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.
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 - CouleurPropriétés spectrales, c.-à-d. comparaison de l'effet du matériau sur la lumière pour plusieurs longueurs d'ondes ou plusieurs bandes de longueurs d'ondes différentes en recherchant l'effet relatif du matériau pour les longueurs d'ondes caractéristiques d'éléments ou de molécules spécifiques, p. ex. spectrométrie d'absorption atomique en utilisant la lumière infrarouge pour l'analyse de liquides, p. ex. l'eau polluée
4.
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 - CouleurPropriétés spectrales, c.-à-d. comparaison de l'effet du matériau sur la lumière pour plusieurs longueurs d'ondes ou plusieurs bandes de longueurs d'ondes différentes en recherchant l'effet relatif du matériau pour les longueurs d'ondes caractéristiques d'éléments ou de molécules spécifiques, p. ex. spectrométrie d'absorption atomique en utilisant la lumière infrarouge pour l'analyse de liquides, p. ex. l'eau polluée
5.
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, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
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 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
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 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
9.
SURGICAL INSTRUMENT CONFIGURED TO DETERMINE TREATMENT MODALITY DURING TISSUE CLAMPING
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 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
10.
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 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
11.
AUTOMATED ESTIMATION OF PELVIC MEASUREMENTS FROM MEDICAL IMAGES USING MACHINE LEARNING
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.
G16H 30/20 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le maniement d’images médicales, p. ex. DICOM, HL7 ou PACS
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
12.
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.
An electrosurgical return electrode includes a conductive layer and a plug connected thereto. The conductive layer is configured to conduct electrical current and has one or more apertures extending therethrough. The plug includes a base having one or more bosses configured to extend through the one or more apertures in the conductive layer. The plug also includes a cap disposed adjacent to the conductive layer and opposite to the base. The cap and the base are laser or ultrasonically welded together or the conductive layer, the base, and the cap are joined together via an adhesive.
B32B 3/00 - Produits stratifiés comprenant une couche ayant des discontinuités ou des rugosités externes ou internes, ou une couche de forme non planeProduits stratifiés comprenant une couche ayant des particularités au niveau de sa forme
B32B 37/00 - Procédés ou dispositifs pour la stratification, p. ex. par polymérisation ou par liaison à l'aide d'ultrasons
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
14.
SURGICAL STAPLERS WITH REMOVABLE AND REUSABLE CONTROL ATTACHMENTS
The present disclosure provides a stapler system. The stapler system includes a disposable surgical stapler and a removable and reusable control attachment. The control attachment includes an energy source in electrical connection with a motor assembly in the disposable surgical stapler. The control attachment includes a controller in electrical communication with the motor assembly and configured to output a motor drive signal to the motor assembly such that the motor assembly drives at least a portion of the firing assembly.
Staple cartridge systems with implantable adjuncts and retainers are disclosed. The staple cartridge systems ensure the full-cutting of the implantable adjuncts through the structure/ manufacturing of the implantable adjuncts and the retainers.
A suction irrigator includes a drive housing, a flow control system arranged within the drive housing and including a flow manifold that houses an internal valve, and a drive input rotatably mounted to the drive housing. A capstan assembly is arranged within the drive housing and is operatively coupled to the flow manifold such that rotation of the drive input actuates the capstan assembly and thereby operates the internal valve between closed and open positions. A button is mounted to the drive housing and operatively coupled to the flow manifold such that manually depressing the button operates the internal valve between the closed and open positions. A decoupling mechanism mechanically decouples the button from the capstan assembly when the button is manually pressed such that manual movement of the button fails to backdrive the drive input or a motor operable to drive the drive input.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
An apparatus includes first and second stapler halves that selectively couple together and separate from one another, and a clamp member actuatable to approximate the stapler halves to clamp tissue. A firing assembly is actuatable through a firing stroke to fire the stapling assembly on clamped tissue. The firing assembly includes a firing actuator movable between a retracted position and a deployed position in which the firing actuator is configured to actuate the firing assembly through the firing stroke, and a firing lockout member movable between an engaged position in which the firing lockout member inhibits advancement of the firing assembly through the firing stroke, and a disengaged position in which the firing lockout member permits advancement of the firing assembly through the firing stroke. The firing lockout member is configured to assume the disengaged position only when the firing actuator is in the deployed position.
An apparatus includes a first and second elongate member that can releasably couple together to in order to cooperate to clamp and staple tissue, a clamp lever and latch body that together can latch the first and second elongate member to clamp tissue, a firing assembly that can sever and staple clamped tissue, and a lockout assembly that can prevent firing of the firing assembly until the clamp leer and latch body successfully latch the first and second elongate member together to clamp tissue.
A surgical tool includes a drive housing having an elongate shaft extending therefrom, an end effector arranged at a distal end of the shaft and including opposing first and second jaws, and a wrist interposing the shaft and the end effector. The wrist includes a clevis, a pulley support mounted to the clevis at an axle having a pivot axis extending through the axle, and a pulley rotatably mounted to the pulley support and rotatable about a rotation axis that is non-collinear with the pivot axis. The surgical tool further includes a plurality of drive cables extending from the drive housing, wherein one of the plurality of drive cables is routed through the wrist and engages the pulley.
An apparatus includes a housing, a lockout arm, and a spring, and is configured for use with a linear surgical stapler having a first stapler half with a frame and a clamp lever, and a second stapler half with a latch projection. The lockout arm is rotatable between a lockout position and a bypass position and is biased toward the lockout position by the spring. In the lockout position the lockout arm inhibits a proximal end of the clamp lever in a closed state from coupling with a proximal end of the frame. In the bypass position the lockout arm permits the proximal end of the clamp lever in the closed state to couple with the proximal end of the frame. The lockout arm transitions from the lockout position to the bypass position only when the latch projection is properly captured by the clamp lever in the closed state.
An apparatus includes first and second elongate members having first and second stapling surfaces and being configured to releasably couple together. A clamp member is movable from a first position to a second position to approximate the stapling surfaces for clamping tissue. A latch member is transitionable from an unlatched state to a latched state to releasably retain the clamp member in the second position. A firing assembly is actuatable from a home position to fire staples into the clamped tissue. The latch member is transitionable from the unlatched state to the latched state when the clamp member is in the second position while the firing assembly is in the home position. The latch member is inhibited from transitioning from the unlatched state to the latched state when the clamp member is in the second position while the firing assembly is displaced from the home position.
