[미국특허]
Fusing and cutting surgical instrument and related methods
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-018/14
A61B-019/00
A61B-017/00
A61B-018/00
출원번호
US-0399391
(2012-02-17)
등록번호
US-9055961
(2015-06-16)
발명자
/ 주소
Manzo, Scott E.
Kerver, Lawrence
출원인 / 주소
INTUITIVE SURGICAL OPERATIONS, INC.
인용정보
피인용 횟수 :
259인용 특허 :
7
초록▼
A surgical instrument can include a shaft having a proximal end and a distal end, and a wrist coupled to the distal end of the shaft and configured to articulate in multiple degrees of freedom coupled to the distal end of the shaft. The surgical instrument can further include an end effector support
A surgical instrument can include a shaft having a proximal end and a distal end, and a wrist coupled to the distal end of the shaft and configured to articulate in multiple degrees of freedom coupled to the distal end of the shaft. The surgical instrument can further include an end effector supported by the wrist, wherein the end effector includes a cutting element and jaws configured to grip tissue and fuse tissue via electrosurgical energy. The surgical instrument can be configured for use with a teleoperated robotic surgical system that can include a patient side console configured to interface to actuate the surgical instrument and a surgeon side console configured to receive inputs from a surgeon to control the actuation of the surgical instrument.
대표청구항▼
1. A surgical instrument comprising: a shaft having a proximal end and a distal end;a wrist coupled to the distal end of the shaft and configured to articulate in multiple degrees of freedom; andan end effector supported by the wrist, wherein the end effector comprises a cutting element and jaws con
1. A surgical instrument comprising: a shaft having a proximal end and a distal end;a wrist coupled to the distal end of the shaft and configured to articulate in multiple degrees of freedom; andan end effector supported by the wrist, wherein the end effector comprises a cutting element and jaws configured to grip tissue and fuse tissue, and wherein the cutting element is configured to translate along a longitudinal direction of the jaws. 2. The surgical instrument of claim 1, further comprising a cutting element drive component configured to translate the cutting element. 3. The surgical instrument of claim 2, wherein the cutting element drive component is flexible. 4. The surgical instrument of claim 3, wherein the cutting element drive component is flexible in multiple degrees of freedom about a longitudinal axis of the drive component. 5. The surgical instrument of claim 2, wherein the cutting element drive component comprises a cable. 6. The surgical instrument of claim 2, wherein the cutting element drive component extends substantially centrally through the shaft and wrist from a proximal end of the surgical instrument to the end effector. 7. The surgical instrument of claim 2, wherein the cutting element comprises a cutting blade attached to a distal end of the cutting element drive component. 8. The surgical instrument of claim 7, wherein the cutting blade is housed within the end effector during translation of the cutting element. 9. The surgical instrument of claim 1, wherein the end effector further comprises opposing jaws configured in a closed position to grip tissue with a sufficient pressure to permit fusing of the tissue during delivery of energy to the tissue. 10. The surgical instrument of claim 1, further comprising electrodes for delivery of energy to fuse tissue, the electrodes being respectively associated with the opposing jaws. 11. The surgical instrument of claim 10, further comprising at least one spacer configured to maintain a gap between opposing surfaces of the electrodes when the jaws are in a closed position. 12. The surgical instrument of claim 10, wherein the energy comprises bipolar electrical energy. 13. The surgical instrument of claim 1, further comprising a torque drive component configured to transmit torque to move the opposing jaws between open and closed positions. 14. The surgical instrument of claim 13, wherein the torque drive component extends through the wrist and is configured to transmit the torque to move the opposing jaws while the wrist is articulated in at least one of pitch and yaw. 15. The surgical instrument of claim 13, further comprising a lead screw rotatable in response to the torque transmitted by the torque drive component, and a drive nut moveable along the lead screw in response to rotation of the lead screw, wherein movement of the drive nut along the lead screw moves the opposing jaws between the open and closed positions. 16. The surgical instrument of claim 15, wherein each of the opposing jaws is associated with a cam extension provided with a cam slot that receives a portion of the drive nut. 17. The surgical instrument of claim 13, wherein the torque drive component comprises a torque tube formed of multiple windings. 