Ethicon Endo-surgery, Inc.

Cilag International Gmbh

Ethicon, Gmbh

Tunturi, Inc.

Emrge, LLC

Conetex, Inc.

Cardiogrip Iph, Inc.

Other

Cardiac Dimensions, Inc.

Instrumed, Inc.

Brij Medical, Inc.

Deschutes Medical Products, Inc.

Electro Scientific Industries, Inc.

Devicor Medical Products, Inc.

Elemental Scientific Lasers, LLC

William Eugene Clem

Cory G Kimball

Daniel W Price

Jeffrey David Messerly

Timothy G Dietz

Matthew C Miller

William D Dannaher

Gary W Knight

John B Schulte

Michael R Lamping

David O Kazmer

Felmont F Eaves

Foster B Stulen

Shawn C Snyder

Danius P Silkaitis

Martin Albini

Barry C Worrell

Ashvani K Madan

Stephen J Balek

Brennan G McCabe

Cory R Williamson

Eitan T Wiener

Jeffrey L Aldridge

Amy L Marcotte

Frederick L Estera

Erik G Green

Kevin L Houser

Chad Paul Boudreaux

William Bruce Weisenburgh, Ii

Brian D Black

Donna L Korvick

Jason R Lesko

William A Olson

Robert Mesaros

Jacqueline C Aronhalt

Christina M Hough

Jerome R Morgan

Craig N Faller

David A Witt

Mark A Davison

Michael A Murray

Keshava Datta

Stephen M Leuck

Sora Rhee

Nathan Daniel Grubbs

Michael J Andreyko

Mark Tsonton

Catherine A Corbett

Nathan T Cummings

Ellen E Burkart

Daniel James Prenger

Jay N Wilkins

Robert Joseph Hughes

Gregory W Johnson

Gregory A Trees

Scott A Woodruff

Matthew W Hoskins

John A Weed, Iii

Joseph Daniel Dennis, Jr

Leif Christian Summerfield

Candice Otrembiak

Michael E Hovanes

William G McCoy

Frederick E Shelton, IV

David C Yates

Charles J Scheib

John A Hibner

Kevin Michael Fiebig

Geoffrey S Strobl

James R Giordano

John V Hunt

Robert L Koch, Jr

Gavin Martin Monson

Benjamin D Dickerson

Ryan M Asher

Zhifan F Huang

Kristen G Denzinger

John E Brady

David James Cagle

Daniel J Abbott

Aaron C Voegele

Gregory D Bishop

Craig T Davis

Shan Wan

Stuart K Morgan

Jeffrey P Wiley

John Eric Hein

Kevin M Montgomery

Ion V Nicolaescu

Peter Michael Schenk

Amy M Krumm

Joseph Allen Brotz

Emron Jackson Henry

Phillip H Clauda

Mark E Tebbe

Monica L Z Rivard

Monica L Zeckel

Scott B Killinger

Joseph Isosaki

John Swain

An end effector of an instrument is positioned in a patient. An ultrasonic blade of the end effector is positioned against tissue in the patient. The ultrasonic blade is activated to vibrate ultrasonically while the ultrasonic blade is positioned against tissue. At least one electrode of the end effector is positioned against tissue in the patient. The at least one electrode is activated to apply RF electrosurgical energy to tissue against which the at least one electrode is positioned against tissue.

Method of treating tissue using end effector with ultrasonic and electrosurgical features

A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing configured to couple with the transmission assembly. An information transmission system transmits instrument information received from a sensor, for example, to a secure server via a secure gateway connected to the instrument. The instrument may be previously tested on a calibration kit to pre-determine and load surgeon-specific settings onto the instrument prior to use.

Surgical instrument usage data management

Force modulating tissue bridges, and associated applicators, kits and methods are provided. A force modulating tissue bridge can be a medical article for at least partially covering a wound and/or scar tissue. The medical article can include an elastic arch extending over an area, and a medial strut connected to the arch and extending into the area over which the central section extends.

