determination of prioritization of communication, interaction or processing of surgical network base

专利摘要:
The present invention relates to a central surgical controller within a network of central surgical controllers that may include a controller that has a processor, the controller being able to determine a communication priority, an interaction or an information processing based on on a requirement of a system or device communicating with the central controller. The controller can prioritize an order of transmission of communication packets, including packets to a device outside the network. Packages can include data to update routines, processes or perform a critical procedure step. The controller can prioritize a flow of communication traffic within the network of central controllers. A network of central surgical controllers can include a first central controller that has a first controller and a second central controller that has a second controller. The first controller can control the interactions between the first central controller and the second central controller based on the capabilities of the first central controller and a location of the modules within the network.
公开号:BR112020013098A2
申请号:R112020013098-2
申请日:2018-11-14
公开日:2020-11-24
发明作者:Frederick E. Shelton Iv；Jason L. Harris
申请人:Ethicon Llc；
IPC主号:

专利说明:

[0001] [0001] The present application claims the priority benefit of US non-provisional patent application serial number 16 / 182.227, entitled
[0002] [0002] The present application also claims priority under 35 USC § 119 (e) of US provisional patent application No. 62 / 729,186, entitled WIRELESS PAIRING OF A SURGICAL DEVICE WITH ANOTHER DEVICE WITHIN A STERILE SURGICAL FIELD BASED ON THE USA- GE AND SITUATIONAL AWARENESS OF DEVICES, filed on September 10, 2018, the description of which is in this document incorporated by reference, in its entirety.
[0003] [0003] This application claims priority under 35 USC§ 119 (e) to provisional patent application No. 62 / 692,747, entitled SMART ACTIVATION OF AN ENERGY DEVICE BY ANOTHER DEVICE, filed on June 30, 2018, at US provisional patent application No. 62 / 692,748, entitled SMART ENERGY ARCHITEC-TURE, filed on June 30, 2018 and US provisional patent application No. 62 / 692,768, entitled SMART ENERGY DEVICES, filed on June 30 2018, with the description of each of them in this document incorporated by reference, in its entirety.
[0004] [0004] The present application claims priority under 35 U.S.C.§
[0005] [0005] This application also claims priority under 35 USC§ 119 (e) of US Provisional Patent Application No. 62 / 650,898 filed on March 30, 2018, entitled CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS, US provisional patent application serial number 62 / 650,887, entitled SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES, filed on March 30, 2018, from US provisional patent application serial number 62 / 650,882, entitled SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM, filed on March 30, 2018, and US provisional patent application serial number 62 / 650.877, entitled SURGICAL SMOKE EVACUATION SENSING AND CONTROLS, filed on March 30, 2018, whose description - each one is included in this document for reference, in its entirety.
[0006] [0006] This application also claims priority under 35 USC§ 119 (e) of US provisional patent application serial number 62 / 640,417, entitled TEMPERATURE CONTROL IN ULTRASONIC DEVICE AND CONTROL SYSTEM THEREFOR, filed on March 8, 2018 , and US provisional patent application serial number 62 / 640,415, entitled ESTIMATING STATE OF ULTRASONIC END EF- FECTOR AND CONTROL SYSTEM THEREFOR, filed on March 8, 2018, the respective description of which is hereby incorporated by reference , in its entirety.
[0007] [0007] The present application also claims priority under 35 U.S.C.§ 119 (e) of US provisional patent application serial number 62 / 611.341, entitled INTERACTIVE SURGICAL PLATFORM, deposited
[0008] [0008] The present description refers to several surgical systems. Surgical procedures are typically performed in theaters or surgical operating rooms in a health care facility, such as a hospital. A sterile field is typically created around the patient. The sterile field may include members of the brushing team, who are properly dressed, and all furniture and accessories in the area. Various surgical devices and systems are used to perform a surgical procedure. SUMMARY
[0009] [0009] An aspect of the central surgical controller within a network of central surgical controllers can include a controller that has a processor, the controller being configured to determine a communication priority, an interaction or a processing. information based on a requirement of a system or device in communication with the central surgical controller.
[0010] [0010] In one aspect of the central surgical controller, the controller is configured to prioritize a transmission order for one or more communication packets.
[0011] [0011] In one aspect of the central surgical controller, the one or more communication packets are directed to a device outside the network of central surgical controllers.
[0012] [0012] In one aspect of the central surgical controller, the one or more communication packages can include data to update routines, processes or data necessary to perform a critical procedure step performed by the processor.
[0013] [0013] In one aspect of the central surgical controller, the controller is configured to prioritize a flow of communication traffic within the network of central surgical controllers.
[0014] [0014] In one aspect of the central surgical controller, the controller is configured to adjust the flow of communication traffic to allow critical data to take priority, thereby ensuring the success of a critical device or process. central surgical controller or a central surgical controller operation.
[0015] [0015] In one aspect of the central surgical controller, the controller is configured to delay or interrupt the flow of communication traffic.
[0016] [0016] In one aspect of the central surgical controller, the controller is configured to interrupt the flow of communication traffic and the interruption of the flow of communication traffic can include a short-term reordering of the communication packets.
[0017] [0017] In one aspect of the central surgical controller, the controller is configured to delay the flow of communication traffic and the delay in the flow of communication traffic may include a long-term adjustment to a data collection or a fee transmission.
[0018] [0018] In one aspect of the central surgical controller, adjustment can continue for a short period of time.
[0019] [0019] In one aspect of the central surgical controller, adjustment continues for the duration of the procedure.
[0020] [0020] In one aspect of the central surgical controller, the adjustment continues until the prioritization of the communication traffic flow is changed.
[0021] [0021] One aspect of a network of central surgical controllers may include a first central surgical controller that has a first controller and a second central surgical controller that has a second controller, the first controller being configured to control a or more interactions between the first surgical controller and the second central surgical controller based on one or more capabilities of the first central surgical controller and a location of one or more modules within the network of central surgical controllers.
[0022] [0022] In one aspect of the network of central surgical controllers, control of one or more interactions may include control of one or more properties (responsibility for) the task.
[0023] [0023] In one aspect of the network of central surgical controllers, one or more capabilities of the first central controller may include one or more of: a computing capacity of the first central controller, a type of the first central controller, a type of data associated with the first central controller, an interaction of the data necessary to perform a surgical procedure specified by the first central controller, or a computing requirement of the first central controller.
[0024] [0024] In one aspect of the network of central surgical controllers, a computing capacity may include one or more of an available processing capacity, a processor memory available for data storage, an available number of processing cycles idle, and an available communication bandwidth.
[0025] [0025] In one aspect of the network of central surgical controllers, the location of one or more modules may include a location of the one or more modules most critical to an ongoing surgical procedure.
[0026] [0026] In one aspect of the network of central surgical controllers, the first controller can be additionally configured to allow the second controller to control one or more interactions between the first central surgical controller and the second controller central surgical procedure based on an expected surgical task. FIGURES
[0027] [0027] The various aspects described in this document, both with regard to the organization as to the methods of operation, together with additional objects and advantages of the same, can be better understood in reference to the description presented below, considered together with the attached drawings as follows.
[0028] [0028] Figure 1 is a block diagram of an interactive surgical system implemented by computer, according to at least one aspect of the present description.
[0029] [0029] Figure 2 is a surgical system being used to perform a surgical procedure in an operating room, according to at least one aspect of the present description.
[0030] [0030] Figure 3 is a central surgical device or "hub" paired with a visualization system, a robotic system, and an intelligent instrument, according to at least one aspect of the present description.
[0031] [0031] Figure 4 is a partial perspective view of a surgical hub enclosure, and of a combined generator module received slidingly in a surgical hub enclosure, in accordance with at least one aspect of the present description.
[0032] [0032] Figure 5 is a perspective view of a generator module combined with bipolar, ultrasonic and monopolar contacts and a smoke evacuation component, in accordance with at least one aspect of the present description.
[0033] [0033] Figure 6 illustrates different power bus connectors for a plurality of side coupling ports of a side modular cabinet configured to receive a plurality of modules, in accordance with at least one aspect of the present description.
[0034] [0034] Figure 7 illustrates a vertical modular housing configured to receive a plurality of modules, in accordance with at least one aspect of the present description.
[0035] [0035] Figure 8 illustrates a surgical data network that comprises a modular communication hub configured to connect modular devices located in one or more operating rooms of a healthcare facility, or any environment in a healthcare facility. public specially equipped for surgical operations, to the cloud, in accordance with at least one aspect of this description.
[0036] [0036] Figure 9 illustrates an interactive surgical system implemented by computer, in accordance with at least one aspect of the present description.
[0037] [0037] Figure 10 illustrates a surgical hub that comprises a plurality of modules coupled to the modular control tower, in accordance with at least one aspect of the present description.
[0038] [0038] Figure 11 illustrates an aspect of a universal serial bus (USB) network hub device, in accordance with at least one aspect of the present description.
[0039] [0039] Figure 12 is a block diagram of a cloud computing system that comprises a plurality of intelligent surgical instruments coupled to central surgical controllers that can connect to the cloud component of the cloud computing system, according with at least one aspect of the present description.
[0040] [0040] Figure 13 is a functional module architecture of a cloud computing system, according to at least one aspect of the present description.
[0041] [0041] Figure 14 illustrates a diagram of a surgical system with situational recognition, according to at least one aspect of the present description.
[0042] [0042] Figure 15 is a timeline that represents the situational recognition of a central surgical controller, according to at least one aspect of the present description.
[0043] [0043] Figure 16 is a graph indicating communication priorities of the central controller according to the step of the procedure, according to at least one aspect of the present description.
[0044] [0044] Figure 17 is a diagram of a network of central surgical controllers running a distributed processing system, in accordance with at least one aspect of the present description. DESCRIPTION
[0045] [0045] The applicant for this application holds the following US patent applications, filed on November 6, 2018, with the description of each in this document incorporated by way of reference, in its entirety: • US patent application no. 16 / 182.224, entitled SURGI- CAL NETWORK, INSTRUMENT, AND CLOUD RESPONSES BASED
[0046] [0046] The applicant for this application holds the following US patent applications filed on September 10, 2018, with the description of each in this document incorporated by way of reference, in its entirety: • application US Provisional Patent No. 62 / 729,183, entitled A CONTROL FOR A SURGICAL NETWORK OR SURGICAL
[0047] [0047] The applicant for this application has the following petitions
[0048] [0048] The applicant for this application holds the following US patent applications filed on August 23, 2018, with the description of each in this document incorporated by reference in its entirety for reference: • Provisional US patent application n ° 62 / 721,995, entitled CONTROLLING AN ULTRASONIC SURGICAL INSTRUMENT AC- CORDING TO TISSUE LOCATION; • US Provisional Patent Application No. 62 / 721,998, entitled SITUATIONAL AWARENESS OF ELECTROSURGICAL SYSTEMS; • US Provisional Patent Application No. 62 / 721,999, entitled
[0049] [0049] The applicant for this application holds the following US patent applications, filed on June 30, 2018, with the description of each of them in this document incorporated by reference in its entirety: • Application for US Provisional Patent No. 62 / 692,747, entitled SMART ACTIVATION OF AN ENERGY DEVICE BY ANOTHER DEVI-CE; • US Provisional Patent Application No. 62 / 692,748, entitled SMART ENERGY ARCHITECTURE; and • US Provisional Patent Application No. 62 / 692,768, entitled SMART ENERGY DEVICES.
[0050] [0050] The applicant for this application holds the following US patent applications, filed on June 29, 2018, the description of each of which is incorporated herein by reference in its entirety for reference: • US patent application serial number 16 / 024.090, entitled CA-
[0051] [0051] The applicant for the present application holds the following provisional US patent applications, filed on June 28, 2018, with the description of each one of them in this document incorporated by reference in its entirety: • Patent application US provisional serial number 62 / 691,228, entitled A METHOD OF USING REINFORCED FLEX CIRCUITS WITH MULTIPLE SENSORS WITH ELECTROSURGICAL DEVICES; • US provisional patent application serial number 62 / 691,227, entitled CONTROLLING A SURGICAL INSTRUMENT ACCORDING TO SENSED CLOSURE PARAMETERS; • US provisional patent application serial number 62 / 691,230, entitled SURGICAL INSTRUMENT HAVING A FLEXIBLE ELECTRODE; • US provisional patent application serial number 62 / 691,219, entitled SURGICAL EVACUATION SENSING AND MOTOR CONTROL; • US provisional patent application serial number 62 / 691,257, entitled COMMUNICATION OF SMOKE EVACUATION SYSTEM PARAMETERS TO HUB OR CLOUD IN SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM; • US provisional patent application serial number 62 / 691,262,
[0052] [0052] The applicant for the present application holds the following provisional US patent applications, filed on April 19, 2018, with the description of each one of them in this document incorporated by reference in its entirety: • Application for US provisional patent serial number 62 / 659,900, entitled METHOD OF HUB COMMUNICATION.
[0053] [0053] The applicant for this application holds the following provisional US patent applications, filed on March 30, 2018, with the description of each of them in this document incorporated by reference in its entirety: • Patent application US Provisional No. 62 / 650,898 filed March 30, 2018, entitled CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS; • US provisional patent application serial number 62 / 650,887, entitled SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILI- TIES; • US provisional patent application serial number 62 / 650,882, entitled SMOKE EVACUATION MODULE FOR INTERACTIVE SURGI-PLATFORM; and • US provisional patent application serial number 62 / 650,877, entitled SURGICAL SMOKE EVACUATION SENSING AND CONTROLS.
[0054] [0054] The applicant for this application holds the following US patent applications, filed on March 29, 2018, with the description of each of them in this document incorporated by reference in its entirety:
[0055] [0055] The applicant for this application holds the following provisional US patent applications, filed on March 28, 2018, with the description of each of them in this document incorporated by reference, in its entirety: • Application US provisional patent serial number 62 / 649,302, entitled INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES; • US provisional patent application serial number 62 / 649,294, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RE- CORDS AND CREATE ANONYMIZED RECORD; • US provisional patent application serial number 62 / 649,300, entitled SURGICAL HUB SITUATIONAL AWARENESS; • US provisional patent application serial number 62 / 649,309, entitled SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER; • US provisional patent application serial number 62 / 649,310, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYS-TEMS; • US provisional patent application serial number 62 / 649,291, entitled USE OF LASER LIGHT AND RED-GREEN-BLUE COLO- RATION TO DETERMINE PROPERTIES OF BACK SCATTERED
[0056] [0056] The applicant for the present application holds the following provisional US patent applications, filed on March 8, 2018, with the description of each of them in this document incorporated by reference in its entirety: • Patent application US provisional serial number 62 / 640,417, entitled TEMPERATURE CONTROL IN ULTRASONIC DEVICE
[0057] [0057] The applicant for the present application holds the following provisional US patent applications, filed on December 28, 2017, with the description of each of them in this document incorporated by reference in its entirety: • Patent application US provisional serial number 62 / 611.341, entitled INTERACTIVE SURGICAL PLATFORM; • US provisional patent application serial number 62 / 611,340, entitled CLOUD-BASED MEDICAL ANALYTICS; and • US provisional patent application serial number 62 / 611,339, entitled ROBOT ASSISTED SURGICAL PLATFORM.
[0058] [0058] Before explaining in detail the various aspects of surgical instruments and generators, it should be noted that the illustrative examples are not limited, in terms of application or use, to the details of construction and arrangement of parts illustrated in the descriptions in the attached description. The illustrative examples can be implemented or incorporated in other aspects, variations and modifications, and can be practiced or executed in several ways. In addition, except where otherwise indicated, the terms and expressions used in the present invention have been chosen for the purpose of describing illustrative examples for the convenience of the reader and not for the purpose of limiting it. In addition, it should be understood that one or more of the aspects, expressions of aspects, and / or examples described below can be combined with any one or more among the other aspects, expressions of aspects and / or examples described below. Central surgical controllers
[0059] [0059] Referring to Figure 1, a computer-implemented interactive surgical system 100 includes one or more surgical systems 102 and a cloud-based system (for example, cloud 104 which may include a remote server 113 coupled to a device storage 105). Each surgical system 102 includes at least one surgical hub 106 in communication with the cloud 104 which can include a remote server 113. In one example, as illustrated in Figure 1, surgical system 102 includes a visualization system 108, a robotic system 110 , a handheld and intelligent surgical instrument 112, which are configured to communicate with each other and / or hub 106. In some respects, a surgical system 102 may include a number of M 106 hubs, an N number of visualization 108, an O number of robotic systems 110, and a P number of smart, hand-held surgical instruments 112, where M, N, O, and P are whole numbers greater than or equal to one.
[0060] [0060] In several respects, smart instruments 112, as described in the present invention with reference to Figures 1 to 7, can be implemented as one or more active devices or idle devices (see 200510), advanced energy devices , a motor-equipped endoscopic gripper, a motor-equipped stapler or a motor-equipped endoscopic clip applicator (see 200520) or motor-equipped stapler, motor-equipped endoscopic clamp, advanced energy device or endoscopic clip applicator with motor (see 200530) as shown in Figure 16. Intelligent instruments 112 (for example, devices 1a to 1n), such as one or more active devices or idle devices (see 200510), advanced power devices , an engine-equipped endoscopic clip, a motor-equipped stapler or a motor-equipped endoscopic clip applicator (see 200520) or a motor-equipped stapler, endoscopic gripper equipped with a motor, advanced energy device or endoscopic clip applicator equipped with a motor (see 200530) as shown in Figure 16, are configured to operate on a surgical data network 201 as described with reference to Figure 8.
[0061] [0061] Figure 2 represents an example of a surgical system 102 being used to perform a surgical procedure on a patient who is lying on an operating table 114 in a surgical operating room 116. A robotic system 110 is used in surgical procedure as a part of the surgical system 102. The robotic system 110 includes a surgeon console 118, a patient car 120 (surgical robot), and a surgical robotic hub 122. The patient car 120 can handle the least one surgical tool removably coupled 117 through a minimally invasive incision in the patient's body while the surgeon views the surgical site through the surgeon's console 118. An image of the surgical site can be obtained by a medical imaging device 124, which can be manipulated by patient car 120 to guide imaging device 124. Robotic hub 122 can be used to process images of the surgical site for subsequent display to the surgeon via the surgeon's console 118.
[0062] [0062] Other types of robotic systems can be readily adapted for use with the surgical system 102. Various examples of robotic systems and surgical instruments that are suitable for use with the present description are described in provisional patent application serial no. 62 / 611,339, entitled ROBOT ASSISTED SURGICAL PLATFORM, filed on December 28, 2017, the description of which is incorporated in this document as a reference in its entirety.
[0063] [0063] Various examples of cloud-based analysis that are performed by the cloud 104, and are suitable for use with the present description, are described in US provisional patent application serial number 62 / 611.340, entitled CLOUD-BASED MEDICAL ANALYTICS , deposited on December 28, 2017, the description of which is incorporated in this document for reference, in its entirety.
[0064] [0064] In several respects, the imaging device 124 includes at least one Image sensor and one or more optical components. Suitable image sensors include, but are not limited to, load-coupled device (CCD) sensors and complementary metal oxide semiconductor (CMOS) sensors.
[0065] [0065] The optical components of the imaging device 124 may include one or more light sources and / or one or more lenses. One or more light sources can be targeted to illuminate portions of the surgical field. The one or more image sensors can receive reflected or refracted light from the surgical field, including reflected or refracted light from the tissue and / or surgical instruments.
[0066] [0066] One or more light sources can be configured to radiate electromagnetic energy in the visible spectrum, as well as in the invisible spectrum. The visible spectrum, sometimes called the optical spectrum or light spectrum, is that portion of the electromagnetic spectrum that is visible to (that is, can be detected by) the human eye and can be called visible light or simply light. A typical human eye will respond to wavelengths in the air that are from about 380 nm to about 750 nm.
[0067] [0067] The invisible spectrum (that is, the non-luminous spectrum) is that portion of the electromagnetic spectrum located below and above the visible spectrum (that is, wavelengths below about 380 nm and above about 750 nm). The invisible spectrum is not detectable by the human eye. Wavelengths greater than about 750 nm are longer than the visible red spectrum, and they become invisible infrared (IR), microwave, radio and electromagnetic radiation. Wavelengths shorter than about 380 nm are shorter than the ultraviolet spectrum, and they become invisible ultraviolet, x-ray, and gamma-ray electromagnetic radiation.
[0068] [0068] In several aspects, the imaging device 124 is configured for use in a minimally invasive procedure. Examples of imaging devices suitable for use with the present description include, but are not limited to, an arthroscope, angioscope, bronchoscope, choledocoscope, colonoscope, cytoscope, duodenoscope, enteroscope, esophagus-duodenoscope (gastroscope), endoscope, laryngoscope, nasopharyngoscope neproscope, sigmoidoscope, thoracoscope, and ureteroscope.
[0069] [0069] In one aspect, the imaging device employs multiple spectrum monitoring to discriminate topography and underlying structures. A multispectral image is one that captures image data within wavelength bands across the electromagnetic spectrum. The wavelengths can be separated by filters or by using instruments that are sensitive to specific wavelengths, including light from frequencies beyond the visible light range, for example, IR and ultraviolet light. Spectral images can allow the extraction of additional information that the human eye cannot capture with its receivers for the colors red, green and blue. The use of multispectral imaging is described in more detail under the heading "Advanced Imaging Acquisition Module" in US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE SURGICAL PLATFORM, deposited on December 28, 2017, whose description is included in the present document as a reference in its entirety. Multispectral monitoring can be a useful tool for relocating
[0070] [0070] It is axiomatic that strict sterilization of the operating room and surgical equipment is necessary during any surgery. The strict hygiene and sterilization conditions required in an "operating room", that is, an operating or treatment room, justify the highest possible sterilization of all medical devices and equipment. Part of this sterilization process is the need to sterilize anything that comes into contact with the patient or enters the sterile field, including imaging device 124 and its connectors and components. It will be understood that the sterile field can be considered a specified area, such as inside a tray or on a sterile towel, which is considered free of microorganisms, or the sterile field can be considered an area, immediately around a patient, who was prepared to perform a surgical procedure. The sterile field may include members of the brushing team, who are properly dressed, and all furniture and accessories in the area.
[0071] [0071] In various aspects, the visualization system 108 includes one or more imaging sensors, one or more image processing units, one or more storage arrays and one or more screens that are strategically arranged in relation to the field sterile, as shown in Figure 2. In one aspect, the visualization system 108 includes an interface for HL7, PACS and EMR. Various components of the display system 108 are described under the heading "Advanced Imaging Acquisition Module" in US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE SURGICAL PLATFORM, filed on December 28, 2017, the description of which is in this document incorporated by way of reference
[0072] [0072] As shown in Figure 2, a primary screen 119 is positioned in the sterile field to be visible to the operator on the operating table 114. In addition, a viewing tower 111 is positioned outside the sterile field. The viewing tower 111 includes a first non-sterile screen 107 and a second non-sterile screen 109, which are opposite each other. Visualization system 108, guided by hub 106, is configured to use screens 107, 109, and 119 to coordinate the flow of information to operators within and outside the sterile field. For example, hub 106 can have the visualization system 108 display a snapshot of a surgical site, as recorded by an imaging device 124, on a non-sterile screen 107 or 109, while maintaining a live transmission from the site surgical on main screen 119. Snapshot on non-sterile screen 107 or 109 may allow a non-sterile operator to perform a diagnostic step relevant to the surgical procedure, for example.
[0073] [0073] In one aspect, hub 106 is also configured to route an entry or diagnostic feedback by a non-sterile operator in the viewing tower 111 to the primary screen 119 within the sterile field, where it can be seen by an operator sterile on the operating table. In one example, the entry may be in the form of a modification of the snapshot displayed on the non-sterile screen 107 or 109, which can be routed to the main screen 119 by the hub ("central device") 106.
[0074] [0074] With reference to Figure 2, a surgical instrument 112 is being used in the surgical procedure as part of the surgical system 102. Hub 106 is also configured to coordinate the flow of information to a screen of the surgical instrument 112. For example, the flow of coordinated information is further described in US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE-
[0075] [0075] Now with reference to Figure 3, a hub 106 is shown in communication with a visualization system 108, a robotic system 110 and a smart hand-held surgical instrument 112. The central controller 106 includes a central controller screen 135 , an imaging module 138, a generator module 140 (which may include a monopolar generator 142, a bipolar generator 144 and / or an ultrasonic generator 143), a communication module 130, a processor module 132 and a matrix storage unit 134. In certain aspects, as shown in Figure 3, the central controller 106 additionally includes a smoke evacuation module 126, a suction / irrigation module 128 and / or an OR 133 mapping module.
[0076] [0076] During a surgical procedure, the application of energy to the tissue, for sealing and / or cutting, is generally associated with the evacuation of smoke, suction of excess fluid and / or irrigation of the tissue. Fluid, power, and / or data lines from different sources are often intertwined during the surgical procedure. Valuable time can be wasted in addressing this issue during a surgical procedure. To untangle the lines, it may be necessary to disconnect the lines from their respective modules, which may require a restart of the modules. The modular housing of hub 136 offers a unified environment for managing power, data and fluid lines, which reduces the frequency of entanglement between such lines.
[0077] [0077] The aspects of the present description present a surgical hub for use in a surgical procedure that involves the application of energy to the tissue at a surgical site. The surgical hub includes a hub housing and a combination generator module received slidably at a hub housing docking station. The docking station includes data and power contacts. The combined generator module includes two or more of an ultrasonic energy generating component, a bipolar RF energy generating component, and a monopolar RF energy generating component which are housed in a single unit. In one aspect, the combined generator module also includes a smoke evacuation component, at least one power application cable to connect the combined generator module to a surgical instrument, at least one smoke evacuation component configured to evacuate smoke. , fluid, and / or particulates generated by the application of therapeutic energy to the tissue, and a fluid line that extends from the remote surgical site to the smoke evacuation component.
[0078] [0078] In one aspect, the fluid line is a first fluid line and a second fluid line extends from the remote surgical site to a suction and irrigation module slidably received in the hub housing. In one aspect, the hub housing comprises a fluid interface.
[0079] [0079] Certain surgical procedures may require the application of more than one type of energy to the tissue. One type of energy may be more beneficial for cutting the fabric, while another type of energy may be more beneficial for sealing the fabric. For example, a bipolar generator can be used to seal the tissue while an ultrasonic generator can be used to cut the sealed tissue. Aspects of the present description present a solution in which a modular housing of the central controller 136 is configured to accommodate different generators and facilitate interactive communication between them. One of the advantages of the central modular housing 136 is that it allows quick removal and / or replacement of several modules.
[0080] [0080] Aspects of the present description present a modular surgical wrap for use in a surgical procedure that involves applying energy to the tissue. The modular surgical housing includes a first energy generator module, configured to generate a first energy for application to the tissue, and a first docking station that comprises a first docking port that includes first data and energy contacts, being that the first power generator module is slidingly movable in an electrical coupling with the power and data contacts and the first power generator module is slidingly movable out of the electric coupling with the first power contacts - frequency and data.
[0081] [0081] In addition to the above, the modular surgical enclosure also includes a second energy generator module configured to generate a second energy, different from the first energy, for application to the tissue, and a second docking station that it comprises a second coupling port that includes second data and power contacts, the second power generator module being slidably movable in an electrical coupling with the power and data contacts, and the second module The power generator is slidably movable out of the electrical coupling with the second power and data contacts.
[0082] [0082] In addition, the modular surgical cabinet also includes a communication bus between the first coupling port and the second coupling port, configured to facilitate communication between the first power generator module and the second generator module power.
[0083] [0083] With reference to Figures 3 to 7, aspects of the present description are presented for a modular housing of hub 136 that allows the modular integration of a generator module 140, a smoke evacuation module 126, and a suction / irrigation module 128. The central modular enclosure 136 further facilitates interactive communication between modules 140, 126, 128. As illustrated in Figure 5, generator module 140 can be a generator module with integrated monopolar, bipolar and ultrasonic components, supported in a single cabinet unit 139 slidably insertable into the central modular housing 136. As shown in Figure 5, generator module 140 can be configured to connect to a monopolar device 146, a bipolar device 147 and an ultras device - sonic 148. Alternatively, generator module 140 can comprise a series of monopolar, bipolar and / or ultrasonic generator modules that interact through the modular enclosure cen control 136. The central modular enclosure 136 can be configured to facilitate the insertion of multiple generators and interactive communication between the generators anchored in the central modular enclosure 136 so that the generators would act as a single generator.
[0084] [0084] In one aspect, the central modular housing 136 comprises a modular power and a back communication board 149 with external and wireless communication heads to allow removable fixing of modules 140, 126, 128 and interactive communication between them.
[0085] [0085] In one aspect, the central modular enclosure 136 includes docking stations, or drawers, 151, in this document also called drawers, which are configured to receive modules 140, 126, 128 in a sliding manner. 4 illustrates a partial perspective view of a central surgical controller housing 136, and a combined generator module 145 received slidably at a docking station 151 of the central surgical controller housing 136. A docking port 152 with power and data contacts on a rear side of the combined generator module 145 is configured to engage a corresponding docking port 150 with the power and data contacts of a corresponding docking station 151 of the modular housing of the hub 136 as the combined generator module 145 is slid into position in the corresponding docking station 151 of the modular housing of hub 136. In one aspect, the combined generator module 145 inc It includes a bipolar, ultrasonic and mono-polar module and a smoke evacuation module integrated into a single compartment unit 139, as shown in Figure 5.
[0086] [0086] In several respects, the smoke evacuation module 126 includes a fluid line 154 that transports fluid captured / collected smoke away from a surgical site and to, for example, the smoke evacuation module 126. The vacuum suction that originates from the smoke evacuation module 126 can pull the smoke into an opening of a utility conduit at the surgical site. The utility conduit, coupled to the fluid line, can be in the form of a flexible tube that ends in the smoke evacuation module 126. The utility conduit and the fluid line define a fluid path that extends across towards the smoke evacuation module 126 which is received in the hub housing
[0087] [0087] In several aspects, the suction / irrigation module 128 is coupled to a surgical tool comprising a fluid suction line and a fluid suction line. In one example, the suction and suction fluid lines are in the form of flexible tubes that extend from the surgical site towards the suction / irrigation module 128. One or more drive systems can be configured to cause irrigation and aspiration of fluids to and from the surgical site.
[0088] [0088] In one aspect, the surgical tool includes a drive shaft that has an end actuator at a distal end of the same and at least an energy treatment associated with the end actuator, a suction tube, and a irrigation pipe. The suction tube can have an inlet port at a distal end of it and the suction tube extends through the drive shaft. Similarly, an irrigation pipe can extend through the drive shaft and may have an inlet port close to the power application implement. The energy application implement is configured to supply ultrasonic and / or RF energy to the surgical site and is coupled to the generator module 140 by a cable that initially extends through the drive shaft.
[0089] [0089] The irrigation tube can be in fluid communication with a fluid source, and the suction tube can be in fluid communication with a vacuum source. The fluid source and / or the vacuum source can be housed in the suction / irrigation module 128. In one example, the fluid source and / or the vacuum source can be housed in the hub housing 136 separately from the suction module / irrigation 128. In such an example, a fluid interface can be configured to connect the suction / irrigation module 128 to the fluid source and / or the vacuum source.
[0090] [0090] In one aspect, modules 140, 126, 128 and / or their stations
[0091] [0091] In some respects, the drawers 151 of the central modular housing 136 are the same, or substantially the same size, and the modules are adjusted in size to be received in the drawers
[0092] [0092] In addition, the contacts of a specific module can be switched to engage with the contacts of a specific drawer to avoid the insertion of a module in a drawer with unpaired contacts.
[0093] [0093] As shown in Figure 4, the coupling port 150 of a drawer 151 can be coupled to the coupling port 150 of another drawer 151 through a communication link 157 to facilitate interactive communication between the modules housed in the central modular housing 136. The coupling ports 150 of the central modular housing 136 can, alternatively or additionally, facilitate interactive wireless communication between the modules housed in the central modular housing 136. Any suitable wireless communication can be used, such as, for example, Air Titan-Bluetooth.
[0094] [0094] Figure 6 illustrates individual power bus connectors for a plurality of side coupling ports of a side modular compartment 160 configured to receive a plurality of modules from a 206 surgical hub. The side modular compartment 160 is configured to receive and later interconnect modules 161. Modules 161 are slidably inserted into docking stations 162 of side modular compartment 160, which includes a back plate for interconnecting modules 161. As shown in Figure 6, modules 161 they are arranged laterally in the side modular cabinet 160. Alternatively, modules 161 can be arranged vertically in a side modular cabinet.
[0095] [0095] Figure 7 illustrates a vertical modular cabinet 164 configured to receive a plurality of modules 165 from surgical hub 106. Modules 165 are slidably inserted into docking stations, or drawers, 167 of the vertical modular cabinet 164, which includes a rear panel for interconnecting modules 165. Although the drawers 167 of the vertical modular cabinet 164 are arranged vertically, in certain cases, a vertical modular cabinet 164 may include drawers that are arranged laterally. In addition, modules 165 can interact with each other through the coupling ports of the vertical modular cabinet 164. In the example in Figure 7, a screen 177 is provided to show the relevant data for the operation of the modules
[0096] [0096] In several respects, the imaging module 138 comprises an integrated video processor and a modular light source and is adapted for use with various imaging devices.
[0097] [0097] During a surgical procedure, removing a surgical device from the surgical field and replacing it with another surgical device that includes a different camera or other light source may be inefficient. Temporarily losing sight of the surgical field can lead to undesirable consequences. The imaging device module of the present description is configured to allow the replacement of a light source module or a "midstream" camera module during a surgical procedure, without the need to remove the imaging device from the surgical field.
[0098] [0098] In one aspect, the imaging device comprises a tubular compartment that includes a plurality of channels. A first channel is configured to receive the Camera module in a sliding way, which can be configured for a snap-fit fit (pressure fit) with the first channel. A second channel is configured to slide the camera module, which can be configured for a snap-fit fit
[0099] [0099] In several examples, multiple imaging devices are placed in different positions in the surgical field to provide multiple views. Imaging module 138 can be configured to switch between imaging devices to provide an ideal view. In several respects, the imaging module 138 can be configured to integrate images from different imaging devices.
[0100] [0100] Several image processors and imaging devices suitable for use with the present description are described in US patent No. 7,995,045 entitled COMBINED SBI AND CONVENTIONAL IMAGE PROCESSOR, granted on August 9, 2011 which is in the this document incorporated by reference in its entirety. In addition, US patent No. 7,982,776, entitled SBI MOTION ARTIFACT REMOVAL APPARATUS AND METHOD, granted on July 19, 2011, which is incorporated in this document for reference in its entirety, describes - See several systems for removing motion artifacts from image data. Such systems can be integrated with imaging module 138. In addition, the publication of US patent application No. 2011/0306840, entitled CONTROLLABLE MAGNETIC SOURCE TO FIXTURE INTRACORPOREAL APPARATUS, published on December 15, 2011, and the publication of the application US Patent No. 2014/0243597, entitled SYSTEM FOR PERFORMING A MINI-MALLY INVASIVE SURGICAL PROCEDURE, published on August 28, 2014, which are each incorporated in this document for reference in their entirety .
[0101] [0101] Figure 8 illustrates a surgical data network 201 comprising a modular communication hub 203 configured to connect modular devices located in one or more operating rooms of a healthcare facility, or any environment in a healthcare facility. public services specially equipped for surgical operations, to a cloud-based system (for example, cloud 204 which may include a remote server 213 coupled to a storage device 205). In one aspect, the modular communication hub 203 comprises a network hub 207 and / or a network key 209 in communication with a network router. The modular communication hub 203 can also be coupled with a local computer system 210 to provide local computer processing and data manipulation. The surgical data network 201 can be configured as a passive, intelligent, or switching network. A passive surgical data network serves as a conduit for the data, allowing the data to be transmitted from one device (or segment) to another and to cloud computing resources. An intelligent surgical data network includes features to allow traffic to pass through the surgical data network to be monitored and to configure each port on the 207 network hub or network key
[0102] [0102] Modular devices 1a to 1n located in the operating room can be coupled to the central controller for modular communication
[0103] [0103] It will be understood that the surgical data network 201 can be expanded by interconnecting multiple network hubs 207 and / or multiple network keys 209 with multiple network routers 211. The central communication controller 203 may be contained in a modular control tower configured to receive multiple devices 1a to 1n / 2a to 2m. The local computer system 210 can also be contained in a modular control tower. The modular communication central controller 203 is connected to a screen 212 to show the images obtained by some of the devices 1a to 1n / 2a to 2m, for example, during surgical procedures. In several respects, devices 1a to 1n / 2a to 2m may include, for example, several modules such as an imaging module 138 coupled to an endoscope, a generator module 140 coupled to an energy-based surgical device, an smoke evacuation 126, a suction / irrigation module 128, a communication module 130, a processor module 132, a storage matrix 134, a surgical device attached to a screen and / or a non-contact sensor, among other modular devices that can be connected to the modular communication center 203 of the surgical data network 201.
[0104] [0104] In one aspect, the surgical data network 201 may comprise a combination of central network controller (s), network switches, and network routers that connect devices 1a to 1n / 2a 2m to the cloud. Any or all devices 1a to 1n / 2a to 2m coupled to the central network controller or network switch can collect data in real time and transfer the data to cloud computers for data processing and manipulation. It will be understood that cloud computing depends on sharing computing resources instead of having local servers or personal devices to handle software applications. The word "cloud" can be used as a metaphor for "the Internet", although the term is not limited as such. Consequently, the term "cloud computing" can be used in this document to refer to "a type of Internet-based computing", in which different services - such as servers, storage, and applications - are applied. modular communication hub 203 and / or computer system 210 located in the operating room (for example, a fixed, mobile, temporary, or operating room or operating space) and devices connected to the modular communication hub 203 and / or computer system 210 over the Internet. The cloud infrastructure can be maintained by a cloud service provider. In this context, the cloud service provider may be the entity that coordinates the use and control of devices 1a to 1n / 2a to 2m located in one or more operating rooms. Cloud computing services can perform a large number of calculations based on data collected by smart surgical instruments, robots, and other computerized devices located in the operating room. The hub's hardware allows multiple devices or connections to be connected to a computer that communicates with cloud computing and storage resources.
[0105] [0105] By applying cloud computer data processing techniques to data collected by devices 1a to 1n / 2a to 2m, the surgical data network provides better surgical results, reduced costs, and better satisfaction by part of the patient. At least some of the devices 1a to 1n / 2a to 2m can be used to see tissue status to assess leaks or perfusion of sealed tissue after a tissue cutting and cutting procedure. At least some of the devices 1a to 1n / 2a to 2m can be used to identify pathology, such as disease effects, with the use of cloud-based computing to examine data including images of body tissue samples for diagnostic purposes . This includes confirmation of the location and margin of the tissue and phenotypes. At least some of the devices 1a to 1n / 2a to 2m can be used to identify anatomical structures of the body using a variety of sensors integrated with imaging devices and techniques such as the overlay of images captured by multiple imaging devices. Data collected by devices 1a to 1n / 2a to 2m, including image data, can be transferred to the cloud 204 or the local computer system 210 or both for processing and manipulating data including processing and image manipulation. The data can be analyzed to improve the results of the surgical procedure by determining whether additional treatment, such as application of endoscopic intervention, emerging technologies, targeted radiation, targeted intervention, precise robotics at specific tissue sites and conditions, can be followed. This data analysis can additionally use analytical processing of the results, and with the use of standardized approaches they can provide standardized feedback that is beneficial both to confirm surgical treatments and the surgeon's behavior or to suggest changes to surgical treatments and the surgeon's behavior.
[0106] [0106] In an implementation, operating room devices 1a to 1n can be connected to the central modular communication controller 203 via a wired or wireless channel depending on the configuration of devices 1a to 1n on a central controller of network. The network hub 207 can be implemented, in one aspect, as a local network transmission device that acts on the physical layer of the OSI model ("open system interconnection"). The central network controller provides connectivity to devices 1a to 1n located on the same network as the operating room. The central network controller 207 collects data in the form of packets and sends it to the router in "half duplex" mode. The network hub 207 does not store any media access control / Internet protocol (MAC / IP) to transfer data from the device. Only one of the devices 1a to 1n at a time can send data through the central network controller 207. The network hub 207 has no routing tables or intelligence about where to send information and transmits all data on the network through each connection and the a remote server 213 (Figure 9) in the cloud 204. Network hub 207 can detect basic network errors, such as collisions, but having all (admit that) information transmitted to multiple input ports can be a security risk and cause strangulations.
[0107] [0107] In another implementation, operating room devices 2a to 2m can be connected to a network switch 209 through a wired or wireless channel. The network key 209 works in the data connection layer of the OSI model. Network switch 209 is a multicast device for connecting devices 2a to 2m located in the same operation center to the network. The network key 209
[0108] [0108] Network hub 207 and / or network key 209 are coupled to network router 211 for a connection to cloud 204. Network router 211 works on the network layer of the OSI model. Network router 211 creates a route to transmit data packets received from central network controller 207 and / or network key 211 to a computer with cloud resources for future processing and manipulation of data collected by any or all devices 1a to 1n / 2a to 2m. The network router 211 can be used to connect two or more different networks located in different locations, such as different operating rooms in the same healthcare facility or different networks located in different operating rooms of different facilities. health services. Network router 211 sends data in packet form to cloud 204 and works in full duplex mode. Multiple devices can send data at the same time. The network router 211 uses IP addresses to transfer data.
[0109] [0109] In one example, network hub 207 can be implemented as a USB hub, which allows multiple USB devices to be connected to a host computer. The USB hub can expand a single USB port on multiple levels so that more ports are available to connect the devices to the system's host computer. The 207 network hub can include wired or wireless capabilities to receive information about a wired channel or a wireless channel. In one aspect, a wireless, broadband, short-range wireless USB radio communication protocol can be used to communicate
[0110] [0110] In other examples, operating room devices 1a to 1n / 2a to 2m can communicate with the modular central communication controller 203 via standard Bluetooth wireless technology for exchanging data over short distances ( using short-wavelength UHF radio waves in the 2.4 to 2.485 GHz ISM band from fixed and mobile devices and building personal area networks (PANs). In other respects, operating room devices 1a to 1n / 2a to 2m can communicate with the central modular communication controller 203 via a number of wireless and wired communication standards or protocols, including, but not limited to, limited to, Wi-Fi (IEEE 802.11 family), WiMAX (IEEE 802.16 family), IEEE 802.20, long-term evolution (LTE, "long-term evolution"), and Ev-DO, HSPA +, HSDPA +, HSUPA +, EDGE , GSM, GPRS, CDMA, TDMA, DECT, and Ethernet derivatives thereof, as well as any other wireless and wired protocols that are designated as 3G, 4G, 5G, and beyond. The computing module can include a plurality of communication modules. For example, a first communication module can be dedicated to short-range wireless communications such as Wi-Fi and Bluetooth, and a second communication module can be dedicated to longer-range wireless communications such as GPS, EDGE, GPRS , CDMA, WiMAX, LTE, Ev-DO, and others.
[0111] [0111] The modular communication central controller 203 can serve as a central connection for one or all operating room devices 1a to 1n / 2a to 2m and handles a data type known as frames. The tables carry the data generated by the devices 1a to 1n / 2a to 2m. When a frame is received by the modular communication hub 203, it is amplified and transmitted to network router 211, which transfers data to cloud computing resources using a series of wireless communication standards or protocols or with wire, as described in the present invention.
[0112] [0112] The modular communication hub 203 can be used as a standalone device or be connected to compatible network hubs and network switches to form a larger network. The 203 modular central communication controller is, in general, easy to install, configure and maintain, making it a good option for the network of devices 1st to 1n / 2nd to 2m in the operating room.
[0113] [0113] Figure 9 illustrates an interactive surgical system implemented by computer 200. The interactive surgical system implemented by computer 200 is similar in many ways to the interactive surgical system implemented by computer 100. For example, the interactive surgical system implemented by computer 200 includes one or more surgical systems 202, which are similar in many respects to surgical systems 102. Each surgical system 202 includes at least one surgical hub 206 communicating with a cloud 204 which can include a remote server 213. In one aspect , the computer-implemented interactive surgical system 200 comprises a modular control tower 236 connected to multiple operating room devices, such as smart surgical instruments, robots and other computerized devices located in the operating room. As shown in Figure 10, the modular control tower 236 comprises a modular communication hub 203 coupled to a computer system 210. As illustrated in the example in Figure 9, the modular control tower 236 is coupled to a millstone - imaging module 238 that is coupled to an endoscope 239, a generator module 240 that is coupled to a power device 241, a smoke evacuation module 226, a suction / irrigation module 228, a communication module 230 , a processor module 232, a storage array 234, a device
[0114] [0114] Figure 10 illustrates a 206 surgical hub that comprises a plurality of modules coupled to the modular control tower
[0115] [0115] Surgical hub 206 employs a 242 contactless sensor module to measure the dimensions of the operating room and generate a map of the operating room using non-contact measuring devices such as laser or ultrasonic. An ultrasound-based non-contact sensor module scans the operating room by transmitting an ultrasound explosion and receiving the echo when it bounces off the perimeter of the operating room walls, as described under the heading "Surgical Hub Spatial Awareness Within an Operating Room "in US provisional patent application serial number 62 / 611,341, entitled INTE-RACTIVE SURGICAL PLATFORM, filed on December 28, 2017, which is hereby incorporated by reference in its entirety, in which the sensor module is configured to determine the size of the operating room and adjust the limits of the Bluetooth pairing distance. A laser-based non-contact sensor module scans the operating room by transmitting pulses of laser light, receiving pulses of laser light that bounce off the perimeter walls of the operating room, and comparing the phase of the transmitted pulse to the received pulse to determine the size of the operating room and to adjust the Bluetooth pairing distance limits, for example.
[0116] [0116] Computer system 210 comprises a processor 244 and a network interface 245. Processor 244 is coupled to a communication module 247, storage 248, memory 249, non-volatile memory 250, and an input / output interface 251 via a system bus. The system bus can be any of several types of bus structures, including the memory bus or memory controller, a peripheral bus or bus.
[0117] [0117] Processor 244 can be any single-core or multi-core processor, such as those known under the trade name ARM Cortex available from Texas Instruments. In one respect, the processor may be a Core Cortex-M4F LM4F230H5QR ARM processor, available from Texas Instruments, for example, which comprises an integrated 256 KB single-cycle flash memory, or other non-volatile memory, up to 40 MHz, a seek-ahead buffer to optimize performance above 40 MHz, a 32 KB single cycle serial random access memory (SRAM), an internal read-only memory (ROM) loaded with the StellarisWare® program, memory programmable read-only and electrically erasable (EEPROM) of 2 KB, one or more pulse width modulation (PWM) modules, one or more analogs of quadrature encoder (QEI) inputs, one or more converters 12-bit analog to digital (ADC) with 12 channels of analog input, details of which are available for the product data sheet.
[0118] [0118] In one aspect, processor 244 may comprise a safety controller comprising two controller-based families, such as TMS570 and RM4x, known under the tradename Hercules ARM Cortex R4, also by Texas Instruments. The control
[0119] [0119] System memory includes volatile and non-volatile memory. The basic input / output system (BIOS), containing the basic routines for transferring information between elements within the computer system, such as during startup, is stored in non-volatile memory. For example, non-volatile memory can include ROM, programmable ROM (PROM), electrically programmable ROM (EPROM), EEPROM or flash memory. Volatile memory includes random access memory (RAM), which acts as an external cache memory. In addition, RAM is available in many forms such as SRAM, Dynamic RAM (DRAM), Synchronous DRAM (SDRAM), Double Data Rate SDRAM (DDR SDRAM), Enhanced SDRAM (ES-DRAM), Synchlink DRAM (SLDRAM), and Direct RAM Rambus RAM (DRRAM).
[0120] [0120] Computer system 210 also includes removable / non-removable, volatile / non-volatile computer storage media, such as disk storage. Disk storage includes, but is not limited to, devices such as a magnetic disk drive, floppy disk drive, tape drive, Jaz drive, Zip drive, LS-60 drive, flash memory card or memory stick (pen drive). drive). In addition, disk storage may include storage media separately or in combination with other storage media including, but not limited to, an optical disc drive such as a compact disk ROM (CD-ROM) drive. recordable compact disc (CD-R Drive), rewritable compact disc drive (CD-RW drive), or a versatile digital disk ROM drive (DVD-ROM). To facilitate the connection of disk storage devices to the system bus, a removable or non-removable interface can be used.
[0121] [0121] It is to be understood that computer system 210 includes software that acts as an intermediary between users and the basic resources of the computer described in a suitable operating environment. Such software includes an operating system. The operating system, which can be stored on disk storage, acts to control and allocate computer system resources. System applications benefit from the management capabilities of the operating system through program modules and program data stored in system memory or on the storage disk. It is to be understood that the various components described in the present invention can be implemented with various operating systems or combinations of operating systems.
[0122] [0122] A user enters commands or information into the computer system 210 through the input device (s) coupled to the I / O interface 251. Input devices include, but are not limited to, a pointing device such as a mouse, trackball, stylus, touchpad, keyboard, microphone, joystick, game pad, satellite board, scanner, TV tuner card, digital camera, digital video camera, web camera, and the like. These and other input devices connect to the processor via the system bus via the interface port (s). The interface ports include, for example, a serial port, a parallel port, a game port and a USB. Output devices use some of the same types of ports as input devices. In this way, for example, a USB port can be used to provide input to the computer system and to provide computer system information to an output device. An output adapter is provided to illustrate that there are some output devices such as monitors, screens, speakers, and printers, among other output devices, that need special adapters. Output adapters include, by way of illustration and not limitation, video and sound cards that provide a means of connection between the output device and the system bus. It should be noted that other devices and / or device systems, such as remote computers, provide input and output capabilities.
[0123] [0123] Computer system 210 can operate in a networked environment using logical connections to one or more remote computers, such as cloud computers, or local computers. Remote cloud computers can be a personal computer, server, router, personal network computer, workstation, microprocessor-based device, peer device, or other common network node, and the like, and typically include many or all elements described in relation to the computer system. For the sake of brevity, only one memory storage device is illustrated with the remote computer. Remote computers are logically connected to the computer system via a network interface and then physically connected via a communication connection. The network interface covers communication networks such as local area networks (LANs) and wide area networks (WANs). LAN technologies include fiber distributed data interface (FDDI), copper distributed data interface (CDDI), Ethernet / IEEE 802.3, Token ring / IEEE 802.5 and the like. WAN technologies include, but are not limited to, point-to-point links, circuit switching networks such as integrated service digital networks (ISDN) and variations in the same, packet switching networks and digital subscriber lines (DSL ).
[0124] [0124] In several respects, computer system 210 of Figure 10, imaging module 238 and / or display system 208, and / or processor module 232 of Figures 9 to 10, may comprise a processor image processing, image processing engine, media processor, or any specialized digital signal processor (DSP) used for processing digital images. The image processor can employ parallel computing with multi-data instruction (SIMD) or multi-data instruction (MIMD) technologies to increase speed and efficiency. The digital image processing engine can perform a number of tasks. The image processor can be an integrated circuit system with a multi-core processor architecture.
[0125] [0125] Communication connections refer to the hardware / software used to connect the network interface to the bus. Although the communication connection is shown for illustrative clarity within the computer system, it can also be external to computer system 210. The hardware / software required for connection to the network interface includes, for illustrative purposes only, internal and external technologies such as modems, including regular telephone series modems, cable modems and DSL modems, ISDN adapters and Ethernet cards.
[0126] [0126] In several respects, the devices / instruments 235 described with reference to Figures 9 and 10 can be implemented as one or more active devices or idle devices (see 200510), advanced energy devices, an endoscopic gripper equipped with a motor , a motor-equipped stapler or a motor-equipped endoscopic clip applicator (see 200520) or motor-equipped stapler, motor-equipped endoscopic clamp, advanced energy device or motor-equipped endoscopic clip applicator (see 200530 ) as shown in Figure 16. Consequently, the one or more active devices or idle devices (see 200510), advanced energy devices, a motor-equipped endoscopic gripper, a motor-equipped stapler or an endoscopic clip applicator equipped with motor (see 200520) or clamp equipped with motor, endoscopic gripper equipped with motor, advanced energy device or applicator endoscopic type equipped with a motor (see 200530) as shown in Figure 16, can be configured to interface with the modular control tower 236 and the central surgical controller 206. Once connected to the central surgical controller 206, the one or more active devices or idle devices (see 200510), advanced energy devices, an engine-equipped endoscopic preset, a motor-equipped stapler or a motor-equipped endoscopic clip applicator or stapler with engine, endoscopic clamp equipped with engine, advanced power device or endoscopic clip applicator with engine (see 200530) as shown in Figure 16, can be configured to interface with cloud 204, server 213, other instruments connected to the central controller, central controller screen 215 or display system 209, or combinations thereof. In addition, once connected to the central controller 206, the one or more active devices or idle devices (see 200510), advanced energy devices, an endoscopic clamp equipped with a motor, a stapler equipped with a motor or a motor-equipped endoscopic clip applicator (see 200520) or motor-equipped stapler, motor-powered endoscopic clamp, advanced energy device or motor-equipped endoscopic clip applicator (see 200530) as shown in Figure 16, processing circuits available on the local computer system of the central controller 210.
[0127] [0127] Figure 11 illustrates a functional block diagram of an aspect of a USB 300 network hub device, in accordance with at least one aspect of the present description. In the illustrated aspect, the
[0128] [0128] The USB 300 network hub device is implemented with a digital state machine instead of a microcontroller, and no firmware programming is required. Fully compatible USB transceivers are integrated into the circuit for the upstream USB transceiver port 302 and all downstream USB transceiver ports 304, 306, 308. The downstream USB transceiver ports 304, 306, 308 support both full speed as low speed automatically setting the sweep rate according to the speed of the device attached to the doors. The USB 300 network hub device can be configured in bus powered or self powered mode and includes 312 central power logic to manage power.
[0129] [0129] The USB 300 central network controller device includes a 310 serial interface engine (SIE). The SIE 310 is the front end of the USB 300 network hub hardware and handles most of the protocol described in chapter 8 of the USB specification. SIE 310 typically comprises signaling down to the transaction level. The functions it handles could include: packet recognition,
[0130] [0130] In several aspects, the USB 300 network hub can connect 127 functions configured in up to six logical layers (levels) to a single computer. In addition, the USB 300 network hub can connect all peripherals using a standardized four-wire cable that provides both communication and power distribution. Power settings are bus-powered and self-powered modes. The USB 300 network hub can be configured to support four power management modes: a bus powered hub, with individual port power management or grouped port power management, and the self powered hub, with managed individual port power or grouped port power management. In one aspect, using a USB cable, the USB 300 network hub, the upstream USB transceiver port 302 is plugged into a USB host controller, and the downstream USB transceiver ports 304, 306 , 308 are exposed to connect compatible USB devices, and so on.
[0131] [0131] Additional details regarding the structure and function of the central surgical controller and / or networks of central surgical controllers can be found in US provisional patent application No. 62 / 659,900, entitled METHOD OF HUB COMMUNICATION, filed on 19 April 2018, which is incorporated herein by reference, in its entirety. Cloud system hardware and functional modules
[0132] [0132] Figure 12 is a block diagram of the interactive surgical system implemented by computer, according to at least one aspect of the present description. In one aspect, the computer-implemented interactive surgical system is configured to monitor and analyze data related to the operation of various surgical systems that include central surgical controllers, surgical instruments, robotic devices, and operating rooms or surgery facilities. health services. The computer-implemented interactive surgical system comprises a cloud-based data analysis system. Although the cloud-based data analysis system is described as a surgical system, it is not necessarily limited to this and could be a cloud-based medical system in general. As illustrated in Figure 12, the cloud-based data analysis system comprises a plurality of surgical instruments 7012 (may be the same or similar to instruments 112), a plurality of central surgical controllers 7006 (may be the same or similar central controllers 106) and a surgical data network 7001 (may be the same or similar to network 201) for coupling central surgical controllers 7006 to cloud 7004 (may be the same or similar to cloud 204). Each of the plurality of central surgical controllers 7006 is coupled in a communicable way to one or more surgical instruments 7012. Central controllers 7006 are also coupled in a communicable way to the cloud 7004 of the interactive surgical system implemented by computer
[0133] [0133] In addition, surgical instruments 7012 can comprise transceivers for transmitting data to and from their corresponding central surgical controllers 7006 (which can also comprise transceivers). Combinations of surgical instruments 7012 and corresponding central controllers 7006 may indicate specific locations, such as operating rooms in healthcare facilities (for example, hospitals), to provide medical operations. For example, the memory of a central surgical controller 7006 can store location data. As shown in Figure 12, the number 7004 comprises central servers 7013 (which can be the same or similar to remote server 113 in Figure 1 and / or remote server 213 in Figure 9), application servers for central controllers 7002, data analysis 7034 and an input / output ("I / O") interface 7007. Central servers 7013 of the cloud 7004 collectively administer the cloud computing system, which includes monitoring orders by central surgical controllers clients 7006 and manage the processing capacity of the 7004 cloud to execute orders. The central servers 7013 each comprise one or more processors 7008 coupled with suitable memory devices 7010 which may include volatile memory as random access memory (RAM) and non-volatile memory as magnetic storage devices. 7010 memory devices can comprise machine executable instructions that, when executed, cause 7008 processors to run 7034 data analysis modules for analysis, operations, recommendations and other cloud-based data operations described below . In addition, the 7008 processors can run the 7034 data analysis modules independently or in conjunction with central controller applications independently run by the 7006 central controllers. The 7013 central servers also comprise 2212 aggregate medical data bases, which can reside on the memory
