公开(公告)号：US12121255B2

公开(公告)日：2024-10-22

申请号：US16112180

申请日：2018-08-24

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  David C. Yates ,  Darcy W. Greep ,  Jason L. Harris

IPC: A61B17/29 ,  A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/10 ,  A61B17/128 ,  A61B17/28 ,  A61B17/32 ,  A61B18/00 ,  A61B18/12 ,  A61B18/14 ,  A61B34/30 ,  A61B90/00 ,  B33Y80/00 ,  F16D27/00 ,  F16D27/108 ,  F16D27/12 ,  G09G3/34 ,  G09G3/36 ,  G09G3/38 ,  A61B17/062 ,  A61B17/068 ,  A61B17/285 ,  A61B17/295 ,  A61B17/3201 ,  A61B17/34 ,  A61B34/00 ,  A61B90/98 ,  G06F3/147

CPC classification number: A61B17/2909 ,  A61B17/00 ,  A61B17/105 ,  A61B17/1285 ,  A61B17/282 ,  A61B17/2841 ,  A61B17/29 ,  A61B2017/00017 ,  A61B2017/00026 ,  A61B2017/0003 ,  A61B2017/00039 ,  A61B2017/00057 ,  A61B2017/00061 ,  A61B2017/00075 ,  A61B2017/00115 ,  A61B2017/00119 ,  A61B2017/00128 ,  A61B2017/00212 ,  A61B2017/00221 ,  A61B2017/00327 ,  A61B2017/00367 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/00407 ,  A61B2017/00424 ,  A61B2017/00438 ,  A61B2017/0046 ,  A61B2017/00464 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00734 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0491 ,  A61B17/06004 ,  A61B2017/06052 ,  A61B17/06066 ,  A61B2017/06076 ,  A61B17/06114 ,  A61B17/06133 ,  A61B17/062 ,  A61B17/0625 ,  A61B17/068 ,  A61B17/128 ,  A61B2017/2825 ,  A61B17/2833 ,  A61B2017/2845 ,  A61B17/285 ,  A61B2017/2902 ,  A61B2017/2903 ,  A61B2017/2911 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2931 ,  A61B2017/2943 ,  A61B2017/2945 ,  A61B17/295 ,  A61B2017/320044 ,  A61B17/3201 ,  A61B17/3421 ,  A61B17/3468 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00136 ,  A61B2018/00178 ,  A61B2018/00208 ,  A61B2018/00404 ,  A61B2018/00577 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00672 ,  A61B2018/00678 ,  A61B2018/00696 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/0072 ,  A61B2018/00767 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B18/1206 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1266 ,  A61B18/1445 ,  A61B2018/1452 ,  A61B2018/1457 ,  A61B2018/146 ,  A61B34/30 ,  A61B34/76 ,  A61B90/03 ,  A61B2090/035 ,  A61B2090/0811 ,  A61B90/98 ,  B33Y80/00 ,  F16D27/004 ,  F16D27/108 ,  F16D27/12 ,  G06F3/147 ,  G09G3/344 ,  G09G3/3648 ,  G09G3/38 ,  G09G2380/08

Abstract: A surgical instrument comprising a jaw assembly is disclosed. The surgical instrument further comprises a motor-driven drive system configured to manipulate the jaw assembly. The surgical instrument also comprises a control system configured to control the drive system and, also, control a power supply system configured to supply electrical power to electrodes defined in the jaw assembly. In use, the surgical instrument can be used to apply mechanical energy and electrical energy to the tissue of a patient at the same time, or at different times. In certain embodiments, the user controls when the mechanical and electrical energies are applied. In some embodiments, the control system controls when the mechanical and electrical energies are applied.

公开(公告)号：US12108978B2

公开(公告)日：2024-10-08

申请号：US16456948

申请日：2019-06-28

Applicant: Medtronic Xomed, Inc.

