CN111527551A - 机器人辅助外科平台的自动工具调节 - Google Patents
机器人辅助外科平台的自动工具调节 Download PDFInfo
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Abstract
本发明提供了一种机器人外科系统,所述机器人外科系统包括:控制单元;机器人,所述机器人包括工具安装架;包括能量递送表面的工具,其中所述工具可释放地安装到所述工具安装架上;以及传感器系统,所述传感器系统被配置为检测外科部位处的至少一种状况。所述控制单元包括处理器和通信地耦接到所述处理器的存储器。所述传感器系统与所述处理器进行信号通信。所述存储器存储能由所述处理器执行的指令,以基于来自所述传感器系统的输入确定所述工具的使用,并且在确定所述使用时,为所述能量递送表面自动通电。
Description
相关申请的交叉引用
本专利申请按照美国法典第35卷第119条(e)款的规定要求2018年3月28日提交的标题为“机器人辅助外科平台的自动工具调节(AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS)”的美国临时专利申请序列号62/649,307的优先权的权益,该临时专利申请的公开内容全文以引用方式并入本文。
本专利申请按照美国法典第35卷第119条(e)款的规定还要求2017年12月28日提交的标题为“交互式外科平台(INTERACTIVE SURGICAL PLATFORM)”的美国临时专利申请序列号62/611,341、2017年12月28日提交的标题为“基于云的医学分析(CLOUD-BASEDMEDICAL ANALYTICS)”的美国临时专利申请序列号62/611,340和2017年12月28日提交的标题为“机器人辅助的外科平台(ROBOT ASSISTED SURGICAL PLATFORM)”的美国临时专利申请序列号62/611,339的优先权的权益,这些临时专利申请中的每个的公开内容全文以引用方式并入本文。
背景技术
本公开涉及机器人外科系统。机器人外科系统可包括中央控制单元、外科医生的命令控制台以及具有一个或多个机械臂的机器人。机器人外科工具可以可释放地安装到机械臂上。机器人外科工具的数量和类型可以取决于外科规程的类型。机器人外科系统可以在外科规程期间与一个或多个显示器和/或一个或多个手持式外科器械结合使用。
发明内容
在一个一般方面,提供了一种机器人外科系统。该机器人外科系统包括:控制单元;机器人,所述机器人包括工具安装架;包括能量递送表面的工具,其中该工具可释放地安装到工具安装架上。机器人外科系统还包括传感器系统,该传感器系统被配置为检测外科部位处的至少一种状况。所述控制单元包括处理器和通信地耦接到所述处理器的存储器。所述传感器系统与所述处理器进行信号通信。存储器存储能由处理器执行的指令,以基于来自传感器系统的输入确定工具的使用,并且在确定所述使用时,为能量递送表面自动通电。
在另一个一般方面,提供了一种机器人外科系统。该机器人外科系统包括:控制单元;机器人,所述机器人包括工具安装架;以及包括能量递送表面的工具,其中该工具可释放地安装到工具安装架上。机器人外科系统还包括传感器系统,该传感器系统被配置为检测外科部位处的至少一种状况。传感器系统与控制单元进行信号通信。控制单元被配置为基于来自传感器系统的输入确定工具的使用,并且在确定所述使用时,为能量递送表面自动通电。
在又一个一般方面,提供了一种非暂态计算机可读介质。该非暂态计算机可读介质存储指令,这些指令在被执行时,使机器基于来自传感器系统的输入确定外科工具的使用,并且在确定所述使用时,为外科工具的能量递送表面自动通电。
附图说明
各种方面的特征在所附权利要求书中进行了特别描述。然而,通过参考以下结合如下附图所作的说明可最好地理解所述多个方面(有关手术组织和方法)及其进一步的目的和优点。
图1为根据本公开的至少一个方面的计算机实现的交互式外科系统的框图。
图2为根据本公开的至少一个方面的用于在手术室中执行外科规程的外科系统。
图3为根据本公开的至少一个方面的与可视化系统、机器人系统和智能器械配对的外科集线器。
图4为根据本公开的至少一个方面的外科集线器壳体和可滑动地容纳在外科集线器壳体的抽屉中的组合发生器模块的局部透视图。
图5为根据本公开的至少一个方面的具有双极、超声和单极触点以及排烟部件的组合发生器模块的透视图。
图6示出了根据本公开的至少一个方面的用于横向模块化外壳的多个横向对接端口的单个电力总线附接件,该横向模块化外壳被配置为容纳多个模块。
图7示出了根据本公开的至少一个方面的被配置为容纳多个模块的竖直模块化外壳。
图8示出了根据本公开的至少一个方面的包括模块化通信集线器的外科数据网络,该模块化通信集线器被配置为将位于医疗设施的一个或多个手术室中的模块化装置或专用于外科操作的医疗设施中的任何房间连接到云。
图9为根据本公开的至少一个方面的计算机实现的交互式外科系统。
图10示出了根据本公开的至少一个方面的包括耦接到模块化控制塔的多个模块的外科集线器。
图11示出了根据本公开的至少一个方面的通用串行总线(USB)网络集线器装置的一个方面。
图12示出了根据本公开的至少一个方面的外科器械或工具的控制系统的逻辑图。
图13示出了根据本公开的至少一个方面的被配置为控制外科器械或工具的各个方面的控制电路。
图14示出了根据本公开的至少一个方面的被配置为控制外科器械或工具的各个方面的组合逻辑电路。
图15示出了根据本公开的至少一个方面的被配置为控制外科器械或工具的各方面的时序逻辑电路。
图16示出了根据本公开的至少一个方面的包括多个马达的外科器械或工具,多个马达可被激活以执行各种功能。
图17为根据本公开的至少一个方面的被配置为操作本文所述的外科工具的机器人外科器械的示意图。
图18示出了根据本公开的至少一个方面的被编程以控制位移构件的远侧平移的外科器械的框图。
图19为根据本公开的至少一个方面的被配置为控制各个功能的外科器械的示意图。
图20为根据本公开的至少一个方面的发生器的简化框图,该发生器被配置为提供无电感器调谐等等益处。
图21示出了根据本公开的至少一个方面的发生器的示例,该发生器是图20的发生器的一种形式。
图22为根据本公开的一个方面的机器人外科系统的示意图。
图23为根据本公开的至少一个方面的机器人外科系统的示意图。
图24为根据本公开的至少一个方面的图23的机器人外科系统的控制部件的框图。
图25A为根据本公开的至少一个方面的被定位成不与组织接触的超声外科工具的正视图。
图25B为根据本公开的至少一个方面的被定位成与组织邻接接触的图25A的超声外科工具的正视图。
图26A为根据本公开的至少一个方面的被定位成不与组织接触的单极烧灼笔的正视图。
图26B为根据本公开的至少一个方面的被定位成与组织邻接接触的图26A的单极烧灼笔的正视图。
图27为根据本公开的至少一个方面的图25A和图25B的超声外科工具随时间推移的连续性和电流的图形显示。
图28示出了根据本公开的至少一个方面的包括位于钳口构件上的射频(RF)数据传感器的端部执行器。
图29示出了根据本公开的至少一个方面的图28所示的传感器,该传感器被安装到柔性电路上或与柔性电路一体形成。
图30为描绘根据本公开的至少一个方面的外科器械的自动激活模式的流程图。
图31为根据本公开的至少一方面的具有与机器人外科系统一起使用的排烟泵的双极射频(RF)外科工具的端部执行器的透视图,描绘了外科工具夹持和处理组织。
图32为根据本公开的至少一个方面的包括机器人外科系统、手持式外科器械和外科集线器的外科系统的框图。
图33为根据本公开的至少一个方面的手持式外科器械的柄部部分的透视图,该柄部部分包括显示器,并且进一步描绘了显示器的详细视图,其中描绘了来自器械本身的信息。
图34为根据本公开的至少一个方面的图33的手持式外科器械的柄部部分的透视图,描绘了与外科集线器配对的器械,并且还包括显示器的详细视图,其中描绘了来自外科集线器的信息。
图35为根据本公开的至少一个方面的结肠切除规程的示意图。
图36为根据本公开的至少一个方面的显示在图35的器械显示器上的结肠切除规程随时间推移的力的图形显示。
图37为根据本公开的至少一个方面的在外科规程过程期间的机器人外科系统的示意图,该机器人外科系统包括多个集线器和交互式辅助显示器。
图38为根据本公开的至少一个方面的图37的交互式辅助显示器的详细视图。
图39为根据本公开的至少一个方面的包括多于一个机械臂的机器人外科系统的框图。
图40为根据本公开的至少一个方面的利用图39的机器人外科系统的外科规程的示意图。
图41示出了根据本公开的至少一个方面的图39的机械臂所经历的力和位置位移的图形表示。
图42为描绘根据本公开的至少一个方面的用于控制机器人外科系统的机械臂的位置的算法的流程图。
图43为描绘根据本公开的至少一个方面的用于控制由机器人外科系统的机械臂施加的力的算法的流程图。
图44为描绘根据本公开的至少一个方面的用于监测由机器人外科系统的机械臂施加的位置和力的算法的流程图。
图45为根据本公开的至少一个方面的包括机器人外科系统、电动手持式外科器械和外科集线器的外科系统的框图。
图46为根据本公开的至少一个方面的在外科规程期间的机器人工具和手持式外科器械的透视图。
图47为描绘根据本公开的至少一个方面的在外科集线器和主服务器之间的通信链路的示意图。
图48为描绘根据本公开的至少一个方面的从图47的各个外科集线器接收的数据的外部输出的队列的流程图。
图49为根据本公开的一个方面的描绘外科集线器的态势感知的时间线。
具体实施方式
本申请的申请人拥有于2018年3月28日提交的以下美国临时专利申请,这些临时专利申请中的每个以引用方式全文并入本文:
·美国临时专利申请序列号62/649,302,其标题为具有加密通信能力的交互式外科系统(INTERACTIVE SURGICAL SYSTEMS WITH encrypted COMMUNICATIONCAPABILITIES);
·美国临时专利申请序列号62/649,294,其标题为询问患者记录并创建匿名记录的数据剥离方法(DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS ANDCREATE ANONYMIZED RECORD);
·美国专利申请序列号62/649,300,其标题为外科集线器态势感知(SURGICALHUB SITUATIONAL AWARENESS);
·美国临时专利申请序列号62/649,309,其标题为用于确定手术室中的装置的外科集线器空间感知(SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES INOPERATING THEATER);
·美国专利申请序列号62/649,310,其标题为计算机实现的交互式外科系统(COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS);
·美国临时专利申请序列号62/649,291,其标题为使用激光和红绿蓝显色来确定背散射光的特性(USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINEPROPERTIES OF BACK SCATTERED LIGHT);
·美国专利申请序列号62/649,296,其标题为针对外科装置的自适应控制程序更新(ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES);
·美国临时专利申请序列号62/649,333,其标题为用于定制和向用户推荐的基于云的医学分析(CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION ANDRECOMMENDATIONS TO A USER);
·美国临时专利申请序列号62/649,327,其标题为用于安全和认证趋势和反应性测量的基于云的医学分析(CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY ANDAUTHENTICATION TRENDS AND REACTIVE MEASURES);
·美国临时专利申请序列号62/649,315,其标题为云分析网络中的数据处理和优先级(DATA HANDLING AND PRIORITIZATION IN ACLOUD ANALYTICS NETWORK);
·美国专利申请序列号62/649,313,其标题为用于耦接的外科装置的云接口(CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES);
·美国临时专利申请序列号62/649,320,其标题为用于机器人辅助外科平台的驱动布置方式(DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);
·美国临时专利申请序列号62/649,307,其标题为用于机器人辅助外科平台的自动工具调节(AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);以及
·美国临时专利申请序列号62/649,323,其标题为用于机器人辅助外科平台的感测布置方式(SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS)。
本专利申请的申请人拥有于2018年3月29日提交的以下美国专利申请,这些专利申请中的每个全文以引用方式并入本文:
·美国专利申请序列号____________,其标题为具有加密通信能力的交互式外科系统(INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES);代理人案卷号END8499USNP/170766;
·美国专利申请序列号____________,其标题为具有条件处理装置和数据能力的交互式外科系统(INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OFDEVICES AND DATA CAPABILITIES);代理人案卷号END8499USNP1/170766-1;
·美国专利申请序列号____________,其标题为手术室装置控制和通信的外科集线器协调(SURGICAL HUB COORDINATION OF CONTROL AND COMMUNICATION OF OPERATINGROOM DEVICES);代理人案卷号END8499USNP2/170766-2;
·美国专利申请序列号____________,其标题为手术室中外科集线器的空间感知(SPATIAL AWARENESS OF SURGICAL HUBS IN OPERATING ROOMS);代理人案卷号END8499USNP3/170766-3;
·美国专利申请序列号____________,其标题为通过智能外科集线器从次级源导出的数据的协同利用(COOPERATIVE UTILIZATION OF DATA DERIVED FROM SECONDARYSOURCES BY INTELLIGENT SURGICAL HUBS);代理人案卷号END8499USNP4/170766-4;
·美国专利申请序列号____________,其标题为外科集线器控制布置方式(SURGICAL HUB CONTROL ARRANGEMENTS);代理人案卷号END8499USNP5/170766-5;
·美国专利申请序列号____________,其标题为询问患者记录并创建匿名记录的数据剥离方法(DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATEANONYMIZED RECORD);代理人案卷号END8500USNP/170767;
·美国专利申请序列号____________,其标题为用于存储待与基于云的分析系统共享的外科装置的参数和状态的通信集线器和存储装置(COMMUNICATION HUB ANDSTORAGE DEVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BESHARED WITH CLOUD BASED ANALYTICS SYSTEMS);代理人案卷号END8500USNP1/170767-1;
·美国专利申请序列号____________,其标题为在发行器械处生成的自述数据包(SELF DESCRIBING DATA PACKETS GENERATED AT AN ISSUING INSTRUMENT);代理人案卷号END8500USNP2/170767-2;
·美国专利申请序列号____________,其标题为用于将装置测量参数与结果互连的数据配对(DATA PAIRING TO INTERCONNECT ADEVICE MEASURED PARAMETER WITH ANOUTCOME);代理人案卷号END8500USNP3/170767-3;
·美国专利申请序列号____________,其标题为外科集线器态势感知(SURGICALHUB SITUATIONAL AWARENESS);代理人案卷号END8501USNP/170768;
·美国专利申请序列号____________,其标题为外科系统分布式处理(SURGICALSYSTEM DISTRIBUTED PROCESSING);代理人案卷号END8501USNP1/170768-1;
·美国专利申请序列号____________,其标题为外科集线器数据的聚集和报告(AGGREGATION AND REPORTING OF SURGICAL HUB DATA);代理人案卷号END8501USNP2/170768-2;
·美国专利申请序列号____________,其标题为用于确定手术室中的装置的外科集线器空间感知(SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES INOPERATING THEATER);代理人案卷号END8502USNP/170769;
·美国专利申请序列号____________,其标题为钉仓与先前线性钉线的对准显示(DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE);代理人案卷号END8502USNP1/170769-1;
·美国专利申请序列号____________,其标题为无菌场交互控制显示器(STERILEFIELD INTERACTIVE CONTROL DISPLAYS);代理人案卷号END8502USNP2/170769-2;
·美国专利申请序列号____________,其标题为计算机实现的交互式外科系统(COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS);代理人案卷号END8503USNP/170770;
·美国专利申请序列号____________,其标题为使用激光和红绿蓝显色来确定背散射光的特性(USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINEPROPERTIES OF BACK SCATTERED LIGHT);代理人案卷号END8504USNP/170771;
·美国专利申请序列号____________,其标题为通过使用单色光折射率来表征组织不规则(CHARACTERIZATION OF TISSUE IRREGULARITIES THROUGH THE USE OF MONO-CHROMATIC LIGHT REFRACTIVITY);代理人案卷号END8504USNP1/170771-1;以及
·美国专利申请序列号____________,其标题为双互补金属氧化物半导体(CMOS)阵列成像(DUAL CMOS ARRAY IMAGING);代理人案卷号END8504USNP2/170771-2。
本专利申请的申请人拥有于2018年3月29日提交的以下美国专利申请,这些专利申请中的每个全文以引用方式并入本文:
·美国专利申请序列号____________,其标题为针对外科装置的自适应控制程序更新(ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES);代理人案卷号END8506USNP/170773;
·美国专利申请序列号____________,其标题为针对外科集线器的自适应控制程序更新(ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS);代理人案卷号END8506USNP1/170773-1;
·美国专利申请序列号____________,其标题为用于定制和向用户推荐的基于云的医学分析(CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION ANDRECOMMENDATIONS TO A USER);代理人案卷号END8507USNP/170774;
·美国专利申请序列号____________,其标题为用于将本地使用趋势与较大数据集的资源采集行为链接的基于云的医学分析(CLOUD-BASED MEDICAL ANALYTICS FORLINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OFLARGER DATA SET);代理人案卷号END8507USNP1/170774-1;
·美国专利申请序列号____________,其标题为用于将器械功能分段个性化的医疗设施的基于云的医学分析(CLOUD-BASED MEDICAL ANALYTICS FOR MEDICAL FACILITYSEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION);代理人案卷号END8507USNP2/170774-2;
·美国专利申请序列号____________,其标题为用于安全和认证趋势和反应性测量的基于云的医学分析(CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY ANDAUTHENTICATION TRENDS AND REACTIVE MEASURES);代理人案卷号END8508USNP/170775;
·美国专利申请序列号____________,其标题为云分析网络中的数据处理和优先级(DATA HANDLING AND PRIORITIZATION IN ACLOUD ANALYTICS NETWORK);代理人案卷号END8509USNP/170776;以及
·美国专利申请序列号____________,其标题为耦接外科装置的云接口(CLOUDINTERFACE FOR COUPLED SURGICAL DEVICES);代理人案卷号END8510USNP/170777。
本专利申请的申请人拥有于2018年3月29日提交的以下美国专利申请,这些专利申请中的每个全文以引用方式并入本文:
·美国专利申请序列号____________,其标题为用于机器人辅助外科平台的驱动布置方式(DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);代理人案卷号END8511USNP/170778;
·美国专利申请序列号____________,其标题为用于机器人辅助外科平台的通信布置方式(COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);代理人案卷号END8511USNP1/170778-1;
·美国专利申请序列号____________,其标题为机器人辅助外科平台的控制(CONTROLS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);代理人案卷号END8511USNP2/170778-2;
·美国专利申请序列号____________,其标题为用于机器人辅助外科平台的控制器(CONTROLLERS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);代理人案卷号END8512USNP1/170779-1;
·美国专利申请序列号____________,其标题为用于机器人辅助外科平台的协同外科操作(COOPERATIVE SURGICAL ACTIONS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);代理人案卷号END8512USNP2/170779-2;
·美国专利申请序列号____________,其标题为用于机器人辅助外科平台的显示器布置方式(DISPLAY ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);代理人案卷号END8512USNP3/170779-3;以及
·美国专利申请序列号____________,其标题为用于机器人辅助外科平台的感测布置方式(SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS);代理人案卷号END8513USNP/170780。
在详细说明外科装置和发生器的各个方面之前,应该指出的是,示例性示例的应用或使用并不局限于附图和具体实施方式中所示出的部件的配置和布置方式的细节。示例性示例可以单独实施,或与其它方面、变更形式和修改形式结合在一起实施,并可以通过多种方式实践或执行。此外,除非另外指明,否则本文所用的术语和表达是为了方便读者而对示例性实施例进行描述而所选的,并非为了限制性的目的。而且,应当理解,以下描述的方面中的一个或多个、方面和/或示例的表达可以与以下描述的其它方面、方面和/或示例的表达中的任何一个或多个组合。
参见图1,计算机实现的交互式外科系统100包括一个或多个外科系统102和基于云的系统(例如,可包括耦接到存储装置105的远程服务器113的云104)。每个外科系统102包括与可包括远程服务器113的云104通信的至少一个外科集线器106。在一个示例中,如图1中所示,外科系统102包括可视化系统108、机器人系统110和手持式智能外科器械112,其被配置为彼此通信并且/或者与集线器106通信。在一些方面,外科系统102可包括M数量的集线器106、N数量的可视化系统108、O数量的机器人系统110和P数量的手持式智能外科器械112,其中M、N、O和P为大于或等于一的整数。
图3示出了用于对平躺在外科手术室116中的手术台114上的患者执行外科规程的外科系统102的示例。机器人系统110在外科规程中用作外科系统102的一部分。机器人系统110包括外科医生的控制台118、患者侧推车120(外科机器人)和外科机器人集线器122。当外科医生通过外科医生的控制台120观察外科部位时,患者侧推车117可通过患者体内的微创切口操纵至少一个可移除地耦接的外科工具118。外科部位的图像可通过医疗成像装置124获得,该医疗成像装置可由患者侧推车120操纵以定向成像装置124。机器人集线器122可用于处理外科部位的图像,以随后通过外科医生的控制台118显示给外科医生。
其它类型的机器人系统可容易地适于与外科系统102一起使用。适用于本公开的机器人系统和外科工具的各种示例在2017年12月28日提交的标题为机器人辅助的外科平台(ROBOT ASSISTED SURGICAL PLATFORM)的美国临时专利申请序列号62/611,339中有所描述,该专利的公开内容全文以引用方式并入本文。
由云104执行并且适用于本公开的基于云的分析的各种示例描述于2017年12月28日提交的标题为“基于云的医疗分析(CLOUD-BASED MEDICAL ANALYTICS)”的美国临时专利申请序列号62/611,340中,其公开内容全文以引用方式并入本文。
在各种方面,成像装置124包括至少一个图像传感器和一个或多个光学部件。合适的图像传感器包括但不限于电荷耦合器件(CCD)传感器和互补金属氧化物半导体(CMOS)传感器。
成像装置124的光学部件可包括一个或多个照明源和/或一个或多个透镜。一个或多个照明源可被引导以照明外科场地的多部分。一个或多个图像传感器可接收从外科场地反射或折射的光,包括从组织和/或外科器械反射或折射的光。
一个或多个照明源可被配置为辐射可见光谱中的电磁能以及不可见光谱。可见光谱(有时被称为光学光谱或发光光谱)是电磁光谱中对人眼可见(即,可被其检测)的那部分,并且可被称为可见光或简单光。典型的人眼将对空气中约380nm至约750nm的波长作出响应。
不可见光谱(即,非发光光谱)是电磁光谱的位于可见光谱之下和之上的部分(即,低于约380nm且高于约750nm的波长)。人眼不可检测到不可见光谱。大于约750nm的波长长于红色可见光谱,并且它们变为不可见的红外(IR)、微波和无线电电磁辐射。小于约380nm的波长比紫色光谱短,并且它们变为不可见的紫外、x射线和γ射线电磁辐射。
在各种方面,成像装置124被配置为用于微创规程中。适用于本公开的成像装置的示例包括但不限于关节镜、血管镜、支气管镜、胆道镜、结肠镜、细胞检查镜、十二指镜、肠窥镜、食道-十二指肠镜(胃镜)、内窥镜、喉镜、鼻咽-肾内窥镜、乙状结肠镜、胸腔镜和子宫内窥镜。
在一个方面,成像装置采用多光谱监测来辨别形貌和底层结构。多光谱图像是捕获跨电磁波谱的特定波长范围内的图像数据的图像。可通过滤波器或通过使用对特定波长敏感的器械来分离波长,特定波长包括来自可见光范围之外的频率的光,例如IR和紫外。光谱成像可允许提取人眼未能用其红色,绿色和蓝色的受体捕获的附加信息。多光谱成像的使用在2017年12月28日提交的标题为“交互式外科平台(INTERACTIVE SURGICALPLATFORM)”的美国临时专利申请序列号62/611,341的标题“高级成像采集模块(AdvancedImaging Acquisition Module)”下更详细地描述,该专利的公开内容全文以引用方式并入本文。在完成外科任务以对处理过的组织执行一个或多个先前所述测试之后,多光谱监测可以是用于重新定位外科场地的有用工具。
不言自明的是,在任何外科期间都需要对手术室和外科设备进行严格消毒。在“外科室”(即,手术室或治疗室)中所需的严格的卫生和消毒条件需要所有医疗装置和设备的最高可能的无菌性。该灭菌过程的一部分是需要对接触患者或穿透无菌场的任何物质进行灭菌,包括成像装置124及其附接件和部件。应当理解,无菌场可被认为是被认为不含微生物的指定区域,诸如在托盘内或无菌毛巾内,或者无菌场可被认为是已准备用于外科规程的患者周围的区域。无菌场可包括被恰当地穿着的擦洗的团队构件,以及该区域中的所有家具和固定件。
在各个方面,可视化系统108包括一个或多个成像传感器、一个或多个图像处理单元、一个或多个存储阵列、以及一个或多个显示器,其相对于无菌场进行策略布置,如图2中所示。在一个方面,可视化系统108包括用于HL7、PACS和EMR的界面。可视化系统108的各种部件在2017年12月28日提交的标题为“交互式外科平台(INTERACTIVE SURGICALPLATFORM)”的美国临时专利申请序列号62/611,341的标题“高级成像采集模块(AdvancedImaging Acquisition Module)”下有所描述,该专利申请的公开内容全文以引用方式并入本文。
如图2中所示,主显示器119被定位在无菌场中,以对在手术台114处的操作者可见。此外,可视化塔111被定位在无菌场之外。可视化塔111包括彼此背离的第一非无菌显示器107和第二非无菌显示器109。由集线器106引导的可视化系统108被配置为利用显示器107、109和119来将信息流协调到无菌场内侧和外侧的操作者。例如,集线器106可使可视化系统108在非无菌显示器107或109上显示由成像装置124记录的外科部位的快照,同时保持外科部位在主显示器119上的实时馈送。非无菌显示器107或109上的快照可允许非无菌操作者例如执行与外科规程相关的诊断步骤。
在一个方面,集线器106还被配置为将由非无菌操作者在可视化塔111处输入的诊断输入或反馈路由至无菌场内的主显示器119,其中可由操作台上的无菌操作员查看。在一个示例中,输入可以是显示在非无菌显示器107或109上的快照的修改形式,可通过集线器106路由到主显示器119。
参见图2,外科器械112作为外科系统102的一部分在外科规程中使用。集线器106还被配置为协调流向外科器械112的显示器的信息流。例如,在2017年12月28日提交的标题为“交互式外科平台(INTERACTIVE SURGICAL PLATFORM)”的美国临时专利申请序列号62/611,341,其公开内容全文以引用方式并入本文。由非无菌操作者在可视化塔111处输入的诊断输入或反馈可由集线器106路由至无菌场内的外科器械显示器115,其中外科器械112的操作者可观察到该输入或反馈。适用于外科系统102的示例性外科器械描述于2017年12月28日提交的标题为“交互式外科平台(INTERACTIVE SURGICAL PLATFORM)”的美国临时专利申请序列号62/611,341的标题“外科器械硬件(Surgical Instrument Hardware)”下,该专利的公开内容以引用方式全文并入本文。
现在参见图3,集线器106被描绘为与可视化系统108、机器人系统110和手持式智能外科器械112通信。集线器106包括集线器显示器135、成像模块138、发生器模块140、通信模块130、处理器模块132和存储阵列134。在某些方面,如图3中所示,集线器106还包括排烟模块126和/或抽吸/冲洗模块128。
在外科规程期间,用于密封和/或切割的对组织的能量施加通常与排烟、抽吸过量流体和/或冲洗组织相关。来自不同来源的流体管线、功率管线和/或数据管线通常在外科规程期间缠结。在外科规程期间解决该问题可丢失有价值的时间。断开管线可需要将管线与其相应的模块断开连接,这可需要重置模块。集线器模块化壳体136提供用于管理功率管线、数据管线和流体管线的统一环境,这降低了此类管线之间缠结的频率。
本公开的各方面提供了用于外科规程的外科集线器,该外科规程涉及将能量施加到外科部位处的组织。外科集线器包括集线器壳体和可滑动地容纳在集线器壳体的对接底座中的组合发生器模块。对接底座包括数据触点和功率触点。组合发生器模块包括座置在单个单元中的超声能量发生器部件、双极RF能量发生器部件和单极RF能量发生器部件中的两个或更多个。在一个方面,组合发生器模块还包括排烟部件,用于将组合发生器模块连接到外科器械的至少一根能量递送缆线、被配置为排出通过向组织施加治疗能量而产生的烟雾、流体和/或颗粒的至少一个排烟部件、以及从远程外科部位延伸至排烟部件的流体管线。
在一个方面,流体管线是第一流体管线,并且第二流体管线从远程外科部位延伸至可滑动地容纳在集线器壳体中的抽吸和冲洗模块。在一个方面,集线器壳体包括流体接口。
某些外科规程可需要将多于一种能量类型施加到组织。一种能量类型可更有利于切割组织,而另一种不同的能量类型可更有利于密封组织。例如,双极发生器可用于密封组织,而超声发生器可用于切割密封的组织。本公开的各方面提供了一种解决方案,其中集线器模块化壳体136被配置为容纳不同的发生器,并且有利于它们之间的交互式通信。集线器模块化壳体136的优点之一是能够快速地移除和/或更换各种模块。
本公开的方面提供了在涉及将能量施加到组织的外科规程中使用的模块化外科壳体。模块化外科壳体包括第一能量发生器模块,该第一能量发生器模块被配置为生成用于施加到组织的第一能量,和第一对接底座,该第一对接底座包括第一对接端口,该第一对接端口包括第一数据和功率触点,其中第一能量发生器模块可滑动地移动成与该功率和数据触点电接合,并且其中第一能量发生器模块可滑动地移动出与第一功率和数据触点的电接合。
对上文进行进一步描述,模块化外科壳体还包括第二能量发生器模块,该第二能量发生器模块被配置为生成不同于第一能量的第二能量以用于施加到组织,和第二对接底座,该第二对接底座包括第二对接端口,该第二对接端口包括第二数据和功率触点,其中第二能量发生器模块可滑动地移动成与功率和数据触点电接合,并且其中第二能量发生器可滑动地移动出于第二功率和数据触点的电接合。
此外,模块化外科壳体还包括在第一对接端口和第二对接端口之间的通信总线,其被配置为有利于第一能量发生器模块和第二能量发生器模块之间的通信。
参见图3-7,本公开的各方面被呈现为集线器模块化壳体136,其允许发生器模块140、排烟模块126和抽吸/冲洗模块128的模块化集成。集线器模块化壳体136还有利于模块140、126、128之间的交互式通信。如图5中所示,发生器模块140可为具有集成的单极部件、双极部件和超声部件的发生器模块,该部件被支撑在可滑动地插入到集线器模块化壳体136中的单个外壳单元139中。如图5中所示,发生器模块140可被配置为连接到单极装置146、双极装置147和超声装置148。另选地,发生器模块140可包括通过集线器模块化壳体136进行交互的一系列单极发生器模块、双极发生器模块和/或超声发生器模块。集线器模块化壳体136可被配置为有利于多个发生器的插入和对接到集线器模块化壳体136中的发生器之间的交互通信,使得发生器将充当单个发生器。
在一个方面,集线器模块化壳体136包括具有外部和无线通信接头的模块化功率和通信底板149,以实现模块140、126、128的可移除附接件以及它们之间的交互通信。
在一个方面,集线器模块化壳体136包括对接底座或抽屉151(本文也称为抽屉),其被配置为可滑动地容纳模块140、126、128。图4示出了可滑动地容纳在外科集线器壳体136的对接底座151中的外科集线器壳体136和组合发生器模块145的局部透视图。在组合发生器模块145的背面上具有功率和数据触点的对接端口152被配置为当组合发生器模块145滑动到集线器模块壳体136的对应的对接底座151内的适当位置时,将对应的对接端口150与集线器模块化壳体136的对应对接底座151的功率和数据触点接合。在一个方面,组合发生器模块145包括一起集成到单个外壳单元139中的双极、超声和单极模块以及排烟模块,如图5中所示。
在各种方面,排烟模块126包括流体管线154,该流体管线154将捕集/收集的烟雾和/或流体从外科部位传送到例如排烟模块126。源自排烟模块126的真空抽吸可将烟雾吸入外科部位处的公用导管的开口中。耦接到流体管线的公用导管可以是端接在排烟模块126处的柔性管的形式。公用导管和流体管线限定朝向容纳在集线器壳体136中的排烟模块126延伸的流体路径。
在各种方面,抽吸/冲洗模块128耦接到包括吸出流体管线和抽吸流体管线的外科工具。在一个示例中,吸出流体管线和抽吸流体管线为从外科部位朝向抽吸/冲洗模块128延伸的柔性管的形式。一个或多个驱动系统可被配置为冲洗到外科部位的流体和从外科部位抽吸流体。
在一个方面,外科工具包括轴,该轴具有在其远侧端部处的端部执行器以及与端部执行器、吸出管和冲洗管相关联的至少一种能量处理。吸出管可在其远侧端部处具有入口,并且吸出管延伸穿过轴。类似地,吸出管可延伸穿过轴并且可具有邻近能量递送工具的入口。能量递送工具被配置为将超声能量和/或RF能量递送至外科部位,并且通过初始延伸穿过轴的缆线耦接到发生器模块140。
冲洗管可与流体源流体连通,并且吸出管可与真空源流体连通。流体源和/或真空源可座置在抽吸/冲洗模块128中。在一个示例中,流体源和/或真空源可独立于抽吸/冲洗模块128座置在集线器壳体136中。在此类示例中,流体接口能够将抽吸/冲洗模块128连接到流体源和/或真空源。
在一个方面,集线器模块化壳体136上的模块140、126、128和/或其对应的对接底座可包括对准特征件,该对准特征件被配置为将模块的对接端口对准成与其在集线器模块化壳体136的对接底座中的对应端口接合。例如,如图4中所示,组合发生器模块145包括侧支架155,侧支架155被配置为与集线器模块化壳体136的对应的对接底座151的对应支架156可滑动地接合。支架配合以引导组合发生器模块145的对接端口触点与集线器模块化壳体136的对接端口触点电接合。
在一些方面,集线器模块化壳体136的抽屉151为相同的或大体上相同的大小,并且模块的大小被调节为容纳在抽屉151中。例如,侧支架155和/或156可根据模块的大小而更大或更小。在其它方面,抽屉151的大小不同,并且各自被设计成容纳特定模块。
此外,可对特定模块的触点进行键控以与特定抽屉的触点接合,以避免将模块插入到具有不匹配触点的抽屉中。
如图4中所示,一个抽屉151的对接端口150可通过通信链路157耦接到另一个抽屉151的对接端口150,以有利于座置在集线器模块化壳体136中的模块之间的交互式通信。另选地或附加地,集线器模块化壳体136的对接端口150可有利于座置在集线器模块化壳体136中的模块之间的无线交互通信。可采用任何合适的无线通信,诸如例如Air Titan-Bluetooth。
图6示出了用于横向模块化外壳160的多个横向对接端口的单个功率总线附接件,该横向模块化外壳160被配置为容纳外科集线器206的多个模块。横向模块化外壳160被配置为横向容纳和互连模块161。模块161可滑动地插入到横向模块化外壳160的对接底座162中,该横向模块化外壳160包括用于互连模块161的底板。如图6中所示,模块161横向布置在横向模块化外壳160中。另选地,模块161可竖直地布置在横向模块化外壳中。
图7示出了被配置为容纳外科集线器106的多个模块165的竖直模块化外壳164。模块165可滑动地插入到竖直模块化外壳164的对接底座或抽屉167中,该竖直模块化外壳164包括用于互连模块165的底板。尽管竖直模块化外壳164的抽屉167竖直布置,但在某些情况下,竖直模块化外壳164可包括横向布置的抽屉。此外,模块165可通过竖直模块化外壳164的对接端口彼此交互。在图7的示例中,提供了用于显示与模块165的操作相关的数据的显示器177。此外,竖直模块化外壳164包括主模块178,该主模块座置可滑动地容纳在主模块178中的多个子模块。
在各种方面,成像模块138包括集成视频处理器和模块化光源,并且适于与各种成像装置一起使用。在一个方面,成像装置由可装配有光源模块和相机模块的模块化外壳构成。外壳可为一次性外壳。在至少一个示例中,一次性外壳可移除地耦接到可重复使用的控制器、光源模块和相机模块。光源模块和/或相机模块可根据外科规程的类型选择性地选择。在一个方面,相机模块包括CCD传感器。在另一方面,相机模块包括CMOS传感器。在另一方面,相机模块被配置用于扫描波束成像。同样,光源模块可被配置为递送白光或不同的光,这取决于外科规程。
在外科规程期间,从外科场地移除外科装置并用包括不同相机或不同光源的另一外科装置替换外科装置可为低效的。暂时失去对外科场地的视线可导致不期望的后果。本公开的模块成像装置被配置为允许在外科规程期间中流替换光源模块或相机模块,而不必从外科场地移除成像装置。
在一个方面,成像装置包括包括多个通道的管状外壳。第一通道被配置为可滑动地容纳相机模块,该相机模块可被配置为与第一通道搭扣配合接合。第二通道被配置为可滑动地容纳光源模块,该光源模块可被配置为与第二通道搭扣配合接合。在另一个示例中,相机模块和/或光源模块可在其相应通道内旋转到最终位置。可采用螺纹接合代替搭扣配合接合。
在各种示例中,多个成像装置被放置在外科场地中的不同位置以提供多个视图。成像模块138可被配置为在成像装置之间切换以提供最佳视图。在各种方面,成像模块138可被配置为集成来自不同成像装置的图像。
适用于本公开的各种图像处理器和成像装置描述于2011年8月9日公布的标题为组合SBI和常规图像处理器(COMBINED SBI AND CONVENTIONAL IMAGE PROCESSOR)美国专利7,995,045中,该专利以引用方式全文并入本文。此外,2011年7月19日公布的标题为SBI运动伪影去除设备和方法(SBI MOTION ARTIFACT REMOVAL APPARATUS AND METHOD)的美国专利7,982,776描述了用于从图像数据中去除运动伪影的各种系统,该专利以引用方式全文并入本文。此类系统可与成像模块138集成。此外,2011年12月15日公布的标题为对固定件体内设备的可控制磁源(CONTROLLABLE MAGNETIC SOURCE TO FIXTUREINTRACORPOREAL APPARATUS)的美国专利申请公布2011/0306840和2014年8月28日公布的标题为用于执行微创外科规程的系统(SYSTEM FOR PERFORMING A MINIMALLY INVASIVESURGICAL PROCEDURE)的美国专利申请公布2014/0243597,以上专利中的每个全文以引用方式并入本文。
图8示出了包括模块化通信集线器203的外科数据网络201,该模块化通信集线器203被配置为将位于医疗设施的一个或多个手术室中的模块化装置或专门配备用于外科操作的医疗设施中的任何房间连接到基于云的系统(例如,可包括耦接到存储装置205的远程服务器213的云204)。在一个方面,模块化通信集线器203包括与网络路由器通信的网络集线器207和/或网络交换机209。模块化通信集线器203还可耦接到本地计算机系统210以提供本地计算机处理和数据操纵。外科数据网络201可被配置为无源的、智能的或交换的。无源外科数据网络充当数据的管道,从而使其能够从一个装置(或区段)转移到另一个装置(或区段)以及云计算资源。智能外科数据网络包括附加特征,以使得能够监测穿过外科数据网络的流量并配置网络集线器207或网络交换器209中的每个端口。智能外科数据网络可被称为可管理的集线器或交换器。交换集线器读取每个包的目标地址,并且然后将包转发到正确的端口。
位于手术室中的模块化装置1a-1n可耦接到模块化通信集线器203。网络集线器207和/或网络交换机209可耦接到网络路由器211以将装置1a-1n连接至云204或本地计算机系统210。与装置1a-1n相关联的数据可经由路由器传输到基于云的计算机,用于远程数据处理和操纵。与装置1a-1n相关联的数据也可被传输至本地计算机系统210以用于本地数据处理和操纵。位于相同手术室中的模块化装置2a-2m也可耦接到网络交换机209。网络交换机209可耦接到网络集线器207和/或网络路由器211以将装置2a-2m连接至云204。与装置2a-2n相关联的数据可经由网络路由器211传输到云204以用于数据处理和操纵。与装置2a-2m相关联的数据也可被传输至本地计算机系统210以用于本地数据处理和操纵。
应当理解,可通过将多个网络集线器207和/或多个网络交换机209与多个网络路由器211互连来扩展外科数据网络201。模块化通信集线器203可被包含在模块化控制塔中,该模块化控制塔被配置为容纳多个装置1a-1n/2a-2m。本地计算机系统210也可包含在模块化控制塔中。模块化通信集线器203连接到显示器212以显示例如在外科规程期间由装置1a-1n/2a-2m中的一些获得的图像。在各种方面,装置1a-1n/2a-2m可包括例如各种模块,诸如耦接到内窥镜的成像模块138、耦接到基于能量的外科装置的发生器模块140、排烟模块126、抽吸/冲洗模块128、通信模块130、处理器模块132、存储阵列134、连接到显示器的外科装置、和/或可连接到外科数据网络201的模块化通信集线器203的其它模块化装置中的非接触传感器模块。
在一个方面,外科数据网络201可包括将装置1a-1n/2a-2m连接至云的(一个或多个)网络集线器、(一个或多个)网络交换机和(一个或多个)网络路由器的组合。耦接到网络集线器或网络交换机的装置1a-1n/2a-2m中的任何一个或全部可实时收集数据并将数据传输到云计算机中以进行数据处理和操纵。应当理解,云计算依赖于共享计算资源,而不是使用本地服务器或个人装置来处理软件应用程序。可使用“云”一词作为“互联网”的隐喻,尽管该术语不受此限制。因此,本文可使用术语“云计算”来指“基于互联网的计算的类型”,其中将不同的服务(诸如服务器、存储器和应用程序)递送至位于外科室(例如,固定、移动、临时或现场手术室或空间)中的模块化通信集线器203和/或计算机系统210以及通过互联网连接至模块化通信集线器203和/或计算机系统210的装置。云基础设施可由云服务提供方维护。在这种情况下,云服务提供方可以是协调位于一个或多个手术室中的装置1a-1n/2a-2m的使用和控制的实体。云计算服务可基于由智能外科器械、机器人和位于手术室中的其它计算机化装置所收集的数据来执行大量计算。集线器硬件使多个装置或连接能够连接到与云计算资源和存储器通信的计算机。
对由装置1a-1n/2a-2m所收集的数据应用云计算机数据处理技术,外科数据网络提供改善的外科结果,降低的成本和改善的患者满意度。可采用装置1a-1n/2a-2m中的至少一些来观察组织状态以评估在组织密封和切割规程之后密封的组织的渗漏或灌注。可采用装置1a-1n/2a-2m中的至少一些来识别病理学,诸如疾病的影响,使用基于云的计算检查包括用于诊断目的的身体组织样本的图像的数据。这包括组织和表型的定位和边缘确认。可采用装置1a-1n/2a-2m中的至少一些使用与成像装置和技术(诸如重叠由多个成像装置捕获的图像)集成的各种传感器来识别身体的解剖结构。由装置1a-1n/2a-2m收集的数据(包括图像数据)可被传输到云204或本地计算机系统210或两者以用于数据处理和操纵,包括图像处理和操纵。可分析数据以通过确定是否可继续进行进一步治疗(诸如内窥镜式干预、新兴技术、靶向辐射、靶向干预和精确机器人对组织特异性位点和条件的应用来改善外科规程结果。此类数据分析可进一步采用结果分析处理,并且使用标准化方法可提供有益反馈以确认外科治疗和外科医生的行为,或建议修改外科治疗和外科医生的行为。
在一个具体实施中,手术室装置1a-1n可通过有线信道或无线信道连接至模块化通信集线器203,这取决于装置1a-1n至网络集线器的配置。在一个方面,网络集线器207可被实现为在开放式系统互连(OSI)模型的物理层上工作的本地网络广播装置。该网络集线器提供与位于同一手术室网络中的装置1a-1n的连接。网络集线器207以包的形式收集数据,并以半双工模式将其发送至路由器。网络集线器207不存储用于传输装置数据的任何媒体访问控制/互联网协议(MAC/IP)。装置1a-1n中的仅一个可一次通过网络集线器207发送数据。网络集线器207没有关于在何处发送信息并在每个连接上广播所有网络数据以及通过云204向远程服务器213(图9)广播所有网络数据的路由表或智能。网络集线器207可以检测基本网络错误诸如冲突,但将所有信息广播到多个端口可带来安全风险并导致瓶颈。
在另一个具体实施中,手术室装置2a-2m可通过有线信道或无线信道连接到网络交换机209。网络交换机209在OSI模型的数据链路层中工作。网络交换机209是用于将位于相同手术室中的装置2a-2m连接到网络的多点广播装置。网络交换机209以帧的形式向网络路由器211发送数据并且以全双工模式工作。多个装置2a-2m可通过网络交换机209同时发送数据。网络交换机209存储并使用装置2a-2m的MAC地址来传输数据。
网络集线器207和/或网络交换机209耦接到网络路由器211以连接到云204。网络路由器211在OSI模型的网络层中工作。网络路由器211创建用于将从网络集线器207和/或网络交换机211接收的数据包发射至基于云的计算机资源的路由,以进一步处理和操纵由装置1a-1n/2a-2m中的任一者或所有收集的数据。可采用网络路由器211来连接位于不同位置的两个或更多个不同的网络,诸如例如同一医疗设施的不同手术室或位于不同医疗设施的不同手术室的不同网络。网络路由器211以包的形式向云204发送数据并且以全双工模式工作。多个装置可以同时发送数据。网络路由器211使用IP地址来传输数据。
在一个示例中,网络集线器207可被实现为USB集线器,其允许多个USB装置连接到主机。USB集线器可以将单个USB端口扩展到多个层级,以便有更多端口可用于将装置连接到主机系统计算机。网络集线器207可包括用于通过有线信道或无线信道接收信息的有线或无线能力。在一个方面,无线USB短距离、高带宽无线无线电通信协议可用于装置1a-1n和位于手术室中的装置2a-2m之间的通信。
在其它示例中,手术室装置1a-1n/2a-2m可经由蓝牙无线技术标准与模块化通信集线器203通信,以用于在短距离(使用ISM频带中的2.4至2.485GHz的短波长UHF无线电波)从固定装置和移动装置交换数据以及构建个人局域网(PAN)。在其它方面,手术室装置1a-1n/2a-2m可经由多种无线或有线通信标准或协议与模块化通信集线器203通信,包括但不限于Wi-Fi(IEEE 802.11系列)、WiMAX(IEEE 802.16系列)、IEEE 802.20、长期演进(LTE)和Ev-DO、HSPA+、HSDPA+、HSUPA+、EDGE、GSM、GPRS、CDMA、TDMA、DECT、及其以太网衍生物、以及指定为3G、4G、5G和以上的任何其它无线和有线协议。计算模块可包括多个通信模块。例如,第一通信模块可专用于较短距离的无线通信诸如Wi-Fi和蓝牙,并且第二通信模块可专用于较长距离的无线通信,诸如GPS、EDGE、GPRS、CDMA、WiMAX、LTE、Ev-DO等。
模块化通信集线器203可用作手术室装置1a-1n/2a-2m中的一者或全部的中心连接,并且处理被称为帧的数据类型。帧携带由装置1a-1n/2a-2m生成的数据。当模块化通信集线器203接收到帧时,其被放大并发射至网络路由器211,该网络路由器211通过使用如本文所述的多个无线或有线通信标准或协议将数据传输到云计算资源。
模块化通信集线器203可用作独立装置或连接到兼容的网络集线器和网络交换机以形成更大的网络。模块化通信集线器203通常易于安装、配置和维护,使得其成为对手术室装置1a-1n/2a-2m进行联网的良好选项。
图9示出了计算机实现的交互式外科系统200。计算机实现的交互式外科系统200在许多方面类似于计算机实现的交互式外科系统100。例如,计算机实现的交互式外科系统200包括在许多方面类似于外科系统102的一个或多个外科系统202。每个外科系统202包括与可包括远程服务器213的云204通信的至少一个外科集线器206。在一个方面,计算机实现的交互式外科系统200包括模块化控制塔236,该模块化控制塔236连接到多个手术室装置,诸如例如智能外科器械、机器人和位于手术室中的其它计算机化装置。如图10中所示,模块化控制塔236包括耦接到计算机系统210的模块化通信集线器203。如图9的示例中所示,模块化控制塔236耦接到耦接到内窥镜239的成像模块238、耦接到能量装置241的发生器模块240、排烟器模块226、抽吸/冲洗模块228、通信模块230、处理器模块232、存储阵列234、任选地耦接到显示器237的智能装置/器械235、和非接触传感器模块242。手术室装置经由模块化控制塔236耦接到云计算资源和数据存储。机器人集线器222也可连接到模块化控制塔236和云计算资源。装置/器械235、可视化系统208等等可经由有线或无线通信标准或协议耦接到模块化控制塔236,如本文所述。模块化控制塔236可耦接到集线器显示器215(例如,监测器、屏幕)以显示和叠加从成像模块、装置/器械显示器和/或其它可视化系统208接收的图像。集线器显示器还可结合图像和叠加图像来显示从连接到模块化控制塔的装置接收的数据。
图10示出了包括耦接到模块化控制塔236的多个模块的外科集线器206。模块化控制塔236包括模块化通信集线器203(例如,网络连接性装置)和计算机系统210,以提供例如本地处理、可视化和成像。如图10中所示,模块化通信集线器203可以分层配置连接以扩展可连接到模块化通信集线器203的模块(例如,装置)的数量,并将与模块相关联的数据传输至计算机系统210、云计算资源或两者。如图10中所示,模块化通信集线器203中的网络集线器/交换机中的每个包括三个下游端口和一个上游端口。上游网络集线器/交换机连接至处理器以提供与云计算资源和本地显示器217的通信连接。与云204的通信可通过有线或无线通信信道进行。
外科集线器206采用非接触传感器模块242来测量手术室的尺寸,并且使用超声或激光型非接触测量装置来生成外科室的标测图。基于超声的非接触传感器模块通过发射一阵超声波并在其从手术室的围墙弹回时接收回波来扫描手术室,如在2017年12月28日提交的标题为交互式外科平台(INTERACTIVE SURGICAL PLATFORM)的美国临时专利申请序列号62/611,341中的标题“手术室内的外科集线器空间感知”(Surgical Hub SpatialAwareness Within an Operating Room)下所述,该临时专利申请的公开内容全文以引用方式并入本文,其中传感器模块被配置为确定手术室的大小并调节蓝牙配对距离限制。基于激光的非接触传感器模块通过发射激光脉冲、接收从手术室的围墙弹回的激光脉冲,以及将发射脉冲的相位与所接收的脉冲进行比较来扫描手术室,以确定手术室的尺寸并调节蓝牙配对距离限制。
计算机系统210包括处理器244和网络接口245。处理器244经由系统总线耦接到通信模块247、存储装置248、存储器249、非易失性存储器250和输入/输出接口251。系统总线可为若干类型的总线结构中的任一者,该总线结构包括存储器总线或存储器控制器、外围总线或外部总线、和/或使用任何各种可用总线架构的本地总线,包括但不限于9位总线、工业标准架构(ISA)、微型Charmel架构(MSA)、扩展ISA(EISA)、智能驱动电子器件(IDE)、VESA本地总线(VLB)、外围部件互连(PCI)、USB、高级图形端口(AGP)、个人计算机存储卡国际协会总线(PCMCIA)、小型计算机系统接口(SCSI)或任何其它外围总线。
控制器244可为任何单核或多核处理器,诸如由德克萨斯器械公司(TexasInstruments)提供的商品名为ARM Cortex的那些处理器。在一个方面,处理器可为购自例如德克萨斯器械公司(Texas Instruments)LM4F230H5QR ARM Cortex-M4F处理器核心,其包括256KB的单循环闪存或其它非易失性存储器(最多至40MHZ)的片上存储器、用于改善40MHz以上的性能的预取缓冲器、32KB单循环序列随机存取存储器(SRAM)、装载有Stellaris软件的内部只读存储器(ROM)、2KB电可擦除可编程只读存储器(EEPROM)、和/或一个或多个脉宽调制(PWM)模块、一个或多个正交编码器输入(QEI)模拟、具有12个模拟输入信道的一个或多个12位模数转换器(ADC),其细节可见于产品数据表。
在一个方面,处理器244可包括安全控制器,该安全控制器包括两个基于控制器的系列(诸如TMS570和RM4x),已知同样由德克萨斯器械公司(Texas Instruments)生产的商品名为Hercules ARM Cortex R4。安全控制器可被配置为专门用于IEC 61508和ISO 26262安全关键应用等等,以提供先进的集成安全特征结构,同时递送可定标的性能、连接性和存储器选项。
系统存储器包括易失性存储器和非易失性存储器。基本输入/输出系统(BIOS)(包含诸如在启动期间在计算机系统内的元件之间传输信息的基本例程,)存储在非易失性存储器中。例如,非易失性存储器可包括ROM、可编程ROM(PROM)、电可编程ROM(EPROM)、EEPROM或闪存。易失存储器包括充当外部高速缓存存储器的随机存取存储器(RAM)。此外,RAM可以多种形式可用,诸如SRAM、动态RAM(DRAM)、同步DRAM(SDRAM)、双数据速率SDRAM(DDRSDRAM)増强SDRAM(ESDRAM)、同步链路DRAM(SLDRAM)和直接Rambus RAM(DRRAM)。
计算机系统210还包括可移除/不可移除的、易失性/非易失性的计算机存储介质,诸如例如磁盘存储器。磁盘存储器包括但不限于诸如装置如磁盘驱动器、软盘驱动器、磁带驱动器、Jaz驱动器、Zip驱动器、LS-60驱动器、闪存存储卡或内存条。此外,磁盘存储器可包括单独地或与其它存储介质组合的存储介质,包括但不限于光盘驱动器诸如光盘ROM装置(CD-ROM)、光盘可记录驱动器(CD-R驱动器)、光盘可重写驱动器(CD-RW驱动器)或数字通用磁盘ROM驱动器(DVD-ROM)。为了有利于磁盘存储装置与系统总线的连接,可使用可移除或非可移除接口。
应当理解,计算机系统210包括充当用户与在合适的操作环境中描述的基本计算机资源之间的中介的软件。此类软件包括操作系统。可存储在磁盘存储装置上的操作系统用于控制并分配计算机系统的资源。系统应用程序利用操作系统通过存储在系统存储器或磁盘存储装置中的程序模块和程序数据来管理资源。应当理解,本文所述的各种部件可用各种操作系统或操作系统的组合来实现。
用户通过耦接到I/O接口251的(一个或多个)输入装置将命令或信息输入到计算机系统210中。输入装置包括但不限于指向装置,诸如鼠标、触控球、触笔、触摸板、键盘、麦克风、操纵杆、游戏垫、卫星盘、扫描仪、电视调谐器卡、数字相机、数字摄像机、幅材相机等。这些和其它输入装置经由(一个或多个)接口端口通过系统总线连接到处理器。(一个或多个)接口端口包括例如串口、并行端口、游戏端口和USB。(一个或多个)输出装置使用与(一个或多个)输入装置相同类型的端口。因此,例如,USB端口可用于向计算机系统提供输入并将信息从计算机系统输出到输出装置。提供了输出适配器来说明在其它输出装置中存在需要特殊适配器的一些输出装置(如监测器、显示器、扬声器和打印机。输出适配器以举例的方式包括但不限于提供输出装置和系统总线之间的连接装置的视频和声卡。应当指出,其它装置或装置诸如(一个或多个)远程计算机的系统提供了输入能力和输出能力两者。
计算机系统210可使用与一个或多个远程计算机(诸如(一个或多个)云计算机)或本地计算机的逻辑连接在联网环境中操作。(一个或多个)远程云计算机可为个人计算机、服务器、路由器、网络PC、工作站、基于微处理器的器具、对等装置或其它公共网络节点等,并且通常包括相对于计算机系统所述的元件中的许多或全部。为简明起见,仅示出了具有(一个或多个)远程计算机的存储器存储装置。(一个或多个)远程计算机通过网络接口在逻辑上连接到计算机系统,并且然后经由通信连接物理连接。网络接口涵盖通信网络诸如局域网(LAN)和广域网(WAN)。LAN技术包括光纤分布式数据接口(FDDI)、铜分布式数据接口(CDDI)、以太网/IEEE 802.3、令牌环/IEEE 802.5等。WAN技术包括但不限于点对点链路、电路交换网络如综合业务数字网络(ISDN)及其变体、分组交换网络和数字用户管线(DSL)。
在各个方面,图10的计算机系统210、成像模块238和/或可视化系统208、和/或图9-10的处理器模块232可包括图像处理器、图像处理引擎、媒体处理器或用于处理数字图像的任何专用数字信号处理器(DSP)。图像处理器可采用具有单个指令、多数据(SIMD)或多指令、多数据(MIMD)技术的并行计算以提高速度和效率。数字图像处理引擎可执行一系列任务。图像处理器可为具有多核处理器架构的芯片上的系统。
(一个或多个)通信连接是指用于将网络接口连接到总线的硬件/软件。虽然示出了通信连接以便在计算机系统内进行示例性澄清,但其也可位于计算机系统210的外部。连接到网络接口所必需的硬件/软件仅出于示例性目的包括内部和外部技术,诸如调制解调器,包括常规的电话级调制解调器、电缆调制解调器和DSL调制解调器、ISDN适配器和以太网卡。
图11示出了根据本公开的一个方面的USB网络集线器300装置的一个方面的功能框图。在例示的方面,USB网络集线器装置300采用得克萨斯器械公司(Texas Instruments)的TUSB2036集成电路集线器。USB网络集线器300是根据USB 2.0规范提供上游USB收发器端口302和多达三个下游USB收发器端口304、306、308的CMOS装置。上游USB收发器端口302为差分根数据端口,其包括与差分数据正(DM0)输入配对的差分数据负(DP0)输入。三个下游USB收发器端口304、306、308为差分数据端口,其中每个端口包括与差分数据负(DM1-DM3)输出配对的差分数据正(DP1-DP3)输出。
USB网络集线器300装置用数字状态机而不是微控制器来实现,并且不需要固件编程。完全兼容的USB收发器集成到用于上游USB收发器端口302和所有下游USB收发器端口304、306、308的电路中。下游USB收发器端口304、306、308通过根据附接到端口的装置的速度自动设置转换速率来支持全速度装置和低速装置两者。USB网络集线器300装置可被配置为处于总线供电模式或自供电模式,并且包括用于管理功率的集线器功率逻辑312。
USB网络集线器300装置包括串行接口引擎310(SIE)。SIE 310是USB网络集线器300硬件的前端,并处理USB规范第8章中描述的大多数协议。SIE 310通常包括多达交易级别的信令。其处理的功能可包括:包识别、事务排序、SOP、EOP、RESET和RESUME信号检测/生成、时钟/数据分离、不返回到零反转(NRZI)数据编码/解码和数位填充、CRC生成和校验(令牌和数据)、包ID(PID)生成和校验/解码、和/或串行并行/并行串行转换。310接收时钟输入314并且耦接到暂停/恢复逻辑和帧定时器316电路以及集线器中继器电路318,以通过端口逻辑电路320、322、324控制上游USB收发器端口302和下游USB收发器端口304、306、308之间的通信。SIE 310经由接口逻辑耦接到命令解码器326,以经由串行EEPROM接口330来控制来自串行EEPROM的命令。
在各种方面,USB网络集线器300可将配置在多达六个逻辑层(层级)中的127功能连接至单个计算机。此外,USB网络集线器300可使用提供通信和电力分配两者的标准化四线电缆连接到所有外装置。功率配置为总线供电模式和自供电模式。USB网络集线器300可被配置为支持四种功率管理模式:具有单独端口功率管理或成套端口功率管理的总线供电集线器,以及具有单独端口功率管理或成套端口功率管理的自供电集线器。在一个方面,使用USB电缆将USB网络集线器300、上游USB收发器端口302插入USB主机控制器中,并且将下游USB收发器端口304、306、308暴露以用于连接USB兼容装置等。
外科器械硬件
图12示出了根据本公开的一个或多个方面的外科器械或工具的控制系统470的逻辑图。系统470包括控制电路。该控制电路包括微控制器461,该微控制器包括处理器462和存储器468。例如,传感器472、474、476中的一个或多个向处理器462提供实时反馈。由马达驱动器492驱动的马达482可操作地耦接纵向可移动的位移构件以驱动I形梁刀元件。跟踪系统480被配置为确定纵向可移动的位移构件的位置。将位置信息提供给处理器462,该处理器可被编程或配置为确定纵向可移动的驱动构件的位置以及击发构件、击发杆和I形梁刀元件的位置。附加马达可设置在工具驱动器接口处,以控制I形梁击发、闭合管行进、轴旋转和关节运动。显示器473显示器械的多种操作条件并且可包括用于数据输入的触摸屏功能。显示在显示器473上的信息可叠加有经由内窥镜式成像模块获取的图像。
在一个方面,微处理器461可为任何单核或多核处理器,诸如已知的由德克萨斯器械公司(Texas Instruments)生产的商品名为ARM Cortex的那些。在一个方面,微控制器461可为购自例如德克萨斯器械公司(Texas Instruments)的LM4F230H5QR ARM Cortex-M4F处理器核心,其包括256KB的单循环闪存或其它非易失性存储器(最多至40MHZ)的片上存储器、用于改善40MHz以上的性能的预取缓冲器、32KB单循环SRAM、装载有Stellaris软件的内部ROM、2KB电EEPROM、一个或多个PWM模块、一个或多个QEI模拟、具有12个模拟输入信道的一个或多个12位ADC,其细节可见于产品数据表。
在一个方面,微控制器461可包括安全控制器,该安全控制器包括两个基于控制器的系列(诸如TMS570和RM4x),已知同样由德克萨斯器械公司(Texas Instruments)生产的商品名为Hercules ARM Cortex R4。安全控制器可被配置为专门用于IEC 61508和ISO26262安全关键应用等等,以提供先进的集成安全特征结构,同时递送可定标的性能、连接性和存储器选项。
可对微控制器461进行编程以执行各种功能,诸如对刀和关节运动系统的速度和位置的精确控制。在一个方面,微控制器461包括处理器462和存储器468。电动马达482可为有刷直流(DC)马达,其具有齿轮箱以及至关节运动或刀系统的机械链路。在一个方面,马达驱动器492可为可购自Allegro微系统公司(Allegro Microsystems,Inc)的A3941。其它马达驱动器可容易地被替换以用于包括绝对定位系统的跟踪系统480中。绝对定位系统的详细描述在2017年10月19日公布的标题为用于控制外科缝合和切割器械的系统和方法(SYSTEMS AND METHODS FOR CONTROLLING A SURGICAL STAPLING AND CUTTINGINSTRUMENT)的美国专利申请公布2017/0296213中有所描述,该专利申请全文以引用方式并入本文。
微控制器461可被编程为提供对位移构件和关节运动系统的速度和位置的精确控制。微控制器461可被配置为计算微控制器461的软件中的响应。将计算的响应与实际系统的所测量响应进行比较,以获得“观察到的”响应,其用于实际反馈决定。观察到的响应为有利的调谐值,该值使所模拟响应的平滑连续性质与所测量响应均衡,这可检测对系统的外部影响。
在一个方面,马达482可由马达驱动器492控制并可被外科器械或工具的击发系统采用。在各种形式中,马达482可为具有大约25,000RPM的最大旋转速度的有刷DC驱动马达。在其它布置中,马达482可包括无刷马达、无绳马达、同步马达、步进马达或任何其它合适的电动马达。马达驱动器492可包括例如包括场效应晶体管(FET)的H桥驱动器。马达482可通过可释放地安装到柄部组件或工具外壳的功率组件来供电,以用于向外科器械或工具供应控制功率。功率组件可包括电池,该电池可以包括串联连接的、可用作功率源以为外科器械或工具提供电力的多个电池单元。在某些情况下,功率组件的电池单元可以是可替换的和/或可再充电的。在至少一个示例中,电池单元可为锂离子电池,其可耦接到功率组件并且可与功率组件分离。
驱动器492可为可购自Allegro微系统公司(Allegro Microsystems,Inc)的A3941。A3941 492为全桥控制器,其用于与针对电感负载(诸如有刷DC马达)特别设计的外部N信道功率金属氧化物半导体场效应晶体管(MOSFET)一起使用。驱动器492包括独特的电荷泵调整器,其为低至7V的电池电压提供完整的(>10V)栅极驱动并且允许A3941在低至5.5V的减小的栅极驱动下操作。可采用自举电容器来提供N信道MOSFET所需的上述电池供电电压。高边驱动装置的内部电荷泵允许直流(100%占空比)操作。可使用二极管或同步整流在快衰减模式或慢衰减模式下驱动全桥。在慢衰减模式下,电流再循环可穿过高边或低边FET。通过电阻器可调式空载时间保护功率FET不被击穿。整体诊断提供欠压、过热和功率桥故障的指示,并且可被配置为在大多数短路条件下保护功率MOSFET。其它马达驱动器可容易地被替换以用于包括绝对定位系统的跟踪系统480中。
跟踪系统480包括根据本公开的一个方面的包括位置传感器472的受控马达驱动电路布置方式。用于绝对定位系统的位置传感器472提供对应于位移构件的位置的独特位置信号。在一个方面,位移构件表示纵向可移动的驱动构件,其包括用于与齿轮减速器组件的对应驱动齿轮啮合接合的驱动齿的齿条。在其它方面,位移构件表示击发构件,该击发构件可被适配和配置为包括驱动齿的齿条。在另一方面,位移构件表示I形梁的击发杆,它们中的每一者均可被适配和配置为包括驱动齿的齿条。因此,如本文所用,术语位移构件通常用于指外科器械的任何可移动的构件诸如驱动构件、击发构件、击发杆、I形梁或可进行移位的任何元件。在一个方面,纵向可移动的驱动构件耦接到击发构件、击发杆和I形梁。因此,绝对定位系统实际上可通过跟踪纵向可移动的驱动构件的线性位移来跟踪I形梁的线性位移。在各种其它方面,位移构件可耦接到适于测量线性位移的任何位置传感器472。因此,纵向可移动驱动构件、击发构件、击发杆或I形梁或它们的组合可耦接到任何合适的线性位移传感器。线性位移传感器可包括接触式位移传感器或非接触式位移传感器。线性位移传感器可包括线性可变差分变压器(LVDT)、差分可变磁阻换能器(DVRT)、滑动电位计、包括可移动磁体和一系列线性布置的霍尔效应传感器的磁感测系统、包括固定磁体和一系列可移动的线性布置的霍尔效应传感器的磁感测系统、包括可移动光源和一系列线性布置的光电二极管或光电检测器的光学感测系统、包括固定光源和一系列可移动的线性布置的光电二极管或光电检测器的光学感测系统、或它们的任何组合。
电动马达482可包括可操作地与齿轮组件交接的可旋转轴,该齿轮组件与驱动齿的组或齿条啮合接合安装在位移构件上。传感器元件可以可操作地耦接到齿轮组件,使得位置传感器472元件的单次旋转对应于位移构件的一些线性纵向平移。传动装置和传感器的布置方式可经由齿条和小齿轮布置方式连接至线性致动器,或者经由直齿齿轮或其它连接连接至旋转致动器。功率源为绝对定位系统供电,并且输出指示器可显示绝对定位系统的输出。位移构件表示纵向可移动驱动构件,该纵向可移动驱动构件包括形成于其上的驱动齿的齿条,以用于与齿轮减速器组件的对应驱动齿轮啮合接合。位移构件表示纵向可移动的击发构件、击发杆、I形梁或它们的组合。
与位置传感器472相关联的传感器元件的单次旋转等同于位移构件的纵向线性位移d1,其中d1为在耦接到位移构件的传感器元件的单次旋转之后位移构件从点“a”移动到点“b”的纵向线性距离。可经由齿轮减速连接传感器布置方式,该齿轮减速使得位置传感器472针对位移构件的全行程仅完成一次或多次旋转。位置传感器472可针对位移构件的全行程完成多次旋转。
可单独或结合齿轮减速采用一系列开关(其中n为大于一的整数)以针对位置传感器472的多于一次旋转提供独特位置信号。开关的状态被馈送回微控制器461,该微控制器应用逻辑以确定对应于位移构件的纵向线性位移d1+d2+…dn的独特位置信号。位置传感器472的输出被提供给微控制器461。该传感器布置方式的位置传感器472可包括磁性传感器、模拟旋转传感器(如电位差计)、模拟霍尔效应元件的阵列,该霍尔效应元件的阵列输出位置信号或值的独特组合。
位置传感器472可包括任何数量的磁性感测元件,诸如例如根据它们是否测量磁场的总磁场或矢量分量而被分类的磁性传感器。用于产生上述两种类型磁性传感器的技术涵盖物理学和电子学的多个方面。用于磁场感测的技术包括探查线圈、磁通门、光泵、核旋、超导量子干涉仪(SQUID)、霍尔效应、各向异性磁电阻、巨磁电阻、磁性隧道结、巨磁阻抗、磁致伸缩/压电复合材料、磁敏二极管、磁敏晶体管、光纤、磁光,以及基于微机电系统的磁性传感器等等。
在一个方面,用于包括绝对定位系统的跟踪系统480的位置传感器472包括磁性旋转绝对定位系统。位置传感器472可被实现为AS5055EQFT单片磁性旋转位置传感器,其可购自奥地利微电子公司(Austria Microsystems,AG)。位置传感器472与微控制器461交接,以提供绝对定位系统。位置传感器472为低电压和低功率部件,并且包括位于磁体上的位置传感器472的区域中的四个霍尔效应元件。在芯片上还提供了高分辨率ADC和智能功率管理控制器。提供了坐标旋转数字计算机(CORDIC)处理器(也被称为逐位法和Volder算法)以执行简单有效的算法来计算双曲线函数和三角函数,其仅需要加法、减法、数位位移和表格查找操作。角位置、报警位和磁场信息通过标准串行通信接口(诸如串行外围接口(SPI)接口)发射到微控制器461。位置传感器472提供12或14位分辨率。位置传感器472可以是以小QFN 16引脚4×4×0.85mm封装提供的AS5055芯片。
包括绝对定位系统的跟踪系统480可包括并且/或者可被编程以实现反馈控制器,诸如PID、状态反馈和自适应控制器。功率源将来自反馈控制器的信号转换为对系统的物理输入:在这种情况下为电压。其它示例包括电压、电流和力的PWM。除了由位置传感器472所测量的位置之外,可提供(一个或多个)其它传感器来测量物理系统的物理参数。在一些方面,(一个或多个)其它传感器可包括传感器布置方式,诸如在2016年5月24日发布的标题为钉仓组织厚度传感器系统(STAPLE CARTRIDGE TISSUE THICKNESS)的美国专利9,345,481中所述的那些,该专利全文以引用方式并入本文;2014年9月18日公布的标题为钉仓组织厚度传感器系统(STAPLE CARTRIDGE TISSUE THICKNESS)的美国专利申请公布2014/0263552,该专利全文以引用方式并入本文;以及2017年6月20日提交的标题为用于外科缝合和切割器械的马达速度的自适应控制的技术(TECHNIQUES FOR ADAPTIVE CONTROL OFMOTOR VELOCITY OF A SURGICAL STAPLING AND CUTTING INSTRUMENT)的美国专利申请序列号15/628,175,该专利申请全文以引用方式并入本文。在数字信号处理系统中,绝对定位系统耦接到数字数据采集系统,其中绝对定位系统的输出将具有有限分辨率和采样频率。绝对定位系统可包括比较和组合电路,以使用算法(诸如加权平均和理论控制环路)将计算响应与测量响应进行组合,该算法驱动计算响应朝向所测量的响应。物理系统的计算响应将特性如质量、惯性、粘性摩擦、电感电阻考虑在内,以通过得知输入预测物理系统的状态和输出。
因此,绝对定位系统在器械上电时提供位移构件的绝对位置,并且不使位移构件回缩或推进至如常规旋转编码器可需要的复位(清零或本位)位置,这些编码器仅对马达482采取的向前或向后的步骤数进行计数以推断装置致动器、驱动棒、刀等等的位置。
传感器474(诸如,例如应变仪或微应变仪)被配置为测量端部执行器的一个或多个参数,诸如例如在夹持操作期间施加在砧座上的应变的振幅,该振幅可以指示施加到砧座的闭合力。将测得的应变转换成数字信号并将其提供给处理器462。另选地或除了传感器474之外,传感器476(诸如例如负荷传感器)可以测量由闭合驱动系统施加到砧座的闭合力。诸如例如负荷传感器的传感器476可以测量在外科系统器械或工具的击发行程中施加到I形梁的击发力。I形梁被配置成能够接合楔形滑动件,该楔形滑动件被配置成能够使钉驱动器向上凸轮运动以将钉推出以与砧座变形接触。I形梁还包括锋利切割刃,当通过击发杆向远侧推进I形梁时,该切割刃可用于切断组织。另选地,可以采用电流传感器478来测量由马达482消耗的电流。推进击发构件所需的力可对应于例如由马达482消耗的电流。将测得的力转换成数字信号并将其提供给处理器462。
在一种形式中,应变仪传感器474可用于测量由端部执行器施加到组织的力。应变计可联接到端部执行器以测量被端部执行器处理的组织上的力。用于测量施加到由端部执行器抓握的组织的力的系统包括应变仪传感器474,诸如例如微应变仪,其被配置为测量例如端部执行器的一个或多个参数。在一个方面,应变仪传感器474可测量在夹持操作期间施加到端部执行器的钳口构件上的应变的振幅或量值,这可指示组织压缩。将测得的应变转换成数字信号并将其提供到微控制器461的处理器462。负载传感器476可测量用于操作刀元件例如以切割被捕获在砧座和钉仓之间的组织的力。可采用磁场传感器来测量捕集的组织的厚度。磁场传感器的测量值也可被转换成数字信号并提供给处理器462。
微控制器461可使用分别由传感器474、476测量的组织压缩、组织厚度和/或闭合端部执行器所需的力的测量来表征击发构件的所选择的位置和/或击发构件的速度的对应值。在一个实例中,存储器468可存储可由微控制器461在评估中所采用的技术、公式和/或查找表。
外科器械或工具的控制系统470还可包括有线或无线通信电路以与模块化通信集线器通信,如图8-11中所示。
图13示出了控制电路500,该控制电路500被配置为控制根据本公开的一个方面的外科器械或工具的各方面。控制电路500可被配置为实现本文所述的各种过程。控制电路500可以包括微控制器,该微控制器包括耦接到至少一个存储器电路504的一个或多个处理器502(例如,微处理器、微控制器)。存储器电路504存储在由处理器502执行时使处理器502执行机器指令以实现本文所述的各种过程的机器可执行指令。处理器502可为本领域中已知的多种单核或多核处理器中的任一种。存储器电路504可包括易失性存储介质和非易失性存储介质。处理器502可包括指令处理单元506和运算单元508。指令处理单元可被配置为从本公开的存储器电路504接收指令。
图14示出了组合逻辑电路510,该组合逻辑电路510被配置为控制根据本公开的一个方面的外科器械或工具的各方面。组合逻辑电路510可被配置为实现本文所述的各种过程。组合逻辑电路510可包括有限状态机,该有限状态机包括组合逻辑512,该组合逻辑512被配置为在输入514处接收与外科器械或工具相关联的数据,通过组合逻辑512处理数据并提供输出516。
图15示出了根据本公开的一个方面的被配置为控制外科器械或工具的各个方面的时序逻辑电路520。时序逻辑电路520或组合逻辑522可被配置为实现本文所述的各种过程。时序逻辑电路520可包括有限状态机。时序逻辑电路520可包括例如组合逻辑522、至少一个存储器电路524和时钟529。所述至少一个存储器电路524可以存储有限状态机的当前状态。在某些情况下,时序逻辑电路520可以是同步的或异步的。组合逻辑522被配置为从输入526接收与外科器械或工具相关联的数据,通过组合逻辑522处理数据并提供输出528。在其它方面,电路可包括处理器(例如,处理器502,图13)和有限状态机的组合以实现本文的各种过程。在其它实施方案中,有限状态机可以包括组合逻辑电路(例如,组合逻辑电路510,图14)和时序逻辑电路520的组合。
图16示出了包括可被激活以执行各种功能的多个马达的外科器械或工具。在某些情况下,第一马达可被激活以执行第一功能,第二马达可被激活以执行第二功能,并且第三马达可被激活以执行第三功能。在某些情况下,机器人外科器械600的多个马达可被单独地激活以导致端部执行器中的击发运动、闭合运动、和/或关节运动。击发运动、闭合运动、和/或关节运动可例如通过轴组件发射到端部执行器。
在某些情况下,外科器械系统或工具可包括击发马达602。击发马达602可以可操作地耦接到击发马达驱动组件604,该击发马达驱动组件可被配置为将由马达602生成的击发运动发射到端部执行器,具体地用于移置I形梁元件。在某些情况下,由马达602生成的击发运动可导致例如钉从钉仓部署到由端部执行器捕获的组织内并且/或者导致I形梁元件的切割刃被推进以切割所捕获组织。I形梁元件可通过反转马达602的方向而回缩。
在某些情况下,外科器械或工具可包括闭合马达603。闭合马达603可以可操作地耦接到闭合马达驱动组件605,该闭合马达驱动组件605被配置为将由马达603生成的闭合运动发射到端部执行器,具体地用于移置闭合管以闭合砧座并且压缩砧座和钉仓之间的组织。闭合运动可使例如端部执行器从打开配置转变成接近配置以捕获组织。端部执行器可通过反转马达603的方向而转变到打开位置。
在某些情况下,外科器械或工具可包括例如一个或多个关节运动马达606a、606b。马达606a、606b可以可操作地耦接到相应的关节运动马达驱动组件608a、608b,该关节运动马达驱动组件可被配置为将由马达606a、606b生成的关节运动发射到端部执行器。在某些情况下,关节运动可使端部执行器相对于轴进行关节运动,例如。
如上所述,外科器械或工具可包括多个马达,该多个马达可被配置为执行各种独立功能。在某些情况下,外科器械或工具的多个马达可被单独地或独立地激活以执行一个或多个功能,而其它马达保持非活动的。例如,关节运动马达606a、606b可被激活以使端部执行器进行关节运动,而击发马达602保持非活动的。另选地,击发马达602可被激活以击发多个钉并且/或者推进切割边缘,而关节运动马达606保持非活动的。此外,闭合马达603可与击发马达602同时启动,以使闭合管和I形梁元件朝远侧推进,如下文更详细地描述。
在某些情况下,外科器械或工具可包括公共控制模块610,该公共控制模块610可与外科器械或工具的多个马达一起使用。在某些情况下,公共控制模块610每次可调节多个马达中的一个。例如,公共控制模块610可单独地耦接到外科器械的多个马达并且可从外科器械的多个马达分离。在某些情况下,外科器械或工具的多个马达可共用一个或多个公共控制模块诸如公共控制模块610。在某些情况下,外科器械或工具的多个马达可独立地和选择性地接合公共控制模块610。在某些情况下,公共控制模块610可从与外科器械或工具的多个马达中的一个交接切换到与外科器械或工具的多个马达中的另一个交接。
在至少一个示例中,公共控制模块610可在可操作地接合关节运动马达606a、606b与可操作地接合击发马达602或闭合马达603之间选择性地切换。在至少一个示例中,如图16中所示,开关614可在多个位置和/或状态之间移动或转变。在第一位置616中,开关614可以将公共控制模块610电耦接到击发马达602;在第二位置617中,开关614可以将公共控制模块610电耦接到闭合马达603;在第三位置618a中,开关614可以将公共控制模块610电耦接到第一关节运动马达606a;并且在第四位置618b中,开关614可以将公共控制模块610电耦接到例如第二关节运动马达606b。在某些情况下,单独的公共控制模块610可同时电耦接到击发马达602、闭合马达603和关节运动马达606a、606b。在某些情况下,开关614可为机械开关、机电开关、固态开关、或任何合适的开关机构。
马达602、603、606a、606b中的每个可包括扭矩传感器以测量马达的轴上的输出扭矩。可以任何常规方式感测端部执行器上的力,诸如通过钳口的外侧上的力传感器或通过用于致动钳口的马达的扭矩传感器来感测端部执行器上的力。
在各种情况下,如图16中所示,公共控制模块610可包括马达驱动器626,该马达驱动器626可包括一个或多个H桥场效应FET。马达驱动器626可例如基于得自微控制器620(“控制器”)的输入来调节从功率源628发射到耦接到公共控制模块610的马达的电力。在某些情况下,当马达耦接到公共控制模块610时,可例如采用微控制器620来确定由马达消耗的电流,如上所述。
在某些情况下,微控制器620可包括微处理器622(“处理器”)和一个或多个非暂态计算机可读介质或存储单元624(“存储器”)。在某些情况下,存储器624可存储各种程序指令,这些程序指令在被执行时可使处理器622执行本文所述的多个功能和/或计算。在某些情况下,存储器单元624中的一个或多个可例如耦接到处理器622。
在某些情况下,功率源628可例如用于为微控制器620供电。在某些情况下,功率源628可包括电池(或者“电池组”或“功率组”),诸如锂离子电池,例如。在某些情况下,电池组可被配置为可释放地安装到柄部以用于给外科器械600供电。可将多个串联连接的电池单元用作功率源628。在某些情况下,功率源628可为例如可替换的和/或可再充电的。
在各种情况下,处理器622可控制马达驱动器626以控制耦接到公共控制器610的马达的位置、旋转方向、和/或速度。在某些情况下,处理器622可发信号通知马达驱动器626,以停止和/或停用耦接到公共控制器610的马达。应当理解,如本文所用的术语“处理器”包括任何合适的微处理器、微控制器、或将计算机的中央处理单元(CPU)的功能结合在一个集成电路或至多几个集成电路上的其它基础计算装置。处理器是多用途的可编程装置,该装置接收数字数据作为输入,根据其存储器中存储的指令来处理输入,然后提供结果作为输出。因为处理器具有内部存储器,所以是顺序数字逻辑的示例。处理器的操作对象是以二进制数字系统表示的数字和符号。
在一个实例中,处理器622可为任何单核或多核处理器,诸如已知的由德克萨斯器械公司(Texas Instruments)生产的商品名为ARM Cortex的那些。在某些情况下,微控制器620例如可以是可从德克萨斯器械公司(Texas Instruments)购得的LM 4F230H5QR。在至少一个示例中,Texas Instruments LM4F230H5QR为ARM Cortex-M4F处理器芯,其包括:256KB的单循环闪存或其它非易失性存储器(最多至40MHZ)的片上存储器、用于改善40MHz以上的性能的预取缓冲器、32KB的单循环SRAM、装载有Stellaris软件的内部ROM、2KB的EEPROM、一个或多个PWM模块、一个或多个QEI模拟、具有12个模拟输入信道的一个或多个12位ADC、以及易得的其它特征。可容易地换用其它微控制器,以与模块4410一起使用。因此,本公开不应限于这一上下文。
在某些情况下,存储器624可包括用于控制可耦接到公共控制器610的外科器械600的马达中的每个的程序指令。例如,存储器624可包括用于控制击发马达602、闭合马达603和关节运动马达606a、606b的程序指令。此类程序指令可使得处理器622根据来自外科器械或工具的算法或控制程序的输入来控制击发、闭合和关节运动功能。
在某些情况下,一个或多个机构和/或传感器(诸如例如传感器630)可用于警示处理器622应当在特定设置中使用的程序指令。例如,传感器630可警示处理器622使用与击发、闭合和关节运动端部执行器相关联的程序指令。在某些情况下,传感器630可包括例如可用于感测开关614的位置的位置传感器。因此,处理器622可以在例如通过传感器630检测到开关614处于第一位置616时使用与击发端部执行器的I形梁相关联的程序指令;处理器622可以在例如通过传感器630检测到开关614处于第二位置617时使用与闭合砧座相关联的程序指令;并且处理器622可以在例如通过传感器630检测到开关614处于第三位置618a或第四位置618b时使用与使端部执行器进行关节运动相关联的程序指令。
图17是根据本公开的一个方面的被配置为操作本文所述的外科工具的机器人外科器械700的示意图。机器人外科器械700可被编程或配置为控制位移构件的远侧/近侧平移、闭合管的远侧/近侧位移、轴旋转、以及具有单个或多个关节运动驱动连杆的关节运动。在一个方面,外科器械700可被编程或配置为单独地控制击发构件、闭合构件、轴构件和/或一个或多个关节运动构件。外科器械700包括控制电路710,该控制电路被配置为控制马达驱动的击发构件、闭合构件、轴构件和/或一个或多个关节运动构件。
在一个方面,机器人外科器械700包括控制电路710,该控制电路被配置为经由多个马达704a-704e控制端部执行器702的砧座716和I形梁714(包括锋利切割刃)部分、可移除钉仓718、轴740以及一个或多个关节运动构件742a、742b。位置传感器734可被配置为向控制电路710提供I形梁714的位置反馈。其它传感器738可被配置为向控制电路710提供反馈。定时器/计数器731向控制电路710提供定时和计数信息。可提供能量源712以操作马达704a-704e,并且电流传感器736向控制电路710提供马达电流反馈。马达704a-704e可通过控制电路710在开环或闭环反馈控制中单独操作。
在一个方面,控制电路710可包括用于执行使得一个或多个处理器执行一个或多个任务的指令的一个或多个微控制器、微处理器或其它合适的处理器。在一个方面,定时器/计数器731向控制电路710提供输出信号,诸如耗用时间或数字计数,以将如由位置传感器734确定的I形梁714的位置与定时器/计数器731的输出相关联,使得控制电路710可确定I形梁714在相对于起始位置的特定时间(t)或I形梁714处于相对于起始位置的特定位置时的时间(t)处的位置。定时器/计数器731可被配置为测量所耗用的时间、计数外部事件或时间外部事件。
