An ultrasonic surgical instrument includes an end effector having an ultrasonic blade, an ultrasonic transducer assembly, and a shaft assembly. The shaft assembly includes a tube, and an waveguide. The waveguide is received within the tube and is acoustically connected between the ultrasonic blade and ultrasonic transducer assembly to communicate ultrasonic vibrations from the ultrasonic transducer assembly to the ultrasonic blade. The waveguide includes an acoustic body, a first isolation structure, a second isolation structure and a sheath. The acoustic body extends along a longitudinal axis. The first isolation structure radially extends about the acoustic body. The second isolation structure radially extends about the acoustic body and is longitudinally spaced from the first isolation structure. The sheath is radially positioned between the first isolation structure and the tube and is further radially positioned between the second isolation structure.
A method of surgical stapling uses a surgical instrument operable to compress, staple, and cut tissue. The instrument includes a body, a shaft, and an end effector with a pair of jaws. A placement tip extends distally from one of the jaws of the end effector. The placement tip is elastically deformable when the placement tip is subject to a clamping force. In some instances the placement tip includes an arcuate bend, while in other instances the placement tip is straight. The placement tip can have a variety of non-rectangular lateral cross-sectional shapes. In some instances, the placement tip is made of a material of a specified durometer range and having a high color contrast. A distal end of the placement tip may change position based on the state of deflection of the placement tip in response to the clamping force.
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
3.
INTEGRAL CARTRIDGE STIFFENING FEATURES TO REDUCE CARTRIDGE DEFLECTION
A surgical stapling assembly comprising a first jaw, a second jaw, and a staple cartridge assembly positioned in the first jaw is disclosed. The staple cartridge assembly comprises a plurality of staples, a plurality of staple drivers, and a cartridge body. The cartridge body comprises a deck surface configured to support patient tissue, a longitudinal slot defined in the cartridge body, a plurality of staple cavities, and a longitudinal wall extending vertically below the deck surface. The longitudinal wall comprises a first zone comprising a first wall height and a second zone comprising a second wall height. The staple cartridge assembly further comprises a sled movable longitudinally through the cartridge body, wherein the sled is sized and configured resist deflection of the cartridge body during the firing stroke within the second zone.
An apparatus includes a body, a shaft, an end effector, and a lockout assembly. The end effector includes a cartridge jaw, an anvil jaw, a knife and a distal retainer. The lockout assembly includes a sensor and a lockout. The lockout is vertically constrained. The sensor is associated with a first pivot and a second pivot. The first pivot is grounded with respect to a channel. The second pivot is a moving pivot. The lockout assembly includes an unlocked and locked position. The second pivot is positioned above the first pivot when the lockout assembly is in the unlocked position with the lockout providing no interference with respect to actuation of the knife. The first pivot and the second pivot are positioned at substantially the same height when the lockout assembly is in the locked position.
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
5.
CLAMP FORCE CONTROL FEATURE FOR SURGICAL END EFFECTOR
A surgical instrument and method of compressing tissue includes an end effector and a shaft assembly. The end effector has a jaw and a clamp arm movable between open and closed positions. The shafts assembly includes a clamp actuator having a proximal actuator portion, a distal actuator portion, and a force limiter. The force limiter is longitudinally connected between the proximal and distal actuator portions and configured to transfer movement from the proximal actuator portion to the distal actuator portion up to transferring a predetermined force therethrough. At least a portion of the force limiter is configured to deflect upon exceeding the predetermined force such that the proximal actuator portion is configured to longitudinally move relative to the distal actuator portion and thereby limit a clamping force between the jaw and the clamp arm.
Integrated connector for coupling an endoscope to an external emitter and controller. A system includes a plug attached to a cable, wherein the plug includes an alignment shroud, a first fiber optic coupler, and a first data connector. The system includes a receptacle configured to receive the plug, wherein the receptacle includes an alignment receptacle configured to receive the alignment shroud, wherein the alignment receptacle is a negative space defined by a receptacle external shroud and a receptacle internal shroud, a second fiber optic coupler configured to interface with the first fiber optic coupler, and a second data connector configured to interface with the first data connector.
A surgical system includes a detector, comprising an array of pixels configured to detect light reflected by a surgical instrument and generate a first signal comprising a first dataset representative of a visible image of the surgical instrument. The surgical system also includes a processor configured to receive the first signal, generate a modified image of the surgical instrument that includes a control panel. The control panel includes one or more control elements representative of one or more operating parameters of the surgical instrument. The processor is further configured to receive an input to the control panel from a user, the input being effective to change one of the operating parameters. The processor is also configured to generate a command signal based on the input to change the one of the operating parameters.
A61B 1/313 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/06 - Devices, other than using radiation, for detecting or locating foreign bodies
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06V 10/147 - Details of sensors, e.g. sensor lenses
8.
SURGICAL INSTRUMENTS WITH FLEXIBLE FIRING MEMBER ACTUATOR CONSTRAINT ARRANGEMENTS
Articulatable surgical instruments that include a firing system configured to selectively move a firing member between a starting position and an ending position. The firing system includes a flexible upper drive member that axially passes through a flexible upper hollow member to provide upper axial drive motions to the firing member. The firing system also includes a flexible lower drive member that axially passes through a lower hollow member to provide lower axial drive motions to the firing member.
A staple cartridge including a tissue supporting deck and a set of arbor inserts removably coupled to the deck adjacent a staple pocket, the staple pocket being configured to hold a staple. The set of arbor inserts is configured to plastically deform the staple as the staple exits the staple pocket during a firing stroke.
A method for producing a surgical instrument is disclosed. The method comprises obtaining a handle, wherein the handle comprises a distal end comprising a shaft interface surface and a first set of magnetic elements. The method further comprises obtaining a shaft, wherein the shaft comprises a proximal end comprising a handle interface surface, a second set of magnetic elements, and a third set of magnetic elements. The method further comprises attaching the shaft to the handle, wherein the shaft interface surface is configured to engage the shaft at the handle interface surface, wherein an attractive magnetic force is configured to pull the handle towards the shaft when the first set of magnetic elements interact with the second magnetic elements, and wherein a repulsive magnetic force is configured to repel the handle from the shaft when the first set of magnetic elements interacts with the third set of magnetic elements.
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
A61B 17/115 - Staplers for performing anastomosis, e.g. in a single operation
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
A61B 90/90 - Identification means for patients or instruments, e.g. tags
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
A61B 90/98 - Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
G16H 40/00 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices
The present invention is directed to a surgical instrument with a robotics system, a memory device and an end effector having an elongate channel, knife position sensor(s) and a firing bar coupled to a knife. In response to drive motions initiated by the robotics system, the firing bar may translate within the elongate channel. As the firing bar translates, the sensor(s) transmit a signal to the memory device. The position of the knife may be determined from the output signals and may be communicated to the robotics system or instrument user. The sensors may be Hall Effect sensors.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Various embodiments of surgical robot control systems are disclosed. In one example embodiment, the surgical robot control system comprises a housing. A controller is located within the housing and is coupled to a socket. The socket receives a handheld surgical user interface therein to control a surgical instrument. The surgical instrument is connected to the surgical robot and comprises an end effector and a mechanical interface to manipulate the end effector. The mechanical interface is coupled to the controller. At least one sensor is coupled to the controller and the socket to convert movement of the handheld surgical user interface into electrical signals corresponding to the movement of the surgical instrument. At least one feedback device is coupled to the controller to provide feedback to a user. The feedback is associated with a predetermined function of the surgical instrument.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
Systems, devices, and methods for controlling cooperative surgical instruments are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common body cavity of a patient from different approaches to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of surgical tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and operate in concert with one another to effect a desired surgical treatment.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
A61B 1/313 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/06 - Devices, other than using radiation, for detecting or locating foreign bodies
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/11 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for performing anastomosisButtons for anastomosis
A61B 17/115 - Staplers for performing anastomosis, e.g. in a single operation
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
14.
