US20010034530A1 - Surgery system - Google Patents
Surgery system Download PDFInfo
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- US20010034530A1 US20010034530A1 US09/764,609 US76460901A US2001034530A1 US 20010034530 A1 US20010034530 A1 US 20010034530A1 US 76460901 A US76460901 A US 76460901A US 2001034530 A1 US2001034530 A1 US 2001034530A1
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- smart instrument
- set forth
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- instrument
- surgery system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/90—Identification means for patients or instruments, e.g. tags
- A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
-
- 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
- A61B2017/00212—Electrical control of surgical instruments using remote controls
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00725—Calibration or performance testing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/107—Visualisation of planned trajectories or target regions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2055—Optical tracking systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2055—Optical tracking systems
- A61B2034/2057—Details of tracking cameras
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2068—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2072—Reference field transducer attached to an instrument or patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/25—User interfaces for surgical systems
- A61B2034/252—User interfaces for surgical systems indicating steps of a surgical procedure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
- A61B2090/3945—Active visible markers, e.g. light emitting diodes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
- A61B2090/3975—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave active
- A61B2090/3979—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave active infrared
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3983—Reference marker arrangements for use with image guided surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/25—User interfaces for surgical systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/90—Identification means for patients or instruments, e.g. tags
Definitions
- This invention relates generally to a surgery system.
- this invention relates to a system for displaying and guiding a series of instruments to a surgical site located relative to a body of a patient.
- an image-guided surgery system is used to display a position of a surgical instrument in an operating zone within the body of a patient.
- a number of frame and frameless stereotactic systems have been developed to assist surgeons during various procedures that require an instrument to travel to a target within a body.
- a surgeon analyzes images of the body using CT scans, MRI scans, or PET scans to determine a location of a target and to determine a desirable trajectory along which the instrument should travel during a surgical procedure.
- the image-guided surgery system includes a position measuring system for measuring the position of the surgical instrument.
- a typical image guided system usually includes a series of surgical instruments, a computer system, a camera or other localization device, a monitor, a cabinet or stand to hold the monitor and computer, and various connecting equipment and accessories.
- the computer system is used for calculating the positions of the instruments in a corresponding previously captured or real time image of a surgical site.
- the position of the instrument is displayed on the image of the surgical site on the monitor.
- the image on the monitor shows the surgeon exactly where in the operating zone the surgical instrument is located, without the surgeon having a direct view of the instrument.
- Image guided systems improve the accuracy and efficiency of many surgical procedures such as complex, sight impaired neurological procedures.
- Known frameless stereotactic systems utilize optical, RF, magnetic, audio, or other signal systems to communicate between the surgical instruments and the computer system.
- the surgical instruments are either tethered to the computer system or are wireless.
- Wireless instruments carry a system-compatible emitter or sensor for communication through LEDs or RF systems to the computer system.
- Tethered instruments can add complexity to the system by limiting the range of motion of the instrument and adding additional wires and cables to route and negotiate during the surgery. Range of motion of the instrument is very important during the surgery itself. Limitations must be overcome by the surgeon and can lead to inaccuracies in the surgery.
- An improved image guided system that would improve and address these concerns.
- An improved system would provide improved control, use, life, and precision of the instruments and would allow for easier set up and use of the system overall.
- the improved system would enhance component compatibility and interchangeability, and improve the economic efficiency of the image guided surgery system.
- the instruments of this invention are wireless and have a bi-directional high speed communication system that allows communication between the instruments and a computer system in real time.
- the communication system consists of a high-speed, specific frequency or spread frequency, infrared or RF based signaling system located in the instruments and a second signaling system connected to the computer.
- the instruments contain non-volatile memory circuitry allowing the instruments themselves to store information about the instrument and communicate that information back to the computer system through a communication path.
- the instruments memory consists of an updateable EE Ram structure that can be completely updated or changed at any time. This feature allows the instruments of the invention to be updated with an improved software package as the system design changes over time. This improves an instrument's life and reduces a lifetime cost of the image-guided surgery system.
- the image-guided system's communication path allows the downloading of calibration data from the instruments to the computer system and uploading of calibration information to the instruments from the computer system. Control data can also be downloaded to the instrument instructing the instrument to perform a function, such as irrigation.
- the patient tracker of the invention includes a zero tolerance adapter interface for connection of the tracker to an instrument adapter or reference frame. This allows for patient setup and registration to be completed with non-sterile instruments.
- the improved communication path allows the improved instruments to be calibrated much easier and faster than conventional instruments.
- the image-guided system of the invention is capable of re-calibrating damaged or imperfect instruments without going through a complex field calibration process.
- the computer system of the invention will recognize an error present in the instruments and re-calibrate the instrument based on the data received from the field calibration tool, eliminating a need to remove the instrument from service to perform a lengthy re-calibration procedure.
- the ability to store an instruments calibration and emitter positions within each individual instrument also eases a manufacturing process that traditionally required the instruments to be manufactured to a tight tolerance.
- the instruments' communication and storage capabilities also allow the computer system to automatically recognize the instruments as they are placed into a field created by the localization system.
- the camera detection system consists of one or a plurality of camera sensors placed in a movable sensor array assembly attached to a computer system.
- the camera sensors contain their own calibration data allowing the camera to be apart from the computer system.
- the sensor array establishes a field of detection whereby the infrared signals from the instruments are received by the sensor array.
- the communication path of the invention allows for near instantaneous perception of a new instrument entering the field of detection. This allows the instrument to be immediately recognized and displayed by the computer system on an image of a surgical site displayed on a monitor. This feature allows a user to immediately use a new instrument without installing any new software or calibration files onto the computer system.
- the instrument communication system also communicates an instrument status to the computer system displaying instrument status information such as a battery and LED status to a user.
- Another object of the invention is an improved control interface between the user operating the instruments and the computer system.
- the invention accomplishes this object by providing operating controls integrated into the instruments.
- the user can operate the computer system software from a surgical field without the need for an additional assistant to operate the computer system outside the surgical field.
- the control buttons can also be used to control auxiliary equipment connected to the system.
- the function of the instrument buttons can be specifically configured by the user to customize the instruments for each user.
- the invention image-guided surgery system also includes a separate remote control unit that allows further control of the computer system from within the surgical field. The remote control operates using the same communication system as the instruments.
- An additional object of the invention is to provide an improved image-guided surgery computer cart assembly for housing the computer system, the monitor, the camera detection system, and organizing a plurality of power supply cables and a plurality of communication cables.
- the computer cart of the invention includes an interface for connecting communication cables from the monitor and the camera detection system to the computer.
- the cart system includes an interface for connecting peripheral equipment such as a network connection, a telephone line, a plurality of microscopes, and other operating room equipment.
- the cart contains a monitor interface combining the low voltage power supply, video, audio, and control cables from the system into a single system power cable exiting from the cart.
- the cart also contains a plurality of storage locations for peripheral equipment.
- FIG. 1 is a perspective view of a surgery system according to an embodiment of the present invention
- FIG. 2 is perspective view of a universal tracker device of the present invention
- FIG. 3 is a perspective view of the universal tracker device adapted to a general instrument
- FIG. 4 is an assembly view of the universal tracker device of FIG. 2;
- FIG. 5 is a perspective view of the universal tracker of FIG. 2 and a portion of a patient tracking system
- FIG. 6 is a perspective view of a smart instrument in the form of a pointer device, according to an embodiment of the present invention.
- FIG. 7 is a partial assembly view of the smart instrument of FIG. 6;
- FIG. 8 is another partial assembly view of the pointer device of FIG. 6;
- FIG. 9 is a perspective view of a computer cart assembly of the present invention.
- FIG. 10 is a partial assembly front view of the computer cart assembly of FIG. 9;
- FIG. 11 is a rear perspective view of the computer cart assembly of FIG. 9;
- FIG. 12 is an assembly view of a sensor array for use with the surgery system of FIG. 1, according to an embodiment of the present invention
- FIG. 13 is assembly view of a rear panel assembly of the present invention.
- FIG. 14 is a perspective view of a switch box assembly of the present invention.
- FIG. 15 is a partial assembly view of the switch box assembly of the present invention.
- FIG. 16 is a flow diagram of a smart instrument activation process, according to an embodiment of the present invention.
- FIG. 17 is a second flow diagram of a smart instrument activation process, according to an embodiment of the present invention.
- FIG. 18 is a flow diagram of a patient tracking system using a universal tracker device activation process, according to an embodiment of the present invention.
- FIG. 19 is a diagrammatic illustration of a display screen with an initial banner, according to an embodiment of the present invention.
- FIG. 20 is a diagrammatic illustration of the display screen of FIG. 19 with a second banner
- FIG. 21 is a diagrammatic illustration of the display screen of FIG. 19 with an information section having tool validation instructions;
- FIG. 22 is a perspective view of a universal tracker device and another smart instrument during a validation procedure
- FIG. 23 is a diagrammatic illustration of the display screen of FIG. 19 during a point definition process
- FIG. 24 is a flow diagram of a process for defining markers in a surgery system, according to an embodiment of the present invention.
- FIG. 25 is a diagrammatic illustration of the display screen of FIG. 19 with point definition accuracy information
- FIG. 26 is a diagrammatic illustration of the display screen of FIG. 19 with a main menu
- FIG. 27 is a diagrammatic illustration of the display screen of FIG. 19 during an operation mode
- FIG. 28 is a diagrammatic illustration of the display screen of FIG. 19 during an operation mode with a virtual tip feature
- FIG. 29 is a diagrammatic illustration of the display screen of FIG. 19 during an guidance mode
- FIG. 30 is a second diagrammatic illustration of the display screen of FIG. 19 during the guidance mode
- FIG. 31 is a diagrammatic illustration of the display screen of FIG. 19 during a select approach mode
- FIG. 32 is a second diagrammatic illustration of the display screen of FIG. 19 during the select approach mode
- FIG. 33 is a diagrammatic illustration of a flexible sheet or mesh having a plurality of markers, according to an embodiment of the present invention.
- FIG. 34A is a perspective view of a calibration and validation tool, according to an embodiment of the present invention.
- FIG. 34B is a second perspective view of the calibration and validation tool of FIG. 34A;
- FIG. 35 is a flow diagram of a calibration process for a smart instrument using the calibration and validation tool of FIGS. 34A and 34B, according to an embodiment of the present invention.
- FIG. 36 is a perspective view of a remote control device, according to an embodiment of the present invention.
- the present invention provides a surgery system 100 having at least one smart instrument 102 .
- the surgery system 100 includes a sensor system 104 and a computer system 106 .
- the computer system 106 includes a monitor 108 .
- the computer system 106 is preferably housed in a computer cart assembly 110 .
- the sensor system 104 is coupled to the computer system 106 and is adapted to wirelessly transmit data back and forth between the at least one smart instrument 102 and the computer system 104 and to sense the position of the at least one smart instrument 102 (see below).
- the sensor system 104 comprises a sensor array 112 .
- the smart instrument 102 is operated by an operator 120 to display a location of the smart instrument 102 relative to a patient 122 on a diagram, e.g., an image (such as an MRI or x-ray), picture, outline, line drawing, displayed on the monitor 108 during a surgical procedure.
- a diagram e.g., an image (such as an MRI or x-ray), picture, outline, line drawing, displayed on the monitor 108 during a surgical procedure.
- the sensor array 112 includes first, second, and third position sensors 1202 a, 1202 b, 12102 c for sensing the X, Y, and Z position of a smart instrument 102 .
- the first, second, and third position sensors 1202 a, 1202 b, 1202 c are linear CCD cameras which are adapted to detect infrared (IR) signals generated by the smart instruments 102 (see below).
- At least one infrared transceiver 1204 a, 1204 b is used to communicate data to and from the smart instruments 102 .
- the sensor array 112 includes first and second spaced apart transceivers 1202 a, 1202 b.
- the smart instruments 102 and the transceivers 1204 a , 1204 b communicate via infrared signals.
- the infrared signals have a baud rate at a preferred frequency of 62.5 KHz and data is transmitted using an amplitude-shift keying (ASK) modulating method at a frequency of 1.5 MHz.
- ASK amplitude-shift keying
- the present invention will now be described as communicating wirelessly using infrared signals, other types of wireless technologies may also be used.
- radio frequency signals are used.
- communication between the smart instruments 102 and the system 100 is accomplished using the IEEE 802.11 standard, commonly referred to as “Blue Tooth”.
- the computer system 104 may be controlled remotely by a series of control buttons 114 located on the smart instrument 102 .
- the computer system 106 also contains a keyboard 116 and a mouse 118 for operating the computer system 104 .
- the surgery system 100 is designed to be used by an operator 120 during a procedure on a patient 122 .
- the patient 122 is located on a surgical bed or table 124 .
- the system 100 includes two types of smart instruments 102 , a universal tracker 200 , as shown in FIGS. 2 - 5 and a specially adapted or specific purpose instrument, such as a pointer instrument 500 , as shown in FIGS. 6 - 8 .
- the universal tracker device 200 is shown in detail.
- the universal tracker device 200 may serve several functions.
- the universal tracker device 200 allows common surgical instruments to be used with the image guided surgery system 100 . Additionally, as shown In FIG. 5, the universal tracker device 200 , as part of a patient tracking system 502 (shown in part), is used to initialize and calibrate a dynamic reference frame centered on the patient 122 . The dynamic reference frame remains fixed relative to the patient 122 and is adjusted relative to the operating room or computer system 104 as the body moves or is moved relative thereto.
- the universal tracker device 200 is used to validate other smart instruments 102 (see below).
- the universal tracker device 200 serves as part of the patient tracking system 502 .
- the patient tracking system 502 includes the tracker device 200 , an adapter 504 and a clamp device 506 for attaching the tracker device 200 to a patient reference frame 508 .
- a preferred clamp device is known to those skilled in the art as a Mayfield clamp.
- the patient reference frame 508 couples the patient tracking system 502 to the patient 122 and is adapted to move with the patient 122 as the patient moves or is moved.
- An example of a patient reference frame 508 is a halo.
- the tracker device 200 is also used as a reference for communication between the surgical instruments and the computer system 104 .
- the tracker device 200 is constructed of a metal material and has a geometry designed to maximize the accuracy of the localizing system.
- the universal tracker device 200 includes a plurality of infrared light emitting diodes 202 , a communication transceiver 204 , and a status light 206 .
- the universal tracker device 200 includes first, second, third, fourth and fifth light emitting diodes 202 a , 202 b , 202 c , 202 d, 202 e.
- the tracker 200 also contains a battery holder 208 for holding a battery (not shown).
- the battery of the tracker 200 and the other smart instruments 102 is preferably a common lithium battery that is pre-sterilized that is to be loaded into the battery holder 208 just prior to use and is not to be re-sterilized.
- the status light 206 glows in a green color for approximately three seconds after placement of the battery into the battery holder 208 indicating that the tracker 200 is energized and has passed a series of self diagnostic test.
- the tracker 200 is attached to the clamp 258 by a zero tolerance adapter interface 210 and a release button 212 .
- the tracker is then ready to be initialized by depression of an activation button 214 .
- the tracker 200 also contains a validation point 216 for validating other smart instruments 102 .
- a universal tracker device 200 is shown adapted to be used with a general instrument 300 , shown as a pointer. Any number of common surgical instruments may be tracked with the invention by attachment to the universal tracker device 200 , including but not limited to a probe, scalpel, suction device, pin, or clamp.
- an adapter 302 is connected to the adapter interface 210 of the universal tracker device 200 and the general instrument 300 is attached by a clamp screw 304 .
- the universal tracker serves as a communication device between the attached instrument 300 and the sensor array 104 .
- the tracker 200 consists generally of a housing 402 , a PC board assembly 404 , a cover plate 406 , and a battery housing 408 interconnected by a plurality of fasteners 410 .
- the plurality of infrared light emitting diodes 202 are recessed into a plurality of LED apertures 412 , 412 a , 412 b , 412 c , 412 d, 412 e in the housing 402 and are held in place by a plurality of epoxy rings 414 , 414 a , 414 b , 414 c , 414 d, 414 e.
- a plurality of electrical leads 416 connect the diodes 202 to the PC board assembly 404 .
- the tracker 200 activation button 214 is biased in the housing 402 by a compression spring 418 and contains a magnet 420 .
- the communication transceiver 204 includes of an IR window 422 and a gasket 424 .
- the gasket 424 serves to seal the IR window 422 when installed in the housing 402 .
- the status light 206 is recessed through a status light aperture 426 and is connected to the PC board assembly 404 by an electrical lead 428 .
- a gasket 430 forms a seal.
- the battery housing 408 is attached to the cover plate 406 and contains a positive battery contact spring 434 , a negative battery contact spring 436 , and a removable cap 43 for placement of a battery (not shown) into the battery housing 408 .
- a magnet triggers another hall effect switch (not shown).
- the status of the hall effect switch is sent to the system 100 .
- a magnet may also be used for functional differentiation, e.g., a device tracker is adapted to sense the present of the magnet to determine if it is being used as part of a patient tracker system 502 or a universal tracker device 200 with a generic instrument 300 .
- a status of the universal tracker device battery and the diodes 202 may be displayed on the monitor 108 .
- the status feature is present in all of the smart instruments of the present invention.
- the PC board of the universal tracker 200 , and all of the smart instruments 102 contain a non-volatile memory circuit (not shown) that allows the instruments to store information about the instrument such as a unique ID number, and calibration information in the instrument itself. Storing calibration information in the instrument 102 allows the instrument 102 to be re-calibrated in a surgical field setting.
- the memory circuit of the instruments 102 such as the tracker 200 contain updateable memory (not shown) that can be updated or changed at any time.
- This feature improves the life of the smart instruments 102 such as the tracker device 200 by allowing the tracker device 200 to be updated with an improved software package as the image-guided system 100 changes over time.
- An ability to update over time improves the life of the tracker device 200 and reduces a lifetime cost of the image-guided surgery system 100 .
- the EE memory along with the microprocessor based circuitry of the instruments such as the tracker 200 also allows the sensor array 104 and computer system 106 to immediately detect a new instrument entering the surgical field without requiring the operator 120 to load a new software program onto the computer system 106 prior to using the new instrument 102 .
- the properties of the smart instruments 102 are preferably graphically displayed on the computer monitor 108 to enable visual display of their spatial and functional relationships to other smart instruments, surgical equipment, and the surgical field.
- the smart instrument may also store the specific geometry of the active part of the smart tool, i.e., the tip or the part of the tool that is in contact with the patient or delivering some kind of energy, mechanical, electrical, sonic, electromagnetic, etc . . . , to alter the patient's tissues.
- the geometry of the active part of the smart instrument is preferably stored in memory.
- a smart instrument 102 in the form of a specially adapted or specific purpose instrument will now be discussed in detail.
- the smart instrument 102 is shown as a pointer instrument 600 .
- the pointer instrument 600 has a housing 602 constructed of a metallic material and shaped in an ergonomic design to be held in the operator's hand.
- the pointer instrument 600 has a plurality of infrared light emitting diodes 604 and a communication transceiver 606 for communicating with the sensor system 104 .
- the pointer instrument 600 or any smart instrument 102 may include multiple transceivers to allow the instrument to be used in any direction.
- a smart instrument 102 may have any number of light emitting diodes 604 depending upon the nature of the smart instrument and the resolution or degree of accuracy required for its position.
- the pointer instrument 600 illustrated has first, second, third and fourth light emitting diodes 604 a , 604 b , 604 c , 604 d.
- the control buttons 114 of the pointer instrument 600 include an up button 608 , a select button 610 , and the down button 612 for remotely controlling the computer system 104 from the smart instrument 102 .
- buttons 608 , 610 , 612 may be specifically configured to suit a specific operator 120 .
- the up button 608 and the down button 612 are generally configured to navigate (up and down or left to right) through the software running on the computer system 104 , i.e., to navigate through the options available at the current operation state.
- the select button 610 button generally is used to actuate a current selection.
- the buttons can be reprogrammed, e.g., to interchange the functions of the up and down buttons 608 , 612 .
- Controlling the computer system 104 from the instrument 102 allows the operator 120 to remain in a surgical field to make adjustments to the computer system 104 thereby improving the efficiency of an operation.
- the pointer instrument 600 also contains a work tip shown as a pointer 614 , a status light 616 , and a battery holder 618 .
- the status light 616 blinks every few seconds to indicate normal operation of the instrument 600 .
- the pointer instrument 600 includes the housing 602 , a battery housing 702 , and a base assembly 704 interconnected by a plurality of fasteners 706 .
- the up button 608 , the select button 610 , and the down button 612 are mounted in an associated aperture 708 , 710 , 712 respectively, in the housing 602 by a plurality of threaded pins 714 a , 714 b and compression springs 716 a , 716 b , 716 c.
- each button 608 , 610 , 612 is a plurality of magnet carriers 718 a , 718 b , 718 c and magnets 720 a , 720 b , 720 c.
- the magnets 720 a , 720 b , 720 c and the springs 716 a , 716 b , 716 c allow the buttons 608 , 610 , 612 to toggle around the pins 714 a , 714 b.
- buttons 608 , 610 , 612 Under the buttons 608 , 610 , 612 is a foam pad 722 to insure accurate positioning of the hall sensors relative to the buttons 608 , 610 , 612 .
- the battery housing 702 is mounted in a channel 724 located in the base assembly 704 .
- the battery housing 702 contains a positive and negative battery contact spring 726 , 728 and a cap 730 for holding a battery (not shown).
- the pointer instrument 600 includes a cover plate 802 connected to the PC board assembly 804 by fasteners 706 .
- the light emitting diodes 604 a , 604 b , 604 c , 604 d are mounted into the housing 602 with a plurality of epoxy rings 806 and are connected to the PC board assembly 8043 by a plurality of leads 808 .
- the status light 616 is similarly mounted into the housing 602 with an epoxy ring 810 and is connected to the PC board assembly 804 by lead 812 .
- the communication transceiver 606 has an IR window 814 mounted to the housing 602 with a gasket 816 and a pair of fasteners 706 and spacers 818 .
- the PC board assembly 804 is connected to the battery (not shown) by a pair of battery leads 820 .
- a computer cart assembly 110 of the invention according to an embodiment of the present invention is shown.
- the computer cart assembly 110 consists of a cabinet 902 mounted on four wheels 904 (only three are shown) with four corresponding wheel locks 906 for activation to prevent the cart assembly 110 from moving unintentionally.
- Mounted to the cabinet 902 by a monitor extension post 908 and a pivotable monitor extension arm 910 is the monitor 108 .
- the monitor 108 of the preferred invention is a flat panel high resolution monitor.
- the monitor 108 is connected to the computer system 106 by a monitor cable 912 that is routed along the monitor extension arm 910 and through the monitor extension post 908 .
- Mounted on the cabinet 902 is a keyboard tray 914 and a mouse tray 916 for holding the keyboard 116 and the mouse 118 , respectively.
- the sensor array 112 is mounted to the cabinet 902 by a sensor array extension post 918 , a pivotable vertical sensor array extension arm 920 , and a pivotable horizontal sensor array extension arm 922 .
- the cabinet 902 includes first and second front cabinet doors 924 a , 924 b.
- the computer cart assembly 110 is shown with front cabinet doors 924 a , 924 b in an open position.
- the front cabinet doors 924 a , 924 b expose a computer workstation assembly 1002 , a disk bay and storage assembly 1004 , and a localizer 1006 .
- a switch panel assembly 1008 is also shown mounted within the keyboard tray 914 .
- FIG. 11 a rear view of the computer cart assembly 110 is shown. Mounted on the rear of the cart assembly 110 is a rear panel assembly 1102 , a cover 1104 , and a switch box assembly 1106 .
- FIG. 12 an assembly view of the sensor array 112 is shown.
- the sensor array 112 is connected by a plurality of fasteners 1206 to a mounting plate 1208 and a universal mount 1210 .
- the universal mount 1210 connects the sensor array 112 to the sensor array horizontal extension arm 922 .
- the sensor array 112 includes a plurality of position sensors 1202 and a plurality of transceivers 1204 .
- the plurality of sensors are cameras able to detect infrared light and the transceiver 1204 communicate using infrared light.
- the infrared transceivers 1204 could be RF transceivers.
- the position sensors 1202 contain their own calibration information allowing the localizer 1006 to be placed away from the sensor array 112 in the computer cart assembly 902 .
- the sensor array 112 establishes a detection field whereby the signals from the smart instruments 102 are received by the sensor array 112 .
- the smart instruments 102 In order to function properly, the smart instruments 102 must be placed within the detection field in order for the computer system 106 to recognize the position of the smart instruments 102 .
- the panel assembly 1102 consists of a housing 1302 for mounting of a monitor interface assembly 1304 and a video amplifier 1306 and coordinating a plurality of associated cables, cords, and plugs (as described below).
- the panel assembly 1102 includes an external modem port 1308 connected to a phone cable 1310 , a data port 1312 connected to a patch cable 1314 , and a SCSI port 1316 connected to a SCSI cable 1318 .
- the panel assembly 1102 also contains a plurality of communication cables 1320 and a video cable 1322 that are routed through the panel assembly 1102 and connected to the monitor interface assembly 1304 .
- the monitor interface assembly 1304 contains a monitor cable plug 1324 and a sensor array plug 1326 .
- the panel assembly 1102 also includes a power cord 1328 .
- the switch box assembly 1106 contains a top 1402 and a front panel 1404 that contains a plurality of communication ports 1406 , a plurality of medical grade outlets 1408 , a fused power entry module 1410 , an AC power outlet module 1412 , and an AC power entry module 1414 .
- the switch box assembly 1106 and the panel assembly 1104 allow for a connection of a computer network, a telephone line, a plurality of microscopes, and a plurality of other operating room equipment (not shown).
- the switch box assembly 1106 is shown with a back and a side panel (not shown) removed.
- the fused power entry module 1410 , the AC power outlet module 1412 , and the AC power entry module 1414 are shown interconnected to each other and to the plurality of outlets 1408 by a plurality of wires 1502 .
- the plurality of outlets 1408 are connected to a plurality of universal in-line plugs 1504 by the of wires 230 .
- Mounted to the top 1402 is a cart power control assembly 1506 that houses the universal in-line plugs 1504 .
- Also housed on the cart power control assembly 1506 is an image guided cart UPS micro 1508 and an image guided cart switch interface micro 1510 .
- the micro internal to the switch box allow for easy power up and power down of the complete system. A single push of the on button will turn the system on and pushing the standby button will turn the system off. During turn off, the micros synchronizes the Windows operating system shutdown and power to eliminate system crashes.
- Any number of smart instruments 102 may be active at any one time.
- the surgery system 100 operates on a scanning cycle which has a length determined by the number of smart instruments 102 (including universal tracker devices 200 ) being tracked.
- the image guided surgery system 100 only tracks the location of the smart instrument 102 currently being used by the operator 120 and any active universal tracker device 200 (see below).
- the system 100 displays a computer graphic on the monitor 108 representing the patient 122 or a portion of the patient's body.
- the graphic can be a two-dimensional, three-dimensional or multi-planer, e.g., a picture, x-rays, an MRO image, outline, line drawing or any other representation of the patient 122 .
- the computer system 106 receives information from the sensor system 104 regarding an active smart instrument's position and matches up this position with the graphic representing the patient 122 .
- the system 100 displays a line on the monitor 108 representing the active smart instrument 102 .
- the system 100 displays a graphic depicting the active smart instrument 102 .
- a new smart instrument 102 is placed in a ready to be activated state.
- a smart instrument 102 is powered up, i.e., by insertion of the battery, it is in a ready to be activated state.
- the operator 120 actuates the activation button 214 or the select button 610 so that the image guided surgery system 100 recognizes the smart instrument 102 .
- Each smart instrument 102 has a unique serial number.
- the activation of a new smart instrument 102 may occur at the beginning of each scan cycle.
- the surgery system 100 generates a request for any new tool to identify itself.
- the computer system 106 (through the transceivers 1204 a , 1204 b ) generates a New Tool Inquiry Package Signal.
- the New Tool Inquiry Package Signal includes a serial number identification for a target tool 102 and a request for the tool's serial number.
- the serial number identification for a target tool is set to a default value, e.g., zero (0). Only smart instruments 102 that are in the ready to be activated state and whose activation button 214 is actuated respond to a request to smart instruments having a serial number equal to the default value.
- a new smart instrument 102 if a new smart instrument 102 is ready to be activated, the smart instrument 102 responds to the New Tool Inquiry Package Signal and the system 100 stops the scanning.
- a seventh process block 1708 the new smart instrument 102 and the computer system 104 then communicate back and forth to relay the information the computer system 104 requires in order to initial the new smart instrument 102 to add it to the scanning process. After this process is done, then control proceeds to the normal scanning cycle in the fifth process block 1706 .
- each smart instrument 102 to be used is initialized prior to the start of the procedure. However, new tools 102 may be added at any time.
- Serial Number This is the unique electronic serial number for the smart instrument 102 that is used to identify the smart instrument 102 to the system 100 .
- Model Number This is the model number of the smart instrument 102 .
- the computer system 106 may utilize this information to retrieve information regarding the smart instrument 102 stored on the computer system 106 such as a graphic to be displayed on the monitor 108 while the smart instrument 102 is being used.
- Instrument Name This is the name of the smart instrument 102 .
- the Instrument Name is typically displayed on the monitor 108 while the smart instrument 102 is being used.
- Generic Tool Information This is the generic type of the smart instrument 102 .
- the computer system 106 utilizes this information to create graphics and other instrument parameters if a model number match can not be found.
- Generic Type This is a generic type for the smart instrument.
- the Generic Type is one of the following: unknown, navigation tool, calibration tool, tracker, keypad, frame based tool, functional tool.
- Tip Type This is the type of tip on the instrument. Type of tips include: cylinder, sphere, cone, truncated cone, and blade.
- Minimum LEDs This is the minimum number of LEDs that must be seen by the sensor system 104 for the smart instrument 102 to be recognized.
- the Dimensional Data represents the physical size of the smart instrument 102 and may include a radius, a bottom radius, a bottom width, a length, a top radius, a top width, and a thickness.
- Number of LEDs This is the total number of infrared light emitting diodes on the smart instrument 102 .
- LED on Time This is the amount of time that an infrared LED is activated.
- Tip Position This is the position of the smart instrument's tip in relation to the instrument's coordinate system.
- the Tip Position includes an X, Y, Z, yaw, pitch, and roll value.
- Tip Correction represents a correction factor for the position of the tip as a result of manufacturing tolerances and/or tip displacement.
- the Button Parameters define the buttons present on a smart instrument 102 .
- the Button Parameters may include the number of buttons, a clock delay, and a button timeout.
- EERAM Revision This is the revision level for the information stored on the EERAM.
- RMS Match This is the parameters used to calculate the match of the instrument LEDs.
- LED Position This parameter contains the position of a LED in relation to the smart instrument's coordinate system. Typically, there will be an LED position for each LED contained on an smart instrument 102 .
- the LED Position includes an X, Y, Z, and a X, Y, and Z component of a normal vector.
- Button Function This parameter defines the function of a button on the smart instrument 102 .
- Calibration Point The position of the smart instrument's calibration point in relation to the instrument's coordinate system.
- the Calibration Point includes an X, Y, X and radius value.
- the universal tracker device 200 is coupled to the patient tracking system 502 .
- the universal tracker device 200 must be positioned to ensure optimal alignment of the light emitting diodes 202 with the sensor array 104 .
- the universal tracker device 200 must also be positioned within a working volume of the system 100 . There should be no obstacles that interrupt the infrared beams between the universal tracker 200 and the sensor array 112 . Furthermore, the universal tracker 200 should be positioned to give complete access to the surgical site.
- the computer system 106 must also be initialized. With reference to FIG. 19, the computer system 106 displays a display screen 1900 on the monitor 108 .
- the display screen 1900 includes a button bar 1902 , an information section 1904 and a display section 1906 .
- a banner 1908 instructing the operator 120 to activate the tracking device 200 is displayed.
- a ninth process block 1804 once the universal tracker 200 is in position the operator 120 momentarily depresses the activation button 214 , as described above, to activate the universal tracker 200 .
- the operator 120 momentarily depresses the activation button 214 , as described above, to activate the universal tracker 200 .
- a banner 2002 is displayed indicating that no active tool is visible to the system.
- a smart instrument 102 must be activated.
- a graphic or pictogram 2004 of the smart instrument 102 (based on the Serial number, Model Number, Generic Tool Information or Generic Type) and the Name of the smart instrument 102 is displayed in the information section 1904 of the display screen 1900 .
- the red banner 2002 will disappear.
- the smart instrument 102 After the smart instrument 102 has been activated, it must then be validated, i.e., its position relative to the patient tracker 502 must be verified. With reference to FIG. 21, instructions 2102 on the validation procedure are displayed in the information section 1904 of the display screen 1900 . Furthermore, a background of the graphic 2004 is displayed in the color red to illustrate that the active tool 102 has not been validated.
- the smart instrument 102 is validated by placing the tip of the smart instrument 102 at the center of the validation point 216 of the tracker device 202 and actuating the select button 610 .
- the select button 610 When the select button 610 is activated, the sensor system 104 detects the firing of the diodes 604 and transmits raw position information to the system computer 106 .
- the localizer 1006 converts the raw position information into the position of the individual diodes 604 and transmits this information to the computer system 106 .
- the computer system 106 utilizes this information to determine the position and orientation of the smart instrument 102 .
- the localizer 1006 converts the raw position information into the position and orientation information of the smart instrument 102 and/or computer system 106 and transmits this information to the computer system 106 .
- the conversion of the raw position information by the localizer 1006 is well known in the art and is therefore not further discussed.
- the computer system 106 advances to the next step. Otherwise, the validation procedure may be redone through actuation of the select button 610 or the smart instrument 102 can be re-calibrated (see below).
- the system 102 may utilize a plurality of markers 2308 a , 2308 b , 2308 c , 2308 d located on a portion of the patient's body 122 in order to accurately register the surgical field relative to the graphic displayed in the display screen 1900 .
- the position of each marker 2308 a , 2308 b , 2308 c , 2308 d is defined.
- the display section 1906 is divided into first, second, third, and fourth sub-sections 2302 a , 2302 b , 2302 c , 2302 d.
- the first, second and third sub-sections 2302 a , 2302 b , 2302 c contain MRI images of the patient's head.
- the fourth sub-section 2302 d contains a computer image 2304 representing the head of the patient with the positions of the markers 2308 a , 2308 b , 2308 c , 2308 d indicated.
- markers 2308 a , 2308 b , 2308 c , 2308 d may be of several different types including sticker or screw-in posts.
- a graphic 2306 showing the screw-in post type or bone markers 2308 a , 2308 b , 2308 c is shown in the information section 1904 .
- the graphic 2306 is for information purposes only and is not an actual picture of the patient 126 .
- a mesh or sheet 3302 made of a flexible material may be draped or placed over a portion of the patient 122 .
- the mesh 3302 has a layer of light adhesive of one side and a plurality of markers 3304 on the other side. Preferably, the markers 3304 are spaced apart at known intervals.
- the mesh 3302 is stuck onto the patient 122 using the adhesive. The markers 3304 are thus visible by the localizer 1006 and can be used by the system 100 for surface matching as well as patient tracking.
- the markers 3304 are stickers which are used with a smart instrument 102 to register the positions of the markers 3304 within the system 102 .
- the sheet 3302 is a smart instrument and the markers 3304 are light emitting diodes.
- the position of the diodes is determined on the field.
- the diodes are connected to a breakout box and can be positioned using different means of attachment to any tissue of the patient, e.g., bone or skin.
- the geometry of the sheet 3302 can then be initialized to two modes: tracking of rigid tissues after determining the spatial relationships of the diodes with the sensor array.
- the second mode is to track soft tissue displacement or deformations over time.
- the positional information of the sheet's diodes can be used to register the tracked feature of the patient to an image data set, e.g., a CT scan, using, for example, surface matching techniques.
- the images contained in the sub-sections 2302 a , 2302 b , 2302 c , 232 d are used to define the reference points represented by the markers 2308 a , 2308 b , 2308 c in the system 100 .
- a set of instructions 2310 are displayed in the information section 1904 .
- light emitting diodes may be fixedly attached to the markers 2308 a , 2308 b , 2308 c for automatic registration of the marker positions in the system 100 .
- the active smart instrument 102 is a pointer.
- the operator 120 places the tip of the pointer 102 on the marker and actuates the select button 610 .
- the markers 2308 a , 2308 b , 2308 c must be defined in the order instructed, i.e., 1 , 2 , 3 .
- a marker 2308 a , 2308 b , 2308 c may be skipped altogether by scrolling through them using the control buttons 114 .
- the system 100 preferably allows the operator 120 to zoom and rotate the images in the display section 1906 to facilitate this process.
- the accuracy of the defined positions is checked. In the preferred embodiment, this is accomplished by calculating the relative agreement between the defined positions and known positions. If any of the defined positions differ from the expected position by over a predetermined threshold, then the marker position must be re-defined.
- the predetermined threshold is one (1) millimeter (mm) for skin markers and two and 1 ⁇ 2 (2.5) millimeters for the bone markers. However, these values may be adjusted.
- the display screen 1900 showing the calculated accuracy is shown.
- the points represented by the markers 2308 a , 2308 b , 230 c and their deviation are listed in the information section 1904 . Even if a defined point is within the predetermined deviation, the system 100 allows the operator 120 to re-define the point to optimize the accuracy of the system 100 .
- the information section 1904 includes a main menu 2602 .
- the main menu 2602 includes an operation button 2604 , a guidance mode button 2606 , an approaches button 2608 , a registration button 2610 , and a view selection button 2612 .
- the information section 1904 includes an operation panel 2702 .
- the operation panel 2702 includes a trajectory section 2704 , a virtual tip section 2706 , an image freeze toggle button 2708 , a take snapshot button 2710 , a zoom in button 2712 , and zoom out button 2714 , and a main menu button 2716 .
