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公开(公告)号:US11766276B2
公开(公告)日:2023-09-26
申请号:US16546593
申请日:2019-08-21
Applicant: Cilag GmbH International
Inventor: David A. Witt , Jeffrey D. Messerly , Kevin L. Houser
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.
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公开(公告)号:US20230263548A1
公开(公告)日:2023-08-24
申请号:US18114059
申请日:2023-02-24
Applicant: Cilag GmbH International
Inventor: Frederick E. Shelton, IV , David C. Yates , Jason L. Harris , Kevin L. Houser , John E. Brady , Gregory A. Trees , Patrick J. Scoggins , Madeleine C. Jayme , Kristen G. Denzinger , Cameron R. Nott , Craig N. Faller , Amrita S. Sawhney , Eric M. Roberson , Stephen M. Leuck , Brian D. Black , Jeffrey D. Messerly , Fergus P. Quigley , Tamara S. Widenhouse
IPC: A61B17/32 , A61M1/00 , A61B1/00 , A61B34/20 , A61B34/32 , A61B34/00 , A61B90/35 , A61B90/00 , G16H40/67 , G16H10/60 , G16H50/20 , G16H40/63 , G16H70/20 , A61B1/05 , A61B1/06 , A61B5/00 , A61B5/026 , A61B6/00 , A61B17/068 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/128 , A61B18/14 , B25J9/16 , B25J13/00 , G06K7/10 , G06K19/077 , H01Q1/22 , H04L9/40 , H04L67/10 , H04L67/12 , H04N5/272 , H04N7/18 , H05K1/02 , H05K1/18
CPC classification number: A61B17/320092 , A61M1/73 , A61M1/79 , A61B1/000094 , A61B1/000096 , A61B34/20 , A61B34/32 , A61B34/71 , A61B90/35 , A61B90/361 , G16H40/67 , G16H10/60 , G16H50/20 , G16H40/63 , G16H70/20 , A61B1/00045 , A61B1/051 , A61B1/0661 , A61B5/0066 , A61B5/0075 , A61B5/0261 , A61B6/5247 , A61B17/0682 , A61B17/072 , A61B17/1114 , A61B17/1155 , A61B17/1285 , A61B18/1442 , A61B18/1445 , B25J9/1697 , B25J13/006 , G06K7/10316 , G06K19/07749 , H01Q1/22 , H04L63/1416 , H04L67/10 , H04L67/12 , H04N5/272 , H04N7/183 , H05K1/028 , H05K1/189 , A61M1/80 , A61B2034/2055 , A61B2034/2057 , A61B34/30
Abstract: A method for controlling an operation of an ultrasonic blade of an ultrasonic electromechanical system is disclosed. The method includes providing an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade via an ultrasonic waveguide; applying, by an energy source, a power level to the ultrasonic transducer; determining, by a control circuit coupled to a memory, a mechanical property of the ultrasonic electromechanical system; comparing, by the control circuit, the mechanical property with a reference mechanical property stored in the memory; and adjusting, by the control circuit, the power level applied to the ultrasonic transducer based on the comparison of the mechanical property with the reference mechanical property.
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公开(公告)号:US11684402B2
公开(公告)日:2023-06-27
申请号:US17131097
申请日:2020-12-22
Applicant: Cilag GmbH International
Inventor: Frederick E. Shelton, IV , David C. Yates , Kevin L. Houser , Jeffrey D. Messerly , Jason L. Harris , Geoffrey S. Strobl
CPC classification number: A61B18/00 , A61B18/1445 , A61B2017/003 , A61B2017/00039 , A61B2017/00123 , A61B2017/00314 , A61B2017/00398 , A61B2017/00464 , A61B2017/00734 , A61B2017/2927 , A61B2017/2929 , A61B2017/320078 , A61B2017/320094 , A61B2017/320095 , A61B2018/00297 , A61B2018/00607 , A61B2018/00648 , A61B2018/00666 , A61B2018/00684 , A61B2018/00708 , A61B2018/00767 , A61B2018/00875 , A61B2018/00886 , A61B2018/00898 , A61B2018/00904 , A61B2018/00922 , A61B2018/00946 , A61B2018/00958 , A61B2018/00994 , A61B2018/1226 , A61B2018/1273 , A61B2018/1455 , A61B2034/252 , A61B2034/731 , A61B2090/061 , A61B2560/0209 , A61B2560/0475 , A61B2562/0219
Abstract: A surgical system is disclosed including impedance sensors and a control circuit. The impedance sensors are configured to apply a therapeutic level of RF energy to tissue, sense a real time impedance of the tissue, sense a first tissue impedance based on an initial contact with the tissue, sense a second tissue impedance of the tissue without applying a therapeutic amount of RF energy to the tissue. The control circuit is configured to determine a control parameter of a motor based on the first tissue impedance and the second tissue impedance, determine a percentage of use of an end effector, detect a change of the real time impedance of the tissue, adjust the control parameter of the motor based on the change of the real time impedance and the percentage of use of the end effector, and control delivery of a therapeutic energy application to the tissue.
