A method for controlling a powered surgical stapler that includes an end effector with jaws that are movable between an open and a closed position and a firing member that is movable between a starting position and an ending position within the end effector. The jaws and firing member are controlled by separate rotary systems and the end effector includes a firing member lockout system that prevents axial movement of the firing member unless the surgical staple cartridge is in ready to fire condition.
Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and/or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and/or mechanical data.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
3.
SURGICAL INSTRUMENTS WITH DOUBLE SPHERICAL ARTICULATION JOINTS WITH PIVOTABLE LINKS
Surgical instruments with articulation joints that include an articulation linkage assembly comprising a plurality of links configured to operably interface with a proximal joint member for movable travel relative thereto in a first proximal travel path and a second proximal travel path that are transverse to each other. The plurality of links are further configured to operably interface with a distal joint member for movable travel relative thereto in a first distal travel path and a second distal travel path that are transverse each other.
A surgical smart system for an operating room may collect data on surgical procedures and equipment. Upon identifying specific surgical equipment, the surgical smart system may present various interaction levels—minimal, intermittent, or full. The system may dynamically choose an interaction level based on a surgical manifest and equipment use. The system may monitor the equipment's performance, adjusting interaction levels based on equipment usage patterns and its impact on patient physiology. Operational data may be displayed on an interface and archived in a database, creating a digital record of the equipment's use during surgery.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
5.
INTER-CONNECTIVITY OF DATA FLOWS BETWEEN INDEPENDENT SMART SYSTEMS
Systems, methods, and instrumentalities associated with adaptation of operation associated with monitoring of surgical devices. A first surgical device may monitor operation of a second surgical device. The monitoring of the second surgical device may affect the operation of the first surgical device (e.g., impact data generation). The first surgical device or the second surgical device may change its operating configuration, for example, based on the monitoring.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
6.
SYNCHRONIZED MOTION OF INDEPENDENT SURGICAL DEVICES
Devices, systems, and techniques for synchronized motion of independent surgical devices. An example first surgical instrument may have a movable component. The first surgical instrument may receive a motion control parameter. The motion control parameter may be one or more of: a force relative to a tissue contact shared between the first surgical instrument and the second surgical instrument; or a positional relationship between the first surgical instrument and the second surgical instrument. The first surgical instrument may sense a motion event caused by a user control input to a second surgical instrument. The first surgical instrument may autonomously adjust motion of the movable component based on the motion control parameter and the motion event.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
Examples herein may allow healthcare professionals (HCPs) (e.g., surgeons) to be notified about leakage current in surgical devices. In examples, an electronic station within a surgical system may include a communications interface configured to connect to a plurality of patient monitoring devices. The electronic station may detect a leakage current associated with a patient monitoring device of the plurality of patient monitoring devices. The electronic station may determine a mechanism to compensate for the leakage current associated with the patient monitoring device. The electronic station may perform the mechanism to compensate for the leakage current associated with the patient monitoring device.
A surgical instrument includes an ultrasonic transducer, a shaft defining a longitudinal axis, and an end effector at a distal end of the shaft. The end effector includes an ultrasonic blade driven by the ultrasonic transducer to treat tissue with ultrasonic energy. A tissue treatment portion of the ultrasonic blade includes a linear blade region extending parallel to the longitudinal axis, a curved blade region extending distally from the linear blade region along a curved path that deflects laterally from the longitudinal axis, an upper treatment side, a lower treatment side, a first lateral side having a first sweeping side surface, and a second lateral side having a second sweeping side surface. The sweeping side surfaces define respective first and second side edges of a transverse cross-section of the tissue treatment portion, and are configured such that the first and second side edges are parallel to one another.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A surgical instrument comprises a surgical end effector having a movable jaw. The moveable jaw includes a first jaw and a second jaw, the second jaw rotatable relative to said first jaw between an open position and a fully-clamped position. A shaft frame operably interfaces with said surgical end effector and comprises a top frame segment having an arcuate outer surface. A closure tube is provided to slide relative to said shaft frame and contact said movable jaw when said closure tube is moved distally through a closure stroke to move said movable jaw from an open position to a fully-clamped position. Said top frame segment comprises a sealing member which creates at least a partial seal between said closure tube and said frame.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
10.
METHOD FOR SITUATIONAL AWARENESS FOR SURGICAL NETWORK OR SURGICAL NETWORK CONNECTED DEVICE CAPABLE OF ADJUSTING FUNCTION BASED ON A SENSED SITUATION OR USAGE
A computer-implemented method for contextually controlling a surgical device is disclosed. The method includes receiving, by a computer system, perioperative data from the surgical device, the perioperative data associated with a surgical procedure; receiving, by the computer system, images from a scope, the images visualizing the surgical device during the surgical procedure; determining, by the computer system, an attribute of the surgical device from the images; determining, by the computer system, procedural context data based at least on the perioperative data and the attribute of the surgical device; and controlling, by the computer system, the surgical device according to the procedural context data.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/02 - Détection, mesure ou enregistrement en vue de l'évaluation du système cardio-vasculaire, p. ex. mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G06T 7/70 - Détermination de la position ou de l'orientation des objets ou des caméras
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
11.
ELECTRICAL DATA-BASED ACTIVATION MODE DETERMINATION OF AN ENERGY DEVICE
Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and/or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and/or mechanical data.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
12.
SYNCHRONIZATION OF THE OPERATIONAL ENVELOPES OF INDEPENDENT SURGICAL DEVICES
Devices, systems, and techniques for synchronization of the operational envelopes of independent surgical devices. An example device may receive a user surgical control input. The device may send an indication of a preferred operational envelope to a negotiating surgical device. The device may constrain operation responsive to the user surgical control input based on a reduced operational envelope that is determined by a response, from the negotiating surgical device, to the indication of the preferred operational envelope. The reduced operational envelope may result in a greater constraint on the operation responsive to the user surgical control input than the preferred operational envelope.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
Systems, methods, and instrumentalities are disclosed for displaying a magnitude and location of a resulting tissue tension from an applied force to an instrument and a resulting tissue reaction. A surgical stapling device for monitoring and adapting to tissue tension during a surgical stapling procedure may measure strain on at least one component of the surgical stapling device resultant from one or more of an opposed force applied by a user and a force resisted by tissue associated with the tissue tension. The device may determine a location of the tissue tension based on historical surgical data, the opposed force, and the resisted force. The device may highlight the location of the tissue tension to aid in real-time surgical decision-making.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
14.
MECHANICAL DATA-BASED ACTIVATION MODE DETERMINATION OF AN ENERGY DEVICE
Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and/or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and/or mechanical data.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
15.
MULTI-SOURCED DATA-BASED ACTIVATION MODE DETERMINATION OF AN ENERGY DEVICE
Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and/or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and/or mechanical data.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
16.
