Cilag International Gmbh

Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

Tamara S Widenhouse

Frederick E Shelton, IV

Jason L Harris

David C Yates

Chester O Baxter, Iii

Michael J Vendely

Jeffrey L Aldridge

Cortney E Henderson

Jeffrey S Swayze

Charles J Scheib

Jeffrey David Messerly

Eitan T Wiener

Katherine J Schmid

Chad E Eckert

Taylor W Aronhalt

Richard William Timm

Andrew T Beckman

Christopher J Schall

Frederick E Shelton

Thomas W Huitema

Gregory W Johnson

Steven G Hall

David A Witt

Gary W Knight

Mark D Timmer

Xintian Ming

Jerome R Morgan

Kevin L Houser

William Bruce Weisenburgh, Ii

Foster B Stulen

Cory G Kimball

Timothy G Dietz

Craig N Faller

Gregory A Trees

Christopher W Widenhouse

Prasanna Malaviya

Zhifan F Huang

Paul B Guerra

Cameron R Nott

Chunlin Yang

Mary E Mootoo

John F Cummings

Jordan B Wong

Kreena Rajeev Modi

Venkataramanan Mandakolathur Vasudevan

Bradley E White

Fergus P Quigley

Al Mirel

Raymond M Banks

Andrew C Yoo

Matthew M Lang

James Janszen

Mark S Ortiz

Chad Paul Boudreaux

Christopher J Hess

Barry C Worrell

Matthew C Miller

Geoffrey S Strobl

James R Giordano

Daniel J Mumaw

Jacob Spencer Gee

Brian D Black

David Keith Norvell

Donna L Korvick

Joseph E Young

John B Schulte

Patrick A Weizman

Kristen G Denzinger

John E Brady

Sarah Alexandra Worthington

Mark H Ransick

Stephen J Balek

Aaron C Voegele

Stephen M Leuck

Joseph Henry Contiliano

Aron O Zingman

Craig T Davis

Eric M Roberson

Stuart K Morgan

Catherine A Corbett

David Alexander Monroe

Jonathan T Batross

Amrita Singh Sawhney

Patrick Jarvis Scoggins

Madeleine C Jayme

Michael D Cronin

Edward G Chekan

Rebecca J Mollere

John L Stammen

Joseph P Schowalter

Stephanie A Mutchler

John Michael Sarley

Alex W Kiturkes

Terry McFarland

Patrick D Dugan

Emily A Heeb

Susan Arshonsky

Steve G Bernath

Karen N Hagerty

Jason K Rupert

Disclosed is a surgical system, comprising surgical hubs configured to be communicatively coupled to surgical instruments in surgical procedures; and a cloud computing system, comprising an input/output interface configured for accessing data from the surgical hubs. The cloud computing system is configured to aggregate surgical instrument data and patient outcome date from the surgical hubs; determine a correlation between the surgical instrument data and the patient outcome data; access a live surgical procedure data for a live surgical procedure; and determine an irregularity in the live surgical procedure data based on the correlation.

Method of hub communication

A method including detecting a modular surgical device within bounds of a surgical operating room; connecting the modular surgical device to a surgical hub; connecting the surgical hub to a cloud-based system; transmitting surgical data associated with a surgical procedure being performed in the surgical operating room from the modular surgical device to the surgical hub; and transmitting the surgical data from the surgical hub to the cloud-based system.

Method of hub communication, processing, storage and display

A return pad of an electrosurgical system is disclosed. The return pad includes a plurality of conductive members and a plurality of sensing devices. The conductive members are configured to receive radio frequency current applied to a patient. The sensing devices are configured to detect at least one of the following: a nerve control signal applied to the patient; and a movement of an anatomical feature of the patient resulting from application of the nerve control signal.

Capacitive coupled return path pad with separable array elements

In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsorbable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule.

Tissue thickness compensator comprising layers

A surgical image acquisition system includes multiple illumination sources, each source emitting light at a specified wavelength, a light sensor to receive light reflected from a tissue sample illuminated by each of the illumination sources, and a computing system. The computing system may receive data from the light sensor when the tissue sample is illuminated by the illumination sources, and calculate structural data related to one or more characteristics of a structure within the tissue. The structural data may be a surface characteristic such as a surface roughness or a structure composition such as a collagen and elastin composition. The computer system may further transmit the structural data to a smart surgical device. The smart devices may include a smart stapler, a smart RF sealing device, or a smart ultrasonic cutting device. The system may include a controller and computer enabled instructions to accomplish the above.

Characterization of tissue irregularities through the use of mono-chromatic light refractivity

A surgical stapling instrument includes an end effector that has a first jaw; a second jaw movable relative to the first jaw between an open configuration and a closed configuration to grasp tissue between the first jaw and the second jaw; an anvil; and a staple cartridge with staples deployable into the tissue and deformable by the anvil. The surgical stapling instrument further includes a control circuit configured to: determine tissue impedances at predetermined zones; detect an irregularity in tissue distribution within the end effector based on the tissue impedances; and adjust a closure parameter of the end effector in accordance with the irregularity.

Surgical systems for detecting end effector tissue distribution irregularities

Methods and devices are provided for promoting wound healing. In general, surgical staplers and stapler components are provided having a coating thereon that is configured to selectively control an interaction between at least one matrix metalloproteinase (MMP) inhibitor and an outer surface of the stapler or stapler component.

Surgical stapler with end effector coating

A method of compressing tissue during a surgical procedure is disclosed. The method comprises obtaining a surgical instrument comprising an end effector, wherein the end effector comprises a first jaw and a second jaw, establishing a communication pathway between the surgical instrument and a surgical hub, and inserting the surgical instrument into a surgical site. The method further comprises compressing tissue between the first jaw and the second jaw, determining a location of the compressed tissue with respect to at least one of the first jaw and the second jaw, communicating the determined location of the compressed tissue to the surgical hub, and displaying the determined location of the compressed tissue on a visual feedback device.

Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws

A method including detecting a modular surgical device within bounds of a surgical operating room, connecting the modular surgical device to a surgical hub, connecting the surgical hub to a cloud-based system, transmitting surgical data associated with a surgical procedure being performed in the surgical operating room from the modular surgical device to the surgical hub, and transmitting the surgical data from the surgical hub to the cloud-based system.

Various exemplary devices and methods are provided for performing surgical procedures. In general, one or more adjuncts can be used in conjunction with surgical instruments. The adjunct(s) can have medicant(s) thereon and/or therein. The medicant(s) can vary depending on the desired effect of the medicant(s) on surrounding tissue. As a non-limiting example, medicant(s) can be provided to influence hemostasis, inflammation, macrophages, and/or fibroblasts. When used in conjunction with a surgical stapler, the adjunct(s) can be disposed between and/or on jaws of the stapler, incorporated into a staple cartridge disposed in the jaws, or otherwise placed in proximity to the staples. When staples are deployed, the adjunct(s) can remain at the treatment site with the staples.

Medicant eluting adjuncts and methods of using medicant eluting adjuncts

Disclosed is a method including establishing a first communication link between a surgical visualization system outside a sterile field in an operating room and a primary display inside the sterile field, transmitting an image frame from the surgical visualization system to the primary display, establishing a second communication link between a surgical robotic hub in the operating room and the primary display, and transmitting another image frame from the surgical robotic hub to the primary display.

A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described.

Adhesive film laminate

Growing community of inventors

Clarksville, OH, United States of America

Tamara S Widenhouse