18. The surgical instrument of claim 17, wherein the multiple windings comprise at least two multiple windings comprising helical turns in differing directions. 19. The surgical instrument of claim 17, wherein the torque tube comprises an inner winding and an outer winding each comprising helical turns in a first direction, and a middle winding disposed between the inner and outer winding and comprising helical turns in a second direction opposite to the first direction. 20. The surgical instrument of claim 17, wherein the torque tube extends through the wrist and has a distal end coupled to a lead screw that is positioned distal to the wrist. 21. The surgical instrument of claim 1, further comprising a transmission mechanism at a proximal portion of the surgical instrument, the transmission mechanism being configured to receive one or more inputs and, in response to receiving the one or more inputs, to transmit one or more of a force and a torque to operate the end effector. 22. The surgical instrument of claim 1, wherein the surgical instrument is configured to interface with a robotic surgical system. 23. The surgical instrument of claim 1, wherein the wrist has an outer diameter ranging from about 5 mm to about 8.5 mm. 24. The surgical instrument of claim 1, wherein the shaft, wrist, and end effector are configured to roll about a longitudinal axis of the shaft. 25. A method of operating a surgical instrument, the method comprising: receiving at least one first input at a transmission mechanism disposed at a proximal portion of the surgical instrument to articulate a multiple degree-of-freedom articulable wrist of the surgical instrument in at least one of pitch and yaw;transmitting one or more forces via the transmission mechanism to articulate the wrist in response to the first input;receiving a second input at the transmission mechanism to open jaws of an end effector supported by the wrist;transmitting torque via the transmission mechanism to a torque drive component to open the jaws;receiving a third input at the transmission mechanism to close the jaws of the end effector;transmitting torque via the transmission mechanism to the torque drive component to close the jaws to grip tissue between the jaws;transmitting energy to the jaws to fuse the gripped tissue;receiving a fourth input at the transmission mechanism to translate a cutting element of the end effector; andtransmitting a force to a cutting element drive component via the transmission mechanism to translate the cutting element along a longitudinal direction of the jaws of the end effector. 26. The method of claim 25, wherein transmitting the force to the cutting element drive component comprises translating a push force followed by a pull force. 27. The method of claim 25, wherein transmitting the force to the cutting element drive component to translate the cutting element occurs while the wrist is articulated in at least one of pitch and yaw relative to a longitudinal axis of a shaft of the surgical instrument to which the wrist is coupled. 28. The method of claim 25, wherein transmitting torque via the transmission mechanism to the torque drive component to open and close the jaws comprises transmitting torque to a torque tube disposed at least partially within the wrist. 29. The method of claim 25, wherein transmitting the one or more forces via the transmission mechanism to articulate the wrist comprises transmitting one or more forces via the transmission mechanism to exert tension in tendons associated with the wrist. 30. A teleoperated robotic surgical system comprising: the surgical instrument of claim 1;a patient side console configured to interface with the surgical instrument to actuate the surgical instrument to perform one or more surgical procedures; anda surgeon side console comprising one or more input devices configured to be manipulated by a surgeon and to transmit signals to control the surgical instrument at the patient side console. 31. The telerobotic surgical system of claim 30, further comprising one or more controllers configured to be in signal communication with the instrument at the patient side console and with the surgeon side console to control the actuation of the surgical instrument. 32. A surgical instrument comprising: a shaft having a proximal end and a distal end;a wrist coupled to the distal end of the shaft and configured to articulate in multiple degrees of freedom;an end effector supported by the wrist, the end effector comprising jaws;a first drive element extending from the proximal end of the shaft to the end effector, the first drive element being configured to transmit forces to move the jaws relative to each other between open and closed positions; anda second drive element extending from the proximal end of the shaft to the end effector, the second drive element being configured to transmit forces to translate a cutting component of the end effector in a longitudinal direction relative to the jaws, wherein the cutting component is configured to translate independently of movement of the jaws.
