公开(公告)号：US11690643B2

公开(公告)日：2023-07-04

申请号：US17869954

申请日：2022-07-21

Applicant: Cilag GmbH International

Inventor： David A. Witt ,  Jeffrey D. Messerly ,  Kevin L. Houser

IPC: A61L31/08 ,  A61B17/32 ,  A61N7/00 ,  A61L31/10 ,  A61L31/14 ,  A61B17/00 ,  A61N7/02

CPC classification number: A61B17/320092 ,  A61L31/08 ,  A61L31/088 ,  A61L31/10 ,  A61L31/14 ,  A61N7/00 ,  A61B17/320068 ,  A61B2017/0088 ,  A61B2017/00849 ,  A61B2017/00853 ,  A61B2017/320078 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61L2400/10 ,  A61L2420/08 ,  A61N7/02

Abstract: An ultrasonic surgical blade includes a body having a proximal end, a distal end, and an outer surface. The distal end is movable relative to a longitudinal axis in accordance with ultrasonic vibrations applied to the proximal end. At least a portion of the outer surface of the body comprises a lubricious coating adhered thereto. The lubricious coating has a coefficient of friction that is less than the coefficient of friction of the outer surface of the body.

公开(公告)号：US11684385B2

公开(公告)日：2023-06-27

申请号：US16890209

申请日：2020-06-02

Applicant: Cilag GmbH International

Inventor： William B. Weisenburgh, II ,  Barry C. Worrell ,  Jeffrey D. Messerly ,  Kristen L. D'Uva ,  Craig N. Faller ,  John B. Schulte ,  Kristen G. Denzinger ,  Joseph E. Hollo ,  Jason R. Sullivan ,  Brian D. Black ,  Frederick L. Estera ,  Stephen M. Leuck ,  Tylor C. Muhlenkamp ,  Gregory A. Trees ,  Gregory W. Johnson

IPC: A61B17/32 ,  A61B17/295 ,  A61B17/00 ,  A61B17/29

CPC classification number: A61B17/320092 ,  A61B17/295 ,  A61B17/320068 ,  A61B2017/003 ,  A61B2017/0046 ,  A61B2017/00305 ,  A61B2017/00309 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00336 ,  A61B2017/00424 ,  A61B2017/2927 ,  A61B2017/2946 ,  A61B2017/320069 ,  A61B2017/320071 ,  A61B2017/320089 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095

Abstract: A surgical apparatus includes a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide includes a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section includes a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector includes an ultrasonic blade in acoustic communication with the waveguide. The rigidizing member is configured to selectively engage at least a portion of the articulation section to thereby selectively provide rigidity to the articulation section.

公开(公告)号：US20220361873A1

公开(公告)日：2022-11-17

申请号：US17683962

申请日：2022-03-01

Applicant: Cilag GmbH International

Inventor： Jeffrey D. Messerly ,  David C. Yates ,  Jason L. Harris ,  Frederick E. Shelton, IV

IPC: A61B17/072 ,  A61B18/14 ,  A61B18/00 ,  A61B17/29 ,  A61B17/068 ,  A61B18/12

Abstract: A method is disclosed. The method includes delivering staples from a surgical staple cartridge of a surgical instrument to a first tissue during a first procedure; removing the surgical staple cartridge from the surgical instrument; and delivering radio-frequency energy from a radio-frequency cartridge of the surgical instrument to a second tissue during a second procedure.

公开(公告)号：US11471209B2

公开(公告)日：2022-10-18

申请号：US16505165

申请日：2019-07-08

Applicant: Cilag GmbH International

Inventor： David C. Yates ,  Jeffrey D. Messerly ,  Mark A. Davison

IPC: A61B18/12 ,  A61B18/00 ,  A61B18/14

Abstract: Various embodiments are directed to an electrosurgical system including an end effector, a jaw closure trigger, and a control circuit. The end effector includes a first jaw and a second jaw. The control circuit is configured to receive an input indicating a repeat mode, apply a first tissue bite algorithm to a first electrode and a second electrode based on an occurrence of a first tissue bite, enter a hold state at a termination of the first tissue bite algorithm, and determine an occurrence of a second tissue bite. The first tissue bite is based on the second jaw moving toward a closed configuration via the jaw closure trigger. Entering the hold state includes maintaining a sub-therapeutic signal. Determining the occurrence of the second tissue bite includes sensing a reduction in impedance between the first electrode and the second electrode via the sub-therapeutic signal.