在一个方面,控制电路710可被编程为基于一个或多个组织条件来控制端部执行器702的功能。控制电路710可被编程为直接或间接地感测组织条件,诸如厚度,如本文所述。控制电路710可被编程为基于组织条件选择击发控制程序或闭合控制程序。击发控制程序可以描述位移构件的远侧运动。可以选择不同的击发控制程序以更好地处理不同的组织状况。例如,当存在较厚的组织时,控制电路710可被编程为以较低的速度和/或以较低的功率平移位移构件。当存在较薄的组织时,控制电路710可被编程为以较高的速度和/或以较高的功率平移位移构件。闭合控制程序可以控制由砧座716施加到组织的闭合力。其它控制程序控制轴740和关节运动构件742a、742b的旋转。
在一个方面,控制电路710可生成马达设定点信号。马达设定点信号可以被提供给各种马达控制器708a-708e。马达控制器708a-708e可以包括一个或多个电路,这些电路被配置为向马达704a-704e提供马达驱动信号,以驱动马达704a-704e,如本文所述。在一些示例中,马达704a-704e可为有刷DC电动马达。例如,马达704a-704e的速度可与相应的马达驱动信号成比例。在一些示例中,马达704a-704e可为无刷DC马达,并且相应的马达驱动信号可包括提供给马达704a-704e的一个或多个定子绕组的PWM信号。而且,在一些示例中,可以省略马达控制器708a-708e,并且控制电路710可以直接生成马达驱动信号。
在一些示例中,控制电路710可以针对位移构件的行程的第一开环部分初始以开环配置操作马达704a-704e中的每个。基于在行程的开环部分期间机器人外科器械700的响应,控制电路710可以选择处于闭环配置的击发控制程序。器械的响应可以包括在开环部分期间位移构件的平移距离、在开环部分期间耗用的时间、在开环部分期间提供给马达704a-704e中的一者的能量、马达驱动信号的脉冲宽度之和等。在开环部分之后,控制电路710可以对位移构件行程的第二部分实现所选择的击发控制程序。例如,在行程的闭环部分期间,控制电路710可以基于以闭环方式描述位移构件的位置的平移数据来调制马达704a-704e中的一者,以使位移构件以恒定速度平移。
在一个方面,马达704a-704e可从能量源712接收电力。能量源712可为由主交流功率源、电池、超级电容器或任何其它合适的能量源驱动的DC功率源。马达704a-704e可经由相应的变速器706a-706e机械耦接到各个可移动机械元件,诸如I形梁714、砧座716、轴740、关节运动742a和关节运动742b。变速器706a-706e可以包括一个或多个齿轮或其它连杆部件,以将马达704a-704e耦接到可移动机械元件。位置传感器734可感测I形梁714的位置。位置传感器734可以是或包括能够生成指示I形梁714的位置的位置数据的任何类型的传感器。在一些示例中,位置传感器734可包括编码器,该编码器被配置为在I形梁714朝远侧和朝近侧平移时向控制电路710提供一系列脉冲。控制电路710可跟踪脉冲以确定I形梁714的位置。可使用其它合适的位置传感器,包括例如接近传感器。其它类型的位置传感器可提供指示I形梁714的运动的其它信号。而且,在一些示例中,可省略位置传感器734。在马达704a-704e中的任一个是步进马达的情况下,控制电路710可通过聚合马达704已被指示执行的步骤的数量和方向来跟踪I形梁714的位置。位置传感器734可位于端部执行器702中或器械的任何其它部分处。马达704a-704e中的每个的输出包括用于感测力的扭矩传感器744a-744e,并且具有用于感测驱动轴的旋转的编码器。
在一个方面,控制电路710被配置为驱动击发构件诸如端部执行器702的I形梁714部分。控制电路710向马达控制708a提供马达设定点,该马达控制向马达704a提供驱动信号。马达704a的输出轴耦接到扭矩传感器744a。扭矩传感器744a耦接到变速器706a,该变速器耦接到I形梁714。变速器706a包括可移动的机械元件诸如旋转元件和击发构件,以控制I形梁714沿端部执行器702的纵向轴线朝远侧和朝近侧的移动。在一个方面,马达704a可耦接到刀齿轮组件,该刀齿轮组件包括刀齿轮减速组,该刀齿轮减速组包括第一刀驱动齿轮和第二刀驱动齿轮。扭矩传感器744a向控制电路710提供击发力反馈信号。击发力信号表示击发或移置I形梁714所需的力。位置传感器734可被配置为将I形梁714沿击发行程的位置或击发构件的位置作为反馈信号提供给控制电路710。端部执行器702可包括被配置为向控制电路710提供反馈信号的附加传感器738。当准备好使用时,控制电路710可向马达控制708a提供击发信号。响应于击发信号,马达704a可沿端部执行器702的纵向轴线将击发构件从近侧行程开始位置朝远侧驱动至行程开始位置远侧的行程结束位置。在击发构件朝远侧平移时,具有定位在远侧端部处的切割元件的I形梁714朝远侧推进以切割位于钉仓718和砧座716之间的组织。
在一个方面,控制电路710被配置为驱动闭合构件,诸如端部执行器702的砧座716部分。控制电路710向马达控制708b提供马达设定点,该马达控制708b向马达704b提供驱动信号。马达704b的输出轴耦接到扭矩传感器744b。扭矩传感器744b耦接到变速器706b,该变速器耦接到砧座716。变速器706b包括可移动机械元件诸如旋转元件和闭合构件,以控制砧座716从打开位置和闭合位置的移动。在一个方面,马达704b耦接到闭合齿轮组件,该闭合齿轮组件包括被支撑成与闭合正齿轮啮合接合的闭合减速齿轮组。扭矩传感器744b向控制电路710提供闭合力反馈信号。闭合力反馈信号表示施加到砧座716的闭合力。位置传感器734可被配置为将闭合构件的位置作为反馈信号提供给控制电路710。端部执行器702中的附加传感器738可向控制电路710提供闭合力反馈信号。可枢转砧座716与钉仓718相对地定位。当准备好使用时,控制电路710可向马达控制708b提供闭合信号。响应于闭合信号,马达704b推进闭合构件以将组织抓持在砧座716和钉仓718之间。
在一个方面,控制电路710被配置为使轴构件诸如轴740旋转,以使端部执行器702旋转。控制电路710向马达控制708c提供马达设定点,该马达控制708c向马达704c提供驱动信号。马达704c的输出轴耦接到扭矩传感器744c。扭矩传感器744c耦接到耦接到轴740的变速器706c。变速器706c包括可移动机械元件诸如旋转元件,以控制轴740顺时针或逆时针旋转360°以上。在一个方面,马达704c耦接到旋转变速器组件,该旋转变速器组件包括管齿轮区段,该管齿轮区段形成于(或附接到)近侧闭合管的近侧端部上,以通过可操作地支撑在工具安装板上的旋转齿轮组件可操作地接合。扭矩传感器744c向控制电路710提供旋转力反馈信号。旋转力反馈信号表示施加到轴740上的旋转力。位置传感器734可被配置为将闭合构件的位置作为反馈信号提供给控制电路710。附加的传感器738诸如轴编码器可向控制电路710提供轴740的旋转位置。
在一个方面,控制电路710被配置为使端部执行器702进行关节运动。控制电路710向马达控制708d提供马达设定点,该马达控制708d向马达704d提供驱动信号。马达704d的输出耦接到扭矩传感器744d。扭矩传感器744d耦接到耦接到关节运动构件742a的变速器706d。变速器706d包括可移动的机械元件诸如关节运动元件,以控制端部执行器702±65°的关节运动。在一个方面,马达704d耦接到关节运动螺母,该关节运动螺母可旋转地轴颈连接在远侧脊部的近侧端部部分上并且通过关节运动齿轮组件在其上可旋转地驱动。扭矩传感器744d向控制电路710提供关节运动力反馈信号。关节运动力反馈信号表示施加到端部执行器702的关节运动力。传感器738(诸如关节运动编码器)可向控制电路710提供端部执行器702的关节运动位置。
在另一方面,机器人外科系统700的关节运动功能可包括两个关节运动构件或连杆742a、742b。这些铰接构件742a、742b由被两个马达708d、708e驱动的机器人接口(齿条)上的单独的盘驱动。当提供单独的击发马达704a时,关节运动连杆742a、742b中的每个可相对于另一个连杆进行拮抗驱动,以便在头部未运动时向头部提供阻力保持运动和负载,并且在头部进行关节运动时提供关节运动。当头部旋转时,关节运动构件742a、742b以固定的半径附接到头部。因此,当头部旋转时,推拉连杆的机械优点发生变化。机械优点的该变化对于其它关节运动连杆驱动系统可更明显。
在一个方面,一个或多个马达704a-704e可包括具有齿轮箱的有刷DC马达和与击发构件、闭合构件或关节运动构件的机械链路。另一个示例包括操作可移动机械元件诸如位移构件、关节运动连杆、闭合管和轴的电动马达704a-704e。外部影响是事物如组织、周围身体和摩擦对物理系统的未测量的、不可预测的影响。此类外部影响可被称为曳力,其相对电动马达704a-704e中的一个作用。外部影响诸如曳力可导致物理系统的操作偏离物理系统的期望操作。
在一个方面,位置传感器734可被实现为绝对定位系统。在一个方面,位置传感器734可包括磁性旋转绝对定位系统,该磁性旋转绝对定位系统被实现为购自奥地利微电子公司(Austria Microsystems,AG)的AS5055EQFT单片磁性旋转位置传感器。位置传感器734可与控制电路710交接,以提供绝对定位系统。位置可包括位于磁体上方并耦接到CORDIC处理器的霍尔效应元件,该CORDIC处理器也被已知为逐位方法和Volder算法,提供该CORDIC处理器以实现用于计算双曲线函数和三角函数的简单有效的算法,双曲线函数和三角函数仅需要加法操作、减法操作、数位位移操作和表格查找操作。
在一个方面,控制电路710可与一个或多个传感器738通信。传感器738可定位在端部执行器702上并且适于与机器人外科器械700一起操作以测量各种衍生参数,诸如间隙距离对时间、组织压缩与时间、以及砧座应变与时间。传感器738可包括磁性传感器、磁场传感器、应变仪、负荷传感器、压力传感器、力传感器、扭矩传感器、电感式传感器诸如涡流传感器、电阻式传感器、电容式传感器、光学传感器和/或用于测量端部执行器702的一个或多个参数的任何其它合适的传感器。传感器738可包括一个或多个传感器。传感器738可位于钉仓718平台上,以使用分段电极来确定组织位置。扭矩传感器744a-744e可被配置为感测力诸如击发力、闭合力和/或关节运动力等。因此,控制电路710可感测(1)远侧闭合管所经历的闭合负荷及其位置,(2)在齿条处的击发构件及其位置,(3)钉仓718在其上具有组织的部分,以及(4)两个关节运动杆上的负荷和位置。
在一个方面,一个或多个传感器738可包括应变仪,诸如微应变仪,其被配置为在夹持条件期间测量砧座716中的应变的量值。应变仪提供电信号,该电信号的振幅随着应变量值而变化。传感器738可包括压力传感器,该压力传感器被配置为检测由砧座716和钉仓718之间的压缩组织的存在所生成的压力。传感器738可被配置为检测位于砧座716与钉仓718之间的组织区段的阻抗,该阻抗指示位于其间的组织的厚度和/或完整性。
在一个方面,传感器738可实现为一个或多个限位开关、机电装置、固态开关、霍尔效应装置、磁阻(MR)装置、巨磁电阻(GMR)装置、磁力计等等。在其它具体实施中,传感器738可被实现为在光的影响下操作的固态开关,诸如光学传感器、IR传感器、紫外线传感器等等。同样,开关可为固态装置,诸如晶体管(例如,FET、结型FET、MOSFET、双极型晶体管等)。在其它具体实施中,传感器738可包括无电导体开关、超声开关、加速度计和惯性传感器等等。
在一个方面,传感器738可被配置为测量由闭合驱动系统施加在砧座716上的力。例如,一个或多个传感器738可位于闭合管和砧座716之间的交互点处,以检测由闭合管施加到砧座716的闭合力。施加在砧座716上的力可表示在砧座716和钉仓718之间捕集的组织区段所经受的组织压缩。一个或多个传感器738可沿闭合驱动系统定位在各种交互点处,以检测由闭合驱动系统施加到砧座716的闭合力。一个或多个传感器738可在夹持操作期间由控制电路710的处理器实时取样。控制电路710接收实时样本测量值以提供和分析基于时间的信息,并实时评估施加到砧座716的闭合力。
在一个方面,电流传感器736可用于测量由马达704a-704e中的每个所消耗的电流。推进可移动的机械元件中的任一者诸如I形梁714所需的力对应于由马达704a-704e中的一个所消耗的电流。将力转换成数字信号并将其提供给控制电路710。控制电路710可被配置为模拟器械的实际系统在控制器的软件中的响应。可致动位移构件以将端部执行器702中的I形梁714以目标速度或接近目标速度移动。机器人外科系统700可包括反馈控制器,该反馈控制器可为任何反馈控制器中的一者,包括但不限于例如PID、状态反馈、线性平方(LQR)和/或自适应控制器。机器人外科器械700可包括功率源,以例如将来自反馈控制器的信号转换成物理输入,诸如外壳电压、PWM电压、频率调制电压、电流、扭矩和/或力。附加细节公开于2017年6月29日提交的标题为用于机器人外科器械的闭环速度控制技术(CLOSED LOOP VELOCITY CONTROL TECHNIQUES FOR ROBOTIC SURGICAL INSTRUMENT)的美国专利申请序列号15/636,829中,该专利全文以引用方式并入本文。
图18示出根据本公开的一个方面的被编程为控制位移构件的远侧平移的外科器械750的框图。在一个方面,外科器械750被编程为控制位移构件诸如I形梁764的远侧平移。外科器械750包括端部执行器752,该端部执行器可包括砧座766、I形梁764(包括锋利切割刃)和可移除钉仓768。
线性位移构件诸如I形梁764的位置、移动、位移和/或平移可通过绝对定位系统、传感器布置和位置传感器784来测量。由于I形梁764耦接到纵向可移动的驱动构件,因此I形梁764的位置可通过采用位置传感器784测量纵向可移动的驱动构件的位置来确定。因此,在以下描述中,I形梁764的位置、位移和/或平移可通过如本文所述的位置传感器784来实现。控制电路760可被编程为控制位移构件诸如I形梁764的平移。在一些示例中,控制电路760可包括一个或多个微控制器、微处理器或其它合适的处理器,以用于执行使一个或多个处理器以所述方式控制位移构件(例如,I形梁764)的指令。在一个方面,定时器/计数器781向控制电路760提供输出信号,诸如耗用时间或数字计数,以将如由位置传感器784确定的I形梁764的位置与定时器/计数器781的输出相关联,使得控制电路760可确定I形梁764在特定时间(t)处相对于起始位置的位置。定时器/计数器781可被配置为测量耗用时间、计数外部事件或时间外部事件。
控制电路760可生成马达设定点信号772。马达设定点信号772可被提供给马达控制器758。马达控制器758可包括一个或多个电路,所述一个或多个电路被配置为向马达754提供马达驱动信号774,以驱动马达754,如本文所述。在一些示例中,马达754可为有刷DC电动马达。例如,马达754的速度可与马达驱动信号774成比例。在一些示例中,马达754可为无刷DC电动马达,并且马达驱动信号774可以包括提供给马达754的一个或多个定子绕组的PWM信号。而且,在一些示例中,可以省略马达控制器758,并且控制电路760可以直接生成马达驱动信号774。
马达754可从能量源762处接收电力。能量源762可以是或包括电池、超级电容器或任何其它合适的能量源。马达754可经由变速器756机械耦接到I形梁764。变速器756可包括一个或多个齿轮或其它连杆部件,以将马达754耦接到I形梁764。位置传感器784可感测I形梁764的位置。位置传感器784可以是或包括能够生成指示I形梁764的位置的位置数据的任何类型的传感器。在一些示例中,位置传感器784可包括编码器,该编码器被配置为在I形梁764朝远侧和朝近侧平移时向控制电路760提供一系列脉冲。控制电路760可跟踪脉冲以确定I形梁764的位置。可使用其它合适的位置传感器,包括例如接近传感器。其它类型的位置传感器可提供指示I形梁764的运动的其它信号。而且,在一些示例中,可省略位置传感器784。在马达754是步进马达的情况下,控制电路760可通过聚合马达754已被指示执行的步骤的数量和方向来跟踪I形梁764的位置。位置传感器784可位于端部执行器752中或器械的任何其它部分处。
控制电路760可与一个或多个传感器788通信。传感器788可定位在端部执行器752上并且适于与外科器械750一起操作以测量各种衍生参数,诸如间隙距离与时间、组织压缩与时间、以及砧座应变与时间。传感器788可包括例如磁性传感器、磁场传感器、应变仪、压力传感器、力传感器、电感式传感器诸如涡流传感器、电阻式传感器、电容式传感器、光学传感器和/或用于测量端部执行器752的一个或多个参数的任何其它合适的传感器。传感器788可包括一个或多个传感器。
一个或多个传感器788可包括应变仪,诸如微应变仪,其被配置为在夹持条件期间测量砧座766中的应变的量值。应变仪提供电信号,该电信号的振幅随着应变量值而变化。传感器788可包括压力传感器,该压力传感器被配置为检测由砧座766和钉仓768之间的压缩组织的存在所生成的压力。传感器788可被配置为检测位于砧座766与钉仓768之间的组织区段的阻抗,该阻抗指示位于其间的组织的厚度和/或完整性。
传感器788可被配置为测量由闭合驱动系统施加在砧座766上的力。例如,一个或多个传感器788可位于闭合管和砧座766之间的交互点处,以检测由闭合管施加到砧座766的闭合力。施加在砧座766上的力可表示在砧座766和钉仓768之间捕集的组织区段所经受的组织压缩。一个或多个传感器788可沿闭合驱动系统定位在各种交互点处,以检测由闭合驱动系统施加到砧座766的闭合力。一个或多个传感器788可在夹持操作期间由控制电路760的处理器实时取样。控制电路760接收实时样本测量值以提供和分析基于时间的信息,并实时评估施加到砧座766的闭合力。
电流传感器786可用于测量由马达754所消耗的电流。推进I形梁764所需的力对应于例如由马达754消耗的电流。将力转换成数字信号并将其提供给控制电路760。
控制电路760可被配置为模拟器械的实际系统在控制器的软件中的响应。可致动位移构件以将端部执行器752中的I形梁764以目标速度或接近目标速度移动。外科器械750可包括反馈控制器,该反馈控制器可为任何反馈控制器中的一者,包括但不限于例如PID、状态反馈、LQR和/或自适应控制器。外科器械750可包括功率源,以例如将来自反馈控制器的信号转换为物理输入,诸如外壳电压、PWM电压、频率调制电压、电流、扭矩和/或力。
外科器械750的实际驱动系统被配置为通过具有齿轮箱和与关节运动和/或刀系统的机械链路的有刷DC马达来驱动位移构件、切割构件或I形梁764。另一示例为操作例如可互换轴组件的位移构件和关节运动驱动器的电动马达754。外部影响是事物如组织、周围身体和摩擦对物理系统的未测量的、不可预测的影响。这种外部影响可被称为曳力,它与电动马达754相对作用。外部影响诸如曳力可导致物理系统的操作偏离物理系统的期望操作。
各种示例性方面涉及外科器械750,该外科器械包括具有马达驱动的外科缝合和切割工具的端部执行器752。例如,马达754可沿着端部执行器752的纵向轴线朝远侧和朝近侧驱动位移构件。端部执行器752可包括可枢转砧座766,并且当被配置用于使用时,钉仓768与砧座766相对定位。临床医生可将组织抓持在砧座766和钉仓768之间,如本文所述。当准备好使用器械750时,临床医生可例如通过按下器械750的触发器来提供击发信号。响应于击发信号,马达754可沿着端部执行器752的纵向轴线将位移构件从近侧行程开始位置朝远侧驱动到行程开始位置远侧的行程结束位置。当位移构件朝远侧平移时,具有定位在远侧端部处的切割元件的I形梁764可切割钉仓768和砧座766之间的组织。
在各种示例中,外科器械750可包括控制电路760,该控制电路被编程为例如基于一个或多个组织状况来控制位移构件诸如I形梁764的远侧平移。控制电路760可被编程为直接或间接地感测组织状况,诸如厚度,如本文所述。控制电路760可被编程为基于组织状况选择击发控制程序。击发控制程序可以描述位移构件的远侧运动。可以选择不同的击发控制程序以更好地处理不同的组织状况。例如,当存在较厚的组织时,控制电路760可被编程为以较低的速度和/或以较低的功率平移位移构件。当存在较薄的组织时,控制电路760可被编程为以较高的速度和/或以较高的功率平移位移构件。
在一些示例中,控制电路760可以针对位移构件的行程的第一开环部分初始以开环配置来操作马达754。基于在行程的开环部分期间器械750的响应,控制电路760可选择击发控制程序。器械的响应可包括在开环部分期间位移构件的平移距离、在开环部分期间耗用的时间、在开环部分期间提供给马达754的能量、马达驱动信号的脉冲宽度之和等。在开环部分之后,控制电路760可以对位移构件行程的第二部分实现所选择的击发控制程序。例如,在行程的闭环部分期间,控制电路760可以基于以闭环方式描述位移构件的位置的平移数据来调制马达754,以使位移构件以恒定速度平移。附加细节公开于2017年9月29日提交的标题为用于控制外科器械的显示器的系统和方法(SYSTEM AND METHODS FORCONTROLLING A DISPLAY OF A SURGICAL INSTRUMENT)的美国专利申请序列号15/720,852中,该专利申请全文以引用方式并入本文。
图19是根据本公开的一个方面的被配置为控制各个功能的外科器械790的示意图。在一个方面,外科器械790被编程为控制位移构件诸如I形梁764的远侧平移。外科器械790包括端部执行器792,该端部执行器可包括砧座766、I形梁764和可移除钉仓768,该可移除钉仓可以与RF仓796(以虚线示出)互换。
在一个方面,传感器788可被实现为限位开关、机电装置、固态开关、霍尔效应装置、MR装置、GMR装置、磁力计等等。在其它具体实施中,传感器638可被实现为在光的影响下操作的固态开关,诸如光学传感器、IR传感器、紫外线传感器等等。同样,开关可为固态装置,诸如晶体管(例如,FET、结型FET、MOSFET、双极型晶体管等)。在其它具体实施中,传感器788可包括无电导体开关、超声开关、加速度计和惯性传感器等等。
在一个方面,位置传感器784可被实现为绝对定位系统,包括被实现为购自奥地利微电子公司(Austria Microsystems,AG)的AS5055EQFT单片磁性旋转位置传感器的磁性旋转绝对定位系统。位置传感器784可与控制电路760交接,以提供绝对定位系统。位置可包括位于磁体上方并耦接到CORDIC处理器的霍尔效应元件,该CORDIC处理器也被已知为逐位方法和Volder算法,提供该CORDIC处理器以实现用于计算双曲线函数和三角函数的简单有效的算法,双曲线函数和三角函数仅需要加法操作、减法操作、数位位移操作和表格查找操作。
在一个方面,I形梁764可被实现为包括刀主体的刀构件,该刀主体将组织切割刀片可操作地支撑在其上,并且该I形梁还可包括砧座接合突片或特征部和通道接合特征部或基座。在一个方面,钉仓768可被实现为标准(机械)外科紧固件仓。在一个方面,RF仓796可被实现为RF仓。这些和其它传感器布置在2017年6月20日提交的标题为用于外科缝合和切割器械的马达速度自适应控制的技术(TECHNIQUES FOR ADAPTIVE CONTROL OF MOTORVELOCITY OF A SURGICAL STAPLING AND CUTTING INSTRUMENT)的共同拥有的美国专利申请序列号15/628,175中有所描述,该专利申请全文以引用方式并入本文。
线性位移构件诸如I形梁764的位置、移动、位移和/或平移可通过绝对定位系统、传感器布置和表示为位置传感器784的位置传感器来测量。由于I形梁764耦接到纵向可移动的驱动构件,因此I形梁764的位置可通过采用位置传感器784测量纵向可移动的驱动构件的位置来确定。因此,在以下描述中,I形梁764的位置、位移和/或平移可通过如本文所述的位置传感器784来实现。控制电路760可被编程为控制位移构件诸如I形梁764的平移,如本文所述。在一些示例中,控制电路760可包括一个或多个微控制器、微处理器或其它合适的处理器,以用于执行使一个或多个处理器以所述方式控制位移构件(例如,I形梁764)的指令。在一个方面,定时器/计数器781向控制电路760提供输出信号,诸如耗用时间或数字计数,以将如由位置传感器784确定的I形梁764的位置与定时器/计数器781的输出相关联,使得控制电路760可确定I形梁764在特定时间(t)处相对于起始位置的位置。定时器/计数器781可被配置为测量耗用时间、计数外部事件或时间外部事件。
控制电路760可生成马达设定点信号772。马达设定点信号772可被提供给马达控制器758。马达控制器758可包括一个或多个电路,所述一个或多个电路被配置为向马达754提供马达驱动信号774,以驱动马达754,如本文所述。在一些示例中,马达754可为有刷DC电动马达。例如,马达754的速度可与马达驱动信号774成比例。在一些示例中,马达754可为无刷DC电动马达,并且马达驱动信号774可以包括提供给马达754的一个或多个定子绕组的PWM信号。而且,在一些示例中,可以省略马达控制器758,并且控制电路760可以直接生成马达驱动信号774。
马达754可从能量源762处接收电力。能量源762可以是或包括电池、超级电容器或任何其它合适的能量源。马达754可经由变速器756机械耦接到I形梁764。变速器756可包括一个或多个齿轮或其它连杆部件,以将马达754耦接到I形梁764。位置传感器784可感测I形梁764的位置。位置传感器784可以是或包括能够生成指示I形梁764的位置的位置数据的任何类型的传感器。在一些示例中,位置传感器784可包括编码器,该编码器被配置为在I形梁764朝远侧和朝近侧平移时向控制电路760提供一系列脉冲。控制电路760可跟踪脉冲以确定I形梁764的位置。可使用其它合适的位置传感器,包括例如接近传感器。其它类型的位置传感器可提供指示I形梁764的运动的其它信号。而且,在一些示例中,可省略位置传感器784。在马达754是步进马达的情况下,控制电路760可通过聚合马达已被指示执行的步骤的数量和方向来跟踪I形梁764的位置。位置传感器784可位于端部执行器792中或器械的任何其它部分处。
控制电路760可与一个或多个传感器788通信。传感器788可定位在端部执行器792上并且适于与外科器械790一起操作以测量各种衍生参数,诸如间隙距离与时间、组织压缩与时间、以及砧座应变与时间。传感器788可包括例如磁性传感器、磁场传感器、应变仪、压力传感器、力传感器、电感式传感器诸如涡流传感器、电阻式传感器、电容式传感器、光学传感器和/或用于测量端部执行器792的一个或多个参数的任何其它合适的传感器。传感器788可包括一个或多个传感器。
一个或多个传感器788可包括应变仪,诸如微应变仪,其被配置为在夹持条件期间测量砧座766中的应变的量值。应变仪提供电信号,该电信号的振幅随着应变量值而变化。传感器788可包括压力传感器,该压力传感器被配置为检测由砧座766和钉仓768之间的压缩组织的存在所生成的压力。传感器788可被配置为检测位于砧座766与钉仓768之间的组织区段的阻抗,该阻抗指示位于其间的组织的厚度和/或完整性。
传感器788可被配置为测量由闭合驱动系统施加在砧座766上的力。例如,一个或多个传感器788可位于闭合管和砧座766之间的交互点处,以检测由闭合管施加到砧座766的闭合力。施加在砧座766上的力可表示在砧座766和钉仓768之间捕集的组织区段所经受的组织压缩。一个或多个传感器788可沿闭合驱动系统定位在各种交互点处,以检测由闭合驱动系统施加到砧座766的闭合力。一个或多个传感器788可在夹持操作期间由控制电路760的处理器部分实时取样。控制电路760接收实时样本测量值以提供和分析基于时间的信息,并实时评估施加到砧座766的闭合力。
电流传感器786可用于测量由马达754所消耗的电流。推进I形梁764所需的力对应于例如由马达754消耗的电流。将力转换成数字信号并将其提供给控制电路760。
当RF仓796代替钉仓768被装载在端部执行器792中时,RF能量源794耦接到端部执行器792并且被施加到RF仓796。控制电路760控制RF能量向RF仓796的递送。
附加细节公开于2017年6月28日提交的美国专利申请序列号15/636,096,其标题为可与钉仓和射频仓耦接的外科系统及其使用方法(SURGICAL SYSTEM COUPLABLE WITHSTAPLE CARTRIDGE AND RADIO FREQUENCY CARTRIDGE,AND METHOD OF USING SAME),该专利全文以引用方式并入本文。
发生器硬件
图20是被配置为提供无电感器调谐等等益处的发生器800的简化框图。发生器800的其它细节在2015年6月23日公布的标题为用于超声和电外科装置的外科发生器(SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES,)的美国专利9,060,775中有所描述,该专利全文以引用方式并入本文。发生器800可包括患者隔离级802,该患者隔离级经由电力变压器806与非隔离级804通信。电力变压器806的次级绕组808包含在隔离级802中,并且可包括分接配置(例如,中心分接或非中心分接配置)以限定驱动信号输出810a、810b、810c,所述驱动信号输出用于将驱动信号递送至不同的外科器械,诸如例如超声外科器械、RF电外科器械和包括可单独或同时递送的超声能量模式和RF能量模式的多功能外科器械。具体而言,驱动信号输出810a、810c可将超声驱动信号(例如,420V均方根(RMS)驱动信号)输出至超声外科装置,并且驱动信号输出810b、810c可将RF电外科驱动信号(例如,100V RMS驱动信号)输出至RF电外科器械,其中驱动信号输出810b对应于电力变压器806的中心分接头。
在某些形式中,超声驱动信号和电外科驱动信号可同时提供至不同的外科器械和/或具有将超声能和电外科能两者传递至组织的能力的单个外科器械,诸如多功能外科器械。应当理解,提供给专用电外科器械和/或组合的多功能超声/电外科器械的电外科信号可以是治疗水平或亚治疗水平信号,其中亚治疗信号可用于例如监测组织或器械状况并向发生器提供反馈。例如,超声信号和RF信号可从具有单个输出端口的发生器单独或同时递送,以便向外科器械提供期望的输出信号,如将在下文更详细地讨论。因此,发生器可组合超声能量和电外科RF能量并且将组合的能量递送到多功能超声/电外科器械。双极电极可被放置在端部执行器的一个或两个钳口上。除了电外科RF能量之外,一个钳口可由超声能量同时驱动。超声能量可用于解剖组织,而电外科RF能量可用于脉管密封。
非隔离级804可包括功率放大器812,该功率放大器具有连接到电力变压器806的初级绕组814的输出。在某些形式中,功率放大器812可包括推挽放大器。例如,非隔离级804还可包括逻辑装置816,该逻辑装置用于向数模转换器(DAC)电路818供应数字输出,而该DAC电路继而将对应的模拟信号供应至功率放大器812的输入。在某些形式中,除其它逻辑电路之外,逻辑装置816可包括例如可编程门阵列(PGA)、FPGA、可编程逻辑装置(PLD)。因此,通过DAC电路818控制功率放大器812的输入,逻辑装置816可控制在驱动信号输出810a、810b、810c处出现的驱动信号的多个参数(例如,频率、波形形状、波形振幅)中的任一个。在某些形式中,如下所述,逻辑装置816结合处理器(例如,以下所述的DSP)可实现多个基于DSP的算法和/或其它控制算法,以控制发生器800所输出的驱动信号的参数。
可通过开关模式调整器820诸如功率转换器将功率供应至功率放大器812的功率轨。在某些形式中,开关模式调整器820可包括例如可调式降压调整器。例如,非隔离级804还可包括第一处理器822,在一种形式中,所述第一处理器可包括DSP处理器,诸如购自美国马萨诸塞州诺伍德的亚德诺半导体公司(Analog Devices,Norwood,MA)的Analog DevicesADSP-21469SHARC DSP,但可在各种形式中采用任何合适的处理器。在某些形式中,DSP处理器822可响应于由DSP处理器822经由ADC电路824从功率放大器812接收的电压反馈数据来控制对开关模式调整器820的操作。在一种形式中,例如,DSP处理器822可经由ADC电路824接收由功率放大器812放大的信号(例如,RF信号)的波形包络作为输入。随后,DSP处理器822可控制开关模式调整器820(例如,经由PWM输出),使得被提供至功率放大器812的干线电压跟踪经放大信号的波形包络。通过基于波形包络以动态方式调制功率放大器812的干线电压,功率放大器812的效率可相对于固定干线电压放大器方案显著提高。
在某些形式中,逻辑装置816结合DSP处理器822可实现数字合成电路诸如直接数字合成器控制方案,以控制发生器800所输出驱动信号的波形形状、频率和/或振幅。在一种形式中,例如逻辑装置816可通过召回存储于动态更新的查找表(LUT)(诸如RAM LUT)中的波形样本来实现DDS控制算法,所述动态更新的查找表可被嵌入FPGA中。该控制算法尤其可用于如下超声应用,其中超声换能器诸如超声换能器可由其谐振频率下的纯正弦式电流驱动。因为其它频率可激发寄生谐振,因此最小化或降低动态支路电流的总失真可相应地最小化或降低不利的谐振效应。因为发生器800所输出的驱动信号的波形形状受输出驱动电路(例如,电力变压器806、功率放大器812)中所存在的各种畸变源的影响,所以基于驱动信号的电压和电流反馈数据可被输入至算法(诸如由DSP处理器822实现的误差控制算法)中,所述算法通过适当地以动态行进方式(例如,实时)使存储于LUT中的波形样本预先畸变或修改来补偿畸变。在一种形式中,对LUT样本所施加的预先畸变量或程度可根据所计算的动态支路电流与期望的电流波形形状之间的误差而定,其中所述误差可基于逐一样本确定。以该方式,预先失真的LUT样本在通过驱动电路进行处理时,可使动态支路驱动信号具有所期望的波形形状(例如,正弦形状),以最佳地驱动超声换能器。因此,在此类形式中,当考虑到畸变效应时,LUT波形样本将不呈现驱动信号的期望波形形状,而是呈现要求最终产生动态支路驱动信号的期望波形形状的波形形状。
非隔离级804还可包括第一ADC电路826和第二ADC电路828,所述ADC电路经由相应的隔离变压器830、832耦接到电力变压器806的输出,以分别用于对由发生器800输出的驱动信号的电压和电流进行采样。在某些形式中,ADC电路826、828可被配置为以高速采样(例如,80兆次采样/秒(MSPS)),以使得能够对驱动信号进行过采样。在一种形式中,例如,ADC电路826、828的采样速度可实现驱动信号的约200x(根据频率而定)的过采样。在某些形式中,可通过令单个ADC电流经由二路式多路复用器接收输入电压和电流信号来执行ADC电路826、828的采样操作。通过在发生器800的形式中使用高速采样,可实现对流过动态支路的复杂电流的计算(这在某些形式中可用于实现上述基于DDS的波形形状控制)、对采样信号进行准确的数字滤波以及以高精度计算实际功耗等等。ADC电路826、828所输出的电压和电流反馈数据可由逻辑装置816接收及处理(例如,先入先出(FIFO)缓冲器、多路复用器)并被存储于数据存储器中,以供例如DSP处理器822后续取回。如上所述,电压和电流反馈数据可用作算法的输入用于以动态行进方式使LUT波形样本预先失真或修改。在某些形式中,当采集到电压和电流反馈数据对时,可能需要基于由逻辑装置816输出的对应LUT样本或换句话讲与所述对应LUT样本相关联,为每个所存储的电压和电流反馈数据对进行编索引。以此方式使LUT样本和电压和电流反馈数据同步有助于预失真算法的准确计时和稳定性。
在某些形式中,可使用电压和电流反馈数据来控制驱动信号的频率和/或振幅(例如,电流振幅)。在一种形式中,例如,可使用电压和电流反馈数据来确定阻抗相位。随后,可控制驱动信号的频率以最小化或减小所确定阻抗相位与阻抗相位设定点(例如,0°)之间的差值,从而最小化或减小谐波畸变的影响,并相应地提高阻抗相位测量精确度。相位阻抗和频率控制信号的确定可在DSP处理器822中实现,例如,其中频率控制信号作为输入被提供至逻辑装置816所实现的DDS控制算法。
在另一形式中,例如可监视电流反馈数据,以便将驱动信号的电流振幅保持在电流振幅设定点。电流振幅设定点可被直接指定或基于特定的电压振幅和功率设定点而间接地确定。在某些方面,可通过DSP处理器822中的控制算法(诸如例如比例积分微分(PID)控制算法)来实现对电流振幅的控制。控制算法为了适当控制驱动信号的电流振幅而控制的变量可包括例如:存储在逻辑装置816中的LUT波形样本的定标和/或经由DAC电路834的DAC电路818(其为功率放大器812提供输入)的满标度输出电压。
非隔离级804还可包括第二处理器836,以用于提供用户界面(UI)功能等等。在一种形式中,UI处理器836可包括例如购自美国加利福尼亚州圣何塞的阿特梅尔公司(AtmelCorporation,San Jose,California)的具有ARM 926EJ-S核心的Atmel AT91SAM9263处理器。UI处理器836所支持的UI功能的示例可包括听觉和视觉用户反馈、与外围装置(例如,经由USB接口)的通信、与脚踏开关的通信、与输入装置(例如,触摸屏显示器)的通信以及与输出装置(例如,扬声器)的通信。UI处理器836可与DSP处理器822和逻辑装置816(例如,经由SPI总线)通信。尽管UI处理器836可主要支持UI功能,然而在某些形式中,其也可与DSP处理器822配合以减缓风险。例如,UI处理器836可被编程为监测用户输入和/或其它输入(例如,触摸屏输入、脚踏开关输入、温度传感器输入)的各个方面,并且当检测到错误状况时停用发生器800的驱动输出。
在某些形式中,DSP处理器822与UI处理器836两者例如可确定并监测发生器800的操作状态。对于DSP处理器822,发生器800的操作状态可指示例如DSP处理器822实现哪些控制和/或诊断过程。对于UI处理器836,发生器800的操作状态可指示例如UI的哪些元素(例如,显示屏、声音)可呈现给用户。相应的DSP处理器822和UI处理器836可独立地保持发生器800的当前操作状态并识别和评估当前操作状态的可能转变。DSP处理器822可用作此关系中的主体并确定何时会发生操作状态间的转变。UI处理器836可注意到操作状态间的有效转变并可证实特定的转变是否适当。例如,当DSP处理器822命令UI处理器836转变至特定状态时,UI处理器836可验证所要求的转变是有效的。如果UI处理器836确定所请求的状态间转变是无效的,则UI处理器836可使发生器800进入故障模式。
非隔离级804还可包括控制器838,以用于监测输入装置(例如,用于接通和断开发生器800的电容式触摸传感器、电容式触摸屏)。在某些形式中,控制器838可包括至少一个处理器和/或与UI处理器836通信的其它控制装置。在一种形式中,例如,控制器838可包括处理器(例如,购自阿特梅尔公司(Atmel)的Meg168 8位控制器),该处理器被配置为监测经由一个或多个电容式触摸传感器提供的用户输入。在一种形式中,控制器838可包括触摸屏控制器(例如,购自阿特梅尔公司(Atmel)的QT5480触摸屏控制器),以控制和管理从电容式触摸屏对触摸数据的采集。
在某些形式中,当发生器800处于“功率关”状态时,控制器838可继续接收操作功率(例如,经由来自发生器800的功率源的线,诸如以下所述的功率源854)。以此方式,控制器838可继续监测输入装置(例如,位于发生器800的前面板上的电容式触摸传感器),以接通和断开发生器800。当发生器800处于功率关状态时,如果检测到用户激活“接通/断开”输入装置,则控制器838可环形功率源(例如,启用功率源854的一个或多个DC/DC电压转换器856的操作)。控制器838可因此开始使发生器800转变至“功率开”状态的序列。相反,当发生器800处于功率开状态时,如果检测到“接通/断开”输入装置的激活,则控制器838可开始使发生器800转变至功率关状态的序列。在某些形式中,例如,控制器838可向UI处理器836报告“接通/断开”输入装置的激活,该处理器继而实现所需的过程序列以使发生器800转变至功率关状态。在此类形式中,控制器838可能不具有在建立起功率开状态之后从发生器800去除功率的独立能力。
在某些形式中,控制器838可使发生器800提供听觉或其它感观反馈,以警示用户功率开或功率关序列已开始。可在功率开或功率关序列开始时以及在与序列相关联的其它过程开始之前提供此类警示。
在某些形式中,隔离级802可包括器械接口电路840,例如以在外科器械的控制电路(例如,包括手持件开关的控制电路)与非隔离级804的部件(诸如例如,逻辑装置816、DSP处理器822和/或UI处理器836)之间提供通信接口。器械接口电路840可经由保持隔离级802和非隔离级804之间的合适的电隔离程度的通信链路(诸如例如,基于IR的通信链路)与非隔离级804的部件交换信息。可使用例如由隔离变压器供电的低压差电压调整器为器械接口电路840供应电力,该低压差电压调整器从非隔离级804被驱动。
在一种形式中,器械接口电路840可包括与信号调节电路844通信的逻辑电路842(例如,逻辑电路、可编程逻辑电路、PGA、FPGA、PLD)。信号调节电路844可被配置为从逻辑电路842接收周期性信号(例如,2kHz方波),以生成具有相同频率的双极性询问信号。例如,可使用由差分放大器馈送的双极电流源生成询问信号。询问信号可传送至外科器械控制电路(例如,通过使用将发生器800连接到外科器械的缆线中的导电对)并被监测,以确定控制电路的状态或配置。控制电路可包括多个开关、电阻器和/或二极管,以修改询问信号的一个或多个特性(例如,振幅、整流),使得可基于所述一个或多个特性唯一地辨别控制电路的状态或配置。在一种形式中,例如,信号调节电路844可包括ADC电路,以用于产生由于询问信号通过控制电路而出现在控制电路输入中的电压信号的样本。随后,逻辑电路842(或非隔离级804的部件)可基于ADC电路样本来确定控制电路的状态或配置。
在一种形式中,器械接口电路840可包括第一数据电路接口846,以实现逻辑电路842(或器械接口电路840的其它元件)与设置于外科器械中的或换句话讲与外科器械相关联的第一数据电路之间的信息交换。在某些形式中,例如,第一数据电路可设置于整体地附接到外科器械手持件的缆线中,或设置于用于使特定的外科器械类型或模型与发生器800交接的适配器中。第一数据电路可以任何合适的方式实现,并且可根据包括例如本文关于第一数据电路所述的任何合适的协议与发生器通信。在某些形式中,第一数据电路可包括非易失性存储装置,诸如EEPROM装置。在某些形式中,第一数据电路接口846可独立于逻辑电路842实现,并且包括合适的电路系统(例如,分立的逻辑装置、处理器),以实现逻辑电路842和第一数据电路之间的通信。在其它形式中,第一数据电路接口846可与逻辑装置842成一体。
在某些形式中,第一数据电路可存储与相关联的特定外科器械相关的信息。此类信息可包括例如型号、序列号、其中已使用外科器械的多个操作、和/或任何其它类型的信息。这种信息可被器械接口电路840(例如,通过逻辑电路842)读取,被传输至非隔离级804的部件(例如,传输至逻辑装置816、DSP处理器822和/或UI处理器836),以经由输出装置呈现给用户和/或控制发生器800的功能或操作。另外,任何类型的信息均可经由第一数据电路接口846(例如,使用逻辑电路842)传送至第一数据电路以存储于其中。此类信息可包括例如其中使用外科器械的操作的更新数目和/或其使用的日期和/或时间。
如先前所讨论,外科器械可从手持件拆卸(例如,多功能外科器械可从手持件拆卸),以促进器械可互换性和/或可处置性。在此类情形中,常规发生器的识别所使用特定器械构型和相应地优化控制和诊断过程的能力可受限。然而,从兼容性角度来看,通过对外科器械添加可读数据电路来解决这一点是有问题的。例如,将外科器械设计为保持与缺少必备数据读取功能的发生器的向后兼容可能由于例如不同的信号方案、设计复杂性和成本而不切实际。本文所述器械的形式通过使用数据电路来解决这些问题,所述数据电路可经济地实现于现有外科器械中并具有最小的设计变化,以保持外科器械与电流发生器平台的兼容性。
另外,发生器800的形式可实现与基于器械的数据电路的通信。例如,发生器800可被配置为与包含在器械(例如,多功能外科器械)中的第二数据电路通信。在一些形式中,第二数据电路可以类似于本文所述的第一数据电路的方式实现。器械接口电路840可包括用于实现该通信的第二数据电路接口848。在一种形式中,第二数据电路接口848可包括三态数字接口,但也可以使用其它接口。在某些形式中,第二数据电路通常可为用于传输和/或接收数据的任何电路。在一种形式中,例如第二数据电路可存储与相关联的特定外科器械相关的信息。此类信息可包括例如型号、序列号、其中已使用外科器械的多个操作、和/或任何其它类型的信息。
在一些形式中,第二数据电路可存储关于相关联的超声换能器、端部执行器或超声驱动系统的电性能和/或超声性能的信息。例如,第一数据电路可指示老化频率斜率,如本文所述。除此之外或另选地,任何类型的信息均可经由第二数据电路接口848(例如,使用逻辑电路842)传送至第二数据电路以存储于其中。此类信息例如可包括其中使用外科器械的操作的更新数目和/或其使用的日期和/或时间。在某些形式中,第二数据电路可传输由一个或多个传感器(例如,基于器械的温度传感器)采集的数据。在某些形式中,第二数据电路可从发生器800接收数据并基于所接收的数据向用户提供指示(例如,发光二极管指示或其它可视指示)。
在某些形式中,第二数据电路和第二数据电路接口848可被配置为使得可实现逻辑电路842与第二数据电路之间的通信,而无需为此提供附加导体(例如,将手持件连接至发生器800的缆线的专用导体)。在一种形式中,例如,可使用实现于现有缆线上的单总线通信方案(诸如用于将询问信号从信号调节电路844发射至手持件中的控制电路的导体中的一者)将信息传送至第二数据电路并从第二数据电路传送信息。以此方式,可最小化或减少原本可能必要的外科器械的设计变化或修改。此外,因为在共用物理通道上实现的不同类型的通信可以是频带分离的,所以第二数据电路的存在对于不具有必备数据读取功能的发生器而言可为“隐形的”,因此能够实现外科器械的向后兼容性。
在某些形式中,隔离级802可包括至少一个阻挡电容器850-1,所述至少一个阻挡电容器连接到驱动信号输出件810b以阻止DC电流流向患者。例如,可要求信号阻挡电容器符合医疗规则或标准。尽管相对而言单电容器设计中很少出现错误,然而此类错误可造成不良后果。在一种形式中,可设置有与阻挡电容器850-1串联的第二阻挡电容器850-2,其中例如通过ADC电路852来监视从阻挡电容器850-1与850-2之间的点发生的电流泄漏,以对泄漏电流所感应的电压进行采样。这些样本可由例如逻辑电路842接收。基于泄漏电流的变化(如电压样本所示),发生器800可以确定阻挡电容器850-1、850-2中的至少一个何时发生故障,从而比具有单个故障点的单电容器设计更具优势。
在某些形式中,非隔离级804可包括功率源854,以用于在合适的电压和电流下递送DC功率。功率源可包括例如400W的功率源,以用于递送48VDC的系统电压。功率源854还可包括一个或多个DC/DC电压转换器856,以用于接收功率源的输出,以在发生器800的各个部件所需的电压和电流下产生DC输出。如上文结合控制器838所述,当控制器838检测到用户激活“接通/断开”输入装置以启用DC/DC电压转换器856的操作或唤醒DC/DC电压转换器时,DC/DC电压转换器856中的一个或多个可从控制器838接收输入。
图21示出了发生器900的示例,该发生器是发生器800(图20)的一种形式。发生器900被配置为将多个能量模态递送至外科器械。发生器900提供用于独立地或同时将能量递送至外科器械的RF信号和超声信号。RF信号和超声信号可单独或组合提供,并且可同时提供。如上所述,至少一个发生器输出可通过单个端口递送多种能量模态(例如,超声、双极或单极RF、不可逆和/或可逆电穿孔和/或微波能量等等),并且这些信号可分开或同时被递送到端部执行器以处理组织。
发生器900包括耦接到波形发生器904的处理器902。处理器902和波形发生器904被配置为基于存储在耦接到处理器902的存储器中的信息来生成各种信号波形,为了本公开清楚起见而未示出该存储器。与波形相关联的数字信息被提供给波形发生器904,该波形发生器904包括一个或多个DAC电路以将数字输入转换成模拟输出。模拟输出被馈送到放大器1106用于信号调节和放大。放大器906的经调节和放大的输出耦接到电力变压器908。信号通过电力变压器908耦接到患者隔离侧中的次级侧。第一能量模态的第一信号被提供给被标记为ENERGY1和RETURN的端子之间的外科器械。第二能量模态的第二信号耦接到电容器910两端并被提供给被标记为ENERGY2和RETURN的端子之间的外科器械。应当理解,可输出超过两种能量模态,并且因此下标“n”可被用来指定可提供多至n个ENERGYn端子,其中n是大于1的正整数。还应当理解,在不脱离本公开的范围的情况下,可提供多至“n”个返回路径RETURNn。
第一电压感测电路912耦接到被标记为ENERGY1和RETURN路径的端子的两端,以测量其间的输出电压。第二电压感测电路924耦接到被标记为ENERGY2和RETURN路径的端子的两端,以测量其间的输出电压。如图所示,电流感测电路914与电力变压器908的次级侧的RETURN支路串联设置,以测量任一能量模态的输出电流。如果为每种能量模态提供不同的返回路径,则应在每个返回支路中提供单独的电流感测电路。第一电压感测电路912和第二电压感测电路924的输出被提供给相应的隔离变压器916、922,并且电流感测电路914的输出被提供给另一隔离变压器918。电力变压器908(非患者隔离侧)的初级侧上的隔离变压器916、928、922的输出被提供给一个或多个ADC电路926。ADC电路926的数字化输出被提供给处理器902用于进一步处理和计算。可采用输出电压和输出电流反馈信息来调整提供给外科器械的输出电压和电流,并且计算输出阻抗等参数。处理器902和患者隔离电路之间的输入/输出通信通过接口电路920提供。传感器也可通过接口920与处理器902电气通信。
在一个方面,阻抗可由处理器902通过将耦接在被标记为ENERGY1/RETURN的端子两端的第一电压感测电路912或耦接在被标记为ENERGY2/RETURN的端子两端的第二电压感测电路924的输出除以与电力变压器908的次级侧的RETURN支路串联设置的电流感测电路914的输出来确定。第一电压感测电路912和第二电压感测电路924的输出被提供给单独的隔离变压器916、922,并且电流感测电路914的输出被提供给另一隔离变压器916。来自ADC电路926的数字化电压和电流感测测量值被提供给处理器902以用于计算阻抗。例如,第一能量模态ENERGY1可以是超声能量,并且第二能量模态ENERGY2可以是RF能量。然而,除了超声和双极或单极RF能量模态之外,其它能量模态还包括不可逆和/或可逆电穿孔和/或微波能量等。而且,虽然图21所示的示例示出了可为两种或更多种能量模态提供单个返回路径RETURN,但在其它方面,可为每种能量模态ENERGYn提供多个返回路径RETURNn。因此,如本文所述,超声换能器阻抗可通过将第一电压感测电路912的输出除以电流感测电路914的输出来测量,并且组织阻抗可通过将第二电压感测电路924的输出除以电流感测电路914的输出来测量。
如图21中所示,包括至少一个输出端口的发生器900可包括具有单个输出和多个分接头的电力变压器908,以例如根据正在执行的组织处理类型以一种或多种能量模态(诸如超声、双极或单极RF、不可逆和/或可逆电穿孔和/或微波能量等等)的形式向端部执行器提供功率。例如,发生器900可用较高电压和较低电流递送能量以驱动超声换能器,用较低电压和较高电流递送能量以驱动RF电极以用于密封组织,或者用凝固波形递送能量以用于使用单极或双极RF电外科电极。来自发生器900的输出波形可被操纵、切换或滤波,以向外科器械的端部执行器提供频率。超声换能器与发生器900输出端的连接将优选地位于被标记为ENERGY1和RETURN的输出端之间,如图21所示。在一个示例中,RF双极电极与发生器900输出端的连接将优选地位于被标记为ENERGY2和RETURN的输出端之间。在单极输出的情况下,优选的连接将是ENERGY2输出端的有源电极(例如,笔或其他探头)以及连接至RETURN输出端的合适的返回垫。
附加细节公开于2017年3月30日公布的标题为用于操作用于数字地生成电信号波形的发生器和外壳器械的技术(TECHNIQUES FOR OPERATING GENERATOR FOR DIGITALLYGENERATING ELECTRICAL SIGNAL WAVEFORMS AND SURGICAL INSTRUMENTS)的美国专利申请公布2017/0086914中,该专利申请全文以引用方式并入本文。
如本说明书通篇所用,术语“无线”及其衍生物可用于描述可通过使用经调制的电磁辐射通过非固体介质来传送数据的电路、装置、系统、方法、技术、通信信道等。该术语并不意味着相关联的组织不包含任何电线,尽管在一些方面它们可能不包含。通信模块可实现多种无线或有线通信标准或协议中的任一种,包括但不限于Wi-Fi(IEEE 802.11系列)、WiMAX(IEEE 802.16系列)、IEEE 802.20、长期演进(LTE)、Ev-DO、HSPA+、HSDPA+、HSUPA+、EDGE、GSM、GPRS、CDMA、TDMA、DECT、蓝牙、及其以太网衍生物、以及被指定为3G、4G、5G和以上的任何其它无线和有线协议计算模块可包括多个通信模块。例如,第一通信模块可专用于较短距离的无线通信诸如Wi-Fi和蓝牙,并且第二通信模块可专用于较长距离的无线通信诸如GPS、EDGE、GPRS、CDMA、WiMAX、LTE、Ev-DO等。
如本文所用,处理器或处理单元是对一些外部数据源(通常为存储器或一些其它数据流)执行操作的电子电路。本文所用术语是指组合多个专门的“处理器”的一个或多个系统(尤其是片上系统(SoC))中的中央处理器(中央处理单元)。
如本文所用,片上系统或芯片上系统(SoC或SOC)为集成了计算机或其它电子系统的所有部件的集成电路(也被称为“IC”或“芯片”)。它可以包含数字、模拟、混合信号以及通常射频功能—全部在单个基板上。SoC将微控制器(或微处理器)与高级外围装置如图形处理单元(GPU)、Wi-Fi模块或协处理器集成。SoC可以包含或可不包含内置存储器。
如本文所用,微控制器或控制器为将微处理器与外围电路和存储器集成的系统。微控制器(或微控制器单元的MCU)可被实现为单个集成电路上的小型计算机。其可类似于SoC;SoC可包括作为其部件之一的微控制器。微控制器可包含一个或多个核心处理单元(CPU)以及存储器和可编程输入/输出外围装置。以铁电RAM、NOR闪存或OTP ROM形式的程序存储器以及少量RAM也经常包括在芯片上。与个人计算机或由各种分立芯片组成的其它通用应用中使用的微处理器相比,微控制器可用于嵌入式应用。
如本文所用,术语控制器或微控制器可为与外围装置交接的独立式IC或芯片装置。这可为计算机的两个部件或用于管理该装置的操作(以及与该装置的连接)的外部装置上的控制器之间的链路。
如本文所述的处理器或微控制器中的任一者可为任何单核或多核处理器,诸如由德克萨斯器械公司(Texas Instruments)提供的商品名为ARM Cortex的那些。在一个方面,处理器可为例如购自德克萨斯器械公司(Texas Instruments)的LM4F230H5QR ARMCortex-M4F处理器内核,其包括:256KB的单循环闪存或其它非易失性存储器(最多至40MHZ)的片上存储器、用于使性能改善超过40MHz的预取缓冲器、32KB的单循环串行随机存取存储器(SRAM)、装载有Stellaris软件的内部只读存储器(ROM)、2KB的电可擦除可编程只读存储器(EEPROM)、一个或多个脉宽调制(PWM)模块、一个或多个正交编码器输入(QEI)模拟、具有12个模拟输入信道的一个或多个12位模数转换器(ADC)、以及易得的其它特征。
在一个示例中,处理器可包括安全控制器,该安全控制器包括两个基于控制器的系列,诸如同样由德克萨斯器械公司(Texas Instruments)提供的商品名为Hercules ARMCortex R4的TMS570和RM4x。安全控制器可被配置为专门用于IEC 61508和ISO 26262安全关键应用等等,以提供先进的集成安全特征结构,同时递送可定标的性能、连接性和存储器选项。
模块化装置包括可容纳在外科集线器内的模块(如结合图3和图9所述)和外科装置或器械,该外科装置或器械可连接到各种模块以便与对应的外科集线器连接或配对。模块化装置包括例如智能外科器械、医疗成像装置、抽吸/冲洗装置、排烟器、能量发生器、呼吸机、吹入器和显示器。本文所述的模块化装置可通过控制算法来控制。控制算法可在模块化装置自身上、在与特定模块化装置配对的外科集线器上或在模块化装置和外科集线器两者上执行(例如,经由分布式计算架构)。在一些示例中,模块化装置的控制算法基于由模块化装置自身感测到的数据来控制装置(即,通过模块化设备之中、之上或连接到模块化装置的传感器)。该数据可与正在手术的患者(例如,组织特性或吹入压力)或模块化装置本身相关(例如,刀被推进的速率、马达电流或能量水平)。例如,外科缝合和切割器械的控制算法可根据刀在其前进时遇到的阻力来控制器械的马达驱动其刀穿过组织的速率。
态势感知
态势感知是外科系统的一些方面通过从数据库和/或器械接收的数据确定或推断与外科规程有关的信息的能力。所述信息可包括所进行的规程的类型、进行手术的组织的类型或作为规程对象的体腔。利用与外科规程有关的背景信息,外科系统可以例如改善其控制与其连接的模块化装置(例如,机械臂和/或机器人外科工具)以及在外科规程期间向外科医生提供背景信息或建议的方式。
现在参见图49,该图示出了描绘集线器诸如外科集线器106或206的态势感知的时间轴5200。时间轴5200是说明性的外科规程以及外科集线器106、206可以从外科规程中每个步骤从数据源接收的数据导出的背景信息。时间轴5200描绘了护士、外科医生和其它医疗人员在肺段切除规程期间将采取的典型步骤,从建立手术室开始到将患者转移到术后恢复室为止。
态势感知外科集线器106、206在整个外科规程过程中从数据源接收数据,包括每次医疗人员利用与外科集线器106、206配对的模块化装置时生成的数据。外科集线器106、206可从配对的模块化装置和其它数据源接收该数据,并且在接收新数据时不断导出关于正在进行的规程的推论(即,背景信息),诸如在任何给定时间执行规程的哪个步骤。外科集线器106、206的态势感知系统能够例如记录与用于生成报告的过程相关的数据,验证医务人员正在采取的步骤,提供可能与特定过程步骤相关的数据或提示(例如,经由显示屏),基于背景调节模块化装置(例如,激活监测器,调节医学成像装置的视场(FOV),或者改变超声外科器械或RF电外科器械的能量水平),以及采取上述任何其它此类动作。
作为该示例性规程中的第一步5202,医院工作人员从医院的EMR数据库中检索患者的电子病历(EMR)。基于EMR中的选择的患者数据,外科集线器106、206确定待执行的规程是胸腔规程。
第二步5204,工作人员扫描用于规程的进入的医疗用品。外科集线器106、206与在各种类型的规程中使用的用品列表交叉引用扫描的用品,并确认供应的混合物对应于胸腔规程。另外,外科集线器106、206还能够确定规程不是楔形规程(因为进入的用品缺乏胸腔楔形规程所需的某些用品,或者在其它方面不对应于胸腔楔形规程)。
第三步5206,医疗人员经由可通信地连接到外科毂集线器106、206的扫描器来扫描患者带。然后,外科集线器106、206可基于所扫描的数据来确认患者的身份。
第四步5208,医务工作人员打开辅助设备。所利用的辅助设备可根据外科规程的类型和外科医生待使用的技术而变化,但在此示例性情况下,它们包括排烟器、吹入器和医学成像装置。当激活时,作为其初始化过程的一部分,作为模块化装置的辅助设备可以自动与位于模块化装置特定附近的外科集线器106、206配对。然后,外科集线器106、206可通过检测在该术前阶段或初始化阶段期间与其配对的模块化装置的类型来导出关于外科规程的背景信息。在该具体示例中,外科集线器106、206确定外科规程是基于配对模块化装置的该特定组合的VATS规程。基于来自患者的EMR的数据的组合,规程中使用的医疗用品的列表以及连接到集线器的模块化装置的类型,外科集线器106、206通常可推断外科小组将执行的具体规程。一旦外科集线器106、206知道正在执行什么具体规程,外科集线器106、206便可从存储器或云中检索该规程的步骤,然后交叉参照其随后从所连接的数据源(例如,模块化装置和患者监测装置)接收的数据,以推断外科团队正在执行的外科规程的什么步骤。
第五步5210,工作人员成员将EKG电极和其它患者监测装置附接到患者。EKG电极和其它患者监测装置能够与外科集线器106、206配对。当外科集线器106、206开始从患者监测装置接收数据时,外科集线器106、206因此确认患者在手术室中。
第六步5212,医疗人员诱导患者麻醉。外科集线器106、206可基于来自模块化装置和/或患者监测装置的数据(包括例如EKG数据、血压数据、呼吸机数据、或它们的组合)推断患者处于麻醉下。在第六步5212完成时,肺分段切除规程的术前部分完成,并且手术部分开始。
第七步5214,折叠正在操作的患者肺部(同时通气切换到对侧肺)。例如,外科集线器106、206可从呼吸机数据推断出患者的肺已经塌缩。外科集线器106、206可推断规程的手术部分已开始,因为其可将患者的肺部塌缩的检测与规程的预期步骤(可先前访问或检索)进行比较,从而确定使肺塌缩是该特定规程中的手术步骤。
第八步5216,插入医疗成像装置(例如,内窥镜),并启动来自医疗成像装置的视频。外科集线器106、206通过其与医疗成像装置的连接来接收医疗成像装置数据(即,视频或图像数据)。在接收到医疗成像装置数据之后,外科集线器106、206可确定外科规程的腹腔镜式部分已开始。另外,外科集线器106、206可确定正在执行的特定规程是分段切除术,而不是叶切除术(注意,楔形规程已经基于外科集线器106、206基于在规程的第二步5204处接收到的数据而排除)。来自医疗成像装置124(图2)的数据可用于以多种不同的方式确定与正在执行的规程类型相关的背景信息,包括通过确定医疗成像装置相对于患者解剖结构的可视化取向的角度,监测所利用的医疗成像装置的数量(即,被激活并与外科集线器106、206配对),以及监测所利用的可视化装置的类型。例如,一种用于执行VATS肺叶切除术的技术将摄像机放置在隔膜上方的患者胸腔的下前拐角中,而一种用于执行VATS分段切除术的技术将摄像机相对于分段裂缝放置在前肋间位置。例如,使用模式识别或机器学习技术,可对态势感知系统进行训练,以根据患者解剖结构的可视化识别医疗成像装置的定位。作为另一个示例,一种用于执行VATS肺叶切除术的技术利用单个医疗成像装置,而用于执行VATS分段切除术的另一种技术利用多个摄像机。作为另一示例,一种用于执行VATS分段切除术的技术利用红外光源(其可作为可视化系统的一部分可通信地耦接到外科集线器)以可视化不用于VATS肺部切除术中的分段裂隙。通过从医疗成像装置跟踪这些数据中的任何或所有,外科集线器106、206因此可确定正在进行的外科规程的具体类型和/或用于特定类型的外科规程的技术。
第九步5218,外科团队开始规程的解剖步骤。外科集线器106、206可推断外科医生正在解剖以调动患者的肺,因为其从RF发生器或超声发生器接收指示正在击发能量器械的数据。外科集线器106、206可将所接收的数据与外科规程的检索步骤交叉,以确定在过程中的该点处(即,在先前讨论的规程步骤完成之后)击发的能量器械对应于解剖步骤。在某些情况下,能量器械可为安装到机器人外科系统的机械臂的能量工具。
第十步5220,外科团队继续进行规程的结扎步骤。外科集线器106、206可推断外科医生正在结扎动脉和静脉,因为其从外科缝合和切割器械接收指示器械正在被击发的数据。与先前步骤相似,外科集线器106、206可通过将来自外科缝合和切割器械的数据的接收与该过程中的检索步骤进行交叉引用来推导该推论。在某些情况下,外科器械可以是安装到机器人外科系统的机械臂的外科工具。
第十一步5222,执行规程的分段切除术部分。外科集线器106、206可推断外科医生正在基于来自外科缝合和切割器械的数据(包括来自其仓的数据)横切软组织。仓数据可对应于例如由器械击发的钉的大小或类型。由于不同类型的钉用于不同类型的组织,因此仓数据可指示正被缝合和/或横切的组织的类型。在这种情况下,被击发的钉的类型用于软组织(或其它类似的组织类型),这允许外科集线器106、206推断规程的分段切除术部分正在进行。
第十二步5224中,执行节点解剖步骤。外科集线器106、206可基于从发生器接收的指示正在击发RF或超声器械的数据来推断外科团队正在解剖节点并且执行泄漏测试。对于该特定规程,在横切软组织后使用的RF或超声器械对应于节点解剖步骤,该步骤允许外科集线器106、206进行此类推论。应当指出的是,外科医生根据规程中的具体步骤定期在外科缝合/切割器械和外科能量(即,RF或超声)器械之间来回切换,因为不同器械更好地适于特定任务。因此,其中使用缝合/切割器械和外科能量器械的特定序列可指示外科医生正在执行的规程的步骤。此外,在某些情况下,机器人工具可用于外科规程中的一个或多个步骤,并且/或者手持式外科器械可用于外科规程中的一个或多个步骤。(一个或多个)外科医生可例如在机器人工具与手持式外科器械之间交替和/或可同时使用装置。在第十二步5224完成时,切口被闭合并且规程的术后部分开始。
第十三步5226,逆转患者的麻醉。例如,外科集线器106、206可基于例如呼吸机数据(即,患者的呼吸率开始増加)推断出患者正在从麻醉中醒来。
最后,第十四步5228是医疗人员从患者移除各种患者监测装置。因此,当集线器从患者监测装置丢失EKG、BP和其它数据时,外科集线器106、206可推断患者正在被转移到恢复室。如从该示例性规程的描述可以看出,外科集线器106、206可根据从可通信地耦接到外科集线器106、206的各种数据源接收的数据来确定或推断给定外科规程的每个步骤何时发生。
态势感知在2017年12月28日提交的标题为交互式外科平台(INTERACTIVESURGICAL PLATFORM)的美国临时专利申请序列号62/611,341中进一步描述,该临时专利申请的公开内容全文以引用方式并入本文。在某些情况下,包括本文所公开的各种机器人外科系统在内的机器人外科系统的操作可由集线器106、206基于其态势感知和/或来自其部件的反馈和/或基于来自云104的信息进行控制。
机器人系统
机器人外科系统可用于微创医学规程。在此类医学规程中,患者可置于与机器人外科系统相邻的平台上,并且外科医生可定位在远离平台和/或机器人的命令控制台上。例如,外科医生可定位在围绕外科部位的无菌场之外。外科医生经由命令控制台上的输入装置向用户界面提供输入,以操纵耦接到机器人系统的臂的外科工具。输入装置可以是机械输入装置,诸如控制柄或操纵杆,或非接触式输入装置,诸如光学手势传感器。
机器人外科系统可包括支撑一个或多个机械臂的机器人塔。至少一个外科工具(例如,端部执行器和/或内窥镜)可以安装到机械臂上。例如,外科工具可被配置为经由进行关节运动的腕部组件相对于相应的机械臂进行关节运动并且/或者经由线性滑动机构相对于机械臂平移。在外科规程期间,外科工具可例如经由插管或套管针插入患者的小切口中,或者插入患者的自然孔中,以将外科工具的远侧端部定位在患者体内的外科部位处。除此之外或另选地,在某些情况下,机器人外科系统可用于开放式外科规程中。
机器人外科系统15000的示意图描绘于图22中。机器人外科系统15000包括中央控制单元15002、外科医生的控制台15012、包括一个或多个机械臂15024的机器人15022,以及可操作地耦接到控制单元15002的主显示器15040。外科医生的控制台15012包括显示器15014和至少一个手动输入装置15016(例如,开关、按钮、触摸屏、操纵杆、万向节等),所述手动输入装置允许外科医生远程操纵机器人15022的机械臂15024。读者应当理解,可以采用附加的和另选的输入装置。
中央控制单元15002包括可操作地耦接到存储器15006的处理器15004。处理器15004包括用于与机器人外科系统15000的部件交接的多个输入和输出。处理器15004可被配置为接收输入信号并且/或者生成输出信号以控制机器人外科系统15000的各种部件中的一个或多个(例如,一个或多个马达、传感器和/或显示器)。输出信号可包括并且/或者可基于可以由外科医生或另一临床医生预先编程和/或输入的算法指令。处理器15004可被配置为接受来自用户诸如控制台15012上的外科医生的多个输入,并且/或者可以与远程系统交接。存储器15006可以直接地和/或间接地耦接到处理器15004,以存储指令和/或数据库。
机器人15022包括一个或多个机械臂15024。每个机械臂15024包括一个或多个马达15026,并且每个马达15026耦接到一个或多个马达驱动器15028。例如,可以分配给不同的驱动器和/或机构的马达15026可座置在托架组件或外壳中。在某些情况下,在马达15026和一个或多个驱动器15028中间的变速器可允许马达15026与一个或多个驱动器15028的耦接和脱离。驱动器15028可被配置为实现一种或多种外科功能。例如,一个或多个驱动器15028可负责通过旋转机械臂15024和/或其连杆和/或接合部来移动机械臂15024。另外,一个或多个驱动器15028可耦接到外科工具15030,并且可以实现例如关节运动、旋转、夹持、密封、缝合、通电、击发、切割和/或打开。在某些情况下,外科工具15030可以是可互换的和/或可替换的。机器人外科系统和外科工具的示例在本文中进一步描述。
读者将会容易地认识到,计算机实现的交互式外科系统100(图1)和计算机实现的交互式外科系统200(图9)可以结合机器人外科系统15000。除此之外或另选地,机器人外科系统15000可包括计算机实现的交互式外科系统100和200的各种特征和/或部件。
在一个示例中,机器人外科系统15000可包括机器人系统110(图2),该机器人系统包括外科医生的控制台118、外科机器人120和机器人集线器122。除此之外或另选地,机器人外科系统15000可以与另一个集线器诸如外科集线器106通信。在一个实例中,机器人外科系统15000可结合到外科系统中,诸如计算机实现的交互式外科系统100(图1)或计算机实现的交互式外科系统200(图9)。在这种情况下,机器人外科系统15000可以分别与云104或云204以及外科集线器106或外科集线器206相互作用。在某些情况下,机器人集线器或外科集线器可包括中央控制单元15002并且/或者中央控制单元15002可以与云通信。在其它情况下,外科集线器可以体现为与中央控制单元15002分开并且可以与中央控制单元15002通信的分立单元。
另一种机器人外科系统描绘于图23和图24中。参考图23,机器人外科系统13000包括机械臂13002、13003,控制装置13004以及耦接到控制装置13004的控制台13005。如图23所示,外科系统13000被配置用于躺在患者台13012上的患者13013身上,以进行微创外科手术。控制台13005包括显示装置13006和输入装置13007、13008。显示装置13006被设置为显示三维图像,并且手动输入装置13007、13008被配置为允许临床医生远程操纵机械臂13002、13003。用于外科医生的控制台诸如控制台13005的控件在2016年10月27日提交的标题为机器人外科系统接口的触觉反馈(HAPTIC FEEDBACK FOR A ROBOTIC SURGICALSYSTEM INTERFACE)的国际专利公布WO2017/075121中进一步描述,该专利公布全文以引用方式并入本文。
机械臂13002、13003中的每个由通过接合部连接的多个构件构成,并且包括外科组件13010,该外科组件连接到对应的机械臂13002、13003的远侧端部。对多个臂的支持在2016年11月11日提交的标题为外科机械臂支撑系统和使用方法(SURGICAL ROBOTIC ARMSUPPORT SYSTEMS AND METHODS OF USE)的美国专利申请公布2017/0071693中进一步描述,该专利申请公布全文以引用方式并入本文。各种机械臂构型在2016年9月6日提交的标题为用于操纵机器人端部执行器的机器人外科控制方案(ROBOTIC SURGICAL CONTROLSCHEME FOR MANIPULATING ROBOTIC END EFFECTORS)的国际专利公布WO2017/044406中进一步描述,该专利公布全文以引用方式并入本文。在一个示例中,外科组件13010包括支撑端部执行器13023的外科器械13020。尽管描绘了两个机械臂13002、13003,但外科系统13000可包括单个机械臂或多于两个机械臂13002、13003。附加的机械臂同样连接到控制装置13004,并且可经由控制台13005远程操纵。因此,一个或多个附加的外科组件13010和/或外科器械13020也可以附接到附加的机械臂。
机械臂13002、13003可以由连接到控制装置13004的电驱动器驱动。根据一个示例,控制装置13004被配置为例如经由计算机程序激活驱动器,使得机械臂13002、13003以及对应于机械臂13002、13003的外科组件13010和/或外科器械13020执行通过手动输入装置13007、13008接收的所需移动。控制装置13004还可被配置为调节机械臂13002、13003和/或驱动器的移动。
控制装置13004可以控制多个马达(例如,马达l...n),每个马达被配置为驱动一根或多根缆线(诸如耦接到外科器械13020的端部执行器13023的缆线)的推动或拉动。在使用中,随着这些缆线被推动和/或拉动,所述一根或多根缆线会影响端部执行器13023的操作和/或移动。控制装置13004协调各个马达的激活,以协调一根或多根电缆的推动或拉动运动,从而协调一个或多个端部执行器13023的操作和/或移动。例如,通过机器人组件诸如外科组件13010进行的端部执行器的关节运动在2016年6月6日提交的标题为机器人外科系统的腕部和钳口组件(WRIST AND JAW ASSEMBLIES FOR ROBOTIC SURGICAL SYSTEMS)的美国专利申请公布2016/0303743和2016年3月8日提交的标题为测量机器人外科系统的连接器构件的健康状况(MEASURING HEALTH OF A CONNECTOR MEMBER OF A ROBOTIC SURGICALSYSTEM)的国际专利公布WO2016/144937中进一步描述,所述专利公布中的每个均全文以引用方式并入本文。在一个示例中,作为一根或多根电缆的补充或替代,每个马达被配置为致动驱动杆或杠杆臂,以影响端部执行器13023的操作和/或移动。
外科器械的驱动器构型诸如外科端部执行器的驱动器布置在2016年5月10日提交的标题为耦接器械驱动单元和机器人外科器械(COUPLING INSTRUMENT DRIVE UNIT ANDROBOTIC SURGICAL INSTRUMENT)的国际专利公布WO2016/183054、2016年6月15日提交的标题为机器人外科系统扭矩换能感测(ROBOTIC SURGICAL SYSTEM TORQUE TRANSDUCTIONSENSING)的国际专利公布WO2016/205266、2016年6月16日提交的标题为通过双向耦接控制机器人外科器械(CONTROLLING ROBOTIC SURGICAL INSTRUMENTS WITH BIDIRECTIONALCOUPLING)的国际专利公布WO2016/205452和2016年9月22日提交的标题为机器人外科系统的弹性外科接口(ELASTIC SURGICAL INTERFACE FOR ROBOTIC SURGICAL SYSTEMS)的国际专利公布WO2017/053507中进一步描述,这些专利公布中的每个全文以引用方式并入本文。外科器械与驱动器的模块化附接在2016年6月20日提交的标题为机器人外科组件(ROBOTICSURGICAL ASSEMBLIES)的国际专利公布WO2016/209769中进一步描述,该专利公布全文以引用方式并入本文。外科器械驱动器和接口的外壳构型在2016年3月9日提交的标题为机器人外科系统、器械驱动单元和驱动组件(ROBOTIC SURGICAL SYSTEMS,INSTRUMENT DRIVEUNITS,AND DRIVE ASSEMBLIES)的国际专利公布WO2016/144998中进一步描述,该专利公布全文以引用方式并入本文。与机械臂13002、13003一起使用的各种内窥镜器械构型在2016年9月21日提交的标题为外科机器人组件及其器械适配器(SURGICAL ROBOTIC ASSEMBLIESAND INSTRUMENT ADAPTERS THEREOF)的国际专利公布WO2017/053358和2016年9月21日提交的标题为机器人外科组件及其器械驱动器连接器(ROBOTIC SURGICAL ASSEMBLIES ANDINSTRUMENT DRIVE CONNECTORS THEREOF)的国际专利公布WO2017/053363中进一步描述,所述专利公布中的每个全文以引用方式并入本文。与机械臂13002、13003一起使用的双极器械构型在2016年9月23日提交的标题为机器人外科组件及其机电器械(ROBOTICSURGICAL ASSEMBLIES AND ELECTROMECHANICAL INSTRUMENTS THEREOF)的国际专利公布WO2017/053698中进一步描述,该专利公布全文以引用方式并入本文。与机械臂13002、13003一起使用的可静置轴布置在2016年12月19日提交的标题为机器人外科系统和器械驱动组件(ROBOTIC SURGICAL SYSTEMS AND INSTRUMENT DRIVE ASSEMBLIES)的国际专利公布WO2017/116793中进一步描述,该专利公布全文以引用方式并入本文。
控制装置13004包括适于执行计算并且/或者根据一组指令进行操作的任何合适的逻辑控制电路。控制装置13004可被配置为经由无线(例如,Wi-Fi、蓝牙、LTE等)和/或有线连接与远程系统“RS”通信。远程系统“RS”可包括与系统13000的各种部件、算法和/或操作有关的数据、指令和/或信息。远程系统“RS”可包括任何合适的电子服务、数据库、平台、云“C”(参见图23)等。控制装置13004可包括可操作地连接到存储器的中央处理单元。存储器可包括暂态型存储器(例如,RAM)和/或非暂态型存储器(例如,闪存介质、磁盘介质等)。在一些示例中,存储器是远程系统“RS”的一部分并且/或者可操作地耦接到远程系统“RS”。
控制装置13004可包括多个输入和输出,用于诸如通过驱动器电路与系统13000的部件交接。控制装置13004可被配置为接收输入信号并且/或者生成输出信号以控制系统13000的各种部件(例如,一个或多个马达)中的一个或多个。输出信号可包括并且/或者可基于可以由用户预先编程和/或输入的算法指令。控制装置13004可被配置为从可耦接到远程系统“RS”的用户界面(例如,操作控制台13005的开关、按钮、触摸屏等)接受多个用户输入。
存储器13014可以直接地和/或间接地耦接到控制装置13004,以存储包括来自生物和/或解剖图谱的术前数据的指令和/或数据库。存储器13014可以是远程系统“RS”的一部分并且/或者可操作地耦接到远程系统“RS”。
根据一个示例,每个机械臂13002、13003的远侧端部被配置为将端部执行器13023(或其它外科工具)可释放地固定在其中,并且可被配置为接纳任意数量的外科工具或器械,诸如套管针或牵开器。
机器人外科系统13010的系统架构13400的简化功能框图描绘于图24中。系统架构13400包括核心模块13420、外科医生主模块13430、机械臂模块13440和器械模块13450。核心模块13420用作机器人外科系统13000的中央控制器,并且协调所有其它模块13430、13440、13450的操作。例如,核心模块13420将控制装置映射到臂13002、13003,确定当前状态,执行所有运动学和帧变换,并且转发所得到的移动命令。就这一点而言,核心模块13420从其它模块13430、13440、13450中的每个接收数据并进行分析,以便向其它模块13430、13440、13450提供指令或命令以在机器人外科系统13000内执行。尽管被描绘为单独的模块,但在其它示例中,模块13420、13430、13440和13450中的一个或多个是单个部件。
核心模块13420包括模型13422、观测器13424、碰撞管理器13426、控制器13428和骨架13429。模型13422包括为受控部件提供抽象表示(基类)的单元,所述受控部件诸如马达(例如,马达l...n)和/或臂13002、13003。观测器13424基于从其它模块13430、13440、13450接收的输入和输出信号来创建状态估计。碰撞管理器13426防止已在系统13010内注册的部件之间的碰撞。骨架13429从运动学和动力学的角度跟踪系统13010。例如,在一个示例中,运动学项目可以实现为正向运动学或逆向运动学。动力学项目可以实现为用于对系统部件的动力学进行建模的算法。
外科医生主模块13430在控制台13005处与外科医生控制装置通信,并且将从控制台13005接收的输入转发到核心模块13420。根据一个示例,外科医生主模块13430将按钮状态和控制装置位置传送至核心模块13420,并且包括节点控制器13432,该节点控制器包括状态/模式管理器13434、故障切换控制器13436和N自由度(“DOF”)致动器13438。
机械臂模块13440协调机械臂子系统、臂推车子系统、装置臂和器械子系统的操作,以便控制对应臂13002、13003的移动。尽管包括单个机械臂模块13440,但应当理解,机械臂模块13440对应于并控制单个臂。因此,附加的机械臂模块13440包括在其中系统13010包括多个臂13002、13003的构型中。机械臂模块13440包括节点控制器13442、状态/模式管理器13444、故障切换控制器13446和N自由度(“DOF”)致动器13348。
器械模块13450控制附接到臂13002、13003的器械和/或工具部件的移动。器械模块13450被配置为对应于并控制单个器械。因此,在其中包括多个器械的构型中,同样包括附加的器械模块13450。在一个示例中,器械模块13450获得并传送与端部执行器或钳口组件的位置(可包括钳口的俯仰角和偏航角)、钳口的宽度或钳口之间的角度以及入口的位置有关的数据。器械模块13450具有节点控制器13452、状态/模式管理器13454、故障切换控制器13456和N自由度(“DOF”)致动器13458。
核心模块13420使用由器械模块13450收集的位置数据确定器械何时在外科部位内、在插管内、与入口相邻或在自由空间的入口上方。核心模块13420可基于器械的钳口的位置确定是否提供打开或闭合钳口的指令。例如,当器械的位置指示器械在插管内时,提供指令以将钳口组件保持在闭合位置。当器械的位置指示器械在入口之外时,提供指令以打开钳口组件。
机器人外科系统诸如图23和图24所示的外科机器人系统的附加特征和操作在以下参考文献中进一步描述,这些参考文献中的每个均全文以引用方式并入本文:
·2016年6月6日提交的美国专利申请公布2016/0303743,其标题为机器人外科系统的腕部和钳口组件(WRIST AND JAW ASSEMBLIES FOR ROBOTIC SURGICAL SYSTEMS);
·2016年11月11日提交的美国专利申请公布2017/0071693,其标题为外科机械臂支撑系统和使用方法(SURGICAL ROBOTIC ARM SUPPORT SYSTEMS AND METHODS OF USE);
·2016年3月8日提交的国际专利公布WO2016/144937,其标题为测量机器人外科系统的连接器构件的健康状况(MEASURING HEALTH OF A CONNECTOR MEMBER OF AROBOTIC SURGICAL SYSTEM);
·2016年3月9日提交的国际专利公布WO2016/144998,其标题为机器人外科系统、器械驱动单元和驱动组件(ROBOTIC SURGICAL SYSTEMS,INSTRUMENT DRIVE UNITS,ANDDRIVE ASSEMBLIES);
·2016年5月10日提交的国际专利公布WO2016/183054,其标题为耦接器械驱动单元和机器人外科器械(COUPLING INSTRUMENT DRIVE UNIT AND ROBOTIC SURGICALINSTRUMENT);
·2016年6月15日提交的国际专利公布WO2016/205266,其标题为机器人外科系统扭矩换能感测(ROBOTIC SURGICAL SYSTEM TORQUE TRANSDUCTION SENSING);
·2016年6月16日提交的国际专利公布WO2016/205452,其标题为通过双向耦接控制机器人外科器械(CONTROLLING ROBOTIC SURGICAL INSTRUMENTS WITH BIDIRECTIONALCOUPLING);
·2016年6月20日提交的国际专利公布WO2016/209769,其标题为机器人外科组件(ROBOTIC SURGICAL ASSEMBLIES);
·2016年9月6日提交的国际专利公布WO2017/044406,其标题为用于操纵机器人端部执行器的机器人外科控制方案(ROBOTIC SURGICAL CONTROL SCHEME FORMANIPULATING ROBOTIC END EFFECTORS);
·2016年9月21日提交的国际专利公布WO2017/053358,其标题为外科机器人组件及其器械适配器(SURGICAL ROBOTIC ASSEMBLIES AND INSTRUMENT ADAPTERS THEREOF);
·2016年9月21日提交的国际专利公布WO2017/053363,其标题为机器人外科组件及其器械驱动器连接器(ROBOTIC SURGICAL ASSEMBLIES AND INSTRUMENT DRIVECONNECTORS THEREOF);
·2016年9月22日提交的国际专利公布WO2017/053507,其标题为机器人外科系统的弹性外科接口(ELASTIC SURGICAL INTERFACE FOR ROBOTIC SURGICAL SYSTEMS);
·2016年9月23日提交的国际专利公布WO2017/053698,其标题为机器人外科组件及其机电器械(ROBOTIC SURGICAL ASSEMBLIES AND ELECTROMECHANICAL INSTRUMENTSTHEREOF);
·2016年10月27日提交的国际专利公布WO2017/075121,其标题为机器人外科系统接口的触觉反馈控制(HAPTIC FEEDBACK CONTROLS FOR A ROBOTIC SURGICAL SYSTEMINTERFACE);
·2016年12月19日提交的国际专利公布WO2017/116793,其标题为机器人外科系统和器械驱动组件(ROBOTIC SURGICAL SYSTEMS AND INSTRUMENT DRIVE ASSEMBLIES)。
本文所公开的机器人外科系统和特征可以与图23和图24的机器人外科系统一起使用。读者还应当认识到,本文所公开的各种系统和/或特征也可以与替代外科系统一起使用,所述替代外科系统包括例如计算机实现的交互式外科系统100、计算机实现的交互式外科系统200、机器人外科系统110、机器人集线器122、机器人集线器222和/或机器人外科系统15000。
在各种情况下,机器人外科系统可包括机器人控制塔,该机器人控制塔可容纳该系统的控制单元。例如,机器人外科系统13000(图23)的控制单元13004可座置在机器人控制塔内。机器人控制塔可包括机器人集线器,诸如机器人集线器122(图2)或机器人集线器222(图9)。这样的机器人集线器可包括用于与一个或多个发生器(诸如超声发生器和/或射频发生器)和/或一个或多个模块(诸如成像模块、抽吸模块、冲洗模块、排烟模块和/或通信模块)耦接的模块化接口。
机器人集线器可包括态势感知模块,该态势感知模块可被配置为合成来自多个源的数据以确定对外科事件的适当响应。例如,态势感知模块可以确定外科规程的类型、外科规程中的步骤、组织的类型和/或组织特征,如本文进一步所述。此外,这样的模块可以基于所合成的数据向机器人系统推荐特定的行动方案或可能的选择。在各种情况下,包括分布在整个机器人系统中的多个传感器的传感器系统可以向态势感知模块提供数据、图像和/或其它信息。这种态势感知模块可结合到控制单元中,诸如控制单元13004。在各种情况下,态势感知模块可以例如从非机器人外科集线器和/或云(诸如外科集线器106(图1)、外科集线器206(图10)、云104(图1)和/或云204(图9))获得数据和/或信息。外科系统的态势感知在2017年12月28日提交的标题为交互式外科平台(INTERACTIVE SURGICAL PLATFORM)的美国临时专利申请序列号62/611,341和2017年12月28日提交的标题为基于云的医学分析(CLOUD-BASED MEDICAL ANALYTICS)的美国临时专利申请序列号62/611,340中进一步公开,这些临时专利申请中的每个的公开内容全文以引用方式并入本文。
在某些情况下,在外科规程期间的某些时间和/或在某些持续时间内激活外科工具可能会引起组织创伤并且/或者可能延长外科规程。例如,机器人外科系统可以利用具有能量递送表面的电外科工具,该能量递送表面应当仅在满足阈值条件时通电。在一个示例中,应当仅在能量递送表面与适当的组织或目标组织接触时激活能量递送表面。作为另一个示例,机器人外科系统可以利用应当仅在满足阈值条件时(诸如,当存在适当体积的流体时)激活的抽吸元件。由于可视性限制、不断演变的情况以及机器人外科规程期间众多的移动部件,临床医生可能难以确定和/或监测外科部位处的某些状况。例如,可能难以确定电外科工具的能量递送表面是否与组织接触。还可能难以确定特定的抽吸压力对于抽吸端口附近的流体体积是否足够。
此外,可以在某些机器人外科规程中使用多个外科装置。例如,机器人外科系统可以在外科规程期间使用一个或多个外科工具。另外,在外科规程期间也可以使用一个或多个手持式器械。外科装置中的一个或多个可包括传感器。例如,多个传感器可定位在外科部位和/或手术室周围。包括一个或多个传感器的传感器系统可被配置为检测外科部位处的一个或多个状况。例如,来自传感器系统的数据可以确定是否正在使用安装到外科机器人的外科工具和/或是否应当激活外科工具的特征。更具体地,传感器系统可以例如检测电外科装置是否被定位成与组织邻接接触。又如,传感器系统可以检测外科工具的抽吸元件是否正在向外科部位处的流体施加足够的抽吸力。
当处于自动激活模式时,机器人外科系统可基于从传感器系统接收的数据、图像和/或其它信息自动激活一个或多个外科工具的一个或多个特征。例如,在检测到电外科工具正在使用中(例如,被定位成与组织邻接接触)时,可以激活电外科工具的能量递送表面。又如,当抽吸端口被移动至与流体接触时,可以激活外科工具上的抽吸元件。在某些情况下,可基于所感测到的状况来调节外科工具。