Force modulating tissue bridges, associated tools, kits, and methods

A surgical apparatus comprises a transducer assembly and a shaft assembly. The transducer assembly is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises an ultrasonic waveguide, a sheath, a shroud, and a torque transfer assembly. The waveguide is configured to couple with the transducer assembly. The waveguide is disposed within the sheath. The sheath extends through the shroud. The torque transfer assembly is contained within the shroud. The torque transfer assembly is configured to transfer a predetermined range of torque from the shroud to the waveguide to thereby couple the waveguide with the transducer assembly. The torque transfer assembly is further configured to prevent transfer of torque from the shroud to the waveguide beyond an upper limit of the predetermined range.

Methods and features for coupling ultrasonic surgical instrument components together

Medical tool for use in applying medical article

An ultrasonic surgical device is disclosed including a surgical tool including a proximal transducer mounting portion defining a surface, a distal end effector end, and a waveguide disposed therebetween, the waveguide extending along a longitudinal axis. The ultrasonic surgical device further includes a transducer is in mechanical communication with the surface of the transducer mounting portion. The transducer is configured to operate in a D31 mode with respect to the longitudinal axis of the waveguide. Upon activation by an electrical signal having a predetermined frequency component, the transducer is configured to induce a standing wave in the surgical tool to cause the end effector to vibrate, the standing wave having a wavelength proportional to the predetermined frequency component of the electrical signal.

Ultrasonic transducer for surgical instrument

An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a first electrode and a second electrode. The first and second electrodes are operable to cooperate to apply bipolar RF energy to tissue.

End effector for instrument with ultrasonic blade and bipolar clamp arm

A surgical instrument includes an ultrasonic waveguide extending through a body assembly. An ultrasonic blade connects to the ultrasonic waveguide. A clamp arm assembly of the surgical instrument is able to move from an opened position for receiving a tissue toward a closed position for clamping the tissue. The clamp arm assembly includes a clamp body and a clamp pad facing the ultrasonic blade. A clamp arm actuator of the surgical instrument is able to move from a first position toward a second position to direct the clamp arm assembly from the opened position toward the closed position. A modular coupling of the surgical instrument connects to the clamp pad such that at least the clamp pad can be disconnected relative to the ultrasonic blade for replacement thereof.

Surgical instrument with removable end effector components

A surgical apparatus comprises a body assembly, an ultrasonic transducer, a shaft assembly, a motor, and a locking feature. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises a waveguide operable to transmit ultrasonic vibrations. The motor is operable to rotate the ultrasonic transducer to thereby selectively couple the ultrasonic transducer with the waveguide. The locking feature is configured to selectively prevent rotation of at least a portion of the shaft assembly relative to the body assembly. The locking feature and the motor may be activated automatically in response to an operator positioning a proximal portion of the shaft assembly in a distal portion of the body assembly. The surgical apparatus may include a feature configured to alert a user when the waveguide has been adequately secured to the ultrasonic transducer.

Features for coupling surgical instrument shaft assembly with instrument body

Medical article for treating a wound and/or scar tissue

A method of fabricating an ultrasonic medical device is presented. The method includes machining a surgical tool from a flat metal stock, contacting a face of a first transducer with a first face of the surgical tool, and contacting a face of a second transducer with an opposing face of the surgical tool opposite the first transducer. The first and second transducers are configured to operate in a D31 mode with respect to the longitudinal portion of the surgical tool. Upon activation, the first transducer and the second transducer are configured to induce a standing wave in the surgical tool and the induced standing wave comprises a node at a node location in the surgical tool and an antinode at an antinode location in the surgical tool.

Ultrasonic transducer techniques for ultrasonic surgical instrument

A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer.

Surgical instrument with orientation sensing

Growing community of inventors

Bozeman, MT, United States of America

William Eugene Clem