[0134] [0134] Based on connections with several central surgical controllers 7006 over the network 7001, the cloud 7004 can aggregate the specific data data generated by various surgical instruments 7012 and their corresponding central controllers 7006. Such aggregated data can be stored in the aggregated medical data databases 7011 of the cloud 7004. In particular, the cloud 7004 can advantageously perform data analysis and operations on the aggregated data to produce information and / or perform individual functions that the individual 7006 central controllers could not reach on their own. For this purpose, as shown in Figure 12, cloud 7004 and central surgical controllers 7006 are communicably coupled to transmit and receive information. The I / O interface 7007 is connected to the plurality of central surgical controllers 7006 via the network 7001. In this way, the I / O interface 7007 can be configured to transfer information between the central surgical controllers 7006 and the bases of aggregated medical data data 7011. Consequently, the I / O interface 7007 can facilitate the read / write operations of the cloud-based data analysis system. Such read / write operations can be performed in response to requests from the central controllers 7006. These requests can be transmitted to the central controllers 7006 through the applications of the central controllers. The 7007 I / O interface may include one or more high-speed data ports, which may include universal serial bus (USB) ports, IEEE 1394 ports, as well as Wi-Fi and Bluetooth I / O interfaces for connecting to cloud 7004 to central controllers 7006. Cloud 7004 central controller application servers are configured to host and provide shared capabilities to software applications (for example, central controller applications) run by 7006 central surgical controllers. For example, application servers for central controllers 7002 can manage requests submitted by applications for central controllers through central controllers 7006, control access to aggregated medical data databases 7011 and perform load balancing. The 7034 data analysis modules are described in more detail with reference to Figure 13.
[0135] [0135] The configuration of the specific cloud computing system described in this description is designed specifically to address various issues raised in the context of medical operations and procedures performed using medical devices, such as surgical instruments 7012, 112 In particular, surgical instruments 7012 can be digital surgical devices configured to interact with the 7004 cloud to implement techniques to improve the performance of surgical operations. Various surgical instruments 7012 and / or central surgical controllers 7006 can comprise touch-controlled user interfaces, so that physicians can control aspects of interaction between surgical instruments 7012 and the cloud 7004. Other user interfaces suitable for control such as audibly controlled user interfaces can also be used.
[0136] [0136] Figure 13 is a block diagram that illustrates the functional architecture of the interactive surgical system implemented by computer, in accordance with at least one aspect of the present description. The cloud-based data analysis system includes a plurality of 7034 data analysis modules that can be run by the 7008 cloud 7004 processors to provide data analysis solutions for problems that arise specifically in the medical field . As shown in Figure 13, the functions of the 7034 cloud-based data analysis modules can be aided by applications for central controllers 7014 hosted by the application servers for central controllers 7002 that can be accessed on central surgical controllers 7006. The 7008 cloud computing processors and 7014 central controller applications can operate together to perform data analysis modules
[0137] [0137] For example, the 7022 data collection and aggregation module could be used to generate self-describing data (for example, metadata), including the identification of notable features or settings (for example, trends), the management of sets of redundant data and the storage of data in paired data sets that can be grouped by surgery, but not necessarily switched to surgical dates and to actual surgeons. In particular, paired data sets generated from the operations of the 7012 surgical instruments may comprise application of a binary classification, for example, a bleeding or non-bleeding event. More generally, the binary classification can be characterized either as a desirable event (for example, a successful surgical procedure) or as an undesirable event (for example, an improperly used or poorly triggered surgical instrument) 7012). The aggregated self-describing data can correspond to individual data received from various groups or subgroups of central surgical controllers 7006. Consequently, the 7022 data collection and aggregation module can generate aggregated metadata or other organized data based on raw data received from central surgical controllers 7006. For this purpose, 7008 processors can be operationally coupled with applications for central controllers 7014 and aggregated medical data databases 7011 to execute the 7034 data analysis modules. 7022 data collection and aggregation module can store organized data
[0138] [0138] The resource optimization module 7020 can be configured to analyze this aggregated data to determine an optimal use of resources for a specific health facility or group of healthcare facilities. For example, the resource optimization module 7020 can determine an ideal ordering point for surgical stapling instruments 7012 for a group of healthcare facilities based on the corresponding expected demand for such instruments 7012. The optimization module Resource utilization 7020 could also assess resource use or other operational configurations of various health care facilities to determine whether resource use could be improved. Similarly, the 7030 recommendations module can be configured to analyze aggregated organized data from the 7022 data collection and aggregation module to provide recommendations. For example, the 7030 recommendation module could recommend to health care facilities (for example, medical providers such as hospitals) that a specific surgical instrument 7012 should be upgraded to an improved version based on an error rate of higher than expected, for example. In addition, the 7030 recommendation module and / or the 7020 resource optimization module could recommend better supply chain parameters such as product repurchase points and provide suggestions for different 7012 surgical instruments, their uses, or steps procedure to improve surgical results. Healthcare facilities can receive such recommendations through corresponding 7006 central surgical controllers. More specific recommendations related to the parameters or configurations of various 7012 surgical instruments can also be provided. Central controllers 7006 and / or surgical instruments 7012 may also have display screens that display data or recommendations provided by the 7004 cloud.
[0139] [0139] The 7028 patient outcome analysis module can analyze surgical results associated with currently used operating parameters of 7012 surgical instruments. The 7028 patient outcome analysis module can also analyze and evaluate other potential operating parameters . In this context, the 7030 recommendations module could recommend the use of these other potential operational parameters based on the production of better surgical results, such as better sealing or less bleeding. For example, the 7030 recommendation module could transmit recommendations to a central surgical controller 7006 about when to use a particular cartridge for a corresponding 7012 stapling surgical instrument. In this way, the cloud-based data analysis system, while controlling common variables, can be configured to analyze the large collection of raw data and provide centralized recommendations across multiple health service facilities (advantageously determined based on aggregate data). For example, the cloud-based data analysis system could analyze, evaluate and / or aggregate data based on the type of medical practice, type of patient, number of patients, geographical similarity between medical providers, which providers / medical facilities use similar types of instruments, etc., in a way that no health care facility alone would be able to independently analyze.
[0140] [0140] The 7026 control program update module can be configured to implement various 7012 surgical instrument recommendations when corresponding control programs are updated. For example, the 7028 patient outcome analysis module could identify correlations by linking specific control parameters to successful (or unsuccessful) results. Such correlations can be resolved when updated control programs are transmitted to 7012 surgical instruments via the 7026 control program update module. Updates to 7012 instruments that are transmitted via a corresponding central controller 7006 can incorporate de - aggregate performance that was collected and analyzed by the data collection and aggregation module 7022 from the cloud 7004. Additionally, the 7028 patient results analysis module and the 7030 recommendations module could identify improved methods of using the 7012 instruments with based on aggregated performance data.
[0141] [0141] The cloud-based data analysis system can include safety features implemented by the 7004 cloud. These safety features can be managed by the authorization and safety module 7024. Each central surgical controller 7006 can have unique credentials associated with it such as username, password, and other appropriate security credentials. These credentials can be stored in memory 7010 and be associated with a permitted level of cloud access. For example, based on the provision of accurate credentials, a central surgical controller 7006 can be granted access to communicate with the cloud to a predetermined degree (for example, it can only participate in transmitting or receiving certain defined types of information). For this purpose, the aggregated medical data databases 7011 of the cloud 7004 may comprise a database of authorized credentials to verify the accuracy of the supplied credentials. Different credentials can be associated with different permission levels for interacting with the 7004 cloud, such as a predetermined access level to receive data analysis generated by the 7004 cloud.
[0142] [0142] In addition, for security purposes, the cloud could maintain a database of 7006 central controllers, 7012 instruments and other devices that may comprise a "black list" of prohibited devices. In particular, a blacklisted central surgical controller 7006 may not be allowed to interact with the cloud, while blacklisted 7012 surgical instruments may not have functional access to a corresponding 7006 central controller and / or may be prevented from fully functioning - when paired with its corresponding central controller 7006. In addition or alternatively, the cloud 7004 can identify instruments 7012 based on incompatibility or other specified criteria. In this way, counterfeit medical devices and inappropriate reuse of such devices throughout the cloud-based data analysis system can be identified and addressed.
[0143] [0143] 7012 surgical instruments can use wireless transceivers to transmit wireless signals that can represent, for example, credentials for authorizing access to the corresponding central controllers 7006 and the 7004 cloud. Wired transceivers can also be used to transmit signals. Such authorization credentials can be stored in the respective memory devices of surgical instruments 7012. The authorization and security module 7024 can determine whether the authorization credentials are accurate or falsified. The 7024 authorization and security module can also dynamically generate authorization credentials for increased security. Credentials could also be encrypted, such as using hash-based encryption. After transmitting the appropriate authorization, the surgical instruments 7012 can transmit a signal to the corresponding central controllers 7006 and finally to the cloud 7004, to indicate that the instruments 7012 are ready to obtain and transmit medical data. In response, the 7004 cloud can transition to a state enabled to receive medical data for storage in the aggregated medical data databases
[0144] [0144] The cloud-based data analysis system can allow monitoring of multiple healthcare facilities (eg, medical posts such as hospitals) to determine improved practices and recommend changes (via the 2030 recommendations module, for example) example) properly. In this way, cloud 7004 processors 7008 can analyze data associated with a healthcare facility to identify the facility and aggregate the data to other data associated with other healthcare facilities in a group. Groups could be defined based on similar operating practices or geographic location, for example. In this way, the 7004 cloud can provide analysis and recommendations regarding a health service facility that covers an entire group. The cloud-based data analysis system could also be used to improve situational recognition. For example, 7008 processors can predictively demonstrate the effects of recommendations on cost and effectiveness for a specific facility (in relation to operations and / or various general medical procedures). The cost and effectiveness associated with that specific facility can also be compared to a corresponding local region of other facilities or any other comparable facility.
[0145] [0145] The 7032 data classification and prioritization module can prioritize and classify data based on severity (for example, the severity of a medical event associated with the data, unpredictability, distrust). This classification and prioritization can be used in conjunction with the functions of the other 7034 data analysis modules described above to improve cloud-based data analysis and the operations described in this document. For example, the 7032 data classification and prioritization module can assign a priority to data analysis performed by the 7022 data collection and aggregation module and 7028 patient outcome analysis modules. Different prioritization levels can result in specific responses of the number 7004 (corresponding to a level of urgency), such as escalation to an accelerated response, special processing, exclusion from the 7011 aggregated medical data databases or other appropriate responses. In addition, if necessary, the 7004 cloud can transmit a request (for example, a push message) through application servers to central controllers for additional data from corresponding 7012 surgical instruments. The automatic message can result in a notification displayed on the corresponding central controllers 7006 to request supporting or additional data. This automatic message may be necessary in situations where the cloud detects a significant irregularity or results outside the limits and the cloud cannot determine the cause of the irregularity. Central servers 7013 can be programmed to activate this automatic message in certain significant circumstances, such as when the data is determined to be different from an expected value beyond a predetermined limit, or when it appears that security has been understood , for example.
[0146] [0146] In several respects, the one or more surgical instruments 7012 described above with reference to Figures 12 and 13 can be implemented as one or more active devices or idle devices (see 200510), advanced energy devices, an endoscopic gripper equipped with a motor, a stapler equipped with a motor or an endoscopic clip applicator equipped with a motor (vi of 200520) or stapler equipped with a motor, endoscopic clamp equipped with a motor, advanced energy device or endoscopic clip applicator with motor (see 200530) as shown in Figure 16. Consequently, the one or more active devices or idle devices (see 200510), advanced energy devices, an endoscopic gripper equipped with a motor, a stapler equipped with a motor or an endoscopic clip applicator equipped with a motor (see 200520) or stapler equipped with a motor, endoscopic gripper equipped with a motor, advanced energy device or endoscopic clip applicator equipped with a motor (see 200530) as shown in Figure 16, can be configured to interface with the 7006 central surgical controller and the 2001 network, which is configured to interface with the 7004 cloud. Processing capacity provided by the 7013 central servers and the 7034 data analysis module is configured to process information (for example, data and control) from one or more active devices or idle devices (see 200510), advanced power devices, a preen - endoscopic clip equipped with a motor, a stapler fitted with a motor or an endoscopic clip applicator fitted with a motor (view from 200520) or stapler equipped with a motor, endoscopic clamp equipped with a motor, advanced energy device or applicator endoscopic clip equipped with a motor (see 200530) as shown in Figure 16.
[0147] [0147] Additional details related to the cloud data analysis system can be found in US provisional patent application No. 62 / 659,900, entitled METHOD OF HUB COMMUNICATION, filed on April 19, 2018, which is in this document incorporated as a reference, in its entirety. Situational recognition
[0148] [0148] Although a "smart" device, including control algorithms responsive to detected data, may be an improvement over a "stupid" device that operates without taking the detected data, some detected data may be incomplete or inconclusive when considered in isolation, that is, without the context of the type of surgical procedure being performed or the type of tissue that is undergoing surgery. Without knowing the context of the procedure (for example, knowing the type of tissue that is undergoing surgery, or the type of procedure that is being performed), the control algorithm may control the modular device incorrectly or suboptimally, provided the detected data without specific context. For example, the ideal way for a control algorithm to control a surgical instrument in response to a certain detected parameter may vary according to the type of particular tissue being operated on. This is due to the fact that different types of fabric have different properties (for example, tear resistance) and thus respond differently to actions performed.
[0149] [0149] One solution uses a central surgical controller including a system configured to derive information about the surgical procedure being performed based on data received from various data sources, and then control, accordingly, the modular devices Paired. In other words, the central surgical controller is configured to infer information about the surgical procedure from the data received and, then, control the modular devices paired with the central surgical controller based on the inferred context of the procedure. surgical procedure. Figure 14 illustrates a diagram of a surgical system with 5100 situational recognition, in accordance with at least one aspect of the present description. In some examples, data sources 5126 include, for example,
[0150] [0150] A central surgical controller 5104 that can be similar to surgical controller 106 in many ways, can be configured to derive contextual information related to the surgical procedure from the data based, for example, on the combination (s) ( specific data (s) received or in the specific order in which data are received from data sources 5126. Contextual information inferred from data received may include, for example, the type of surgical procedure being performed, the step specific to the surgical procedure that the surgeon is performing, the type of tissue being operated on, or the body cavity that is the object of the procedure. This ability for some aspects of the 5104 central surgical controller to derive or infer information related to the surgical procedure from received data, can be called "situational perception." In one example, the 5104 central surgical controller can incorporate a situational perception system, which is the hardware and / or programming associated with the central surgical controller 5104 that derives contextual information related to the surgical procedure based on the data received.
[0151] [0151] The situational perception system of the central surgical controller 5104 can be configured to derive contextual information from data received from data sources 5126 in several ways. In one example, the situational perception system includes a pattern recognition system, or machine learning system (for example, an artificial neural network), which has been trained in training data to correlate various inputs ( for example, data from databases 5122, patient monitoring devices 5124, and / or modular devices 5102) to corresponding contextual information regarding a surgical procedure. In other words, a machine learning system can be trained to accurately derive contextual information regarding a surgical procedure from the inputs provided. In another example, the situational perception system may include a lookup table that stores pre-characterized contextual information regarding a surgical procedure in association with one or more entries (or ranges of entries) corresponding to the contextual information. In response to a query with one or more entries, the lookup table can return the corresponding contextual information to the situational perception system to control the 5102 modular devices. In one example, the contextual information received by the system's situational perception system central surgical controller 5104, are associated with a control setting or set of specific control settings for one or more modular devices 5102. In another example, the situational perception system includes a system of learning by additional machine, search table or other system of this type, generating or retrieving one or more control settings for one or more 5102 modular devices, when contextual information is provided as input.
[0152] [0152] A 5104 central surgical controller, which incorporates a situational perception system, provides several benefits to the 5100 surgical system. One benefit includes improving the interpretation of detected and captured data, which in turn improves the accuracy of processing and / or using the data during the course of a surgical procedure. To return to a previous example, a control
[0153] [0153] As another example, the type of fabric being operated can affect the adjustments that are made to the load and compression rate thresholds of a stapling and surgical cutting instrument for a specific span measurement. A central surgical controller with situational perception 5104 could infer whether a surgical procedure being performed is a thoracic or abdominal procedure, allowing the central surgical controller 5104 to determine whether tissue clamped by an end actuator of the stapling instrument and surgical cut is lung tissue (for a thoracic procedure) or stomach tissue (for an abdominal procedure). The central surgical controller 5104 can then properly adjust the loading and compression rate thresholds of the surgical stapling and cutting instrument for the tissue type.
[0154] [0154] As yet another example, the type of body cavity being operated during an insufflation procedure can affect the function of a smoke evacuator. A central surgical controller with situational perception 5104 can determine if the surgical site is under pressure (by determining that the surgical procedure is using insufflation) and determine the type of procedure. As a type of procedure is usually performed in a specific body cavity, the 5104 central surgical controller can then adequately control the speed of the smoke evacuator motor to the body cavity being operated.
[0155] [0155] As yet another example, the type of procedure being performed may affect the ideal energy level for an ultrasonic surgical instrument or radio frequency (RF) electrosurgical instrument to operate. Arthroscopic procedures, for example, require higher energy levels because the end actuator of the ultrasonic surgical instrument or RF electrosurgical instrument is immersed in fluid. A central surgical controller with situational perception 5104 can determine whether the surgical procedure is an arthroscopic procedure. The central surgical controller 5104 can then adjust the RF power level or the ultrasonic amplitude of the generator (i.e., the "energy level") to compensate for the fluid-filled environment. Related to this, the type of tissue being operated on can affect the ideal energy level at which an ultrasonic surgical instrument or RF electrosurgical instrument operates. A central surgical controller with situational awareness 5104 can determine what type of surgical procedure is being performed and then customize the energy level for the ultrasonic surgical instrument or RF electrosurgical instrument, respectively, according to the profile of tissue expected for the surgical procedure. In addition, a central surgical controller equipped with 5104 situational awareness can be configured to adjust the energy level for the ultrasonic surgical instrument or RF electrosurgical instrument throughout the course of a surgical procedure, rather than just on a procedural basis. -by-procedure. A central surgical controller with situational perception 5104 can determine which stage of the surgical procedure is being performed or will be performed subsequently and then update the control algorithms for the generator and / or ultrasonic surgical instrument or RF electrosurgical instrument for adjust the energy level to an appropriate value for the type of tissue, according to the stage of the surgical procedure.
[0156] [0156] As yet another example, data can be extracted from additional data sources 5126 to improve the conclusions that the central surgical controller 5104 draws from a 5126 data source. A central surgical controller with situational perception 5104 can augment the data that he receives from modular devices 5102 with contextual information that he has accumulated, referring to the surgical procedure, from other data sources 5126. For example, a central surgical controller with situational perception 5104 can be configured to determine if hemosystems occurred tasia (that is, if bleeding has stopped at a surgical site), according to video or image data received from a medical imaging device. However, in some cases, video or image data may be inconclusive. Therefore, in one example, the 5104 central surgical controller can be additionally configured to compare a physiological measurement (for example, blood pressure detected by a PA monitor communicably connected to the 5104 central surgical controller) with the visual data or hemostasis imaging (for example, from a Medical Imaging Device 124 (Figure 2) coupled communicably to the central surgical controller 5104) to make a determination on the integrity of the staple line or tissue union. In other words, the situational perception system of the central surgical controller 5104 can consider the physiological measurement data to provide additional context in the analysis of the visualization data. The additional context can be useful when the visualization data can be inconclusive or incomplete on its own.
[0157] [0157] Another benefit includes proactively and automatically controlling paired modular devices 5102, according to the specific stage of the surgical procedure being performed to reduce the number of times medical personnel are required to interact com or control the 5100 surgical system during the course of a surgical procedure. For example, a central surgical controller with 5104 situational awareness can proactively activate the generator to which an RF electrosurgical instrument is connected, if it is determined that a subsequent step in the procedure requires the use of the instrument. Proactively activating the power source allows the instrument to be ready for use as soon as the preceding step of the procedure is complete.
[0158] [0158] As another example, a central surgical controller with situational perception 5104 could determine whether the current or subsequent stage of the surgical procedure requires a different view or degree of magnification of the screen, according to the resource (s) (s) at the surgical site that the surgeon is expected to see. The central surgical controller 5104 could then proactively alter the displayed view (provided, for example, by a Medical Imaging device to the visualization system 108), so that the screen automatically adjusts throughout the procedure surgical.
[0159] [0159] As yet another example, a central surgical controller with situational perception 5104 could determine which stage of the surgical procedure is being performed or will be performed subsequently and whether specific data or comparisons between the data will be required for that stage of the procedure. surgical procedure. The central surgical controller 5104 can be configured to call screens automatically based on data on the stage of the surgical procedure being performed, without waiting for the surgeon to request specific information.
[0160] [0160] Another benefit includes checking for errors during the configuration of the surgical procedure or during the course of the surgical procedure.
[0161] [0161] As another example, the central surgical controller with situational awareness 5104 could determine whether the surgeon (or other medical personnel) was making a mistake or otherwise deviating from the expected course of action during the course of a pro - surgical procedure. For example, the central surgical controller 5104 can be configured to determine the type of surgical procedure being performed, retrieve the corresponding list of steps or order of use of the equipment (for example, from a memory), and then compare the steps being performed or the equipment being used during the course of the surgical procedure with the steps or equipment expected for the type of surgical procedure that the 5104 central surgical controller determined is being performed. In one example, the 5104 central surgical controller can be configured to provide an alert indicating that an unexpected action is being taken or an unexpected device is being used at the specific stage in the surgical procedure.
[0162] [0162] In general, the situational perception system for the central surgical controller 5104 improves the results of the surgical procedure by adjusting surgical instruments (and other modular devices 5102) for the specific context of each surgical procedure (such as the different types of tissue), and when validating actions during a surgical procedure. The situational perception system also improves the surgeon's efficiency in carrying out surgical procedures by automatically suggesting the next steps, providing data, and adjusting screens and other 5102 modular devices in the operating room, according to specific context of the procedure.
[0163] [0163] In one respect, as described later in this document
[0164] [0164] Now with reference to Figure 15, a time line 5200 is shown representing the situational recognition of a central controller, such as the central surgical controller 106 or 206 (Figures 1 to 11), for example. Timeline 5200 is an illustrative surgical procedure and the contextual information that the central surgical controller 106, 206 can derive from data received from data sources at each stage in the surgical procedure. Timeline 5200 shows the typical steps that would be taken by nurses, surgeons, and other medical personnel during the course of a pulmonary segmentectomy procedure, starting with the setup of the operating room and ending with the transfer of the patient to a postoperative recovery room.
[0165] [0165] Situational recognition of a central surgical controller 106, 206 receives data from data sources throughout the course of the surgical procedure, including the data generated each time the medical team uses a modular device that is paired with the center surgical 106, 206. The central surgical controller 106, 206 can receive this data from the modular modular devices and other data sources and continually derive inferences (that is, contextual information) about the ongoing procedure according to the new data they are received, as what stage of the procedure is being performed at any given time. The situational recognition system of the central surgical controller 106, 206 is, for example, able to record data related to the procedure to generate reports, verify the measures taken by the medical team, provide data or warnings (for example, through a screen display) that may be relevant to the specific step of the procedure, adjust the modular devices based on the context (for example, activate monitors, adjust the field of view (FOV) of the medical imaging device, or change the level of energy from an ultrasonic surgical instrument or the RF electrosurgical instrument), and take any other action described above.
[0166] [0166] In the first step 5202, in this illustrative procedure, members of the hospital team retrieve the patient's electronic medical record (PEP) from the hospital's PEP database. Based on patient selection data in the PEP, the central surgical controller 106, 206 determines that the procedure to be performed is a thoracic procedure.
[0167] [0167] In the second stage 5204, the team members scan the incoming medical supplies for the procedure. Central surgical controller 106, 206 cross-references the scanned supplies with a list of supplies that are used in various types of procedures and confirms that the combination of supplies corresponds to a thoracic procedure. In addition, the central surgical controller 106, 206 is also able to determine that the procedure is not a wedge procedure (because the input supplies either lack certain supplies that are necessary for a thoracic wedge procedure or, if contrary, that the inlet supplies do not correspond to a thoracic cuff procedure).
[0168] [0168] In the third step 5206, the medical team scans the patient's band with a scanner that is communicably connected to the central surgical controller 106, 206. Surgical controller 106, 206 can then confirm the patient's identity based on those of - scanned.
[0169] [0169] In the fourth step 5208, the medical team turns on the auxiliary equipment. The auxiliary equipment in use may vary according to the type of surgical procedure and the techniques to be used by the surgeon, but in this illustrative case they include a smoke evacuator, an insufflator and a medical imaging device. When activated, auxiliary equipment that is modular devices can automatically pair with the central surgical controller 106, 206 which is located within a specific neighborhood of modular devices as part of their initialization process. Surgical controller 106, 206 can then derive contextual information about the surgical procedure by detecting the types of modular devices paired with it during that preoperative or initialization phase. In this particular example, the central surgical controller 106, 206 determines that the surgical procedure is a VATS procedure (video-assisted thoracic surgery) based on this specific combination of paired modular devices. Based on the combination of data from the patient's electronic medical record (PEP), the list of medical supplies to be used in the procedure, and the type of modular devices that connect to the central controller, the central surgical controller 106, 206 it can, in general, infer the specific procedure that the surgical team will perform. After the central surgical controller 106, 206 recognizes that a specific procedure is being performed, the central surgical controller 106, 206 can then retrieve the steps of that process from a memory or from the cloud and then cross over the data that subsequently receives from connected data sources (for example, modular devices and patient monitoring devices) to infer which stage of the surgical procedure the surgical team is performing.
[0170] [0170] In the fifth step 5210, the team members fix the electrocardiogram (ECG) electrodes and other patient monitoring devices on the patient. ECG electrodes and other patient monitoring devices are able to pair with the central surgical controller 106, 206. According to the cyclic controller
[0171] [0171] In the sixth step 5212, the medical team induces anesthesia in the patient. Central surgical controller 106, 206 can infer that the patient is under anesthesia based on data from modular devices and / or patient monitoring devices, including ECG data, blood pressure data, ventilator data, or combinations thereof, for example. After the completion of the sixth step 5212, the preoperative portion of the pulmonary segmentectomy procedure is completed and the operative portion begins.
[0172] [0172] In the seventh step 5214, the lung of the patient being operated on is retracted (while ventilation is switched to the contralateral lung). The central surgical controller 106, 206 can infer from the ventilator data that the patient's lung has been retracted, for example. Central surgical controller 106, 206 can infer that the operative portion of the procedure has been initiated since it can compare the detection of the patient's lung retraction to the expected steps of the procedure (which can be accessed or retrieved earlier) and thus determine that lung retraction is the first operative step in this specific procedure.
[0173] [0173] In the eighth step 5216, the medical imaging device (for example, an endoscope) is inserted and the video of the medical imaging device is started. The central surgical controller 106, 206 receives the data from the medical imaging device (that is, the video or image data) through its connection to the medical imaging device. Upon receipt of data from the medical imaging device, the central surgical controller 106, 206 can determine that the portion of the laparoscopic surgical procedure has been initiated. In addition, the central surgical controller 106, 206 can determine that the specific procedure in progress is a segmentectomy, rather than a lobectomy (note that a wedge procedure has already been discarded by the central surgical controller 106, 206 based on the data received in the second step 5204 of the procedure). The medical imaging device data 124 (Figure 2) can be used to determine contextual information about the type of procedure underway in several different ways, including determining the angle at which the medical imaging device is oriented in relation to visualizing the patient's anatomy, monitoring the number or medical imaging devices in use (ie, which are activated and paired with the central surgical controller 106, 206), and monitoring the types of visualization devices used.
[0174] [0174] In the ninth step 5218, the surgical team starts the dissection step of the procedure. Central surgical controller 106, 206 can infer that the surgeon is in the process of dissection to mobilize the patient's lung because he receives data from the RF or ultrasonic generator that indicate that an energy instrument is being triggered. Central surgical controller 106, 206 can cross-check the received data with the steps retrieved from the surgical procedure to determine that an energy instrument is being triggered at that point in the process (that is, after completing the previously discussed steps of the procedure) corresponds to the dissection stage. In certain cases, the energy instrument may be a power tool mounted on a robotic arm in a robotic surgical system.
[0175] [0175] In the tenth step 5220 of the procedure, the surgical team proceeds to the connection step. Central surgical controller 106, 206 can infer that the surgeon is ligating the arteries and veins because he receives data from the surgical stapling and cutting instrument indicating that the instrument is being fired. Similar to the previous step, the central surgical controller 106, 206 can derive this inference by crossing the data received from the surgical stapling and cutting instrument with the steps recovered in the process. In certain cases, the surgical instrument may be a surgical tool mounted on a robotic arm of a robotic surgical system.
[0176] [0176] In the eleventh step 5222, the portion of the segmentectomy procedure is performed. The central surgical controller 106,
[0177] [0177] In the twelfth step 5224, the node dissection step is then performed. Central surgical controller 106, 206 can infer that the surgical team is dissecting the node and performing a leak test based on the data received from the generator which indicates which ultrasonic or RF instrument is being fired. For this specific procedure, an RF or ultrasonic instrument being used after the parenchyma has been transected corresponds to the node dissection step, which allows the central surgical controller 106, 206 to make this inference. It should be noted that surgeons regularly switch between surgical stapling / surgical cutting instruments and surgical energy instruments (that is, RF or ultrasonic) depending on the specific step in the procedure because different instruments are better adapted specific tasks. Therefore, the specific sequence in which cutting / stapling instruments and surgical energy instruments are used can indicate which stage of the procedure the surgeon is taking. In addition, in certain cases, robotic tools can be used for one or more steps in a surgical procedure and / or hand-held surgical instruments can be used for one or more steps in the surgical procedure. The surgeon can switch between robotic tools and hand-held surgical instruments and / or can use the devices simultaneously, for example. After the completion of the twelfth step 5224, the incisions are closed and the postoperative portion of the procedure is started.
[0178] [0178] In the thirteenth stage 5226, the patient's anesthesia is reversed. The central surgical controller 106, 206 can infer that the patient is exiting anesthesia based on ventilator data (i.e., the patient's respiratory rate begins to increase), for example.
[0179] [0179] Finally, in the fourteenth step 5228 the medical team removes the various patient monitoring devices from the patient. Central surgical controller 106, 206 can thus infer that the patient is being transferred to a recovery room when the central controller loses ECG, blood pressure and other data from patient monitoring devices. As can be seen from the description of this illustrative procedure, the central surgical controller 106, 206 can determine or infer when each step of a given surgical procedure is taking place according to the data received from the various data sources which are communicably coupled to the central surgical controller 106, 206.
[0180] [0180] In several respects, the one or more active or idle devices (see 200510), advanced energy devices, an endoscopic gripper equipped with a motor, a stapler equipped with a motor or an endoscopic clip applicator equipped with a motor ( see 200520) or stapler equipped with a motor, endoscopic gripper equipped with a motor, advanced energy device or endoscopic clip applicator equipped with a motor (see 200530) as illustrated
[0181] [0181] In several aspects, the central controller can be configured to prioritize communication, interaction or processing based on the needs of the system or device. In one aspect, the priority could be to reorder the transmission packet transmission priority. In another aspect, the prioritization could be of communication packages within a flow of communication traffic. The prioritization of packages could be with the external part of the network of central controllers seeking routines, processes or updated data necessary to perform a critical procedure step. In another aspect, the prioritization could be to delay or interrupt network traffic to allow individual data to take priority to ensure the success of a critical device or central surgical controller process or operation. In another aspect, the interruption could be a short-term reorganization of communication or a long-term adjustment of data collection or transmission rates. These adjustments could be critical or remain for the duration of the procedure or until they are directly adjusted later for another reason.
[0182] [0182] In several respects, control of interactions between central controllers and task ownership can be based on the capabilities of one or more central controllers and the location of modules in the network of central controllers. In one aspect, capabilities could include the capacity of the individual central controller, type of central controller, type of data, interaction of the data required to perform the indicated surgical work, or the needs of the central controller. In another aspect, capacity could include available processing, storage, idle or unused communication bandwidth. In one aspect, the location of the modules most critical to the current surgical task or the next suitable task could be used to determine which central controller is in control of the function. Establishing and changing communication priorities
[0183] [0183] Various techniques for prioritizing wireless communication from the central controller are described in this document.
[0184] [0184] Figure 16 shows a 200500 graph indicating communication priorities of the central controller according to the procedure step, according to at least one aspect of the present description. In one aspect, the central controller's communication priorities can be based on the central controller's situational recognition. Situational recognition of the central controller can determine which step of the procedure is being performed and, consequently, what are the appropriate communication priorities, as shown in Figure 16. Communication priorities can be, for example, based on a critical failure a specific step, process or operation
[0185] [0185] In addition, communication priorities can be based on the status of the central controller itself. For example, if there is a failure of an internal process or program in the central controller, there may be a need to verify the authenticity or integrity of the program before restarting it. As another example, communication with a security token or external license server may be necessary to reactivate a program. In one respect, it may be necessary for a central controller to communicate with some cloud services to be able to check whether changes or updates are necessary for a program based on the central controller to operate after it has unexpectedly ended. Such communication from cloud services, for example, may be necessary to reestablish a predefined link between the central controller and any relay device or range extension device used to retrieve links with coupled / paired devices. In some respects, communication priorities can be based on the level of importance of a problem that is being experienced by a coupled device. In addition, communication priorities can be based on the detection, by the central controller, of a device that is capable of communicating with a central controller and if there was a lack of identification established from that device.
[0186] [0186] The 200500 graph represented in Figure 16 illustrates some examples of communication priorities that can be associated with a first central controller and related to surgical procedures. Column 200510 represents a standard set of communication priorities for a first central controller associated with a first operating room (OR) in which a generic surgical procedure is taking place. As shown in column 200510, the maximum priority (priority 1) can be given to those functions associated with monitoring the patient's status (for example, anesthesia, blood pressure monitoring, pulse oximetry monitoring, and similar status indicators). Communications from the first central controller to generic smart surgical instruments within the first OR can have high communication priorities after patient monitoring. Communications with a second central controller located in a second OS, and the instruments associated with the second central controller, may, in general, have lower communication priorities. Communication with devices and / or servers associated with ancillary activities (such as inventories of disposable objects and billing services) may have even lower communication priorities.
[0187] [0187] Column 200520 of graph 200500 represents a standard set of communication priorities for a first central controller associated with a first operating room in which a vessel dissection procedure is taking place. As indicated in column 200520, the patient monitoring functions again have the highest level priority (priority 1) for the communication of the first central controller. Thereafter, communications with specific dissection devices (such as an advanced energy device and a motor-equipped endoscope gripper) have the next highest communication priorities. In some respects, a second central controller in a second OS may be communicating with medical devices associated with a vessel transection procedure. The second central controller, for example, may be communicating with other medical devices, such as a motor-equipped stapler and a motor-equipped endoscopic clip applicator. The second central controller and its associated medical devices may have a lower communication priority than the first central controller. Again, as indicated in column 200510, communications with ancillary services may have lower priorities.
[0188] [0188] Column 200530 of graph 200500 represents a standard set of communication priorities for a first central controller associated with a first operating room in which a vessel transection procedure is taking place. As indicated in column 200520, the patient monitoring functions again have the highest level priority (priority 1) for the communication of the first central controller. Thereafter, communications with specific dissection devices (such as a motor-equipped stapler device and a motor-equipped endoscope gripper) have the next highest communication priorities. In some respects, a second central controller in a second OS may be communicating with medical devices associated with a vessel dissection procedure. The second central controller, for example, may be communicating with other medical devices, such as an advanced energy device and a motor-equipped endoscopic clip applicator. The second central controller and its associated medical devices may have a lower communication priority over the first central controller. Again, as indicated in column 200510, communications with ancillary services may have lower priorities. Detection of required interaction of two systems on the network
[0189] [0189] In several aspects, the central controller can be configured to redo the prioritization of linked processes or products to ensure that the necessary information has been transmitted to and / or received from the devices.
[0190] [0190] In one aspect, if a device in use that requires input from an associated system has not received the necessary data, communication with the associated system can be prioritized. For example, if a combined advanced smart energy device is in use, but has not received any information from an advanced visualization module about the type, thickness or collagen level of the tissue and the central controller has identified that both systems exist in the network, the central controller could be configured to then prioritize the image processing routines and provide the parameters that the power device needs with the highest process and communication priority through the system. Communication between central controllers, control processing and interaction
[0191] [0191] Various techniques for non-interactive, interactive and process sharing communication between central controllers are described in this document.
[0192] [0192] In an aspect of non-interactive communication, central controllers can be configured to perform information sharing between central controllers including, for example, location, geographic fences and state. In this respect, central controllers can be configured to communicate with adjacent central OS controllers and to identify / locate different systems. The communication of data, status or other information collected to the network of central controllers can be selectively used by one or more central controllers.
[0193] [0193] In an aspect of interactive control communication, the interaction between central controllers to distribute data and processing can be done with a network. Several central controllers connected via a network can use distributed processing to process / determine / calculate performance or usage parameters. For example, Figure 17 is a diagram of a network of central surgical controllers 200600 running a distributed processing system, in accordance with at least one aspect of the present description.
[0194] [0194] As shown in Figure 17, central controllers 1, 2, 3 and 4 (200610, 200620, 200630 and 200640, respectively) can be included in a network of central surgical controllers 200600. Each central controller can be located within a separate operating room. Thus, central controller 1 (200610) can be located within SO 1 (200612), central controller 2 (200620) can be located within SO 2 (200622), central controller 3 (200630) can be located within SO 3 (200632), and central controller 4 (200640) can be located within SO 4 (200642).
[0195] [0195] The distributed processing system allows the central controllers to distribute processing resources among themselves as needed. For example, if a central controller within the network is reaching its processing or power limit so it will need to start saving processing power, and another central controller within the network is in idle mode, the first central controller can offload high-processing needs to the idle central controller, allowing the idle central controller to share maximum processing power and energy needs.
[0196] [0196] In an aspect of process sharing between central controllers based on the unused capacity of the interconnected systems, the processing or communication resources can be distributed or concentrated based on the expected impact on the system . For example, surgical devices / interconnected systems can be configured to compare which device has the module and systems needed to perform a specific surgical task. If the task requires a significant number of processes or communication, the system could distribute the necessary capacity among multiple devices or consolidate it in a specific portion of the system in order to perform the task based on the importance of the task or the its impact on the system in general (and thus its impact on other tasks being performed by the system). The prioritization for sharing can be determined by several factors, such as capacity (ie, the system load with its current functions), activity level (for example, central controllers that are not in use because the OS is empty or being configured must have priority for sharing), model number (for example, models with more capacity may be more suitable for sharing than older models), and so on. Examples
[0197] [0197] Various aspects of the subject described in this document are defined in the following numbered examples:
[0198] [0198] Example 1. Central surgical controller within a network of central surgical controllers, the central surgical controller being characterized by comprising: a controller comprising a processor, the controller being configured to determine a communication priority, an interaction or processing of information based on a requirement of a system or device in communication with the central surgical controller.
[0199] [0199] Example 2. The central surgical controller in Example 1, the controller being configured to prioritize a transmission order for one or more communication packets.
[0200] [0200] Example 3. The central surgical controller of Example 2, the one or more communication packets being directed to a device outside the network of central surgical controllers.
[0201] [0201] Example 4. The central surgical controller of Example 3, the one or more communication packages comprising data to update routines, processes or data necessary to perform a critical procedure step performed by the processor.
[0202] [0202] Example 5. The central surgical controller of any one or more of Examples 1 to 4, the controller being configured to prioritize a flow of communication traffic within the network of central surgical controllers.
[0203] [0203] Example 6. The central surgical controller of Example 5, the controller being configured to adjust the flow of communication traffic to allow a critical data to have priority, thus ensuring the success of a critical device or process central surgical controller or a central surgical controller operation.
[0204] [0204] Example 7. The central surgical controller of any one or more of Examples 5 and 6, the controller being configured to delay or interrupt the flow of communication traffic.
[0205] [0205] Example 8. The central surgical controller of Example 7, the controller being configured to interrupt the flow of communication traffic and the interruption of the flow of communication traffic comprises a short-term reordering of the communication packets.
[0206] [0206] Example 9. The central surgical controller of any one or more of Examples 7 and 8, the controller being configured to delay the flow of communication traffic and the delay in the flow of communication traffic comprises an adjustment long-term data collection or transmission rate.
[0207] [0207] Example 10. The central surgical controller of any one or more of Examples 6 to 9, the adjustment continuing for a short period of time.
[0208] [0208] Example 11. The central surgical controller of any one or more of Examples 6 to 10, the adjustment continuing during the procedure.
[0209] [0209] Example 12. The central surgical controller of any one or more of Examples 6 to 11, the adjustment continuing until the prioritization of the communication traffic flow is changed.
[0210] [0210] Example 13. Network of central surgical controllers characterized by comprising: a first central surgical controller that has a first controller; and a second central surgical controller that has a second controller, the first controller being configured to control one or more interactions between the first surgical controller and the second central surgical controller based on one or more capabilities of the first controller central surgical site and a location of one or more modules within the network of central surgical controllers.
[0211] [0211] Example 14. The network of central surgical controllers in Example 13, where the control of one or more interactions comprises a control of one or more task properties.
[0212] [0212] Example 15. The network of central surgical controllers of any one or more of Examples 13 and 14, with one or more capacities of the first central controller comprising one or more of: a computing capacity of the first controller central, a type of the first central controller, a type of data associated with the first central controller, an interaction of the data necessary to perform a surgical procedure specified by the first central controller, or a computing requirement of the first central controller.
[0213] [0213] Example 16. The network of central surgical controllers in Example 15, where a computing capacity comprises one or more of an available processing capacity, a processor memory available for data storage, an available number of cycles processing time, and an available communication bandwidth.
[0214] [0214] Example 17. The network of central surgical controllers of any one or more of Examples 15 and 16, with the location of one or more modules comprising a location of the one or more modules most critical to a surgical procedure in progress.
[0215] [0215] Example 18. The network of central surgical controllers of any one or more from Examples 15 to 17, the first controller being additionally configured to allow the second controller to control one or more interactions between the first controller central surgical and the second central surgical controller based on an expected surgical task.
[0216] [0216] Although several forms have been illustrated and described, it is not the applicant's intention to restrict or limit the scope of the claims attached to such detail. Numerous modifications, variations, alterations, substitutions, combinations and equivalents of these forms can be implemented and will occur to those skilled in the art without departing from the scope of the present description. In addition, the structure of each element associated with the shape can alternatively be described as a means to provide the function performed by the element. In addition, when materials for certain components are described, other materials can be used. It should be understood, therefore, that the preceding description and the appended claims are intended to include all of these modifications, combinations and variations that fall within the scope of the modalities presented. The attached claims are intended to cover all such modifications, variations, alterations, substitutions, modifications and equivalents.
[0217] [0217] The previous detailed description presented various forms of the devices and / or processes through the use of block diagrams, flowcharts and / or examples. Although these block diagrams, flowcharts and / or examples contain one or more functions and / or operations, it will be understood by those skilled in the art that each function and / or operation within these block diagrams, flowcharts and / or examples can be implemented , individually and / or collectively, through a wide range of hardware, software, firmware or almost any combination thereof. Those skilled in the art will recognize, however, that some aspects of the forms described in this document described, in whole or in part, can be implemented in an equivalent way in integrated circuits, such as one or more computer programs executed in a or more computers (for example, as one or more programs running on one or more computer systems), as one or more programs running on one or more processors (for example, as one or more programs running on one or more microprocessors ), as firmware, or virtually any combination thereof, and that the design of the circuitry and / or the code entry for the software and firmware would be within the scope of practice of the technician, in the light of this description . In addition, those skilled in the art will understand that the mechanisms of the subject in this document described can be distributed as one or more program products in a variety of ways and that an illustrative form of the subject in this document described is applicable independently the specific type of signal transmission medium used to effectively carry out the distribution.
[0218] [0218] The instructions used to program the logic to execute various aspects described can be stored in a memory in the system, such as dynamic random access memory (DRAM), cache, flash memory or other storage. In addition, instructions can be distributed over a network or via other computer-readable media. In this way, a machine-readable media can include any mechanism to store or transmit information in a machine-readable form (for example, a computer), but is not limited to, floppy disks, optical discs, compact memory disc read-only (CD-ROMs), and magneto-optical discs, read-only memory (ROM), random access memory (RAM), erasable programmable read-only memory (EPROM), electrically erasable programmable read-only memory (EEPROM), magnetic or optical cards, flash memory, or machine-readable tangible storage media used to transmit information over the Internet via an electrical, optical, acoustic cable or other forms of propagated signals (for example , carrier waves, infrared signals, digital signals, etc.). Consequently, computer-readable non-transitory media includes any type of machine-readable media suitable for storing or transmitting electronic instructions or information in a machine-readable form (for example, a computer).
[0219] [0219] As used in any aspect of the present invention, the term "control circuit" can refer to, for example, a set of wired circuits, programmable circuits (for example, a computer processor that includes one or more individual instruction processing cores, processing unit, processor, microcontroller, microcontroller unit, controller, digital signal processor (DSP), programmable logic device (PLD), programmable logic matrix (PLA), or field programmable port arrangement (FPGA)), state machine circuits, firmware that stores instructions performed by the programmable circuit, and any combination thereof.
[0220] [0220] As used in any aspect of the present invention, the term "logic" can refer to an application, software, firmware and / or circuit configured to perform any of the aforementioned operations. The software can be incorporated as a software package, code, instructions, instruction sets and / or data recorded on non-transient, computer-readable storage media. The firmware can be incorporated as code, instructions or instruction sets and / or hard coded (for example, non-volatile) data in memory devices.
[0221] [0221] As used in any aspect of the present invention, the terms "component", "system", "module" and the like may refer to a computer-related entity, be it hardware, a combination of hardware and software, software or running software.
[0222] [0222] As in the present document used in any aspect, an "algorithm" refers to the self-consistent sequence of steps that lead to the desired result, where a "step" refers to the manipulation of physical quantities and / or logical states that can , although they do not necessarily need to take the form of electrical or magnetic signals that can be stored, transferred, combined, compared and manipulated in any other way. It is common use to call these signs bits, values, elements, symbols, characters, terms, numbers or the like. These terms and similar terms may be associated with the appropriate physical quantities and are merely convenient identifications applied to these quantities and / or states.
[0223] [0223] A network can include a packet-switched network. Communication devices may be able to communicate with each other using a selected packet switched network communications protocol.
[0224] [0224] Unless otherwise stated, as is evident from the preceding description, it is understood that, throughout the preceding description, discussions that use terms such as "processing", or "computation", or "calculation ", or" determination ", or" display ", or similar, refers to the action and processes of a computer, or similar electronic computing device, that manipulates and transforms the data represented in the form of physical (electronic) quantities in the computer's records and memories in other data represented in a similar way in the form of physical quantities in the computer's memories or records, or in other similar information storage, transmission or display devices.
[0225] [0225] One or more components in the present invention may be called "configured for", "configurable for", "operable / operational for", "adapted / adaptable for", "capable of", "con- formable / conformed to ", etc. Those skilled in the art will recognize that "configured for" may, in general, include components in an active state and / or components in an inactive state and / or components in a standby state, except when the context determines otherwise .
[0226] [0226] The terms "proximal" and "distal" are used in the present invention with reference to a physician who handles the head portion of the surgical instrument. The term "proximal" refers to the portion closest to the doctor, and the term "distal" refers to the portion located opposite the doctor. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "up" and "down" can be used in the present invention with respect to drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.
[0227] [0227] Persons skilled in the art will recognize that, in general, the terms used in this document, and especially in the appended claims (for example, bodies in the appended claims) are generally intended as "open" terms (for example, the term "including" should be interpreted as "including, but not limited to", the term "having" should be interpreted as "having, at least", the term "includes" should be interpreted as "includes, but not limits to ", etc.). It will also be understood by those skilled in the art that when a specific number of an introduced claim is intended, that intention will be expressly mentioned in the claim and, in the absence of such a claim, no intention will be present. For example, as an aid to understanding, the following appended claims may contain the use of the introductory phrases "at least one" and "one or more" to introduce claim statements. However, the use of such phrases should not be interpreted as implying that the introduction of a claim statement by the indefinite articles "one, ones" or "one, ones" limits any specific claim containing the mention of the claim entered to claims that contain only such a mention, even when the same claim includes the introductory phrases "one or more" or "at least one" and indefinite articles, such as "one, ones" or "one, ones" (for example, "one , ones "and / or" one, ones "should typically be interpreted as meaning" at least one "or" one or more "); the same goes for the use of defined articles used to introduce claims.
[0228] [0228] Furthermore, even if a specific number of an introduced claim statement is explicitly mentioned, those skilled in the art will recognize that that statement needs to be typically interpreted as meaning at least the number mentioned (for example, the mere mention of "two mentions", without other modifiers, typically means at least two mentions, or two or more mentions). In addition, in cases where a convention analogous to "at least one of A, B and C, etc." is used, in general this construction is intended to have the meaning in which the convention would be understood (for example, For example, "a system that has at least one of A, B and C" would include, but not be limited to, systems that have A alone, B alone, C alone, A and B together, A and C together, B and C together, and / or A, B and C together, etc.). In cases where a convention analogous to "at least one of A, B or C, etc." is used, in general this construction is intended to have the meaning in which the convention would be understood (for example, "a system that has at least one of A, B and C "would include, but not be limited to, systems that have A alone, B alone, C alone, A and B together, A and C together, B and C together, and / or A, B and C together, etc.). It will be further understood by those skilled in the art that typically a disjunctive word and / or phrase presenting two or more alternative terms, whether in the description, in the claims or in the drawings, should be understood as contemplating the possibility of including one of the terms, any of the terms or both terms, except when the context dictates to indicate something different. For example, the phrase "A or B" will typically be understood to include the possibilities of "A" or "B" or "A and B".
[0229] [0229] With respect to the attached claims, those skilled in the art will understand that the operations mentioned in them can, in general, be performed in any order. In addition, although several operational flow diagrams are presented in one or more sequences, it must be understood that the various operations can be performed in other orders than those shown, or can be performed simultaneously. Examples of these alternative orderings may include overlapping, interspersed, interrupted, reordered,
[0230] [0230] It is worth noting that any reference to "one (1) aspect", "one aspect", "an exemplification" or "one (1) exemplification", and the like means that a particular resource, structure or characteristic described in connection with the aspect is included in at least one aspect. Thus, the use of expressions such as "in one (1) aspect", "in one aspect", "in an example", "in one (1) example", in several places throughout this specification it does not necessarily refer to the same aspect. In addition, specific features, structures or characteristics can be combined in any appropriate way in one or more aspects.
[0231] [0231] Any patent application, patent, non-patent publication or other description material mentioned in this descriptive report and / or mentioned in any order data sheet is in this incorporated document for reference, to the extent that the embedded materials are not inconsistent with this. Thus, and as necessary, the description as explicitly presented herein replaces any conflicting material incorporated by reference into the present invention. Any material, or portion thereof, taken as in this document incorporated by reference, but which conflicts with the definitions, statements, or other description materials in this document presented will be in this document only. to the extent that there is no conflict between the embedded material and the existing description material.
[0232] [0232] In summary, numerous benefits have been described that result from the use of the concepts described in this document.
The previously mentioned description of one or more modalities has been presented for purposes of illustration and description.
This description is not intended to be exhaustive or to limit the invention to the precise form described.
Modifications or variations are possible in light of the above teachings.
One or more modalities were chosen and described in order to illustrate the principles and practical application to, thus, allow those skilled in the art to use the various modalities and with various modifications, as they are convenient to the specific use contemplated.
It is intended that the claims presented in the annex define the global scope.

