公开(公告)号：US20210315582A1

公开(公告)日：2021-10-14

申请号：US17358281

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：US11129666B2

公开(公告)日：2021-09-28

申请号：US15636110

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: A61B18/12 ,  A61B17/072 ,  A61B18/14 ,  A61B17/00 ,  A61B18/00 ,  A61B17/295

Abstract: Disclosed is an apparatus and modular surgical system that allows for a user of modular surgical instruments to manipulate an end effector directly from the instrumentation contained in the handle assembly. A nozzle assembly that is detachable from a handle assembly may include an onboard circuitry board that allows for the RF generator to attach directly to the nozzle assembly and supply RF energy to the end effector, while also interfacing with a microprocessor of the handle assembly. In some aspects, the unique circuitry of the nozzle assembly also allows for shaft rotation while still supplying proper energy and functionality to the end effector.

公开(公告)号：US12290231B2

公开(公告)日：2025-05-06

申请号：US18442812

申请日：2024-02-15

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: A61B1/06 ,  A61B1/00 ,  A61B1/05 ,  A61B5/00 ,  A61B5/026 ,  A61B6/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/11 ,  A61B17/115 ,  A61B17/128 ,  A61B17/32 ,  A61B18/00 ,  A61B18/14 ,  A61B34/00 ,  A61B34/10 ,  A61B34/20 ,  A61B34/32 ,  A61B90/00 ,  A61B90/30 ,  A61B90/35 ,  A61M1/00 ,  A61M13/00 ,  B25J9/16 ,  B25J13/00 ,  G06K7/10 ,  G06K19/077 ,  G16H10/60 ,  G16H40/63 ,  G16H40/67 ,  G16H50/20 ,  G16H70/20 ,  H01Q1/22 ,  H04L9/40 ,  H04L67/10 ,  H04L67/12 ,  H04N5/272 ,  H04N7/18 ,  H05K1/02 ,  H05K1/18 ,  A61B34/30

Abstract: A method including detecting a modular surgical device within bounds of a surgical operating room; connecting the modular surgical device to a surgical hub; connecting the surgical hub to a cloud-based system; transmitting surgical data associated with a surgical procedure being performed in the surgical operating room from the modular surgical device to the surgical hub; and transmitting the surgical data from the surgical hub to the cloud-based system.

公开(公告)号：US12239360B2

公开(公告)日：2025-03-04

申请号：US17132170

申请日：2020-12-23

Applicant: Cilag GmbH International

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

IPC: A61B17/32 ,  A61B18/14 ,  A61N7/02 ,  H02J7/34 ,  H02J50/10 ,  A61B17/00 ,  A61B17/29 ,  A61B18/00 ,  A61B18/12 ,  A61B90/00 ,  A61B90/98 ,  H01M50/213

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：US12205712B2

公开(公告)日：2025-01-21

申请号：US17384274

申请日：2021-07-23

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Shane R. Adams ,  Kevin Fiebig ,  Jeffrey D. Messerly ,  Taylor Aronhalt ,  Bernhard Adolf Fuerst ,  Matjaž Jogan ,  Gregory J. Bakos ,  Jason L. Harris

IPC: G16H40/20 ,  A61B17/00 ,  A61B18/12 ,  A61B34/00 ,  A61B34/10 ,  A61B34/20 ,  A61B34/30 ,  A61B34/32 ,  A61B90/00 ,  G05B13/02 ,  G06F3/14 ,  G06F3/16 ,  G06F9/48 ,  G06F9/54 ,  G06F13/40 ,  G06F16/21 ,  G06F16/28 ,  G06N20/00 ,  G06Q10/30 ,  G06T11/60 ,  G08B5/22 ,  G10L15/22 ,  G16H10/60 ,  G16H15/00 ,  G16H20/40 ,  G16H30/40 ,  G16H40/40 ,  G16H40/63 ,  G16H40/67 ,  G16H50/20 ,  G16H50/70 ,  H04L1/22 ,  H04L41/12 ,  H04L65/80 ,  H04L67/12 ,  H04L67/125 ,  H04N5/272 ,  H04N7/15 ,  A61B8/06 ,  A61B18/00 ,  G06F21/62 ,  G06F40/169 ,  G16H30/20 ,  H02J7/00

Abstract: Examples described herein may include a surgical computing device that directs data communications to surgical networks. The surgical computing device may include a processor that is configured to determine a present network locus, wherein the present network locus is any of a first surgical network or a second surgical network; identify a data communications session; determine a surgical data type of the data communication session, wherein the surgical data type is any of a first type of surgical data or a second type of surgical data, and direct the data communications session to the first surgical network if the surgical data type is the first type of surgical data or to the second surgical network if the surgical data type is the second type of surgical data.

