公开(公告)号：US11745031B2

公开(公告)日：2023-09-05

申请号：US16784428

申请日：2020-02-07

Applicant: Cilag GmbH International

Inventor： Charles J. Scheib ,  Benjamin M. Boyd ,  Paul F. Riestenberg ,  Craig N. Faller ,  Allison Hamilton ,  Patrick J. Swindon ,  Christopher J. Chermside-Scabbo ,  Kevin L. Houser ,  David J. Cagle ,  Geoffrey S. Strobl ,  Benjamin J. Danziger ,  Rudolph H. Nobis

IPC: A61B18/12 ,  A61N7/02 ,  A61B17/32 ,  A61B18/00 ,  A61N7/00 ,  A61B17/00

CPC classification number: A61N7/02 ,  A61B17/320092 ,  A61B2017/00137 ,  A61B2017/00181 ,  A61B2017/00367 ,  A61B2017/00411 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2018/0063 ,  A61B2018/00595 ,  A61B2018/00619 ,  A61N2007/0056

Abstract: A surgical instrument includes an end effector and a handle assembly. The end effector is configured to operate at a first energy level and at a second energy level. The end effector is further configured to transition between an open position and a closed position. The end effector is configured to grasp tissue in the closed position. The handle assembly includes a body, a trigger, and an activation element. The trigger is configured to pivot in a first direction relative to the body to actuate the end effector from the open position to the closed position. The activation element is configured to activate the end effector at either the first energy level or the second energy level. The trigger is configured to either activate the activation element or determine whether the end effector operates at the first energy level or the second energy level.

公开(公告)号：US11744634B2

公开(公告)日：2023-09-05

申请号：US16048553

申请日：2018-07-30

Applicant: GYRUS ACMI, INC.

Inventor： Kester J. Batchelor

IPC: A61B18/14 ,  A61B18/08 ,  A61B18/00 ,  A61B18/16

CPC classification number: A61B18/1442 ,  A61B18/085 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/146 ,  A61B2018/1462 ,  A61B2018/167

Abstract: An electrosurgical device comprising: forceps including: (i) a first working arm having a contact surface and (ii) a second working arm having a contact surface; wherein the forceps has a first electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are substantially opposite each other so that the contact surfaces of the forceps can be used to grip an item between the working arms and so that the forceps is configured to deliver a first therapy current through the first working arm, the second working arm, or both; and wherein the forceps has second electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are askew relative to each other and an electrode edge is formed on at least one side of the forceps so that a second therapy current extends from the electrode edge.

公开(公告)号：US11744631B2

公开(公告)日：2023-09-05

申请号：US16122857

申请日：2018-09-05

Applicant: COVIDIEN LP

Inventor： Donald L. Tonn ,  James E. Dunning ,  William D. Faulkner ,  Jennifer R. McHenry ,  Devon E. Scott-Drechsel ,  Eric M. Westra

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

CPC classification number: A61B18/1206 ,  A61B18/1233 ,  A61B18/1442 ,  A61B18/1445 ,  A61B2018/0063 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00642 ,  A61B2018/00666 ,  A61B2018/00702 ,  A61B2018/00767 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/126 ,  A61B2018/1253 ,  A61B2018/1266 ,  A61B2018/1462

Abstract: The present disclosure includes an electrosurgical generator that controls treatment energy to be provided in a coagulation mode, where the treatment energy has an adjustable voltage ramp rate which can be set to a ramp rate in a range of voltage ramp rates. The generator receives signals from an instrument over time relating to load impedance. When the load impedance is above a threshold, the generator sets the adjustable voltage ramp rate to a ramp rate in the range of voltage ramp rates, and decreases, at the adjustable voltage ramp rate, a voltage of the treatment energy. When the load impedance is below the threshold, the generator sets the adjustable voltage ramp rate to a ramp rate in the range of voltage ramp rates, and increases, at the adjustable voltage ramp rate, the voltage of the treatment energy.