SURGICAL INSTRUMENT WITH DUAL GRIP END EFFECTOR AND RELATED METHODS
An apparatus includes a first jaw member including a first needle clamp pad and a first suture clamp pad. The apparatus also includes a second jaw member including a second needle clamp pad and a second suture clamp pad. The first and second jaw members are pivotable relative to each other between an open state, a first closed state in which the first and second suture clamp pads are configured to cooperate with each other to securely grip a suture, and a second closed state in which the first and second needle clamp pads are configured to cooperate with each other to securely grip a needle.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
A surgical stapler includes a first elongate member having a distal portion that supports an anvil surface, and a second elongate member having a distal portion configured to receive a staple cartridge. The stapler further includes a pin rotatably coupled with the first elongate member, and a clamp member movably coupled with the second elongate member. The clamp member is operable to releasably capture the pin to thereby clamp the first elongate member against the second elongate member. The pin is configured to rotate relative to the first elongate member in response to being captured by the clamp member.
An apparatus includes a first jaw member including a first needle clamp pad and a first suture clamp pad. The apparatus also includes a second jaw member including a second needle clamp pad and a second suture clamp pad. The first and second jaw members are pivotable relative to each other between an open state, a first closed state in which the first and second suture clamp pads are configured to cooperate with each other to securely grip a suture, and a second closed state in which the first and second needle clamp pads are configured to cooperate with each other to securely grip a needle.
A staple cartridge including: a cartridge body; a staple pocket in the cartridge body, the staple pocket having an opening and containing an unformed staple including a first leg and a second leg, the staple pocket containing the first leg and the second leg of the unformed staple in an unfired position; and two or more guide surfaces in the staple pocket disposed adjacent the opening, wherein the guide surfaces are configured to deform the first leg of the unformed staple as the first leg exits the staple pocket at the opening during a firing of the unformed staple.
The disclosed technology includes a sterilizable powered electronics system for a surgical instrument that includes a boost regulator circuit, an ultracapacitor, and a sealed enclosure. The boost regulator circuit is configured to electrically connect to one or more batteries and output at least one of a predetermined voltage or a predetermined current. The ultracapacitor is electrically connected to the boost regulator circuit. The sealed enclosure encloses the boost regulator circuit and is configured to withstand temperatures greater than 50° C. and pressures greater than 15 psi. At least one of the boost regulator circuit or the ultracapacitor can be configured to be electrically connected to an instrument motor.
A surgical instrument includes an end effector, a shaft assembly, and an axial location feature. The end effector includes an ultrasonic blade and a clamp arm that can move between an open and closed position. The shaft assembly includes a proximal shaft portion, an acoustic waveguide extending proximally from the ultrasonic blade, a distal shaft portion extending along a distal axis, and an articulation section interposed between the proximal shaft portion and the distal shaft portion. The articulation section can deflect the distal shaft portion and the end effector relative to the longitudinal axis between a non-deflected position and a deflected position. The axial location feature can inhibit the ultrasonic blade from shifting relative to the clamp arm along the distal axis as the end effector is driven between the non-deflected position and the deflected position.
A depth limiter that is configured to couple with first and second trocar cannulas having different diameters. The depth limiter includes first and second body portions. First and second body portions each include first and second gripping surfaces. The first and second body portions are pivotably coupled together and are movable between an open configuration and a closed configuration. In the open configuration, the first and second body portions are configured to allow for axial movement of the depth limiter relative to the first and second trocar cannulas. The first gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the first trocar cannula in the closed configuration. The second gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the second trocar cannula in the closed configuration.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
22.
SURGICAL PROCEDURALIZATION VIA MODULAR ENERGY SYSTEM
Systems, methods and devices for surgical procedurelization via a modular energy system are disclosed herein. In various aspects, the systems, methods and devices include an energy module, a header module communicably coupled to the energy module, and a display screen capable of rendering a graphical user interface (GUI). The GUI may be configured to display a plurality of steps that correspond with actions performed by a user while operating the modular energy system. In some aspects, the steps displayed are steps of a predetermined procedural checklist corresponding with a mental model followed by the user while performing a surgical procedure. In some aspects, the steps displayed are steps of an output verification process.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
23.
ADJUSTMENT OF A SURGICAL DEVICE FUNCTION BASED ON SITUATIONAL AWARENESS
Surgical devices and surgical systems are disclosed. The surgical device can comprise an actuator and a control circuit configured to adjust one or more functions of the surgical device based on a signal from a situationally-aware surgical hub. A surgical system can comprise a screen and a control circuit configured to communicate a priority level of a recommendation to the clinician on the display.
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 17/00 - Surgical instruments, devices or methods
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G01N 15/06 - Investigating concentration of particle suspensions
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
24.
SURGICAL INSTRUMENTS WITH INTERACTIVE FEATURES TO REMEDY INCIDENTAL SLED MOVEMENTS
A staple cartridge assembly for use with a surgical stapling instrument is disclosed. The staple cartridge assembly comprises an elongated channel comprising a retaining feature and a staple cartridge insertable into the elongated channel. The staple cartridge includes a deck defining a tissue contacting surface, a housing, a cartridge pan releasably attachable to the elongated channel, staple drivers stored in the housing between the deck and the cartridge pan, staples stored in the housing, a central longitudinal slot along a central longitudinal plane, and a sled translatable relative to the cartridge pan from a first position toward a second position to motivate the staple drivers to deploy the staples. The retaining feature is configured to resist a movement of the sled beyond the first position up to a predetermined force. The retaining feature extends across the central longitudinal slot.
An apparatus (1000) includes an end effector (1200, 2200, 2300, 3200, 4200, 5200), a first flexible coil (508, 1508), a second flexible coil (510, 1510), and a pivoting lock (1270, 2270, 2370, 3270, 4270, 5270). The end effector includes a first jaw (1202, 2202, 2302, 3202, 4202, 5202), a second jaw (1202), and a knife (1206, 2206, 2306, 3206, 4206, 5206). The first and second flexible coils are operatively attached to an upper portion (1238, 2238, 2338, 3238, 4238, 5238) and a lower portion (1246, 2246, 2346, 3246, 4246, 5246) of the knife, respectively. The pivoting lock is pivotable from an unlocked configuration to a locked-out configuration about a pivot axis located vertically between the first and second flexible coils to inhibit distal actuation of the knife. The knife can move the pivoting lock relative to the first and second jaws along the firing stroke.
An end effector of a surgical instrument may be equipped with a firing redirect assembly including: a firing carrier; a reaction pulley disposed distally from the firing carrier; a firing cable coupled to a distal end of the firing carrier and wrapping around the reaction pulley and extending proximally past the firing carrier; and a reaction cable coupled to and extending between a distal end of the reaction pulley and a proximal end of an end effector of the surgical tool, the end effector including a cartridge jaw and an anvil jaw pivotably connected to the cartridge jaw at a pivot, where a firing load on the firing cable in a proximal direction causes the firing carrier to translate distally and causes the reaction pulley and the reaction cable to translate proximally, thereby assisting with closing the anvil jaw or assisting with stabilizing an articulation joint of the end effector.