SYNCHRONIZED MOTION OF INDEPENDENT SURGICAL DEVICES TO MAINTAIN RELATIONAL FIELD OF VIEWS
Devices, systems, and techniques for synchronized motion of independent surgical devices to maintain relational field of views. A first imaging device may receive a video data stream captured by a second imaging device. The first imaging device may be located on a first side of an anatomical barrier and the second imaging device may be located on a second side of the anatomical barrier. The first side and the second side may be opposing sides of the anatomical barrier. The first imaging device may determine, based on the video data stream, a coupled field of view between the first imaging device and the second imaging device. The first imaging device may determine, based on the video data stream, that the second imaging device has moved. The first imaging device may adjust an imaging parameter of the first imaging device to maintain the coupled field of view.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
One or more data streams may be used for controlling multi-system interaction. For example, a data stream may be received, and a surgical option associated with a surgical instrument may be selected based on the data stream. A control signal associated with the surgical instrument may be generated based on the selected surgical option. A surgical device may receive an external data stream from a source external to the surgical system. The device may derive, based at least on the external data stream, decision contextual information. The device may select a surgical option associated with a surgical instrument based on the decision context information. The device may generate a visual indication of the decision context information associated with selecting the surgical option. The device may generate a control signal associated with the surgical instrument based on the selected surgical option.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
18.
PROBLEM-SOLVING LEVEL BASED ON THE BALANCE OF UNKNOWNS AND DATA STREAMS
Systems, methods, and/or instrumentalities disclosed herein may determine a problem-solving level based on the balance of unknowns and data streams. The device may receive a first dataflow from a first surgical element. The device may determine that a physiological parameter of the patient exceeds a patient safety threshold. The device may determine a second dataflow associated with a second surgical element. The determination may be based on an indication of a relational link. The device may transmit a configuration message including an indication that the physiological parameter of the patient exceeded the patient safety threshold. The device may transmit, to the second surgical element, a control message including an indication of the control data associated with the first surgical element. The device may cause the output characteristic associated with the second surgical element to be adjusted based on the control data associated with the first surgical element.
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
19.
SURGICAL INSTRUMENT COMPRISING AN ADAPTIVE CONTROL SYSTEM
A surgical instrument comprising a motor control system in communication with a closure motor and a drive motor is disclosed. The motor control system is configured to control the operation of the closure motor and the drive motor. The motor control system is configured to increase the clamping pressure applied by a first jaw during a second tissue cutting stroke as compared to the clamping pressure applied by the first jaw during a first tissue cutting stroke.
A61B 17/115 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A surgical system may include a processor configured to make a determination between two seemingly accurate but conflicting data streams. The processor may be further configured to obtain a first data stream associated with a measurement. The first data stream may be associated with a first control loop of the surgical system. The processor may be further configured to obtain a second data stream associated with the measurement. The second data stream may be associated with a second control loop of the surgical system. The processor may be further configured to determine that the first control loop and the second control loop are diverging. The processor may be further configured to generate a control signal based on the first and second data streams.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
21.
COLLECTION OF USER CHOICES AND RESULTING OUTCOMES FROM SURGERIES TO PROVIDE WEIGHTED SUGGESTIONS FOR FUTURE DECISIONS
Systems, methods, and/or instrumentalities disclosed herein may collect user choices and/or resulting outcomes from surgeries to provide weighted suggestions for future decisions. A system may be configured to receive an user input indicating a selection of a procedure and/or a tactical domain target. The system may be configured to determine a tactical domain data for the procedure. The tactical domain data may include one or more relationships associated with a primary surgical element, a secondary surgical element, the parameter of the patient, and/or the tactical domain target. The system may be configured to generate a recommendation based on the tactical domain data. The recommendation may include an indication of an optimized control loop for the primary surgical element. The system may be configured to send the recommendation to the primary surgical element to adjust an output characteristic associated with the primary surgical element to achieve the tactical domain target.
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients
22.
DATA STREAM RESPONSE REACTION IN A MULTI-SYSTEM INTERACTION
A surgical system may include a processor configured to obtain an input control data stream associated with a measurement. The input control data stream may be associated with a control loop of the surgical system. The processor may be further configured to determine an importance factor of a condition associated with a patient. The processor may be further configured to generate a response reaction based on the input control data stream and the importance factor of the condition associated with the patient. The processor may be further configured to determine a reaction time between an instant of the input control data stream causes a response reaction to be generated. The processor may be further configured to modify the response reaction based on the generated response reaction.
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
23.
CONFLICTING DATA STREAMS IN MULTI-SYSTEM INTERACTION
A surgical system may include a processor configured to make a determination between two seemingly accurate but conflicting data streams. The processor may be further configured to obtain a first data stream and a second data stream associated with a same measurement. The processor may be further configured to determine a first control parameter based at least in part on the first data stream. The processor may be further configured to determine a second control parameter based at least in part on a second data stream. The processor may be further configured to compare the first control parameter and the second parameter. The processor may be further configured to select a data stream between the first data stream and the second data stream based on the comparing. The processor may be further configured to generate a control signal based on the selected data stream.
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
H04L 67/12 - Protocoles spécialement adaptés aux environnements propriétaires ou de mise en réseau pour un usage spécial, p. ex. les réseaux médicaux, les réseaux de capteurs, les réseaux dans les véhicules ou les réseaux de mesure à distance
A surgical system may include a processor configured to make a determination that a data stream is invalid. The processor may be further configured to obtain a data stream associated with a measurement from a surgical device. The processor may be further configured to generate a first control signal associated with the surgical device based on the data stream. The processor may be further configured to detect that the data stream is invalid. Upon detecting that the data stream is invalid, the processor may be further configured to determine an approximation factor associated with the data stream. The processor may be further configured to generate a second control signal associated with the surgical device based on the determined approximation factor.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
An end effector for a robotic surgical tool includes a first jaw providing a first jaw extension, a second jaw providing a second jaw extension, and an articulable wrist operatively coupled to the first and second jaws. The wrist includes a distal clevis, first and second pulleys rotatably mounted to the distal clevis at a pivot axis, 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 first and second jaws and defining a slot. An alignment arm is rotatably mounted to the first pulley at the pivot axis and providing an alignment bar translatable within the slot.
Systems, methods, and instrumentalities associated with shared or surrendered control (e.g., partial or full control) of a surgical system are described. Surgical systems may identify other surgical systems that support image porting and remote control. One of surgical systems may receive from another surgical system a request associated with redirection of imaging and/or a control interface to that surgical system. The surgical system may start sending imaging and/or indication of controls to the other surgical system, which may then display imaging and/or and the control interface of the first surgical system. One of the surgical systems after evaluate control settings may start monitor patient biomarker data based on the evaluated control settings. A surgical system may terminate remote control, for example, based on the patient biomarker data crossing a threshold. The surgical system may send a notification that indicates that it is taking control.
A61B 34/35 - Robots chirurgicaux pour la téléchirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
27.
FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS
A surgical system includes a firing rod configured to be translated to deploy surgical staples during a firing stroke and a microcontroller configured to adjust firing rod velocity by pausing movement of the firing rod for a predefined period of time when the microcontroller detects a current draw by a motor driving the firing rod that exceeds a predefined threshold value. After the pause, the firing stroke can be resumed and if the current draw increase is less than the threshold value, the microcontroller can proceed cause the motor to drive the firing rod through the firing stroke without adjusting the velocity of the firing element.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
A61L 2/07 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des phénomènes physiques de la chaleur des gaz chauds de la vapeur
A61L 2/08 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des phénomènes physiques des radiations
A61L 2/16 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des substances chimiques
A61L 2/20 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des substances chimiques des substances gazeuses, p. ex. des vapeurs
B25F 3/00 - Associations d'outils pour différents travaux avec un seul moyen d'entraînement mécanique portatifRaccords appropriés
B25F 5/00 - Détails ou parties constitutives d'outils portatifs à moteur sans relation spécifique avec les opérations exécutées et non prévus ailleurs
H01M 10/42 - Procédés ou dispositions pour assurer le fonctionnement ou l'entretien des éléments secondaires ou des demi-éléments secondaires
H01M 10/48 - Accumulateurs combinés à des dispositions pour mesurer, tester ou indiquer l'état des éléments, p. ex. le niveau ou la densité de l'électrolyte
H01M 50/213 - Bâtis, modules ou blocs de multiples batteries ou de multiples cellules caractérisés par leur forme adaptés aux cellules ayant une section transversale courbée, p. ex. ronde ou elliptique
H01R 39/10 - Bagues collectrices autres qu'avec une surface de contact externe cylindrique, p. ex. bagues collectrices plates
H01R 39/64 - Dispositifs pour le captage ininterrompu du courant
H02J 5/00 - Circuits pour le transfert d'énergie électrique entre réseaux à courant alternatif et réseaux à courant continu
H02J 7/00 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries
H02J 7/02 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries pour la charge des batteries par réseaux à courant alternatif au moyen de convertisseurs
28.
SHARED SET OF OBJECT REGISTRATIONS FOR SURGICAL DEVICES USING INDEPENDENT REFERENCE PLANES
Devices, systems, and techniques for a shared set of object registrations for devices with independent reference planes. An example imaging device may capture a first imaging data stream of a visualized surgical structure. The imaging device may communicate registration information with another surgical imaging device capturing a second imaging data stream of the visualized surgical structure. The imaging device may identify, based on the registration information, a first location, within the first imaging data stream, associated with the visualized surgical structure. The first location may be determinable based on: a first reference geometry associated with a field of view of the first surgical imaging device, a second reference geometry associated with a field of view of the second surgical imaging device, a transformation between the first reference geometry and the second reference geometry, and a reference landmark common to the first imaging data stream and the second imaging data stream.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
29.
VISUAL DATA-BASED ACTIVATION MODE DETERMINATION OF AN ENERGY DEVICE
Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and/or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and/or mechanical data.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
30.
COORDINATED CONTROL OF THERAPEUTIC TREATMENT EFFECTS
Devices, systems, and techniques for coordinated control of therapeutic treatment effects. An example device may select a therapeutic treatment from a database of a plurality of therapeutic treatments. The device may select a corresponding medical data stream relevant to the therapeutic treatment. The medical data stream may be produced by a surgical monitoring device. The device may determine, based on the medical data stream, qualitative feedback information about the therapeutic treatment.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
31.
FUNCTIONAL RESTRICTION OF A SYSTEM BASED ON INFORMATION FROM ANOTHER INDEPENDENT SYSTEM
Devices, systems, and techniques for functional restriction of a device based on information from another independent system. An example first surgical device may determine that the first surgical device is capable of obtaining medical information from a second surgical device. The first surgical device may receive the medical information from the second surgical device. The first surgical device may determine that the medical information satisfies a condition. Determining that the medical information satisfies a condition may involve determining that operation of the first surgical device and operation of the second surgical device have created a negative feedback loop that negatively impacts patient health. The first surgical device may limit functional capabilities of the first surgical device based on the medical information satisfying the condition.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
32.
CONFLICT RESOLUTION FOR ACTIVATION MODE DETERMINATION OF AN ENERGY DEVICE
Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and/or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and/or mechanical data.
Devices, systems, and techniques for alignment and distortion compensation of reference planes used by surgical devices. A first surgical instrument may include a processor and an electromagnetic (EM) sensor. The first surgical instrument may sense, using the EM sensor, a predicted location of the EM sensor. The predicted location may be distorted by an EM field. The first surgical instrument may receive, from a second surgical instrument, a coordinate system associated with imaging of an area around the EM sensor. The first surgical instrument may determine an adjusted location of the EM sensor based on the received coordinate system.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
34.
STAPLE CARTRIDGE COMPRISING FORMATION SUPPORT FEATURES
A loading unit for use with a surgical stapling instrument is disclosed. The loading unit comprises a shaft and an end effector extending from the shaft. The end effector comprises a first jaw comprising an anvil, and a second jaw. At least one of the first jaw and the second jaw is movable relative to the other to grasp tissue. The second jaw comprises an elongated channel and a staple cartridge insertable into the elongated channel for assembly therewith. The staple cartridge comprises a cartridge pan, and a sled translatable relative to the cartridge pan from a home position along a firing path in a firing motion to deploy staples from the staple cartridge. The loading unit also comprises a sled position-resetting mechanism configured to return the sled to the home position from a predefined range of positions distal to the home position prior to the firing motion.
In examples, a first surgical device may be configured to detect a user operation at the first surgical device. The first surgical device may obtain data associated with the user operation. The first surgical device may determine, based on the data, whether the user operation is associated with a second surgical device separate from the first surgical device. The first surgical device may generate a control signal for controlling the second surgical device based on the determination that the user operation is associated with the second surgical device.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
37.
VISUALIZATION OF EFFECTS OF DEVICE MOVEMENTS IN AN OPERATING ROOM
Devices and method for visualizing effects of device movements in an operating room. The device may identify candidate motions of a first robotic arm configured to place a first end effector in a target end effector position internal to a patient. The device may determine, for a first candidate motion, a first number of associated interactions in which the first robotic arm and a second robotic arm will co-occupy space external to the patient. The device may determine, for a second candidate motion, a second number of associated interactions in which the first robotic arm and the second robotic arm will co-occupy space external to the patient. The device may select the first candidate motion or the second candidate motion based on the first and second number of interactions. The device may generate a control signal based on the selected candidate motion of the first robotic arm.
Device and methods for visualization of automated surgical system decisions. An example device may select a candidate action to perform based on steps of a surgical procedure and the effects of the candidate action. The effects may include whether the candidate action will impair the ability of a surgical instrument to perform a later step in the procedure. The candidate action may involve initial device placement, device movements, port placement, and/or the like.
Device and methods for visualizing internal processes of an automated operation. An example device may receive an external data stream from a source external to the surgical system. The device may derive, based at least on the external data stream, decision contextual information. The device may select a surgical option associated with a surgical instrument based on the decision context information. The device may generate a visual indication of the decision context information associated with selecting the surgical option. The device may generate a control signal associated with the surgical instrument based on the selected surgical option.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
40.
AUGMENTING DATAFLOWS TO REBALANCE THE NUMBER OF UNKNOWNS AND DATAFLOWS
Systems, methods, and/or instrumentalities disclosed herein may augment dataflows to rebalance the number of unknowns and dataflows. The device may be configured to receive a first dataflow from a first surgical element. The first dataflow may be associated with a physiological parameter of a patient. The device may determine that the first dataflow from the first surgical element is erroneous. The device may determine a second dataflow associated with a second surgical element. The determination of the second dataflow may be based on an indication of a relational link associated with the second dataflow of the second surgical element, control data for the first surgical element, and/or the physiological parameter of the patient. The device may generate control data for the first surgical element based on the second dataflow. The control data may indicate an adjustment to an output characteristic associated with the first surgical element.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
Systems, methods, and instrumentalities are disclosed for displaying a magnitude and location of a resulting tissue tension from an applied force to an instrument and a resulting tissue reaction. A surgical stapling device for monitoring and adapting to tissue tension during a surgical stapling procedure may measure strain on at least one component of the surgical stapling device resultant from one or more of an opposed force applied by a user and a force resisted by tissue associated with the tissue tension. The device may determine a location of the tissue tension based on historical surgical data, the opposed force, and the resisted force. The device may highlight the location of the tissue tension to aid in real-time surgical decision-making.
