Cilag International Gmbh

Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

The General Hospital Corporation

Verb Surgical Inc.

Cllag Gmbh International

Taylor W Aronhalt

Frederick E Shelton, IV

Chester O Baxter, Iii

Jason L Harris

Michael J Vendely

Jerome R Morgan

Katherine J Schmid

Joseph E Young

Lauren S Weaner

Emily A Schellin

Jeffrey S Swayze

Shane R Adams

Gregory J Bakos

Charles J Scheib

Mark S Zeiner

Christopher J Hess

Barry C Worrell

Christopher J Schall

Kevin Michael Fiebig

Morgan Robert Hunter

William Bruce Weisenburgh, Ii

Cortney E Henderson

Jeffrey David Messerly

Nicholas J Ross

Trevor J Barton

Chunlin Yang

David C Yates

Lee M Kaplan

Richard William Timm

Jeffrey L Aldridge

Steven G Hall

Michael S Cropper

Gregory W Johnson

James Walden Voegele

Christopher W Widenhouse

Joseph Henry Contiliano

Kevin L Houser

Donna L Korvick

Austin E Wise

John V Hunt

Michael J Miller

Mark D Timmer

Matthew D Cowperthwait

Mark S Ortiz

Cory G Kimball

Bret William Smith

Adam David Hensel

Prasanna Malaviya

Tamara S Widenhouse

Chad E Eckert

Tamara Colette Baynham

Sarah Alexandra Worthington

Sora Rhee

Chad Paul Boudreaux

Mark D Overmyer

Daniel J Mumaw

Gary W Knight

Gregory G Scott

Alexander R Cuti

Patrick L Creamer

Zhifan F Huang

John E Brady

David N Plescia

Douglas B Hoffman

Joshua R Uth

David Keith Norvell

Daniel L Baber

Joshua P Morgan

Richard L Leimbach

Eugene L Timperman

Benjamin D Dickerson

Jacob Spencer Gee

Robert J Simms

Aron O Zingman

Jackie J Donners

Christopher Q Seow

Jeffery D Bruns

Nichole Y Kwee

Stephen D Geresy

Michael J Stokes

Foster B Stulen

Rao S Bezwada

Andrew T Beckman

Matthew C Miller

Sean P Conlon

Michael E Setser

Robert L Koch, Jr

Geoffrey C Hueil

Israel Nur

Ryan J Laurent

Mark H Ransick

Bernhard A Fuerst

Matthew S Corbin

Nicholas Fanelli

James A Woodard, Jr

Jason M Rector

Spencer James Witte

Raymond E Parfett

Iksoo Chun

Heather Strang

A surgical instrument comprising an end effector, a closure tube, an articulation joint, an articulation driver, and an articulation lock is disclosed. The articulation driver is to rotate the end effector about the articulation joint and comprises first teeth. The articulation lock comprises a cam surface and second teeth, and the articulation lock is rotatable relative to the articulation driver between a first position, where the second teeth are demeshed from the first teeth and the articulation driver is permitted to rotate the end effector about the articulation joint, and a second position, where the second teeth are meshed with the first teeth and the articulation driver is prevented from rotating the end effector about the articulation joint. The cam is to engage the cam surface of the articulation lock and rotate the articulation lock toward the second position based on the closure tube moving toward a distal position.

Surgical instrument having articulation lock actuated by closure tube displacement

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

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 staple cartridge is disclosed. The staple cartridge can comprise a cartridge body comprising a deck and a bottom surface opposite the deck. The staple cartridge can comprise a plurality of staple cavities, wherein each staple cavity extends into the cartridge body from the deck to the bottom surface. Additionally, a plurality of wells can be defined into the staple cartridge from the deck to a lowermost surface of the well. A plurality of staples can be removably positioned in the staple cavities. The staple cartridge can comprise a tissue thickness compensator releasably secured to the cartridge body, wherein the tissue thickness compensator comprises a compensator body and a plurality of extensions extending from the compensator body into the wells, wherein at least one extension is compressed within one of the wells. Each well can surround at least one staple cavity and/or can extend between at least two staple cavities.

Staple cartridge comprising a tissue thickness compensator

A surgical instrument includes a wireless transmission system for transmitting at least one of power and a data signal through between an end effector and an instrument housing of the surgical instrument. The surgical instrument includes the sensor monitoring and processing circuit.

Monitoring of multiple sensors over time to detect moving characteristics of tissue

A staple cartridge comprising a power management circuit is disclosed.

Staple cartridge comprising a power management circuit

An electrosurgical instrument comprising an end effector is disclosed. The end effector comprises a first jaw and a second jaw. The first jaw comprises a first electrode. The end effector is movable from an open configuration to a closed configuration to grasp tissue. The second jaw comprises a second electrode configured to deliver a first monopolar energy to the tissue, a third electrode, and a conductive circuit selectively transitionable between a connected configuration with the third electrode and a disconnected configuration with the third electrode. In the connected configuration, the third electrode is configured to cooperate with the first electrode to deliver bipolar energy to the tissue. The conductive circuit defines a return path for the bipolar energy. In the disconnected configuration, the first electrode is configured to deliver a second monopolar energy to the tissue.

Electrosurgical instrument with electrodes operable in bipolar and monopolar modes

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

Staple cartridge comprising formation support features

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

A method for adaptive control of surgical network control and interaction is disclosed. The surgical network includes a surgical feedback system. The surgical feedback system includes a surgical instrument, a data source, and a surgical hub configured to communicably couple to the data source and the surgical instrument. The surgical hub includes a control circuit. The method includes receiving, by the control circuit, information related to devices communicatively coupled to the surgical network; and adaptively controlling, by the control circuit, the surgical network based on the received information.

Method for adaptive control schemes for surgical network control and interaction

An adjunct for use with a surgical stapling system is disclosed. The adjunct comprises a first region. The first region comprises a first composition. The adjunct comprises a second region. The second region is distal to the first region and comprises a second composition. The adjunct comprises a third region. The third region is distal to the second region. The third region comprises a third composition. The second composition differs from the first composition and the third composition.

Adjuncts for use with surgical stapling instruments

Various systems and methods for evaluating a surgical staff are disclosed. A computer system, such as a surgical hub, can be configured to be communicably coupled to a surgical device and a camera. The computer system can be programmed to determine contextual information pertaining to a surgical procedure based at least in part on perioperative data received from the surgical device during a surgical procedure. Further, the computer system can visually determine a physical characteristic of a surgical staff member via the camera and compare the physical characteristic to a baseline to evaluate the surgical staff member.

Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures

A surgical stapling system is disclosed that comprises a closure driver, a firing driver, and a control circuit. The control circuit is to set a firing force threshold, advance the closure driver, advance the firing driver, monitor a firing force as the firing driver is advanced, compare the firing force to the firing force threshold, and control movement of at least one of the closure driver or the firing driver based on results of the compare and a zone in which the firing driver is positioned.

Zoned algorithm adaptive changes based on correlation of cooperative compression contributions of tissue

An apparatus includes an adjunct body and a plurality of movable members. The adjunct body defines an adjunct surface for contacting a tissue, and the adjunct body is configured to overlie and directly contact a deck of a surgical stapler. The plurality of movable members are coupled with the adjunct body, and each movable member of the plurality of movable members is individually operable to move from a first configuration to a second configuration in response to a firing operation of a surgical stapler. The movable members in the first configuration are configured to couple the adjunct body with the deck, and the movable members in the second configuration are configured to enable the adjunct body to separate from the deck.

Displaceable adjunct attachment features for surgical stapler

Growing community of inventors

Loveland, OH, United States of America

Taylor W Aronhalt