Systems for stereoscopic visualization with multispectral filter arrays configured for capturing color imaging data and spectral imaging data. A system includes an emitter comprising a plurality of sources of electromagnetic radiation, including a visible source, a first spectral source that emits electromagnetic radiation within a first spectral waveband, and a second spectral source that emits electromagnetic radiation within a second spectral waveband. The system includes a first image sensor comprising a first multispectral filter array, wherein at least a portion of the first multispectral filter array transmits reflected electromagnetic radiation within the first spectral waveband. The system includes a second image sensor comprising a second multispectral filter array, wherein at least a portion of the second multispectral filter array transmits reflected electromagnetic radiation within the second spectral waveband. The system is such that the first spectral waveband is different from the second spectral waveband.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
H04N 13/254 - Générateurs de signaux d’images utilisant des caméras à images stéréoscopiques en combinaison avec des sources de rayonnement électromagnétique pour l’éclairage du sujet
H04N 23/45 - Caméras ou modules de caméras comprenant des capteurs d'images électroniquesLeur commande pour générer des signaux d'image à partir de plusieurs capteurs d'image de type différent ou fonctionnant dans des modes différents, p. ex. avec un capteur CMOS pour les images en mouvement en combinaison avec un dispositif à couplage de charge [CCD] pour les images fixes
H04N 25/13 - Agencement de matrices de filtres colorés [CFA]Mosaïques de filtres caractérisées par les caractéristiques spectrales des éléments filtrants
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
23.
STAPLE CARTRIDGE COMPRISING WALL STRUCTURES TO REDUCE CARTRIDGE DEFLECTION
A surgical stapling assembly comprising a cartridge body, a plurality of staples, a plurality of staple drivers, a sled, and a support plane is disclosed. The cartridge body comprises a deck, a plurality of staple cavities defined in the deck, a longitudinal slot defined in the deck, and an outer cartridge wall. The support plane extends perpendicular to a longitudinal axis, wherein the sled is positioned under an inner cartridge wall in the support plane, wherein the inner cartridge wall comprises a first lateral pillar width and a first pillar height in the support plane, wherein the outer cartridge wall comprises a second lateral pillar width and a second pillar height in the support plane, and wherein the first lateral pillar width is wider than the second lateral pillar width.
A surgical stapling end effector comprising a cartridge channel jaw, an anvil jaw, and a surgical staple cartridge positioned within the cartridge channel jaw is disclosed. The surgical staple cartridge comprises a plurality of staples, a cartridge body comprising a plurality of staple cavities, a longitudinal slot, and an outer lateral cartridge wall comprising a recess defined therein. The surgical staple cartridge further comprises an electronics sub-assembly positioned within the recess, wherein the electronics sub-assembly comprises electrical pathways, a printed circuit board removably attached to the outer lateral cartridge wall within the recess, and a wireless transmission coil electrically coupled to the printed circuit board by way of the electrical pathways, wherein the wireless transmission coil is configured to transmit at least one of power or data between the printed circuit board and a corresponding wireless transmission coil of an instrument to which the surgical staple cartridge is attached.
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.
A staple cartridge assembly for use with a surgical stapling instrument is disclosed. The staple cartridge assembly comprises a plurality of staples, a plurality of staple drivers, and a cartridge body comprising a retention feature. The staple cartridge assembly further comprises a sled movable longitudinally through the cartridge body from a proximal unfired position to a distal fired position during a firing stroke, wherein the sled comprises a ramp configured to lift the staple drivers toward a deck to eject the staples from staple cavities during the firing stroke, wherein the sled comprises a longitudinally-extending slot, wherein the retention feature supports at least one of the staple drivers in an unlifted position, and wherein the longitudinally- extending slot of the sled is configured to receive the retention feature during the firing stroke.
A surgical instrument comprising a staple cartridge including a cartridge body, staples removably stored in the cartridge body, and staple drivers movable within the cartridge body to eject, or deploy, the staples from the cartridge body is disclosed herein. The staple drivers and the cartridge body comprise control surfaces that promote the efficient deployment of the staples from the cartridge body.
A surgical instrument comprises a shaft and an end effector extending from the shaft, the end effector comprising a staple cartridge comprising: a cartridge deck, a cartridge body, and a cartridge antenna supported by the cartridge body; a longitudinal channel, comprising: a base, a first wall extending from the base, a second wall extending from the base, wherein the second wall is spaced apart from the first wall to accommodate the staple cartridge therebetween in an assembled configuration, and a channel antenna supported by the first wall, wherein the cartridge antenna and the channel antenna are to cooperatively define a wireless signal-transfer circuit in the assembled configuration; and an aligner to interlock the staple cartridge and the longitudinal channel in the assembled configuration, wherein the aligner is adjacent the channel antenna and the staple cartridge antenna to maintain a predefined spatial relation between the channel antenna and the cartridge antenna in the assembled configuration.
A method of driving a motor in a powered surgical stapler can include a stall indication monitoring process that may be effective to improve staple form and/or increase localized compression of tissue. The stall indication monitoring process monitors firing speed of a firing bar driven by the motor and pauses the motor when the firing speed passes a speed error threshold. The stall indication monitoring process adjust a duty cycle of a PWM signal driving the motor to drive the firing bar to a target speed. The stall indication monitoring process can inhibit the duty cycle from increasing when force on the firing bar is above a force threshold limit. The pausing monitoring process may force the firing bar through a predetermined distance immediately after pausing. The pausing monitoring process may be limited in the number of pauses that can be taken during a firing stroke.
A software for driving a motor in a powered surgical stapler can include a pausing monitoring process that may be effective to improve staple form and/or increase localized compression of tissue. The pausing monitoring process monitors firing speed of a firing bar driving by the motor and pauses the motor when the firing speed passes a speed error threshold. Before pausing the motor, the pausing monitoring process may also require that a pulse width modulated (PWM) electrical signal driving the motor has a duty cycle over a duty cycle threshold while the firing speed is beyond the speed error. The pausing monitoring process may force the firing bar through a predetermined distance immediately after pausing. The pausing monitoring process may be limited in the number of pauses that can be taken during a firing stroke.
Stereo visualization systems with objective lens assemblies for endoscopic visualization. A system include an endoscope tube and an optical assembly disposed within an interior cavity defined by the endoscope tube. The optical assembly includes a negative lens comprising a negative focal length, a positive lens group comprising at least one convex lens, and a beam folding prism that directs a beam of electromagnetic radiation on to a pixel array of an image sensor.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
32.
LOW TEMPERATURE-CURABLE LIQUID SILICONE RUBBER CARRIER FOR ACTIVE PHARMACEUTICAL INGREDIENT
A catalyst for silicone cross-linking is formed from treating a platinum tetramethyldivinyl disiloxane with a vinyl acetate for three or more hours to form a platinum tetramethyldivinyl disiloxane vinyl acetate. A low-temperature-curable liquid silicone rubber includes a polydimethylsiloxane; a crosslinking agent; the platinum tetramethyldivinyl disiloxane vinyl acetate catalyst; and a surface-treated silica filler.