G06V 30/19 - Reconnaissance utilisant des moyens électroniques
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
42.
VISUALIZATION OF EFFECTS OF DEVICE PLACEMENT IN AN OPERATING ROOM
Devices and methods for visualizing effects of device placement in an operating room. An example device may determine a fixed position of a first base attached to a first robotic arm. The device may determine based on the fixed position of the first base, that a first candidate position of a second base is associated with a first number of interactions in which the first robotic arm and a second robotic arm attached to the second base will co-occupy space. The device may determine, based on the fixed position of the first base, that a second candidate position of the second base is associated with a second number of interactions in which the first robotic arm and the second robotic arm will co-occupy space. The device may select the first candidate position or the second candidate position based on the first number of interactions and the second number of interactions.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
43.
DISPLAY OF COMPLEX AND CONFLICTING INTERRELATED DATA STREAMS
Device and methods for displaying complex and conflicting interrelated data streams. An example device may receive a first biomarker value associated with a first biomarker in a first data stream and a second biomarker value associated with a second biomarker in a second data stream. The device may determine, based on the first biomarker value and the second biomarker value, that a close-loop control condition associated with a control parameter for the surgical device is failed. Based on determining that the close-loop control condition is failed, the device may identify an intraoperative metric associated with the first data stream and the second data stream. The device may generate a control signal configured to display a value associated with the intraoperative metric.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
44.
INTER-CONNECTIVITY OF DATA FLOWS BETWEEN INDEPENDENT SMART SYSTEMS
Systems, methods, and instrumentalities associated with inter-connectivity of data flows between various surgical devices and/or systems are disclosed. The surgical devices and/or surgical systems may be interrelated or independent smart surgical devices and/or surgical systems. Data sourced by a first surgical device/system may be communicated to and/or accessible by a second surgical device/system for interactive use and storage. The data exchange may be bi-directional or unidirectional, which, for example, may enable the surgical devices/systems to interface and use each other's data. The data exchange may affect one or multiple surgical device/system's operation.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
An apparatus includes first and second stapler halves that selectively couple together and separate from one another, and a clamp member actuatable to approximate the stapler halves to clamp tissue. A firing assembly is actuatable through a firing stroke to fire the stapling assembly on clamped tissue. The firing assembly includes a firing actuator movable between a retracted position and a deployed position in which the firing actuator is configured to actuate the firing assembly through the firing stroke, and a firing lockout member movable between an engaged position in which the firing lockout member inhibits advancement of the firing assembly through the firing stroke, and a disengaged position in which the firing lockout member permits advancement of the firing assembly through the firing stroke. The firing lockout member is configured to assume the disengaged position only when the firing actuator is in the deployed position.
A surgical tool includes a drive housing having an elongate shaft extending therefrom, an end effector arranged at a distal end of the shaft and including opposing first and second jaws, and a wrist interposing the shaft and the end effector. The wrist includes a clevis, a pulley support mounted to the clevis at an axle having a pivot axis extending through the axle, and a pulley rotatably mounted to the pulley support and rotatable about a rotation axis that is non-collinear with the pivot axis. The surgical tool further includes a plurality of drive cables extending from the drive housing, wherein one of the plurality of drive cables is routed through the wrist and engages the pulley.
A method of using a surgical tool includes operating at least one motor of a tool driver of the surgical tool and thereby closing first and second jaws of the surgical tool to clamp tissue disposed therebetween, recording a raw torque and a raw angular velocity corresponding to the at least one motor during closing of the first and second jaws, and correcting the raw torque to produce a corrected torque using the raw angular velocity and a dampening property of the tissue.
A surgical instrument includes a drive member movable by a drive motor between a home position and an end of stroke. A mechanical stop is disposed at or near the end of stroke and is structured to increase resistance to movement of the drive member from a first position to a second position. A control system detects a current spike associated with the increased resistance and interrupts power to the drive motor.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/115 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
G05G 9/047 - Mécanismes de commande manuelle équipés d'un seul organe de commande travaillant avec plusieurs organes commandés, p. ex. en sélection ou simultanément l'organe de commande étant manœuvré de différentes manières indépendantes, chacune de ces manœuvres individuelles entraînant un seul organe commandé dans lesquels la manœuvre de l'organe de commande peut être effectuée de plusieurs manières simultanément l'organe de commande étant manœuvré à la main autour d'axes orthogonaux, p. ex. manches à balai
49.
UNCLAMPED FIRING LOCKOUT FOR LINEAR SURGICAL STAPLER
An apparatus includes a first and second elongate member that can releasably couple together to in order to cooperate to clamp and staple tissue, a clamp lever and latch body that together can latch the first and second elongate member to clamp tissue, a firing assembly that can sever and staple clamped tissue, and a lockout assembly that can prevent firing of the firing assembly until the clamp leer and latch body successfully latch the first and second elongate member together to clamp tissue.
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.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/115 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
G05B 15/02 - Systèmes commandés par un calculateur électriques
G06Q 10/0635 - Analyse des risques liés aux activités d’entreprises ou d’organisations
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
G16H 70/20 - TIC spécialement adaptées au maniement ou au traitement de références médicales concernant des pratiques ou des directives
51.
CIRCULARITY SYSTEMS AND METHODS FOR SURGICAL STAPLERS
A method of replacing a consumable of a surgical tool includes securing the surgical tool, which includes a drive housing, a shaft extending from the drive housing, an end effector arranged at a distal end of the shaft and including opposing upper and lower jaws, a wrist interposing the shaft and the end effector, and a knife assembly including a knife arranged at the end effector and first and second drive members extending to the drive housing. The method includes uncoupling the end effector from the wrist, moving the end effector distally from the wrist while the wrist remains intact, removing the knife assembly from the end effector, and thereby entirely separating the end effector from proximal portions of the surgical tool, replacing the consumable of the surgical tool, reconnecting the knife assembly to the surgical tool, and re-coupling the end effector to the wrist.
A wrist for a surgical instrument is disclosed that includes a first linkage, a second linkage, and a pivot guide. The first linkage provides a linkage body, a first lobe extending from the linkage body and defining a first lobe aperture, a first axle extending from the first lobe, a second lobe extending from the linkage body and defining a second lobe aperture, and a second axle extending from the second lobe. The second linkage is rotatably coupled to the first linkage via the first and second axles. The pivot guide provides a guide body defining a central aperture, a first pin receivable in the first lobe aperture, and a second pin receivable in the second lobe aperture.
Retainers and retainer systems for staple cartridges with implantable adjuncts are disclosed. The retainers and retainer systems enable a compressive force to be applied to implantable adjuncts on staple cartridges.
An apparatus includes first and second stapler halves that selectively couple together and separate from one another, and a clamp member actuatable to approximate the stapler halves to clamp tissue. A firing assembly is actuatable through a firing stroke to fire the stapling assembly on clamped tissue. The firing assembly includes a firing actuator movable between a retracted position and a deployed position in which the firing actuator is configured to actuate the firing assembly through the firing stroke, and a firing lockout member movable between an engaged position in which the firing lockout member inhibits advancement of the firing assembly through the firing stroke, and a disengaged position in which the firing lockout member permits advancement of the firing assembly through the firing stroke. The firing lockout member is configured to assume the disengaged position only when the firing actuator is in the deployed position.
