IN2014DN07890A - - Google Patents

Info

Publication number
IN2014DN07890A
IN2014DN07890A IN7890DEN2014A IN2014DN07890A IN 2014DN07890 A IN2014DN07890 A IN 2014DN07890A IN 7890DEN2014 A IN7890DEN2014 A IN 7890DEN2014A IN 2014DN07890 A IN2014DN07890 A IN 2014DN07890A
Authority
IN
India
Prior art keywords
end effector
surgical
control module
excitation
energy
Prior art date
Application number
Inventor
Amy L Marcotte
Timothy G Dietz
Donna L Korvick
Ashvani K Madan
William D Dannaher
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of IN2014DN07890A publication Critical patent/IN2014DN07890A/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4887—Locating particular structures in or on the body
    • A61B5/4893—Nerves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320097—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with stapling means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Neurology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Neurosurgery (AREA)
  • Physiology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Surgical Instruments (AREA)

Abstract

A surgical apparatus comprises an instrument body an end effector and a control module. The end effector is in communication with the handle assembly. The end effector is operable for use in a surgical procedure. The control module is in communication with the end effector. The end effector with the control module is able to deliver surgical energy as well as nerve excitation energy to a surgical site. A surgeon may detect stimulation of nervous tissue by visually observing the tissue twitch and may adjust surgical technique accordingly. A sensor may be used to detect excitation of nervous tissue based on excitation caused by the nerve excitation energy.
IN7890DEN2014 2012-04-09 2013-04-03 IN2014DN07890A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US13/442,020 US20130267874A1 (en) 2012-04-09 2012-04-09 Surgical instrument with nerve detection feature
PCT/US2013/035060 WO2013154876A1 (en) 2012-04-09 2013-04-03 Surgical instrument with nerve detection feature

Publications (1)

Publication Number Publication Date
IN2014DN07890A true IN2014DN07890A (en) 2015-04-24

Family

ID=48096340

Family Applications (1)

Application Number Title Priority Date Filing Date
IN7890DEN2014 IN2014DN07890A (en) 2012-04-09 2013-04-03

Country Status (9)

Country Link
US (2) US20130267874A1 (en)
EP (1) EP2836140B1 (en)
JP (1) JP6158303B2 (en)
CN (1) CN104203129B (en)
AU (1) AU2013246284B2 (en)
BR (1) BR112014025194B1 (en)
CA (1) CA2869749C (en)
IN (1) IN2014DN07890A (en)
WO (1) WO2013154876A1 (en)