Inventor： John R. Prisco ,  Eric P. Detmers ,  Wenjeng Li ,  David J. Little ,  Patrick Richart ,  Jose Valdez

IPC: A61B18/14 ,  A61B17/32 ,  A61B18/12 ,  A61B18/00

CPC classification number: A61B18/148 ,  A61B17/32002 ,  A61B18/1206 ,  A61B18/14 ,  A61B2018/00178 ,  A61B2018/00208 ,  A61B2018/00321 ,  A61B2018/00565 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00916 ,  A61B2018/126 ,  A61B2018/142 ,  A61B2018/1452 ,  A61B2218/002 ,  A61B2218/007

Abstract: A bipolar electrosurgical device is disclosed that operates in a mechanical cutting mode and a hemostasis mode. The device includes a housing and a blade assembly extending from the housing. The blade assembly forms a cutting tip and cutting window at a distal end region to provide mechanical cutting of tissue and first and second electrode assemblies to provide electrical energy to tissue. The first and second electrode assemblies can each include a rotary connection assembly to allow spatial orientation of the cutting window relative to the housing and/or cutting tip.

公开(公告)号：US20240307105A1

公开(公告)日：2024-09-19

申请号：US18576081

申请日：2022-07-06

Applicant: Artezo, Inc.

Inventor： Travis Jered Nolan ,  Keir David Hart ,  Russell Delmar Hempstead

IPC: A61B18/14 ,  A61B18/00 ,  A61B18/12 ,  A61B90/00

CPC classification number: A61B18/1477 ,  A61B90/08 ,  A61B2018/00196 ,  A61B2018/00309 ,  A61B2018/00434 ,  A61B2018/00565 ,  A61B2018/00577 ,  A61B2018/00982 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2090/0811

Abstract: Methods and systems for modulating articular branch nerves emanating from sensory and/or motor nerves to treat joint pain. The methods and systems described may be used to modulate (e.g., denervate, ablate) articular branch nerves of, for example, cranial gluteal, femoral, sciatic, and/or obturator nerves, the sensory and/or motor nerves themselves, and/or other nerves innervating a joint. The modulation of these nerves may facilitate treatment of chronic joint pain (e.g., hip) and lameness (e.g., osteoarthritis (OA), degenerative joint disease (DJD), etc.). The modulation may be performed using a neuromodulation device (e.g., an energy delivery device). The device may use bipolar radiofrequency energy to form a linear or arcuate lesion. The lesion may follow curvature of bone, for example in a joint capsule.

公开(公告)号：US20240299078A1

公开(公告)日：2024-09-12

申请号：US18609204

申请日：2024-03-19

Applicant: GYRUS ACMI, INC., D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA

Inventor： Kester Julian Batchelor ,  Riyad Moe

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

CPC classification number: A61B18/1442 ,  A61B18/1445 ,  A61B2018/00089 ,  A61B2018/00607 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1467

Abstract: An electrosurgical instrument comprising a first arm carrying at least a first and optionally a second and third electrode, and a second arm opposing the first arm, the second arm carrying one of a nonconductor element or one or more conductive elements.

公开(公告)号：US12083339B2

公开(公告)日：2024-09-10

申请号：US16340106

申请日：2017-10-06

Applicant: VIRGINIA TECH INTELLECTUAL PROPERTIES, INC. ,  Wake Forest University Health Sciences

Inventor： Jill W. Ivey ,  Eduardo L. Latouche ,  Scott S. Verbridge ,  Rafael V. Davalos ,  Glenn J. Lesser ,  Waldemar Debinski

IPC: A61N1/32 ,  A61B18/12 ,  A61K38/19 ,  A61N1/05 ,  A61N1/06 ,  A61B17/00 ,  A61B18/00 ,  A61K38/17

CPC classification number: A61N1/327 ,  A61B18/12 ,  A61B18/1233 ,  A61K38/19 ,  A61N1/05 ,  A61N1/06 ,  A61B2017/00172 ,  A61B2018/00613 ,  A61B2018/00732 ,  A61B2018/00767 ,  A61B2018/126 ,  A61B2018/128 ,  A61K38/1793

Abstract: Described herein are methods of electroporation that can include the steps of contacting a cell that is responsive to an EphA2 receptor ligand with an amount of an EphA2 receptor ligand and applying high-frequency irreversible electroporation to the cell. Also described herein are methods of treating cancer in a subject in need thereof, wherein the methods can include the steps of administering an amount of an EphA2 receptor ligand and applying high-frequency irreversible electroporation to a location on or within the subject.