公开(公告)号：US20250017586A1

公开(公告)日：2025-01-16

申请号：US18757966

申请日：2024-06-28

Applicant: Cilag GmbH International

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

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/068 ,  A61B17/29 ,  A61B17/295 ,  A61B18/00 ,  A61B18/12 ,  A61B18/14 ,  A61B90/00

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：US20240261015A1

公开(公告)日：2024-08-08

申请号：US18432860

申请日：2024-02-05

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Kevin M. Fiebig ,  Taylor W. Aronhalt ,  Jeffrey D. Messerly ,  Mark S. Zeiner ,  Sarah A. Worthington ,  Joshua P. Morgan ,  Nicholas M. Morgan

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

CPC classification number: A61B18/1445 ,  A61B18/1206 ,  A61B2018/00023 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/00958 ,  A61B2018/00994 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1452

Abstract: A method for performing an electrosurgical procedure using an electrosurgical instrument including an end effector is disclosed. The method comprises applying a bipolar energy to a target tissue grasped by the end effector in a tissue-feathering segment, applying an energy blend of the bipolar energy and a monopolar energy to the target tissue in a tissue-warming segment and a tissue-sealing segment following the tissue-warming segment, and discontinuing the bipolar energy but continuing to apply the monopolar energy to the target tissue in a tissue-cutting segment following the tissue-sealing segment.

公开(公告)号：US20240216042A1

公开(公告)日：2024-07-04

申请号：US18408513

申请日：2024-01-09

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 ,  A61B17/00 ,  A61B17/28 ,  A61B17/285 ,  A61B17/29 ,  A61B17/295 ,  A61B17/32 ,  A61B18/00 ,  A61B18/12 ,  A61B18/16 ,  A61N1/04 ,  A61N1/05 ,  A61N1/36

CPC classification number: A61B18/1442 ,  A61B17/2812 ,  A61B17/285 ,  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 ,  A61B2018/00083 ,  A61B2018/00434 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00958 ,  A61B2018/00994 ,  A61B2018/1253 ,  A61B2018/126 ,  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.

公开(公告)号：US20240165429A1

公开(公告)日：2024-05-23

申请号：US18530709

申请日：2023-12-06

Applicant: Cilag GmbH International

Inventor： Jeffrey D. Messerly ,  Eitan T. Wiener ,  Brian T. Noyes ,  Jeffrey L. Aldridge ,  James R. Giordano ,  Robert J. Beetel, III ,  Daniel J. Abbott ,  Foster B. Stulen ,  Matthew C. Miller ,  Aaron C. Voegele ,  Jeffrey P. Wiley ,  Nathan J. Price ,  Daniel W. Price ,  Robert L. Koch, JR.

IPC: A61N7/00 ,  A61B18/14 ,  A61N7/02 ,  B06B1/02 ,  G05B15/02

CPC classification number: A61N7/00 ,  A61B18/14 ,  A61N7/02 ,  B06B1/0284 ,  G05B15/02 ,  A61B2017/320095

Abstract: Various embodiments are directed to a method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. A first response is triggered when the first set of logic conditions is met. A parameter is determined from the at least one electrical signal.

公开(公告)号：US11937863B2

公开(公告)日：2024-03-26

申请号：US16887532

申请日：2020-05-29

Applicant: Cilag GmbH International

Inventor： Jeffrey D. Messerly ,  Frederick E. Shelton, IV ,  Stephen M. Leuck ,  Nina Mastroianni ,  John E. Brady ,  Wei Guo

IPC: A61B18/00 ,  A61B17/32 ,  A61B18/12 ,  A61B18/14 ,  A61B18/16 ,  A61B18/18

CPC classification number: A61B18/00 ,  A61B17/320092 ,  A61B18/1445 ,  A61B2017/320074 ,  A61B2017/320095 ,  A61B2018/00607 ,  A61B2018/00613 ,  A61B2018/0063 ,  A61B2018/00672 ,  A61B2018/00702 ,  A61B2018/00875 ,  A61B2018/00994 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1452 ,  A61B18/16 ,  A61B18/1815

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 to electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a plurality of variable longitudinal support elements, and a cantilever electrode configured to electrically couple to an opposite pole of the electrical generator, the cantilever electrode fixed to the clamp jaw at a proximal end and free to deflect at a distal end. The cantilever electrode is supported by the variable longitudinal support elements. The variable longitudinal support elements apply a variable force on the cantilever electrode from the proximal end to the distal end.