公开(公告)号：US12178432B2

公开(公告)日：2024-12-31

申请号：US18388079

申请日：2023-11-08

Applicant: Cilag GmbH International

Inventor： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Charles J. Scheib ,  Christopher W. Widenhouse ,  William B. Weisenburgh, II

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/064 ,  A61B17/115 ,  A61B17/29 ,  A61B17/32

Abstract: A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.

公开(公告)号：US12092738B2

公开(公告)日：2024-09-17

申请号：US16128195

申请日：2018-09-11

Applicant: Cilag GmbH International

Inventor： Charles J. Scheib

IPC: A61B1/00 ,  A61B1/005 ,  A61B1/04 ,  A61B1/045 ,  A61B1/05 ,  A61B1/06 ,  A61B1/07 ,  A61B1/313 ,  A61B5/00 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/06 ,  A61B17/062 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/34 ,  A61B34/00 ,  A61B34/20 ,  A61B34/30 ,  A61B34/32 ,  A61B90/00 ,  A61B90/13 ,  A61B90/30 ,  A61B90/35 ,  G01S17/36 ,  G02F1/13 ,  G06T1/00 ,  A61B34/10

CPC classification number: G01S17/36 ,  A61B1/00006 ,  A61B1/000094 ,  A61B1/00013 ,  A61B1/00043 ,  A61B1/00045 ,  A61B1/00096 ,  A61B1/00149 ,  A61B1/00194 ,  A61B1/009 ,  A61B1/04 ,  A61B1/045 ,  A61B1/046 ,  A61B1/05 ,  A61B1/051 ,  A61B1/06 ,  A61B1/0605 ,  A61B1/0607 ,  A61B1/063 ,  A61B1/0638 ,  A61B1/0661 ,  A61B1/07 ,  A61B1/3132 ,  A61B5/0036 ,  A61B5/0086 ,  A61B5/0095 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/06066 ,  A61B17/062 ,  A61B17/064 ,  A61B17/1114 ,  A61B17/1155 ,  A61B17/3423 ,  A61B34/20 ,  A61B34/30 ,  A61B34/32 ,  A61B34/73 ,  A61B90/03 ,  A61B90/13 ,  A61B90/30 ,  A61B90/35 ,  A61B90/36 ,  A61B90/361 ,  A61B90/37 ,  G02F1/1326 ,  G06T1/0007 ,  A61B1/00009 ,  A61B1/0676 ,  A61B2017/00061 ,  A61B2017/00119 ,  A61B2017/00367 ,  A61B2017/00477 ,  A61B2017/00876 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2057 ,  A61B2034/2063 ,  A61B2034/2065 ,  A61B34/25 ,  A61B2034/301 ,  A61B2034/302 ,  A61B2090/061 ,  A61B2090/064 ,  A61B2090/306 ,  A61B2090/367 ,  A61B2090/373 ,  A61B2090/374 ,  A61B2090/3762 ,  A61B2090/378 ,  A61B2505/05 ,  A61B2560/0462 ,  A61B2576/00

Abstract: A surgical visualization system is disclosed. The surgical visualization system is configured to identify one or more structure(s) and/or determine one or more distances with respect to obscuring tissue and/or the identified structure(s). The surgical visualization system can facilitate avoidance of the identified structure(s) by a surgical device. The surgical visualization system can comprise a first emitter configured to emit a plurality of tissue-penetrating light waves and a second emitter configured to emit structured light onto the surface of tissue. The surgical visualization system can also include an image sensor configured to detect reflected visible light, tissue-penetrating light, and/or structured light. The surgical visualization system can convey information to one or more clinicians regarding the position of one or more hidden identified structures and/or provide one or more proximity indicators. In various instances, imaging data from different sources and/or obtained at different times can be integrated.

