公开(公告)号：US20220249097A1

公开(公告)日：2022-08-11

申请号：US17676611

申请日：2022-02-21

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Jason L. Harris ,  Gregory J. Bakos ,  Michael J. Vendely ,  Taylor W. Aronhalt ,  Mark S. Zeiner ,  Jeffrey D. Messerly ,  Hilary A. Reinhardt

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 ,  H04L9/40 ,  H04L67/10 ,  H04L67/12 ,  H04N5/272 ,  H04N7/18 ,  H05K1/02 ,  H05K1/18

Abstract: A method for adaptive control of surgical network control and interaction is disclosed. The surgical network includes a surgical feedback system. The surgical feedback system includes a surgical instrument, a data source, and a surgical hub configured to communicably couple to the data source and the surgical instrument. The surgical hub includes a control circuit. The method includes receiving, by the control circuit, information related to devices communicatively coupled to the surgical network; and adaptively controlling, by the control circuit, the surgical network based on the received information.

公开(公告)号：US11278346B2

公开(公告)日：2022-03-22

申请号：US15636103

申请日：2017-06-28

Applicant: Cilag GmbH International

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

IPC: A61B18/14 ,  A61B18/12 ,  A61B18/00 ,  A61B17/00 ,  A61B17/072 ,  A61B17/28 ,  A61B90/00 ,  A61B17/29 ,  A61B17/295 ,  G06T11/20

Abstract: A surgical instrument is disclosed. The surgical instrument includes a circuit configured to deliver RF energy to a cartridge disposed in an end effector configured to receive the cartridge, a closure mechanism configured to transition the end effector between an open position and a closed position, a display, and a control circuit operably coupled to the display. The control circuit configured to determine an amount of RF energy delivered to a tissue through the cartridge, display the amount of RF energy on the display, determine a position of the closure mechanism, and display the position of the closure mechanism on the display.

公开(公告)号：US20210346048A1

公开(公告)日：2021-11-11

申请号：US17314677

申请日：2021-05-07

Applicant: Cilag GmbH International

Inventor： Craig N. Faller ,  Ryan M. Asher ,  John B. Schulte ,  Randal T. Byrum ,  Jose D. Vasquez ,  Thomas C. Gallmeyer ,  Benjamin M. Boyd ,  Amy L. Marcotte ,  Jacob S. Gee ,  Jonathan T. Batross ,  Jeffrey D. Messerly

IPC: A61B17/32 ,  A61B17/29 ,  A61B90/00

Abstract: A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The body comprises a pivotal trigger. The shaft couples the end effector and the body together. The end effector comprises a clamp arm and an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue. Pivotal movement of the trigger causes movement of the clamp arm. The trigger includes a compliant feature configured to limit the amount of force delivered to tissue by the clamp arm. The flexible feature may comprise a flexible band, living hinge, a series of living hinges, or a flexible tab.

公开(公告)号：US20210322018A1

公开(公告)日：2021-10-21

申请号：US17363944

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 ,  Jerome R. Morgan

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, comprising surgical hubs configured to be communicatively coupled to surgical instruments in surgical procedures; and a cloud computing system, comprising an input/output interface configured for accessing data from the surgical hubs. The cloud computing system is configured to aggregate surgical instrument data and patient outcome date from the surgical hubs; determine a correlation between the surgical instrument data and the patient outcome data; access a live surgical procedure data for a live surgical procedure; and determine an irregularity in the live surgical procedure data based on the correlation.

公开(公告)号：US20210315580A1

公开(公告)日：2021-10-14

申请号：US17358270

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.

公开(公告)号：US20210315579A1

公开(公告)日：2021-10-14

申请号：US17358239

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.

公开(公告)号：US20250152296A1

公开(公告)日：2025-05-15

申请号：US18894378

申请日：2024-09-24

Applicant: Cilag GmbH International

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

IPC: A61B90/00 ,  A61B17/00 ,  A61B17/072 ,  A61B17/115 ,  A61B18/00 ,  A61B18/14 ,  A61B34/30 ,  A61B34/35 ,  A61B34/37 ,  A61B90/98 ,  G05B15/02 ,  G06Q10/0635 ,  G06Q10/0833 ,  G16H10/60 ,  G16H20/40 ,  G16H40/40 ,  G16H40/60 ,  G16H70/20

Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes a modular device, at least one data source, and a surgical hub configured to communicably couple to the at least one data source and the modular device. The surgical hub comprises a control circuit configured to receive data from the at least one data source. The data is determinative of a progress status the surgical procedure. The control circuit is further configured to adjust a response to a sensed parameter based on the progress status.

公开(公告)号：US12053224B2

公开(公告)日：2024-08-06

申请号：US16887561

申请日：2020-05-29

Applicant: Cilag GmbH International

Inventor： Stephen M. Leuck ,  John E. Brady ,  Nina Mastroianni ,  Wei Guo ,  Geoffrey S. Strobl ,  Craig N. Faller ,  Jeffrey D. Messerly ,  Frederick E. Shelton, IV

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

CPC classification number: A61B18/14 ,  A61B18/1206 ,  A61B18/1445 ,  A61B2018/00083 ,  A61B2018/0019 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00994 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/1465

Abstract: An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw and an electrode configured to electrically couple to an opposite pole of the electrical generator. In one configuration, the electrode is segmented. In another configuration, the ultrasonic blade includes electrically insulative material deposited on selected areas to prevent electrical shorting in the event of the ultrasonic blade contacts the electrode. In another configuration, the clamp arm, the ultrasonic blade, or both include selectively coated components.

公开(公告)号：US11896280B2

公开(公告)日：2024-02-13

申请号：US17131105

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

IPC: A61B18/14 ,  A61B17/00 ,  A61B18/00 ,  A61B17/32 ,  A61B18/12 ,  A61B17/29 ,  A61B34/00 ,  A61B90/00

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: An end effector is disclosed comprising an ultrasonic blade and a clamp arm pivotable relative to the ultrasonic blade to capture tissue therebetween. The clamp arm defines an arcuate surface configured to at least partially surround the ultrasonic blade. The clamp arm comprises a circuit positioned on the arcuate surface. The circuit comprises an electrode layer configured to transmit RF energy to the tissue positioned between the clamp arm and the ultrasonic blade, a compressible layer positioned between the electrode layer and the arcuate surface, first pressure sensor layer positioned beneath the compressible layer between the compressible layer and the arcuate surface, and a second pressure sensor layer positioned above the compressible layer. The compressible layer is compressible to allow the electrode layer to deflect away from the ultrasonic blade. The compressible layer is compressible to allow the second pressure sensor layer to deflect away from the ultrasonic blade.

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.