公开(公告)号：US11998192B2

公开(公告)日：2024-06-04

申请号：US17718826

申请日：2022-04-12

Applicant: Cilag GmbH International

Inventor： Jason M. Rector ,  Frederick E. Shelton, IV ,  Ryan W. McGhee ,  Sean J. Moser ,  Jason L Harris ,  Shashi S. Pathak

IPC: A61B17/064 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/10 ,  A61B50/30 ,  A61B90/00 ,  A61B90/98 ,  A61L31/02 ,  A61L31/04 ,  A61L31/10 ,  A61L31/14 ,  A61L31/16

CPC classification number: A61B17/0644 ,  A61B17/064 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/105 ,  A61B50/3001 ,  A61B90/98 ,  A61L31/022 ,  A61L31/028 ,  A61L31/042 ,  A61L31/048 ,  A61L31/10 ,  A61L31/148 ,  A61L31/16 ,  A61B2017/00004 ,  A61B2017/00022 ,  A61B2017/00084 ,  A61B2017/00119 ,  A61B2017/00845 ,  A61B17/0686 ,  A61B2017/0688 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2050/3004 ,  A61B2090/0807

Abstract: A method and apparatus of adaptively controlling a surgical stapling instrument are disclose. The method includes identifying a staple cartridge type, configuring the surgical stapling instrument based on the identified staple cartridge, and adaptively controlling, by a control circuit, operation/functionality of the surgical stapling instrument based on the configuration of the surgical stapling instrument loaded with the identified staple cartridge type. The apparatus includes a control circuit including a microcontroller and a memory coupled to the microcontroller. The memory stores machine executable instructions that when executed by the microcontroller cause the microcontroller to execute the above method.

公开(公告)号：US11877898B2

公开(公告)日：2024-01-23

申请号：US16463023

申请日：2017-09-27

Applicant: HOLOGIC, INC

Inventor： Estefania Alvarez ,  Adam Kozak ,  Jaimee Robertson ,  Stephen Spiegelberg

IPC: A61B90/00 ,  A61B17/00 ,  A61B10/00

CPC classification number: A61B90/39 ,  A61B10/0041 ,  A61B2017/00796 ,  A61B2017/00845 ,  A61B2017/00853 ,  A61B2017/00867 ,  A61B2017/00898 ,  A61B2090/3904 ,  A61B2090/3908 ,  A61B2090/3925 ,  A61B2090/3954 ,  A61B2090/3966 ,  A61B2090/3987 ,  A61B2090/3995

Abstract: A biopsy site marker configured to expand upon deployment into a biopsy cavity, and visible under several different imaging modalities, comprises a superabsorbent hydrogel component and a radiopaque element. The hydrogel is in a compressed, dehydrated state prior to deployment to facilitate placement of the marker within the biopsy site, and thereafter expands upon deployment in the biopsy site. Such expansion limits migration of the site marker.

公开(公告)号：US11871958B2

公开(公告)日：2024-01-16

申请号：US17241007

申请日：2021-04-26

Applicant: Medtronic Vascular, Inc.

Inventor： Aram Jamous ,  John Kelly ,  Conor McMullen ,  Matthew Fleming ,  Colin William Meade ,  Grainne Teresa Carroll ,  Paul Morton

IPC: A61B17/3207 ,  A61B17/3205 ,  A61M25/00 ,  A61B17/00 ,  A61B17/32 ,  A61B17/22 ,  A61B90/00 ,  A61M25/01

CPC classification number: A61B17/320758 ,  A61B17/00234 ,  A61B17/32002 ,  A61B17/32053 ,  A61B17/320783 ,  A61M25/0082 ,  A61B2017/0088 ,  A61B2017/00292 ,  A61B2017/00398 ,  A61B2017/00477 ,  A61B2017/00738 ,  A61B2017/00845 ,  A61B2017/22001 ,  A61B2017/22038 ,  A61B2017/320004 ,  A61B2017/320024 ,  A61B2017/320052 ,  A61B2017/320064 ,  A61B2017/320741 ,  A61B2017/320775 ,  A61B2090/0801 ,  A61M25/0108 ,  A61M2025/0096

