Ethicon, Gmbh

Cilag International Gmbh

Ethicon Endo-surgery, Inc.

Phillip H Clauda

William Bruce Weisenburgh, Ii

David C Yates

Chad Paul Boudreaux

Jeffrey David Messerly

John A Hibner

Geoffrey S Strobl

Gregory A Trees

Ryan M Asher

Kristen G Denzinger

David James Cagle

Cameron R Nott

Kevin L Houser

Rudolph Henry Nobis

Benjamin D Dickerson

Jason R Lesko

Tylor C Muhlenkamp

Robert J Laird

Eric N Johnson

John F Cummings

Daniel J Ulrich

David M Locke

Frederick E Shelton, IV

Michael J Vendely

Taylor W Aronhalt

Eitan T Wiener

Richard William Timm

Cory G Kimball

Gregory W Johnson

Matthew C Miller

Craig N Faller

Omar J Vakharia

William Eugene Clem

William D Dannaher

Brian D Black

Wells D Haberstich

John B Schulte

Mark A Davison

John E Brady

Aaron C Voegele

Richard C Smith

Craig T Davis

Frederick L Estera

Paul F Riestenberg

Rafael J Ruiz Ortiz

John A Weed, Iii

Patrick Jarvis Scoggins

Joseph Daniel Dennis, Jr

David C Groene

Robert A Kemerling

Monica L Z Rivard

Timothy S Holland

Monica L Zeckel

Kevin Bash

Adam Brown

Amy L Benchek

Eric Stout

Ii William B Weisenburgh

Iii John A Weed

William B Weisenburgh Ii

Kevin A Bash

Kristen B Denzinger

Methods and apparatus for end effector control and calibration are described. The method may include detecting a signal in response to movement of a first tube relative to a second tube, the first tube driving movement of a clamp arm of the end effector. The method may further include determining a clamp arm position of the end effector relative to a ultrasonic blade of the end effector based on the signal. The method may also include adjusting a power output to the ultrasonic blade of the end effector based on the clamp arm position.

End effector control and calibration

A system for use with a surgical instrument includes an end effector, a memory circuit to store computer-executable instructions, and a processor. The end effector comprises a cutting member and a load cell sensor configured to sense a measure of force used to advance the cutting member through captured tissue. The processor is configured to execute the computer-executable instructions to initiate a first treatment cycle, access the measure of force used during the first treatment cycle to advance the cutting member through the captured tissue, determine that the measure of force exceeds a predetermined threshold, and generate an alert to a user of the surgical instrument based on the determination that a value of the measure of force exceeds the predetermined threshold. The predetermined threshold is based on an accumulation of biological material on the cutting member and a normal operational parameter of the first treatment cycle.

Software algorithms for electrosurgical instruments

An ultrasonic surgical instrument and method for identifying tissue state and energizing the surgical instrument includes an end effector having an ultrasonic blade and an RF electrode, a shaft assembly, a body, and a power controller. A first ultrasonic energy input is configured to be actuated from a first unactuated energy input state to a first actuated energy input state. A trigger input is configured to be actuated from an unactuated trigger input state to an actuated trigger input state. The power controller is operatively connected to the ultrasonic blade, the RF electrode, the first ultrasonic energy input, and the trigger input and configured to direct at least one of the ultrasonic blade or the RF electrode to be selectively driven according to a predetermined drive function based on the tissue impedance, the state of the first energy input, and the state of the trigger input.

Combination ultrasonic and electrosurgical instrument with clamp arm position input and method for identifying tissue state

A surgical instrument includes a body, an ultrasonic blade, a clamp arm, and a resilient member. The body includes an electrical conductor and defines a longitudinal axis. The clamp arm is pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The clamp arm includes an electrode operable to apply RF energy to tissue, wherein the clamp arm is configured to be loaded onto and removed from the body at the pivot assembly along a path that is transverse to the longitudinal axis defined by the body. The resilient member is located within the pivot assembly. The resilient member is configured to provide electrical continuity between the electrode of the clamp arm and the electrical conductor of the body.