权利要求:
Claims (18)
[1]
1. Central surgical controller within a network of central surgical controllers, characterized in that the central surgical controller comprises: a controller comprising a processor, in which the controller is configured to determine a communication priority, an interaction or an information processing based on a requirement of a system or device in communication with the central surgical controller.
[2]
2. Central surgical controller, according to claim 1, characterized in that the controller is configured to prioritize a transmission order of one or more communication packets.
[3]
3. Central surgical controller, according to claim 2, characterized in that the one or more communication packets are directed to a device outside the network of central surgical controllers.
[4]
4. Central surgical controller, according to claim 3, characterized in that the one or more communication packages comprise data to update routines, processes or data necessary to perform a critical procedure step performed by the processor .
[5]
5. Central surgical controller, according to claim 1, characterized in that the controller is configured to prioritize a flow of communication traffic within the network of central surgical controllers.
[6]
6. Central surgical controller, according to claim 5, characterized in that the controller is configured to adjust the flow of communication traffic to allow a critical data to have priority, thus ensuring the success of a critical device or a central surgical controller process or an operation
central surgical controller.
[7]
7. Central surgical controller, according to claim 5, characterized in that the controller is configured to delay or interrupt the flow of communication traffic.
[8]
Central surgical controller according to claim 7, characterized in that the controller is configured to interrupt the flow of communication traffic and the interruption of the flow of communication traffic comprises a short-term reordering of the packets of communication.
[9]
9. Central surgical controller, according to claim 7, characterized in that the controller is configured to delay the flow of communication traffic and the delay in the flow of communication traffic comprises a long-term adjustment for a collection of data or at a transmission rate.
[10]
10. Central surgical controller, according to claim 6, characterized in that the adjustment continues for a short period of time.
[11]
11. Central surgical controller, according to claim 6, characterized in that the adjustment continues during the procedure
[12]
12. Central surgical controller, according to claim 6, characterized in that the adjustment continues until the prioritization of the communication traffic flow is changed.
[13]
13. Network of central surgical controllers, characterized by comprising: a first central surgical controller that has a first controller; and a second central surgical controller that has a second controller, where the first controller is configured to control one or more interactions between the first surgical controller and the second.
second central surgical controller based on one or more capacities of the first central surgical controller and a location of one or more modules within the network of central surgical controllers.
[14]
14. Network of central surgical controllers, according to claim 13, characterized in that the control of one or more interactions comprises a control of one or more task properties.
[15]
15. The network of central surgical controllers according to claim 13, characterized in that the one or more capacities of the first central controller comprise one or more of: a computing capacity of the first central controller, a type of the first central controller, a type of data associated with the first central controller, an interaction of the data necessary to perform a surgical procedure specified by the first central controller, or a computing requirement of the first central controller.
[16]
16. Network of central surgical controllers, according to claim 15, characterized by a computing capacity comprising one or more of an available processing capacity, a processor memory available for data storage, a quantity available of idle processing cycles, and an available communication bandwidth.
[17]
17. Network of central surgical controllers, according to claim 15, characterized in that the location of the one or more modules comprises a location of the one or more modules most critical to the ongoing surgical procedure.
[18]
18. Network of central surgical controllers according to claim 15, characterized in that the first controller is further configured to allow the second controller to control one or more interactions between the first central surgical controller and the second central surgical controller based on an expected surgical task.