- the trajectory section 2704 includes information on the distance between the actual position of a smart instruments 102 and the desired operating point.
- the Trajectory Section 2704 describes the type of trajectory 2720 required to reach the operating point, i.e., “Straight”.
- a colored dot 2718 denotes the color of an image on the screen 2724 representing the trajectory.
- a text box 2722 contains the distance from the actual position of the smart instrument 102 and the desired operating point.
- the virtual tip feature allows the operator 120 to virtually extend the tip of the smart instrument 102 on the monitor 108 . This is usual for visualizing an extended instrument during operation.
- the virtual tip section 2706 includes a distance text box 2726 , a decrementing button 2728 , an incrementing button 2730 and a reset button 2732 .
- the distance text box 2726 contains the virtual extended distance of the smart instrument 102 .
- the decrementing button 2728 , incrementing button 2730 and reset button 2732 are used to decrease, increase, and set to zero the virtual extended distance of the smart instrument and may be operated via the mouse 116 or control buttons 114 .
- the virtual tip feature is useful for aligning a navigated instrument along a planned trajectory.
- the virtual tip feature is also useful to determine the depth of a biopsy. With the tip of the smart instrument 102 placed at the entry point the distance to target is shown in the text box 2722 . The virtual tip can then be extended this amount (to the target) and the alignment of the instrument along the planned trajectory is easily done.
- a virtual tip extension of 50 mm is shown.
- a warning signal 2802 is displayed to remind the operator 120 that a virtual probe is being displayed.
- the required trajectory from the actual point of the smart instrument 102 to the desired operating point is represented by the dashed line 2804 .
- the actual tip of the smart instrument 102 is represented by the first perpendicular line segment 2806 .
- the second perpendicular line segment 2808 represents the virtual tip.
- the freeze image toggle button 2708 is used to toggle between frozen or static onscreen images and real-time images. Real-time images are displayed during normal operation.
- the take snapshot button 2710 captures the images displayed in the display section 1906 in a graphic file, preferably in a the TIFF file format, and stores the image into a patient archive.
- the zoom in and zoom out buttons 2712 , 2714 are used to zoom in and zoom out on the images displayed in the display section 1906 .
- the main menu button 2716 returns the system 100 to the main menu 2602 .
- the guidance mode is used to guide the insertion of a smart instrument 102 into a pre-defined entry.
- An pre-defined entry point 2902 is displayed in the display section 1906 .
- the entry point 2902 remains centered in the display section 1906 .
- a first target 2904 represents the tip of the active smart instrument 102 .
- a second target 2906 represents the end of the smart instrument 102 .
- the goal is to line up the first and second targets 2904 , 2906 indicated that the current smart instrument 102 is at the proper orientation.
- the guidance mode can only be selected if there is at least one approach trajectory 2908 .
- the information section 1904 includes a list 3102 of all pre-defined approaches. In this example, only one approach (“Straight 1 ”) 3104 has been defined.
- One or more of the sub-sections 2302 a , 2302 b , 2302 c , 2302 d includes an image or representation of the patient 122 illustrating the defined entry point 3106 and trajectory 3108 .
- a modify entry point button allows the operator 120 to modify the defined entry point.
- the information section 1904 includes instructions 3202 on how to modify the entry point.
- the operator 120 places the tip of the active smart instrument 102 at a desired point and actuates the select or apply button 610 on the smart instrument 102 thereby redefining the entry point 3106 .
- the operator 120 can then actuate either the up (forward) button 608 or the down (back) button 612 to accept or cancel the change.
- a calibration and validation tool 3400 is shown.
- the tool 3400 is a smart instrument having four infrared LEDs 3402 a , 3402 b , 3402 c , 3402 d , a battery holder 3402 for a battery (not shown), a status light 3406 , an infrared transceiver 3408 , and a activation button 3410 .
- the calibration tool can be used calibrate the combined instruments tip position into the tracker.
- the calibration tool 3400 can also be used to re-calibrate another smart instrument 102 if the smart instrument 102 could not be validated (see above) or if it is suspected that the smart took 102 has been compromised. Additionally, the calibration tool 3400 can be used to validate another smart instrument 102 if, for example, a patient tracker system 502 with a universal tracker device 200 is not being used.
- the calibration tool 3400 must be initialized.
- the calibration tool 3400 must be placed on a solid surface within the working volume of the system 100 with the LEDs 3402 a , 3402 b , 3402 c , 3402 d in view of the sensor system 104 . Then it is initialized through actuation of the activation button 3410 (see above).
- the calibration tool 3400 includes at least one validation point 3412 .
- the tool 3400 includes four validation points 3412 a , 3412 b , 3412 c , 3412 d adapted to various types of tool tips.
- the four validation points 3412 a , 3412 b , 3412 c , 3412 d are mounted at the top of four columns 3414 a , 3414 b , 3414 c , 3414 d.
- the four columns 3414 a , 3414 b , 3414 c , 3414 d are coupled to a base 3416 .
- An upper and lower plate 3418 , 3420 are slidably coupled to the four columns 3414 a , 3414 b , 3414 c , 3414 d.
- First and second upper platform screws 3418 a , 3418 b and first and second lower platform screws 3420 a , 3420 b lock the upper and lower plates 3418 , 3420 to the four columns 3414 a , 3414 b , 3414 c , 3414 d , respectively.
- the upper plate 3418 includes a first aperture 3422 .
- a first lever 3424 is coupled to a first plurality of flanges 3426 .
- the first lever 3424 operates the first plurality of flanges to variably close and/or change the size of the first aperture 3422 .
- the lower plate 3420 includes a second aperture 3428 .
- a second lever 3430 is coupled to a second plurality of flanges 3432 .
- the second lever 3430 operates the second plurality of flanges 3432 to variably close and/or change the size of the second aperture 3428 .
- a thirteenth process block 3502 the station 3400 is initialized (see above).
- a fourteenth process block 3504 the first and second apertures 3422 , 3428 are fully opened via the first and second levers 3424 , 3430 , respectively.
- a fifteenth process block 3506 the smart instrument 102 to be calibrated is then inserted through the first and second apertures 3422 , 3428 until the tip of the smart instrument 102 is against the base 3416 .
- a sixteenth process block 3508 the platform screws 3418 a , 3418 b , 3418 c , 3418 d are loosened and the upper and lower plates 3418 , 3420 are slid apart as far as the shape of the smart instrument 102 allows.
- the first and second levers 3424 , 3430 are used to close the first and second apertures 3422 , 3428 around the smart instrument 102 .
- a nineteenth process block 3414 the operator 120 then presses the activation button 214 or select button 610 on the smart instrument 102 .
- the LEDs 202 , 604 on the smart instrument 102 are then read by the localizer system.
- Position information is relayed to the computer system 106 which calculates new calibration information for the smart instrument 102 .
- the new calibration information is then sent back to the smart instrument 102 and stored thereon. Whenever this smart instrument is thereafter activated, the new calibration is then sent to the computer system 106 for use.
- the calibration and validation tool 3400 can also be used to perform the validation.
- the operation of the calibration and validation tool 3400 to validate a smart instrument 102 is similar to the use of the universal tracker device 200 .
- the system 100 includes a remote control device 3600 which allows the operator 120 to move through and make selections from the display screen 1900 on the monitor 108 .
- the remote control device 3600 can be sterilized and placed with the work volume of the system.
- the remote control device 3600 includes a housing 3602 with a battery holder 3604 .
- a plurality of control buttons 3606 allow the operator 120 to control the system 100 , an infrared transceiver 3608 and a status light 3610 .
- the remote control device 3600 includes an upward button 3606 a , a downward button 3606 b , a next button 3606 c , a back button 3606 D, and a select or apply button 3606 E.
- the system 100 operates on a scanning cycle which has a length based on the number of smart instruments 102 active. At the beginning of each cycle, the system 100 sends out a new tool inquiry package system which requests that any new smart instruments 102 identify themselves (see above). If there are no new tools, then the system 100 cycles through the active smart instruments 102 to determine their position.
- the system 100 has stored the number of LEDs in each smart instrument 102 that has been activated. Only one LED 202 , 604 can be read at a time.
- the system 100 first sends out a initial signal identifying a smart instrument 102 by serial number that it should prepare for firing its LEDs 202 , 604 .
- the initial signal also request status information from the targeted smart instrument 102 .
- This status information may include battery life, any faults, activated control buttons, etc, . . . .
- the target smart instrument 102 delivers the requested status information to the system 100 .
- the initial signal may also include commands for the smart instrument 102 .
- commands for the smart instrument 102 For example, for a smart instrument 102 adapted as an irrigator may respond to on and off commands.
- the system 100 then requests that the smart instrument 102 fires off each LED one at a time in order to be recognized by the system 100 .
- the system 100 cycles through all active smart instruments and attempts to determine their position.
- the system 100 only determines the position of any universal tracker device 200 coupled to a patient tracked system 502 and a smart tool 102 currently being used by the operator 120 .
- the operator 120 when the operator 120 picks up (an already activated) smart instrument 102 , the operator 120 must actuate the activation button 214 or the select button 610 . This signals to the system 100 that the smart instrument 102 is currently being used.
- the system 100 cycles through all active instruments 102 but temporarily sets the number of LEDs on the instruments 102 not being used to zero (0).
- control buttons 114 are programmable and are adapted to operate, i.e., navigate through, the software running on the computer system 106 .
- the control buttons 114 are also used in the validation and calibration operations, as discussed above.
- the select button 610 is used to validate the smart instrument 600 , calibrate the instrument 600 and activate the instrument 600 .
- the system 600 based on the position of the smart instrument 600 performs the correct operation. For example, if the smart instrument 600 position indicates that the pointer 614 is located at the validation point 216 of the universal tracker device 200 (or the validation tool 3400 ), then the system 100 performs a validation operation upon activation of the select button 610 .
- a calibration operation is performed when the select button 610 is activated.
- This feature can also be used with other input devices to the system 100 . For example, if the operator 120 needs to push a button on the keyboard 116 , the operator 120 can simply point at the desired key and activate the select button 610 .
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Abstract
A surgery system comprising at least one smart instrument, a computer system, and a sensor system. The sensor system is adapted to wirelessly sense the position of the at least one smart instrument and to transmit position information to the computer system.
Description
- This application claims priority from the copending provisional application Ser. No. 60/178,377, filed on Jan. 27, 2000.
- 1. Field of the Invention
- This invention relates generally to a surgery system. In particular this invention relates to a system for displaying and guiding a series of instruments to a surgical site located relative to a body of a patient.
- 2. Description of Related Art
- Traditionally, an image-guided surgery system is used to display a position of a surgical instrument in an operating zone within the body of a patient. A number of frame and frameless stereotactic systems have been developed to assist surgeons during various procedures that require an instrument to travel to a target within a body. Typically, a surgeon analyzes images of the body using CT scans, MRI scans, or PET scans to determine a location of a target and to determine a desirable trajectory along which the instrument should travel during a surgical procedure. The image-guided surgery system includes a position measuring system for measuring the position of the surgical instrument. A typical image guided system usually includes a series of surgical instruments, a computer system, a camera or other localization device, a monitor, a cabinet or stand to hold the monitor and computer, and various connecting equipment and accessories. The computer system is used for calculating the positions of the instruments in a corresponding previously captured or real time image of a surgical site. The position of the instrument is displayed on the image of the surgical site on the monitor. The image on the monitor shows the surgeon exactly where in the operating zone the surgical instrument is located, without the surgeon having a direct view of the instrument. Image guided systems improve the accuracy and efficiency of many surgical procedures such as complex, sight impaired neurological procedures. Known frameless stereotactic systems utilize optical, RF, magnetic, audio, or other signal systems to communicate between the surgical instruments and the computer system. Typically, the surgical instruments are either tethered to the computer system or are wireless. Wireless instruments carry a system-compatible emitter or sensor for communication through LEDs or RF systems to the computer system. Tethered instruments can add complexity to the system by limiting the range of motion of the instrument and adding additional wires and cables to route and negotiate during the surgery. Range of motion of the instrument is very important during the surgery itself. Limitations must be overcome by the surgeon and can lead to inaccuracies in the surgery.
- Traditional image guided systems require a lengthy set up process whereby the user registers reference points of the pre-established image, initializes and calibrates the instruments, and registers a plan of trajectory for the instruments. The initialization and calibration of the instruments is critical to the proper operation of the system and can involve numerous steps and manipulations by the users. Calibration of traditional systems involve field calibration units that must be brought to the instruments to be calibrated. Additional software is also often required to be installed in order to calibrate a new instrument. Re-calibrations are often required during surgery if a new instrument is necessary or if an instrument is dropped or damaged during use. Keeping the calibration software up to date, and all of the instruments in proper working order during the surgery is critical. Traditional systems also maintain one set of software code for calibrating a specific type of instrument. However, if there is a flaw in the instrument due to a manufacturing flaw or a flaw caused during use, the software may not be able to recognize the instrument, thereby making rendering the instrument useless.
- Many traditional systems require the manual entry of initialization and calibration information into the computer system. This process is lengthy and if not performed properly can result in inaccuracies in the imaging system.
- During surgery, many traditional image guided systems necessitate multiple operators, one to manipulate the instruments within the sterile field and another to make changes to the equipment and operate the computer system which is often outside of the sterile field or beyond reach of the surgeon operating the instruments. The use of multiple operators may lead to inaccuracies in the system and inefficiencies in the operation.
- The sterilization of surgical equipment is an additional requirement that has traditionally affected the efficacy of the instruments and other components. Known stereotactic systems typically utilize system-specific surgical instruments that incorporate some type of location sensor or emitter. These surgical instruments must be sterilized carefully to ensure that the sensitive detection equipment is not damaged. Due to the high cost of such equipment, surgeons must sterilize and reuse the surgical instrument rather than dispose of the sensor or emitter components after each use. The battery life of the instruments may also be affected by the sterilization process and limited battery life can impact the surgery if an instrument loses power during use.
- Thus, what is desired is an improved image guided system that would improve and address these concerns. An improved system would provide improved control, use, life, and precision of the instruments and would allow for easier set up and use of the system overall. The improved system would enhance component compatibility and interchangeability, and improve the economic efficiency of the image guided surgery system.
- It is an object of the invention to provide an image-guided surgery system which enables easy, fast and accurate initialization, calibration, and control of a series of image guided surgery instruments. This object is achieved by providing wireless instruments with several improvements. The instruments of this invention are wireless and have a bi-directional high speed communication system that allows communication between the instruments and a computer system in real time. The communication system consists of a high-speed, specific frequency or spread frequency, infrared or RF based signaling system located in the instruments and a second signaling system connected to the computer. The instruments contain non-volatile memory circuitry allowing the instruments themselves to store information about the instrument and communicate that information back to the computer system through a communication path. The instruments memory consists of an updateable EE Ram structure that can be completely updated or changed at any time. This feature allows the instruments of the invention to be updated with an improved software package as the system design changes over time. This improves an instrument's life and reduces a lifetime cost of the image-guided surgery system.
- The image-guided system's communication path allows the downloading of calibration data from the instruments to the computer system and uploading of calibration information to the instruments from the computer system. Control data can also be downloaded to the instrument instructing the instrument to perform a function, such as irrigation. The patient tracker of the invention includes a zero tolerance adapter interface for connection of the tracker to an instrument adapter or reference frame. This allows for patient setup and registration to be completed with non-sterile instruments.
- The improved communication path allows the improved instruments to be calibrated much easier and faster than conventional instruments. By storing the calibration information in the instruments themselves the image-guided system of the invention is capable of re-calibrating damaged or imperfect instruments without going through a complex field calibration process. The computer system of the invention will recognize an error present in the instruments and re-calibrate the instrument based on the data received from the field calibration tool, eliminating a need to remove the instrument from service to perform a lengthy re-calibration procedure. The ability to store an instruments calibration and emitter positions within each individual instrument also eases a manufacturing process that traditionally required the instruments to be manufactured to a tight tolerance.
- The instruments' communication and storage capabilities also allow the computer system to automatically recognize the instruments as they are placed into a field created by the localization system. The camera detection system consists of one or a plurality of camera sensors placed in a movable sensor array assembly attached to a computer system. The camera sensors contain their own calibration data allowing the camera to be apart from the computer system. The sensor array establishes a field of detection whereby the infrared signals from the instruments are received by the sensor array. The communication path of the invention allows for near instantaneous perception of a new instrument entering the field of detection. This allows the instrument to be immediately recognized and displayed by the computer system on an image of a surgical site displayed on a monitor. This feature allows a user to immediately use a new instrument without installing any new software or calibration files onto the computer system. The instrument communication system also communicates an instrument status to the computer system displaying instrument status information such as a battery and LED status to a user.
- Another object of the invention is an improved control interface between the user operating the instruments and the computer system. The invention accomplishes this object by providing operating controls integrated into the instruments. Using the wireless communication system and control buttons located on the instruments, the user can operate the computer system software from a surgical field without the need for an additional assistant to operate the computer system outside the surgical field. The control buttons can also be used to control auxiliary equipment connected to the system. The function of the instrument buttons can be specifically configured by the user to customize the instruments for each user. The invention image-guided surgery system also includes a separate remote control unit that allows further control of the computer system from within the surgical field. The remote control operates using the same communication system as the instruments.
- An additional object of the invention is to provide an improved image-guided surgery computer cart assembly for housing the computer system, the monitor, the camera detection system, and organizing a plurality of power supply cables and a plurality of communication cables. The computer cart of the invention includes an interface for connecting communication cables from the monitor and the camera detection system to the computer. In addition the cart system includes an interface for connecting peripheral equipment such as a network connection, a telephone line, a plurality of microscopes, and other operating room equipment. The cart contains a monitor interface combining the low voltage power supply, video, audio, and control cables from the system into a single system power cable exiting from the cart. The cart also contains a plurality of storage locations for peripheral equipment.
- FIG. 1 is a perspective view of a surgery system according to an embodiment of the present invention;
- FIG. 2 is perspective view of a universal tracker device of the present invention;
- FIG. 3 is a perspective view of the universal tracker device adapted to a general instrument;
- FIG. 4 is an assembly view of the universal tracker device of FIG. 2;
- FIG. 5 is a perspective view of the universal tracker of FIG. 2 and a portion of a patient tracking system;
- FIG. 6 is a perspective view of a smart instrument in the form of a pointer device, according to an embodiment of the present invention;
- FIG. 7 is a partial assembly view of the smart instrument of FIG. 6;
- FIG. 8 is another partial assembly view of the pointer device of FIG. 6;
- FIG. 9 is a perspective view of a computer cart assembly of the present invention;
- FIG. 10 is a partial assembly front view of the computer cart assembly of FIG. 9;
- FIG. 11 is a rear perspective view of the computer cart assembly of FIG. 9;
- FIG. 12 is an assembly view of a sensor array for use with the surgery system of FIG. 1, according to an embodiment of the present invention;
- FIG. 13 is assembly view of a rear panel assembly of the present invention;
- FIG. 14 is a perspective view of a switch box assembly of the present invention;
- FIG. 15 is a partial assembly view of the switch box assembly of the present invention;
- FIG. 16 is a flow diagram of a smart instrument activation process, according to an embodiment of the present invention;
- FIG. 17 is a second flow diagram of a smart instrument activation process, according to an embodiment of the present invention;
- FIG. 18 is a flow diagram of a patient tracking system using a universal tracker device activation process, according to an embodiment of the present invention;
- FIG. 19 is a diagrammatic illustration of a display screen with an initial banner, according to an embodiment of the present invention;
- FIG. 20 is a diagrammatic illustration of the display screen of FIG. 19 with a second banner;
- FIG. 21 is a diagrammatic illustration of the display screen of FIG. 19 with an information section having tool validation instructions;
- FIG. 22 is a perspective view of a universal tracker device and another smart instrument during a validation procedure;
- FIG. 23 is a diagrammatic illustration of the display screen of FIG. 19 during a point definition process;
- FIG. 24 is a flow diagram of a process for defining markers in a surgery system, according to an embodiment of the present invention;
- FIG. 25 is a diagrammatic illustration of the display screen of FIG. 19 with point definition accuracy information,
- FIG. 26 is a diagrammatic illustration of the display screen of FIG. 19 with a main menu;
- FIG. 27 is a diagrammatic illustration of the display screen of FIG. 19 during an operation mode;
- FIG. 28 is a diagrammatic illustration of the display screen of FIG. 19 during an operation mode with a virtual tip feature;
- FIG. 29 is a diagrammatic illustration of the display screen of FIG. 19 during an guidance mode;
- FIG. 30 is a second diagrammatic illustration of the display screen of FIG. 19 during the guidance mode;
- FIG. 31 is a diagrammatic illustration of the display screen of FIG. 19 during a select approach mode;
- FIG. 32 is a second diagrammatic illustration of the display screen of FIG. 19 during the select approach mode;
- FIG. 33 is a diagrammatic illustration of a flexible sheet or mesh having a plurality of markers, according to an embodiment of the present invention;
- FIG. 34A is a perspective view of a calibration and validation tool, according to an embodiment of the present invention;
- FIG. 34B is a second perspective view of the calibration and validation tool of FIG. 34A;
- FIG. 35 is a flow diagram of a calibration process for a smart instrument using the calibration and validation tool of FIGS. 34A and 34B, according to an embodiment of the present invention; and,
- FIG. 36 is a perspective view of a remote control device, according to an embodiment of the present invention.
- With reference to drawings and in operation, the present invention provides a
surgery system 100 having at least onesmart instrument 102. Thesurgery system 100 includes asensor system 104 and acomputer system 106. Thecomputer system 106 includes amonitor 108. Thecomputer system 106 is preferably housed in acomputer cart assembly 110. - The
sensor system 104 is coupled to thecomputer system 106 and is adapted to wirelessly transmit data back and forth between the at least onesmart instrument 102 and thecomputer system 104 and to sense the position of the at least one smart instrument 102 (see below). Preferably, thesensor system 104 comprises asensor array 112. - The
smart instrument 102 is operated by anoperator 120 to display a location of thesmart instrument 102 relative to apatient 122 on a diagram, e.g., an image (such as an MRI or x-ray), picture, outline, line drawing, displayed on themonitor 108 during a surgical procedure. - With reference to FIG. 12, the
sensor array 112 includes first, second, andthird position sensors smart instrument 102. In the preferred embodiment, the first, second, andthird position sensors - At least one
infrared transceiver smart instruments 102. In the preferred embodiment, thesensor array 112 includes first and second spaced aparttransceivers - The
smart instruments 102 and thetransceivers smart instruments 102 and thesystem 100 is accomplished using the IEEE 802.11 standard, commonly referred to as “Blue Tooth”. - Returning to FIG. 1, the
computer system 104 may be controlled remotely by a series ofcontrol buttons 114 located on thesmart instrument 102. Thecomputer system 106 also contains akeyboard 116 and amouse 118 for operating thecomputer system 104. - As shown, the
surgery system 100 is designed to be used by anoperator 120 during a procedure on apatient 122. Preferably, thepatient 122 is located on a surgical bed or table 124. - With reference to FIGS.2-7, in the preferred embodiment the
system 100 includes two types ofsmart instruments 102, auniversal tracker 200, as shown in FIGS. 2-5 and a specially adapted or specific purpose instrument, such as a pointer instrument 500, as shown in FIGS. 6-8. - With reference to FIG. 2-5, the
universal tracker device 200 is shown in detail. Theuniversal tracker device 200 may serve several functions. - First, the
universal tracker device 200 allows common surgical instruments to be used with the image guidedsurgery system 100. Additionally, as shown In FIG. 5, theuniversal tracker device 200, as part of a patient tracking system 502 (shown in part), is used to initialize and calibrate a dynamic reference frame centered on thepatient 122. The dynamic reference frame remains fixed relative to thepatient 122 and is adjusted relative to the operating room orcomputer system 104 as the body moves or is moved relative thereto. - Additionally, the
universal tracker device 200 is used to validate other smart instruments 102 (see below). - With specific reference to FIG. 5, the
universal tracker device 200 serves as part of thepatient tracking system 502. Thepatient tracking system 502 includes thetracker device 200, anadapter 504 and aclamp device 506 for attaching thetracker device 200 to apatient reference frame 508. A preferred clamp device is known to those skilled in the art as a Mayfield clamp. Thepatient reference frame 508 couples thepatient tracking system 502 to thepatient 122 and is adapted to move with thepatient 122 as the patient moves or is moved. An example of apatient reference frame 508 is a halo. - The
tracker device 200 is also used as a reference for communication between the surgical instruments and thecomputer system 104. Thetracker device 200 is constructed of a metal material and has a geometry designed to maximize the accuracy of the localizing system. - With specific reference to FIG. 2, the
universal tracker device 200 includes a plurality of infraredlight emitting diodes 202, acommunication transceiver 204, and astatus light 206. In the preferred embodiment, theuniversal tracker device 200 includes first, second, third, fourth and fifthlight emitting diodes - The
tracker 200 also contains abattery holder 208 for holding a battery (not shown). The battery of thetracker 200 and the othersmart instruments 102 is preferably a common lithium battery that is pre-sterilized that is to be loaded into thebattery holder 208 just prior to use and is not to be re-sterilized. - The
status light 206 glows in a green color for approximately three seconds after placement of the battery into thebattery holder 208 indicating that thetracker 200 is energized and has passed a series of self diagnostic test. Once thetracker 200 is energized the tracker is attached to the clamp 258 by a zerotolerance adapter interface 210 and arelease button 212. The tracker is then ready to be initialized by depression of anactivation button 214. Thetracker 200 also contains avalidation point 216 for validating othersmart instruments 102. - With specific reference to FIG. 3, a
universal tracker device 200 is shown adapted to be used with ageneral instrument 300, shown as a pointer. Any number of common surgical instruments may be tracked with the invention by attachment to theuniversal tracker device 200, including but not limited to a probe, scalpel, suction device, pin, or clamp. In order to couple thetracker device 200 to thegeneral instrument 300, anadapter 302 is connected to theadapter interface 210 of theuniversal tracker device 200 and thegeneral instrument 300 is attached by aclamp screw 304. During use, the universal tracker serves as a communication device between the attachedinstrument 300 and thesensor array 104. - With reference to FIG. 4, an assembly view of a
universal tracker device 200 is shown. Thetracker 200 consists generally of ahousing 402, aPC board assembly 404, acover plate 406, and abattery housing 408 interconnected by a plurality offasteners 410. The plurality of infraredlight emitting diodes 202 are recessed into a plurality ofLED apertures housing 402 and are held in place by a plurality of epoxy rings 414, 414 a, 414 b, 414 c, 414d,414e. A plurality ofelectrical leads 416 connect thediodes 202 to thePC board assembly 404. - The
tracker 200activation button 214 is biased in thehousing 402 by acompression spring 418 and contains amagnet 420. - The
communication transceiver 204 includes of anIR window 422 and agasket 424. Thegasket 424 serves to seal theIR window 422 when installed in thehousing 402. - The
status light 206 is recessed through astatus light aperture 426 and is connected to thePC board assembly 404 by anelectrical lead 428. Agasket 430 forms a seal. - Attached to the
PC board assembly 404 is ahall effect switch 432. Thebattery housing 408 is attached to thecover plate 406 and contains a positivebattery contact spring 434, a negativebattery contact spring 436, and a removable cap 43 for placement of a battery (not shown) into thebattery housing 408. - When the
universal tracker device 200 is used as part of thepatient tracking system 502, a magnet (not shown) triggers another hall effect switch (not shown). When theuniversal tracker device 200 is activated (see below), the status of the hall effect switch is sent to thesystem 100. This allows thesystem 100 to distinguish between auniversal tracker device 200 being used as part of apatient tracker system 502 or auniversal tracker device 200 with ageneric instrument 300. A magnet may also be used for functional differentiation, e.g., a device tracker is adapted to sense the present of the magnet to determine if it is being used as part of apatient tracker system 502 or auniversal tracker device 200 with ageneric instrument 300. - A status of the universal tracker device battery and the
diodes 202 may be displayed on themonitor 108. The status feature is present in all of the smart instruments of the present invention. The PC board of theuniversal tracker 200, and all of thesmart instruments 102, contain a non-volatile memory circuit (not shown) that allows the instruments to store information about the instrument such as a unique ID number, and calibration information in the instrument itself. Storing calibration information in theinstrument 102 allows theinstrument 102 to be re-calibrated in a surgical field setting. The memory circuit of theinstruments 102 such as thetracker 200 contain updateable memory (not shown) that can be updated or changed at any time. This feature improves the life of thesmart instruments 102 such as thetracker device 200 by allowing thetracker device 200 to be updated with an improved software package as the image-guidedsystem 100 changes over time. An ability to update over time improves the life of thetracker device 200 and reduces a lifetime cost of the image-guidedsurgery system 100. The EE memory along with the microprocessor based circuitry of the instruments such as thetracker 200 also allows thesensor array 104 andcomputer system 106 to immediately detect a new instrument entering the surgical field without requiring theoperator 120 to load a new software program onto thecomputer system 106 prior to using thenew instrument 102. - The properties of the
smart instruments 102, such as geometry and functional features, are preferably graphically displayed on thecomputer monitor 108 to enable visual display of their spatial and functional relationships to other smart instruments, surgical equipment, and the surgical field. - The smart instrument may also store the specific geometry of the active part of the smart tool, i.e., the tip or the part of the tool that is in contact with the patient or delivering some kind of energy, mechanical, electrical, sonic, electromagnetic, etc . . . , to alter the patient's tissues. The geometry of the active part of the smart instrument is preferably stored in memory.
- With reference to FIGS.6-8, a
smart instrument 102 in the form of a specially adapted or specific purpose instrument will now be discussed in detail. For exemplary purposes only, thesmart instrument 102 is shown as apointer instrument 600. - The
pointer instrument 600 has ahousing 602 constructed of a metallic material and shaped in an ergonomic design to be held in the operator's hand. Thepointer instrument 600 has a plurality of infraredlight emitting diodes 604 and acommunication transceiver 606 for communicating with thesensor system 104. Thepointer instrument 600 or anysmart instrument 102 may include multiple transceivers to allow the instrument to be used in any direction. Asmart instrument 102 may have any number oflight emitting diodes 604 depending upon the nature of the smart instrument and the resolution or degree of accuracy required for its position. Thepointer instrument 600 illustrated has first, second, third and fourthlight emitting diodes - The
control buttons 114 of thepointer instrument 600 include an upbutton 608, aselect button 610, and thedown button 612 for remotely controlling thecomputer system 104 from thesmart instrument 102. - The function of the
buttons specific operator 120. For example, the upbutton 608 and thedown button 612 are generally configured to navigate (up and down or left to right) through the software running on thecomputer system 104, i.e., to navigate through the options available at the current operation state. Theselect button 610 button generally is used to actuate a current selection. However, depending on a particular operator's preference, the buttons can be reprogrammed, e.g., to interchange the functions of the up and downbuttons - Controlling the
computer system 104 from theinstrument 102 allows theoperator 120 to remain in a surgical field to make adjustments to thecomputer system 104 thereby improving the efficiency of an operation. - The
pointer instrument 600 also contains a work tip shown as apointer 614, astatus light 616, and a battery holder 618. Thestatus light 616 blinks every few seconds to indicate normal operation of theinstrument 600. - With specific reference to FIG. 7, a partial assembly view of the
pointer instrument 600 is shown. Thepointer instrument 600 includes thehousing 602, abattery housing 702, and abase assembly 704 interconnected by a plurality offasteners 706. The upbutton 608, theselect button 610, and thedown button 612 are mounted in an associatedaperture housing 602 by a plurality of threadedpins button magnet carriers 718 a, 718 b, 718 c andmagnets magnets springs buttons pins - Under the
buttons foam pad 722 to insure accurate positioning of the hall sensors relative to thebuttons battery housing 702 is mounted in achannel 724 located in thebase assembly 704. Thebattery housing 702 contains a positive and negativebattery contact spring cap 730 for holding a battery (not shown). - With specific reference to FIG. 8, another partial assembly view of the
pointer instrument 600 is shown. Thepointer instrument 600 includes acover plate 802 connected to thePC board assembly 804 byfasteners 706. - The
light emitting diodes housing 602 with a plurality of epoxy rings 806 and are connected to the PC board assembly 8043 by a plurality of leads 808. Thestatus light 616 is similarly mounted into thehousing 602 with anepoxy ring 810 and is connected to thePC board assembly 804 bylead 812. Thecommunication transceiver 606 has anIR window 814 mounted to thehousing 602 with agasket 816 and a pair offasteners 706 andspacers 818. ThePC board assembly 804 is connected to the battery (not shown) by a pair of battery leads 820. - With reference to FIG. 9, a
computer cart assembly 110 of the invention according to an embodiment of the present invention is shown. Thecomputer cart assembly 110 consists of acabinet 902 mounted on four wheels 904 (only three are shown) with fourcorresponding wheel locks 906 for activation to prevent thecart assembly 110 from moving unintentionally. Mounted to thecabinet 902 by amonitor extension post 908 and a pivotablemonitor extension arm 910 is themonitor 108. Themonitor 108 of the preferred invention is a flat panel high resolution monitor. Themonitor 108 is connected to thecomputer system 106 by amonitor cable 912 that is routed along themonitor extension arm 910 and through themonitor extension post 908. Mounted on thecabinet 902 is akeyboard tray 914 and amouse tray 916 for holding thekeyboard 116 and themouse 118, respectively. - The
sensor array 112 is mounted to thecabinet 902 by a sensorarray extension post 918, a pivotable vertical sensorarray extension arm 920, and a pivotable horizontal sensorarray extension arm 922. - The
cabinet 902 includes first and secondfront cabinet doors - With reference to FIG. 10, the
computer cart assembly 110 is shown withfront cabinet doors front cabinet doors computer workstation assembly 1002, a disk bay andstorage assembly 1004, and alocalizer 1006. Aswitch panel assembly 1008 is also shown mounted within thekeyboard tray 914. - With reference to FIG. 11 a rear view of the
computer cart assembly 110 is shown. Mounted on the rear of thecart assembly 110 is arear panel assembly 1102, acover 1104, and aswitch box assembly 1106. - Returning to FIG. 12, an assembly view of the
sensor array 112 is shown. Thesensor array 112 is connected by a plurality offasteners 1206 to a mountingplate 1208 and auniversal mount 1210. Theuniversal mount 1210 connects thesensor array 112 to the sensor arrayhorizontal extension arm 922. - As discussed above, the
sensor array 112 includes a plurality of position sensors 1202 and a plurality of transceivers 1204. In the preferred embodiment, the plurality of sensors are cameras able to detect infrared light and the transceiver 1204 communicate using infrared light. Alternatively, the infrared transceivers 1204 could be RF transceivers. - The position sensors1202 contain their own calibration information allowing the
localizer 1006 to be placed away from thesensor array 112 in thecomputer cart assembly 902. Thesensor array 112 establishes a detection field whereby the signals from thesmart instruments 102 are received by thesensor array 112. In order to function properly, thesmart instruments 102 must be placed within the detection field in order for thecomputer system 106 to recognize the position of thesmart instruments 102. - With reference to FIG. 13 an assembly view of the
rear panel assembly 1102 is shown. Thepanel assembly 1102 consists of ahousing 1302 for mounting of amonitor interface assembly 1304 and avideo amplifier 1306 and coordinating a plurality of associated cables, cords, and plugs (as described below). Thepanel assembly 1102 includes anexternal modem port 1308 connected to aphone cable 1310, adata port 1312 connected to apatch cable 1314, and aSCSI port 1316 connected to aSCSI cable 1318. Thepanel assembly 1102 also contains a plurality ofcommunication cables 1320 and avideo cable 1322 that are routed through thepanel assembly 1102 and connected to themonitor interface assembly 1304. Themonitor interface assembly 1304 contains amonitor cable plug 1324 and asensor array plug 1326. Thepanel assembly 1102 also includes apower cord 1328. - With reference to FIG. 14, the
switch box assembly 1106 is shown. Theswitch box assembly 1106 contains a top 1402 and afront panel 1404 that contains a plurality ofcommunication ports 1406, a plurality ofmedical grade outlets 1408, a fusedpower entry module 1410, an ACpower outlet module 1412, and an ACpower entry module 1414. Theswitch box assembly 1106 and thepanel assembly 1104 allow for a connection of a computer network, a telephone line, a plurality of microscopes, and a plurality of other operating room equipment (not shown). - With reference to FIG. 15, the
switch box assembly 1106 is shown with a back and a side panel (not shown) removed. The fusedpower entry module 1410, the ACpower outlet module 1412, and the ACpower entry module 1414 are shown interconnected to each other and to the plurality ofoutlets 1408 by a plurality ofwires 1502. The plurality ofoutlets 1408 are connected to a plurality of universal in-line plugs 1504 by the of wires 230. Mounted to the top 1402 is a cartpower control assembly 1506 that houses the universal in-line plugs 1504. Also housed on the cartpower control assembly 1506 is an image guidedcart UPS micro 1508 and an image guided cartswitch interface micro 1510. The micro internal to the switch box allow for easy power up and power down of the complete system. A single push of the on button will turn the system on and pushing the standby button will turn the system off. During turn off, the micros synchronizes the Windows operating system shutdown and power to eliminate system crashes. - Any number of
smart instruments 102 may be active at any one time. Thesurgery system 100 operates on a scanning cycle which has a length determined by the number of smart instruments 102 (including universal tracker devices 200) being tracked. In the preferred embodiment, the image guidedsurgery system 100 only tracks the location of thesmart instrument 102 currently being used by theoperator 120 and any active universal tracker device 200 (see below). - As described below, the
system 100 displays a computer graphic on themonitor 108 representing thepatient 122 or a portion of the patient's body. The graphic can be a two-dimensional, three-dimensional or multi-planer, e.g., a picture, x-rays, an MRO image, outline, line drawing or any other representation of thepatient 122. Thecomputer system 106 receives information from thesensor system 104 regarding an active smart instrument's position and matches up this position with the graphic representing thepatient 122. In one embodiment, thesystem 100 displays a line on themonitor 108 representing the activesmart instrument 102. In another embodiment, thesystem 100 displays a graphic depicting the activesmart instrument 102. - With reference to FIG. 16, activation of a new
smart instrument 102 will now be discussed. In afirst process block 1602, a newsmart instrument 102 is placed in a ready to be activated state. When asmart instrument 102 is powered up, i.e., by insertion of the battery, it is in a ready to be activated state. In asecond process block 1602, theoperator 120 actuates theactivation button 214 or theselect button 610 so that the image guidedsurgery system 100 recognizes thesmart instrument 102. - Each
smart instrument 102 has a unique serial number. With reference to FIG. 17 in the preferred embodiment, the activation of a newsmart instrument 102 may occur at the beginning of each scan cycle. In athird process block 1702, thesurgery system 100 generates a request for any new tool to identify itself. Preferably, the computer system 106 (through thetransceivers target tool 102 and a request for the tool's serial number. The serial number identification for a target tool is set to a default value, e.g., zero (0). Onlysmart instruments 102 that are in the ready to be activated state and whoseactivation button 214 is actuated respond to a request to smart instruments having a serial number equal to the default value. - If a
fourth process block 1704, if no response is received to the New Tool Inquiry Package Signal within a predetermined time period, then thesystem 100 continues with its normal scans in thefifth process block 1706. - In a
sixth process block 1706, if a newsmart instrument 102 is ready to be activated, thesmart instrument 102 responds to the New Tool Inquiry Package Signal and thesystem 100 stops the scanning. - In a
seventh process block 1708, the newsmart instrument 102 and thecomputer system 104 then communicate back and forth to relay the information thecomputer system 104 requires in order to initial the newsmart instrument 102 to add it to the scanning process. After this process is done, then control proceeds to the normal scanning cycle in thefifth process block 1706. - The above process must be completed for each
smart instrument 102 to be used during the procedure. Typically, eachsmart instrument 102 to be used is initialized prior to the start of the procedure. However,new tools 102 may be added at any time. - The following is a list of the data that may be stored within the
smart instruments 102. Some or all of this data may be transmitted to thecomputer system 106 during the initialization process (see above). - Serial Number: This is the unique electronic serial number for the
smart instrument 102 that is used to identify thesmart instrument 102 to thesystem 100. - Model Number: This is the model number of the
smart instrument 102. Thecomputer system 106 may utilize this information to retrieve information regarding thesmart instrument 102 stored on thecomputer system 106 such as a graphic to be displayed on themonitor 108 while thesmart instrument 102 is being used. - Instrument Name: This is the name of the
smart instrument 102. The Instrument Name is typically displayed on themonitor 108 while thesmart instrument 102 is being used. - Generic Tool Information: This is the generic type of the
smart instrument 102. Thecomputer system 106 utilizes this information to create graphics and other instrument parameters if a model number match can not be found. - Generic Type: This is a generic type for the smart instrument. Preferably, the Generic Type is one of the following: unknown, navigation tool, calibration tool, tracker, keypad, frame based tool, functional tool.