An apparatus (1000) includes a shaft (600A) and an end effector (1200, 2200) configured to receive a staple cartridge (210) having staples and a sled (1210a, 2210a). The end effector includes a knife (1206, 2206), an anvil jaw (204, 1204), a cartridge jaw (1208, 2208), and a blocker (1255, 2255) coupled to the cartridge jaw. The blocker is vertically translatable relative to the cartridge jaw and the knife between a raised and lowered positions. The blocker in the raised position is configured to directly contact and thereby inhibit distal advancement of the knife, and the blocker in the lowered position is configured to permit distal advancement of the. The blocker is configured to assume the raised position in the absence of an unspent staple cartridge and the lowered position in the presence of an unspent staple cartridge.
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/02 - Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
A61B 5/06 - Devices, other than using radiation, for detecting or locating foreign bodies
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/02 - Surgical instruments, devices or methods for holding wounds open, e.g. retractorsTractors
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
A61B 17/06 - NeedlesHolders or packages for needles or suture materials
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
A61B 17/115 - Staplers for performing anastomosis, e.g. in a single operation
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/53 - Supports for surgical instruments, e.g. articulated arms connected to the surgeon's body, e.g. by a belt
A61B 90/90 - Identification means for patients or instruments, e.g. tags
A61B 90/92 - Identification means for patients or instruments, e.g. tags coded with colour
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
A61B 90/98 - Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
H03K 17/95 - Proximity switches using a magnetic detector
H03K 17/955 - Proximity switches using a capacitive detector
29.
METHOD, COMPUTING DEVICE AND SURGICAL SYSTEM FOR AUTOMATICALLY EDITING SURGICAL VIDEO
The present invention provides a method for automatically editing a surgical video, comprising: receiving a raw surgical video captured by an image capture device; pre-processing the raw surgical video; performing machine learning analysis on each video frame of a plurality of video frames, to identify a surgical scene; performing labeling on the surgical video at least once according to the result of the identification for each video frame; determining retention or deletion of each time period according to the result of the labeling; generating and exporting an edited surgical video on the basis of retained time periods; storing the edited surgical video; and displaying the edited surgical video. The present invention further provides a computing device capable of implementing the method, a computer-readable medium, and a surgical system comprising the computing device. The method according to the present invention can automatically identify, label, and retain important segments in a surgical video, and eliminate unimportant segments, so as to automatically obtain a surgical video on which different amounts of clipping can be performed according to a user's choice.
The present invention provides a surgical stapler. The surgical stapler includes an anvil portion, the anvil portion including a cap portion at one end of an anvil portion body, and a retaining pin recess of the anvil portion being offset to one side relative to a center line. An extension section of the cap portion provides a part of a tissue contacting surface of the anvil portion or is used for supporting a widened tissue contacting surface. This configuration allows as much as possible for a certain error when firing a retaining pin, so that even if the retaining pin is not accurately received by the retaining pin recess, an end portion of the retaining pin will abut against the tissue contacting surface of the anvil portion without missing the anvil portion and entering tissue. The retaining pin abuts against the enlarged tissue contacting surface, thereby resisting actuation of the anvil portion and a staple cartridge toward a closed configuration, which can enable an operator to perceive abnormal actuation of a guide pin. In addition, the retaining pin abutting against the tissue contacting surface of the anvil portion may be returned to the retaining pin recess with subsequent slight shaking or a similar operation, to allow for subsequent surgical procedures.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
31.
METHODS AND SYSTEMS FOR MICROBIAL DETECTION USING RAMAN AND INFRARED SPECTROSCOPY
Provided is a method for detecting a microbe in a sample comprising measuring a Raman or an infrared spectrum of the sample and subjecting the spectrum to data analysis. In some embodiments, the measuring is automated. In some embodiments, the monitoring is continuous and/or non-invasive and/or non-destructive. Also provided is a system for detecting a microbe in a sample comprising a means for measuring a Raman spectrum or an infrared spectrum of the sample and subjecting the spectrum to data analysis. In some embodiments, the measuring is automated. In some embodiments, the monitoring is continuous and/or non-invasive and/or non-destructive. Also provided are methods and systems for assaying a test agent.
G01N 21/3577 - Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light for analysing liquids, e.g. polluted water
32.
METHODS AND SYSTEMS FOR MICROBIAL DETECTION USING RAMAN AND INFRARED SPECTROSCOPY
Provided is a method for detecting a microbe in a sample comprising measuring a Raman or an infrared spectrum of the sample and subjecting the spectrum to data analysis. In some embodiments, the measuring is automated. In some embodiments, the monitoring is continuous and/or non-invasive and/or non- destructive. Also provided is a system for detecting a microbe in a sample comprising a means for measuring a Raman spectrum or an infrared spectrum of the sample and subjecting the spectrum to data analysis. In some embodiments, the measuring is automated. In some embodiments, the monitoring is continuous and/or non-invasive and/or non-destructive. Also provided are methods and systems for assaying a test agent.
G01N 21/3577 - Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light for analysing liquids, e.g. polluted water
33.
SURGICAL STAPLER CARTRIDGE WITH 3D PRINTABLE FEATURES
An apparatus includes a staple, a body, a staple driver, and an alignment feature. The alignment feature is coupled to or formed with at least one of the staple driver or an inner surface of the staple aperture of the body. The alignment feature is configured to minimize rotation of the staple driver. The alignment feature includes at least one of a first contact feature, an alignment member, an alignment member, or an inwardly tapering portion. The first contact feature projects beyond a first lateral side of the staple driver. The alignment member extends through at least a portion of the staple driver. The first connecting portion rigidly connects the inner surface of the staple aperture with the staple driver in a connected state. The inwardly tapering portion of the inner surface or the staple driver is configured to guide the staple driver.
A surgical system includes a detector that includes an array of pixels configured to detect light reflected by a surgical device and generate a first signal. The first signal includes a first dataset representative of a visible image of the surgical device. The surgical system also includes a processor configured to receive the first signal and a second signal representative of one or more operating parameters of the surgical device. The processor is also configured to generate a modified image of the surgical device that includes information related to one or more operating parameters.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
G06T 19/00 - Manipulating 3D models or images for computer graphics
G06V 10/26 - Segmentation of patterns in the image fieldCutting or merging of image elements to establish the pattern region, e.g. clustering-based techniquesDetection of occlusion
G06V 20/20 - ScenesScene-specific elements in augmented reality scenes
H04N 13/239 - Image signal generators using stereoscopic image cameras using two 2D image sensors having a relative position equal to or related to the interocular distance
H04N 13/337 - Displays for viewing with the aid of special glasses or head-mounted displays [HMD] using polarisation multiplexing
H04N 13/344 - Displays for viewing with the aid of special glasses or head-mounted displays [HMD] with head-mounted left-right displays
35.
SURGICAL STAPLER WITH FIRING LOCKOUT FEATURE COUPLED TO END EFFECTOR KNIFE
An apparatus (1000) includes an end effector (1200, 2200, 2300, 3200, 4200, 5200), a first flexible coil (508, 1508), a second flexible coil (510, 1510), and a pivoting lock (1270, 2270, 2370, 3270, 4270, 5270). The end effector includes a first jaw (1202, 2202, 2302, 3202, 4202, 5202), a second jaw (1202), and a knife (1206, 2206, 2306, 3206, 4206, 5206). The first and second flexible coils are operatively attached to an upper portion (1238, 2238, 2338, 3238, 4238, 5238) and a lower portion (1246, 2246, 2346, 3246, 4246, 5246) of the knife, respectively. The pivoting lock is pivotable from an unlocked configuration to a locked-out configuration about a pivot axis located vertically between the first and second flexible coils to inhibit distal actuation of the knife. The knife can move the pivoting lock relative to the first and second jaws along the firing stroke.