类似技术:

---

公开号 | 公开日 | 专利标题

---

BR112020013098A2|2020-11-24|determination of prioritization of communication, interaction or processing of surgical network based on system or device needs

---

US10943454B2|2021-03-09|Detection and escalation of security responses of surgical instruments to increasing severity threats

---

US20190200980A1|2019-07-04|Surgical system for presenting information interpreted from external data

---

BR112020013175A2|2020-12-01|imaging of areas outside the abdomen to improve placement and control of an in-use surgical device

---

US20210205021A1|2021-07-08|Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution

---

US20210212774A1|2021-07-15|Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures

---

BR112020013013A2|2020-11-24|surgical systems with autonomously adjustable control programs

---

BR112020013169A2|2020-12-01|surgical tool equipped with motor with predefined adjustable control algorithm to control end actuator parameters

---

BR112020013196A2|2020-12-01|position detection and patient contact with the use of the monopolar return block electrode to provide situational recognition to the central controller

---

BR112020013079A2|2020-12-01|wirelessly pairing a surgical device with another device within a sterile surgical field based on the use and situational recognition of devices

---

BR112020013112A2|2020-11-24|comprehensive real-time analysis of all instrumentation used in surgery with the use of fluid data to track instruments through storage and internal processes

---

BR112020013241A2|2020-12-01|control of a surgical system through a surgical barrier

---

BR112020013228A2|2020-12-01|data communication in which a surgical network uses context of the data and requirements of a receiver / user system to influence the inclusion or link of data and metadata to establish continuity

---

US20210192914A1|2021-06-24|Surgical hub and modular device response adjustment based on situational awareness

---

US11278281B2|2022-03-22|Interactive surgical system

---

US11273001B2|2022-03-15|Surgical hub and modular device response adjustment based on situational awareness

---

BR112020013031A2|2020-11-24|response adjustment of modular device and central surgical controller based on situational recognition

---

BR112020013087A2|2020-12-01|detection and escalation of surgical instrument safety responses to threats of increasing severity

---

BR112020012957A2|2020-12-01|surgical system to present information interpreted from external data

---

BR112020013162A2|2020-12-01|interactive surgical system

同族专利:

---

公开号 | 公开日

---

US20210176179A1|2021-06-10|

---

US10892995B2|2021-01-12|

---

JP2021509242A|2021-03-18|

---

CN111819633A|2020-10-23|

---

EP3506276A1|2019-07-03|

---

US20190207857A1|2019-07-04|

---

WO2019133134A1|2019-07-04|

引用文献:

---

公开号 | 申请日 | 公开日 | 申请人 | 专利标题

---

---

US3082426A|1960-06-17|1963-03-26|George Oliver Halsted|Surgical stapling device|

---

US3503396A|1967-09-21|1970-03-31|American Hospital Supply Corp|Atraumatic surgical clamp|

---

US3584628A|1968-10-11|1971-06-15|United States Surgical Corp|Wire suture wrapping instrument|

---

US3759017A|1971-10-22|1973-09-18|American Air Filter Co|Latch for a filter apparatus|

---

JPS6056394B2|1976-12-10|1985-12-10|Sony Corp|

---

CA1124605A|1977-08-05|1982-06-01|Charles H. Klieman|Surgical stapler|

---

DE3204522C2|1982-02-10|1988-08-25|B. Braun Melsungen Ag, 3508 Melsungen, De|

---

US4448193A|1982-02-26|1984-05-15|Ethicon, Inc.|Surgical clip applier with circular clip magazine|

---

DE3523871C2|1985-07-04|1994-07-28|Erbe Elektromedizin Gmbh, 7400 Tuebingen, De|

---

US4701193A|1985-09-11|1987-10-20|Xanar, Inc.|Smoke evacuator system for use in laser surgery|

---

US4735603A|1986-09-10|1988-04-05|James H. Goodson|Laser smoke evacuation system and method|

---

DE3824913A1|1988-07-22|1990-02-01|Thomas Hill|Device for monitoring high-frequency electric leakage currents|

---

JPH071130Y2|1988-10-25|1995-01-18|オリンパス光学工業株式会社|Ultrasonic treatment device|

---

US4892244B1|1988-11-07|1991-08-27|Ethicon Inc|

---

US4955959A|1989-05-26|1990-09-11|United States Surgical Corporation|Locking mechanism for a surgical fastening apparatus|

---

US5151102A|1989-05-31|1992-09-29|Kyocera Corporation|Blood vessel coagulation/stanching device|

---

US5084057A|1989-07-18|1992-01-28|United States Surgical Corporation|Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures|

---

DE4002843C1|1990-02-01|1991-04-18|Gesellschaft Fuer Geraetebau Mbh, 4600 Dortmund, De|Protective breathing mask with filter - having gas sensors in-front and behind with difference in their signals providing signal for change of filter|

---

US5396900A|1991-04-04|1995-03-14|Symbiosis Corporation|Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery|

---

US5318516A|1990-05-23|1994-06-07|Ioan Cosmescu|Radio frequency sensor for automatic smoke evacuator system for a surgical laser and/or electrical apparatus and method therefor|

---

US5253793A|1990-09-17|1993-10-19|United States Surgical Corporation|Apparatus for applying two-part surgical fasteners|

---

US5156315A|1990-09-17|1992-10-20|United States Surgical Corporation|Arcuate apparatus for applying two-part surgical fasteners|

---

US5100402A|1990-10-05|1992-03-31|Megadyne Medical Products, Inc.|Electrosurgical laparoscopic cauterization electrode|

---

WO1992010976A1|1990-12-18|1992-07-09|Minnesota Mining And Manufacturing Company|Safety device for a surgical stapler cartridge|

---

USD399561S|1991-01-24|1998-10-13|Megadyne Medical Products, Inc.|Electrical surgical forceps handle|

---

US5413267A|1991-05-14|1995-05-09|United States Surgical Corporation|Surgical stapler with spent cartridge sensing and lockout means|

---

US5197962A|1991-06-05|1993-03-30|Megadyne Medical Products, Inc.|Composite electrosurgical medical instrument|

---

US5397046A|1991-10-18|1995-03-14|United States Surgical Corporation|Lockout mechanism for surgical apparatus|

---

US6250532B1|1991-10-18|2001-06-26|United States Surgical Corporation|Surgical stapling apparatus|

---

CA2122594A1|1991-11-01|1993-05-13|Royce Herbst|Dual mode laser smoke evacuation system with sequential filter monitor and vacuum compensation|

---

US5383880A|1992-01-17|1995-01-24|Ethicon, Inc.|Endoscopic surgical system with sensing means|

---

US5439468A|1993-05-07|1995-08-08|Ethicon Endo-Surgery|Surgical clip applier|

---

US5417210A|1992-05-27|1995-05-23|International Business Machines Corporation|System and method for augmentation of endoscopic surgery|

---

US5906625A|1992-06-04|1999-05-25|Olympus Optical Co., Ltd.|Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue|

---

US5772597A|1992-09-14|1998-06-30|Sextant Medical Corporation|Surgical tool end effector|

---

FR2696089B1|1992-09-25|1994-11-25|Gen Electric Cgr|Device for handling a radiology device.|

---

US5417699A|1992-12-10|1995-05-23|Perclose Incorporated|Device and method for the percutaneous suturing of a vascular puncture site|

---

US5697926A|1992-12-17|1997-12-16|Megadyne Medical Products, Inc.|Cautery medical instrument|

---

US5403327A|1992-12-31|1995-04-04|Pilling Weck Incorporated|Surgical clip applier|

---

US5322055B1|1993-01-27|1997-10-14|Ultracision Inc|Clamp coagulator/cutting system for ultrasonic surgical instruments|

---

US5467911A|1993-04-27|1995-11-21|Olympus Optical Co., Ltd.|Surgical device for stapling and fastening body tissues|

---

CA2159348A1|1993-04-30|1994-11-10|Claude A. Vidal|Surgical instrument having an articulated jaw structure and a detachable knife|

---

US5817093A|1993-07-22|1998-10-06|Ethicon Endo-Surgery, Inc.|Impedance feedback monitor with query electrode for electrosurgical instrument|

---

GR940100335A|1993-07-22|1996-05-22|Ethicon Inc.|Electrosurgical device for placing staples.|

---

US5403312A|1993-07-22|1995-04-04|Ethicon, Inc.|Electrosurgical hemostatic device|

---

US5342349A|1993-08-18|1994-08-30|Sorenson Laboratories, Inc.|Apparatus and system for coordinating a surgical plume evacuator and power generator|

---

US5503320A|1993-08-19|1996-04-02|United States Surgical Corporation|Surgical apparatus with indicator|

---

US5465895A|1994-02-03|1995-11-14|Ethicon Endo-Surgery, Inc.|Surgical stapler instrument|

---

US5474566A|1994-05-05|1995-12-12|United States Surgical Corporation|Self-contained powered surgical apparatus|

---

EP1177771B1|1994-07-29|2005-02-09|Olympus Optical Co., Ltd.|Medical instrument for use in combination with endoscopes|

---

US5496315A|1994-08-26|1996-03-05|Megadyne Medical Products, Inc.|Medical electrode insulating system|

---

DE4434864C2|1994-09-29|1997-06-19|United States Surgical Corp|Surgical staple applicator with interchangeable staple magazine|

---

US5846237A|1994-11-18|1998-12-08|Megadyne Medical Products, Inc.|Insulated implement|

---

US5531743A|1994-11-18|1996-07-02|Megadyne Medical Products, Inc.|Resposable electrode|

---

JPH08164148A|1994-12-13|1996-06-25|Olympus Optical Co Ltd|Surgical operation device under endoscope|

---

US5632432A|1994-12-19|1997-05-27|Ethicon Endo-Surgery, Inc.|Surgical instrument|

---

US5613966A|1994-12-21|1997-03-25|Valleylab Inc|System and method for accessory rate control|

---

DE19503702B4|1995-02-04|2005-10-27|Nicolay Verwaltungs-Gmbh|Liquid and gas-tight encapsulated switch, in particular for electrosurgical instruments|

---

US5654750A|1995-02-23|1997-08-05|Videorec Technologies, Inc.|Automatic recording system|

---

US5695505A|1995-03-09|1997-12-09|Yoon; Inbae|Multifunctional spring clips and cartridges and applicators therefor|

---

US5942333A|1995-03-27|1999-08-24|Texas Research Institute|Non-conductive coatings for underwater connector backshells|

---

US5624452A|1995-04-07|1997-04-29|Ethicon Endo-Surgery, Inc.|Hemostatic surgical cutting or stapling instrument|

---

US5752644A|1995-07-11|1998-05-19|United States Surgical Corporation|Disposable loading unit for surgical stapler|

---

US5706998A|1995-07-17|1998-01-13|United States Surgical Corporation|Surgical stapler with alignment pin locking mechanism|

---

US7030146B2|1996-09-10|2006-04-18|University Of South Carolina|Methods for treating diabetic neuropathy|

---

US5693052A|1995-09-01|1997-12-02|Megadyne Medical Products, Inc.|Coated bipolar electrocautery|

---

US5746209A|1996-01-26|1998-05-05|The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration|Method of and apparatus for histological human tissue characterizationusing ultrasound|

---

US5762458A|1996-02-20|1998-06-09|Computer Motion, Inc.|Method and apparatus for performing minimally invasive cardiac procedures|

---

US6099537A|1996-02-26|2000-08-08|Olympus Optical Co., Ltd.|Medical treatment instrument|

---

US5673842A|1996-03-05|1997-10-07|Ethicon Endo-Surgery|Surgical stapler with locking mechanism|

---

IL117607D0|1996-03-21|1996-07-23|Dev Of Advanced Medical Produc|Surgical stapler and method of surgical fastening|

---

US7053752B2|1996-08-06|2006-05-30|Intuitive Surgical|General purpose distributed operating room control system|

---

US6646541B1|1996-06-24|2003-11-11|Computer Motion, Inc.|General purpose distributed operating room control system|

---

US6017354A|1996-08-15|2000-01-25|Stryker Corporation|Integrated system for powered surgical tools|

---

US5836909A|1996-09-13|1998-11-17|Cosmescu; Ioan|Automatic fluid control system for use in open and laparoscopic laser surgery and electrosurgery and method therefor|

---

US5843080A|1996-10-16|1998-12-01|Megadyne Medical Products, Inc.|Bipolar instrument with multi-coated electrodes|

---

US6053910A|1996-10-30|2000-04-25|Megadyne Medical Products, Inc.|Capacitive reusable electrosurgical return electrode|

---

US6582424B2|1996-10-30|2003-06-24|Megadyne Medical Products, Inc.|Capacitive reusable electrosurgical return electrode|

---

US9050119B2|2005-12-20|2015-06-09|Intuitive Surgical Operations, Inc.|Cable tensioning in a robotic surgical system|

---

EP0864348A1|1997-03-11|1998-09-16|Philips Electronics N.V.|Gas purifier|

---

US6699187B2|1997-03-27|2004-03-02|Medtronic, Inc.|System and method for providing remote expert communications and video capabilities for use during a medical procedure|

---

US7041941B2|1997-04-07|2006-05-09|Patented Medical Solutions, Llc|Medical item thermal treatment systems and method of monitoring medical items for compliance with prescribed requirements|

---

US5865361A|1997-09-23|1999-02-02|United States Surgical Corporation|Surgical stapling apparatus|

---

US6039735A|1997-10-03|2000-03-21|Megadyne Medical Products, Inc.|Electric field concentrated electrosurgical electrode|

---

US5980510A|1997-10-10|1999-11-09|Ethicon Endo-Surgery, Inc.|Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount|

---

US5873873A|1997-10-10|1999-02-23|Ethicon Endo-Surgery, Inc.|Ultrasonic clamp coagulator apparatus having improved clamp mechanism|

---

US6273887B1|1998-01-23|2001-08-14|Olympus Optical Co., Ltd.|High-frequency treatment tool|

---

US5968032A|1998-03-30|1999-10-19|Sleister; Dennis R.|Smoke evacuator for a surgical laser or cautery plume|

---

US6059799A|1998-06-25|2000-05-09|United States Surgical Corporation|Apparatus for applying surgical clips|

---

US6341164B1|1998-07-22|2002-01-22|Entrust Technologies Limited|Method and apparatus for correcting improper encryption and/or for reducing memory storage|

---

US6090107A|1998-10-20|2000-07-18|Megadyne Medical Products, Inc.|Resposable electrosurgical instrument|

---

EP1123051A4|1998-10-23|2003-01-02|Applied Med Resources|Surgical grasper with inserts and method of using same|

---

US6659939B2|1998-11-20|2003-12-09|Intuitive Surgical, Inc.|Cooperative minimally invasive telesurgical system|

---

US6325808B1|1998-12-08|2001-12-04|Advanced Realtime Control Systems, Inc.|Robotic system, docking station, and surgical tool for collaborative control in minimally invasive surgery|

---

WO2001008578A1|1999-07-30|2001-02-08|Vivant Medical, Inc.|Device and method for safe location and marking of a cavity and sentinel lymph nodes|

---

DE19860689C2|1998-12-29|2001-07-05|Erbe Elektromedizin|Method for controlling a device for removing smoke and device for carrying out the method|

---

AU5924099A|1998-12-31|2000-07-24|Jeffrey E. Yeung|Tissue fastening devices and delivery means|

---

GB2351884B|1999-04-10|2002-07-31|Peter Strong|Data transmission method|

---

US6301495B1|1999-04-27|2001-10-09|International Business Machines Corporation|System and method for intra-operative, image-based, interactive verification of a pre-operative surgical plan|

---

US6461352B2|1999-05-11|2002-10-08|Stryker Corporation|Surgical handpiece with self-sealing switch assembly|

---

US6716233B1|1999-06-02|2004-04-06|Power Medical Interventions, Inc.|Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities|

---

US6443973B1|1999-06-02|2002-09-03|Power Medical Interventions, Inc.|Electromechanical driver device for use with anastomosing, stapling, and resecting instruments|

---

US6264087B1|1999-07-12|2001-07-24|Powermed, Inc.|Expanding parallel jaw device for use with an electromechanical driver device|

---

US6619406B1|1999-07-14|2003-09-16|Cyra Technologies, Inc.|Advanced applications for 3-D autoscanning LIDAR system|

---

AU7880600A|1999-08-12|2001-03-13|Somnus Medical Technologies, Inc.|Nerve stimulation and tissue ablation apparatus and method|

---

WO2001020892A2|1999-09-13|2001-03-22|Fernway Limited|A method for transmitting data between respective first and second modems in a telecommunications system, and a telecommunications system|

---

US6325811B1|1999-10-05|2001-12-04|Ethicon Endo-Surgery, Inc.|Blades with functional balance asymmetries for use with ultrasonic surgical instruments|

---

US20040078236A1|1999-10-30|2004-04-22|Medtamic Holdings|Storage and access of aggregate patient data for analysis|

---

US6569109B2|2000-02-04|2003-05-27|Olympus Optical Co., Ltd.|Ultrasonic operation apparatus for performing follow-up control of resonance frequency drive of ultrasonic oscillator by digital PLL system using DDS |

---

AUPQ600100A0|2000-03-03|2000-03-23|Macropace Products Pty. Ltd.|Animation technology|

---

US6391102B1|2000-03-21|2002-05-21|Stackhouse, Inc.|Air filtration system with filter efficiency management|

---

EP1272117A2|2000-03-31|2003-01-08|Rita Medical Systems, Inc.|Tissue biopsy and treatment apparatus and method|

---

US6742895B2|2000-07-06|2004-06-01|Alan L. Robin|Internet-based glaucoma diagnostic system|

---

WO2002032335A1|2000-07-25|2002-04-25|Rita Medical Systems Inc.|Apparatus for detecting and treating tumors using localized impedance measurement|

---

EP1322236B1|2000-09-24|2007-08-15|Medtronic, Inc.|Motor control system for a surgical handpiece|

---

US6945981B2|2000-10-20|2005-09-20|Ethicon-Endo Surgery, Inc.|Finger operated switch for controlling a surgical handpiece|

---

US20020049551A1|2000-10-20|2002-04-25|Ethicon Endo-Surgery, Inc.|Method for differentiating between burdened and cracked ultrasonically tuned blades|

---

US7077853B2|2000-10-20|2006-07-18|Ethicon Endo-Surgery, Inc.|Method for calculating transducer capacitance to determine transducer temperature|

---

US7423972B2|2000-11-28|2008-09-09|Flash Networks Ltd.|System and method for a transmission rate controller|

---

US7232445B2|2000-12-06|2007-06-19|Id, Llc|Apparatus for the endoluminal treatment of gastroesophageal reflux disease |

---

US6618626B2|2001-01-16|2003-09-09|Hs West Investments, Llc|Apparatus and methods for protecting the axillary nerve during thermal capsullorhaphy|

---

US6551243B2|2001-01-24|2003-04-22|Siemens Medical Solutions Health Services Corporation|System and user interface for use in providing medical information and health care delivery support|

---

US6911033B2|2001-08-21|2005-06-28|Microline Pentax Inc.|Medical clip applying device|

---

US9002518B2|2003-06-30|2015-04-07|Intuitive Surgical Operations, Inc.|Maximum torque driving of robotic surgical tools in robotic surgical systems|

---

US6783524B2|2001-04-19|2004-08-31|Intuitive Surgical, Inc.|Robotic surgical tool with ultrasound cauterizing and cutting instrument|

---

PT1381302E|2001-04-20|2008-08-01|Power Med Interventions Inc|Imaging device|

---

US7044911B2|2001-06-29|2006-05-16|Philometron, Inc.|Gateway platform for biological monitoring and delivery of therapeutic compounds|

---

EP2305143B1|2001-08-08|2016-11-09|Stryker Corporation|Motorized surgical handpiece that drives a cutting accessory and that includes a coil for reading data from the accessory|

---

JP2005503871A|2001-09-28|2005-02-10|メーガンメディカル、インク．|Method and apparatus for securing and / or identifying a link to a transcutaneous probe|

---

US7334717B2|2001-10-05|2008-02-26|Tyco Healthcare Group Lp|Surgical fastener applying apparatus|

---

DE10151269B4|2001-10-17|2005-08-25|Sartorius Ag|Method for monitoring the integrity of filtration plants|

---

US7383088B2|2001-11-07|2008-06-03|Cardiac Pacemakers, Inc.|Centralized management system for programmable medical devices|

---

US7409354B2|2001-11-29|2008-08-05|Medison Online Inc.|Method and apparatus for operative event documentation and related data management|

---

US6783525B2|2001-12-12|2004-08-31|Megadyne Medical Products, Inc.|Application and utilization of a water-soluble polymer on a surface|

---

US20070010838A1|2003-05-20|2007-01-11|Shelton Frederick E Iv|Surgical stapling instrument having a firing lockout for an unclosed anvil|

---

US6869435B2|2002-01-17|2005-03-22|Blake, Iii John W|Repeating multi-clip applier|

---

US8775196B2|2002-01-29|2014-07-08|Baxter International Inc.|System and method for notification and escalation of medical data|

---

US6585791B1|2002-01-29|2003-07-01|Jon C. Garito|Smoke plume evacuation filtration system|

---

US6685704B2|2002-02-26|2004-02-03|Megadyne Medical Products, Inc.|Utilization of an active catalyst in a surface coating of an electrosurgical instrument|

---

US8010180B2|2002-03-06|2011-08-30|Mako Surgical Corp.|Haptic guidance system and method|

---

EP2218479A3|2006-06-28|2013-06-05|Medtronic Ardian Luxembourg S.à.r.l.|Methods and systems for thermally-induced renal neuromodulation|

---

JP4431404B2|2002-04-25|2010-03-17|タイコヘルスケアグループエルピー|Surgical instruments including microelectromechanical systems |

---

EP2289429B1|2002-05-10|2015-06-17|Covidien LP|Surgical stapling apparatus having a wound closure material applicator assembly|

---

US6951559B1|2002-06-21|2005-10-04|Megadyne Medical Products, Inc.|Utilization of a hybrid material in a surface coating of an electrosurgical instrument|

---

US7121460B1|2002-07-16|2006-10-17|Diebold Self-Service Systems Division Of Diebold, Incorporated|Automated banking machine component authentication system and method|

---

US6852219B2|2002-07-22|2005-02-08|John M. Hammond|Fluid separation and delivery apparatus and method|

---

US20060116908A1|2002-07-30|2006-06-01|Dew Douglas K|Web-based data entry system and method for generating medical records|

---

US9271753B2|2002-08-08|2016-03-01|Atropos Limited|Surgical device|

---

ES2310876T3|2002-10-04|2009-01-16|Tyco Healthcare Group Lp|SURGICAL STAPLER WITH UNIVERSAL ARTICULATION AND DEVICE FOR PREVIOUS FASTENING OF THE FABRIC.|

