公开(公告)号：WO2022229868A1

公开(公告)日：2022-11-03

申请号：PCT/IB2022/053898

申请日：2022-04-27

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  ADAMS, Shane R. ,  ARONHALT, Taylor W. ,  YATES, David C.

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/064 ,  A61B90/00

Abstract: Disclosed is a surgical staple for a combination energy stapler surgical instrument. The staple includes a crown defining a base, first and second deformable legs extending from the each end of the base and an electrically insulative material disposed on at least a portion of the base.

公开(公告)号：WO2022229867A1

公开(公告)日：2022-11-03

申请号：PCT/IB2022/053897

申请日：2022-04-27

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  ARONHALT, Taylor W. ,  WONG, Jordan B. ,  ADAMS, Shane R. ,  ZEINER, Mark S.

IPC: A61B17/072 ,  A61B17/064 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00

Abstract: A staple cartridge comprising a cartridge body including staple formation features is disclosed.

公开(公告)号：WO2022229866A1

公开(公告)日：2022-11-03

申请号：PCT/IB2022/053896

申请日：2022-04-27

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  ADAMS, Shane R. ,  ARONHALT, Taylor W.

IPC: A61B17/064 ,  A61B17/072 ,  A61B18/14 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00

Abstract: A surgical instrument assembly is disclosed. The surgical instrument assembly comprises a shaft, an articulation region, and an end effector attached to the shaft by way of the articulation region, wherein the end effector is configured to be articulated relative to the shaft. The shaft comprises an outer housing, an inner spine positioned with the outer housing, and a core member positioned within the inner spine. The core member comprises a distal end attached to a component the end effector and a proximal end attached to the proximal housing, wherein the core member comprises a material different than a material of the inner spine, and wherein the core member defines a maximum system stretch of the inner spine.

公开(公告)号：WO2022208299A1

公开(公告)日：2022-10-06

申请号：PCT/IB2022/052818

申请日：2022-03-28

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  HARRIS, Jason L. ,  VENDELY, Michael J. ,  STRANG, Heather ,  WONG, Jordan B.

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/0686 ,  A61B17/07292 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/00893 ,  A61B2017/00898 ,  A61B2017/00951 ,  A61B2017/00964 ,  A61B2017/07271 ,  A61B2017/07285

Abstract: Compressible adjuncts for use with a staple cartridge are provided. In one exemplary embodiment, a compressible adjunct includes a non-fibrous adjunct material formed of at least one fused bioabsorbable polymer and configured to be releasably retained on a cartridge and configured to be delivered to tissue by deployment of staples in the cartridge. The adjunct material includes a lattice macrostructure having a plurality of drug delivery microstructures formed in the lattice macrostructure, in which each drug delivery microstructure has drug disposed therein. The plurality of drug delivery microstructures are configured to encapsulate the drug to thereby prevent drug release until the plurality of drug delivery microstructures are at least one of thermally ruptured while the adjunct material is stapled to tissue and mechanically ruptured in response to at least one of clamping, stapling, and cutting of the adjunct material. Stapling assemblies for use with a surgical stapler are also provided.

公开(公告)号：WO2022208298A2

公开(公告)日：2022-10-06

申请号：PCT/IB2022/052817

申请日：2022-03-28

Applicant: CILAG GMBH INTERNATIONAL

Inventor： HERMAN, Daniel C. ,  MORGAN, Joshua P. ,  CARROLL, Andrew W. ,  SAMUEL, Jonathan T. ,  HENDERSON, Joshua M. ,  VACHON, James M. ,  ALDRIDGE, Jeffrey L. ,  WIENER, Eitan T.