Madhani Akhil J. ; Salisbury J. Kenneth, Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity.
Schechter, David A.; Solga, Stephen G.; Kerr, Duane E.; Nelson, Scott D.; Henault, Mark R.; Bucciaglia, Joseph D., Articulating bipolar electrosurgical instrument.
Doll, Kevin R.; Smith, Bret W.; Kelly, William D.; Kolata, Ronald J.; Uth, Joshua R.; Scheib, Charles J.; Shelton, IV, Frederick E., Surgical stapling apparatus with articulatable components.
Shelton, IV, Frederick E.; Morgan, Jerome R.; Swayze, Jeffrey S.; Vendely, Michael J.; Aronhalt, Taylor W., Actuator for releasing a layer of material from a surgical end effector.
Kerr, Wendy A.; Lytle, IV, Thomas W.; Overmyer, Mark D.; Swensgard, Brett E.; Leimbach, Richard L.; Sackett, Kevin D., Articulatable surgical instrument comprising a firing drive.
Leimbach, Richard L.; Montgomery, Kevin M.; Kerr, Wendy A.; Lytle, IV, Thomas W.; Overmyer, Mark D.; Swensgard, Brett E., Articulatable surgical instrument comprising a firing drive.
Jaworek, Gary S.; Koch, Jr., Robert L.; Auld, Michael D.; Kimsey, John S.; Baber, Daniel L.; Leimbach, Richard L.; Ulrich, Daniel J., Articulatable surgical instruments with conductive pathways for signal communication.
Shelton, IV, Frederick E.; Setser, Michael E.; Doll, Kevin R.; Morgan, Jerome R., Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism.
Woodard, Jr., James A.; Scheib, Charles J.; Boudreaux, Chad P.; Bruewer, Dean B.; Schwemberger, Richard F.; Schall, Christopher J.; Morgan, Jerome R.; Simms, Robert J.; Swayze, Jeffrey S.; Ouwerkerk, John N., Assembly for fastening tissue comprising a compressible layer.
Shelton, IV, Frederick E.; Morgan, Jerome R.; Yates, David C.; Baxter, III, Chester O.; Beckman, Andrew T., Charging system that enables emergency resolutions for charging a battery.
Baber, Daniel L.; Swayze, Jeffrey S.; Beckman, Andrew T.; Miller, Christopher C.; Scheib, Charles J.; Float, Jamison J.; O'Kelly, Matthew E., Circuitry and sensors for powered medical device.
Cropper, Michael S.; Setser, Michael E.; Jamison, Barry T.; Kistler, Paul H.; Dugan, John R.; Patel, Sudhir B., Closure lockout systems for surgical instruments.
Yates, David C.; Hall, Steven G.; Schellin, Emily A.; Shelton, IV, Frederick E., Conductor arrangements for electrically powered surgical instruments with rotatable end effectors.
Shelton, IV, Frederick E.; Harris, Jason L.; Beckman, Andrew T., Control techniques and sub-processor contained within modular shaft with select control processing from handle.
Moore, Kyle P.; Shelton, IV, Frederick E.; Weisenburgh, II, William B.; Morgan, Jerome R.; Ransick, Mark H.; Timperman, Eugene L., Detachable motor powered surgical instrument.
Moore, Kyle P.; Shelton, IV, Frederick E.; Weisenburgh, II, William B.; Morgan, Jerome R.; Ransick, Mark H.; Timperman, Eugene L., Detachable motor powered surgical instrument.
Moore, Kyle P.; Shelton, IV, Frederick E.; Weisenburgh, II, William B.; Morgan, Jerome R.; Ransick, Mark H.; Timperman, Eugene L., Detachable motor powered surgical instrument.
Moore, Kyle P.; Shelton, IV, Frederick E.; Weisenburgh, II, William B.; Morgan, Jerome R.; Ransick, Mark H.; Timperman, Eugene L., Detachable motor powered surgical instrument.