A surgical tool includes a drive housing having an elongate shaft extending therefrom, an end effector arranged at a distal end of the shaft and including opposing first and second jaws, and a wrist interposing the shaft and the end effector. The wrist includes a clevis, a pulley support mounted to the clevis at an axle having a pivot axis extending through the axle, and a pulley rotatably mounted to the pulley support and rotatable about a rotation axis that is non-collinear with the pivot axis. The surgical tool further includes a plurality of drive cables extending from the drive housing, wherein one of the plurality of drive cables is routed through the wrist and engages the pulley.
An apparatus includes a housing, a lockout arm, and a spring, and is configured for use with a linear surgical stapler having a first stapler half with a frame and a clamp lever, and a second stapler half with a latch projection. The lockout arm is rotatable between a lockout position and a bypass position and is biased toward the lockout position by the spring. In the lockout position the lockout arm inhibits a proximal end of the clamp lever in a closed state from coupling with a proximal end of the frame. In the bypass position the lockout arm permits the proximal end of the clamp lever in the closed state to couple with the proximal end of the frame. The lockout arm transitions from the lockout position to the bypass position only when the latch projection is properly captured by the clamp lever in the closed state.
A surgical instrument includes a body assembly, a shaft assembly, a stapling head assembly disposed at a distal end of the shaft assembly, and an anvil. The stapling head assembly having a deck member and a closure shaft capable of moving relative to the deck member. The anvil including a head, a shank, a biasing body, and a electronic unit having a distance sensor. The head and the shank being capable of moving relative to each other. The biasing body being interposed between the head and the shank with a known spring constant. The distance sensor being capable of measuring a relative distance between the shank and the head, while the electronic unit can communicate a parameter associated with the relative distance to a console.
A61B 17/115 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
58.
INTELLIGENT ANVIL INSERT FOR LINEAR SURGICAL STAPLER
A surgical stapler includes an elongate cartridge channel, an anvil assembly, a clamp member and a deflection sensor. The elongate cartridge channel includes a proximal frame portion and a distal jaw portion. The distal jaw portion is configured to releasably receive a staple cartridge. The anvil assembly includes an elongate anvil channel and an anvil insert. The elongate anvil channel includes a proximal frame portion and a distal jaw portion. The anvil insert is disposed at the distal jaw portion. The deflection sensor is associated with the anvil assembly and is configured to detect deflection of the anvil assembly to facilitate generation of a notification as a function of the detected deflection.
A surgical instrument includes a handle assembly, a shaft assembly, an end effector and a clamp force sensor. The handle assembly includes a closure trigger that is pivotable between a released position and an actuated position. The end effector is coupled with the shaft assembly and includes a cartridge that includes an anvil and a cartridge housing. The cartridge housing is slidable with respect to the anvil between an unclamped position and a clamped position to facilitate selective clamping of patient tissue therebetween. The clamp force sensor is associated with the end effector and is configured to detect a clamping force between the anvil and the cartridge housing and facilitate generation of a notification as a function of the detected clamping force.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
60.
COMPOSITE INTERCONNECTED ANVIL FOR MEDICAL STAPLER
A medical stapler anvil including an anvil pocket beam and an anvil back beam. The anvil pocket beam can include a plurality of staple forming pockets and an anvil pocket beam moment of inertia. The anvil back beam can be fixedly attached to the anvil pocket beam and can include a crown disposed opposite the plurality of staple forming pockets and an anvil back beam moment of inertia approximately equal to the anvil pocket beam moment of inertia. The anvil pocket beam and the anvil back beam can be stamped from sheet metal.
An apparatus includes a housing, a lockout arm, and a spring, and is configured for use with a linear surgical stapler having a first stapler half with a frame and a clamp lever, and a second stapler half with a latch projection. The lockout arm is rotatable between a lockout position and a bypass position and is biased toward the lockout position by the spring. In the lockout position the lockout arm inhibits a proximal end of the clamp lever in a closed state from coupling with a proximal end of the frame. In the bypass position the lockout arm permits the proximal end of the clamp lever in the closed state to couple with the proximal end of the frame. The lockout arm transitions from the lockout position to the bypass position only when the latch projection is properly captured by the clamp lever in the closed state.
A software for driving a motor in a powered surgical stapler can include driving a firing assembly through an end effector during a firing stroke, detecting when the firing assembly enters a final distance of the firing stroke, decreasing a target speed of the firing assembly for the final distance, and impacting a distal portion of the firing assembly to the end effector. The firing assembly may be intentionally driven into the end effector. The software may cease driving the firing assembly in response to detection of the impact. The reduction in target speed can be accomplished by adjusting a motor drive signal to a motor driving the firing assembly.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
An apparatus includes first and second elongate members having first and second stapling surfaces and being configured to releasably couple together. A clamp member is movable from a first position to a second position to approximate the stapling surfaces for clamping tissue. A latch member is transitionable from an unlatched state to a latched state to releasably retain the clamp member in the second position. A firing assembly is actuatable from a home position to fire staples into the clamped tissue. The latch member is transitionable from the unlatched state to the latched state when the clamp member is in the second position while the firing assembly is in the home position. The latch member is inhibited from transitioning from the unlatched state to the latched state when the clamp member is in the second position while the firing assembly is displaced from the home position.
A method of driving a motor in a powered surgical stapler can include a pausing monitoring process that may be effective to improve staple form and/or increase localized compression of tissue. The pausing monitoring process monitors firing speed of a firing bar driving by the motor and pauses the motor when the firing speed passes a speed error threshold. Before pausing the motor, the pausing monitoring process may also require that a pulse width modulated (PWM) electrical signal driving the motor has a duty cycle over a duty cycle threshold while the firing speed is beyond the speed error. The pausing monitoring process may force the firing bar through a predetermined distance immediately after pausing. The pausing monitoring process may be limited in the number of pauses that can be taken during a firing stroke.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p. ex. la physiothérapie, l’acupression ou les exercices
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
65.
STRAIN AND COMPRESSION FORCE MEASUREMENT FEATURES FOR SURGICAL STAPLER
An apparatus includes a first and second elongate member that can releasably couple together to in order to cooperate to clamp and staple tissue, a latch member that can latch the first and second elongate member to clamp tissue, a firing assembly that can sever and staple clamped tissue, and a strain measuring assembly associated with the first elongate member. The strain measuring assembly being capable of measuring a strain value on the first elongate member, compare the strain value with a predetermined limit associated with successful staple formation, and generate a signal in response to the comparison.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An apparatus includes a first and second elongate member that can releasably couple together to in order to cooperate to clamp and staple tissue, a latch member that can latch the first and second elongate member to clamp tissue, a firing assembly that can sever and staple clamped tissue, and a clamp force measuring assembly. The clamp force measuring assembly can measure a parameter associated with a clamping force imparted on the first and second stapling surfaces while clamping tissue, and process and communicate the measured parameter to be compared with a predetermined limit associated with successful staple formation.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
67.