公开(公告)号：US11737776B2

公开(公告)日：2023-08-29

申请号：US16846159

申请日：2020-04-10

Applicant: PROCEPT BioRobotics Corporation

Inventor： Nikolai Aljuri ,  Surag Mantri ,  Luis Baez ,  George Surjan ,  Michael W. Sasnett ,  Jonathan Foote

IPC: A61B17/3203 ,  A61B34/00 ,  A61B1/307 ,  A61B90/00 ,  A61B17/00 ,  A61B18/14 ,  A61B18/04 ,  A61B18/00 ,  A61B34/20 ,  A61B18/20 ,  A61B18/22 ,  A61M25/04 ,  A61B90/30 ,  A61B34/30 ,  A61B34/10 ,  A61B90/50 ,  A61B17/30

CPC classification number: A61B17/3203 ,  A61B1/307 ,  A61B17/00234 ,  A61B17/32037 ,  A61B18/04 ,  A61B18/1485 ,  A61B34/25 ,  A61B90/37 ,  A61B18/20 ,  A61B34/30 ,  A61B2017/00199 ,  A61B2017/00274 ,  A61B2017/306 ,  A61B2018/005 ,  A61B2018/0044 ,  A61B2018/0066 ,  A61B2018/00279 ,  A61B2018/00285 ,  A61B2018/00327 ,  A61B2018/00351 ,  A61B2018/00404 ,  A61B2018/00446 ,  A61B2018/00488 ,  A61B2018/00494 ,  A61B2018/00517 ,  A61B2018/00529 ,  A61B2018/00541 ,  A61B2018/00547 ,  A61B2018/00577 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00642 ,  A61B2018/00982 ,  A61B2018/00994 ,  A61B2018/046 ,  A61B2018/1472 ,  A61B2018/205 ,  A61B2018/20351 ,  A61B2018/20554 ,  A61B2018/2211 ,  A61B2018/2272 ,  A61B2034/107 ,  A61B2034/2048 ,  A61B2034/254 ,  A61B2090/064 ,  A61B2090/306 ,  A61B2090/364 ,  A61B2090/378 ,  A61B2090/3782 ,  A61B2090/3784 ,  A61B2090/508 ,  A61B2217/005 ,  A61B2217/007 ,  A61B2218/002 ,  A61B2218/007 ,  A61M25/04

Abstract: A system to treat a patient comprises a user interface that allows a physician to view an image of tissue to be treated in order to develop a treatment plan to resect tissue with a predefined removal profile. The image may comprise a plurality of images, and the planned treatment is shown on the images. The treatment probe may comprise an anchor, and the image shown on the screen may have a reference image marker shown on the screen corresponding to the anchor. The planned tissue removal profile can be displayed and scaled to the image of the target tissue of an organ such as the prostate, and the physician can adjust the treatment profile based on the scaled images to provide a treatment profile in three dimensions. The images shown on the display may comprise segmented images of the patient with treatment plan overlaid on the images.

公开(公告)号：US11730491B2

公开(公告)日：2023-08-22

申请号：US17395463

申请日：2021-08-06

Applicant: Kunnskap Medical, LLC

Inventor： Michael C. Holmstrom

IPC: A61B17/16 ,  A61B17/00 ,  A61B18/14 ,  A61M13/00 ,  A61B18/22 ,  A61B1/00 ,  G06T7/00 ,  A61B1/015 ,  A61B1/04 ,  A61B1/317 ,  H04N7/18 ,  G16H30/20 ,  H04N23/52 ,  H04N23/56 ,  H04N23/61 ,  H04N23/74 ,  A61B18/00 ,  G05D7/06 ,  G05D16/20 ,  H04N23/50