- Tip Type: This is the type of tip on the instrument. Type of tips include: cylinder, sphere, cone, truncated cone, and blade.
- Minimum LEDs: This is the minimum number of LEDs that must be seen by the
sensor system 104 for thesmart instrument 102 to be recognized. - Dimensional Data: The Dimensional Data represents the physical size of the
smart instrument 102 and may include a radius, a bottom radius, a bottom width, a length, a top radius, a top width, and a thickness. - Number of LEDs: This is the total number of infrared light emitting diodes on the
smart instrument 102. - LED on Time: This is the amount of time that an infrared LED is activated.
- Tip Position: This is the position of the smart instrument's tip in relation to the instrument's coordinate system. Preferably, the Tip Position includes an X, Y, Z, yaw, pitch, and roll value.
- Tip Correction: Tip Correction represents a correction factor for the position of the tip as a result of manufacturing tolerances and/or tip displacement.
- Button Parameters: The Button Parameters define the buttons present on a
smart instrument 102. The Button Parameters may include the number of buttons, a clock delay, and a button timeout. - Number of Calibration Points: This is the number of calibration points on a
smart instrument 102. - EERAM Revision: This is the revision level for the information stored on the EERAM.
- RMS Match: This is the parameters used to calculate the match of the instrument LEDs.
- LED Position: This parameter contains the position of a LED in relation to the smart instrument's coordinate system. Typically, there will be an LED position for each LED contained on an
smart instrument 102. Preferably, the LED Position includes an X, Y, Z, and a X, Y, and Z component of a normal vector. - Button Function: This parameter defines the function of a button on the
smart instrument 102. - Calibration Point: The position of the smart instrument's calibration point in relation to the instrument's coordinate system. Preferably, the Calibration Point includes an X, Y, X and radius value.
- With reference to FIG. 18, operation of the
universal tracker device 200 as a component in the dynamic reference frame and validation of anothersmart instrument 102 using theuniversal tracker device 200 will now be explained. - In an
eighth process block 1802, theuniversal tracker device 200 is coupled to thepatient tracking system 502. Theuniversal tracker device 200 must be positioned to ensure optimal alignment of thelight emitting diodes 202 with thesensor array 104. Theuniversal tracker device 200 must also be positioned within a working volume of thesystem 100. There should be no obstacles that interrupt the infrared beams between theuniversal tracker 200 and thesensor array 112. Furthermore, theuniversal tracker 200 should be positioned to give complete access to the surgical site. - At this point, the
computer system 106 must also be initialized. With reference to FIG. 19, thecomputer system 106 displays adisplay screen 1900 on themonitor 108. Thedisplay screen 1900 includes abutton bar 1902, aninformation section 1904 and adisplay section 1906. In the preferred embodiment, when thecomputer system 106 is initialized, abanner 1908 instructing theoperator 120 to activate thetracking device 200 is displayed. - In a
ninth process block 1804, once theuniversal tracker 200 is in position theoperator 120 momentarily depresses theactivation button 214, as described above, to activate theuniversal tracker 200. With reference to FIG. 20, once theuniversal tracker device 200 has been activated abanner 2002 is displayed indicating that no active tool is visible to the system. - In a
tenth process block 1806, asmart instrument 102 must be activated. Returning to FIG. 20, once thesmart instrument 102 has been activated, a graphic orpictogram 2004 of the smart instrument 102 (based on the Serial number, Model Number, Generic Tool Information or Generic Type) and the Name of thesmart instrument 102 is displayed in theinformation section 1904 of thedisplay screen 1900. Once thesmart instrument 102 has been activated, thered banner 2002 will disappear. - After the
smart instrument 102 has been activated, it must then be validated, i.e., its position relative to thepatient tracker 502 must be verified. With reference to FIG. 21,instructions 2102 on the validation procedure are displayed in theinformation section 1904 of thedisplay screen 1900. Furthermore, a background of the graphic 2004 is displayed in the color red to illustrate that theactive tool 102 has not been validated. - With reference to FIG. 22, the
smart instrument 102 is validated by placing the tip of thesmart instrument 102 at the center of thevalidation point 216 of thetracker device 202 and actuating theselect button 610. When theselect button 610 is activated, thesensor system 104 detects the firing of thediodes 604 and transmits raw position information to thesystem computer 106. - In one embodiment, the
localizer 1006 converts the raw position information into the position of theindividual diodes 604 and transmits this information to thecomputer system 106. Thecomputer system 106 utilizes this information to determine the position and orientation of thesmart instrument 102. In another embodiment, thelocalizer 1006 converts the raw position information into the position and orientation information of thesmart instrument 102 and/orcomputer system 106 and transmits this information to thecomputer system 106. The conversion of the raw position information by thelocalizer 1006 is well known in the art and is therefore not further discussed. - If the validation procedure is successful, the
computer system 106 advances to the next step. Otherwise, the validation procedure may be redone through actuation of theselect button 610 or thesmart instrument 102 can be re-calibrated (see below). - With reference to FIGS. 23 and 24, the
system 102 may utilize a plurality ofmarkers body 122 in order to accurately register the surgical field relative to the graphic displayed in thedisplay screen 1900. In aneleventh process block 2402, the position of eachmarker - With specific reference to FIG. 23, the
display section 1906 is divided into first, second, third, andfourth sub-sections third sub-sections fourth sub-section 2302 d contains acomputer image 2304 representing the head of the patient with the positions of themarkers - In this example, there are three markers represented by the
numbers fourth sub-section 2302 d. Themarkers bone markers information section 1904. The graphic 2306 is for information purposes only and is not an actual picture of the patient 126. - Additionally, with reference to FIG. 33, a mesh or
sheet 3302 made of a flexible material may be draped or placed over a portion of thepatient 122. Themesh 3302 has a layer of light adhesive of one side and a plurality ofmarkers 3304 on the other side. Preferably, themarkers 3304 are spaced apart at known intervals. Themesh 3302 is stuck onto thepatient 122 using the adhesive. Themarkers 3304 are thus visible by thelocalizer 1006 and can be used by thesystem 100 for surface matching as well as patient tracking. - In one embodiment, the
markers 3304 are stickers which are used with asmart instrument 102 to register the positions of themarkers 3304 within thesystem 102. - In another embodiment, the
sheet 3302 is a smart instrument and themarkers 3304 are light emitting diodes. Preferably, the position of the diodes is determined on the field. The diodes are connected to a breakout box and can be positioned using different means of attachment to any tissue of the patient, e.g., bone or skin. The geometry of thesheet 3302 can then be initialized to two modes: tracking of rigid tissues after determining the spatial relationships of the diodes with the sensor array. The second mode is to track soft tissue displacement or deformations over time. Using the first mode (tracking), the positional information of the sheet's diodes can be used to register the tracked feature of the patient to an image data set, e.g., a CT scan, using, for example, surface matching techniques. - Returning to FIG. 23, the images contained in the
sub-sections markers system 100. A set ofinstructions 2310 are displayed in theinformation section 1904. - Additionally, light emitting diodes (not shown) may be fixedly attached to the
markers system 100. - As shown by the graphic2004, the active
smart instrument 102 is a pointer. In order to define the position of themarkers operator 120 places the tip of thepointer 102 on the marker and actuates theselect button 610. Themarkers marker control buttons 114. - The
system 100 preferably allows theoperator 120 to zoom and rotate the images in thedisplay section 1906 to facilitate this process. - Returning to FIG. 24 in a
twelfth process block 2404, after eachmarker system 100 the accuracy of the defined positions is checked. In the preferred embodiment, this is accomplished by calculating the relative agreement between the defined positions and known positions. If any of the defined positions differ from the expected position by over a predetermined threshold, then the marker position must be re-defined. In the preferred embodiment, the predetermined threshold is one (1) millimeter (mm) for skin markers and two and ½ (2.5) millimeters for the bone markers. However, these values may be adjusted. - With reference to FIG. 25, the
display screen 1900 showing the calculated accuracy is shown. The points represented by themarkers information section 1904. Even if a defined point is within the predetermined deviation, thesystem 100 allows theoperator 120 to re-define the point to optimize the accuracy of thesystem 100. - With reference to FIG. 26, during operation the
information section 1904 includes a main menu 2602. The main menu 2602 includes anoperation button 2604, aguidance mode button 2606, an approachesbutton 2608, aregistration button 2610, and aview selection button 2612. - With reference to FIG. 27, upon actuation of the
operation button 2604 theinformation section 1904 includes anoperation panel 2702. Theoperation panel 2702 includes atrajectory section 2704, avirtual tip section 2706, an imagefreeze toggle button 2708, atake snapshot button 2710, a zoom inbutton 2712, and zoom outbutton 2714, and amain menu button 2716. - The
trajectory section 2704 includes information on the distance between the actual position of asmart instruments 102 and the desired operating point. For example, theTrajectory Section 2704 describes the type oftrajectory 2720 required to reach the operating point, i.e., “Straight”. Acolored dot 2718 denotes the color of an image on thescreen 2724 representing the trajectory. Atext box 2722 contains the distance from the actual position of thesmart instrument 102 and the desired operating point. - The virtual tip feature allows the
operator 120 to virtually extend the tip of thesmart instrument 102 on themonitor 108. This is usual for visualizing an extended instrument during operation. Thevirtual tip section 2706 includes adistance text box 2726, adecrementing button 2728, anincrementing button 2730 and areset button 2732. Thedistance text box 2726 contains the virtual extended distance of thesmart instrument 102. Thedecrementing button 2728,incrementing button 2730 and resetbutton 2732 are used to decrease, increase, and set to zero the virtual extended distance of the smart instrument and may be operated via themouse 116 orcontrol buttons 114. - The virtual tip feature is useful for aligning a navigated instrument along a planned trajectory. The virtual tip feature is also useful to determine the depth of a biopsy. With the tip of the
smart instrument 102 placed at the entry point the distance to target is shown in thetext box 2722. The virtual tip can then be extended this amount (to the target) and the alignment of the instrument along the planned trajectory is easily done. - With reference to FIG. 28, a virtual tip extension of 50 mm is shown. When the tip is extended a
warning signal 2802 is displayed to remind theoperator 120 that a virtual probe is being displayed. - The required trajectory from the actual point of the
smart instrument 102 to the desired operating point is represented by the dashedline 2804. The actual tip of thesmart instrument 102 is represented by the firstperpendicular line segment 2806. The secondperpendicular line segment 2808 represents the virtual tip. - The freeze
image toggle button 2708 is used to toggle between frozen or static onscreen images and real-time images. Real-time images are displayed during normal operation. - The
take snapshot button 2710 captures the images displayed in thedisplay section 1906 in a graphic file, preferably in a the TIFF file format, and stores the image into a patient archive. - The zoom in and zoom out
buttons display section 1906. - The
main menu button 2716 returns thesystem 100 to the main menu 2602. - With reference to FIGS. 29 and 30, operation of the
system 100 in the guidance mode will now be explained. The guidance mode is used to guide the insertion of asmart instrument 102 into a pre-defined entry. Anpre-defined entry point 2902 is displayed in thedisplay section 1906. Preferably, theentry point 2902 remains centered in thedisplay section 1906. Afirst target 2904 represents the tip of the activesmart instrument 102. Asecond target 2906 represents the end of thesmart instrument 102. The goal is to line up the first andsecond targets smart instrument 102 is at the proper orientation. The guidance mode can only be selected if there is at least one approach trajectory 2908. - With reference to FIGS. 31 and 32, actuation of the
approaches button 2608 allows theoperator 120 to view defined trajectories. With specific reference to FIG. 31, after theapproaches button 2608 has been actuated, theinformation section 1904 includes alist 3102 of all pre-defined approaches. In this example, only one approach (“Straight 1”) 3104 has been defined. One or more of thesub-sections patient 122 illustrating the definedentry point 3106 andtrajectory 3108. A modify entry point button allows theoperator 120 to modify the defined entry point. - With specific reference to FIG. 32, after the modify entry point button has been actuated, the
information section 1904 includesinstructions 3202 on how to modify the entry point. Generally, theoperator 120 places the tip of the activesmart instrument 102 at a desired point and actuates the select or applybutton 610 on thesmart instrument 102 thereby redefining theentry point 3106. Theoperator 120 can then actuate either the up (forward)button 608 or the down (back)button 612 to accept or cancel the change. - With reference to FIGS. 34A and 34B, a calibration and validation tool3400 is shown. The tool 3400 is a smart instrument having four
infrared LEDs status light 3406, aninfrared transceiver 3408, and aactivation button 3410. When the universal tracker is mounted to a non-guided tool the calibration tool can be used calibrate the combined instruments tip position into the tracker. The calibration tool 3400 can also be used to re-calibrate anothersmart instrument 102 if thesmart instrument 102 could not be validated (see above) or if it is suspected that the smart took 102 has been compromised. Additionally, the calibration tool 3400 can be used to validate anothersmart instrument 102 if, for example, apatient tracker system 502 with auniversal tracker device 200 is not being used. - Like all
smart instruments 102, the calibration tool 3400 must be initialized. The calibration tool 3400 must be placed on a solid surface within the working volume of thesystem 100 with theLEDs sensor system 104. Then it is initialized through actuation of the activation button 3410 (see above). - The calibration tool3400 includes at least one validation point 3412. In the preferred embodiment, the tool 3400 includes four
validation points validation points columns columns base 3416. An upper andlower plate columns lower platform screws lower plates columns - The
upper plate 3418 includes afirst aperture 3422. Afirst lever 3424 is coupled to a first plurality offlanges 3426. Thefirst lever 3424 operates the first plurality of flanges to variably close and/or change the size of thefirst aperture 3422. - The
lower plate 3420 includes asecond aperture 3428. Asecond lever 3430 is coupled to a second plurality offlanges 3432. Thesecond lever 3430 operates the second plurality offlanges 3432 to variably close and/or change the size of thesecond aperture 3428. - With reference to FIG. 35, the process to calibrate a
smart instrument 102 will now be explained. In athirteenth process block 3502, the station 3400 is initialized (see above). In afourteenth process block 3504, the first andsecond apertures second levers - In a
fifteenth process block 3506, thesmart instrument 102 to be calibrated is then inserted through the first andsecond apertures smart instrument 102 is against thebase 3416. - In a
sixteenth process block 3508, the platform screws 3418 a, 3418 b, 3418 c, 3418 d are loosened and the upper andlower plates smart instrument 102 allows. - In a
seventeenth process block 3410, the platform screws 3418 a, 3418 b, 3420 a, 3420 b are then tightened. - In an eighteenth process block3412, the first and
second levers second apertures smart instrument 102. - In a nineteenth process block3414, the
operator 120 then presses theactivation button 214 orselect button 610 on thesmart instrument 102. TheLEDs smart instrument 102 are then read by the localizer system. Position information is relayed to thecomputer system 106 which calculates new calibration information for thesmart instrument 102. In the preferred embodiment, the new calibration information is then sent back to thesmart instrument 102 and stored thereon. Whenever this smart instrument is thereafter activated, the new calibration is then sent to thecomputer system 106 for use. - It is recommended that after a smart instrument has been calibrated, that it be validated. The calibration and validation tool3400 can also be used to perform the validation. The operation of the calibration and validation tool 3400 to validate a
smart instrument 102 is similar to the use of theuniversal tracker device 200. - With reference to FIG. 36, the
system 100 includes aremote control device 3600 which allows theoperator 120 to move through and make selections from thedisplay screen 1900 on themonitor 108. Preferably, theremote control device 3600 can be sterilized and placed with the work volume of the system. - The
remote control device 3600 includes ahousing 3602 with abattery holder 3604. A plurality ofcontrol buttons 3606 allow theoperator 120 to control thesystem 100, aninfrared transceiver 3608 and astatus light 3610. In the preferred embodiment, theremote control device 3600 includes anupward button 3606 a, adownward button 3606 b, anext button 3606 c, a back button 3606D, and a select or apply button 3606E. - As discussed above, the
system 100 operates on a scanning cycle which has a length based on the number ofsmart instruments 102 active. At the beginning of each cycle, thesystem 100 sends out a new tool inquiry package system which requests that any newsmart instruments 102 identify themselves (see above). If there are no new tools, then thesystem 100 cycles through the activesmart instruments 102 to determine their position. - In order to determine a smart instrument's102 position, the
system 100 has stored the number of LEDs in eachsmart instrument 102 that has been activated. Only oneLED - In the preferred embodiment, the
system 100 first sends out a initial signal identifying asmart instrument 102 by serial number that it should prepare for firing itsLEDs smart instrument 102. This status information may include battery life, any faults, activated control buttons, etc, . . . . The targetsmart instrument 102 delivers the requested status information to thesystem 100. - The initial signal may also include commands for the
smart instrument 102. For example, for asmart instrument 102 adapted as an irrigator may respond to on and off commands. - The
system 100 then requests that thesmart instrument 102 fires off each LED one at a time in order to be recognized by thesystem 100. - In one embodiment, the
system 100 cycles through all active smart instruments and attempts to determine their position. - In another embodiment, the
system 100 only determines the position of anyuniversal tracker device 200 coupled to a patient trackedsystem 502 and asmart tool 102 currently being used by theoperator 120. In this embodiment, when theoperator 120 picks up (an already activated)smart instrument 102, theoperator 120 must actuate theactivation button 214 or theselect button 610. This signals to thesystem 100 that thesmart instrument 102 is currently being used. In the preferred embodiment, thesystem 100 cycles through allactive instruments 102 but temporarily sets the number of LEDs on theinstruments 102 not being used to zero (0). - As discussed above, the
control buttons 114 are programmable and are adapted to operate, i.e., navigate through, the software running on thecomputer system 106. Thecontrol buttons 114 are also used in the validation and calibration operations, as discussed above. For example, on thesmart instrument 600 shown in FIG. 6, theselect button 610 is used to validate thesmart instrument 600, calibrate theinstrument 600 and activate theinstrument 600. Thesystem 600, based on the position of thesmart instrument 600 performs the correct operation. For example, if thesmart instrument 600 position indicates that thepointer 614 is located at thevalidation point 216 of the universal tracker device 200 (or the validation tool 3400), then thesystem 100 performs a validation operation upon activation of theselect button 610. If thesmart instrument 600 is in the calibration tool 3400, then a calibration operation is performed when theselect button 610 is activated. This feature can also be used with other input devices to thesystem 100. For example, if theoperator 120 needs to push a button on thekeyboard 116, theoperator 120 can simply point at the desired key and activate theselect button 610. - Other aspects, objects, and features of the present invention can be obtained from a study of the drawings, the disclosure, and the appended claims.
Claims (79)
1. A smart instrument for use in a surgery system, comprising:
a housing;
a plurality of light emitting diodes coupled to the housing and being adapted to fire independently; and,
a transceiver adapted to communicate with the surgery system.
2. A smart instrument, as set forth in , wherein the smart instrument includes a memory circuit for storing information related to the smart instrument.
claim 1
3. A smart instrument, as set forth in , wherein the smart instrument is adapted to transmit via the transceiver the information stored on the memory circuit in response to a received signal.
claim 2
4. A smart instrument, as set forth in , wherein the smart instrument includes a status light.
claim 1
5. A smart instrument, as set forth in , wherein the smart instrument is adapted to be for a specific purpose.
claim 1
6. A smart instrument, as set forth in , wherein the smart instrument is adapted to be used as a pointer.
claim 1
7. A smart instrument, as set forth in , wherein the smart instrument is adapted to be used as a scalpel.
claim 1
8. A smart instrument, as set forth in , wherein the smart instrument is adapted to be used as a probe.
claim 1
9. A smart instrument, as set forth in , wherein the smart instrument is adapted to be used as a validation tool for other smart instruments.
claim 1
10. A smart instrument, as set forth in , wherein the smart instrument is adapted to be used as a suction device.
claim 1
11. A smart instrument, as set forth in , wherein the smart instrument is adapted to be used as a pin.
claim 1
12. A smart instrument, as set forth in , wherein the smart instrument is adapted to be used as a clamp.
claim 1
13. A smart instrument, as set forth in , wherein the smart instrument is adapted to be interchangeably coupled with a plurality of generic instruments.
claim 1
14. A smart instrument, as set forth in , wherein the smart instrument is adapted to be interchangeably coupled with a patient tracking system.
claim 1
15. A smart instrument, as set forth in , wherein the smart instrument is adapted to be interchangeably coupled with a patient tracking system and at least one generic instrument.
claim 1
16. A smart instrument, as set forth in , wherein the smart instrument includes an activation button.
claim 1
17. A smart instrument, as set forth in , wherein the smart instrument is adapted to transmit via the transceiver information stored on a memory circuit in response to a received signal.
claim 16
18. A smart instrument, as set forth in , wherein the information includes a status of the activation button.
claim 17
19. A smart instrument, as set forth in , wherein the smart instrument includes a plurality of control buttons for remotely controlling the surgery system.
claim 1
20. A smart instrument, as set forth in , wherein the smart instrument is adapted to transmit via the transceiver information stored on a memory circuit in response to a received signal.
claim 19
21. A smart instrument, as set forth in , wherein the information includes a status of control buttons.
claim 20
22. A smart instrument, as set forth in , wherein the smart instrument includes an up button, a select button, and a down button.
claim 1
23. A smart instrument for use in a surgery system, comprising:
a housing;
a plurality of light emitting diodes coupled to the housing and being adapted to fire independently;
a transceiver adapted to communicate with the surgery system;
an activation button;
an adapter interface coupled to the housing; and,
a release button operatively couple to the adapter interface, where the smart instrument is adapted to be interchangeably coupled with a patient tracking system and at least one generic instrument.
24. A smart instrument, as set forth in , including a memory circuit for storing information related to the smart instrument.
claim 23
25. A smart instrument, as set forth in , wherein the information stored on the memory circuit is updated by the surgery system.
claim 24
26. A smart instrument, as set forth in , wherein the information stored on the memory circuit includes calibration information.
claim 24
27. A smart instrument, as set forth in , wherein the calibration information is updateable using a calibration station.
claim 26
28. A smart instrument, as set forth in , wherein the smart instrument further includes a validation point for validating other smart instruments.
claim 24
29. A smart instrument for use in a surgery system, comprising a housing;
a plurality of light emitting diodes coupled to the housing and being adapted to fire independently;
a transceiver adapted to communication with the surgery system;
a plurality of control button for remotely controlling the surgery system; and,
a work tip coupled to the housing.
30. A smart instrument, as set forth in , including a memory circuit for storing information related to the smart instrument.
claim 29
31. A smart instrument, as set forth in , wherein the information stored on the memory circuit is updated by the surgery system.
claim 30
32. A smart instrument, as set forth in , wherein the information stored on the memory circuit includes calibration information.
claim 30
33. A smart instrument, as set forth in , wherein the calibration information is updateable using a calibration tool.
claim 32
34. A smart instrument, as set forth in , wherein the smart instrument further includes a validation point for validating other smart instruments.
claim 29
35. A surgery system, comprising:
at least one smart instrument;
a computer system;
a sensor system adapted to wirelessly sense the position of the at least one smart instrument and to transmit position information to the computer system.
36. A surgery system, as set forth in , wherein the at least one smart instrument includes a memory circuit for storing information related to the smart instrument, and wherein the at least one smart instrument is adapted to wirelessly transmit the information to the computer system.
claim 35
37. A surgery system, as set forth in , wherein the information includes calibration information.
claim 36
38. A surgery system, as set forth in , wherein the sensor system uses infrared signals.
claim 35
39. A surgery system, as set forth in , wherein the sensor system uses radio frequency signals.
claim 35
40. A surgery system, as set forth in , wherein the sensor system uses the IEEE 802.11 communication standard.
claim 35
41. A surgery system, as set forth in , wherein the sensor system includes a sensor array.
claim 35
42. A surgery system, as set forth in , wherein the sensor array includes at least one linear CCD camera and an infrared transceiver.
claim 35
43. A surgery system, as set forth in , wherein the sensor array includes three linear CCD cameras and at least one infrared transceiver.
claim 35
44. A surgery system, as set forth in , wherein the computer system includes a monitor.
claim 35
45. A surgery system, as set forth in , wherein the computer system is adapted to display a diagram of a patient on the monitor.
claim 44
46. A surgery system, as set forth in , wherein the diagram is of one of an image, picture, outline and line drawing of at least a portion of the patient.
claim 45
47. A surgery system, as set forth in , wherein the computer system is adapted to display a representation of the at least one smart instrument on the diagram.
claim 45
48. A surgery system, as set forth in , wherein the representation of the at least one smart instrument is a line.
claim 47
49. A surgery system, as set forth in , is a graphic.
claim 47
50. A surgery system, as set forth in , wherein the computer assembly includes:
claim 35
a localizer coupled to the sensor system;
a computer workstation coupled to the localizer; and
a monitor coupled to the computer workstation.
51. A surgery system, as set forth in , wherein the at least one smart instrument includes a plurality of infrared light emitting diodes.
claim 50
52. A surgery system, as set forth in , wherein the localizer is adapted to receive the position information from the sensor system, determine a relative position of each of the plurality of infrared light emitting diodes.
claim 51
53. A surgery system, as set forth in , wherein the localizer is adapted to transmit the relation positions of the plurality of infrared light emitting diodes to the computer workstation.
claim 52
54. A surgery system, as set forth in , wherein the localizer is adapted to determine a relative position and orientation of the at least one smart instrument as a function of the relative positions of the plurality of infrared light emitting diodes and transmit the relative position and orientation to the computer workstation.
claim 52
55. A surgery system, as set forth in , including:
claim 35
a patient tracking system;
a universal tracker device coupled to the patient tracking system;
wherein the sensor system is adapted to wirelessly sense the position of the universal tracker device and to transmit position information to the computer system.
56. A surgery system, as set forth in , wherein the universal tracker device includes a validation point.
claim 55
57. A surgery system, as set forth in , wherein the validation point is used to validate the at least one smart instrument.
claim 56
58. A surgery system, comprising:
at least one smart instrument;
a patient tracking system;
a universal tracker device coupled to the patient tracking system;
a localizer;
a computer workstation coupled to the localizer;
a monitor coupled to the computer workstation;
a sensor system coupled to the localizer and being adapted to wirelessly sense the position of the at least one smart instrument and the universal tracker device and to transmit position information to the localizer.
59. A surgery system, as set forth in , wherein the at least one smart instrument includes first plurality of infrared light emitting diodes and the universal tracker device includes a second plurality of light emitting diodes, wherein the localizer is adapted to receive the position information from the sensor system and to determine a relative position of each of the first and second plurality of infrared light emitting diodes.
claim 58
60. A surgery system, as set forth in , wherein the localizer is adapted to transmit the relation positions of the first and second plurality of infrared light emitting diodes to the computer workstation.
claim 59
61. A surgery system, as set forth in , wherein the localizer is adapted to determine a relative position and orientation of the at least one smart instrument and the universal tracker device as a function of the relative positions of the first and second plurality of infrared light emitting diodes and transmit the relative position and orientation of the at least one smart instrument and the universal tracker device to the computer workstation.
claim 59
62. A surgery system, comprising:
at least one smart instrument;
a patient tracking system;
a universal tracking system having a validation point and being coupled to the patient tracking system;
a localizer;
a computer workstation coupled to the localizer;
a monitor coupled to the computer workstation; and,
a sensor system adapted to wirelessly sense the position of the at least one smart instrument and to transmit position information to the localizer, wherein the validation point is used to validate the at least one smart instrument.
63. A surgery system, comprising:
at least two smart instruments;
a computer system;
a sensor system adapted to wirelessly sense the position of the at least two smart instruments and to transmit position information to the computer system.
64. A surgery system, as set forth in , wherein the computer system includes a monitor and wherein the computer system is adapted to display a diagram of a patient on the monitor.
claim 63
65. A surgery system, as set forth in , wherein the computer system is adapted to display a representation of one of the at least two smart instruments on the diagram.
claim 64
66. A surgery system, as set forth in , wherein the one of the at least two smart instruments is in use.
claim 65
67. A surgery system, as set forth in , wherein the computer system is adapted to alternatively determine the position of the at least two smart instruments.
claim 66
68. A surgery system, as set forth in , wherein the computer system is adapted to only determine the position of the one of the at least two smart instruments.
claim 66
69. A surgery system, comprising:
a sheet of flexible material having a plurality of markers on a first side;
a smart instrument adapted to be placed in contact with the plurality of markers;
a computer system;
a sensor system adapted to wirelessly sense the position of the at least one smart instrument and to transmit position information to the computer system.
70. A surgery system, as set forth in , wherein the flexible material is a mesh.
claim 69
71. A surgery system, as set forth in , wherein the sheet of flexible material includes a layer of adhesive on another side.
claim 69
72. A validation tool for validating a smart instrument in a surgery system, comprising:
a base;
four columns coupled to the base;
at least one validation point coupled to one of the four columns; and,
a plurality of infrared light emitting diodes coupled to the base.
73. A calibration tool for calibrating a smart tool in a surgery system, comprising:
a base;
four columns coupled to the base;
a plurality of infrared light emitting diodes coupled to the base; and,
an upper plate and a lower plate slidably coupled to the four columns, the upper and lower plates each including an aperture for receiving the smart tool during a calibration process.
74. A surgery system, comprising:
at least one smart instrument;
a validation tool, the validation tool including:
a base;
four columns coupled to the base;
at least one validation point; and,
a plurality of infrared light emitting diodes coupled to the base; and,
a computer system;
a sensor system adapted to wirelessly sense the position of the at least one smart instrument and the calibration tool and to transmit position information to the computer system, wherein the validation tool is adapted to validate the at least one smart instrument.
75. A surgery system, comprising:
at least one smart instrument;
a calibration tool, the validation tool including:
a base;
four columns coupled to the base;
a plurality of infrared light emitting diodes coupled to the base;
an upper plate and a lower plate slidably coupled to the four columns,
the upper and lower plates each including an aperture for receiving the smart tool during a calibration process; and
a computer system;
a sensor system adapted to wirelessly sense the position of the at least one smart instrument and the calibration station and to transmit position information to the computer system, wherein the calibration station is adapted to calibrate the at least one smart instrument.
76. A surgery system, comprising:
a smart instrument being composed of a flexible material; and having a plurality of light emitting diodes on a first side;
a computer system; and,
a sensor system adapted to wirelessly sense the position of the plurality of light emitting diodes and to transmit position information to the computer system.