An apparatus includes a body (700), a shaft (600A), an end effector (200), and a lockout assembly (1100). The end effector includes a cartridge jaw (202), an anvil jaw (204), a knife (206) and a distal retainer (1110). The lockout assembly includes a sensor (1120) and a lockout (1140). The lockout is vertically constrained. The sensor is associated with a first pivot (1124) and a second pivot. The first pivot is grounded with respect to a channel (1114). The second pivot is a moving pivot. The lockout assembly includes an unlocked and locked position. The second pivot is positioned above the first pivot when the lockout assembly is in the unlocked position with the lockout providing no interference with respect to actuation of the knife. The first pivot and the second pivot are positioned at substantially the same height when the lockout assembly is in the locked position.
An end effector of a surgical instrument may be equipped with a firing redirect assembly including: a firing carrier; a reaction pulley disposed distally from the firing carrier; a firing cable coupled to a distal end of the firing carrier and wrapping around the reaction pulley and extending proximally past the firing carrier; and a reaction cable coupled to and extending between a distal end of the reaction pulley and a proximal end of an end effector of the surgical tool, the end effector including a cartridge jaw and an anvil jaw pivotably connected to the cartridge jaw at a pivot, where a firing load on the firing cable in a proximal direction causes the firing carrier to translate distally and causes the reaction pulley and the reaction cable to translate proximally, thereby assisting with closing the anvil jaw or assisting with stabilizing an articulation joint of the end effector.
The present invention provides a surgical stapler, wherein the surgical stapler includes an anvil portion, a part of a tissue contacting surface of the anvil portion on one side of a staple-forming recess has a first width, a part of the tissue contacting surface on the other side of the staple-forming recess has a second width, and the first width is greater than the second width. This configuration allows as much as possible for a certain error when firing a retaining pin. For example, even if the retaining pin is not accurately received by a retaining pin recess, an end portion of the retaining pin will abut against the increased tissue contacting surface of the anvil portion without missing the anvil portion and entering tissue. The retaining pin abuts against the enlarged tissue contacting surface, thereby resisting actuation of the anvil portion and a staple cartridge toward a closed configuration, which can enable an operator to perceive abnormal actuation of a guide pin. In addition, the retaining pin abutting against the tissue contacting surface of the anvil portion may be returned to the retaining pin recess with subsequent slight shaking or a similar operation, to allow for subsequent surgical procedures.
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
39.
KNIFE DESIGNS FOR END EFFECTORS USED IN SURGICAL TOOLS
An end effector of a surgical tool includes opposing first and second jaws, a knife slot defined in one or both of the first and second jaws, and a monolithic knife assembly comprising a drive rod and a blade distally extending from the drive rod and extendable through the knife slot, the drive rod and the blade made from a same material.
An assembly includes an applicator, which includes a housing defining a gap configured to receive an end effector jaw of a surgical stapler. The applicator also includes a platform positioned within the gap. The assembly also includes a buttress assembly having a first length and positioned on the platform. The assembly further includes a trimming feature presented by the applicator or the buttress assembly, and configured to facilitate trimming of the buttress assembly from the first length to a predetermined second length.
A surgical tool that includes a drive housing, an elongate shaft that extends from the drive housing, and an end effector arranged at a distal end of the elongate shaft and including a jaw secured to a jaw holder, the jaw providing a conductive plate and the jaw holder defining a passage. A wrist couples the end effector to the elongate shaft and includes a distal clevis having an axle that rotatably mounts the jaw holder to the distal clevis. An electrical conductor extends from the drive housing, through the wrist and the passage, and terminates at the conductive plate to supply electrical energy to the jaw.
A61B 17/00 - Surgical instruments, devices or methods
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
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.
Various embodiments of surgical robot control systems are disclosed. In one example embodiment, the surgical robot control system comprises a housing. A controller is located within the housing and is coupled to a socket. The socket receives a handheld surgical user interface therein to control a surgical instrument. The surgical instrument is connected to the surgical robot and comprises an end effector and a mechanical interface to manipulate the end effector. The mechanical interface is coupled to the controller. At least one sensor is coupled to the controller and the socket to convert movement of the handheld surgical user interface into electrical signals corresponding to the movement of the surgical instrument. At least one feedback device is coupled to the controller to provide feedback to a user. The feedback is associated with a predetermined function of the surgical instrument.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A tissue sensor is used with a surgical stapling instrument to sense tissue characteristics and to provide accurate tissue measurements. The tissue sensor includes a flexible substrate, a sensor array, and a controller. The flexible substrate is disposed between the tissue and the surgical stapler. The sensor array comprises sensors disposed on the flexible substrate, senses a parameter, and generates a signal indicative thereof in response to a clamping force that is applied by the surgical stapler to clamp the tissue and the tissue sensor together. The controller is disposed in or on the flexible substrate and is configured to receive the signal from the sensor array, process the signal to determine a measurement of the parameter based on the processed signal, and provide an indication of the measurement of the parameter to a user of the surgical stapler.
An end effector of a surgical instrument may be equipped with a limited (e.g., minimal) number of electrical pads that provides useful tissue presence and positioning information using a limited number of signals communicated between the electrical pads and a controller located remotely from the end effector.
A surgical instrument that includes a first jaw that has a pair of laterally aligned vertical slots formed in a proximal end portion thereof. Each vertical slot includes an open upper end. A second jaw is movably supported for selective pivotal travel relative to the first jaw between a fully open and a fully closed position. Pivot members protrude laterally from the second jaw and are each received in a corresponding one of the vertical slots in the first jaw such that the pivot members may pivot therein. A retainer member is configured to operably engage the proximal end portion of the first jaw and retain the pivot members in the corresponding vertical slots as the second jaw moves between the fully open and the fully closed positions.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
47.
UTERINE MANIPULATOR WITH ROBOTICALLY DRIVEN COLPOTOMY CUP
An apparatus includes a base portion, a shaft, a colpotomy cup, and a colpotomy cup actuation assembly. The colpotomy cup is slidably attached along a length of the shaft and is configured to acuate along the shaft between a proximal position and a distal position. The a colpotomy cup actuation assembly is configured to drive the colpotomy cup between a proximal position and a distal position. The colpotomy cup actuation assembly includes an actuating assembly configured to operatively couple with a drive output of a robotic arm. The colpotomy cup actuation assembly further includes an elongated member extending distally from the actuating assembly and terminating into a distal end fixed relative to the colpotomy cup. The actuating assembly is configured to drive movement of the elongated member relative to the elongated shaft to thereby drive movement of the colpotomy cup between the proximal position and the distal position.
Gas Sterilizable Syringes Having Apertures Covered by Gas Permeable Barriers for Enabling Ingress and Egress of Sterilization Gases While Preventing Leakage of Flowable Materials
A gas sterilizable syringe includes an enclosure having walls that define a fluid chamber. A flowable material is disposed within the fluid chamber of the enclosure. A plunger is assembled with the enclosure and is moveable toward a distal end of the enclosure for dispensing the flowable material. One or more apertures are formed in at least one of the walls of the enclosure. A gas permeable barrier covers at least one of the apertures formed in at least one of the walls of the enclosure for enabling sterilization gases to pass through the at least one aperture covered by the gas permeable barrier while preventing the flowable material from passing through the at least one of aperture. The gas permeable barrier is permeable to the sterilization gases and impermeable to the flowable material disposed within the fluid chamber of the enclosure.
Systems, devices and methods for managing surgical instruments throughout their lifecycle include disabling a usage based device lockout and providing notifications for devices nearing a usage based lockout. A device adaptor connected inline between a surgical instrument and a power source can be configured to alter a device EEPROM to allow for additional device usage despite a usage based lockout. Notifications and user prompts may be displayed requiring a user to acknowledge that a usage based device lockout has occurred in order to avoid an attempt to use an expired device in a future procedure.