Yates, David C.; Wiener, Eitan T.; Kemerling, Robert A.; Danziger, Benjamin J.; Monson, Gavin M., Detecting short circuits in electrosurgical medical devices.
Boudreaux, Chad P.; Monroe, David A.; Ruiz Ortiz, Rafael J.; Stulen, Foster B.; Aldridge, Jeffrey L.; Corbett, Catherine A.; McFarland, Terry A., Device status feedback for bipolar tissue spacer.
Shelton, IV, Frederick E.; Stokes, Michael J.; Parihar, Shailendra K.; Baxter, III, Chester O., Drive system decoupling arrangement for a surgical instrument.
Lytle, IV, Thomas W.; Leimbach, Richard L.; Kerr, Wendy A.; Swensgard, Brett E.; Sackett, Kevin D.; Overmyer, Mark D., Drive system lockout arrangements for modular surgical instruments.
Faller, Craig N.; Miller, Matthew C.; Vakharia, Omar J.; Laird, Robert J.; Monson, Gavin M.; Hunt, John V.; Timm, Richard W.; Witt, David A.; Huang, Zhifan F.; Dietz, Timothy G.; Aldridge, Jeffrey L.; Mootoo, Mary E.; Banks, Raymond M.; Shelton, IV, Frederick E., Electrosurgical cutting and sealing instruments with cam-actuated jaws.
Schmid, Katherine J.; Morgan, Jerome R.; Korvick, Donna L.; Shelton, IV, Frederick E., End effector comprising a tissue thickness compensator and progressively released attachment members.
Leimbach, Richard L.; Shelton, IV, Frederick E.; Morgan, Jerome R.; Schellin, Emily A., End effector detection and firing rate modulation systems for surgical instruments.
Shelton, IV, Frederick E.; Schmid, Katherine J.; Scheib, Charles J.; Aronhalt, Taylor W.; Swayze, Jeffrey S.; Contiliano, Joseph H.; Yang, Chunlin; Henderson, Cortney E.; Aldridge, Jeffrey L., End effector including an implantable arrangement.
Swayze, Jeffrey S.; Hueil, Joseph C.; Morgan, Jerome R.; Shelton, IV, Frederick E., Fastener cartridge assembly comprising a fixed anvil and a staple driver arrangement.
Swayze, Jeffrey S.; Hueil, Joseph C.; Morgan, Jerome R.; Shelton, IV, Frederick E., Fastener cartridge assembly comprising a fixed anvil and different staple heights.
Aronhalt, Taylor W.; Vendely, Michael J.; Weaner, Lauren S.; Lloyd, Brandon J.; Shelton, IV, Frederick E.; Miller, Michael J.; Isaacs, Michael T.; Schellin, Emily A.; Hunt, John V.; Feds, John E., Fastener cartridge comprising a releasable tissue thickness compensator.
Aronhalt, Taylor W.; Vendely, Michael J.; Lloyd, Brandon J.; Miller, Michael J.; Setser, Michael E.; Shelton, IV, Frederick E., Fastener cartridge comprising a releasably attached tissue thickness compensator.
Weaner, Lauren S.; Aronhalt, Taylor W.; Vendely, Michael J.; Schellin, Emily A.; Shelton, IV, Frederick E., Fastener cartridge comprising a tissue thickness compensator and a gap setting element.
Huitema, Thomas W.; Schellin, Emily A.; Shelton, IV, Frederick E.; Hueil, Geoffrey C.; Huang, Zhifan F., Fastener cartridge compromising fastener cavities including fastener control features.
Harris, Jason L.; Casella, Lucia M.; Zeiner, Mark S.; Smith, Bret W.; Crainich, Lawrence; Shelton, IV, Frederick E.; Morgan, Jerome R.; Worthington, Sarah A., Fastener cartridge for creating a flexible staple line.