结合有自动激活模式的机器人外科系统可基于在外科部位处检测到的状况来自动提供特定于场景的结果。特定于场景的结果例如可以是基于结局的,并且可以简化临床医生的决策制定过程。在某些情况下,这种自动激活模式可以提高临床医生的效率和/或效果。例如,机器人外科系统可以聚合数据以汇编外科部位和/或外科规程的更完整的视图,以便确定最佳的可能行动方案。除此之外或另选地,在临床医生较少制定决策的情况下,临床医生可以更好地专注于其它任务并且/或者可以更有效地处理其它信息。
在一个实例中,机器人外科系统可基于工具与视觉可检测的需求和/或系统的态势感知的接近度来自动调节外科工具。参见图25A和图25B,在两个不同的位置描绘了机器人系统13050的超声外科工具。在第一位置中,如图25A所描绘,超声外科工具13050的刀13052被定位成不与组织13060接触。在这样的位置中,超声外科工具13050上的传感器可以检测到高电阻。当所检测到的电阻高于阈值时,超声刀13052可被断电。现在参见图25B,超声刀13052被描绘为处于第二位置,在该位置中,刀13052的远侧端部被定位成与组织13060邻接接触。在这种情况下,超声外科工具13050上的传感器可以检测到低电阻。当所检测到的电阻低于阈值时,可激活超声刀13052,使得治疗能量被递送到组织13060。还设想了替代的传感器配置,并且各种传感器在本文中进一步描述。
参见图26A和图26B,在两个不同的位置描绘了另一种外科工具,单极烧灼笔13055。在第一位置中,如图26A所描绘,单极烧灼笔13055被定位成不与组织接触。在这样的位置中,单极烧灼笔13055上的传感器可以检测到高电阻。当所检测到的电阻高于阈值时,单极烧灼笔13055可被断电。现在参见图26B,单极烧灼笔13055被描绘为处于第二位置,在该位置中,单极烧灼笔13055的远侧端部被定位成与组织邻接接触。在这种情况下,单极烧灼笔13055上的传感器可以检测到低电阻。当所检测到的电阻低于阈值时,可激活单极烧灼笔13055,使得治疗能量被递送到组织。还设想了替代的传感器配置,并且各种传感器在本文中进一步描述。
图27示出了图25A和图25B的超声外科工具13050随时间t推移的连续性C和电流I的图形显示13070。类似地,在某些情况下,单极烧灼笔13055可生成在许多方面类似于图形显示13070的图形显示。在图形显示13070中,连续性C由虚线表示,并且电流I由实线表示。当电阻高并且高于阈值时,连续性C也可以高。阈值可以例如在40和400欧姆之间。在时间A’处,连续性C可以降低到阈值以下,这可以指示组织接触的程度。结果,机器人外科系统可以自动激活组织的高级能量处理。当连续性参数指示组织接触程度时,图27中描绘的超声换能器电流从时间A’到B’增加。在各种情况下,电流I可被限制在B’处指示的最大值内,该最大值可对应于打开的钳口换能器极限,诸如在其中钳口未被夹持的情况下,如图25A和图25B所示。在各种情况下,机器人外科系统的态势感知模块可指示钳口未夹持。再次参见图27中的图形显示13070,施加能量直到时间C’,此时,通过连续性C的高于阈值的增加来表示组织接触的丧失。结果,在超声刀断电时,超声换能器电流I可以减小到零。
在各种情况下,传感器系统可被配置为检测外科部位处的至少一种状况。例如,传感器系统的传感器可通过沿超声刀的能量递送表面测量连续性来检测组织接触。除此之外或另选地,传感器系统可包括围绕外科部位定位的一个或多个附加传感器。例如,在外科规程中使用的一个或多个外科工具和/或器械可被配置为检测外科部位处的状况。传感器系统可以与机器人外科系统的处理器进行信号通信。例如,机器人外科系统可包括中央控制塔,该中央控制塔包括容纳处理器和存储器的控制单元,如本文进一步所述。处理器可基于来自传感器系统的输入向外科工具发出命令。在各种情况下,态势感知还可指示和/或影响处理器发出的命令。
现在转到图28,端部执行器196400包括位于钳夹构件196402上的RF数据传感器196406、196408a、196408b。端部执行器196400包括钳口构件196402和超声刀196404。钳口构件196402被示出为夹持位于钳口构件196402和超声刀片196404之间的组织196410。第一传感器196406位于钳口构件196402的中心部分。第二传感器196408a和第三传感器196408b分别位于钳口构件196402的侧向部分上。传感器196406、196408a、196408b与柔性电路196412(更具体地示于图29中)一起安装或一体形成,该柔性电路被配置为固定安装到钳口构件196402上。
端部执行器196400是用于本文所述的各种外科装置的示例性端部执行器。传感器196406、196408a、196408b经由接口电路电连接到控制电路。传感器196406、196408a、196408b是电池供电的,并且由传感器196406、196408a、196408b所生成的信号被提供到控制电路的模拟和/或数字处理电路。
在一个方面,第一传感器196406是用于测量通过钳口构件196402施加到组织196410的法向力F3的力传感器。第二传感器196408a和第三传感器196408b包括用于将RF能量施加到组织196410,测量组织阻抗、下压力F1、横向力F2和温度等参数的一个或多个元件。电极196409a、196409b电耦接到能量源诸如电路,并将RF能量施加到组织196410。在一个方面,第一传感器196406以及第二传感器196408a和第三传感器196408b是用于测量力或每单位面积的力的应变仪。应当理解,下压力F1、横向力F2和法向力F3的测量结果可通过确定力传感器196406、196408a、196408b作用于其上的表面积而容易地转换成压力。另外,如本文具体描述的那样,柔性电路196412可包括嵌入柔性电路196412的一个或多个层中的温度传感器。一个或多个温度传感器可对称地或非对称地布置,并向超声驱动电路和RF驱动电路的控制电路提供组织196410的温度反馈。
一个或多个传感器诸如磁场传感器、应变仪、压力传感器、力传感器、电感式传感器(诸如例如涡流传感器)、电阻式传感器、电容式传感器、光学传感器和/或任何其它合适的传感器可被适配和配置为测量组织压缩和/或阻抗。
图29示出了图28所示的柔性电路196412的一个方面,其中传感器196406、196408a、196408b可安装到该柔性电路或与其一体形成。柔性电路196412被配置为固定地附接至钳口构件196402。如图29具体所示,非对称温度传感器196414a、196414b被安装到柔性电路196412上,以便测量组织196410(图28)的温度。
读者应当理解,替代的外科工具可以在上文结合图25A至图29描述的自动激活模式中使用。
图30是描绘外科工具的自动激活模式13151的流程图13150。在各种情况下,机器人外科系统及其处理器被配置为实现图30所示的过程。最初,传感器系统被配置为在步骤13152处检测状况。将所检测到的状况传送到处理器,该处理器在步骤13154处将所检测到的状况与阈值参数进行比较。阈值参数可以是最大值、最小值或值范围。如果所感测到的状况是界外状况,则处理器可以在步骤13156处调节外科功能,并且处理器可以重复步骤13152和13154的比较过程。如果所感测到的状况不是界外状况,则不需要调节(13158),并且可以再次重复步骤13152和13154的比较过程。
在各种情况下,机器人外科系统可允许手动超控模式13153。例如,在诸如由临床医生激活手动超控输入13160时,外科系统可以在图30所示的步骤13162处退出自动激活模式13151。在这种情况下,即使当所感测到的状况是界外状况时,处理器也不会自动调节外科功能。然而,在这种情况下,处理器可基于所感测到的状况向临床医生发出警告或推荐以推荐特定的行动方案。
在各种情况下,自动激活模式可以与包括抽吸特征结构的机器人外科系统一起使用。在一个实例中,机器人外科系统可以与抽吸和/或冲洗工具通信。例如,抽吸和/或冲洗装置(参见图3中的模块128)可经由外科集线器106(图1)和/或外科集线器206(图9)与机器人外科系统通信,并且抽吸和/或冲洗工具可被安装到机械臂上。抽吸/冲洗装置可包括远侧抽吸端口和传感器。在另一个实例中,机器人外科工具诸如电外科工具可包括抽吸特征结构和在工具的端部执行器上的抽吸端口。
参见图31,当端部执行器13210上的抽吸端口被移动至与流体接触时,机器人外科系统的处理器可以自动激活抽吸特征结构。例如,工具13200上的流体检测传感器13230可以检测工具13200附近和/或与工具13200接触的流体13220。流体检测传感器13230可以是例如连续性传感器。流体检测传感器13230可以与处理器进行信号通信,使得处理器被配置为从流体检测传感器13230接收输入和/或反馈。在某些情况下,当抽吸端口被移动至与流体13220接近时,可自动激活抽吸特征结构。例如,当抽吸端口在流体13220的预定义空间范围内移动时,抽吸特征结构可被处理器激活。流体13220可以是例如盐水,它可被提供给外科部位以增强导电性并且/或者冲洗组织。
在各种情况下,工具例如可以是排烟工具并且/或者可包括排烟系统。双极射频外科工具13200的端部执行器13210的详细视图示于图31中。端部执行器13210被示出为处于夹持构型。此外,来自RF焊接的烟雾和蒸汽13220在端部执行器13210周围聚积。在各种情况下,为了提高工具13200的可见性和效率,可沿着从端部执行器朝近侧延伸的排烟通道13240排放外科部位处的烟雾和蒸汽13220。排烟通道13240可穿过外科工具13200的轴13205延伸至外科工具13200的接口和机器人。排烟通道13240可耦接到泵,以沿着外科工具13200的轴13205内的排烟通道13240吸取烟雾和/或蒸汽13220。在各种情况下,外科工具13200也可包括吹入、冷却和/或冲洗功能。
在一个实例中,可基于来自一个或多个外科装置的测量参数自动调节抽吸压力的强度。在这种情况下,抽吸压力可根据所感测到的参数而变化。抽吸管可包括用于检测从外科部位抽取的液体体积的传感器。当抽取的流体体积增加时,可增大抽吸特征结构的功率,使得抽吸压力增大。类似地,当抽取的流体体积减少时,可减小抽吸特征结构的功率,从而减小抽吸压力。
在各种情况下,用于抽吸工具的感测系统可包括压力传感器。压力传感器可以检测吸留何时阻塞或部分阻塞流体流动。压力传感器还可以检测抽吸端口何时移动至与组织邻接接触。在这种情况下,处理器可以减小和/或暂停抽吸力以释放组织并且/或者清除阻塞。在各种情况下,处理器可以将所检测到的压力与阈值最大压力进行比较。超过最大阈值压力可能会导致因抽吸工具引起的意外组织创伤。因此,为了避免这种创伤,处理器可以减小和/或暂停抽吸力以保护其附近组织的完整性。
用户可以手动超控在本文所述的自动激活模式下实现的自动调节。手动超控可以是对外科工具的一次性调节。在其它情况下,手动超控可以是针对特定外科操作、特定持续时间和/或整个规程的全局超控关闭自动激活模式的设置。
在一个方面,机器人外科系统包括处理器和通信地耦接到该处理器的存储器,如本文所述。处理器通信地耦接到传感器系统,并且存储器存储能由处理器执行的指令,以基于来自传感器系统的输入确定机器人工具的使用,并且在确定使用时,为机器人工具的能量递送表面自动通电,如本文所述。
在各个方面,本公开提供了一种控制电路,用以自动地为能量递送表面通电,如本文所述。在各个方面,本公开提供了一种存储计算机可读指令的非暂态计算机可读介质,该计算机可读指令在被执行时使机器为机器人工具的能量递送表面自动通电,如本文所述。
在一个方面,机器人外科系统包括处理器和通信地耦接到该处理器的存储器,如本文所述。处理器通信地耦接到流体检测传感器,并且存储器存储能由处理器执行的指令,以接收来自流体检测传感器的输入,并且在检测到流体时自动激活抽吸模式,如本文所述。
在各个方面,本公开提供了一种控制电路,用以自动激活抽吸模式,如本文所述。在各个方面,本公开提供了一种存储计算机可读指令的非暂态计算机可读介质,该计算机可读指令在被执行时使机器自动激活抽吸模式,如本文所述。
临床医生可以在特定的外科规程期间使用多个外科装置,包括机器人外科系统和各种手持式器械。在操纵机器人外科系统的一个或多个机器人工具时,临床医生通常位于外科医生的命令控制台或模块处,该命令控制台或模块也称为远程控制台。在各种情况下,远程控制台被定位在无菌场之外,因此可以远离无菌场,并且在一些情况下,可以远离患者并且甚至远离手术室。如果临床医生希望使用手持式器械,则可能需要临床医生离开远程控制台。此时,临床医生可能无法控制机器人工具。例如,临床医生可能无法调节位置或利用机器人工具的功能。在离开远程控制台时,临床医生还可能看不到机器人外科系统上的一个或多个显示器。手持式器械和机器人外科系统的控制点之间的分离可能会抑制临床医生可以一起利用外科装置(机器人工具和外科器械)的效果。
在各种情况下,交互式辅助显示器被配置为与机器人外科系统进行信号通信。在各种情况下,交互式辅助显示器包括控制模块。此外,交互式辅助显示器被配置为无线的并且可在手术室周围移动。在各种情况下,交互式辅助显示器被定位在无菌场内。在一个实例中,交互式辅助显示器允许临床医生操纵和控制机器人外科系统的一个或多个机器人工具,而不必物理地出现在远程控制台处。在一个实例中,临床医生远离远程控制台操作机器人外科系统的能力允许以同步方式使用多个装置。作为安全措施,在某些情况下,远程控制台包括超控功能,该超控功能被配置为阻止交互式辅助显示器控制机器人工具。
图32示出了在外科规程期间使用的外科系统13100,该外科系统利用外科器械13140和机器人外科系统13110。外科器械13140是电动手持式器械。例如,外科器械13140可以是射频(RF)器械、超声器械、外科缝合器和/或它们的组合。外科器械13140包括显示器13142和处理器13144。在某些情况下,手持式外科器械13140可以是具有多个传感器和无线通信模块的智能外科器械。
机器人外科系统13110包括机器人13112,该机器人包括被配置为执行特定外科功能的至少一个机器人工具13117。机器人外科系统13110在许多方面类似于本文讨论的机器人外科系统13000。机器人工具13117可在由机器人外科系统13110的控制范围限定的空间中移动。在各种情况下,机器人工具13117由远程控制台13116处的各种临床医生输入控制。换句话讲,当临床医生在远程控制台13116处施加输入时,临床医生远离患者的身体并且在无菌场13138之外。远程控制台13116的临床医生输入被传送至包括机器人显示器13113和处理器13115的机器人控制单元13114。处理器13115引导机器人工具13117执行所需功能。
在各种情况下,外科系统13100包括外科集线器13120,该外科集线器在许多方面类似于例如集线器106、集线器206、机器人集线器122或机器人集线器222。外科集线器13120被配置为增强机器人外科系统13110和外科器械13140的协同和/或协调使用。外科集线器13120与机器人外科系统13110的控制单元13114以及外科器械13140的处理器13144进行信号通信。在各种情况下,信号通过无线连接传输,但也可以使用任何合适的连接促进通信。机器人外科系统13110的控制单元13114被配置为将关于机器人工具13117的信息发送到外科集线器13120。此类信息包括例如机器人工具13117在外科部位内的位置、机器人工具13117的操作状态、机器人工具检测到的力和/或附接到机器人外科系统13110的机器人工具13117的类型,但也可以传送任何相关的信息和/或操作参数。外科集线器的示例在本文和2017年12月28日提交的标题为交互式外科平台(INTERACTIVE SURGICAL PLATFORM)的美国临时专利申请序列号62/611,341中进一步描述,该临时专利申请的公开内容全文以引用方式并入本文。
在其它情况下,机器人外科系统13110可包括外科集线器13120并且/或者控制单元13114可结合到外科集线器13120中。例如,机器人外科系统13110可包括机器人集线器,该机器人集线器包括模块化控制塔,该模块化控制塔包括计算机系统和模块化通信集线器。一个或多个模块可安装在机器人集线器的模块化控制塔中。机器人集线器的示例在本文和2017年12月28日提交的标题为交互式外科平台(INTERACTIVE SURGICAL PLATFORM)的美国临时专利申请序列号62/611,341中进一步描述,该临时专利申请的公开内容全文以引用方式并入本文。
外科器械13140的处理器13144被配置为将关于外科器械13140的信息发送到外科集线器13120。此类信息包括例如外科器械13140在外科部位内的位置、外科器械13140的操作状态、外科器械13140检测到的力和/或关于外科器械13140的识别信息,但也可以将任何相关信息和/或操作参数发送到外科集线器。
在各种情况下,集线器显示器13125与外科集线器13120进行信号通信,并且可结合到例如模块化控制塔中。集线器显示器13125被配置为显示从机器人外科系统13110和外科器械13140接收的信息。集线器显示器13125可以在许多方面类似于例如可视化系统108(图1)。在一个方面,集线器显示器13125可包括显示器的阵列,诸如视频监视器和/或手术室周围的平视显示器。
在各种情况下,外科集线器13120被配置为经由无线通信信号识别临床医生何时激活外科器械13140。在激活时,外科器械13140被配置为将识别信息发送到外科集线器13120。此类识别信息可包括例如外科器械的型号、外科器械的操作状态和/或外科器械的位置,但也可以传送其它合适的装置参数。在各种情况下,外科集线器13120被配置为利用所传送的信息评估外科器械13140与外科集线器13120的能力的兼容性。具有兼容的外科器械的外科集线器的能力的示例在本文中进一步讨论。
在各种情况下,机器人外科系统13110的控制单元13114被配置为将视频馈送传送至外科集线器13120,并且外科集线器13120被配置为将信息或其一部分传送至外科器械13140,该外科器械可以在外科器械13140的显示器13142上复制机器人显示器13113的一部分或来自机器人外科系统13110的其它信息。在其它情况下,诸如当机器人外科系统13110包括机器人集线器并且/或者外科工具13117包括无线通信模块时,机器人外科系统13110(例如控制单元13114或外科工具13117)可以与外科器械13140直接通信。机器人显示器13113的一部分在外科器械13140上的再现允许临床医生通过提供例如对准数据以实现外科器械13140相对于机器人工具13117的集成定位来协同使用两个外科装置。在各种情况下,临床医生能够删除显示在外科器械13140的显示器13142上的任何不希望的信息。
仍然参见图32,在各种情况下,外科系统13100还包括在无菌场13138内的交互式辅助显示器13130。交互式辅助显示器13130也是在无菌场13138内的本地控制模块。远程控制台13116或主要控件可被定位在无菌场13138之外。例如,交互式辅助显示器13130可以是手持式移动电子装置,诸如平板电脑,该手持式移动电子装置可以在外科规程期间置于患者或患者台上。例如,交互式辅助显示器13130可以在外科规程期间置于患者的腹部或腿部上。在其它情况下,交互式辅助显示器13130可结合到无菌场13138内的外科器械13140中。在各种情况下,交互式辅助显示器13130被配置为与机器人外科系统13110和/或外科器械13140进行信号通信。在这种情况下,交互式辅助显示器13130被配置为显示从机器人工具13117(例如,机器人工具1、机器人工具2、…、机器人工具n)和外科器械13140(例如,外科器械1、外科器械2、…、外科器械n)接收的信息。交互式辅助显示器13130在其上描绘工具信息13133和器械信息13135。在各种情况下,用户能够与交互式辅助显示器13130交互以定制所显示的信息的大小和/或位置。
仍然参见图32,在各种情况下,外科集线器13120被配置为将外科机器人系统13100的机器人状态信息传输至外科器械13140,并且外科器械13140被配置为在外科器械13140的显示器13142上显示机器人状态信息。
在各种情况下,外科器械13140的显示器13142被配置为通过外科集线器13120将命令传送至机器人外科系统13110的控制单元13114。如本文所述,在查看并判读显示在外科器械13140的显示器13142上的机器人状态信息之后,临床医生可能希望利用机器人外科系统13110的一个或多个功能。使用外科器械13140上的按钮和/或触敏显示器13142,临床医生能够输入对机器人外科系统13110的期望利用和/或调节。临床医生输入从外科器械13140传送至外科集线器13120。然后,外科集线器13120被配置为将临床医生输入传送至机器人外科系统13110的控制单元13114,以实现期望功能。在其它情况下,诸如当机器人外科系统13110包括机器人集线器时,手持式外科器械13140可以与机器人外科系统13110的控制单元13114直接通信。
在各种情况下,外科集线器13120与机器人外科系统13110和外科器械13140两者都进行信号通信,从而允许外科系统13100以同步、协调和/或协同的方式调节多个外科装置。在外科集线器13120和各种外科装置之间传送的信息包括例如外科器械识别信息和/或各种外科装置的操作状态。在各种情况下,外科集线器13120被配置为检测外科器械13140何时被激活。在一个实例中,外科器械13140是超声解剖器。在激活超声解剖器时,外科集线器13120被配置为将所接收的激活信息传送至机器人外科系统13110的控制单元13114。
在各种情况下,外科集线器13120将信息自动传送至机器人外科系统13110的控制单元13114。读者应当理解,信息可以任何合适的时间、速率、间隔和/或计划表来传送。基于从外科集线器13120接收到的信息,机器人外科系统13110的控制单元13114被配置为决定是否激活至少一个机器人工具13117并且/或者激活特定的操作模式,诸如排烟模式。例如,在激活已知在外科部位处产生或可能产生烟雾和/或污染物的外科工具诸如超声解剖器时,机器人外科系统13110可以自动激活排烟模式或者可以提示外科医生激活排烟模式。在各种情况下,外科集线器13120被配置为将诸如各种感测到的组织状况的附加信息连续传送至机器人外科系统13110的控制单元13114,以便调节、继续和/或暂停机器人工具13117的进一步移动和/或所输入的操作模式。
在各种情况下,外科集线器13120可例如基于从外科器械13140传送的附加信息来计算参数,诸如烟雾产生强度。在将所计算的参数传送至机器人外科系统13110的控制单元13114时,控制单元13114被配置为移动至少一个机器人工具并且/或者调节操作模式以考虑所计算的参数。例如,当机器人外科系统13110进入排烟模式时,控制单元13114被配置为将排烟马达速度调节为与所计算的排烟强度成比例。
在某些情况下,安装到机器人13112上的超声工具可包括排烟特征结构,该排烟特征结构可以由控制单元13114激活以在排烟模式下操作。在其它情况下,可以利用单独的排烟装置。例如,排烟工具可被安装到另一机械臂上,并且在外科规程期间利用。在其它情况下,可以利用与机器人外科系统13110分开的排烟器械。外科集线器13120可以例如协调机器人控制的超声工具和排烟器械之间的通信。
在图33至图36中,参考结肠切除规程描述了各种外科装置及其部件。读者应当理解,结合这些附图描述的外科装置、系统和规程是图32的系统的示例性应用。现在参见图33,描绘了手持式外科器械13300的柄部部分13202。在某些方面,手持式外科器械13300对应于图32中的外科系统13100的外科器械13140。在一个实例中,手持式外科器械13300是电动圆形缝合器,并且在其柄部部分13302上包括显示器13310。
如本文所述,在经由外科集线器13320(图34)将手持式外科器械13300与机器人外科系统(例如,图32中的机器人外科系统13110)配对之前,手持式外科器械13300的柄部13302上的显示器13310可包含关于器械13300的状态的信息,诸如夹持负荷13212、砧座状态13214和/或器械或钉仓状态13216。在各种情况下,手持式外科器械13300的显示器13310包括提供给用户的传送击发系统的状态的警示13318。在各种情况下,显示器13310被配置为以将最重要的信息传送至用户的方式来显示信息。例如,在各种情况下,显示器13310被配置为以较大的大小、以闪烁的方式和/或以不同的颜色来显示警告信息。当手持式外科器械13300未与外科集线器配对时,显示器13310可描绘仅从手持式外科器械13300本身收集的信息。
现在参见图34,在将手持式外科器械13300与外科集线器13320配对之后,如本文结合图32所述,例如,由手持式外科器械13300检测和显示的信息可传送至外科集线器13320并显示在集线器显示器(例如,图32的集线器显示器13125)上。除此之外或另选地,该信息可显示在机器人外科系统的显示器上。除此之外或另选地,该信息可显示在手持式外科器械13300的柄部部分13302上的显示器13310上。在各种情况下,临床医生可以决定在一个或多个位置处显示什么信息。如上所述,在各种情况下,临床医生能够删除在手持式外科器械13300的显示器13310、机器人外科系统的显示器和/或集线器显示器上的显示器上显示的任何不希望的信息。
仍然参见图34,在将手持式外科器械13300与机器人外科系统配对之后,手持式外科器械13300的柄部部分13302上的显示器13310可以不同于在与机器人外科系统配对之前的手持式外科器械13300上的显示器13310。例如,来自外科集线器13320和/或机器人外科系统的规程信息可显示在电动圆形缝合器上。例如,如图34所示,为临床医生的便利起见,机器人状态信息显示在手持式外科器械13300的显示器13310上,该机器人状态信息包括来自外科集线器13320的对准信息13312以及由机器人工具施加在特定组织上的一个或多个回缩张力13316、13317。在各种情况下,手持式外科器械13300的显示器13310包括提供给用户的传送在外科规程期间由外科集线器13320监测的参数的警示13318。在各种情况下,显示器13310被配置为以将最重要的信息传送至用户的方式来显示信息。例如,在各种情况下,显示器13310被配置为以较大的大小、以闪烁的方式和/或以不同的颜色来显示警告信息。
仍然参见图34,手持式外科器械13300的显示器13310被配置为显示关于在涉及一个或多个机器人工具的外科规程期间由一个或多个装置施加的一个或多个回缩张力13316、13317的信息。例如,手持式外科器械13300,即电动圆形缝合器,涉及图35的结肠切除规程。在该规程中,一个装置(例如机器人工具)被配置为抓持结肠组织,而另一个装置(例如手持式圆形缝合器)被配置为抓持直肠组织。当装置彼此分开移动时,监测回缩结肠组织的力FRC和回缩直肠组织的力FRR。在所示的示例中,在回缩结肠组织的力超过预先确定的阈值时,向用户发出警示通知13318。这两个回缩力FRC、FRR的预先确定的阈值由显示器13310上的水平虚线表示。当超过和/或达到一个或两个阈值以最小化对周围组织的损伤和/或创伤时,将通知用户。
在图36中,示出了回缩力FRC、FRR的图形显示13330、13340。在图形显示器13330、13340所示的情况下,当超过预先确定的阈值时通知用户,如图形显示器13330的阴影区域13332所示,表明结肠组织的回缩力FRC超过0.5磅的预先确定阈值。
在某些情况下,由于可视性限制,可能难以在结直肠规程中将圆形缝合器的端部执行器与目标组织对准。例如,再次参见图35,在结肠切除期间,外科器械13300即圆形缝合器可邻近经横切的直肠13356定位。此外,外科器械13300的砧座13301可以与经横切的结肠13355接合。机器人工具133175被配置为接合砧座13301并施加回缩力FRC。可能难以例如通过穿过经横切的结肠13355的缝合线来确认外科器械13300与目标组织的相对位置。在某些情况下,来自外科集线器13320和机器人外科系统的信息可有利于对准。例如,如图34所示,可相对于外科器械13300的显示屏13310上的目标组织13318的中心示出外科器械13300的中心。在某些情况下,并且如图35所示,外科器械13300上的传感器和无线发射器可被配置为例如将定位信息传送至外科集线器13320。
结直肠规程、其可视性限制和用于外科集线器的对准工具在本文和2017年12月28日提交的标题为交互式外科平台(INTERACTIVE SURGICAL PLATFORM)的美国临时专利申请序列号62/611,341中进一步描述,该临时专利申请的公开内容全文以引用方式并入本文。
如上所述,手持式器械13300上的显示器13310还可被配置为在某些场景中警示临床医生。例如,图34中的显示器13310包括警示13318,因为一个或多个力超过预定义的力阈值。再次参见图35和图36,在结肠切除期间,机械臂可以在砧座上施加第一力FRC,并且手持式器械13300可以在直肠13356上施加第二力FRR。圆形缝合器在直肠13356上的张力可被限制在第一极限(例如,图36中的0.5磅)内,并且机械臂在结肠13355上的张力可被限制在第二极限(例如,图36中的0.5磅)内。当直肠13356或结肠13355上的张力超过阈值时,可以建议临床医生进行干预。
图35和图36中的结肠上的张力FRC可通过对机械臂的阻力而确定,并且因此可由控制单元(例如,机器人外科系统13110的控制单元13114)确定。此类信息可被传送至手持式外科器械13300并且在无菌场中显示在其显示器13310上,使得例如适当的临床医生可以实时的、或近实时的、或任何合适的间隔、速率和/或计划表容易地获得该信息。
在各种情况下,外科系统诸如图37和图38的外科系统13360包括无菌场内的交互式辅助显示器13362、13364。交互式辅助显示器13362、13364在某些情况下也是移动控制模块,并且可以类似于例如图32中的交互式辅助显示器13130。外科医生的命令控制台或远程控制模块13370是主要控制模块,并且可被定位在无菌场之外。在一个实例中,交互式辅助显示器13362可以是可佩戴在用户的手腕和/或前臂上的移动装置、手表和/或小型平板电脑,并且交互式辅助显示器13364可以是可在外科规程期间置于患者13361或患者台上的手持式移动电子装置,诸如平板电脑。例如,交互式辅助显示器13362、13364可以在外科规程期间置于患者13361的腹部或腿部上。在其它情况下,交互式辅助显示器13362、13364可结合到无菌场内的手持式外科器械13366中。
在一个实例中,示出了外科规程期间的外科系统13360。例如,外科规程可以是本文结合图33至图36描述的结肠切除规程。在这种情况下,外科系统13360包括机器人13372和延伸到外科部位中的机器人工具13374。机器人工具可以是例如包括超声刀和夹持臂的超声装置。外科系统13360还包括远程命令控制台13370,该远程命令控制台包括机器人集线器13380。机器人13372的控制单元容纳在机器人集线器13380中。外科医生13371初始被定位在远程命令控制台13370处。助手13367保持手持式外科器械13366,该外科器械是延伸到外科部位中的圆形缝合器。助手13367还保持与机器人集线器13380通信的辅助显示器13364。辅助显示器13364是移动数字电子装置,它可以固定在例如助手的前臂上。手持式外科器械13366包括无线通信模块。第二外科集线器13382也固定在手术室中。外科集线器13382包括发生器模块,并且可包括附加模块,如本文和2017年12月28日提交的标题为交互式外科平台(INTERACTIVE SURGICAL PLATFORM)的美国临时专利申请序列号62/611,341中进一步描述,该临时专利申请的公开内容全文以引用方式并入本文。
主要参见图37,集线器13380、13382包括无线通信模块,使得在两个集线器13380、13382之间建立无线通信链路。另外,机器人集线器13380与无菌场内的交互式辅助显示器13362、13364进行信号通信。集线器13382与手持式外科器械13366进行信号通信。如果外科医生13371朝向患者13361并在无菌场内移动(如附图标记13371’所示),外科医生13371可以使用无线交互式显示器13362、13364中的一个远离远程命令控制台13370操作机器人13372。无菌场内的多个辅助显示器13362、13364允许外科医生13371移动远离远程命令控制台13370,而不会丢失重要的外科规程信息和对其中使用的机器人工具的控制。
交互式辅助显示器13362、13364允许临床医生离开远程命令控制台13370进入无菌场,同时保持对机器人13372的控制。例如,交互式辅助显示器13362、13364允许临床医生同时对电动手持式外科器械13366和机器人外科系统保持协同和/或协调控制。在各种情况下,信息在机器人外科系统、一个或多个电动手持式外科器械13366、外科集线器13380、13382和交互式辅助显示器13362、13364之间传送。此类信息可包括例如机器人外科系统和/或电动手持式外科器械的显示器上的图像,机器人外科系统和/或电动手持式外科器械的参数,和/或用于机器人外科系统和/或电动手持式外科器械的控制命令。
在各种情况下,机器人外科系统的控制单元(例如,机器人外科系统13110的控制单元13113)被配置为将至少一个显示元素从外科医生的命令控制台(例如,控制台13116)传送至交互式辅助显示器(例如,显示器13130)。换句话讲,将外科医生控制台处的显示内容的一部分复制到交互式辅助显示器的显示内容上,从而将机器人显示器与交互式辅助显示器集成在一起。将机器人显示器复制到交互式辅助显示器的显示内容上允许临床医生离开远程命令控制台,而不会丢失在此显示的视觉图像。例如,交互式辅助显示器13362、13364中的至少一个可以显示来自机器人的信息,诸如来自机器人显示器和/或外科医生的命令控制台13370的信息。
在各种情况下,交互式辅助显示器13362、13364被配置为控制和/或调节机器人外科系统的至少一个操作参数。此类控制可以自动地和/或响应于临床医生输入而发生。通过与交互式辅助显示器13362、13364上的触敏屏幕和/或按钮进行交互,临床医生能够输入命令来控制一个或多个机器人工具的移动和/或功能。例如,当利用手持式外科器械13366时,临床医生可能希望将机器人工具13374移动到不同的位置。为了控制机器人工具13374,临床医生将输入施加到交互式辅助显示器13362、13364,并且相应交互式辅助显示器13362、13364将临床医生输入传送至机器人集线器13380中的机器人外科系统的控制单元。
在各种情况下,位于机器人外科系统的远程命令控制台13370处的临床医生可以手动超控由一个或多个交互式辅助显示器13362、13364上的临床医生输入所发起的任何机器人命令。例如,当从一个或多个交互式辅助显示器13362、13364接收到临床医生输入时,位于远程命令控制台13370处的临床医生可以允许发出命令并且执行所需功能,或者临床医生可通过与远程命令控制台13370交互并禁止发出命令来超控命令。
在某些情况下,无菌场内的临床医生可能需要请求许可,以控制机器人13372和/或安装在其上的机器人工具13374。远程命令控制台13370处的外科医生13371可以同意或拒绝临床医生的请求。例如,外科医生可以接收指示另一位临床医生正在请求操作手持式外科器械和/或与交互式辅助显示器13362、13364进行交互的许可的弹出消息或其它通知。
在各种情况下,机器人外科系统诸如机器人外科系统13000(图23)、13400(图24)、13150(图30)、13100(图32)的处理器和/或外科集线器13380、13382例如被编程为具有机器人外科系统的预先批准的功能。例如,如果来自交互式辅助显示器13362、13364的临床医生输入对应于预先批准的功能,则机器人外科系统允许交互式辅助显示器13362、13364控制机器人外科系统并且/或者不禁止交互式辅助显示器13362、13364控制机器人外科系统。如果来自交互式辅助显示器13362、13364的临床医生输入不对应于预先批准的功能,则交互式辅助显示器13362、13364不能命令机器人外科系统执行所需功能。在一个实例中,机器人集线器13370和/或外科集线器13382中的态势感知模块被配置为指示和/或影响交互式辅助显示器何时可以向机器人外科系统发出控制运动。
在各种情况下,交互式辅助显示器13362、13364在与机器人外科系统的一部分接触时可以对机器人外科系统的一部分进行控制。例如,当交互式辅助显示器13362、13364与机器人工具13374接触时,将授予交互式辅助显示器13362、13364对所接触的机器人工具13374的控制。然后,临床医生可以利用交互式辅助显示器13362、13364上的触敏屏幕和/或按钮输入命令,以控制所接触的机器人工具13374的移动和/或功能。该控制方案允许临床医生重新定位机械臂,重新加载机器人工具并且/或者以其它方式重新配置机器人外科系统。以与上述类似的方式,位于机器人外科系统的远程命令控制台13370处的临床医生13371可以手动超控由交互式辅助显示器13362、13364发起的任何机器人命令。
在一个方面,机器人外科系统包括处理器和通信地耦接到该处理器的存储器,如本文所述。存储器存储能由处理器执行的指令以从控制台接收第一用户输入并从移动无线控制模块接收第二用户输入,从而控制机器人外科工具的功能,如本文所述。
在各个方面,本公开提供了一种控制电路,该控制电路从控制台接收第一用户输入并从移动无线控制模块接收第二用户输入,从而控制机器人外科工具的功能,如本文所述。在各个方面,本公开提供了一种存储计算机可读指令的非暂态计算机可读介质,该计算机可读指令在被执行时使机器从控制台接收第一用户输入并从移动无线控制模块接收第二用户输入,从而控制机器人外科工具的功能,如本文所述。
机器人外科系统可包括被配置为在外科规程期间协助临床医生的多个机械臂。每个机械臂可以独立于其它机械臂进行操作。由于每个机械臂独立操作,因此它们之间可能缺乏通信,这可能会增加组织受到创伤的风险。例如,在一个机械臂被配置为施加比被配置为由第二机械臂施加的力更强且方向不同的力的情况下,可能导致组织创伤。例如,当第一机械臂向组织施加强回缩力,而第二机械臂被配置为将组织刚性地保持在适当位置时,可能会发生组织创伤和/或撕裂。
在各种情况下,一个或多个传感器附接到机器人外科系统的每个机械臂。所述一个或多个传感器被配置为在机械臂的操作期间感测施加到周围组织的力。此类力可包括例如保持力、回缩力和/或拖动力。每个机械臂的传感器被配置为将所检测到的力的大小和方向传送至机器人外科系统的控制单元。控制单元被配置为分析所传送的力并设置最大负荷的极限,以避免在外科部位中对组织造成创伤。例如,如果由第二机械臂施加的回缩或拖动力增大,则控制单元可以最小化由第一机械臂施加的保持力。
图39描绘了包括控制单元13820和机器人13810的机器人外科系统13800。机器人外科系统13800在许多方面类似于例如包括机器人13002(图23)的机器人外科系统13000。控制单元13820包括处理器13822和显示器13824。机器人13810包括被配置为执行各种外科功能的两个机械臂13830、13840。机械臂13830、13840中的每个可独立操作,并且在限定机器人外科系统13800的控制范围的空间中自由移动。一个或多个机械臂13830、13840被配置为接纳工具,诸如缝合器、射频(RF)工具、超声刀、抓持器和/或切割器械。可使用其它合适的外科工具。在各种情况下,机械臂13830、13840各自包括被配置为执行不同功能的不同工具。在其它情况下,所有机械臂13830、13840包括相同的工具,但也可以使用任何合适的布置。
第一机械臂13830包括第一驱动器13834和第一马达13836。当被处理器13822激活时,第一马达13836驱动第一驱动器13834,以致动第一机械臂13830的对应部件。第二机械臂13840包括第二驱动器13844和第二马达13846。当被处理器13822激活时,第二马达13846驱动第二驱动器13844,以致动第二机械臂13840的对应部件。
机械臂13830、13840中的每个包括与控制单元13820的处理器13822进行信号通信的传感器13832、13842。传感器13832、13842可以分别定位在驱动器13834、13844上并且/或者分别定位在马达13836、13846上。在各种情况下,传感器13832、13842被配置为检测机器人外科系统13800的控制范围内的每个单独的机械臂13830、13840的位置。传感器13832、13842被配置为将所检测到的位置传送至机器人外科系统13800的处理器13822。在各种情况下,机械臂13830、13840的位置显示在控制单元13820的显示器13824上。如下文所详述,在各种情况下,处理器13822被配置为运行算法以实现特定于每个机械臂13830、13840的位置极限,从而例如避免组织创伤和对机器人外科系统13800的损坏。此类位置极限可以提高临床医生同时协同操作机器人外科系统13800的多个机械臂13830、13840的能力。
在各种情况下,传感器13832、13842被配置为检测由每个机械臂13830、13840施加的力。传感器13832、13842可以是扭矩传感器。如上所述,机器人外科系统13800的每个机械臂13830、13840可独立操作。在特定的外科规程期间,临床医生可能希望使用每个机械臂13830、13840执行不同的外科功能。在检测到每个机械臂13830、13840施加的力时,每个传感器13832、13842被配置为将所检测到的力传送至处理器13822。然后,处理器13822被配置为分析所传送的信息并为每个机械臂13830、13840设置最大和/或最小力极限,以例如降低引起组织创伤的风险。此外,处理器13822被配置为连续监测每个机械臂13830、13840施加的力,并且基于所施加的力的方向和大小,相对于彼此成比例地控制每个机械臂13830、13840。例如,可测量两个机械臂13830、13840之间的反向力并使其保持低于最大力极限。为了使反向力保持低于最大力极限,可减小至少一个力,这可能导致机械臂13830、13840的位移。
举例来讲,图40描绘了外科部位和外科系统13800的一部分,该外科系统包括三个机械臂,除了机械臂13830和13840之外,还包括机械臂13850(第三机械臂),这也在图39中示意性地示出。第一机械臂13830被配置为保持胃结缔组织的一部分。为了保持胃结缔组织的该部分,第一机械臂13830施加向上的力FH1。第二机械臂13840向组织施加拖动力和/或切割力FD2。同时,第三机械臂13850使肝组织的一部分远离当前外科切口位置回缩,从而进一步暴露下一个外科切口位置。为了使肝组织的该部分移出正在推进的第二机械臂13840的路径,第三机械臂13850远离第二机械臂13840施加回缩力FR3。在各种示例中,随着第二机械臂13840进一步推进到外科部位中,机器人外科系统的控制单元引导第三机械臂13850增大所施加的回缩力FR3以继续暴露下一个外科切口位置。虽然图40描绘了具体的外科规程和特定的机械臂,但也可以执行任何合适的外科规程,并且机械臂的任何合适的组合可以利用本文所公开的控制算法。
图41描绘了上文详述的具体外科规程中分别由图40的机械臂13830、13840和13850施加的力以及机械臂13830、13840和13850的相对位置的图形表示13852、13854。图41中的图形显示13852表示在一时间段内每个机械臂13830、13840和13850所施加的力,而图形显示13854表示在同一时间段内每个机械臂13830、13840和13850的相对位置。如上所述,第一机械臂13830被配置为在胃结缔组织的一部分上施加保持力FH1。保持力FH1由曲线图13852、13854上的实线表示。第二机械臂13840被配置为在胃结缔组织上施加拖动力和/或切割力FD2。拖动力FD2由曲线图13852、13854上的点划线表示。第三机械臂13850被配置为在肝组织的一部分上施加回缩力FR3。回缩力FR3由曲线图13852、13854上的虚线表示。
在各种情况下,机器人外科系统的控制单元施加至少一个力阈值,诸如最大力阈值,如图形显示13852中所示。因此,防止第三机械臂13850施加大于最大回缩力阈值的回缩力FR3。施加此类最大力极限是为了避免例如组织创伤并且/或者避免损坏各种机械臂13830、13840和13850。
除此之外或另选地,机器人外科系统13800的控制单元13820可以施加至少一个力阈值,诸如最小力阈值,如图形显示13852中所描绘。在所描绘的实例中,防止第一机械臂13830施加小于最小保持力阈值的保持力FH1。施加此类最小力极限是为了例如避免保持适当的组织张力和/或外科部位的可视性。
在各种情况下,机器人外科系统13800的控制单元13820施加在负载控制模式期间在各种机械臂之间检测到的最大力差。为了设置最大力差,机器人外科系统的控制单元13820被配置为连续监测由机械臂产生的反向力的大小和方向上的差异。如上所述,第一机械臂13830被配置为通过施加保持力FH1来保持胃结缔组织的一部分。第二机械臂13840被配置为施加与第一机械臂13830所施加的保持力FH1相反的拖动力FD2。在各种情况下,最大力差防止意外的过载和/或损坏夹在机械臂13830、13840和13850之间的物体。此类物体包括例如周围的组织和/或外科部件,如扣环、胃带和/或括约肌增强装置。F最大反向表示在该具体示例中由控制单元13820设置的最大力差。
从图形显示13852中可以看出,在外科规程开始时,保持力FH1和拖动力FD2的大小都增加了。这样的大小增加可指示组织的牵拉。保持力FH1和拖动力FD2沿相反的方向增加到相反的力之间的差值等于F最大反向的点。在图形显示13852中,斜线突出显示达到F最大反向的时间点。在达到F最大反向时,处理器13822指示第一机械臂13830减小保持力FH1,并继续允许第二机械臂13840以相同值施加拖动力FD2,并且可允许临床医生增大拖动力。在各种情况下,F最大反向的值由处理器13822基于各种变量(诸如外科手术的类型和/或相关的患者人口统计信息)来设置。在各种情况下,F最大反向是存储在处理器13822的存储器中的默认值。
机械臂13830、13840和13850在外科部位内的相对位置描绘在图41的图形显示13854中。当第一机械臂13830在胃结缔组织上施加保持力FH1,并且第三机械臂13850在肝组织上施加回缩力FR3时,外科部位变得清晰,并允许第二机械臂13840在所需组织上施加拖动力和/或切割力FD2。随着规程的进行,第二机械臂13840和第三机械臂13850变得远离第一机械臂13830。当保持力FH1和拖动力FD2之间达到力差F最大反向时,第一机械臂13830朝向第二机械臂13840移近,从而减小了第一机械臂13830施加的保持力FH1。在一个方面,处理器13822可以将第一机械臂13830从负荷控制模式转变为位置控制模式,使得第一机械臂13830的位置保持恒定。如图41的图形表示所示,当将第一机械臂13830保持在恒定位置时,对第二机械臂13840的力控制可以继续使第二机械臂13840位移。
在各种情况下,机器人外科系统的控制单元13820引导第一机械臂13830保持特定位置,直到达到第一机械臂13830与第二机械臂13840之间的预先确定的力阈值。当达到预先确定的力阈值时,第一机械臂13830被配置为与第二机械臂13840一起自动移动,以保持预先确定的力阈值。当第二机械臂13840的所检测到的力不再保持预先确定的力阈值时,第一机械臂13830停止移动(或可以不同的速率移动)。
在各种情况下,机器人外科系统的控制单元13820被配置为响应于由机械臂13830、13840和13850检测到的状况而在位置控制模式和负荷控制模式之间交替。例如,当机器人外科系统13800的第一机械臂13830和第二机械臂13840在整个外科部位自由移动时,控制单元13820可以施加每个臂13830、13840可以施加的最大力。在各种情况下,第一臂13830和第二臂13840各自包括被配置为检测电阻的传感器。在其它情况下,传感器可以定位在外科工具上,诸如智能外科缝合器或钳夹工具。与组织和/或其它外科器械接触时可能会遇到阻力。当检测到这种阻力时,控制单元13820可以激活负荷控制模式并通过机械臂13830、13840中的一个和/或多于一个降低所施加的力,以例如减少对组织的损伤。在各种情况下,控制单元13820可以激活位置控制模式,并且将机械臂13830、13840中的一个和/或多于一个移动到不再检测到这种阻力的位置。
在一个方面,控制单元13820的处理器13822被配置为在安装到机械臂13830、13840中的一个的外科工具移动到限定的外科空间之外时从负载控制模式切换到位置控制模式。例如,如果机械臂13830、13840中的一个移出外科部位周围的限定边界,或者进入与器官或其它组织的邻接接触,或者过于靠近另一外科装置,则处理器13822可以切换到位置控制模式,并且阻止机械臂13830、13840进一步移动和/或将机械臂13830、13840移回限定的外科空间内。
现在转到图42所示的流程图,当临床医生和/或机器人外科系统在步骤13505处激活机械臂中的一个或多个时,在步骤13501处启动算法13500。算法13500可以被例如图39中的机器人外科系统13800采用。每个机械臂与机器人外科系统的处理器13822进行信号通信。激活后,每个机械臂被配置为向处理器发送信息。在各种情况下,该信息可包括例如工具附件的标识和/或被激活的机械臂的初始位置。在各种情况下,此类信息会在工具附接到机械臂时、在由机器人外科系统激活机械臂时和/或在由处理器询问机械臂之后自动传送,但该信息也可以在任何合适的时间发送。此外,可以自动地和/或响应于询问信号而发送信息。
基于在步骤13510处从被激活的机械臂中的每个收集的信息,处理器被配置为在步骤13515处为机器人外科系统的工作范围内的每个特定机械臂设置位置极限。位置极限可设定每个机械臂可以行进的三维边界。位置极限的设置允许有效且协同地使用每个被激活的机械臂,同时例如防止对周围组织造成创伤和/或被激活的机械臂之间的碰撞。在各种情况下,处理器包括存储器,该存储器包括一组存储的数据以帮助定义每个位置极限。例如,所存储的数据可以特定于具体的外科规程、机器人工具附件和/或相关的患者人口统计信息。在各种情况下,临床医生可以帮助定义每个被激活的机械臂的位置极限。处理器被配置为在步骤13520处确定机械臂是否仍处于激活状态。如果处理器确定不再激活机械臂,则处理器被配置为在步骤13522处结束位置监测。一旦处理器确定机械臂仍处于激活状态,则处理器被配置为在步骤13525处监测每个被激活的机械臂的位置。
然后,处理器被配置为在步骤13530处评估所检测到的位置是否在预定义的位置极限内。在无法从机械臂收集信息并且缺少临床医生输入的情况下,在步骤13533处分配默认位置极限。这样的默认位置极限分配了保守的三维边界,以最小化例如组织创伤和/或机械臂之间的碰撞。如果所检测到的极限在位置极限之内,则处理器被配置为在步骤13535处允许机械臂在外科部位内保持在适当位置和/或自由移动,并且只要机械臂仍然被激活,就继续监测过程。如果所检测到的极限在位置极限之外,则处理器被配置为在步骤13532处将机械臂移回位置极限内,并且只要机械臂仍然被激活,就继续监测过程。
在步骤13525处,处理器被配置为连续监测每个机械臂的位置。在各种情况下,处理器被配置为以预先确定的时间间隔重复发送询问信号。如上所述,如果检测到的位置超过为特定机械臂设置的位置极限,则在某些情况下,处理器被配置为在步骤13532处将机械臂自动移回三维边界内。在某些情况下,处理器被配置为响应于一个机械臂超过其初始位置极限而重新调节另一机械臂的位置极限。在某些情况下,在将机械臂移回其位置极限内和/或调节其它机械臂的位置极限之前,处理器被配置为警示临床医生。如果所检测到的位置在为机械臂设置的位置极限内,则在步骤13535处,处理器允许机械臂保持在相同位置和/或自由行进,直到所检测到的位置超过位置极限。如果处理器无法检测到机械臂的位置,则处理器被配置为在步骤13533处警示临床医生和/或为机械臂分配默认位置极限。处理器被配置为监测每个机械臂的位置,直到外科手术完成和/或停用机械臂。
类似于图42的算法,图43的流程图描绘了算法13600,当临床医生和/或机器人外科系统在步骤13605处激活机械臂中的一个或多个时,在步骤13601处启动该算法。算法13600可以被例如图39中的机器人外科系统13800采用。每个机械臂与处理器进行信号通信。激活后,每个机械臂被配置为在步骤13610处向处理器发送信息。在各种情况下,该信息可包括例如工具附件的标识、由一个或多个力传感器检测到的施加在机械臂上的力和/或被激活的机械臂的初始位置。在各种情况下,此类信息会在工具附接到机械臂时、在由机器人外科系统激活机械臂时和/或在由处理器询问机械臂之后自动传送,但该信息也可以在任何合适的时间发送。此外,可以自动地和/或响应于询问信号而发送信息。
基于从被激活的机械臂中的每个收集的信息,处理器被配置为在步骤13615处为每个特定机械臂设置力极限。力极限为每个机械臂施加的力设置最大和最小力阈值。除此之外或另选地,力极限可以是两个或更多个臂之间的最大力差。力极限的设置允许有效且协同地使用所有被激活的机械臂,同时例如防止对周围组织造成创伤和/或机械臂的损坏。在各种情况下,处理器包括存储器,该存储器包括一组存储的数据以帮助定义每个力极限。例如,所存储的数据可以特定于具体的外科规程、机器人工具附件和/或相关的患者人口统计信息。在各种情况下,临床医生可以帮助定义每个被激活的机械臂的力极限。在无法从机械臂收集信息并且缺少临床医生输入的情况下,将分配默认力极限。这样的默认力极限分配了保守的最大和最小力阈值,以最小化例如组织创伤和/或对机械臂的损坏。
处理器被配置为在步骤13620处确定机械臂是否是活动的。如果处理器确定机械臂已被停用,则处理器被配置为在步骤13622处结束力监测。一旦在步骤13620处确定机械臂仍处于激活状态,则处理器被配置为在步骤13625处连续监测由每个机械臂施加的力。在各种情况下,处理器被配置为以预先确定的时间间隔重复发送询问信号。在某些情况下,如果检测到的力超过为特定机械臂设置的最大力阈值,则处理器被配置为在步骤13632处自动减小由机械臂施加的力和/或减小由另一机械臂施加的反向力。在某些情况下,处理器被配置为响应于一个机械臂超过其初始力极限而重新调节分配给另一机械臂的力极限。在某些情况下,在调节由机械臂施加的力,调节由另一机械臂施加的反向力和/或调节其它机械臂的力极限之前,处理器被配置为警示临床医生。如果所检测到的力在为机械臂设置的力极限内,则在步骤13635处允许机械臂保持该力的施加并且/或者临床医生可以增大或减小所施加的力,直到该力超出设定的力极限。如果处理器无法检测到机械臂施加的力,则处理器被配置为在步骤13633处警示临床医生和/或为机械臂分配默认力极限。处理器被配置为监测每个机械臂施加的力,直到外科手术完成和/或在步骤13620处停用机械臂。
类似于图42和图43的算法,图44的流程图描绘了算法13700,当临床医生和/或机器人外科系统激活机械臂中的一个或多个13705时,启动该算法13701。算法13700可以被例如图39中的机器人外科系统13800采用。每个机械臂与处理器进行信号通信。激活后,每个机械臂被配置为在步骤13710处向处理器发送信息。在各种情况下,该信息可包括例如工具附件的标识、由一个或多个力传感器检测到的机械臂上的力和/或被激活的机械臂的初始位置。在各种情况下,此类信息会在工具附接到机械臂时、在由机器人外科系统激活机械臂时和/或在由处理器询问机械臂之后自动传送,但该信息也可以在任何合适的时间发送。在各种情况下,自动地和/或响应于询问信号而发送信息。
基于从所有被激活的机械臂收集的信息,处理器被配置为在步骤13715处设置机器人外科系统的工作范围内的位置极限和每个特定机械臂的力极限。位置极限设定每个机械臂可以行进的三维边界。位置极限的设置允许有效且协同地使用所有被激活的机械臂,同时例如防止对周围组织造成创伤和/或被激活的机械臂之间的碰撞。力极限为每个机械臂施加的力设置最大和/或最小力阈值。除此之外或另选地,力极限可以是两个或更多个臂之间的最大力差。力极限的设置允许有效且协同地使用被激活的机械臂,同时例如防止对周围组织造成创伤和/或机械臂的损坏。
在各种情况下,处理器包括存储器,该存储器包括一组存储的数据以帮助定义每个位置极限和力极限。例如,所存储的数据可以特定于具体的外科规程、机器人工具附件和/或相关的患者人口统计信息。在各种情况下,临床医生可以帮助定义每个被激活的机械臂的位置极限和力极限。在无法从机械臂收集信息并且缺少临床医生输入的情况下,为机械臂分配默认位置极限和/或默认力极限。这样的默认位置极限分配保守的三维边界以最小化例如组织创伤和/或机械臂之间的碰撞,而默认力极限分配保守的最大和/或最小力阈值以最小化例如组织创伤和/或对机械臂的损坏。在各种情况下,处理器被配置为基于另一机械臂的力极限来调节一个机械臂的位置极限,基于另一机械臂的位置极限来调节一个机械臂的力极限,反之亦然。
处理器被配置为在步骤13720处确定机械臂是否是活动的。一旦处理器在步骤13720处确定机械臂已被激活,则处理器被配置为连续监测每个臂的位置13737并且在步骤13725处监测每个机械臂施加的力。如果机械臂不再被激活,则处理器被配置为在步骤13727处结束位置监测并且在步骤13722处结束力监测。在各种情况下,处理器被配置为以预先确定的时间间隔重复发送询问信号。如果检测到的位置超过为特定机械臂设置的位置极限,则在某些情况下,处理器被配置为在步骤13742处将机械臂自动移回三维边界内。在某些情况下,在将机械臂移回其位置极限内之前,处理器被配置为警示临床医生。如果所检测到的位置在为机械臂设置的位置极限内,则在步骤13745处,允许机械臂保持在相同位置和/或自由行进,直到所检测到的位置超过位置极限。如果处理器无法检测到机械臂的位置,则处理器被配置为在步骤13743处警示临床医生和/或用默认位置极限重写机械臂的初始位置极限。处理器被配置为监测每个机械臂的位置,直到外科手术完成和/或停用机械臂。
在某些情况下,机器人外科系统包括被配置为控制每个机械臂的位置的手动超控装置。在某些情况下,如果检测到的力超过为特定机械臂设置的最大力阈值,则处理器被配置为在步骤13732处自动减小由机械臂施加的力和/或减小由另一机械臂施加的反向力。在某些情况下,在减小由机械臂施加的力和/或减小由另一机械臂施加的反向力之前,处理器被配置为警示临床医生。如果所检测到的力在为机械臂设置的力极限内,则在步骤13735处允许机械臂保持该力的施加并且/或者增大或减小所施加的力,直到该力超出设定的力极限。如果处理器无法检测到机械臂施加的力,则处理器被配置为在步骤13733处警示临床医生和/或用默认力极限重写机械臂的初始力极限。处理器被配置为监测每个机械臂施加的力,直到外科手术完成和/或停用机械臂。
在各种情况下,位置监测系统和力监测系统是互连的。在某些情况下,力监测系统可以超控位置检测步骤13740的所得决策13742、14743、14745。在某些情况下,位置监测系统可以超控力检测步骤13730的所得决策13732、13733、13735。在其它情况下,位置监测系统和力监测系统彼此独立。
临床医生可以手动超控在本文所述的自动负荷和/或位置控制模式下实现的自动调节。手动超控可以是对外科机器人的一次性调节。在其它情况下,手动超控可以是针对特定外科操作、特定持续时间和/或整个规程的全局超控关闭自动负荷和/或位置模式的设置。
在一个方面,机器人外科系统包括处理器和通信地耦接到该处理器的存储器,如本文所述。处理器通信地耦接到第一力传感器和第二力传感器,并且存储器存储能由处理器执行的指令,以在负荷控制模式下基于来自第一力传感器的第一输入和来自第二力传感器的第二输入影响第一机械臂和第二机械臂的协同移动,如本文所述。
在各个方面,本公开提供了一种控制电路,用以影响第一机械臂和第二机械臂的协同移动,如本文所述。在各个方面,本公开提供了一种存储计算机可读指令的非暂态计算机可读介质,该计算机可读指令在被执行时使机器影响第一机械臂和第二机械臂的协同移动,如本文所述。
在特定的外科规程期间,除了机器人外科系统之外,临床医生还可以依赖于一种或多种电动手持式外科器械。在各种情况下,通过不同的平台控制和监测器械,这可能会阻止器械和机器人外科系统之间的通信。例如,器械可以由不同的制造商甚至由竞争者生产。此类器械可具有不同的通信包和/或通信和/或链接协议。电动器械和机器人外科系统之间缺乏通信可能会阻碍协同和/或协调使用,并且可能会使临床医生的外科规程变得复杂。例如,每个外科器械可包括单独的显示器以传送各种信息和操作参数。在这种情况下,临床医生可能必须查看许多特定于器械的显示器,以监测每个装置的操作状态并分析每个装置收集的数据。
在各种情况下,机器人外科系统被配置为检测由除机器人外科系统之外的平台控制的其它电动外科器械的存在。机器人外科系统可包括集线器,即机器人集线器,如机器人集线器122(图2)和222(图9),所述集线器可检测例如其它电动外科器械。在其它情况下,独立的外科集线器,如与机器人外科系统通信的集线器106(图1至图3)或集线器206(图9),可有利于对非机器人外科器械的检测以及所检测到的外科器械与机器人外科系统的协同和协调使用。集线器可以是机器人集线器或外科集线器,被配置为显示电动外科器械相对于机器人外科系统工作范围的位置和取向。在某些情况下,工作范围可以是例如手术室。具有空间感知能力的外科集线器在本文和2017年12月28日提交的标题为交互式外科平台(INTERACTIVE SURGICAL PLATFORM)的美国临时专利申请序列号62/611,341中进一步描述,该临时专利申请的公开内容全文以引用方式并入本文。在一个方面,集线器可首先确定工作范围的边界,然后检测工作范围内其它电动外科器械的存在。
图45描绘了外科系统13860,该外科系统包括机器人外科系统13865、外科器械13890和外科集线器13870。外科器械13890是电动手持式器械,并且可以是机动化外科缝合器,诸如图46中描绘的机动化线性缝合器。外科系统13865可以在许多方面类似于例如机器人外科系统13000(图23)。如本文所述,外科集线器13870可结合到例如机器人外科系统13865中。外科集线器13870被配置为与机器人外科系统13865和外科器械13890进行信号通信。在其它情况下,外科系统13860可包括附加的手持式外科器械。机器人外科系统13865包括机器人13861,该机器人可以类似于例如机器人13002。机器人外科系统13865还包括控制单元13862和外科医生的命令控制台或远程控制模块13864。外科医生的命令控制台13864被配置为接收临床医生输入。控制单元13862包括机器人显示器13868和处理器13866。外科器械13890包括显示器13894和处理器13892。
在各种情况下,外科集线器13870包括外科集线器显示器13880,该外科集线器显示器可以类似于可视化系统108(图1)的显示器。外科集线器显示器13880可包括例如平视显示器。外科集线器13880被配置为在外科集线器13870的一定距离内检测外科器械13890的存在。例如,外科集线器13870被配置为检测一个手术室内所有被激活的外科器械13890的存在,但也可以监测任何合适的距离。在各种情况下,外科集线器13870被配置为在外科集线器显示器13880上显示所有被激活的外科器械13890的存在。
特定的手持式外科器械通过第一语言经由第一通信过程进行通信。特定的机器人外科系统通过第二语言经由第二通信过程进行通信。在各种情况下,第一通信过程与第二通信过程相同。当第一通信过程与第二通信过程相同时,外科器械13890被配置为将信息直接传送至外科集线器13870和/或机器人外科系统13865。此类信息包括例如外科器械的型号和/或类型、外科器械的位置、外科器械的操作状态和/或外科器械的任何其它相关参数。
在各种情况下,第一通信过程不同于第二通信过程。例如,由第一制造商开发的外科系统(例如,机器人)可以利用第一专有语言或通信方案,并且由第二制造商开发的外科系统(例如,手持式外科工具)可以利用第二不同的专有语言或通信方案。尽管存在语言差异/障碍,但外科集线器13870和/或外科机器人13865被配置为感测以不同通信过程进行操作的外科器械13890。当外科集线器13870无法识别特定电动手持式外科器械利用的通信过程时,外科集线器13870被配置为检测各种信号,诸如被激活的电动手持式外科器械发出的Wi-Fi和蓝牙传输。基于所检测到的信号传输,外科集线器13870被配置为向临床医生警示所有电动手持式外科器械,这些器械使用与机器人外科系统13865不同的通信过程。从新检测到的电动手持式外科器械接收到的所有数据都可以存储在外科集线器13870内,使得新检测到的电动手持式外科器械在将来被外科集线器13870所识别。
在各种情况下,外科集线器13870被配置为通过感测电池的磁性存在、功率使用和/或从被激活的电动手持式外科器械发射的电磁场来检测电动手持式外科器械的存在,而不管被激活的电动手持式外科器械是否尝试与另一种外科器械诸如机器人外科系统进行通信。
机器人13861和|外科器械13890在图46的示例性外科规程中举例说明。在该示例中,外科器械13890是进行关节运动的线性缝合器。如图46所示,外科器械13890在其柄部13892中包括马达13895。在其它情况下,外科器械13890可包括定位在整个外科器械中的多个马达。马达13895被配置为发出电磁场13896,该电磁场可以被机器人外科系统13865或外科集线器13870检测到。例如,外科集线器13870的主机器人塔或模块化控制塔可包括用于检测手术室内的电磁场的接收器。
在一个方面,机器人外科系统的处理器(例如,控制单元13862的处理器)被配置为计算外科器械13890周围的边界。例如,基于电磁场13896和外科器械的对应类型,处理器可以确定外科器械13890的尺寸及其位置的可能范围。例如,当外科器械13890包括一个或多个关节运动接头13891时,位置范围可涵盖外科器械13890的关节运动位置。
在一个实例中,机器人外科系统可计算围绕外科器械的第一较宽边界B2。当机器人外科工具接近较宽边界B2时,机器人外科工具13861可以向外科医生发出附接到机器人13861的机器人外科工具正在接近另一个外科器械13890的通知或警告。在某些情况下,如果外科医生继续使机器人外科工具朝向外科器械13890推进并且到达第二较窄边界B1,则机器人外科系统13865可以停止推进机器人外科工具。例如,如果机器人外科工具跨越较窄边界B1,则可以停止机器人外科工具的推进。在这种情况下,如果外科医生仍希望继续在较窄边界B1内推进机器人外科工具,则外科医生可以超控机器人外科系统13865的硬停止功能。
再次参见图45,外科系统13860包括多个显示监视器。每个手持式外科器械13890和机器人外科系统13865被配置为将表示每个装置上的显示器的视频和/或图像馈送传送至外科集线器13870和/或集线器显示器13880。此类视频和/或图像馈送可包括每个手持式外科器械13890和/或机器人外科系统13865的操作参数和/或检测到的状况。集线器13870被配置为控制整个系统13800的一个或多个显示监视器中的每个上所显示的视频和/或图像馈送。在各种情况下,显示监视器中的每个显示来自特定外科装置或系统的各个视频和/或图像。在各种情况下,可以用来自其它装置或系统的附加信息和/或视频和/或图像馈送覆盖各个视频和/或图像馈送。此类信息可包括操作参数和/或所检测到的状况。外科集线器13870被配置为请求哪个显示监视器显示哪个视频和/或图像馈送。换句话讲,外科集线器13870与集线器显示器13880之间的通信链路允许外科集线器13870指示将哪个视频和/或图像馈送分配给哪个显示监视器,同时仍然通过视频中心直接控制一个或多个显示器。在各种情况下,集线器显示器13880被配置为将显示监视器中的一个或多个与外科集线器13870分离,并且允许不同的外科集线器或外科装置在分离的显示监视器上显示相关信息。
在各种情况下,外科集线器被配置为将所存储的数据与机构数据屏障内的其它数据系统通信,从而允许数据的协同利用。这种建立的数据系统可包括例如电子病历(EMR)数据库。外科集线器被配置为利用外科集线器与EMR数据库之间的通信来将医院的总体外科趋势与在使用外科集线器期间记录的本地数据集相关联。
在各种情况下,外科集线器位于医院和/或外科中心的特定手术室中。如图47所示,医院和/或外科中心包括手术室OR1、OR2、OR3和OR4。图47所示的手术室OR2、OR3和OR4中的三个分别包括外科集线器13910、13920、13930,但也可以使用任何合适数量的外科集线器。每个外科集线器13910、13920、13930被配置为彼此信号通信,用信号箭头A表示。每个外科集线器13910、13920、13930也被配置为与主要服务器13940进行信号通信,用图47中的信号箭头B表示。
在各种示例中,当在外科规程期间在外科集线器13910、13920、13930与各种外科器械之间传送数据时,外科集线器13910、13920、13930被配置为临时存储所传送的数据。在外科规程结束时和/或在预先确定的时间段结束时,每个外科集线器13910、13920、13930被配置为将所存储的信息传送到主服务器13940。一旦将所存储的信息传送到主服务器13940,就可以从各个外科集线器13910、13920、13930的存储器中删除该信息。所存储的信息被传送到主服务器13940,以减轻外科集线器13910、13920、13930之间的带宽竞争,从而例如将所存储的数据传输至云分析“C”。而主服务器13940被配置为编译和存储所传送的数据。主服务器13940被配置为单个信息交换所,用于将信息传送回各个外科集线器13910、13920、13930和/或用于外部下载。另外,由于所有数据都存储在主服务器13940的一个位置中,因此可以更好地保护数据免受数据破坏性事件的影响,诸如电涌和/或数据入侵。在各种情况下,主服务器13940包括可实现更好的数据完整性的附加服务器级设备。云系统的示例在本文和2017年12月28日提交的标题为基于云的医学分析(CLOUD-BASED MEDICALANALYTICS)的美国临时专利申请序列号62/611,340中进一步描述,该临时专利申请的公开内容全文以引用方式并入本文。
参见图47和图48,当数据开始从每个控制集线器13910、13920、13930向主服务器13940传送时,创建队列13990以对数据传送的顺序进行优先排序。在各种情况下,队列13990按照先进先出的顺序对数据进行优先排序,但也可以使用任何合适的优先方案。在各种情况下,队列13990被配置为当检测到优先级事件和/或异常数据时,对所接收数据的传送顺序进行重新优先排序。如图48所示,在框13960处,第一外科集线器在时间t=1处传送第一组数据。由于在框13992处第一组数据是队列中用于外部输出的唯一数据,所以第一组数据是首先要传送的数据。因此,在框13965处,队列13990优先处理第一组数据以用于外部输出。在框13970处,第二外科集线器在时间t=2处传送第二组数据。在框13994处,在时间t=2处,尚未向外部传送第一组数据。然而,由于在第二组数据中不存在优先级事件和/或异常数据,因此在框13975处,第二组数据是序列中第二要向外部传输的数据。在框13980处,第三外科集线器传送在时间t=3处标记为紧急的第三组数据。在时间t=3处,第一组数据和第二组数据尚未向外部传送,但是在框13985处,已在第三组数据中检测到优先级事件。队列被配置为对各组数据进行重新优先排序,以在框13996处允许优先的第三数据位于供外部输出的第一位置,高于分别在时间t=1和t=2处收集的第一组数据和第二组数据。
在一个方面,外科集线器包括处理器和通信地耦接到该处理器的存储器,如本文所述。存储器存储能由处理器执行的指令,以检测电动外科器械的存在并在集线器显示器上表示电动外科器械,如本文所述。
在各个方面,本公开提供了一种控制电路,以检测电动外科器械的存在并在集线器显示器上表示电动外科器械,如本文所述。各个方面,本公开提供了一种存储计算机可读指令的非暂态计算机可读介质,该计算机可读指令在被执行时使机器检测电动外科器械的存在并在集线器显示器上表示电动外科器械,如本文所述。
下述专利的全部公开内容据此以引用方式并入本文:
·2011年5月27日提交的美国专利9,072,535,其标题为具有可旋转钉部署布置的外科缝合器械(SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS),于2015年7月7日公布;
·2012年6月28日提交的美国专利9,072,536,其标题为旋转电动外科器械的差分锁定布置方式(DIFFERENTIAL LOCKING ARRANGEMENTS FOR ROTARY POWERED SURGICALINSTRUMENTS),于2015年7月7日公布;
·2012年6月28日提交的美国专利9,204,879,其标题为柔性驱动构件(FLEXIBLEDRIVE MEMBER),于2015年12月8日公布;
·2012年6月28日提交的美国专利9,561,038,其标题为可互换的施夹器(INTERCHANGEABLE CLIP APPLIER),于2017年2月7日公布;
·2014年9月5日提交的美国专利9,757,128,其标题为具有影响第二传感器的输出或判读的传感器的多传感器(MULTIPLE SENSORS WITH ONE SENSOR AFFECTING ASECOND SENSOR’S OUTPUT OR INTERPRETATION),于2017年9月12日公布;
·2015年3月6日提交的美国专利申请序列号14/640,935,其标题为用于测量组织压缩的叠加式多传感器射频(RF)电极系统(OVERLAID MULTI SENSOR RADIO FREQUENCY(RF)ELECTRODE SYSTEM TO MEASURE TISSUE COMPRESSION),现为美国专利申请公布2016/0256071;
·2016年12月16日提交的美国专利申请序列号15/382,238,其标题为基于组织表征进行能量选择性应用的模块化电池供电的手持式外科器械(MODULAR BATTERY POWEREDHANDHELD SURGICAL INSTRUMENT WITH SELECTIVE APPLICATION OF ENERGY BASED ONTISSUE CHARACTERIZATION),现为美国专利申请公布2017/0202591;以及
·2016年8月16日提交的美国专利申请15/237,753,其标题为基于测量力的推进速率和应用力的控制(CONTROL OF ADVANCEMENT RATE AND APPLICATION FORCE BASED ONMEASURED FORCES),现为美国专利申请公布2018/0049822;
它们各自的全文以引用方式并入本文。
本文所述主题的各个方面在以下编号的实施例中陈述:
实施例1.一种机器人外科系统,包括:控制单元,所述控制单元包括处理器和通信地耦接到所述处理器的存储器;机器人,所述机器人包括工具安装架;包括能量递送表面的工具,其中所述工具可释放地安装到所述工具安装架上;以及传感器系统,所述传感器系统被配置为检测外科部位处的至少一种状况,其中所述传感器系统与所述处理器进行信号通信;其中所述存储器存储能由所述处理器执行的指令,以执行以下操作:基于来自所述传感器系统的输入确定所述工具的使用,并且在确定所述使用时,为所述能量递送表面自动通电。
实施例2.根据实施例1所述的机器人外科系统,其中所述工具包括单极烧灼笔。
实施例3.根据实施例1和实施例2中任一项所述的机器人外科系统,其中所述工具包括超声刀。
实施例4.根据实施例1至实施例3中任一项所述的机器人外科系统,其中所述传感器系统被配置为检测所述外科部位处的组织的阻抗,并且其中所述存储器存储能由所述处理器执行的指令,以在所述阻抗处于预定义范围内时确定所述工具的所述使用。
实施例5.根据实施例1至实施例4中任一项所述的机器人外科系统,其中所述存储器存储能由所述处理器执行的指令,以基于来自所述传感器系统的输入确定所述工具的激活模式。
实施例6.根据实施例1至实施例5中任一项所述的机器人外科系统,其中所述处理器包括态势感知模块,所述态势感知模块被配置为基于来自所述传感器系统的输入推荐外科功能。
实施例7.根据实施例1至实施例6中任一项所述的机器人外科系统,还包括手动超控模式,在所述手动超控模式中阻止通过所述处理器为所述能量递送表面自动通电。
实施例8.一种机器人外科系统,包括:控制单元;机器人,所述机器人包括工具安装架;包括能量递送表面的工具,其中所述工具可释放地安装到所述工具安装架上;以及传感器系统,所述传感器系统被配置为检测外科部位处的至少一种状况,其中所述传感器系统与所述控制单元进行信号通信;其中所述控制单元被配置为:基于来自所述传感器系统的输入确定所述工具的使用,并且在确定所述使用时,为所述能量递送表面自动通电。
实施例9.根据实施例8所述的机器人外科系统,其中所述传感器系统被配置为检测所述外科部位处的组织的阻抗,并且其中所述控制单元被配置为在所述阻抗处于预定义范围内时确定所述工具的所述使用。
实施例10.根据实施例8和实施例9中任一项所述的机器人外科系统,其中所述控制单元被配置为基于来自所述传感器系统的输入确定所述工具的激活模式。
实施例11.根据实施例8至实施例10中任一项所述的机器人外科系统,其中所述控制单元包括态势感知模块,所述态势感知模块被配置为基于来自所述传感器系统的输入推荐外科功能。
实施例12.根据实施例8至实施例11中任一项所述的机器人外科系统,还包括手动超控模式,在所述手动超控模式中阻止通过所述控制单元为所述能量递送表面自动通电。
实施例13.一种存储计算机可读指令的非暂态计算机可读介质,所述计算机可读指令在被执行时使机器执行以下操作:基于来自传感器系统的输入确定外科工具的使用;并且在确定所述使用时,为所述外科工具的能量递送表面自动通电。
实施例14.根据实施例13所述的非暂态计算机可读介质,其中所述外科工具包括单极烧灼笔。
实施例15.根据实施例13和实施例14中任一项所述的非暂态计算机可读介质,其中所述外科工具包括超声刀。
实施例16.根据实施例13至实施例15中任一项所述的非暂态计算机可读介质,其中所述传感器系统被配置为检测外科部位处的组织的阻抗,并且其中当所述阻抗处于预定义范围内时,所述计算机可读指令使机器确定所述外科工具的所述使用。
实施例17.根据实施例13至实施例16中任一项所述的非暂态计算机可读介质,其中所述计算机可读指令使机器基于来自所述传感器系统的输入确定激活模式。
实施例18.根据实施例13至实施例17中任一项所述的非暂态计算机可读介质,其中所述非暂态计算机可读介质包括态势感知模块,所述态势感知模块被配置为基于来自所述传感器系统的输入推荐外科功能。
实施例19.根据实施例13至实施例18中任一项所述的非暂态计算机可读介质,还包括手动超控模式,在所述手动超控模式中阻止通过所述机器为所述能量递送表面自动通电。
尽管已举例说明和描述了多个形式,但是申请人的意图并非将所附权利要求的范围约束或限制在此类细节中。在不脱离本公开的范围的情况下,可实现对这些形式的许多修改、变化、改变、替换、组合和等同物,并且本领域技术人员将想到这些形式的许多修改、变化、改变、替换、组合和等同物。此外,另选地,可将与所描述的形式相关联的每个元件的结构描述为用于提供由所述元件执行的功能的器件。另外,在公开了用于某些部件的材料的情况下,也可使用其他材料。因此,应当理解,上述具体实施方式和所附权利要求旨在涵盖属于本发明所公开的形式范围内的所有此类修改形式、组合和变型形式。所附权利要求旨在涵盖所有此类修改、变化、改变、替换、修改和等同物。
上述具体实施方式已通过使用框图、流程图和/或示例阐述了装置和/或方法的各种形式。只要此类框图、流程图和/或示例包含一个或多个功能和/或操作,本领域的技术人员就要将其理解为此类框图、流程图和/或示例中的每个功能和/或操作都可以单独和/或共同地通过多种硬件、软件、固件或实际上它们的任何组合来实施。本领域的技术人员将会认识到,本文公开的形式中的一些方面可作为在一台或多台计算机上运行的一个或多个计算机程序(如,作为在一个或多个计算机系统上运行的一个或多个程序),作为在一个或多个处理器上运行的一个或多个程序(如,作为在一个或多个微处理器上运行的一个或多个程序),作为固件,或作为实际上它们的任何组合全部或部分地在集成电路中等效地实现,并且根据本发明,设计电子电路和/或编写软件和/或硬件的代码将在本领域技术人员的技术范围内。另外,本领域的技术人员将会认识到,本文所述主题的机制能够作为多种形式的一个或多个程序产品进行分布,并且本文所述主题的示例性形式适用,而不管用于实际进行分布的信号承载介质的具体类型是什么。
用于编程逻辑以执行各种所公开的方面的指令可存储在系统内的存储器内,诸如动态随机存取存储器(DRAM)、高速缓存、闪存存储器或其它存储器。此外,指令可经由网络或通过其它计算机可读介质来分发。因此,机器可读介质可包括用于存储或发射以机器(例如,计算机)读形式的信息的机构,但不限于软盘、光学盘、光盘、只读存储器(CD-ROM)、磁光盘、只读存储器(ROM)、随机存取存储器(RAM)、可擦除可编程只读存储器(EPROM)、电可擦除可编程只读存储器(EEPROM)、磁卡或光卡、闪存存储器、或经由电信号、光学信号、声学信号或其它形式的传播信号(例如,载波、红外信号、数字信号等)在因特网上发射信息时使用的有形的、机器可读存储装置。因此,非暂态计算机可读介质包括适于以机器(例如,计算机)可读的形式存储或发射电子指令或信息的任何类型的有形机器可读介质。
如本文任一方面所用,术语“控制电路”可指例如硬连线电路系统、可编程电路系统(例如,计算机处理器,该计算机处理器包括一个或多个单独指令处理内核、处理单元,处理器、微控制器、微控制器单元、控制器、数字信号处理器(DSP)、可编程逻辑装置(PLD)、可编程逻辑阵列(PLA)、场可编程门阵列(FPGA))、状态机电路系统、存储由可编程电路系统执行的指令的固件、以及它们的任何组合。控制电路可以集体地或单独地实现为形成更大系统的一部分的电路系统,例如集成电路(IC)、专用集成电路(ASIC)、片上系统(SoC)、台式计算机、膝上型计算机、平板计算机、服务器、智能电话等。因此,如本文所用,“控制电路”包括但不限于具有至少一个离散电路的电子电路、具有至少一个集成电路的电子电路、具有至少一个专用集成电路的电子电路、形成由计算机程序配置的通用计算设备的电子电路(如,至少部分地实施本文所述的方法和/或设备的由计算机程序配置的通用计算机,或至少部分地实施本文所述的方法和/或设备的由计算机程序配置的微处理器)、形成存储器设备(如,形成随机存取存储器)的电子电路,和/或形成通信设备(如,调节解调器、通信开关或光电设备)的电子电路。本领域的技术人员将会认识到,可以模拟或数字方式或它们的一些组合实施本文所述的主题。
如本文的任何方面所用,术语“逻辑”可指被配置为执行前述操作中的任一者的应用程序、软件、固件和/或电路系统。软件可体现为记录在非暂态计算机可读存储介质上的软件包、代码、指令、指令集和/或数据。固件可以体现为在存储器设备中硬编码(例如,非易失性)的代码、指令或指令集和/或数据。
如本文任一方面所用,术语“部件”、“系统”、“模块”等可指计算机相关实体、硬件、硬件和软件的组合、软件或执行中的软件。
如本文任一方面中所用,“算法”是指导致所需结果的有条理的步骤序列,其中“步骤”是指物理量和/或逻辑状态的操纵,物理量和/或逻辑状态可以(但不一定)采用能被存储、转移、组合、比较和以其它方式操纵的电或磁信号的形式。常用于指这些信号,如位、值、元素、符号、字符、术语、数字等。这些和类似的术语可与适当的物理量相关联并且仅仅是应用于这些量和/或状态的方便的标签。
网络可包括分组交换网络。通信装置可能够使用所选择的分组交换网络通信协议来彼此通信。一个示例性通信协议可包括可允许使用传输控制协议/因特网协议(TCP/IP)进行通信的以太网通信协议。以太网协议可符合或兼容电气和电子工程师学会(IEEE)于2008年12月发布的名为“IEEE 802.3标准”的以太网标准和/或本标准的更高版本。另选地或附加地,通信装置可以能够使用X.25通信协议彼此通信。X.25通信协议可符合或符合国际电信联盟电信标准化部门(ITU-T)颁布的标准。另选地或除此之外,通信装置能够使用帧中继通信协议彼此通信。帧中继通信协议可符合或符合国际电话和电话协商委员会(CCITT)和/或美国国家标准学会(ANSI)发布的标准。另选地或除此之外,收发器能够使用异步传输模式(ATM)通信协议彼此通信。ATM通信协议可符合或兼容ATM论坛于2001年8月发布的名为“ATM-MPLS网络互通2.0”的ATM标准和/或该标准的更高版本。当然,本文同样设想了不同的和/或之后开发的连接取向的网络通信协议。
除非上述公开中另外明确指明,否则可以理解的是,在上述公开中,使用术语诸如“处理”、“估算”、“计算”、“确定”、“显示”等的讨论是指计算机系统或类似电子计算装置的动作和进程,其操纵表示为计算机系统的寄存器和存储器内的物理(电子)量的数据并将其转换成相似地表示为计算机系统存储器或寄存器或其它此类信息存储、传输或显示装置内的物理量的其它数据。
一个或多个部件在本文中可被称为“被配置为”、“可被配置为”、“可操作/可操作地”、“适于/可适于”、“能够”、“可适形/适形于”等。本领域的技术人员将会认识到,除非上下文另有所指,否则“被配置为”通常可涵盖活动状态的部件和/或未活动状态的部件和/或待机状态的部件。
术语“近侧”和“远侧”在本文中是相对于操纵外科器械的柄部部分的临床医生来使用的。术语“近侧”是指最靠近临床医生的部分,术语“远侧”是指远离临床医生定位的部分。还应当理解,为简洁和清楚起见,本文可结合附图使用诸如“竖直”、“水平”、“上”和“下”等空间术语。然而,外科器械在许多方向和位置中使用,并且这些术语并非限制性的和/或绝对的。
本领域的技术人员将认识到,一般而言,本文、以及特别是所附权利要求(例如,所附权利要求的正文)中所使用的术语通常旨在为“开放”术语(例如,术语“包括”应解释为“包括但不限于”,术语“具有”应解释为“至少具有”,术语“包含”应解释为“包含但不限于”等)。本领域的技术人员还应当理解,如果所引入权利要求叙述的具体数目为预期的,则这样的意图将在权利要求中明确叙述,并且在不存在这样的叙述的情况下,不存在这样的意图。例如,为有助于理解,下述所附权利要求可含有对介绍性短语“至少一个”和“一个或多个”的使用以引入权利要求。然而,对此类短语的使用不应视为暗示通过不定冠词“一个”或“一种”引入权利要求表述将含有此类引入权利要求表述的任何特定权利要求限制在含有仅一个这样的表述的权利要求中,甚至当同一权利要求包括介绍性短语“一个或多个”或“至少一个”和诸如“一个”或“一种”(例如,“一个”和/或“一种”通常应解释为意指“至少一个”或“一个或多个”)的不定冠词时;这也适用于对用于引入权利要求表述的定冠词的使用。
另外,即使明确叙述引入权利要求叙述的特定数目,本领域的技术人员应当认识到,此种叙述通常应解释为意指至少所叙述的数目(例如,在没有其它修饰语的情况下,对“两个叙述”的裸叙述通常意指至少两个叙述、或两个或更多个叙述)。此外,在其中使用类似于“A、B和C中的至少一者等”的惯例的那些情况下,一般而言,这种结构意在具有本领域的技术人员将理解所述惯例的意义(例如,“具有A、B和C中的至少一者的系统”将包括但不限于具有仅A、仅B、仅C、A和B一起、A和C一起、B和C一起和/或A、B和C一起等的系统)。在其中使用类似于“A、B或C中的至少一者等”的惯例的那些情况下,一般而言,这种结构意在具有本领域的技术人员将理解所述惯例的意义(例如,“具有A、B或C中的至少一者的系统”应当包括但不限于具有仅A、仅B、仅C、A和B一起、A和C一起、B和C一起和/或A、B和C一起等的系统)。本领域的技术人员还应当理解,通常,除非上下文另有指示,否则无论在具体实施方式、权利要求或附图中呈现两个或更多个替代术语的转折性词语和/或短语应理解为涵盖包括所述术语中的一者、所述术语中的任一个或这两个术语的可能性。例如,短语“A或B”通常将被理解为包括“A”或“B”或“A和B”的可能性。
对于所附的权利要求,本领域的技术人员将会理解,其中表述的操作通常可以任何顺序进行。另外,尽管以(一个或多个)序列出了多个操作流程图,但应当理解,可以不同于所示顺序的其它顺序进行所述多个操作,或者可以同时进行所述多个操作。除非上下文另有规定,否则此类替代排序的示例可包括重叠、交错、中断、重新排序、增量、预备、补充、同时、反向,或其他改变的排序。此外,除非上下文另有规定,否则像“响应于”、“相关”这样的术语或其它过去式的形容词通常不旨在排除此类变体。
值得一提的是,任何对“一个方面”、“一方面”、“一范例”、“一个范例”的提及均意指结合所述方面所述的具体特征、结构或特性包括在至少一个方面中。因此,在整个说明书的不同位置出现的短语“在一个方面”、“在一方面”、“在一范例”、“在一个范例”不一定都指同一方面。此外,具体特征、结构或特性可在一个或多个方面中以任何合适的方式组合。
本说明书提及和/或在任何申请数据表中列出的任何专利申请,专利,非专利公布或其它公开材料均以引用方式并入本文,只要所并入的材料在此不一致。因此,并且在必要的程度下,本文明确列出的公开内容代替以引用方式并入本文的任何冲突材料。据称以引用方式并入本文但与本文列出的现有定义、陈述或其他公开材料相冲突的任何材料或其部分,将仅在所并入的材料与现有的公开材料之间不产生冲突的程度下并入。
概括地说,已经描述了由采用本文所述的概念产生的许多有益效果。为了举例说明和描述的目的,已经提供了一个或多个形式的上述具体实施方式。这些具体实施方式并非意图为详尽的或限定到本发明所公开的精确形式。可以按照上述教导内容对本发明进行修改或变型。选择和描述的一个或多个形式是为了说明原理和实际应用,从而使本领域的普通技术人员能够利用适用于预期的特定用途的所述多个形式和多种修改形式。与此一同提交的权利要求书旨在限定完整范围。
Claims (19)
1.一种机器人外科系统,包括:
控制单元,所述控制单元包括处理器和通信地耦接到所述处理器的存储器;
机器人,所述机器人包括工具安装架;
包括能量递送表面的工具,其中所述工具可释放地安装到所述工具安装架上;和
传感器系统,所述传感器系统被配置为检测外科部位处的至少一种状况,其中所述传感器系统与所述处理器进行信号通信;
其中所述存储器存储能由所述处理器执行的指令以:
基于来自所述传感器系统的输入确定所述工具的使用;以及
在确定所述使用时,为所述能量递送表面自动通电。
2.根据权利要求1所述的机器人外科系统,其中所述工具包括单极烧灼笔。
3.根据权利要求1所述的机器人外科系统,其中所述工具包括超声刀。
4.根据权利要求1所述的机器人外科系统,其中所述传感器系统被配置为检测所述外科部位处的组织的阻抗,并且其中所述存储器存储能由所述处理器执行的指令,以在所述阻抗处于预定义范围内时确定所述工具的所述使用。
5.根据权利要求1所述的机器人外科系统,其中所述存储器存储能由所述处理器执行的指令,以基于来自所述传感器系统的输入确定所述工具的激活模式。
6.根据权利要求1所述的机器人外科系统,其中所述处理器包括态势感知模块,所述态势感知模块被配置为基于来自所述传感器系统的输入推荐外科功能。
7.根据权利要求1所述的机器人外科系统,还包括手动超控模式,在所述手动超控模式中阻止通过所述处理器为所述能量递送表面自动通电。
8.一种机器人外科系统,包括:
控制单元;
机器人,所述机器人包括工具安装架;
包括能量递送表面的工具,其中所述工具可释放地安装到所述工具安装架上;和
传感器系统,所述传感器系统被配置为检测外科部位处的至少一种状况,其中所述传感器系统与所述控制单元进行信号通信;
其中所述控制单元被配置为:
基于来自所述传感器系统的输入确定所述工具的使用;以及
在确定所述使用时,为所述能量递送表面自动通电。
9.根据权利要求8所述的机器人外科系统,其中所述传感器系统被配置为检测所述外科部位处的组织的阻抗,并且其中所述控制单元被配置为在所述阻抗处于预定义范围内时确定所述工具的所述使用。
10.根据权利要求8所述的机器人外科系统,其中所述控制单元被配置为基于来自所述传感器系统的输入确定所述工具的激活模式。
11.根据权利要求8所述的机器人外科系统,其中所述控制单元包括态势感知模块,所述态势感知模块被配置为基于来自所述传感器系统的输入推荐外科功能。
12.根据权利要求8所述的机器人外科系统,还包括手动超控模式,在所述手动超控模式中阻止通过所述控制单元为所述能量递送表面自动通电。
13.一种存储计算机可读指令的非暂态计算机可读介质,所述计算机可读指令在被执行时使机器执行以下操作:
基于来自传感器系统的输入确定外科工具的使用;以及
在确定所述使用时,为所述外科工具的能量递送表面自动通电。
14.根据权利要求13所述的非暂态计算机可读介质,其中所述外科工具包括单极烧灼笔。
15.根据权利要求13所述的非暂态计算机可读介质,其中所述外科工具包括超声刀。
16.根据权利要求13所述的非暂态计算机可读介质,其中所述传感器系统被配置为检测外科部位处的组织的阻抗,并且其中当所述阻抗处于预定义范围内时,所述计算机可读指令使机器确定所述外科工具的所述使用。
17.根据权利要求13所述的非暂态计算机可读介质,其中所述计算机可读指令使机器基于来自所述传感器系统的输入确定激活模式。
18.根据权利要求13所述的非暂态计算机可读介质,其中所述非暂态计算机可读介质包括态势感知模块,所述态势感知模块被配置为基于来自所述传感器系统的输入推荐外科功能。
19.根据权利要求13所述的非暂态计算机可读介质,还包括手动超控模式,在所述手动超控模式中阻止通过所述机器为所述能量递送表面自动通电。
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Families Citing this family (506)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8991676B2 (en) | 2007-03-15 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Surgical staple having a slidable crown |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
RU2525225C2 (ru) | 2009-02-06 | 2014-08-10 | Этикон Эндо-Серджери, Инк. | Усовершенствование приводного хирургического сшивающего инструмента |
ES2904304T3 (es) * | 2009-07-17 | 2022-04-04 | Implantica Patent Ltd | Sistema de control por voz para un implante |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8777004B2 (en) | 2010-09-30 | 2014-07-15 | Ethicon Endo-Surgery, Inc. | Compressible staple cartridge comprising alignment members |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9282962B2 (en) | 2010-09-30 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Adhesive film laminate |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
JP6026509B2 (ja) | 2011-04-29 | 2016-11-16 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
CN104321024B (zh) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | 包括多个层的组织厚度补偿件 |
JP6105041B2 (ja) | 2012-03-28 | 2017-03-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 低圧環境を画定するカプセルを含む組織厚コンペンセーター |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
BR112014032740A2 (pt) | 2012-06-28 | 2020-02-27 | Ethicon Endo Surgery Inc | bloqueio de cartucho de clipes vazio |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
JP6345707B2 (ja) | 2013-03-01 | 2018-06-20 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ソフトストップを備えた外科用器具 |
JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9814460B2 (en) | 2013-04-16 | 2017-11-14 | Ethicon Llc | Modular motor driven surgical instruments with status indication arrangements |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
US9987006B2 (en) | 2013-08-23 | 2018-06-05 | Ethicon Llc | Shroud retention arrangement for sterilizable surgical instruments |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US20150297222A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10016199B2 (en) | 2014-09-05 | 2018-07-10 | Ethicon Llc | Polarity of hall magnet to identify cartridge type |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
RU2703684C2 (ru) | 2014-12-18 | 2019-10-21 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
JP6911054B2 (ja) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | 非対称の関節構成を備えた外科用器具 |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US20180168577A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
CN110114014B (zh) | 2016-12-21 | 2022-08-09 | 爱惜康有限责任公司 | 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统 |
CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
JP2020501779A (ja) | 2016-12-21 | 2020-01-23 | エシコン エルエルシーEthicon LLC | 外科用ステープル留めシステム |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US11298128B2 (en) | 2017-06-28 | 2022-04-12 | Cilag Gmbh International | Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11759224B2 (en) | 2017-10-30 | 2023-09-19 | Cilag Gmbh International | Surgical instrument systems comprising handle arrangements |
US11026687B2 (en) | 2017-10-30 | 2021-06-08 | Cilag Gmbh International | Clip applier comprising clip advancing systems |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US10898622B2 (en) | 2017-12-28 | 2021-01-26 | Ethicon Llc | Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device |
US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11969142B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US11100631B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Use of laser light and red-green-blue coloration to determine properties of back scattered light |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11844579B2 (en) | 2017-12-28 | 2023-12-19 | Cilag Gmbh International | Adjustments based on airborne particle properties |
US11612408B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Determining tissue composition via an ultrasonic system |
US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
US20190201118A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Display arrangements for robot-assisted surgical platforms |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US20190201087A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Smoke evacuation system including a segmented control circuit for interactive surgical platform |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11013563B2 (en) | 2017-12-28 | 2021-05-25 | Ethicon Llc | Drive arrangements for robot-assisted surgical platforms |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
US11998193B2 (en) | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
US11096693B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing |
US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11707293B2 (en) | 2018-03-08 | 2023-07-25 | Cilag Gmbh International | Ultrasonic sealing algorithm with temperature control |
US11701162B2 (en) | 2018-03-08 | 2023-07-18 | Cilag Gmbh International | Smart blade application for reusable and disposable devices |
KR102132370B1 (ko) * | 2018-03-13 | 2020-08-05 | 주식회사 지씨에스 | 피부관리장치, 피부관리장치의 구동방법 및 컴퓨터 판독가능 기록매체 |
US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
US11406382B2 (en) | 2018-03-28 | 2022-08-09 | Cilag Gmbh International | Staple cartridge comprising a lockout key configured to lift a firing member |
CN108420538B (zh) * | 2018-04-27 | 2020-08-25 | 微创(上海)医疗机器人有限公司 | 手术机器人系统 |
US11132233B2 (en) * | 2018-05-07 | 2021-09-28 | Micron Technology, Inc. | Thread priority management in a multi-threaded, self-scheduling processor |
US20200015924A1 (en) | 2018-07-16 | 2020-01-16 | Ethicon Llc | Robotic light projection tools |
EP3813636A1 (en) * | 2018-07-24 | 2021-05-05 | Sony Corporation | Distributed image processing system in operating theater |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11497566B2 (en) * | 2018-10-26 | 2022-11-15 | Biosense Webster (Israel) Ltd. | Loose mode for robot |
JP6865262B2 (ja) * | 2018-12-26 | 2021-04-28 | 川崎重工業株式会社 | ロボットシステムの制御装置 |
US11298129B2 (en) | 2019-02-19 | 2022-04-12 | Cilag Gmbh International | Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
US20200289228A1 (en) * | 2019-03-15 | 2020-09-17 | Ethicon Llc | Dual mode controls for robotic surgery |
US11583350B2 (en) | 2019-03-15 | 2023-02-21 | Cilag Gmbh International | Jaw coordination of robotic surgical controls |
US11284957B2 (en) | 2019-03-15 | 2022-03-29 | Cilag Gmbh International | Robotic surgical controls with force feedback |
US11471229B2 (en) | 2019-03-15 | 2022-10-18 | Cilag Gmbh International | Robotic surgical systems with selectively lockable end effectors |
US11490981B2 (en) * | 2019-03-15 | 2022-11-08 | Cilag Gmbh International | Robotic surgical controls having feedback capabilities |
US11666401B2 (en) | 2019-03-15 | 2023-06-06 | Cilag Gmbh International | Input controls for robotic surgery |
US11690690B2 (en) | 2019-03-15 | 2023-07-04 | Cilag Gmbh International | Segmented control inputs for surgical robotic systems |
US11992282B2 (en) | 2019-03-15 | 2024-05-28 | Cilag Gmbh International | Motion capture controls for robotic surgery |
US11701190B2 (en) | 2019-03-15 | 2023-07-18 | Cilag Gmbh International | Selectable variable response of shaft motion of surgical robotic systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US20200315724A1 (en) * | 2019-04-03 | 2020-10-08 | Canon Medical Systems Corporation | Medical image diagnosis apparatus, surgery assistance robot apparatus, surgery assistance robot controlling apparatus, and controlling method |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11853835B2 (en) | 2019-06-28 | 2023-12-26 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11361176B2 (en) | 2019-06-28 | 2022-06-14 | Cilag Gmbh International | Surgical RFID assemblies for compatibility detection |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
WO2021087027A1 (en) * | 2019-10-30 | 2021-05-06 | Smith & Nephew, Inc. | Synchronized robotic arms for retracting openings in a repositionable manner |
JP7432340B2 (ja) * | 2019-11-07 | 2024-02-16 | 川崎重工業株式会社 | 手術システム及び制御方法 |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11776144B2 (en) | 2019-12-30 | 2023-10-03 | Cilag Gmbh International | System and method for determining, adjusting, and managing resection margin about a subject tissue |
US11896442B2 (en) | 2019-12-30 | 2024-02-13 | Cilag Gmbh International | Surgical systems for proposing and corroborating organ portion removals |
US11284963B2 (en) | 2019-12-30 | 2022-03-29 | Cilag Gmbh International | Method of using imaging devices in surgery |
US20210196108A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Adaptive surgical system control according to surgical smoke cloud characteristics |
US11219501B2 (en) | 2019-12-30 | 2022-01-11 | Cilag Gmbh International | Visualization systems using structured light |
US11832996B2 (en) | 2019-12-30 | 2023-12-05 | Cilag Gmbh International | Analyzing surgical trends by a surgical system |
US11744667B2 (en) | 2019-12-30 | 2023-09-05 | Cilag Gmbh International | Adaptive visualization by a surgical system |
US12002571B2 (en) | 2019-12-30 | 2024-06-04 | Cilag Gmbh International | Dynamic surgical visualization systems |
US20210196098A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Surgical system control based on multiple sensed parameters |
US11648060B2 (en) | 2019-12-30 | 2023-05-16 | Cilag Gmbh International | Surgical system for overlaying surgical instrument data onto a virtual three dimensional construct of an organ |
US20210199557A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Adaptive surgical system control according to surgical smoke particulate characteristics |
US11759283B2 (en) | 2019-12-30 | 2023-09-19 | Cilag Gmbh International | Surgical systems for generating three dimensional constructs of anatomical organs and coupling identified anatomical structures thereto |
US20210196383A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Surgical systems correlating visualization data and powered surgical instrument data |
WO2021158383A1 (en) * | 2020-02-06 | 2021-08-12 | Covidien Lp | Power management architecture for surgical robotic systems |
DE102020201627A1 (de) * | 2020-02-10 | 2021-08-12 | Fresenius Medical Care Deutschland Gmbh | Verfahren, vorrichtung und system zur fernüberwachung eines medizintechnischen geräts |
US11925424B2 (en) * | 2020-03-19 | 2024-03-12 | Auris Health, Inc. | Systems and methods for dynamic adjustments based on load inputs for robotic systems |
JP7303775B2 (ja) * | 2020-04-09 | 2023-07-05 | 川崎重工業株式会社 | 手術支援ロボットおよび手術支援ロボットの位置決め方法 |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
CN116075901A (zh) * | 2020-06-08 | 2023-05-05 | 艾科缇弗外科公司 | 用于处理医疗数据的系统和方法 |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
JP7463615B2 (ja) | 2020-08-04 | 2024-04-08 | バーブ サージカル インコーポレイテッド | 副ロボットコントローラに制御を移行するための外科用ロボットシステム及び方法 |
US20220062657A1 (en) * | 2020-08-26 | 2022-03-03 | Tae Technologies, Inc. | Systems, devices, and methods for unified modular beam diagnostics |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US20220151714A1 (en) * | 2020-11-17 | 2022-05-19 | Mazor Robotics Ltd. | Automated robotic retractor |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11813746B2 (en) | 2020-12-30 | 2023-11-14 | Cilag Gmbh International | Dual driving pinion crosscheck |
CN112809696B (zh) * | 2020-12-31 | 2022-03-15 | 山东大学 | 面向高传染性隔离病区的全方位智能护理系统及方法 |
CN112618024A (zh) * | 2021-01-05 | 2021-04-09 | 上海交通大学医学院附属第九人民医院 | 多臂协同式手术机器人 |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US20220273303A1 (en) | 2021-02-26 | 2022-09-01 | Ethicon Llc | Staple cartridge comrising a sensing array and a temperature control system |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
EP4062852A1 (en) | 2021-03-23 | 2022-09-28 | Cilag GmbH International | Surgical systems for generating three dimensional constructs of anatomical organs and coupling identified anatomical structures thereto |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
EP4066771A1 (en) | 2021-03-29 | 2022-10-05 | Cilag GmbH International | Visualization systems using structured light |
EP4066772A1 (en) | 2021-03-29 | 2022-10-05 | Cilag GmbH International | System and method for determining, adjusting, and managing resection margin about a subject tissue |
US11918275B2 (en) | 2021-04-30 | 2024-03-05 | Cilag Gmbh International | Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity |
US11931035B2 (en) | 2021-04-30 | 2024-03-19 | Cilag Gmbh International | Articulation system for surgical instrument |
US20220346860A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical systems configured to control therapeutic energy application to tissue based on cartridge and tissue parameters |
US20220346859A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising independently activatable segmented electrodes |
US11944295B2 (en) | 2021-04-30 | 2024-04-02 | Cilag Gmbh International | Surgical instrument comprising end effector with longitudinal sealing step |
US11857184B2 (en) | 2021-04-30 | 2024-01-02 | Cilag Gmbh International | Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife |
US20220346784A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising a closure bar and a firing bar |
US20220346853A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Electrosurgical techniques for sealing, short circuit detection, and system determination of power level |
US11826043B2 (en) | 2021-04-30 | 2023-11-28 | Cilag Gmbh International | Staple cartridge comprising formation support features |
US20220346861A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical systems configured to cooperatively control end effector function and application of therapeutic energy |
US20220346787A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Interchangeable end effector reloads |
US20220346785A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical instrument comprising end effector with energy sensitive resistance elements |
US20220346781A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Staple cartridge comprising staple drivers and stability supports |
US20220346786A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Shaft system for surgical instrument |
US20220346773A1 (en) | 2021-04-30 | 2022-11-03 | Cilag Gmbh International | Surgical staple for use with combination electrosurgical instruments |
WO2022238847A1 (en) | 2021-05-10 | 2022-11-17 | Cilag Gmbh International | Adaptive control of surgical stapling instrument based on staple cartridge type |
JP2024518072A (ja) | 2021-05-10 | 2024-04-24 | シラグ・ゲーエムベーハー・インターナショナル | 吸収性ステープルを備える外科用ステープルカートリッジのシステム |
JP2024518074A (ja) | 2021-05-10 | 2024-04-24 | シラグ・ゲーエムベーハー・インターナショナル | コーティングを備える吸収性外科用ステープル |
US20220370065A1 (en) | 2021-05-10 | 2022-11-24 | Cilag Gmbh International | Dissimilar staple cartridges with different bioabsorbable components |
US20220354488A1 (en) | 2021-05-10 | 2022-11-10 | Cilag Gmbh International | Absorbable surgical staples comprising sufficient structural properties during a tissue healing window |
JP2024518071A (ja) | 2021-05-10 | 2024-04-24 | シラグ・ゲーエムベーハー・インターナショナル | ステープルの吸収を遅くするための機構を備える生体吸収性ステープル |
US20220370137A1 (en) * | 2021-05-21 | 2022-11-24 | Cilag Gmbh International | Surgical Simulation Object Rectification System |
EP4094666A1 (en) | 2021-05-27 | 2022-11-30 | Cilag GmbH International | Surgical systems for proposing and corroborating organ portion removals |
US11998201B2 (en) | 2021-05-28 | 2024-06-04 | Cilag CmbH International | Stapling instrument comprising a firing lockout |
CN113304458B (zh) * | 2021-06-04 | 2022-03-22 | 中国人民解放军陆军工程大学 | 一种用于分析人员战术动作展示的数据表示系统及方法 |
EP4105939A1 (en) | 2021-06-15 | 2022-12-21 | Cilag GmbH International | Analyzing surgical trends by a surgical system |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US20230001579A1 (en) | 2021-06-30 | 2023-01-05 | Cilag Gmbh International | Grasping work determination and indications thereof |
US11947403B1 (en) * | 2021-07-12 | 2024-04-02 | Cable Television Laboratories, Inc. | Systems and methods for operating a termination device of an access communication network |
CN117915853A (zh) * | 2021-09-10 | 2024-04-19 | 阿瑙特株式会社 | 推断装置、信息处理方法和计算机程序 |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
CN113907693B (zh) * | 2021-12-10 | 2022-03-01 | 极限人工智能有限公司 | 操作映射比例调整方法、装置、电子设备以及存储介质 |
US20230404572A1 (en) * | 2022-06-17 | 2023-12-21 | Cilag Gmbh International | Smart circular staplers |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6454781B1 (en) * | 1999-05-26 | 2002-09-24 | Ethicon Endo-Surgery, Inc. | Feedback control in an ultrasonic surgical instrument for improved tissue effects |
US20040111183A1 (en) * | 2002-08-13 | 2004-06-10 | Sutherland Garnette Roy | Microsurgical robot system |
EP1839599A1 (en) * | 2006-03-29 | 2007-10-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical system and method |
WO2013052815A1 (en) * | 2011-10-05 | 2013-04-11 | Medtronic Xomed, Inc. | Interface module allowing delivery of tissue stimulation and electrosurgery through a common surgical instrument |
Family Cites Families (1729)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1853416A (en) | 1931-01-24 | 1932-04-12 | Ada P Hall | Tattoo marker |
US2222125A (en) | 1940-03-19 | 1940-11-19 | Rudolph J Stehlik | Nail driver |
US3082426A (en) | 1960-06-17 | 1963-03-26 | George Oliver Halsted | Surgical stapling device |
US3503396A (en) | 1967-09-21 | 1970-03-31 | American Hospital Supply Corp | Atraumatic surgical clamp |
US3584628A (en) | 1968-10-11 | 1971-06-15 | United States Surgical Corp | Wire suture wrapping instrument |
US3633584A (en) | 1969-06-10 | 1972-01-11 | Research Corp | Method and means for marking animals for identification |
US4041362A (en) | 1970-01-23 | 1977-08-09 | Canon Kabushiki Kaisha | Motor control system |
US3626457A (en) | 1970-03-05 | 1971-12-07 | Koppers Co Inc | Sentinel control for cutoff apparatus |
DE2037167A1 (zh) | 1970-07-27 | 1972-02-03 | Kretschmer H | |
US3759017A (en) | 1971-10-22 | 1973-09-18 | American Air Filter Co | Latch for a filter apparatus |
US3863118A (en) | 1973-01-26 | 1975-01-28 | Warner Electric Brake & Clutch | Closed-loop speed control for step motors |
US3898545A (en) | 1973-05-25 | 1975-08-05 | Mohawk Data Sciences Corp | Motor control circuit |
US3932812A (en) | 1974-03-20 | 1976-01-13 | Peripheral Equipment Corporation | Motor speed indicator |
US3912121A (en) | 1974-08-14 | 1975-10-14 | Dickey John Corp | Controlled population monitor |
US3915271A (en) | 1974-09-25 | 1975-10-28 | Koppers Co Inc | Method and apparatus for electronically controlling the engagement of coacting propulsion systems |
US4052649A (en) | 1975-06-18 | 1977-10-04 | Lear Motors Corporation | Hand held variable speed drill motor and control system therefor |
AT340039B (de) | 1975-09-18 | 1977-11-25 | Viennatone Gmbh | Myoelektrische steuerschaltung |
US4096006A (en) | 1976-09-22 | 1978-06-20 | Spectra-Strip Corporation | Method and apparatus for making twisted pair multi-conductor ribbon cable with intermittent straight sections |
US4412539A (en) | 1976-10-08 | 1983-11-01 | United States Surgical Corporation | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
JPS6056394B2 (ja) | 1976-12-10 | 1985-12-10 | ソニー株式会社 | モ−タの制御装置 |
US4157859A (en) | 1977-05-26 | 1979-06-12 | Clifford Terry | Surgical microscope system |
CA1124605A (en) | 1977-08-05 | 1982-06-01 | Charles H. Klieman | Surgical stapler |
DE3016131A1 (de) | 1980-04-23 | 1981-10-29 | Siemens AG, 1000 Berlin und 8000 München | Nachrichtenkabel mit einer vorrichtung zur bestimmung des feuchtezustandes |
DE3204522A1 (de) | 1982-02-10 | 1983-08-25 | B. Braun Melsungen Ag, 3508 Melsungen | Chirurgisches hautklammergeraet |
US4448193A (en) | 1982-02-26 | 1984-05-15 | Ethicon, Inc. | Surgical clip applier with circular clip magazine |
US4614366A (en) | 1983-11-18 | 1986-09-30 | Exactident, Inc. | Nail identification wafer |
US4633874A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge |
US4608160A (en) | 1984-11-05 | 1986-08-26 | Nelson Industries, Inc. | System for separating liquids |
DE3523871C3 (de) | 1985-07-04 | 1994-07-28 | Erbe Elektromedizin | Hochfrequenz-Chirurgiegerät |
US4701193A (en) | 1985-09-11 | 1987-10-20 | Xanar, Inc. | Smoke evacuator system for use in laser surgery |
US4827911A (en) * | 1986-04-02 | 1989-05-09 | Cooper Lasersonics, Inc. | Method and apparatus for ultrasonic surgical fragmentation and removal of tissue |
US4735603A (en) | 1986-09-10 | 1988-04-05 | James H. Goodson | Laser smoke evacuation system and method |
US5084057A (en) | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5158585A (en) | 1988-04-13 | 1992-10-27 | Hitachi, Ltd. | Compressor unit and separator therefor |
DE3824913A1 (de) | 1988-07-22 | 1990-02-01 | Thomas Hill | Einrichtung zur ueberwachung von hochfrequenten elektrischen leckstroemen |
JPH071130Y2 (ja) | 1988-10-25 | 1995-01-18 | オリンパス光学工業株式会社 | 超音波処置装置 |
US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
US4955959A (en) | 1989-05-26 | 1990-09-11 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
FR2647683B1 (fr) | 1989-05-31 | 1993-02-12 | Kyocera Corp | Dispositif d'etanchement/coagulation de sang hors de vaisseaux sanguins |
US5010341A (en) | 1989-10-04 | 1991-04-23 | The United States Of America As Represented By The Secretary Of The Navy | High pulse repetition frequency radar early warning receiver |
DE4002843C1 (en) | 1990-02-01 | 1991-04-18 | Gesellschaft Fuer Geraetebau Mbh, 4600 Dortmund, De | Protective breathing mask with filter - having gas sensors in-front and behind with difference in their signals providing signal for change of filter |
US5035692A (en) | 1990-02-13 | 1991-07-30 | Nicholas Herbert | Hemostasis clip applicator |
US5026387A (en) | 1990-03-12 | 1991-06-25 | Ultracision Inc. | Method and apparatus for ultrasonic surgical cutting and hemostatis |
US5318516A (en) | 1990-05-23 | 1994-06-07 | Ioan Cosmescu | Radio frequency sensor for automatic smoke evacuator system for a surgical laser and/or electrical apparatus and method therefor |
US5253793A (en) | 1990-09-17 | 1993-10-19 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US5156315A (en) | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5100402A (en) | 1990-10-05 | 1992-03-31 | Megadyne Medical Products, Inc. | Electrosurgical laparoscopic cauterization electrode |
US5129570A (en) | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
AU662719B2 (en) | 1990-12-18 | 1995-09-14 | United States Surgical Corporation | Safety device for a surgical stapler cartridge |
USD399561S (en) | 1991-01-24 | 1998-10-13 | Megadyne Medical Products, Inc. | Electrical surgical forceps handle |
US5423192A (en) | 1993-08-18 | 1995-06-13 | General Electric Company | Electronically commutated motor for driving a compressor |
US5396900A (en) | 1991-04-04 | 1995-03-14 | Symbiosis Corporation | Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery |
US5171247A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier with rotating shaft |
US5413267A (en) | 1991-05-14 | 1995-05-09 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5197962A (en) | 1991-06-05 | 1993-03-30 | Megadyne Medical Products, Inc. | Composite electrosurgical medical instrument |
US5417210A (en) | 1992-05-27 | 1995-05-23 | International Business Machines Corporation | System and method for augmentation of endoscopic surgery |
US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5397046A (en) | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
EP0642376A4 (en) | 1991-11-01 | 1995-04-12 | Sorenson Laboratories, Inc. | Dual mode laser smoke evacuation system with sequential filter monitor and vacuum compensation. |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5271543A (en) | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5906625A (en) | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
US5762458A (en) | 1996-02-20 | 1998-06-09 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5772597A (en) | 1992-09-14 | 1998-06-30 | Sextant Medical Corporation | Surgical tool end effector |
FR2696089B1 (fr) | 1992-09-25 | 1994-11-25 | Gen Electric Cgr | Dispositif de manipulation d'un appareil de radiologie. |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
DE4304353A1 (de) | 1992-10-24 | 1994-04-28 | Helmut Dipl Ing Wurster | Endoskopisches Nähgerät |
US5610811A (en) | 1992-11-09 | 1997-03-11 | Niti-On Medical Supply Co., Ltd. | Surgical instrument file system |
US5417699A (en) | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
US5697926A (en) | 1992-12-17 | 1997-12-16 | Megadyne Medical Products, Inc. | Cautery medical instrument |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5403327A (en) | 1992-12-31 | 1995-04-04 | Pilling Weck Incorporated | Surgical clip applier |
US5322055B1 (en) | 1993-01-27 | 1997-10-14 | Ultracision Inc | Clamp coagulator/cutting system for ultrasonic surgical instruments |
US5987346A (en) | 1993-02-26 | 1999-11-16 | Benaron; David A. | Device and method for classification of tissue |
US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
WO1994024947A1 (en) | 1993-04-30 | 1994-11-10 | Minnesota Mining And Manufacturing Company | Surgical instrument having an articulated jaw structure and a detachable knife |
US5439468A (en) | 1993-05-07 | 1995-08-08 | Ethicon Endo-Surgery | Surgical clip applier |
US5817093A (en) | 1993-07-22 | 1998-10-06 | Ethicon Endo-Surgery, Inc. | Impedance feedback monitor with query electrode for electrosurgical instrument |
GR940100335A (el) | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
US5342349A (en) | 1993-08-18 | 1994-08-30 | Sorenson Laboratories, Inc. | Apparatus and system for coordinating a surgical plume evacuator and power generator |
US5503320A (en) | 1993-08-19 | 1996-04-02 | United States Surgical Corporation | Surgical apparatus with indicator |
ZA948393B (en) | 1993-11-01 | 1995-06-26 | Polartechnics Ltd | Method and apparatus for tissue type recognition |
US5462545A (en) | 1994-01-31 | 1995-10-31 | New England Medical Center Hospitals, Inc. | Catheter electrodes |
US5560372A (en) | 1994-02-02 | 1996-10-01 | Cory; Philip C. | Non-invasive, peripheral nerve mapping device and method of use |
US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5415335A (en) | 1994-04-07 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler cartridge containing lockout mechanism |
US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5474566A (en) | 1994-05-05 | 1995-12-12 | United States Surgical Corporation | Self-contained powered surgical apparatus |
DE69534011T8 (de) | 1994-07-29 | 2006-07-06 | Olympus Optical Co., Ltd. | Medizinisches Instrument zur Benutzung in Kombination mit Endoskopen |
US5496315A (en) | 1994-08-26 | 1996-03-05 | Megadyne Medical Products, Inc. | Medical electrode insulating system |
US7053752B2 (en) | 1996-08-06 | 2006-05-30 | Intuitive Surgical | General purpose distributed operating room control system |
US6646541B1 (en) | 1996-06-24 | 2003-11-11 | Computer Motion, Inc. | General purpose distributed operating room control system |
DE4434864C2 (de) | 1994-09-29 | 1997-06-19 | United States Surgical Corp | Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin |
US6678552B2 (en) | 1994-10-24 | 2004-01-13 | Transscan Medical Ltd. | Tissue characterization based on impedance images and on impedance measurements |
US5846237A (en) | 1994-11-18 | 1998-12-08 | Megadyne Medical Products, Inc. | Insulated implement |
US5531743A (en) | 1994-11-18 | 1996-07-02 | Megadyne Medical Products, Inc. | Resposable electrode |
JPH08164148A (ja) | 1994-12-13 | 1996-06-25 | Olympus Optical Co Ltd | 内視鏡下手術装置 |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5613966A (en) | 1994-12-21 | 1997-03-25 | Valleylab Inc | System and method for accessory rate control |
DE19503702B4 (de) | 1995-02-04 | 2005-10-27 | Nicolay Verwaltungs-Gmbh | Flüssigkeits- und gasdicht gekapselter Schalter, insbesondere für elektrochirurgische Instrumente |
US5654750A (en) | 1995-02-23 | 1997-08-05 | Videorec Technologies, Inc. | Automatic recording system |
US5735445A (en) | 1995-03-07 | 1998-04-07 | United States Surgical Corporation | Surgical stapler |
US5695505A (en) | 1995-03-09 | 1997-12-09 | Yoon; Inbae | Multifunctional spring clips and cartridges and applicators therefor |
US5942333A (en) | 1995-03-27 | 1999-08-24 | Texas Research Institute | Non-conductive coatings for underwater connector backshells |
US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
US5775331A (en) | 1995-06-07 | 1998-07-07 | Uromed Corporation | Apparatus and method for locating a nerve |
US5752644A (en) | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5706998A (en) | 1995-07-17 | 1998-01-13 | United States Surgical Corporation | Surgical stapler with alignment pin locking mechanism |
US5718359A (en) | 1995-08-14 | 1998-02-17 | United States Of America Surgical Corporation | Surgical stapler with lockout mechanism |
US5693052A (en) | 1995-09-01 | 1997-12-02 | Megadyne Medical Products, Inc. | Coated bipolar electrocautery |
GB9521772D0 (en) | 1995-10-24 | 1996-01-03 | Gyrus Medical Ltd | An electrosurgical instrument |
DE19546707A1 (de) | 1995-12-14 | 1997-06-19 | Bayerische Motoren Werke Ag | Antriebseinrichtung für ein Kraftfahrzeug |
US5746209A (en) | 1996-01-26 | 1998-05-05 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Method of and apparatus for histological human tissue characterizationusing ultrasound |
US5820009A (en) | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US5725536A (en) | 1996-02-20 | 1998-03-10 | Richard-Allen Medical Industries, Inc. | Articulated surgical instrument with improved articulation control mechanism |
US5797537A (en) | 1996-02-20 | 1998-08-25 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved firing mechanism |
US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
US5762255A (en) | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
US6099537A (en) | 1996-02-26 | 2000-08-08 | Olympus Optical Co., Ltd. | Medical treatment instrument |
US5673842A (en) | 1996-03-05 | 1997-10-07 | Ethicon Endo-Surgery | Surgical stapler with locking mechanism |
IL117607A0 (en) | 1996-03-21 | 1996-07-23 | Dev Of Advanced Medical Produc | Surgical stapler and method of surgical fastening |
US6258105B1 (en) | 1996-04-18 | 2001-07-10 | Charles C. Hart | Malleable clip applier and method |
US6017354A (en) | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
US5997528A (en) | 1996-08-29 | 1999-12-07 | Bausch & Lomb Surgical, Inc. | Surgical system providing automatic reconfiguration |
US7030146B2 (en) | 1996-09-10 | 2006-04-18 | University Of South Carolina | Methods for treating diabetic neuropathy |
US5836909A (en) | 1996-09-13 | 1998-11-17 | Cosmescu; Ioan | Automatic fluid control system for use in open and laparoscopic laser surgery and electrosurgery and method therefor |
US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US5843080A (en) | 1996-10-16 | 1998-12-01 | Megadyne Medical Products, Inc. | Bipolar instrument with multi-coated electrodes |
US6053910A (en) | 1996-10-30 | 2000-04-25 | Megadyne Medical Products, Inc. | Capacitive reusable electrosurgical return electrode |
US6582424B2 (en) | 1996-10-30 | 2003-06-24 | Megadyne Medical Products, Inc. | Capacitive reusable electrosurgical return electrode |
JPH10146344A (ja) * | 1996-11-20 | 1998-06-02 | Olympus Optical Co Ltd | 電気手術装置 |
US5766186A (en) | 1996-12-03 | 1998-06-16 | Simon Fraser University | Suturing device |
US6331181B1 (en) | 1998-12-08 | 2001-12-18 | Intuitive Surgical, Inc. | Surgical robotic tools, data architecture, and use |
EP0864348A1 (en) | 1997-03-11 | 1998-09-16 | Philips Electronics N.V. | Gas purifier |
US6699187B2 (en) | 1997-03-27 | 2004-03-02 | Medtronic, Inc. | System and method for providing remote expert communications and video capabilities for use during a medical procedure |
US7041941B2 (en) | 1997-04-07 | 2006-05-09 | Patented Medical Solutions, Llc | Medical item thermal treatment systems and method of monitoring medical items for compliance with prescribed requirements |
US5947996A (en) | 1997-06-23 | 1999-09-07 | Medicor Corporation | Yoke for surgical instrument |
DE19731894C1 (de) | 1997-07-24 | 1999-05-12 | Storz Karl Gmbh & Co | Endoskopisches Instrument zur Durchführung von endoskopischen Eingriffen oder Untersuchungen und endoskopisches Instrumentarium, enthaltend ein solches endoskopisches Instrument |
US5878938A (en) | 1997-08-11 | 1999-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved locking mechanism |
US6102907A (en) | 1997-08-15 | 2000-08-15 | Somnus Medical Technologies, Inc. | Apparatus and device for use therein and method for ablation of tissue |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US6039735A (en) | 1997-10-03 | 2000-03-21 | Megadyne Medical Products, Inc. | Electric field concentrated electrosurgical electrode |
US5980510A (en) | 1997-10-10 | 1999-11-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount |
US5873873A (en) | 1997-10-10 | 1999-02-23 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp mechanism |
US6273887B1 (en) | 1998-01-23 | 2001-08-14 | Olympus Optical Co., Ltd. | High-frequency treatment tool |
AU2769399A (en) | 1998-02-17 | 1999-08-30 | James A. Baker Jr. | Radiofrequency medical instrument for vessel welding |
US6457625B1 (en) | 1998-02-17 | 2002-10-01 | Bionx Implants, Oy | Device for installing a tissue fastener |
US6126658A (en) | 1998-02-19 | 2000-10-03 | Baker; James A. | Radiofrequency medical instrument and methods for vessel welding |
JPH11267133A (ja) | 1998-03-25 | 1999-10-05 | Olympus Optical Co Ltd | 治療装置 |
US5968032A (en) | 1998-03-30 | 1999-10-19 | Sleister; Dennis R. | Smoke evacuator for a surgical laser or cautery plume |
US8688188B2 (en) | 1998-04-30 | 2014-04-01 | Abbott Diabetes Care Inc. | Analyte monitoring device and methods of use |
US6059799A (en) | 1998-06-25 | 2000-05-09 | United States Surgical Corporation | Apparatus for applying surgical clips |
US6341164B1 (en) | 1998-07-22 | 2002-01-22 | Entrust Technologies Limited | Method and apparatus for correcting improper encryption and/or for reducing memory storage |
US6126592A (en) | 1998-09-12 | 2000-10-03 | Smith & Nephew, Inc. | Endoscope cleaning and irrigation sheath |
US6090107A (en) | 1998-10-20 | 2000-07-18 | Megadyne Medical Products, Inc. | Resposable electrosurgical instrument |
WO2000024322A1 (en) | 1998-10-23 | 2000-05-04 | Applied Medical Resources Corporation | Surgical grasper with inserts and method of using same |
US7137980B2 (en) | 1998-10-23 | 2006-11-21 | Sherwood Services Ag | Method and system for controlling output of RF medical generator |
US20100042093A9 (en) | 1998-10-23 | 2010-02-18 | Wham Robert H | System and method for terminating treatment in impedance feedback algorithm |
JP4101951B2 (ja) * | 1998-11-10 | 2008-06-18 | オリンパス株式会社 | 手術用顕微鏡 |
US6451015B1 (en) | 1998-11-18 | 2002-09-17 | Sherwood Services Ag | Method and system for menu-driven two-dimensional display lesion generator |
US6659939B2 (en) | 1998-11-20 | 2003-12-09 | Intuitive Surgical, Inc. | Cooperative minimally invasive telesurgical system |
US6325808B1 (en) | 1998-12-08 | 2001-12-04 | Advanced Realtime Control Systems, Inc. | Robotic system, docking station, and surgical tool for collaborative control in minimally invasive surgery |
DE19860689C2 (de) | 1998-12-29 | 2001-07-05 | Erbe Elektromedizin | Verfahren zum Steuern einer Vorrichtung zum Entfernen von Rauch sowie Vorrichtung zur Durchführung des Verfahrens |
AU5924099A (en) | 1998-12-31 | 2000-07-24 | Jeffrey E. Yeung | Tissue fastening devices and delivery means |
GB2351884B (en) | 1999-04-10 | 2002-07-31 | Peter Strong | Data transmission method |
US6308089B1 (en) | 1999-04-14 | 2001-10-23 | O.B. Scientific, Inc. | Limited use medical probe |
US6301495B1 (en) | 1999-04-27 | 2001-10-09 | International Business Machines Corporation | System and method for intra-operative, image-based, interactive verification of a pre-operative surgical plan |
US6461352B2 (en) | 1999-05-11 | 2002-10-08 | Stryker Corporation | Surgical handpiece with self-sealing switch assembly |
US8229549B2 (en) | 2004-07-09 | 2012-07-24 | Tyco Healthcare Group Lp | Surgical imaging device |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US8262560B2 (en) | 2001-04-20 | 2012-09-11 | Tyco Healthcare Group Lp | Imaging device for use with a surgical device |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US8960519B2 (en) | 1999-06-02 | 2015-02-24 | Covidien Lp | Shaft, e.g., for an electro-mechanical surgical device |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6619406B1 (en) | 1999-07-14 | 2003-09-16 | Cyra Technologies, Inc. | Advanced applications for 3-D autoscanning LIDAR system |
DE19935904C1 (de) | 1999-07-30 | 2001-07-12 | Karlsruhe Forschzent | Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe |
WO2001008578A1 (en) | 1999-07-30 | 2001-02-08 | Vivant Medical, Inc. | Device and method for safe location and marking of a cavity and sentinel lymph nodes |
AU7880600A (en) | 1999-08-12 | 2001-03-13 | Somnus Medical Technologies, Inc. | Nerve stimulation and tissue ablation apparatus and method |
WO2001020892A2 (en) | 1999-09-13 | 2001-03-22 | Fernway Limited | A method for transmitting data between respective first and second modems in a telecommunications system, and a telecommunications system |
US8004229B2 (en) | 2005-05-19 | 2011-08-23 | Intuitive Surgical Operations, Inc. | Software center and highly configurable robotic systems for surgery and other uses |
US6325811B1 (en) | 1999-10-05 | 2001-12-04 | Ethicon Endo-Surgery, Inc. | Blades with functional balance asymmetries for use with ultrasonic surgical instruments |
US20040078236A1 (en) | 1999-10-30 | 2004-04-22 | Medtamic Holdings | Storage and access of aggregate patient data for analysis |
US6466817B1 (en) | 1999-11-24 | 2002-10-15 | Nuvasive, Inc. | Nerve proximity and status detection system and method |
US6569109B2 (en) | 2000-02-04 | 2003-05-27 | Olympus Optical Co., Ltd. | Ultrasonic operation apparatus for performing follow-up control of resonance frequency drive of ultrasonic oscillator by digital PLL system using DDS (direct digital synthesizer) |
US6911033B2 (en) | 2001-08-21 | 2005-06-28 | Microline Pentax Inc. | Medical clip applying device |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US7770773B2 (en) | 2005-07-27 | 2010-08-10 | Power Medical Interventions, Llc | Surgical device |
AUPQ600100A0 (en) | 2000-03-03 | 2000-03-23 | Macropace Products Pty. Ltd. | Animation technology |