POWERED FIRING PLATFORM FOR LINEAR SURGICAL STAPLER
An apparatus that includes a body, an initiation device, an actuator, and a driver. The body has a cradle sized and configured to receive a linear surgical stapler operable to clamp and staple tissue with a plurality of staples. The actuator is in communication with the initiation device and the initiation device is coupled with the body. The driver is operatively coupled with the actuator and is configured to mechanically couple with a firing assembly of the linear surgical stapler. The initiation device is configured to be manipulated by a user to activate the actuator so that the actuator actuates the driver relative to the body, thereby driving the firing assembly distally to fire the linear surgical stapler.
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/115 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
68.
UNCLAMPED FIRING LOCKOUT FOR LINEAR SURGICAL STAPLER
An apparatus includes a first and second elongate member that can releasably couple together to in order to cooperate to clamp and staple tissue, a clamp lever and latch body that together can latch the first and second elongate member to clamp tissue, a firing assembly that can sever and staple clamped tissue, and a lockout assembly that can prevent firing of the firing assembly until the clamp leer and latch body successfully latch the first and second elongate member together to clamp tissue.
Various exemplary systems, devices, and methods for testing electrosurgical generators are provided. In general, an electrosurgical generator is configured to generate energy and provide the energy to an electrosurgical instrument. In an exemplary embodiment, testing of an electrosurgical generator includes simulating a tissue load being electrosurgically treated in a surgical procedure. The simulated tissue load is simulated by a computer system that includes a circuit that has a plurality of states each corresponding to a different simulated tissue load. The circuit is configured to change between the plurality of states during the testing so as to simulate a plurality of different tissue loads.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
G01R 31/28 - Test de circuits électroniques, p. ex. à l'aide d'un traceur de signaux
Systems for stereoscopic visualization with multispectral filter arrays configured for capturing color imaging data and spectral imaging data. A system includes an emitter comprising a plurality of sources of electromagnetic radiation, including a visible source, a first spectral source that emits electromagnetic radiation within a first spectral waveband, and a second spectral source that emits electromagnetic radiation within a second spectral waveband. The system includes a first image sensor comprising a first multispectral filter array, wherein at least a portion of the first multispectral filter array transmits reflected electromagnetic radiation within the first spectral waveband. The system includes a second image sensor comprising a second multispectral filter array, wherein at least a portion of the second multispectral filter array transmits reflected electromagnetic radiation within the second spectral waveband. The system is such that the first spectral waveband is different from the second spectral waveband.
H04N 23/16 - Dispositions optiques associées aux capteurs, p. ex. pour diviser des faisceaux ou pour corriger la couleur
G06T 17/00 - Modélisation tridimensionnelle [3D] pour infographie
H04N 13/239 - Générateurs de signaux d’images utilisant des caméras à images stéréoscopiques utilisant deux capteurs d’images 2D dont la position relative est égale ou en correspondance à l’intervalle oculaire
H04N 13/254 - Générateurs de signaux d’images utilisant des caméras à images stéréoscopiques en combinaison avec des sources de rayonnement électromagnétique pour l’éclairage du sujet
H04N 25/131 - Agencement de matrices de filtres colorés [CFA]Mosaïques de filtres caractérisées par les caractéristiques spectrales des éléments filtrants comprenant des éléments laissant passer les longueurs d'onde infrarouges
72.
SWITCH ARRANGEMENTS FOR ULTRASONIC SURGICAL INSTRUMENTS
Ultrasonic surgical instruments including a handle housing, a switch frame, and a switch assembly are disclosed. The switch assembly may include a first switch arrangement movably supported on a distal portion of the handle housing and selectively movable relative to a first switch contact supported by the switch frame. The switch assembly may further include a second switch arrangement including a right switch button movably supported on a right side of the handle housing and selectively movable relative to a right switch contact supported by the switch frame, and a left switch button movably supported on a left side of the handle housing and selectively movable relative to a left switch contact supported by the switch frame. The first and second switch arrangements may be configured to be selectively actuatable by a single hand supporting the handle housing.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
H01H 23/28 - Interrupteurs à bascule ou à berceau, c.-à-d. interrupteurs caractérisés en ce qu'ils sont actionnés par basculement d'un organe de l'interrupteur en forme de bouton à bascule à trois positions de travail
73.
COMBINATION ULTRASONIC AND ELECTROSURGICAL INSTRUMENT HAVING ELECTRICAL CIRCUITS WITH SHARED RETURN PATH
A surgical instrument includes a shaft, an ultrasonic transducer, a waveguide acoustically coupled with the ultrasonic transducer and extending distally through the shaft, and an end effector arranged at a distal end of the shaft. The end effector includes an ultrasonic blade acoustically coupled with the waveguide, a clamp arm movable relative to the ultrasonic blade for clamping tissue, and an RF electrode operable to seal tissue with RF energy. The ultrasonic transducer is operable to drive the waveguide and the ultrasonic blade with ultrasonic energy. The surgical instrument further includes an ultrasonic electrical circuit operable to energize the ultrasonic transducer, and an RF electrical circuit operable to deliver RF energy to the RF electrode. A return path of the ultrasonic electrical circuit and a return path of the RF electrical circuit pass through a shared electrically conductive element.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
74.
MULTISPECTRAL FILTER ARRAYS FOR STEREOSCOPIC CAMERAS
Systems for stereoscopic visualization with multispectral filter arrays configured for capturing color imaging data and spectral imaging data. A system includes an emitter comprising a plurality of sources of electromagnetic radiation, including a visible source, a first spectral source that emits electromagnetic radiation within a first spectral waveband, and a second spectral source that emits electromagnetic radiation within a second spectral waveband. The system includes a first image sensor comprising a first multispectral filter array, wherein at least a portion of the first multispectral filter array transmits reflected electromagnetic radiation within the first spectral waveband. The system includes a second image sensor comprising a second multispectral filter array, wherein at least a portion of the second multispectral filter array transmits reflected electromagnetic radiation within the second spectral waveband. The system is such that the first spectral waveband is different from the second spectral waveband.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
H04N 13/254 - Générateurs de signaux d’images utilisant des caméras à images stéréoscopiques en combinaison avec des sources de rayonnement électromagnétique pour l’éclairage du sujet
H04N 23/45 - Caméras ou modules de caméras comprenant des capteurs d'images électroniquesLeur commande pour générer des signaux d'image à partir de plusieurs capteurs d'image de type différent ou fonctionnant dans des modes différents, p. ex. avec un capteur CMOS pour les images en mouvement en combinaison avec un dispositif à couplage de charge [CCD] pour les images fixes
H04N 25/13 - Agencement de matrices de filtres colorés [CFA]Mosaïques de filtres caractérisées par les caractéristiques spectrales des éléments filtrants
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A method for sequential firings of staple cartridges is disclosed. The sequential firings including a first firing that deploys first staples into a first tissue portion from a first staple cartridge and a second firing that deploys second staples into a second tissue portion from a second staple cartridge. The method comprises monitoring a parameter indicative of a tissue response associated with the first firing, assessing the tissue response based on the parameter, and adjusting an operational parameter associated with the second firing based on the tissue response during the first firing.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
77.
PROPORTIONATE BALANCING OF THE FUNCTION IMPACT MAGNITUDE OF BATTERY OUTPUT TO PEAK MOTOR CURRENT
A surgical system is disclosed that includes a motor, a power source, a voltage sensor, and a control circuit. The motor is operable between an on state in which the motor drives a motion at the end effector and an off state in which the motor ceases to drive the motion at the end effector. The power source is electrically coupled to the motor. The control circuit is configured to transition the motor to the on state for a first period, detect a dropped voltage potential of the power source at the end of the first period, conduct a comparison between the dropped voltage potential and the power source lower threshold, and transition the motor to the off state for a second period based on the comparison.