Families Citing this family (159)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8083685B2 (en) 2007-05-08 2011-12-27 Propep, Llc System and method for laparoscopic nerve detection
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US9743884B2 (en) 2010-04-30 2017-08-29 J3G Spine, Llc Devices and methods for nerve mapping
US11399898B2 (en) * 2012-03-06 2022-08-02 Briteseed, Llc User interface for a system used to determine tissue or artifact characteristics
US20130267874A1 (en) 2012-04-09 2013-10-10 Amy L. Marcotte Surgical instrument with nerve detection feature
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
AU2013267672B2 (en) * 2012-05-29 2017-11-16 Autonomix Medical, Inc. Endoscopic sympathectomy systems and methods
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US10098585B2 (en) 2013-03-15 2018-10-16 Cadwell Laboratories, Inc. Neuromonitoring systems and methods
WO2015123441A1 (en) * 2014-02-12 2015-08-20 The Methodist Hospital Method and apparatus for identifying the ureter during a minimally-invasive procedure
US20150238260A1 (en) * 2014-02-26 2015-08-27 Covidien Lp Surgical instruments including nerve stimulator apparatus for use in the detection of nerves in tissue and methods of directing energy to tissue using same
WO2015148504A1 (en) 2014-03-25 2015-10-01 Briteseed Llc Vessel detector and method of detection
US10987050B2 (en) 2014-07-21 2021-04-27 ProPep Surgical, LLC System and method for laparoscopic nerve identification, nerve location marking, and nerve location recognition
US10123731B2 (en) 2014-08-08 2018-11-13 Medtronic Xomed, Inc. Wireless sensors for nerve integrity monitoring systems
US10543041B2 (en) * 2014-10-03 2020-01-28 Covidien Lp Energy-based surgical instrument including integrated nerve detection system
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10327796B2 (en) * 2014-12-19 2019-06-25 Ethicon Llc Ultrasonic surgical instrument with dual modes
CN104888346B (en) * 2014-12-21 2020-10-13 徐志强 Method and device for performing nerve stimulation on coma brain
WO2016134330A1 (en) 2015-02-19 2016-08-25 Briteseed Llc System and method for determining vessel size and/or edge
WO2016134327A1 (en) 2015-02-19 2016-08-25 Briteseed Llc System for determining vessel size using light absorption
US10039915B2 (en) 2015-04-03 2018-08-07 Medtronic Xomed, Inc. System and method for omni-directional bipolar stimulation of nerve tissue of a patient via a surgical tool
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
WO2017062720A1 (en) 2015-10-08 2017-04-13 Briteseed Llc System and method for determining vessel size
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
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
US10456193B2 (en) * 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
WO2018044722A1 (en) 2016-08-30 2018-03-08 Briteseed Llc System and method for determining vessel size with angular distortion compensation
WO2018043774A1 (en) * 2016-08-31 2018-03-08 부산대학교 산학협력단 Nerve probe attachable/detachable to/from surgical instrument, and energy device surgical instrument having nerve probe attached thereto
US10849517B2 (en) * 2016-09-19 2020-12-01 Medtronic Xomed, Inc. Remote control module for instruments
KR101757131B1 (en) * 2016-12-30 2017-07-12 변광 Medical Device
US9935395B1 (en) 2017-01-23 2018-04-03 Cadwell Laboratories, Inc. Mass connection plate for electrical connectors
WO2018229771A1 (en) * 2017-06-16 2018-12-20 Yissum Research Development Company Of The Hebrew University Of Jerusalem Ltd. Spectroscopic clamper for real time nerve detection
GB2564392A (en) * 2017-07-05 2019-01-16 Creo Medical Ltd Apparatus and methods for thermally treating ligaments
KR102062252B1 (en) * 2017-08-30 2020-01-03 부산대학교 산학협력단 Intraoperative Neuromonitoring System Using Bio-pressure Sensor
WO2019050928A1 (en) 2017-09-05 2019-03-14 Briteseed, Llc System and method used to determine tissue and/or artifact characteristics
KR102102979B1 (en) * 2017-09-14 2020-04-22 포항공과대학교 산학협력단 A medical tissue gripping device
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11413042B2 (en) 2017-10-30 2022-08-16 Cilag Gmbh International Clip applier comprising a reciprocating clip advancing member
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
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
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11759224B2 (en) 2017-10-30 2023-09-19 Cilag Gmbh International Surgical instrument systems comprising handle arrangements
