Ethicon Endo-surgery, Inc.

Ethicon, Gmbh

Cilag International Gmbh

Cardinal Health Switzerland 515 Gmbh

William David Kelly

Frederick E Shelton, IV

Charles J Scheib

Bret William Smith

Joshua R Uth

Kevin Ross Doll

Ronald John Kolata

Richard William Timm

Jeffrey David Messerly

Patrick A Weizman

Jeffrey S Swayze

William Bruce Weisenburgh, Ii

Thomas W Huitema

Shailendra Kumar Parihar

Richard F Schwemberger

Donna L Korvick

Glen A Armstrong

Jerome R Morgan

Mark H Ransick

Mark S Ortiz

Steven G Hall

Galen C Robertson

Kyle P Moore

Jacob Spencer Gee

Andrew M Zwolinski

Randall J Tanguay

Brian D Bertke

Craig N Faller

Geoffrey C Hueil

Douglas B Hoffman

Dean B Bruewer

John B Schulte

Tylor C Muhlenkamp

Gregory B Blair

Douglas J Turner

Timothy G Dietz

Sean P Conlon

Michael R Lamping

Eric B Smith

Elizabeth DeBenedictis

Daniel W Price

Cory G Kimball

Salvatore Privitera

Peter Michael Wukusick

Darrel M Powell

David J Keilholz

Matthew C Miller

James Walden Voegele

Rudolph Henry Nobis

Eugene L Timperman

William D Dannaher

Mark A Davison

John P Measamer

Sora Rhee

David L Hamann

Tony C Siebel

Jerome E Reckelhoff

Joseph F Paraschac

Michael L Kruszynski

Alissa L Welling

David L Kohn

Jeffrey L Aldridge

Geoffrey S Strobl

Kevin D Felder

Robert Perrin Gill

Randal T Byrum

Richard C Smith

Amy L Marcotte

Federico Bilotti

Robert J Laird

Sudhir B Patel

Patrick Jarvis Scoggins

John A Weed, Iii

Michael Robert Ludzack

Scott A Nield

John W Willis

Anthony T Nguyen

Tamara S Vetro Widenhouse

Karalyn R Tellio

Dean L Garner

Michael T Mather

Howard N Flaxman

JoAnn M Stegeman

Emily H Monroe

Kristin Nicole Werner Dawson

Christopher J Frederick

Anthony Nguyen

Richard Smith

Ii William B Weisenburgh

William B Weisenburgh Ii

Frederick E Shelton Iv

Iv Frederick E Shelton

Frederick E Iv Shelton

William B Ii Weisenburgh

Elizabeth Debenedictis

An apparatus includes a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly includes an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly includes a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.

Rotation features for ultrasonic surgical instrument

In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument.

End effector coupling arrangements for a surgical cutting and stapling instrument

A surgical stapling assembly comprising an end effector, a shaft assembly extending proximally from the end effector, a housing, a rotary motion actuator supported by the housing, a first actuation system configured to cause the end effector to perform a first function, a second actuation system configured to cause the end effector to perform a second function different from the first function, and a selector arrangement transitionable between a first orientation and a second orientation is disclosed. The end effector comprises a staple cartridge and staples deployable from the staple cartridge into tissue. The rotary motion actuator is configured to operably interface with the first actuation system in the first orientation to cause the end effector to perform the first function. The rotary motion actuator is configured to operably interface with the second actuation system to cause the end effector to perform the second function.

Surgical stapling assembly comprising first and second actuation systems configured to perform different functions

An atherectomy system that utilizes an anchoring balloon with a rotary debulker and a crossing balloon to remove or debulk lesions formed on the interior wall surface of a body vessel. The system may include a first balloon coupled to a first tubular member, a rotary debulker coupled to a second tubular member, a second balloon coupled to both the third tubular member and the axially moveable fourth tubular member such that the second balloon is disposed inside the third tubular member. Methods for operating this device are also provided.

Rotary debulking atherectomy device with a crossing balloon

A surgical instrument comprising a waveguide, an end effector, and an electrical switch is disclosed. The waveguide comprises a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm. The ultrasonic blade is mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm comprises a movable jaw member electrically coupled to another output of the RF generator. The electrical switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

Ultrasonic and electrosurgical devices

A surgical stapling assembly comprising a firing member, an end effector, a closure member, and a shaft including an attachment interface is disclosed. The surgical stapling assembly is configured to be attached to a surgical instrument interface by way of the attachment interface. The end effector comprises a first jaw, a second jaw, and a staple cartridge comprising staples configured to be ejected by the firing member. The second jaw is movable relative to the first jaw between an open position, a fully-clamped position, and a collapsed position. The end effector further comprises an interconnection between the first jaw and the second jaw defining a rotational axis about which the second iaw is movable relative to the first iaw. The rotational axis is shiftable toward and away from the first iaw as the second iaw is moved between the open position, the fully-clamped position, and the collapsed position.