A surgical instrument comprises a motor, a regulator, a converter circuit, and a control circuit coupled to the regulator and the converter circuit. The control circuit is to couple either the regulator, or the converter circuit based on a pre-determined load voltage or current applied to the motor.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
H02J 7/00 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries
H02M 3/158 - Transformation d'une puissance d'entrée en courant continu en une puissance de sortie en courant continu sans transformation intermédiaire en courant alternatif par convertisseurs statiques utilisant des tubes à décharge avec électrode de commande ou des dispositifs à semi-conducteurs avec électrode de commande utilisant des dispositifs du type triode ou transistor exigeant l'application continue d'un signal de commande utilisant uniquement des dispositifs à semi-conducteurs avec commande automatique de la tension ou du courant de sortie, p. ex. régulateurs à commutation comprenant plusieurs dispositifs à semi-conducteurs comme dispositifs de commande finale pour une charge unique
H02P 29/00 - Dispositions pour la régulation ou la commande des moteurs électriques, adaptées à des moteurs à courant alternatif et à courant continu
79.
SURGICAL TOOL WITH RELAXED FLEX CIRCUIT ARTICULATION
A surgical instrument includes an end effector comprising first and second jaws, and a longitudinal channel; an articulation joint assembly. The end effector extends along a central longitudinal axis in an unarticulated position, and wherein the end effector is articulatable about an articulation joint toward a fully articulated position on a first side of the unarticulated position. A flex circuit is to transmit at least one of data or power through the articulation joint. The flex circuit is offset from the central longitudinal axis, and comprises a proximal flex-circuit portion positioned in the shaft, a distal flex-circuit portion positioned in the end effector, and an intermediate flex-circuit portion positioned in a cavity defined by the articulation joint assembly. The intermediate flex-circuit portion maintains a relaxed curved state with an unchanged effective length as the end effector is articulated toward the fully articulated position.
A surgical instrument is provided. The surgical instrument comprises a shaft, a multi-axis articulation joint assembly defining a cavity therein, and a wiring assembly disposed within the shaft and the multi-axis articulation joint assembly. The multi-axis articulation joint assembly comprises a first articulation joint and a second articulation joint. The wiring assembly comprises a wiring harness having a thickness and a width greater than the thickness, and a preset twist. An articulation joint assembly is also provided.
A surgical instrument comprising a staple cartridge including a cartridge body, staples removably stored in the cartridge body, and staple drivers movable within the cartridge body to eject, or deploy, the staples from the cartridge body is disclosed herein. The staple drivers and the cartridge body comprise control surfaces that promote the efficient deployment of the staples from the cartridge body.
A staple cartridge for use with a surgical instrument, the staple cartridge comprising a cartridge body, a staple, a staple driver, and a sled is disclosed. The sled is movable from a proximal position to a distal position during a firing stroke and is movable from the distal position toward the proximal position during a retraction stroke. The sled comprises a first rail comprising a first distal-facing ramp, a second rail comprising a second distal-facing ramp, and a driver lift cam positioned intermediate the first rail and the second rail. The first distal-facing ramp and the second distal-facing ramp are configured to engage and move the staple driver from an unfired position to a fired position during the firing stroke. The driver lift cam is configured to engage the staple driver and move the staple driver toward the fired position during the retraction stroke.
A surgical stapling system is disclosed comprising an end effector, a closure actuator, and a closure lockout. The end effector comprises an elongate channel, an anvil, and a pivot pivotably coupling the anvil to the elongate channel. The anvil is pivotable relative to the elongate channel between an open position and a closed position. The closure actuator is movable from a first position toward a second position during a closure stroke. The closure actuator is configured to move the anvil toward the closed position. The closure lockout is configurable between a locked state in which the closure lockout engages the closure actuator at a location proximal with respect to the pivot to prevent the closure actuator from moving the anvil toward the closed position and an unlocked state in which the closure actuator is permitted to move the anvil toward the closed position.
A surgical stapling system is disclosed that includes a firing drive, a first lockout, and a second lockout. The firing drive comprises a first edge and a second edge. The first lockout is configurable between a first locked state in which the first lockout engages the first edge during the firing stroke and a first unlocked state in which the first edge bypasses the first lockout during the firing stroke. The second lockout is configurable between a second locked state in which the second lockout engages the second edge during the firing stroke and a second unlocked state in which the second edge bypasses the second lockout during the firing stroke. A staple cartridge is seatable in the stapling system that comprises a first key that unlocks the first lockout and a second key that unlocks the second lockout.
An adjunct for use with a surgical stapling system is disclosed. The adjunct comprises a first region. The first region comprises a first composition. The adjunct comprises a second region. The second region is distal to the first region and comprises a second composition. The adjunct comprises a third region. The third region is distal to the second region. The third region comprises a third composition. The second composition differs from the first composition and the third composition.
An adjunct for use with a surgical stapler is disclosed. The adjunct comprises a first layer comprising a first material. The adjunct comprises a second film layer (70070′) attached to the first layer. The second film layer defines a continuous textured device-contacting surface configured to establish a frictional interface with a corresponding portion of the surgical stapler. The second film layer comprises a second material that differs from the first material, the adjunct comprises a third film layer attached to the first layer. The third film layer comprises a tissue-contacting surface.
A staple cartridge for use with a surgical stapling instrument is disclosed. The staple cartridge comprises a deck comprising a first staple cavity adjacent a longitudinal slot, a second staple cavity laterally and longitudinally offset relative to the first cavity, and a third staple cavity laterally and longitudinally offset relative to the second cavity. A first projection surrounds the first staple cavity, a second projection surrounds the second staple cavity, and a pair of third projections surrounds first and second portions of the third staple cavity, respectively. The first projection and the second projection are coupled together, and the second projection and one third projection are coupled together. The projections define a localized tissue-facing surface area. A localized valley is defined on the deck between the projections. The area of the localized valley area is greater than the localized tissue-facing area.
A surgical device and method of processing includes a cable and a first adapter. The adapter includes a body, an electrical contact connected to the cable, and an engagement assembly. The engagement assembly includes a latch coupling or a communication coupling. The latch coupling is movable between a locked and an unlocked position and includes a catch member. The communication coupling is configured to be resiliently biased into engagement between the electrical contact and an instrument or generator.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
H01R 13/625 - Boîtier ou bague à couplage à baïonnette
H01R 43/00 - Appareils ou procédés spécialement adaptés à la fabrication, l'assemblage, l'entretien ou la réparation de connecteurs de lignes ou de collecteurs de courant ou pour relier les conducteurs électriques
89.
FIRING CIRCUIT AND CONTROL ALGORITHM FOR SURGICAL STAPLER
A surgical instrument includes a body having a firing actuator, a shaft, a motor, an end effector, and a control circuit. The motor is configured to activate in response to a firing actuation of the firing actuator. The end effector is operable to staple and sever tissue and includes a cutting edge configured to selectively translate longitudinally between a proximal position and a distal position in response to an activation of the motor. The control circuit is configured to generate a forward motor control signal to pulsate the cutting edge. The forward motor control signal includes a first time duration including movement of the cutting edge distally from the proximal position to a second longitudinal position, a second time duration including ceased movement of the cutting edge, and a third time duration including movement of the cutting edge distally from the second longitudinal position toward the distal position.