公开(公告)号：US12082885B2

公开(公告)日：2024-09-10

申请号：US17451949

申请日：2021-10-22

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Charles J. Scheib ,  Jason L. Harris

IPC: A61B34/20 ,  A61B1/00 ,  A61B1/005 ,  A61B1/04 ,  A61B1/313 ,  A61B5/00 ,  A61B5/06 ,  A61B17/00 ,  A61B17/11 ,  G16H20/40 ,  G16H40/63 ,  A61B17/115 ,  A61B34/30

CPC classification number: A61B34/20 ,  A61B1/00006 ,  A61B1/000095 ,  A61B1/005 ,  A61B1/044 ,  A61B1/3132 ,  A61B5/0075 ,  A61B5/0084 ,  A61B5/065 ,  A61B5/6835 ,  A61B17/1114 ,  G16H20/40 ,  G16H40/63 ,  A61B2017/00876 ,  A61B2017/1139 ,  A61B17/115 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2057 ,  A61B2034/2065 ,  A61B2034/302

Abstract: Systems, devices, and methods for controlling cooperative surgical instruments are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common body cavity of a patient from different approaches to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of surgical tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and operate in concert with one another to effect a desired surgical treatment.

公开(公告)号：US12035993B2

公开(公告)日：2024-07-16

申请号：US17154237

申请日：2021-01-21

Applicant: Cilag GmbH International

Inventor： Andrew T. Beckman ,  Charles J. Scheib ,  Travis Michael Schuh ,  Benjamin D. Dickerson ,  Erica Ding Chin ,  Eric N. Johnson ,  Jason Alan Hill

IPC: A61B17/29 ,  A61B17/072 ,  A61B17/128 ,  A61B18/14 ,  A61B34/00 ,  A61B34/30 ,  A61B18/00 ,  A61B18/12

CPC classification number: A61B34/71 ,  A61B17/072 ,  A61B17/1285 ,  A61B17/29 ,  A61B18/1445 ,  A61B34/30 ,  A61B2018/0063 ,  A61B2018/126 ,  A61B2034/305

Abstract: A robotic surgical tool includes a shaft extendable through a handle, an end effector arranged at a distal end of the shaft and including a first and second jaws providing first and second jaw extension, a plurality of drive members extending along the shaft and actuatable by the handle, and an articulable wrist interposing the end effector and the distal end. The wrist includes a proximal clevis, a distal clevis rotatably coupled to the proximal clevis, first and second pulleys rotatably mounted to the distal clevis, the first jaw extension being pinned to the first pulley and the second jaw extension being pinned to the second pulley, and a linkage mounted to the jaws. The plurality of drive members terminate at the first and second pulleys and are antagonistically operable to open and close the jaws and articulate the end effector in pitch and yaw.

公开(公告)号：US12029427B2

公开(公告)日：2024-07-09

申请号：US17826452

申请日：2022-05-27

Applicant: Cilag GmbH International

Inventor： Brian F. DiNardo ,  Brian W. Bear ,  Charles J. Scheib ,  Christopher C. Miller ,  Craig S. Smith ,  Emily A. Schellin ,  Frederick E. Shelton, IV ,  Jason E. Zerkle ,  Jeffrey C. Gagel ,  John P. Measamer ,  Johnny H. Alexander, III ,  Joseph T. Kluener ,  Kevin D. Sackett ,  Kevin L. Houser ,  Mark D. Overmyer ,  Matthew H. Bolton ,  Omar J. Vakharia ,  Richard F. Schwemberger ,  Richard L. Leimbach ,  Rodney V. Clingaman ,  Timothy E. Goode ,  William D. Fox ,  William R. Stager

IPC: A61B17/115 ,  A61B17/068 ,  A61B17/072 ,  A61B17/00

CPC classification number: A61B17/1155 ,  A61B17/068 ,  A61B17/072 ,  A61B2017/00115 ,  A61B2017/00199 ,  A61B2017/00221 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07228 ,  A61B2017/07264 ,  A61B2017/07271

Abstract: An apparatus includes a body, a shaft, a stapling head assembly, and an anvil. The body includes a motor, a first user input feature, and a second user input feature. The first user input feature is operable to activate the motor. The shaft extends distally from the body. The stapling head assembly is positioned at a distal end of the shaft. The stapling head assembly includes an anvil coupling feature, at least one annular array of staples, and a staple driver. The second user input feature is operable to drive the anvil coupling feature longitudinally. The staple driver is operable to drive the at least one annular array of staples. The motor is operable to drive the staple driver. The anvil is configured to couple with the anvil coupling feature. The anvil is further configured to deform the staples driven by the staple driver.