US11696777B2 (en) 2017-12-22 2023-07-11 Briteseed, Llc Compact system used to determine tissue or artifact characteristics
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
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
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11058498B2 (en) 2017-12-28 2021-07-13 Cilag Gmbh International Cooperative surgical actions for robot-assisted surgical platforms
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
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
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
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
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
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
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
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
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
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
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
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
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
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
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11696760B2 (en) 2017-12-28 2023-07-11 Cilag Gmbh International Safety systems for smart powered surgical stapling
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
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
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11596291B2 (en) 2017-12-28 2023-03-07 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11013563B2 (en) 2017-12-28 2021-05-25 Ethicon Llc Drive arrangements for robot-assisted surgical platforms
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
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
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
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
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
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
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
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
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
KR102244287B1 (en) * 2017-12-29 2021-04-26 주식회사 하이로닉 Operating apparatus for sensing nerve and generating energy
US11701162B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
CN112055880A (en) * 2018-03-08 2020-12-08 爱惜康有限责任公司 Radio frequency energy device for delivering combined electrical signals
US11534196B2 (en) 2018-03-08 2022-12-27 Cilag Gmbh International Using spectroscopy to determine device use state in combo instrument
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11166716B2 (en) 2018-03-28 2021-11-09 Cilag Gmbh International Stapling instrument comprising a deactivatable lockout
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
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
US11253182B2 (en) 2018-05-04 2022-02-22 Cadwell Laboratories, Inc. Apparatus and method for polyphasic multi-output constant-current and constant-voltage neurophysiological stimulation
US11622805B2 (en) * 2018-06-08 2023-04-11 Acclarent, Inc. Apparatus and method for performing vidian neurectomy procedure
US11443649B2 (en) 2018-06-29 2022-09-13 Cadwell Laboratories, Inc. Neurophysiological monitoring training simulator
JP7394117B2 (en) * 2018-08-20 2023-12-07 ブライトシード・エルエルシー A stimulation system used to detect or identify tissue or artifacts
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
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
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
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
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
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US20210196357A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with asynchronous energizing electrodes
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
WO2021207398A1 (en) * 2020-04-10 2021-10-14 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Electrosurgical device with integrated nerve monitoring
RU2767895C1 (en) * 2021-05-13 2022-03-22 Владимир Игоревич Федоренко Optical-surgical device for detection and recognition of neurovascular structures in the volume of biological tissue
CN114366309A (en) * 2022-01-17 2022-04-19 上海锦立城医疗科技有限公司 Surgical robot with nerve monitoring function
DE102022112280A1 (en) 2022-05-17 2023-11-23 Karl Storz Se & Co. Kg Endoscopic instrument system