公开(公告)号：US11419667B2

公开(公告)日：2022-08-23

申请号：US16182238

申请日：2018-11-06

Applicant: Cilag GmbH International

Inventor： Jeffrey D. Messerly ,  Frederick E. Shelton, IV ,  David C. Yates ,  Jason L. Harris ,  James M. Wilson

IPC: A61B18/14 ,  A61B17/32 ,  A61B18/12 ,  A61B18/00 ,  G16H40/63 ,  A61B17/00 ,  A61B90/00 ,  A61B50/10 ,  A61B50/18 ,  A61B50/13 ,  A61B34/30 ,  G16H40/67 ,  A61B34/37 ,  H04L67/10

Abstract: Surgical instruments and system and methods for using surgical instruments are disclosed. A surgical instrument comprises an end effector comprising an ultrasonic blade and clamp arm, an ultrasonic transducer, and a control circuit. The ultrasonic transducer ultrasonically oscillates the ultrasonic blade in response to a drive signal from a generator. The end effector receives electrosurgical energy to weld tissue. The control circuit determines a resonant frequency measure indicative of a thermally induced change in resonant frequency and a electrical continuity measure; calculates a weld focal point based on the determined measures, controls closure of the clamp arm to vary a pressure applied by the clamp arm to provide a threshold control pressure to the tissue loaded into the end effector, and maintains a gap between the ultrasonic blade and clamp arm at a point proximal to the proximal end of the tissue. Pressure is varied based on corresponding weld focal point.

公开(公告)号：US11298128B2

公开(公告)日：2022-04-12

申请号：US15636096

申请日：2017-06-28

Applicant: Cilag GmbH International

Inventor： Jeffrey D. Messerly ,  David C. Yates ,  Jason L. Harris ,  Frederick E. Shelton, IV

IPC: A61B17/072 ,  A61B18/14 ,  A61B18/00 ,  A61B17/29 ,  A61B18/12 ,  A61B17/00 ,  A61B90/00 ,  A61B17/295

Abstract: A method is disclosed. The method includes delivering staples from a surgical staple cartridge of a surgical instrument to a first tissue during a first procedure; removing the surgical staple cartridge from the surgical instrument; and delivering radio-frequency energy from a radio-frequency cartridge of the surgical instrument to a second tissue during a second procedure.

公开(公告)号：US11229450B2

公开(公告)日：2022-01-25

申请号：US15382292

申请日：2016-12-16

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  David C. Yates ,  Kevin L. Houser ,  Jeffrey D. Messerly ,  Jason L. Harris ,  Adam D. Hensel

IPC: A61B17/32 ,  A61B18/14 ,  H01M50/20 ,  A61B18/12 ,  H01M6/02 ,  H01M6/50 ,  H01M10/42 ,  H01M10/46 ,  H01M10/48 ,  A61B17/00 ,  A61B18/00 ,  A61B90/00 ,  A61B34/00

Abstract: A surgical instrument includes a handle assembly; a shaft assembly and an end effector. The shaft assembly includes an exterior shaft, a first clutch positioned within the exterior shaft to drive a first function of the surgical instrument when engaged. A second clutch within the exterior shaft to drive a second function when engaged. A rotary driver is positioned within the exterior shaft and configured to rotate within the exterior shaft. The rotary driver includes a first clutch engagement mechanism to engage the first clutch and a second clutch engagement mechanism configured to engage the second clutch independent of the first clutch engagement mechanism engaging the first clutch, such that, at different times both the first clutch and the second clutch are engaged simultaneously only the first clutch is engaged only the second clutch is engaged and neither the first clutch nor the second clutch is engaged simultaneously.