77. A surgery system, as set forth in , wherein the computer system is adapted to determine the contour of the smart instrument and perform a surface matching operation with a known contour.
claim 76
78. A surgery system, as set forth in , wherein the smart instrument is part of a dynamic reference frame.
claim 76
79. A surgery system, comprising:
at least one smart instrument, having at least one control button
a computer system; and,
a sensor system adapted to wirelessly sense the position of the at least one smart instrument and to transmit position information to the computer system and to transmit status information of the at least one control button, wherein the computer system is adapted to perform an operation based on the activation of the control button and the position of the at least one smart instrument.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
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US09/764,609 US20010034530A1 (en) | 2000-01-27 | 2001-01-17 | Surgery system |
US10/677,874 US7725162B2 (en) | 2000-01-27 | 2003-10-02 | Surgery system |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US17837700P | 2000-01-27 | 2000-01-27 | |
US09/764,609 US20010034530A1 (en) | 2000-01-27 | 2001-01-17 | Surgery system |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US10/677,874 Division US7725162B2 (en) | 2000-01-27 | 2003-10-02 | Surgery system |
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US20010034530A1 true US20010034530A1 (en) | 2001-10-25 |
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Cited By (578)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020077540A1 (en) * | 2000-11-17 | 2002-06-20 | Kienzle Thomas C. | Enhanced graphic features for computer assisted surgery system |
US20020133057A1 (en) * | 2001-02-07 | 2002-09-19 | Markus Kukuk | System and method for guiding flexible instrument procedures |
US6565050B1 (en) * | 2001-07-26 | 2003-05-20 | Pruter Rick L | Method and system for supporting an imaging transceiver |
US20030176778A1 (en) * | 2002-03-15 | 2003-09-18 | Scimed Life Systems, Inc. | Medical device control systems |
US20030181918A1 (en) * | 2002-02-11 | 2003-09-25 | Crista Smothers | Image-guided fracture reduction |
US6639789B2 (en) * | 2000-07-12 | 2003-10-28 | Karl Storz Gmbh & Co. Kg | Instrument and service unit for a surgical operating area |
EP1369090A1 (en) * | 2002-05-28 | 2003-12-10 | BrainLAB AG | Calibration of a navigation system for medical instruments and implants |
US20040034282A1 (en) * | 2002-03-06 | 2004-02-19 | Quaid Arthur E. | System and method for using a haptic device as an input device |
US6758817B1 (en) | 2002-09-11 | 2004-07-06 | Protek Medical Products, Inc. | Method and disposable apparatus for guiding needles |
US20040174261A1 (en) * | 2003-03-03 | 2004-09-09 | Volpi John P. | Interrogator and interrogation system employing the same |
US20040199072A1 (en) * | 2003-04-01 | 2004-10-07 | Stacy Sprouse | Integrated electromagnetic navigation and patient positioning device |
EP1491158A1 (en) | 2003-06-24 | 2004-12-29 | Zimmer Technology, Inc. | Detachable support arm for surgical navigation system reference array |
EP1498081A1 (en) * | 2003-07-14 | 2005-01-19 | Hitachi, Ltd. | Position measuring apparatus |
US20050020909A1 (en) * | 2003-07-10 | 2005-01-27 | Moctezuma De La Barrera Jose Luis | Display device for surgery and method for using the same |
US20050043615A1 (en) * | 2003-02-04 | 2005-02-24 | Natsumi Gary Shigeru | Portable, low-profile integrated computer, screen and keyboard for computer surgery applications |
US20050052527A1 (en) * | 2003-08-20 | 2005-03-10 | Christophe Remy | Mobile videoimaging, videocommunication, video production (VCVP) system |
US6884219B1 (en) | 2002-10-17 | 2005-04-26 | Rick L. Pruter | Method and disposable apparatus for guiding needles with an endocavity medical imaging device |
US20050131426A1 (en) * | 2003-12-10 | 2005-06-16 | Moctezuma De La Barrera Jose L. | Adapter for surgical navigation trackers |
US20050149041A1 (en) * | 2003-11-14 | 2005-07-07 | Mcginley Brian J. | Adjustable surgical cutting systems |
US20050165328A1 (en) * | 2002-03-19 | 2005-07-28 | Norbert Heske | Biopsy device and biopsy needle module that can be inserted into the biopsy device |
US20050215888A1 (en) * | 2004-03-05 | 2005-09-29 | Grimm James E | Universal support arm and tracking array |
EP1627272A2 (en) * | 2003-02-04 | 2006-02-22 | Z-Kat, Inc. | Interactive computer-assisted surgery system and method |
US20060052691A1 (en) * | 2004-03-05 | 2006-03-09 | Hall Maleata Y | Adjustable navigated tracking element mount |
US20060058644A1 (en) * | 2004-09-10 | 2006-03-16 | Harald Hoppe | System, device, and method for AD HOC tracking of an object |
US20060069324A1 (en) * | 2004-09-30 | 2006-03-30 | Block D S | Method and apparatus for performing a computer-assisted orthopaedic procedure |
US20060095047A1 (en) * | 2004-10-08 | 2006-05-04 | De La Barrera Jose Luis M | System and method for performing arthroplasty of a joint and tracking a plumb line plane |
DE10335388B4 (en) * | 2003-07-25 | 2006-06-22 | Aesculap Ag & Co. Kg | Set of surgical referencing devices |
EP1680007A2 (en) * | 2003-07-16 | 2006-07-19 | Z-Kat, Inc. | Guidance system and method for surgical procedures with improved feedback |
US20060161059A1 (en) * | 2005-01-20 | 2006-07-20 | Zimmer Technology, Inc. | Variable geometry reference array |
US7166114B2 (en) | 2002-09-18 | 2007-01-23 | Stryker Leibinger Gmbh & Co Kg | Method and system for calibrating a surgical tool and adapter thereof |
US20070100325A1 (en) * | 2005-11-03 | 2007-05-03 | Sebastien Jutras | Multifaceted tracker device for computer-assisted surgery |
US7213598B2 (en) | 2002-05-28 | 2007-05-08 | Brainlab Ag | Navigation-calibrating rotationally asymmetrical medical instruments or implants |
US20070142751A1 (en) * | 2002-03-06 | 2007-06-21 | Hyosig Kang | Apparatus and method for haptic rendering |
US20070179626A1 (en) * | 2005-11-30 | 2007-08-02 | De La Barrera Jose L M | Functional joint arthroplasty method |
DE102006030809A1 (en) * | 2006-06-30 | 2007-11-08 | Siemens Ag | Computer tomography system for accomplishing e.g. therapeutic intervention, has operating device arranged in holder for producing control signals to control one of system parts, where signals are transmitted to system parts |
US20070270685A1 (en) * | 2006-05-19 | 2007-11-22 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
EP1863424A2 (en) * | 2005-03-28 | 2007-12-12 | Compview Corporation | Articulated boom for positioning video and medical equipment in hospital operating rooms |
US20080009697A1 (en) * | 2006-06-16 | 2008-01-10 | Hani Haider | Method and Apparatus for Computer Aided Surgery |
US20080018469A1 (en) * | 2003-03-03 | 2008-01-24 | Volpi John P | Interrogator and Interrogation System Employing the Same |
US20080083414A1 (en) * | 2006-10-10 | 2008-04-10 | General Electric Company | Detecting time periods associated with surgical phases and/or interventions |
EP1915962A1 (en) * | 2006-10-26 | 2008-04-30 | BrainLAB AG | Integrated medical trackingsystem |
US7383073B1 (en) * | 2001-10-16 | 2008-06-03 | Z-Kat Inc. | Digital minimally invasive surgery system |
US20080132882A1 (en) * | 2006-11-30 | 2008-06-05 | Howmedica Osteonics Corp. | Orthopedic instruments with RFID |
US7411506B2 (en) | 2003-03-03 | 2008-08-12 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US20080269600A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Flexible Array For Use In Navigated Surgery |
US20080269777A1 (en) * | 2007-04-25 | 2008-10-30 | Medtronic, Inc. | Method And Apparatus For Controlled Insertion and Withdrawal of Electrodes |
US20080269602A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Method And Apparatus For Performing A Navigated Procedure |
US20080269599A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Method for Performing Multiple Registrations in a Navigated Procedure |
WO2008130361A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Flexible array for use in navigated surgery |
US20090012509A1 (en) * | 2007-04-24 | 2009-01-08 | Medtronic, Inc. | Navigated Soft Tissue Penetrating Laser System |
US20090043556A1 (en) * | 2007-08-07 | 2009-02-12 | Axelson Stuart L | Method of and system for planning a surgery |
US20090216116A1 (en) * | 2005-09-12 | 2009-08-27 | Advanced Surgical Design & Manufacture | Image Guided Surgery |
EP2106765A1 (en) * | 2008-04-03 | 2009-10-07 | BrainLAB AG | Pictorial orientation aid for medical instruments |
DE102008022921A1 (en) * | 2008-05-09 | 2009-11-12 | Siemens Aktiengesellschaft | Arrangement and method for positioning devices |
WO2009138871A2 (en) * | 2008-05-15 | 2009-11-19 | Superdimension, Ltd. | Automatic pathway and waypoint generation and navigation method |
US20100160771A1 (en) * | 2007-04-24 | 2010-06-24 | Medtronic, Inc. | Method and Apparatus for Performing a Navigated Procedure |
US20100160733A1 (en) * | 2002-04-17 | 2010-06-24 | Pinhas Gilboa | Endoscope Structures And Techniques For Navigating To A Target In Branched Structure |
US7755491B2 (en) | 2007-08-13 | 2010-07-13 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US7764178B2 (en) | 2003-03-03 | 2010-07-27 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US7764985B2 (en) | 2003-10-20 | 2010-07-27 | Smith & Nephew, Inc. | Surgical navigation system component fault interfaces and related processes |
US7771436B2 (en) | 2003-12-10 | 2010-08-10 | Stryker Leibinger Gmbh & Co. Kg. | Surgical navigation tracker, system and method |
US20100272442A1 (en) * | 2009-04-28 | 2010-10-28 | Christian Lechner | Medical instrument comprising a separate transmitter unit which can be exteriorly fastened |
US7862570B2 (en) | 2003-10-03 | 2011-01-04 | Smith & Nephew, Inc. | Surgical positioners |
WO2011001322A1 (en) * | 2009-06-29 | 2011-01-06 | Koninklijke Philips Electronics N.V. | Visualizing surgical trajectories |
EP2277441A1 (en) * | 2009-07-22 | 2011-01-26 | Surgica Robotica S.p.A. | Method for generating images of a human body zone undergoing a surgical operation by means of an apparatus for minimally invasive surgical procedures |
EP2245981A3 (en) * | 2009-04-28 | 2011-02-16 | Aktormed GmbH | Remote control for an operations assistance system |
US7893840B2 (en) | 2003-03-03 | 2011-02-22 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US20110077510A1 (en) * | 2002-10-25 | 2011-03-31 | Jose Luis Moctezuma De La Barrera | Flexible Tracking Article And Method Of Using The Same |
WO2011053751A3 (en) * | 2009-10-31 | 2011-07-14 | C.R. Bard, Inc. | Biopsy system with infrared communications |
US8012102B2 (en) | 2005-01-31 | 2011-09-06 | C. R. Bard, Inc. | Quick cycle biopsy system |
US8016772B2 (en) | 2002-03-19 | 2011-09-13 | C. R. Bard, Inc. | Biopsy device for removing tissue specimens using a vacuum |
US8052615B2 (en) | 2004-07-09 | 2011-11-08 | Bard Peripheral Vascular, Inc. | Length detection system for biopsy device |
US8063760B2 (en) | 2003-03-03 | 2011-11-22 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US8080000B2 (en) | 2004-04-21 | 2011-12-20 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US8088101B2 (en) | 2004-04-21 | 2012-01-03 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US8100933B2 (en) | 2002-09-30 | 2012-01-24 | Acclarent, Inc. | Method for treating obstructed paranasal frontal sinuses |
US8109942B2 (en) | 2004-04-21 | 2012-02-07 | Smith & Nephew, Inc. | Computer-aided methods, systems, and apparatuses for shoulder arthroplasty |
US8114113B2 (en) | 2005-09-23 | 2012-02-14 | Acclarent, Inc. | Multi-conduit balloon catheter |
US8114062B2 (en) | 2004-04-21 | 2012-02-14 | Acclarent, Inc. | Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders |
US8118757B2 (en) | 2007-04-30 | 2012-02-21 | Acclarent, Inc. | Methods and devices for ostium measurement |
US8142422B2 (en) | 2004-04-21 | 2012-03-27 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US20120075464A1 (en) * | 2010-09-23 | 2012-03-29 | Stryker Corporation | Video monitoring system |
US8146400B2 (en) | 2004-04-21 | 2012-04-03 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US8162851B2 (en) | 2003-03-29 | 2012-04-24 | C. R. Bard, Inc. | Biopsy needle system having a pressure generating unit |
US8174366B2 (en) | 2003-03-03 | 2012-05-08 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US8172828B2 (en) | 2004-04-21 | 2012-05-08 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
US8177788B2 (en) | 2005-02-22 | 2012-05-15 | Smith & Nephew, Inc. | In-line milling system |
US8182432B2 (en) | 2008-03-10 | 2012-05-22 | Acclarent, Inc. | Corewire design and construction for medical devices |
US8190389B2 (en) * | 2006-05-17 | 2012-05-29 | Acclarent, Inc. | Adapter for attaching electromagnetic image guidance components to a medical device |
US8251917B2 (en) | 2006-08-21 | 2012-08-28 | C. R. Bard, Inc. | Self-contained handheld biopsy needle |
US8262586B2 (en) | 2006-10-24 | 2012-09-11 | C. R. Bard, Inc. | Large sample low aspect ratio biopsy needle |
US8262585B2 (en) | 2005-08-10 | 2012-09-11 | C. R. Bard, Inc. | Single-insertion, multiple sampling biopsy device with linear drive |
US8267868B2 (en) | 2005-08-10 | 2012-09-18 | C. R. Bard, Inc. | Single-insertion, multiple sample biopsy device with integrated markers |
US8282574B2 (en) | 2005-08-10 | 2012-10-09 | C. R. Bard, Inc. | Single-insertion, multiple sampling biopsy device usable with various transport systems and integrated markers |
US8283890B2 (en) | 2009-09-25 | 2012-10-09 | Bard Peripheral Vascular, Inc. | Charging station for battery powered biopsy apparatus |
US20120316573A1 (en) * | 2011-05-31 | 2012-12-13 | Intuitive Surgical Operations, Inc. | Positive control of robotic surgical instrument end effector |
US8353840B1 (en) | 2002-09-11 | 2013-01-15 | Pruter Rick L | Method and disposable apparatus for guiding needles with a double button unlocking and locking mechanism |
US8388642B2 (en) | 2005-01-18 | 2013-03-05 | Acclarent, Inc. | Implantable devices and methods for treating sinusitis and other disorders |
US8414473B2 (en) | 2004-04-21 | 2013-04-09 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
WO2013053397A1 (en) * | 2011-10-13 | 2013-04-18 | Brainlab Ag | Medical tracking system comprising multi-functional sensor device |
US8430824B2 (en) | 2009-10-29 | 2013-04-30 | Bard Peripheral Vascular, Inc. | Biopsy driver assembly having a control circuit for conserving battery power |
US8435290B2 (en) | 2009-03-31 | 2013-05-07 | Acclarent, Inc. | System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx |
US8439687B1 (en) | 2006-12-29 | 2013-05-14 | Acclarent, Inc. | Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices |
US8452068B2 (en) | 2008-06-06 | 2013-05-28 | Covidien Lp | Hybrid registration method |
US8454532B2 (en) | 2007-12-27 | 2013-06-04 | Devicor Medical Products, Inc. | Clutch and valving system for tetherless biopsy device |
US8473032B2 (en) | 2008-06-03 | 2013-06-25 | Superdimension, Ltd. | Feature-based registration method |
US8485199B2 (en) | 2007-05-08 | 2013-07-16 | Acclarent, Inc. | Methods and devices for protecting nasal turbinate during surgery |
US8485987B2 (en) | 2006-10-06 | 2013-07-16 | Bard Peripheral Vascular, Inc. | Tissue handling system with reduced operator exposure |
US8485989B2 (en) | 2009-09-01 | 2013-07-16 | Bard Peripheral Vascular, Inc. | Biopsy apparatus having a tissue sample retrieval mechanism |
CN103269657A (en) * | 2011-01-07 | 2013-08-28 | 修复型机器人公司 | Methods and systems for modifying a parameter of an automated procedure |
US8542717B2 (en) | 2003-03-03 | 2013-09-24 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US20130264369A1 (en) * | 2001-06-20 | 2013-10-10 | Covidien Lp | Method and system for integrated medical tracking |
US8597205B2 (en) | 2007-12-20 | 2013-12-03 | C. R. Bard, Inc. | Biopsy device |
US8597206B2 (en) | 2009-10-12 | 2013-12-03 | Bard Peripheral Vascular, Inc. | Biopsy probe assembly having a mechanism to prevent misalignment of components prior to installation |
WO2013182224A1 (en) * | 2012-06-05 | 2013-12-12 | Brainlab Ag | Improving the accuracy of navigating a medical device |
US8611984B2 (en) | 2009-04-08 | 2013-12-17 | Covidien Lp | Locatable catheter |
US8663088B2 (en) | 2003-09-15 | 2014-03-04 | Covidien Lp | System of accessories for use with bronchoscopes |
US8690793B2 (en) | 2009-03-16 | 2014-04-08 | C. R. Bard, Inc. | Biopsy device having rotational cutting |
US8702626B1 (en) | 2004-04-21 | 2014-04-22 | Acclarent, Inc. | Guidewires for performing image guided procedures |
CN103735316A (en) * | 2013-12-18 | 2014-04-23 | 宁波市全灵医疗设备股份有限公司 | Navigation device in orthopedics department and preparation method of navigation device |
US8708928B2 (en) | 2009-04-15 | 2014-04-29 | Bard Peripheral Vascular, Inc. | Biopsy apparatus having integrated fluid management |
US8715169B2 (en) | 2004-04-21 | 2014-05-06 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US8740929B2 (en) | 2001-02-06 | 2014-06-03 | Acclarent, Inc. | Spacing device for releasing active substances in the paranasal sinus |
US8747389B2 (en) | 2004-04-21 | 2014-06-10 | Acclarent, Inc. | Systems for treating disorders of the ear, nose and throat |
US8764729B2 (en) | 2004-04-21 | 2014-07-01 | Acclarent, Inc. | Frontal sinus spacer |
US8764725B2 (en) | 2004-02-09 | 2014-07-01 | Covidien Lp | Directional anchoring mechanism, method and applications thereof |
US8845548B2 (en) | 2009-06-12 | 2014-09-30 | Devicor Medical Products, Inc. | Cutter drive assembly for biopsy device |
US8864787B2 (en) | 2004-04-21 | 2014-10-21 | Acclarent, Inc. | Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis |
US8894614B2 (en) | 2004-04-21 | 2014-11-25 | Acclarent, Inc. | Devices, systems and methods useable for treating frontal sinusitis |
US8905920B2 (en) | 2007-09-27 | 2014-12-09 | Covidien Lp | Bronchoscope adapter and method |
US8932207B2 (en) | 2008-07-10 | 2015-01-13 | Covidien Lp | Integrated multi-functional endoscopic tool |
US8932276B1 (en) | 2004-04-21 | 2015-01-13 | Acclarent, Inc. | Shapeable guide catheters and related methods |
US8948279B2 (en) | 2004-03-03 | 2015-02-03 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US8951225B2 (en) | 2005-06-10 | 2015-02-10 | Acclarent, Inc. | Catheters with non-removable guide members useable for treatment of sinusitis |
US8979888B2 (en) | 2008-07-30 | 2015-03-17 | Acclarent, Inc. | Paranasal ostium finder devices and methods |
US9035774B2 (en) | 2011-04-11 | 2015-05-19 | Lone Star Ip Holdings, Lp | Interrogator and system employing the same |
US9039680B2 (en) | 2004-08-04 | 2015-05-26 | Acclarent, Inc. | Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders |
USD731995S1 (en) * | 2014-02-25 | 2015-06-16 | Eufina AG | Mobile information and entertainment unit |
US9055881B2 (en) | 2004-04-26 | 2015-06-16 | Super Dimension Ltd. | System and method for image-based alignment of an endoscope |
US9072626B2 (en) | 2009-03-31 | 2015-07-07 | Acclarent, Inc. | System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx |
US9089258B2 (en) | 2004-04-21 | 2015-07-28 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9101384B2 (en) | 2004-04-21 | 2015-08-11 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat |
US9107574B2 (en) | 2004-04-21 | 2015-08-18 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9135669B2 (en) | 2005-09-29 | 2015-09-15 | Lone Star Ip Holdings, Lp | Interrogation system employing prior knowledge about an object to discern an identity thereof |
US9155492B2 (en) | 2010-09-24 | 2015-10-13 | Acclarent, Inc. | Sinus illumination lightwire device |
US9173641B2 (en) | 2009-08-12 | 2015-11-03 | C. R. Bard, Inc. | Biopsy apparatus having integrated thumbwheel mechanism for manual rotation of biopsy cannula |
US20160022374A1 (en) * | 2013-03-15 | 2016-01-28 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US9265407B2 (en) | 2004-04-21 | 2016-02-23 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9314307B2 (en) | 2011-10-21 | 2016-04-19 | Intuitive Surgical Operations, Inc. | Grip force control for robotic surgical instrument end effector |
US9351750B2 (en) | 2004-04-21 | 2016-05-31 | Acclarent, Inc. | Devices and methods for treating maxillary sinus disease |
US20160171262A1 (en) * | 2006-09-13 | 2016-06-16 | Stryker Combo L.L.C. | Apparatus and Methods for Monitoring Objects in a Surgical Field |
US20160202134A1 (en) * | 2015-01-09 | 2016-07-14 | Stryker Corporation | Isolated Force/Torque Sensor Assembly For Force Controlled Robot |
US9399121B2 (en) | 2004-04-21 | 2016-07-26 | Acclarent, Inc. | Systems and methods for transnasal dilation of passageways in the ear, nose or throat |
US9433437B2 (en) | 2013-03-15 | 2016-09-06 | Acclarent, Inc. | Apparatus and method for treatment of ethmoid sinusitis |
US9468362B2 (en) | 2004-04-21 | 2016-10-18 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
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 |
US9498300B1 (en) * | 2015-07-30 | 2016-11-22 | Novartis Ag | Communication system for surgical devices |
US9575140B2 (en) | 2008-04-03 | 2017-02-21 | Covidien Lp | Magnetic interference detection system and method |
DE102007021246B4 (en) * | 2006-05-16 | 2017-04-06 | Stryker European Holdings I, LLC (n.d. Ges. d. Staates Delaware) | Method for supporting a surgical procedure and system for assisting the performance of a surgical procedure |
USD784277S1 (en) * | 2015-03-05 | 2017-04-18 | A.Tron3D Gmbh | Medical image data recorder |
US9629684B2 (en) | 2013-03-15 | 2017-04-25 | Acclarent, Inc. | Apparatus and method for treatment of ethmoid sinusitis |
USD785794S1 (en) | 2014-12-23 | 2017-05-02 | Gyrus Acmi, Inc. | Adapter for a surgical device |
US9801686B2 (en) | 2003-03-06 | 2017-10-31 | Mako Surgical Corp. | Neural monitor-based dynamic haptics |
US20170327371A1 (en) * | 2014-11-25 | 2017-11-16 | Yanhui BAI | Sensor based tracking tool for medical components |
US9820688B2 (en) | 2006-09-15 | 2017-11-21 | Acclarent, Inc. | Sinus illumination lightwire device |
US20180325621A1 (en) * | 2016-08-17 | 2018-11-15 | Kirusha Srimohanarajah | Wireless active tracking fiducials |
US10188413B1 (en) | 2004-04-21 | 2019-01-29 | Acclarent, Inc. | Deflectable guide catheters and related methods |
US10206821B2 (en) | 2007-12-20 | 2019-02-19 | Acclarent, Inc. | Eustachian tube dilation balloon with ventilation path |
US10219811B2 (en) | 2011-06-27 | 2019-03-05 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US20190099225A1 (en) * | 2017-10-02 | 2019-04-04 | Robin Elizabeth McKenzie TODD | User interface system and methods for overlaying surgical video output |
US10285673B2 (en) | 2013-03-20 | 2019-05-14 | Bard Peripheral Vascular, Inc. | Biopsy device |
US20190192141A1 (en) * | 2017-12-21 | 2019-06-27 | Ethicon Llc | Staple instrument comprising a firing path display |
US10405929B1 (en) * | 2015-11-18 | 2019-09-10 | Bradley S. Seltmann | Attachment mechanism for surgical tool tracking system |
US10418705B2 (en) | 2016-10-28 | 2019-09-17 | Covidien Lp | Electromagnetic navigation antenna assembly and electromagnetic navigation system including the same |
US10426555B2 (en) | 2015-06-03 | 2019-10-01 | Covidien Lp | Medical instrument with sensor for use in a system and method for electromagnetic navigation |
USD863560S1 (en) * | 2018-02-21 | 2019-10-15 | 3Shape A/S | Display screen with stand |
US10446931B2 (en) | 2016-10-28 | 2019-10-15 | Covidien Lp | Electromagnetic navigation antenna assembly and electromagnetic navigation system including the same |
US10456120B2 (en) | 2013-11-05 | 2019-10-29 | C. R. Bard, Inc. | Biopsy device having integrated vacuum |
US10463350B2 (en) | 2015-05-01 | 2019-11-05 | C. R. Bard, Inc. | Biopsy device |
US10478254B2 (en) | 2016-05-16 | 2019-11-19 | Covidien Lp | System and method to access lung tissue |
US10517505B2 (en) | 2016-10-28 | 2019-12-31 | Covidien Lp | Systems, methods, and computer-readable media for optimizing an electromagnetic navigation system |
US10524814B2 (en) | 2009-03-20 | 2020-01-07 | Acclarent, Inc. | Guide system with suction |
US10582834B2 (en) | 2010-06-15 | 2020-03-10 | Covidien Lp | Locatable expandable working channel and method |
US10615500B2 (en) | 2016-10-28 | 2020-04-07 | Covidien Lp | System and method for designing electromagnetic navigation antenna assemblies |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10617417B2 (en) | 2014-11-06 | 2020-04-14 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10624861B2 (en) | 2010-09-30 | 2020-04-21 | Ethicon Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US10639036B2 (en) | 2008-02-14 | 2020-05-05 | Ethicon Llc | Robotically-controlled motorized surgical cutting and fastening instrument |
US10638952B2 (en) | 2016-10-28 | 2020-05-05 | Covidien Lp | Methods, systems, and computer-readable media for calibrating an electromagnetic navigation system |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10653435B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
CN111195154A (en) * | 2018-11-16 | 2020-05-26 | 格罗伯斯医疗有限公司 | End effector for surgical robotic system |
US10660640B2 (en) | 2008-02-14 | 2020-05-26 | Ethicon Llc | Motorized surgical cutting and fastening instrument |
US10667808B2 (en) | 2012-03-28 | 2020-06-02 | Ethicon Llc | Staple cartridge comprising an absorbable adjunct |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10682142B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical stapling apparatus including an articulation system |
US10687812B2 (en) | 2012-06-28 | 2020-06-23 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10687817B2 (en) | 2004-07-28 | 2020-06-23 | Ethicon Llc | Stapling device comprising a firing member lockout |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
US10695058B2 (en) | 2014-12-18 | 2020-06-30 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10695057B2 (en) | 2017-06-28 | 2020-06-30 | Ethicon Llc | Surgical instrument lockout arrangement |
US10702266B2 (en) | 2013-04-16 | 2020-07-07 | Ethicon Llc | Surgical instrument system |
US10702267B2 (en) | 2007-03-15 | 2020-07-07 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
EP3680682A1 (en) * | 2017-11-15 | 2020-07-15 | Stryker Corporation | High bandwidth and low latency hybrid communication techniques for a navigation system |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10722311B2 (en) | 2016-10-28 | 2020-07-28 | Covidien Lp | System and method for identifying a location and/or an orientation of an electromagnetic sensor based on a map |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10736630B2 (en) | 2014-10-13 | 2020-08-11 | Ethicon Llc | Staple cartridge |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10736628B2 (en) | 2008-09-23 | 2020-08-11 | Ethicon Llc | Motor-driven surgical cutting instrument |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10736634B2 (en) | 2011-05-27 | 2020-08-11 | Ethicon Llc | Robotically-driven surgical instrument including a drive system |
US10743873B2 (en) | 2014-12-18 | 2020-08-18 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10743849B2 (en) | 2006-01-31 | 2020-08-18 | Ethicon Llc | Stapling system including an articulation system |
US10743870B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Surgical stapling apparatus with interlockable firing system |
US10743877B2 (en) | 2010-09-30 | 2020-08-18 | Ethicon Llc | Surgical stapler with floating anvil |
US10743851B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Interchangeable tools for surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10751126B2 (en) | 2016-10-28 | 2020-08-25 | Covidien Lp | System and method for generating a map for electromagnetic navigation |
US10751076B2 (en) | 2009-12-24 | 2020-08-25 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10765432B2 (en) | 2008-02-14 | 2020-09-08 | Ethicon Llc | Surgical device including a control system |
US10772625B2 (en) | 2015-03-06 | 2020-09-15 | Ethicon Llc | Signal and power communication system positioned on a rotatable shaft |
US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
US10780539B2 (en) | 2011-05-27 | 2020-09-22 | Ethicon Llc | Stapling instrument for use with a robotic system |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
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 |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10792106B2 (en) | 2016-10-28 | 2020-10-06 | Covidien Lp | System for calibrating an electromagnetic navigation system |
US10806449B2 (en) | 2005-11-09 | 2020-10-20 | Ethicon Llc | End effectors for surgical staplers |
US10806450B2 (en) | 2008-02-14 | 2020-10-20 | Ethicon Llc | Surgical cutting and fastening instrument having a control system |
US10806448B2 (en) | 2014-12-18 | 2020-10-20 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10828123B2 (en) * | 2015-07-02 | 2020-11-10 | Nico Corporation | Navigation stylet for a tissue access system |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10828032B2 (en) | 2013-08-23 | 2020-11-10 | Ethicon Llc | End effector detection systems for surgical instruments |
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 |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10835251B2 (en) | 2010-09-30 | 2020-11-17 | Ethicon Llc | Surgical instrument assembly including an end effector configurable in different positions |
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 |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10863986B2 (en) | 2015-09-23 | 2020-12-15 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10863981B2 (en) | 2014-03-26 | 2020-12-15 | Ethicon Llc | Interface systems for use with surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
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 |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10893867B2 (en) | 2013-03-14 | 2021-01-19 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
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 |
US10905423B2 (en) | 2014-09-05 | 2021-02-02 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US10905418B2 (en) | 2014-10-16 | 2021-02-02 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US10905422B2 (en) | 2016-12-21 | 2021-02-02 | Ethicon Llc | Surgical instrument for use with a robotic surgical system |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10918386B2 (en) | 2007-01-10 | 2021-02-16 | Ethicon Llc | Interlock and surgical instrument including same |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10932778B2 (en) | 2008-10-10 | 2021-03-02 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US10932775B2 (en) | 2012-06-28 | 2021-03-02 | Ethicon Llc | Firing system lockout arrangements for surgical instruments |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10932774B2 (en) | 2005-08-31 | 2021-03-02 | Ethicon Llc | Surgical end effector for forming staples to different heights |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US10945795B2 (en) | 2012-08-08 | 2021-03-16 | Ortoma Ab | Method and system for computer assisted surgery |
US10945728B2 (en) | 2014-12-18 | 2021-03-16 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10952593B2 (en) | 2014-06-10 | 2021-03-23 | Covidien Lp | Bronchoscope adapter |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10959725B2 (en) | 2012-06-15 | 2021-03-30 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US10966627B2 (en) | 2015-03-06 | 2021-04-06 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10980535B2 (en) | 2008-09-23 | 2021-04-20 | Ethicon Llc | Motorized surgical instrument with an end effector |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
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 |
USD917701S1 (en) * | 2017-10-13 | 2021-04-27 | Shenzhen Mindray Bio-Medical Electronics Co., Ltd. | Anesthesia device |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10993717B2 (en) | 2006-01-31 | 2021-05-04 | Ethicon Llc | Surgical stapling system comprising a control system |
US11000275B2 (en) | 2006-01-31 | 2021-05-11 | Ethicon Llc | Surgical instrument |
US11006951B2 (en) | 2007-01-10 | 2021-05-18 | Ethicon Llc | Surgical instrument with wireless communication between control unit and sensor transponders |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US11013511B2 (en) | 2007-06-22 | 2021-05-25 | Ethicon Llc | Surgical stapling instrument with an articulatable end effector |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11020115B2 (en) | 2014-02-12 | 2021-06-01 | Cilag Gmbh International | Deliverable surgical instrument |
US11026684B2 (en) | 2016-04-15 | 2021-06-08 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11026678B2 (en) | 2015-09-23 | 2021-06-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11051810B2 (en) | 2016-04-15 | 2021-07-06 | Cilag Gmbh International | Modular surgical instrument with configurable operating mode |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11058422B2 (en) | 2015-12-30 | 2021-07-13 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11065061B2 (en) | 2004-04-21 | 2021-07-20 | Acclarent, Inc. | Systems and methods for performing image guided procedures within the ear, nose, throat and paranasal sinuses |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US11076133B2 (en) * | 2011-10-13 | 2021-07-27 | Brainlab Ag | Medical tracking system comprising two or more communicating sensor devices |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
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 |
US11076929B2 (en) | 2015-09-25 | 2021-08-03 | Cilag Gmbh International | Implantable adjunct systems for determining adjunct skew |
US20210236210A1 (en) * | 2018-06-20 | 2021-08-05 | Techmah Medical Llc | Methods and Devices for Knee Surgery with Inertial Sensors |
US11083452B2 (en) | 2010-09-30 | 2021-08-10 | Cilag Gmbh International | Staple cartridge including a tissue thickness compensator |
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 |
US11083453B2 (en) | 2014-12-18 | 2021-08-10 | Cilag Gmbh International | Surgical stapling system including a flexible firing actuator and lateral buckling supports |
US11083454B2 (en) | 2015-12-30 | 2021-08-10 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11090045B2 (en) | 2005-08-31 | 2021-08-17 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US20210251691A1 (en) * | 2020-02-19 | 2021-08-19 | Suzhou MicroPort Orthobot Co., Ltd. | Method, system for registration of bone, and trackable element |
US11096689B2 (en) | 2016-12-21 | 2021-08-24 | Cilag Gmbh International | Shaft assembly comprising a lockout |
US11109859B2 (en) | 2015-03-06 | 2021-09-07 | Cilag Gmbh International | Surgical instrument comprising a lockable battery housing |
US11116483B2 (en) | 2017-05-19 | 2021-09-14 | Merit Medical Systems, Inc. | Rotating biopsy needle |
US11129616B2 (en) | 2011-05-27 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US11129613B2 (en) | 2015-12-30 | 2021-09-28 | Cilag Gmbh International | Surgical instruments with separable motors and motor control circuits |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11129615B2 (en) | 2009-02-05 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US11134938B2 (en) | 2007-06-04 | 2021-10-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US11135352B2 (en) | 2004-07-28 | 2021-10-05 | Cilag Gmbh International | End effector including a gradually releasable medical adjunct |
US11134947B2 (en) | 2005-08-31 | 2021-10-05 | Cilag Gmbh International | Fastener cartridge assembly comprising a camming sled with variable cam arrangements |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147554B2 (en) | 2016-04-18 | 2021-10-19 | Cilag Gmbh International | Surgical instrument system comprising a magnetic lockout |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11154296B2 (en) | 2010-09-30 | 2021-10-26 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US11154297B2 (en) | 2008-02-15 | 2021-10-26 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11191545B2 (en) | 2016-04-15 | 2021-12-07 | Cilag Gmbh International | Staple formation detection mechanisms |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
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 |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US11202676B2 (en) | 2002-03-06 | 2021-12-21 | Mako Surgical Corp. | Neural monitor-based dynamic haptics |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11213302B2 (en) | 2017-06-20 | 2022-01-04 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11219489B2 (en) | 2017-10-31 | 2022-01-11 | Covidien Lp | Devices and systems for providing sensors in parallel with medical tools |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11224423B2 (en) | 2015-03-06 | 2022-01-18 | Cilag Gmbh International | Smart sensors with local signal processing |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11246618B2 (en) | 2013-03-01 | 2022-02-15 | Cilag Gmbh International | Surgical instrument soft stop |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11266406B2 (en) | 2013-03-14 | 2022-03-08 | Cilag Gmbh International | Control systems for surgical instruments |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US11272938B2 (en) | 2006-06-27 | 2022-03-15 | Cilag Gmbh International | Surgical instrument including dedicated firing and retraction assemblies |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
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 |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US11311292B2 (en) | 2016-04-15 | 2022-04-26 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US20220142717A1 (en) * | 2014-11-21 | 2022-05-12 | Think Surgical, Inc. | Visible light communication system for transmitting data between visual tracking systems and tracking markers |
US11344303B2 (en) | 2016-02-12 | 2022-05-31 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US11350935B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Surgical tool assemblies with closure stroke reduction features |
US11350932B2 (en) | 2016-04-15 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with improved stop/start control during a firing motion |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US20220211441A1 (en) * | 2021-01-06 | 2022-07-07 | Mako Surgical Corp. | Tracker For A Navigation System |