US6391102B1 (en) | 2000-03-21 | 2002-05-21 | Stackhouse, Inc. | Air filtration system with filter efficiency management |
US6778846B1 (en) | 2000-03-30 | 2004-08-17 | Medtronic, Inc. | Method of guiding a medical device and system regarding same |
US7025765B2 (en) | 2000-03-31 | 2006-04-11 | Rita Medical Systems, Inc. | Tissue biopsy and treatment apparatus and method |
AU2001263239A1 (en) | 2000-05-18 | 2001-11-26 | Nuvasive, Inc. | Tissue discrimination and applications in medical procedures |
US6742895B2 (en) | 2000-07-06 | 2004-06-01 | Alan L. Robin | Internet-based glaucoma diagnostic system |
US6962587B2 (en) | 2000-07-25 | 2005-11-08 | Rita Medical Systems, Inc. | Method for detecting and treating tumors using localized impedance measurement |
DE60129997T2 (de) | 2000-09-24 | 2008-05-08 | Medtronic, Inc., Minneapolis | Motorsteuerungssystem für ein chirurgisches handstück |
US7334717B2 (en) | 2001-10-05 | 2008-02-26 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
WO2002030297A2 (en) | 2000-10-13 | 2002-04-18 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
WO2003079909A2 (en) | 2002-03-19 | 2003-10-02 | Tyco Healthcare Group, Lp | Surgical fastener applying apparatus |
US20020049551A1 (en) | 2000-10-20 | 2002-04-25 | Ethicon Endo-Surgery, Inc. | Method for differentiating between burdened and cracked ultrasonically tuned blades |
CA2702198C (en) | 2000-10-20 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Detection circuitry for surgical handpiece system |
US7077853B2 (en) | 2000-10-20 | 2006-07-18 | Ethicon Endo-Surgery, Inc. | Method for calculating transducer capacitance to determine transducer temperature |
US6679899B2 (en) | 2000-10-20 | 2004-01-20 | Ethicon Endo-Surgery, Inc. | Method for detecting transverse vibrations in an ultrasonic hand piece |
US6480796B2 (en) | 2000-10-20 | 2002-11-12 | Ethicon Endo-Surgery, Inc. | Method for improving the start up of an ultrasonic system under zero load conditions |
US6945981B2 (en) | 2000-10-20 | 2005-09-20 | Ethicon-Endo Surgery, Inc. | Finger operated switch for controlling a surgical handpiece |
ATE326802T1 (de) | 2000-11-28 | 2006-06-15 | Flash Networks Ltd | System und verfahren für eine übertragungsratensteuerung |
US7232445B2 (en) | 2000-12-06 | 2007-06-19 | Id, Llc | Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US6558380B2 (en) | 2000-12-08 | 2003-05-06 | Gfd Gesellschaft Fur Diamantprodukte Mbh | Instrument for surgical purposes and method of cleaning same |
EP1216651A1 (de) | 2000-12-21 | 2002-06-26 | BrainLAB AG | Kabelloses medizinisches Erfassungs- und Behandlungssystem |
US20050004559A1 (en) | 2003-06-03 | 2005-01-06 | Senorx, Inc. | Universal medical device control console |
US6618626B2 (en) | 2001-01-16 | 2003-09-09 | Hs West Investments, Llc | Apparatus and methods for protecting the axillary nerve during thermal capsullorhaphy |
US6551243B2 (en) | 2001-01-24 | 2003-04-22 | Siemens Medical Solutions Health Services Corporation | System and user interface for use in providing medical information and health care delivery support |
WO2002067798A1 (en) | 2001-02-26 | 2002-09-06 | Ntero Surgical, Inc. | System and method for reducing post-surgical complications |
KR20030082942A (ko) | 2001-02-27 | 2003-10-23 | 스미스 앤드 네퓨, 인크. | 인공 무릎 관절 성형 수술 시스템 및 방법 |
US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
WO2002085218A2 (en) | 2001-04-20 | 2002-10-31 | Power Medical Interventions, Inc. | Bipolar or ultrasonic surgical device |
WO2002100247A2 (en) | 2001-06-13 | 2002-12-19 | Ckm Diagnostics, Inc. | Non-invasive method and apparatus for tissue detection |
US7044911B2 (en) | 2001-06-29 | 2006-05-16 | Philometron, Inc. | Gateway platform for biological monitoring and delivery of therapeutic compounds |
WO2003013374A1 (en) | 2001-08-06 | 2003-02-20 | Penn State Research Foundation | Multifunctional tool and method for minimally invasive surgery |
EP1424944B1 (en) | 2001-08-08 | 2011-04-20 | Stryker Corporation | Surgical tool system with components that perform inductive data transfer |
US7104949B2 (en) | 2001-08-31 | 2006-09-12 | Ams Research Corporation | Surgical articles for placing an implant about a tubular tissue structure and methods |
US20030093503A1 (en) | 2001-09-05 | 2003-05-15 | Olympus Optical Co., Ltd. | System for controling medical instruments |
US6728599B2 (en) * | 2001-09-07 | 2004-04-27 | Computer Motion, Inc. | Modularity system for computer assisted surgery |
WO2003026734A2 (en) | 2001-09-28 | 2003-04-03 | Meagan Medical, Inc. | Method and apparatus for securing and/or identifying a link to a percutaneous probe |
US6524307B1 (en) | 2001-10-05 | 2003-02-25 | Medtek Devices, Inc. | Smoke evacuation apparatus |
DE10151269B4 (de) | 2001-10-17 | 2005-08-25 | Sartorius Ag | Verfahren zum Überwachen der Integrität von Filtrationsanlagen |
US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
US6770072B1 (en) | 2001-10-22 | 2004-08-03 | Surgrx, Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7383088B2 (en) | 2001-11-07 | 2008-06-03 | Cardiac Pacemakers, Inc. | Centralized management system for programmable medical devices |
US7409354B2 (en) | 2001-11-29 | 2008-08-05 | Medison Online Inc. | Method and apparatus for operative event documentation and related data management |
CN100522096C (zh) | 2001-12-04 | 2009-08-05 | 能量医学介入公司 | 用于校准外科器械的系统和方法 |
US6783525B2 (en) | 2001-12-12 | 2004-08-31 | Megadyne Medical Products, Inc. | Application and utilization of a water-soluble polymer on a surface |
US20030114851A1 (en) | 2001-12-13 | 2003-06-19 | Csaba Truckai | Electrosurgical jaws for controlled application of clamping pressure |
US6869435B2 (en) | 2002-01-17 | 2005-03-22 | Blake, Iii John W | Repeating multi-clip applier |
US6585791B1 (en) | 2002-01-29 | 2003-07-01 | Jon C. Garito | Smoke plume evacuation filtration system |
US8775196B2 (en) | 2002-01-29 | 2014-07-08 | Baxter International Inc. | System and method for notification and escalation of medical data |
US6685704B2 (en) | 2002-02-26 | 2004-02-03 | Megadyne Medical Products, Inc. | Utilization of an active catalyst in a surface coating of an electrosurgical instrument |
US20030210812A1 (en) | 2002-02-26 | 2003-11-13 | Ali Khamene | Apparatus and method for surgical navigation |
US8010180B2 (en) | 2002-03-06 | 2011-08-30 | Mako Surgical Corp. | Haptic guidance system and method |
WO2008042486A2 (en) | 2006-07-03 | 2008-04-10 | Beth Israel Deaconess Medical Center | Multi-channel medical imaging systems |
US7527590B2 (en) | 2002-03-19 | 2009-05-05 | Olympus Corporation | Anastomosis system |
US7343565B2 (en) | 2002-03-20 | 2008-03-11 | Mercurymd, Inc. | Handheld device graphical user interfaces for displaying patient medical records |
US6641039B2 (en) | 2002-03-21 | 2003-11-04 | Alcon, Inc. | Surgical procedure identification system |
FR2838234A1 (fr) | 2002-04-03 | 2003-10-10 | Sylea | Cable electrique plat |
US20050131390A1 (en) | 2002-04-25 | 2005-06-16 | Russell Heinrich | Surgical instruments including mems devices |
US7457804B2 (en) | 2002-05-10 | 2008-11-25 | Medrad, Inc. | System and method for automated benchmarking for the recognition of best medical practices and products and for establishing standards for medical procedures |
AU2003228979A1 (en) | 2002-05-10 | 2003-11-11 | Tyco Healthcare Group, Lp | Surgical stapling apparatus having a wound closure material applicator assembly |
US20030223877A1 (en) | 2002-06-04 | 2003-12-04 | Ametek, Inc. | Blower assembly with closed-loop feedback |
US7442198B2 (en) | 2002-06-12 | 2008-10-28 | Boston Scientific Scimed, Inc. | Suturing instrument with multi-load cartridge |
CN1665449B (zh) | 2002-06-14 | 2010-05-12 | 机能医疗干预公司 | 用于夹紧、切割及缝合组织的器械 |
US6849074B2 (en) | 2002-06-17 | 2005-02-01 | Medconx, Inc. | Disposable surgical devices |
US6951559B1 (en) | 2002-06-21 | 2005-10-04 | Megadyne Medical Products, Inc. | Utilization of a hybrid material in a surface coating of an electrosurgical instrument |
US7121460B1 (en) | 2002-07-16 | 2006-10-17 | Diebold Self-Service Systems Division Of Diebold, Incorporated | Automated banking machine component authentication system and method |
US6852219B2 (en) | 2002-07-22 | 2005-02-08 | John M. Hammond | Fluid separation and delivery apparatus and method |
US20060116908A1 (en) | 2002-07-30 | 2006-06-01 | Dew Douglas K | Web-based data entry system and method for generating medical records |
US6824539B2 (en) | 2002-08-02 | 2004-11-30 | Storz Endoskop Produktions Gmbh | Touchscreen controlling medical equipment from multiple manufacturers |
US9271753B2 (en) | 2002-08-08 | 2016-03-01 | Atropos Limited | Surgical device |
EP2245996B1 (en) | 2002-10-04 | 2016-12-21 | Covidien LP | Surgical stapler with universal articulation and tissue pre-clamp |
CN1717893B (zh) | 2002-10-28 | 2010-05-05 | 诺基亚有限公司 | 设备密钥 |
US7073765B2 (en) | 2002-11-13 | 2006-07-11 | Hill-Rom Services, Inc. | Apparatus for carrying medical equipment |
JP3769752B2 (ja) | 2002-12-24 | 2006-04-26 | ソニー株式会社 | 情報処理装置および情報処理方法、データ通信システム、並びに、プログラム |
US7081096B2 (en) | 2003-01-24 | 2006-07-25 | Medtronic Vascular, Inc. | Temperature mapping balloon |
US7230529B2 (en) | 2003-02-07 | 2007-06-12 | Theradoc, Inc. | System, method, and computer program for interfacing an expert system to a clinical information system |
US7182775B2 (en) | 2003-02-27 | 2007-02-27 | Microline Pentax, Inc. | Super atraumatic grasper apparatus |
US20080114212A1 (en) | 2006-10-10 | 2008-05-15 | General Electric Company | Detecting surgical phases and/or interventions |
US8882657B2 (en) | 2003-03-07 | 2014-11-11 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
US9149322B2 (en) | 2003-03-31 | 2015-10-06 | Edward Wells Knowlton | Method for treatment of tissue |
US20040206365A1 (en) | 2003-03-31 | 2004-10-21 | Knowlton Edward Wells | Method for treatment of tissue |
US20040199180A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Method of using surgical device for anastomosis |
US20040243148A1 (en) | 2003-04-08 | 2004-12-02 | Wasielewski Ray C. | Use of micro- and miniature position sensing devices for use in TKA and THA |
EP1617778A2 (en) | 2003-05-01 | 2006-01-25 | Sherwood Services AG | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
US7044352B2 (en) | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US7000818B2 (en) | 2003-05-20 | 2006-02-21 | Ethicon, Endo-Surger, Inc. | Surgical stapling instrument having separate distinct closing and firing systems |
US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US20070010838A1 (en) | 2003-05-20 | 2007-01-11 | Shelton Frederick E Iv | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US7140528B2 (en) | 2003-05-20 | 2006-11-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
US20040243435A1 (en) | 2003-05-29 | 2004-12-02 | Med-Sched, Inc. | Medical information management system |
US9002518B2 (en) | 2003-06-30 | 2015-04-07 | Intuitive Surgical Operations, Inc. | Maximum torque driving of robotic surgical tools in robotic surgical systems |
US20050020909A1 (en) | 2003-07-10 | 2005-01-27 | Moctezuma De La Barrera Jose Luis | Display device for surgery and method for using the same |
US8200775B2 (en) | 2005-02-01 | 2012-06-12 | Newsilike Media Group, Inc | Enhanced syndication |
US20050065438A1 (en) | 2003-09-08 | 2005-03-24 | Miller Landon C.G. | System and method of capturing and managing information during a medical diagnostic imaging procedure |
WO2005028078A2 (en) | 2003-09-15 | 2005-03-31 | Palmerton Christopher A | Operating room smoke evacuator with integrated vacuum motor and filter |
US20050063575A1 (en) | 2003-09-22 | 2005-03-24 | Ge Medical Systems Global Technology, Llc | System and method for enabling a software developer to introduce informational attributes for selective inclusion within image headers for medical imaging apparatus applications |
US8147486B2 (en) | 2003-09-22 | 2012-04-03 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Medical device with flexible printed circuit |
EP1517117A1 (de) | 2003-09-22 | 2005-03-23 | Leica Geosystems AG | Verfahren und System zur Bestimmung einer Aktualposition eines Positionierungsgerätes |
JP2005111085A (ja) | 2003-10-09 | 2005-04-28 | Olympus Corp | 手術支援システム |
US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US10588629B2 (en) | 2009-11-20 | 2020-03-17 | Covidien Lp | Surgical console and hand-held surgical device |
US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US8968276B2 (en) | 2007-09-21 | 2015-03-03 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US9113880B2 (en) | 2007-10-05 | 2015-08-25 | Covidien Lp | Internal backbone structural chassis for a surgical device |
US10105140B2 (en) | 2009-11-20 | 2018-10-23 | Covidien Lp | Surgical console and hand-held surgical device |
US7169145B2 (en) | 2003-11-21 | 2007-01-30 | Megadyne Medical Products, Inc. | Tuned return electrode with matching inductor |
US7118564B2 (en) | 2003-11-26 | 2006-10-10 | Ethicon Endo-Surgery, Inc. | Medical treatment system with energy delivery device for limiting reuse |
US7317955B2 (en) | 2003-12-12 | 2008-01-08 | Conmed Corporation | Virtual operating room integration |
US7766207B2 (en) | 2003-12-30 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Articulating curved cutter stapler |
US7147139B2 (en) | 2003-12-30 | 2006-12-12 | Ethicon Endo-Surgery, Inc | Closure plate lockout for a curved cutter stapler |
US20050143759A1 (en) | 2003-12-30 | 2005-06-30 | Kelly William D. | Curved cutter stapler shaped for male pelvis |
US20050149356A1 (en) | 2004-01-02 | 2005-07-07 | Cyr Keneth K. | System and method for management of clinical supply operations |
BRPI0507008A (pt) | 2004-01-23 | 2007-10-30 | Ams Res Corp | instrumento cirúrgico, métodos de realizar uma histerotomia e de seccionar tecido, e, kit |
US7766905B2 (en) | 2004-02-12 | 2010-08-03 | Covidien Ag | Method and system for continuity testing of medical electrodes |
EP1563791B1 (en) | 2004-02-17 | 2007-04-18 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
US20050192610A1 (en) | 2004-02-27 | 2005-09-01 | Houser Kevin L. | Ultrasonic surgical shears and tissue pad for same |
JP2007531124A (ja) | 2004-03-26 | 2007-11-01 | コンヴァージェンス シーティー | 患者医療データ記録のアクセス及び利用を制御するためのシステム及び方法 |
US20050222631A1 (en) | 2004-04-06 | 2005-10-06 | Nirav Dalal | Hierarchical data storage and analysis system for implantable medical devices |
US7379790B2 (en) | 2004-05-04 | 2008-05-27 | Intuitive Surgical, Inc. | Tool memory-based software upgrades for robotic surgery |
US20070179482A1 (en) | 2004-05-07 | 2007-08-02 | Anderson Robert S | Apparatuses and methods to treat biological external tissue |
EP1753357B1 (en) | 2004-05-11 | 2014-11-26 | Wisconsin Alumni Research Foundation | Radiofrequency ablation with independently controllable ground pad conductors |
US20050277913A1 (en) | 2004-06-09 | 2005-12-15 | Mccary Brian D | Heads-up display for displaying surgical parameters in a surgical microscope |
AU2005267378A1 (en) | 2004-06-24 | 2006-02-02 | Suture Robotics, Inc. | Semi-robotic suturing device |
US7818041B2 (en) | 2004-07-07 | 2010-10-19 | Young Kim | System and method for efficient diagnostic analysis of ophthalmic examinations |
US7979157B2 (en) | 2004-07-23 | 2011-07-12 | Mcmaster University | Multi-purpose robotic operating system and method |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7914551B2 (en) | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
US7862579B2 (en) | 2004-07-28 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for grasper |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
JP4873384B2 (ja) | 2004-09-16 | 2012-02-08 | オリンパス株式会社 | 医療行為管理方法ならびにそれを利用した管理サーバおよび医療行為管理システム |
US8123764B2 (en) | 2004-09-20 | 2012-02-28 | Endoevolution, Llc | Apparatus and method for minimally invasive suturing |
US7782789B2 (en) | 2004-09-23 | 2010-08-24 | Harris Corporation | Adaptive bandwidth utilization for telemetered data |
US20080015664A1 (en) | 2004-10-06 | 2008-01-17 | Podhajsky Ronald J | Systems and methods for thermally profiling radiofrequency electrodes |
CA2582520C (en) | 2004-10-08 | 2017-09-12 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument |
US7865236B2 (en) | 2004-10-20 | 2011-01-04 | Nervonix, Inc. | Active electrode, bio-impedance based, tissue discrimination system and methods of use |
US8641738B1 (en) | 2004-10-28 | 2014-02-04 | James W. Ogilvie | Method of treating scoliosis using a biological implant |
JP2006158525A (ja) | 2004-12-03 | 2006-06-22 | Olympus Medical Systems Corp | 超音波手術装置及び超音波処置具の駆動方法 |
US7371227B2 (en) | 2004-12-17 | 2008-05-13 | Ethicon Endo-Surgery, Inc. | Trocar seal assembly |
US7294116B1 (en) | 2005-01-03 | 2007-11-13 | Ellman Alan G | Surgical smoke plume evacuation system |
US8027710B1 (en) | 2005-01-28 | 2011-09-27 | Patrick Dannan | Imaging system for endoscopic surgery |
US20080040151A1 (en) | 2005-02-01 | 2008-02-14 | Moore James F | Uses of managed health care data |
US20070168461A1 (en) | 2005-02-01 | 2007-07-19 | Moore James F | Syndicating surgical data in a healthcare environment |
EP1848332A4 (en) | 2005-02-03 | 2011-11-02 | Christopher Sakezles | MODELS AND METHODS USING THESE MODELS FOR TESTING MEDICAL DEVICES |
US20060241399A1 (en) | 2005-02-10 | 2006-10-26 | Fabian Carl E | Multiplex system for the detection of surgical implements within the wound cavity |
US7884735B2 (en) | 2005-02-11 | 2011-02-08 | Hill-Rom Services, Inc. | Transferable patient care equipment support |
JP4681908B2 (ja) | 2005-02-14 | 2011-05-11 | オリンパス株式会社 | 手術機器コントローラ及びそれを用いた手術システム |
JP2006223375A (ja) | 2005-02-15 | 2006-08-31 | Olympus Corp | 手術データ記録装置、手術データ表示装置及び手術データ記録表示方法 |
EP1872290A4 (en) | 2005-02-28 | 2009-08-26 | Michael Rothman | SYSTEM AND METHOD FOR IMPROVING HOSPITAL PATIENT CARE BY PROVIDING A CONTINUOUS HEALTH CHECK SYSTEM |
US8206345B2 (en) | 2005-03-07 | 2012-06-26 | Medtronic Cryocath Lp | Fluid control system for a medical device |
US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
US8945095B2 (en) | 2005-03-30 | 2015-02-03 | Intuitive Surgical Operations, Inc. | Force and torque sensing for surgical instruments |
JP4766902B2 (ja) * | 2005-03-31 | 2011-09-07 | オリンパスメディカルシステムズ株式会社 | 手術支援装置 |
US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
US8038686B2 (en) | 2005-04-14 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Clip applier configured to prevent clip fallout |
US7699860B2 (en) | 2005-04-14 | 2010-04-20 | Ethicon Endo-Surgery, Inc. | Surgical clip |
WO2006113394A2 (en) | 2005-04-15 | 2006-10-26 | Surgisense Corporation | Surgical instruments with sensors for detecting tissue properties, and systems using such instruments |
US7362228B2 (en) | 2005-04-28 | 2008-04-22 | Warsaw Orthepedic, Inc. | Smart instrument tray RFID reader |
US7515961B2 (en) | 2005-04-29 | 2009-04-07 | Medtronic, Inc. | Method and apparatus for dynamically monitoring, detecting and diagnosing lead conditions |
US9526587B2 (en) | 2008-12-31 | 2016-12-27 | Intuitive Surgical Operations, Inc. | Fiducial marker design and detection for locating surgical instrument in images |
US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
US8398541B2 (en) | 2006-06-06 | 2013-03-19 | Intuitive Surgical Operations, Inc. | Interactive user interfaces for robotic minimally invasive surgical systems |
US7828812B2 (en) | 2005-06-13 | 2010-11-09 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus with needle release system |
US8468030B2 (en) | 2005-06-27 | 2013-06-18 | Children's Mercy Hospital | System and method for collecting, organizing, and presenting date-oriented medical information |
US20160374747A9 (en) | 2005-07-15 | 2016-12-29 | Atricure, Inc. | Ablation Device with Sensor |
US8038046B2 (en) | 2006-05-19 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument with optimized power supply and drive |
US9662116B2 (en) | 2006-05-19 | 2017-05-30 | Ethicon, Llc | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US8627993B2 (en) | 2007-02-12 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Active braking electrical surgical instrument and method for braking such an instrument |
JP2009502337A (ja) | 2005-07-29 | 2009-01-29 | アルコン,インコーポレイティド | 手術装置に設定及びデータ投入する方法及びシステム |
US7621192B2 (en) | 2005-07-29 | 2009-11-24 | Dynatek Laboratories, Inc. | Medical device durability test apparatus having an integrated particle counter and method of use |
US7641092B2 (en) | 2005-08-05 | 2010-01-05 | Ethicon Endo - Surgery, Inc. | Swing gate for device lockout in a curved cutter stapler |
US7407075B2 (en) | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
US20070049947A1 (en) | 2005-08-25 | 2007-03-01 | Microline Pentax Inc. | Cinch control device |
US7720306B2 (en) | 2005-08-29 | 2010-05-18 | Photomed Technologies, Inc. | Systems and methods for displaying changes in biological responses to therapy |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US8991676B2 (en) | 2007-03-15 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Surgical staple having a slidable crown |
US8365976B2 (en) | 2006-09-29 | 2013-02-05 | Ethicon Endo-Surgery, Inc. | Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US20070078678A1 (en) | 2005-09-30 | 2007-04-05 | Disilvestro Mark R | System and method for performing a computer assisted orthopaedic surgical procedure |
US8096459B2 (en) | 2005-10-11 | 2012-01-17 | Ethicon Endo-Surgery, Inc. | Surgical stapler with an end effector support |
CA2625359A1 (en) | 2005-10-11 | 2007-04-19 | Blake Podaima | Smart medical compliance method and system |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US7966269B2 (en) | 2005-10-20 | 2011-06-21 | Bauer James D | Intelligent human-machine interface |
DE102005051367A1 (de) | 2005-10-25 | 2007-04-26 | Olympus Winter & Ibe Gmbh | Chirurgisches Maulinstrument |
JP4676864B2 (ja) | 2005-10-26 | 2011-04-27 | 株式会社フジクラ | フレキシブル配線基板を用いた回路構造 |
US7328828B2 (en) | 2005-11-04 | 2008-02-12 | Ethicon Endo-Surgery, Inc, | Lockout mechanisms and surgical instruments including same |
US8411034B2 (en) | 2009-03-12 | 2013-04-02 | Marc Boillot | Sterile networked interface for medical systems |
US7761164B2 (en) | 2005-11-30 | 2010-07-20 | Medtronic, Inc. | Communication system for medical devices |
US7246734B2 (en) | 2005-12-05 | 2007-07-24 | Ethicon Endo-Surgery, Inc. | Rotary hydraulic pump actuated multi-stroke surgical instrument |
CA2633082C (en) | 2005-12-14 | 2015-02-03 | Stryker Corporation | Medical/surgical waste collection unit including waste containers of different storage volumes with inter-container transfer valve and independently controlled vacuum levels |
WO2007075844A1 (en) | 2005-12-20 | 2007-07-05 | Intuitive Surgical, Inc. | Telescoping insertion axis of a robotic surgical system |
US8054752B2 (en) | 2005-12-22 | 2011-11-08 | Intuitive Surgical Operations, Inc. | Synchronous data communication |
JP2007175231A (ja) | 2005-12-27 | 2007-07-12 | Olympus Medical Systems Corp | 医療用システム |
WO2007075091A2 (en) | 2005-12-29 | 2007-07-05 | Rikshospitalet - Radiumhospitalet Hf | Method and apparatus for determining local tissue impedance for positioning of a needle |
US8628518B2 (en) | 2005-12-30 | 2014-01-14 | Intuitive Surgical Operations, Inc. | Wireless force sensor on a distal portion of a surgical instrument and method |
US20070167702A1 (en) | 2005-12-30 | 2007-07-19 | Intuitive Surgical Inc. | Medical robotic system providing three-dimensional telestration |
US7907166B2 (en) | 2005-12-30 | 2011-03-15 | Intuitive Surgical Operations, Inc. | Stereo telestration for robotic surgery |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
CA2574935A1 (en) | 2006-01-24 | 2007-07-24 | Sherwood Services Ag | A method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm |
JP5355094B2 (ja) | 2006-01-27 | 2013-11-27 | スターテック インコーポレイテッド | 組織閉鎖装置および方法 |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
JP5317954B2 (ja) | 2006-03-16 | 2013-10-16 | ボストン サイエンティフィック リミテッド | 組織壁脱出症を治療するためのシステムおよび方法 |
US20070225556A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Disposable endoscope devices |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US9636188B2 (en) | 2006-03-24 | 2017-05-02 | Stryker Corporation | System and method for 3-D tracking of surgical instrument in relation to patient body |
US20070270660A1 (en) | 2006-03-29 | 2007-11-22 | Caylor Edward J Iii | System and method for determining a location of an orthopaedic medical device |
US20080015912A1 (en) | 2006-03-30 | 2008-01-17 | Meryl Rosenthal | Systems and methods for workforce management |
US7667839B2 (en) | 2006-03-30 | 2010-02-23 | Particle Measuring Systems, Inc. | Aerosol particle sensor with axial fan |
FR2899932A1 (fr) | 2006-04-14 | 2007-10-19 | Renault Sas | Procede et dispositif de controle de la regeneration d'un systeme de depollution |
US20070244478A1 (en) | 2006-04-18 | 2007-10-18 | Sherwood Services Ag | System and method for reducing patient return electrode current concentrations |
US20070249990A1 (en) | 2006-04-20 | 2007-10-25 | Ioan Cosmescu | Automatic smoke evacuator and insufflation system for surgical procedures |
US7278563B1 (en) | 2006-04-25 | 2007-10-09 | Green David T | Surgical instrument for progressively stapling and incising tissue |
US8007494B1 (en) | 2006-04-27 | 2011-08-30 | Encision, Inc. | Device and method to prevent surgical burns |
US7841980B2 (en) | 2006-05-11 | 2010-11-30 | Olympus Medical Systems Corp. | Treatment system, trocar, treatment method and calibration method |
JP2009537231A (ja) | 2006-05-19 | 2009-10-29 | マコ サージカル コーポレーション | 触覚デバイスを制御するための方法および装置 |
EP2023825B1 (en) | 2006-05-19 | 2013-09-04 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument |
US20070293218A1 (en) | 2006-05-22 | 2007-12-20 | Qualcomm Incorporated | Collision avoidance for traffic in a wireless network |
US8574252B2 (en) | 2006-06-01 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Ultrasonic blade support |
JP4504332B2 (ja) | 2006-06-12 | 2010-07-14 | オリンパスメディカルシステムズ株式会社 | 手術システム及びそのシステム稼働情報告知方法 |
US9561045B2 (en) | 2006-06-13 | 2017-02-07 | Intuitive Surgical Operations, Inc. | Tool with rotation lock |
US8560047B2 (en) | 2006-06-16 | 2013-10-15 | Board Of Regents Of The University Of Nebraska | Method and apparatus for computer aided surgery |
CA3068216C (en) | 2006-06-22 | 2023-03-07 | Board Of Regents Of The University Of Nebraska | Magnetically coupleable robotic devices and related methods |
ATE536147T1 (de) | 2006-06-28 | 2011-12-15 | Ardian Inc | Systeme für wärmeinduzierte renale neuromodulation |
US10258425B2 (en) | 2008-06-27 | 2019-04-16 | Intuitive Surgical Operations, Inc. | Medical robotic system providing an auxiliary view of articulatable instruments extending out of a distal end of an entry guide |
US20080059658A1 (en) | 2006-06-29 | 2008-03-06 | Nokia Corporation | Controlling the feeding of data from a feed buffer |
JP2009543299A (ja) | 2006-06-30 | 2009-12-03 | モレックス インコーポレイテド | コンプライアントピン制御モジュール及びその製造方法 |
US7391173B2 (en) | 2006-06-30 | 2008-06-24 | Intuitive Surgical, Inc | Mechanically decoupled capstan drive |
US7776037B2 (en) | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
US20080013460A1 (en) | 2006-07-17 | 2008-01-17 | Geoffrey Benjamin Allen | Coordinated upload of content from multimedia capture devices based on a transmission rule |
JP2008026051A (ja) | 2006-07-19 | 2008-02-07 | Furuno Electric Co Ltd | 生化学自動分析装置 |
ES2471415T3 (es) * | 2006-07-24 | 2014-06-26 | Agfa Healthcare | Procedimiento para establecer una conexión de datos entre aparatos m�dicos y un sistema inform�tico |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US20080033404A1 (en) | 2006-08-03 | 2008-02-07 | Romoda Laszlo O | Surgical machine with removable display |
US9757142B2 (en) | 2006-08-09 | 2017-09-12 | Olympus Corporation | Relay device and ultrasonic-surgical and electrosurgical system |
US7771429B2 (en) | 2006-08-25 | 2010-08-10 | Warsaw Orthopedic, Inc. | Surgical tool for holding and inserting fasteners |
US8652086B2 (en) | 2006-09-08 | 2014-02-18 | Abbott Medical Optics Inc. | Systems and methods for power and flow rate control |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US7637410B2 (en) | 2006-10-06 | 2009-12-29 | Tyco Healthcare Group Lp | Surgical instrument including a locking assembly |
US8733614B2 (en) | 2006-10-06 | 2014-05-27 | Covidien Lp | End effector identification by mechanical features |
EP2455036B1 (en) | 2006-10-18 | 2015-07-15 | Vessix Vascular, Inc. | Tuned RF energy and electrical tissue characterization for selective treatment of target tissues |
US8229767B2 (en) | 2006-10-18 | 2012-07-24 | Hartford Fire Insurance Company | System and method for salvage calculation, fraud prevention and insurance adjustment |
US8126728B2 (en) | 2006-10-24 | 2012-02-28 | Medapps, Inc. | Systems and methods for processing and transmittal of medical data through an intermediary device |
JP5085996B2 (ja) | 2006-10-25 | 2012-11-28 | テルモ株式会社 | マニピュレータシステム |
US8214007B2 (en) | 2006-11-01 | 2012-07-03 | Welch Allyn, Inc. | Body worn physiological sensor device having a disposable electrode module |
WO2008056618A2 (en) | 2006-11-06 | 2008-05-15 | Johnson & Johnson Kabushiki Kaisha | Stapling instrument |
WO2008069816A1 (en) | 2006-12-06 | 2008-06-12 | Ryan Timothy J | Apparatus and methods for delivering sutures |
US8062306B2 (en) | 2006-12-14 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
WO2008097407A2 (en) | 2006-12-18 | 2008-08-14 | Trillium Precision Surgical, Inc. | Intraoperative tissue mapping and dissection systems, devices, methods, and kits |
US8571598B2 (en) | 2006-12-18 | 2013-10-29 | Intel Corporation | Method and apparatus for location-based wireless connection and pairing |
US7617137B2 (en) | 2006-12-19 | 2009-11-10 | At&T Intellectual Property I, L.P. | Surgical suite radio frequency identification methods and systems |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US7721936B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
AU2008206385B2 (en) | 2007-01-16 | 2013-10-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating |
US20080177362A1 (en) | 2007-01-18 | 2008-07-24 | Medtronic, Inc. | Screening device and lead delivery system |
US20080177258A1 (en) | 2007-01-18 | 2008-07-24 | Assaf Govari | Catheter with microphone |
US7836085B2 (en) | 2007-02-05 | 2010-11-16 | Google Inc. | Searching structured geographical data |
WO2008098085A2 (en) | 2007-02-06 | 2008-08-14 | The Uab Research Foundation | Universal surgical function control system |
US20080306759A1 (en) | 2007-02-09 | 2008-12-11 | Hakan Mehmel Ilkin | Patient workflow process messaging notification apparatus, system, and method |
US8930203B2 (en) | 2007-02-18 | 2015-01-06 | Abbott Diabetes Care Inc. | Multi-function analyte test device and methods therefor |
AU2008223473B2 (en) | 2007-03-01 | 2014-01-09 | Medtek Devices, Inc. Dba/ Buffalo Filter | Wick and relief valve for disposable laparscopic smoke evacuation system |
EP3431016B1 (en) | 2007-03-06 | 2023-07-12 | Covidien LP | Surgical stapling apparatus |
US8690864B2 (en) | 2007-03-09 | 2014-04-08 | Covidien Lp | System and method for controlling tissue treatment |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US7862560B2 (en) | 2007-03-23 | 2011-01-04 | Arthrocare Corporation | Ablation apparatus having reduced nerve stimulation and related methods |
US8255045B2 (en) | 2007-04-03 | 2012-08-28 | Nuvasive, Inc. | Neurophysiologic monitoring system |
US7995045B2 (en) | 2007-04-13 | 2011-08-09 | Ethicon Endo-Surgery, Inc. | Combined SBI and conventional image processor |
US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
JP5527731B2 (ja) | 2007-04-16 | 2014-06-25 | ニューロアーム サージカル エル ティ ディー | レジストレーションに有用な方法、デバイス、およびシステム |
US8170396B2 (en) | 2007-04-16 | 2012-05-01 | Adobe Systems Incorporated | Changing video playback rate |
US20080281301A1 (en) | 2007-04-20 | 2008-11-13 | Deboer Charles | Personal Surgical Center |
DE102007021185B4 (de) | 2007-05-05 | 2012-09-20 | Ziehm Imaging Gmbh | Röntgendiagnostikeinrichtung mit einer Vielzahl kodierter Marken und ein Verfahren zur Bestimmung der Lage von Einrichtungsteilen der Röntgendiagnostikeinrichtung |
US8083685B2 (en) | 2007-05-08 | 2011-12-27 | Propep, Llc | System and method for laparoscopic nerve detection |
US20080281678A1 (en) | 2007-05-09 | 2008-11-13 | Mclagan Partners, Inc. | Practice management analysis tool for financial advisors |
US8768251B2 (en) | 2007-05-17 | 2014-07-01 | Abbott Medical Optics Inc. | Exclusive pairing technique for Bluetooth compliant medical devices |
CA2687621C (en) | 2007-05-24 | 2016-01-05 | Suturtek Incorporated | Apparatus and method for minimally invasive suturing |
WO2008147567A1 (en) | 2007-05-25 | 2008-12-04 | The Charles Stark Draper Laboratory, Inc. | Integration and control of medical devices in a clinical environment |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US20080296346A1 (en) | 2007-05-31 | 2008-12-04 | Shelton Iv Frederick E | Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8620473B2 (en) | 2007-06-13 | 2013-12-31 | Intuitive Surgical Operations, Inc. | Medical robotic system with coupled control modes |
US9138129B2 (en) | 2007-06-13 | 2015-09-22 | Intuitive Surgical Operations, Inc. | Method and system for moving a plurality of articulated instruments in tandem back towards an entry guide |
US8160690B2 (en) | 2007-06-14 | 2012-04-17 | Hansen Medical, Inc. | System and method for determining electrode-tissue contact based on amplitude modulation of sensed signal |
US20080312953A1 (en) | 2007-06-14 | 2008-12-18 | Advanced Medical Optics, Inc. | Database design for collection of medical instrument parameters |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US8062330B2 (en) | 2007-06-27 | 2011-11-22 | Tyco Healthcare Group Lp | Buttress and surgical stapling apparatus |
GB0715211D0 (en) | 2007-08-06 | 2007-09-12 | Smith & Nephew | Apparatus |
US9861354B2 (en) | 2011-05-06 | 2018-01-09 | Ceterix Orthopaedics, Inc. | Meniscus repair |
US7982776B2 (en) | 2007-07-13 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | SBI motion artifact removal apparatus and method |
US8035685B2 (en) | 2007-07-30 | 2011-10-11 | General Electric Company | Systems and methods for communicating video data between a mobile imaging system and a fixed monitor system |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8604709B2 (en) | 2007-07-31 | 2013-12-10 | Lsi Industries, Inc. | Methods and systems for controlling electrical power to DC loads |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8801703B2 (en) | 2007-08-01 | 2014-08-12 | Covidien Lp | System and method for return electrode monitoring |
US9020240B2 (en) | 2007-08-10 | 2015-04-28 | Leica Geosystems Ag | Method and surveying system for noncontact coordinate measurement on an object surface |
EP3540741B1 (en) | 2007-08-10 | 2022-10-26 | Smiths Medical ASD, Inc. | System for controlling medical devices |
US20090046146A1 (en) | 2007-08-13 | 2009-02-19 | Jonathan Hoyt | Surgical communication and control system |
US20090048589A1 (en) | 2007-08-14 | 2009-02-19 | Tomoyuki Takashino | Treatment device and treatment method for living tissue |
FR2920086A1 (fr) | 2007-08-24 | 2009-02-27 | Univ Grenoble 1 | Systeme et procede d'analyse pour une operation chirurgicale par endoscopie |
US9848058B2 (en) | 2007-08-31 | 2017-12-19 | Cardiac Pacemakers, Inc. | Medical data transport over wireless life critical network employing dynamic communication link mapping |
GB0718291D0 (en) | 2007-09-19 | 2007-10-31 | King S College London | Imaging apparatus and method |
WO2009039510A1 (en) | 2007-09-21 | 2009-03-26 | Power Medical Interventions, Inc. | Surgical device |
CN102793571B (zh) | 2007-09-21 | 2014-12-17 | 柯惠Lp公司 | 手术器械 |
US9050120B2 (en) | 2007-09-30 | 2015-06-09 | Intuitive Surgical Operations, Inc. | Apparatus and method of user interface with alternate tool mode for robotic surgical tools |
US20090112618A1 (en) | 2007-10-01 | 2009-04-30 | Johnson Christopher D | Systems and methods for viewing biometrical information and dynamically adapting schedule and process interdependencies with clinical process decisioning |
AU2008308606B2 (en) | 2007-10-05 | 2014-12-18 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
US8960520B2 (en) | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
US8012170B2 (en) | 2009-04-27 | 2011-09-06 | Tyco Healthcare Group Lp | Device and method for controlling compression of tissue |
US10271844B2 (en) | 2009-04-27 | 2019-04-30 | Covidien Lp | Surgical stapling apparatus employing a predictive stapling algorithm |
US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US10498269B2 (en) | 2007-10-05 | 2019-12-03 | Covidien Lp | Powered surgical stapling device |
US20130214025A1 (en) | 2007-10-05 | 2013-08-22 | Covidien Lp | Powered surgical stapling device |
US20110022032A1 (en) | 2007-10-05 | 2011-01-27 | Tyco Healthcare Group Lp | Battery ejection design for a surgical device |
US8343065B2 (en) | 2007-10-18 | 2013-01-01 | Innovative Surgical Solutions, Llc | Neural event detection |
US8321581B2 (en) | 2007-10-19 | 2012-11-27 | Voxer Ip Llc | Telecommunication and multimedia management method and apparatus |
DE102007050232B4 (de) | 2007-10-20 | 2024-05-02 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Handhabungsroboter und Verfahren zur Steuerung eines Handhabungsroboters |
EP2053353A1 (de) | 2007-10-26 | 2009-04-29 | Leica Geosystems AG | Distanzmessendes Verfahren und ebensolches Gerät |
EP2060986B1 (en) | 2007-11-13 | 2019-01-02 | Karl Storz SE & Co. KG | System and method for management of processes in a hospital and/or in an operating room |
JP5278854B2 (ja) | 2007-12-10 | 2013-09-04 | 富士フイルム株式会社 | 画像処理システムおよびプログラム |
DE102008061418A1 (de) | 2007-12-12 | 2009-06-18 | Erbe Elektromedizin Gmbh | Vorrichtung zur kontaktlosen Kommunikation und Verwendung einer Speichereinrichtung |
FR2924917B1 (fr) | 2007-12-13 | 2011-02-11 | Microval | Appareil de pose de spires de suture resultant d'un fil metallique a memoire de forme. |
EP2075096A1 (de) | 2007-12-27 | 2009-07-01 | Leica Geosystems AG | Verfahren und System zum hochpräzisen Positionieren mindestens eines Objekts in eine Endlage im Raum |
US20110264000A1 (en) | 2007-12-28 | 2011-10-27 | Saurav Paul | System and method for determining tissue type and mapping tissue morphology |
US20090182577A1 (en) | 2008-01-15 | 2009-07-16 | Carestream Health, Inc. | Automated information management process |
US8633975B2 (en) * | 2008-01-16 | 2014-01-21 | Karl Storz Imaging, Inc. | Network based endoscopic surgical system |
US8740840B2 (en) | 2008-01-16 | 2014-06-03 | Catheter Robotics Inc. | Remotely controlled catheter insertion system |
JP5154961B2 (ja) | 2008-01-29 | 2013-02-27 | テルモ株式会社 | 手術システム |
US9336385B1 (en) | 2008-02-11 | 2016-05-10 | Adaptive Cyber Security Instruments, Inc. | System for real-time threat detection and management |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7913891B2 (en) | 2008-02-14 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with user feedback features and surgical instrument for use therewith |
US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US20090217932A1 (en) | 2008-03-03 | 2009-09-03 | Ethicon Endo-Surgery, Inc. | Intraluminal tissue markers |
US8118206B2 (en) | 2008-03-15 | 2012-02-21 | Surgisense Corporation | Sensing adjunct for surgical staplers |
US20090234352A1 (en) | 2008-03-17 | 2009-09-17 | Tyco Healthcare Group Lp | Variable Capacitive Electrode Pad |
US8343096B2 (en) | 2008-03-27 | 2013-01-01 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic catheter system |