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A method of operating a surgical instrument includes clamping tissue with a surgical instrument end effector and actuating the end effector to drive staples into the clamped tissue, including a first longitudinal row having at least one first formed staple with a first formed shape in which the first legs are aligned laterally with each other and with the first crown; a second longitudinal row having at least one second formed staple with a second formed shape in which each second leg is skewed laterally away from the second crown at a first angle; and a third longitudinal row of third formed staples having at least one third formed staple with a third formed shape in which each third leg is skewed laterally away from the third crown at a second angle.
A system including a direct mechanical connection to a moveable stapler component within a surgical stapler. The system includes a sensor that detects a position of a mechanical connector that is attached to the moveable stapler component, where the direct measurement of the moveable stapler component is used to determine the position, pose, displacement, stability, or orientation of the moveable stapler component and/or surgical stapler.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
52.
STAPLE CARTRIDGE COMPRISING A POWER MANAGEMENT CIRCUIT
A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section includes a collar that is located distal to a nodal portion of the waveguide and is operable to deflect the end effector away from the longitudinal axis. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation drive assembly is operable to drive articulation of the articulation section. The articulation drive assembly comprises at least one translating articulation driver coupled with the collar. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue even when the articulation section is in an articulated state.
An end-effector configured to grasp tissue is disclosed herein. The end-effector includes an ultrasonic blade configured to transfer ultrasonic energy to the tissue and a clamp arm. The clamp arm includes a clamp arm pad including an electrically conductive material and an electrically non-conductive material. The clamp arm pad is configured as an electrode of a radiofrequency energy circuit, wherein the electrode is configured to transfer radiofrequency energy through the tissue to a return electrode of the radiofrequency energy circuit, and wherein the electrically non-conductive material is configured to reduce the possibility of an electrical short between the electrically conductive material and the ultrasonic blade as the clamp arm pad degrades throughout the usable life of the end effector.
Surgical instruments, robotic surgery systems, software for the same, and associated methods are disclosed in which instrument data is collected during a clamping time period in which tissue is clamped between opposing jaws. During the clamping time period, the instrument data includes a predictive portion in which the instrument data decays exponentially and therefore can be characterized by a mathematical feature such as a time constant, initial force or torque, elapsed decay time, etc. End time for the clamping time period, operational parameters for the instrument following the clamping time period, tissue characteristics, operational parameters for the instrument in successive clamping attempts, end effector articulation, and other instrument functions can be set/controlled based at least in part on the mathematical feature. In some examples, the instrument data includes a motor parameter which includes motor torque, clamping force, and/or motor speed.
A61B 18/08 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
56.
SURGICAL INSTRUMENT CONFIGURED TO DETERMINE TREATMENT MODALITY DURING TISSUE CLAMPING
Surgical instruments, methods, and software are presented herein that are configured to actuate an end effector to grasp between the pair of jaws, compress tissue during a tissue relaxation time period in which grasped tissue relaxes between the pair of jaws, monitor a motor parameter of the motor during at least a portion of the tissue relaxation time period, extract a mathematical feature of the motor parameter during at least a portion of the tissue relaxation time period, and determine a treatment modality based at least in part on the mathematical feature.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Surgical instruments, robotic surgery systems, software for the same, and associated methods are disclosed in which instrument data is collected during a clamping time period in which tissue is clamped between opposing jaws. During the clamping time period, the instrument data includes a predictive portion in which the instrument data decays exponentially and therefore can be characterized by a mathematical feature such as a time constant, initial force or torque, elapsed decay time, etc. End time for the clamping time period, operational parameters for the instrument following the clamping time period, tissue characteristics, operational parameters for the instrument in successive clamping attempts, end effector articulation, and other instrument functions can be set/controlled based at least in part on the mathematical feature. In some examples, the instrument data includes a motor parameter which includes motor torque, clamping force, and/or motor speed.
A surgical stapling instrument includes an anvil and a stapling assembly. The stapling assembly includes first and second staples. The anvil is configured to deform the first and second staples to thereby transition the first and second staples from a non-deformed state to a deformed state. The first staple includes a first crown. The second staple includes a second crown and a first leg disposed at a first angle relative to the second crown in the non-deformed state. The first leg of the second staple is configured to extend over the first crown to form an overlapping staple pattern between the first and second staples when the first and second staples are in the deformed state.
Surgical instruments, and software are presented herein that are configured to actuate an end effector to grasp between the pair of jaws, compress tissue during a tissue relaxation time period in which grasped tissue relaxes between the pair of jaws, monitor a motor parameter of the motor during at least a portion of the tissue relaxation time period, extract a mathematical feature of the motor parameter during at least a portion of the tissue relaxation time period, and determine a treatment modality based at least in part on the mathematical feature.
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
60.
Adaptive knife-based closure methods for surgical stapler
An apparatus (1000) includes an end effector (200), a motor (1100), a sensor (1104), and a controller (1150). The end effector includes first and second jaws (202, 204) and a knife (206). The controller obtains using the sensor a first force value exerted by the motor as the knife is contacting the ramp surface. The controller determines whether the first force value exerted by the motor exceeds a first predetermined force threshold as the knife is contacting the ramp surface. The controller is configured to alter travel of the knife. Altering the travel of the knife includes at least one of: pausing the knife for a predetermined amount of time, pausing the knife until a second force value exerted by the motor obtained from the sensor is below the first predetermined force threshold, or advancing the knife at a second speed that is less than the first speed.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
A surgical stapler instrument drive system which indirectly maximizes the allowed/allotted cutline length of a staple cartridge, and associated staple deployment, with a reduced excess cutting force at the end thereof.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
62.
SURGICAL STAPLER FOR SENSING AND COMMUNICATING TROCAR POSITION AND ANVIL STATE
The present disclosure provides a circular stapler. The circular stapler includes a stapling head assembly. A trocar is positioned at least partially within the stapling head assembly. An anvil is detachably attachable to the trocar. A knob rotatable to cause translation of the trocar to adjust a position of the anvil with respect to the stapling head assembly. One or more sensors are configured to generate data associated with a trocar position or an anvil state. A communication element is configured to provide the generated data to a hub, wherein the hub is configured to provide an indicator associated with the trocar position or the anvil state based on the generated data.
A61B 17/115 - Staplers for performing anastomosis, e.g. in a single operation
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/11 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for performing anastomosisButtons for anastomosis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
63.
DRIVE CABLE ACCUMULATION SYSTEMS FOR ROBOTIC SURGICAL TOOLS
A robotic surgical tool includes a handle providing a drive input, a shaft extendable through the handle and having an end effector arranged at an end of the shaft, and an accumulator system housed within the handle. The accumulator system includes a lead screw extending from the drive input, a nut threadably mounted to the lead screw, a first pulley operatively coupled to the nut such that axial movement of the nut correspondingly moves the first pulley, and a second pulley rotatably coupled to the handle and vertically offset from the first pulley. The surgical tool further includes first and second drive cables threaded through the first and second pulleys and extending distally along the shaft. Operation of the accumulator system alters at least one of a length or a force in the first and second drive cables to affect end effector operation.
A surgical system includes a first detector that includes a first array of pixels configured to detect light reflected by a surgical instrument and generate a first signal comprising a first dataset representative of a visible image of the surgical instrument. The surgical system also includes a second detector, comprising a second array of pixels configured to detect infrared radiation produced by the surgical instrument during a procedure using the surgical instrument and generate a second signal comprising a second dataset representative of an infrared image of the surgical instrument. The surgical system further includes a processor configured to receive the first and second signals, identify from the first dataset data representative of the surgical instrument, and identify from the second dataset data representative of one or more regions of the surgical instrument above a predetermined threshold temperature. The processor is also configured to generate a modified image of the surgical instrument based on data identified from the first and second dataset. The modified image includes visible indicia in the one or more region of the surgical instrument at or above the predetermined temperature.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/06 - Devices, other than using radiation, for detecting or locating foreign bodies
A61B 17/00 - Surgical instruments, devices or methods
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G01J 5/00 - Radiation pyrometry, e.g. infrared or optical thermometry
G01J 5/07 - Arrangements for adjusting the solid angle of collected radiation, e.g. adjusting or orienting field of view, tracking position or encoding angular position
G01J 5/0801 - Means for wavelength selection or discrimination
G01J 5/0803 - Arrangements for time-dependent attenuation of radiation signals
65.