CPC classification number: A61B17/1604 ,  A61B1/0005 ,  A61B1/00006 ,  A61B1/00013 ,  A61B1/015 ,  A61B1/04 ,  A61B1/317 ,  A61B17/00234 ,  A61B18/148 ,  A61B18/22 ,  A61M13/003 ,  G06T7/0012 ,  G16H30/20 ,  H04N7/183 ,  H04N23/52 ,  H04N23/56 ,  H04N23/61 ,  H04N23/74 ,  A61B2017/00367 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00982 ,  A61B2217/005 ,  A61B2217/007 ,  A61B2218/002 ,  G05D7/0676 ,  G05D16/2066 ,  G06T2207/10016 ,  G06T2207/10068 ,  G06T2207/10152 ,  G06T2207/20081 ,  G06T2207/20084 ,  G06T2207/30004 ,  G06T2207/30168 ,  H04N23/555

Abstract: Endoscopic image analysis, endoscopic procedure analysis, and/or component control systems, methods and techniques are disclosed that can analyze images of an endoscopic system and/or affect an endoscopic system to enhance operation, user and patient experience, and usability of image data and other case data.

公开(公告)号：US11707293B2

公开(公告)日：2023-07-25

申请号：US16144345

申请日：2018-09-27

Applicant: Cilag GmbH International

Inventor： Kristen G. Denzinger ,  Cameron R. Nott ,  Madeleine C. Jayme ,  Patrick J. Scoggins ,  Craig N. Faller

IPC: A61B17/22 ,  A61B17/32 ,  A61B17/00 ,  A61B18/12 ,  A61B18/14 ,  A61B17/3211 ,  A61B18/00 ,  A61B17/28 ,  A61B34/30 ,  A61B34/10 ,  A61B90/00

CPC classification number: A61B17/320068 ,  A61B17/00234 ,  A61B17/22012 ,  A61B17/3211 ,  A61B17/320092 ,  A61B18/12 ,  A61B18/1206 ,  A61B18/1233 ,  A61B18/14 ,  A61B18/1442 ,  A61B18/1445 ,  A61B17/282 ,  A61B34/30 ,  A61B90/361 ,  A61B2017/0003 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00061 ,  A61B2017/00075 ,  A61B2017/0084 ,  A61B2017/00084 ,  A61B2017/00106 ,  A61B2017/00115 ,  A61B2017/00137 ,  A61B2017/00146 ,  A61B2017/00154 ,  A61B2017/00199 ,  A61B2017/00221 ,  A61B2017/00398 ,  A61B2017/00464 ,  A61B2017/00477 ,  A61B2017/00482 ,  A61B2017/22014 ,  A61B2017/2825 ,  A61B2017/32007 ,  A61B2017/320073 ,  A61B2017/320074 ,  A61B2017/320084 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2017/320097 ,  A61B2018/0063 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00619 ,  A61B2018/00648 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/00892 ,  A61B2018/00994 ,  A61B2018/126 ,  A61B2018/128 ,  A61B2018/1253 ,  A61B2018/1412 ,  A61B2018/1452 ,  A61B2034/107 ,  A61B2090/065 ,  A61B2090/066 ,  A61B2090/0808 ,  A61B2090/0809 ,  A61B2090/0811 ,  A61B2217/005 ,  A61B2218/002 ,  A61B2218/008

Abstract: A method of ultrasonic sealing includes activating an ultrasonic blade temperature sensing, measuring a first resonant frequency of an ultrasonic electromechanical system that includes a transducer coupled to the blade via a waveguide, making a first comparison between the measured first resonant frequency and a first predetermined resonant frequency, and adjusting a power level applied to the transducer based on the first comparison. The first predetermined frequency may correspond to an optimal tissue coagulation temperature. The method may further include measuring a second resonant frequency of the system, making a second comparison between the measured second frequency and a second predetermined frequency, and adjusting the power level based on the second comparison. The second predetermined frequency may correspond a melting point temperature of a clamp arm pad. An ultrasonic instrument and a generator may implement the method.