公开(公告)号：US12029417B2

公开(公告)日：2024-07-09

申请号：US17697062

申请日：2022-03-17

Applicant: Cilag GmbH International

Inventor： Rebecca J. Gettinger ,  Katherine J. Schmid ,  Charles J. Scheib ,  Frederick E. Shelton, IV

IPC: A61B17/068 ,  A61B17/072 ,  A61B17/10 ,  A61B17/00 ,  A61B17/29

CPC classification number: A61B17/068 ,  A61B17/07207 ,  A61B17/105 ,  A61B2017/00862 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/2933 ,  A61B2017/294

Abstract: An end effector for use with a surgical instrument includes a lower jaw, an anvil, and a resilient member. The anvil is pivotable relative to the lower jaw between a fully opened position and a fully closed position. The resilient member is configured to bias the anvil to remain in the fully opened position when the anvil is in the fully opened position. The end effector may include a closure ring coupled with the anvil that is translatable relative to the lower jaw and configured to engage the anvil at an interface as the closure ring translates proximally relative to the lower jaw to thereby pivot the anvil relative to the lower jaw toward the fully opened position. In various embodiments, the resilient member may comprise elastomeric material positioned between the closure ring and the anvil or a pair of springs or resilient arms that engage the anvil.

公开(公告)号：US12025703B2

公开(公告)日：2024-07-02

申请号：US17892325

申请日：2022-08-22

Applicant: Cilag GmbH International

Inventor： Charles J. Scheib ,  Paul G. Ritchie

IPC: G01S17/36 ,  A61B1/00 ,  A61B1/005 ,  A61B1/04 ,  A61B1/045 ,  A61B1/05 ,  A61B1/06 ,  A61B1/07 ,  A61B1/313 ,  A61B5/00 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/06 ,  A61B17/062 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/34 ,  A61B34/00 ,  A61B34/20 ,  A61B34/30 ,  A61B34/32 ,  A61B90/00 ,  A61B90/13 ,  A61B90/30 ,  A61B90/35 ,  G02F1/13 ,  G06T1/00 ,  A61B34/10

CPC classification number: G01S17/36 ,  A61B1/00006 ,  A61B1/000094 ,  A61B1/00013 ,  A61B1/00043 ,  A61B1/00045 ,  A61B1/00096 ,  A61B1/00149 ,  A61B1/00194 ,  A61B1/009 ,  A61B1/04 ,  A61B1/045 ,  A61B1/046 ,  A61B1/05 ,  A61B1/051 ,  A61B1/06 ,  A61B1/0605 ,  A61B1/0607 ,  A61B1/063 ,  A61B1/0638 ,  A61B1/0661 ,  A61B1/07 ,  A61B1/3132 ,  A61B5/0036 ,  A61B5/0086 ,  A61B5/0095 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/06066 ,  A61B17/062 ,  A61B17/064 ,  A61B17/1114 ,  A61B17/1155 ,  A61B17/3423 ,  A61B34/20 ,  A61B34/30 ,  A61B34/32 ,  A61B34/73 ,  A61B90/03 ,  A61B90/13 ,  A61B90/30 ,  A61B90/35 ,  A61B90/36 ,  A61B90/361 ,  A61B90/37 ,  G02F1/1326 ,  G06T1/0007 ,  A61B1/00009 ,  A61B1/0676 ,  A61B2017/00061 ,  A61B2017/00119 ,  A61B2017/00367 ,  A61B2017/00477 ,  A61B2017/00876 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2057 ,  A61B2034/2063 ,  A61B2034/2065 ,  A61B34/25 ,  A61B2034/301 ,  A61B2034/302 ,  A61B2090/061 ,  A61B2090/064 ,  A61B2090/306 ,  A61B2090/367 ,  A61B2090/373 ,  A61B2090/374 ,  A61B2090/3762 ,  A61B2090/378 ,  A61B2505/05 ,  A61B2560/0462 ,  A61B2576/00

Abstract: A surgical robotic visualization system comprises a first robotic arm, a second robotic arm, a photoacoustic receiver coupled to the first robotic arm, an emitter assembly coupled to the second robotic arm, and a control circuit. The control circuit is configured to cause the emitter assembly to emit electromagnetic radiation toward an anatomical structure at a plurality of wavelengths capable of penetrating the anatomical structure and reaching an embedded structure located below a surface of the anatomical structure, receive an input of the photoacoustic receiver indicative of an acoustic response signal of the embedded structure, and detect the embedded structure based on the input from the photoacoustic receiver.