Abstract: A tissue-removing catheter for removing tissue in a body lumen includes an elongate body having an axis, and proximal and distal end portions spaced apart from one another along the axis. The elongate body is sized and shaped to be received in the body lumen. A tissue-removing element is mounted on the distal end portion of the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen. An inner liner is received within the elongate body and defines a guidewire lumen. The inner liner is coupled to the tissue-removing element at a distal end portion of the inner liner. A coupling assembly is disposed in the tissue-removing element for coupling the inner liner to the tissue-removing element. The coupling assembly includes a bushing attached directly to the distal end portion of the inner liner.

公开(公告)号：US20230225730A1

公开(公告)日：2023-07-20

申请号：US18079146

申请日：2022-12-12

Applicant: Cilag GmbH International

Inventor： Jason L. Harris ,  Gregory J. Bakos ,  Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Hilary A. Reinhardt ,  Christopher J. Hess ,  Taylor W. Aronhalt ,  Daniel L. Baber

IPC: A61B17/072 ,  A61B17/068 ,  A61B17/34

CPC classification number: A61B17/07207 ,  A61B17/0686 ,  A61B17/3468 ,  A61B17/07292 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/00845

Abstract: A method of surgical stapling that uses a surgical instrument operable to compress, staple, and cut tissue. The instrument includes a body, a shaft, and an end effector with a pair of jaws. A placement tip extends distally from one of the jaws of the end effector. The method includes positioning the end effector at a desired site for surgical stapling. The method also includes controlling one or more of the jaws of the end effector to place the end effector in an open position. The method also includes positioning the end effector such that tissue is located between the jaws. The method also includes clamping the tissue between the jaws by moving at least one of the jaws toward the other jaw. The method also includes advancing a firing beam of the apparatus from a proximal position to a distal position.

公开(公告)号：US20190192132A1

公开(公告)日：2019-06-27

申请号：US16291434

申请日：2019-03-04

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Theodore W. ROGERS ,  Craig R. GERBI ,  John Ryan STEGER ,  Charles E. SWINEHART

IPC: A61B17/02 ,  A61B1/313 ,  A61B17/34

CPC classification number: A61B17/3423 ,  A61B1/00149 ,  A61B1/00193 ,  A61B1/313 ,  A61B17/0218 ,  A61B17/3421 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3474 ,  A61B17/3498 ,  A61B34/30 ,  A61B34/37 ,  A61B34/71 ,  A61B34/73 ,  A61B34/76 ,  A61B90/50 ,  A61B90/90 ,  A61B90/92 ,  A61B2017/00473 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0419 ,  A61B2017/2904 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/2936 ,  A61B2017/2948 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3454 ,  A61B2017/3466 ,  A61B2034/2061 ,  A61B2034/301 ,  A61B2034/305 ,  A61M25/0041 ,  A61M25/0105 ,  Y10T29/49826

Abstract: A surgical port feature may include a funnel portion, a tongue, a waist portion, and surgical instrument channels. The waist portion may be located between the funnel portion and the tongue. The surgical instrument channels may extend from the funnel portion through the waist portion. The surgical port feature may further include a second tongue, with the wait portion being located between the funnel portion, the tongue, and the second tongue.