公开(公告)号：US11690679B2

公开(公告)日：2023-07-04

申请号：US16715086

申请日：2019-12-16

Applicant: Covidien LP

Inventor： Scott E. M. Frushour

IPC: A61B34/20 ,  A61B17/00 ,  A61B90/00 ,  A61B34/30 ,  A61B18/00 ,  A61B18/12

CPC classification number: A61B34/20 ,  A61B17/00234 ,  A61B34/30 ,  A61B2017/00004 ,  A61B2017/0023 ,  A61B2017/00809 ,  A61B2018/00595 ,  A61B2018/126 ,  A61B2018/1253 ,  A61B2034/2051 ,  A61B2034/2061 ,  A61B2090/374 ,  A61B2090/376 ,  A61B2090/378 ,  A61B2090/3735 ,  A61B2090/3762 ,  A61B2090/3958 ,  A61B2090/3966

Abstract: A method for localizing a nodule of a patient includes inserting a delivery tool into tissue of a patient, such as lung tissue, releasing the magnetic fiducial into or adjacent a nodule from the delivery tool, and locating the magnetic fiducial with a localization tool.

公开(公告)号：US11690605B2

公开(公告)日：2023-07-04

申请号：US16549798

申请日：2019-08-23

Applicant: Cilag GmbH International

Inventor： Kevin L. Houser ,  Daniel W. Price ,  Gavin M. Monson ,  Hitesh Jain

IPC: A61B17/00 ,  A61B90/40 ,  A61B18/00 ,  A61B18/04 ,  A61B18/12 ,  A61B18/14 ,  H02J7/00 ,  A61B17/32 ,  A61B50/30 ,  H01M10/42 ,  G16H20/40 ,  G16H40/63 ,  H02J50/10 ,  H01M10/48 ,  A61B34/00 ,  A61B46/10 ,  A61B90/00 ,  A61B17/28 ,  A61N7/00 ,  H01M10/46 ,  A61B17/064 ,  A61B17/285 ,  A61B17/29 ,  A61B50/00 ,  H02J7/02

CPC classification number: A61B17/00234 ,  A61B17/2812 ,  A61B17/320068 ,  A61B17/320092 ,  A61B18/00 ,  A61B18/04 ,  A61B18/12 ,  A61B18/1206 ,  A61B18/14 ,  A61B18/1442 ,  A61B18/1445 ,  A61B34/25 ,  A61B46/10 ,  A61B50/30 ,  A61B90/08 ,  A61B90/40 ,  A61N7/00 ,  G16H20/40 ,  G16H40/63 ,  H01M10/425 ,  H01M10/46 ,  H01M10/48 ,  H01M10/488 ,  H02J7/0044 ,  H02J7/0045 ,  H02J50/10 ,  A61B17/064 ,  A61B17/285 ,  A61B18/1233 ,  A61B2017/00017 ,  A61B2017/0046 ,  A61B2017/00084 ,  A61B2017/0084 ,  A61B2017/00398 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00482 ,  A61B2017/00734 ,  A61B2017/291 ,  A61B2017/293 ,  A61B2017/294 ,  A61B2017/2929 ,  A61B2017/2931 ,  A61B2017/2933 ,  A61B2017/320069 ,  A61B2017/320071 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2018/0019 ,  A61B2018/00178 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00988 ,  A61B2018/126 ,  A61B2018/1226 ,  A61B2018/1253 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2050/005 ,  A61B2050/008 ,  A61B2050/0065 ,  A61B2050/0067 ,  A61B2050/0076 ,  A61B2050/3007 ,  A61B2050/3008 ,  A61B2090/0803 ,  A61B2090/0813 ,  A61B2090/0814 ,  H01M2220/30 ,  H02J7/0013 ,  H02J7/0042 ,  H02J7/0048 ,  H02J7/0063 ,  H02J7/02 ,  H02J2310/22 ,  Y10T29/49005 ,  Y10T29/49895 ,  Y10T29/53913

Abstract: An apparatus comprises an electrically power surgical instrument having a handle assembly. The apparatus also comprises a communication device positioned within the handle assembly. The communication device is operable to communicate with at least a portion of the electrically powered surgical instrument. The apparatus further comprises an external device in wireless communication with the communication device. The external device is operable to receive information from the communication device and the external device is operable to provide an output viewable to the user.