IPC: A61B18/12 ,  H04L45/28 ,  G06F13/40 ,  G06F11/00 ,  G06F11/07 ,  A61B18/1206 ,  A61B2017/00115 ,  A61B2017/00221 ,  A61B2017/00973 ,  A61B2018/00994 ,  A61B2090/373 ,  A61B2218/008 ,  A61B2560/0443 ,  A61B34/25 ,  A61B34/37 ,  G06F11/0736 ,  G06F11/0757 ,  G06F11/076 ,  G06F11/10 ,  G06F11/1423 ,  G16H20/40 ,  G16H40/67 ,  H04L43/028 ,  H04L49/15 ,  H04L49/25

Abstract: A modular energy system for use in a surgical environment includes a plurality of functional modules including at least an initial module, a functional module, and a terminal module. Each of the plurality of modules has a module control circuit, and a local data bus. An internal data bus is composed of a serial array of the local data busses of the modules. The local data bus may includes a communication switch, a first switch data path between the communication switch and the module control circuit, a second switch data path in communication with the communication switch, and a third switch data path in communication with the communication switch. The third switch data path of a module N is in communication with a second switch data path of a module N+1. The system further includes a termination unit in communication with the third data path of the terminal module.

公开(公告)号：WO2022208294A1

公开(公告)日：2022-10-06

申请号：PCT/IB2022/052813

申请日：2022-03-28

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  VENDELY, Michael J. ,  ADAMS, Shane R.

IPC: A61B17/064 ,  A61B17/072 ,  A61B90/98 ,  A61B17/0644 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00004 ,  A61B2017/00017 ,  A61B2017/00061 ,  A61B2017/00084 ,  A61B2017/00221 ,  A61B2017/00398 ,  A61B2017/00809 ,  A61B2017/00818 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0688 ,  A61B2017/07271 ,  A61B2090/0807 ,  A61B2090/081 ,  A61B2090/3966 ,  A61B50/00 ,  G16H20/40 ,  G16H40/40 ,  G16H40/63

Abstract: In general, systems and methods described herein include active or passive sensing mechanisms, such as sensors, that can monitor at least one exposure condition of an adjunct and any medicant(s) retained therein. In some instances, the active or passive sensing mechanisms can also track the extent of the adjunct's and medicant(s)'s exposure, e.g., frequency, intensity, and/or duration).

公开(公告)号：WO2022208290A1

公开(公告)日：2022-10-06

申请号：PCT/IB2022/052809

申请日：2022-03-28

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  VENDELY, Michael J. ,  ADAMS, Shane R. ,  HARRIS, Jason L.

IPC: A61B17/064 ,  A61B17/072 ,  G16H10/00 ,  B65D85/00 ,  A61B17/0644 ,  A61B17/0686 ,  A61B17/07292 ,  A61B2017/00004 ,  A61B2017/00017 ,  A61B2017/00221 ,  A61B2017/00398 ,  A61B2017/00809 ,  A61B2017/00818 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0688 ,  A61B2017/07271 ,  A61B2050/0065 ,  A61B2090/0807 ,  A61B2090/081 ,  A61B2090/3966 ,  A61B50/33 ,  A61B90/08 ,  A61B90/98 ,  G16H20/40

Abstract: In general, systems and methods described herein include active or passive sensing mechanisms, such as sensors, that can monitor at least one exposure condition of an adjunct and any medicant(s) retained therein. In some instances, the active or passive sensing mechanisms can also track the extent of the adjunct's and medicant(s)'s exposure, e.g., frequency, intensity, and/or duration).

公开(公告)号：WO2022208288A1

公开(公告)日：2022-10-06

申请号：PCT/IB2022/052807

申请日：2022-03-28

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  VENDELY, Michael J. ,  ADAMS, Shane R. ,  HARRIS, Jason L.