公开(公告)号：US12082876B1

公开(公告)日：2024-09-10

申请号：US17449051

申请日：2021-09-27

Applicant: RELIEVANT MEDSYSTEMS, INC.

Inventor： Brian W. Donovan ,  Alexander Pruitt

IPC: A61B17/16 ,  A61B18/12 ,  A61B18/14 ,  A61B17/00 ,  A61B18/00

CPC classification number: A61B18/1492 ,  A61B17/1615 ,  A61B17/1642 ,  A61B18/1206 ,  A61B2017/00309 ,  A61B2017/00367 ,  A61B2017/00455 ,  A61B2017/00867 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00202 ,  A61B2018/00208 ,  A61B2018/00339 ,  A61B2018/00565 ,  A61B2018/00946 ,  A61B2018/00952 ,  A61B2018/126

Abstract: A steerable, or curveable, introducer drill to access a target treatment region within bone along a curved trajectory is disclosed. The drill may include a drive shaft including a proximal rotational member, a distal drill tip, and an elongate shaft portion extending from the proximal rotational member to the distal drill tip. The distal drill tip may be sharp and include cutting flutes. The drill may also include an outer tube surrounding the drive shaft. A distal end portion of the outer tube may include a segmented tube section configured to facilitate controlled bending of the segmented tube section of the outer tube. The drill may also include an actuator operably coupled to the drive shaft and adapted to apply tension to the drive shaft which, in turn, causes the segmented tube section of the outer tube to bend.

公开(公告)号：US12076074B2

公开(公告)日：2024-09-03

申请号：US17545098

申请日：2021-12-08

Applicant: MEDTRONIC HOLDING COMPANY SÀRL

Inventor： Neil Godara ,  Jason Woo ,  Emily Won

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

CPC classification number: A61B18/1402 ,  A61B18/14 ,  A61B18/148 ,  A61B18/1482 ,  A61B2018/00005 ,  A61B2018/00023 ,  A61B2018/0044 ,  A61B2018/00565 ,  A61B2018/00577 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/126 ,  A61B18/1485

Abstract: An electrosurgical probe with internal cooling for use in systems and methods for lesioning in bone and other tissue is disclosed. The probe includes a distal electrical insulator, a proximal electrical insulator, a distal electrical conductor defining a distal electrode with a closed distal end and a proximal electrical conductor defining a proximal electrode, the distal electrode longitudinally spaced apart and electrically isolated from the proximal electrode by the distal electrical insulator. The distal electrode has a closed proximal end formed by a distal face of the distal electrical insulator to thereby define a closed distal inner lumen for circulating the cooling fluid. The proximal electrode has a closed distal end formed by a proximal face of the distal electrical insulator and a closed proximal end formed by a distal face of the proximal electrical insulator to thereby define a closed proximal inner lumen for circulating the cooling fluid.

公开(公告)号：US12076010B2

公开(公告)日：2024-09-03

申请号：US17022394

申请日：2020-09-16

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Jason L. Harris ,  David C. Yates ,  Chad E. Eckert ,  Jordan B. Wong

IPC: A61B34/37 ,  A61B1/00 ,  A61B5/00 ,  A61B5/01 ,  A61B5/053 ,  A61B17/072 ,  A61B17/29 ,  A61B17/32 ,  A61B18/08 ,  A61B18/10 ,  A61B18/12 ,  A61B18/14 ,  A61B34/20 ,  A61B34/35 ,  A61B90/00 ,  A61B90/96 ,  A61B90/98 ,  G16H40/63 ,  A61B17/00 ,  A61B18/00 ,  A61B34/00 ,  A61F7/00