Surgical instrument with dual mode end effector and side-loaded clamp arm assembly

Various ultrasonic instruments are disclosed. The ultrasonic instruments include structures configured to indicate the cutting length of the instruments, detect when grasped tissue has extended beyond the cutting length of the instrument, and prevent tissue from extending beyond the cutting length. Several techniques for each types of structures are disclosed.

Tissue loading of a surgical instrument

A variety of methods for managing a re-usable ultrasonic medical device may include a medical device control module capable of receiving functional data from a user assembled or reassembled ultrasonic medical device, and notifying the user if a value of the functional data lies within an acceptance range. If the value of the functional data does not lie within the acceptance range, the control module may prompt a user to reassemble the device or to clean or replace one or more components thereof. The functional data may relate to a clamp force of a jaw assembly, an impedance or resonant frequency value of an ultrasonic blade, or a mechanical displacement value of one or more moving components of the device.

Reusable ultrasonic medical devices and methods of their use

Various forms are directed to systems and methods for dissection and coagulation of tissue. A surgical instrument includes an end effector configured to dissect and seal tissue at a distal end thereof, and a generator that is electrically coupled to the surgical instrument and that is configured to deliver energy to the end effector. The surgical instrument includes an end effector configured to interact with a tissue at a distal end thereof, a generator electrically coupled to the surgical instrument and configured to deliver radio frequency (RF) energy and ultrasonic energy to the end effector to allow the end effector to interact with the tissue. The energy delivered to the end effector switches between RF energy and ultrasonic energy based on a determination of various factors such as tissue impedance.

Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters

Methods and devices for controlling motorized surgical devices are provided. In general, the methods and devices can allow a surgical device to grasp and cut tissue. In some embodiments, the device's motor can begin providing power for grasping and/or cutting tissue in response to an output from the device's sensor, the device can adjust power provided by the motor based on whether the device is clamping tissue or is being fired, the device can adjust an amount of power provided by the motor based on an amount of user-applied force to the device's actuator and/or can control drive direction of the motor based on the amount of the force, the device can maintain a force applied to the device, the device can self-shift the motor, and/or the device can adjust an amount of power provided to the device's end effector based on a degree of the end effector's closure.

Methods and devices for controlling motorized surgical devices

An apparatus comprises a body, a shaft assembly, and an end effector. 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, a clamp arm, and a sleeve. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is configured to move toward the ultrasonic blade. The sleeve extends along at least part of the length of an outer portion of the ultrasonic blade or the clamp arm. The sleeve is configured to prevent tissue from contacting a portion of the ultrasonic blade or clamp arm covered by the sleeve.

Sleeve features for ultrasonic blade of a surgical instrument

Surgical devices are provided having end effectors including a jaw closure. The devices herein generally include a handle portion, an elongate shaft, and an effector having first and second jaws configured to engage tissue. In some embodiments, the devices can be configured to allow for the removal of the upper jaw and the cutting blade when the device is not in use. In certain aspects, the jaw and/or cutting blade can be cleaned, sterilized, and reused or completely replaced. In some aspects, the device can then be reassembled including the cleaned or new elements, and reused.

Surgical devices having removable blade and jaws

A retainer for use with a fastener cartridge that is locked to the fastener cartridge until the fastener cartridge is inserted into a fastener cartridge channel of a surgical fastener. The retainer can include one or more deflectable tabs that engage the fastener cartridge. The one or more tabs can be displaced when the fastener cartridge is fully installed in the fastener cartridge channel such that the tabs disengage from the fastener cartridge, enabling a user to remove the retainer. In certain embodiments, tabs can extend from a body of the retainer and can engage exterior portions of a fastener cartridge. The tabs can be displaced outwardly by the fastener cartridge channel. In certain embodiments, tabs can extend from one or more movable portions that engage a slot in the fastener cartridge. The tabs can be displaced inwardly when the movable portions are deflected by the fastener cartridge channel.

Staple cartridge comprising a releasable cover

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Cincinnati, OH, United States of America

Phillip H Clauda