Aronhalt, Taylor W.; Shelton, IV, Frederick E.; Vendely, Michael J.; Schellin, Emily A.; Zeiner, Mark S., Fastening system comprising a firing member lockout.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Lytle, IV, Thomas W.; Shelton, IV, Frederick E.; Houser, Kevin L., Feedback algorithms for manual bailout systems for surgical instruments.
Morgan, Jerome R.; Swayze, Jeffrey S.; Shelton, IV, Frederick E.; Schellin, Emily A.; Hall, Steven G., Firing member retraction devices for powered surgical instruments.
Wiener, Eitan T.; Yates, David C., Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments.
Schellin, Emily A.; Vendely, Michael J.; Weaner, Lauren S.; Shelton, IV, Frederick E.; Aronhalt, Taylor W.; Reynolds, II, Donald L.; Timmer, Mark D.; Donners, Jackie J.; Barton, Trevor J., Implantable layers and methods for altering implantable layers for use with surgical fastening instruments.
Schellin, Emily A.; Vendely, Michael J.; Weaner, Lauren S.; Widenhouse, Christopher W.; Aronhalt, Taylor W.; Reynolds, II, Donald L.; Miller, Michael J.; Shelton, IV, Frederick E.; Barton, Trevor J., Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments.
Vendely, Michael J.; Timmer, Mark D.; Donners, Jackie J.; Reynolds, II, Donald L.; Aronhalt, Taylor W.; Barton, Trevor J., Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument.
Leimbach, Richard L.; Lytle, IV, Thomas W.; Kerr, Wendy A.; Swensgard, Brett E.; Sackett, Kevin D.; Overmyer, Mark D., Interchangeable shaft assemblies for use with a surgical instrument.
Overmyer, Mark D.; Swensgard, Brett E.; Adams, Shane R.; Lytle, IV, Thomas W.; Leimbach, Richard L.; Shelton, IV, Frederick E.; Houser, Kevin L., Interface systems for use with surgical instruments.
Morgan, Jerome R.; Baxter, III, Chester O.; Shelton, IV, Frederick E.; Knight, Gary W., Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors.
Shelton, IV, Frederick E.; Overmyer, Mark D.; Yates, David C.; Harris, Jason L., Mechanisms for compensating for drivetrain failure in powered surgical instruments.
Shelton, IV, Frederick E.; Yates, David C.; Houser, Kevin L., Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly.
Parihar, Shailendra K.; Koch, Jr., Robert L.; Shelton, IV, Frederick E., Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts.
Kimsey, John S.; Nalagatla, Anil K.; Shelton, IV, Frederick E.; Houser, Kevin L., Modular motor driven surgical instruments with status indication arrangements.
Beckman, Andrew T.; Shelton, IV, Frederick E.; Morgan, Jerome R.; Yates, David C.; Baxter, III, Chester O.; Uth, Joshua R.; Savage, Jeffrey L.; Harris, Jason L., Modular stapling assembly.
Shelton, IV, Frederick E.; Morgan, Jerome R.; Harris, Jason L., Monitoring speed control and precision incrementing of motor for powered surgical instruments.
Parihar, Shailendra K.; Koch, Jr., Robert L.; Baxter, III, Chester O.; Shelton, IV, Frederick E., Motor driven surgical instruments with lockable dual drive shafts.
Overmyer, Mark D.; Swayze, Jeffrey S.; Beckman, Andrew T.; Schultz, Darwin L.; Baber, Daniel L.; Yates, David C.; Nalagatla, Anil K., Multiple motor control for powered medical device.
Baber, Daniel L.; Swayze, Jeffrey S.; Beckman, Andrew T.; Miller, Christopher C.; Scheib, Charles J.; Shelton, IV, Frederick E.; Stokes, Michael J.; Stulen, Foster B., Multiple sensors with one sensor affecting a second sensor's output or interpretation.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Shelton, IV, Frederick E.; Houser, Kevin L., Power management through segmented circuit.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Shelton, IV, Frederick E.; Houser, Kevin L., Power management through segmented circuit and variable voltage protection.
Leimbach, Richard L.; Adams, Shane R.; Swensgard, Brett E.; Overmyer, Mark D., Power management through sleep options of segmented circuit and wake up control.
