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公开(公告)号:US10925630B2
公开(公告)日:2021-02-23
申请号:US16012287
申请日:2018-06-19
Applicant: Ethicon LLC
Inventor: Alex Cuti , Demetrius Harris
Abstract: Surgical devices and systems having rotating end effector assemblies for treating tissue are provided. In one exemplary embodiment, a surgical device can include a housing, an instrument shaft extending from the housing, and an effector assembly, in which the instrument shaft includes an outer sleeve, a waveguide, and a rotation assembly having an inner sleeve. Methods for using the same are also provided.
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公开(公告)号:US20220241474A1
公开(公告)日:2022-08-04
申请号:US17156272
申请日:2021-01-22
Applicant: ETHICON LLC
Inventor: Frederick E. Shelton, IV , Jason L. Harris , Chad Edward Eckert , Demetrius Harris
IPC: A61M1/04 , A61B5/00 , A61B5/0205 , A61M1/00
Abstract: Patient biomarkers may be monitored before, during, and/or after thoracic surgery to predict complications, detect complications, track recovery, and/or make pre-, in- and/or post-surgery recommendations to avoid predicted complications and/or mitigate detected complications. Complications (e.g., prolonged air leak or esophageal stricture) may be predicted based on patient parameters and/or biomarker measurements. Complications may be predicted or detected based on biomarker measurements compared to thresholds associated with a biomarker (e.g., developed from baselines) generated based on patient parameters, pre- and/or in-surgery biomarker measurements, and/or surgical details (e.g., decrease in lung capacity). Recovery milestones may be tracked based on biomarker measurements compared to predicted biomarker measurements for recovery stages. A recommendation (e.g., to avoid a predicted complication and/or mitigate a detected complication) may be a patient-specific selection and/or modification of more of: surgical preparation, in-surgery procedures, surgical instrument selection, surgical and/or post-surgical instrument settings, post-surgery procedures, in-surgery and/or post-surgery monitoring, etc.
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公开(公告)号:US20220238216A1
公开(公告)日:2022-07-28
申请号:US17156293
申请日:2021-01-22
Applicant: ETHICON LLC
Inventor: Frederick E. Shelton, IV , Demetrius Harris
Abstract: A computing system may be provided for applying machine learning to a data collection to improve a surgical outcome. The computing system may comprise a processor. The processor may be configured to perform a number of actions. An indication that an operational behavior of a surgical device may be suboptimal may be determined from a data collection that may include one or more biomarkers. A model that may optimize and/or improve the behavioral operation of the surgical device to improve a surgical outcome may be determined using machine learning and the data collection. The model may be updated using feedback given by a healthcare provider to improve the model. The control program update may be determined using the model and the data collection. The control program update may be configured to alter a manner in which a control program operates the surgical device during the surgical procedure. The control program update may be sent to the surgical device.
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公开(公告)号:US20220233119A1
公开(公告)日:2022-07-28
申请号:US17156287
申请日:2021-01-22
Applicant: ETHICON LLC
Inventor: Frederick E. Shelton, IV , Kevin M. Fiebig , Demetrius Harris , Jason L. Harris , Chad Edward Eckert , Andréas N. Ward
Abstract: A surgical computing system may receive usage data associated with movement of a surgical instrument and user inputs to the surgical instrument. The surgical computing system may receive motion and/or biomarker sensor data from sensing systems applied to the operator of the surgical instrument. The surgical computing system may determine, based on at least one of the usage data and/or the sensor data, a control feature for implementation by the surgical instrument. The surgical computing system may communicate the determined control feature(s) to the surgical instrument. The surgical instrument may modify its operation based on the control features.
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公开(公告)号:US20220240869A1
公开(公告)日:2022-08-04
申请号:US17156279
申请日:2021-01-22
Applicant: ETHICON LLC
Inventor: Frederick E. Shelton, IV , Chad Edward Eckert , Demetrius Harris , Andréas N. Ward , Jason L. Harris
Abstract: A computing system for measuring and monitoring patient biomarkers for detecting or predicting a post-surgical hysterectomy complication may be provided. A post-surgical hysterectomy complication may be predicted or detected by comparing measured/processed patient biomarker data with a corresponding determined threshold value. The comparison of the measured/processed patient biomarker data and the corresponding threshold may be performed in association with a context. The context may be based on at least one of a hysterectomy surgery recovery timeline, at least one situational attribute, or at least one environmental attribute. A notification message associated with a predicted or detected post-surgical hysterectomy complication may be sent (e.g., sent in real time) to a patient device or a healthcare provider's device. The notification message may be supplemented by a severity level message.