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公开(公告)号:US20230112022A1
公开(公告)日:2023-04-13
申请号:US17964363
申请日:2022-10-12
Applicant: Cilag GmbH International
Inventor: Barry C. Worrell , Benjamin J. Danziger , Benjamin D. Dickerson , Brian D. Black , Cara L. Shapiro , Charles J. Scheib , Craig N. Faller , Daniel J. Mumaw , David J. Cagle , David T. Martin , David A. Monroe , Disha V. Estera , Foster B. Stulen , Frederick L. Estera , Geoffrey S. Strobl , Gregory W. Johnson , Jacob S. Gee , Jason R. Sullivan , Jeffrey D. Messerly , Jeffrey S. Swayze , John A. Hibner , John B. Schulte , Joseph E. Hollo , Kristen G. Denzinger , Kristen L. D'Uva , Matthew C. Miller , Michael R. Lamping , Richard W. Timm , Rudolph H. Nobis , Ryan M. Asher , Stephen M. Leuck , Tylor C. Muhlenkamp , William B. Weisenburgh, II , William A. Olson
Abstract: An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide comprises 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 comprises a plurality of body portions aligned along the longitudinal axis and a flexible locking member. The flexible locking member is operable to secure the body portions in relation to each other and in relation to the shaft. The end effector comprises an ultrasonic blade in acoustic communication with the waveguide. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis.
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公开(公告)号:US20230048996A1
公开(公告)日:2023-02-16
申请号:US17874581
申请日:2022-07-27
Applicant: Cilag GmbH International
Inventor: Omar J. Vakharia , Jeffrey D. Messerly , David Stefanchik , Steven P. Smolik
IPC: A61B17/32 , A61B34/30 , A61B34/00 , A61B17/295
Abstract: Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.
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公开(公告)号:US11576677B2
公开(公告)日:2023-02-14
申请号:US16209416
申请日:2018-12-04
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 Widenhouse
IPC: A61B34/10 , 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 , H04L9/40 , H04L67/10 , H04L67/12 , H04N5/272 , H04N7/18 , H05K1/02 , H05K1/18 , A61B34/30 , A61B90/30 , A61B17/00 , A61B18/00 , A61M13/00
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.
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公开(公告)号:US20220387068A1
公开(公告)日:2022-12-08
申请号:US17869954
申请日:2022-07-21
Applicant: Cilag GmbH International
Inventor: David A. Witt , Jeffrey D. Messerly , Kevin L. Houser
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.
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公开(公告)号:US11484307B2
公开(公告)日:2022-11-01
申请号:US16898632
申请日:2020-06-11
Applicant: Cilag GmbH International
Inventor: Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
IPC: A61B17/072 , A61B17/068 , A61B17/115 , A61B50/30 , A61B17/00 , A61B17/29 , A61B17/32 , A61B90/00
Abstract: A loading unit coupleable to a surgical stapling system is disclosed. The loading unit comprises an end effector, a firing system, and a shaft assembly extending proximally from the end effector. The end effector comprises a first jaw and a second jaw movable relative to the first jaw between an open position and a clamped position. The firing system comprises a firing assembly and an indicator. The firing assembly is movable toward a distal position through the end effector in response to a firing motion from the surgical stapling system. The indicator is configured to visually communicate a position of the firing assembly to a user of the surgical stapling system. The shaft assembly is removably couplable with the surgical stapling system and comprises an open slot region aligned with the firing assembly. The open slot region extends proximally with respect to the second jaw.
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公开(公告)号:US11464535B2
公开(公告)日:2022-10-11
申请号:US16115240
申请日:2018-08-28
Applicant: Cilag GmbH International
Inventor: Frederick E. Shelton, IV , Jeffrey D. Messerly , Jason L. Harris , David C. Yates , Amrita S. Sawhney , Stephen M. Leuck , Brian D. Black , Eric M. Roberson
IPC: A61B18/12 , A61B18/14 , A61B18/00 , A61B17/32 , A61B34/30 , A61B34/37 , A61B90/00 , A61B17/072 , A61B17/00
Abstract: A surgical instrument is disclosed. The surgical instrument comprises an end effector comprising an ultrasonic blade and a clamp arm. The clamp arm is movable relative to the ultrasonic blade to transition the end effector between an open configuration and a closed configuration to clamp tissue between the ultrasonic blade and the clamp arm. The surgical instrument further comprises an ultrasonic transducer configured to generate an ultrasonic energy output and a waveguide configured to transmit the ultrasonic energy output to the ultrasonic blade. The surgical instrument further comprises a control circuit, configured to detect an immersion of the end effector in a liquid and compensate for heat flux lost due to the immersion of the end effector in the liquid.
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公开(公告)号:US20220313297A1
公开(公告)日:2022-10-06
申请号:US17738441
申请日:2022-05-06
Applicant: Cilag GmbH International
Inventor: Jeffrey L. Aldridge , Craig N. Faller , Kevin D. Felder , Jacob S. Gee , William D. Kelly , Robert J. Laird , Amy L. Marcotte , Jeffrey D. Messerly , Emily H. Monroe , Scott A. Nield , Daniel W. Price , Patrick J. Scoggins , John B. Schulte , Geoffrey S. Strobl , James W. Voegele , John A. Weed, III , William B. Weisenburgh, II , Patrick A. Weizman , John W. Willis
Abstract: Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade. The electrical switch may be configured to electrically couple to the RF generator and the movable jaw member, wherein the switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.
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