IPC: A61B17/064 ,  A61B17/072 ,  A61B17/00 ,  A61B90/98 ,  A61B90/00 ,  A61B17/068 ,  A61B17/0644 ,  A61B17/0686 ,  A61B17/07292 ,  A61B2017/00004 ,  A61B2017/00017 ,  A61B2017/00221 ,  A61B2017/00398 ,  A61B2017/00809 ,  A61B2017/00818 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0688 ,  A61B2017/07271 ,  A61B2090/0807 ,  A61B2090/081 ,  A61B2090/392 ,  A61B2090/3966 ,  A61B5/4255 ,  A61B5/6887 ,  A61B50/30 ,  A61B90/39 ,  G16H20/40 ,  G16H30/20 ,  G16H30/40 ,  G16H40/20 ,  G16H40/63 ,  G16H40/67

Abstract: Disclosed herein is a medical method, comprising: after implantation of a bioabsorbable adjunct into a body of a patient, monitoring degradation of the adjunct in the body of the patient from outside of the patient. The monitoring includes at least one of - imaging the adjunct for visualization of radio-opaque markers releasable from the adjunct in the body of the patient, - tracking a waste byproduct of the adjunct that is releasable from the implanted adjunct into the body of the patient, - monitoring waste of the patient, and - tracking a trackable element delivered to the patient from a surgical stapler that stapled the adjunct in the patient.

公开(公告)号：WO2022208285A1

公开(公告)日：2022-10-06

申请号：PCT/IB2022/052804

申请日：2022-03-28

Applicant: CILAG GMBH INTERNATIONAL

Inventor： SHELTON, IV, Frederick E. ,  VENDELY, Michael J. ,  HARRIS, Jason L. ,  ANIM, Jacqueline

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00004 ,  A61B2017/00893 ,  A61B2017/00898 ,  A61B2017/00938 ,  A61B2017/00942 ,  A61B2017/00964 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285

Abstract: A stapling assembly includes a cartridge, an anvil, and an adjunct. The cartridge has rows of staples disposed therein for deployment into tissue. The cartridge includes a knife slot extending therethrough between the rows for receiving a knife to cut tissue. The anvil is positioned opposite the cartridge. The adjunct is releasably retained on the cartridge or the anvil. The adjunct can be delivered to tissue by deployment of the staples from the cartridge. The adjunct can have a first shape, and a first adjunct portion can exhibit first expansion behavior in response to receipt of a volume of fluid, and a second adjunct portion can exhibit second expansion behavior in response to receipt of the volume of fluid such that the adjunct adopts a second shape. The difference between the first and second expansion behavior applies different pressures to different portions of tissue having the adjunct stapled thereto.

公开(公告)号：WO2022208278A1

公开(公告)日：2022-10-06

申请号：PCT/IB2022/052797

申请日：2022-03-28

Applicant: CILAG GMBH INTERNATIONAL

Inventor： WIENER, Eitan T. ,  OBERKIRCHER, Brendan J. ,  BRODERICK, Megan A. ,  ASHER, Ryan M. ,  ROSSONI, Leonardo N. ,  STAUTBERG, Amanda R. ,  CHILDS, Jacob S. ,  PETRE, Molly MF ,  ELMER, Lucas B. ,  LEUCK, Stephen M. ,  DENZINGER, Kristen G. ,  VACHON, James M.

IPC: G16H20/40 ,  A61B34/10 ,  A61B18/1206 ,  A61B18/1233 ,  A61B18/14 ,  A61B2017/00221 ,  A61B2017/00225 ,  A61B2017/00973 ,  A61B2018/00178 ,  A61B2018/00755 ,  A61B2018/00898 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1273 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2218/001 ,  A61B2560/0443 ,  A61B2560/045 ,  A61B2560/0493 ,  A61B34/25 ,  A61B34/30 ,  A61B90/37 ,  G16H30/40 ,  G16H40/63

Abstract: Systems, methods and devices for surgical procedurelization via a modular energy system are disclosed herein. In various aspects, the systems, methods and devices include an energy module, a header module communicably coupled to the energy module, and a display screen capable of rendering a graphical user interface (GUI). The GUI may be configured to display a plurality of steps that correspond with actions performed by a user while operating the modular energy system. In some aspects, the steps displayed are steps of a predetermined procedural checklist corresponding with a mental model followed by the user while performing a surgical procedure. In some aspects, the steps displayed are steps of an output verification process.