Video visualization systems (100) with customizable image sensor (124) specifications on a per-frame basis. A system includes an image sensor comprising a pixel array (125) that reads out a plurality of data frames over a plurality of frame periods, wherein each of the plurality of frame periods comprises a blanking period and a readout period. The system includes a controller (104) that synchronizes operations of the image sensor with a variable pulse cycle of an emitter. The controller calculates register values for an applied gain for the image sensor on a per-frame basis. The controller calculates a duration of each of the plurality of frame periods on a per-frame basis.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A skin closure system includes a surgical mesh dimensioned to surround a wound, a topical skin adhesive that may be applied to an upper side of the surgical mesh to thereby form a protective layer over the wound, and a sensate located on a peripheral area of the surgical mesh such that the senate is spaced a distance away from the wound.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A skin closure system includes a surgical mesh, a topical skin adhesive, and a strip that may be secured relative to the surgical mesh. The surgical mesh includes an upper side and a lower side, with the lower side capable of adhering to a section of the patient skin that surrounds a wound. The topical skin adhesive can be applied to the upper side of the surgical mesh and cure within the surgical mesh to form a protective layer over the wound. The strip has an elongated body impregnated with an active pharmaceutical ingredient. The strip extends longitudinally along a central portion of the lower side of the elongated mesh and can diffuse the active pharmaceutical integrated toward the wound after the protective layer is formed over the wound.
A method of replacing blades of an end effector of a surgical tool includes moving the end effector distally from an assembled state, where the end effector is rotatably mounted to a clevis, to an extended state, where an axle is dislodged from open-ended slots defined in opposing arms of the clevis. The end effector includes opposing first and second blades mounted to first and second blade holders rotatably mounted to the axle. The blade holders are separable from the blades in opposing lateral directions, and a new blade set comprising new blades and a new axle are then mountable to the holders, and the end effector is moved proximally and back to the assembled state by receiving the new axle within the open-ended slots.
Electrosurgical devices and methods associated therewith are provided. The electrosurgical devices include a proximal end, a shaft extending distally from the proximal end, and an end effector operatively coupled to a distal end of the shaft. The shaft consists of a monolithic outer tube, and a single inner guide disposed within the monolithic outer tube and extending a length thereof. The end effector includes a pair of jaws configured to grasp tissue and to receive a blade from the shaft to transect the grasped tissue.
The present invention is directed to methods for processing absorbable, slow-to-crystallize poly(p-dioxanone) ground resin and its fines utilizing a twin-screw extruder apparatus to produce uniform pellets. Advantageously, the ground resin materials resulting from solid-state polymerization do not undergo processing, such as sieving, to remove fines from the feedstock for an extrusion and pelletizing system that has been configured with an inverted temperature profile along the extrusion barrel. The resulting PDS pellets have improved resin uniformity and greater polymer yield for improved operational efficiencies and production of extruded filaments.
A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. A maypole tube is further provided, around which one or more articulation cables can wrap when the end effector is rotated.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. The articulation subsystem includes an articulation joint that has a plurality of concentric discs and a center beam assembly. A distal end of the center beam assembly couples the plurality of concentric discs to the end effector. The proximal end of the center beam assembly couples the plurality of concentric discs to the shaft.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
41.
CLOSURE SUBSYSTEMS FOR ROBOTIC STAPLING AND CUTTING SYSTEMS
Systems and subsystems for cutting and stapling tissue are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment that includes a closure subsystem for a surgical instrument comprising a first closure input puck engageable with a first closure robotic output, a cam gear rotatably engaged with the first closure input puck, and a yoke pin coupled to a closure tube and movable from a first position to a second position in response to a rotation of the cam gear. Movement of the yoke pin from the first position to the second position translates the closure tube distally onto an anvil ramp of an anvil.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
42.
SYSTEMS AND SUBSYSTEMS FOR FIRING A SURGICAL INSTRUMENT
A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
43.
SYSTEMS AND SUBSYSTEMS FOR ARTICULATING A SURGICAL INSTRUMENT
Systems and subsystems for articulating an end effector of a stapler are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment. The surgical instrument includes an articulation subsystem that moves independently of other subsystems that are operable independently of each other.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Systems and subsystems for cutting and stapling tissue are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument includes a transection subsystem comprising a rotatable shaft having a lumen, a firing rod extending at least partially through the lumen, a firing rack coupled to a proximal end of the firing rod, the firing rod being rotationally independent of the firing rack, and a firing gear engaged with the firing rack. Rotation of the firing gear moves the firing rack and the firing rod axially.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
45.
ARTICULATION SUBSYSTEMS FOR ROBOTIC STAPLING AND CUTTING SYSTEMS
The present disclosure relates to systems, devices, and subsystems for robotic surgeries. The surgical instrument is a robotic attachment that includes an articulation subsystem comprising a rotatable shaft, a distal channel retainer coupled to an end effector that is pivotable about an articulation pivot point, an articulation bushing slidable between a proximal position and a distal position, an articulation rod extending distally from the articulation bushing and coupled at a distal end to the distal channel retainer; and a rack movable with respect to the longitudinal axis of the rotatable shaft. Movement of the rack with respect to the longitudinal axis imparts an axial force onto the articulation bushing moving the articulation bushing between the proximal position and the distal position. Movement of the articulation bushing between the distal position and the proximal position actuates the articulation rod causing the distal channel retainer to pivot about the articulation pivot point.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
46.
END OF LIFE INDICATOR FOR ROBOTIC SURGICAL INSTRUMENTS
A surgical tool includes a drive housing, an indicator assembly arranged within the drive housing and actuatable to provide visual indication that the surgical tool has exhausted its useful life. The indicator assembly includes a drive input rotatably coupled to the bottom of the drive housing. The drive input further including a riser and a rim where the riser contains a passage therethrough. The indicator assembly further includes an indicator shaft extending through the passage along a longitudinal axis coaxially aligned with the drive input. The drive input is rotated to actuate the indicator assembly between a non-activated state, where the indicator shaft is recessed into the drive housing, and an activated state, where the indicator shaft extends out of the drive housing to provide the visual indication.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
47.
SYSTEMS AND SUBSYSTEMS FOR ROLLING A SURGICAL INSTRUMENT
A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. The roll subsystem can include a shaft assembly and a shaft roll puck assembly. The shaft assembly includes a rotatable outer shaft and an inner shaft. The shaft roll puck assembly engages the housing and includes a shaft roll puck and first and second screw gears. Rotation of the shaft roll puck rotates the first screw gear, which rotates the second screw gear, which rotates the rotatable outer shaft.
A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. The end effector includes a jaw. The end effector includes an anvil coupled to the jaw and movable between an open position, a grasping position, and a clamping position. The end effector includes a knife slidably coupled to the anvil to move the anvil between the open position, the grasping position, and the clamping position.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
49.
FLUID MANAGEMENT SYSTEMS FOR ROBOTIC STAPLING AND CUTTING SYSTEMS
Systems and subsystems for cutting and stapling tissue are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The disclosed technology includes a housing for a surgical instrument configured to engage with a robotic arm. The housing comprises a first opening positioned to be engaged with at least a portion of a robotic arm, a second opening positioned proximate a rod extending from within the housing; and a fluid management system positioned within the housing proximate one of the first opening or the second opening, the fluid management system being configured to hold or divert fluid within the housing.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
50.
