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

Kevin Michael Fiebig

Brett E Swensgard

Taylor W Aronhalt

Kevin L Houser

David C Yates

Thomas W Lytle, Iv

Austin E Wise

Thomas E Adams

Douglas E Withers

John V Hunt

Morgan Robert Hunter

Adam David Hensel

Kevin D Sackett

Cory G Kimball

Mark S Zeiner

Chester O Baxter, Iii

Charles J Scheib

Gregory J Bakos

Michael J Vendely

Sudhir B Patel

Jeffrey David Messerly

Michael J Stokes

John A Hibner

Andrew T Beckman

Sean P Conlon

Daniel J Mumaw

Bret William Smith

Geoffrey C Hueil

Nicholas J Ross

John E Brady

Sarah Alexandra Worthington

Michael D Auld

Christopher A Denzinger

Douglas B Hoffman

Zhifan F Huang

David Keith Norvell

Gregory G Scott

Chad E Eckert

Brian D Schings

Bernhard A Fuerst

Matthew S Corbin

Christopher J Schall

Matthew D Cowperthwait

Raymond E Parfett

Patrick L Creamer

Joseph D Paulowski

Curtis A Maples

Michael V Petrocelli

John Scott Kimsey

Scott A Jenkins

Tony C Siebel

Thomas W Clark

Jordan B Wong

Monica L Z Rivard

John T Burke

Ellen E Burkart

Leonardo N Rossoni

Risto Kojcev

Teresa A Petrocelli, Legal Representative

Sol A Posada

Jacqueline C Aronhalt

Bradley A Arnold

Tyler N Brehm

David M Brooks

Gary S Jaworek

Conrad A Garvis

Eric B Lafay

Felix J Bork

Daniel V Boguszewski

William R Stager

Pierre R Mesnil

Timothy E Goode

Ryan J Reese

Brendan J Oberkircher

Nicholas Fanelli

Jason M Rector

Ismail Akram

Ryan P Posey

Darwin L Schultz

Mark E Tebbe

Monica L Rivard

Louis P Mingione

Patrick M Schleitweiler

Madison K Vanosdoll

Julie A Horning

Logan R Rose

Helen S Clubb

Edward G Colby

Emily R Woodhouse

William S Honey

Kharyl Evenson George Stephens

Bryce Hansen

Robbin B Johnson

Marissa T Kamenir

Nicholas Seipelt

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 stapling instrument includes an anvil defining a plurality of staple forming pockets and a stapling head assembly. The stapling head assembly includes a body, a coupling member capable of actuating the anvil relative to the body, a staple deck defining a plurality of staple openings, and a firing assembly capable of driving a plurality of staples against the staple forming pockets of the anvil. The firing assembly includes a proximal driving body and an array of discrete staple driving segments positioned distal to the proximal driving body. The proximal driving body is slidably housed within the body. The staple driving segments each have a free proximal end. The proximal driving body is capable of simultaneously actuating the array of staple driving segments to drive the plurality of staples against the staple forming pockets of the anvil.

Staple driver and guide assembly for circular surgical stapler

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

Growing community of inventors

Lebanon, OH, United States of America

Shane R Adams