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公开(公告)号:US20170281211A1
公开(公告)日:2017-10-05
申请号:US15624214
申请日:2017-06-15
Applicant: Ethicon LLC
Inventor: Geoffrey S. Strobl , Mark A. Davison , Megan A. Broderick , Chad P. Boudreaux
IPC: A61B17/3201 , A61B18/18
CPC classification number: A61B17/3201 , A61B18/1445 , A61B18/18 , A61B2017/2946 , A61B2018/1452 , A61B2018/1455 , A61B2090/034
Abstract: Various surgical devices are provided having mechanisms for preventing premature actuation of a cutting mechanism. These devices generally include a handle having one or more actuators and an effector disposed at a distal end of the device and configured to grasp tissue. When the end effector is in an open position, a firing actuator can be positioned so that it cannot be actuated by a user. For example, the firing actuator can be obstructed by a shield or arm when the end effector is in the open position. In other embodiments, the firing actuator can be hidden in a recess formed in the closure actuator until the end effector is moved to the closed position. When the end effector is in the closed position, the firing actuator can be engaged to advance a cutting mechanism, thereby cutting the tissue grasped by the end effector.
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公开(公告)号:US11344362B2
公开(公告)日:2022-05-31
申请号:US16531591
申请日:2019-08-05
Applicant: Ethicon LLC
Inventor: David C. Yates , Amy M. Krumm , Mark A. Davison
Abstract: Aspects of the present disclosure are presented for a medical instrument configured to adjust the power level for sealing procedures to account for changes in tissue impedance levels over time. In some aspects, a medical instrument may be configured to apply power according to a power algorithm to seal tissue by applying a gradually lower amount of power over to time as the tissue impedance level begins to rise out of the “bathtub region,” which is the time period during energy application where the tissue impedance is low enough for electrosurgical energy to be effective for sealing tissue. In some aspects, the power is then cut once the tissue impedance level exceeds the “bathtub region.” By gradually reducing the power, a balance is achieved between still applying an effective level of power for sealing and prolonging the time in which the tissue impedance remains in the “bathtub region.”
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公开(公告)号:US20210129357A1
公开(公告)日:2021-05-06
申请号:US17029713
申请日:2020-09-23
Applicant: Ethicon LLC
Inventor: Mark A. Davison , Jason A. Hill , William G. Saulenas , Christopher W. Birri , Thomas J. Erb
Abstract: A surgical instrument and method of operating same includes an end effector and a shaft assembly. The shaft assembly has proximal and distal shaft portions respectively extending along proximal and distal axes, a first elongate member, and an articulation section. The articulation section extends between the proximal and distal shaft portions and is configured to articulate about a first articulation axis and about a second articulation axis to thereby respectively deflect the end effector along a first plane and a second plane. The articulation section has a first lumen radially offset from the proximal and distal axes that longitudinally intersects the first and second articulation axes. The first lumen movably supports the first elongate member such that the radial spacing of the first elongate member is maintained relative to the proximal and distal axes at each of the first and second articulation axes during deflection of the end effector.
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公开(公告)号:US20200054382A1
公开(公告)日:2020-02-20
申请号:US16505165
申请日:2019-07-08
Applicant: Ethicon LLC
Inventor: David C. Yates , Jeffrey D. Messerly , Mark A. Davison
IPC: A61B18/12
Abstract: Various embodiments are directed to electrosurgical systems for providing an electrosurgical signal to a patient. A control circuit may, for a first application period, apply the electrosurgical signal to first and second electrodes according to a first mode. In the first mode, the control circuit may limit the electrosurgical signal to a first maximum power when the impedance between the first and second electrodes exceeds a first mode threshold. The control circuit may also, for a second application period after the first application period, apply the electrosurgical signal according to a second mode. In the second mode, the control circuit may limit the electrosurgical signal to a second mode maximum power when the impedance between the first and second electrodes exceeds a second mode threshold. The second maximum power may be greater than the first maximum power.
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公开(公告)号:US20190000525A1
公开(公告)日:2019-01-03
申请号:US15636110
申请日:2017-06-28
Applicant: Ethicon LLC
Inventor: Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Jason L. Harris , Frederick E. Shelton, IV
IPC: A61B18/12 , A61B18/14 , A61B17/072
Abstract: Disclosed is an apparatus and modular surgical system that allows for a user of modular surgical instruments to manipulate an end effector directly from the instrumentation contained in the handle assembly. A nozzle assembly that is detachable from a handle assembly may include an onboard circuitry board that allows for the RF generator to attach directly to the nozzle assembly and supply RF energy to the end effector, while also interfacing with a microprocessor of the handle assembly. In some aspects, the unique circuitry of the nozzle assembly also allows for shaft rotation while still supplying proper energy and functionality to the end effector.