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公开(公告)号:US20220238235A1
公开(公告)日:2022-07-28
申请号:US17156286
申请日:2021-01-22
Applicant: ETHICON LLC
Inventor: Frederick E. Shelton, IV , Kevin M. Fiebig , Demetrius Harris , Jason L. Harris , Chad Edward Eckert
IPC: G16H50/70 , G16H50/30 , G16H40/20 , G16H10/60 , G16H40/67 , A61B5/00 , A61B5/01 , A61B5/0205 , A61B5/11 , A61B5/145 , A61B5/16 , A61B10/00
Abstract: Examples herein may include a computer-implemented method for providing outcome tracking of patients, which may include generating an event trigger for the patient, wherein during a duration of the patient's recovery, the event trigger may correspond to values of a patient biomarker over or under threshold values while the patient is performing a post-surgery activity related to the patient's recovery. The computer-implemented method may include receiving actual patient biomarker data from a patient sensor system for the patient while the patient is performing a post-surgery activity. If the actual patient biomarker data includes values over or under the threshold value while the patient is performing a post-surgery activity, the method may include triggering the event trigger. The method may include generating a notification alert corresponding to the event trigger.
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公开(公告)号:US20220238197A1
公开(公告)日:2022-07-28
申请号:US17156282
申请日:2021-01-22
Applicant: ETHICON LLC.
Inventor: Frederick E. Shelton, IV , Jason L. Harris , Chad Edward. Eckert , Demetrius Harris
Abstract: Examples herein may include a computer-implemented method for providing outcome tracking of a plurality of patients, which may include generating a respective expected patient biomarker dataset for each of the plurality of patients, wherein the expected patient biomarker dataset may represent the expected values of a patient biomarker over the duration of the patient's recovery. The computer implementing method may include receiving respective actual patient biomarker data from respective patient sensor systems for each of the plurality of patients. The method may include aggregating the respective expected patient biomarker dataset and the respective actual patient biomarker data for each of the plurality of patients. The method may include determining differences between the respective expected patient biomarker data and the respective actual patient biomarker data. The method may include generating a treatment notification based on the differences.
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公开(公告)号:US20200315690A1
公开(公告)日:2020-10-08
申请号:US16375426
申请日:2019-04-04
Applicant: Ethicon LLC
Inventor: Nicholas Morgan , Cory Kimball , Christopher Pitaniello , Demetrius Harris , Geoffrey S. Strobl , William D. Shaw, JR. , Ellen Renner , David K. Norvell
Abstract: In general, surgical devices including visual indicators thereon are provided. A user of the device therefore may quickly visually ascertain various operational details of the surgical device and/or various pieces of information about the device and/or tissue of a patient being operated on.
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公开(公告)号:US20200315685A1
公开(公告)日:2020-10-08
申请号:US16375338
申请日:2019-04-04
Applicant: Ethicon LLC
Inventor: John Brady , Monica Rivard , Demetrius Harris , Cory Kimball , Matthew Schneider , Chad Frampton , Richard W. Timm , Michael Ehninger
Abstract: In general, surgical devices switchable between monopolar functionality and bipolar functionality are provided. In an exemplary embodiment, a surgical device is configured to selectively apply each of bipolar energy and monopolar energy.
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公开(公告)号:US20220237999A1
公开(公告)日:2022-07-28
申请号:US17156289
申请日:2021-01-22
Applicant: ETHICON LLC
Inventor: Frederick E. Shelton, IV , Chad Edward Eckert , Demetrius Harris , Jason L. Harris
Abstract: A computing system and/or a method may be provided for using a risk assessment to provide a notification. The computing system may comprise a processor. The processor may be configured to perform the method. A biomarker may be received for a patient from a sensing system. A data collection that includes pre-surgical data may be received for a patient. A probability of a patient outcome due to a surgery performed on the patient may be determined using the biomarker and the data collection. A notification may be sent to a user. The notification may indicate that the probability of the surgical complication may exceed a threshold.
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