ROLL SUBSYSTEMS FOR ROBOTIC STAPLING AND CUTTING SYSTEMS
Systems and subsystems for cutting and stapling tissue are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment including a roll subsystem. The roll subsystem comprises a rotatable shaft having a longitudinal axis, a roll input puck engageable with a roll robotic output, a worm gear coupled to and rotatable by the roll input puck, and a worm follower coupled to the rotatable shaft. Rotation of the roll input puck causes the worm gear to rotate the worm follower and thereby roll the rotatable shaft about its longitudinal axis.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
51.
SYSTEMS AND SUBSYSTEMS FOR CLOSING A SURGICAL INSTRUMENT
Systems and subsystems for closing an end effector of a stapler are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment. The surgical instrument includes a closure subsystem that moves independently of other subsystems that are operable independently of each other.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
52.
SURGICAL END EFFECTOR WITH MONOPOLAR HOOK AND RELATED METHODS
An apparatus includes a conductive cable, a pulley assembly, and an end effector electrically coupled to the conductive cable. The pulley assembly includes an inner body defining a cable pathway, an outer body fixed to the inner body, and a distal cap defining an interior. The end effector includes a distal hook that can deliver therapeutic energy to tissue, and a poixmal body fixed relative to the dismal hook. The proximal body defines a conductive wire channel in communication with the cable pathway defined by the inner body. The conductive cable extends though the cable pathway of the inner body and into the conductive wire channel. The proximal body of the end effector defines a first port located within the interior of the distal cap, where the first port extends from an outer surface of the proximal body into the conductive wire channel.
A61B 18/18 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes
53.
SURGICAL INSTRUMENT WITH CLAMP ARM AND PIVOT SHAFT HINGE COUPLING
A surgical instniment includes a body, a shaft assembly, an ultrasonic blade, and a clamp arm assembly. The shaft assembly extends distally from the body and includes an outer sheath and a first pivot portion such that the outer sheath and the first pivot portion are integrally formed together with each other as a first unitary piece. The clamp arm assembly includes a clamp arm and a second pivot portion such that the clamp arm and the second pivot portion are integrally formed together with each other as a second unitary piece. The clamp arm assembly is pivotally coupled to the shaft assembly via the first and second pivot portions.
A surgical instrument includes an end effector located at a distal end of a shaft and is selectively movable between an open configuration and a closed configuration. The end effector includes a guide with an ultrasonic blade (1142) extending therefrom and a clamp arm having a clamp pad (1146) and movable relative to the ultrasonic blade. The end effector further includes a tissue stop (1184) encircling the guide and having a leading surface. The tissue stop is configured to prevent tissue from moving proximally past the clamp pad during a closure stroke. In some versions, a leading surface of the tissue stop prevents tissue from moving proximally. The tissue stop may include a pair of deflectable flaps (1186) having the leading surface, wherein the deflectable flaps abut the clamp arm or other features of the end effector as the closure stroke is performed.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
55.
CLAMP ARM OF SURGICAL INSTRUMENT WITH ADJUSTABLE COUPLING STABILITY AND RELATED METHODS
A surgical instrument includes an end effector, a shaft assembly, a shank (5552), and a clamp arm alignment structure. The end effector includes an ultrasonic blade (5542) and a clamp arm that can pivot relative to the ultrasonic blade between an open position and a closed position. The clamp arm includes an elongated coupling body (5560). The shaft assembly includes an outer sheath (5532) and an ultrasonic waveguide. The shank (5552) is attached to the clamp arm and can pivot the clamp arm between the open position and the closed position. The shank includes a clamp arm support (5570) that can receive the elongated coupling body of the clamp arm in order to assist attachment of the clamp arm to the shank. The clamp arm alignment structure promotes alignment of the clamp arm relative to the ultrasonic blade in the closed position.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
56.
SURGICAL INSTRUMENT WITH ELASTOMERIC DISTAL PIPE AND RELATED METHODS
A surgical instrument includes an ultrasonic blade assembly, a sheath, a first mating feature, and an overmolded distal pipe (2034). The ultrasonic blade assembly extends distally along a longitudinal axis from a waveguide to an ultrasonic blade (2041). Sheath is positioned over the ultrasonic blade assembly. The first mating feature is positioned on at least one of the sheath or the ultrasonic blade assembly. The overmolded distal pipe extends distally from the sheath with a second mating feature configured to be adhered to the first mating feature.
Systems, methods, and devices for selectively adjustable data exchange are provided. In an aspect, an assembly including a protective container having a medical device disposed therein is provided. The protective container can be sealed to prevent contaminates from contacting the medical device. The assembly can further include a radiofrequency identification (RFID) tag disposed within the protective container. The RFID can include a data processor and memory storing first data and instructions configured to cause the data processor to perform operations. The operations can include receiving request data from a remote network in operable communication with the RFID. The request data can characterize a query for the first data stored in the memory to be provided to the remote network. The operations can include determining a subset of the data based on the received request data and a data transfer rule stored in the memory. The operations can further include providing the determined subset of the first data to the remote network.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
58.
SYSTEMS AND METHODS FOR STORAGE AND TRANSFER OF SMART PACKAGING METADATA
Systems and methods are provided. The systems include a manufacturer-sealed sterile surgical packaging containing a surgical instrument configured to be used in a surgical procedure and memory in operable communication with the at least one data processor, and storing instructions configured to cause the at least one data processor to perform operations. The operations can include recording historical data points of the surgical instrument, determining a degradation level of the surgical instrument based on the historical data point, determining an altered set of operating parameters based on the degradation level of the surgical instrument, and providing the altered set of operating parameters.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
59.
SITUATIONALLY ADAPTIVE LABELING FOR SMART PACKAGING SYSTEMS
Systems and methods are provided. The systems include a manufacturer-sealed sterile surgical packaging containing a surgical instrument, a graphical display disposed on the manufacturer- sealed sterile surgical packaging, a data processor disposed in the surgical packaging, and memory in operable communication with the data processor, the memory storing instructions configured to cause the at least one data processor to perform operations. The operations include storing a plurality of display information sets corresponding to the surgical instrument, receiving a data set including a stage along a supply chain progression, determining, based on the received location along the supply-chain progression, a graphical depiction characterizing at least one of the plurality of stored display information sets, and providing the graphical depiction of the determined at least one display information set on the graphical display.
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p. ex. pour la gestion du personnel hospitalier ou de salles d’opération
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G06Q 10/08 - Logistique, p. ex. entreposage, chargement ou distributionGestion d’inventaires ou de stocks
G06Q 10/0631 - Planification, affectation, distribution ou ordonnancement de ressources d’entreprises ou d’organisations
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
60.
SMART PACKAGING SYSTEMS WITH NONVOLATILE RESILIENT STORE
Systems and methods are provided. The systems include a manufacturer-sealed sterile surgical packaging containing a surgical instrument configured to be used in a surgical procedure, a graphical display, at least one data processor in operable communication with the graphical display, and memory in operable communication with the at least one data processor, and storing instructions configured to cause the at least one data processor to perform operations. The operations can include storing parameters corresponding to the surgical instrument, receiving a data set characterizing parameters associated with the surgical instrument, adjusting based on the received data, the catalogued parameters, determining a graphical depiction characterizing the adjusted parameters, and providing the graphical depiction of the adjusted parameters on the graphical display.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G09G 3/34 - Dispositions ou circuits de commande présentant un intérêt uniquement pour l'affichage utilisant des moyens de visualisation autres que les tubes à rayons cathodiques pour la présentation d'un ensemble de plusieurs caractères, p. ex. d'une page, en composant l'ensemble par combinaison d'éléments individuels disposés en matrice en commandant la lumière provenant d'une source indépendante
61.