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 |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized 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 |
US11406380B2 (en) | 2008-09-23 | 2022-08-09 | Cilag Gmbh International | Motorized surgical instrument |
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 |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11439470B2 (en) | 2011-05-27 | 2022-09-13 | Cilag Gmbh International | Robotically-controlled surgical instrument with selectively articulatable end effector |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11457918B2 (en) | 2014-10-29 | 2022-10-04 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11478247B2 (en) | 2010-07-30 | 2022-10-25 | Cilag Gmbh International | Tissue acquisition arrangements and methods for surgical stapling devices |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US20220338937A1 (en) * | 2019-09-25 | 2022-10-27 | Stella Medical Gbr | Device For Navigating A Medical Instrument Relative To A Patient Anatomy |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11484311B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11497488B2 (en) | 2014-03-26 | 2022-11-15 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11504116B2 (en) | 2011-04-29 | 2022-11-22 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11517315B2 (en) | 2014-04-16 | 2022-12-06 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529502B2 (en) | 2004-04-21 | 2022-12-20 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
US11529138B2 (en) | 2013-03-01 | 2022-12-20 | Cilag Gmbh International | Powered surgical instrument including a rotary drive screw |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
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 |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US11571231B2 (en) | 2006-09-29 | 2023-02-07 | Cilag Gmbh International | Staple cartridge having a driver for driving multiple staples |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
WO2023039596A1 (en) * | 2021-09-13 | 2023-03-16 | True Digital Surgery | Integrated surgical navigation and visualization system, and methods thereof |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11612393B2 (en) | 2006-01-31 | 2023-03-28 | Cilag Gmbh International | Robotically-controlled end effector |
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 |
US11622766B2 (en) | 2012-06-28 | 2023-04-11 | Cilag Gmbh International | Empty clip cartridge lockout |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11642125B2 (en) | 2016-04-15 | 2023-05-09 | Cilag Gmbh International | Robotic surgical system including a user interface and a control circuit |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
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 |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US20230248449A1 (en) * | 2020-07-17 | 2023-08-10 | Smith & Nephew, Inc. | Touchless Control of Surgical Devices |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
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 |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11779420B2 (en) | 2012-06-28 | 2023-10-10 | Cilag Gmbh International | Robotic surgical attachments having manually-actuated retraction assemblies |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
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 |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11793498B2 (en) | 2017-05-19 | 2023-10-24 | Merit Medical Systems, Inc. | Biopsy needle devices and methods of use |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
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 |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11839352B2 (en) | 2007-01-11 | 2023-12-12 | Cilag Gmbh International | Surgical stapling device with an end effector |
US11844500B2 (en) | 2017-05-19 | 2023-12-19 | Merit Medical Systems, Inc. | Semi-automatic biopsy needle device and methods of use |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
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 |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11883020B2 (en) | 2006-01-31 | 2024-01-30 | Cilag Gmbh International | Surgical instrument having a feedback system |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
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 |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11911117B2 (en) | 2011-06-27 | 2024-02-27 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US11918220B2 (en) | 2012-03-28 | 2024-03-05 | Cilag Gmbh International | Tissue thickness compensator comprising tissue ingrowth features |
US11918212B2 (en) | 2015-03-31 | 2024-03-05 | Cilag Gmbh International | Surgical instrument with selectively disengageable drive systems |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
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 |
US11944338B2 (en) | 2015-03-06 | 2024-04-02 | Cilag Gmbh International | Multiple level thresholds to modify operation of powered surgical instruments |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
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 |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US12004745B2 (en) | 2016-12-21 | 2024-06-11 | Cilag Gmbh International | Surgical instrument system comprising an end effector lockout and a firing assembly lockout |
US12016564B2 (en) | 2014-09-26 | 2024-06-25 | Cilag Gmbh International | Circular fastener cartridges for applying radially expandable fastener lines |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
USD1039559S1 (en) | 2017-06-20 | 2024-08-20 | Cilag Gmbh International | Display panel with changeable graphical user interface |
US12082893B2 (en) | 2015-11-24 | 2024-09-10 | Think Surgical, Inc. | Robotic pin placement |
US12089902B2 (en) | 2019-07-30 | 2024-09-17 | Coviden Lp | Cone beam and 3D fluoroscope lung navigation |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
Families Citing this family (137)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6996487B2 (en) * | 2000-03-15 | 2006-02-07 | Orthosoft Inc. | Automatic calibration system for computer-aided surgical instruments |
US7547307B2 (en) * | 2001-02-27 | 2009-06-16 | Smith & Nephew, Inc. | Computer assisted knee arthroplasty instrumentation, systems, and processes |
DE10151398B4 (en) * | 2001-10-18 | 2005-03-17 | Schaerer Mayfield USA, Inc., Cincinnati | Device for adapting surgical instruments as a pointing device |
US20050021037A1 (en) * | 2003-05-29 | 2005-01-27 | Mccombs Daniel L. | Image-guided navigated precision reamers |
CA2538126A1 (en) * | 2003-10-06 | 2005-05-06 | Smith & Nephew, Inc. | Modular navigated portal |
EP1720463A1 (en) * | 2004-01-16 | 2006-11-15 | Smith and Nephew, Inc. | Computer-assisted ligament balancing in total knee arthroplasty |
US8176922B2 (en) * | 2004-06-29 | 2012-05-15 | Depuy Products, Inc. | System and method for bidirectional communication with an implantable medical device using an implant component as an antenna |
CA2588736A1 (en) * | 2004-12-02 | 2006-06-08 | Smith & Nephew, Inc. | Systems, methods, and apparatus for automatic software flow using instrument detection during computer-aided surgery |
US7384403B2 (en) * | 2004-12-17 | 2008-06-10 | Depuy Products, Inc. | Wireless communication system for transmitting information from a medical device |
US8001975B2 (en) * | 2004-12-29 | 2011-08-23 | Depuy Products, Inc. | Medical device communications network |
US20060142740A1 (en) * | 2004-12-29 | 2006-06-29 | Sherman Jason T | Method and apparatus for performing a voice-assisted orthopaedic surgical procedure |
US7896869B2 (en) * | 2004-12-29 | 2011-03-01 | Depuy Products, Inc. | System and method for ensuring proper medical instrument use in an operating room |
US7644898B2 (en) * | 2005-03-28 | 2010-01-12 | Compview Medical, Llc | Medical boom with articulated arms and a base with preconfigured removable modular racks used for storing electronic and utility equipment |
DE102005022347B4 (en) * | 2005-05-13 | 2010-08-12 | Siemens Ag | Medical basic system and medical technology system |
CA2611404C (en) | 2005-06-09 | 2016-01-12 | Ife Industrielle Forschung Und Entwicklung Gmbh | Device and method for the contactless determination of spatial position/orientation of bodies |
US8295909B2 (en) * | 2005-06-16 | 2012-10-23 | Brainlab Ag | Medical tracking system with infrared data transfer |
US7643862B2 (en) * | 2005-09-15 | 2010-01-05 | Biomet Manufacturing Corporation | Virtual mouse for use in surgical navigation |
US20070078678A1 (en) * | 2005-09-30 | 2007-04-05 | Disilvestro Mark R | System and method for performing a computer assisted orthopaedic surgical procedure |
US20070118139A1 (en) * | 2005-10-14 | 2007-05-24 | Cuellar Alberto D | System and method for bone resection |
WO2007056743A1 (en) | 2005-11-09 | 2007-05-18 | Stryker Corporation | System and method for locating saw blades and like cutting accessories with a surgical navigation system |
US8411034B2 (en) * | 2009-03-12 | 2013-04-02 | Marc Boillot | Sterile networked interface for medical systems |
US7525309B2 (en) | 2005-12-30 | 2009-04-28 | Depuy Products, Inc. | Magnetic sensor array |
US20070161888A1 (en) * | 2005-12-30 | 2007-07-12 | Sherman Jason T | System and method for registering a bone of a patient with a computer assisted orthopaedic surgery system |
US8862200B2 (en) * | 2005-12-30 | 2014-10-14 | DePuy Synthes Products, LLC | Method for determining a position of a magnetic source |
US20070167741A1 (en) * | 2005-12-30 | 2007-07-19 | Sherman Jason T | Apparatus and method for registering a bone of a patient with a computer assisted orthopaedic surgery system |
CN101410070B (en) * | 2006-03-31 | 2012-07-04 | 皇家飞利浦电子股份有限公司 | Image guided surgery system |
US8635082B2 (en) | 2006-05-25 | 2014-01-21 | DePuy Synthes Products, LLC | Method and system for managing inventories of orthopaedic implants |
EP1872735B1 (en) | 2006-06-23 | 2016-05-18 | Brainlab AG | Method for automatic identification of instruments during medical navigation |
DE502006007177D1 (en) | 2006-09-15 | 2010-07-22 | Brainlab Ag | Apparatus and method for measuring geometric properties of medical treatment devices, in particular for the automatic verification, calibration and measurement of instruments for computer-assisted surgery |
US8068648B2 (en) * | 2006-12-21 | 2011-11-29 | Depuy Products, Inc. | Method and system for registering a bone of a patient with a computer assisted orthopaedic surgery system |
US8821511B2 (en) * | 2007-03-15 | 2014-09-02 | General Electric Company | Instrument guide for use with a surgical navigation system |
US9050123B2 (en) | 2007-04-16 | 2015-06-09 | Smith & Nephew, Inc. | Powered surgical system |
EP1990021B1 (en) | 2007-05-09 | 2011-07-06 | BrainLAB AG | Medical instrument with separate transmission unit for controlling software to support treatment and instrument system |
AU2008261534B2 (en) * | 2007-06-15 | 2014-01-09 | Orthosoft Ulc | Computer-assisted surgery system and method |
US8080064B2 (en) | 2007-06-29 | 2011-12-20 | Depuy Products, Inc. | Tibial tray assembly having a wireless communication device |
US8265949B2 (en) | 2007-09-27 | 2012-09-11 | Depuy Products, Inc. | Customized patient surgical plan |
ES2838598T3 (en) * | 2007-09-30 | 2021-07-02 | Depuy Products Inc | Customized, patient-specific orthopedic surgical instrument |
US8382372B2 (en) * | 2008-07-09 | 2013-02-26 | Siemens Aktiengesellschaft | Medical apparatus |
US8657809B2 (en) | 2010-09-29 | 2014-02-25 | Stryker Leibinger Gmbh & Co., Kg | Surgical navigation system |
US9921712B2 (en) | 2010-12-29 | 2018-03-20 | Mako Surgical Corp. | System and method for providing substantially stable control of a surgical tool |
US9119655B2 (en) | 2012-08-03 | 2015-09-01 | Stryker Corporation | Surgical manipulator capable of controlling a surgical instrument in multiple modes |
EP2901968B1 (en) | 2011-06-23 | 2020-02-12 | Stryker Corporation | Prosthetic implant |
EP2734168B1 (en) | 2011-07-22 | 2015-09-16 | Stryker Corporation | Multi-position limb holder |
JP6385275B2 (en) | 2011-09-02 | 2018-09-05 | ストライカー・コーポレイション | Surgical instrument comprising a cutting accessory extending from the housing and an actuator for establishing the position of the cutting accessory relative to the housing |
US9387008B2 (en) * | 2011-09-08 | 2016-07-12 | Stryker European Holdings I, Llc | Axial surgical trajectory guide, and method of guiding a medical device |
JP2013153998A (en) * | 2012-01-31 | 2013-08-15 | Univ Of Tokyo | Ultrasonic therapeutic system |
US9226796B2 (en) | 2012-08-03 | 2016-01-05 | Stryker Corporation | Method for detecting a disturbance as an energy applicator of a surgical instrument traverses a cutting path |
US9820818B2 (en) | 2012-08-03 | 2017-11-21 | Stryker Corporation | System and method for controlling a surgical manipulator based on implant parameters |
CA2879414A1 (en) | 2012-08-03 | 2014-02-06 | Stryker Corporation | Systems and methods for robotic surgery |
CA2884136C (en) * | 2012-09-06 | 2024-02-20 | Norwegian University Of Science And Technology (Ntnu) | Treatment of headache by injection of neuroinhibitory substance to sphenopalatine ganglion or otic ganglion |
US9008757B2 (en) | 2012-09-26 | 2015-04-14 | Stryker Corporation | Navigation system including optical and non-optical sensors |
US10197422B2 (en) | 2012-10-05 | 2019-02-05 | Blackberry Limited | System and methods for interacting with a smart tool |
FR2997617B1 (en) * | 2012-11-08 | 2015-08-21 | Tural | REPERAGE DEVICE |
RS1351U (en) * | 2012-11-16 | 2013-12-31 | Slaviša STRAHINIĆ | Mobile ergonomic support for desktop computers |
US9993273B2 (en) | 2013-01-16 | 2018-06-12 | Mako Surgical Corp. | Bone plate and tracking device using a bone plate for attaching to a patient's anatomy |
EP4309613A3 (en) | 2013-01-16 | 2024-03-06 | Stryker Corporation | Navigation systems for indicating line-of-sight errors |
CN108175503B (en) | 2013-03-13 | 2022-03-18 | 史赛克公司 | System for arranging objects in an operating room in preparation for a surgical procedure |
US9603665B2 (en) | 2013-03-13 | 2017-03-28 | Stryker Corporation | Systems and methods for establishing virtual constraint boundaries |
EP3441039B1 (en) | 2013-03-15 | 2020-10-21 | Stryker Corporation | Assembly for positioning a sterile surgical drape relative to optical position sensors |
DE102013214067A1 (en) * | 2013-07-17 | 2015-01-22 | Fiagon Gmbh | Device and method for connecting a medical instrument to a position detection system |
WO2015023665A1 (en) * | 2013-08-15 | 2015-02-19 | Intuitive Surgical Operations, Inc. | Graphical user interface for catheter positioning and insertion |
EP3052042B1 (en) | 2013-10-04 | 2019-11-27 | Stryker Corporation | System for interacting with an object |
CN105611884B (en) * | 2013-10-09 | 2019-06-28 | 纽文思公司 | The system for being designed in art during vertebra program of performing the operation and evaluating spine malformation correction |
DE102013222230A1 (en) | 2013-10-31 | 2015-04-30 | Fiagon Gmbh | Surgical instrument |
DE102014105311A1 (en) * | 2013-12-17 | 2015-06-18 | Ergosurg Gmbh | Method and system for the controllable adjustment of the removal rate of hand-held material and tissue-separating tools and effectors |
US10478364B2 (en) | 2014-03-10 | 2019-11-19 | Stryker Corporation | Limb positioning system |
IL236003A (en) | 2014-11-30 | 2016-02-29 | Ben-Yishai Rani | Model registration system and method |
AU2016222790B2 (en) | 2015-02-25 | 2020-04-02 | Mako Surgical Corp. | Navigation systems and methods for reducing tracking interruptions during a surgical procedure |
US9895201B2 (en) * | 2015-02-27 | 2018-02-20 | Flex Operating Room, Llc | Cantilever organizational rack system for supporting surgical instrumentation |
US9951904B2 (en) | 2015-03-24 | 2018-04-24 | Stryker Corporation | Rotatable seat clamps for rail clamp |
WO2017004056A1 (en) | 2015-07-01 | 2017-01-05 | Mako Surgical Corp. | Robotic systems and methods for controlling a tool removing material from a workpiece |
US10070928B2 (en) | 2015-07-01 | 2018-09-11 | Mako Surgical Corp. | Implant placement planning |
US9808321B2 (en) * | 2015-07-24 | 2017-11-07 | Izi Medical Products, Llc | Dynamic reference frame for surgical navigation system |
WO2017022307A1 (en) * | 2015-07-31 | 2017-02-09 | オリンパス株式会社 | Manipulator system |
WO2017040821A1 (en) | 2015-09-04 | 2017-03-09 | Stryker Corporation | System and method for controlling a surgical manipulator based on implant parameters |
CA2999952C (en) * | 2015-09-26 | 2023-08-15 | Synaptive Medical (Barbados) Inc. | Tracked suction tool |
CA3005991A1 (en) | 2015-11-30 | 2017-06-08 | Stryker Corporation | Surgical instrument with telescoping nose mechanism |
EP3387319A1 (en) | 2015-12-10 | 2018-10-17 | Stryker Corporation | Tracking devices for use in navigation systems and methods for manufacturing the same |
JP6944939B2 (en) | 2015-12-31 | 2021-10-06 | ストライカー・コーポレイション | Systems and methods for performing surgery on a patient's target site as defined by a virtual object |
CN109863553A (en) * | 2016-04-07 | 2019-06-07 | M.S.T.医学外科技术有限公司 | The operation control system of voice activation |
US20170311843A1 (en) * | 2016-04-27 | 2017-11-02 | Brent Andrew BAILEY | Medical instrument tracking indicator system |
US10384353B2 (en) * | 2016-05-16 | 2019-08-20 | Kurion, Inc. | System and method for a robotic manipulator system |
CN109152615B (en) | 2016-05-23 | 2021-08-17 | 马科外科公司 | System and method for identifying and tracking physical objects during robotic surgical procedures |
US10537395B2 (en) | 2016-05-26 | 2020-01-21 | MAKO Surgical Group | Navigation tracker with kinematic connector assembly |
WO2018112025A1 (en) | 2016-12-16 | 2018-06-21 | Mako Surgical Corp. | Techniques for modifying tool operation in a surgical robotic system based on comparing actual and commanded states of the tool relative to a surgical site |
US10499997B2 (en) | 2017-01-03 | 2019-12-10 | Mako Surgical Corp. | Systems and methods for surgical navigation |
EP3609424A1 (en) | 2017-04-14 | 2020-02-19 | Stryker Corporation | Surgical systems and methods for facilitating ad-hoc intraoperative planning of surgical procedures |
US11033341B2 (en) | 2017-05-10 | 2021-06-15 | Mako Surgical Corp. | Robotic spine surgery system and methods |
EP4344658A3 (en) | 2017-05-10 | 2024-07-03 | MAKO Surgical Corp. | Robotic spine surgery system |
AU2018279732B2 (en) | 2017-06-09 | 2024-03-07 | Mako Surgical Corp. | Systems and tools for positioning workpieces with surgical robots |
AU2018316801B2 (en) | 2017-08-16 | 2023-12-21 | Mako Surgical Corp. | Ultrasound bone registration with learning-based segmentation and sound speed calibration |
US11213353B2 (en) * | 2017-08-22 | 2022-01-04 | Covidien Lp | Systems and methods for planning a surgical procedure and evaluating the performance of a surgical procedure |
US11166775B2 (en) | 2017-09-15 | 2021-11-09 | Mako Surgical Corp. | Robotic cutting systems and methods for surgical saw blade cutting on hard tissue |
US11241285B2 (en) | 2017-11-07 | 2022-02-08 | Mako Surgical Corp. | Robotic system for shoulder arthroplasty using stemless implant components |
US11432945B2 (en) | 2017-11-07 | 2022-09-06 | Howmedica Osteonics Corp. | Robotic system for shoulder arthroplasty using stemless implant components |
US11173048B2 (en) | 2017-11-07 | 2021-11-16 | Howmedica Osteonics Corp. | Robotic system for shoulder arthroplasty using stemless implant components |
US11272985B2 (en) | 2017-11-14 | 2022-03-15 | Stryker Corporation | Patient-specific preoperative planning simulation techniques |
CN108294825B (en) * | 2017-12-26 | 2019-08-02 | 刘洋 | Registration arrangement and method for surgical navigational |
US11114199B2 (en) | 2018-01-25 | 2021-09-07 | Mako Surgical Corp. | Workflow systems and methods for enhancing collaboration between participants in a surgical procedure |
AU2019211450A1 (en) | 2018-01-26 | 2020-07-23 | Mako Surgical Corp. | End effectors and methods for driving tools guided by surgical robotic systems |
KR20200115518A (en) | 2018-01-26 | 2020-10-07 | 마코 서지컬 코포레이션 | End effector, system and method for impacting prosthesis guided by surgical robot |
EP3755259A1 (en) | 2018-02-19 | 2020-12-30 | Mako Surgical Corp. | Surgical systems and methods for identifying tools guided by surgical robots |
US10842699B2 (en) | 2018-04-27 | 2020-11-24 | Ormonde M. Mahoney | System and method for patient positioning in an automated surgery |
US11191594B2 (en) | 2018-05-25 | 2021-12-07 | Mako Surgical Corp. | Versatile tracking arrays for a navigation system and methods of recovering registration using the same |
US11007018B2 (en) | 2018-06-15 | 2021-05-18 | Mako Surgical Corp. | Systems and methods for tracking objects |
US11051829B2 (en) | 2018-06-26 | 2021-07-06 | DePuy Synthes Products, Inc. | Customized patient-specific orthopaedic surgical instrument |
US11291507B2 (en) * | 2018-07-16 | 2022-04-05 | Mako Surgical Corp. | System and method for image based registration and calibration |
US11684489B2 (en) | 2018-10-29 | 2023-06-27 | Mako Surgical Corp. | Robotic system for ankle arthroplasty |
JP7506669B2 (en) | 2018-11-08 | 2024-06-26 | マコ サージカル コーポレーション | Robotic spine surgery systems and methods |
EP3719749A1 (en) | 2019-04-03 | 2020-10-07 | Fiagon AG Medical Technologies | Registration method and setup |
KR102596660B1 (en) | 2019-04-12 | 2023-11-03 | 마코 서지컬 코포레이션 | Robotic system and method for manipulating cutting guides for surgical instruments |
US12059804B2 (en) | 2019-05-22 | 2024-08-13 | Mako Surgical Corp. | Bidirectional kinematic mount |
WO2020264489A1 (en) | 2019-06-28 | 2020-12-30 | Mako Surgical Corp. | Tracker-based surgical navigation |
KR20220031576A (en) | 2019-07-03 | 2022-03-11 | 스트리커 코포레이션 | Obstacle avoidance technology for surgical navigation |
US11832892B2 (en) | 2019-07-10 | 2023-12-05 | Mako Surgical Corp. | Navigation systems for communicating tracker status conditions |
CN114449969A (en) * | 2019-09-30 | 2022-05-06 | 马科外科公司 | System and method for guiding movement of a tool |
WO2021067597A1 (en) | 2019-10-01 | 2021-04-08 | Mako Surgical Corp. | Surgical systems for guiding robotic manipulators |
US11278416B2 (en) | 2019-11-14 | 2022-03-22 | Howmedica Osteonics Corp. | Concentric keel TKA |
US20210174956A1 (en) * | 2019-12-06 | 2021-06-10 | McGinley Engineered Solutions. LLC | Smart orthopedic instrument with ar display |
AU2021209063A1 (en) | 2020-01-13 | 2022-09-01 | Stryker Corporation | System for monitoring offset during navigation-assisted surgery |
EP3886056A1 (en) | 2020-03-16 | 2021-09-29 | Stryker Australia PTY LTD | Automated cut planning for removal of diseased regions |
US20210298795A1 (en) | 2020-03-27 | 2021-09-30 | Mako Surgical Corp. | Robotic Spine Surgery System And Methods With Haptic Interface |
US20220183778A1 (en) * | 2020-06-18 | 2022-06-16 | Brainlab Ag | Compensation of gravity-related displacements of medical carrier structures |
EP4216865A1 (en) | 2020-09-22 | 2023-08-02 | Mobius Imaging, LLC | Mount assemblies for use with navigated surgical systems |
WO2022182963A2 (en) | 2021-02-26 | 2022-09-01 | Mobius Imaging Llc | Rotational tracker adapter with biasing mechanism |
EP4297686A2 (en) | 2021-02-26 | 2024-01-03 | Stryker European Operations Limited | Tracker and related accessories for a surgical navigation system |
JP2024517549A (en) | 2021-03-12 | 2024-04-23 | ストライカー・ユーロピアン・オペレーションズ・リミテッド | Neurosurgical methods and systems for detecting and removing tumor tissue - Patents.com |
JP2024519357A (en) | 2021-05-14 | 2024-05-10 | ストライカー・ユーロピアン・オペレーションズ・リミテッド | Surgical fluorescent probes for tumor detection |
JP2024519923A (en) | 2021-05-20 | 2024-05-21 | マコ サージカル コーポレーション | Optimizing tracker-based surgical navigation |
US12076024B2 (en) | 2021-07-08 | 2024-09-03 | Mako Surgical Corp. | Rotatable blade guard for surgical saw |
WO2023154301A2 (en) | 2022-02-08 | 2023-08-17 | Mobius Imaging, Llc | Resilient drape assemblies with guides for use with surgical robots |
US20230364746A1 (en) | 2022-05-13 | 2023-11-16 | Joseph M. Grubb | Multitool with locking multipurpose driver |
WO2024006413A1 (en) | 2022-06-29 | 2024-01-04 | Mobius Imaging, Llc | Mount assemblies with anchors for use with navigated surgical systems |
WO2024044365A1 (en) | 2022-08-26 | 2024-02-29 | Mako Surgical Corp. | Selectively automated robotic surgical system |
WO2024057284A2 (en) | 2022-09-15 | 2024-03-21 | Stryker European Operations Limited | Neurosurgical methods and systems for detecting and removing tumorous tissue |
WO2024081388A1 (en) | 2022-10-13 | 2024-04-18 | Howmedica Osteonics Corp. | System and method for implantable sensor registration |
WO2024129671A1 (en) | 2022-12-12 | 2024-06-20 | Mobius Imaging, Llc | Stabilization assembly for a mobile medical system |
Family Cites Families (62)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4323459A (en) | 1978-08-09 | 1982-04-06 | Petrolite Corporation | Process of inhibiting scale formation in aqueous systems using quaternary ammonium salts of α-1,4-thiazine alkanephosphonic acids |
US4396945A (en) | 1981-08-19 | 1983-08-02 | Solid Photography Inc. | Method of sensing the position and orientation of elements in space |
US4722056A (en) | 1986-02-18 | 1988-01-26 | Trustees Of Dartmouth College | Reference display systems for superimposing a tomagraphic image onto the focal plane of an operating microscope |
DE3717871C3 (en) | 1987-05-27 | 1995-05-04 | Georg Prof Dr Schloendorff | Method and device for reproducible visual representation of a surgical intervention |
DE3884800D1 (en) | 1987-05-27 | 1993-11-11 | Schloendorff Georg Prof Dr | METHOD AND DEVICE FOR REPRODUCIBLE OPTICAL PRESENTATION OF A SURGICAL OPERATION. |
JPS6472736A (en) | 1987-09-14 | 1989-03-17 | Toshiba Corp | Mri apparatus |
US4991579A (en) | 1987-11-10 | 1991-02-12 | Allen George S | Method and apparatus for providing related images over time of a portion of the anatomy using fiducial implants |
EP0326768A3 (en) | 1988-02-01 | 1991-01-23 | Faro Medical Technologies Inc. | Computer-aided surgery apparatus |
US4951653A (en) | 1988-03-02 | 1990-08-28 | Laboratory Equipment, Corp. | Ultrasound brain lesioning system |
US4869247A (en) | 1988-03-11 | 1989-09-26 | The University Of Virginia Alumni Patents Foundation | Video tumor fighting system |
IT1227365B (en) | 1988-11-18 | 1991-04-08 | Istituto Neurologico Carlo Bes | PROCEDURE AND EQUIPMENT PARTICULARLY FOR THE GUIDE OF NEUROSURGICAL OPERATIONS |
DE3904595C1 (en) | 1989-02-16 | 1990-04-19 | Deutsches Krebsforschungszentrum Stiftung Des Oeffentlichen Rechts, 6900 Heidelberg, De | Device for determining the spatial coordinates of stereotactic target points by means of X-ray pictures |
ES2085885T3 (en) | 1989-11-08 | 1996-06-16 | George S Allen | MECHANICAL ARM FOR INTERACTIVE SURGERY SYSTEM DIRECTED BY IMAGES. |
US5222499A (en) | 1989-11-15 | 1993-06-29 | Allen George S | Method and apparatus for imaging the anatomy |
JP2653210B2 (en) | 1990-03-16 | 1997-09-17 | 天美 加藤 | Stereotactic brain surgery support device |
US5198877A (en) | 1990-10-15 | 1993-03-30 | Pixsys, Inc. | Method and apparatus for three-dimensional non-contact shape sensing |
EP1210916B1 (en) | 1990-10-19 | 2006-09-20 | ST. Louis University | System for indicating a location within a body of a patient |
US6405072B1 (en) * | 1991-01-28 | 2002-06-11 | Sherwood Services Ag | Apparatus and method for determining a location of an anatomical target with reference to a medical apparatus |
US6675040B1 (en) * | 1991-01-28 | 2004-01-06 | Sherwood Services Ag | Optical object tracking system |
DE4207901C3 (en) | 1992-03-12 | 1999-10-07 | Aesculap Ag & Co Kg | Method and device for displaying a work area in a three-dimensional structure |
JPH05305073A (en) * | 1992-05-01 | 1993-11-19 | Olympus Optical Co Ltd | Position detection display device for insertion tool |
AT399647B (en) | 1992-07-31 | 1995-06-26 | Truppe Michael | ARRANGEMENT FOR DISPLAYING THE INTERIOR OF BODIES |
US5309101A (en) | 1993-01-08 | 1994-05-03 | General Electric Company | Magnetic resonance imaging in an inhomogeneous magnetic field |
US5551429A (en) | 1993-02-12 | 1996-09-03 | Fitzpatrick; J. Michael | Method for relating the data of an image space to physical space |
US5575794A (en) | 1993-02-12 | 1996-11-19 | Walus; Richard L. | Tool for implanting a fiducial marker |
US5799099A (en) | 1993-02-12 | 1998-08-25 | George S. Allen | Automatic technique for localizing externally attached fiducial markers in volume images of the head |
CA2161126C (en) | 1993-04-22 | 2007-07-31 | Waldean A. Schulz | System for locating relative positions of objects |
WO1994024933A1 (en) | 1993-04-26 | 1994-11-10 | St. Louis University | Indicating the position of a surgical probe |
EP0649117A3 (en) | 1993-10-15 | 1996-01-31 | George S Allen | Method for providing medical images. |
US5394875A (en) | 1993-10-21 | 1995-03-07 | Lewis; Judith T. | Automatic ultrasonic localization of targets implanted in a portion of the anatomy |
US5549616A (en) | 1993-11-02 | 1996-08-27 | Loma Linda University Medical Center | Vacuum-assisted stereotactic fixation system with patient-activated switch |
JP2566111B2 (en) | 1994-01-31 | 1996-12-25 | シャープ株式会社 | Magneto-optical memory device |
JP2863431B2 (en) | 1994-01-31 | 1999-03-03 | シャープ株式会社 | Magneto-optical recording / reproducing device |
JP3267054B2 (en) | 1994-06-13 | 2002-03-18 | トヨタ自動車株式会社 | Power storage device for solar power |
US5891157A (en) | 1994-09-30 | 1999-04-06 | Ohio Medical Instrument Company, Inc. | Apparatus for surgical stereotactic procedures |
US5695501A (en) | 1994-09-30 | 1997-12-09 | Ohio Medical Instrument Company, Inc. | Apparatus for neurosurgical stereotactic procedures |
US5617857A (en) * | 1995-06-06 | 1997-04-08 | Image Guided Technologies, Inc. | Imaging system having interactive medical instruments and methods |
US5752513A (en) * | 1995-06-07 | 1998-05-19 | Biosense, Inc. | Method and apparatus for determining position of object |
US5638819A (en) | 1995-08-29 | 1997-06-17 | Manwaring; Kim H. | Method and apparatus for guiding an instrument to a target |
US5711299A (en) | 1996-01-26 | 1998-01-27 | Manwaring; Kim H. | Surgical guidance method and system for approaching a target within a body |
ES2210498T3 (en) * | 1996-02-15 | 2004-07-01 | Biosense, Inc. | POSITIONABLE TRANSDUCERS INDEPENDENTLY FOR LOCATION SYSTEM. |
DE69719030T2 (en) | 1996-02-15 | 2003-10-23 | Biosense, Inc. | METHOD FOR CONFIGURING AND USING A PROBE |
EP0836438B1 (en) * | 1996-04-29 | 2004-09-22 | Northern Digital Inc. | Image guided surgery system |
JPH11510423A (en) * | 1996-05-29 | 1999-09-14 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | Image guided surgery system |
DE19629646C2 (en) | 1996-07-23 | 1998-09-10 | Wolf Gmbh Richard | Method and device for the automatic identification of components of medical device systems |
US5970499A (en) | 1997-04-11 | 1999-10-19 | Smith; Kurt R. | Method and apparatus for producing and accessing composite data |
US5921992A (en) | 1997-04-11 | 1999-07-13 | Radionics, Inc. | Method and system for frameless tool calibration |
US5907395A (en) | 1997-06-06 | 1999-05-25 | Image Guided Technologies, Inc. | Optical fiber probe for position measurement |
WO1999001078A2 (en) | 1997-07-03 | 1999-01-14 | Koninklijke Philips Electronics N.V. | Image-guided surgery system |
US6226548B1 (en) * | 1997-09-24 | 2001-05-01 | Surgical Navigation Technologies, Inc. | Percutaneous registration apparatus and method for use in computer-assisted surgical navigation |
US6081336A (en) * | 1997-09-26 | 2000-06-27 | Picker International, Inc. | Microscope calibrator |
US5987960A (en) * | 1997-09-26 | 1999-11-23 | Picker International, Inc. | Tool calibrator |
DE19842798C1 (en) * | 1998-09-18 | 2000-05-04 | Howmedica Leibinger Gmbh & Co | Calibration device |
US6366622B1 (en) * | 1998-12-18 | 2002-04-02 | Silicon Wave, Inc. | Apparatus and method for wireless communications |
EP1153292B1 (en) | 1998-12-23 | 2011-08-24 | Image Guided Technologies, Inc. | A hybrid 3-d probe tracked by multiple sensors |
US6285902B1 (en) * | 1999-02-10 | 2001-09-04 | Surgical Insights, Inc. | Computer assisted targeting device for use in orthopaedic surgery |
DE29904018U1 (en) | 1999-03-05 | 1999-06-02 | Bodenseewerk Gerätetechnik GmbH, 88662 Überlingen | Active instrument for determining the position of navigation systems to support surgical interventions |
US6470207B1 (en) * | 1999-03-23 | 2002-10-22 | Surgical Navigation Technologies, Inc. | Navigational guidance via computer-assisted fluoroscopic imaging |
JP2000350734A (en) * | 1999-06-10 | 2000-12-19 | Olympus Optical Co Ltd | Operation imaging display apparatus |
JP2000279425A (en) * | 1999-03-30 | 2000-10-10 | Olympus Optical Co Ltd | Navigation device |
US6491699B1 (en) * | 1999-04-20 | 2002-12-10 | Surgical Navigation Technologies, Inc. | Instrument guidance method and system for image guided surgery |
JP4472085B2 (en) * | 2000-01-26 | 2010-06-02 | オリンパス株式会社 | Surgical navigation system |
-
2001
- 2001-01-17 US US09/764,609 patent/US20010034530A1/en not_active Abandoned
- 2001-01-23 DE DE60144394T patent/DE60144394D1/en not_active Expired - Lifetime
- 2001-01-23 EP EP01903234A patent/EP1404212B1/en not_active Expired - Lifetime
- 2001-01-23 AT AT01903234T patent/ATE504256T1/en not_active IP Right Cessation
- 2001-01-23 WO PCT/US2001/002166 patent/WO2001054558A2/en active Application Filing
- 2001-01-23 JP JP2001555539A patent/JP2004500187A/en active Pending
-
2003
- 2003-10-02 US US10/677,874 patent/US7725162B2/en active Active
Cited By (1208)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6639789B2 (en) * | 2000-07-12 | 2003-10-28 | Karl Storz Gmbh & Co. Kg | Instrument and service unit for a surgical operating area |
US20020077540A1 (en) * | 2000-11-17 | 2002-06-20 | Kienzle Thomas C. | Enhanced graphic features for computer assisted surgery system |
US6917827B2 (en) * | 2000-11-17 | 2005-07-12 | Ge Medical Systems Global Technology Company, Llc | Enhanced graphic features for computer assisted surgery system |
US8740929B2 (en) | 2001-02-06 | 2014-06-03 | Acclarent, Inc. | Spacing device for releasing active substances in the paranasal sinus |
US20020133057A1 (en) * | 2001-02-07 | 2002-09-19 | Markus Kukuk | System and method for guiding flexible instrument procedures |
US7179220B2 (en) * | 2001-02-07 | 2007-02-20 | Siemens Corporate Research, Inc. | Method for guiding flexible instrument procedures |
US20130264369A1 (en) * | 2001-06-20 | 2013-10-10 | Covidien Lp | Method and system for integrated medical tracking |
US6565050B1 (en) * | 2001-07-26 | 2003-05-20 | Pruter Rick L | Method and system for supporting an imaging transceiver |
US7316650B1 (en) | 2001-07-26 | 2008-01-08 | Rick L Pruter | Method and system for supporting an imaging transceiver |
US7383073B1 (en) * | 2001-10-16 | 2008-06-03 | Z-Kat Inc. | Digital minimally invasive surgery system |
US20030181918A1 (en) * | 2002-02-11 | 2003-09-25 | Crista Smothers | Image-guided fracture reduction |
US9636185B2 (en) | 2002-03-06 | 2017-05-02 | Mako Surgical Corp. | System and method for performing surgical procedure using drill guide and robotic device operable in multiple modes |
US8095200B2 (en) | 2002-03-06 | 2012-01-10 | Mako Surgical Corp. | System and method for using a haptic device as an input device |
US20040034282A1 (en) * | 2002-03-06 | 2004-02-19 | Quaid Arthur E. | System and method for using a haptic device as an input device |
US11298191B2 (en) | 2002-03-06 | 2022-04-12 | Mako Surgical Corp. | Robotically-assisted surgical guide |
US11298190B2 (en) | 2002-03-06 | 2022-04-12 | Mako Surgical Corp. | Robotically-assisted constraint mechanism |
US11202676B2 (en) | 2002-03-06 | 2021-12-21 | Mako Surgical Corp. | Neural monitor-based dynamic haptics |
US9775681B2 (en) | 2002-03-06 | 2017-10-03 | Mako Surgical Corp. | Haptic guidance system and method |
US10058392B2 (en) | 2002-03-06 | 2018-08-28 | Mako Surgical Corp. | Neural monitor-based dynamic boundaries |
US10610301B2 (en) | 2002-03-06 | 2020-04-07 | Mako Surgical Corp. | System and method for using a haptic device as an input device |
US8911499B2 (en) | 2002-03-06 | 2014-12-16 | Mako Surgical Corp. | Haptic guidance method |
US8571628B2 (en) | 2002-03-06 | 2013-10-29 | Mako Surgical Corp. | Apparatus and method for haptic rendering |
US9775682B2 (en) | 2002-03-06 | 2017-10-03 | Mako Surgical Corp. | Teleoperation system with visual indicator and method of use during surgical procedures |
US10231790B2 (en) | 2002-03-06 | 2019-03-19 | Mako Surgical Corp. | Haptic guidance system and method |
US8391954B2 (en) | 2002-03-06 | 2013-03-05 | Mako Surgical Corp. | System and method for interactive haptic positioning of a medical device |
US8010180B2 (en) | 2002-03-06 | 2011-08-30 | Mako Surgical Corp. | Haptic guidance system and method |
US9002426B2 (en) | 2002-03-06 | 2015-04-07 | Mako Surgical Corp. | Haptic guidance system and method |
US11426245B2 (en) | 2002-03-06 | 2022-08-30 | Mako Surgical Corp. | Surgical guidance system and method with acoustic feedback |
US11076918B2 (en) | 2002-03-06 | 2021-08-03 | Mako Surgical Corp. | Robotically-assisted constraint mechanism |
US20070142751A1 (en) * | 2002-03-06 | 2007-06-21 | Hyosig Kang | Apparatus and method for haptic rendering |
WO2003077778A1 (en) * | 2002-03-15 | 2003-09-25 | Scimed Life System, Inc. | Medical device control systems |
US20030176778A1 (en) * | 2002-03-15 | 2003-09-18 | Scimed Life Systems, Inc. | Medical device control systems |
US7285117B2 (en) | 2002-03-15 | 2007-10-23 | Boston Scientific Scimed, Inc. | Medical device control systems |
US8052614B2 (en) | 2002-03-19 | 2011-11-08 | C. R. Bard, Inc. | Biopsy device having a vacuum pump |
US20050165328A1 (en) * | 2002-03-19 | 2005-07-28 | Norbert Heske | Biopsy device and biopsy needle module that can be inserted into the biopsy device |
US10271827B2 (en) | 2002-03-19 | 2019-04-30 | C. R. Bard, Inc. | Disposable biopsy unit |
US8109885B2 (en) | 2002-03-19 | 2012-02-07 | C. R. Bard, Inc. | Biopsy device for removing tissue specimens using a vacuum |