公开(公告)号：US12016587B2

公开(公告)日：2024-06-25

申请号：US17077086

申请日：2020-10-22

Applicant: Cilag GmbH International

Inventor： Andrew T. Beckman ,  Brian D. Black ,  Charles J. Scheib ,  Matthew T. Stone

IPC: A61B17/32 ,  A61B17/29 ,  A61B17/295 ,  A61B34/30 ,  A61B90/00 ,  A61B17/072 ,  A61G13/10

CPC classification number: A61B17/320092 ,  A61B17/295 ,  A61B34/30 ,  A61B90/03 ,  A61B2017/07285 ,  A61B2017/2943 ,  A61B2017/320074 ,  A61B2017/320094 ,  A61B2034/303 ,  A61G13/101

Abstract: A surgical instrument includes an end effector, a shaft assembly, an actuation driver, and an actuation assembly. The end effector includes first and second jaws. At least one of the first and second jaws is configured to move relative to the other of the first and second jaws to compress tissue therebetween. The shaft assembly extends proximally from the end effector. The shaft assembly includes a closure member extending along a longitudinal axis. The actuation driver is configured to configured to receive a motor output from a motor. The actuation assembly is operatively coupled with the actuation driver and the closure member. The actuation assembly includes a translating member configured to translate together with the closure member along the longitudinal axis a predetermined distance using the actuation driver such that the closure member applies a predetermined closure force to the first and second jaws corresponding to the predetermined distance.

公开(公告)号：US11992282B2

公开(公告)日：2024-05-28

申请号：US16354422

申请日：2019-03-15

Applicant: Cilag GmbH International

Inventor： Clinton W. Denlinger ,  Charles J. Scheib ,  Jeffrey S. Swayze

IPC: A61B34/35 ,  A61B34/00 ,  A61B34/30 ,  A61B90/00

CPC classification number: A61B34/35 ,  A61B34/74 ,  A61B34/76 ,  A61B2034/305 ,  A61B2034/742 ,  A61B2034/743 ,  A61B2034/744 ,  A61B34/77 ,  A61B90/361 ,  A61B90/37

Abstract: An input control device is disclosed. The input control device includes a central portion coupled to a multi-axis force and torque sensor, which is configured to receive input control motions from a surgeon. The central portion is flexibly supported on a base. The input control device also includes a rotary joint coupled to a rotary sensor. The input control device is configured to provide control motions to a robotic arm and/or a robotic tool based on input controls detected by the multi-axis force and torque sensor and the rotary sensor.

公开(公告)号：US11918195B2

公开(公告)日：2024-03-05

申请号：US17036581

申请日：2020-09-29

Applicant: Cilag GmbH International

Inventor： Andrew T. Beckman ,  Charles J. Scheib ,  Jason A. Hill

IPC: A61B17/00 ,  A61B34/30 ,  A61B90/50 ,  A61G13/08

CPC classification number: A61B17/00 ,  A61B34/30 ,  A61B90/50 ,  A61B2017/00477 ,  A61B2034/301 ,  A61B2034/302 ,  A61B2034/303 ,  A61G13/08

Abstract: A surgical tool comprising a drive housing having a first end, a spline extending from the first end and having a spline pinion gear mounted to the spline, a drive input that rotatably couples the spline to the first end and provides an input pinion gear; a clutch interposing the spline and input pinion gears and defining an internal gear, and an armature. The armature may be operatively coupled to the clutch and operable to shift the clutch from a first position, where the internal gear simultaneously mates with the spline and input pinion gears such that rotation of the drive input correspondingly rotates the spline, to a second position, where the internal gear is disengaged from the input pinion gear such that the spline is rotatable independent of the drive input.