USER INTERFACE FOR SURGICAL INSTRUMENT WITH COMBINATION ENERGY MODALITY END-EFFECTOR
Disclosed is a surgical instrument having a housing, an end-effector, and a user interface. The end-effector includes a clamp arm and an ultrasonic blade configured to couple to an ultrasonic transducer and to a pole of an electrical generator. The clamp arm includes a clamp jaw pivotally movable about a pivot point, an electrode defining a surface configured to contact tissue and apply electrical energy to the tissue in contact therewith and configured to couple to an opposite pole of the electrical generator. The user interface includes a first activation button switch to activate a first energy source and a second button switch to select an energy mode for the activation button switch.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
66.
METHOD OF OPERATING A COMBINATION ULTRASONIC / BIPOLAR RF SURGICAL DEVICE WITH A COMBINATION ENERGY MODALITY END-EFFECTOR
Disclosed is a surgical instrument with an end-effector adapted and configured to deliver a plurality of energy modalities to tissue at a distal end thereof. The energy modalities may be applied simultaneously, independently, or sequentially. A generator is electrically coupled to the surgical instrument and is configured to supply a plurality of energy modalities to the end-effector. In one aspect, the generator is configured to supply electrosurgical energy (e.g., monopolar or bipolar radio frequency (RF) energy) and ultrasonic energy to the end-effector to allow the end-effector to interact with the tissue. The energy modalities may be supplied to the end-effector by a single generator or multiple generators.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A surgical instrument is disclosed herein. The surgical instrument can include an end effector that includes jaws configured to transition between an opened condition and a closed condition, a plurality of electrodes positioned within the jaws of the end effector, a control circuit, and a memory configured to store an algorithm configured to cause the control circuit to determine an impedance signal based on signals received from the plurality of electrodes, detect a media positioned between the jaws of the end effector based on the determined impedance signal, determine a position of the detected media based on the received signals, and generate an alert associated with the detected media and the determined position.
A computer-implemented method and system automatically infers pelvimetry measurements from volumetric medical images. A processing system receives a volumetric medical image of a pelvic region of a patient and applies machine learning model trained to infer a set of volumetric probability maps for a plurality of respective anatomical landmarks of the pelvic region. Each of the volumetric probability maps represents a per-pixel array of probabilities for a location of an anatomical landmark. The processing system selects respective locations for the respective anatomical landmarks based on the set of volumetric probability maps. The processing computes a set of pelvimetry measurements characterizing the respective locations for the respective anatomical landmarks and outputs the set of measurements. The measurements may be outputted as visual overlay on the captured images for review by a medical practitioner, and/or may be provided as control inputs to medical instrumentation utilized in pelvic-related medical procedures.
G06T 15/00 - 3D [Three Dimensional] image rendering
G16H 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A surgical tool includes a stage portion that includes opposing first and second ends, a lead screw and at least one spline that extend between the first and second ends, and a first layer of a carriage movably mounted to the lead screw and the at least one spline. An instrument portion is releasably coupled to the stage portion and includes one or more additional layers of the carriage removably coupled to the first layer, and an elongate shaft extending distally from the one or more additional layers and having an end effector arranged at a distal end of the elongate shaft. The elongate shaft and the end effector penetrate the elevator layer and the first end when the instrument portion is coupled to the stage portion.
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.
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 17/11 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for performing anastomosisButtons for anastomosis
A61B 17/115 - Staplers for performing anastomosis, e.g. in a single operation
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A61M 13/00 - Insufflators for therapeutic or disinfectant purposes
G06K 7/10 - Methods or arrangements for sensing record carriers by electromagnetic radiation, e.g. optical sensingMethods or arrangements for sensing record carriers by corpuscular radiation
G06K 19/077 - Constructional details, e.g. mounting of circuits in the carrier
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
H01Q 1/22 - SupportsMounting means by structural association with other equipment or articles
H04L 67/10 - Protocols in which an application is distributed across nodes in the network
H04L 67/12 - Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
H04N 5/272 - Means for inserting a foreground image in a background image, i.e. inlay, outlay
H04N 7/18 - Closed-circuit television [CCTV] systems, i.e. systems in which the video signal is not broadcast
A surgical hub is for use with a surgical instrument configured to deliver therapeutic energy to tissue at a surgical site of a surgical procedure. The surgical hub comprises: a hub enclosure, comprising a docking station including a docking port comprising data and power contacts; and a combo generator module removably retainable in the docking station. The combo generator module comprises: an ultrasonic energy generator component; a radio frequency (RF) energy generator component; a smoke evacuation component; and a connection port. At least one of the ultrasonic energy generator component and the radio frequency (RF) generator component are couplable to the surgical instrument through the connection port. The combo generator module further comprises at least one smoke evacuation component, configured to evacuate smoke generated by an application of therapeutic energy to the tissue by the surgical instrument.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G16H 40/60 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
72.
MULTISPECIFIC ANTIBODIES HAVING SPECIFICITY FOR IL-4R AND IL-31
The present invention relates to a multispecific antibody comprising one or two binding domains, which specifically bind to IL-4R (IL4R-BDs), and one or two binding domains, which specifically bind to IL-31 (IL31-BDs), wherein the multispecific antibody comprises an immunoglobulin Fc region. The present invention further relates to nucleic acids encoding said multispecific antibody, vector(s) comprising said nucleic acids, host cell(s) comprising said nucleic acids or said vector(s), and a method of producing said multispecific antibody. Additionally, the present invention relates to pharmaceutical compositions comprising said multispecific antibody and methods of use thereof.
C07K 16/28 - Immunoglobulins, e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
C07K 16/24 - Immunoglobulins, e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
An apparatus for operating on tissue comprises a shaft, an acoustic waveguide, and an end effector. The acoustic waveguide extends along the shaft and is configured to transmit ultrasonic vibration. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The clamp arm is pivotable toward the ultrasonic blade. The end effector defines a first longitudinal region and a second longitudinal region. The end effector is configured to clamp tissue between the clamp arm and the ultrasonic blade in the first longitudinal region. The end effector is configured to sever tissue with the ultrasonic blade in the second longitudinal region.
An end effector of a surgical instrument may be equipped with a staple cartridge selection system, including a load sensing cartridge insertable into a channel of a cartridge jaw of an end effector for assembly therewith, the load sensing cartridge including: a body having a proximal end portion and a distal end portion; an elongated channel within the body between the proximal end portion and the distal end portion; a load sensor disposed within the elongated channel of the load sensing cartridge, the load sensor configured to sense a parameter indicative of a tissue thickness when tissue is clamped between an anvil jaw and the cartridge jaw in the clamped configuration; and a visual indicator configured to display a visual indication based on the parameter sensed by the load sensor.
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
75.
METHOD FOR ADAPTIVE CONTROL SCHEMES FOR SURGICAL NETWORK CONTROL AND INTERACTION
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.