SYSTEM AND METHOD FOR SELECTIVELY ADJUSTABLE DATA EXCHANGE BETWEEN A SMART PACKAGE AND A REQUESTING SYSTEM
Systems, methods, and devices for selectively adjustable data exchange are provided. In an aspect, an assembly including a protective container having a medical device disposed therein is provided. The protective container can be sealed to prevent contaminates from contacting the medical device. The assembly can further include a radiofrequency identification (RFID) tag disposed within the protective container. The RFID can include a data processor and memory storing first data and instructions configured to cause the data processor to perform operations. The operations can include receiving request data from a remote network in operable communication with the RFID. The request data can characterize a query for program data characterizing executable instructions to cause a remote processor to perform operations for configuring an operating system to operate the medical device, and further including data characterizing information about the remote network and/or the operating system. The operations can include determining, the program data characterizing executable instructions configured to cause a remote processor to perform operations for configuring an operating system to operate the medical device based on the received request data. The operations can further include providing the program data to the remote network.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
62.
COOPERATIVE AND COLLABORATIVE LABELING AND PACKAGING OF SMART PACKAGING SYSTEMS
Systems and methods are provided. The systems can include at least one primary packaging, at least one graphical display disposed on the primary packaging, and an electronic management system in electronic communication with the primary packaging. The electronic management system is configured to receive data characterizing a list of compatible secondary packagings stored on the primary packaging, determine a compatible secondary packaging in electronic communication with the electronic management system from the list of compatible secondary packagings stored on the primary packaging, and provide data characterizing the determined compatible secondary packaging on the at least one graphical display of the primary packaging.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
63.
SYSTEMS AND METHODS FOR THE CREATION AND MANAGEMENT OF VIRTUAL KITS
Surgical systems and methods are provided. The surgical systems include at least one primary surgical system, and an electronic management system in electronic communication with the primary surgical system. The electronic management system is configured to update a virtual compatibility list stored on a primary surgical system with compatibility information, create a first virtual kit for a surgical procedure, and provide the first virtual kit. The compatibility information characterizes a level of compatibility between the primary surgical system and one or more secondary surgical systems in electronic communication with the electronic management system. The first virtual kit including the primary surgical system and at least one of the one or more secondary surgical systems selected based upon the compatibility list.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p. ex. pour la gestion du personnel hospitalier ou de salles d’opération
64.
IDENTIFICATION SYSTEMS AND METHODS FOR SMART PACKAGING SYSTEMS
Systems and methods are provided. The systems include a manufacturer-sealed, sterile surgical packaging, a surgical instrument stored within the manufacturer-sealed, sterile packaging, a first transceiver contained within the manufacturer-sealed, sterile surgical packaging and configured to transmit a first data set including a first amount of data, a second transceiver contained within the manufacturer-sealed, sterile surgical packaging and configured to transmit a second data set including a second amount of data, the second amount of data greater than the first amount of data, and a power supply contained within the manufacturer-sealed and connected to the second transceiver, wherein the second transceiver is intermittently powered by the power supply.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 42/00 - Gants chirurgicauxDoigtiers spécialement adaptés à la chirurgieDispositifs pour leur manipulation ou leur traitement
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
Packaging and methods are provided. The packaging includes a manufacturer-sealed, sterile surgical package, a surgical instrument stored within the manufacturer-sealed, sterile package; and at least one secondary-use package contained within the manufacturer-sealed, sterile surgical package. The at least one secondary-use package is configured to receive and sterilely contain one or more components of the surgical instrument following the surgical procedure. The at least one secondary-use package includes at least one authenticator configured to selectively allow access to the at least one secondary-use package.
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
66.
SYSTEM AND METHOD FOR SELECTIVELY ADJUSTABLE DATA EXCHANGE BETWEEN A SMART PACKAGE AND A REQUESTING SYSTEM
Systems, methods, and devices for selectively adjustable data exchange are provided. In an aspect, an assembly including a protective container having a medical device disposed therein is provided. The protective container can be sealed to prevent contaminates from contacting the medical device. The assembly can further include a radiofrequency identification (RFID) tag disposed within the protective container. The RFID can include a data processor and memory storing first data and instructions configured to cause the data processor to perform operations. The operations can include receiving request data from a remote network in operable communication with the RFID. The request data can characterize a future data processing operation to be performed on a subset of the first data after the subset is transmitted from the RFID tag, and a request for the subset of the first data to be transmitted from the RFID tag to the remote network. The operations can include determining the subset of the first data to be provided to the remote network. The operations can further include providing the determined subset of the data to the remote network.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
G06Q 10/08 - Logistique, p. ex. entreposage, chargement ou distributionGestion d’inventaires ou de stocks
G06Q 10/087 - Gestion d’inventaires ou de stocks, p. ex. exécution des commandes, approvisionnement ou régularisation par rapport aux commandes
Surgical systems and methods are provided. The surgical systems include at least one manufacturer-sealed sterile surgical package containing a surgical instrument, and an electronic management system in electronic communication with the at least one manufacturer-sealed sterile surgical package. The electronic management system is configured to receive inventory data characterizing inventory information of the manufacturer-sealed sterile surgical package, update a master management list with the received inventory data, determine, based on the updated master management list, a procedure inventory list for a surgical procedure utilizing the surgical instrument, the procedure inventory list including surgical equipment needed for the surgical procedure, provide the procedure inventory list.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p. ex. pour la gestion du personnel hospitalier ou de salles d’opération
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
G06Q 10/08 - Logistique, p. ex. entreposage, chargement ou distributionGestion d’inventaires ou de stocks
G06Q 10/087 - Gestion d’inventaires ou de stocks, p. ex. exécution des commandes, approvisionnement ou régularisation par rapport aux commandes
68.
SYSTEMS AND METHODS FOR DEVICE HISTORY DOCUMENTATION
Surgical systems and methods are provided. The surgical systems include a manufacturer-sealed sterile surgical package containing a surgical instrument, at least one data processor, and memory storing instructions configured to cause the at least one data processor to perform operations. The operations include update a historical record of the surgical package and/or the surgical instrument based on at least one of a current geo-political location and a supply-chain progression of the surgical system, and provide, based on at least one of the current geo-political location and the supply-chain progression of the surgical system, handling instructions for the surgical system.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
69.
