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公开(公告)号:US11864820B2
公开(公告)日:2024-01-09
申请号:US16574843
申请日:2019-09-18
Applicant: CILAG GMBH INTERNATIONAL
Inventor: David C. Yates , Jeffrey D. Messerly , Cameron D. McLain , Peter K. Shires , Frederick L. Estera , Cameron R. Nott , Foster B. Stulen , Christopher A Papa
IPC: A61B18/14 , A61N1/04 , A61B17/32 , A61B17/295 , A61B17/29 , A61B17/285 , A61B17/28 , A61N1/05 , A61N1/36 , A61B17/00 , A61B18/00 , A61B18/12 , A61B18/16
CPC classification number: A61B18/1442 , A61B17/285 , A61B17/2812 , A61B17/29 , A61B17/295 , A61B17/320068 , A61B17/320092 , A61N1/0551 , A61N1/3605 , A61N1/36057 , A61N1/36146 , A61B2017/00017 , A61B2017/2945 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2018/0063 , A61B2018/00083 , A61B2018/00434 , A61B2018/00601 , A61B2018/00607 , A61B2018/00958 , A61B2018/00994 , A61B2018/126 , A61B2018/1253 , A61B2018/162 , A61N1/04
Abstract: Aspects of the present disclosure are presented for a single surgical instrument configured to grasp, seal, and/or cut tissue through application of therapeutic energy, and also detect nerves through application of non-therapeutic electrical energy. A medical device may include two jaws at an end effector, used to apply therapeutic energy and to perform surgical procedures. The therapeutic energy may be in the form of ultrasonic vibrations or higher voltage electrosurgical energy. One of the jaws may be configured to cut tissue through application of the blade. In addition, one or both of the two jaws may be configured to apply nontherapeutic energy for nerve stimulation probing. The application of therapeutic energy may be disabled while the nontherapeutic nerve stimulation energy is applied, and vice versa. The nontherapeutic nerve stimulation energy may be applied to the use of one or more probes positioned near one or both of the jaws.
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公开(公告)号:US11497546B2
公开(公告)日:2022-11-15
申请号:US15476665
申请日:2017-03-31
Applicant: Cilag GmbH International
Inventor: Cameron R. Nott , Gregory A. Trees
Abstract: An electrosurgical system includes an RF current generator, a handle body, and an end effector. The end effector may include a first and a second energy delivery surface. At least a portion of either first or second energy delivery surfaces, or both, may include one or more patterned coatings of an electrically non-conducting non-stick material. The material may be deposited on a surface of, within a depression in, or on features extending from the energy surfaces, or through an overmolding process. The patterned coating may be formed from a coating of the material from which portions have been removed. An energy delivery surface has a first area, and the patterned coating has a second area. A ratio of the second area to the first area may be less than or equal to about 0.9, less than or equal to about 0.7, or less than or equal to about 0.5.
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公开(公告)号:US20220323150A1
公开(公告)日:2022-10-13
申请号:US17730666
申请日:2022-04-27
Applicant: Cilag GmbH International
Inventor: David C. Yates , Cameron R. Nott , Kevin L. Houser , Frederick E. Shelton, IV , Jason L. Harris , Verne E. Kreger, JR.
Abstract: An electrosurgical device may include a controller including an electrical generator, a surgical probe having a distal active electrode in electrical communication with an electrical source terminal of the electrical generator, and a return pad in electrical communication with an electrical return terminal of the electrical generator. The electrical generator may be configured to source an electrical current from the electrical source terminal, in which the electrical current combines characteristics of a therapeutic electrical signal and characteristics of an excitable tissue stimulating signal. The device may be configured to determine a distance from the electrode to an excitable tissue, based at least in part on an output signal generated by a sensing device in the pad. The device may also be configured to alter one or more characteristics of the therapeutic signal when the distance from the electrode to the tissue is less than a predetermined value.
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公开(公告)号:US20220202465A1
公开(公告)日:2022-06-30
申请号:US17572003
申请日:2022-01-10
Applicant: Cilag GmbH International
Inventor: Cameron R. Nott , Amrita S. Sawhney
Abstract: An ultrasonic surgical instrument and method of limiting an ultrasonic blade temperature includes adjusting at least one power parameter of the ultrasonic energy in response to reaching a predetermined frequency parameter change threshold in the ultrasonic blade limiting the temperature of the ultrasonic blade to an upper temperature limit. The ultrasonic surgical instrument further includes an end effector having an ultrasonic blade, a jaw, and a controller. The jaw is movably positioned relative to the ultrasonic blade and configured to move between an open position and a closed position. The controller operatively connects to the ultrasonic blade and is configured to measure an ultrasonic frequency of the ultrasonic blade. The controller has a memory including a plurality of predetermined data correlations that correlate changes in measured ultrasonic frequency of the ultrasonic blade to a blade temperature of the ultrasonic blade.