---

AU2002368304A1|2002-10-28|2004-05-13|Nokia Corporation|Device keys|

---

JP3769752B2|2002-12-24|2006-04-26|ソニー株式会社|Information processing apparatus and information processing method, data communication system, and program|

---

US7081096B2|2003-01-24|2006-07-25|Medtronic Vascular, Inc.|Temperature mapping balloon|

---

US7230529B2|2003-02-07|2007-06-12|Theradoc, Inc.|System, method, and computer program for interfacing an expert system to a clinical information system|

---

US7182775B2|2003-02-27|2007-02-27|Microline Pentax, Inc.|Super atraumatic grasper apparatus|

---

US8882657B2|2003-03-07|2014-11-11|Intuitive Surgical Operations, Inc.|Instrument having radio frequency identification systems and methods for use|

---

US20040243148A1|2003-04-08|2004-12-02|Wasielewski Ray C.|Use of micro- and miniature position sensing devices for use in TKA and THA|

---

US9060770B2|2003-05-20|2015-06-23|Ethicon Endo-Surgery, Inc.|Robotically-driven surgical instrument with E-beam driver|

---

US7143923B2|2003-05-20|2006-12-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a firing lockout for an unclosed anvil|

---

US20070084897A1|2003-05-20|2007-04-19|Shelton Frederick E Iv|Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism|

---

US7044352B2|2003-05-20|2006-05-16|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a single lockout mechanism for prevention of firing|

---

US6978921B2|2003-05-20|2005-12-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating an E-beam firing mechanism|

---

US6988649B2|2003-05-20|2006-01-24|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a spent cartridge lockout|

---

US7380695B2|2003-05-20|2008-06-03|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a single lockout mechanism for prevention of firing|

---

US9561045B2|2006-06-13|2017-02-07|Intuitive Surgical Operations, Inc.|Tool with rotation lock|

---

US20040243435A1|2003-05-29|2004-12-02|Med-Sched, Inc.|Medical information management system|

---

US20070168461A1|2005-02-01|2007-07-19|Moore James F|Syndicating surgical data in a healthcare environment|

---

US20050065438A1|2003-09-08|2005-03-24|Miller Landon C.G.|System and method of capturing and managing information during a medical diagnostic imaging procedure|

---

AU2004273890A1|2003-09-15|2005-03-31|Robert O. Dean|Operating room smoke evacuator with integrated vacuum motor and filter|

---

US20050063575A1|2003-09-22|2005-03-24|Ge Medical Systems Global Technology, Llc|System and method for enabling a software developer to introduce informational attributes for selective inclusion within image headers for medical imaging apparatus applications|

---

US8147486B2|2003-09-22|2012-04-03|St. Jude Medical, Atrial Fibrillation Division, Inc.|Medical device with flexible printed circuit|

---

EP1517117A1|2003-09-22|2005-03-23|Leica Geosystems AG|Method and system for the determination of the actual position of a positioning apparatus|

---

JP2005111085A|2003-10-09|2005-04-28|Olympus Corp|Operation supporting system|

---

US7169145B2|2003-11-21|2007-01-30|Megadyne Medical Products, Inc.|Tuned return electrode with matching inductor|

---

US7118564B2|2003-11-26|2006-10-10|Ethicon Endo-Surgery, Inc.|Medical treatment system with energy delivery device for limiting reuse|

---

US7317955B2|2003-12-12|2008-01-08|Conmed Corporation|Virtual operating room integration|

---

US7147139B2|2003-12-30|2006-12-12|Ethicon Endo-Surgery, Inc|Closure plate lockout for a curved cutter stapler|

---

US20050149356A1|2004-01-02|2005-07-07|Cyr Keneth K.|System and method for management of clinical supply operations|

---

US7766905B2|2004-02-12|2010-08-03|Covidien Ag|Method and system for continuity testing of medical electrodes|

---

ES2395916T3|2004-02-17|2013-02-18|Covidien Lp|Surgical stapling device with locking mechanism|

---

US20050192610A1|2004-02-27|2005-09-01|Houser Kevin L.|Ultrasonic surgical shears and tissue pad for same|

---

US20050222631A1|2004-04-06|2005-10-06|Nirav Dalal|Hierarchical data storage and analysis system for implantable medical devices|

---

US20050277913A1|2004-06-09|2005-12-15|Mccary Brian D|Heads-up display for displaying surgical parameters in a surgical microscope|

---

US20060020272A1|2004-06-24|2006-01-26|Gildenberg Philip L|Semi-robotic suturing device|

---

US7818041B2|2004-07-07|2010-10-19|Young Kim|System and method for efficient diagnostic analysis of ophthalmic examinations|

---

US8229549B2|2004-07-09|2012-07-24|Tyco Healthcare Group Lp|Surgical imaging device|

---

CA2513202C|2004-07-23|2015-03-31|Mehran Anvari|Multi-purpose robotic operating system and method|

---

US7862579B2|2004-07-28|2011-01-04|Ethicon Endo-Surgery, Inc.|Electroactive polymer-based articulation mechanism for grasper|

---

US8905977B2|2004-07-28|2014-12-09|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser|

---

US7407074B2|2004-07-28|2008-08-05|Ethicon Endo-Surgery, Inc.|Electroactive polymer-based actuation mechanism for multi-fire surgical fastening instrument|

---

US7784663B2|2005-03-17|2010-08-31|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having load sensing control circuitry|

---

US7143925B2|2004-07-28|2006-12-05|Ethicon Endo-Surgery, Inc.|Surgical instrument incorporating EAP blocking lockout mechanism|

---

US8123764B2|2004-09-20|2012-02-28|Endoevolution, Llc|Apparatus and method for minimally invasive suturing|

---

US7782789B2|2004-09-23|2010-08-24|Harris Corporation|Adaptive bandwidth utilization for telemetered data|

---

US20080015664A1|2004-10-06|2008-01-17|Podhajsky Ronald J|Systems and methods for thermally profiling radiofrequency electrodes|

---

JP2006158525A|2004-12-03|2006-06-22|Olympus Medical Systems Corp|Ultrasonic surgical apparatus, and method of driving ultrasonic treatment instrument|

---

US7371227B2|2004-12-17|2008-05-13|Ethicon Endo-Surgery, Inc.|Trocar seal assembly|

---

US7294116B1|2005-01-03|2007-11-13|Ellman Alan G|Surgical smoke plume evacuation system|

---

US20080040151A1|2005-02-01|2008-02-14|Moore James F|Uses of managed health care data|

---

WO2006083963A2|2005-02-03|2006-08-10|Christopher Sakezles|Models and methods of using same for testing medical devices|

---

US20060241399A1|2005-02-10|2006-10-26|Fabian Carl E|Multiplex system for the detection of surgical implements within the wound cavity|

---

AU2006218889A1|2005-02-28|2006-09-08|Rothman Healthcare Corporation|A system and method for improving hospital patient care by providing a continual measurement of health|

---

US8206345B2|2005-03-07|2012-06-26|Medtronic Cryocath Lp|Fluid control system for a medical device|

---

US8038686B2|2005-04-14|2011-10-18|Ethicon Endo-Surgery, Inc.|Clip applier configured to prevent clip fallout|

---

US7297149B2|2005-04-14|2007-11-20|Ethicon Endo-Surgery, Inc.|Surgical clip applier methods|

---

US7699860B2|2005-04-14|2010-04-20|Ethicon Endo-Surgery, Inc.|Surgical clip|

---

EP3095379A1|2005-04-15|2016-11-23|Surgisense Corporation|Surgical instruments with sensors for detecting tissue properties, and systems using such instruments|

---

US7362228B2|2005-04-28|2008-04-22|Warsaw Orthepedic, Inc.|Smart instrument tray RFID reader|

---

US7515961B2|2005-04-29|2009-04-07|Medtronic, Inc.|Method and apparatus for dynamically monitoring, detecting and diagnosing lead conditions|

---

US7717312B2|2005-06-03|2010-05-18|Tyco Healthcare Group Lp|Surgical instruments employing sensors|

---

US7464847B2|2005-06-03|2008-12-16|Tyco Healthcare Group Lp|Surgical stapler with timer and feedback display|

---

US8398541B2|2006-06-06|2013-03-19|Intuitive Surgical Operations, Inc.|Interactive user interfaces for robotic minimally invasive surgical systems|

---

US7833236B2|2005-06-13|2010-11-16|Ethicon Endo-Surgery, Inc.|Surgical suturing apparatus with collapsible vacuum chamber|

---

US8468030B2|2005-06-27|2013-06-18|Children's Mercy Hospital|System and method for collecting, organizing, and presenting date-oriented medical information|

---

US9662116B2|2006-05-19|2017-05-30|Ethicon, Llc|Electrically self-powered surgical instrument with cryptographic identification of interchangeable part|

---

US7770773B2|2005-07-27|2010-08-10|Power Medical Interventions, Llc|Surgical device|

---

US20070027459A1|2005-07-29|2007-02-01|Christopher Horvath|Method and system for configuring and data populating a surgical device|

---

US7621192B2|2005-07-29|2009-11-24|Dynatek Laboratories, Inc.|Medical device durability test apparatus having an integrated particle counter and method of use|

---

US7641092B2|2005-08-05|2010-01-05|Ethicon Endo - Surgery, Inc.|Swing gate for device lockout in a curved cutter stapler|

---

US7407075B2|2005-08-15|2008-08-05|Tyco Healthcare Group Lp|Staple cartridge having multiple staple sizes for a surgical stapling instrument|

---

US7720306B2|2005-08-29|2010-05-18|Photomed Technologies, Inc.|Systems and methods for displaying changes in biological responses to therapy|

---

US9237891B2|2005-08-31|2016-01-19|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical stapling devices that produce formed staples having different lengths|

---

CA2625359A1|2005-10-11|2007-04-19|Blake Podaima|Smart medical compliance method and system|

---

US8096459B2|2005-10-11|2012-01-17|Ethicon Endo-Surgery, Inc.|Surgical stapler with an end effector support|

---

US7966269B2|2005-10-20|2011-06-21|Bauer James D|Intelligent human-machine interface|

---

DE102005051367A1|2005-10-25|2007-04-26|Olympus Winter & Ibe Gmbh|Surgical jaw instrument e.g. for endoscopic surgery, has two joints having angle which can be moved relative to each other with bearing has joint section and far working section such as surgical muzzle instrument|

---

US7328828B2|2005-11-04|2008-02-12|Ethicon Endo-Surgery, Inc,|Lockout mechanisms and surgical instruments including same|

---

US7761164B2|2005-11-30|2010-07-20|Medtronic, Inc.|Communication system for medical devices|

---

AU2006326508B2|2005-12-14|2012-11-01|Stryker Corporation|Medical waste collection unit|

---

WO2007075091A2|2005-12-29|2007-07-05|Rikshospitalet - Radiumhospitalet Hf|Method and apparatus for determining local tissue impedance for positioning of a needle|

---

US7670334B2|2006-01-10|2010-03-02|Ethicon Endo-Surgery, Inc.|Surgical instrument having an articulating end effector|

---

EP1981406B1|2006-01-27|2016-04-13|Suturtek Incorporated|Apparatus for tissue closure|

---

US20120292367A1|2006-01-31|2012-11-22|Ethicon Endo-Surgery, Inc.|Robotically-controlled end effector|

---

US7568603B2|2006-01-31|2009-08-04|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with articulatable end effector|

---

US7464849B2|2006-01-31|2008-12-16|Ethicon Endo-Surgery, Inc.|Electro-mechanical surgical instrument with closure system and anvil alignment components|

---

US7422139B2|2006-01-31|2008-09-09|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting fastening instrument with tactile position feedback|

---

US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities|

---

US20070175955A1|2006-01-31|2007-08-02|Shelton Frederick E Iv|Surgical cutting and fastening instrument with closure trigger locking mechanism|

---

US8820603B2|2006-01-31|2014-09-02|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|

---

US8161977B2|2006-01-31|2012-04-24|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|

---

US8763879B2|2006-01-31|2014-07-01|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of surgical instrument|

---

US7575144B2|2006-01-31|2009-08-18|Ethicon Endo-Surgery, Inc.|Surgical fastener and cutter with single cable actuator|

---

US20190000569A1|2012-06-21|2019-01-03|Globus Medical, Inc.|Controlling a surgical robot to avoid robotic arm collision|

---

US20070225556A1|2006-03-23|2007-09-27|Ethicon Endo-Surgery, Inc.|Disposable endoscope devices|

---

US8992422B2|2006-03-23|2015-03-31|Ethicon Endo-Surgery, Inc.|Robotically-controlled endoscopic accessory channel|

---

US9636188B2|2006-03-24|2017-05-02|Stryker Corporation|System and method for 3-D tracking of surgical instrument in relation to patient body|

---

US20070270660A1|2006-03-29|2007-11-22|Caylor Edward J Iii|System and method for determining a location of an orthopaedic medical device|

---

US7667839B2|2006-03-30|2010-02-23|Particle Measuring Systems, Inc.|Aerosol particle sensor with axial fan|

---

US20080015912A1|2006-03-30|2008-01-17|Meryl Rosenthal|Systems and methods for workforce management|

---

FR2899932A1|2006-04-14|2007-10-19|Renault Sas|METHOD AND DEVICE FOR CONTROLLING THE REGENERATION OF A DEPOLLUTION SYSTEM|

---

US20070249990A1|2006-04-20|2007-10-25|Ioan Cosmescu|Automatic smoke evacuator and insufflation system for surgical procedures|

---

EP2486872A3|2006-05-19|2013-03-06|Ethicon Endo-Surgery, Inc.|Surgical instrument and method for post-termination braking of a motor in an electrically powered surgical instrument|

---

US8627995B2|2006-05-19|2014-01-14|Ethicon Endo-Sugery, Inc.|Electrically self-powered surgical instrument with cryptographic identification of interchangeable part|

---

CN101448467B|2006-05-19|2014-07-09|马科外科公司|Method and apparatus for controlling a haptic device|

---

US20070293218A1|2006-05-22|2007-12-20|Qualcomm Incorporated|Collision avoidance for traffic in a wireless network|

---

US8620473B2|2007-06-13|2013-12-31|Intuitive Surgical Operations, Inc.|Medical robotic system with coupled control modes|

---

US9138129B2|2007-06-13|2015-09-22|Intuitive Surgical Operations, Inc.|Method and system for moving a plurality of articulated instruments in tandem back towards an entry guide|

---

US8560047B2|2006-06-16|2013-10-15|Board Of Regents Of The University Of Nebraska|Method and apparatus for computer aided surgery|

---

EP2034922B1|2006-06-22|2017-03-15|Board of Regents of the University of Nebraska|Magnetically coupleable robotic devices|

---

US20080059658A1|2006-06-29|2008-03-06|Nokia Corporation|Controlling the feeding of data from a feed buffer|

---

US7391173B2|2006-06-30|2008-06-24|Intuitive Surgical, Inc|Mechanically decoupled capstan drive|

---

CA2692368C|2006-07-03|2016-09-20|Beth Israel Deaconess Medical Center|Multi-channel medical imaging systems|

---

US7776037B2|2006-07-07|2010-08-17|Covidien Ag|System and method for controlling electrode gap during tissue sealing|

---

US20080013460A1|2006-07-17|2008-01-17|Geoffrey Benjamin Allen|Coordinated upload of content from multimedia capture devices based on a transmission rule|

---

US9757142B2|2006-08-09|2017-09-12|Olympus Corporation|Relay device and ultrasonic-surgical and electrosurgical system|

---

US8652086B2|2006-09-08|2014-02-18|Abbott Medical Optics Inc.|Systems and methods for power and flow rate control|

---

US10130359B2|2006-09-29|2018-11-20|Ethicon Llc|Method for forming a staple|

---

US8608043B2|2006-10-06|2013-12-17|Covidien Lp|Surgical instrument having a multi-layered drive beam|

---

US20080114212A1|2006-10-10|2008-05-15|General Electric Company|Detecting surgical phases and/or interventions|

---

EP2954868A1|2006-10-18|2015-12-16|Vessix Vascular, Inc.|Tuned rf energy and electrical tissue characterization for selective treatment of target tissues|

---

US8126728B2|2006-10-24|2012-02-28|Medapps, Inc.|Systems and methods for processing and transmittal of medical data through an intermediary device|

---

WO2008056618A2|2006-11-06|2008-05-15|Johnson & Johnson Kabushiki Kaisha|Stapling instrument|

---

WO2008069816A1|2006-12-06|2008-06-12|Ryan Timothy J|Apparatus and methods for delivering sutures|

---

US8062306B2|2006-12-14|2011-11-22|Ethicon Endo-Surgery, Inc.|Manually articulating devices|

---

US8684253B2|2007-01-10|2014-04-01|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor|

---

EP2117442A4|2007-02-06|2012-05-30|Stryker Corp|Universal surgical function control system|

---

US8930203B2|2007-02-18|2015-01-06|Abbott Diabetes Care Inc.|Multi-function analyte test device and methods therefor|

---

WO2008109014A2|2007-03-01|2008-09-12|Medtek Devices, Inc. Dba/ Buffalo Filter|Wick and relief valve for disposable laparscopic smoke evacuation system|

---

US7862560B2|2007-03-23|2011-01-04|Arthrocare Corporation|Ablation apparatus having reduced nerve stimulation and related methods|

---

US20080255413A1|2007-04-13|2008-10-16|Michael Zemlok|Powered surgical instrument|

---

US7995045B2|2007-04-13|2011-08-09|Ethicon Endo-Surgery, Inc.|Combined SBI and conventional image processor|

---

US8768251B2|2007-05-17|2014-07-01|Abbott Medical Optics Inc.|Exclusive pairing technique for Bluetooth compliant medical devices|

---

US20090036750A1|2007-05-25|2009-02-05|The Charles Stark Draper Laboratory, Inc.|Integration and control of medical devices in a clinical environment|

---

US20080296346A1|2007-05-31|2008-12-04|Shelton Iv Frederick E|Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms|

---

US8308040B2|2007-06-22|2012-11-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with an articulatable end effector|

---

US7753245B2|2007-06-22|2010-07-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments|

---

US8062330B2|2007-06-27|2011-11-22|Tyco Healthcare Group Lp|Buttress and surgical stapling apparatus|

---

US8321581B2|2007-10-19|2012-11-27|Voxer Ip Llc|Telecommunication and multimedia management method and apparatus|

---

US7982776B2|2007-07-13|2011-07-19|Ethicon Endo-Surgery, Inc.|SBI motion artifact removal apparatus and method|

---

US8512365B2|2007-07-31|2013-08-20|Ethicon Endo-Surgery, Inc.|Surgical instruments|

---

US9044261B2|2007-07-31|2015-06-02|Ethicon Endo-Surgery, Inc.|Temperature controlled ultrasonic surgical instruments|

---

US8801703B2|2007-08-01|2014-08-12|Covidien Lp|System and method for return electrode monitoring|

---

GB0715211D0|2007-08-06|2007-09-12|Smith & Nephew|Apparatus|

---

AU2008286957B2|2007-08-10|2012-11-01|Smiths Medical Asd, Inc.|System for controlling medical devices|

---

US9020240B2|2007-08-10|2015-04-28|Leica Geosystems Ag|Method and surveying system for noncontact coordinate measurement on an object surface|

---

US20090046146A1|2007-08-13|2009-02-19|Jonathan Hoyt|Surgical communication and control system|

---

US9848058B2|2007-08-31|2017-12-19|Cardiac Pacemakers, Inc.|Medical data transport over wireless life critical network employing dynamic communication link mapping|

---

GB0718291D0|2007-09-19|2007-10-31|King S College London|Imaging apparatus and method|

---

WO2009039506A1|2007-09-21|2009-03-26|Power Medical Interventions, Inc.|Surgical device|

---

CA2698329C|2007-09-21|2016-04-26|Power Medical Interventions, Llc|Surgical device|

---

US20090112618A1|2007-10-01|2009-04-30|Johnson Christopher D|Systems and methods for viewing biometrical information and dynamically adapting schedule and process interdependencies with clinical process decisioning|

---

US10779818B2|2007-10-05|2020-09-22|Covidien Lp|Powered surgical stapling device|

---

US8960520B2|2007-10-05|2015-02-24|Covidien Lp|Method and apparatus for determining parameters of linear motion in a surgical instrument|

---

AU2008308606B2|2007-10-05|2014-12-18|Ethicon Endo-Surgery, Inc.|Ergonomic surgical instruments|

---

US10041822B2|2007-10-05|2018-08-07|Covidien Lp|Methods to shorten calibration times for powered devices|

---

US20130214025A1|2007-10-05|2013-08-22|Covidien Lp|Powered surgical stapling device|

---

AU2016200084B2|2015-01-16|2020-01-16|Covidien Lp|Powered surgical stapling device|

---

US10498269B2|2007-10-05|2019-12-03|Covidien Lp|Powered surgical stapling device|

---

EP2053353A1|2007-10-26|2009-04-29|Leica Geosystems AG|Distance measuring method and corresponding device|

---

EP2060986B1|2007-11-13|2019-01-02|Karl Storz SE & Co. KG|System and method for management of processes in a hospital and/or in an operating room|

---

US8057498B2|2007-11-30|2011-11-15|Ethicon Endo-Surgery, Inc.|Ultrasonic surgical instrument blades|

---

DE102008061418A1|2007-12-12|2009-06-18|Erbe Elektromedizin Gmbh|Apparatus for contactless communication and use of a memory device|

---

EP2075096A1|2007-12-27|2009-07-01|Leica Geosystems AG|Method and system for extremely precise positioning of at least one object in the end position of a space|

---

US20090182577A1|2008-01-15|2009-07-16|Carestream Health, Inc.|Automated information management process|

---

US8561870B2|2008-02-13|2013-10-22|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument|

---

US8752749B2|2008-02-14|2014-06-17|Ethicon Endo-Surgery, Inc.|Robotically-controlled disposable motor-driven loading unit|

---

US7913891B2|2008-02-14|2011-03-29|Ethicon Endo-Surgery, Inc.|Disposable loading unit with user feedback features and surgical instrument for use therewith|

---

US8573465B2|2008-02-14|2013-11-05|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical end effector system with rotary actuated closure systems|

---

US9179912B2|2008-02-14|2015-11-10|Ethicon Endo-Surgery, Inc.|Robotically-controlled motorized surgical cutting and fastening instrument|

---

US7980443B2|2008-02-15|2011-07-19|Ethicon Endo-Surgery, Inc.|End effectors for a surgical cutting and stapling instrument|

---

US8608044B2|2008-02-15|2013-12-17|Ethicon Endo-Surgery, Inc.|Feedback and lockout mechanism for surgical instrument|

---

CA3022982A1|2008-03-31|2009-10-08|Applied Medical Resources Corporation|Electrosurgical system|

---

WO2009126553A2|2008-04-08|2009-10-15|The Quantum Group, Inc.|Dynamic integration of disparate health-related processes and data|

---

US20090259149A1|2008-04-15|2009-10-15|Naoko Tahara|Power supply apparatus for operation|

---

US20090259221A1|2008-04-15|2009-10-15|Naoko Tahara|Power supply apparatus for operation|

---

US9526407B2|2008-04-25|2016-12-27|Karl Storz Imaging, Inc.|Wirelessly powered medical devices and instruments|

---

WO2009140092A1|2008-05-13|2009-11-19|The Medicines Company|Maintenance of platelet inhibition during antiplatelet therapy|

---

CA2724127A1|2008-06-05|2009-12-10|Alcon Research, Ltd.|Wireless network and methods of wireless communication for ophthalmic surgical consoles|

---

US7789283B2|2008-06-06|2010-09-07|Tyco Healthcare Group Lp|Knife/firing rod connection for surgical instrument|

---

US7942303B2|2008-06-06|2011-05-17|Tyco Healthcare Group Lp|Knife lockout mechanisms for surgical instrument|

---

US20090308907A1|2008-06-12|2009-12-17|Nalagatla Anil K|Partially reusable surgical stapler|

---

US8628545B2|2008-06-13|2014-01-14|Covidien Lp|Endoscopic stitching devices|

---

US20090326336A1|2008-06-25|2009-12-31|Heinz Ulrich Lemke|Process for comprehensive surgical assist system by means of a therapy imaging and model management system |

---

US10258425B2|2008-06-27|2019-04-16|Intuitive Surgical Operations, Inc.|Medical robotic system providing an auxiliary view of articulatable instruments extending out of a distal end of an entry guide|

---

CN101617950A|2008-07-01|2010-01-06|王爱娣|Repeating titanium clamp pincers|

---

US8771270B2|2008-07-16|2014-07-08|Intuitive Surgical Operations, Inc.|Bipolar cautery instrument|

---

US8054184B2|2008-07-31|2011-11-08|Intuitive Surgical Operations, Inc.|Identification of surgical instrument attached to surgical robot|

---

US8058771B2|2008-08-06|2011-11-15|Ethicon Endo-Surgery, Inc.|Ultrasonic device for cutting and coagulating with stepped output|

---

US9089360B2|2008-08-06|2015-07-28|Ethicon Endo-Surgery, Inc.|Devices and techniques for cutting and coagulating tissue|

---

WO2010019515A2|2008-08-10|2010-02-18|Board Of Regents, The University Of Texas System|Digital light processing hyperspectral imaging apparatus|

---

US8172836B2|2008-08-11|2012-05-08|Tyco Healthcare Group Lp|Electrosurgical system having a sensor for monitoring smoke or aerosols|

---

US20100217991A1|2008-08-14|2010-08-26|Seung Wook Choi|Surgery robot system of server and client type|

---

US8257387B2|2008-08-15|2012-09-04|Tyco Healthcare Group Lp|Method of transferring pressure in an articulating surgical instrument|

---

US9107688B2|2008-09-12|2015-08-18|Ethicon Endo-Surgery, Inc.|Activation feature for surgical instrument with pencil grip|

---

WO2010030850A2|2008-09-12|2010-03-18|Ethicon Endo-Surgery, Inc.|Ultrasonic device for fingertip control|

---

US20100070417A1|2008-09-12|2010-03-18|At&T Mobility Ii Llc|Network registration for content transactions|

---

EP2163209A1|2008-09-15|2010-03-17|Zhiqiang Weng|Lockout mechanism for a surgical stapler|

---

US9050083B2|2008-09-23|2015-06-09|Ethicon Endo-Surgery, Inc.|Motorized surgical instrument|

---

US7988028B2|2008-09-23|2011-08-02|Tyco Healthcare Group Lp|Surgical instrument having an asymmetric dynamic clamping member|

---

US8210411B2|2008-09-23|2012-07-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument|

---

US9439736B2|2009-07-22|2016-09-13|St. Jude Medical, Atrial Fibrillation Division, Inc.|System and method for controlling a remote medical device guidance system in three-dimensions using gestures|

---

MY160563A|2008-10-01|2017-03-15|Chevron Usa Inc|A 170 neutral base oil with improved properties|

---

WO2012044410A2|2010-09-20|2012-04-05|Surgiquest, Inc.|Multi-flow filtration system|

---

US8608045B2|2008-10-10|2013-12-17|Ethicon Endo-Sugery, Inc.|Powered surgical cutting and stapling apparatus with manually retractable firing system|

---

US8627483B2|2008-12-18|2014-01-07|Accenture Global Services Limited|Data anonymization based on guessing anonymity|

---

US8335590B2|2008-12-23|2012-12-18|Intuitive Surgical Operations, Inc.|System and method for adjusting an image capturing device attribute using an unused degree-of-freedom of a master control device|

---

US9526587B2|2008-12-31|2016-12-27|Intuitive Surgical Operations, Inc.|Fiducial marker design and detection for locating surgical instrument in images|

---

US8160098B1|2009-01-14|2012-04-17|Cisco Technology, Inc.|Dynamically allocating channel bandwidth between interfaces|

---

US20100191100A1|2009-01-23|2010-07-29|Warsaw Orthopedic, Inc.|Methods and systems for diagnosing, treating, or tracking spinal disorders|

---

CN102300516B|2009-01-30|2014-07-23|皇家飞利浦电子股份有限公司|Examination apparatus|

---

EP2391259A1|2009-01-30|2011-12-07|The Trustees Of Columbia University In The City Of New York|Controllable magnetic source to fixture intracorporeal apparatus|

---

US20100198248A1|2009-02-02|2010-08-05|Ethicon Endo-Surgery, Inc.|Surgical dissector|

---

US8799009B2|2009-02-02|2014-08-05|Mckesson Financial Holdings|Systems, methods and apparatuses for predicting capacity of resources in an institution|

---

ES2398006T3|2009-02-04|2013-03-13|Stryker Leibinger Gmbh & Co. Kg|Electric surgical tool and drive assembly for it|

---

US8641621B2|2009-02-17|2014-02-04|Inneroptic Technology, Inc.|Systems, methods, apparatuses, and computer-readable media for image management in image-guided medical procedures|

---

US8914098B2|2009-03-08|2014-12-16|Oprobe, Llc|Medical and veterinary imaging and diagnostic procedures utilizing optical probe systems|

---

US8120301B2|2009-03-09|2012-02-21|Intuitive Surgical Operations, Inc.|Ergonomic surgeon control console in robotic surgical systems|

---

US8423182B2|2009-03-09|2013-04-16|Intuitive Surgical Operations, Inc.|Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems|

---

US20100235689A1|2009-03-16|2010-09-16|Qualcomm Incorporated|Apparatus and method for employing codes for telecommunications|

---

US8277446B2|2009-04-24|2012-10-02|Tyco Healthcare Group Lp|Electrosurgical tissue sealer and cutter|

---

US10271844B2|2009-04-27|2019-04-30|Covidien Lp|Surgical stapling apparatus employing a predictive stapling algorithm|

---

US8012170B2|2009-04-27|2011-09-06|Tyco Healthcare Group Lp|Device and method for controlling compression of tissue|

---

US9656092B2|2009-05-12|2017-05-23|Chronicmobile, Inc.|Methods and systems for managing, controlling and monitoring medical devices via one or more software applications functioning in a secure environment|

---

GB0908368D0|2009-05-15|2009-06-24|Univ Leuven Kath|Adjustable remote center of motion positioner|

---

WO2010141922A1|2009-06-04|2010-12-09|Abbott Diabetes Care Inc.|Method and system for updating a medical device|

---

US8827134B2|2009-06-19|2014-09-09|Covidien Lp|Flexible surgical stapler with motor in the head|

---

US9017326B2|2009-07-15|2015-04-28|Ethicon Endo-Surgery, Inc.|Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments|

---

US8461744B2|2009-07-15|2013-06-11|Ethicon Endo-Surgery, Inc.|Rotating transducer mount for ultrasonic surgical instruments|

---

US8663220B2|2009-07-15|2014-03-04|Ethicon Endo-Surgery, Inc.|Ultrasonic surgical instruments|

---

FR2948594B1|2009-07-31|2012-07-20|Dexterite Surgical|ERGONOMIC AND SEMI-AUTOMATIC MANIPULATOR AND INSTRUMENT APPLICATIONS FOR MINI-INVASIVE SURGERY|

---

US8968358B2|2009-08-05|2015-03-03|Covidien Lp|Blunt tissue dissection surgical instrument jaw designs|

---

EP2329786A2|2009-10-01|2011-06-08|Navotek Medical Ltd.|Guided surgery|

---

US20110125521A1|2009-10-02|2011-05-26|Rabin Chandra Kemp Dhoble|Apparatuses, methods and systems for a mobile healthcare manager-based healthcare consultation manager|

---

US8986302B2|2009-10-09|2015-03-24|Ethicon Endo-Surgery, Inc.|Surgical generator for ultrasonic and electrosurgical devices|

---

US10441345B2|2009-10-09|2019-10-15|Ethicon Llc|Surgical generator for ultrasonic and electrosurgical devices|

---

US9168054B2|2009-10-09|2015-10-27|Ethicon Endo-Surgery, Inc.|Surgical generator for ultrasonic and electrosurgical devices|

---

WO2011047295A2|2009-10-16|2011-04-21|Nanomedapps Llc|Item and user tracking|

---

US8398633B2|2009-10-30|2013-03-19|Covidien Lp|Jaw roll joint|

---

US8225979B2|2009-10-30|2012-07-24|Tyco Healthcare Group Lp|Locking shipping wedge|

---

DK2320621T3|2009-11-06|2016-12-19|F Hoffmann-La Roche Ag|A method of establishing a cryptographic communication between a remote device and a medical device and system for carrying out this method|

---

US9259275B2|2009-11-13|2016-02-16|Intuitive Surgical Operations, Inc.|Wrist articulation by linked tension members|

---

US8682489B2|2009-11-13|2014-03-25|Intuitive Sugical Operations, Inc.|Method and system for hand control of a teleoperated minimally invasive slave surgical instrument|

---

KR101923049B1|2009-11-13|2018-11-28|인튜어티브 서지컬 오퍼레이션즈 인코포레이티드|End effector with redundant closing mechanisms|

---

KR102092384B1|2009-11-13|2020-03-23|인튜어티브 서지컬 오퍼레이션즈 인코포레이티드|Surgical tool with a compact wrist|

---

US10105140B2|2009-11-20|2018-10-23|Covidien Lp|Surgical console and hand-held surgical device|

---

US10588629B2|2009-11-20|2020-03-17|Covidien Lp|Surgical console and hand-held surgical device|

---

EP2544598B1|2010-03-12|2020-05-06|The Board of Trustees of the University of Illionis|Waterproof stretchable optoelectronics|

---

WO2012051200A2|2010-10-11|2012-04-19|Cook Medical Technologies Llc|Medical devices with detachable pivotable jaws|

---

US8220688B2|2009-12-24|2012-07-17|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument with electric actuator directional control assembly|