Smith, Bret W.; Abbott, Daniel J.; Schwemberger, Richard F.; Shelton, IV, Frederick E.; Boudreaux, Chad P.; Swensgard, Brett E.; Laurent, Ryan J., Powered surgical cutting and stapling apparatus with manually retractable firing system.
Aronhalt, Taylor W.; Vendely, Michael J.; Shelton, IV, Frederick E.; Schellin, Emily A.; Reynolds, II, Donald L., Releasable tissue thickness compensator and fastener cartridge having the same.
Baxter, III, Chester O.; Shelton, IV, Frederick E.; Schmid, Katherine J.; Morgan, Jerome R.; Scheib, Charles J.; Cropper, Michael S.; Aronhalt, Taylor W.; Hall, Steven G.; Timm, Richard W.; Lang, Matthew M., Retainer assembly including a tissue thickness compensator.
Leimbach, Richard L.; Overmyer, Mark D.; Swensgard, Brett E.; Adams, Shane R., Sensor arrangements for absolute positioning system for surgical instruments.
Baxter, III, Chester O.; Shelton, IV, Frederick E.; Swayze, Jeffrey S.; Aronhalt, Taylor W.; Schmid, Katherine J., Staple cartridge comprising a compressible layer.
Shelton, IV, Frederick E.; Murray, Michael A.; Hess, Christopher J.; Weisenburgh, II, William B.; Morgan, Jerome R.; Hall, Steven G., Staple cartridge comprising a staple driver arrangement.
Shelton, IV, Frederick E.; Weaner, Lauren S.; Morgan, Jerome R.; Vendely, Michael J.; Aronhalt, Taylor W.; Baxter, III, Chester O.; Zeiner, Mark S., Staple cartridge comprising a tissue thickness compensator.
Shelton, IV, Frederick E.; Baxter, III, Chester O.; Swayze, Jeffrey S.; Morgan, Jerome R.; Rhee, Sora; Aronhalt, Taylor W., Staple cartridge comprising a variable thickness compressible portion.
Shelton, IV, Frederick E.; Weaner, Lauren S.; Morgan, Jerome R.; Vendely, Michael J.; Aronhalt, Taylor W., Staple cartridge comprising an adjunct material.
Baxter, III, Chester O.; Shelton, IV, Frederick E.; Swayze, Jeffrey S.; Aronhalt, Taylor W.; Schmid, Katherine J., Staple cartridge comprising an implantable layer.
Shelton, IV, Frederick E.; Baxter, III, Chester O.; Aronhalt, Taylor W.; Morgan, Jerome R.; Young, Joseph E., Staple cartridge comprising multiple regions.
Hess, Christopher J.; Morgan, Jerome R.; Shelton, IV, Frederick E.; Weisenburgh, II, William B., Staple cartridge comprising staples including a lateral base.
Schmid, Katherine J.; Baxter, III, Chester O.; Aronhalt, Taylor W.; Young, Joseph E.; Shelton, IV, Frederick E., Staple cartridge including collapsible deck arrangement.
Swayze, Jeffrey S.; Hueil, Joseph C.; Morgan, Jerome R.; Shelton, IV, Frederick E., Stapling assembly configured to produce different formed staple heights.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Lytle, IV, Thomas W.; Shelton, IV, Frederick E.; Houser, Kevin L., Sterilization verification circuit.
Beckman, Andrew T.; Nalagatla, Anil K.; Hibner, John A.; Shelton, IV, Frederick E., Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band.
Beckman, Andrew T.; Nalagatla, Anil K.; Koch, Jr., Robert L.; Hibner, John A.; Shelton, IV, Frederick E., Surgical apparatus configured to track an end-of-life parameter.
Morgan, Jerome R.; Shelton, IV, Frederick E., Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status.
Huitema, Thomas W.; Scheib, Charles J.; Henderson, Cortney E.; Shelton, IV, Frederick E.; Harris, Jason L., Surgical end effectors with firing element monitoring arrangements.