公开(公告)号：US11678901B2

公开(公告)日：2023-06-20

申请号：US16144434

申请日：2018-09-27

Applicant: Cilag GmbH International

Inventor： Patrick J. Scoggins ,  Madeleine C. Jayme ,  Kristen G. Denzinger ,  Cameron R. Nott ,  Craig N. Faller

IPC: A61B17/32 ,  A61B18/12 ,  A61B18/14 ,  A61B34/30 ,  A61B18/00 ,  A61B17/00 ,  A61B17/3211 ,  A61B17/22 ,  A61B17/28 ,  A61B34/10 ,  A61B90/00

CPC classification number: A61B17/320068 ,  A61B17/00234 ,  A61B17/22012 ,  A61B17/3211 ,  A61B17/320092 ,  A61B18/12 ,  A61B18/1206 ,  A61B18/1233 ,  A61B18/14 ,  A61B18/1442 ,  A61B18/1445 ,  A61B17/282 ,  A61B34/30 ,  A61B90/361 ,  A61B2017/0003 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00061 ,  A61B2017/00075 ,  A61B2017/0084 ,  A61B2017/00084 ,  A61B2017/00106 ,  A61B2017/00115 ,  A61B2017/00137 ,  A61B2017/00146 ,  A61B2017/00154 ,  A61B2017/00199 ,  A61B2017/00221 ,  A61B2017/00398 ,  A61B2017/00464 ,  A61B2017/00477 ,  A61B2017/00482 ,  A61B2017/22014 ,  A61B2017/2825 ,  A61B2017/32007 ,  A61B2017/320073 ,  A61B2017/320074 ,  A61B2017/320084 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2017/320097 ,  A61B2018/0063 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00619 ,  A61B2018/00648 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/00892 ,  A61B2018/00994 ,  A61B2018/126 ,  A61B2018/128 ,  A61B2018/1253 ,  A61B2018/1412 ,  A61B2018/1452 ,  A61B2034/107 ,  A61B2090/065 ,  A61B2090/066 ,  A61B2090/0808 ,  A61B2090/0809 ,  A61B2090/0811 ,  A61B2217/005 ,  A61B2218/002 ,  A61B2218/008

Abstract: An ultrasonic device may include an electromechanical ultrasonic system that includes an ultrasonic transducer coupled to an ultrasonic blade. A method of delivering energy to the ultrasonic device may include sensing a vessel type in contact with the blade, determining that the vessel type is either a vein or an artery, and delivering power to the transducer based on the vessel type. Power may be applied to the transducer at a power level P that differs from a nominal power level Pn for a period T that differs from a nominal period Tn based on the vessel. The power level P may be lower than Pn for a period T that is longer than Tn when the vessel is a vein. Alternatively, the power level P my be greater than Pn for a period T that is shorter than Tn when the vessel is an artery.

公开(公告)号：US11672598B2

公开(公告)日：2023-06-13

申请号：US17028196

申请日：2020-09-22

Applicant: Boston Scientific Limited

Inventor： Subodh Morey ,  Rajivkumar Singh ,  Arun Adhikarath Balan ,  Niraj P. Rauniyar ,  Brian P. Watschke ,  Aditi Ray ,  Thomas C. Hasenberg ,  Kenneth P. Reever

IPC: A61B18/20 ,  A61B18/22 ,  A61B18/00

CPC classification number: A61B18/22 ,  A61B2018/00077 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00625 ,  A61B2018/00696 ,  A61B2018/00946 ,  A61B2018/2015

Abstract: A medical system includes an insertion device including a handle and a delivery portion, a laser fiber, a conductive wire, and a lock. The laser fiber extends through the insertion device and is coupled to a laser slider to control a position of the laser fiber relative to a distal end of the delivery portion. The conductive wire extends through the insertion device and is coupled to a wire slider to control a position of the laser fiber relative to a distal end of the delivery portion. The lock is positioned within the handle and is movable in order to selectively lock either the movement of the laser slider or lock the movement of the wire slider.