US8155479B2 (en) | 2008-03-28 | 2012-04-10 | Intuitive Surgical Operations Inc. | Automated panning and digital zooming for robotic surgical systems |
CA3161692A1 (en) | 2008-03-31 | 2009-10-08 | Applied Medical Resources Corporation | Electrosurgical system |
WO2009126553A2 (en) | 2008-04-08 | 2009-10-15 | The Quantum Group, Inc. | Dynamic integration of disparate health-related processes and data |
US20090259221A1 (en) | 2008-04-15 | 2009-10-15 | Naoko Tahara | Power supply apparatus for operation |
US20090259149A1 (en) | 2008-04-15 | 2009-10-15 | Naoko Tahara | Power supply apparatus for operation |
US9526407B2 (en) | 2008-04-25 | 2016-12-27 | Karl Storz Imaging, Inc. | Wirelessly powered medical devices and instruments |
WO2009140092A1 (en) | 2008-05-13 | 2009-11-19 | The Medicines Company | Maintenance of platelet inhibition during antiplatelet therapy |
EP2297660B1 (en) | 2008-05-27 | 2016-08-31 | Stryker Corporation | Wireless medical room control arrangement for control of a plurality of medical devices |
DE602009001103D1 (de) | 2008-06-04 | 2011-06-01 | Fujifilm Corp | Beleuchtungsvorrichtung zur Verwendung in Endoskopen |
AR072011A1 (es) | 2008-06-05 | 2010-07-28 | Alcon Res Ltd | Red inalambrica y metodos de comunicacion inalambrica para consolas quirurgicas oftalmicas |
US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US8007513B2 (en) | 2008-06-12 | 2011-08-30 | Ethicon Endo-Surgery, Inc. | Partially reusable surgical stapler |
JP5216429B2 (ja) | 2008-06-13 | 2013-06-19 | 富士フイルム株式会社 | 光源装置および内視鏡装置 |
US8628545B2 (en) | 2008-06-13 | 2014-01-14 | Covidien Lp | Endoscopic stitching devices |
WO2009155432A2 (en) | 2008-06-18 | 2009-12-23 | Sterling Lc | Miniaturized imaging device multiple grin lenses optically coupled to multiple ssids |
WO2010008846A2 (en) | 2008-06-23 | 2010-01-21 | John Richard Dein | Intra-operative system for identifying and tracking surgical sharp objects, instruments, and sponges |
US20090326336A1 (en) | 2008-06-25 | 2009-12-31 | Heinz Ulrich Lemke | Process for comprehensive surgical assist system by means of a therapy imaging and model management system (TIMMS) |
CN101617950A (zh) | 2008-07-01 | 2010-01-06 | 王爱娣 | 一种连发钛夹钳 |
US8771270B2 (en) | 2008-07-16 | 2014-07-08 | Intuitive Surgical Operations, Inc. | Bipolar cautery instrument |
US8054184B2 (en) | 2008-07-31 | 2011-11-08 | Intuitive Surgical Operations, Inc. | Identification of surgical instrument attached to surgical robot |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8058771B2 (en) | 2008-08-06 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating with stepped output |
US8406859B2 (en) | 2008-08-10 | 2013-03-26 | Board Of Regents, The University Of Texas System | Digital light processing hyperspectral imaging apparatus |
US8172836B2 (en) | 2008-08-11 | 2012-05-08 | Tyco Healthcare Group Lp | Electrosurgical system having a sensor for monitoring smoke or aerosols |
CN102098967A (zh) | 2008-08-14 | 2011-06-15 | 韩商未来股份有限公司 | 服务器和客户端类型的手术机器人系统 |
US8257387B2 (en) | 2008-08-15 | 2012-09-04 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
US8208707B2 (en) | 2008-09-02 | 2012-06-26 | General Electric Company | Tissue classification in medical images |
US20100070417A1 (en) | 2008-09-12 | 2010-03-18 | At&T Mobility Ii Llc | Network registration for content transactions |
US9107688B2 (en) | 2008-09-12 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Activation feature for surgical instrument with pencil grip |
CA2736870A1 (en) | 2008-09-12 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for fingertip control |
EP2163209A1 (en) | 2008-09-15 | 2010-03-17 | Zhiqiang Weng | Lockout mechanism for a surgical stapler |
US20100069942A1 (en) | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
US7832612B2 (en) | 2008-09-19 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Lockout arrangement for a surgical stapler |
US8005947B2 (en) | 2008-09-22 | 2011-08-23 | Abbott Medical Optics Inc. | Systems and methods for providing remote diagnostics and support for surgical systems |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
WO2010039297A1 (en) | 2008-10-01 | 2010-04-08 | Chevron U.S.A. Inc. | A process to manufacture a base stock and a base oil manufacturing plant |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US7918377B2 (en) | 2008-10-16 | 2011-04-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with apparatus for providing anvil position feedback |
US8021890B2 (en) | 2008-11-03 | 2011-09-20 | Petty Jon A | Colorimetric test for brake system corrosion |
US8231042B2 (en) | 2008-11-06 | 2012-07-31 | Tyco Healthcare Group Lp | Surgical stapler |
US8295902B2 (en) | 2008-11-11 | 2012-10-23 | Shifamed Holdings, Llc | Low profile electrode assembly |
US20100137845A1 (en) | 2008-12-03 | 2010-06-03 | Immersion Corporation | Tool Having Multiple Feedback Devices |
US8515520B2 (en) | 2008-12-08 | 2013-08-20 | Medtronic Xomed, Inc. | Nerve electrode |
US8627483B2 (en) | 2008-12-18 | 2014-01-07 | Accenture Global Services Limited | Data anonymization based on guessing anonymity |
US8335590B2 (en) | 2008-12-23 | 2012-12-18 | Intuitive Surgical Operations, Inc. | System and method for adjusting an image capturing device attribute using an unused degree-of-freedom of a master control device |
US8160098B1 (en) | 2009-01-14 | 2012-04-17 | Cisco Technology, Inc. | Dynamically allocating channel bandwidth between interfaces |
US11075754B2 (en) | 2009-01-15 | 2021-07-27 | International Business Machines Corporation | Universal personal medical database access control |
US20100191100A1 (en) | 2009-01-23 | 2010-07-29 | Warsaw Orthopedic, Inc. | Methods and systems for diagnosing, treating, or tracking spinal disorders |
WO2010086778A2 (en) | 2009-01-30 | 2010-08-05 | Koninklijke Philips Electronics N.V. | Examination apparatus |
BRPI1007522A2 (pt) | 2009-01-30 | 2016-02-16 | Univ Columbia | fonte magnética controlável para fixação de aparelho intracorporal |
US20100198248A1 (en) | 2009-02-02 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical dissector |
US8799009B2 (en) | 2009-02-02 | 2014-08-05 | Mckesson Financial Holdings | Systems, methods and apparatuses for predicting capacity of resources in an institution |
ES2398006T3 (es) | 2009-02-04 | 2013-03-13 | Stryker Leibinger Gmbh & Co. Kg | Herramienta quirúrgica eléctrica y conjunto de accionamiento para la misma |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8641621B2 (en) | 2009-02-17 | 2014-02-04 | Inneroptic Technology, Inc. | Systems, methods, apparatuses, and computer-readable media for image management in image-guided medical procedures |
US8892191B2 (en) | 2009-03-08 | 2014-11-18 | Oprobe, Llc | Methods of determining motion and distance during medical and veterinary procedures |
US8120301B2 (en) | 2009-03-09 | 2012-02-21 | Intuitive Surgical Operations, Inc. | Ergonomic surgeon control console in robotic surgical systems |
US8418073B2 (en) | 2009-03-09 | 2013-04-09 | Intuitive Surgical Operations, Inc. | User interfaces for electrosurgical tools in robotic surgical systems |
US8423182B2 (en) * | 2009-03-09 | 2013-04-16 | Intuitive Surgical Operations, Inc. | Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems |
US8918207B2 (en) | 2009-03-09 | 2014-12-23 | Intuitive Surgical Operations, Inc. | Operator input device for a robotic surgical system |
US9226689B2 (en) | 2009-03-10 | 2016-01-05 | Medtronic Xomed, Inc. | Flexible circuit sheet |
US20100235689A1 (en) | 2009-03-16 | 2010-09-16 | Qualcomm Incorporated | Apparatus and method for employing codes for telecommunications |
US20100250571A1 (en) | 2009-03-26 | 2010-09-30 | Jay Pierce | System and method for an orthopedic dynamic data repository and registry for range |
SG10201400953TA (en) * | 2009-03-26 | 2014-05-29 | Xped Holdings Pty Ltd | An arrangement for managing wireless communication between devices |
US8945163B2 (en) | 2009-04-01 | 2015-02-03 | Ethicon Endo-Surgery, Inc. | Methods and devices for cutting and fastening tissue |
US8277446B2 (en) | 2009-04-24 | 2012-10-02 | Tyco Healthcare Group Lp | Electrosurgical tissue sealer and cutter |
US8365975B1 (en) | 2009-05-05 | 2013-02-05 | Cardica, Inc. | Cam-controlled knife for surgical instrument |
EP2427842B1 (en) | 2009-05-08 | 2020-03-18 | Johnson & Johnson Surgical Vision, Inc. | Self-learning engine for the refinement and optimization of surgical settings |
GB2470189B (en) | 2009-05-11 | 2013-10-16 | Gyrus Medical Ltd | Electrosurgical generator |
WO2010132617A2 (en) | 2009-05-12 | 2010-11-18 | Chronicmobile, Inc. | Methods and systems for managing, controlling and monitoring medical devices via one or more software applications functioning in a secure environment |
US20100292684A1 (en) | 2009-05-15 | 2010-11-18 | Cybulski James S | Tissue modification devices and methods of the same |
GB0908368D0 (en) | 2009-05-15 | 2009-06-24 | Univ Leuven Kath | Adjustable remote center of motion positioner |
US20100292535A1 (en) | 2009-05-18 | 2010-11-18 | Larry Paskar | Endoscope with multiple fields of view |
WO2010141922A1 (en) | 2009-06-04 | 2010-12-09 | Abbott Diabetes Care Inc. | Method and system for updating a medical device |
US20110077512A1 (en) | 2009-06-16 | 2011-03-31 | Dept. Of Veterans Affairs | Biopsy marker composition and method of use |
US9872609B2 (en) | 2009-06-18 | 2018-01-23 | Endochoice Innovation Center Ltd. | Multi-camera endoscope |
EP2865322B1 (en) | 2009-06-18 | 2020-07-22 | EndoChoice, Inc. | Multi-camera endoscope |
US8827134B2 (en) | 2009-06-19 | 2014-09-09 | Covidien Lp | Flexible surgical stapler with motor in the head |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9017326B2 (en) | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
US8461744B2 (en) | 2009-07-15 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Rotating transducer mount for ultrasonic surgical instruments |
JP5608231B2 (ja) | 2009-07-15 | 2014-10-15 | コーニンクレッカ フィリップス エヌ ヴェ | 時間と共に変化する生理的パラメータの警告を提供するシステム及びシステムの作動方法 |
US9439736B2 (en) | 2009-07-22 | 2016-09-13 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for controlling a remote medical device guidance system in three-dimensions using gestures |
FR2948594B1 (fr) | 2009-07-31 | 2012-07-20 | Dexterite Surgical | Manipulateur ergonomique et semi-automatique et applications aux instruments pour chirurgie mini-invasive |
US8968358B2 (en) | 2009-08-05 | 2015-03-03 | Covidien Lp | Blunt tissue dissection surgical instrument jaw designs |
GB0913930D0 (en) | 2009-08-07 | 2009-09-16 | Ucl Business Plc | Apparatus and method for registering two medical images |
US8360299B2 (en) | 2009-08-11 | 2013-01-29 | Covidien Lp | Surgical stapling apparatus |
US8955732B2 (en) | 2009-08-11 | 2015-02-17 | Covidien Lp | Surgical stapling apparatus |
US7956620B2 (en) | 2009-08-12 | 2011-06-07 | Tyco Healthcare Group Lp | System and method for augmented impedance sensing |
US20140148729A1 (en) | 2012-11-29 | 2014-05-29 | Gregory P. Schmitz | Micro-mechanical devices and methods for brain tumor removal |
WO2011022104A1 (en) | 2009-08-19 | 2011-02-24 | Opanga Networks, Inc. | Optimizing channel resources by coordinating data transfers based on data type and traffic |
US9636239B2 (en) | 2009-08-20 | 2017-05-02 | Case Western Reserve University | System and method for mapping activity in peripheral nerves |
US20110166883A1 (en) | 2009-09-01 | 2011-07-07 | Palmer Robert D | Systems and Methods for Modeling Healthcare Costs, Predicting Same, and Targeting Improved Healthcare Quality and Profitability |
SE0901166A1 (sv) | 2009-09-10 | 2011-03-11 | Cathprint Ab | Flexibel ledningsbärare för kateter försedd med sådan ledningsbärare |
WO2011029509A1 (de) * | 2009-09-11 | 2011-03-17 | Erbe Elektromedizin Gmbh | Hf-chirurgiegerät |
EP2483817A1 (en) | 2009-09-28 | 2012-08-08 | Johnson & Johnson Medical S.p.A. | Method and system for monitoring the flow and usage of medical devices |
WO2011035817A1 (en) | 2009-09-28 | 2011-03-31 | Johnson & Johnson Medical S.P.A. | Method and system for monitoring the flow and usage of medical devices |
EP2329786A2 (en) | 2009-10-01 | 2011-06-08 | Navotek Medical Ltd. | Guided surgery |
US20110119075A1 (en) | 2009-10-02 | 2011-05-19 | Rabin Chandra Kemp Dhoble | Apparatuses, methods and systems for a mobile healthcare manager-based provider incentive manager |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US9168054B2 (en) | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US9050093B2 (en) | 2009-10-09 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
JP2013508822A (ja) | 2009-10-16 | 2013-03-07 | ナノメダップス リミテッド ライアビリティ カンパニー | 品目およびユーザの追跡法 |
US8038693B2 (en) | 2009-10-21 | 2011-10-18 | Tyco Healthcare Group Ip | Methods for ultrasonic tissue sensing and feedback |
US8322590B2 (en) | 2009-10-28 | 2012-12-04 | Covidien Lp | Surgical stapling instrument |
US8398633B2 (en) | 2009-10-30 | 2013-03-19 | Covidien Lp | Jaw roll joint |
US8225979B2 (en) | 2009-10-30 | 2012-07-24 | Tyco Healthcare Group Lp | Locking shipping wedge |
DK2320621T3 (en) | 2009-11-06 | 2016-12-19 | Hoffmann La Roche | A method of establishing a cryptographic communication between a remote device and a medical device and system for carrying out this method |
US20110118708A1 (en) | 2009-11-13 | 2011-05-19 | Intuitive Surgical Operations, Inc. | Double universal joint |
US8682489B2 (en) | 2009-11-13 | 2014-03-25 | Intuitive Sugical Operations, Inc. | Method and system for hand control of a teleoperated minimally invasive slave surgical instrument |
US8521331B2 (en) | 2009-11-13 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Patient-side surgeon interface for a minimally invasive, teleoperated surgical instrument |
KR101767060B1 (ko) | 2009-11-13 | 2017-08-10 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 컴팩트 손목을 구비한 수술 도구 |
KR101923049B1 (ko) | 2009-11-13 | 2018-11-28 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 여분의 닫힘 메커니즘을 구비한 단부 작동기 |
US9241730B2 (en) | 2009-11-25 | 2016-01-26 | Eliaz Babaev | Ultrasound surgical saw |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US20110152712A1 (en) | 2009-12-21 | 2011-06-23 | Hong Cao | Impedance Measurement Tissue Identification in Blood Vessels |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US20110162048A1 (en) | 2009-12-31 | 2011-06-30 | Apple Inc. | Local device awareness |
EP2525731A1 (en) | 2010-01-20 | 2012-11-28 | Creative Team Instruments Ltd. | Orientation dector for use with a hand-held surgical or dental tool |
US8476227B2 (en) | 2010-01-22 | 2013-07-02 | Ethicon Endo-Surgery, Inc. | Methods of activating a melanocortin-4 receptor pathway in obese subjects |
US8439910B2 (en) | 2010-01-22 | 2013-05-14 | Megadyne Medical Products Inc. | Electrosurgical electrode with electric field concentrating flash edge |
US11881307B2 (en) | 2012-05-24 | 2024-01-23 | Deka Products Limited Partnership | System, method, and apparatus for electronic patient care |
GB2477515B (en) | 2010-02-03 | 2012-09-26 | Orbital Multi Media Holdings Corp | Data flow control method and apparatus |
ES2436516T3 (es) | 2010-02-04 | 2014-01-02 | Aesculap Ag | Dispositivo quirúrgico de radiofrecuencia laparoscópico |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8512325B2 (en) | 2010-02-26 | 2013-08-20 | Covidien Lp | Frequency shifting multi mode ultrasonic dissector |
US9107684B2 (en) | 2010-03-05 | 2015-08-18 | Covidien Lp | System and method for transferring power to intrabody instruments |
US9888864B2 (en) | 2010-03-12 | 2018-02-13 | Inspire Medical Systems, Inc. | Method and system for identifying a location for nerve stimulation |
TWI646988B (zh) | 2010-03-12 | 2019-01-11 | 美國伊利諾大學理事會 | 生物醫學裝置及其製造方法、流體遞送監視器、監視在管子中流動之流體的方法、近接感測器及感測兩個物件之間的距離的方法 |
US9023032B2 (en) | 2010-03-25 | 2015-05-05 | Covidien Lp | Shaped circuit boards suitable for use in electrosurgical devices and rotatable assemblies including same |
WO2011119840A1 (en) | 2010-03-25 | 2011-09-29 | The Research Foundation Of State University Of New York | Method and system for guided, efficient treatment |
JP5405373B2 (ja) | 2010-03-26 | 2014-02-05 | 富士フイルム株式会社 | 電子内視鏡システム |
JP5606120B2 (ja) | 2010-03-29 | 2014-10-15 | 富士フイルム株式会社 | 内視鏡装置 |
US9341704B2 (en) | 2010-04-13 | 2016-05-17 | Frederic Picard | Methods and systems for object tracking |
US9603024B2 (en) | 2010-04-13 | 2017-03-21 | Koninklijke Philips N.V. | Medical body area network (MBAN) with key-based control of spectrum usage |
JP2011230239A (ja) * | 2010-04-28 | 2011-11-17 | Honda Motor Co Ltd | ワークの把持方法 |
US10631912B2 (en) * | 2010-04-30 | 2020-04-28 | Medtronic Xomed, Inc. | Interface module for use with nerve monitoring and electrosurgery |
US9052809B2 (en) | 2010-05-26 | 2015-06-09 | General Electric Company | Systems and methods for situational application development and deployment with patient event monitoring |
AU2015201140B2 (en) | 2010-06-11 | 2017-02-09 | Ethicon, Llc | Suture delivery tools for endoscopic and robot-assisted surgery and methods |
US20120130217A1 (en) | 2010-11-23 | 2012-05-24 | Kauphusman James V | Medical devices having electrodes mounted thereon and methods of manufacturing therefor |
US8596515B2 (en) | 2010-06-18 | 2013-12-03 | Covidien Lp | Staple position sensor system |
US20120022519A1 (en) | 2010-07-22 | 2012-01-26 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with controlled energy delivery |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US20120059684A1 (en) | 2010-09-02 | 2012-03-08 | International Business Machines Corporation | Spatial-Temporal Optimization of Physical Asset Maintenance |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
EP2618909A4 (en) | 2010-09-20 | 2014-06-18 | Surgiquest Inc | FILTRATION SYSTEM WITH MULTIPLE FLOWS |
US9402682B2 (en) | 2010-09-24 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US9282962B2 (en) | 2010-09-30 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Adhesive film laminate |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US8777004B2 (en) | 2010-09-30 | 2014-07-15 | Ethicon Endo-Surgery, Inc. | Compressible staple cartridge comprising alignment members |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
JP5917529B2 (ja) | 2010-09-30 | 2016-05-18 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 互換性のあるステープルカートリッジ構成を備える、外科用ステープリング器具 |
AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US20120080478A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with detachable support structures and surgical stapling instruments with systems for preventing actuation motions when a cartridge is not present |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
ES2664081T3 (es) | 2010-10-01 | 2018-04-18 | Applied Medical Resources Corporation | Sistema electro-quirúrgico con un amplificador de radio frecuencia y con medios para la adaptación a la separación entre electrodos |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US9655672B2 (en) | 2010-10-04 | 2017-05-23 | Covidien Lp | Vessel sealing instrument |
WO2012051200A2 (en) | 2010-10-11 | 2012-04-19 | Cook Medical Technologies Llc | Medical devices with detachable pivotable jaws |
US9155503B2 (en) | 2010-10-27 | 2015-10-13 | Cadwell Labs | Apparatus, system, and method for mapping the location of a nerve |
US9161803B2 (en) | 2010-11-05 | 2015-10-20 | Ethicon Endo-Surgery, Inc. | Motor driven electrosurgical device with mechanical and electrical feedback |
US9782214B2 (en) | 2010-11-05 | 2017-10-10 | Ethicon Llc | Surgical instrument with sensor and powered control |
US9381058B2 (en) | 2010-11-05 | 2016-07-05 | Ethicon Endo-Surgery, Llc | Recharge system for medical devices |
US10959769B2 (en) | 2010-11-05 | 2021-03-30 | Ethicon Llc | Surgical instrument with slip ring assembly to power ultrasonic transducer |
US9072523B2 (en) | 2010-11-05 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Medical device with feature for sterile acceptance of non-sterile reusable component |
US20120116381A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging station and wireless communication |
US20120116265A1 (en) | 2010-11-05 | 2012-05-10 | Houser Kevin L | Surgical instrument with charging devices |
KR101854707B1 (ko) | 2010-11-15 | 2018-05-04 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 수술 기구에서 기구 샤프트 감김과 단부 작동기 작동의 해제 |
EP2458328B1 (de) | 2010-11-24 | 2016-01-27 | Leica Geosystems AG | Konstruktionsvermessungsgerät mit einer automatischen Lotpunktfindungs-Funktionalität |
US8814996B2 (en) | 2010-12-01 | 2014-08-26 | University Of South Carolina | Methods and sensors for the detection of active carbon filters degradation with EMIS-ECIS PWAS |
US8523043B2 (en) | 2010-12-07 | 2013-09-03 | Immersion Corporation | Surgical stapler having haptic feedback |
US8714352B2 (en) | 2010-12-10 | 2014-05-06 | Covidien Lp | Cartridge shipping aid |
US9044244B2 (en) | 2010-12-10 | 2015-06-02 | Biosense Webster (Israel), Ltd. | System and method for detection of metal disturbance based on mutual inductance measurement |
DE112011104539T5 (de) | 2010-12-22 | 2013-09-26 | Cooper Technologies Company | Vorfilterung und Wartungserfassung für explosionssichere Gehäuse |
JP2014501143A (ja) * | 2010-12-23 | 2014-01-20 | バード・アクセス・システムズ,インコーポレーテッド | 医療器具を案内するシステムおよび方法 |
US9119655B2 (en) | 2012-08-03 | 2015-09-01 | Stryker Corporation | Surgical manipulator capable of controlling a surgical instrument in multiple modes |
US8936614B2 (en) | 2010-12-30 | 2015-01-20 | Covidien Lp | Combined unilateral/bilateral jaws on a surgical instrument |
WO2015134768A1 (en) | 2011-01-11 | 2015-09-11 | Amsel Medical Corporation | Method and apparatus for occluding a blood vessel and/or other tubular structures |
US8818556B2 (en) | 2011-01-13 | 2014-08-26 | Microsoft Corporation | Multi-state model for robot and user interaction |
US8798527B2 (en) | 2011-01-14 | 2014-08-05 | Covidien Lp | Wireless relay module for remote monitoring systems |
US20120191162A1 (en) | 2011-01-20 | 2012-07-26 | Cristiano Villa | System of Remote Controlling a Medical Laser Generator Unit with a Portable Computing Device |
US20120191091A1 (en) | 2011-01-24 | 2012-07-26 | Tyco Healthcare Group Lp | Reusable Medical Device with Advanced Counting Capability |
US9990856B2 (en) | 2011-02-08 | 2018-06-05 | The Trustees Of The University Of Pennsylvania | Systems and methods for providing vibration feedback in robotic systems |
EP2672903A4 (en) | 2011-02-10 | 2017-07-12 | Actuated Medical, Inc. | Medical tool with electromechanical control and feedback |
JP6293486B2 (ja) | 2011-02-15 | 2018-03-14 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | クランプ又は発射の不成功を検出するシステム |
US9393017B2 (en) | 2011-02-15 | 2016-07-19 | Intuitive Surgical Operations, Inc. | Methods and systems for detecting staple cartridge misfire or failure |
KR102156607B1 (ko) | 2011-02-15 | 2020-09-16 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 구동 샤프트에 의해 가동되는 관절식 말단 작동기를 구비한 수술 기구를 위한 시일 및 실링 방법 |
EP3831314B1 (en) | 2011-02-15 | 2023-07-26 | Intuitive Surgical Operations, Inc. | Systems for indicating a clamping prediction |
US20120211542A1 (en) | 2011-02-23 | 2012-08-23 | Tyco Healthcare Group I.P | Controlled tissue compression systems and methods |
EP2683305B1 (en) | 2011-03-07 | 2016-11-23 | Passer Stitch, LLC | Suture passing devices |
US8397972B2 (en) | 2011-03-18 | 2013-03-19 | Covidien Lp | Shipping wedge with lockout |
US20120245958A1 (en) | 2011-03-25 | 2012-09-27 | Surgichart, Llc | Case-Centric Medical Records System with Social Networking |
US10729458B2 (en) | 2011-03-30 | 2020-08-04 | Covidien Lp | Ultrasonic surgical instruments |
EP2509276B1 (de) | 2011-04-05 | 2013-11-20 | F. Hoffmann-La Roche AG | Verfahren zum sicheren Übertragen von elektronischen Daten über eine Datenkommunikationsverbindung zwischen einem Gerät und einem weiteren Gerät |
CN103635130A (zh) | 2011-04-15 | 2014-03-12 | 信息生物股份有限公司 | 使用多层分析的远程数据监控和收集系统 |
US20150051452A1 (en) | 2011-04-26 | 2015-02-19 | The Trustees Of Columbia University In The City Of New York | Apparatus, method and computer-accessible medium for transform analysis of biomedical data |
US9649113B2 (en) | 2011-04-27 | 2017-05-16 | Covidien Lp | Device for monitoring physiological parameters in vivo |
US9750862B2 (en) | 2011-04-29 | 2017-09-05 | Medtronic, Inc. | Adaptive system for blood fluid removal |
JP6026509B2 (ja) | 2011-04-29 | 2016-11-16 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ |
JP5816457B2 (ja) | 2011-05-12 | 2015-11-18 | オリンパス株式会社 | 術具装置 |
US9820741B2 (en) | 2011-05-12 | 2017-11-21 | Covidien Lp | Replaceable staple cartridge |
US10542978B2 (en) | 2011-05-27 | 2020-01-28 | Covidien Lp | Method of internally potting or sealing a handheld medical device |
JP5865606B2 (ja) | 2011-05-27 | 2016-02-17 | オリンパス株式会社 | 内視鏡装置及び内視鏡装置の作動方法 |
US9202078B2 (en) | 2011-05-27 | 2015-12-01 | International Business Machines Corporation | Data perturbation and anonymization using one way hash |
KR101991034B1 (ko) | 2011-05-31 | 2019-06-19 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 로봇 수술 기구 엔드 이펙터의 능동 제어 |
WO2012174539A1 (en) | 2011-06-17 | 2012-12-20 | Parallax Enterprises | Consolidated healthcare and resource management system |
US9498231B2 (en) | 2011-06-27 | 2016-11-22 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US9652655B2 (en) | 2011-07-09 | 2017-05-16 | Gauss Surgical, Inc. | System and method for estimating extracorporeal blood volume in a physical sample |
JP5936914B2 (ja) * | 2011-08-04 | 2016-06-22 | オリンパス株式会社 | 操作入力装置およびこれを備えるマニピュレータシステム |
JP6021353B2 (ja) | 2011-08-04 | 2016-11-09 | オリンパス株式会社 | 手術支援装置 |
WO2013023006A2 (en) | 2011-08-08 | 2013-02-14 | California Institute Of Technology | Filtration membranes, and related nano and/or micro fibers, composites, methods and systems |
US9539007B2 (en) | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
US9123155B2 (en) | 2011-08-09 | 2015-09-01 | Covidien Lp | Apparatus and method for using augmented reality vision system in surgical procedures |
WO2013025622A1 (en) | 2011-08-14 | 2013-02-21 | SafePath Medical, Inc. | Apparatus and method for suturing tissue |
US20130046279A1 (en) | 2011-08-16 | 2013-02-21 | Paul J. Niklewski | User interface feature for drug delivery system |
US20130046182A1 (en) | 2011-08-16 | 2013-02-21 | Elwha LLC, a limited liability company of the State of Delaware | Devices and Methods for Recording Information on a Subject's Body |
US8685056B2 (en) | 2011-08-18 | 2014-04-01 | Covidien Lp | Surgical forceps |
WO2013036496A1 (en) | 2011-09-09 | 2013-03-14 | Depuy Spine, Inc. | Systems and methods for surgical support and management |
US9099863B2 (en) | 2011-09-09 | 2015-08-04 | Covidien Lp | Surgical generator and related method for mitigating overcurrent conditions |
US9101359B2 (en) | 2011-09-13 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridge with self-dispensing staple buttress |
US9414940B2 (en) | 2011-09-23 | 2016-08-16 | Orthosensor Inc. | Sensored head for a measurement tool for the muscular-skeletal system |
US20130093829A1 (en) | 2011-09-27 | 2013-04-18 | Allied Minds Devices Llc | Instruct-or |
WO2013049595A1 (en) | 2011-09-29 | 2013-04-04 | Ethicon Endo-Surgery, Inc. | Methods and compositions of bile acids |
US8856936B2 (en) | 2011-10-14 | 2014-10-07 | Albeado Inc. | Pervasive, domain and situational-aware, adaptive, automated, and coordinated analysis and control of enterprise-wide computers, networks, and applications for mitigation of business and operational risks and enhancement of cyber security |
US8931679B2 (en) | 2011-10-17 | 2015-01-13 | Covidien Lp | Surgical stapling apparatus |
CN103889359B (zh) | 2011-10-19 | 2017-02-15 | 伊西康内外科公司 | 能够与外科机器人一起使用的夹具施放器 |
US8657177B2 (en) | 2011-10-25 | 2014-02-25 | Covidien Lp | Surgical apparatus and method for endoscopic surgery |
US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
US9492146B2 (en) | 2011-10-25 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
EP3488793B1 (en) | 2011-10-26 | 2023-08-23 | Intuitive Surgical Operations, Inc. | Cartridge status and presence detection |
WO2013063522A2 (en) | 2011-10-26 | 2013-05-02 | Reid Robert Cyrus | Surgical instrument motor pack latch |
EP3513746B1 (en) | 2011-10-26 | 2023-01-11 | Intuitive Surgical Operations, Inc. | Surgical instrument with integral knife blade |
US9364231B2 (en) | 2011-10-27 | 2016-06-14 | Covidien Lp | System and method of using simulation reload to optimize staple formation |
US10404801B2 (en) | 2011-11-08 | 2019-09-03 | DISH Technologies L.L.C. | Reconfiguring remote controls for different devices in a network |
US9277956B2 (en) | 2011-11-09 | 2016-03-08 | Siemens Medical Solutions Usa, Inc. | System for automatic medical ablation control |
US8968309B2 (en) | 2011-11-10 | 2015-03-03 | Covidien Lp | Surgical forceps |
JP6230541B2 (ja) | 2011-11-15 | 2017-11-15 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | しまい込めるナイフブレードを持つ手術器具 |
JP5420802B2 (ja) | 2011-11-16 | 2014-02-19 | オリンパスメディカルシステムズ株式会社 | 医療機器 |
US8968312B2 (en) | 2011-11-16 | 2015-03-03 | Covidien Lp | Surgical device with powered articulation wrist rotation |
WO2013086036A1 (en) | 2011-12-05 | 2013-06-13 | Qualcomm Incorporated | Telehealth wireless communication hub device and service platform system |
US8968336B2 (en) | 2011-12-07 | 2015-03-03 | Edwards Lifesciences Corporation | Self-cinching surgical clips and delivery system |
US20130165776A1 (en) | 2011-12-22 | 2013-06-27 | Andreas Blomqvist | Contraction status assessment |
US9220502B2 (en) | 2011-12-28 | 2015-12-29 | Covidien Lp | Staple formation recognition for a surgical device |
US20130178853A1 (en) | 2012-01-05 | 2013-07-11 | International Business Machines Corporation | Surgical tool management |
US9867914B2 (en) | 2012-01-10 | 2018-01-16 | Buffalo Filter Llc | Fluid filtration device and system |
US8962062B2 (en) | 2012-01-10 | 2015-02-24 | Covidien Lp | Methods of manufacturing end effectors for energy-based surgical instruments |
US20140108983A1 (en) | 2012-01-22 | 2014-04-17 | Karen Ferguson | Graphical system for collecting, presenting and using medical data |
JP5815426B2 (ja) | 2012-01-25 | 2015-11-17 | 富士フイルム株式会社 | 内視鏡システム、内視鏡システムのプロセッサ装置、及び画像処理方法 |
WO2013111244A1 (ja) | 2012-01-25 | 2013-08-01 | パナソニック株式会社 | 家電情報管理装置、家電情報共有方法および家電情報共有システム |
US9183723B2 (en) | 2012-01-31 | 2015-11-10 | Cleanalert, Llc | Filter clog detection and notification system |
US9710644B2 (en) | 2012-02-01 | 2017-07-18 | Servicenow, Inc. | Techniques for sharing network security event information |
US9038882B2 (en) | 2012-02-03 | 2015-05-26 | Covidien Lp | Circular stapling instrument |
US20140066700A1 (en) | 2012-02-06 | 2014-03-06 | Vantage Surgical Systems Inc. | Stereoscopic System for Minimally Invasive Surgery Visualization |
US8682049B2 (en) | 2012-02-14 | 2014-03-25 | Terarecon, Inc. | Cloud-based medical image processing system with access control |
BR112014020069B1 (pt) | 2012-02-14 | 2021-07-20 | Ethicon Endo-Surgery, Inc | Cartucho para um atuador de extremidade de um grampeador linear e grampeador linear |
US9192375B2 (en) | 2012-02-29 | 2015-11-24 | Marker Medical, Llc | Surgical apparatus and method |
EP2822484A4 (en) | 2012-03-06 | 2015-11-18 | Briteseed Llc | SURGICAL TOOL WITH INTEGRATED SENSOR |
US11399898B2 (en) | 2012-03-06 | 2022-08-02 | Briteseed, Llc | User interface for a system used to determine tissue or artifact characteristics |
US9864839B2 (en) | 2012-03-14 | 2018-01-09 | El Wha Llc. | Systems, devices, and method for determining treatment compliance including tracking, registering, etc. of medical staff, patients, instrumentation, events, etc. according to a treatment staging plan |
US9119617B2 (en) | 2012-03-16 | 2015-09-01 | Ethicon, Inc. | Clamping devices for dispensing surgical fasteners into soft media |
US9364249B2 (en) | 2012-03-22 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Method and apparatus for programming modular surgical instrument |
US20130253480A1 (en) | 2012-03-22 | 2013-09-26 | Cory G. Kimball | Surgical instrument usage data management |
US9381003B2 (en) | 2012-03-23 | 2016-07-05 | Integrated Medical Systems International, Inc. | Digital controller for surgical handpiece |
WO2013143573A1 (en) | 2012-03-26 | 2013-10-03 | Brainlab Ag | Pairing medical devices within a working environment |
US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
US9375282B2 (en) | 2012-03-26 | 2016-06-28 | Covidien Lp | Light energy sealing, cutting and sensing surgical device |
US20130256373A1 (en) | 2012-03-28 | 2013-10-03 | Ethicon Endo-Surgery, Inc. | Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments |
CN104321024B (zh) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | 包括多个层的组织厚度补偿件 |
JP2013202313A (ja) | 2012-03-29 | 2013-10-07 | Panasonic Corp | 手術支援装置および手術支援プログラム |
US9050063B2 (en) | 2012-03-30 | 2015-06-09 | Sandance Technology Llc | Systems and methods for determining suitability of a mechanical implant for a medical procedure |
KR101365357B1 (ko) | 2012-04-02 | 2014-02-20 | 주식회사 모바수 | 관절 고정 구조를 갖는 최소 침습 수술 기구 |
US9724118B2 (en) | 2012-04-09 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Techniques for cutting and coagulating tissue for ultrasonic surgical instruments |
US9237921B2 (en) | 2012-04-09 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US20130267874A1 (en) | 2012-04-09 | 2013-10-10 | Amy L. Marcotte | Surgical instrument with nerve detection feature |
US9226766B2 (en) | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
US9241731B2 (en) | 2012-04-09 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Rotatable electrical connection for ultrasonic surgical instruments |
US9814457B2 (en) | 2012-04-10 | 2017-11-14 | Ethicon Llc | Control interface for laparoscopic suturing instrument |
JP5940864B2 (ja) | 2012-04-12 | 2016-06-29 | カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト | 医療用マニピュレータ |
US9186141B2 (en) | 2012-04-12 | 2015-11-17 | Covidien Lp | Circular anastomosis stapling apparatus utilizing a two stroke firing sequence |
US9788851B2 (en) | 2012-04-18 | 2017-10-17 | Ethicon Llc | Surgical instrument with tissue density sensing |
US20130277410A1 (en) | 2012-04-18 | 2013-10-24 | Cardica, Inc. | Safety lockout for surgical stapler |
US20150133945A1 (en) | 2012-05-02 | 2015-05-14 | Stryker Global Technology Center | Handheld tracking system and devices for aligning implant systems during surgery |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
US9498182B2 (en) | 2012-05-22 | 2016-11-22 | Covidien Lp | Systems and methods for planning and navigation |
US9439622B2 (en) | 2012-05-22 | 2016-09-13 | Covidien Lp | Surgical navigation system |
US9493807B2 (en) | 2012-05-25 | 2016-11-15 | Medtronic Minimed, Inc. | Foldover sensors and methods for making and using them |
US9572592B2 (en) | 2012-05-31 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Surgical instrument with orientation sensing |
EP2854687B1 (en) * | 2012-06-01 | 2022-08-24 | Intuitive Surgical Operations, Inc. | Systems for avoiding collisions between manipulator arms using a null-space |
US9084606B2 (en) | 2012-06-01 | 2015-07-21 | Megadyne Medical Products, Inc. | Electrosurgical scissors |
KR20130136184A (ko) | 2012-06-04 | 2013-12-12 | 삼성전자주식회사 | 컨텐츠 백업을 위한 방법 및 그 전자 장치 |
US20130321425A1 (en) | 2012-06-05 | 2013-12-05 | Dexcom, Inc. | Reporting modules |
US11076880B2 (en) | 2012-06-11 | 2021-08-03 | Covidien Lp | Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring |
US10677764B2 (en) | 2012-06-11 | 2020-06-09 | Covidien Lp | Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring |
US20130331875A1 (en) | 2012-06-11 | 2013-12-12 | Covidien Lp | Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US20190000569A1 (en) | 2012-06-21 | 2019-01-03 | Globus Medical, Inc. | Controlling a surgical robot to avoid robotic arm collision |
US10799298B2 (en) | 2012-06-21 | 2020-10-13 | Globus Medical Inc. | Robotic fluoroscopic navigation |
US20140107697A1 (en) | 2012-06-25 | 2014-04-17 | Castle Surgical, Inc. | Clamping Forceps and Associated Methods |
US9615728B2 (en) | 2012-06-27 | 2017-04-11 | Camplex, Inc. | Surgical visualization system with camera tracking |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US20140006132A1 (en) | 2012-06-28 | 2014-01-02 | Jason W. Barker | Systems and methods for managing promotional offers |
US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US10930400B2 (en) | 2012-06-28 | 2021-02-23 | LiveData, Inc. | Operating room checklist system |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
BR112014032740A2 (pt) | 2012-06-28 | 2020-02-27 | Ethicon Endo Surgery Inc | bloqueio de cartucho de clipes vazio |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US20140013565A1 (en) | 2012-07-10 | 2014-01-16 | Eileen B. MacDonald | Customized process for facilitating successful total knee arthroplasty with outcomes analysis |
US10194907B2 (en) | 2012-07-18 | 2019-02-05 | Covidien Lp | Multi-fire stapler with electronic counter, lockout, and visual indicator |
US9516239B2 (en) | 2012-07-26 | 2016-12-06 | DePuy Synthes Products, Inc. | YCBCR pulsed illumination scheme in a light deficient environment |
US20140029411A1 (en) | 2012-07-27 | 2014-01-30 | Samsung Electronics Co., Ltd. | Method and system to provide seamless data transmission |
US10198965B2 (en) | 2012-08-03 | 2019-02-05 | Applied Medical Resources Corporation | Simulated stapling and energy based ligation for surgical training |
US20140033926A1 (en) | 2012-08-03 | 2014-02-06 | Robert Scott Fassel | Filtration System |
US9101374B1 (en) | 2012-08-07 | 2015-08-11 | David Harris Hoch | Method for guiding an ablation catheter based on real time intracardiac electrical signals and apparatus for performing the method |
JP6257930B2 (ja) | 2012-08-07 | 2018-01-10 | 東芝メディカルシステムズ株式会社 | 超音波診断装置および超音波プローブ |
WO2014024578A1 (ja) | 2012-08-07 | 2014-02-13 | オリンパスメディカルシステムズ株式会社 | 医療用制御システム |
US8761717B1 (en) | 2012-08-07 | 2014-06-24 | Brian K. Buchheit | Safety feature to disable an electronic device when a wireless implantable medical device (IMD) is proximate |
EP4218647A1 (en) | 2012-08-08 | 2023-08-02 | Ortoma AB | System for computer assisted surgery |
EP2698602A1 (de) | 2012-08-16 | 2014-02-19 | Leica Geosystems AG | Handhaltbares Entfernungsmessgerät mit Winkelbestimmungseinheit |
AU2012388657B2 (en) | 2012-08-28 | 2017-09-07 | Covidien Lp | Adjustable electrosurgical pencil |
US10496788B2 (en) | 2012-09-13 | 2019-12-03 | Parkland Center For Clinical Innovation | Holistic hospital patient care and management system and method for automated patient monitoring |
CN202875416U (zh) | 2012-09-14 | 2013-04-17 | 苏州天臣国际医疗科技有限公司 | 直线型缝切器的钉仓 |
US20140081659A1 (en) | 2012-09-17 | 2014-03-20 | Depuy Orthopaedics, Inc. | Systems and methods for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking |
US20140087999A1 (en) | 2012-09-21 | 2014-03-27 | The General Hospital Corporation D/B/A Massachusetts General Hospital | Clinical predictors of weight loss |
WO2014047388A1 (en) | 2012-09-21 | 2014-03-27 | Ethicon Endo-Surgery, Inc. | Systems and methods for predicting metabolic and bariatric surgery outcomes |
US20140084949A1 (en) | 2012-09-24 | 2014-03-27 | Access Business Group International Llc | Surface impedance systems and methods |
JP5719819B2 (ja) | 2012-09-28 | 2015-05-20 | 日本光電工業株式会社 | 手術支援システム |
US9106270B2 (en) | 2012-10-02 | 2015-08-11 | Covidien Lp | Transmitting data across a patient isolation barrier using an electric-field capacitive coupler module |