Huitema, Thomas W.; Schellin, Emily A.; Hueil, Geoffrey C.; Shelton, IV, Frederick E., Surgical fastener cartridges with driver stabilizing arrangements.
Shelton, IV, Frederick E.; Swayze, Jeffrey S.; Baxter, III, Chester O., Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system.
Wiener, Eitan T.; Aldridge, Jeffrey L.; Noyes, Brian T.; Messerly, Jeffrey D.; Giordano, James R.; Beetel, III, Robert J.; Price, Nathan J.; Miller, Matthew C.; Wiley, Jeffrey P.; Price, Daniel W.; Koch, Robert L.; Brotz, Joseph A.; Hein, John E., Surgical generator for ultrasonic and electrosurgical devices.
Shelton, IV, Frederick E.; Morgan, Jerome R.; Harris, Jason L.; Swayze, Jeffrey S.; Baxter, III, Chester O., Surgical instrument assembly comprising a flexible articulation system.
Baxter, III, Chester O.; Dunki-Jacobs, Adam R.; Swayze, Jeffrey S.; Baber, Daniel L.; Shelton, IV, Frederick E., Surgical instrument assembly comprising a lockable articulation system.
Parihar, Shailendra K.; Kimsey, John S.; Koch, Jr., Robert L.; Nalagatla, Anil K.; Nguyen, Anthony T., Surgical instrument comprising a gap setting system.
Overmyer, Mark D.; Auld, Michael D.; Adams, Shane R.; Shelton, IV, Frederick E.; Harris, Jason L., Surgical instrument comprising a lockable battery housing.
Lytle, IV, Thomas W.; Overmyer, Mark D.; Adams, Shane R.; Leimbach, Richard L.; Shelton, IV, Frederick E.; Swensgard, Brett E.; Houser, Kevin L., Surgical instrument comprising interactive systems.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Lytle, IV, Thomas W.; Shelton, IV, Frederick E.; Houser, Kevin L., Surgical instrument control circuit having a safety processor.
Morgan, Jerome R.; Shelton, IV, Frederick E., Surgical instrument system comprising a firing system including a rotatable shaft and first and second actuation ramps.
Kerr, Wendy A.; Lytle, IV, Thomas W.; Overmyer, Mark D.; Swensgard, Brett E.; Sackett, Kevin D.; Leimbach, Richard L.; Houser, Kevin L.; Morgan, Jerome R.; Shelton, IV, Frederick E., Surgical instrument system comprising lockable systems.
Morgan, Jerome R.; Shelton, IV, Frederick E., Surgical instrument system configured to detect resistive forces experienced by a tissue cutting implement.
Lytle, IV, Thomas W.; Shelton, IV, Frederick E.; Morgan, Jerome R., Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member.
Shelton, IV, Frederick E.; Baxter, III, Chester O., Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge.
Hunter, Morgan R.; Schultz, Darwin L.; Worthington, Sarah A.; Shelton, IV, Frederick E.; Weaner, Lauren S.; Vendely, Michael J., Surgical instrument with articulating and axially translatable end effector.
Shelton, IV, Frederick E.; Baxter, III, Chester O.; Harris, Jason L.; Swayze, Jeffrey S., Surgical instruments with articulatable end effectors and improved firing beam support arrangements.
Shelton, IV, Frederick E.; Morgan, Jerome R.; Harris, Jason L.; Swayze, Jeffrey S.; Baxter, III, Chester O., Surgical instruments with articulatable end effectors and movable firing beam support arrangements.
Hunter, Morgan R.; Schultz, Darwin L.; Dunki-Jacobs, Adam R.; Baxter, III, Chester O.; Swayze, Jeffrey S., Surgical instruments with tensioning arrangements for cable driven articulation systems.
Overmyer, Mark D.; Yates, David C.; Shelton, IV, Frederick E.; Adams, Shane R.; Leimbach, Richard L., Surgical stapler having motor control based on an electrical parameter related to a motor current.