SYSTEMS AND METHODS FOR DETERMINATION OF SURGICAL DEVICE COMPATIBILITY
Surgical systems and methods are provided. The surgical systems include a manufacturer-sealed sterile surgical package containing a surgical instrument, at least one data processor, and memory storing instructions configured to cause the at least one data processor to perform operations. The operations include receive, from a remote server, data characterizing one or more aspects of a surgical procedure involving the surgical instrument, determine a level of compatibility of the surgical instrument with each of the one or more aspects of the surgical procedure, provide the determined level of compatibility.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
Surgical systems and methods are provided. The surgical systems include a manufacturer- sealed, sterile surgical package containing a surgical instrument, at least one data processor, and memory storing instructions configured to, prior to breach of the manufacturer-sealed sterile surgical package, cause the at least one data processor to perform operations. The operations include receive, from a remote server, data characterizing a geo-political location of at least one of the surgical package and the surgical instrument, and transmit instructions, based on the received data, to at least one of the surgical package and the surgical instrument to alter one or more aspects of the surgical package and/or the surgical instrument.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p. ex. pour la gestion du personnel hospitalier ou de salles d’opération
G09G 3/34 - Dispositions ou circuits de commande présentant un intérêt uniquement pour l'affichage utilisant des moyens de visualisation autres que les tubes à rayons cathodiques pour la présentation d'un ensemble de plusieurs caractères, p. ex. d'une page, en composant l'ensemble par combinaison d'éléments individuels disposés en matrice en commandant la lumière provenant d'une source indépendante
71.
SURGICAL SYSTEMS WITH INTERACTIVE HANDLING AND DISPOSAL GUIDANCE
Surgical systems and methods are provided. The surgical systems include a manufacturer-sealed sterile surgical package containing a surgical instrument configured to be used in a surgical procedure, at least one data processor, and memory storing instructions configured to cause the at least one data processor to perform operations. The operations include catalogue components of the surgical instrument, determine disposal procedures for each of the components of the surgical instrument, and provide the disposal procedures at the end of the surgical procedure.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
72.
SYSTEMS AND METHODS FOR CUSTOMIZING MECHANICAL STRENGTH IN STIMULI-RESPONSIVE BIOABSORBABLE MATERIALS
The disclosed technology includes a bioabsorbable material configured to be delivered to tissue. The material includes a shape-memory polymer compressible in a delivery configuration and configured to swell within a predetermined period of time. The shape-memory polymer includes one or more functional groups for reversible bonding between adjacent functional groups to transition between an approximately linear polymer and an approximately non-linear polymer upon exposure to a stimulation.
A61L 27/18 - Matériaux macromoléculaires obtenus par des réactions autres que celles faisant intervenir uniquement des liaisons non saturées carbone-carbone
73.
SYSTEMS AND METHODS FOR ATTACHING ADJUNCTS TO SURGICAL STAPLE CARTRIDGES USING BIOCOMPATIBLE ADHESIVES
The disclosed technology includes a method for attaching an adjunct to a surgical staple cartridge using a biocompatible adhesive. The method may include depositing a biocompatible adhesive onto a top surface of a surgical staple cartridge, and attaching an adjunct to the biocompatible adhesive. The biocompatible adhesive may have a component configured to reduce a sensitivity of the biocompatible adhesive to moisture and temperature.
The disclosed technology includes a bioabsorbable material configured to be delivered to tissue. The material includes a porous body comprising at least one polymer comprising a first zone comprising a first crosslink density and a second zone comprising a second crosslink density different than the first zone. At least the first and second zones form a gradient of compression strength along a portion of the porous body.
A61L 27/18 - Matériaux macromoléculaires obtenus par des réactions autres que celles faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 27/28 - Matériaux pour le revêtement de prothèses
A61L 27/50 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61L 27/54 - Matériaux biologiquement actifs, p. ex. substances thérapeutiques
The disclosed technology includes a surgical adjunct that includes a polyurethane foam. A volumetric ratio of the polyurethane foam to the total volume of the surgical adjunct may be in a range of about 0.125 to about 0.325. A glass transition temperature of the surgical adjunct may be about 0°C to about 40°C.
The disclosed technology includes a bioabsorbable material configured to be delivered to tissue The material includes a porous body comprising at least one polymer comprising a first zone comprising a first crosslink density and a second zone comprising a second crosslink density different than the first zone. The first and second zones form a gradient of compression strength along a portion of the porous body.
The disclosed technology includes a surgical adjunct 604 that includes a polyurethane foam comprising a volumetric ratio of the polyurethane foam to the total volume of the surgical adjunct 604 is in a range of about 0.125 to about 0.325, and at least one hydrophobicity additive comprising at least one ceramic nanoparticle, at least one fatty acid, at least one ionic liquid, at least one long chain surfactant, at least one enteric coating, at least one photocurable resin, or combinations thereof.
The disclosed technology includes a method for embedding medical additives into a bioabsorbable material. The method may include chemically reacting one or more functional groups of a bioabsorbable material with one or more medical additives. The bioabsorbable material may be configured to be placed inside a body of a human. The one or more medical additives may be configured to remain chemically bonded to a foam structure of the bioabsorbable material until a biodegradation of the bioabsorbable material.
A61L 27/18 - Matériaux macromoléculaires obtenus par des réactions autres que celles faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 27/50 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61L 27/54 - Matériaux biologiquement actifs, p. ex. substances thérapeutiques
A61L 27/58 - Matériaux au moins partiellement résorbables par le corps
The disclosed technology includes a surgical adjunct includes a polyurethane foam and a film disposed on at least one surface of the polyurethane foam. A volumetric ratio of the polyurethane foam to the total volume of the surgical adjunct 604 is in a range of about 0.125 to about 0.325.
A method of replacing a consumable of a surgical tool includes securing the surgical tool, which includes a drive housing, an elongate shaft extending distally from the drive housing, an end effector arranged at a distal end of the shaft, and a wrist interposing the distal end of the shaft and the end effector. The method further includes moving the elongate shaft proximally and thereby exposing internal portions of the wrist and the end effector, moving the end effector distally to separate the end effector from the wrist, disconnecting the end effector from proximal portions of the surgical tool, replacing the consumable of the surgical tool, reconnecting the end effector to the proximal portions of the surgical tool, moving the end effector proximally to re-attach the end effector to the wrist, and moving the shaft distally to occlude the internal portions of the wrist and the end effector.
The present invention relates to the technical field of surgical instruments, and provides a tissue suturing device and an operating method thereof and an operating assembly. In the operating assembly, an operating member includes a wing driving path, a transition path, and a needle driving path which are sequentially implemented. When moving along the wing driving path to the transition path, the operating member is not engaged with a needle mounting member so that the needle mounting member is allowed to be maintained in a first position, the operating member is engaged with a wing driving member so that the wing driving member is driven to move from a third position to a fourth position, and the wing driving member can be maintained in the fourth position; when moving along the transition path to the needle driving path, the operating member is disengaged from the wing driving member and engaged with the needle mounting member; and when moving along the needle driving path, the operating member drives the needle mounting member to move from the first position to a second position. The operating assembly sequentially operates stabilizing wings and suturing needles, thereby avoiding accidental extension of the suturing needles, and significantly improving the safety of using the tissue suturing device.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
82.
