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

Chad E Eckert

Cortney E Henderson

Jeffrey S Swayze

Charles J Scheib

Jeffrey David Messerly

Eitan T Wiener

Katherine J Schmid

Taylor W Aronhalt

Richard William Timm

Andrew T Beckman

Christopher J Schall

Thomas W Huitema

Gregory W Johnson

Steven G Hall

David A Witt

Gary W Knight

Mark D Timmer

Jordan B Wong

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

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

Chad Paul Boudreaux

Mark S Ortiz

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

John B Schulte

Kristen G Denzinger

Donna L Korvick

Joseph E Young

Patrick A Weizman

Sarah Alexandra Worthington

John E Brady

Mark H Ransick

Stephen J Balek

Stephen M Leuck

Aaron C Voegele

Joseph Henry Contiliano

Aron O Zingman

Craig T Davis

Eric M Roberson

Stuart K Morgan

Amrita Singh Sawhney

Madeleine C Jayme

Catherine A Corbett

Jonathan T Batross

David Alexander Monroe

Patrick Jarvis Scoggins

Michael D Cronin

Edward G Chekan

John L Stammen

Rebecca J Mollere

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

James R Janszen

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

A surgical system comprising a surgical instrument and a surgical hub is disclosed. The surgical instrument is configured to perform a surgical procedure and comprises a housing, a shaft assembly, an end effector, and a sensor configured to sense a parameter associated with a function of the surgical instrument. The surgical hub comprises a processor and a memory. The memory stores instructions executable by the processor to receive data from the sensor, wherein the data comprises the parameter associated with the function of the surgical instrument; infer a step of the surgical procedure being performed by the surgical instrument, based on the data from the sensor; receive data from a database, wherein the data from the database is associated with the step of the surgical procedure; compare a value of the parameter to the data received from the database; and control the surgical instrument based on the comparison.

Surgical system having a surgical instrument controlled based on comparison of sensor and database data

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.

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Staple cartridge comprising a variable thickness compressible portion

Growing community of inventors

Clarksville, OH, United States of America

Tamara S Widenhouse