公开(公告)号：US20210393319A1

公开(公告)日：2021-12-23

申请号：US17363703

申请日：2021-06-30

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  David C. Yates ,  Kevin L. Houser ,  Jeffrey D. Messerly ,  Jason L. Harris

IPC: A61B18/14 ,  H02J7/34 ,  H02J50/10 ,  A61B17/32 ,  A61N7/02

Abstract: A surgical instrument comprises a controller configured to control application of RF or ultrasonic energy at a low level when displacement or intensity of a button is above a first threshold but below a second threshold higher than the first threshold, and control application of RF or ultrasonic energy at a high level when the displacement or intensity exceeds the second threshold. In another aspect, a surgical instrument comprises a first sensor configured to measure a tissue characteristic at a first location, a second sensor configured to measure the tissue characteristic at a second location, and a controller configured to, based at least in part on the measured tissue characteristic at the first location and the second location, control application of RF or ultrasonic energy.

公开(公告)号：US20210322017A1

公开(公告)日：2021-10-21

申请号：US17363936

申请日：2021-06-30

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  David C. Yates ,  Eitan T. Wiener ,  Jeffrey L. Aldridge ,  Jeffrey D. Messerly ,  Jason L. Harris ,  Tamara S. Widenhouse

IPC: A61B17/115 ,  A61M1/00 ,  A61B34/20 ,  A61B34/32 ,  A61B34/00 ,  A61B90/35 ,  A61B90/00 ,  G16H40/67 ,  G16H10/60 ,  G16H50/20 ,  G16H40/63 ,  G16H70/20 ,  A61B1/00 ,  A61B1/05 ,  A61B1/06 ,  A61B5/00 ,  A61B5/026 ,  A61B6/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/11 ,  A61B17/128 ,  A61B17/32 ,  A61B18/14 ,  B25J9/16 ,  B25J13/00 ,  G06K7/10 ,  G06K19/077 ,  H01Q1/22 ,  H04L29/06 ,  H04L29/08 ,  H04N5/272 ,  H04N7/18 ,  H05K1/02 ,  H05K1/18

Abstract: Disclosed is a surgical system that includes a first modular device and aa surgical hub, including a control circuit configured to receive first perioperative data from a second modular device; anonymize the first perioperative data; receives second perioperative data from a third modular device; anonymize the second perioperative data; and adjust at least one setting of the first modular device based on contextual information derived from the anonymized first and second perioperative data.

公开(公告)号：US20210322014A1

公开(公告)日：2021-10-21

申请号：US17358286

申请日：2021-06-25

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  David C. Yates ,  Eitan T. Wiener ,  Jeffrey L. Aldridge ,  Jeffrey D. Messerly ,  Jason L. Harris ,  Tamara S. Widenhouse

IPC: A61B17/115 ,  A61M1/00 ,  A61B34/20 ,  A61B34/32 ,  A61B34/00 ,  A61B90/35 ,  A61B90/00 ,  G16H40/67 ,  G16H10/60 ,  G16H50/20 ,  G16H40/63 ,  G16H70/20 ,  A61B1/00 ,  A61B1/05 ,  A61B1/06 ,  A61B5/00 ,  A61B5/026 ,  A61B6/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/11 ,  A61B17/128 ,  A61B17/32 ,  A61B18/14 ,  B25J9/16 ,  B25J13/00 ,  G06K7/10 ,  G06K19/077 ,  H01Q1/22 ,  H04L29/06 ,  H04L29/08 ,  H04N5/272 ,  H04N7/18 ,  H05K1/02 ,  H05K1/18

Abstract: A method of displaying an operational parameter of a surgical system is disclosed. The method includes receiving, by a cloud computing system of the surgical system, first usage data, from a first subset of surgical hubs of the surgical system; receiving, by the cloud computing system, second usage data, from a second subset of surgical hubs of the surgical system; analyzing, by the cloud computing system, the first and the second usage data to correlate the first and the second usage data with surgical outcome data; determining, by the cloud computing system, based on the correlation, a recommended medical resource usage configuration; and displaying, on respective displays on the first and the second subset of surgical hubs, indications of the recommended medical resource usage configuration.