A surgical tool for use with a surgical instrument including a handle assembly and an elongated body defining a longitudinal axis and a drive system is disclosed. The surgical tool comprises a carrier removably couplable to the elongated body, an anvil movably supported for selective movement relative to the carrier in response to drive motions from the drive system, a tissue thickness measuring member movably supported in the carrier and configured to move toward and away from an underside of the anvil in a direction that is transverse to the longitudinal axis, and a sensor arrangement supported between the tissue thickness measuring member and the carrier. The sensor arrangement is configured to interface with an indicator member to provide an indication of a thickness of tissue clamped between the anvil and the tissue thickness measuring member at a location that is proximal to the anvil when in use.

Interchangeable tools for surgical instruments

A surgical stapling assembly comprising a staple cartridge carrier, an anvil, an outer surface, a closure member, a staple cartridge, and a firing system is disclosed. The anvil is rotatable between a first position and a second position. The closure member is slideable along the outer surface to hold the anvil in the second position. The closure member comprises a clearance opening. The staple cartridge is positioned within the staple cartridge carrier. The staple cartridge comprises staples removably stored therein. The staple cartridge and the anvil define a tissue gap therebetween when the anvil is in the second position. The clearance opening is aligned with the tissue gap when the anvil is in the second position. The firing system is configured to eject the staples from the staple cartridge during a staple firing stroke. The firing system engages the staple cartridge carrier and the anvil during the staple firing stroke.

Surgical stapling apparatus with control features operable with one hand

A surgical stapling apparatus for use with a surgical instrument system is disclosed. The surgical stapling apparatus comprises a housing assembly, a shaft, a proximal segment, a distal segment, and an articulation system. The proximal segment comprises a first proximal end and a first distal end comprising an articulating segment. The distal segment comprises a second proximal end and a second distal end. The second proximal end comprises a pivot segment configured to be coupled with the articulating segment. The second distal end is configured to be attached to a stapling assembly. The articulation system is operably engaged with the distal segment to transmit a first articulation motion to the distal segment to cause the stapling assembly to articulate in a first plane and a second articulation motion to the distal segment to cause the stapling assembly to articulate in a second plane that is different than the first plane.

Surgical stapling apparatus including an articulation system

An apparatus comprises an end effector, a body assembly, a power source, and a control module. The end effector is operable for use in a surgical procedure and can deliver energy to a surgical site. The end effector comprises at least one sensor. The sensor is able to measure at least one physical characteristic associated with the surgical site. The body assembly is in communication with the end effector. The power source is in communication with the body assembly and is operable to deliver power to the end effector. The control module is in communication with the sensor and is operable to change delivery of power to the end effector based on data from the sensor indicating a change in tissue density.

Surgical instrument with tissue density sensing

A disposable loading unit for use with a surgical stapling instrument is disclosed. The disposable loading unit comprises a cutting member, an anvil, and a first replaceable stapling jaw assembly. The first replaceable stapling jaw assembly comprises a first cartridge body and first staples. The disposable loading unit further comprises a second replaceable stapling jaw assembly comprising a second cartridge body and second staples. The disposable loading unit further comprises a lockout that prevents the first replaceable stapling jaw assembly from being fired after the first replaceable stapling jaw assembly has been at least partially fired. The surgical stapling instrument and the disposable loading unit are configured to deploy the second staples from the second replaceable stapling jaw assembly with which the first replaceable stapling jaw assembly is replaced.

Disposable loading unit for use with a surgical instrument

An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. The shaft assembly comprises a feature to provide for the removal of surgical debris (e.g. tissue, coagulated blood, etc.), body fluid, etc. from the shaft assembly. The feature may remove the surgical debris, body fluid, etc. from a cavity within the shaft assembly. The feature may also prevent the collection of surgical debris, body fluid, etc. within the shaft assembly.

Ultrasonic surgical instrument with integral blade cleaning feature

Growing community of inventors

Mason, OH, United States of America

William David Kelly