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公开(公告)号:US20180280076A1
公开(公告)日:2018-10-04
申请号:US15964577
申请日:2018-04-27
Applicant: Ethicon LLC
Inventor: Gregory A. Trees , Chad P. Boudreaux , Matthew C. Miller , Mark A. Davison , David C. Yates , John A. Hibner , Jill A. Inkrott-Smith
Abstract: Methods and devices for controlling motorized surgical devices are provided. In general, the methods and devices can allow a surgical device to grasp and cut tissue. In some embodiments, the device can include at least one sensor and a motor, and an output of the motor can be configured to be adjusted based at least in part on an output from the at least one sensor. The output of the motor can be configured to provide power for translation of a cutting element along an end effector of the device. Adjusting the motor's output can cause the cutting element to translate through the end effector at different speeds, thereby allowing the cutting element to cut through tissue being grasped by the end effector at different speeds.
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公开(公告)号:US20170319213A1
公开(公告)日:2017-11-09
申请号:US15656519
申请日:2017-07-21
Applicant: Ethicon LLC
Inventor: Dario Vitali , Nicholas G. Molitor , Thomas W. Huitema , Robert L. Koch , Brian D. Bertke , Kevin A. Larson , Richard P. Fuchs , Mark A. Davison
IPC: A61B17/128 , A61B17/10 , A61B17/122 , A61B90/00
CPC classification number: A61B17/1285 , A61B17/10 , A61B17/122 , A61B17/128 , A61B2090/032 , A61B2090/034
Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.
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公开(公告)号:US09707005B2
公开(公告)日:2017-07-18
申请号:US14180826
申请日:2014-02-14
Applicant: Ethicon LLC
Inventor: Geoffrey S. Strobl , Mark A. Davison , Megan A. Broderick , Chad P. Boudreaux
IPC: A61B18/14 , A61B17/3201 , A61B18/18 , A61B17/29 , A61B90/00
CPC classification number: A61B17/3201 , A61B18/1445 , A61B18/18 , A61B2017/2946 , A61B2018/1452 , A61B2018/1455 , A61B2090/034
Abstract: Various surgical devices are provided having mechanisms for preventing premature actuation of a cutting mechanism. These devices generally include a handle having one or more actuators and an effector disposed at a distal end of the device and configured to grasp tissue. When the end effector is in an open position, a firing actuator can be positioned so that it cannot be actuated by a user. For example, the firing actuator can be obstructed by a shield or arm when the end effector is in the open position. In other embodiments, the firing actuator can be hidden in a recess formed in the closure actuator until the end effector is moved to the closed position. When the end effector is in the closed position, the firing actuator can be engaged to advance a cutting mechanism, thereby cutting the tissue grasped by the end effector.
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公开(公告)号:US11033344B2
公开(公告)日:2021-06-15
申请号:US16219050
申请日:2018-12-13
Applicant: Ethicon LLC
Inventor: Mark D. Overmyer , Sol A. Posada , Joshua D. Young , Mark A. Davison , Christopher A. Denzinger
IPC: A61B34/35 , A61B34/00 , A61B17/29 , A61B34/30 , A61B17/072
Abstract: A method includes advancing an end effector of a surgical tool to a surgical site, the surgical tool being pivotably mounted to a robotic arm at a tool driver, engaging tissue at the surgical site with the end effector, calculating a force vector assumed on the end effector by engaging the tissue, optimizing the force vector to obtain an optimized force vector, and actuating the end effector after applying the optimized force vector on the end effector.
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30.
公开(公告)号:US20210068891A1
公开(公告)日:2021-03-11
申请号:US17022371
申请日:2020-09-16
Applicant: Ethicon LLC
Inventor: Jeffrey D. Messerly , David C. Yates , Jason L. Harris , Frederick E. Shelton, IV , Mark A. Davison
IPC: A61B18/14 , A61B17/072 , A61B18/12
Abstract: The present disclosure provides a surgical instrument that includes an end effector having a first jaw, a second jaw that is movable relative to the first jaw, and at least one electrode in the first jaw. The surgical instrument also includes a control circuit configured to provide electrosurgical energy to the at least one electrode and a electrical conductor electrically connected between the end effector and the control circuit. The control circuit includes a shaft control segment and an electrosurgical energy control segment. The shaft control segment is configured to provide a control signal for operating the end effector to the end effector through the electrical conductor. The electrosurgical energy control segment is configured to provide the electrosurgical energy to the at least one electrode through the electrical conductor.
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