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：US20230414243A1

公开(公告)日：2023-12-28

申请号：US18216175

申请日：2023-06-29

Applicant: Cilag GmbH International

Inventor： Foster B. Stulen ,  Kevin L. Houser ,  Vincent P. Battaglia, Jr. ,  Brian D. Bertke

IPC: A61B17/32

CPC classification number: A61B17/320092 ,  A61B17/320068 ,  A61B2017/320069 ,  A61B2017/320094 ,  A61B2017/320071 ,  A61B2017/320089 ,  A61B2017/320088 ,  A61B2017/320078 ,  A61B2017/320072

Abstract: A surgical instrument is disclosed including a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency and an ultrasonic blade extending along the longitudinal axis coupled to the transducer. The ultrasonic blade includes a body having a proximal end and a distal end. The distal end is movable along the longitudinal axis by the vibrations produced by the transducer. The surgical instrument further includes a protective sheath including a proximal end and a distal end and disposed adjacent to the body. The protective sheath further includes a pad positioned toward the distal end of the protective sheath and located between the body and the distal end of the protective sheath.

公开(公告)号：US20230371954A1

公开(公告)日：2023-11-23

申请号：US18361158

申请日：2023-07-28

Applicant: Cilag GmbH International

Inventor： Brian W. Bear ,  Matthew H. Bolton ,  Rodney V. Clingaman ,  Brian F. DiNardo ,  William D. Fox ,  Kevin L. Houser ,  John P. Measamer ,  Christopher C. Miller ,  Mark D. Overmyer ,  Kevin D. Sackett ,  Charles J. Scheib ,  Emily A. Schellin ,  Richard F. Schwemberger ,  Frederick E. Shelton, IV ,  Craig S. Smith ,  Omar J. Vakharia ,  Jason E. Zerkle

IPC: A61B17/115 ,  H02J7/00

CPC classification number: A61B17/1155 ,  H02J7/00 ,  A61B2017/00039

Abstract: A surgical instrument includes a body, a shaft assembly, a stapling head assembly, an anvil, an anvil adjustment assembly, a trigger, and a lockout assembly. The stapling head assembly is operable to drive an annular array of staples. The anvil is configured to couple with the stapling head assembly. The anvil adjustment assembly includes a translating member, which translates relative to the body to thereby adjust the longitudinal position of the anvil relative to the stapling head assembly. The trigger is operable to actuate the stapling head assembly. The lockout assembly includes an electrically powered braking feature. A method of operating the surgical instrument includes providing the lockout assembly in a first state to permit translation of the translating member. The translating member is then translated. The lockout assembly is then transitioned to a second state to prevent further translation of the translating member.

公开(公告)号：US11737750B2

公开(公告)日：2023-08-29

申请号：US16779752

申请日：2020-02-03

Applicant: Cilag GmbH International

Inventor： Jeffrey L. Aldridge ,  Eitan T. Wiener ,  Robert A. Kemerling ,  James R. Giordano ,  Vincent P. Battaglia, Jr. ,  Daniel W. Price ,  Sean P. Conlon ,  Gregory W. Johnson ,  Jeffrey D. Messerly ,  Shan Wan ,  Kevin L. Houser ,  Foster B. Stulen ,  Jacob S. Gee ,  Jeffrey A. Bullock ,  John A. Hibner ,  William B. Weisenburgh, II

IPC: A61B17/072 ,  A61B18/14 ,  A61B17/00 ,  H01R13/66 ,  H01M50/209 ,  A61B17/32 ,  A61B18/00 ,  A61B18/12 ,  A61B17/29 ,  A61N7/00

CPC classification number: A61B17/07207 ,  A61B17/00234 ,  A61B18/1445 ,  H01M50/209 ,  H01R13/6675 ,  A61B2017/00017 ,  A61B2017/00026 ,  A61B2017/0046 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/00221 ,  A61B2017/00225 ,  A61B2017/00398 ,  A61B2017/00411 ,  A61B2017/00464 ,  A61B2017/00734 ,  A61B2017/2927 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2017/320097 ,  A61B2018/00791 ,  A61B2018/1226 ,  A61B2560/0443 ,  A61N7/00 ,  H01M2220/30 ,  H01R2201/12

Abstract: A surgical instrument includes a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is located at a distal end portion of the shaft assembly. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is removably coupled with the shaft assembly in a connected state and separated from the shaft assembly in a disconnected state. The body includes a drive feature configured to drive operation of the active feature of the effector. The drive feature includes at least one of an ultrasonic drive feature or a mechanical drive feature. A proximal end portion of the shaft assembly is configured to be removed from the body to separate the at least one activation feature from the drive feature.