SURGICAL STAPLER CARTRIDGE HAVING RAISED SURFACE TO PROMOTE BUTTRESS ADHESION
A stapling assembly for a surgical instrument includes a body extending along a longitudinal axis and having an upper deck, a plurality of pockets extending through the upper deck for receiving respective staples and arranged in at least two longitudinal rows, a plurality of staple drivers, and a staple driver actuator. The stapling assembly also includes a plurality of pocket extenders extending upwardly from the upper deck. Each pocket extender has a respective top surface. The stapling assembly further includes at least one upwardly-facing surface configured to contact an adhesive of an adjunct for securing the adjunct to the stapling assembly. The at least one upwardly-facing surface is disposed at least partially between at least a portion of the upper deck and the top surfaces of the plurality of pocket extenders, and spans laterally at least partially across at least two longitudinal rows of the plurality of pockets.
An apparatus includes a cartridge body, a deck, an elongate slot, a plurality of pockets, and a plurality of engagement protrusions. The plurality of pockets include first and second pockets. The plurality of engagement protrusions extend from the deck and are configured to grip tissue or an adjunct material. The plurality of engagement protrusions include first and second engagement protrusions. The first engagement protrusion is associated with the first pocket. The first engagement protrusion includes a lateral portion extending longitudinally along a lateral side of the first pocket. The first engagement protrusion does not extend along a second lateral side of the first pocket such that the second lateral side opens directly to the deck. The second engagement protrusion is associated with the second pocket. The second engagement protrusion includes a lateral portion extending longitudinally along the second lateral side of the second pocket.
A surgical stapler kit includes a surgical stapler having a body, a shaft, and an end effector. The kit includes a first staple cartridge having a first cartridge body and a first sled, and a second staple cartridge having a second cartridge body and a second sled. When the first staple cartridge is at least partially seated within a cartridge jaw with the first sled in a proximal undisplaced position, a knife drives the first sled distally to deploy staples from the first cartridge body. When the second staple cartridge is at least partially seated within the cartridge jaw with the second sled in a proximal undisplaced position, the knife advances distally into a lockout position before causing any staples to be deployed from the second cartridge body.
A staple cartridge for a surgical instrument includes a cartridge body extending along a longitudinal axis and having an upper deck. Pockets extend through the upper deck for receiving respective staples. The staple cartridge also includes a pan coupled to the cartridge body. The pan includes a laterally-opposed pair of sidewalls spaced apart from each other to define a trough sized and configured to receive the cartridge body. The pan also includes a retention tab extending laterally outwardly from a sidewall and longitudinally between proximal and distal ends. The retention tab defines a recess extending laterally outwardly from the trough. The recess opens through the sidewall at at least one of the proximal or distal ends. The pan further includes a relief slot extending through the sidewall adjacent to the at least one of the proximal or distal ends such that the relief slot opens directly into the recess.
An apparatus includes a cartridge body, a deck, an elongate slot, a plurality of pockets, and a plurality of engagement protrusions. The plurality of engagement protrusions extend from the deck and are configured to grip tissue or an adjunct material. The plurality of engagement protrusions include a first engagement protrusion associated with the first pocket. The first engagement protrusion includes a first inwardly facing projection and a first planar surface. The first inwardly facing projection extends inwardly between a first longitudinal end and a first lateral side of the first pocket. The first planar surface extends substantially parallel to the deck. The first planar surface is defined by the first inwardly facing projection. The first planar surface defines a maximum height of the engagement protrusion relative to the deck. The first planar surface has a non-uniform area defined at least in part by the first inwardly facing projection.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
87.
TISSUE SUTURING DEVICE AND OPERATING METHOD THEREOF AND OPERATING ASSEMBLY
The present invention relates to the technical field of surgical instruments. Disclosed are a tissue suturing device and an operating method thereof and an operating assembly. In the operating assembly, an operating member is movable along a wing driving path, a transition path, and a needle driving path which are sequentially implemented. In the wing driving path, the operating member drives, by means of a positioning member, a wing driving member to move from a third position to a fourth position, and the operating member is disengaged from a needle driving member. In the transition path, the operating member is rotated by a preset angle to drive the positioning member to rotate to a position where the positioning member and a tube body are locked, so that the wing driving member is maintained in the fourth position, and the operating member is engaged with the needle driving member and is movable along the needle driving path. In the needle driving path, the operating member drives the needle driving member to move from a first position to a second position. The operating assembly can sequentially operate stabilizing wings and a suturing needle, and avoid accidental extension of the suturing needle, thereby significantly improving the safety of using the tissue suturing device.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
88.
TISSUE SUTURING DEVICE AND OPERATING METHOD THEREOF AND OPERATING ASSEMBLY
The present invention relates to the technical field of surgical instruments. Disclosed are a tissue suturing device and an operating method thereof and an operating assembly. The operating assembly includes an initial position, and a wing driving phase, a transition phase, and a needle driving phase which are sequentially implemented. In the initial position, a needle operating member is in a first locking state in which axial movement of the needle operating member is prevented; in the wing driving phase, a wing operating member moves axially from a third position to a fourth position; in the transition phase, the wing operating member drives the needle operating member to rotate by a predetermined angle, such that the wing operating member and a tube body are in a third locking state in which rotation and axial movement of the wing operating member are prevented, so as to be maintained in the fourth position, and the needle operating member and the tube body are unlocked to be axially movable only; and in the needle driving phase, the needle operating member moves axially from a first position to a second position. The operating assembly can sequentially operate stabilizing wings and suturing needles, and avoid accidental extension of the suturing needles, thereby significantly improving the safety of using the tissue suturing device.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
89.
DISTAL NODE GROUNDING FEATURES FOR ACOUSTIC WAVEGUIDE
An apparatus includes a shaft assembly and an end effector. The shaft assembly includes an acoustic waveguide that is configured to transmit ultrasonic vibrations. The acoustic waveguide has a distal nodal flange. The shaft assembly further includes a distal portion bearing radially inwardly against the distal nodal flange. The distal portion cooperates with the distal nodal flange to prevent rotational movement of the distal nodal flange relative to the distal portion and to prevent longitudinal movement of the distal nodal flange relative to the distal portion. The end effector is at a distal end of the shaft assembly. The end effector includes an ultrasonic blade and a clamp arm. The ultrasonic blade is positioned at a distal end of the acoustic waveguide. The clamp arm is operable to pivot toward and away from the ultrasonic blade.
An apparatus includes a jaw body, an anvil surface defined by the jaw hod, and an elongate s'ot extending through the anvil surface and along a ongitudinai axis of the jaw body. The apparatus further includes a first longitudinal row of staple forming pockets disposed on the anvil surface and configured to form a pharality of first staples such that first legs of each formed first staple are laterally aligned with each other. The apparatus also includes a second longitudinal row of staple forming pockets disposed on the anvil surface haterali outwardly of the first longitudinal row of staple forming pockets relative to the longitudinal axis, and configured to form a plurality of second stapes such that second legs of each formed second staple skew ateraUv away from a second crown of the respective formed second staple.