---

US20110162048A1|2009-12-31|2011-06-30|Apple Inc.|Local device awareness|

---

US20120319859A1|2010-01-20|2012-12-20|Creative Team Instruments Ltd.|Orientation detector for use with a hand-held surgical or dental tool|

---

US10044791B2|2010-01-22|2018-08-07|Deka Products Limited Partnership|System, method, and apparatus for communicating data|

---

US8476227B2|2010-01-22|2013-07-02|Ethicon Endo-Surgery, Inc.|Methods of activating a melanocortin-4 receptor pathway in obese subjects|

---

US8439910B2|2010-01-22|2013-05-14|Megadyne Medical Products Inc.|Electrosurgical electrode with electric field concentrating flash edge|

---

GB2477515B|2010-02-03|2012-09-26|Orbital Multi Media Holdings Corp|Data flow control method and apparatus|

---

MX2012001235A|2010-02-04|2012-05-23|Aesculap Ag|Laparoscopic radiofrequency surgical device.|

---

US9107684B2|2010-03-05|2015-08-18|Covidien Lp|System and method for transferring power to intrabody instruments|

---

US20130024213A1|2010-03-25|2013-01-24|The Research Foundation Of State University Of New York|Method and system for guided, efficient treatment|

---

JP5405373B2|2010-03-26|2014-02-05|富士フイルム株式会社|Electronic endoscope system|

---

CN102845090B|2010-04-13|2016-07-06|皇家飞利浦电子股份有限公司|There is the medical body area network that the frequency spectrum behaviour in service based on key controls|

---

AU2015201140B2|2010-06-11|2017-02-09|Ethicon, Llc|Suture delivery tools for endoscopic and robot-assisted surgery and methods|

---

US8596515B2|2010-06-18|2013-12-03|Covidien Lp|Staple position sensor system|

---

US8403946B2|2010-07-28|2013-03-26|Covidien Lp|Articulating clip applier cartridge|

---

US8968337B2|2010-07-28|2015-03-03|Covidien Lp|Articulating clip applier|

---

US8360296B2|2010-09-09|2013-01-29|Ethicon Endo-Surgery, Inc.|Surgical stapling head assembly with firing lockout for a surgical stapler|

---

US9289212B2|2010-09-17|2016-03-22|Ethicon Endo-Surgery, Inc.|Surgical instruments and batteries for surgical instruments|

---

US8632525B2|2010-09-17|2014-01-21|Ethicon Endo-Surgery, Inc.|Power control arrangements for surgical instruments and batteries|

---

US8733613B2|2010-09-29|2014-05-27|Ethicon Endo-Surgery, Inc.|Staple cartridge|

---

JP5902180B2|2010-09-30|2016-04-13|エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Fastening system including retention matrix and alignment matrix|

---

US9320523B2|2012-03-28|2016-04-26|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising tissue ingrowth features|

---

US9314246B2|2010-09-30|2016-04-19|Ethicon Endo-Surgery, Llc|Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent|

---

US8740037B2|2010-09-30|2014-06-03|Ethicon Endo-Surgery, Inc.|Compressible fastener cartridge|

---

US9861361B2|2010-09-30|2018-01-09|Ethicon Llc|Releasable tissue thickness compensator and fastener cartridge having the same|

---

PL3120781T3|2010-09-30|2018-12-31|Ethicon Llc|Surgical stapling instrument with interchangeable staple cartridge arrangements|

---

US9386984B2|2013-02-08|2016-07-12|Ethicon Endo-Surgery, Llc|Staple cartridge comprising a releasable cover|

---

US8777004B2|2010-09-30|2014-07-15|Ethicon Endo-Surgery, Inc.|Compressible staple cartridge comprising alignment members|

---

US9204880B2|2012-03-28|2015-12-08|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising capsules defining a low pressure environment|

---

BR112013027794B1|2011-04-29|2020-12-15|Ethicon Endo-Surgery, Inc|CLAMP CARTRIDGE SET|

---

US9782214B2|2010-11-05|2017-10-10|Ethicon Llc|Surgical instrument with sensor and powered control|

---

US9381058B2|2010-11-05|2016-07-05|Ethicon Endo-Surgery, Llc|Recharge system for medical devices|

---

US9072523B2|2010-11-05|2015-07-07|Ethicon Endo-Surgery, Inc.|Medical device with feature for sterile acceptance of non-sterile reusable component|

---

US9161803B2|2010-11-05|2015-10-20|Ethicon Endo-Surgery, Inc.|Motor driven electrosurgical device with mechanical and electrical feedback|

---

US20120116381A1|2010-11-05|2012-05-10|Houser Kevin L|Surgical instrument with charging station and wireless communication|

---

EP2640301B1|2010-11-15|2016-03-30|Intuitive Surgical Operations, Inc.|Decoupling instrument shaft roll and end effector actuation in a surgical instrument|

---

US20120130217A1|2010-11-23|2012-05-24|Kauphusman James V|Medical devices having electrodes mounted thereon and methods of manufacturing therefor|

---

EP2458328B1|2010-11-24|2016-01-27|Leica Geosystems AG|Construction measuring device with an automatic plumbing point finding function|

---

US8814996B2|2010-12-01|2014-08-26|University Of South Carolina|Methods and sensors for the detection of active carbon filters degradation with EMIS-ECIS PWAS|

---

US9044244B2|2010-12-10|2015-06-02|Biosense Webster , Ltd.|System and method for detection of metal disturbance based on mutual inductance measurement|

---

WO2015134768A1|2011-01-11|2015-09-11|Amsel Medical Corporation|Method and apparatus for occluding a blood vessel and/or other tubular structures|

---

US8818556B2|2011-01-13|2014-08-26|Microsoft Corporation|Multi-state model for robot and user interaction|

---

EP2789209A1|2011-12-05|2014-10-15|Qualcomm Incorporated|Telehealth wireless communication hub device and service platform system|

---

US8798527B2|2011-01-14|2014-08-05|Covidien Lp|Wireless relay module for remote monitoring systems|

---

EP2672903A4|2011-02-10|2017-07-12|Actuated Medical, Inc.|Medical tool with electromechanical control and feedback|

---

KR101964642B1|2011-02-15|2019-04-02|인튜어티브 서지컬 오퍼레이션즈 인코포레이티드|Seals and sealing methods for a surgical instrument having an articulated end effector actuated by a drive shaft|

---

WO2012112251A1|2011-02-15|2012-08-23|Intuitive Surgical Operations, Inc.|Systems for indicating a clamping prediction|

---

KR102081754B1|2011-02-15|2020-02-26|인튜어티브 서지컬 오퍼레이션즈 인코포레이티드|Systems for detecting clamping or firing failure|

---

US9393017B2|2011-02-15|2016-07-19|Intuitive Surgical Operations, Inc.|Methods and systems for detecting staple cartridge misfire or failure|

---

US20120211542A1|2011-02-23|2012-08-23|Tyco Healthcare Group I.P|Controlled tissue compression systems and methods|

---

US8397972B2|2011-03-18|2013-03-19|Covidien Lp|Shipping wedge with lockout|

---

US20120245958A1|2011-03-25|2012-09-27|Surgichart, Llc|Case-Centric Medical Records System with Social Networking|

---

EP2509276B1|2011-04-05|2013-11-20|F. Hoffmann-La Roche AG|Method for secure transmission of electronic data over a data communication connection between one device and another|

---

CN103635130A|2011-04-15|2014-03-12|信息生物股份有限公司|Remote data monitoring and collection system with multi-tiered analysis|

---

US8926542B2|2011-04-29|2015-01-06|Medtronic, Inc.|Monitoring fluid volume for patients with renal disease|

---

US9861354B2|2011-05-06|2018-01-09|Ceterix Orthopaedics, Inc.|Meniscus repair|

---

JP5816457B2|2011-05-12|2015-11-18|オリンパス株式会社|Surgical device|

---

US9820741B2|2011-05-12|2017-11-21|Covidien Lp|Replaceable staple cartridge|

---

US20130317837A1|2012-05-24|2013-11-28|Deka Products Limited Partnership|System, Method, and Apparatus for Electronic Patient Care|

---

US9202078B2|2011-05-27|2015-12-01|International Business Machines Corporation|Data perturbation and anonymization using one way hash|

---

US9072535B2|2011-05-27|2015-07-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments with rotatable staple deployment arrangements|

---

JP6309447B2|2011-05-31|2018-04-11|インテュイティブ サージカル オペレーションズ， インコーポレイテッド|Active control of end effectors of surgical instruments by robots|

---

WO2012174539A1|2011-06-17|2012-12-20|Parallax Enterprises|Consolidated healthcare and resource management system|

---

US20140107697A1|2012-06-25|2014-04-17|Castle Surgical, Inc.|Clamping Forceps and Associated Methods|

---

US9652655B2|2011-07-09|2017-05-16|Gauss Surgical, Inc.|System and method for estimating extracorporeal blood volume in a physical sample|

---

JP6021353B2|2011-08-04|2016-11-09|オリンパス株式会社|Surgery support device|

---

WO2013023006A2|2011-08-08|2013-02-14|California Institute Of Technology|Filtration membranes, and related nano and/or micro fibers, composites, methods and systems|

---

US9539007B2|2011-08-08|2017-01-10|Covidien Lp|Surgical fastener applying aparatus|

---

US9724095B2|2011-08-08|2017-08-08|Covidien Lp|Surgical fastener applying apparatus|

---

US9123155B2|2011-08-09|2015-09-01|Covidien Lp|Apparatus and method for using augmented reality vision system in surgical procedures|

---

US20130046279A1|2011-08-16|2013-02-21|Paul J. Niklewski|User interface feature for drug delivery system|

---

US8685056B2|2011-08-18|2014-04-01|Covidien Lp|Surgical forceps|

---

WO2013036496A1|2011-09-09|2013-03-14|Depuy Spine, Inc.|Systems and methods for surgical support and management|

---

US9101359B2|2011-09-13|2015-08-11|Ethicon Endo-Surgery, Inc.|Surgical staple cartridge with self-dispensing staple buttress|

---

WO2013049386A1|2011-09-27|2013-04-04|Allied Minds Devices Llc|Instruct-or|

---

WO2013049595A1|2011-09-29|2013-04-04|Ethicon Endo-Surgery, Inc.|Methods and compositions of bile acids|

---

US8931679B2|2011-10-17|2015-01-13|Covidien Lp|Surgical stapling apparatus|

---

US8657177B2|2011-10-25|2014-02-25|Covidien Lp|Surgical apparatus and method for endoscopic surgery|

---

US9480492B2|2011-10-25|2016-11-01|Covidien Lp|Apparatus for endoscopic procedures|

---

US9016539B2|2011-10-25|2015-04-28|Covidien Lp|Multi-use loading unit|

---

US9492146B2|2011-10-25|2016-11-15|Covidien Lp|Apparatus for endoscopic procedures|

---

US8912746B2|2011-10-26|2014-12-16|Intuitive Surgical Operations, Inc.|Surgical instrument motor pack latch|

---

KR102019754B1|2011-10-26|2019-09-10|인튜어티브 서지컬 오퍼레이션즈 인코포레이티드|Surgical instrument with integral knife blade|

---

EP2770937B1|2011-10-26|2016-10-05|Intuitive Surgical Operations, Inc.|Cartridge status and presence detection|

---

US9364231B2|2011-10-27|2016-06-14|Covidien Lp|System and method of using simulation reload to optimize staple formation|

---

US10496788B2|2012-09-13|2019-12-03|Parkland Center For Clinical Innovation|Holistic hospital patient care and management system and method for automated patient monitoring|

---

US9277956B2|2011-11-09|2016-03-08|Siemens Medical Solutions Usa, Inc.|System for automatic medical ablation control|

---

US8968309B2|2011-11-10|2015-03-03|Covidien Lp|Surgical forceps|

---

EP2781195B1|2011-11-16|2016-10-26|Olympus Corporation|Medical instrument|

---

US8968336B2|2011-12-07|2015-03-03|Edwards Lifesciences Corporation|Self-cinching surgical clips and delivery system|

---

US20130165776A1|2011-12-22|2013-06-27|Andreas Blomqvist|Contraction status assessment|

---

US20130178853A1|2012-01-05|2013-07-11|International Business Machines Corporation|Surgical tool management|

---

US9867914B2|2012-01-10|2018-01-16|Buffalo Filter Llc|Fluid filtration device and system|

---

US8962062B2|2012-01-10|2015-02-24|Covidien Lp|Methods of manufacturing end effectors for energy-based surgical instruments|

---

US9641596B2|2012-01-25|2017-05-02|Panasonic Intellectual Property Management Co., Ltd.|Home appliance information management apparatus, home appliance information sharing method, and home appliance information sharing system|

---

US9183723B2|2012-01-31|2015-11-10|Cleanalert, Llc|Filter clog detection and notification system|

---

US9710644B2|2012-02-01|2017-07-18|Servicenow, Inc.|Techniques for sharing network security event information|

---

US9038882B2|2012-02-03|2015-05-26|Covidien Lp|Circular stapling instrument|

---

US20140066700A1|2012-02-06|2014-03-06|Vantage Surgical Systems Inc.|Stereoscopic System for Minimally Invasive Surgery Visualization|

---

CN104135952B|2012-02-14|2017-07-14|伊西康内外科公司|Linear staplers|

---

US8682049B2|2012-02-14|2014-03-25|Terarecon, Inc.|Cloud-based medical image processing system with access control|

---

WO2013134411A1|2012-03-06|2013-09-12|Briteseed, Llc|Surgical tool with integrated sensor|

---

US9364249B2|2012-03-22|2016-06-14|Ethicon Endo-Surgery, Llc|Method and apparatus for programming modular surgical instrument|

---

US20130253480A1|2012-03-22|2013-09-26|Cory G. Kimball|Surgical instrument usage data management|

---

US9381003B2|2012-03-23|2016-07-05|Integrated Medical Systems International, Inc.|Digital controller for surgical handpiece|

---

WO2013143573A1|2012-03-26|2013-10-03|Brainlab Ag|Pairing medical devices within a working environment|

---

US9078653B2|2012-03-26|2015-07-14|Ethicon Endo-Surgery, Inc.|Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge|

---

US9375282B2|2012-03-26|2016-06-28|Covidien Lp|Light energy sealing, cutting and sensing surgical device|

---

US20130256373A1|2012-03-28|2013-10-03|Ethicon Endo-Surgery, Inc.|Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments|

---

JP2013202313A|2012-03-29|2013-10-07|Panasonic Corp|Surgery support device and surgery support program|

---

US9050063B2|2012-03-30|2015-06-09|Sandance Technology Llc|Systems and methods for determining suitability of a mechanical implant for a medical procedure|

---

US9226766B2|2012-04-09|2016-01-05|Ethicon Endo-Surgery, Inc.|Serial communication protocol for medical device|

---

US9724118B2|2012-04-09|2017-08-08|Ethicon Endo-Surgery, Llc|Techniques for cutting and coagulating tissue for ultrasonic surgical instruments|

---

US9241731B2|2012-04-09|2016-01-26|Ethicon Endo-Surgery, Inc.|Rotatable electrical connection for ultrasonic surgical instruments|

---

JP5940864B2|2012-04-12|2016-06-29|カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト|Medical manipulator|

---

JP5997365B2|2012-04-18|2016-09-28|カーディカ インコーポレイテッド|Safety lockout for surgical staplers|

---

US9788851B2|2012-04-18|2017-10-17|Ethicon Llc|Surgical instrument with tissue density sensing|

---

US20150133945A1|2012-05-02|2015-05-14|Stryker Global Technology Center|Handheld tracking system and devices for aligning implant systems during surgery|

---

US20190104919A1|2012-05-20|2019-04-11|Ethicon Llc|Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage|

---

US9439622B2|2012-05-22|2016-09-13|Covidien Lp|Surgical navigation system|

---

US9572592B2|2012-05-31|2017-02-21|Ethicon Endo-Surgery, Llc|Surgical instrument with orientation sensing|

---

US9084606B2|2012-06-01|2015-07-21|Megadyne Medical Products, Inc.|Electrosurgical scissors|

---

KR20130136184A|2012-06-04|2013-12-12|삼성전자주식회사|Method for contents backup and an electronic device thereof|

---

US20130325352A1|2012-06-05|2013-12-05|Dexcom, Inc.|Calculation engine based on histograms|

---

US10677764B2|2012-06-11|2020-06-09|Covidien Lp|Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring|

---

US20130331875A1|2012-06-11|2013-12-12|Covidien Lp|Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring|

---

US9101358B2|2012-06-15|2015-08-11|Ethicon Endo-Surgery, Inc.|Articulatable surgical instrument comprising a firing drive|

---

US9629523B2|2012-06-27|2017-04-25|Camplex, Inc.|Binocular viewing assembly for a surgical visualization system|

---

US9119657B2|2012-06-28|2015-09-01|Ethicon Endo-Surgery, Inc.|Rotary actuatable closure arrangement for surgical end effector|

---

US9561038B2|2012-06-28|2017-02-07|Ethicon Endo-Surgery, Llc|Interchangeable clip applier|

---

US20140005718A1|2012-06-28|2014-01-02|Ethicon Endo-Surgery, Inc.|Multi-functional powered surgical device with external dissection features|

---

US20140006132A1|2012-06-28|2014-01-02|Jason W. Barker|Systems and methods for managing promotional offers|

---

US9072536B2|2012-06-28|2015-07-07|Ethicon Endo-Surgery, Inc.|Differential locking arrangements for rotary powered surgical instruments|

---

US20140001231A1|2012-06-28|2014-01-02|Ethicon Endo-Surgery, Inc.|Firing system lockout arrangements for surgical instruments|

---

US9364230B2|2012-06-28|2016-06-14|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with rotary joint assemblies|

---

US10930400B2|2012-06-28|2021-02-23|LiveData, Inc.|Operating room checklist system|

---

US9649111B2|2012-06-28|2017-05-16|Ethicon Endo-Surgery, Llc|Replaceable clip cartridge for a clip applier|

---

US9028494B2|2012-06-28|2015-05-12|Ethicon Endo-Surgery, Inc.|Interchangeable end effector coupling arrangement|

---

RU2636861C2|2012-06-28|2017-11-28|Этикон Эндо-Серджери, Инк.|Blocking of empty cassette with clips|

---

US9393037B2|2012-06-29|2016-07-19|Ethicon Endo-Surgery, Llc|Surgical instruments with articulating shafts|

---

US10194907B2|2012-07-18|2019-02-05|Covidien Lp|Multi-fire stapler with electronic counter, lockout, and visual indicator|

---

US9516239B2|2012-07-26|2016-12-06|DePuy Synthes Products, Inc.|YCBCR pulsed illumination scheme in a light deficient environment|

---

US20140029411A1|2012-07-27|2014-01-30|Samsung Electronics Co., Ltd.|Method and system to provide seamless data transmission|

---

US9119655B2|2012-08-03|2015-09-01|Stryker Corporation|Surgical manipulator capable of controlling a surgical instrument in multiple modes|

---

US9101374B1|2012-08-07|2015-08-11|David Harris Hoch|Method for guiding an ablation catheter based on real time intracardiac electrical signals and apparatus for performing the method|

---

JP6257930B2|2012-08-07|2018-01-10|東芝メディカルシステムズ株式会社|Ultrasonic diagnostic apparatus and ultrasonic probe|

---

US8761717B1|2012-08-07|2014-06-24|Brian K. Buchheit|Safety feature to disable an electronic device when a wireless implantable medical device is proximate|

---

EP2698602A1|2012-08-16|2014-02-19|Leica Geosystems AG|Hand-held distance measuring device with angle calculation unit|

---

EP2890319B1|2012-08-28|2019-03-27|Covidien LP|Adjustable electrosurgical pencil|

---

CN103654896B|2012-09-14|2015-12-02|苏州天臣国际医疗科技有限公司|The nail bin of Linear seam cutting device|

---

US20140081659A1|2012-09-17|2014-03-20|Depuy Orthopaedics, Inc.|Systems and methods for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking|

---

US20140087999A1|2012-09-21|2014-03-27|The General Hospital Corporation D/B/A Massachusetts General Hospital|Clinical predictors of weight loss|

---

US9250172B2|2012-09-21|2016-02-02|Ethicon Endo-Surgery, Inc.|Systems and methods for predicting metabolic and bariatric surgery outcomes|

---

JP5719819B2|2012-09-28|2015-05-20|日本光電工業株式会社|Surgery support system|

---

US9106270B2|2012-10-02|2015-08-11|Covidien Lp|Transmitting data across a patient isolation barrier using an electric-field capacitive coupler module|

---

US9107573B2|2012-10-17|2015-08-18|Karl Storz Endovision, Inc.|Detachable shaft flexible endoscope|

---

US9095367B2|2012-10-22|2015-08-04|Ethicon Endo-Surgery, Inc.|Flexible harmonic waveguides/blades for surgical instruments|

---

US9265585B2|2012-10-23|2016-02-23|Covidien Lp|Surgical instrument with rapid post event detection|

---

US9918788B2|2012-10-31|2018-03-20|St. Jude Medical, Atrial Fibrillation Division, Inc.|Electrogram-based ablation control|

---

US10631939B2|2012-11-02|2020-04-28|Intuitive Surgical Operations, Inc.|Systems and methods for mapping flux supply paths|

---

US9686306B2|2012-11-02|2017-06-20|University Of Washington Through Its Center For Commercialization|Using supplemental encrypted signals to mitigate man-in-the-middle attacks on teleoperated systems|

---

CA2795323C|2012-11-09|2019-09-24|Covidien Lp|Multi-use loading unit|

---

ES2736004T3|2012-11-14|2019-12-23|Covidien Lp|Multipurpose Charging Unit|

---

US9546662B2|2012-11-20|2017-01-17|Smith & Nephew, Inc.|Medical pump|

---

US9743016B2|2012-12-10|2017-08-22|Intel Corporation|Techniques for improved focusing of camera arrays|

---

US9498207B2|2012-12-13|2016-11-22|Ethicon Endo-Surgery, Llc|Cartridge interface for surgical suturing device|

---

FR2999757A1|2012-12-13|2014-06-20|Patrick Coudert|METHOD FOR SECURE ACCESS TO CONFIDENTIAL MEDICAL DATA, AND STORAGE MEDIUM FOR SAID METHOD|

---

US9320534B2|2012-12-13|2016-04-26|Alcon Research, Ltd.|Fine membrane forceps with integral scraping feature|

---

US10722222B2|2012-12-14|2020-07-28|Covidien Lp|Surgical system including a plurality of handle assemblies|

---

CN202953237U|2012-12-14|2013-05-29|纬创资通股份有限公司|Carton box structure|

---

US9463022B2|2012-12-17|2016-10-11|Ethicon Endo-Surgery, Llc|Motor driven rotary input circular stapler with lockable flexible shaft|

---

US9597081B2|2012-12-17|2017-03-21|Ethicon Endo-Surgery, Llc|Motor driven rotary input circular stapler with modular end effector|

---

US20140187856A1|2012-12-31|2014-07-03|Lee D. Holoien|Control System For Modular Imaging Device|

---

WO2014106262A1|2012-12-31|2014-07-03|Mako Surgical Corp.|System for image-based robotic surgery|

---

GB2509523A|2013-01-07|2014-07-09|Anish Kumar Mampetta|Surgical instrument with flexible members and a motor|

---

US10265090B2|2013-01-16|2019-04-23|Covidien Lp|Hand held electromechanical surgical system including battery compartment diagnostic display|

---

US9370248B2|2013-01-31|2016-06-21|Enrique Ramirez Magaña|Theater seating system with reclining seats and comfort divider|

---

KR101451970B1|2013-02-19|2014-10-23|주식회사 루트로닉|An ophthalmic surgical apparatus and an method for controlling that|

---

WO2014134196A1|2013-02-26|2014-09-04|Eastern Virginia Medical School|Augmented shared situational awareness system|

---

US10098527B2|2013-02-27|2018-10-16|Ethidcon Endo-Surgery, Inc.|System for performing a minimally invasive surgical procedure|

---

US9717497B2|2013-02-28|2017-08-01|Ethicon Llc|Lockout feature for movable cutting member of surgical instrument|

---

US9808248B2|2013-02-28|2017-11-07|Ethicon Llc|Installation features for surgical instrument end effector cartridge|

---

RU2669463C2|2013-03-01|2018-10-11|Этикон Эндо-Серджери, Инк.|Surgical instrument with soft stop|

---

US9700309B2|2013-03-01|2017-07-11|Ethicon Llc|Articulatable surgical instruments with conductive pathways for signal communication|

---

KR102117270B1|2013-03-06|2020-06-01|삼성전자주식회사|Surgical robot system and method for controlling the same|

---

US9414776B2|2013-03-06|2016-08-16|Navigated Technologies, LLC|Patient permission-based mobile health-linked information collection and exchange systems and methods|

---

US9706993B2|2013-03-08|2017-07-18|Covidien Lp|Staple cartridge with shipping wedge|

---

US9204995B2|2013-03-12|2015-12-08|Katalyst Surgical, Llc|Membrane removing forceps|

---

US9814463B2|2013-03-13|2017-11-14|Covidien Lp|Surgical stapling apparatus|

---

US9717498B2|2013-03-13|2017-08-01|Covidien Lp|Surgical stapling apparatus|

---

EP3135225B1|2013-03-13|2019-08-14|Covidien LP|Surgical stapling apparatus|

---

US9314308B2|2013-03-13|2016-04-19|Ethicon Endo-Surgery, Llc|Robotic ultrasonic surgical device with articulating end effector|

---

US20140263552A1|2013-03-13|2014-09-18|Ethicon Endo-Surgery, Inc.|Staple cartridge tissue thickness sensor system|

---

US9629628B2|2013-03-13|2017-04-25|Covidien Lp|Surgical stapling apparatus|

---

US9289211B2|2013-03-13|2016-03-22|Covidien Lp|Surgical stapling apparatus|

---

WO2014142926A1|2013-03-14|2014-09-18|Empire Technology Development Llc|Identification of surgical smoke|

---

US9114494B1|2013-03-14|2015-08-25|Kenneth Jack Mah|Electronic drill guide|

---

US20150313538A1|2013-03-14|2015-11-05|Kate Leeann Bechtel|Identification of surgical smoke|

---

US9687230B2|2013-03-14|2017-06-27|Ethicon Llc|Articulatable surgical instrument comprising a firing drive|

---

KR102257030B1|2013-03-14|2021-05-27|어플라이드 메디컬 리소시스 코포레이션|Surgical stapler with partial pockets|

---

US9629629B2|2013-03-14|2017-04-25|Ethicon Endo-Surgey, LLC|Control systems for surgical instruments|

---

US10219491B2|2013-03-15|2019-03-05|Pentair Water Pool And Spa, Inc.|Dissolved oxygen control system for aquaculture|

---

WO2014151621A1|2013-03-15|2014-09-25|Sri International|Hyperdexterous surgical system|

---

US9241728B2|2013-03-15|2016-01-26|Ethicon Endo-Surgery, Inc.|Surgical instrument with multiple clamping mechanisms|

---

AU2014233193B2|2013-03-15|2018-11-01|DePuy Synthes Products, Inc.|Controlling the integral light energy of a laser pulse|

---

US20160038253A1|2013-03-15|2016-02-11|Cameron Anthony Piron|Method, system and apparatus for controlling a surgical navigation system|

---

JP6396417B2|2013-03-15|2018-09-26|アプライド メディカル リソーシーズ コーポレイション|Surgical stapler having an actuating mechanism with a rotatable shaft|

---

US9668765B2|2013-03-15|2017-06-06|The Spectranetics Corporation|Retractable blade for lead removal device|

---

US9788906B2|2013-03-15|2017-10-17|Synaptive Medical Inc.|Context aware surgical systems for intraoperatively configuring imaging devices|

---

JP6527086B2|2013-03-15|2019-06-05|シナプティヴ メディカル （バルバドス） インコーポレイテッドＳｙｎａｐｔｉｖｅ Ｍｅｄｉｃａｌ （Ｂａｒｂａｄｏｓ） Ｉｎｃ．|Imaging system for hyperspectral surgery|

---

EP2967294B1|2013-03-15|2020-07-29|DePuy Synthes Products, Inc.|Super resolution and color motion artifact correction in a pulsed color imaging system|

---

WO2014153428A1|2013-03-19|2014-09-25|Surgisense Corporation|Apparatus, systems and methods for determining tissue oxygenation|

---

US20140303660A1|2013-04-04|2014-10-09|Elwha Llc|Active tremor control in surgical instruments|

---

US10136887B2|2013-04-16|2018-11-27|Ethicon Llc|Drive system decoupling arrangement for a surgical instrument|

---

US9592095B2|2013-05-16|2017-03-14|Intuitive Surgical Operations, Inc.|Systems and methods for robotic medical system integration with external imaging|

---

EP3010398A1|2013-06-18|2016-04-27|Koninklijke Philips N.V.|Processing status information of a medical device|

---

EP2639580B1|2013-06-20|2017-08-16|Siemens Schweiz AG|Monitoring the function of an electrolytic gas sensor with three electrodes and a hazard warning device and gas measuring device|

---

US9542481B2|2013-06-21|2017-01-10|Virtual Radiologic Corporation|Radiology data processing and standardization techniques|

---

EP2827099A1|2013-07-16|2015-01-21|Leica Geosystems AG|Laser tracker with target searching functionality|

---

JP5830625B2|2013-08-06|2015-12-09|オリンパス株式会社|Pneumoperitoneum|

---

US9750522B2|2013-08-15|2017-09-05|Ethicon Llc|Surgical instrument with clips having transecting blades|

---

US9636112B2|2013-08-16|2017-05-02|Covidien Lp|Chip assembly for reusable surgical instruments|

---

GB201314774D0|2013-08-19|2013-10-02|Fish Engineering Ltd|Distributor apparatus|

---

US20150053746A1|2013-08-23|2015-02-26|Ethicon Endo-Surgery, Inc.|Torque optimization for surgical instruments|

---

US9539006B2|2013-08-27|2017-01-10|Covidien Lp|Hand held electromechanical surgical handle assembly for use with surgical end effectors, and methods of use|

---

US9295514B2|2013-08-30|2016-03-29|Ethicon Endo-Surgery, Llc|Surgical devices with close quarter articulation features|

---

WO2015035178A2|2013-09-06|2015-03-12|Brigham And Women's Hospital, Inc.|System and method for a tissue resection margin measurement device|

---

US9962157B2|2013-09-18|2018-05-08|Covidien Lp|Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument|

---

US9717548B2|2013-09-24|2017-08-01|Covidien Lp|Electrode for use in a bipolar electrosurgical instrument|

---

CN108289661A|2015-07-13|2018-07-17|瑟吉玛蒂克斯公司|Laparoscopic stapling device with relieving mechanism|

---

US9867651B2|2013-09-26|2018-01-16|Covidien Lp|Systems and methods for estimating tissue parameters using surgical devices|

---

US20140035762A1|2013-10-01|2014-02-06|Ethicon Endo-Surgery, Inc.|Providing Near Real Time Feedback To A User Of A Surgical Instrument|

---

EP3054842A4|2013-10-11|2017-06-21|The Trustees of Columbia University in the City of New York|System, method and computer-accessible medium for characterization of tissue|

---

US20150108198A1|2013-10-17|2015-04-23|Covidien Lp|Surgical instrument, loading unit and fasteners for use therewith|

---

EP2876885A1|2013-11-21|2015-05-27|Axis AB|Method and apparatus in a motion video capturing system|

---

US9949785B2|2013-11-21|2018-04-24|Ethicon Llc|Ultrasonic surgical instrument with electrosurgical feature|

---

US10552574B2|2013-11-22|2020-02-04|Spinal Generations, Llc|System and method for identifying a medical device|

---

US9943325B2|2013-11-26|2018-04-17|Ethicon Llc|Handpiece and blade configurations for ultrasonic surgical instrument|

---

EP3912575A1|2013-11-26|2021-11-24|Ethicon LLC|Shielding features for ultrasonic blade of a surgical instrument|

---

US10159044B2|2013-12-09|2018-12-18|GM Global Technology Operations LLC|Method and apparatus for controlling operating states of bluetooth interfaces of a bluetooth module|

---

EP3079608B8|2013-12-11|2020-04-01|Covidien LP|Wrist and jaw assemblies for robotic surgical systems|

---

US9808245B2|2013-12-13|2017-11-07|Covidien Lp|Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof|

---

GB2521228A|2013-12-16|2015-06-17|Ethicon Endo Surgery Inc|Medical device|

---

US9743946B2|2013-12-17|2017-08-29|Ethicon Llc|Rotation features for ultrasonic surgical instrument|

---

US9839428B2|2013-12-23|2017-12-12|Ethicon Llc|Surgical cutting and stapling instruments with independent jaw control features|

---

US9681870B2|2013-12-23|2017-06-20|Ethicon Llc|Articulatable surgical instruments with separate and distinct closing and firing systems|

---

US9539020B2|2013-12-27|2017-01-10|Ethicon Endo-Surgery, Llc|Coupling features for ultrasonic surgical instrument|

---

US9795436B2|2014-01-07|2017-10-24|Ethicon Llc|Harvesting energy from a surgical generator|

---

US9839424B2|2014-01-17|2017-12-12|Covidien Lp|Electromechanical surgical assembly|

---

US9655616B2|2014-01-22|2017-05-23|Covidien Lp|Apparatus for endoscopic procedures|

---

US9907550B2|2014-01-27|2018-03-06|Covidien Lp|Stitching device with long needle delivery|

---

US9801679B2|2014-01-28|2017-10-31|Ethicon Llc|Methods and devices for controlling motorized surgical devices|

---

US9358685B2|2014-02-03|2016-06-07|Brain Corporation|Apparatus and methods for control of robot actions based on corrective user inputs|

---

US9706674B2|2014-02-04|2017-07-11|Covidien Lp|Authentication system for reusable surgical instruments|

---

US10213266B2|2014-02-07|2019-02-26|Covidien Lp|Robotic surgical assemblies and adapter assemblies thereof|

