Cilag International Gmbh

Ethicon, Gmbh

Senco Products, Inc.

Senco Brands, Inc.

Ethicon Endo-surgery, Inc.

Cllag Gmbh International

Devicor Medical Products, Inc.

Shane R Adams

Frederick E Shelton, IV

Jason L Harris

Richard L Leimbach

Mark D Overmyer

Nicholas J Ross

Brett E Swensgard

Kevin Michael Fiebig

Kevin L Houser

Taylor W Aronhalt

David C Yates

Thomas W Lytle, Iv

Matthew D Cowperthwait

Raymond E Parfett

Patrick L Creamer

Thomas E Adams

Douglas E Withers

Gregory J Bakos

Austin E Wise

Tony C Siebel

Michael J Vendely

John V Hunt

Morgan Robert Hunter

Adam David Hensel

Kevin D Sackett

Conrad A Garvis

Curtis A Maples

Joseph D Paulowski

Brian D Schings

Sudhir B Patel

Michael V Petrocelli

Thomas W Clark

Eric B Lafay

Mark S Zeiner

Cory G Kimball

Jordan B Wong

Teresa A Petrocelli, Legal Representative

Daniel V Boguszewski

Jeffrey David Messerly

Michael J Stokes

Sarah Alexandra Worthington

John E Brady

Michael D Auld

Christopher A Denzinger

John Scott Kimsey

John T Burke

Sol A Posada

William R Stager

Monica L Z Rivard

Pierre R Mesnil

Jacqueline C Aronhalt

Timothy E Goode

Leonardo N Rossoni

Risto Kojcev

Felix J Bork

Chester O Baxter, Iii

John A Hibner

Andrew T Beckman

Sean P Conlon

Douglas B Hoffman

Zhifan F Huang

Bernhard A Fuerst

Matthew S Corbin

Nicholas Fanelli

Jason M Rector

Ismail Akram

Bradley A Arnold

Ryan P Posey

Mark E Tebbe

Darwin L Schultz

Monica L Rivard

Patrick M Schleitweiler

Ryan J Reese

Julie A Horning

Logan R Rose

Kharyl Evenson George Stephens

William S Honey

Emily R Woodhouse

Edward G Colby

Helen S Clubb

Bryce Hansen

Sol E Posada

Vijay K Sakhare

Kevin M Fiebig

Karen M Averbeck

Mallory E Schroeder

Sudha Vijaykumar

Johnnie Bell

Louis P Mingione

Justin M Kovach

Marc A Molnar

Jose Luis De Cordoba Matilla

Matjaž Jogan

Aaron Chow

Carolyn Williams

Dhruv Patel

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

An end effector of a surgical instrument may be equipped with a staple cartridge selection system, including a load sensing cartridge insertable into a channel of a cartridge jaw of an end effector for assembly therewith, the load sensing cartridge including: a body having a proximal end portion and a distal end portion; an elongated channel within the body between the proximal end portion and the distal end portion; a load sensor disposed within the elongated channel of the load sensing cartridge, the load sensor configured to sense a parameter indicative of a tissue thickness when tissue is clamped between an anvil jaw and the cartridge jaw in the clamped configuration; and a visual indicator configured to display a visual indication based on the parameter sensed by the load sensor.

Dummy cartridge with load cells for measuring tissue thickness and indicating cartridge selection

A surgical instrument is disclosed including a motor-powered firing system comprising a firing motor, a motor-powered closure system comprising a closure motor, and a control system. The firing motor is configured to drive a firing member between an unfired position and a fired position. The closure motor is configured to transition an end effector between an open state and a clamped state. The control system is configured to set a first parameter of the motor-powered closure system, based on a received first input, drive the end effector toward the clamped state with the motor-powered closure system using the first parameter, monitor a second parameter associated with the end effector transitioning toward the clamped state, set a third parameter of the motor-powered firing system, based on a received second input and the monitored second parameter, and drive the firing member toward the fired position using the third parameter.

Adaptation of independent firing and closure powered stapling systems

Disclosed is a method of adapting energy modality due to a short circuit or tissue type grasped in the jaws of an end effector of a surgical instrument and a system with a control circuit configured to execute the method. The method includes determining a first and second electrode of an array of segmented electrodes are shorted to each other, blending monopolar and bipolar RF energy to the array of segmented electrodes, and determining that the first and second electrodes remain shorted after the blending step. Additionally, or alternatively, the method may include determining that the first and second electrodes are no longer shorted after the blending step, sensing an electrical parameter of tissue grasped within jaws of the end effector, and determining an energy sealing and cutting procedure based on the sensed electrical parameter of the tissue.

Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity

A surgical instrument includes a handle assembly, an elongate shaft, an end effector, and control system having a processor and a memory. The handle assembly is movable between a plurality of positions and includes an interface. The control system can cause the processor to toggle between a plurality of interface configurations each associated with one of the positions of the handle assembly. Additionally, or alternatively, the control system can toggle the interface between a primary interface configuration with operational controls and a secondary interface configuration with navigation controls. Additionally, or alternatively, the interface can include a touchscreen configured to provide a firing input signal to the processor. Additionally, or alternatively, a surgical assembly can include the surgical instrument and a remote operating unit with a secondary interface configured to control the end effector.

Surgical instrument with multiple interface configurations

A surgical instrument system comprising a motor system and a control circuit is disclosed. The motor system comprises a motor and a drive train coupleable to the motor and configured 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 monitor current draw of the motor and initiate an oscillating impact signal sequence to the motor based on the monitored current draw of the motor. The oscillating impact signal comprises a pulse amplitude selected based on the monitored current draw and a pulse width based on the monitored current draw.

Surgical system with amplitude and pulse width modulation adjustments

A staple cartridge comprising a power management circuit is disclosed.

Staple cartridge comprising a power management circuit

A staple cartridge comprising a cartridge body including staple formation features is disclosed.

Staple cartridge comprising formation support features

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

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 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 method for sensing tissue data and managing processing power is disclosed.

Method of powering and communicating with a staple cartridge

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

A surgical stapling system is disclosed. The stapling system comprises a motor, a drive assembly comprising a drive train coupled to the motor to actuate a function of a surgical end effector, wherein the drive train is actuatable by the motor through a drive stroke, and a control circuit coupled to the drive assembly. The control circuit is configured to monitor a first parameter of the drive assembly during the drive stroke, determine a stored kinetic energy of the drive assembly based on the first parameter, monitor a second parameter of the drive assembly during the drive stroke, wherein the first parameter and the second parameter are different, compare the monitored second parameter to a parameter threshold indicative of a motor stall condition, and determine a motor setting of the motor based on the determined stored kinetic energy and the comparison of the monitored second parameter to the parameter threshold.

Control circuit for actuating motorized function of surgical stapling instrument utilizing inertial drive train properties

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

Growing community of inventors

Lebanon, OH, United States of America

Shane R Adams