CPC classification number: A61B17/07207 ,  A61B1/00011 ,  A61B5/0053 ,  A61B5/01 ,  A61B5/053 ,  A61B5/4848 ,  A61B17/29 ,  A61B17/320092 ,  A61B18/085 ,  A61B18/10 ,  A61B18/1206 ,  A61B18/1445 ,  A61B34/20 ,  A61B34/35 ,  A61B34/37 ,  A61B90/361 ,  A61B90/37 ,  A61B90/96 ,  A61B90/98 ,  G16H40/63 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00061 ,  A61B2017/00084 ,  A61B2017/00115 ,  A61B2017/00199 ,  A61B2017/00221 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/00938 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/0072 ,  A61B2018/00726 ,  A61B2018/00767 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/00982 ,  A61B2018/00994 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1273 ,  A61B2018/1455 ,  A61B2034/2046 ,  A61B2034/2051 ,  A61B2034/2059 ,  A61B34/74 ,  A61B2034/742 ,  A61B2034/743 ,  A61B2034/744 ,  A61B2090/061 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/066 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/364 ,  A61B2217/002 ,  A61B2217/005 ,  A61B2217/007 ,  A61B2218/002 ,  A61B2218/006 ,  A61B2218/008 ,  A61B2562/0247 ,  A61B2562/08 ,  A61F7/00

Abstract: Various cartridge assemblies for surgical instruments are provided. Cartridge assemblies can include active sensors for applying stimuli to a tissue clamped by an end effector of the surgical instrument and a circuit configured to determine a tissue type of the tissue according to a change in the tissue parameter detected by the sensor resulting from a stimulus from the active element. Cartridge assemblies can also include physical features and/or stored data that identify the cartridge. Surgical instruments further can be configured to resolve conflicts when the physical features and/or stored data are not consistent with each other in their identification of the cartridge type.

公开(公告)号：US20240268878A1

公开(公告)日：2024-08-15

申请号：US18402231

申请日：2024-01-02

Applicant: Virginia Tech Intellectual Properties, Inc.

Inventor： Rafael V. Davalos ,  Natalie White

IPC: A61B18/12 ,  A61B18/00

CPC classification number: A61B18/1206 ,  A61B2018/00577 ,  A61B2018/00613 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B2018/126

Abstract: Described herein are methods and systems of performing immunotherapy on a subject and/or determining if a subject will be responsive to ablation immunotherapy.

公开(公告)号：US12059224B2

公开(公告)日：2024-08-13

申请号：US18094063

申请日：2023-01-06

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Jason L. Harris

IPC: A61B17/072 ,  A61B17/068 ,  A61B17/11 ,  A61B17/32 ,  A61B18/12 ,  A61B18/14 ,  A61B18/18 ,  A61B34/00 ,  A61B34/20 ,  A61B34/30 ,  A61B90/00 ,  A61B90/98 ,  A61B17/00 ,  A61B18/00 ,  A61B46/10 ,  A61B90/94

CPC classification number: A61B34/30 ,  A61B17/068 ,  A61B17/072 ,  A61B17/1114 ,  A61B17/320092 ,  A61B18/1206 ,  A61B18/1445 ,  A61B18/1815 ,  A61B34/20 ,  A61B34/25 ,  A61B34/70 ,  A61B90/06 ,  A61B90/361 ,  A61B90/37 ,  A61B90/98 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00057 ,  A61B2017/00061 ,  A61B2017/00084 ,  A61B2017/00119 ,  A61B2017/00199 ,  A61B2017/00221 ,  A61B17/00234 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/32007 ,  A61B2017/320075 ,  A61B2017/320084 ,  A61B2017/320095 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00666 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00988 ,  A61B2018/00994 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1455 ,  A61B2018/1823 ,  A61B46/10 ,  A61B2090/064 ,  A61B90/94 ,  A61B2218/002 ,  A61B2218/007 ,  A61B2218/008

Abstract: A system for controlling a robotic end-effector is disclosed. The system includes a robotic arm, a surgical tool including an end-effector with articulatable arm and a clamp jaw. A tool driver is coupled to the surgical tool and a motor is coupled to the tool driver and is configured to drive the surgical tool. A sensor is configured to sense external forces applied to the end-effector. A central control circuit is configured to control the tool driver. The central control circuit is configured to receive a sensed parameter from the sensor, receive a sensed motor current (I) from the motor, and control the tool driver based on the sensed parameter and the motor current (I).