---

EP3108839B1|2014-02-17|2018-12-05|Olympus Corporation|Ultrasonic treatment apparatus|

---

US9301691B2|2014-02-21|2016-04-05|Covidien Lp|Instrument for optically detecting tissue attributes|

---

US10973682B2|2014-02-24|2021-04-13|Alcon Inc.|Surgical instrument with adhesion optimized edge condition|

---

US10499994B2|2014-02-27|2019-12-10|University Surgical Associates, Inc.|Interactive display for surgery with mother and daughter video feeds|

---

JP2015163172A|2014-02-28|2015-09-10|オリンパス株式会社|Exclusion device and robot system|

---

WO2015134749A2|2014-03-06|2015-09-11|Stryker Corporation|Medical/surgical waste collection unit with a light assembly separate from the primary display, the light assembly presenting informatin about the operation of the system by selectively outputting light|

---

GB2523224C2|2014-03-07|2021-06-02|Cambridge Medical Robotics Ltd|Surgical arm|

---

WO2015138708A1|2014-03-12|2015-09-17|Proximed, Llc|Surgical guidance systems, devices, and methods|

---

US10172687B2|2014-03-17|2019-01-08|Intuitive Surgical Operations, Inc.|Surgical cannulas and related systems and methods of identifying surgical cannulas|

---

KR102311986B1|2014-03-17|2021-10-14|인튜어티브 서지컬 오퍼레이션즈 인코포레이티드|System and method for recentering imaging devices and input controls|

---

WO2015142791A1|2014-03-17|2015-09-24|Intuitive Surgical Operations, Inc.|Coupler to transfer motion to surgical instrument from servo actuator|

---

US10456208B2|2014-03-17|2019-10-29|Intuitive Surgical Operations, Inc.|Surgical cannula mounts and related systems and methods|

---

US9554854B2|2014-03-18|2017-01-31|Ethicon Endo-Surgery, Llc|Detecting short circuits in electrosurgical medical devices|

---

US10013049B2|2014-03-26|2018-07-03|Ethicon Llc|Power management through sleep options of segmented circuit and wake up control|

---

US9913642B2|2014-03-26|2018-03-13|Ethicon Llc|Surgical instrument comprising a sensor system|

---

US10004497B2|2014-03-26|2018-06-26|Ethicon Llc|Interface systems for use with surgical instruments|

---

US20150272580A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Verification of number of battery exchanges/procedure count|

---

US9757126B2|2014-03-31|2017-09-12|Covidien Lp|Surgical stapling apparatus with firing lockout mechanism|

---

CN106163445B|2014-03-31|2019-11-29|直观外科手术操作公司|Surgical operating instrument with changeable transmission device|

---

US9737355B2|2014-03-31|2017-08-22|Ethicon Llc|Controlling impedance rise in electrosurgical medical devices|

---

KR20210134437A|2014-04-01|2021-11-09|인튜어티브 서지컬 오퍼레이션즈 인코포레이티드|Control input accuracy for teleoperated surgical instrument|

---

US20170027603A1|2014-04-08|2017-02-02|Ams Research Corporation|Flexible devices for blunt dissection and related methods|

---

US10765376B2|2014-04-09|2020-09-08|University Of Rochester|Method and apparatus to diagnose the metastatic or progressive potential of cancer, fibrosis and other diseases|

---

US10561422B2|2014-04-16|2020-02-18|Ethicon Llc|Fastener cartridge comprising deployable tissue engaging members|

---

US20150297200A1|2014-04-17|2015-10-22|Covidien Lp|End of life transmission system for surgical instruments|

---

US20150302157A1|2014-04-17|2015-10-22|Ryan Mitchell Collar|Apparatus, Method, and System for Counting Packaged, Consumable, Medical Items Such as Surgical Suture Cartridges|

---

US10164466B2|2014-04-17|2018-12-25|Covidien Lp|Non-contact surgical adapter electrical interface|

---

US10639185B2|2014-04-25|2020-05-05|The Trustees Of Columbia University In The City Of New York|Spinal treatment devices, methods, and systems|

---

US10133248B2|2014-04-28|2018-11-20|Covidien Lp|Systems and methods for determining an end of life state for surgical devices|

---

US20150317899A1|2014-05-01|2015-11-05|Covidien Lp|System and method for using rfid tags to determine sterilization of devices|

---

US10175127B2|2014-05-05|2019-01-08|Covidien Lp|End-effector force measurement drive circuit|

---

CN106456257B|2014-05-13|2019-11-05|柯惠Lp公司|Robot arm for operation support system and application method|

---

US10512461B2|2014-05-15|2019-12-24|Covidien Lp|Surgical fastener applying apparatus|

---

US20150332196A1|2014-05-15|2015-11-19|Heinz-Werner Stiller|Surgical Workflow Support System|

---

WO2016007224A2|2014-05-16|2016-01-14|Powdermet, Inc.|Heterogeneous composite bodies with isolated cermet regions formed by high temperature, rapid consolidation|

---

US20150332003A1|2014-05-19|2015-11-19|Unitedhealth Group Incorporated|Computer readable storage media for utilizing derived medical records and methods and systems for same|

---

KR20170013240A|2014-05-30|2017-02-06|가부시키가이샤 한도오따이 에네루기 켄큐쇼|Semiconductor device and method for manufacturing the same|

---

US10118119B2|2015-06-08|2018-11-06|Cts Corporation|Radio frequency process sensing, control, and diagnostics network and system|

---

US9331422B2|2014-06-09|2016-05-03|Apple Inc.|Electronic device with hidden connector|

---

EP3154449B1|2014-06-11|2019-08-14|Applied Medical Resources Corporation|Surgical stapler with circumferential firing|

---

US10045781B2|2014-06-13|2018-08-14|Ethicon Llc|Closure lockout systems for surgical instruments|

---

KR101587721B1|2014-06-17|2016-01-22|에스엔유 프리시젼 주식회사|Apparatus and method for controlling surgical burr cutter|

---

US10335147B2|2014-06-25|2019-07-02|Ethicon Llc|Method of using lockout features for surgical stapler cartridge|

---

US10292701B2|2014-06-25|2019-05-21|Ethicon Llc|Articulation drive features for surgical stapler|

---

US10152789B2|2014-07-25|2018-12-11|Covidien Lp|Augmented surgical reality environment|

---

CN107072739B|2014-08-01|2020-09-11|史密夫和内修有限公司|Providing an implant for a surgical procedure|

---

US10422727B2|2014-08-10|2019-09-24|Harry Leon Pliskin|Contaminant monitoring and air filtration system|

---

US10258359B2|2014-08-13|2019-04-16|Covidien Lp|Robotically controlling mechanical advantage gripping|

---

US10004500B2|2014-09-02|2018-06-26|Ethicon Llc|Devices and methods for manually retracting a drive shaft, drive beam, and associated components of a surgical fastening device|

---

US9280884B1|2014-09-03|2016-03-08|Oberon, Inc.|Environmental sensor device with alarms|

---

US9757128B2|2014-09-05|2017-09-12|Ethicon Llc|Multiple sensors with one sensor affecting a second sensor's output or interpretation|

---

GB2547355A|2014-09-15|2017-08-16|Synaptive Medical Inc|System and method for collection, storage and management of medical data|

---

US10321964B2|2014-09-15|2019-06-18|Covidien Lp|Robotically controlling surgical assemblies|

---

US10105142B2|2014-09-18|2018-10-23|Ethicon Llc|Surgical stapler with plurality of cutting elements|

---

WO2016149794A1|2015-03-26|2016-09-29|Surgical Safety Technologies Inc.|Operating room black-box device, system, method and computer readable medium|

---

WO2016044920A1|2014-09-23|2016-03-31|Surgical Safety Technologies Inc.|Operating room black-box device, system, method and computer readable medium|

---

EP3560532A1|2014-09-25|2019-10-30|NxStage Medical Inc.|Medicament preparation and treatment devices and systems|

---

US9801627B2|2014-09-26|2017-10-31|Ethicon Llc|Fastener cartridge for creating a flexible staple line|

---

US20170224428A1|2014-09-29|2017-08-10|Covidien Lp|Dynamic input scaling for controls of robotic surgical system|

---

US10039564B2|2014-09-30|2018-08-07|Ethicon Llc|Surgical devices having power-assisted jaw closure and methods for compressing and sensing tissue|

---

US9630318B2|2014-10-02|2017-04-25|Brain Corporation|Feature detection apparatus and methods for training of robotic navigation|

---

US10603128B2|2014-10-07|2020-03-31|Covidien Lp|Handheld electromechanical surgical system|

---

US10292758B2|2014-10-10|2019-05-21|Ethicon Llc|Methods and devices for articulating laparoscopic energy device|

---

CN104436911A|2014-11-03|2015-03-25|佛山市顺德区阿波罗环保器材有限公司|Air purifier capable of preventing faking based on filter element recognition|

---

US9782212B2|2014-12-02|2017-10-10|Covidien Lp|High level algorithms|

---

US20190069949A1|2014-12-03|2019-03-07|Metavention, Inc.|Systems and methods for modulatng nerves or other tissue|

---

US10736636B2|2014-12-10|2020-08-11|Ethicon Llc|Articulatable surgical instrument system|

---

CN104490448B|2014-12-17|2017-03-15|徐保利|Surgical ligation clip applier|

---

US10085748B2|2014-12-18|2018-10-02|Ethicon Llc|Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors|

---

US9968355B2|2014-12-18|2018-05-15|Ethicon Llc|Surgical instruments with articulatable end effectors and improved firing beam support arrangements|

---

US10188385B2|2014-12-18|2019-01-29|Ethicon Llc|Surgical instrument system comprising lockable systems|

---

US9844374B2|2014-12-18|2017-12-19|Ethicon Llc|Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member|

---

US9987000B2|2014-12-18|2018-06-05|Ethicon Llc|Surgical instrument assembly comprising a flexible articulation system|

---

US10117649B2|2014-12-18|2018-11-06|Ethicon Llc|Surgical instrument assembly comprising a lockable articulation system|

---

US9844375B2|2014-12-18|2017-12-19|Ethicon Llc|Drive arrangements for articulatable surgical instruments|

---

BR112017014210A2|2014-12-30|2018-04-10|Suzhou Touchstone Int Medical Science Co Ltd|stapling head set and suturing and cutting apparatus for endoscopic surgery.|

---

EP3241166A4|2014-12-31|2018-10-03|Vector Medical, LLC|Process and apparatus for managing medical device selection and implantation|

---

US9931124B2|2015-01-07|2018-04-03|Covidien Lp|Reposable clip applier|

---

US10362179B2|2015-01-09|2019-07-23|Tracfone Wireless, Inc.|Peel and stick activation code for activating service for a wireless device|

---

US10404521B2|2015-01-14|2019-09-03|Datto, Inc.|Remotely configurable routers with failover features, and methods and apparatus for reliable web-based administration of same|

---

GB2535627B|2015-01-14|2017-06-28|Gyrus Medical Ltd|Electrosurgical system|

---

US9931040B2|2015-01-14|2018-04-03|Verily Life Sciences Llc|Applications of hyperspectral laser speckle imaging|

---

JP6498303B2|2015-01-15|2019-04-10|コヴィディエン リミテッド パートナーシップ|Endoscopic reposable surgical clip applier|

---

GB2534558B|2015-01-21|2020-12-30|Cmr Surgical Ltd|Robot tool retraction|

---

US9387295B1|2015-01-30|2016-07-12|SurgiQues, Inc.|Filter cartridge with internal gaseous seal for multimodal surgical gas delivery system having a smoke evacuation mode|

---

US10159809B2|2015-01-30|2018-12-25|Surgiquest, Inc.|Multipath filter assembly with integrated gaseous seal for multimodal surgical gas delivery system|

---

WO2016125574A1|2015-02-05|2016-08-11|オリンパス株式会社|Manipulator|

---

US9713424B2|2015-02-06|2017-07-25|Richard F. Spaide|Volume analysis and display of information in optical coherence tomography angiography|

---

US10111658B2|2015-02-12|2018-10-30|Covidien Lp|Display screens for medical devices|

---

ES2878455T3|2015-02-13|2021-11-18|Zoller & Froehlich Gmbh|Scan layout and procedure for scanning an object|

---

US9805472B2|2015-02-18|2017-10-31|Sony Corporation|System and method for smoke detection during anatomical surgery|

---

US9905000B2|2015-02-19|2018-02-27|Sony Corporation|Method and system for surgical tool localization during anatomical surgery|

---

US10111665B2|2015-02-19|2018-10-30|Covidien Lp|Electromechanical surgical systems|

---

US10085749B2|2015-02-26|2018-10-02|Covidien Lp|Surgical apparatus with conductor strain relief|

---

US10285698B2|2015-02-26|2019-05-14|Covidien Lp|Surgical apparatus|

---

US10321907B2|2015-02-27|2019-06-18|Ethicon Llc|System for monitoring whether a surgical instrument needs to be serviced|

---

US10733267B2|2015-02-27|2020-08-04|Surgical Black Box Llc|Surgical data control system|

---

WO2016135977A1|2015-02-27|2016-09-01|オリンパス株式会社|Medical treatment device, method for operating medical treatment device, and therapeutic method|

---

US10226250B2|2015-02-27|2019-03-12|Ethicon Llc|Modular stapling assembly|

---

US10180463B2|2015-02-27|2019-01-15|Ethicon Llc|Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band|

---

US9808246B2|2015-03-06|2017-11-07|Ethicon Endo-Surgery, Llc|Method of operating a powered surgical instrument|

---

US9993248B2|2015-03-06|2018-06-12|Ethicon Endo-Surgery, Llc|Smart sensors with local signal processing|

---

US10687806B2|2015-03-06|2020-06-23|Ethicon Llc|Adaptive tissue compression techniques to adjust closure rates for multiple tissue types|

---

US10441279B2|2015-03-06|2019-10-15|Ethicon Llc|Multiple level thresholds to modify operation of powered surgical instruments|

---

US10245033B2|2015-03-06|2019-04-02|Ethicon Llc|Surgical instrument comprising a lockable battery housing|

---

US10045776B2|2015-03-06|2018-08-14|Ethicon Llc|Control techniques and sub-processor contained within modular shaft with select control processing from handle|

---

US10548504B2|2015-03-06|2020-02-04|Ethicon Llc|Overlaid multi sensor radio frequency electrode system to measure tissue compression|

---

US9901342B2|2015-03-06|2018-02-27|Ethicon Endo-Surgery, Llc|Signal and power communication system positioned on a rotatable shaft|

---

US9895148B2|2015-03-06|2018-02-20|Ethicon Endo-Surgery, Llc|Monitoring speed control and precision incrementing of motor for powered surgical instruments|

---

US10617412B2|2015-03-06|2020-04-14|Ethicon Llc|System for detecting the mis-insertion of a staple cartridge into a surgical stapler|

---

US9924961B2|2015-03-06|2018-03-27|Ethicon Endo-Surgery, Llc|Interactive feedback system for powered surgical instruments|

---

CN113040921A|2015-03-10|2021-06-29|柯惠Lp公司|Measuring health of connector components of a robotic surgical system|

---

US10420620B2|2015-03-10|2019-09-24|Covidien Lp|Robotic surgical systems, instrument drive units, and drive assemblies|

---

JP6360803B2|2015-03-10|2018-07-18|富士フイルム株式会社|Medical data management apparatus, its operating method and operating program|

---

US10342602B2|2015-03-17|2019-07-09|Ethicon Llc|Managing tissue treatment|

---

WO2016149563A1|2015-03-17|2016-09-22|Ahluwalia Prabhat|Uterine manipulator|

---

US10390718B2|2015-03-20|2019-08-27|East Carolina University|Multi-spectral physiologic visualization using laser imaging methods and systems for blood flow and perfusion imaging and quantification in an endoscopic design|

---

US20160321400A1|2015-03-30|2016-11-03|Zoll Medical Corporation|Clinical Data Handoff in Device Management and Data Sharing|

---

US10390825B2|2015-03-31|2019-08-27|Ethicon Llc|Surgical instrument with progressive rotary drive systems|

---

US10383518B2|2015-03-31|2019-08-20|Midmark Corporation|Electronic ecosystem for medical examination room|

---

US10117702B2|2015-04-10|2018-11-06|Ethicon Llc|Surgical generator systems and related methods|

---

CN107427330B|2015-04-10|2020-10-16|马科外科公司|System and method for controlling a surgical tool during autonomous movement of the surgical tool|

---

US20160301690A1|2015-04-10|2016-10-13|Enovate Medical, Llc|Access control for a hard asset|

---

US20160296246A1|2015-04-13|2016-10-13|Novartis Ag|Forceps with metal and polymeric arms|

---

JP2018512967A|2015-04-20|2018-05-24|メドロボティクス コーポレイション|Articulated robotic probe, system and method for incorporating a probe, and method for performing a surgical procedure|

---

US10806506B2|2015-04-21|2020-10-20|Smith & Nephew, Inc.|Vessel sealing algorithm and modes|

---

JP6755884B2|2015-04-22|2020-09-16|コヴィディエン リミテッド パートナーシップ|Handheld electromechanical surgical system|

---

CN107708595B|2015-04-23|2020-08-04|Sri国际公司|Ultra-dexterous surgical system user interface device|

---

WO2017189317A1|2016-04-26|2017-11-02|KindHeart, Inc.|Telerobotic surgery system for remote surgeon training using robotic surgery station and remote surgeon station and an animating device|

---

US20160323283A1|2015-04-30|2016-11-03|Samsung Electronics Co., Ltd.|Semiconductor device for controlling access right to resource based on pairing technique and method thereof|

---

EP3291725A4|2015-05-07|2018-11-07|Novadaq Technologies Inc.|Methods and systems for laser speckle imaging of tissue using a color image sensor|

---

EP3294184A4|2015-05-11|2019-05-08|Covidien LP|Coupling instrument drive unit and robotic surgical instrument|

---

GB2538497B|2015-05-14|2020-10-28|Cmr Surgical Ltd|Torque sensing in a surgical robotic wrist|

---

CN112842527A|2015-05-15|2021-05-28|马科外科公司|System and method for providing guidance for robotic medical procedures|

---

US10555675B2|2015-05-15|2020-02-11|Gauss Surgical, Inc.|Method for projecting blood loss of a patient during a surgery|

---

US20160342916A1|2015-05-20|2016-11-24|Schlumberger Technology Corporation|Downhole tool management system|

---

CA3029355A1|2015-05-22|2016-11-22|Covidien Lp|Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures|

---

US9519753B1|2015-05-26|2016-12-13|Virtual Radiologic Corporation|Radiology workflow coordination techniques|

---

US10022120B2|2015-05-26|2018-07-17|Ethicon Llc|Surgical needle with recessed features|

---

EP3302335A4|2015-06-03|2019-02-20|Covidien LP|Offset instrument drive unit|

---

CN107690318B|2015-06-08|2021-05-04|柯惠Lp公司|Mounting device for surgical system and method of use|

---

EP3307196A4|2015-06-09|2019-06-19|Intuitive Surgical Operations Inc.|Configuring surgical system with surgical procedures atlas|

---

US10004491B2|2015-06-15|2018-06-26|Ethicon Llc|Suturing instrument with needle motion indicator|

---

US9839419B2|2015-06-16|2017-12-12|Ethicon Endo-Surgery, Llc|Suturing instrument with jaw having integral cartridge component|

---

US9782164B2|2015-06-16|2017-10-10|Ethicon Endo-Surgery, Llc|Suturing instrument with multi-mode cartridges|

---

US9888914B2|2015-06-16|2018-02-13|Ethicon Endo-Surgery, Llc|Suturing instrument with motorized needle drive|

---

EP3311181B1|2015-06-16|2020-03-11|Covidien LP|Robotic surgical system torque transduction sensing|

---

US10178992B2|2015-06-18|2019-01-15|Ethicon Llc|Push/pull articulation drive systems for articulatable surgical instruments|

---

EP3310288A4|2015-06-19|2019-03-06|Covidien LP|Controlling robotic surgical instruments with bidirectional coupling|

---

CN107771063B|2015-06-19|2020-12-04|柯惠Lp公司|Robotic surgical assembly|

---

JP6719487B2|2015-06-23|2020-07-08|コヴィディエン リミテッド パートナーシップ|Robotic surgery assembly|

---

WO2016206015A1|2015-06-24|2016-12-29|Covidien Lp|Surgical clip applier with multiple clip feeding mechanism|

---

US10905415B2|2015-06-26|2021-02-02|Ethicon Llc|Surgical stapler with electromechanical lockout|

---

US11129669B2|2015-06-30|2021-09-28|Cilag Gmbh International|Surgical system with user adaptable techniques based on tissue type|

---

US9839470B2|2015-06-30|2017-12-12|Covidien Lp|Electrosurgical generator for minimizing neuromuscular stimulation|

---

US10034704B2|2015-06-30|2018-07-31|Ethicon Llc|Surgical instrument with user adaptable algorithms|

---

US11051873B2|2015-06-30|2021-07-06|Cilag Gmbh International|Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters|

---

US11141213B2|2015-06-30|2021-10-12|Cilag Gmbh International|Surgical instrument with user adaptable techniques|

---

EP3322337A4|2015-07-13|2019-03-13|Mako Surgical Corp.|Lower extremities leg length calculation method|

---

GB2541369B|2015-07-22|2021-03-31|Cmr Surgical Ltd|Drive mechanisms for robot arms|

---

GB2540756B|2015-07-22|2021-03-31|Cmr Surgical Ltd|Gear packaging for robot arms|

---

US10524795B2|2015-07-30|2020-01-07|Ethicon Llc|Surgical instrument comprising systems for permitting the optional transection of tissue|

---

US10679758B2|2015-08-07|2020-06-09|Abbott Cardiovascular Systems Inc.|System and method for supporting decisions during a catheterization procedure|

---

US10143948B2|2015-08-14|2018-12-04|3M Innovative Properties Company|Identification of filter media within a filtration system|

---

US10136949B2|2015-08-17|2018-11-27|Ethicon Llc|Gathering and analyzing data for robotic surgical systems|

---

US10205708B1|2015-08-21|2019-02-12|Teletracking Technologies, Inc.|Systems and methods for digital content protection and security in multi-computer networks|

---

US10639039B2|2015-08-24|2020-05-05|Ethicon Llc|Surgical stapler buttress applicator with multi-zone platform for pressure focused release|

---

US20180271603A1|2015-08-30|2018-09-27|M.S.T. Medical Surgery Technologies Ltd|Intelligent surgical tool control system for laparoscopic surgeries|

---

US10687905B2|2015-08-31|2020-06-23|KB Medical SA|Robotic surgical systems and methods|

---

US20170068792A1|2015-09-03|2017-03-09|Bruce Reiner|System and method for medical device security, data tracking and outcomes analysis|

---

JP6812419B2|2015-09-11|2021-01-13|コヴィディエン リミテッド パートナーシップ|Robot surgical system control scheme for operating robot end effectors|

---

EP3141181B1|2015-09-11|2018-06-20|Bernard Boon Chye Lim|Ablation catheter apparatus with a basket comprising electrodes, an optical emitting element and an optical receiving element|

---

DE102015115559A1|2015-09-15|2017-03-16|Karl Storz Gmbh & Co. Kg|Manipulation system and handling device for surgical instruments|

---

US10076326B2|2015-09-23|2018-09-18|Ethicon Llc|Surgical stapler having current mirror-based motor control|

---

CN112618025A|2015-09-25|2021-04-09|柯惠Lp公司|Surgical robot assembly and instrument adapter therefor|

---

AU2016327595B2|2015-09-25|2020-07-23|Covidien Lp|Robotic surgical assemblies and electromechanical instruments thereof|

---

EP3352699A4|2015-09-25|2019-07-10|Covidien LP|Robotic surgical assemblies and instrument drive connectors thereof|

---

EP3352700A4|2015-09-25|2019-07-03|Covidien LP|Elastic surgical interface for robotic surgical systems|

---

US9900787B2|2015-09-30|2018-02-20|George Ou|Multicomputer data transferring system with a base station|

---

US10285699B2|2015-09-30|2019-05-14|Ethicon Llc|Compressible adjunct|

---

US10687884B2|2015-09-30|2020-06-23|Ethicon Llc|Circuits for supplying isolated direct current voltage to surgical instruments|

---

US10893914B2|2015-10-19|2021-01-19|Ethicon Llc|Surgical instrument with dual mode end effector and modular clamp arm assembly|

---

AU2016341284A1|2015-10-22|2018-04-12|Covidien Lp|Variable sweeping for input devices|

---

CN108430339A|2015-10-29|2018-08-21|夏普应用流体力学有限责任公司|System and method for data capture in operating room|

---

WO2017075122A1|2015-10-30|2017-05-04|Covidien Lp|Input handles for robotic surgical systems having visual feedback|

---

CN108135659B|2015-10-30|2021-09-10|柯惠Lp公司|Haptic feedback control device for robotic surgical system interface|

---

US10818383B2|2015-10-30|2020-10-27|Koninklijke Philips N.V.|Hospital matching of de-identified healthcare databases without obvious quasi-identifiers|

---

US20170132785A1|2015-11-09|2017-05-11|Xerox Corporation|Method and system for evaluating the quality of a surgical procedure from in-vivo video|

---

US10390831B2|2015-11-10|2019-08-27|Covidien Lp|Endoscopic reposable surgical clip applier|

---

US20170132374A1|2015-11-11|2017-05-11|Zyno Medical, Llc|System for Collecting Medical Data Using Proxy Inputs|

---

EP3373834A4|2015-11-12|2019-07-31|Intuitive Surgical Operations Inc.|Surgical system with training or assist functions|

---

WO2017083125A1|2015-11-13|2017-05-18|Intuitive Surgical Operations, Inc.|Stapler with composite cardan and screw drive|

---

US10898189B2|2015-11-13|2021-01-26|Intuitive Surgical Operations, Inc.|Push-pull stapler with two degree of freedom wrist|

---

WO2017091048A1|2015-11-27|2017-06-01|Samsung Electronics Co., Ltd.|Method and apparatus for managing electronic device through wireless communication|

---

US10311036B1|2015-12-09|2019-06-04|Universal Research Solutions, Llc|Database management for a logical registry|

---

GB201521805D0|2015-12-10|2016-01-27|Cambridge Medical Robotics Ltd|Guiding engagement of a robot arm and surgical instrument|

---

GB201521804D0|2015-12-10|2016-01-27|Cambridge Medical Robotics Ltd|Pulley arrangement for articulating a surgical instrument|

---

US20170164997A1|2015-12-10|2017-06-15|Ethicon Endo-Surgery, Llc|Method of treating tissue using end effector with ultrasonic and electrosurgical features|

---

WO2017100534A1|2015-12-11|2017-06-15|Servicenow, Inc.|Computer network threat assessment|

---

US10265130B2|2015-12-11|2019-04-23|Ethicon Llc|Systems, devices, and methods for coupling end effectors to surgical devices and loading devices|

---

US10751768B2|2015-12-14|2020-08-25|Buffalo Filter Llc|Method and apparatus for attachment and evacuation|

---

US10238413B2|2015-12-16|2019-03-26|Ethicon Llc|Surgical instrument with multi-function button|

---

US20170172614A1|2015-12-17|2017-06-22|Ethicon Endo-Surgery, Llc|Surgical instrument with multi-functioning trigger|

---

US10368894B2|2015-12-21|2019-08-06|Ethicon Llc|Surgical instrument with variable clamping force|

---

EP3380029A1|2015-12-21|2018-10-03|Gyrus ACMI, Inc. |High surface energy portion on a medical instrument|

---

JP6657933B2|2015-12-25|2020-03-04|ソニー株式会社|Medical imaging device and surgical navigation system|

---

WO2017116793A1|2015-12-29|2017-07-06|Covidien Lp|Robotic surgical systems and instrument drive assemblies|

---

US10292704B2|2015-12-30|2019-05-21|Ethicon Llc|Mechanisms for compensating for battery pack failure in powered surgical instruments|

---

US10470791B2|2015-12-30|2019-11-12|Ethicon Llc|Surgical instrument with staged application of electrosurgical and ultrasonic energy|

---

US10368865B2|2015-12-30|2019-08-06|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US10265068B2|2015-12-30|2019-04-23|Ethicon Llc|Surgical instruments with separable motors and motor control circuits|

---

US11129670B2|2016-01-15|2021-09-28|Cilag Gmbh International|Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization|

---

US11051840B2|2016-01-15|2021-07-06|Ethicon Llc|Modular battery powered handheld surgical instrument with reusable asymmetric handle housing|

---

US10716615B2|2016-01-15|2020-07-21|Ethicon Llc|Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade|

---

US11229471B2|2016-01-15|2022-01-25|Cilag Gmbh International|Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization|

---

JP2019508091A|2016-01-29|2019-03-28|インテュイティブ サージカル オペレーションズ， インコーポレイテッド|Systems and methods for variable speed surgical instruments|

---

US9943379B2|2016-01-29|2018-04-17|Millennium Healthcare Technologies, Inc.|Laser-assisted periodontics|

---

US10258415B2|2016-01-29|2019-04-16|Boston Scientific Scimed, Inc.|Medical user interfaces and related methods of use|

---

US11213293B2|2016-02-09|2022-01-04|Cilag Gmbh International|Articulatable surgical instruments with single articulation link arrangements|

---

US10413291B2|2016-02-09|2019-09-17|Ethicon Llc|Surgical instrument articulation mechanism with slotted secondary constraint|

---

US10420559B2|2016-02-11|2019-09-24|Covidien Lp|Surgical stapler with small diameter endoscopic portion|

---

US10258331B2|2016-02-12|2019-04-16|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US10448948B2|2016-02-12|2019-10-22|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US11224426B2|2016-02-12|2022-01-18|Cilag Gmbh International|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US20170231628A1|2016-02-12|2017-08-17|Ethicon Endo-Surgery, Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US10555769B2|2016-02-22|2020-02-11|Ethicon Llc|Flexible circuits for electrosurgical instrument|

---

CA2958160A1|2016-02-24|2017-08-24|Covidien Lp|Endoscopic reposable surgical clip applier|

---

CN108472086B|2016-02-26|2021-07-09|直观外科手术操作公司|System and method for avoiding collisions using virtual boundaries|

---

CN108697468B|2016-02-26|2021-06-08|柯惠Lp公司|Robotic surgical system and robotic arm thereof|

---

US10786298B2|2016-03-01|2020-09-29|Covidien Lp|Surgical instruments and systems incorporating machine learning based tissue identification and methods thereof|

---

EP3422983B1|2016-03-04|2021-09-22|Covidien LP|Ultrasonic instruments for robotic surgical systems|

---

US20210212777A1|2016-03-04|2021-07-15|Covidien Lp|Inverse kinematic control systems for robotic surgical system|

---

JP6488249B2|2016-03-08|2019-03-20|富士フイルム株式会社|Blood vessel information acquisition apparatus, endoscope system, and blood vessel information acquisition method|

---

JPWO2017169823A1|2016-03-30|2019-02-07|ソニー株式会社|Image processing apparatus and method, surgical system, and surgical member|

---

US10376263B2|2016-04-01|2019-08-13|Ethicon Llc|Anvil modification members for surgical staplers|

---

US10307159B2|2016-04-01|2019-06-04|Ethicon Llc|Surgical instrument handle assembly with reconfigurable grip portion|

---

US10175096B2|2016-04-01|2019-01-08|Ethicon Llc|System and method to enable re-use of surgical instrument|

---

US10271851B2|2016-04-01|2019-04-30|Ethicon Llc|Modular surgical stapling system comprising a display|

---

US10722233B2|2016-04-07|2020-07-28|Intuitive Surgical Operations, Inc.|Stapling cartridge|

---

US10828028B2|2016-04-15|2020-11-10|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|

---

US10492783B2|2016-04-15|2019-12-03|Ethicon, Llc|Surgical instrument with improved stop/start control during a firing motion|

---

US11179150B2|2016-04-15|2021-11-23|Cilag Gmbh International|Systems and methods for controlling a surgical stapling and cutting instrument|

---

US10426467B2|2016-04-15|2019-10-01|Ethicon Llc|Surgical instrument with detection sensors|

---

US10357247B2|2016-04-15|2019-07-23|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|

---

US20170296213A1|2016-04-15|2017-10-19|Ethicon Endo-Surgery, Llc|Systems and methods for controlling a surgical stapling and cutting instrument|

---

US10456137B2|2016-04-15|2019-10-29|Ethicon Llc|Staple formation detection mechanisms|

---

US20170296173A1|2016-04-18|2017-10-19|Ethicon Endo-Surgery, Llc|Method for operating a surgical instrument|

---

US10368867B2|2016-04-18|2019-08-06|Ethicon Llc|Surgical instrument comprising a lockout|

---

JP2019513959A|2016-04-19|2019-05-30|クリアモーション，インコーポレイテッド|Active hydraulic ripple cancellation method and system|

---

US10456193B2|2016-05-03|2019-10-29|Ethicon Llc|Medical device with a bilateral jaw configuration for nerve stimulation|

---

DE102016207666A1|2016-05-03|2017-11-09|Olympus Winter & Ibe Gmbh|Medical smoke evacuation apparatus and method of operating the same|

---

CA3024623A1|2016-05-18|2017-11-23|Virtual Incision Corporation|Robotic surgical devices, systems and related methods|

---

US10555748B2|2016-05-25|2020-02-11|Ethicon Llc|Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument|

---

CA3022164A1|2016-05-26|2017-11-30|Covidien Lp|Robotic surgical assemblies|

---

EP3463158A4|2016-05-26|2020-01-22|Covidien LP|Cannula assemblies for use with robotic surgical systems|

---

CA3022139A1|2016-05-26|2017-11-30|Covidien Lp|Instrument drive units|

---

WO2017205481A1|2016-05-26|2017-11-30|Covidien Lp|Robotic surgical assemblies and instrument drive units thereof|

