公开(公告)号：US10470792B2

公开(公告)日：2019-11-12

申请号：US15680495

申请日：2017-08-18

Applicant: ETHICON LLC

Inventor： Craig N. Faller ,  Elizabeth DeBenedictis ,  William D. Kelly ,  Michael R. Lamping ,  Timothy G. Dietz ,  Patrick A. Weizman ,  Jacob S. Gee ,  John B. Schulte ,  Tylor C. Muhlenkamp ,  Douglas J. Turner ,  Eric B. Smith ,  Sean P. Conlon ,  Richard W. Timm ,  Jeffrey D. Messerly ,  Brian D. Bertke

IPC: A61B17/32 ,  A61B17/00 ,  A61B17/28 ,  A61B17/29 ,  A61B90/00

Abstract: An apparatus includes a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly includes an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly includes a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.

公开(公告)号：US10349999B2

公开(公告)日：2019-07-16

申请号：US15667225

申请日：2017-08-02

Applicant: Ethicon LLC

Inventor： David C. Yates ,  Jeffrey D. Messerly ,  Mark A. Davison

IPC: A61B18/12 ,  A61B18/00 ,  A61B18/14

Abstract: Various embodiments are directed to methods for providing an electrosurgical signal to a patient using an electrosurgical system. A method 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 electrosurgical signal is limited to a first maximum power when the impedance between the first and second electrodes exceeds a first mode threshold. The method 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 electrosurgical signal is limited 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.

公开(公告)号：US20190201136A1

公开(公告)日：2019-07-04

申请号：US16209395

申请日：2018-12-04

Applicant: Ethicon LLC

Inventor： Frederick E. Shelton, IV ,  David C. Yates ,  Eitan T. Wiener ,  Jeffrey L. Aldridge ,  Jeffrey D. Messerly ,  Jason L. Harris ,  Tamara Widenhouse ,  Jerome R. Morgan

IPC: A61B34/32 ,  A61B34/20 ,  A61B17/072 ,  A61B18/14 ,  A61B1/00 ,  A61B17/115 ,  A61B17/11 ,  A61B6/00 ,  A61B5/00 ,  A61B5/026 ,  G16H40/67 ,  H04L29/08

CPC classification number: A61B17/072 ,  A61B5/0066 ,  A61B5/0075 ,  A61B5/0261 ,  A61B6/5247 ,  A61B17/0682 ,  A61B17/1155 ,  A61B17/1285 ,  A61B17/320092 ,  A61B18/1445 ,  A61B34/32 ,  A61B34/71 ,  A61B90/35 ,  A61B90/361 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00044 ,  A61B2017/00057 ,  A61B2017/00061 ,  A61B2017/00075 ,  A61B2017/00084 ,  A61B2017/00097 ,  A61B2017/0011 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/00199 ,  A61B2017/00203 ,  A61B2017/00221 ,  A61B2017/00398 ,  A61B2017/00402 ,  A61B2017/00734 ,  A61B2017/00809 ,  A61B2017/00818 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/1132 ,  A61B2017/32007 ,  A61B2017/320074 ,  A61B2017/320084 ,  A61B2017/320095 ,  A61B2017/320097 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00684 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B2018/00994 ,  A61B2090/309 ,  A61B2218/002 ,  A61B2218/007 ,  A61B2218/008 ,  A61M1/0056 ,  A61M1/0066 ,  G06K7/10316 ,  G06K19/07749 ,  G16H40/63 ,  H01Q1/22 ,  H05K1/028 ,  H05K1/189

Abstract: Disclosed is a method including establishing a first communication link between a surgical visualization system outside a sterile field in an operating room and a primary display inside the sterile field, transmitting an image frame from the surgical visualization system to the primary display, establishing a second communication link between a surgical robotic hub in the operating room and the primary display, and transmitting another image frame from the surgical robotic hub to the primary display.

公开(公告)号：US10335614B2

公开(公告)日：2019-07-02

申请号：US15290570

申请日：2016-10-11

Applicant: Ethicon LLC

Inventor： Jeffrey D. Messerly ,  Eitan T. Wiener ,  Brian T. Noyes ,  Jeffrey L. Aldridge ,  James R. Giordano ,  Robert J. Beetel, III ,  Daniel J. Abbott ,  Matthew C. Miller ,  Jeffrey P. Wiley ,  Nathan J. Price ,  Daniel W. Price ,  Robert L. Koch, Jr.

IPC: H01L41/09 ,  A61N7/00 ,  A61B17/32 ,  B06B1/02 ,  G05B15/02 ,  A61B18/14 ,  A61N7/02 ,  A61B5/053 ,  A61B5/00 ,  A61B17/00 ,  A61B18/00

Abstract: Various embodiments are directed to a method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. A first response is triggered when the first set of logic conditions is met. A parameter is determined from the at least one electrical signal.