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 17/11 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for performing anastomosisButtons for anastomosis
A61B 17/115 - Staplers for performing anastomosis, e.g. in a single operation
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A61M 13/00 - Insufflators for therapeutic or disinfectant purposes
G06K 7/10 - Methods or arrangements for sensing record carriers by electromagnetic radiation, e.g. optical sensingMethods or arrangements for sensing record carriers by corpuscular radiation
G06K 19/077 - Constructional details, e.g. mounting of circuits in the carrier
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
H01Q 1/22 - SupportsMounting means by structural association with other equipment or articles
H04L 67/10 - Protocols in which an application is distributed across nodes in the network
H04L 67/12 - Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
H04N 5/272 - Means for inserting a foreground image in a background image, i.e. inlay, outlay
H04N 7/18 - Closed-circuit television [CCTV] systems, i.e. systems in which the video signal is not broadcast
A surgical tool includes a drive housing, a drive input rotatably coupled to the drive housing, and an indicator assembly arranged within the drive housing. The indicator assembly including a capstan assembly operatively coupled to the drive input, an indicator mount secured to the drive housing, and an indicator shaft extending from the indicator mount. The surgical tool further including a drive gear mounted to the capstan assembly, and a driven gear arranged such that rotating the drive gear rotates the driven gear to undertake a function of the surgical tool. The capstan assembly is rotated with the drive input to undertake the function and further to actuate the indicator assembly between a non-activated state, where the indicator shaft is recessed into an indicator aperture defined in the drive housing, and an activated state, where the indicator shaft extends out of the drive housing via the indicator aperture.
A surgical stapling instrument. Various embodiments include an actuation system for selectively generating a plurality of control motions. A surgical end effector is operably coupled to the actuation system. The actuation system interfaces with an actuation member configured to operably engage rotatable camming members to fire staples within the end effector into forming contact with an anvil portion of the end effector.
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
A61B 17/00 - Surgical instruments, devices or methods
A surgical tool configured to receive rotary inputs from a robotic surgical system. The surgical tool comprises a distal end effector comprising jaws for clamping tissue therebetween, an intermediate shaft portion coupled to the distal end effector, and a proximal housing coupled to the intermediate shaft portion. The proximal housing comprises an arrangement of rotary drives comprising a first rotary drive. The first rotary drive comprises an input shaft configured to receive a rotary input from the robotic surgical system, a transition nut slidably positioned on the input shaft, and an output gear. The first rotary drive further comprises a high-speed gear configured to selectively drive the output gear, a high-torque gear configured to selectively drive the output gear, and a spring arrangement configured to bias the transition nut along the input shaft from a high-speed operating state to a high-torque operating state upon obtaining a threshold torque.
B25J 9/04 - Programme-controlled manipulators characterised by movement of the arms, e.g. cartesian co-ordinate type by rotating at least one arm, excluding the head movement itself, e.g. cylindrical co-ordinate type or polar co-ordinate type
B25J 9/10 - Programme-controlled manipulators characterised by positioning means for manipulator elements
Various systems and methods providing recommendations based on analysis of surgical procedure variables are disclosed. A computer system, such as a surgical hub, can be configured to be communicably coupled to a surgical device. The computer system can be programmed to determine contextual data related to the surgical procedure being performed based at least in part of perioperative data received from the surgical device paired with the computer system. Further, the computer system can determine a procedural variable associated with the determined surgical context and then compare the procedural variable to a baseline. Depending upon the outcome of the comparison, the computer system can provide intraoperative or postoperative recommendations to the surgical staff.
A61B 90/98 - Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
81.
SURGICAL SYSTEM WITH MOTOR RELATIVE CAPACITY INTERROGATIONS
A surgical instrument system comprising a drive train and a control circuit is disclosed. The drive train comprises a motor and a shaft actuatable by the motor to actuate a function of an end effector. The control circuit is coupled to the motor, wherein the control circuit is configured to determine a relative excess capacity of the drive train, compare the relative excess capacity to a predetermined shifting threshold, and increase the speed of the motor based on the relative excess capacity exceeding the predetermined shifting threshold.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
H02K 7/116 - Structural association with clutches, brakes, gears, pulleys or mechanical starters with gears
H02K 7/14 - Structural association with mechanical loads, e.g. with hand-held machine tools or fans
82.
ULTRASONIC SURGICAL INSTRUMENT WITH A CLAMP ARM CLOCKING ASSEMBLY
A surgical instrument includes an end effector having a clamp arm pivotable relative to an ultrasonic blade, an articulation section configured to deflect the end effector, an acoustic waveguide having a distal portion extending along an axis, a clamp arm closure assembly comprising a body configured to actuate in order to drive the pivoting of the clamp arm, and a clamp arm clocking assembly. The clamp arm clocking assembly is capable of driving rotation of the clamp arm about the axis relative to the ultrasonic blade between a first clocked position and a second clocked position. The clamp arm clocking assembly includes a rotating body pivotally coupled with the clamp arm, a translating drive extending through the articulation section, and a rotation driver assembly. The rotation driver is in communication with the translating driver to convert translational motion of the translating driver into rotational motion of the rotating body.
A surgical instrument includes a first and second jaw, a firing assembly, a first buttress assembly, and a second buttress assembly. The first and second jaw actuate relative to each other between an open and closed position to grasp tissue. The second jaw includes a fastening assembly having a deck defining a plurality of openings and a plurality of fasteners housed within the openings. The firing assembly drives the plurality of fasteners out of the plurality of openings against a plurality of fastening forming features of the first jaw. The first buttress assembly and the second buttress assembly are associated with the first and second jaw, respectively. The first buttress assembly includes a first material and a first thickness. The second buttress assembly includes a second material and a second thickness. The first material and the second material differ in rigidity. The first thickness and the second thickness are different.
A trocar sleeve comprising: a cannula having a distal end and a proximal end, a housing having a distal end and a proximal end, the proximal end of the housing attached to the distal end of the cannula, and a lumen extending from the distal end of the cannula to the proximal end of the housing, wherein the cannula and housing are made of a biocompatible material designed to withstand a plurality of sterilization cycles.
There is provided a kit for minimally invasive surgery, comprising: a trocar cannula, and a depth limiter component comprising: a lumen sized and shaped to accommodate a trocar cannula, wherein an external diameter of the trocar cannula is sized to correspond to an internal diameter of the lumen, a locking mechanism that sets the trocar cannula in a fixed position within the lumen, a housing that includes the lumen and the locking mechanism, and at least one aperture of the housing in fluid communication between an internal cavity of the housing and an external environment external to the housing
A surgical instrument is disclosed including an end effector configurable between an open state and a clamped state, a manually-driveable closure system, a motor-powered firing system configured to drive a firing member, and a control system. The control system is configured to detect the end effector reaching an initial clamped state and initiate a time; detect the end effector transitioning away from the initial clamped state; maintain the timer, based on the end effector failing to transition a threshold amount away from the initial clamped state; detect the end effector reaching a second clamped state; detect an actuation of the motor-powered firing system; set a firing motion parameter of the motor-powered firing system based on the elapsed time of the timer; and drive the firing member through a firing stroke with the motor-powered firing system using the firing motion parameter.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
H02K 7/116 - Structural association with clutches, brakes, gears, pulleys or mechanical starters with gears
H02K 7/14 - Structural association with mechanical loads, e.g. with hand-held machine tools or fans
87.
HANDPIECE AND BLADE CONFIGURATIONS FOR ULTRASONIC SURGICAL INSTRUMENT
A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The body comprises a pivotal trigger. The shaft couples the end effector and the body together. The end effector comprises a clamp arm and an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue. Pivotal movement of the trigger causes movement of the clamp arm. The trigger includes a compliant feature configured to limit the amount of force delivered to tissue by the clamp arm. The flexible feature may comprise a flexible band, living hinge, a series of living hinges, or a flexible tab.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
88.