---

GB201609467D0|2016-05-30|2016-07-13|Givaudan Sa|Improvements in or relating to organic compounds|

---

DE102016209576A1|2016-06-01|2017-12-07|Siemens Healthcare Gmbh|Motion control for a mobile medical device|

---

EP3463148A4|2016-06-03|2020-01-22|Covidien LP|Passive axis system for robotic surgical systems|

---

AU2017275482A1|2016-06-03|2018-11-15|Covidien Lp|Systems, methods, and computer-readable storage media for controlling aspects of a robotic surgical device and viewer adaptive stereoscopic display|

---

JP6959264B2|2016-06-03|2021-11-02|コヴィディエン リミテッド パートナーシップ|Control arm assembly for robotic surgery system|

---

WO2017210499A1|2016-06-03|2017-12-07|Covidien Lp|Control arm for robotic surgical systems|

---

US10542979B2|2016-06-24|2020-01-28|Ethicon Llc|Stamped staples and staple cartridges using the same|

---

USD822206S1|2016-06-24|2018-07-03|Ethicon Llc|Surgical fastener|

---

USD850617S1|2016-06-24|2019-06-04|Ethicon Llc|Surgical fastener cartridge|

---

USD826405S1|2016-06-24|2018-08-21|Ethicon Llc|Surgical fastener|

---

USD847989S1|2016-06-24|2019-05-07|Ethicon Llc|Surgical fastener cartridge|

---

US10313137B2|2016-07-05|2019-06-04|General Electric Company|Method for authenticating devices in a medical network|

---

CN206097107U|2016-07-08|2017-04-12|山东威瑞外科医用制品有限公司|Ultrasonic knife frequency tracking device|

---

US10258362B2|2016-07-12|2019-04-16|Ethicon Llc|Ultrasonic surgical instrument with AD HOC formed blade|

---

US10842522B2|2016-07-15|2020-11-24|Ethicon Llc|Ultrasonic surgical instruments having offset blades|

---

WO2018020553A1|2016-07-25|2018-02-01|オリンパス株式会社|Energy control device and treatment system|

---

US10378893B2|2016-07-29|2019-08-13|Ca, Inc.|Location detection sensors for physical devices|

---

US10376305B2|2016-08-05|2019-08-13|Ethicon Llc|Methods and systems for advanced harmonic energy|

---

US10037641B2|2016-08-10|2018-07-31|Elwha Llc|Systems and methods for individual identification and authorization utilizing conformable electronics|

---

US10390895B2|2016-08-16|2019-08-27|Ethicon Llc|Control of advancement rate and application force based on measured forces|

---

US10813703B2|2016-08-16|2020-10-27|Ethicon Llc|Robotic surgical system with energy application controls|

---

US10531929B2|2016-08-16|2020-01-14|Ethicon Llc|Control of robotic arm motion based on sensed load on cutting tool|

---

US10398517B2|2016-08-16|2019-09-03|Ethicon Llc|Surgical tool positioning based on sensed parameters|

---

US9943377B2|2016-08-16|2018-04-17|Ethicon Endo-Surgery, Llc|Methods, systems, and devices for causing end effector motion with a robotic surgical system|

---

US20180050196A1|2016-08-19|2018-02-22|Nicholas Charles Pawsey|Advanced electrode array insertion|

---

US10555750B2|2016-08-25|2020-02-11|Ethicon Llc|Ultrasonic surgical instrument with replaceable blade having identification feature|

---

US10828056B2|2016-08-25|2020-11-10|Ethicon Llc|Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations|

---

JP6748299B2|2016-08-30|2020-08-26|マコー サージカル コーポレイション|System and method for intraoperative pelvic registration|

---

US20180065248A1|2016-09-06|2018-03-08|Verily Life Sciences Llc|Systems and methods for prevention of surgical mistakes|

---

BR112019004139A2|2016-10-03|2019-05-28|Verb Surgical Inc|robotic surgery immersive three-dimensional screen|

---

US20180098816A1|2016-10-06|2018-04-12|Biosense Webster Ltd.|Pre-Operative Registration of Anatomical Images with a Position-Tracking System Using Ultrasound|

---

US10278778B2|2016-10-27|2019-05-07|Inneroptic Technology, Inc.|Medical device navigation using a virtual 3D space|

---

EP3534817A4|2016-11-04|2020-07-29|Intuitive Surgical Operations Inc.|Reconfigurable display in computer-assisted tele-operated surgery|

---

US11147935B2|2016-11-14|2021-10-19|Conmed Corporation|Smoke evacuation system for continuously removing gas from a body cavity|

---

WO2018089986A2|2016-11-14|2018-05-17|Conmed Corporation|Multimodal surgical gas delivery system having continuous pressure monitoring of a continuous flow of gas to a body cavity|

---

AU2017379816B2|2016-12-20|2020-02-20|Verb Surgical Inc.|Sterile adapter control system and communication interface for use in a robotic surgical system|

---

US10318763B2|2016-12-20|2019-06-11|Privacy Analytics Inc.|Smart de-identification using date jittering|

---

US10888322B2|2016-12-21|2021-01-12|Ethicon Llc|Surgical instrument comprising a cutting member|

---

US20180168647A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments having end effectors with positive opening features|

---

US10736629B2|2016-12-21|2020-08-11|Ethicon Llc|Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems|

---

US10426471B2|2016-12-21|2019-10-01|Ethicon Llc|Surgical instrument with multiple failure response modes|

---

US20180168618A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems|

---

US20180168608A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical instrument system comprising an end effector lockout and a firing assembly lockout|

---

US20180168592A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems|

---

US11191539B2|2016-12-21|2021-12-07|Cilag Gmbh International|Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system|

---

US20180168633A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments and staple-forming anvils|

---

US20180168615A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument|

---

US10945727B2|2016-12-21|2021-03-16|Ethicon Llc|Staple cartridge with deformable driver retention features|

---

US20180168598A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Staple forming pocket arrangements comprising zoned forming surface grooves|

---

US10687810B2|2016-12-21|2020-06-23|Ethicon Llc|Stepped staple cartridge with tissue retention and gap setting features|

---

US10993715B2|2016-12-21|2021-05-04|Ethicon Llc|Staple cartridge comprising staples with different clamping breadths|

---

US20180168625A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with smart staple cartridges|

---

US10779823B2|2016-12-21|2020-09-22|Ethicon Llc|Firing member pin angle|

---

US11134942B2|2016-12-21|2021-10-05|Cilag Gmbh International|Surgical stapling instruments and staple-forming anvils|

---

US10675026B2|2016-12-21|2020-06-09|Ethicon Llc|Methods of stapling tissue|

---

US11179155B2|2016-12-21|2021-11-23|Cilag Gmbh International|Anvil arrangements for surgical staplers|

---

US11160551B2|2016-12-21|2021-11-02|Cilag Gmbh International|Articulatable surgical stapling instruments|

---

EP3582708A4|2017-02-15|2020-12-23|Covidien LP|System and apparatus for crush prevention for medical robot applications|

---

US9788907B1|2017-02-28|2017-10-17|Kinosis Ltd.|Automated provision of real-time custom procedural surgical guidance|

---

WO2018208616A1|2017-05-08|2018-11-15|Masimo Corporation|System for pairing a medical system to a network controller by use of a dongle|

---

US10806532B2|2017-05-24|2020-10-20|KindHeart, Inc.|Surgical simulation system using force sensing and optical tracking and robotic surgery system|

---

US10881399B2|2017-06-20|2021-01-05|Ethicon Llc|Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument|

---

US10307170B2|2017-06-20|2019-06-04|Ethicon Llc|Method for closed loop control of motor velocity of a surgical stapling and cutting instrument|

---

US20180360456A1|2017-06-20|2018-12-20|Ethicon Llc|Surgical instrument having controllable articulation velocity|

---

US10980537B2|2017-06-20|2021-04-20|Ethicon Llc|Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations|

---

US10888321B2|2017-06-20|2021-01-12|Ethicon Llc|Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument|

---

US11229496B2|2017-06-22|2022-01-25|Navlab Holdings Ii, Llc|Systems and methods of providing assistance to a surgeon for minimizing errors during a surgical procedure|

---

US20190000478A1|2017-06-28|2019-01-03|Ethicon Llc|Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same|

---

US10903685B2|2017-06-28|2021-01-26|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies forming capacitive channels|

---

CN110831653B|2017-06-28|2021-12-17|奥瑞斯健康公司|Instrument insertion compensation|

---

US10639037B2|2017-06-28|2020-05-05|Ethicon Llc|Surgical instrument with axially movable closure member|

---

US10765427B2|2017-06-28|2020-09-08|Ethicon Llc|Method for articulating a surgical instrument|

---

US10398434B2|2017-06-29|2019-09-03|Ethicon Llc|Closed loop velocity control of closure member for robotic surgical instrument|

---

US10898183B2|2017-06-29|2021-01-26|Ethicon Llc|Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing|

---

US10932772B2|2017-06-29|2021-03-02|Ethicon Llc|Methods for closed loop velocity control for robotic surgical instrument|

---

US10258418B2|2017-06-29|2019-04-16|Ethicon Llc|System for controlling articulation forces|

---

US11007022B2|2017-06-29|2021-05-18|Ethicon Llc|Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument|

---

US11027432B2|2017-09-06|2021-06-08|Stryker Corporation|Techniques for controlling position of an end effector of a robotic device relative to a virtual constraint|

---

US10743872B2|2017-09-29|2020-08-18|Ethicon Llc|System and methods for controlling a display of a surgical instrument|

---

US20190125457A1|2017-10-30|2019-05-02|Ethicon Llc|Method for communicating with surgical instrument systems|

---

US20190125361A1|2017-10-30|2019-05-02|Ethicon Llc|Method for operating a powered articulating multi-clip applier|

---

US20190125455A1|2017-10-30|2019-05-02|Ethicon Llc|Method of hub communication with surgical instrument systems|

---

US20190125456A1|2017-10-30|2019-05-02|Ethicon Llc|Method of hub communication with surgical instrument systems|

---

US20190125459A1|2017-10-30|2019-05-02|Ethicon Llc|Method of hub communication with surgical instrument systems|

---

US11129634B2|2017-10-30|2021-09-28|Cilag Gmbh International|Surgical instrument with rotary drive selectively actuating multiple end effector functions|

---

US10932804B2|2017-10-30|2021-03-02|Ethicon Llc|Surgical instrument with sensor and/or control systems|

---

US11103268B2|2017-10-30|2021-08-31|Cilag Gmbh International|Surgical clip applier comprising adaptive firing control|

---

US20190125458A1|2017-10-30|2019-05-02|Ethicon Llc|Method for producing a surgical instrument comprising a smart electrical system|

---

US11229436B2|2017-10-30|2022-01-25|Cilag Gmbh International|Surgical system comprising a surgical tool and a surgical hub|

---

US20190125454A1|2017-10-30|2019-05-02|Ethicon Llc|Method of hub communication with surgical instrument systems|

---

US11141160B2|2017-10-30|2021-10-12|Cilag Gmbh International|Clip applier comprising a motor controller|

---

US10736616B2|2017-10-30|2020-08-11|Ethicon Llc|Surgical instrument with remote release|

---

US10842490B2|2017-10-31|2020-11-24|Ethicon Llc|Cartridge body design with force reduction based on firing completion|

---

US10783634B2|2017-11-22|2020-09-22|General Electric Company|Systems and methods to deliver point of care alerts for radiological findings|

---

US10631916B2|2017-11-29|2020-04-28|Megadyne Medical Products, Inc.|Filter connection for a smoke evacuation device|

---

US10743868B2|2017-12-21|2020-08-18|Ethicon Llc|Surgical instrument comprising a pivotable distal head|

---

US20190208641A1|2017-12-28|2019-07-04|Ethicon Llc|Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices|

---

US20190201046A1|2017-12-28|2019-07-04|Ethicon Llc|Method for controlling smart energy devices|

---

US20190200977A1|2017-12-28|2019-07-04|Ethicon Llc|Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation|

---

US20190201146A1|2017-12-28|2019-07-04|Ethicon Llc|Safety systems for smart powered surgical stapling|

---

US20190200988A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical systems with prioritized data transmission capabilities|

---

US20190201027A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument with acoustic-based motor control|

---

US11109866B2|2017-12-28|2021-09-07|Cilag Gmbh International|Method for circular stapler control algorithm adjustment based on situational awareness|

---

US20190201158A1|2017-12-28|2019-07-04|Ethicon Llc|Control of a surgical system through a surgical barrier|

---

US11013563B2|2017-12-28|2021-05-25|Ethicon Llc|Drive arrangements for robot-assisted surgical platforms|

---

US20190200844A1|2017-12-28|2019-07-04|Ethicon Llc|Method of hub communication, processing, storage and display|

---

US20190205441A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity|

---

US10932872B2|2017-12-28|2021-03-02|Ethicon Llc|Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set|

---

US20190201033A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical system distributed processing|

---

US20190201129A1|2017-12-28|2019-07-04|Ethicon Llc|Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use|

---

US20190201047A1|2017-12-28|2019-07-04|Ethicon Llc|Method for smart energy device infrastructure|

---

US20190201123A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical systems with autonomously adjustable control programs|

---

US10892899B2|2017-12-28|2021-01-12|Ethicon Llc|Self describing data packets generated at an issuing instrument|

---

US20190206561A1|2017-12-28|2019-07-04|Ethicon Llc|Data handling and prioritization in a cloud analytics network|

---

US20190201127A1|2017-12-28|2019-07-04|Ethicon Llc|Adjustment of a surgical device function based on situational awareness|

---

US11253315B2|2017-12-28|2022-02-22|Cilag Gmbh International|Increasing radio frequency to create pad-less monopolar loop|

---

US20190201036A1|2017-12-28|2019-07-04|Ethicon Llc|Temperature control of ultrasonic end effector and control system therefor|

---

US11147607B2|2017-12-28|2021-10-19|Cilag Gmbh International|Bipolar combination device that automatically adjusts pressure based on energy modality|

---

US11179208B2|2017-12-28|2021-11-23|Cilag Gmbh International|Cloud-based medical analytics for security and authentication trends and reactive measures|

---

US11100631B2|2017-12-28|2021-08-24|Cilag Gmbh International|Use of laser light and red-green-blue coloration to determine properties of back scattered light|

---

US20190201102A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution|

---

US20190201083A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical evacuation sensor arrangements|

---

US20190201045A1|2017-12-28|2019-07-04|Ethicon Llc|Method for smoke evacuation for surgical hub|

---

US11051876B2|2017-12-28|2021-07-06|Cilag Gmbh International|Surgical evacuation flow paths|

---

US20190201091A1|2017-12-28|2019-07-04|Ethicon Llc|Radio frequency energy device for delivering combined electrical signals|

---

US20190201126A1|2017-12-28|2019-07-04|Ethicon Llc|Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures|

---

US20190201043A1|2017-12-28|2019-07-04|Ethicon Llc|Detection of end effector emersion in liquid|

---

US20190200997A1|2017-12-28|2019-07-04|Ethicon Llc|Stapling device with both compulsory and discretionary lockouts based on sensed parameters|

---

US20190201025A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument with a hardware-only control circuit|

---

US20190200986A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument cartridge sensor assemblies|

---

US20190201080A1|2017-12-28|2019-07-04|Ethicon Llc|Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location|

---

US11076921B2|2017-12-28|2021-08-03|Cilag Gmbh International|Adaptive control program updates for surgical hubs|

---

US10987178B2|2017-12-28|2021-04-27|Ethicon Llc|Surgical hub control arrangements|

---

US20190200906A1|2017-12-28|2019-07-04|Ethicon Llc|Dual cmos array imaging|

---

US20190201040A1|2017-12-28|2019-07-04|Ethicon Llc|Controlling activation of an ultrasonic surgical instrument according to the presence of tissue|

---

US11056244B2|2017-12-28|2021-07-06|Cilag Gmbh International|Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks|

---

US20190201104A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical hub spatial awareness to determine devices in operating theater|

---

US20190201073A1|2017-12-28|2019-07-04|Ethicon Llc|Estimating state of ultrasonic end effector and control system therefor|

---

US20190206564A1|2017-12-28|2019-07-04|Ethicon Llc|Method for facility data collection and interpretation|

---

US20190201041A1|2017-12-28|2019-07-04|Ethicon Llc|Activation of energy devices|

---

US20190206555A1|2017-12-28|2019-07-04|Ethicon Llc|Cloud-based medical analytics for customization and recommendations to a user|

---

US11096693B2|2017-12-28|2021-08-24|Cilag Gmbh International|Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing|

---

US20190274716A1|2017-12-28|2019-09-12|Ethicon Llc|Determining the state of an ultrasonic end effector|

---

US20190206563A1|2017-12-28|2019-07-04|Ethicon Llc|Method for adaptive control schemes for surgical network control and interaction|

---

US11160605B2|2017-12-28|2021-11-02|Cilag Gmbh International|Surgical evacuation sensing and motor control|

---

US11257589B2|2017-12-28|2022-02-22|Cilag Gmbh International|Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes|

---

US11069012B2|2017-12-28|2021-07-20|Cilag Gmbh International|Interactive surgical systems with condition handling of devices and data capabilities|

---

US20190201136A1|2017-12-28|2019-07-04|Ethicon Llc|Method of hub communication|

---

US20190201130A1|2017-12-28|2019-07-04|Ethicon Llc|Communication of data where a surgical network is using context of the data and requirements of a receiving system / user to influence inclusion or linkage of data and metadata to establish continuity|

---

US11166772B2|2017-12-28|2021-11-09|Cilag Gmbh International|Surgical hub coordination of control and communication of operating room devices|

---

US11234756B2|2017-12-28|2022-02-01|Cilag Gmbh International|Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter|

---

US20190206565A1|2017-12-28|2019-07-04|Ethicon Llc|Method for operating surgical instrument systems|

---

US20190205001A1|2017-12-28|2019-07-04|Ethicon Llc|Sterile field interactive control displays|

---

US20190201075A1|2017-12-28|2019-07-04|Ethicon Llc|Mechanisms for controlling different electromechanical systems of an electrosurgical instrument|

---

US20190200981A1|2017-12-28|2019-07-04|Ethicon Llc|Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws|

---

US20190201085A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical evacuation sensing and generator control|

---

US20190201140A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical hub situational awareness|

---

US10695081B2|2017-12-28|2020-06-30|Ethicon Llc|Controlling a surgical instrument according to sensed closure parameters|

---

US10758310B2|2017-12-28|2020-09-01|Ethicon Llc|Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices|

---

US20190205567A1|2017-12-28|2019-07-04|Ethicon Llc|Data pairing to interconnect a device measured parameter with an outcome|

---

US10849697B2|2017-12-28|2020-12-01|Ethicon Llc|Cloud interface for coupled surgical devices|

---

US20190200987A1|2017-12-28|2019-07-04|Ethicon Llc|Variable output cartridge sensor assembly|

---

US20190206562A1|2017-12-28|2019-07-04|Ethicon Llc|Method of hub communication, processing, display, and cloud analytics|

---

US20190200985A1|2017-12-28|2019-07-04|Ethicon Llc|Systems for detecting proximity of surgical end effector to cancerous tissue|

---

US20190201594A1|2017-12-28|2019-07-04|Ethicon Llc|Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub|

---

US10944728B2|2017-12-28|2021-03-09|Ethicon Llc|Interactive surgical systems with encrypted communication capabilities|

---

US20190200980A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical system for presenting information interpreted from external data|

---

US20190201087A1|2017-12-28|2019-07-04|Ethicon Llc|Smoke evacuation system including a segmented control circuit for interactive surgical platform|

---

US10943454B2|2017-12-28|2021-03-09|Ethicon Llc|Detection and escalation of security responses of surgical instruments to increasing severity threats|

---

US20190201044A1|2017-12-28|2019-07-04|Ethicon Llc|Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue|

---

US20190201137A1|2017-12-28|2019-07-04|Ethicon Llc|Method of robotic hub communication, detection, and control|

---

US20190201020A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical systems for detecting end effector tissue distribution irregularities|

---

US11202570B2|2017-12-28|2021-12-21|Cilag Gmbh International|Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems|

---

US20190201034A1|2017-12-28|2019-07-04|Ethicon Llc|Powered stapling device configured to adjust force, advancement speed, and overall stroke of cutting member based on sensed parameter of firing or clamping|

---

US20190201030A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument comprising a plurality of drive systems|

---

US20190201120A1|2017-12-28|2019-07-04|Ethicon Llc|Sensing arrangements for robot-assisted surgical platforms|

---

US20190201021A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument having a flexible circuit|

---

US20190201077A1|2017-12-28|2019-07-04|Ethicon Llc|Interruption of energy due to inadvertent capacitive coupling|

---

US20190201079A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument having a flexible electrode|

---

US11132462B2|2017-12-28|2021-09-28|Cilag Gmbh International|Data stripping method to interrogate patient records and create anonymized record|

---

US11213359B2|2017-12-28|2022-01-04|Cilag Gmbh International|Controllers for robot-assisted surgical platforms|

---

US20190201086A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical evacuation sensing and display|

---

US20190201112A1|2017-12-28|2019-07-04|Ethicon Llc|Computer implemented interactive surgical systems|

---

US20190206551A1|2017-12-28|2019-07-04|Ethicon Llc|Spatial awareness of surgical hubs in operating rooms|

---

US20190201090A1|2017-12-28|2019-07-04|Ethicon Llc|Capacitive coupled return path pad with separable array elements|

---

US20190201128A1|2017-12-28|2019-07-04|Ethicon Llc|Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub|

---

US11045591B2|2017-12-28|2021-06-29|Cilag Gmbh International|Dual in-series large and small droplet filters|

---

US10966791B2|2017-12-28|2021-04-06|Ethicon Llc|Cloud-based medical analytics for medical facility segmented individualization of instrument function|

---

US11266468B2|2017-12-28|2022-03-08|Cilag Gmbh International|Cooperative utilization of data derived from secondary sources by intelligent surgical hubs|

---

US20190201115A1|2017-12-28|2019-07-04|Ethicon Llc|Aggregation and reporting of surgical hub data|

---

US20190206569A1|2017-12-28|2019-07-04|Ethicon Llc|Method of cloud based data analytics for use with the hub|

---

US20190206003A1|2017-12-28|2019-07-04|Ethicon Llc|Adaptive control program updates for surgical devices|

---

US20190200905A1|2017-12-28|2019-07-04|Ethicon Llc|Characterization of tissue irregularities through the use of mono-chromatic light refractivity|

---

US11259830B2|2018-03-08|2022-03-01|Cilag Gmbh International|Methods for controlling temperature in ultrasonic device|

---

US20190274752A1|2018-03-08|2019-09-12|Ethicon Llc|Fine dissection mode for tissue classification|

---

US20190274749A1|2018-03-08|2019-09-12|Ethicon Llc|Detection of large vessels during parenchymal dissection using a smart blade|

---

US11096688B2|2018-03-28|2021-08-24|Cilag Gmbh International|Rotary driven firing members with different anvil and channel engagement features|

---

US20190298353A1|2018-03-28|2019-10-03|Ethicon Llc|Surgical stapling devices with asymmetric closure features|

---

US11219453B2|2018-03-28|2022-01-11|Cilag Gmbh International|Surgical stapling devices with cartridge compatible closure and firing lockout arrangements|

---

US11213294B2|2018-03-28|2022-01-04|Cilag Gmbh International|Surgical instrument comprising co-operating lockout features|

---

US11207067B2|2018-03-28|2021-12-28|Cilag Gmbh International|Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing|

---

US11166716B2|2018-03-28|2021-11-09|Cilag Gmbh International|Stapling instrument comprising a deactivatable lockout|

---

US20190298352A1|2018-03-28|2019-10-03|Ethicon Llc|Surgical stapling devices with improved rotary driven closure systems|

---

US10973520B2|2018-03-28|2021-04-13|Ethicon Llc|Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature|

---

US11090047B2|2018-03-28|2021-08-17|Cilag Gmbh International|Surgical instrument comprising an adaptive control system|

---

US20190298350A1|2018-03-28|2019-10-03|Ethicon Llc|Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems|

---

US11197668B2|2018-03-28|2021-12-14|Cilag Gmbh International|Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout|

---

US11141232B2|2018-03-29|2021-10-12|Intuitive Surgical Operations, Inc.|Teleoperated surgical instruments|

---

US10842492B2|2018-08-20|2020-11-24|Ethicon Llc|Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system|

---

US20200054321A1|2018-08-20|2020-02-20|Ethicon Llc|Surgical instruments with progressive jaw closure arrangements|

---

US11207065B2|2018-08-20|2021-12-28|Cilag Gmbh International|Method for fabricating surgical stapler anvils|

---

US11083458B2|2018-08-20|2021-08-10|Cilag Gmbh International|Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions|

---

US11039834B2|2018-08-20|2021-06-22|Cilag Gmbh International|Surgical stapler anvils with staple directing protrusions and tissue stability features|

---

US11253256B2|2018-08-20|2022-02-22|Cilag Gmbh International|Articulatable motor powered surgical instruments with dedicated articulation motor arrangements|

---

US10779821B2|2018-08-20|2020-09-22|Ethicon Llc|Surgical stapler anvils with tissue stop features configured to avoid tissue pinch|

---

US20200054320A1|2018-08-20|2020-02-20|Ethicon Llc|Method for operating a powered articulatable surgical instrument|

---

US10912559B2|2018-08-20|2021-02-09|Ethicon Llc|Reinforced deformable anvil tip for surgical stapler anvil|

---

US11045192B2|2018-08-20|2021-06-29|Cilag Gmbh International|Fabricating techniques for surgical stapler anvils|

---

US10856870B2|2018-08-20|2020-12-08|Ethicon Llc|Switching arrangements for motor powered articulatable surgical instruments|

---

US20200078077A1|2018-09-07|2020-03-12|Ethicon Llc|Flexible neutral electrode|US10517680B2|2017-04-28|2019-12-31|Medtronic Navigation, Inc.|Automatic identification of instruments|

---

US11103268B2|2017-10-30|2021-08-31|Cilag Gmbh International|Surgical clip applier comprising adaptive firing control|

---

US11229436B2|2017-10-30|2022-01-25|Cilag Gmbh International|Surgical system comprising a surgical tool and a surgical hub|

---

US11141160B2|2017-10-30|2021-10-12|Cilag Gmbh International|Clip applier comprising a motor controller|

---

US11253315B2|2017-12-28|2022-02-22|Cilag Gmbh International|Increasing radio frequency to create pad-less monopolar loop|

---

US20190201146A1|2017-12-28|2019-07-04|Ethicon Llc|Safety systems for smart powered surgical stapling|

---

US11109866B2|2017-12-28|2021-09-07|Cilag Gmbh International|Method for circular stapler control algorithm adjustment based on situational awareness|

---

US10966791B2|2017-12-28|2021-04-06|Ethicon Llc|Cloud-based medical analytics for medical facility segmented individualization of instrument function|

---

US20190274716A1|2017-12-28|2019-09-12|Ethicon Llc|Determining the state of an ultrasonic end effector|

---

US11166772B2|2017-12-28|2021-11-09|Cilag Gmbh International|Surgical hub coordination of control and communication of operating room devices|

---

US11234756B2|2017-12-28|2022-02-01|Cilag Gmbh International|Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter|

---

US10849697B2|2017-12-28|2020-12-01|Ethicon Llc|Cloud interface for coupled surgical devices|

---

US11069012B2|2017-12-28|2021-07-20|Cilag Gmbh International|Interactive surgical systems with condition handling of devices and data capabilities|

---

US10943454B2|2017-12-28|2021-03-09|Ethicon Llc|Detection and escalation of security responses of surgical instruments to increasing severity threats|

---

US11045591B2|2017-12-28|2021-06-29|Cilag Gmbh International|Dual in-series large and small droplet filters|

---

US11266468B2|2017-12-28|2022-03-08|Cilag Gmbh International|Cooperative utilization of data derived from secondary sources by intelligent surgical hubs|

---

US20190206551A1|2017-12-28|2019-07-04|Ethicon Llc|Spatial awareness of surgical hubs in operating rooms|

---

US10987178B2|2017-12-28|2021-04-27|Ethicon Llc|Surgical hub control arrangements|

---

US20190201087A1|2017-12-28|2019-07-04|Ethicon Llc|Smoke evacuation system including a segmented control circuit for interactive surgical platform|

---

US11051876B2|2017-12-28|2021-07-06|Cilag Gmbh International|Surgical evacuation flow paths|

---

US11096693B2|2017-12-28|2021-08-24|Cilag Gmbh International|Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing|

---

US10695081B2|2017-12-28|2020-06-30|Ethicon Llc|Controlling a surgical instrument according to sensed closure parameters|

---

US10944728B2|2017-12-28|2021-03-09|Ethicon Llc|Interactive surgical systems with encrypted communication capabilities|

---

US11202570B2|2017-12-28|2021-12-21|Cilag Gmbh International|Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems|

---

US11213359B2|2017-12-28|2022-01-04|Cilag Gmbh International|Controllers for robot-assisted surgical platforms|

---

US10758310B2|2017-12-28|2020-09-01|Ethicon Llc|Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices|

---

US11257589B2|2017-12-28|2022-02-22|Cilag Gmbh International|Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes|

---

US11132462B2|2017-12-28|2021-09-28|Cilag Gmbh International|Data stripping method to interrogate patient records and create anonymized record|

---

US20190205001A1|2017-12-28|2019-07-04|Ethicon Llc|Sterile field interactive control displays|

---

US11056244B2|2017-12-28|2021-07-06|Cilag Gmbh International|Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks|

---

US11160605B2|2017-12-28|2021-11-02|Cilag Gmbh International|Surgical evacuation sensing and motor control|

---

US11100631B2|2017-12-28|2021-08-24|Cilag Gmbh International|Use of laser light and red-green-blue coloration to determine properties of back scattered light|

---

US11179208B2|2017-12-28|2021-11-23|Cilag Gmbh International|Cloud-based medical analytics for security and authentication trends and reactive measures|

---

US11147607B2|2017-12-28|2021-10-19|Cilag Gmbh International|Bipolar combination device that automatically adjusts pressure based on energy modality|

---

US11013563B2|2017-12-28|2021-05-25|Ethicon Llc|Drive arrangements for robot-assisted surgical platforms|

---

US10892899B2|2017-12-28|2021-01-12|Ethicon Llc|Self describing data packets generated at an issuing instrument|

---

US11076921B2|2017-12-28|2021-08-03|Cilag Gmbh International|Adaptive control program updates for surgical hubs|

---

US10932872B2|2017-12-28|2021-03-02|Ethicon Llc|Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set|

---

US11259830B2|2018-03-08|2022-03-01|Cilag Gmbh International|Methods for controlling temperature in ultrasonic device|

---

US20190298350A1|2018-03-28|2019-10-03|Ethicon Llc|Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems|

---

US11207067B2|2018-03-28|2021-12-28|Cilag Gmbh International|Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing|

---

US11090047B2|2018-03-28|2021-08-17|Cilag Gmbh International|Surgical instrument comprising an adaptive control system|

---

US10973520B2|2018-03-28|2021-04-13|Ethicon Llc|Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature|

---

US11213294B2|2018-03-28|2022-01-04|Cilag Gmbh International|Surgical instrument comprising co-operating lockout features|

---

US11219453B2|2018-03-28|2022-01-11|Cilag Gmbh International|Surgical stapling devices with cartridge compatible closure and firing lockout arrangements|

---

US11096688B2|2018-03-28|2021-08-24|Cilag Gmbh International|Rotary driven firing members with different anvil and channel engagement features|

---

US11197668B2|2018-03-28|2021-12-14|Cilag Gmbh International|Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout|

---

US11166716B2|2018-03-28|2021-11-09|Cilag Gmbh International|Stapling instrument comprising a deactivatable lockout|

---

US11259807B2|2019-02-19|2022-03-01|Cilag Gmbh International|Staple cartridges with cam surfaces configured to engage primary and secondary portions of a lockout of a surgical stapling device|

法律状态:
2021-12-07| B350| Update of information on the portal [chapter 15.35 patent gazette]|

优先权:

---

申请号 | 申请日 | 专利标题

---

US201762611339P| true| 2017-12-28|2017-12-28|

---

US201762611340P| true| 2017-12-28|2017-12-28|

---

US201762611341P| true| 2017-12-28|2017-12-28|

---

US62/611,339|2017-12-28|

---

US62/611,340|2017-12-28|

---

US62/611,341|2017-12-28|

---

US201862640417P| true| 2018-03-08|2018-03-08|

---

US201862640415P| true| 2018-03-08|2018-03-08|

---

US62/640,417|2018-03-08|

---

US62/640,415|2018-03-08|

---

US201862650898P| true| 2018-03-30|2018-03-30|

---

US201862650882P| true| 2018-03-30|2018-03-30|

---

US201862650887P| true| 2018-03-30|2018-03-30|

---

US201862650877P| true| 2018-03-30|2018-03-30|

---

US62/650,898|2018-03-30|

---

US62/650,877|2018-03-30|

---

US62/650,887|2018-03-30|

---

US62/650,882|2018-03-30|

---

US201862659900P| true| 2018-04-19|2018-04-19|

---

US62/659,900|2018-04-19|

---

US201862692747P| true| 2018-06-30|2018-06-30|

---

US201862692748P| true| 2018-06-30|2018-06-30|

---

US201862692768P| true| 2018-06-30|2018-06-30|

---

US62/692,768|2018-06-30|

---

US62/692,747|2018-06-30|

---

US62/692,748|2018-06-30|

---

US201862729186P| true| 2018-09-10|2018-09-10|

---

US62/729,186|2018-09-10|

---

US16/182,227|2018-11-06|

---

US16/182,227|US10892995B2|2017-12-28|2018-11-06|Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs|

---

PCT/US2018/060966|WO2019133134A1|2017-12-28|2018-11-14|Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs|

---