Overmyer, Mark D.; Yates, David C.; Shelton, IV, Frederick E.; Adams, Shane R.; Harris, Jason L., Surgical stapler having temperature-based motor control.
Schmid, Katherine J.; Baxter, III, Chester O.; Aronhalt, Taylor W.; Young, Joseph E.; Shelton, IV, Frederick E., Surgical stapler with stationary staple drivers.
Hall, Steven G.; Tanguay, Randall J.; Messerly, Jeffrey D.; Robertson, Galen C.; Zwolinski, Andrew M.; Shelton, IV, Frederick E.; Hueil, Geoffrey C.; Ortiz, Mark S.; Hoffman, Douglas B.; Weizman, Patrick A.; Bruewer, Dean B.; Blair, Gregory B., Surgical stapling apparatus including firing force regulation.
Hall, Steven G.; Tanguay, Randall J.; Messerly, Jeffrey D.; Robertson, Galen C.; Zwolinski, Andrew M.; Shelton, IV, Frederick E.; Hueil, Geoffrey C.; Ortiz, Mark S.; Hoffman, Douglas B.; Weizman, Patrick A.; Bruewer, Dean B.; Blair, Gregory B., Surgical stapling apparatus including firing force regulation.
Hall, Steven G.; Tanguay, Randall J.; Messerly, Jeffrey D.; Robertson, Galen C.; Zwolinski, Andrew M.; Shelton, IV, Frederick E., Surgical stapling apparatuses with lockable end effector positioning systems.
Hall, Steven G.; Tanguay, Randall J.; Messerly, Jeffrey D.; Robertson, Galen C.; Zwolinski, Andrew M.; Shelton, IV, Frederick E.; Hueil, Geoffrey C.; Ortiz, Mark S.; Hoffman, Douglas B.; Weizman, Patrick A.; Bruewer, Dean B.; Blair, Gregory B., Surgical stapling assembly comprising a selector arrangement.
Shelton, IV, Frederick E.; Setser, Michael E.; Weisenburgh, II, William B., Surgical stapling instrument configured to apply a compressive pressure to tissue.
Hess, Christopher J.; Weisenburgh, II, William B.; Shelton, IV, Frederick E.; Morgan, Jerome R., Surgical stapling instrument having a releasable buttress material.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Lytle, IV, Thomas W.; Shelton, IV, Frederick E.; Houser, Kevin L., Surgical stapling instrument system.
Shelton, IV, Frederick E.; Setser, Michael E.; Weisenburgh, II, William B., Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Lytle, IV, Thomas W.; Shelton, IV, Frederick E.; Houser, Kevin L., Systems and methods for controlling a segmented circuit.
Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Swensgard, Brett E.; Lytle, IV, Thomas W.; Shelton, IV, Frederick E.; Houser, Kevin L., Systems and methods for controlling a segmented circuit.
Shelton, IV, Frederick E.; Swensgard, Brett E.; Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D.; Houser, Kevin L., Systems and methods for controlling a segmented circuit.
Shelton, IV, Frederick E.; Harris, Jason L.; Swensgard, Brett E.; Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D., Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures.
Shelton, IV, Frederick E.; Harris, Jason L.; Swensgard, Brett E.; Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D., Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures.
Baxter, III, Chester O.; Shelton, IV, Frederick E.; Schmid, Katherine J.; Aronhalt, Taylor W.; Johnson, Gregory W.; Stammen, John L.; Knight, Gary W.; Widenhouse, Christopher W.; Weisenburgh, II, William B.; Mutchler, Stephanie A.; Bedard, Timothy S., Tissue thickness compensators.
Conlon, Sean P.; Gee, Jacob S.; Stulen, Foster B.; Dannaher, William D.; Olson, William A., Ultrasonic surgical blade with improved cutting and coagulation features.
Rhee, Sora; Gee, Jacob S.; Smolik, Steven P.; Balek, Stephen J.; Dannaher, William D., Ultrasonic surgical instrument with piezoelectric central lumen transducer.
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