DE102012109459A1 (de) | 2012-10-04 | 2014-04-10 | Aesculap Ag | Weiteneinstellbares Schneidinstrument zur transapikalen Aortenklappenresektion |
US20140108035A1 (en) | 2012-10-11 | 2014-04-17 | Kunter Seref Akbay | System and method to automatically assign resources in a network of healthcare enterprises |
US9107573B2 (en) | 2012-10-17 | 2015-08-18 | Karl Storz Endovision, Inc. | Detachable shaft flexible endoscope |
US9421014B2 (en) | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
US10201365B2 (en) | 2012-10-22 | 2019-02-12 | Ethicon Llc | Surgeon feedback sensing and display methods |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US9265585B2 (en) | 2012-10-23 | 2016-02-23 | Covidien Lp | Surgical instrument with rapid post event detection |
US9918788B2 (en) | 2012-10-31 | 2018-03-20 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Electrogram-based ablation control |
US9686306B2 (en) | 2012-11-02 | 2017-06-20 | University Of Washington Through Its Center For Commercialization | Using supplemental encrypted signals to mitigate man-in-the-middle attacks on teleoperated systems |
US10631939B2 (en) | 2012-11-02 | 2020-04-28 | Intuitive Surgical Operations, Inc. | Systems and methods for mapping flux supply paths |
EP2914192B1 (en) | 2012-11-05 | 2019-05-01 | Pythagoras Medical Ltd. | Controlled tissue ablation |
CA2795323C (en) | 2012-11-09 | 2019-09-24 | Covidien Lp | Multi-use loading unit |
EP2732772B1 (en) | 2012-11-14 | 2019-06-12 | Covidien LP | Multi-use loading unit |
US9546662B2 (en) | 2012-11-20 | 2017-01-17 | Smith & Nephew, Inc. | Medical pump |
US20160158468A1 (en) | 2012-11-20 | 2016-06-09 | Surgiquest, Inc. | Systems and methods for conducting smoke evacuation during laparoscopic surgical procedures |
US9724100B2 (en) | 2012-12-04 | 2017-08-08 | Ethicon Llc | Circular anvil introduction system with alignment feature |
US9259282B2 (en) * | 2012-12-10 | 2016-02-16 | Intuitive Surgical Operations, Inc. | Collision avoidance during controlled movement of image capturing device and manipulatable device movable arms |
US9743016B2 (en) | 2012-12-10 | 2017-08-22 | Intel Corporation | Techniques for improved focusing of camera arrays |
FR2999757A1 (fr) | 2012-12-13 | 2014-06-20 | Patrick Coudert | Procede d'acces securise a des donnees medicales confidentielles, et support de stockage pour ledit procede |
US9320534B2 (en) | 2012-12-13 | 2016-04-26 | Alcon Research, Ltd. | Fine membrane forceps with integral scraping feature |
US20140171979A1 (en) | 2012-12-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Needle with Steps and Flats |
US10722222B2 (en) | 2012-12-14 | 2020-07-28 | Covidien Lp | Surgical system including a plurality of handle assemblies |
CN202953237U (zh) | 2012-12-14 | 2013-05-29 | 纬创资通股份有限公司 | 纸箱结构 |
US9597081B2 (en) | 2012-12-17 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with modular end effector |
US9463022B2 (en) | 2012-12-17 | 2016-10-11 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with lockable flexible shaft |
DE102012025102A1 (de) | 2012-12-20 | 2014-06-26 | avateramedical GmBH | Endoskop mit einem Mehrkamerasystem für die minimal-invasive Chirurgie |
CN104969229B (zh) | 2012-12-21 | 2019-02-26 | 德卡产品有限公司 | 用于传输数据的系统、方法和装置 |
US20140187856A1 (en) | 2012-12-31 | 2014-07-03 | Lee D. Holoien | Control System For Modular Imaging Device |
CN104902826B (zh) | 2012-12-31 | 2017-10-27 | 直观外科手术操作公司 | 具有增大的刀间隙的外科手术钉仓 |
WO2014106262A1 (en) | 2012-12-31 | 2014-07-03 | Mako Surgical Corp. | System for image-based robotic surgery |
US9717141B1 (en) | 2013-01-03 | 2017-07-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Flexible printed circuit with removable testing portion |
GB2509523A (en) | 2013-01-07 | 2014-07-09 | Anish Kumar Mampetta | Surgical instrument with flexible members and a motor |
US9522003B2 (en) | 2013-01-14 | 2016-12-20 | Intuitive Surgical Operations, Inc. | Clamping instrument |
US9675354B2 (en) | 2013-01-14 | 2017-06-13 | Intuitive Surgical Operations, Inc. | Torque compensation |
US10265090B2 (en) | 2013-01-16 | 2019-04-23 | Covidien Lp | Hand held electromechanical surgical system including battery compartment diagnostic display |
US9750500B2 (en) | 2013-01-18 | 2017-09-05 | Covidien Lp | Surgical clip applier |
US9610114B2 (en) | 2013-01-29 | 2017-04-04 | Ethicon Endo-Surgery, Llc | Bipolar electrosurgical hand shears |
US9370248B2 (en) | 2013-01-31 | 2016-06-21 | Enrique Ramirez Magaña | Theater seating system with reclining seats and comfort divider |
US10201311B2 (en) | 2013-02-08 | 2019-02-12 | Acutus Medical, Inc. | Expandable catheter assembly with flexible printed circuit board (PCB) electrical pathways |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
KR101451970B1 (ko) | 2013-02-19 | 2014-10-23 | 주식회사 루트로닉 | 안과용 수술장치 및 이의 제어 방법 |
WO2014130954A1 (en) | 2013-02-22 | 2014-08-28 | Cibiem, Inc. | Endovascular catheters for trans-superficial temporal artery transmural carotid body modulation |
WO2014134196A1 (en) | 2013-02-26 | 2014-09-04 | Eastern Virginia Medical School | Augmented shared situational awareness system |
US20140243799A1 (en) | 2013-02-27 | 2014-08-28 | Ethicon Endo-Surgery, Inc. | Percutaneous Instrument with Tapered Shaft |
US10098527B2 (en) | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
US9717497B2 (en) | 2013-02-28 | 2017-08-01 | Ethicon Llc | Lockout feature for movable cutting member of surgical instrument |
US9808248B2 (en) | 2013-02-28 | 2017-11-07 | Ethicon Llc | Installation features for surgical instrument end effector cartridge |
US9782169B2 (en) | 2013-03-01 | 2017-10-10 | Ethicon Llc | Rotary powered articulation joints for surgical instruments |
JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
JP6345707B2 (ja) | 2013-03-01 | 2018-06-20 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ソフトストップを備えた外科用器具 |
US20140252064A1 (en) | 2013-03-05 | 2014-09-11 | Covidien Lp | Surgical stapling device including adjustable fastener crimping |
GB201303917D0 (en) * | 2013-03-05 | 2013-04-17 | Ezono Ag | System for image guided procedure |
US9414776B2 (en) | 2013-03-06 | 2016-08-16 | Navigated Technologies, LLC | Patient permission-based mobile health-linked information collection and exchange systems and methods |
KR102117270B1 (ko) | 2013-03-06 | 2020-06-01 | 삼성전자주식회사 | 수술 로봇 시스템 및 그 제어방법 |
US9706993B2 (en) | 2013-03-08 | 2017-07-18 | Covidien Lp | Staple cartridge with shipping wedge |
US9204995B2 (en) | 2013-03-12 | 2015-12-08 | Katalyst Surgical, Llc | Membrane removing forceps |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
AU2014248758B2 (en) | 2013-03-13 | 2018-04-12 | Stryker Corporation | System for establishing virtual constraint boundaries |
US9314308B2 (en) | 2013-03-13 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Robotic ultrasonic surgical device with articulating end effector |
US9566064B2 (en) | 2013-03-13 | 2017-02-14 | Covidien Lp | Surgical stapling apparatus |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
EP3135225B1 (en) | 2013-03-13 | 2019-08-14 | Covidien LP | Surgical stapling apparatus |
WO2014142926A1 (en) | 2013-03-14 | 2014-09-18 | Empire Technology Development Llc | Identification of surgical smoke |
ES2699982T3 (es) | 2013-03-14 | 2019-02-13 | Applied Med Resources | Grapadora quirúrgica con cavidades parciales |
WO2014142925A1 (en) | 2013-03-14 | 2014-09-18 | Empire Technology Development Llc | Identification of surgical smoke |
US9114494B1 (en) | 2013-03-14 | 2015-08-25 | Kenneth Jack Mah | Electronic drill guide |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9687230B2 (en) | 2013-03-14 | 2017-06-27 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US9827054B2 (en) | 2014-03-14 | 2017-11-28 | Synaptive Medical (Barbados) Inc. | Intelligent positioning system and methods therefore |
US9498291B2 (en) * | 2013-03-15 | 2016-11-22 | Hansen Medical, Inc. | Touch-free catheter user interface controller |
US20160038253A1 (en) | 2013-03-15 | 2016-02-11 | Cameron Anthony Piron | Method, system and apparatus for controlling a surgical navigation system |
EP2967008A4 (en) | 2013-03-15 | 2016-11-23 | Pentair Water Pool & Spa Inc | CONTROL SYSTEM OF SLAUGHTERED OXYGEN FOR AN AQUACULTURE |
EP2967393A4 (en) | 2013-03-15 | 2016-12-07 | Peerbridge Health Inc | SYSTEM AND METHOD FOR MONITORING AND DIAGNOSING DISEASE IN A PATIENT AFTER TRANSMITTING DATA ISSUED BY A WIRELESS SENSOR |
EP2973105B1 (en) | 2013-03-15 | 2022-08-31 | Arthrex, Inc | Surgical imaging system and method for processing surgical images |
US10383699B2 (en) | 2013-03-15 | 2019-08-20 | Sri International | Hyperdexterous surgical system |
CA2902771C (en) | 2013-03-15 | 2018-08-14 | Synaptive Medical (Barbados) Inc. | Context aware surgical systems |
KR102227182B1 (ko) | 2013-03-15 | 2021-03-15 | 어플라이드 메디컬 리소시스 코포레이션 | 회전가능 샤프트를 구비한 구동 메커니즘을 갖는 수술용 스테이플러 |
US9668765B2 (en) | 2013-03-15 | 2017-06-06 | The Spectranetics Corporation | Retractable blade for lead removal device |
US9116597B1 (en) | 2013-03-15 | 2015-08-25 | Ca, Inc. | Information management software |
MY179739A (en) | 2013-03-15 | 2020-11-12 | Synaptive Medical Inc | Planning, navigation and simulation systems and methods for minimally invasive therapy |
JP6404318B2 (ja) | 2013-03-15 | 2018-10-10 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | レーザーパルスの積算光エネルギー制御 |
EP2969408B1 (en) * | 2013-03-15 | 2021-12-15 | Intuitive Surgical Operations, Inc. | Software configurable manipulator degrees of freedom |
MY170323A (en) | 2013-03-15 | 2019-07-17 | Synaptive Medical Inc | Intelligent positioning system and methods therefore |
WO2014144947A1 (en) | 2013-03-15 | 2014-09-18 | Olive Medical Corporation | Super resolution and color motion artifact correction in a pulsed color imaging system |
EP2967349B1 (en) | 2013-03-15 | 2021-09-22 | Synaptive Medical Inc. | Apparatus and method for surgical hyperspectral imaging |
SG11201507611UA (en) | 2013-03-15 | 2015-10-29 | Synaptive Medical Barbados Inc | Intramodal synchronization of surgical data |
US9241728B2 (en) | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
EP2976033A4 (en) | 2013-03-19 | 2016-12-14 | Surgisense Corp | APPARATUSES, SYSTEMS AND METHODS FOR DETERMINING THE OXYGENATION OF A FABRIC |
US20140303660A1 (en) | 2013-04-04 | 2014-10-09 | Elwha Llc | Active tremor control in surgical instruments |
US10349824B2 (en) | 2013-04-08 | 2019-07-16 | Apama Medical, Inc. | Tissue mapping and visualization systems |
US9814460B2 (en) | 2013-04-16 | 2017-11-14 | Ethicon Llc | Modular motor driven surgical instruments with status indication arrangements |
US9592095B2 (en) | 2013-05-16 | 2017-03-14 | Intuitive Surgical Operations, Inc. | Systems and methods for robotic medical system integration with external imaging |
US9111548B2 (en) | 2013-05-23 | 2015-08-18 | Knowles Electronics, Llc | Synchronization of buffered data in multiple microphones |
EP3003177B1 (en) | 2013-05-31 | 2021-03-10 | Covidien LP | Surgical device with an end-effector assembly for monitoring of tissue during a surgical procedure |
WO2014197241A1 (en) | 2013-06-05 | 2014-12-11 | The Arizona Board Of Regents On Behalf Of The University Of Arizona | Dual-view probe for illumination and imaging, and use thereof |
KR20160100900A (ko) | 2013-06-17 | 2016-08-24 | 아디 매쉬아취 | 임플란트 유닛 이송 도구 |
JP6199486B2 (ja) | 2013-06-18 | 2017-09-20 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 医療デバイスのステータス情報の処理 |
EP2639580B1 (de) | 2013-06-20 | 2017-08-16 | Siemens Schweiz AG | Funktionsüberwachung eines elektrolytischen Gassensors mit drei Elektroden sowie Gefahrenmelder und Gasmessgerät |
US9797486B2 (en) | 2013-06-20 | 2017-10-24 | Covidien Lp | Adapter direct drive with manual retraction, lockout and connection mechanisms |
WO2014205254A2 (en) | 2013-06-21 | 2014-12-24 | Virtual Radiologic Corporation | Radiology data processing and standardization techniques |
US11195598B2 (en) | 2013-06-28 | 2021-12-07 | Carefusion 303, Inc. | System for providing aggregated patient data |
EP2827099A1 (de) | 2013-07-16 | 2015-01-21 | Leica Geosystems AG | Lasertracker mit Zielsuchfunktionalität |
US10097578B2 (en) | 2013-07-23 | 2018-10-09 | Oasis Technology, Inc. | Anti-cyber hacking defense system |
CN105431093B (zh) | 2013-08-06 | 2019-03-29 | 奥林巴斯株式会社 | 气腹装置 |
US10278581B2 (en) * | 2013-08-08 | 2019-05-07 | Bloom Technologies NV | Wireless pregnancy monitor |
US9750522B2 (en) | 2013-08-15 | 2017-09-05 | Ethicon Llc | Surgical instrument with clips having transecting blades |
US9833235B2 (en) | 2013-08-16 | 2017-12-05 | Covidien Lp | Chip assembly for reusable surgical instruments |
CN105684032B (zh) | 2013-08-16 | 2020-05-12 | 直观外科手术操作公司 | 用于异构设备间的协调运动的系统和方法 |
GB201314774D0 (en) | 2013-08-19 | 2013-10-02 | Fish Engineering Ltd | Distributor apparatus |
US9987006B2 (en) | 2013-08-23 | 2018-06-05 | Ethicon Llc | Shroud retention arrangement for sterilizable surgical instruments |
US9539006B2 (en) | 2013-08-27 | 2017-01-10 | Covidien Lp | Hand held electromechanical surgical handle assembly for use with surgical end effectors, and methods of use |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US11246666B2 (en) | 2013-09-06 | 2022-02-15 | The Brigham And Women's Hospital, Inc. | System and method for a tissue resection margin measurement device |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US9830424B2 (en) | 2013-09-18 | 2017-11-28 | Hill-Rom Services, Inc. | Bed/room/patient association systems and methods |
US10271840B2 (en) | 2013-09-18 | 2019-04-30 | Covidien Lp | Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument |
US9622684B2 (en) | 2013-09-20 | 2017-04-18 | Innovative Surgical Solutions, Llc | Neural locating system |
US10478189B2 (en) | 2015-06-26 | 2019-11-19 | Ethicon Llc | Method of applying an annular array of staples to tissue |
US9717548B2 (en) | 2013-09-24 | 2017-08-01 | Covidien Lp | Electrode for use in a bipolar electrosurgical instrument |
WO2015047216A1 (en) | 2013-09-24 | 2015-04-02 | Intel Corporation | Systems and methods for wireless display discovery |
US9867651B2 (en) | 2013-09-26 | 2018-01-16 | Covidien Lp | Systems and methods for estimating tissue parameters using surgical devices |
US9936942B2 (en) | 2013-09-26 | 2018-04-10 | Surgimatix, Inc. | Laparoscopic suture device with release mechanism |
DE102013016063A1 (de) | 2013-09-27 | 2015-04-02 | W. O. M. World of Medicine GmbH | Druckerhaltende Rauchgasabsaugung in einem Insufflator |
US20140035762A1 (en) | 2013-10-01 | 2014-02-06 | Ethicon Endo-Surgery, Inc. | Providing Near Real Time Feedback To A User Of A Surgical Instrument |
US20160235303A1 (en) | 2013-10-11 | 2016-08-18 | The Trustees Of Columbia University In The City Of New York | System, method and computer-accessible medium for characterization of tissue |
US10037715B2 (en) | 2013-10-16 | 2018-07-31 | Simulab Corporation | Detecting insertion of needle into simulated vessel using a conductive fluid |
US10463365B2 (en) | 2013-10-17 | 2019-11-05 | Covidien Lp | Chip assembly for surgical instruments |
US20150108198A1 (en) | 2013-10-17 | 2015-04-23 | Covidien Lp | Surgical instrument, loading unit and fasteners for use therewith |
US10022090B2 (en) | 2013-10-18 | 2018-07-17 | Atlantic Health System, Inc. | Nerve protecting dissection device |
CN105939647B (zh) | 2013-10-24 | 2020-01-21 | 奥瑞斯健康公司 | 机器人辅助腔内外科手术系统及相关方法 |
CA2929527A1 (en) | 2013-11-04 | 2015-05-07 | Guided Interventions, Inc. | Method and apparatus for performance of thermal bronchiplasty with unfocused ultrasound |
US9922304B2 (en) | 2013-11-05 | 2018-03-20 | Deroyal Industries, Inc. | System for sensing and recording consumption of medical items during medical procedure |
US9949785B2 (en) | 2013-11-21 | 2018-04-24 | Ethicon Llc | Ultrasonic surgical instrument with electrosurgical feature |
EP2876885A1 (en) | 2013-11-21 | 2015-05-27 | Axis AB | Method and apparatus in a motion video capturing system |
US10552574B2 (en) | 2013-11-22 | 2020-02-04 | Spinal Generations, Llc | System and method for identifying a medical device |
EP3073939B1 (en) | 2013-11-26 | 2024-04-17 | Ethicon LLC | Ultrasonic surgical instrument with staged clamping |
US9943325B2 (en) | 2013-11-26 | 2018-04-17 | Ethicon Llc | Handpiece and blade configurations for ultrasonic surgical instrument |
WO2015081086A1 (en) | 2013-11-27 | 2015-06-04 | The Johns Hopkins University | System and method for medical data analysis and sharing |
KR101527176B1 (ko) | 2013-12-09 | 2015-06-09 | (주)미래컴퍼니 | 수술 로봇 장치 및 수술 로봇 장치의 제어 방법 |
US10159044B2 (en) | 2013-12-09 | 2018-12-18 | GM Global Technology Operations LLC | Method and apparatus for controlling operating states of bluetooth interfaces of a bluetooth module |
EP3834752B1 (en) | 2013-12-11 | 2024-03-13 | Covidien LP | Wrist and jaw assemblies for robotic surgical systems |
CN110448377A (zh) | 2013-12-12 | 2019-11-15 | 柯惠Lp公司 | 用于机器人手术系统的齿轮系组件 |
US9808245B2 (en) | 2013-12-13 | 2017-11-07 | Covidien Lp | Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9743946B2 (en) | 2013-12-17 | 2017-08-29 | Ethicon Llc | Rotation features for ultrasonic surgical instrument |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
JP2017507680A (ja) | 2013-12-23 | 2017-03-23 | キャンプレックス インコーポレイテッド | 手術可視化システム |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US10039546B2 (en) | 2013-12-23 | 2018-08-07 | Covidien Lp | Loading unit including shipping member |
US9539020B2 (en) | 2013-12-27 | 2017-01-10 | Ethicon Endo-Surgery, Llc | Coupling features for ultrasonic surgical instrument |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
KR20150085251A (ko) | 2014-01-15 | 2015-07-23 | 엘지전자 주식회사 | 디스플레이 디바이스 및 그 제어 방법 |
US9839424B2 (en) | 2014-01-17 | 2017-12-12 | Covidien Lp | Electromechanical surgical assembly |
US9655616B2 (en) | 2014-01-22 | 2017-05-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9907550B2 (en) | 2014-01-27 | 2018-03-06 | Covidien Lp | Stitching device with long needle delivery |
US9802033B2 (en) | 2014-01-28 | 2017-10-31 | Ethicon Llc | Surgical devices having controlled tissue cutting and sealing |
US9801679B2 (en) | 2014-01-28 | 2017-10-31 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
EP3082588B8 (en) | 2014-01-28 | 2018-12-19 | St. Jude Medical International Holding S.à r.l. | Elongate medical devices incorporating a flexible substrate, a sensor, and electrically-conductive traces |
US9468454B2 (en) | 2014-01-28 | 2016-10-18 | Ethicon Endo-Surgery, Inc. | Motor control and feedback in powered surgical devices |
US9700312B2 (en) | 2014-01-28 | 2017-07-11 | Covidien Lp | Surgical apparatus |
US9358685B2 (en) | 2014-02-03 | 2016-06-07 | Brain Corporation | Apparatus and methods for control of robot actions based on corrective user inputs |
US9706674B2 (en) | 2014-02-04 | 2017-07-11 | Covidien Lp | Authentication system for reusable surgical instruments |
US10213266B2 (en) | 2014-02-07 | 2019-02-26 | Covidien Lp | Robotic surgical assemblies and adapter assemblies thereof |
CN106028990B (zh) | 2014-02-17 | 2018-10-16 | 奥林巴斯株式会社 | 超声波处置装置 |
US9301691B2 (en) | 2014-02-21 | 2016-04-05 | Covidien Lp | Instrument for optically detecting tissue attributes |
US9839422B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for altering implantable layers for use with surgical fastening instruments |
US10973682B2 (en) | 2014-02-24 | 2021-04-13 | Alcon Inc. | Surgical instrument with adhesion optimized edge condition |
CN106232029B (zh) | 2014-02-24 | 2019-04-12 | 伊西康内外科有限责任公司 | 包括击发构件锁定件的紧固系统 |
EP3110305B1 (en) | 2014-02-27 | 2021-09-01 | University Surgical Associates, Inc. | Interactive display for surgery |
JP2015163172A (ja) | 2014-02-28 | 2015-09-10 | オリンパス株式会社 | 圧排装置およびロボットシステム |
WO2015134749A2 (en) | 2014-03-06 | 2015-09-11 | Stryker Corporation | Medical/surgical waste collection unit with a light assembly separate from the primary display, the light assembly presenting informatin about the operation of the system by selectively outputting light |
GB2523831B (en) | 2014-03-07 | 2020-09-30 | Cmr Surgical Ltd | Surgical arm |
WO2015138708A1 (en) | 2014-03-12 | 2015-09-17 | Proximed, Llc | Surgical guidance systems, devices, and methods |
US10172687B2 (en) | 2014-03-17 | 2019-01-08 | Intuitive Surgical Operations, Inc. | Surgical cannulas and related systems and methods of identifying surgical cannulas |
WO2015142814A1 (en) | 2014-03-17 | 2015-09-24 | Intuitive Surgical Operations, Inc. | Surgical cannula mounts and related systems and methods |
EP3884901B1 (en) | 2014-03-17 | 2023-06-14 | Intuitive Surgical Operations, Inc. | Device and machine readable medium executing a method of recentering end effectors and input controls |
EP3119337B1 (en) | 2014-03-17 | 2024-05-15 | Intuitive Surgical Operations, Inc. | Methods and devices for tele-surgical table registration |
WO2015142795A1 (en) | 2014-03-17 | 2015-09-24 | Intuitive Surgical Operations, Inc. | Signal connector for sterile barrier between surgical instrument and teleoperated actuator |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9743929B2 (en) | 2014-03-26 | 2017-08-29 | Ethicon Llc | Modular powered surgical instrument with detachable shaft assemblies |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
EP3123826B1 (en) | 2014-03-27 | 2018-02-21 | Fagerhults Belysning AB | Lighting system for providing light in a room |
WO2015145395A1 (en) | 2014-03-28 | 2015-10-01 | Alma Mater Studiorum - Universita' Di Bologna | Augmented reality glasses for medical applications and corresponding augmented reality system |
US10610313B2 (en) | 2014-03-31 | 2020-04-07 | Intuitive Surgical Operations, Inc. | Surgical instrument with shiftable transmission |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
KR102322351B1 (ko) | 2014-04-01 | 2021-11-05 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 원격 조작 수술기기를 위한 제어 입력의 정확도 |
US9980769B2 (en) | 2014-04-08 | 2018-05-29 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
US20170027603A1 (en) | 2014-04-08 | 2017-02-02 | Ams Research Corporation | Flexible devices for blunt dissection and related methods |
US9918730B2 (en) | 2014-04-08 | 2018-03-20 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
US10765376B2 (en) | 2014-04-09 | 2020-09-08 | University Of Rochester | Method and apparatus to diagnose the metastatic or progressive potential of cancer, fibrosis and other diseases |
US10542988B2 (en) | 2014-04-16 | 2020-01-28 | Ethicon Llc | End effector comprising an anvil including projections extending therefrom |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US20150297222A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10164466B2 (en) | 2014-04-17 | 2018-12-25 | Covidien Lp | Non-contact surgical adapter electrical interface |
US20150297200A1 (en) | 2014-04-17 | 2015-10-22 | Covidien Lp | End of life transmission system for surgical instruments |
US20150302157A1 (en) | 2014-04-17 | 2015-10-22 | Ryan Mitchell Collar | Apparatus, Method, and System for Counting Packaged, Consumable, Medical Items Such as Surgical Suture Cartridges |
US10258363B2 (en) | 2014-04-22 | 2019-04-16 | Ethicon Llc | Method of operating an articulating ultrasonic surgical instrument |
EP3134009B1 (en) | 2014-04-25 | 2020-07-15 | Sharp Fluidics LLC | Systems for increased operating room efficiency |
EP3134038A4 (en) | 2014-04-25 | 2017-11-29 | The Trustees of Columbia University in the City of New York | Spinal treatment devices, methods, and systems |
US10133248B2 (en) | 2014-04-28 | 2018-11-20 | Covidien Lp | Systems and methods for determining an end of life state for surgical devices |
US20150317899A1 (en) | 2014-05-01 | 2015-11-05 | Covidien Lp | System and method for using rfid tags to determine sterilization of devices |
US10175127B2 (en) | 2014-05-05 | 2019-01-08 | Covidien Lp | End-effector force measurement drive circuit |
US9717552B2 (en) | 2014-05-06 | 2017-08-01 | Cosman Intruments, Llc | Electrosurgical generator |
US20150324114A1 (en) | 2014-05-06 | 2015-11-12 | Conceptualiz Inc. | System and method for interactive 3d surgical planning and modelling of surgical implants |
US10471254B2 (en) | 2014-05-12 | 2019-11-12 | Virginia Tech Intellectual Properties, Inc. | Selective modulation of intracellular effects of cells using pulsed electric fields |
CN106456257B (zh) | 2014-05-13 | 2019-11-05 | 柯惠Lp公司 | 手术机器人手臂支撑系统及使用方法 |
US9770541B2 (en) | 2014-05-15 | 2017-09-26 | Thermedx, Llc | Fluid management system with pass-through fluid volume measurement |
US11977998B2 (en) | 2014-05-15 | 2024-05-07 | Storz Endoskop Produktions Gmbh | Surgical workflow support system |
JP2017518803A (ja) | 2014-05-15 | 2017-07-13 | コヴィディエン リミテッド パートナーシップ | 外科手術用締結具適用装置 |
US9753568B2 (en) | 2014-05-15 | 2017-09-05 | Bebop Sensors, Inc. | Flexible sensors and applications |
WO2016007224A2 (en) | 2014-05-16 | 2016-01-14 | Powdermet, Inc. | Heterogeneous composite bodies with isolated cermet regions formed by high temperature, rapid consolidation |
US20150332003A1 (en) | 2014-05-19 | 2015-11-19 | Unitedhealth Group Incorporated | Computer readable storage media for utilizing derived medical records and methods and systems for same |
US9549781B2 (en) | 2014-05-30 | 2017-01-24 | The Johns Hopkins University | Multi-force sensing surgical instrument and method of use for robotic surgical systems |
KR20170013240A (ko) | 2014-05-30 | 2017-02-06 | 가부시키가이샤 한도오따이 에네루기 켄큐쇼 | 반도체 장치 및 이를 제조하기 위한 방법 |
US20160106516A1 (en) | 2014-05-30 | 2016-04-21 | Sameh Mesallum | Systems for automated biomechanical computerized surgery |
US9325732B1 (en) | 2014-06-02 | 2016-04-26 | Amazon Technologies, Inc. | Computer security threat sharing |
US9331422B2 (en) | 2014-06-09 | 2016-05-03 | Apple Inc. | Electronic device with hidden connector |
US10251725B2 (en) | 2014-06-09 | 2019-04-09 | Covidien Lp | Authentication and information system for reusable surgical instruments |
WO2015191562A1 (en) | 2014-06-09 | 2015-12-17 | Revon Systems, Llc | Systems and methods for health tracking and management |
EP3154449B1 (en) | 2014-06-11 | 2019-08-14 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
KR101587721B1 (ko) | 2014-06-17 | 2016-01-22 | 에스엔유 프리시젼 주식회사 | 수술용 버커터의 제어방법 및 제어장치 |
US10335147B2 (en) | 2014-06-25 | 2019-07-02 | Ethicon Llc | Method of using lockout features for surgical stapler cartridge |
US10292701B2 (en) | 2014-06-25 | 2019-05-21 | Ethicon Llc | Articulation drive features for surgical stapler |
US9636825B2 (en) | 2014-06-26 | 2017-05-02 | Robotex Inc. | Robotic logistics system |
WO2016014384A2 (en) | 2014-07-25 | 2016-01-28 | Covidien Lp | Augmented surgical reality environment |
US20160034648A1 (en) | 2014-07-30 | 2016-02-04 | Verras Healthcare International, LLC | System and method for reducing clinical variation |
US10748115B2 (en) | 2014-08-01 | 2020-08-18 | Smith & Nephew, Inc. | Providing implants for surgical procedures |
US10422727B2 (en) | 2014-08-10 | 2019-09-24 | Harry Leon Pliskin | Contaminant monitoring and air filtration system |
EP3179952B1 (en) | 2014-08-13 | 2019-03-20 | Covidien LP | Robotically controlled mechanical advantage gripper |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
NL2013369B1 (en) * | 2014-08-26 | 2016-09-26 | Univ Eindhoven Tech | Surgical robotic system and control of surgical robotic system. |
US10004500B2 (en) | 2014-09-02 | 2018-06-26 | Ethicon Llc | Devices and methods for manually retracting a drive shaft, drive beam, and associated components of a surgical fastening device |
US9700320B2 (en) | 2014-09-02 | 2017-07-11 | Ethicon Llc | Devices and methods for removably coupling a cartridge to an end effector of a surgical device |
US9943312B2 (en) | 2014-09-02 | 2018-04-17 | Ethicon Llc | Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device |
US9848877B2 (en) | 2014-09-02 | 2017-12-26 | Ethicon Llc | Methods and devices for adjusting a tissue gap of an end effector of a surgical device |
US9788835B2 (en) | 2014-09-02 | 2017-10-17 | Ethicon Llc | Devices and methods for facilitating ejection of surgical fasteners from cartridges |
US9280884B1 (en) | 2014-09-03 | 2016-03-08 | Oberon, Inc. | Environmental sensor device with alarms |
US10016199B2 (en) | 2014-09-05 | 2018-07-10 | Ethicon Llc | Polarity of hall magnet to identify cartridge type |
US11273290B2 (en) | 2014-09-10 | 2022-03-15 | Intuitive Surgical Operations, Inc. | Flexible instrument with nested conduits |
US10321964B2 (en) | 2014-09-15 | 2019-06-18 | Covidien Lp | Robotically controlling surgical assemblies |
US10803977B2 (en) | 2014-09-15 | 2020-10-13 | Synaptive Medical (Barbados) Inc. | System and method for collection, storage and management of medical data |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
US20170249432A1 (en) | 2014-09-23 | 2017-08-31 | Surgical Safety Technologies Inc. | Operating room black-box device, system, method and computer readable medium |
EP3197518B1 (en) | 2014-09-25 | 2019-07-24 | NxStage Medical, Inc. | Medicament preparation and treatment devices and systems |
US9936961B2 (en) | 2014-09-26 | 2018-04-10 | DePuy Synthes Products, Inc. | Surgical tool with feedback |
EP3200716A4 (en) | 2014-09-29 | 2018-05-16 | Covidien LP | Dynamic input scaling for controls of robotic surgical system |
US10039564B2 (en) | 2014-09-30 | 2018-08-07 | Ethicon Llc | Surgical devices having power-assisted jaw closure and methods for compressing and sensing tissue |
CN107427327A (zh) * | 2014-09-30 | 2017-12-01 | 奥瑞斯外科手术机器人公司 | 具有虚拟轨迹和柔性内窥镜的可配置机器人外科手术系统 |
US9901406B2 (en) | 2014-10-02 | 2018-02-27 | Inneroptic Technology, Inc. | Affected region display associated with a medical device |
US9630318B2 (en) | 2014-10-02 | 2017-04-25 | Brain Corporation | Feature detection apparatus and methods for training of robotic navigation |
US10603128B2 (en) | 2014-10-07 | 2020-03-31 | Covidien Lp | Handheld electromechanical surgical system |
US10292758B2 (en) | 2014-10-10 | 2019-05-21 | Ethicon Llc | Methods and devices for articulating laparoscopic energy device |
GB201417963D0 (en) | 2014-10-10 | 2014-11-26 | Univ Oslo Hf | Measurement of impedance of body tissue |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
JP6374979B2 (ja) | 2014-10-31 | 2018-08-15 | オリンパス株式会社 | 医療用処置装置 |
CN104436911A (zh) | 2014-11-03 | 2015-03-25 | 佛山市顺德区阿波罗环保器材有限公司 | 一种基于滤芯识别防伪的空气净化器 |
US10792422B2 (en) | 2014-11-10 | 2020-10-06 | White Bear Medical LLC | Dynamically controlled treatment protocols for autonomous treatment systems |
WO2016080223A1 (ja) | 2014-11-19 | 2016-05-26 | 国立大学法人九州大学 | 高周波鉗子 |
US9782212B2 (en) | 2014-12-02 | 2017-10-10 | Covidien Lp | High level algorithms |
EP3226795B1 (en) | 2014-12-03 | 2020-08-26 | Metavention, Inc. | Systems for modulating nerves or other tissue |
US9247996B1 (en) | 2014-12-10 | 2016-02-02 | F21, Llc | System, method, and apparatus for refurbishment of robotic surgical arms |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
WO2016093049A1 (ja) | 2014-12-10 | 2016-06-16 | オリンパス株式会社 | マニピュレータシステム |
US10095942B2 (en) | 2014-12-15 | 2018-10-09 | Reflex Robotics, Inc | Vision based real-time object tracking system for robotic gimbal control |
EP4226887A1 (en) | 2014-12-16 | 2023-08-16 | Intuitive Surgical Operations, Inc. | Ureter detection using waveband-selective imaging |
CN104490448B (zh) | 2014-12-17 | 2017-03-15 | 徐保利 | 外科结扎用施夹钳 |
WO2016100719A1 (en) | 2014-12-17 | 2016-06-23 | Maquet Cardiovascular Llc | Surgical device |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US20160180045A1 (en) | 2014-12-19 | 2016-06-23 | Ebay Inc. | Wireless beacon devices used to track medical information at a hospital |
US20160224760A1 (en) | 2014-12-24 | 2016-08-04 | Oncompass Gmbh | System and method for adaptive medical decision support |
US10806453B2 (en) | 2014-12-30 | 2020-10-20 | Suzhou Touchstone International Medical Science Co., Ltd. | Stapling head assembly and suturing and cutting apparatus for endoscopic surgery |
US10595952B2 (en) | 2014-12-31 | 2020-03-24 | Sight Medical, Llc | Process and apparatus for managing medical device selection and implantation |
US9775611B2 (en) | 2015-01-06 | 2017-10-03 | Covidien Lp | Clam shell surgical stapling loading unit |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
US10362179B2 (en) | 2015-01-09 | 2019-07-23 | Tracfone Wireless, Inc. | Peel and stick activation code for activating service for a wireless device |
US10404521B2 (en) | 2015-01-14 | 2019-09-03 | Datto, Inc. | Remotely configurable routers with failover features, and methods and apparatus for reliable web-based administration of same |
GB2535627B (en) | 2015-01-14 | 2017-06-28 | Gyrus Medical Ltd | Electrosurgical system |
US9931040B2 (en) | 2015-01-14 | 2018-04-03 | Verily Life Sciences Llc | Applications of hyperspectral laser speckle imaging |
CN107205747B (zh) | 2015-01-15 | 2020-09-08 | 柯惠有限合伙公司 | 可重复使用的内窥镜外科夹具施加器 |
US10656720B1 (en) * | 2015-01-16 | 2020-05-19 | Ultrahaptics IP Two Limited | Mode switching for integrated gestural interaction and multi-user collaboration in immersive virtual reality environments |
AU2016200084B2 (en) | 2015-01-16 | 2020-01-16 | Covidien Lp | Powered surgical stapling device |
GB2534558B (en) | 2015-01-21 | 2020-12-30 | Cmr Surgical Ltd | Robot tool retraction |
US9387295B1 (en) | 2015-01-30 | 2016-07-12 | SurgiQues, Inc. | Filter cartridge with internal gaseous seal for multimodal surgical gas delivery system having a smoke evacuation mode |
US10159809B2 (en) | 2015-01-30 | 2018-12-25 | Surgiquest, Inc. | Multipath filter assembly with integrated gaseous seal for multimodal surgical gas delivery system |
US20180011983A1 (en) | 2015-02-02 | 2018-01-11 | Think Surgical, Inc. | Method and system for managing medical data |
JP6125112B2 (ja) | 2015-02-05 | 2017-05-10 | オリンパス株式会社 | マニピュレータ |
US9713424B2 (en) | 2015-02-06 | 2017-07-25 | Richard F. Spaide | Volume analysis and display of information in optical coherence tomography angiography |
US10111658B2 (en) | 2015-02-12 | 2018-10-30 | Covidien Lp | Display screens for medical devices |
DE202016008907U1 (de) | 2015-02-13 | 2020-08-04 | Zoller & Fröhlich GmbH | Scananordnung |
US9805472B2 (en) | 2015-02-18 | 2017-10-31 | Sony Corporation | System and method for smoke detection during anatomical surgery |
US9905000B2 (en) | 2015-02-19 | 2018-02-27 | Sony Corporation | Method and system for surgical tool localization during anatomical surgery |
US10111665B2 (en) | 2015-02-19 | 2018-10-30 | Covidien Lp | Electromechanical surgical systems |
US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
DE112015006004T5 (de) | 2015-02-27 | 2017-10-26 | Olympus Corporation | Medizinische Behandlungsvorrichtung, Verfahren zum Bedienen einer medizinischen Behandlungsvorrichtung und Behandlungsverfahren |
US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US10733267B2 (en) | 2015-02-27 | 2020-08-04 | Surgical Black Box Llc | Surgical data control system |
US20160301690A1 (en) | 2015-04-10 | 2016-10-13 | Enovate Medical, Llc | Access control for a hard asset |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
JP6360803B2 (ja) | 2015-03-10 | 2018-07-18 | 富士フイルム株式会社 | 診療データ管理装置、その作動方法及び作動プログラム |
JP6684289B2 (ja) | 2015-03-10 | 2020-04-22 | コヴィディエン リミテッド パートナーシップ | ロボット手術システム、器具駆動ユニット、及び駆動アセンブリ |
US10716639B2 (en) | 2015-03-10 | 2020-07-21 | Covidien Lp | Measuring health of a connector member of a robotic surgical system |
US10190888B2 (en) | 2015-03-11 | 2019-01-29 | Covidien Lp | Surgical stapling instruments with linear position assembly |
US10653476B2 (en) | 2015-03-12 | 2020-05-19 | Covidien Lp | Mapping vessels for resecting body tissue |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
WO2016149563A1 (en) | 2015-03-17 | 2016-09-22 | Ahluwalia Prabhat | Uterine manipulator |
US10390718B2 (en) | 2015-03-20 | 2019-08-27 | East Carolina University | Multi-spectral physiologic visualization (MSPV) using laser imaging methods and systems for blood flow and perfusion imaging and quantification in an endoscopic design |
US10136891B2 (en) | 2015-03-25 | 2018-11-27 | Ethicon Llc | Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler |
US9636164B2 (en) | 2015-03-25 | 2017-05-02 | Advanced Cardiac Therapeutics, Inc. | Contact sensing systems and methods |
US11322248B2 (en) | 2015-03-26 | 2022-05-03 | Surgical Safety Technologies Inc. | Operating room black-box device, system, method and computer readable medium for event and error prediction |
WO2016160841A1 (en) | 2015-03-30 | 2016-10-06 | Zoll Medical Corporation | Clinical data handoff in device management and data sharing |
US10383518B2 (en) | 2015-03-31 | 2019-08-20 | Midmark Corporation | Electronic ecosystem for medical examination room |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US9629560B2 (en) | 2015-04-06 | 2017-04-25 | Thomas Jefferson University | Implantable vital sign sensor |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
KR102491909B1 (ko) | 2015-04-10 | 2023-01-26 | 마코 서지컬 코포레이션 | 수술 도구의 자율 이동 중에 수술 도구를 제어하는 시스템 및 방법 |
US20160296246A1 (en) | 2015-04-13 | 2016-10-13 | Novartis Ag | Forceps with metal and polymeric arms |
EP3285634A4 (en) | 2015-04-20 | 2019-01-09 | Medrobotics Corporation | ROCKY ROBOTIC PROBES |
US10806506B2 (en) | 2015-04-21 | 2020-10-20 | Smith & Nephew, Inc. | Vessel sealing algorithm and modes |
WO2016171947A1 (en) | 2015-04-22 | 2016-10-27 | Covidien Lp | Handheld electromechanical surgical system |
EP3285673A4 (en) | 2015-04-23 | 2019-06-05 | SRI International | HYPERROWN USER INTERFACE DEVICES FOR SURGICAL SYSTEM |
US20160342753A1 (en) | 2015-04-24 | 2016-11-24 | Starslide | Method and apparatus for healthcare predictive decision technology platform |
US20160323283A1 (en) | 2015-04-30 | 2016-11-03 | Samsung Electronics Co., Ltd. | Semiconductor device for controlling access right to resource based on pairing technique and method thereof |
WO2016176781A1 (en) | 2015-05-07 | 2016-11-10 | Novadaq Technologies Inc. | Methods and systems for laser speckle imaging of tissue using a color image sensor |
WO2016183054A1 (en) | 2015-05-11 | 2016-11-17 | Covidien Lp | Coupling instrument drive unit and robotic surgical instrument |
CN107529960B (zh) | 2015-05-12 | 2020-10-02 | 亚伯拉罕·莱维 | 动态视野内窥镜 |
GB2538497B (en) | 2015-05-14 | 2020-10-28 | Cmr Surgical Ltd | Torque sensing in a surgical robotic wrist |
US9566708B2 (en) | 2015-05-14 | 2017-02-14 | Daniel Kurnianto | Control mechanism for end-effector maneuver |
US10555675B2 (en) | 2015-05-15 | 2020-02-11 | Gauss Surgical, Inc. | Method for projecting blood loss of a patient during a surgery |
WO2016187002A1 (en) | 2015-05-15 | 2016-11-24 | Mako Surgical Corp. | Systems and methods for providing guidance for a robotic medical procedure |
US20160342916A1 (en) | 2015-05-20 | 2016-11-24 | Schlumberger Technology Corporation | Downhole tool management system |
CA3029355A1 (en) | 2015-05-22 | 2016-11-22 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US10022120B2 (en) | 2015-05-26 | 2018-07-17 | Ethicon Llc | Surgical needle with recessed features |
US9519753B1 (en) | 2015-05-26 | 2016-12-13 | Virtual Radiologic Corporation | Radiology workflow coordination techniques |
US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
GB201509341D0 (en) * | 2015-05-29 | 2015-07-15 | Cambridge Medical Robotics Ltd | Characterising robot environments |
EP3302335A4 (en) | 2015-06-03 | 2019-02-20 | Covidien LP | OFFSET INSTRUMENT DRIVE UNIT |
EP4179997A3 (en) | 2015-06-08 | 2023-08-30 | Covidien LP | Mounting device for surgical systems and method of use |
US10118119B2 (en) | 2015-06-08 | 2018-11-06 | Cts Corporation | Radio frequency process sensing, control, and diagnostics network and system |