公开(公告)号：US20180235608A1

公开(公告)日：2018-08-23

申请号：US15962705

申请日：2018-04-25

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Russell F. DURGIN ,  William C. Mers KELLY ,  Lance Alan WOLF ,  Brian Keith WELLS ,  Vasiliy P. ABRAMOV ,  Gregory R. FURNISH

IPC: A61B17/068 ,  A61B17/08 ,  A61B17/128 ,  A61B34/00 ,  A61B17/122 ,  A61B90/00 ,  A61B17/12 ,  A61B17/00 ,  A61B17/29

CPC classification number: A61B17/0682 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B17/1285 ,  A61B34/71 ,  A61B34/76 ,  A61B2017/003 ,  A61B2017/00845 ,  A61B2017/00849 ,  A61B2017/12004 ,  A61B2017/292 ,  A61B2034/715 ,  A61B2090/034 ,  A61B2090/037 ,  A61B2090/038

Abstract: A hemostatic clip assembly for mounting on a delivery device comprises a capsule and a clip slidably mounted within the capsule so that, when the clip is drawn proximally into the capsule, arms of the clip are drawn together to a closed position, an abutting surface of at least one of the arms contacting a corresponding surface of the capsule when the clip is drawn to a predetermined position within the capsule to provide a first user feedback indicating closure of the clip in combination with a tension member connected to the clip arms and biasing the clip arms toward an open, tissue receiving configuration and a yoke slidably received within the capsule and releasably coupled to the tension member, the yoke including a ball cavity for receiving a ball connector of a control element of the delivery device to maintain the clip assembly coupled to the delivery device, wherein the control element is frangible to detach the yoke from the delivery device and to provide a second user feedback and, wherein release of the yoke from the tension member provides a third user feedback.

公开(公告)号：US20180168607A1

公开(公告)日：2018-06-21

申请号：US15385906

申请日：2016-12-21

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Frederick E. Shelton, IV ,  Jason L. Harris ,  Gregory J. Bakos

IPC: A61B17/072 ,  A61B34/30

CPC classification number: A61B17/07207 ,  A61B17/0644 ,  A61B34/30 ,  A61B2017/00017 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00464 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2090/0814

Abstract: A surgical instrument comprising a first jaw, a second jaw, and a firing member is disclosed. The firing member comprises one or more cams configured to position the first jaw relative to the second jaw. The cams are configured to reduce the strain experienced by the cams, the firing member, and the first and second jaws.

公开(公告)号：US09949800B2

公开(公告)日：2018-04-24

申请号：US15045184

申请日：2016-02-16

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Giuseppe Maria Prisco ,  Samuel Au

IPC: A61B34/37 ,  A61B17/02 ,  A61M25/00 ,  A61B1/00 ,  A61M25/01 ,  A61B1/313 ,  A61B34/30 ,  A61B34/00 ,  A61B90/92 ,  A61B34/10 ,  A61B90/00 ,  A61B17/34 ,  A61B17/29 ,  A61B17/00 ,  A61B17/04 ,  A61B90/50 ,  A61B90/90 ,  A61B34/20

CPC classification number: A61B34/37 ,  A61B1/00149 ,  A61B1/00193 ,  A61B1/313 ,  A61B17/0218 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3474 ,  A61B17/3498 ,  A61B34/10 ,  A61B34/30 ,  A61B34/71 ,  A61B34/73 ,  A61B34/76 ,  A61B90/03 ,  A61B90/37 ,  A61B90/50 ,  A61B90/90 ,  A61B90/92 ,  A61B2017/00473 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0419 ,  A61B2017/2904 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/2936 ,  A61B2017/2948 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3454 ,  A61B2017/3466 ,  A61B2034/2061 ,  A61B2034/301 ,  A61B2034/305 ,  A61M25/0041 ,  A61M25/0105 ,  Y10S901/00

Abstract: A robotic surgical system is configured with rigid, curved cannulas that extend through the same opening into a patient's body. Surgical instruments with passively flexible shafts extend through the curved cannulas. The cannulas are oriented to direct the instruments towards a surgical site. A teleoperation control system that moves the curved cannulas and their associated instruments in a manner that allows a surgeon to experience intuitive control is disclosed. The flexible shaft instruments are controlled as if extending along a virtual straight line insertion and withdrawal axis. Various port features that support the curved cannulas within the single opening are disclosed. Cannula support fixtures that support the cannulas during insertion into the single opening and mounting to robotic manipulators are disclosed.