A surgical tool includes a drive housing defining an indicator aperture, a drive input rotatably coupled to a bottom of the drive housing, and an indicator assembly arranged within the drive housing and actuatable to provide visual indication that the surgical tool has exhausted its useful life. The indicator assembly includes a capstan assembly operatively coupled to the drive input such that rotation of the drive input correspondingly rotates the capstan assembly, an indicator mount secured to the drive housing, and an indicator shaft extending from the indicator mount along a longitudinal axis coaxially aligned with the indicator aperture. The capstan assembly is rotated with the drive input to actuate the indicator assembly between a non- activated state, where the indicator shaft is recessed into the indicator aperture, and an activated state, where the indicator shaft extends out of the drive housing via the indicator aperture to provide the visual indication.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
92.
KNIFE DESIGNS FOR END EFFECTORS USED IN SURGICAL TOOLS
A surgical tool includes a drive housing having opposing distal and proximal ends, first and second drive cable capstans arranged within the drive housing and asymmetrically aligned between the distal and proximal ends, a first drive cable extending distally from the drive housing and actuatable by operation of the first drive cable capstan, and a second drive cable extending distally from the drive housing and actuatable by operation of the second drive cable capstan. A stiffness of the first and second drive cables is equalized by adjusting one or more characteristics of one or both of the first and second drive cables.
Systems for endoscopic visualization with advanced overlay image frames including color image data and multispectral or fluorescence image data. A system includes an emitter comprising a plurality of electromagnetic sources and an image sensor comprising a pixel array that detects electromagnetic radiation and reads out a plurality of data frames. The system includes an image signal processor that receives the plurality of data frames read out by the image sensor, wherein the plurality of data frames comprises a color data frame and an advanced data frame. The image signal processor generates an advanced overlay data frame comprising the color data frame and a false color overlay generated based on the advanced data frame. The image signal processor adjusts a sensitivity of the advanced overlay data frame in real-time based on user input.
Systems for endoscopic visualization with advanced overlay image frames including color image data and multispectral or fluorescence image data. A system includes an emitter comprising a plurality of electromagnetic sources and an image sensor comprising a pixel array that detects electromagnetic radiation and reads out a plurality of data frames. The system includes an image signal processor that receives the plurality of data frames read out by the image sensor, wherein the plurality of data frames comprises a color data frame and an advanced data frame. The image signal processor generates an advanced overlay data frame comprising the color data frame and a false color overlay generated based on the advanced data frame. The image signal processor adjusts a sensitivity of the advanced overlay data frame in real-time based on user input.
An end effector includes a first jaw having a first electrode and a first insulator secured thereto, a second jaw having a second electrode and a second insulator secured thereto, the first and second jaws being pivotable between open and closed positions, and a knife slot cooperatively defined in the first and second jaws and defining a diamond-shape cross-section when the first and second jaws are in the closed position. Each electrode provides an inner lateral extent that cooperatively defines the diamond-shape cross-section, and a length of at least one of the inner lateral extents is greater than a thickness of a corresponding one of the first or second electrodes.
Advanced systems for endoscopic visualization with illumination for color visualization and advanced visualization. A device for connecting optical and electrical components of an imaging system includes a first fiber optic ferrule dedicated to receiving a first emission of electromagnetic radiation emitted by a first source, and a second fiber optic ferrule dedicated to receiving a second emission of electromagnetic radiation emitted by a second source. The device includes a data connection component configured to receive bidirectional data communications. The imaging system is such that the first source is tuned to pulse a different waveband of electromagnetic radiation than the second source.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 1/07 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement utilisant des moyens conduisant la lumière, p. ex. des fibres optiques
G02B 6/38 - Moyens de couplage mécaniques ayant des moyens d'assemblage fibre à fibre
G02B 6/42 - Couplage de guides de lumière avec des éléments opto-électroniques
97.
SYSTEM AND METHODS FOR USING TISSUE-ADHESIVE POROUS HEMOSTATIC PRODUCTS WITH MINIMALLY INVASIVE SURGICAL TECHNIQUES
Methods and systems for using a biocompatible and flexible hemostatic sheet comprising a fibrous carrier structure, and reactive electrophilic groups capable of reacting with amine groups in tissue and blood, the hemostatic sheet delivered through a trocar for restoring hemostasis to a tissue at a bleeding site of an organ during minimally invasive treatment of hemorrhage.
A61L 15/22 - Bandages, pansements ou garnitures absorbant les fluides physiologiques tels que l'urine, le sang, p. ex. serviettes hygiéniques, tampons contenant des matériaux macromoléculaires
A61L 15/42 - Utilisation de matériaux caractérisés par leur fonction ou leurs propriétés physiques
98.
SYSTEM AND METHODS FOR USING TISSUE-ADHESIVE POROUS HEMOSTATIC PRODUCTS WITH SEVERE SURFACE AND CAVITY BLEEDING
Methods and systems for using a biocompatible and flexible hemostatic sheet comprising a fibrous carrier structure, and reactive electrophilic groups capable of reacting with amine groups in tissue and blood, the hemostatic sheet delivered to the tissue at the bleeding site of an organ to restore hemostasis during an open surgery procedure.
A61L 15/22 - Bandages, pansements ou garnitures absorbant les fluides physiologiques tels que l'urine, le sang, p. ex. serviettes hygiéniques, tampons contenant des matériaux macromoléculaires
A61L 15/42 - Utilisation de matériaux caractérisés par leur fonction ou leurs propriétés physiques
99.
EFFICIENT TIME MULTIPLEXING IN FLUORESCENCE AND SPECTRAL IMAGING
Visualization systems (106) with customizable illumination cycles to account for relative brightness disparities between different illumination sources. A system includes an image sensor (124) comprising a pixel array (125) and an emitter (102) comprising a plurality of sources (138) of electromagnetic radiation, wherein the plurality of sources comprises a first source and a second source. The emitter cycles at least a portion of the plurality of sources according to a pulse cycle comprising a plurality of pulsed emissions by the first source and a plurality of pulsed emissions by the second source. At least a portion of the plurality of pulsed emissions by the second source overlap a readout period of the image sensor when the image sensor reads out a data frame corresponding with an emission by the first source.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 1/07 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement utilisant des moyens conduisant la lumière, p. ex. des fibres optiques
100.
SURGICAL INSTRUMENT WITH HOVER SENSOR AND RELATED METHODS
A robotic surgical system, including: a robotic arm including a distal end; a tool driver operatively coupled with the distal end of the robotic arm; a control unit; a surgical instrument including: an end effector configured to transmit therapeutic energy to tissue via a therapeutic energy cycle based on instructions from the control unit; and an tissue sensor configured to determine at least one tissue characteristic and transmit the at least one tissue characteristic to the control unit, wherein the control unit is configured to modify the therapeutic energy cycle based on the at least one tissue characteristic; and a control console including: an activation switch configured to activate the therapeutic energy cycle, and a hover sensor configured to sense an object within a hover zone, wherein the hover sensor is configured to activate the tissue sensor to determine the at least one tissue characteristic.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
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