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公开(公告)号:US12226151B2
公开(公告)日:2025-02-18
申请号:US17835579
申请日:2022-06-08
Applicant: Cilag GmbH International
Inventor: Frederick E. Shelton, IV , David C. Yates , Cameron R. Nott , Tamara S. Widenhouse , Jason L. Harris
IPC: A61B18/16 , A61B17/072 , A61B17/29 , A61B17/32 , A61B18/12 , A61B18/14 , A61B34/30 , A61B90/00 , A61B90/30 , A61B5/00 , A61B5/11 , A61B17/00 , A61B18/00 , A61B34/20 , A61B34/37 , A61N7/00
Abstract: A return pad of an electrosurgical system is disclosed. The return pad includes a plurality of conductive members and a plurality of sensing devices. The conductive members are configured to receive radio frequency current applied to a patient. The sensing devices are configured to detect at least one of the following: a nerve control signal applied to the patient; and a movement of an anatomical feature of the patient resulting from application of the nerve control signal.
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公开(公告)号:US20240358428A1
公开(公告)日:2024-10-31
申请号:US18647890
申请日:2024-04-26
Applicant: Cilag GmbH International
Inventor: Cameron R. Nott , Foster B. Stulen , Fergus P. Quigley , John E. Brady , Gregory A. Trees , Amrita Singh Sawhney , Rafael J. Ruiz Ortiz , Patrick J. Scoggins , Kristen G. Denzinger , Craig N. Faller , Madeleine C. Jayme , Alexander R. Cuti , Matthew S. Schneider , Chad P. Boudreaux , Brian D. Black , Maxwell T. Rockman , Gregory D. Bishop , Frederick E. Shelton, IV , David C. Yates
IPC: A61B18/12 , A61B8/00 , A61B17/00 , A61B17/072 , A61B17/32 , A61B18/00 , A61B18/14 , A61B34/30 , A61B90/00 , G06F1/02
CPC classification number: A61B18/1206 , A61B8/4483 , A61B17/320068 , A61B17/320092 , A61B18/12 , A61B18/14 , A61B34/30 , A61B90/37 , G06F1/022 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/0003 , A61B2017/00075 , A61B2017/00084 , A61B2017/00106 , A61B2017/00115 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/00464 , A61B2017/07285 , A61B2018/00994 , A61B2090/064 , A61B2090/066 , A61B2090/0809 , A61B2090/0811 , A61B2217/005 , A61B2217/007
Abstract: Various aspects of a generator, ultrasonic device, and method for estimating a state of an end effector of an ultrasonic device are disclosed. The ultrasonic device includes an electromechanical ultrasonic system defined by a predetermined resonant frequency, including an ultrasonic transducer coupled to an ultrasonic blade. A control circuit measures a complex impedance of an ultrasonic transducer, wherein the complex impedance is defined as Zg(t)=Vg(t)/Ig(t). The control circuit receives a complex impedance measurement data point and compares the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern. The control circuit then classifies the complex impedance measurement data point based on a result of the comparison analysis and assigns a state or condition of the end effector based on the result of the comparison analysis.
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公开(公告)号:US11844545B2
公开(公告)日:2023-12-19
申请号:US16144460
申请日:2018-09-27
Applicant: Cilag GmbH International
Inventor: Patrick J. Scoggins , Madeleine C. Jayme , Kristen G. Denzinger , Cameron R. Nott , Craig N. Faller
IPC: A61B17/32 , A61B18/12 , A61B18/14 , A61B17/3211 , A61B17/00 , A61B17/22 , A61B18/00 , A61B17/28 , A61B34/30 , A61B34/10 , A61B90/00
CPC classification number: A61B17/320068 , A61B17/00234 , A61B17/22012 , A61B17/3211 , A61B17/320092 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1442 , A61B18/1445 , A61B17/282 , A61B34/30 , A61B90/361 , A61B2017/0003 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00039 , A61B2017/00061 , A61B2017/00075 , A61B2017/0084 , A61B2017/00084 , A61B2017/00106 , A61B2017/00115 , A61B2017/00137 , A61B2017/00146 , A61B2017/00154 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/00464 , A61B2017/00477 , A61B2017/00482 , A61B2017/22014 , A61B2017/2825 , A61B2017/32007 , A61B2017/320073 , A61B2017/320074 , A61B2017/320084 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2018/0063 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00648 , A61B2018/00684 , A61B2018/00702 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00994 , A61B2018/126 , A61B2018/128 , A61B2018/1253 , A61B2018/1412 , A61B2018/1452 , A61B2034/107 , A61B2090/065 , A61B2090/066 , A61B2090/0808 , A61B2090/0809 , A61B2090/0811 , A61B2217/005 , A61B2218/002 , A61B2218/008
Abstract: An ultrasonic device may include an ultrasonic system including a transducer coupled to an ultrasonic blade, A method of delivering energy to the device may include sensing a vessel contacting the blade, identifying that the vessel is calcified, and generating a warning. In some aspects, the method further includes disabling one or more activation functions of the blade. In another aspect, the method further includes generating a message to apply compression to the vessel for a predetermined period, disabling activation functions of the blade during compression, and enabling activation functions after the expiration of the compression period. In yet another aspect, the method includes applying a compressive clamp force to the calcified vessel by driving a clamp arm toward the blade, disabling activation functions of the blade during compression, and enabling the activation functions after adjusting the compressive force. An ultrasonic surgical instrument may effect the method.