A SURGICAL STAPLE CARTRIDGE AND A SURGICAL END EFFECTOR ASSEMBLY WITH BUMPS
The present disclosure provides a surgical staple cartridge and a surgical end effector assembly with bumps. The bumps are provided on the surgical staple cartridge and/or a staple anvil portion, the bumps are positioned and sized to limit rotation of the surgical staple cartridge and the staple anvil portion relative to each other in a closed configuration, and to define a gap between the surgical staple cartridge and the staple anvil, the gap limits a maximum pressure applied to tissue by the surgical staple cartridge and the staple anvil, and prevents the tissue from being excessively squeezed to flow to area with no staple line coverage or being unevenly squeezed within the area with staple line coverage and thus affecting a tissue sealing quality. The present disclosure also provides a surgical instrument comprising the surgical staple cartridge or the surgical end effector assembly.
A surgical stapling instrument includes first and second jaws, a sensor assembly, and a controller. The controller detects that the jaws have been actuated from closed position to open position and back to closed position, and derives, from a first signal from the sensor assembly, a current distance between the distal ends of the jaws. Upon determining firing immediately preceding actuation of the jaws, the controller adjusts a camber adjustment value based on the current distance. Upon determining no firing immediately preceding actuation of the jaws and closing of the jaws with tissue grasped, the controller adjusts the tissue thickness measurement based on the camber adjustment value and controls the next firing based thereon. Upon determining no firing immediately preceding actuation of the jaws and that closing of the jaws with no tissue grasped therein, the controller adjusts the camber adjustment value based on the current measurement of the distance.
A surgical instrument includes a shaft deflection detection system including one or more sensors positioned at a first mechanical junction between a shaft and an actuator coupled with the shaft and/or a second mechanical junction between the shaft and an end effector coupled with the shaft. The shaft is movable relative to the actuator at the first mechanical junction and/or relative to the end effector at the second mechanical junction. The one or more sensors are configured to generate signals indicative of movement of the shaft relative to the actuator and/or the end effector. The movement of the shaft is caused by an external force experienced by the shaft as the shaft of the surgical instrument is maneuvered inside a body of a patient.
A61B 17/11 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for performing anastomosisButtons for anastomosis
A61B 17/115 - Staplers for performing anastomosis, e.g. in a single operation
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
91.
DISTAL TO ARTICULATION MEDICAL STAPLER END EFFECTOR
A medical stapler including a replaceable end effector and a closure and firing assembly. The end effector can include an anvil jaw, a cartridge jaw, and a releasable connector formed at the hinge of the end effector. The cartridge jaw can include a staple cartridge containing therein a plurality of staples, a sled configured to advance the staples from the staple cartridge, and a cutting edge. The closure and firing assembly can be configured to couple to the end effector via an engagement coupling and can include and a drive beam configured to: translate, from outside of the replaceable end effector therethrough thus advancing the sled from the proximal portion to the distal portion. Further, drive beam can retract from the slot to remain with the closure and firing assembly upon disengagement of the releasable connector and the engagement coupling.
A medical stapler including a replaceable end effector and a closure and firing assembly. The end effector can include an anvil jaw, a cartridge jaw, and a releasable connector formed at the hinge of the end effector. The cartridge jaw can include a staple cartridge containing therein a plurality of staples, a sled configured to advance the staples from the staple cartridge, and a cutting edge. The closure and firing assembly can be configured to couple to the end effector via an engagement coupling and can include and a drive beam configured to: translate, from outside of the replaceable end effector therethrough thus advancing the sled from the proximal portion to the distal portion. Further, drive beam can retract from the slot to remain with the closure and firing assembly upon disengagement of the releasable connector and the engagement coupling.
A staple cartridge assembly capable of coupling with a cartridge channel of a surgical stapler. The staple cartridge includes a staple cartridge body, a swing gate pivotably coupled with the staple cartridge body, and a bridge member extending across the central slot and located proximally relative to the swing gate. The staple cartridge body defines a central slot dimensioned to slidably receive a firing beam of the surgical stapler. The staple cartridge body includes a proximal end, a distal end, and a staple deck extending between the proximal end and the distal end. The staple deck defines staple openings. The swing gate can pivot between a first position and a second position. The swing gate extends across the central slot in the first position, while the swing gate extends alongside the central slot in the second position. The bridge member defines a closed proximal end of the central slot.
A surgical instrument includes an end effector, a handle assembly, a trigger assembly, an input driving body, and a coupling body. The end effector includes a pair of jaws, a knife, and an RF electrode assembly. The input driving body drives the knife between the pre-fired position and the fired position when traveling between the first position and the second position. The engagement body of the trigger assembly drives the input driving body from the first position to the second position when the coupling body is in the engaged position. The input driving body returns to the first position when the coupling body is in the disengaged position. The coupling body moves from the engaged position to the disengaged position is response to the input driving body traveling from the second position to the third position such that the input driving body returns to the first position.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
95.
SURGICAL INSTRUMENT WITH MULTIPLE PROGRAM RESPONSES DURING A FIRING MOTION
A surgical instrument. The surgical instrument includes an elongated channel configured to support a staple cartridge, an anvil pivotably connected to the elongated channel, a knife mechanically coupled to the staple cartridge, an electric motor and a control circuit electrically connected to the electric motor. The control circuit is configured to change a firing motion of the surgical instrument based on a combination of events.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
96.
ROTATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT
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.
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
97.
LOCALLY POWERED STAPLER ANVIL WITH CONTACT INDICATOR
Disclosed is an anvil for a surgical stapler, the anvil being locally powered and including a contact indication with light indicator. The light indicators provide feedback as to the status of the anvil. The anvil can include a battery or capacitor-based circuit, which can be charged locally or via a power source on the handle.
A fastener cartridge can comprise fastener cavities arranged in longitudinal rows. A first fastener having a first configuration and a second fastener having a second configuration can be stored within a longitudinal row. First fasteners having a first configuration can be stored within a first longitudinal row and second fasteners having a second configuration can be stored within a second longitudinal row. Each first fastener can have a proximal leg, or leg portion, extending at a first proximal angle and a distal leg, or leg portion, extending at a first distal angle and each second fastener can have a proximal leg, or leg portion, extending at a second proximal angle and a distal leg, or leg portion, extending at a second distal angle. The first proximal angle can be different than the second proximal angle and/or the first distal angle can be different than the second distal angle.
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
G06F 11/14 - Error detection or correction of the data by redundancy in operation, e.g. by using different operation sequences leading to the same result
99.
SURGICAL INSTRUMENTS WITH PROGRESSIVE JAW CLOSURE ARRANGEMENTS
A surgical instrument that includes a first jaw and a second jaw that are movable between a closed position and an open position. An axially movable closure member is supported relative to the jaws to apply closing and opening motions thereto. A closure actuator operably interfaces with the closure member and is movable from an unactuated position corresponding to the open position in a closure direction during a closure procedure. A first control system is configured to apply an opening control motion to the closure actuator to return the closure actuator to the unactuated position upon completion of the closure procedure. A second control system is configured to apply a variable closure force to the closure member as the closure actuator is moved in the closure direction.
Mitigating a user interface display function of a modular energy system includes receiving formatted video data at a video data converter circuit, providing differential video signaling data to the display from the video data converter circuit, providing a copy of the differential video signaling data to a processor, and determining that the differential video signaling data is changing over time. Mitigating erroneous outputs from an isolated interface includes receiving a state of a first switch of a first footswitch coupled to a first comparator and a reference voltage coupled to the first comparator, receiving the state of the first switch coupled to the first duplicate comparator and the reference voltage coupled to the first duplicate comparator, comparing the output of the first comparator with the output of the first duplicate comparator, and determining activation or deactivation of a surgical instrument coupled to the controller based on the comparison.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