公开(公告)号：US11653944B2

公开(公告)日：2023-05-23

申请号：US16696271

申请日：2019-11-26

Applicant: Cilag GmbH International

Inventor： Kevin L. Houser

IPC: A61B17/32

CPC classification number: A61B17/320092 ,  A61B2017/320094 ,  A61B2017/320095

Abstract: An apparatus for operating on tissue includes a body assembly, a shaft, an acoustic waveguide, and an end effector. The end effector includes an ultrasonic blade, a clamp arm, and a blade guard. The ultrasonic blade is in acoustic communication with the waveguide. The clamp arm is configured to pivot toward and away from the ultrasonic blade. The clamp arm has a first tine. The blade guard extends from the shaft. The blade guard has a longitudinally extending arm defining a concave pathway and a second tine located distal to the longitudinally extending arm. The ultrasonic blade is partially housed within the concave pathway. The first tine and the second tine are configured to grasp tissue when the clamp arm pivots toward the ultrasonic blade.

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.

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

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.

公开(公告)号：US20210378700A1

公开(公告)日：2021-12-09

申请号：US17356834

申请日：2021-06-24

Applicant: Cilag GmbH International

Inventor： Kevin L. Houser

IPC: A61B17/32 ,  A61B17/29

Abstract: A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. An ultrasonic end effector extends along a longitudinal axis and is coupled to the transducer. The ultrasonic end effector comprises an ultrasonic blade and a clamping mechanism. A controller receives a feedback signal from the ultrasonic end effector and the feedback signal is measured by the controller. A lumen is adapted to couple to a pump. The controller is configured to control fluid flow through the lumen based on the feedback signal, and the lumen is located within the ultrasonic end effector.

公开(公告)号：US20250049464A1

公开(公告)日：2025-02-13

申请号：US18931414

申请日：2024-10-30

Applicant: Cilag GmbH International

Inventor： John A. Hibner ,  Kevin L. Houser ,  David A. Monroe ,  David C. Cagle ,  Geoffrey S. Strobl ,  Timothy P. Lessek ,  Jeffrey L. Aldridge ,  Ryan M. Asher ,  Mary E. Mootoo ,  Eric B. Smith ,  Gregory W. Johnson ,  David M. Locke

IPC: A61B17/32 ,  A61B17/00 ,  A61B18/00 ,  A61B18/14

Abstract: An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

公开(公告)号：US12201339B2

公开(公告)日：2025-01-21

申请号：US17131074

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 ,  A61B17/32 ,  A61B18/00 ,  A61B17/00 ,  A61B17/29 ,  A61B18/12 ,  A61B34/00 ,  A61B90/00

Abstract: A surgical system is disclosed including an end effector comprising a clamp arm, a tissue contacting surface, and a circuit defining a plurality of segmented sections. The plurality of segmented sections comprises a first segmented section comprising a first impedance sensor configured to sense a parameter associated with tissue positioned in the first segmented section and deliver electrosurgical energy to the tissue. A motor is configured to move the clamp arm. A current sensor is configured to sense a current draw of the motor. A control system is configured to interrogate the first impedance sensor to determine a value of the parameter, interrogate the current sensor to determine the current draw, compare the value of the parameter to a threshold value, compare the current draw to a threshold current draw, and divert the electrosurgical energy away from the first segmented section based on the comparisons.

公开(公告)号：US20240374280A1

公开(公告)日：2024-11-14

申请号：US18780677

申请日：2024-07-23

Applicant: Cilag GmbH International

Inventor： Ryan M. Asher ,  Brian D. Black ,  Chad P. Boudreaux ,  Nathan Cummings ,  William D. Dannaher ,  Craig T. Davis ,  Glenn W. Ellison ,  Frederick L. Estera ,  Jacob S. Gee ,  Geni M. Giannotti ,  Timothy S. Holland ,  Kevin L. Houser ,  Gregory W. Johnson ,  Amy M. Krumm ,  Jason R. Lesko ,  Stephen M. Leuck ,  Ion V. Nicolaescu ,  Candice Otrembiak ,  Amelia A. Pierce ,  Eric Roberson ,  Shan Wan

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

Abstract: An ultrasonic instrument includes a housing, an ultrasonic transducer support by the housing, and an integrated usage indicator. The housing is configured to removably connect to a shaft assembly. The ultrasonic transducer is configured to be acoustically connected to a waveguide and operated a predetermined number of use cycles. The integrated usage indicator is operatively connected to the housing and includes a used state indicator. The used state indicator is configured to indicate to a clinician in a used state when the ultrasonic transducer has been operated at least the predetermined number of use cycles for limiting usage of the ultrasonic transducer to the predetermined number of use cycles.