transistor. The second voltage level is different from the first voltage level. The first conduction terminal is coupled to the voltage source. The control circuit is to set the transistor in a linear mode and control the transistor to set a current for operating the motor.

Motor optimization by minimization of parasitic losses and tuning motor drive configuration

Growing community of inventors

Cincinnati, OH, United States of America

Matthew D Cowperthwait