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公开(公告)号:US20230233245A1
公开(公告)日:2023-07-27
申请号:US17962901
申请日:2022-10-10
Applicant: Cilag GmbH International
Inventor: Cameron R. Nott , Foster B. Stulen , Fergus P. Quigley , John E. Brady , Gregory A. Trees , Amrita Singh Sawhney , Rafael J. Ruiz Ortiz , Patrick J. Scoggins , Kristen G. Denzinger , Craig N. Faller , Madeleine C. Jayme , Alexander R. Cuti , Matthew S. Schneider , Chad P. Boudreaux , Brian D. Black , Maxwell T. Rockman , Gregory D. Bishop , Frederick E. Shelton, IV , David C. Yates
IPC: A61B18/12 , A61B34/30 , A61B18/14 , G06F1/02 , A61B90/00 , A61B17/32 , A61B8/00 , A61B17/00 , A61B17/072 , A61B18/00
CPC classification number: A61B18/1206 , A61B8/4483 , A61B17/320068 , A61B17/320092 , A61B18/12 , A61B18/14 , A61B34/30 , A61B90/37 , G06F1/022 , A61B2017/0003 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00075 , A61B2017/00084 , A61B2017/00106 , A61B2017/00115 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/00464 , A61B2017/07285 , A61B2018/00994 , A61B2090/064 , A61B2090/066 , A61B2090/0809 , A61B2090/0811 , A61B2217/005 , A61B2217/007
Abstract: Various aspects of a generator, ultrasonic device, and method for estimating a state of an end effector of an ultrasonic device are disclsoed. The ultrasonic device includes an electromechanical ultrasonic system defined by a predetermined resonant frequency, including an ultrasonic transducer coupled to an ultrasonic blade. A control circuit measures a complex impedance of an ultrasonic transducer, wherein the complex impedance is defined as
Z
g
(
t
)
=
V
g
t
I
g
t
.
The control circuit receivs a complex impedance measurement data point and compares the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern. The control circuit then classifies the complex impedance measurement data point based on a result of the comparison analysis and assigns a state or condition of the end effector based on the result of the comparison analysis.-
公开(公告)号:US11701139B2
公开(公告)日:2023-07-18
申请号:US17667657
申请日:2022-02-09
Applicant: Cilag GmbH International
Inventor: Cameron R. Nott , Fergus P. Quigley , Amrita S. Sawhney , Stephen M. Leuck , Brian D. Black , Eric M. Roberson , Kristen G. Denzinger , Patrick J. Scoggins , Craig N. Faller , Madeleine C. Jayme , Jacob S. Gee
IPC: A61B17/00 , A61B17/32 , A61B17/22 , A61B17/3211 , A61B18/12 , A61B18/14 , A61B34/10 , A61B34/30 , A61B90/00 , A61B17/28 , A61B18/00
CPC classification number: A61B17/320068 , A61B17/00234 , A61B17/22012 , A61B17/3211 , A61B17/320092 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1442 , A61B18/1445 , A61B17/282 , A61B34/30 , A61B90/361 , A61B2017/0003 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00039 , A61B2017/00061 , A61B2017/00075 , A61B2017/00084 , A61B2017/0084 , A61B2017/00106 , A61B2017/00115 , A61B2017/00137 , A61B2017/00146 , A61B2017/00154 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/00464 , A61B2017/00477 , A61B2017/00482 , A61B2017/22014 , A61B2017/2825 , A61B2017/32007 , A61B2017/320073 , A61B2017/320074 , A61B2017/320084 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2018/0063 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00648 , A61B2018/00684 , A61B2018/00702 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00994 , A61B2018/126 , A61B2018/128 , A61B2018/1253 , A61B2018/1412 , A61B2018/1452 , A61B2034/107 , A61B2090/065 , A61B2090/066 , A61B2090/0808 , A61B2090/0809 , A61B2090/0811 , A61B2217/005 , A61B2218/002 , A61B2218/008
Abstract: A generator, ultrasonic device, and method for controlling a temperature of an ultrasonic blade are disclosed. A control circuit coupled to a memory determines an actual resonant frequency of an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade by an ultrasonic waveguide. The actual resonant frequency is correlated to an actual temperature of the ultrasonic blade. The control circuit retrieves from the memory a reference resonant frequency of the ultrasonic electromechanical system. The reference resonant frequency is correlated to a reference temperature of the ultrasonic blade. The control circuit then infers the temperature of the ultrasonic blade based on the difference between the actual resonant frequency and the reference resonant frequency. The control circuit controls the temperature of the ultrasonic blade based on the inferred temperature.
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公开(公告)号:US11589888B2
公开(公告)日:2023-02-28
申请号:US16209453
申请日:2018-12-04
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 , Fergus P. Quigley , Tamara 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 , A61B34/30 , A61B90/30 , A61B17/00 , A61B18/00 , A61M13/00
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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