公开(公告)号：US09931173B2

公开(公告)日：2018-04-03

申请号：US14983091

申请日：2015-12-29

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Giuseppe Maria Prisco ,  Craig R. Gerbi ,  Theodore W. Rogers ,  John Ryan Steger

IPC: A61B34/00 ,  A61B17/34 ,  A61B34/30 ,  A61B34/37 ,  A61B50/13 ,  A61B90/92 ,  A61B1/00 ,  A61B17/29 ,  A61B90/50 ,  A61B90/90 ,  A61B17/00

CPC classification number: A61B34/70 ,  A61B1/00149 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3474 ,  A61B34/30 ,  A61B34/37 ,  A61B34/71 ,  A61B34/73 ,  A61B34/76 ,  A61B50/13 ,  A61B90/50 ,  A61B90/90 ,  A61B90/92 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/2904 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/2936 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3441 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3454 ,  A61B2017/3466 ,  A61B2034/301 ,  A61B2034/305 ,  Y10S901/41

Abstract: A method may include coupling a proximal end of a first cannula to a first manipulator of a surgical system, the first manipulator being configured to remotely actuate movement of the first cannula, wherein the first cannula comprises a rigid portion disposed between the proximal end and a distal end of the first cannula, the rigid portion having a curved longitudinal axis, and coupling a proximal end of a second cannula to a second manipulator of a surgical system, the second manipulator being configured to remotely actuate movement of the second cannula, wherein the second cannula comprises a rigid portion disposed between the proximal end and a distal end of the second cannula, the rigid portion having a curved longitudinal axis. The coupling of the first and second cannulas to the respective first and second manipulators can further include positioning respective first and second centers of motion of the first and second cannulas proximate to each other, and positioning respective longitudinal axes of the first and second cannulas at the first and second centers of motion across one another.

公开(公告)号：US09814527B2

公开(公告)日：2017-11-14

申请号：US13898753

申请日：2013-05-21

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Theodore W. Rogers ,  John Ryan Steger ,  Charles E. Swinehart

IPC: A61B17/34 ,  A61B19/00 ,  A61B1/00 ,  A61B1/313 ,  A61M25/00 ,  A61M25/01 ,  A61B34/00 ,  A61B34/37 ,  A61B90/92 ,  A61B17/00 ,  A61B17/04 ,  A61B17/29 ,  A61B34/30 ,  A61B90/50 ,  A61B90/90 ,  A61B34/20

CPC classification number: A61B34/30 ,  A61B1/00149 ,  A61B1/00193 ,  A61B1/313 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3474 ,  A61B17/3498 ,  A61B34/37 ,  A61B34/71 ,  A61B34/73 ,  A61B34/76 ,  A61B90/50 ,  A61B90/90 ,  A61B90/92 ,  A61B2017/00473 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0419 ,  A61B2017/2904 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/2936 ,  A61B2017/2948 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3454 ,  A61B2017/3466 ,  A61B2034/2061 ,  A61B2034/301 ,  A61B2034/305 ,  A61M25/0041 ,  A61M25/0105

Abstract: A cannula mounting fixture may include a base, a first arm with a first cannula mounting bracket and a second arm with a second cannula mounting bracket. The first arm may be coupled to the base so that a first cannula mounted at the first mounting bracket is positioned within an opening in a patient's body. The second arm may be coupled to the base and includes a joint that allows a second cannula mounted at the second mounting bracket to be inserted through the opening. A cannula stabilizing fixture may include a base and a repositionable arm. The base may be configured to be securely and removably coupled to a first cannula that extends into an opening in a patient's body. The repositionable arm may include a first cannula holder coupled to the base and is configured to support a second cannula that extends into the opening.