公开(公告)号：US20200289205A1

公开(公告)日：2020-09-17

申请号：US16354444

申请日：2019-03-15

Applicant: Ethicon LLC

Inventor： Charles J. Scheib ,  Jeffrey S. Swayze

IPC: A61B34/20 ,  A61B1/00 ,  A61B1/045 ,  A61B34/00 ,  G01S17/08 ,  G01S17/02

Abstract: A surgical visualization system for use with a robotic surgical system that includes a surgical tool movable with respect to a tissue of a patient in response to an instrument motion control signal is disclosed. The surgical visualization system includes a camera and a control circuit coupled to the camera. The control circuit is configured to determine a distance between the surgical tool and the tissue and adjust a magnification of the camera based on the distance between the surgical tool and the tissue.

公开(公告)号：US10709452B2

公开(公告)日：2020-07-14

申请号：US15604787

申请日：2017-05-25

Applicant: ETHICON LLC

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

IPC: A61B17/68 ,  A61B17/115 ,  A61B17/072 ,  A61B17/068 ,  A61B17/00

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

公开(公告)号：US20200214699A1

公开(公告)日：2020-07-09

申请号：US16733785

申请日：2020-01-03

Applicant: Ethicon LLC

Inventor： Frederick E. Shelton, IV ,  Jason L. Harris ,  Rao S. Bezwada ,  Charles J. Scheib ,  Prudence A. Turner

IPC: A61B17/068 ,  A61B17/072

Abstract: A surgical stapler end effector assembly comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body, an adhesive material, and a plurality of reinforcement strands. The reinforcement strands are configured to engage one or more staples fired through the buttress body.

公开(公告)号：US10682142B2

公开(公告)日：2020-06-16

申请号：US15789538

申请日：2017-10-20

Applicant: Ethicon LLC

Inventor： Frederick E. Shelton, IV ,  Kevin R. Doll ,  Bret W. Smith ,  William D. Kelly ,  Ronald J. Kolata ,  Joshua R. Uth ,  Charles J. Scheib

IPC: A61B17/072 ,  A61B17/10 ,  A61B17/115 ,  A61B17/068 ,  A61B17/00 ,  A61B17/29 ,  A61B17/32 ,  A61B90/70 ,  A61B50/00 ,  A61B90/00

Abstract: A surgical stapling apparatus for use with a surgical instrument system is disclosed. The surgical stapling apparatus comprises a housing assembly, a shaft, a proximal segment, a distal segment, and an articulation system. The proximal segment comprises a first proximal end and a first distal end comprising an articulating segment. The distal segment comprises a second proximal end and a second distal end. The second proximal end comprises a pivot segment configured to be coupled with the articulating segment. The second distal end is configured to be attached to a stapling assembly. The articulation system is operably engaged with the distal segment to transmit a first articulation motion to the distal segment to cause the stapling assembly to articulate in a first plane and a second articulation motion to the distal segment to cause the stapling assembly to articulate in a second plane that is different than the first plane.

公开(公告)号：US20200078043A1

公开(公告)日：2020-03-12

申请号：US16549821

申请日：2019-08-23

Applicant: Ethicon LLC

Inventor： Benjamin D. Dickerson ,  Steven P. Smolik ,  David J. Cagle ,  Jeffrey D. Messerly ,  Frederick L. Estera ,  Paul F. Riestenberg ,  Charles J. Scheib ,  Tylor C. Muhlenkamp ,  Kristen G. Denzinger ,  Ryan M. Asher

IPC: A61B17/32

Abstract: An ultrasonic instrument includes a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The shaft assembly includes an acoustic waveguide configured to acoustically couple with an ultrasonic transducer. The end effector includes an ultrasonic blade, a clamp arm and a clamp pad. The ultrasonic blade is in acoustic communication with the waveguide. The clamp arm is pivotally coupled with the shaft assembly. The clamp pad is configured to removably couple with the clamp arm while the clamp arm is pivotally coupled to the shaft assembly.

公开(公告)号：US20200060676A1

公开(公告)日：2020-02-27

申请号：US16562887

申请日：2019-09-06

Applicant: Ethicon LLC

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

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

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

公开(公告)号：US20200015905A1

公开(公告)日：2020-01-16

申请号：US16128192

申请日：2018-09-11

Applicant: Ethicon LLC

Inventor： Charles J. Scheib ,  Joshua Dean Young

IPC: A61B34/20 ,  A61B1/045 ,  A61B1/06 ,  A61B1/07 ,  A61B1/313 ,  A61B17/00 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/34

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

公开(公告)号：US20200015806A1

公开(公告)日：2020-01-16

申请号：US16128170

申请日：2018-09-11

Applicant: Ethicon LLC

Inventor： Charles J. Scheib ,  Jeffrey S. Swayze

IPC: A61B17/04 ,  A61B17/06 ,  A61B17/062 ,  A61B34/32 ,  A61B34/20

Abstract: A surgical suturing tracking system configured for use with a suturing needle is disclosed. The surgical suturing tracking system comprises a spectral light emitter, a waveform sensor, and a control circuit coupled to the waveform sensor. The control circuit is configured to cause the spectral light emitter to emit spectral light waves toward a suturing needle and a tissue structure, receive an input corresponding to the spectral light waves reflected by the needle and the tissue structure and determine a distance between the needle and the tissue structure based on the received input.

公开(公告)号：US20190380706A1

公开(公告)日：2019-12-19

申请号：US16506030

申请日：2019-07-09

Applicant: Ethicon LLC

Inventor： Jerome R. Morgan ,  Frederick E. Shelton, IV ,  Emily A. Schellin ,  Jeffrey S. Swayze ,  Gary W. Knight ,  Brian F. Dinardo ,  Adam R. Dunki-Jacobs ,  Charles J. Scheib

IPC: A61B17/064 ,  A61B17/072

Abstract: Devices and methods are provided for stabilizing fasteners post-deployment. Devices and methods are also provided for facilitating ejection of surgical fasteners from a cartridge. Devices and methods are also provided for guiding surgical fasteners. Devices and methods are also provided for facilitating closing and clamping of an end effector of a surgical device. Devices and methods are also provided for securing fasteners and adjunct materials to tissue. Devices and methods are also provided for removably coupling a cartridge to an end effector of a surgical device. Devices and methods are also provided for locking a surgical device based on loading of a fastener cartridge in the surgical device. Devices and methods are provided for adjusting a tissue gap of an end effector of a surgical device. Devices and methods are also provided for manually retracting a drive shaft, drive beam, and associated components.

公开(公告)号：US10478280B2

公开(公告)日：2019-11-19

申请号：US15435955

申请日：2017-02-17

Applicant: Ethicon LLC

Inventor： Michael J. Vendely ,  Charles J. Scheib ,  Susanne Landgrebe ,  Frederick E. Shelton, IV ,  Susan Cooper ,  Dennis D. Jamiolkowski

IPC: A61B17/08 ,  A61D1/00 ,  A61F2/00 ,  A61B17/29 ,  A61B17/072 ,  A61B17/00 ,  A61M35/00

Abstract: Devices and methods for placing an adjunct at a tissue treatment site prior to delivering staples through the tissue and adjunct are provided. In one embodiment, a flowable adjunct precursor can be deposited on the surface of the tissue at the tissue treatment site. The flowable adjunct precursor can be configured to solidify after deposition to form an adjunct. In another embodiment, an adjunct delivery device can include a non-stapling end effector configured to deliver an adjunct to a tissue treatment site. In either case, staples can be delivered through the adjunct and tissue after placement of the adjunct at the tissue treatment site.