US8172773B2 (en) | 2002-03-19 | 2012-05-08 | C. R. Bard, Inc. | Biopsy device and biopsy needle module that can be inserted into the biopsy device |
US10335128B2 (en) | 2002-03-19 | 2019-07-02 | C. R. Bard, Inc. | Biopsy device and insertable biopsy needle module |
US9072502B2 (en) | 2002-03-19 | 2015-07-07 | C. R. Bard, Inc. | Disposable biopsy unit |
US8016772B2 (en) | 2002-03-19 | 2011-09-13 | C. R. Bard, Inc. | Biopsy device for removing tissue specimens using a vacuum |
US9421002B2 (en) | 2002-03-19 | 2016-08-23 | C. R. Bard, Inc. | Disposable biopsy unit |
US9439631B2 (en) | 2002-03-19 | 2016-09-13 | C. R. Bard, Inc. | Biopsy device and insertable biopsy needle module |
US8002713B2 (en) | 2002-03-19 | 2011-08-23 | C. R. Bard, Inc. | Biopsy device and insertable biopsy needle module |
US8951209B2 (en) | 2002-03-19 | 2015-02-10 | C. R. Bard, Inc. | Biopsy device and insertable biopsy needle module |
US11382608B2 (en) | 2002-03-19 | 2022-07-12 | C. R. Bard, Inc. | Disposable biopsy unit |
US9642514B2 (en) | 2002-04-17 | 2017-05-09 | Covidien Lp | Endoscope structures and techniques for navigating to a target in a branched structure |
US8696548B2 (en) | 2002-04-17 | 2014-04-15 | Covidien Lp | Endoscope structures and techniques for navigating to a target in branched structure |
US10743748B2 (en) | 2002-04-17 | 2020-08-18 | Covidien Lp | Endoscope structures and techniques for navigating to a target in branched structure |
US8696685B2 (en) | 2002-04-17 | 2014-04-15 | Covidien Lp | Endoscope structures and techniques for navigating to a target in branched structure |
US20100160733A1 (en) * | 2002-04-17 | 2010-06-24 | Pinhas Gilboa | Endoscope Structures And Techniques For Navigating To A Target In Branched Structure |
EP1369090A1 (en) * | 2002-05-28 | 2003-12-10 | BrainLAB AG | Calibration of a navigation system for medical instruments and implants |
US7213598B2 (en) | 2002-05-28 | 2007-05-08 | Brainlab Ag | Navigation-calibrating rotationally asymmetrical medical instruments or implants |
US8747324B1 (en) | 2002-09-11 | 2014-06-10 | Protek Medical Products, Inc. | Method and disposable apparatus for guiding needles |
US6758817B1 (en) | 2002-09-11 | 2004-07-06 | Protek Medical Products, Inc. | Method and disposable apparatus for guiding needles |
US8353840B1 (en) | 2002-09-11 | 2013-01-15 | Pruter Rick L | Method and disposable apparatus for guiding needles with a double button unlocking and locking mechanism |
US7166114B2 (en) | 2002-09-18 | 2007-01-23 | Stryker Leibinger Gmbh & Co Kg | Method and system for calibrating a surgical tool and adapter thereof |
DE10340434B4 (en) * | 2002-09-18 | 2011-05-26 | Stryker Leibinger Gmbh & Co. Kg | Methods and systems for calibrating a surgical tool and adapter therefor |
US8317816B2 (en) | 2002-09-30 | 2012-11-27 | Acclarent, Inc. | Balloon catheters and methods for treating paranasal sinuses |
US8100933B2 (en) | 2002-09-30 | 2012-01-24 | Acclarent, Inc. | Method for treating obstructed paranasal frontal sinuses |
US8764786B2 (en) | 2002-09-30 | 2014-07-01 | Acclarent, Inc. | Balloon catheters and methods for treating paranasal sinuses |
US9457175B2 (en) | 2002-09-30 | 2016-10-04 | Acclarent, Inc. | Balloon catheters and methods for treating paranasal sinuses |
US6884219B1 (en) | 2002-10-17 | 2005-04-26 | Rick L. Pruter | Method and disposable apparatus for guiding needles with an endocavity medical imaging device |
US20110077510A1 (en) * | 2002-10-25 | 2011-03-31 | Jose Luis Moctezuma De La Barrera | Flexible Tracking Article And Method Of Using The Same |
US8457719B2 (en) | 2002-10-25 | 2013-06-04 | Stryker Corporation | Flexible tracking article and method of using the same |
EP1627272B1 (en) * | 2003-02-04 | 2012-12-12 | Mako Surgical Corp. | Interactive computer-assisted surgery system and method |
EP1627272A2 (en) * | 2003-02-04 | 2006-02-22 | Z-Kat, Inc. | Interactive computer-assisted surgery system and method |
US20050043615A1 (en) * | 2003-02-04 | 2005-02-24 | Natsumi Gary Shigeru | Portable, low-profile integrated computer, screen and keyboard for computer surgery applications |
US7019650B2 (en) | 2003-03-03 | 2006-03-28 | Caducys, L.L.C. | Interrogator and interrogation system employing the same |
US20070210921A1 (en) * | 2003-03-03 | 2007-09-13 | Volpi John P | Interrogator and interrogation system employing the same |
US8174366B2 (en) | 2003-03-03 | 2012-05-08 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US20040174261A1 (en) * | 2003-03-03 | 2004-09-09 | Volpi John P. | Interrogator and interrogation system employing the same |
US8063760B2 (en) | 2003-03-03 | 2011-11-22 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US7411506B2 (en) | 2003-03-03 | 2008-08-12 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US7893840B2 (en) | 2003-03-03 | 2011-02-22 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US8552869B2 (en) | 2003-03-03 | 2013-10-08 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US7671744B2 (en) | 2003-03-03 | 2010-03-02 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US7764178B2 (en) | 2003-03-03 | 2010-07-27 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US8542717B2 (en) | 2003-03-03 | 2013-09-24 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US20080018469A1 (en) * | 2003-03-03 | 2008-01-24 | Volpi John P | Interrogator and Interrogation System Employing the Same |
US7760097B2 (en) | 2003-03-03 | 2010-07-20 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US9801686B2 (en) | 2003-03-06 | 2017-10-31 | Mako Surgical Corp. | Neural monitor-based dynamic haptics |
US8728004B2 (en) | 2003-03-29 | 2014-05-20 | C.R. Bard, Inc. | Biopsy needle system having a pressure generating unit |
US8162851B2 (en) | 2003-03-29 | 2012-04-24 | C. R. Bard, Inc. | Biopsy needle system having a pressure generating unit |
US20040199072A1 (en) * | 2003-04-01 | 2004-10-07 | Stacy Sprouse | Integrated electromagnetic navigation and patient positioning device |
EP1491158A1 (en) | 2003-06-24 | 2004-12-29 | Zimmer Technology, Inc. | Detachable support arm for surgical navigation system reference array |
US6932823B2 (en) | 2003-06-24 | 2005-08-23 | Zimmer Technology, Inc. | Detachable support arm for surgical navigation system reference array |
US20040267242A1 (en) * | 2003-06-24 | 2004-12-30 | Grimm James E. | Detachable support arm for surgical navigation system reference array |
US20050020909A1 (en) * | 2003-07-10 | 2005-01-27 | Moctezuma De La Barrera Jose Luis | Display device for surgery and method for using the same |
EP1498081A1 (en) * | 2003-07-14 | 2005-01-19 | Hitachi, Ltd. | Position measuring apparatus |
US20050015099A1 (en) * | 2003-07-14 | 2005-01-20 | Yasuyuki Momoi | Position measuring apparatus |
US8092471B2 (en) * | 2003-07-14 | 2012-01-10 | Hitachi, Ltd. | Position measuring apparatus |
EP1680007A4 (en) * | 2003-07-16 | 2010-11-03 | Z Kat Inc | Guidance system and method for surgical procedures with improved feedback |
EP1680007A2 (en) * | 2003-07-16 | 2006-07-19 | Z-Kat, Inc. | Guidance system and method for surgical procedures with improved feedback |
DE10335388B4 (en) * | 2003-07-25 | 2006-06-22 | Aesculap Ag & Co. Kg | Set of surgical referencing devices |
US20050052527A1 (en) * | 2003-08-20 | 2005-03-10 | Christophe Remy | Mobile videoimaging, videocommunication, video production (VCVP) system |
US7432949B2 (en) * | 2003-08-20 | 2008-10-07 | Christophe Remy | Mobile videoimaging, videocommunication, video production (VCVP) system |
US8663088B2 (en) | 2003-09-15 | 2014-03-04 | Covidien Lp | System of accessories for use with bronchoscopes |
US9089261B2 (en) | 2003-09-15 | 2015-07-28 | Covidien Lp | System of accessories for use with bronchoscopes |
US10383509B2 (en) | 2003-09-15 | 2019-08-20 | Covidien Lp | System of accessories for use with bronchoscopes |
US8491597B2 (en) | 2003-10-03 | 2013-07-23 | Smith & Nephew, Inc. (partial interest) | Surgical positioners |
US7862570B2 (en) | 2003-10-03 | 2011-01-04 | Smith & Nephew, Inc. | Surgical positioners |
US7764985B2 (en) | 2003-10-20 | 2010-07-27 | Smith & Nephew, Inc. | Surgical navigation system component fault interfaces and related processes |
US7794467B2 (en) | 2003-11-14 | 2010-09-14 | Smith & Nephew, Inc. | Adjustable surgical cutting systems |
US20050149041A1 (en) * | 2003-11-14 | 2005-07-07 | Mcginley Brian J. | Adjustable surgical cutting systems |
US7873400B2 (en) * | 2003-12-10 | 2011-01-18 | Stryker Leibinger Gmbh & Co. Kg. | Adapter for surgical navigation trackers |
US20050131426A1 (en) * | 2003-12-10 | 2005-06-16 | Moctezuma De La Barrera Jose L. | Adapter for surgical navigation trackers |
US7771436B2 (en) | 2003-12-10 | 2010-08-10 | Stryker Leibinger Gmbh & Co. Kg. | Surgical navigation tracker, system and method |
US8764725B2 (en) | 2004-02-09 | 2014-07-01 | Covidien Lp | Directional anchoring mechanism, method and applications thereof |
US11205058B2 (en) | 2004-03-03 | 2021-12-21 | Lone Star Scm Systems, Lp | Interrogator and interrogation system employing the same |
US10628645B2 (en) | 2004-03-03 | 2020-04-21 | Medical Ip Holdings, Lp | Interrogator and interrogation system employing the same |
US8948279B2 (en) | 2004-03-03 | 2015-02-03 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US20060052691A1 (en) * | 2004-03-05 | 2006-03-09 | Hall Maleata Y | Adjustable navigated tracking element mount |
US20050215888A1 (en) * | 2004-03-05 | 2005-09-29 | Grimm James E | Universal support arm and tracking array |
US7998062B2 (en) | 2004-03-29 | 2011-08-16 | Superdimension, Ltd. | Endoscope structures and techniques for navigating to a target in branched structure |
US11589742B2 (en) | 2004-04-21 | 2023-02-28 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US8114062B2 (en) | 2004-04-21 | 2012-02-14 | Acclarent, Inc. | Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders |
US9265407B2 (en) | 2004-04-21 | 2016-02-23 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US8123722B2 (en) | 2004-04-21 | 2012-02-28 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US8142422B2 (en) | 2004-04-21 | 2012-03-27 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US9241834B2 (en) | 2004-04-21 | 2016-01-26 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US8146400B2 (en) | 2004-04-21 | 2012-04-03 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9220879B2 (en) | 2004-04-21 | 2015-12-29 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US11020136B2 (en) | 2004-04-21 | 2021-06-01 | Acclarent, Inc. | Deflectable guide catheters and related methods |
US8109942B2 (en) | 2004-04-21 | 2012-02-07 | Smith & Nephew, Inc. | Computer-aided methods, systems, and apparatuses for shoulder arthroplasty |
US8172828B2 (en) | 2004-04-21 | 2012-05-08 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
US9351750B2 (en) | 2004-04-21 | 2016-05-31 | Acclarent, Inc. | Devices and methods for treating maxillary sinus disease |
US11019989B2 (en) | 2004-04-21 | 2021-06-01 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US9167961B2 (en) | 2004-04-21 | 2015-10-27 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US8088101B2 (en) | 2004-04-21 | 2012-01-03 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US9107574B2 (en) | 2004-04-21 | 2015-08-18 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9101384B2 (en) | 2004-04-21 | 2015-08-11 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat |
US8090433B2 (en) | 2004-04-21 | 2012-01-03 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US9089258B2 (en) | 2004-04-21 | 2015-07-28 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US8080000B2 (en) | 2004-04-21 | 2011-12-20 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US9370649B2 (en) | 2004-04-21 | 2016-06-21 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US9055965B2 (en) | 2004-04-21 | 2015-06-16 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US9399121B2 (en) | 2004-04-21 | 2016-07-26 | Acclarent, Inc. | Systems and methods for transnasal dilation of passageways in the ear, nose or throat |
US8961495B2 (en) | 2004-04-21 | 2015-02-24 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US8961398B2 (en) | 2004-04-21 | 2015-02-24 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear, nose and throat |
US9468362B2 (en) | 2004-04-21 | 2016-10-18 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9554691B2 (en) | 2004-04-21 | 2017-01-31 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US9610428B2 (en) | 2004-04-21 | 2017-04-04 | Acclarent, Inc. | Devices, systems and methods useable for treating frontal sinusitis |
US8945088B2 (en) | 2004-04-21 | 2015-02-03 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
US9649477B2 (en) | 2004-04-21 | 2017-05-16 | Acclarent, Inc. | Frontal sinus spacer |
US9826999B2 (en) | 2004-04-21 | 2017-11-28 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US8932276B1 (en) | 2004-04-21 | 2015-01-13 | Acclarent, Inc. | Shapeable guide catheters and related methods |
US10034682B2 (en) | 2004-04-21 | 2018-07-31 | Acclarent, Inc. | Devices, systems and methods useable for treating frontal sinusitis |
US8905922B2 (en) | 2004-04-21 | 2014-12-09 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US10098652B2 (en) | 2004-04-21 | 2018-10-16 | Acclarent, Inc. | Systems and methods for transnasal dilation of passageways in the ear, nose or throat |
US8894614B2 (en) | 2004-04-21 | 2014-11-25 | Acclarent, Inc. | Devices, systems and methods useable for treating frontal sinusitis |
US8870893B2 (en) | 2004-04-21 | 2014-10-28 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US8414473B2 (en) | 2004-04-21 | 2013-04-09 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US8864787B2 (en) | 2004-04-21 | 2014-10-21 | Acclarent, Inc. | Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis |
US8425457B2 (en) | 2004-04-21 | 2013-04-23 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitus and other disorder of the ears, nose and/or throat |
US8858586B2 (en) | 2004-04-21 | 2014-10-14 | Acclarent, Inc. | Methods for enlarging ostia of paranasal sinuses |
US8852143B2 (en) | 2004-04-21 | 2014-10-07 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US8828041B2 (en) | 2004-04-21 | 2014-09-09 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US8777926B2 (en) | 2004-04-21 | 2014-07-15 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasel or paranasal structures |
US10188413B1 (en) | 2004-04-21 | 2019-01-29 | Acclarent, Inc. | Deflectable guide catheters and related methods |
US11511090B2 (en) | 2004-04-21 | 2022-11-29 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US8764726B2 (en) | 2004-04-21 | 2014-07-01 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US8764729B2 (en) | 2004-04-21 | 2014-07-01 | Acclarent, Inc. | Frontal sinus spacer |
US8764709B2 (en) | 2004-04-21 | 2014-07-01 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
US11529502B2 (en) | 2004-04-21 | 2022-12-20 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
US8747389B2 (en) | 2004-04-21 | 2014-06-10 | Acclarent, Inc. | Systems for treating disorders of the ear, nose and throat |
US10441758B2 (en) | 2004-04-21 | 2019-10-15 | Acclarent, Inc. | Frontal sinus spacer |
US11957318B2 (en) | 2004-04-21 | 2024-04-16 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US10492810B2 (en) | 2004-04-21 | 2019-12-03 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US10500380B2 (en) | 2004-04-21 | 2019-12-10 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US10631756B2 (en) | 2004-04-21 | 2020-04-28 | Acclarent, Inc. | Guidewires for performing image guided procedures |
US10695080B2 (en) | 2004-04-21 | 2020-06-30 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US8721591B2 (en) | 2004-04-21 | 2014-05-13 | Acclarent, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
US10874838B2 (en) | 2004-04-21 | 2020-12-29 | Acclarent, Inc. | Systems and methods for transnasal dilation of passageways in the ear, nose or throat |
US8715169B2 (en) | 2004-04-21 | 2014-05-06 | Acclarent, Inc. | Devices, systems and methods useable for treating sinusitis |
US11065061B2 (en) | 2004-04-21 | 2021-07-20 | Acclarent, Inc. | Systems and methods for performing image guided procedures within the ear, nose, throat and paranasal sinuses |
US8702626B1 (en) | 2004-04-21 | 2014-04-22 | Acclarent, Inc. | Guidewires for performing image guided procedures |
US11864725B2 (en) | 2004-04-21 | 2024-01-09 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat |
US10702295B2 (en) | 2004-04-21 | 2020-07-07 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear nose and throat |
US10856727B2 (en) | 2004-04-21 | 2020-12-08 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
US11202644B2 (en) | 2004-04-21 | 2021-12-21 | Acclarent, Inc. | Shapeable guide catheters and related methods |
US10779752B2 (en) | 2004-04-21 | 2020-09-22 | Acclarent, Inc. | Guidewires for performing image guided procedures |
US10806477B2 (en) | 2004-04-21 | 2020-10-20 | Acclarent, Inc. | Systems and methods for transnasal dilation of passageways in the ear, nose or throat |
US9055881B2 (en) | 2004-04-26 | 2015-06-16 | Super Dimension Ltd. | System and method for image-based alignment of an endoscope |
US10321803B2 (en) | 2004-04-26 | 2019-06-18 | Covidien Lp | System and method for image-based alignment of an endoscope |
US8992440B2 (en) | 2004-07-09 | 2015-03-31 | Bard Peripheral Vascular, Inc. | Length detection system for biopsy device |
US9345458B2 (en) | 2004-07-09 | 2016-05-24 | Bard Peripheral Vascular, Inc. | Transport system for biopsy device |
US8366636B2 (en) | 2004-07-09 | 2013-02-05 | Bard Peripheral Vascular, Inc. | Firing system for biopsy device |
US8926527B2 (en) | 2004-07-09 | 2015-01-06 | Bard Peripheral Vascular, Inc. | Tissue sample flushing system for biopsy device |
US8157744B2 (en) | 2004-07-09 | 2012-04-17 | Bard Peripheral Vascular, Inc. | Tissue sample flushing system for biopsy device |
US9456809B2 (en) | 2004-07-09 | 2016-10-04 | Bard Peripheral Vascular, Inc. | Tissue sample flushing system for biopsy device |
US8864680B2 (en) | 2004-07-09 | 2014-10-21 | Bard Peripheral Vascular, Inc. | Transport system for biopsy device |
US10499888B2 (en) | 2004-07-09 | 2019-12-10 | Bard Peripheral Vascular, Inc. | Tissue sample flushing system for biopsy device |
US10166011B2 (en) | 2004-07-09 | 2019-01-01 | Bard Peripheral Vascular, Inc. | Transport system for biopsy device |
US8052615B2 (en) | 2004-07-09 | 2011-11-08 | Bard Peripheral Vascular, Inc. | Length detection system for biopsy device |
US9872672B2 (en) | 2004-07-09 | 2018-01-23 | Bard Peripheral Vascular, Inc. | Length detection system for biopsy device |
US11882987B2 (en) | 2004-07-28 | 2024-01-30 | Cilag Gmbh International | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US11116502B2 (en) | 2004-07-28 | 2021-09-14 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US12029423B2 (en) | 2004-07-28 | 2024-07-09 | Cilag Gmbh International | Surgical stapling instrument comprising a staple cartridge |
US10716563B2 (en) | 2004-07-28 | 2020-07-21 | Ethicon Llc | Stapling system comprising an instrument assembly including a lockout |
US10687817B2 (en) | 2004-07-28 | 2020-06-23 | Ethicon Llc | Stapling device comprising a firing member lockout |
US11963679B2 (en) | 2004-07-28 | 2024-04-23 | Cilag Gmbh International | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US12011165B2 (en) | 2004-07-28 | 2024-06-18 | Cilag Gmbh International | Surgical stapling instrument comprising replaceable staple cartridge |
US11083456B2 (en) | 2004-07-28 | 2021-08-10 | Cilag Gmbh International | Articulating surgical instrument incorporating a two-piece firing mechanism |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US11684365B2 (en) | 2004-07-28 | 2023-06-27 | Cilag Gmbh International | Replaceable staple cartridges for surgical instruments |
US11812960B2 (en) | 2004-07-28 | 2023-11-14 | Cilag Gmbh International | Method of segmenting the operation of a surgical stapling instrument |
US11135352B2 (en) | 2004-07-28 | 2021-10-05 | Cilag Gmbh International | End effector including a gradually releasable medical adjunct |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US9039680B2 (en) | 2004-08-04 | 2015-05-26 | Acclarent, Inc. | Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders |
US9039657B2 (en) | 2004-08-04 | 2015-05-26 | Acclarent, Inc. | Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders |
US9084876B2 (en) | 2004-08-04 | 2015-07-21 | Acclarent, Inc. | Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders |
US20060058644A1 (en) * | 2004-09-10 | 2006-03-16 | Harald Hoppe | System, device, and method for AD HOC tracking of an object |
US8290570B2 (en) | 2004-09-10 | 2012-10-16 | Stryker Leibinger Gmbh & Co., Kg | System for ad hoc tracking of an object |
US8361128B2 (en) | 2004-09-30 | 2013-01-29 | Depuy Products, Inc. | Method and apparatus for performing a computer-assisted orthopaedic procedure |
EP1642546A1 (en) * | 2004-09-30 | 2006-04-05 | DePuy Products, Inc. | Apparatus for performing an orthopaedic procedure |
US20060084890A1 (en) * | 2004-09-30 | 2006-04-20 | Depuy Products, Inc. | Method and apparatus for performing a computer-assisted orthopaedic procedure |
US20060069324A1 (en) * | 2004-09-30 | 2006-03-30 | Block D S | Method and apparatus for performing a computer-assisted orthopaedic procedure |
WO2006067634A1 (en) * | 2004-10-08 | 2006-06-29 | Stryker Leibinger Gmbh & Co. Kg. | System and method for performing arthroplasty of a joint and tracking a plumb line plane |
US8007448B2 (en) | 2004-10-08 | 2011-08-30 | Stryker Leibinger Gmbh & Co. Kg. | System and method for performing arthroplasty of a joint and tracking a plumb line plane |
US20060095047A1 (en) * | 2004-10-08 | 2006-05-04 | De La Barrera Jose Luis M | System and method for performing arthroplasty of a joint and tracking a plumb line plane |
US9308361B2 (en) | 2005-01-18 | 2016-04-12 | Acclarent, Inc. | Implantable devices and methods for treating sinusitis and other disorders |
US8388642B2 (en) | 2005-01-18 | 2013-03-05 | Acclarent, Inc. | Implantable devices and methods for treating sinusitis and other disorders |
US20060161059A1 (en) * | 2005-01-20 | 2006-07-20 | Zimmer Technology, Inc. | Variable geometry reference array |
US9161743B2 (en) | 2005-01-31 | 2015-10-20 | C. R. Bard, Inc. | Quick cycle biopsy system |
US8702621B2 (en) | 2005-01-31 | 2014-04-22 | C.R. Bard, Inc. | Quick cycle biopsy system |
US8702622B2 (en) | 2005-01-31 | 2014-04-22 | C.R. Bard, Inc. | Quick cycle biopsy system |
US8012102B2 (en) | 2005-01-31 | 2011-09-06 | C. R. Bard, Inc. | Quick cycle biopsy system |
US10058308B2 (en) | 2005-01-31 | 2018-08-28 | C. R. Bard, Inc. | Method for operating a biopsy apparatus |
US11166702B2 (en) | 2005-01-31 | 2021-11-09 | C.R. Bard, Inc. | Quick cycle biopsy system |
US8177788B2 (en) | 2005-02-22 | 2012-05-15 | Smith & Nephew, Inc. | In-line milling system |
EP1863424A4 (en) * | 2005-03-28 | 2013-03-27 | Compview Corp | Articulated boom for positioning video and medical equipment in hospital operating rooms |
EP1863424A2 (en) * | 2005-03-28 | 2007-12-12 | Compview Corporation | Articulated boom for positioning video and medical equipment in hospital operating rooms |
US10842978B2 (en) | 2005-06-10 | 2020-11-24 | Acclarent, Inc. | Catheters with non-removable guide members useable for treatment of sinusitis |
US10124154B2 (en) | 2005-06-10 | 2018-11-13 | Acclarent, Inc. | Catheters with non-removable guide members useable for treatment of sinusitis |
US8951225B2 (en) | 2005-06-10 | 2015-02-10 | Acclarent, Inc. | Catheters with non-removable guide members useable for treatment of sinusitis |
US10010307B2 (en) | 2005-08-10 | 2018-07-03 | C. R. Bard, Inc. | Single-insertion, multiple sampling biopsy device with linear drive |
US10368849B2 (en) | 2005-08-10 | 2019-08-06 | C. R. Bard, Inc. | Single-insertion, multiple sampling biopsy device usable with various transport systems and integrated markers |
US8961430B2 (en) | 2005-08-10 | 2015-02-24 | C.R. Bard, Inc. | Single-insertion, multiple sampling biopsy device usable with various transport systems and integrated markers |
US11219431B2 (en) | 2005-08-10 | 2022-01-11 | C.R. Bard, Inc. | Single-insertion, multiple sampling biopsy device with linear drive |
US8771200B2 (en) | 2005-08-10 | 2014-07-08 | C.R. Bard, Inc. | Single insertion, multiple sampling biopsy device with linear drive |
US8721563B2 (en) | 2005-08-10 | 2014-05-13 | C. R. Bard, Inc. | Single-insertion, multiple sample biopsy device with integrated markers |
US8728003B2 (en) | 2005-08-10 | 2014-05-20 | C.R. Bard Inc. | Single insertion, multiple sample biopsy device with integrated markers |
US8262585B2 (en) | 2005-08-10 | 2012-09-11 | C. R. Bard, Inc. | Single-insertion, multiple sampling biopsy device with linear drive |
US8267868B2 (en) | 2005-08-10 | 2012-09-18 | C. R. Bard, Inc. | Single-insertion, multiple sample biopsy device with integrated markers |
US8282574B2 (en) | 2005-08-10 | 2012-10-09 | C. R. Bard, Inc. | Single-insertion, multiple sampling biopsy device usable with various transport systems and integrated markers |
US11849928B2 (en) | 2005-08-10 | 2023-12-26 | C. R. Bard, Inc. | Single-insertion, multiple sampling biopsy device usable with various transport systems and integrated markers |
US10932774B2 (en) | 2005-08-31 | 2021-03-02 | Ethicon Llc | Surgical end effector for forming staples to different heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11730474B2 (en) | 2005-08-31 | 2023-08-22 | Cilag Gmbh International | Fastener cartridge assembly comprising a movable cartridge and a staple driver arrangement |
US11839375B2 (en) | 2005-08-31 | 2023-12-12 | Cilag Gmbh International | Fastener cartridge assembly comprising an anvil and different staple heights |
US11134947B2 (en) | 2005-08-31 | 2021-10-05 | Cilag Gmbh International | Fastener cartridge assembly comprising a camming sled with variable cam arrangements |
US11399828B2 (en) | 2005-08-31 | 2022-08-02 | Cilag Gmbh International | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11272928B2 (en) | 2005-08-31 | 2022-03-15 | Cilag GmbH Intemational | Staple cartridges for forming staples having differing formed staple heights |
US11090045B2 (en) | 2005-08-31 | 2021-08-17 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11576673B2 (en) | 2005-08-31 | 2023-02-14 | Cilag Gmbh International | Stapling assembly for forming staples to different heights |
US11771425B2 (en) | 2005-08-31 | 2023-10-03 | Cilag Gmbh International | Stapling assembly for forming staples to different formed heights |
US11484311B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US11172927B2 (en) | 2005-08-31 | 2021-11-16 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US11179153B2 (en) | 2005-08-31 | 2021-11-23 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US11793512B2 (en) | 2005-08-31 | 2023-10-24 | Cilag Gmbh International | Staple cartridges for forming staples having differing formed staple heights |
US8942788B2 (en) * | 2005-09-12 | 2015-01-27 | Advanced Surgical Design & Manufature Limited | Image guided surgery |
US20090216116A1 (en) * | 2005-09-12 | 2009-08-27 | Advanced Surgical Design & Manufacture | Image Guided Surgery |
US8968269B2 (en) | 2005-09-23 | 2015-03-03 | Acclarent, Inc. | Multi-conduit balloon catheter |
US8114113B2 (en) | 2005-09-23 | 2012-02-14 | Acclarent, Inc. | Multi-conduit balloon catheter |
US9999752B2 (en) | 2005-09-23 | 2018-06-19 | Acclarent, Inc. | Multi-conduit balloon catheter |
US9050440B2 (en) | 2005-09-23 | 2015-06-09 | Acclarent, Inc. | Multi-conduit balloon catheter |
US10639457B2 (en) | 2005-09-23 | 2020-05-05 | Acclarent, Inc. | Multi-conduit balloon catheter |
US9135669B2 (en) | 2005-09-29 | 2015-09-15 | Lone Star Ip Holdings, Lp | Interrogation system employing prior knowledge about an object to discern an identity thereof |
US20070100325A1 (en) * | 2005-11-03 | 2007-05-03 | Sebastien Jutras | Multifaceted tracker device for computer-assisted surgery |
US8386022B2 (en) | 2005-11-03 | 2013-02-26 | Orthosoft Inc. | Multifaceted tracker device for computer-assisted surgery |
US11793511B2 (en) | 2005-11-09 | 2023-10-24 | Cilag Gmbh International | Surgical instruments |
US10993713B2 (en) | 2005-11-09 | 2021-05-04 | Ethicon Llc | Surgical instruments |
US10806449B2 (en) | 2005-11-09 | 2020-10-20 | Ethicon Llc | End effectors for surgical staplers |
DE102006056399B4 (en) * | 2005-11-30 | 2018-10-18 | Stryker European Holdings I, LLC (n.d. Ges. d. Staates Delaware) | Function joint Arthroplastikverfahren |
US20070179626A1 (en) * | 2005-11-30 | 2007-08-02 | De La Barrera Jose L M | Functional joint arthroplasty method |
US11051813B2 (en) | 2006-01-31 | 2021-07-06 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11648024B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with position feedback |
US11020113B2 (en) | 2006-01-31 | 2021-06-01 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US11612393B2 (en) | 2006-01-31 | 2023-03-28 | Cilag Gmbh International | Robotically-controlled end effector |
US10709468B2 (en) | 2006-01-31 | 2020-07-14 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument |
US11224454B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11883020B2 (en) | 2006-01-31 | 2024-01-30 | Cilag Gmbh International | Surgical instrument having a feedback system |
US11364046B2 (en) | 2006-01-31 | 2022-06-21 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11350916B2 (en) | 2006-01-31 | 2022-06-07 | Cilag Gmbh International | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US11890008B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Surgical instrument with firing lockout |
US10675028B2 (en) | 2006-01-31 | 2020-06-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10743849B2 (en) | 2006-01-31 | 2020-08-18 | Ethicon Llc | Stapling system including an articulation system |
US11648008B2 (en) | 2006-01-31 | 2023-05-16 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US11058420B2 (en) | 2006-01-31 | 2021-07-13 | Cilag Gmbh International | Surgical stapling apparatus comprising a lockout system |
US11944299B2 (en) | 2006-01-31 | 2024-04-02 | Cilag Gmbh International | Surgical instrument having force feedback capabilities |
US11166717B2 (en) | 2006-01-31 | 2021-11-09 | Cilag Gmbh International | Surgical instrument with firing lockout |
US11660110B2 (en) | 2006-01-31 | 2023-05-30 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11890029B2 (en) | 2006-01-31 | 2024-02-06 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument |
US10993717B2 (en) | 2006-01-31 | 2021-05-04 | Ethicon Llc | Surgical stapling system comprising a control system |
US11246616B2 (en) | 2006-01-31 | 2022-02-15 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US10653435B2 (en) | 2006-01-31 | 2020-05-19 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11000275B2 (en) | 2006-01-31 | 2021-05-11 | Ethicon Llc | Surgical instrument |
US11801051B2 (en) | 2006-01-31 | 2023-10-31 | Cilag Gmbh International | Accessing data stored in a memory of a surgical instrument |
US10952728B2 (en) | 2006-01-31 | 2021-03-23 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US10893853B2 (en) | 2006-01-31 | 2021-01-19 | Ethicon Llc | Stapling assembly including motor drive systems |
US10806479B2 (en) | 2006-01-31 | 2020-10-20 | Ethicon Llc | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
US11103269B2 (en) | 2006-01-31 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting and fastening instrument with tactile position feedback |
DE102007021246B4 (en) * | 2006-05-16 | 2017-04-06 | Stryker European Holdings I, LLC (n.d. Ges. d. Staates Delaware) | Method for supporting a surgical procedure and system for assisting the performance of a surgical procedure |
US9198736B2 (en) | 2006-05-17 | 2015-12-01 | Acclarent, Inc. | Adapter for attaching electromagnetic image guidance components to a medical device |
US9629656B2 (en) | 2006-05-17 | 2017-04-25 | Acclarent, Inc. | Adapter for attaching electromagnetic image guidance components to a medical device |
US8190389B2 (en) * | 2006-05-17 | 2012-05-29 | Acclarent, Inc. | Adapter for attaching electromagnetic image guidance components to a medical device |
US11123143B2 (en) | 2006-05-19 | 2021-09-21 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US8287522B2 (en) | 2006-05-19 | 2012-10-16 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US10350012B2 (en) | 2006-05-19 | 2019-07-16 | MAKO Surgiccal Corp. | Method and apparatus for controlling a haptic device |
US10028789B2 (en) | 2006-05-19 | 2018-07-24 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US12004817B2 (en) | 2006-05-19 | 2024-06-11 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US20070270685A1 (en) * | 2006-05-19 | 2007-11-22 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US11291506B2 (en) | 2006-05-19 | 2022-04-05 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US11844577B2 (en) | 2006-05-19 | 2023-12-19 | Mako Surgical Corp. | System and method for verifying calibration of a surgical system |
US11771504B2 (en) | 2006-05-19 | 2023-10-03 | Mako Surgical Corp. | Surgical system with base and arm tracking |
US10952796B2 (en) | 2006-05-19 | 2021-03-23 | Mako Surgical Corp. | System and method for verifying calibration of a surgical device |
US11937884B2 (en) | 2006-05-19 | 2024-03-26 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US9492237B2 (en) | 2006-05-19 | 2016-11-15 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
US9724165B2 (en) | 2006-05-19 | 2017-08-08 | Mako Surgical Corp. | System and method for verifying calibration of a surgical device |
US11950856B2 (en) | 2006-05-19 | 2024-04-09 | Mako Surgical Corp. | Surgical device with movement compensation |
US11712308B2 (en) | 2006-05-19 | 2023-08-01 | Mako Surgical Corp. | Surgical system with base tracking |
US20080009697A1 (en) * | 2006-06-16 | 2008-01-10 | Hani Haider | Method and Apparatus for Computer Aided Surgery |
US20170007327A1 (en) * | 2006-06-16 | 2017-01-12 | Hani Haider | Method and apparatus for computer aided surgery |
US11857265B2 (en) | 2006-06-16 | 2024-01-02 | Board Of Regents Of The University Of Nebraska | Method and apparatus for computer aided surgery |
US11116574B2 (en) * | 2006-06-16 | 2021-09-14 | Board Of Regents Of The University Of Nebraska | Method and apparatus for computer aided surgery |
US8560047B2 (en) | 2006-06-16 | 2013-10-15 | Board Of Regents Of The University Of Nebraska | Method and apparatus for computer aided surgery |
US11272938B2 (en) | 2006-06-27 | 2022-03-15 | Cilag Gmbh International | Surgical instrument including dedicated firing and retraction assemblies |
DE102006030809A1 (en) * | 2006-06-30 | 2007-11-08 | Siemens Ag | Computer tomography system for accomplishing e.g. therapeutic intervention, has operating device arranged in holder for producing control signals to control one of system parts, where signals are transmitted to system parts |
US8951208B2 (en) | 2006-08-21 | 2015-02-10 | C. R. Bard, Inc. | Self-contained handheld biopsy needle |
US8251917B2 (en) | 2006-08-21 | 2012-08-28 | C. R. Bard, Inc. | Self-contained handheld biopsy needle |
US10617399B2 (en) | 2006-08-21 | 2020-04-14 | C.R. Bard, Inc. | Self-contained handheld biopsy needle |
US11090129B2 (en) | 2006-09-13 | 2021-08-17 | Stryker Corporation | Apparatus and methods for monitoring objects in a surgical field |
US9974625B2 (en) | 2006-09-13 | 2018-05-22 | Stryker Combo L.L.C. | Apparatus and methods for monitoring objects in a surgical field |
US9672397B2 (en) * | 2006-09-13 | 2017-06-06 | Stryker Combo L.L.C. | Apparatus and methods for monitoring objects in a surgical field |
US11963827B2 (en) | 2006-09-13 | 2024-04-23 | Stryker Corporation | Apparatus and methods for monitoring objects in a surgical field |
US10729510B2 (en) | 2006-09-13 | 2020-08-04 | Stryker Corporation | Apparatus and methods for monitoring objects in a surgical field |
US20160171262A1 (en) * | 2006-09-13 | 2016-06-16 | Stryker Combo L.L.C. | Apparatus and Methods for Monitoring Objects in a Surgical Field |
US11793591B2 (en) | 2006-09-13 | 2023-10-24 | Stryker Corporation | Apparatus and methods for monitoring objects in a surgical field |
US11116598B1 (en) | 2006-09-13 | 2021-09-14 | Stryker Corporation | Apparatus and methods for monitoring objects in a surgical field |
US9603506B2 (en) | 2006-09-15 | 2017-03-28 | Acclarent, Inc. | Methods and devices for facilitating visualization in a surgical environment |
US9179823B2 (en) | 2006-09-15 | 2015-11-10 | Acclarent, Inc. | Methods and devices for facilitating visualization in a surgical environment |
US10716629B2 (en) | 2006-09-15 | 2020-07-21 | Acclarent, Inc. | Methods and devices for facilitating visualization in a surgical environment |
US9820688B2 (en) | 2006-09-15 | 2017-11-21 | Acclarent, Inc. | Sinus illumination lightwire device |
US9572480B2 (en) | 2006-09-15 | 2017-02-21 | Acclarent, Inc. | Methods and devices for facilitating visualization in a surgical environment |
US11571231B2 (en) | 2006-09-29 | 2023-02-07 | Cilag Gmbh International | Staple cartridge having a driver for driving multiple staples |
US11622785B2 (en) | 2006-09-29 | 2023-04-11 | Cilag Gmbh International | Surgical staples having attached drivers and stapling instruments for deploying the same |
US11382626B2 (en) | 2006-10-03 | 2022-07-12 | Cilag Gmbh International | Surgical system including a knife bar supported for rotational and axial travel |
US11877748B2 (en) | 2006-10-03 | 2024-01-23 | Cilag Gmbh International | Robotically-driven surgical instrument with E-beam driver |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US10172594B2 (en) | 2006-10-06 | 2019-01-08 | Bard Peripheral Vascular, Inc. | Tissue handling system with reduced operator exposure |
US11559289B2 (en) | 2006-10-06 | 2023-01-24 | Bard Peripheral Vascular, Inc. | Tissue handling system with reduced operator exposure |
US8485987B2 (en) | 2006-10-06 | 2013-07-16 | Bard Peripheral Vascular, Inc. | Tissue handling system with reduced operator exposure |
US9566045B2 (en) | 2006-10-06 | 2017-02-14 | Bard Peripheral Vascular, Inc. | Tissue handling system with reduced operator exposure |