Family Cites Families (53)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6319134A (en) * 1986-07-11 1988-01-26 工業技術院長 Method and apparatus for stimulating nerve or irritable tissue
CN2043120U (en) * 1988-07-23 1989-08-23 河南省老年病研究中心 Electric stimulator
CN1041873A (en) * 1988-10-19 1990-05-09 中国医学科学院生物医学工程研究所 The checkout gear of electric stimulus inducing myoelectric potential
JP3339952B2 (en) * 1993-12-28 2002-10-28 オリンパス光学工業株式会社 Peeling treatment tool
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US6810281B2 (en) 2000-12-21 2004-10-26 Endovia Medical, Inc. Medical mapping system
US20040034340A1 (en) * 1999-10-13 2004-02-19 Spineco, Inc., An Ohio Corporation Smart dissector
US6500176B1 (en) 2000-10-23 2002-12-31 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US8812114B2 (en) 2001-10-18 2014-08-19 Uroplasty, Inc. Lead set for nerve stimulator and method of operation thereof
US6929644B2 (en) 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US7354440B2 (en) 2001-10-22 2008-04-08 Surgrx, Inc. Electrosurgical instrument and method of use
US7311709B2 (en) 2001-10-22 2007-12-25 Surgrx, Inc. Electrosurgical instrument and method of use
US7125409B2 (en) 2001-10-22 2006-10-24 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
US7189233B2 (en) 2001-10-22 2007-03-13 Surgrx, Inc. Electrosurgical instrument
JP4111484B2 (en) * 2001-10-26 2008-07-02 株式会社東芝 Surgical device
EP1474031B1 (en) 2002-01-22 2012-01-11 Surgrx, Inc. Electrosurgical instrument and method of use
US7169146B2 (en) 2003-02-14 2007-01-30 Surgrx, Inc. Electrosurgical probe and method of use
US20040204734A1 (en) * 2003-04-11 2004-10-14 Wagner Darrell Orvin Tunneling tool with subcutaneous transdermal illumination
US7309849B2 (en) 2003-11-19 2007-12-18 Surgrx, Inc. Polymer compositions exhibiting a PTC property and methods of fabrication
IL160216A0 (en) * 2004-02-04 2004-07-25 Yosef Gross Dental assembly
US7220951B2 (en) 2004-04-19 2007-05-22 Surgrx, Inc. Surgical sealing surfaces and methods of use
US20050283148A1 (en) * 2004-06-17 2005-12-22 Janssen William M Ablation apparatus and system to limit nerve conduction
US8057467B2 (en) 2004-10-08 2011-11-15 Ethicon Endo-Surgery, Inc. Clamp mechanism for use with an ultrasonic surgical instrument
US9247952B2 (en) * 2004-10-15 2016-02-02 Amendia, Inc. Devices and methods for tissue access
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7717932B2 (en) * 2005-10-27 2010-05-18 Medtronic Xomed, Inc. Instrument and system for surgical cutting and evoked potential monitoring
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US8366727B2 (en) 2006-06-01 2013-02-05 Ethicon Endo-Surgery, Inc. Tissue pad ultrasonic surgical instrument
US20080097501A1 (en) * 2006-06-22 2008-04-24 Tyco Healthcare Group Lp Ultrasonic probe deflection sensor
US9693792B2 (en) * 2006-10-18 2017-07-04 Misonix, Incorporated Ultrasonic treatment method and apparatus with active pain suppression
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
AU2008206385B2 (en) 2007-01-16 2013-10-24 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating
US8063770B2 (en) 2007-08-01 2011-11-22 Peter Costantino System and method for facial nerve monitoring
US20090143800A1 (en) 2007-12-03 2009-06-04 Derek Dee Deville Cordless Hand-Held Ultrasonic Cautery Cutting Device
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
DE102008018262B9 (en) * 2008-04-10 2013-07-18 Erbe Elektromedizin Gmbh Surgical device with nerve test device
JP5583672B2 (en) 2008-09-12 2014-09-03 エシコン・エンド−サージェリィ・インコーポレイテッド Ultrasonic device that can be operated with fingertips
US8852179B2 (en) * 2008-10-10 2014-10-07 Covidien Lp Apparatus, system and method for monitoring tissue during an electrosurgical procedure
JP5417064B2 (en) * 2009-07-02 2014-02-12 パナソニック株式会社 High frequency power amplifier
PL2453813T3 (en) * 2009-07-15 2017-11-30 Ethicon Llc Electrosurgical ultrasonic instrument
US8461744B2 (en) * 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
ITMI20091442A1 (en) * 2009-08-07 2011-02-08 Marco Cenzato ULTRASONIC VACUUM DEVICE ELECTROPHYSIOLOGICAL NEUROSTIMULATOR, PARTICULARLY FOR THE REMOVAL OF PATHOLOGICAL FABRIC IN NEURO SURGICAL AREA.
US8986302B2 (en) 2009-10-09 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8939974B2 (en) 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US8753333B2 (en) 2010-03-10 2014-06-17 Covidien Lp System for determining proximity relative to a nerve
US10631912B2 (en) * 2010-04-30 2020-04-28 Medtronic Xomed, Inc. Interface module for use with nerve monitoring and electrosurgery
DE102010017117A1 (en) * 2010-05-27 2011-12-01 Anne Schardey Surgical instrument
US20120025337A1 (en) * 2010-07-28 2012-02-02 Avago Technologies Wireless Ip (Singapore) Pte. Ltd Mems transducer device having stress mitigation structure and method of fabricating the same
US8767970B2 (en) 2011-02-16 2014-07-01 Apple Inc. Audio panning with multi-channel surround sound decoding
US9028515B2 (en) * 2011-03-30 2015-05-12 Covidien Lp Ultrasonic surgical instruments
US20130267874A1 (en) 2012-04-09 2013-10-10 Amy L. Marcotte Surgical instrument with nerve detection feature

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