公开(公告)号：US10245065B2

公开(公告)日：2019-04-02

申请号：US15986424

申请日：2018-05-22

Applicant: Ethicon LLC

Inventor： David A. Witt ,  Jeffrey D. Messerly ,  Kevin L. Houser

IPC: A61B17/32 ,  A61B17/00 ,  A61L31/08 ,  A61L31/10 ,  A61L31/14 ,  A61N7/00 ,  A61N7/02

Abstract: An ultrasonic surgical blade includes a body having a proximal end, a distal end, and an outer surface. The distal end is movable relative to a longitudinal axis in accordance with ultrasonic vibrations applied to the proximal end. At least a portion of the outer surface of the body comprises a lubricious coating adhered thereto. The lubricious coating has a coefficient of friction that is less than the coefficient of friction of the outer surface of the body.

公开(公告)号：US20190059931A1

公开(公告)日：2019-02-28

申请号：US15689694

申请日：2017-08-29

Applicant: Ethicon LLC

Inventor： Frederick E. Shelton, IV ,  Cortney E. Henderson ,  Jason L. Harris ,  David C. Yates ,  Jeffrey D. Messerly ,  Cara Shapiro ,  Kevin D. Felder ,  Joshua Dean Young

IPC: A61B17/32 ,  A61B34/30 ,  A61B18/14

Abstract: Surgical systems and methods are provided for controlling actuation and movement of various surgical devices.

公开(公告)号：US20180310931A1

公开(公告)日：2018-11-01

申请号：US15964906

申请日：2018-04-27

Applicant: Ethicon LLC

Inventor： Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Frederick E. Shelton, IV

IPC: A61B17/068 ,  A61B17/115 ,  A61B50/30 ,  A61B17/072 ,  A61B17/29 ,  A61B17/00 ,  A61B90/00 ,  A61B17/32

Abstract: A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.

公开(公告)号：US20180263653A1

公开(公告)日：2018-09-20

申请号：US15986424

申请日：2018-05-22

Applicant: Ethicon LLC

Inventor： David A. Witt ,  Jeffrey D. Messerly ,  Kevin L. Houser

IPC: A61B17/32 ,  A61N7/02 ,  A61B17/00

CPC classification number: A61B17/320092 ,  A61B17/320068 ,  A61B2017/00849 ,  A61B2017/00853 ,  A61B2017/0088 ,  A61B2017/320078 ,  A61L31/088 ,  A61L31/10 ,  A61L31/14 ,  A61L2400/10 ,  A61N7/00 ,  A61N7/02

Abstract: An ultrasonic surgical blade includes a body having a proximal end, a distal end, and an outer surface. The distal end is movable relative to a longitudinal axis in accordance with ultrasonic vibrations applied to the proximal end. At least a portion of the outer surface of the body comprises a lubricious coating adhered thereto. The lubricious coating has a coefficient of friction that is less than the coefficient of friction of the outer surface of the body.

公开(公告)号：US20180070974A1

公开(公告)日：2018-03-15

申请号：US15693630

申请日：2017-09-01

Applicant: ETHICON LLC

Inventor： Foster B. Stulen ,  Timothy R. Dietz ,  Jeffrey D. Messerly

IPC: A61B17/32 ,  A61B17/00 ,  A61B17/22

CPC classification number: A61B17/320068 ,  A61B2017/00172 ,  A61B2017/00176 ,  A61B2017/22008 ,  A61B2017/22024 ,  A61B2017/320071 ,  A61B2017/320074 ,  A61B2017/320084 ,  A61B2017/320089 ,  A61B2217/007

Abstract: An ultrasonic element comprises an ultrasonic transducer and a head or blade. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The head or blade is in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically. The head or blade has a curved distal face. The curved distal face defines a proximally extending concave curve. The transducer and head or blade may be driven using a control logic that is configured to cause the ultrasonic transducer to generate a first vibration set followed by a second vibration set. The first vibration set is configured to generate microbubbles in a fluid. The second vibration set is configured to grow microbubbles generated by the first vibration set. The control logic may provide a pause between the first vibration set and the second vibration set.

公开(公告)号：US20180055530A1

公开(公告)日：2018-03-01

申请号：US15679948

申请日：2017-08-17

Applicant: Ethicon LLC

Inventor： Jeffrey D. Messerly ,  Brian D. Black ,  William A. Olson ,  Foster B. Stulen ,  Frederick Estera ,  William E. Clem ,  Jerome R. Morgan ,  Jeffrey L. Aldridge ,  Stephen M. Leuck

IPC: A61B17/32 ,  A61B17/00

Abstract: Disclosed is an ultrasonic medical device that may include a surgical tool having a proximal end, an end effector, and a waveguide between them, a first transducer in mechanical communication with a first face of the surgical tool, and a second transducer in mechanical communication with an opposing face of the surgical tool, opposite the first transducer. The first transducer and the second transducer are configured to operate in a D31 mode with respect to the waveguide of the surgical tool. Another aspect comprises a method of fabricating the ultrasonic medical device, in which the surgical tool is machined from a portion of a flat metal stock so that the surgical tool has a longitudinal axis oriented at an angle with respect to a grain direction of the flat metal stock thereby optimizing an operational characteristic of the surgical tool.