US20080083414A1 (en) * | 2006-10-10 | 2008-04-10 | General Electric Company | Detecting time periods associated with surgical phases and/or interventions |
US20080114212A1 (en) * | 2006-10-10 | 2008-05-15 | General Electric Company | Detecting surgical phases and/or interventions |
US20080114214A1 (en) * | 2006-10-10 | 2008-05-15 | General Electric Company | Detecting time periods associated with a surgical procedure |
US11583261B2 (en) | 2006-10-24 | 2023-02-21 | C. R. Bard, Inc. | Large sample low aspect ratio biopsy needle |
US8262586B2 (en) | 2006-10-24 | 2012-09-11 | C. R. Bard, Inc. | Large sample low aspect ratio biopsy needle |
US10149664B2 (en) | 2006-10-24 | 2018-12-11 | C. R. Bard, Inc. | Large sample low aspect ratio biopsy needle |
US20080103509A1 (en) * | 2006-10-26 | 2008-05-01 | Gunter Goldbach | Integrated medical tracking system |
EP1915962A1 (en) * | 2006-10-26 | 2008-04-30 | BrainLAB AG | Integrated medical trackingsystem |
US20080132882A1 (en) * | 2006-11-30 | 2008-06-05 | Howmedica Osteonics Corp. | Orthopedic instruments with RFID |
US8439687B1 (en) | 2006-12-29 | 2013-05-14 | Acclarent, Inc. | Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US10952727B2 (en) | 2007-01-10 | 2021-03-23 | Ethicon Llc | Surgical instrument for assessing the state of a staple cartridge |
US11918211B2 (en) | 2007-01-10 | 2024-03-05 | Cilag Gmbh International | Surgical stapling instrument for use with a robotic system |
US12082806B2 (en) | 2007-01-10 | 2024-09-10 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and sensor transponders |
US11350929B2 (en) | 2007-01-10 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and sensor transponders |
US11931032B2 (en) | 2007-01-10 | 2024-03-19 | Cilag Gmbh International | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11849947B2 (en) | 2007-01-10 | 2023-12-26 | Cilag Gmbh International | Surgical system including a control circuit and a passively-powered transponder |
US11844521B2 (en) | 2007-01-10 | 2023-12-19 | Cilag Gmbh International | Surgical instrument for use with a robotic system |
US11134943B2 (en) | 2007-01-10 | 2021-10-05 | Cilag Gmbh International | Powered surgical instrument including a control unit and sensor |
US12004743B2 (en) | 2007-01-10 | 2024-06-11 | Cilag Gmbh International | Staple cartridge comprising a sloped wall |
US11937814B2 (en) | 2007-01-10 | 2024-03-26 | Cilag Gmbh International | Surgical instrument for use with a robotic system |
US10945729B2 (en) | 2007-01-10 | 2021-03-16 | Ethicon Llc | Interlock and surgical instrument including same |
US11000277B2 (en) | 2007-01-10 | 2021-05-11 | Ethicon Llc | Surgical instrument with wireless communication between control unit and remote sensor |
US11006951B2 (en) | 2007-01-10 | 2021-05-18 | Ethicon Llc | Surgical instrument with wireless communication between control unit and sensor transponders |
US11771426B2 (en) | 2007-01-10 | 2023-10-03 | Cilag Gmbh International | Surgical instrument with wireless communication |
US10918386B2 (en) | 2007-01-10 | 2021-02-16 | Ethicon Llc | Interlock and surgical instrument including same |
US11812961B2 (en) | 2007-01-10 | 2023-11-14 | Cilag Gmbh International | Surgical instrument including a motor control system |
US11666332B2 (en) | 2007-01-10 | 2023-06-06 | Cilag Gmbh International | Surgical instrument comprising a control circuit configured to adjust the operation of a motor |
US11166720B2 (en) | 2007-01-10 | 2021-11-09 | Cilag Gmbh International | Surgical instrument including a control module for assessing an end effector |
US11839352B2 (en) | 2007-01-11 | 2023-12-12 | Cilag Gmbh International | Surgical stapling device with an end effector |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US10702267B2 (en) | 2007-03-15 | 2020-07-07 | Ethicon Llc | Surgical stapling instrument having a releasable buttress material |
US11337693B2 (en) | 2007-03-15 | 2022-05-24 | Cilag Gmbh International | Surgical stapling instrument having a releasable buttress material |
WO2008130361A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Flexible array for use in navigated surgery |
US20090012509A1 (en) * | 2007-04-24 | 2009-01-08 | Medtronic, Inc. | Navigated Soft Tissue Penetrating Laser System |
US8467852B2 (en) | 2007-04-24 | 2013-06-18 | Medtronic, Inc. | Method and apparatus for performing a navigated procedure |
US20100160771A1 (en) * | 2007-04-24 | 2010-06-24 | Medtronic, Inc. | Method and Apparatus for Performing a Navigated Procedure |
US8311611B2 (en) | 2007-04-24 | 2012-11-13 | Medtronic, Inc. | Method for performing multiple registrations in a navigated procedure |
US8301226B2 (en) | 2007-04-24 | 2012-10-30 | Medtronic, Inc. | Method and apparatus for performing a navigated procedure |
US8108025B2 (en) | 2007-04-24 | 2012-01-31 | Medtronic, Inc. | Flexible array for use in navigated surgery |
US20080269599A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Method for Performing Multiple Registrations in a Navigated Procedure |
US9289270B2 (en) | 2007-04-24 | 2016-03-22 | Medtronic, Inc. | Method and apparatus for performing a navigated procedure |
US20080269602A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Method And Apparatus For Performing A Navigated Procedure |
US20080269600A1 (en) * | 2007-04-24 | 2008-10-30 | Medtronic, Inc. | Flexible Array For Use In Navigated Surgery |
US20080269777A1 (en) * | 2007-04-25 | 2008-10-30 | Medtronic, Inc. | Method And Apparatus For Controlled Insertion and Withdrawal of Electrodes |
US8734466B2 (en) | 2007-04-25 | 2014-05-27 | Medtronic, Inc. | Method and apparatus for controlled insertion and withdrawal of electrodes |
US8118757B2 (en) | 2007-04-30 | 2012-02-21 | Acclarent, Inc. | Methods and devices for ostium measurement |
US9615775B2 (en) | 2007-04-30 | 2017-04-11 | Acclarent, Inc. | Methods and devices for ostium measurements |
US8485199B2 (en) | 2007-05-08 | 2013-07-16 | Acclarent, Inc. | Methods and devices for protecting nasal turbinate during surgery |
US9463068B2 (en) | 2007-05-08 | 2016-10-11 | Acclarent, Inc. | Methods and devices for protecting nasal turbinates |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US12035906B2 (en) | 2007-06-04 | 2024-07-16 | Cilag Gmbh International | Surgical instrument including a handle system for advancing a cutting member |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US12023024B2 (en) | 2007-06-04 | 2024-07-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11559302B2 (en) | 2007-06-04 | 2023-01-24 | Cilag Gmbh International | Surgical instrument including a firing member movable at different speeds |
US11992208B2 (en) | 2007-06-04 | 2024-05-28 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US11911028B2 (en) | 2007-06-04 | 2024-02-27 | Cilag Gmbh International | Surgical instruments for use with a robotic surgical system |
US11154298B2 (en) | 2007-06-04 | 2021-10-26 | Cilag Gmbh International | Stapling system for use with a robotic surgical system |
US11648006B2 (en) | 2007-06-04 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11147549B2 (en) | 2007-06-04 | 2021-10-19 | Cilag Gmbh International | Stapling instrument including a firing system and a closure system |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US11134938B2 (en) | 2007-06-04 | 2021-10-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11998200B2 (en) | 2007-06-22 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument with an articulatable end effector |
US11013511B2 (en) | 2007-06-22 | 2021-05-25 | Ethicon Llc | Surgical stapling instrument with an articulatable end effector |
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 |
US12023025B2 (en) | 2007-06-29 | 2024-07-02 | Cilag Gmbh International | Surgical stapling instrument having a releasable buttress material |
US11925346B2 (en) | 2007-06-29 | 2024-03-12 | Cilag Gmbh International | Surgical staple cartridge including tissue supporting surfaces |
US8382765B2 (en) | 2007-08-07 | 2013-02-26 | Stryker Leibinger Gmbh & Co. Kg. | Method of and system for planning a surgery |
US20090043556A1 (en) * | 2007-08-07 | 2009-02-12 | Axelson Stuart L | Method of and system for planning a surgery |
US8617173B2 (en) | 2007-08-07 | 2013-12-31 | Stryker Leibinger Gmbh & Co. Kg | System for assessing a fit of a femoral implant |
US8617174B2 (en) | 2007-08-07 | 2013-12-31 | Stryker Leibinger Gmbh & Co. Kg | Method of virtually planning a size and position of a prosthetic implant |
US7755491B2 (en) | 2007-08-13 | 2010-07-13 | Veroscan, Inc. | Interrogator and interrogation system employing the same |
US10980400B2 (en) | 2007-09-27 | 2021-04-20 | Covidien Lp | Bronchoscope adapter and method |
US10390686B2 (en) | 2007-09-27 | 2019-08-27 | Covidien Lp | Bronchoscope adapter and method |
US9668639B2 (en) | 2007-09-27 | 2017-06-06 | Covidien Lp | Bronchoscope adapter and method |
US8905920B2 (en) | 2007-09-27 | 2014-12-09 | Covidien Lp | Bronchoscope adapter and method |
US9986895B2 (en) | 2007-09-27 | 2018-06-05 | Covidien Lp | Bronchoscope adapter and method |
US11311419B2 (en) | 2007-12-20 | 2022-04-26 | Acclarent, Inc. | Eustachian tube dilation balloon with ventilation path |
US9775588B2 (en) | 2007-12-20 | 2017-10-03 | C. R. Bard, Inc. | Biopsy device |
US8858463B2 (en) | 2007-12-20 | 2014-10-14 | C. R. Bard, Inc. | Biopsy device |
US10687791B2 (en) | 2007-12-20 | 2020-06-23 | C. R. Bard, Inc. | Biopsy device |
US11850120B2 (en) | 2007-12-20 | 2023-12-26 | Acclarent, Inc. | Eustachian tube dilation balloon with ventilation path |
US10206821B2 (en) | 2007-12-20 | 2019-02-19 | Acclarent, Inc. | Eustachian tube dilation balloon with ventilation path |
US8597205B2 (en) | 2007-12-20 | 2013-12-03 | C. R. Bard, Inc. | Biopsy device |
US8864682B2 (en) | 2007-12-27 | 2014-10-21 | Devicor Medical Products, Inc. | Clutch and valving system for tetherless biopsy device |
US8454532B2 (en) | 2007-12-27 | 2013-06-04 | Devicor Medical Products, Inc. | Clutch and valving system for tetherless biopsy device |
US11446034B2 (en) | 2008-02-14 | 2022-09-20 | Cilag Gmbh International | Surgical stapling assembly comprising first and second actuation systems configured to perform different functions |
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 |
US10888330B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Surgical system |
US11571212B2 (en) | 2008-02-14 | 2023-02-07 | Cilag Gmbh International | Surgical stapling system including an impedance sensor |
US10639036B2 (en) | 2008-02-14 | 2020-05-05 | Ethicon Llc | Robotically-controlled motorized surgical cutting and fastening instrument |
US11638583B2 (en) | 2008-02-14 | 2023-05-02 | Cilag Gmbh International | Motorized surgical system having a plurality of power sources |
US10722232B2 (en) | 2008-02-14 | 2020-07-28 | Ethicon Llc | Surgical instrument for use with different cartridges |
US10898194B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US10716568B2 (en) | 2008-02-14 | 2020-07-21 | Ethicon Llc | Surgical stapling apparatus with control features operable with one hand |
US10898195B2 (en) | 2008-02-14 | 2021-01-26 | Ethicon Llc | Detachable motor powered surgical instrument |
US11484307B2 (en) | 2008-02-14 | 2022-11-01 | Cilag Gmbh International | Loading unit coupleable to a surgical stapling system |
US10660640B2 (en) | 2008-02-14 | 2020-05-26 | Ethicon Llc | Motorized surgical cutting and fastening instrument |
US10682142B2 (en) | 2008-02-14 | 2020-06-16 | Ethicon Llc | Surgical stapling apparatus including an articulation system |
US10905427B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Surgical System |
US10925605B2 (en) | 2008-02-14 | 2021-02-23 | Ethicon Llc | Surgical stapling system |
US10905426B2 (en) | 2008-02-14 | 2021-02-02 | Ethicon Llc | Detachable motor powered surgical instrument |
US11464514B2 (en) | 2008-02-14 | 2022-10-11 | Cilag Gmbh International | Motorized surgical stapling system including a sensing array |
US11801047B2 (en) | 2008-02-14 | 2023-10-31 | Cilag Gmbh International | Surgical stapling system comprising a control circuit configured to selectively monitor tissue impedance and adjust control of a motor |
US10743870B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Surgical stapling apparatus with interlockable firing system |
US11998206B2 (en) | 2008-02-14 | 2024-06-04 | Cilag Gmbh International | Detachable motor powered surgical instrument |
US10743851B2 (en) | 2008-02-14 | 2020-08-18 | Ethicon Llc | Interchangeable tools for surgical instruments |
US10888329B2 (en) | 2008-02-14 | 2021-01-12 | Ethicon Llc | Detachable motor powered surgical instrument |
US10806450B2 (en) | 2008-02-14 | 2020-10-20 | Ethicon Llc | Surgical cutting and fastening instrument having a control system |
US10874396B2 (en) | 2008-02-14 | 2020-12-29 | Ethicon Llc | Stapling instrument for use with a surgical robot |
US11717285B2 (en) | 2008-02-14 | 2023-08-08 | Cilag Gmbh International | Surgical cutting and fastening instrument having RF electrodes |
US10765432B2 (en) | 2008-02-14 | 2020-09-08 | Ethicon Llc | Surgical device including a control system |
US11612395B2 (en) | 2008-02-14 | 2023-03-28 | Cilag Gmbh International | Surgical system including a control system having an RFID tag reader |
US11998194B2 (en) | 2008-02-15 | 2024-06-04 | Cilag Gmbh International | Surgical stapling assembly comprising an adjunct applicator |
US11154297B2 (en) | 2008-02-15 | 2021-10-26 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US9861793B2 (en) | 2008-03-10 | 2018-01-09 | Acclarent, Inc. | Corewire design and construction for medical devices |
US8182432B2 (en) | 2008-03-10 | 2012-05-22 | Acclarent, Inc. | Corewire design and construction for medical devices |
US10335237B2 (en) | 2008-04-03 | 2019-07-02 | Brainlab Ag | Visual orientation aid for medical instruments |
US9575140B2 (en) | 2008-04-03 | 2017-02-21 | Covidien Lp | Magnetic interference detection system and method |
EP2106765A1 (en) * | 2008-04-03 | 2009-10-07 | BrainLAB AG | Pictorial orientation aid for medical instruments |
US20090254098A1 (en) * | 2008-04-03 | 2009-10-08 | Georg Christian | Visual orientation aid for medical instruments |
US20090278702A1 (en) * | 2008-05-09 | 2009-11-12 | Rainer Graumann | Arrangement and method for positioning of apparatuses |
US8242925B2 (en) | 2008-05-09 | 2012-08-14 | Siemens Aktiengesellschaft | Arrangement and method for positioning of apparatuses |
DE102008022921A1 (en) * | 2008-05-09 | 2009-11-12 | Siemens Aktiengesellschaft | Arrangement and method for positioning devices |
US20100008555A1 (en) * | 2008-05-15 | 2010-01-14 | Superdimension, Ltd. | Automatic Pathway And Waypoint Generation And Navigation Method |
WO2009138871A2 (en) * | 2008-05-15 | 2009-11-19 | Superdimension, Ltd. | Automatic pathway and waypoint generation and navigation method |
WO2009138871A3 (en) * | 2008-05-15 | 2010-01-07 | Superdimension, Ltd. | Automatic pathway and waypoint generation and navigation method |
US8218846B2 (en) * | 2008-05-15 | 2012-07-10 | Superdimension, Ltd. | Automatic pathway and waypoint generation and navigation method |
US9439564B2 (en) | 2008-05-15 | 2016-09-13 | Covidien Lp | Automatic pathway and waypoint generation and navigation method |
US10136814B2 (en) | 2008-05-15 | 2018-11-27 | Covidien Lp | Automatic pathway and waypoint generation and navigation method |
US8494246B2 (en) | 2008-05-15 | 2013-07-23 | Covidien Lp | Automatic pathway and waypoint generation and navigation method |
US9375141B2 (en) | 2008-05-15 | 2016-06-28 | Covidien Lp | Automatic pathway and waypoint generation and navigation method |
US8473032B2 (en) | 2008-06-03 | 2013-06-25 | Superdimension, Ltd. | Feature-based registration method |
US9659374B2 (en) | 2008-06-03 | 2017-05-23 | Covidien Lp | Feature-based registration method |
US11074702B2 (en) | 2008-06-03 | 2021-07-27 | Covidien Lp | Feature-based registration method |
US11783498B2 (en) | 2008-06-03 | 2023-10-10 | Covidien Lp | Feature-based registration method |
US10096126B2 (en) | 2008-06-03 | 2018-10-09 | Covidien Lp | Feature-based registration method |
US9117258B2 (en) | 2008-06-03 | 2015-08-25 | Covidien Lp | Feature-based registration method |
US10478092B2 (en) | 2008-06-06 | 2019-11-19 | Covidien Lp | Hybrid registration method |
US8452068B2 (en) | 2008-06-06 | 2013-05-28 | Covidien Lp | Hybrid registration method |
US8467589B2 (en) | 2008-06-06 | 2013-06-18 | Covidien Lp | Hybrid registration method |
US10285623B2 (en) | 2008-06-06 | 2019-05-14 | Covidien Lp | Hybrid registration method |
US9271803B2 (en) | 2008-06-06 | 2016-03-01 | Covidien Lp | Hybrid registration method |
US10674936B2 (en) | 2008-06-06 | 2020-06-09 | Covidien Lp | Hybrid registration method |
US11931141B2 (en) | 2008-06-06 | 2024-03-19 | Covidien Lp | Hybrid registration method |
US8932207B2 (en) | 2008-07-10 | 2015-01-13 | Covidien Lp | Integrated multi-functional endoscopic tool |
US10912487B2 (en) | 2008-07-10 | 2021-02-09 | Covidien Lp | Integrated multi-function endoscopic tool |
US11241164B2 (en) | 2008-07-10 | 2022-02-08 | Covidien Lp | Integrated multi-functional endoscopic tool |
US11234611B2 (en) | 2008-07-10 | 2022-02-01 | Covidien Lp | Integrated multi-functional endoscopic tool |
US10070801B2 (en) | 2008-07-10 | 2018-09-11 | Covidien Lp | Integrated multi-functional endoscopic tool |
US9750401B2 (en) | 2008-07-30 | 2017-09-05 | Acclarent, Inc. | Paranasal ostium finder devices and methods |
US8979888B2 (en) | 2008-07-30 | 2015-03-17 | Acclarent, Inc. | Paranasal ostium finder devices and methods |
US11116392B2 (en) | 2008-07-30 | 2021-09-14 | Acclarent, Inc. | Paranasal ostium finder devices and methods |
US10271719B2 (en) | 2008-07-30 | 2019-04-30 | Acclarent, Inc. | Paranasal ostium finder devices and methods |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11812954B2 (en) | 2008-09-23 | 2023-11-14 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11871923B2 (en) | 2008-09-23 | 2024-01-16 | Cilag Gmbh International | Motorized surgical instrument |
US11617575B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11617576B2 (en) | 2008-09-23 | 2023-04-04 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US10980535B2 (en) | 2008-09-23 | 2021-04-20 | Ethicon Llc | Motorized surgical instrument with an end effector |
US10898184B2 (en) | 2008-09-23 | 2021-01-26 | Ethicon Llc | Motor-driven surgical cutting instrument |
US12029415B2 (en) | 2008-09-23 | 2024-07-09 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11406380B2 (en) | 2008-09-23 | 2022-08-09 | Cilag Gmbh International | Motorized surgical instrument |
US11103241B2 (en) | 2008-09-23 | 2021-08-31 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11517304B2 (en) | 2008-09-23 | 2022-12-06 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US11684361B2 (en) | 2008-09-23 | 2023-06-27 | Cilag Gmbh International | Motor-driven surgical cutting instrument |
US10736628B2 (en) | 2008-09-23 | 2020-08-11 | Ethicon Llc | Motor-driven surgical cutting instrument |
US11045189B2 (en) | 2008-09-23 | 2021-06-29 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US11730477B2 (en) | 2008-10-10 | 2023-08-22 | Cilag Gmbh International | Powered surgical system with manually retractable firing system |
US11583279B2 (en) | 2008-10-10 | 2023-02-21 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US10932778B2 (en) | 2008-10-10 | 2021-03-02 | Ethicon Llc | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11793521B2 (en) | 2008-10-10 | 2023-10-24 | Cilag Gmbh International | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US11129615B2 (en) | 2009-02-05 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US8690793B2 (en) | 2009-03-16 | 2014-04-08 | C. R. Bard, Inc. | Biopsy device having rotational cutting |
US10524814B2 (en) | 2009-03-20 | 2020-01-07 | Acclarent, Inc. | Guide system with suction |
US11207087B2 (en) | 2009-03-20 | 2021-12-28 | Acclarent, Inc. | Guide system with suction |
US10376416B2 (en) | 2009-03-31 | 2019-08-13 | Acclarent, Inc. | System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx |
US9072626B2 (en) | 2009-03-31 | 2015-07-07 | Acclarent, Inc. | System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx |
US8435290B2 (en) | 2009-03-31 | 2013-05-07 | Acclarent, Inc. | System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx |
US9636258B2 (en) | 2009-03-31 | 2017-05-02 | Acclarent, Inc. | System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx |
US8611984B2 (en) | 2009-04-08 | 2013-12-17 | Covidien Lp | Locatable catheter |
US10154798B2 (en) | 2009-04-08 | 2018-12-18 | Covidien Lp | Locatable catheter |
US9113813B2 (en) | 2009-04-08 | 2015-08-25 | Covidien Lp | Locatable catheter |
US8708928B2 (en) | 2009-04-15 | 2014-04-29 | Bard Peripheral Vascular, Inc. | Biopsy apparatus having integrated fluid management |
US8708929B2 (en) | 2009-04-15 | 2014-04-29 | Bard Peripheral Vascular, Inc. | Biopsy apparatus having integrated fluid management |
US8708930B2 (en) | 2009-04-15 | 2014-04-29 | Bard Peripheral Vascular, Inc. | Biopsy apparatus having integrated fluid management |
EP2246005A1 (en) * | 2009-04-28 | 2010-11-03 | BrainLAB AG | Medical instrument with separate transmission unit attached on the outside |
US20100272442A1 (en) * | 2009-04-28 | 2010-10-28 | Christian Lechner | Medical instrument comprising a separate transmitter unit which can be exteriorly fastened |
EP2245981A3 (en) * | 2009-04-28 | 2011-02-16 | Aktormed GmbH | Remote control for an operations assistance system |
US8663204B2 (en) * | 2009-04-28 | 2014-03-04 | Brainlab Ag | Medical instrument comprising a separate transmitter unit which can be exteriorly fastened |
US9468424B2 (en) | 2009-06-12 | 2016-10-18 | Devicor Medical Products, Inc. | Cutter drive assembly for biopsy device |
US8845548B2 (en) | 2009-06-12 | 2014-09-30 | Devicor Medical Products, Inc. | Cutter drive assembly for biopsy device |
WO2011001322A1 (en) * | 2009-06-29 | 2011-01-06 | Koninklijke Philips Electronics N.V. | Visualizing surgical trajectories |
US8831307B2 (en) | 2009-06-29 | 2014-09-09 | Koninklijke Philips N.V. | Visualizing surgical trajectories |
EP2277441A1 (en) * | 2009-07-22 | 2011-01-26 | Surgica Robotica S.p.A. | Method for generating images of a human body zone undergoing a surgical operation by means of an apparatus for minimally invasive surgical procedures |
US9173641B2 (en) | 2009-08-12 | 2015-11-03 | C. R. Bard, Inc. | Biopsy apparatus having integrated thumbwheel mechanism for manual rotation of biopsy cannula |
US9655599B2 (en) | 2009-08-12 | 2017-05-23 | C. R. Bard, Inc. | Biopsy apparatus having integrated thumbwheel mechanism for manual rotation of biopsy cannula |
US10575833B2 (en) | 2009-08-12 | 2020-03-03 | C. R. Bard, Inc. | Biopsy apparatus having integrated thumbwheel mechanism for manual rotation of biopsy cannula |
US8485989B2 (en) | 2009-09-01 | 2013-07-16 | Bard Peripheral Vascular, Inc. | Biopsy apparatus having a tissue sample retrieval mechanism |
US9282949B2 (en) | 2009-09-01 | 2016-03-15 | Bard Peripheral Vascular, Inc. | Charging station for battery powered biopsy apparatus |
US9949726B2 (en) | 2009-09-01 | 2018-04-24 | Bard Peripheral Vscular, Inc. | Biopsy driver assembly having a control circuit for conserving battery power |
US8283890B2 (en) | 2009-09-25 | 2012-10-09 | Bard Peripheral Vascular, Inc. | Charging station for battery powered biopsy apparatus |
US8597206B2 (en) | 2009-10-12 | 2013-12-03 | Bard Peripheral Vascular, Inc. | Biopsy probe assembly having a mechanism to prevent misalignment of components prior to installation |
US8430824B2 (en) | 2009-10-29 | 2013-04-30 | Bard Peripheral Vascular, Inc. | Biopsy driver assembly having a control circuit for conserving battery power |
US8808197B2 (en) | 2009-10-29 | 2014-08-19 | Bard Peripheral Vascular, Inc. | Biopsy driver assembly having a control circuit for conserving battery power |
CN103860210A (en) * | 2009-10-31 | 2014-06-18 | C·R·巴德公司 | Biopsy system with infrared communications |
WO2011053751A3 (en) * | 2009-10-31 | 2011-07-14 | C.R. Bard, Inc. | Biopsy system with infrared communications |
US10751076B2 (en) | 2009-12-24 | 2020-08-25 | Ethicon Llc | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US11291449B2 (en) | 2009-12-24 | 2022-04-05 | Cilag Gmbh International | Surgical cutting instrument that analyzes tissue thickness |
US10582834B2 (en) | 2010-06-15 | 2020-03-10 | Covidien Lp | Locatable expandable working channel and method |
US11478247B2 (en) | 2010-07-30 | 2022-10-25 | Cilag Gmbh International | Tissue acquisition arrangements and methods for surgical stapling devices |
US20120075464A1 (en) * | 2010-09-23 | 2012-03-29 | Stryker Corporation | Video monitoring system |
US9204823B2 (en) * | 2010-09-23 | 2015-12-08 | Stryker Corporation | Video monitoring system |
US9155492B2 (en) | 2010-09-24 | 2015-10-13 | Acclarent, Inc. | Sinus illumination lightwire device |
US11540824B2 (en) | 2010-09-30 | 2023-01-03 | Cilag Gmbh International | Tissue thickness compensator |
US11944292B2 (en) | 2010-09-30 | 2024-04-02 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US10835251B2 (en) | 2010-09-30 | 2020-11-17 | Ethicon Llc | Surgical instrument assembly including an end effector configurable in different positions |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11406377B2 (en) | 2010-09-30 | 2022-08-09 | Cilag Gmbh International | Adhesive film laminate |
US10987102B2 (en) | 2010-09-30 | 2021-04-27 | Ethicon Llc | Tissue thickness compensator comprising a plurality of layers |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US10743877B2 (en) | 2010-09-30 | 2020-08-18 | Ethicon Llc | Surgical stapler with floating anvil |
US10624861B2 (en) | 2010-09-30 | 2020-04-21 | Ethicon Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11395651B2 (en) | 2010-09-30 | 2022-07-26 | Cilag Gmbh International | Adhesive film laminate |
US11911027B2 (en) | 2010-09-30 | 2024-02-27 | Cilag Gmbh International | Adhesive film laminate |
US11602340B2 (en) | 2010-09-30 | 2023-03-14 | Cilag Gmbh International | Adhesive film laminate |
US11583277B2 (en) | 2010-09-30 | 2023-02-21 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11883025B2 (en) | 2010-09-30 | 2024-01-30 | Cilag Gmbh International | Tissue thickness compensator comprising a plurality of layers |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10888328B2 (en) | 2010-09-30 | 2021-01-12 | Ethicon Llc | Surgical end effector |
US11957795B2 (en) | 2010-09-30 | 2024-04-16 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US11571215B2 (en) | 2010-09-30 | 2023-02-07 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11154296B2 (en) | 2010-09-30 | 2021-10-26 | Cilag Gmbh International | Anvil layer attached to a proximal end of an end effector |
US11559496B2 (en) | 2010-09-30 | 2023-01-24 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US11672536B2 (en) | 2010-09-30 | 2023-06-13 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11850310B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge including an adjunct |
US11737754B2 (en) | 2010-09-30 | 2023-08-29 | Cilag Gmbh International | Surgical stapler with floating anvil |
US10898193B2 (en) | 2010-09-30 | 2021-01-26 | Ethicon Llc | End effector for use with a surgical instrument |
US11857187B2 (en) | 2010-09-30 | 2024-01-02 | Cilag Gmbh International | Tissue thickness compensator comprising controlled release and expansion |
US11684360B2 (en) | 2010-09-30 | 2023-06-27 | Cilag Gmbh International | Staple cartridge comprising a variable thickness compressible portion |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11083452B2 (en) | 2010-09-30 | 2021-08-10 | Cilag Gmbh International | Staple cartridge including a tissue thickness compensator |
US10695062B2 (en) | 2010-10-01 | 2020-06-30 | Ethicon Llc | Surgical instrument including a retractable firing member |
US11529142B2 (en) | 2010-10-01 | 2022-12-20 | Cilag Gmbh International | Surgical instrument having a power control circuit |
US10537396B2 (en) | 2011-01-07 | 2020-01-21 | Restoration Robotics, Inc. | Methods and systems for modifying a parameter of an automated procedure |
EP3329879A1 (en) * | 2011-01-07 | 2018-06-06 | Restoration Robotics, Inc. | Methods and systems for modifying a parameter of an automated procedure |
EP2661237A2 (en) * | 2011-01-07 | 2013-11-13 | Restoration Robotics, Inc. | Methods and systems for modifying a parameter of an automated procedure |
EP2661237A4 (en) * | 2011-01-07 | 2013-11-13 | Restoration Robotics Inc | Methods and systems for modifying a parameter of an automated procedure |
US8951266B2 (en) | 2011-01-07 | 2015-02-10 | Restoration Robotics, Inc. | Methods and systems for modifying a parameter of an automated procedure |
US9486290B2 (en) * | 2011-01-07 | 2016-11-08 | Restoration Robotics, Inc. | Methods and systems for modifying a parameter of an automated procedure |
US20130287286A1 (en) * | 2011-01-07 | 2013-10-31 | Restoration Robotics, Inc. | Methods and Systems for Modifying a Parameter of an Automated Procedure |
CN103269657A (en) * | 2011-01-07 | 2013-08-28 | 修复型机器人公司 | Methods and systems for modifying a parameter of an automated procedure |
US9707045B2 (en) | 2011-01-07 | 2017-07-18 | Restoration Robotics, Inc. | Methods and systems for modifying a parameter of an automated procedure |
US9470787B2 (en) | 2011-04-11 | 2016-10-18 | Lone Star Ip Holdings, Lp | Interrogator and system employing the same |
US10670707B2 (en) | 2011-04-11 | 2020-06-02 | Lone Star Ip Holdings, Lp | Interrogator and system employing the same |
US10324177B2 (en) | 2011-04-11 | 2019-06-18 | Lone Star Ip Holdings, Lp | Interrogator and system employing the same |
US9035774B2 (en) | 2011-04-11 | 2015-05-19 | Lone Star Ip Holdings, Lp | Interrogator and system employing the same |
US11504116B2 (en) | 2011-04-29 | 2022-11-22 | Cilag Gmbh International | Layer of material for a surgical end effector |
US11974747B2 (en) | 2011-05-27 | 2024-05-07 | Cilag Gmbh International | Surgical stapling instruments with rotatable staple deployment arrangements |
US11439470B2 (en) | 2011-05-27 | 2022-09-13 | Cilag Gmbh International | Robotically-controlled surgical instrument with selectively articulatable end effector |
US11583278B2 (en) | 2011-05-27 | 2023-02-21 | Cilag Gmbh International | Surgical stapling system having multi-direction articulation |
US11918208B2 (en) | 2011-05-27 | 2024-03-05 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11612394B2 (en) | 2011-05-27 | 2023-03-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11266410B2 (en) | 2011-05-27 | 2022-03-08 | Cilag Gmbh International | Surgical device for use with a robotic system |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US11129616B2 (en) | 2011-05-27 | 2021-09-28 | Cilag Gmbh International | Surgical stapling system |
US12059154B2 (en) | 2011-05-27 | 2024-08-13 | Cilag Gmbh International | Surgical instrument with detachable motor control unit |
US10813641B2 (en) | 2011-05-27 | 2020-10-27 | Ethicon Llc | Robotically-driven surgical instrument |
US10736634B2 (en) | 2011-05-27 | 2020-08-11 | Ethicon Llc | Robotically-driven surgical instrument including a drive system |
US10980534B2 (en) | 2011-05-27 | 2021-04-20 | Ethicon Llc | Robotically-controlled motorized surgical instrument with an end effector |
US10780539B2 (en) | 2011-05-27 | 2020-09-22 | Ethicon Llc | Stapling instrument for use with a robotic system |
US20120316573A1 (en) * | 2011-05-31 | 2012-12-13 | Intuitive Surgical Operations, Inc. | Positive control of robotic surgical instrument end effector |
US9043027B2 (en) * | 2011-05-31 | 2015-05-26 | Intuitive Surgical Operations, Inc. | Positive control of robotic surgical instrument end effector |
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 |
US11911117B2 (en) | 2011-06-27 | 2024-02-27 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US10080617B2 (en) | 2011-06-27 | 2018-09-25 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US10219811B2 (en) | 2011-06-27 | 2019-03-05 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US11076133B2 (en) * | 2011-10-13 | 2021-07-27 | Brainlab Ag | Medical tracking system comprising two or more communicating sensor devices |
US10762341B2 (en) * | 2011-10-13 | 2020-09-01 | Brainlab Ag | Medical tracking system comprising multi-functional sensor device |
WO2013053397A1 (en) * | 2011-10-13 | 2013-04-18 | Brainlab Ag | Medical tracking system comprising multi-functional sensor device |
US10157310B2 (en) | 2011-10-13 | 2018-12-18 | Brainlab Ag | Medical tracking system comprising multi-functional sensor device |
US9820823B2 (en) | 2011-10-21 | 2017-11-21 | Intuitive Surgical Operations, Inc. | Grip force control for robotic surgical instrument end effector |
US9314307B2 (en) | 2011-10-21 | 2016-04-19 | Intuitive Surgical Operations, Inc. | Grip force control for robotic surgical instrument end effector |
US10500007B2 (en) | 2011-10-21 | 2019-12-10 | Intuitive Surgical Operations, Inc. | Grip force control for robotic surgical instrument end effector |
US10952802B2 (en) | 2011-10-21 | 2021-03-23 | Intuitive Surgical Operations, Inc. | Grip force control for robotic surgical instrument end effector |
US10034719B2 (en) | 2011-10-21 | 2018-07-31 | Intuitive Surgical Operations, Inc. | Grip force control for robotic surgical instrument end effector |
US11406378B2 (en) | 2012-03-28 | 2022-08-09 | Cilag Gmbh International | Staple cartridge comprising a compressible tissue thickness compensator |
US11793509B2 (en) | 2012-03-28 | 2023-10-24 | Cilag Gmbh International | Staple cartridge including an implantable layer |
US11918220B2 (en) | 2012-03-28 | 2024-03-05 | Cilag Gmbh International | Tissue thickness compensator comprising tissue ingrowth features |
US10667808B2 (en) | 2012-03-28 | 2020-06-02 | Ethicon Llc | Staple cartridge comprising an absorbable adjunct |
WO2013182224A1 (en) * | 2012-06-05 | 2013-12-12 | Brainlab Ag | Improving the accuracy of navigating a medical device |
US10959725B2 (en) | 2012-06-15 | 2021-03-30 | Ethicon Llc | Articulatable surgical instrument comprising a firing drive |
US11707273B2 (en) | 2012-06-15 | 2023-07-25 | Cilag Gmbh International | Articulatable surgical instrument comprising a firing drive |
US11602346B2 (en) | 2012-06-28 | 2023-03-14 | Cilag Gmbh International | Robotically powered surgical device with manually-actuatable reversing system |
US11141155B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Drive system for surgical tool |
US11857189B2 (en) | 2012-06-28 | 2024-01-02 | Cilag Gmbh International | Surgical instrument including first and second articulation joints |
US11464513B2 (en) | 2012-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US10687812B2 (en) | 2012-06-28 | 2020-06-23 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US11510671B2 (en) | 2012-06-28 | 2022-11-29 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US11039837B2 (en) | 2012-06-28 | 2021-06-22 | Cilag Gmbh International | Firing system lockout arrangements for surgical instruments |
US11806013B2 (en) | 2012-06-28 | 2023-11-07 | Cilag Gmbh International | Firing system arrangements for surgical instruments |
US11918213B2 (en) | 2012-06-28 | 2024-03-05 | Cilag Gmbh International | Surgical stapler including couplers for attaching a shaft to an end effector |
US11083457B2 (en) | 2012-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US11540829B2 (en) | 2012-06-28 | 2023-01-03 | Cilag Gmbh International | Surgical instrument system including replaceable end effectors |
US10932775B2 (en) | 2012-06-28 | 2021-03-02 | Ethicon Llc | Firing system lockout arrangements for surgical instruments |
US11141156B2 (en) | 2012-06-28 | 2021-10-12 | Cilag Gmbh International | Surgical stapling assembly comprising flexible output shaft |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11622766B2 (en) | 2012-06-28 | 2023-04-11 | Cilag Gmbh International | Empty clip cartridge lockout |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US11109860B2 (en) | 2012-06-28 | 2021-09-07 | Cilag Gmbh International | Surgical end effectors for use with hand-held and robotically-controlled rotary powered surgical systems |
US11534162B2 (en) | 2012-06-28 | 2022-12-27 | Cilag GmbH Inlernational | Robotically powered surgical device with manually-actuatable reversing system |
US11058423B2 (en) | 2012-06-28 | 2021-07-13 | Cilag Gmbh International | Stapling system including first and second closure systems for use with a surgical robot |
US11154299B2 (en) | 2012-06-28 | 2021-10-26 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US11241230B2 (en) | 2012-06-28 | 2022-02-08 | Cilag Gmbh International | Clip applier tool for use with a robotic surgical system |
US11779420B2 (en) | 2012-06-28 | 2023-10-10 | Cilag Gmbh International | Robotic surgical attachments having manually-actuated retraction assemblies |
US10874391B2 (en) | 2012-06-28 | 2020-12-29 | Ethicon Llc | Surgical instrument system including replaceable end effectors |
US11666388B2 (en) | 2012-08-08 | 2023-06-06 | Ortoma Ab | Method and system for computer assisted surgery |
US10945795B2 (en) | 2012-08-08 | 2021-03-16 | Ortoma Ab | Method and system for computer assisted surgery |
US11373755B2 (en) | 2012-08-23 | 2022-06-28 | Cilag Gmbh International | Surgical device drive system including a ratchet mechanism |
US11246618B2 (en) | 2013-03-01 | 2022-02-15 | Cilag Gmbh International | Surgical instrument soft stop |
US11529138B2 (en) | 2013-03-01 | 2022-12-20 | Cilag Gmbh International | Powered surgical instrument including a rotary drive screw |
US11957345B2 (en) | 2013-03-01 | 2024-04-16 | Cilag Gmbh International | Articulatable surgical instruments with conductive pathways for signal communication |
US11992214B2 (en) | 2013-03-14 | 2024-05-28 | Cilag Gmbh International | Control systems for surgical instruments |
US11266406B2 (en) | 2013-03-14 | 2022-03-08 | Cilag Gmbh International | Control systems for surgical instruments |
US10893867B2 (en) | 2013-03-14 | 2021-01-19 | Ethicon Llc | Drive train control arrangements for modular surgical instruments |
US9629684B2 (en) | 2013-03-15 | 2017-04-25 | Acclarent, Inc. | Apparatus and method for treatment of ethmoid sinusitis |