A surgical stapling assembly comprising a cartridge body, a plurality of staples, a plurality of staple drivers, a sled, and a support plane is disclosed. The cartridge body comprises a deck, a plurality of staple cavities defined in the deck, a longitudinal slot defined in the deck, and an outer cartridge wall. The support plane extends perpendicular to a longitudinal axis, wherein the sled is positioned under an inner cartridge wall in the support plane, wherein the inner cartridge wall comprises a first lateral pillar width and a first pillar height in the support plane, wherein the outer cartridge wall comprises a second lateral pillar width and a second pillar height in the support plane, and wherein the first lateral pillar width is wider than the second lateral pillar width.
A surgical stapling end effector comprising a cartridge channel jaw, an anvil jaw, and a surgical staple cartridge positioned within the cartridge channel jaw is disclosed. The surgical staple cartridge comprises a plurality of staples, a cartridge body comprising a plurality of staple cavities, a longitudinal slot, and an outer lateral cartridge wall comprising a recess defined therein. The surgical staple cartridge further comprises an electronics sub-assembly positioned within the recess, wherein the electronics sub-assembly comprises electrical pathways, a printed circuit board removably attached to the outer lateral cartridge wall within the recess, and a wireless transmission coil electrically coupled to the printed circuit board by way of the electrical pathways, wherein the wireless transmission coil is configured to transmit at least one of power or data between the printed circuit board and a corresponding wireless transmission coil of an instrument to which the surgical staple cartridge is attached.
A surgical stapling assembly comprising a first jaw, a second jaw, and a staple cartridge assembly positioned in the first jaw is disclosed. The staple cartridge assembly comprises a plurality of staples, a plurality of staple drivers, and a cartridge body. The cartridge body comprises a deck surface configured to support patient tissue, a longitudinal slot defined in the cartridge body, a plurality of staple cavities, and a longitudinal wall extending vertically below the deck surface. The longitudinal wall comprises a first zone comprising a first wall height and a second zone comprising a second wall height. The staple cartridge assembly further comprises a sled movable longitudinally through the cartridge body, wherein the sled is sized and configured resist deflection of the cartridge body during the firing stroke within the second zone.
Surgical instruments and/or fastener apparatuses comprising an end effector with a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position. At least one of the jaws may comprise a channel for receiving a cartridge containing a plurality of surgical fasteners. Also, an electrically powered actuator may be for deploying the surgical fasteners and may comprise a power source and a motor. An activation mechanism may be attached to the handle to move the pair of jaws from the open to the closed position and to activate the actuator. A lockout mechanism may be configured to permit current to flow from the power source to the motor when the pair of jaws is in the closed position and to prevent current from flowing to the power source to the motor when the pair of jaws is in the open position.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/30 - Dispositifs pour éclairer une zone chirurgicale, les dispositifs ayant une corrélation avec d’autres dispositifs chirurgicaux ou avec une intervention chirurgicale
94.
SURGICAL STAPLING SYSTEMS WITH ADAPTIVE STAPLE FIRING ALGORITHMS
A surgical system is configured to deploy staples from a staple cartridge reload into tissue. The surgical system includes a first sensor configured to measure a first parameter indicative of a force to form the staples, and a second sensor configured to measure a second parameter indicative of a position of a sled along a staple-forming distance. The system further includes a control circuit communicatively connected to a motor, the first sensor, and the second sensor, wherein the control circuit is configured to: receive a first signal from the first sensor indicative of the first parameter; receive a second signal from the second sensor indicative of the second parameter; and detect staple malformation of the staples based on the first signal and the second signals.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
95.
LEARNED TRIGGERS FOR ADAPTIVE CONTROL OF SURGICAL STAPLING SYSTEMS
A surgical system for use in a surgical procedure to perform sequential firings of staple cartridges is disclosed. A control circuit is to monitor a parameter indicative of a tissue response associated with a first firing, assess the tissue response based on the parameter, and adjust an operational parameter associated with a second firing based on the tissue response during the first firing.
A surgical stapling system is disclosed. The stapling system comprises a motor, a drive assembly comprising a drive train coupled to the motor to actuate a function of a surgical end effector, wherein the drive train is actuatable by the motor through a drive stroke, and a control circuit coupled to the drive assembly. The control circuit is configured to monitor a first parameter of the drive assembly during the drive stroke, determine a stored kinetic energy of the drive assembly based on the first parameter, monitor a second parameter of the drive assembly during the drive stroke, wherein the first parameter and the second parameter are different, compare the monitored second parameter to a parameter threshold indicative of a motor stall condition, and determine a motor setting of the motor based on the determined stored kinetic energy and the comparison of the monitored second parameter to the parameter threshold.
A surgical instrument comprises a shaft and an end effector extending from the shaft, the end effector comprising a staple cartridge comprising: a cartridge deck, a cartridge body, and a cartridge antenna supported by the cartridge body; a longitudinal channel, comprising: a base, a first wall extending from the base, a second wall extending from the base, wherein the second wall is spaced apart from the first wall to accommodate the staple cartridge therebetween in an assembled configuration, and a channel antenna supported by the first wall, wherein the cartridge antenna and the channel antenna are to cooperatively define a wireless signal-transfer circuit in the assembled configuration; and an aligner to interlock the staple cartridge and the longitudinal channel in the assembled configuration, wherein the aligner is adjacent the channel antenna and the staple cartridge antenna to maintain a predefined spatial relation between the channel antenna and the cartridge antenna in the assembled configuration.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A method of assembling a staple cartridge is disclosed. In various embodiments, the method comprises attaching a pan to a cartridge body, the cartridge body comprising a proximal end, a distal end, a deck, longitudinal rows of staple cavities extending between the proximal end and the distal end, and a longitudinal slot extending from the proximal end toward the distal end. The method further comprises positioning staples in the staple cavities, positioning a support in the longitudinal slot such that an end of the support extends above the deck, and positioning a sled in the cartridge body proximal to the support such that the sled is longitudinally aligned with the support.
A surgical stapling assembly comprising a first jaw, a second jaw, and a staple cartridge assembly positioned in the first jaw is disclosed. The staple cartridge assembly comprises a plurality of staples, a plurality of staple drivers, and a cartridge body. The cartridge body comprises a deck surface configured to support patient tissue, a longitudinal slot defined in the cartridge body, a plurality of staple cavities, and a longitudinal wall extending vertically below the deck surface. The longitudinal wall comprises a first zone comprising a first wall height and a second zone comprising a second wall height. The staple cartridge assembly further comprises a sled movable longitudinally through the cartridge body, wherein the sled is sized and configured resist deflection of the cartridge body during the firing stroke within the second zone.
A surgical stapling assembly comprising a cartridge body, a plurality of staples, a plurality of staple drivers, a sled, and a support plane is disclosed. The cartridge body comprises a deck, a plurality of staple cavities defined in the deck, a longitudinal slot defined in the deck, and an outer cartridge wall. The support plane extends perpendicular to a longitudinal axis, wherein the sled is positioned under an inner cartridge wall in the support plane, wherein the inner cartridge wall comprises a first lateral pillar width and a first pillar height in the support plane, wherein the outer cartridge wall comprises a second lateral pillar width and a second pillar height in the support plane, and wherein the first lateral pillar width is wider than the second lateral pillar width.