CN107847283B (zh) | 2015-06-09 | 2022-02-22 | 直观外科手术操作公司 | 利用外科手术过程图集配置外科手术系统 |
EP3307464A4 (en) | 2015-06-10 | 2019-03-20 | Orthodrill Medical Ltd. | DEVICE FOR MODIFYING THE OPERATION OF SURGICAL BONE TOOLS AND / OR ASSOCIATED METHODS |
EP4331522A3 (en) | 2015-06-10 | 2024-05-22 | Intuitive Surgical Operations, Inc. | System and method for patient-side instrument control |
US10004491B2 (en) | 2015-06-15 | 2018-06-26 | Ethicon Llc | Suturing instrument with needle motion indicator |
US9888914B2 (en) | 2015-06-16 | 2018-02-13 | Ethicon Endo-Surgery, Llc | Suturing instrument with motorized needle drive |
US9839419B2 (en) | 2015-06-16 | 2017-12-12 | Ethicon Endo-Surgery, Llc | Suturing instrument with jaw having integral cartridge component |
CN107743384B (zh) | 2015-06-16 | 2020-12-22 | 柯惠Lp公司 | 机器人外科手术系统扭矩传感感测 |
US9782164B2 (en) | 2015-06-16 | 2017-10-10 | Ethicon Endo-Surgery, Llc | Suturing instrument with multi-mode cartridges |
US9861422B2 (en) | 2015-06-17 | 2018-01-09 | Medtronic, Inc. | Catheter breach loop feedback fault detection with active and inactive driver system |
US10182818B2 (en) | 2015-06-18 | 2019-01-22 | Ethicon Llc | Surgical end effectors with positive jaw opening arrangements |
US10512499B2 (en) | 2015-06-19 | 2019-12-24 | Covidien Lp | Systems and methods for detecting opening of the jaws of a vessel sealer mid-seal |
JP6697487B2 (ja) | 2015-06-19 | 2020-05-20 | コヴィディエン リミテッド パートナーシップ | ロボット外科手術アセンブリ |
EP3310288A4 (en) | 2015-06-19 | 2019-03-06 | Covidien LP | CONTROL OF ROBOTIC SURGICAL INSTRUMENTS WITH BIDIRECTIONAL COUPLING |
WO2016210111A1 (en) | 2015-06-23 | 2016-12-29 | Matrix It Medical Tracking Systems, Inc. | Sterile implant tracking device and system |
JP6719487B2 (ja) | 2015-06-23 | 2020-07-08 | コヴィディエン リミテッド パートナーシップ | ロボット外科手術アセンブリ |
WO2016206015A1 (en) | 2015-06-24 | 2016-12-29 | Covidien Lp | Surgical clip applier with multiple clip feeding mechanism |
US10905415B2 (en) | 2015-06-26 | 2021-02-02 | Ethicon Llc | Surgical stapler with electromechanical lockout |
US9839470B2 (en) | 2015-06-30 | 2017-12-12 | Covidien Lp | Electrosurgical generator for minimizing neuromuscular stimulation |
US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
KR101726054B1 (ko) | 2015-07-08 | 2017-04-12 | 성균관대학교산학협력단 | 생체조직 판별 장치 및 방법, 이를 이용한 수술 장치 |
CA2991632A1 (en) | 2015-07-13 | 2017-01-19 | Mako Surgical Corp. | Lower extremities leg length calculation method |
JP6902525B2 (ja) | 2015-07-13 | 2021-07-14 | サージマティクス, インコーポレーテッドSurgimatix, Inc. | 解放機構を備えた腹腔鏡縫合装置 |
WO2017011646A1 (en) | 2015-07-14 | 2017-01-19 | Smith & Nephew, Inc. | Instrumentation identification and re-ordering system |
GB2540756B (en) | 2015-07-22 | 2021-03-31 | Cmr Surgical Ltd | Gear packaging for robot arms |
GB2541369B (en) | 2015-07-22 | 2021-03-31 | Cmr Surgical Ltd | Drive mechanisms for robot arms |
US10420558B2 (en) | 2015-07-30 | 2019-09-24 | Ethicon Llc | Surgical instrument comprising a system for bypassing an operational step of the surgical instrument |
US10679758B2 (en) | 2015-08-07 | 2020-06-09 | Abbott Cardiovascular Systems Inc. | System and method for supporting decisions during a catheterization procedure |
US9532845B1 (en) | 2015-08-11 | 2017-01-03 | ITKR Software LLC | Methods for facilitating individualized kinematically aligned total knee replacements and devices thereof |
EP3334510B1 (en) | 2015-08-14 | 2020-02-12 | 3M Innovative Properties Company | Identification of filter media within a filtration system |
US10136949B2 (en) | 2015-08-17 | 2018-11-27 | Ethicon Llc | Gathering and analyzing data for robotic surgical systems |
WO2017031132A1 (en) * | 2015-08-17 | 2017-02-23 | Intuitive Surgical Operations, Inc. | Unground master control devices and methods of use |
US10205708B1 (en) | 2015-08-21 | 2019-02-12 | Teletracking Technologies, Inc. | Systems and methods for digital content protection and security in multi-computer networks |
US10639039B2 (en) | 2015-08-24 | 2020-05-05 | Ethicon Llc | Surgical stapler buttress applicator with multi-zone platform for pressure focused release |
WO2017033361A1 (ja) * | 2015-08-25 | 2017-03-02 | 川崎重工業株式会社 | ロボットシステム及びその運転方法 |
US10028744B2 (en) | 2015-08-26 | 2018-07-24 | Ethicon Llc | Staple cartridge assembly including staple guides |
WO2017037705A1 (en) | 2015-08-30 | 2017-03-09 | M.S.T. Medical Surgery Technologies Ltd | An intelligent surgical tool control system for laparoscopic surgeries |
EP3344179B1 (en) | 2015-08-31 | 2021-06-30 | KB Medical SA | Robotic surgical systems |
US20170068792A1 (en) | 2015-09-03 | 2017-03-09 | Bruce Reiner | System and method for medical device security, data tracking and outcomes analysis |
CN107920864B (zh) | 2015-09-11 | 2021-07-16 | 柯惠Lp公司 | 用于操控机器人末端执行器的机器人手术系统控制方案 |
EP3141181B1 (en) | 2015-09-11 | 2018-06-20 | Bernard Boon Chye Lim | Ablation catheter apparatus with a basket comprising electrodes, an optical emitting element and an optical receiving element |
DE102015115559A1 (de) | 2015-09-15 | 2017-03-16 | Karl Storz Gmbh & Co. Kg | Manipulationssystem sowie Handhabungsvorrichtung für chirurgische Instrumente |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
EP3352700A4 (en) | 2015-09-25 | 2019-07-03 | Covidien LP | ELASTIC SURGICAL INTERFACE FOR SURGICAL ROBOTIC SYSTEMS |
US11076909B2 (en) | 2015-09-25 | 2021-08-03 | Gyrus Acmi, Inc. | Multifunctional medical device |
US10806454B2 (en) | 2015-09-25 | 2020-10-20 | Covidien Lp | Robotic surgical assemblies and instrument drive connectors thereof |
US10898280B2 (en) | 2015-09-25 | 2021-01-26 | Covidien Lp | Robotic surgical assemblies and electromechanical instruments thereof |
EP3352698B1 (en) | 2015-09-25 | 2021-11-17 | Covidien LP | Surgical robotic assemblies and instrument adapters thereof |
WO2017058696A1 (en) | 2015-09-30 | 2017-04-06 | Ethicon Endo-Surgery, Llc | Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments |
US9900787B2 (en) | 2015-09-30 | 2018-02-20 | George Ou | Multicomputer data transferring system with a base station |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US11058475B2 (en) | 2015-09-30 | 2021-07-13 | Cilag Gmbh International | Method and apparatus for selecting operations of a surgical instrument based on user intention |
WO2017066373A1 (en) | 2015-10-14 | 2017-04-20 | Surgical Theater LLC | Augmented reality surgical navigation |
ITUB20154977A1 (it) * | 2015-10-16 | 2017-04-16 | Medical Microinstruments S R L | Strumento medicale e metodo di fabbricazione di detto strumento medicale |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10893914B2 (en) | 2015-10-19 | 2021-01-19 | Ethicon Llc | Surgical instrument with dual mode end effector and modular clamp arm assembly |
US10058393B2 (en) | 2015-10-21 | 2018-08-28 | P Tech, Llc | Systems and methods for navigation and visualization |
JP2019500914A (ja) | 2015-10-22 | 2019-01-17 | コヴィディエン リミテッド パートナーシップ | 入力デバイス用可変走査 |
US20170116873A1 (en) | 2015-10-26 | 2017-04-27 | C-SATS, Inc. | Crowd-sourced assessment of performance of an activity |
US10639027B2 (en) | 2015-10-27 | 2020-05-05 | Ethicon Llc | Suturing instrument cartridge with torque limiting features |
EP3367919A4 (en) | 2015-10-29 | 2019-07-10 | Sharp Fluidics LLC | SYSTEMS AND METHOD FOR DATA COLLECTION IN AN OPERATING ROOM |
CN108135659B (zh) | 2015-10-30 | 2021-09-10 | 柯惠Lp公司 | 用于机器人外科手术系统接口的触觉反馈控制装置 |
CN108348303B (zh) | 2015-10-30 | 2021-03-05 | 柯惠Lp公司 | 用于具有视觉反馈的机器人外科手术系统的输入手柄 |
EP3265785A4 (en) | 2015-10-30 | 2018-04-04 | Cedars-Sinai Medical Center | Methods and systems for performing tissue classification using multi-channel tr-lifs and multivariate analysis |
EP3369018A1 (en) | 2015-10-30 | 2018-09-05 | Koninklijke Philips N.V. | Hospital matching of de-identified healthcare databases without obvious quasi-identifiers |
US20170132785A1 (en) | 2015-11-09 | 2017-05-11 | Xerox Corporation | Method and system for evaluating the quality of a surgical procedure from in-vivo video |
US10084833B2 (en) | 2015-11-09 | 2018-09-25 | Cisco Technology, Inc. | Initiating a collaboration session between devices using an audible message |
US10390831B2 (en) | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
US20170132374A1 (en) | 2015-11-11 | 2017-05-11 | Zyno Medical, Llc | System for Collecting Medical Data Using Proxy Inputs |
KR20180068336A (ko) | 2015-11-12 | 2018-06-21 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 훈련 또는 보조 기능들을 갖는 수술 시스템 |
CN108289691B (zh) | 2015-11-13 | 2021-04-09 | 直观外科手术操作公司 | 具有二自由度腕部的推拉式缝合器 |
US10772630B2 (en) | 2015-11-13 | 2020-09-15 | Intuitive Surgical Operations, Inc. | Staple pusher with lost motion between ramps |
WO2017083125A1 (en) | 2015-11-13 | 2017-05-18 | Intuitive Surgical Operations, Inc. | Stapler with composite cardan and screw drive |
US20170143284A1 (en) | 2015-11-25 | 2017-05-25 | Carestream Health, Inc. | Method to detect a retained surgical object |
EP3383247A4 (en) | 2015-11-25 | 2019-06-26 | Camplex, Inc. | SURGICAL VISUALIZATION SYSTEMS AND DISPLAYS |
KR102374677B1 (ko) | 2015-11-27 | 2022-03-15 | 삼성전자 주식회사 | 무선 통신을 이용한 전자장치의 관리 방법과 장치 |
US10143526B2 (en) | 2015-11-30 | 2018-12-04 | Auris Health, Inc. | Robot-assisted driving systems and methods |
US9888975B2 (en) | 2015-12-04 | 2018-02-13 | Ethicon Endo-Surgery, Llc | Methods, systems, and devices for control of surgical tools in a robotic surgical system |
US10311036B1 (en) | 2015-12-09 | 2019-06-04 | Universal Research Solutions, Llc | Database management for a logical registry |
KR102535081B1 (ko) | 2015-12-09 | 2023-05-22 | 삼성전자주식회사 | 시계-타입 웨어러블 장치 |
US20170164997A1 (en) | 2015-12-10 | 2017-06-15 | Ethicon Endo-Surgery, Llc | Method of treating tissue using end effector with ultrasonic and electrosurgical features |
GB201521804D0 (en) | 2015-12-10 | 2016-01-27 | Cambridge Medical Robotics Ltd | Pulley arrangement for articulating a surgical instrument |
GB201521805D0 (en) | 2015-12-10 | 2016-01-27 | Cambridge Medical Robotics Ltd | Guiding engagement of a robot arm and surgical instrument |
US10686805B2 (en) | 2015-12-11 | 2020-06-16 | Servicenow, Inc. | Computer network threat assessment |
US11045223B2 (en) | 2015-12-11 | 2021-06-29 | Reach Surgical, Inc. | Modular signal interface system and powered trocar |
US10265130B2 (en) | 2015-12-11 | 2019-04-23 | Ethicon Llc | Systems, devices, and methods for coupling end effectors to surgical devices and loading devices |
CA3005094C (en) | 2015-12-14 | 2021-05-25 | Buffalo Filter Llc | Method and apparatus for attachment and evacuation |
US10238413B2 (en) | 2015-12-16 | 2019-03-26 | Ethicon Llc | Surgical instrument with multi-function button |
US20170172614A1 (en) | 2015-12-17 | 2017-06-22 | Ethicon Endo-Surgery, Llc | Surgical instrument with multi-functioning trigger |
EP3380029A1 (en) | 2015-12-21 | 2018-10-03 | Gyrus ACMI, Inc. (D.B.A. Olympus Surgical Technologies America) | High surface energy portion on a medical instrument |
US20170177807A1 (en) | 2015-12-21 | 2017-06-22 | Gavin Fabian | Enhanced user interface for a system and method for optimizing surgical team composition and surgical team procedure resource management |
US10368894B2 (en) | 2015-12-21 | 2019-08-06 | Ethicon Llc | Surgical instrument with variable clamping force |
JP6657933B2 (ja) | 2015-12-25 | 2020-03-04 | ソニー株式会社 | 医療用撮像装置及び手術ナビゲーションシステム |
CN108463185B (zh) | 2015-12-29 | 2021-12-14 | 柯惠Lp公司 | 机器人手术系统和器械驱动组件 |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10470791B2 (en) | 2015-12-30 | 2019-11-12 | Ethicon Llc | Surgical instrument with staged application of electrosurgical and ultrasonic energy |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US10828058B2 (en) | 2016-01-15 | 2020-11-10 | Ethicon Llc | Modular battery powered handheld surgical instrument with motor control limits based on tissue characterization |
EP3405109A4 (en) | 2016-01-20 | 2020-05-06 | Lucent Medical Systems, Inc. | LOW FREQUENCY ELECTROMAGNETIC TRACKING |
US11273006B2 (en) | 2016-01-29 | 2022-03-15 | Millennium Healthcare Technologies, Inc. | Laser-assisted periodontics |
KR20180100702A (ko) | 2016-01-29 | 2018-09-11 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 가변 속도 수술 기기용 시스템 및 방법 |
WO2017132365A1 (en) | 2016-01-29 | 2017-08-03 | Boston Scientific Scimed, Inc. | Medical user interface |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10653413B2 (en) | 2016-02-09 | 2020-05-19 | Ethicon Llc | Surgical instruments with an end effector that is highly articulatable relative to an elongate shaft assembly |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US9980140B1 (en) | 2016-02-11 | 2018-05-22 | Bigfoot Biomedical, Inc. | Secure communication architecture for medical devices |
US20170231628A1 (en) | 2016-02-12 | 2017-08-17 | Ethicon Endo-Surgery, Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
CN112370159A (zh) | 2016-02-26 | 2021-02-19 | 思想外科有限公司 | 用于指导用户定位机器人的系统 |
CA3013222A1 (en) | 2016-02-26 | 2017-08-31 | Covidien Lp | Robotic surgical systems and robotic arms thereof |
EP3419543B1 (en) | 2016-02-26 | 2023-04-05 | Intuitive Surgical Operations, Inc. | System for collision avoidance using virtual boundaries |
US10786298B2 (en) | 2016-03-01 | 2020-09-29 | Covidien Lp | Surgical instruments and systems incorporating machine learning based tissue identification and methods thereof |
JP2019509104A (ja) | 2016-03-04 | 2019-04-04 | コヴィディエン リミテッド パートナーシップ | 電気機械式外科用システム及びそのロボット外科用器具 |
WO2017151996A1 (en) | 2016-03-04 | 2017-09-08 | Covidien Lp | Inverse kinematic control systems for robotic surgical system |
WO2017151873A1 (en) | 2016-03-04 | 2017-09-08 | Covidien Lp | Ultrasonic instruments for robotic surgical systems |
WO2017155999A1 (en) | 2016-03-07 | 2017-09-14 | Hansa Medical Products, Inc. | Apparatus and method for forming an opening in patient's tissue |
JP6488249B2 (ja) | 2016-03-08 | 2019-03-20 | 富士フイルム株式会社 | 血管情報取得装置、内視鏡システム及び血管情報取得方法 |
CA2960531C (en) | 2016-03-11 | 2019-06-25 | The Toronto-Dominion Bank | Application platform security enforcement in cross device and ownership structures |
SG11201807618QA (en) | 2016-03-15 | 2018-10-30 | Epix Therapeutics Inc | Improved devices, systems and methods for irrigated ablation |
US10350016B2 (en) | 2016-03-17 | 2019-07-16 | Intuitive Surgical Operations, Inc. | Stapler with cable-driven advanceable clamping element and dual distal pulleys |
US10631858B2 (en) | 2016-03-17 | 2020-04-28 | Intuitive Surgical Operations, Inc. | Stapler with cable-driven advanceable clamping element and distal pulley |
WO2017169823A1 (ja) | 2016-03-30 | 2017-10-05 | ソニー株式会社 | 画像処理装置および方法、手術システム並びに手術用部材 |
US10413293B2 (en) | 2016-04-01 | 2019-09-17 | Ethicon Llc | Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis |
US10175096B2 (en) | 2016-04-01 | 2019-01-08 | Ethicon Llc | System and method to enable re-use of surgical instrument |
US10478190B2 (en) | 2016-04-01 | 2019-11-19 | Ethicon Llc | Surgical stapling system comprising a spent cartridge lockout |
US10413297B2 (en) | 2016-04-01 | 2019-09-17 | Ethicon Llc | Surgical stapling system configured to apply annular rows of staples having different heights |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10722233B2 (en) | 2016-04-07 | 2020-07-28 | Intuitive Surgical Operations, Inc. | Stapling cartridge |
KR102388183B1 (ko) | 2016-04-12 | 2022-04-19 | 어플라이드 메디컬 리소시스 코포레이션 | 수술용 스테이플러에 대한 재장전 샤프트 어셈블리 |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10492783B2 (en) * | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
WO2017184651A1 (en) | 2016-04-19 | 2017-10-26 | ClearMotion, Inc. | Active hydraulec ripple cancellation methods and systems |
US10363032B2 (en) | 2016-04-20 | 2019-07-30 | Ethicon Llc | Surgical stapler with hydraulic deck control |
US10285700B2 (en) | 2016-04-20 | 2019-05-14 | Ethicon Llc | Surgical staple cartridge with hydraulic staple deployment |
US20170304020A1 (en) | 2016-04-20 | 2017-10-26 | Samson Ng | Navigation arm system and methods |
WO2017189317A1 (en) | 2016-04-26 | 2017-11-02 | KindHeart, Inc. | Telerobotic surgery system for remote surgeon training using robotic surgery station and remote surgeon station and an animating device |
US20170312456A1 (en) | 2016-04-27 | 2017-11-02 | David Bruce PHILLIPS | Skin Desensitizing Device |
DE102016207666B4 (de) | 2016-05-03 | 2023-03-02 | Olympus Winter & Ibe Gmbh | Medizinische Rauchgasabsaugvorrichtung und Verfahren zum Betreiben derselben |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US20170325878A1 (en) | 2016-05-11 | 2017-11-16 | Ethicon Llc | Suction and irrigation sealing grasper |
EP3457951B1 (en) | 2016-05-18 | 2024-03-06 | Virtual Incision Corporation | Robotic surgical devices and systems |
US10555748B2 (en) | 2016-05-25 | 2020-02-11 | Ethicon Llc | Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument |
CN113328581B (zh) | 2016-05-26 | 2024-06-11 | 柯惠Lp公司 | 器械驱动单元 |
CA3022164A1 (en) | 2016-05-26 | 2017-11-30 | Covidien Lp | Robotic surgical assemblies |
CN109195541B (zh) | 2016-05-26 | 2021-07-27 | 柯惠Lp公司 | 机器人手术组合件及其器械驱动单元 |
US11026764B2 (en) | 2016-05-26 | 2021-06-08 | Covidien Lp | Cannula assemblies for use with robotic surgical systems |
GB201609467D0 (en) | 2016-05-30 | 2016-07-13 | Givaudan Sa | Improvements in or relating to organic compounds |
DE102016209576B4 (de) | 2016-06-01 | 2024-06-13 | Siemens Healthineers Ag | Bewegungssteuerung für ein mobiles Medizingerät |
CN107735040B (zh) | 2016-06-03 | 2021-06-18 | 柯惠Lp公司 | 用于机器人手术系统的控制臂 |
US11090125B2 (en) | 2016-06-03 | 2021-08-17 | Covidien Lp | Passive axis system for robotic surgical systems |
EP3463151B1 (en) | 2016-06-03 | 2023-10-11 | Covidien LP | Control arm assemblies for robotic surgical systems |
US11272992B2 (en) | 2016-06-03 | 2022-03-15 | Covidien Lp | Robotic surgical assemblies and instrument drive units thereof |
EP3463161A4 (en) | 2016-06-03 | 2020-05-20 | Covidien LP | SYSTEMS, METHODS, AND COMPUTER READABLE INFORMATION MEDIUM FOR CONTROLLING ASPECTS OF A ROBOTIC SURGICAL DEVICE AND STEREOSCOPIC DISPLAY ADAPTING TO THE OBSERVER |
US11617611B2 (en) | 2016-06-17 | 2023-04-04 | Megadayne Medical Products, Inc. | Hand-held instrument with dual zone fluid removal |
WO2017220788A1 (en) | 2016-06-23 | 2017-12-28 | Siemens Healthcare Gmbh | System and method for artificial agent based cognitive operating rooms |
USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
US11125553B2 (en) | 2016-06-24 | 2021-09-21 | Syracuse University | Motion sensor assisted room shape reconstruction and self-localization using first-order acoustic echoes |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
EP3478208A4 (en) | 2016-06-30 | 2020-02-19 | Intuitive Surgical Operations Inc. | SYSTEMS AND METHODS FOR ERROR REACTION MECHANISMS FOR MEDICAL ROBOT SYSTEMS |
US10313137B2 (en) | 2016-07-05 | 2019-06-04 | General Electric Company | Method for authenticating devices in a medical network |
CN206097107U (zh) | 2016-07-08 | 2017-04-12 | 山东威瑞外科医用制品有限公司 | 一种超声刀频率跟踪装置 |
US10258362B2 (en) | 2016-07-12 | 2019-04-16 | Ethicon Llc | Ultrasonic surgical instrument with AD HOC formed blade |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
WO2018020553A1 (ja) | 2016-07-25 | 2018-02-01 | オリンパス株式会社 | エネルギー制御装置及び処置システム |
US10378893B2 (en) | 2016-07-29 | 2019-08-13 | Ca, Inc. | Location detection sensors for physical devices |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10037641B2 (en) | 2016-08-10 | 2018-07-31 | Elwha Llc | Systems and methods for individual identification and authorization utilizing conformable electronics |
JP2019534490A (ja) | 2016-08-12 | 2019-11-28 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 一次/二次インタラクション機能を備えた分散型インタラクティブ医療視覚化システム |
US10548673B2 (en) | 2016-08-16 | 2020-02-04 | Ethicon Llc | Surgical tool with a display |
US10231775B2 (en) | 2016-08-16 | 2019-03-19 | Ethicon Llc | Robotic surgical system with tool lift control |
US9943377B2 (en) | 2016-08-16 | 2018-04-17 | Ethicon Endo-Surgery, Llc | Methods, systems, and devices for causing end effector motion with a robotic surgical system |
US10390895B2 (en) | 2016-08-16 | 2019-08-27 | Ethicon Llc | Control of advancement rate and application force based on measured forces |
US10531929B2 (en) | 2016-08-16 | 2020-01-14 | Ethicon Llc | Control of robotic arm motion based on sensed load on cutting tool |
US10398517B2 (en) | 2016-08-16 | 2019-09-03 | Ethicon Llc | Surgical tool positioning based on sensed parameters |
US10813703B2 (en) | 2016-08-16 | 2020-10-27 | Ethicon Llc | Robotic surgical system with energy application controls |
US11285314B2 (en) | 2016-08-19 | 2022-03-29 | Cochlear Limited | Advanced electrode array insertion |
US10695134B2 (en) | 2016-08-25 | 2020-06-30 | Verily Life Sciences Llc | Motion execution of a robotic system |
US10555750B2 (en) | 2016-08-25 | 2020-02-11 | Ethicon Llc | Ultrasonic surgical instrument with replaceable blade having identification feature |
US10736649B2 (en) | 2016-08-25 | 2020-08-11 | Ethicon Llc | Electrical and thermal connections for ultrasonic transducer |
AU2017319515B2 (en) | 2016-08-30 | 2019-11-21 | Mako Surgical Corp. | Systems and methods for intra-operative pelvic registration |
US11370113B2 (en) | 2016-09-06 | 2022-06-28 | Verily Life Sciences Llc | Systems and methods for prevention of surgical mistakes |
US10568703B2 (en) | 2016-09-21 | 2020-02-25 | Verb Surgical Inc. | User arm support for use in a robotic surgical system |
US10069633B2 (en) | 2016-09-30 | 2018-09-04 | Data I/O Corporation | Unified programming environment for programmable devices |
EP3518730B1 (en) * | 2016-10-03 | 2024-04-17 | Verb Surgical Inc. | Immersive three-dimensional display for robotic surgery |
US20180098816A1 (en) | 2016-10-06 | 2018-04-12 | Biosense Webster (Israel) Ltd. | Pre-Operative Registration of Anatomical Images with a Position-Tracking System Using Ultrasound |
US10278778B2 (en) | 2016-10-27 | 2019-05-07 | Inneroptic Technology, Inc. | Medical device navigation using a virtual 3D space |
US20190254759A1 (en) | 2016-11-04 | 2019-08-22 | Intuitive Surgical Operations, Inc. | Reconfigurable display in computer-assisted tele-operated surgery |
US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
KR20190070356A (ko) * | 2016-11-11 | 2019-06-20 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 환자 건강 기록들 기반 기구 제어를 갖는 원격조작 수술 시스템 |
CN109963605B (zh) | 2016-11-14 | 2021-10-15 | 康美公司 | 对到体腔的连续气流进行连续压力监测的多模态手术气体递送系统 |
US11147935B2 (en) | 2016-11-14 | 2021-10-19 | Conmed Corporation | Smoke evacuation system for continuously removing gas from a body cavity |
US11003988B2 (en) | 2016-11-23 | 2021-05-11 | General Electric Company | Hardware system design improvement using deep learning algorithms |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
CN110036245A (zh) | 2016-12-06 | 2019-07-19 | 斐乐公司 | 具有智能传感器和气流的空气净化器 |
US10881446B2 (en) | 2016-12-19 | 2021-01-05 | Ethicon Llc | Visual displays of electrical pathways |
KR102282079B1 (ko) | 2016-12-20 | 2021-07-28 | 버브 서지컬 인크. | 로봇 수술 시스템에 사용하기 위한 멸균 어댑터 제어 시스템 및 통신 인터페이스 |
US10318763B2 (en) | 2016-12-20 | 2019-06-11 | Privacy Analytics Inc. | Smart de-identification using date jittering |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US20180168647A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments having end effectors with positive opening features |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US20180168577A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments |
US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10244926B2 (en) | 2016-12-28 | 2019-04-02 | Auris Health, Inc. | Detecting endolumenal buckling of flexible instruments |
US10842897B2 (en) | 2017-01-20 | 2020-11-24 | Éclair Medical Systems, Inc. | Disinfecting articles with ozone |
CA3048039A1 (en) | 2017-02-15 | 2018-08-23 | Covidien Lp | System and apparatus for crush prevention for medical robot applications |
US11158415B2 (en) | 2017-02-16 | 2021-10-26 | Mako Surgical Corporation | Surgical procedure planning system with multiple feedback loops |
US20180242967A1 (en) | 2017-02-26 | 2018-08-30 | Endoevolution, Llc | Apparatus and method for minimally invasive suturing |
US9836654B1 (en) | 2017-02-28 | 2017-12-05 | Kinosis Ltd. | Surgical tracking and procedural map analysis tool |
US10497472B1 (en) | 2017-03-08 | 2019-12-03 | Deborah T. Bullington | Directional signal fencing for medical appointment progress tracking |
WO2018165980A1 (en) | 2017-03-17 | 2018-09-20 | Covidien Lp | Anvil plate for a surgical stapling instrument |
US11017906B2 (en) | 2017-03-20 | 2021-05-25 | Amino, Inc. | Machine learning models in location based episode prediction |
CN108652695B (zh) | 2017-03-31 | 2020-02-14 | 江苏风和医疗器材股份有限公司 | 外科器械 |
WO2018176414A1 (en) | 2017-03-31 | 2018-10-04 | Fengh Medical Co., Ltd. | Staple cartridge assembly and surgical instrument with the same |
JP2018176387A (ja) | 2017-04-19 | 2018-11-15 | 富士ゼロックス株式会社 | ロボット装置及びプログラム |
EP4108201B1 (en) | 2017-04-21 | 2024-03-27 | Medicrea International | A system for developing one or more patient-specific spinal implants |
WO2018208616A1 (en) | 2017-05-08 | 2018-11-15 | Masimo Corporation | System for pairing a medical system to a network controller by use of a dongle |
WO2018217605A1 (en) | 2017-05-22 | 2018-11-29 | Becton, Dickinson And Company | Systems, apparatuses and methods for secure wireless pairing between two devices using embedded out-of-band (oob) key generation |
US10806532B2 (en) | 2017-05-24 | 2020-10-20 | KindHeart, Inc. | Surgical simulation system using force sensing and optical tracking and robotic surgery system |
CA3006939A1 (en) * | 2017-06-01 | 2018-12-01 | Monroe Solutions Group Inc. | Systems and methods for establishing telepresence of a remote user |
US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
US10992698B2 (en) | 2017-06-05 | 2021-04-27 | Meditechsafe, Inc. | Device vulnerability management |
US10932784B2 (en) | 2017-06-09 | 2021-03-02 | Covidien Lp | Handheld electromechanical surgical system |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US20180360456A1 (en) | 2017-06-20 | 2018-12-20 | Ethicon Llc | Surgical instrument having controllable articulation velocity |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11229496B2 (en) | 2017-06-22 | 2022-01-25 | Navlab Holdings Ii, Llc | Systems and methods of providing assistance to a surgeon for minimizing errors during a surgical procedure |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
CN110831653B (zh) | 2017-06-28 | 2021-12-17 | 奥瑞斯健康公司 | 器械插入补偿 |
US11298128B2 (en) | 2017-06-28 | 2022-04-12 | Cilag Gmbh International | Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same |
USD893717S1 (en) | 2017-06-28 | 2020-08-18 | Ethicon Llc | Staple cartridge for surgical instrument |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US11007022B2 (en) * | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10898183B2 (en) * | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10258418B2 (en) * | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11153076B2 (en) | 2017-07-17 | 2021-10-19 | Thirdwayv, Inc. | Secure communication for medical devices |
US10241577B2 (en) * | 2017-08-01 | 2019-03-26 | Immersion Corporation | Single actuator haptic effects |
US10751052B2 (en) | 2017-08-10 | 2020-08-25 | Ethicon Llc | Surgical device with overload mechanism |
US11027432B2 (en) | 2017-09-06 | 2021-06-08 | Stryker Corporation | Techniques for controlling position of an end effector of a robotic device relative to a virtual constraint |
USD831209S1 (en) | 2017-09-14 | 2018-10-16 | Ethicon Llc | Surgical stapler cartridge |
US20190087544A1 (en) | 2017-09-21 | 2019-03-21 | General Electric Company | Surgery Digital Twin |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
JP6861604B2 (ja) * | 2017-10-02 | 2021-04-21 | 株式会社オカムラ | 管理システム及び制御方法 |
WO2019079179A1 (en) | 2017-10-16 | 2019-04-25 | Cryterion Medical, Inc. | FLUID DETECTION ASSEMBLY FOR A MEDICAL DEVICE |
WO2019077434A1 (en) | 2017-10-17 | 2019-04-25 | Novartis Ag | CUSTOM OPHTHALMIC SURGICAL PROFILES |
US10398348B2 (en) | 2017-10-19 | 2019-09-03 | Biosense Webster (Israel) Ltd. | Baseline impedance maps for tissue proximity indications |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US10736616B2 (en) | 2017-10-30 | 2020-08-11 | Ethicon Llc | Surgical instrument with remote release |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11026687B2 (en) | 2017-10-30 | 2021-06-08 | Cilag Gmbh International | Clip applier comprising clip advancing systems |
US11129634B2 (en) | 2017-10-30 | 2021-09-28 | Cilag Gmbh International | Surgical instrument with rotary drive selectively actuating multiple end effector functions |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11311342B2 (en) * | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11564756B2 (en) * | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11510741B2 (en) * | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US10932804B2 (en) | 2017-10-30 | 2021-03-02 | Ethicon Llc | Surgical instrument with sensor and/or control systems |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11759224B2 (en) | 2017-10-30 | 2023-09-19 | Cilag Gmbh International | Surgical instrument systems comprising handle arrangements |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10783634B2 (en) | 2017-11-22 | 2020-09-22 | General Electric Company | Systems and methods to deliver point of care alerts for radiological findings |
US10631916B2 (en) | 2017-11-29 | 2020-04-28 | Megadyne Medical Products, Inc. | Filter connection for a smoke evacuation device |
US10786317B2 (en) | 2017-12-11 | 2020-09-29 | Verb Surgical Inc. | Active backdriving for a robotic arm |
US11071595B2 (en) * | 2017-12-14 | 2021-07-27 | Verb Surgical Inc. | Multi-panel graphical user interface for a robotic surgical system |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11013563B2 (en) | 2017-12-28 | 2021-05-25 | Ethicon Llc | Drive arrangements for robot-assisted surgical platforms |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US20190206564A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method for facility data collection and interpretation |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
US20190201045A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method for smoke evacuation for surgical hub |
US20190201130A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication of data where a surgical network is using context of the data and requirements of a receiving system / user to influence inclusion or linkage of data and metadata to establish continuity |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US20190206569A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of cloud based data analytics for use with the hub |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US10898622B2 (en) | 2017-12-28 | 2021-01-26 | Ethicon Llc | Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device |
US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
US20190201034A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Powered stapling device configured to adjust force, advancement speed, and overall stroke of cutting member based on sensed parameter of firing or clamping |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US11100631B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Use of laser light and red-green-blue coloration to determine properties of back scattered light |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11559307B2 (en) * | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US20190206561A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Data handling and prioritization in a cloud analytics network |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
US20190201087A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Smoke evacuation system including a segmented control circuit for interactive surgical platform |
US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11998193B2 (en) * | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
US20190200980A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical system for presenting information interpreted from external data |
US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
US20190201027A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical instrument with acoustic-based motor control |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11096693B2 (en) | 2017-12-28 | 2021-08-24 | Cilag Gmbh International | Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing |
US20190201090A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Capacitive coupled return path pad with separable array elements |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11612408B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Determining tissue composition via an ultrasonic system |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US20190201118A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Display arrangements for robot-assisted surgical platforms |
US20190201112A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Computer implemented interactive surgical systems |
US20190200906A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Dual cmos array imaging |
US11659023B2 (en) * | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
US20190201140A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical hub situational awareness |
US20190201115A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Aggregation and reporting of surgical hub data |
US11937769B2 (en) * | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US20190200997A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Stapling device with both compulsory and discretionary lockouts based on sensed parameters |
US11969142B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US20190206555A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Cloud-based medical analytics for customization and recommendations to a user |
US20190201594A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US20190200987A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Variable output cartridge sensor assembly |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11844579B2 (en) | 2017-12-28 | 2023-12-19 | Cilag Gmbh International | Adjustments based on airborne particle properties |
WO2019133143A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Surgical hub and modular device response adjustment based on situational awareness |
US20190205567A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Data pairing to interconnect a device measured parameter with an outcome |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US10856768B2 (en) | 2018-01-25 | 2020-12-08 | Biosense Webster (Israel) Ltd. | Intra-cardiac scar tissue identification using impedance sensing and contact measurement |
WO2019152898A1 (en) | 2018-02-03 | 2019-08-08 | Caze Technologies | Surgical systems with sensing and machine learning capabilities and methods thereof |
WO2019169010A1 (en) | 2018-02-27 | 2019-09-06 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US11967422B2 (en) | 2018-03-05 | 2024-04-23 | Medtech S.A. | Robotically-assisted surgical procedure feedback techniques |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11701162B2 (en) | 2018-03-08 | 2023-07-18 | Cilag Gmbh International | Smart blade application for reusable and disposable devices |
US11707293B2 (en) | 2018-03-08 | 2023-07-25 | Cilag Gmbh International | Ultrasonic sealing algorithm with temperature control |
US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11406382B2 (en) | 2018-03-28 | 2022-08-09 | Cilag Gmbh International | Staple cartridge comprising a lockout key configured to lift a firing member |
US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
US20190298353A1 (en) | 2018-03-28 | 2019-10-03 | Ethicon Llc | Surgical stapling devices with asymmetric closure features |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11141232B2 (en) | 2018-03-29 | 2021-10-12 | Intuitive Surgical Operations, Inc. | Teleoperated surgical instruments |
JP7108449B2 (ja) | 2018-04-10 | 2022-07-28 | Dgshape株式会社 | 手術用器具管理システム |
US11278274B2 (en) | 2018-05-04 | 2022-03-22 | Arch Day Design, Llc | Suture passing device |
CA3102138A1 (en) | 2018-06-08 | 2019-12-12 | East Carolina University | Determining peripheral oxygen saturation (spo2) and hemoglobin concentration using multi-spectral laser imaging (msli) methods and systems |
US11278285B2 (en) | 2018-08-13 | 2022-03-22 | Cilag GbmH International | Clamping assembly for linear surgical stapler |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US20200054321A1 (en) | 2018-08-20 | 2020-02-20 | Ethicon Llc | Surgical instruments with progressive jaw closure arrangements |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US20200078118A1 (en) | 2018-09-07 | 2020-03-12 | Ethicon Llc | Power and communication mitigation arrangement for modular surgical energy system |
US11298129B2 (en) | 2019-02-19 | 2022-04-12 | Cilag Gmbh International | Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11253255B2 (en) | 2019-07-26 | 2022-02-22 | Covidien Lp | Knife lockout wedge |
US10902944B1 (en) | 2020-01-06 | 2021-01-26 | Carlsmed, Inc. | Patient-specific medical procedures and devices, and associated systems and methods |
-
2018
- 2018-03-29 US US15/940,690 patent/US20190201118A1/en not_active Abandoned
- 2018-03-29 US US15/940,683 patent/US11058498B2/en active Active
- 2018-03-29 US US15/940,680 patent/US11213359B2/en active Active
- 2018-03-29 US US15/940,676 patent/US20190201142A1/en not_active Abandoned
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- 2018-09-26 EP EP18788899.5A patent/EP3634250A1/en active Pending
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-
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Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6454781B1 (en) * | 1999-05-26 | 2002-09-24 | Ethicon Endo-Surgery, Inc. | Feedback control in an ultrasonic surgical instrument for improved tissue effects |
US20040111183A1 (en) * | 2002-08-13 | 2004-06-10 | Sutherland Garnette Roy | Microsurgical robot system |
EP1839599A1 (en) * | 2006-03-29 | 2007-10-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical system and method |
WO2013052815A1 (en) * | 2011-10-05 | 2013-04-11 | Medtronic Xomed, Inc. | Interface module allowing delivery of tissue stimulation and electrosurgery through a common surgical instrument |
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JP7416693B2 (ja) | 2024-01-17 |
JP7286652B2 (ja) | 2023-06-05 |
WO2019130101A1 (en) | 2019-07-04 |
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EP3635742A1 (en) | 2020-04-15 |
JP2021509314A (ja) | 2021-03-25 |
JP7258891B2 (ja) | 2023-04-17 |
CN111542271B (zh) | 2024-06-21 |
EP3634250A1 (en) | 2020-04-15 |
US20190201142A1 (en) | 2019-07-04 |
JP2021509033A (ja) | 2021-03-18 |
CN111542271A (zh) | 2020-08-14 |
WO2019130100A1 (en) | 2019-07-04 |
US20190201145A1 (en) | 2019-07-04 |
BR112020013059A2 (pt) | 2020-12-01 |
US20230116571A1 (en) | 2023-04-13 |
BR112020013062A2 (pt) | 2020-12-01 |
US20190201118A1 (en) | 2019-07-04 |
JP2023165014A (ja) | 2023-11-14 |
CN111512391A (zh) | 2020-08-07 |
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WO2019130099A1 (en) | 2019-07-04 |
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JP2021509034A (ja) | 2021-03-18 |
EP3635734A1 (en) | 2020-04-15 |
US11058498B2 (en) | 2021-07-13 |
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