US9433437B2 (en) | 2013-03-15 | 2016-09-06 | Acclarent, Inc. | Apparatus and method for treatment of ethmoid sinusitis |
US20160022374A1 (en) * | 2013-03-15 | 2016-01-28 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US10524869B2 (en) | 2013-03-15 | 2020-01-07 | Acclarent, Inc. | Apparatus and method for treatment of ethmoid sinusitis |
US10105149B2 (en) * | 2013-03-15 | 2018-10-23 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US11779316B2 (en) | 2013-03-20 | 2023-10-10 | Bard Peripheral Vascular, Inc. | Biopsy device |
US10285673B2 (en) | 2013-03-20 | 2019-05-14 | Bard Peripheral Vascular, Inc. | Biopsy device |
US11622763B2 (en) | 2013-04-16 | 2023-04-11 | Cilag Gmbh International | Stapling assembly comprising a shiftable drive |
US11564679B2 (en) | 2013-04-16 | 2023-01-31 | Cilag Gmbh International | Powered surgical stapler |
US11406381B2 (en) | 2013-04-16 | 2022-08-09 | Cilag Gmbh International | Powered surgical stapler |
US10888318B2 (en) | 2013-04-16 | 2021-01-12 | Ethicon Llc | Powered surgical stapler |
US10702266B2 (en) | 2013-04-16 | 2020-07-07 | Ethicon Llc | Surgical instrument system |
US11633183B2 (en) | 2013-04-16 | 2023-04-25 | Cilag International GmbH | Stapling assembly comprising a retraction drive |
US11690615B2 (en) | 2013-04-16 | 2023-07-04 | Cilag Gmbh International | Surgical system including an electric motor and a surgical instrument |
US11638581B2 (en) | 2013-04-16 | 2023-05-02 | Cilag Gmbh International | Powered surgical stapler |
US11395652B2 (en) | 2013-04-16 | 2022-07-26 | Cilag Gmbh International | Powered surgical stapler |
US11109858B2 (en) | 2013-08-23 | 2021-09-07 | Cilag Gmbh International | Surgical instrument including a display which displays the position of a firing element |
US11376001B2 (en) | 2013-08-23 | 2022-07-05 | Cilag Gmbh International | Surgical stapling device with rotary multi-turn retraction mechanism |
US11389160B2 (en) | 2013-08-23 | 2022-07-19 | Cilag Gmbh International | Surgical system comprising a display |
US10869665B2 (en) | 2013-08-23 | 2020-12-22 | Ethicon Llc | Surgical instrument system including a control system |
US11918209B2 (en) | 2013-08-23 | 2024-03-05 | Cilag Gmbh International | Torque optimization for surgical instruments |
US10898190B2 (en) | 2013-08-23 | 2021-01-26 | Ethicon Llc | Secondary battery arrangements for powered surgical instruments |
US12053176B2 (en) | 2013-08-23 | 2024-08-06 | Cilag Gmbh International | End effector detention systems for surgical instruments |
US11133106B2 (en) | 2013-08-23 | 2021-09-28 | Cilag Gmbh International | Surgical instrument assembly comprising a retraction assembly |
US11701110B2 (en) | 2013-08-23 | 2023-07-18 | Cilag Gmbh International | Surgical instrument including a drive assembly movable in a non-motorized mode of operation |
US11504119B2 (en) | 2013-08-23 | 2022-11-22 | Cilag Gmbh International | Surgical instrument including an electronic firing lockout |
US11026680B2 (en) | 2013-08-23 | 2021-06-08 | Cilag Gmbh International | Surgical instrument configured to operate in different states |
US10828032B2 (en) | 2013-08-23 | 2020-11-10 | Ethicon Llc | End effector detection systems for surgical instruments |
US11134940B2 (en) | 2013-08-23 | 2021-10-05 | Cilag Gmbh International | Surgical instrument including a variable speed firing member |
US11000274B2 (en) | 2013-08-23 | 2021-05-11 | Ethicon Llc | Powered surgical instrument |
US11534148B2 (en) | 2013-11-05 | 2022-12-27 | C. R. Bard, Inc. | Biopsy device having integrated vacuum |
US10456120B2 (en) | 2013-11-05 | 2019-10-29 | C. R. Bard, Inc. | Biopsy device having integrated vacuum |
CN103735316A (en) * | 2013-12-18 | 2014-04-23 | 宁波市全灵医疗设备股份有限公司 | Navigation device in orthopedics department and preparation method of navigation device |
US11020115B2 (en) | 2014-02-12 | 2021-06-01 | Cilag Gmbh International | Deliverable surgical instrument |
USD731995S1 (en) * | 2014-02-25 | 2015-06-16 | Eufina AG | Mobile information and entertainment unit |
USD744971S1 (en) | 2014-02-25 | 2015-12-08 | Eufina AG | Mobile information and entertainment unit |
US11259799B2 (en) | 2014-03-26 | 2022-03-01 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US12023022B2 (en) | 2014-03-26 | 2024-07-02 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US12023023B2 (en) | 2014-03-26 | 2024-07-02 | Cilag Gmbh International | Interface systems for use with surgical instruments |
US10898185B2 (en) | 2014-03-26 | 2021-01-26 | Ethicon Llc | Surgical instrument power management through sleep and wake up control |
US10863981B2 (en) | 2014-03-26 | 2020-12-15 | Ethicon Llc | Interface systems for use with surgical instruments |
US11497488B2 (en) | 2014-03-26 | 2022-11-15 | Cilag Gmbh International | Systems and methods for controlling a segmented circuit |
US11266409B2 (en) | 2014-04-16 | 2022-03-08 | Cilag Gmbh International | Fastener cartridge comprising a sled including longitudinally-staggered ramps |
US11883026B2 (en) | 2014-04-16 | 2024-01-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
US11298134B2 (en) | 2014-04-16 | 2022-04-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US12089849B2 (en) | 2014-04-16 | 2024-09-17 | Cilag Gmbh International | Staple cartridges including a projection |
US11974746B2 (en) | 2014-04-16 | 2024-05-07 | Cilag Gmbh International | Anvil for use with a surgical stapling assembly |
US11944307B2 (en) | 2014-04-16 | 2024-04-02 | Cilag Gmbh International | Surgical stapling system including jaw windows |
US11963678B2 (en) | 2014-04-16 | 2024-04-23 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11596406B2 (en) | 2014-04-16 | 2023-03-07 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11925353B2 (en) | 2014-04-16 | 2024-03-12 | Cilag Gmbh International | Surgical stapling instrument comprising internal passage between stapling cartridge and elongate channel |
US11517315B2 (en) | 2014-04-16 | 2022-12-06 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US11382625B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Fastener cartridge comprising non-uniform fasteners |
US11717294B2 (en) | 2014-04-16 | 2023-08-08 | Cilag Gmbh International | End effector arrangements comprising indicators |
US11918222B2 (en) | 2014-04-16 | 2024-03-05 | Cilag Gmbh International | Stapling assembly having firing member viewing windows |
US11382627B2 (en) | 2014-04-16 | 2022-07-12 | Cilag Gmbh International | Surgical stapling assembly comprising a firing member including a lateral extension |
US10952593B2 (en) | 2014-06-10 | 2021-03-23 | Covidien Lp | Bronchoscope adapter |
US11406386B2 (en) | 2014-09-05 | 2022-08-09 | Cilag Gmbh International | End effector including magnetic and impedance sensors |
US11076854B2 (en) | 2014-09-05 | 2021-08-03 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US12042147B2 (en) | 2014-09-05 | 2024-07-23 | Cllag GmbH International | Smart cartridge wake up operation and data retention |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10905423B2 (en) | 2014-09-05 | 2021-02-02 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US11717297B2 (en) | 2014-09-05 | 2023-08-08 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11071545B2 (en) | 2014-09-05 | 2021-07-27 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11389162B2 (en) | 2014-09-05 | 2022-07-19 | Cilag Gmbh International | Smart cartridge wake up operation and data retention |
US11653918B2 (en) | 2014-09-05 | 2023-05-23 | Cilag Gmbh International | Local display of tissue parameter stabilization |
US12076017B2 (en) | 2014-09-18 | 2024-09-03 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US11284898B2 (en) | 2014-09-18 | 2022-03-29 | Cilag Gmbh International | Surgical instrument including a deployable knife |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US12016564B2 (en) | 2014-09-26 | 2024-06-25 | Cilag Gmbh International | Circular fastener cartridges for applying radially expandable fastener lines |
US11202633B2 (en) | 2014-09-26 | 2021-12-21 | Cilag Gmbh International | Surgical stapling buttresses and adjunct materials |
US10736630B2 (en) | 2014-10-13 | 2020-08-11 | Ethicon Llc | Staple cartridge |
US11185325B2 (en) | 2014-10-16 | 2021-11-30 | Cilag Gmbh International | End effector including different tissue gaps |
US12004741B2 (en) | 2014-10-16 | 2024-06-11 | Cilag Gmbh International | Staple cartridge comprising a tissue thickness compensator |
US11918210B2 (en) | 2014-10-16 | 2024-03-05 | Cilag Gmbh International | Staple cartridge comprising a cartridge body including a plurality of wells |
US10905418B2 (en) | 2014-10-16 | 2021-02-02 | Ethicon Llc | Staple cartridge comprising a tissue thickness compensator |
US11931031B2 (en) | 2014-10-16 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a deck including an upper surface and a lower surface |
US11701114B2 (en) | 2014-10-16 | 2023-07-18 | Cilag Gmbh International | Staple cartridge |
US11457918B2 (en) | 2014-10-29 | 2022-10-04 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US11864760B2 (en) | 2014-10-29 | 2024-01-09 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11241229B2 (en) | 2014-10-29 | 2022-02-08 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US11931038B2 (en) | 2014-10-29 | 2024-03-19 | Cilag Gmbh International | Cartridge assemblies for surgical staplers |
US10617417B2 (en) | 2014-11-06 | 2020-04-14 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US11337698B2 (en) | 2014-11-06 | 2022-05-24 | Cilag Gmbh International | Staple cartridge comprising a releasable adjunct material |
US20220142717A1 (en) * | 2014-11-21 | 2022-05-12 | Think Surgical, Inc. | Visible light communication system for transmitting data between visual tracking systems and tracking markers |
US10144637B2 (en) * | 2014-11-25 | 2018-12-04 | Synaptive Medical (Barbados) Inc. | Sensor based tracking tool for medical components |
US20170327371A1 (en) * | 2014-11-25 | 2017-11-16 | Yanhui BAI | Sensor based tracking tool for medical components |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US11382628B2 (en) | 2014-12-10 | 2022-07-12 | Cilag Gmbh International | Articulatable surgical instrument system |
US10806448B2 (en) | 2014-12-18 | 2020-10-20 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US12029419B2 (en) | 2014-12-18 | 2024-07-09 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US10945728B2 (en) | 2014-12-18 | 2021-03-16 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US11517311B2 (en) | 2014-12-18 | 2022-12-06 | Cilag Gmbh International | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US11547403B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument having a laminate firing actuator and lateral buckling supports |
US11547404B2 (en) | 2014-12-18 | 2023-01-10 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US11399831B2 (en) | 2014-12-18 | 2022-08-02 | Cilag Gmbh International | Drive arrangements for articulatable surgical instruments |
US10695058B2 (en) | 2014-12-18 | 2020-06-30 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10743873B2 (en) | 2014-12-18 | 2020-08-18 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US11678877B2 (en) | 2014-12-18 | 2023-06-20 | Cilag Gmbh International | Surgical instrument including a flexible support configured to support a flexible firing member |
US11553911B2 (en) | 2014-12-18 | 2023-01-17 | Cilag Gmbh International | Surgical instrument assembly comprising a flexible articulation system |
US11083453B2 (en) | 2014-12-18 | 2021-08-10 | Cilag Gmbh International | Surgical stapling system including a flexible firing actuator and lateral buckling supports |
US11812958B2 (en) | 2014-12-18 | 2023-11-14 | Cilag Gmbh International | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US11571207B2 (en) | 2014-12-18 | 2023-02-07 | Cilag Gmbh International | Surgical system including lateral supports for a flexible drive member |
USD785794S1 (en) | 2014-12-23 | 2017-05-02 | Gyrus Acmi, Inc. | Adapter for a surgical device |
US20160202134A1 (en) * | 2015-01-09 | 2016-07-14 | Stryker Corporation | Isolated Force/Torque Sensor Assembly For Force Controlled Robot |
US9739674B2 (en) * | 2015-01-09 | 2017-08-22 | Stryker Corporation | Isolated force/torque sensor assembly for force controlled robot |
US11324506B2 (en) | 2015-02-27 | 2022-05-10 | Cilag Gmbh International | Modular stapling assembly |
US11744588B2 (en) | 2015-02-27 | 2023-09-05 | Cilag Gmbh International | Surgical stapling instrument including a removably attachable battery pack |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US12076018B2 (en) | 2015-02-27 | 2024-09-03 | Cilag Gmbh International | Modular stapling assembly |
USD784277S1 (en) * | 2015-03-05 | 2017-04-18 | A.Tron3D Gmbh | Medical image data recorder |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US11826132B2 (en) | 2015-03-06 | 2023-11-28 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11350843B2 (en) | 2015-03-06 | 2022-06-07 | Cilag Gmbh International | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US11426160B2 (en) | 2015-03-06 | 2022-08-30 | Cilag Gmbh International | Smart sensors with local signal processing |
US11944338B2 (en) | 2015-03-06 | 2024-04-02 | Cilag Gmbh International | Multiple level thresholds to modify operation of powered surgical instruments |
US11109859B2 (en) | 2015-03-06 | 2021-09-07 | Cilag Gmbh International | Surgical instrument comprising a lockable battery housing |
US11224423B2 (en) | 2015-03-06 | 2022-01-18 | Cilag Gmbh International | Smart sensors with local signal processing |
US10772625B2 (en) | 2015-03-06 | 2020-09-15 | Ethicon Llc | Signal and power communication system positioned on a rotatable shaft |
US10966627B2 (en) | 2015-03-06 | 2021-04-06 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US11918212B2 (en) | 2015-03-31 | 2024-03-05 | Cilag Gmbh International | Surgical instrument with selectively disengageable drive systems |
US11179142B2 (en) | 2015-05-01 | 2021-11-23 | C.R. Bard, Inc. | Biopsy device |
US10463350B2 (en) | 2015-05-01 | 2019-11-05 | C. R. Bard, Inc. | Biopsy device |
US10426555B2 (en) | 2015-06-03 | 2019-10-01 | Covidien Lp | Medical instrument with sensor for use in a system and method for electromagnetic navigation |
US10828123B2 (en) * | 2015-07-02 | 2020-11-10 | Nico Corporation | Navigation stylet for a tissue access system |
US9498300B1 (en) * | 2015-07-30 | 2016-11-22 | Novartis Ag | Communication system for surgical devices |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US11344299B2 (en) | 2015-09-23 | 2022-05-31 | Cilag Gmbh International | Surgical stapler having downstream current-based motor control |
US11849946B2 (en) | 2015-09-23 | 2023-12-26 | Cilag Gmbh International | Surgical stapler having downstream current-based motor control |
US10863986B2 (en) | 2015-09-23 | 2020-12-15 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US11490889B2 (en) | 2015-09-23 | 2022-11-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US11026678B2 (en) | 2015-09-23 | 2021-06-08 | Cilag Gmbh International | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US11076929B2 (en) | 2015-09-25 | 2021-08-03 | Cilag Gmbh International | Implantable adjunct systems for determining adjunct skew |
US11903586B2 (en) | 2015-09-30 | 2024-02-20 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US11793522B2 (en) | 2015-09-30 | 2023-10-24 | Cilag Gmbh International | Staple cartridge assembly including a compressible adjunct |
US11712244B2 (en) | 2015-09-30 | 2023-08-01 | Cilag Gmbh International | Implantable layer with spacer fibers |
US11944308B2 (en) | 2015-09-30 | 2024-04-02 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10932779B2 (en) | 2015-09-30 | 2021-03-02 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US11553916B2 (en) | 2015-09-30 | 2023-01-17 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11690623B2 (en) | 2015-09-30 | 2023-07-04 | Cilag Gmbh International | Method for applying an implantable layer to a fastener cartridge |
US11172994B1 (en) * | 2015-11-18 | 2021-11-16 | Bradley S. Seltmann | Attachment mechanism for surgical tool tracking system |
US10405929B1 (en) * | 2015-11-18 | 2019-09-10 | Bradley S. Seltmann | Attachment mechanism for surgical tool tracking system |
US12082893B2 (en) | 2015-11-24 | 2024-09-10 | Think Surgical, Inc. | Robotic pin placement |
US11129613B2 (en) | 2015-12-30 | 2021-09-28 | Cilag Gmbh International | Surgical instruments with separable motors and motor control circuits |
US11058422B2 (en) | 2015-12-30 | 2021-07-13 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11484309B2 (en) | 2015-12-30 | 2022-11-01 | Cilag Gmbh International | Surgical stapling system comprising a controller configured to cause a motor to reset a firing sequence |
US11083454B2 (en) | 2015-12-30 | 2021-08-10 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11759208B2 (en) | 2015-12-30 | 2023-09-19 | Cilag Gmbh International | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11730471B2 (en) | 2016-02-09 | 2023-08-22 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11523823B2 (en) | 2016-02-09 | 2022-12-13 | Cilag Gmbh International | Surgical instruments with non-symmetrical articulation arrangements |
US11826045B2 (en) | 2016-02-12 | 2023-11-28 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11779336B2 (en) | 2016-02-12 | 2023-10-10 | Cilag Gmbh International | 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 |
US11344303B2 (en) | 2016-02-12 | 2022-05-31 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11051810B2 (en) | 2016-04-15 | 2021-07-06 | Cilag Gmbh International | Modular surgical instrument with configurable operating mode |
US11191545B2 (en) | 2016-04-15 | 2021-12-07 | Cilag Gmbh International | Staple formation detection mechanisms |
US11317910B2 (en) | 2016-04-15 | 2022-05-03 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11026684B2 (en) | 2016-04-15 | 2021-06-08 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11311292B2 (en) | 2016-04-15 | 2022-04-26 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11517306B2 (en) | 2016-04-15 | 2022-12-06 | Cilag Gmbh International | Surgical instrument with detection sensors |
US11642125B2 (en) | 2016-04-15 | 2023-05-09 | Cilag Gmbh International | Robotic surgical system including a user interface and a control circuit |
US11931028B2 (en) | 2016-04-15 | 2024-03-19 | Cilag Gmbh International | 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 |
US11350932B2 (en) | 2016-04-15 | 2022-06-07 | Cilag Gmbh International | Surgical instrument with improved stop/start control during a firing motion |
US11284891B2 (en) | 2016-04-15 | 2022-03-29 | Cilag Gmbh International | Surgical instrument with multiple program responses during a firing motion |
US11559303B2 (en) | 2016-04-18 | 2023-01-24 | Cilag Gmbh International | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US11147554B2 (en) | 2016-04-18 | 2021-10-19 | Cilag Gmbh International | Surgical instrument system comprising a magnetic lockout |
US11350928B2 (en) | 2016-04-18 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising a tissue thickness lockout and speed control system |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US11811253B2 (en) | 2016-04-18 | 2023-11-07 | Cilag Gmbh International | Surgical robotic system with fault state detection configurations based on motor current draw |
US11160617B2 (en) | 2016-05-16 | 2021-11-02 | Covidien Lp | System and method to access lung tissue |
US11786317B2 (en) | 2016-05-16 | 2023-10-17 | Covidien Lp | System and method to access lung tissue |
US10478254B2 (en) | 2016-05-16 | 2019-11-19 | Covidien Lp | System and method to access lung tissue |
US20180325621A1 (en) * | 2016-08-17 | 2018-11-15 | Kirusha Srimohanarajah | Wireless active tracking fiducials |
US10765480B2 (en) * | 2016-08-17 | 2020-09-08 | Synaptive Medical (Barbados) Inc. | Wireless active tracking fiducials |
US11786314B2 (en) | 2016-10-28 | 2023-10-17 | Covidien Lp | System for calibrating an electromagnetic navigation system |
US10792106B2 (en) | 2016-10-28 | 2020-10-06 | Covidien Lp | System for calibrating an electromagnetic navigation system |
US10418705B2 (en) | 2016-10-28 | 2019-09-17 | Covidien Lp | Electromagnetic navigation antenna assembly and electromagnetic navigation system including the same |
US11672604B2 (en) | 2016-10-28 | 2023-06-13 | Covidien Lp | System and method for generating a map for electromagnetic navigation |
US10638952B2 (en) | 2016-10-28 | 2020-05-05 | Covidien Lp | Methods, systems, and computer-readable media for calibrating an electromagnetic navigation system |
US10751126B2 (en) | 2016-10-28 | 2020-08-25 | Covidien Lp | System and method for generating a map for electromagnetic navigation |
US10446931B2 (en) | 2016-10-28 | 2019-10-15 | Covidien Lp | Electromagnetic navigation antenna assembly and electromagnetic navigation system including the same |
US10722311B2 (en) | 2016-10-28 | 2020-07-28 | Covidien Lp | System and method for identifying a location and/or an orientation of an electromagnetic sensor based on a map |
US10615500B2 (en) | 2016-10-28 | 2020-04-07 | Covidien Lp | System and method for designing electromagnetic navigation antenna assemblies |
US10517505B2 (en) | 2016-10-28 | 2019-12-31 | Covidien Lp | Systems, methods, and computer-readable media for optimizing an electromagnetic navigation system |
US11759264B2 (en) | 2016-10-28 | 2023-09-19 | Covidien Lp | System and method for identifying a location and/or an orientation of an electromagnetic sensor based on a map |
US12011166B2 (en) | 2016-12-21 | 2024-06-18 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10905422B2 (en) | 2016-12-21 | 2021-02-02 | Ethicon Llc | Surgical instrument for use with a robotic surgical system |
US11766259B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US11766260B2 (en) | 2016-12-21 | 2023-09-26 | Cilag Gmbh International | Methods of stapling tissue |
US12004745B2 (en) | 2016-12-21 | 2024-06-11 | Cilag Gmbh International | Surgical instrument system comprising an end effector lockout and a firing assembly lockout |
US11564688B2 (en) | 2016-12-21 | 2023-01-31 | Cilag Gmbh International | Robotic surgical tool having a retraction mechanism |
US11224428B2 (en) | 2016-12-21 | 2022-01-18 | Cilag Gmbh International | Surgical stapling systems |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US11317913B2 (en) | 2016-12-21 | 2022-05-03 | Cilag Gmbh International | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US11571210B2 (en) | 2016-12-21 | 2023-02-07 | Cilag Gmbh International | Firing assembly comprising a multiple failed-state fuse |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
US11191540B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of a surgical instrument |
US11369376B2 (en) | 2016-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical stapling systems |
US11992213B2 (en) | 2016-12-21 | 2024-05-28 | Cilag Gmbh International | Surgical stapling instruments with replaceable staple cartridges |
US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
US11191543B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Assembly comprising a lock |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
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 |
US11918215B2 (en) | 2016-12-21 | 2024-03-05 | Cilag Gmbh International | Staple cartridge with array of staple pockets |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
US11849948B2 (en) | 2016-12-21 | 2023-12-26 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US11701115B2 (en) | 2016-12-21 | 2023-07-18 | Cilag Gmbh International | Methods of stapling tissue |
US11350934B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Staple forming pocket arrangement to accommodate different types of staples |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US11957344B2 (en) | 2016-12-21 | 2024-04-16 | Cilag Gmbh International | Surgical stapler having rows of obliquely oriented staples |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
US11931034B2 (en) | 2016-12-21 | 2024-03-19 | Cilag Gmbh International | Surgical stapling instruments with smart staple cartridges |
US11160553B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Surgical stapling systems |
US11350935B2 (en) | 2016-12-21 | 2022-06-07 | Cilag Gmbh International | Surgical tool assemblies with closure stroke reduction features |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US11096689B2 (en) | 2016-12-21 | 2021-08-24 | Cilag Gmbh International | Shaft assembly comprising a lockout |
US10959727B2 (en) | 2016-12-21 | 2021-03-30 | Ethicon Llc | Articulatable surgical end effector with asymmetric shaft arrangement |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US11497499B2 (en) | 2016-12-21 | 2022-11-15 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US11653917B2 (en) | 2016-12-21 | 2023-05-23 | Cilag Gmbh International | Surgical stapling systems |
US11116483B2 (en) | 2017-05-19 | 2021-09-14 | Merit Medical Systems, Inc. | Rotating biopsy needle |
US11793498B2 (en) | 2017-05-19 | 2023-10-24 | Merit Medical Systems, Inc. | Biopsy needle devices and methods of use |
US11844500B2 (en) | 2017-05-19 | 2023-12-19 | Merit Medical Systems, Inc. | Semi-automatic biopsy needle device and methods of use |
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 |
US11793513B2 (en) | 2017-06-20 | 2023-10-24 | Cilag Gmbh International | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical 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 |
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 |
US11213302B2 (en) | 2017-06-20 | 2022-01-04 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11871939B2 (en) | 2017-06-20 | 2024-01-16 | Cilag Gmbh International | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
USD1039559S1 (en) | 2017-06-20 | 2024-08-20 | Cilag Gmbh International | Display panel with changeable graphical user interface |
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 |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
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 |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US11672532B2 (en) | 2017-06-20 | 2023-06-13 | Cilag Gmbh International | 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 |
US11766258B2 (en) | 2017-06-27 | 2023-09-26 | Cilag Gmbh International | Surgical anvil arrangements |
US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
USD1018577S1 (en) | 2017-06-28 | 2024-03-19 | Cilag Gmbh International | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
US11058424B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical instrument comprising an offset articulation joint |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11478242B2 (en) | 2017-06-28 | 2022-10-25 | Cilag Gmbh International | Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw |
US11826048B2 (en) | 2017-06-28 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11484310B2 (en) | 2017-06-28 | 2022-11-01 | Cilag Gmbh International | Surgical instrument comprising a shaft including a closure tube profile |
US11642128B2 (en) | 2017-06-28 | 2023-05-09 | Cilag Gmbh International | Method for articulating a surgical instrument |
US10758232B2 (en) | 2017-06-28 | 2020-09-01 | Ethicon Llc | Surgical instrument with positive jaw opening features |
US10695057B2 (en) | 2017-06-28 | 2020-06-30 | Ethicon Llc | Surgical instrument lockout arrangement |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11529140B2 (en) | 2017-06-28 | 2022-12-20 | Cilag Gmbh International | Surgical instrument lockout arrangement |
US11083455B2 (en) | 2017-06-28 | 2021-08-10 | Cilag Gmbh International | Surgical instrument comprising an articulation system ratio |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
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 |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11890005B2 (en) | 2017-06-29 | 2024-02-06 | Cilag Gmbh International | Methods for closed loop velocity control for robotic surgical instrument |
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 |
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 |
US11998199B2 (en) | 2017-09-29 | 2024-06-04 | Cllag GmbH International | System and methods for controlling a display of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US20190099225A1 (en) * | 2017-10-02 | 2019-04-04 | Robin Elizabeth McKenzie TODD | User interface system and methods for overlaying surgical video output |
US10610310B2 (en) * | 2017-10-02 | 2020-04-07 | Robin Elizabeth McKenzie TODD | User interface system and methods for overlaying surgical video output |
USD917701S1 (en) * | 2017-10-13 | 2021-04-27 | Shenzhen Mindray Bio-Medical Electronics Co., Ltd. | Anesthesia device |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US12076011B2 (en) | 2017-10-30 | 2024-09-03 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11478244B2 (en) | 2017-10-31 | 2022-10-25 | Cilag Gmbh International | Cartridge body design with force reduction based on firing completion |
US11219489B2 (en) | 2017-10-31 | 2022-01-11 | Covidien Lp | Devices and systems for providing sensors in parallel with medical tools |
US11963680B2 (en) | 2017-10-31 | 2024-04-23 | Cilag Gmbh International | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
EP3680682A1 (en) * | 2017-11-15 | 2020-07-15 | Stryker Corporation | High bandwidth and low latency hybrid communication techniques for a navigation system |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
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 |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US11896222B2 (en) | 2017-12-15 | 2024-02-13 | Cilag Gmbh International | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US12076096B2 (en) | 2017-12-19 | 2024-09-03 | Cilag Gmbh International | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
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 |
US11284953B2 (en) | 2017-12-19 | 2022-03-29 | Cilag Gmbh International | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11576668B2 (en) * | 2017-12-21 | 2023-02-14 | Cilag Gmbh International | Staple instrument comprising a firing path display |
US20190192141A1 (en) * | 2017-12-21 | 2019-06-27 | Ethicon Llc | Staple instrument comprising a firing path display |
US11883019B2 (en) | 2017-12-21 | 2024-01-30 | Cilag Gmbh International | Stapling instrument comprising a staple feeding system |
US11364027B2 (en) | 2017-12-21 | 2022-06-21 | Cilag Gmbh International | Surgical instrument comprising speed control |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11179152B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a tissue grasping system |
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 |
US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding stapling instrument |
US11369368B2 (en) | 2017-12-21 | 2022-06-28 | Cilag Gmbh International | Surgical instrument comprising synchronized drive systems |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11179151B2 (en) | 2017-12-21 | 2021-11-23 | Cilag Gmbh International | Surgical instrument comprising a display |
US10743868B2 (en) | 2017-12-21 | 2020-08-18 | Ethicon Llc | Surgical instrument comprising a pivotable distal head |
US11849939B2 (en) | 2017-12-21 | 2023-12-26 | Cilag Gmbh International | Continuous use self-propelled stapling instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
USD863560S1 (en) * | 2018-02-21 | 2019-10-15 | 3Shape A/S | Display screen with stand |
US20210236210A1 (en) * | 2018-06-20 | 2021-08-05 | Techmah Medical Llc | Methods and Devices for Knee Surgery with Inertial Sensors |
US11744650B2 (en) * | 2018-06-20 | 2023-09-05 | Techmah Medical Llc | Methods and devices for knee surgery with inertial sensors |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
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 |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US12076008B2 (en) | 2018-08-20 | 2024-09-03 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11957339B2 (en) | 2018-08-20 | 2024-04-16 | 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 |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
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 |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
CN111195154A (en) * | 2018-11-16 | 2020-05-26 | 格罗伯斯医疗有限公司 | End effector for surgical robotic system |
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 |
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 |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11684369B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11553919B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11744593B2 (en) | 2019-06-28 | 2023-09-05 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US12089902B2 (en) | 2019-07-30 | 2024-09-17 | Coviden Lp | Cone beam and 3D fluoroscope lung navigation |
US20220338937A1 (en) * | 2019-09-25 | 2022-10-27 | Stella Medical Gbr | Device For Navigating A Medical Instrument Relative To A Patient Anatomy |
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 |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
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 |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
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 |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11730541B2 (en) * | 2020-02-19 | 2023-08-22 | Suzhou MicroPort Orthobot Co., Ltd. | Method, system for registration of bone, and trackable element |
US20210251691A1 (en) * | 2020-02-19 | 2021-08-19 | Suzhou MicroPort Orthobot Co., Ltd. | Method, system for registration of bone, and trackable element |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | 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 |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
US20230248449A1 (en) * | 2020-07-17 | 2023-08-10 | Smith & Nephew, Inc. | Touchless Control of Surgical Devices |
US11871925B2 (en) | 2020-07-28 | 2024-01-16 | Cilag Gmbh International | Surgical instruments with dual spherical articulation joint arrangements |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US11737748B2 (en) | 2020-07-28 | 2023-08-29 | Cilag Gmbh International | Surgical instruments with double spherical articulation joints with pivotable links |
US11857182B2 (en) | 2020-07-28 | 2024-01-02 | Cilag Gmbh International | Surgical instruments with combination function articulation joint arrangements |
US11883024B2 (en) | 2020-07-28 | 2024-01-30 | Cilag Gmbh International | Method of operating a surgical instrument |
US11974741B2 (en) | 2020-07-28 | 2024-05-07 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
US12064107B2 (en) | 2020-07-28 | 2024-08-20 | Cilag Gmbh International | Articulatable surgical instruments with articulation joints comprising flexible exoskeleton arrangements |
US11660090B2 (en) | 2020-07-28 | 2023-05-30 | Cllag GmbH International | Surgical instruments with segmented flexible drive arrangements |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11826013B2 (en) | 2020-07-28 | 2023-11-28 | Cilag Gmbh International | Surgical instruments with firing member closure features |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US12076194B2 (en) | 2020-10-29 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
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 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US12029421B2 (en) | 2020-10-29 | 2024-07-09 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
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 |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US12016559B2 (en) | 2020-12-02 | 2024-06-25 | Cllag GmbH International | Powered surgical instruments with communication interfaces through sterile barrier |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
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 |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US20220211441A1 (en) * | 2021-01-06 | 2022-07-07 | Mako Surgical Corp. | Tracker For A Navigation System |
US12035911B2 (en) | 2021-02-26 | 2024-07-16 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
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 |
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 |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US12035912B2 (en) | 2021-02-26 | 2024-07-16 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US12035910B2 (en) | 2021-02-26 | 2024-07-16 | Cllag GmbH International | Monitoring of internal systems to detect and track cartridge motion status |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US12023026B2 (en) | 2021-03-22 | 2024-07-02 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US12042146B2 (en) | 2021-03-22 | 2024-07-23 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
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 |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
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 |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
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 |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11918217B2 (en) | 2021-05-28 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11998201B2 (en) | 2021-05-28 | 2024-06-04 | Cilag CmbH International | Stapling instrument comprising a firing lockout |
WO2023039596A1 (en) * | 2021-09-13 | 2023-03-16 | True Digital Surgery | Integrated surgical navigation and visualization system, and methods thereof |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
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 |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
Also Published As
Publication number | Publication date |
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WO2001054558A8 (en) | 2002-10-17 |
US20040073279A1 (en) | 2004-04-15 |
EP1404212A4 (en) | 2008-07-23 |
DE60144394D1 (en) | 2011-05-19 |
EP1404212B1 (en) | 2011-04-06 |
WO2001054558A3 (en) | 2004-01-08 |
JP2004500187A (en) | 2004-01-08 |
US7725162B2 (en) | 2010-05-25 |
WO2001054558A2 (en) | 2001-08-02 |
ATE504256T1 (en) | 2011-04-15 |
EP1404212A2 (en) | 2004-04-07 |
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