cloud-based medical analysis for segmented individualization of instrument functions in medical faci

专利摘要:
The present invention relates to a cloud-based medical analytical system comprising a processor, a memory, an input / output interface for accessing data from central medical controller communication devices, each coupled to a surgical instrument, and a database. The processor generates medical usage patterns for medical devices based on aggregating medical device usage data from central medical controllers and aggregates patient outcome data from central medical controllers. The patient outcome data comprises: data related to the steps performed and the corresponding times of execution of each step in patient procedures and in the allocation of resources used in the procedures. To provide data indicative of positive results, the processor determines the patient's biographical specifications or psychological differences from biographical or psychological specification data obtained from common medical usage standards, determines personalized changes in medical device standards of medical devices associated with the biographical specification or psychological difference and provides personalized recommendations or changes to medical facilities associated with the biographical specification or psychological difference.
公开号:BR112020013224A2
申请号:R112020013224-1
申请日:2018-07-31
公开日:2020-12-01
发明作者:Jason L. Harris；Frederick E. Shelton, Iv；David C. Yates；Gregory J. Bakos；Jerome R. Morgan
申请人:Ethicon Llc；
IPC主号:

专利说明:

[0001] [0001] This application claims priority under 35 USC 119 (e) to provisional patent application serial number 62 / 649,333, entitled CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER, filed on March 28, 2018, whose description is incorporated in this document for reference, in its entirety.
[0002] [0002] The present application claims priority under 35 USC 119 (e) to US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE SURGICAL PLATFORM, filed on December 28, 2017, of the provisional US patent application serial number 62 / 611.340, entitled CLOUD-BASED MEDICAL ANALYTICS, filed on December 28, 2017, and US provisional patent application serial number 62 / 611.339, entitled ROBOT ASSISTED SURGICAL PLATFORM, filed on December 28, 2017, the description of each of which in this document is incorporated by reference, in its entirety. BACKGROUND OF THE INVENTION
[0003] [0003] The present invention relates to several surgical systems. In the digital and information age, medical facilities and systems are often slower to implement systems or procedures that use new and improved technologies due to patient safety and a general desire to maintain traditional practices. However, medical facilities and systems can therefore, consequently, lack communication and knowledge shared with other neighboring or similar facilities. To improve patient practices, it would be desirable to find ways to help improve the interconnection of medical facilities and systems. SUMMARY OF THE INVENTION
[0004] [0004] In general, a cloud-based analytical medical system is provided. The cloud-based medical analytical system comprises at least one processor; at least one memory coupled in communication with at least one processor; an input / output interface configured to access data from a plurality of medical central controller type communication devices, each communicatively coupled to at least one surgical instrument; and a database that resides in at least one memory and is configured to store the data. At least one memory stores executable instructions for at least one processor to: generate common medical usage patterns from medical devices based on the aggregation of usage data for medical devices from the plurality of central medical controllers; and aggregate patient outcome data from central medical controllers. The patient results data comprise: data related to the steps performed and the corresponding times of execution of each step in procedures with the patient; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data indicating the medical facilities to which the said medical resource was allocated; and for each data related to the patient's procedure: data indicative of the result of the patient's procedure; data indicative of a patient's biographical specification; and data indicative of a psychological specification of the patient. At least one memory additionally stores executable instructions for at least one processor for: for data indicative of a positive result of the patient's procedure, determine a biographical specification or a psychological difference about the patient in relation to the psychological specification data or biographical of common medical use patterns; determine a personalized change to the pattern of medical use of medical devices in medical facilities associated with the biographical specification or psychological difference; and provide a recommendation on the personalized change to medical facilities associated with the biographical specification or psychological difference.
[0005] [0005] In another general aspect, another method of cloud-based medical analytical systems is provided. The method improves medical procedures individually. The method comprises: generating, through the cloud-based medical analytical system, common medical use standards for medical devices based on the aggregation of medical device usage data from a plurality of central medical controllers communicatively coupled to the system cloud-based analytical physician; and aggregate, through the cloud-based medical analytical system, patient outcome data from the plurality of central medical controllers. The patient outcome data comprises: data related to the steps performed and the corresponding times of execution of each step in procedures with the patient; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data indicating the medical facilities to which the said medical resource was allocated; and for each data related to the patient's procedure: data indicative of the result of the patient's procedure; data indicative of a patient's biographical specification; and indicative data of a psychological specification of the patient; The method further comprises: for data indicative of a positive result
[0006] [0006] In yet another general aspect, computer-readable media is provided. Computer-readable media is non-transitory and stores instructions executable by at least one processor in a cloud-based analytical system to: generate common medical usage patterns for medical devices based on an aggregation of medical device usage data from a plurality of central medical controllers communicatively coupled to the cloud-based analytical system; and aggregate patient outcome data from central medical controllers. The patient's results data include: data related to the steps performed and the corresponding times of execution of each step in procedures with the patient; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data indicating the medical facilities to which the said medical resource was allocated; and for each data related to the patient's procedure: data indicative of the result of the patient's procedure; data indicative of a patient's biographical specification; and indicative data of a psychological specification of the patient; The executable instructions also determine, for data indicative of a positive result of the patient's procedure, a psychological difference or a biographical specification about the patient in relation to the psychological or biographical specification data of common medical use patterns; determine a personalized change to the standard of medical use of medical devices in medical facilities associated with the biographical specification or psychological difference; and provide a recommendation on the personalized change to medical facilities associated with the biographical specification or psychological difference. FIGURES
[0007] [0007] The appeals of several aspects are presented with particularity in the attached claims. The various aspects, however, with regard to both the organization and 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.
[0008] [0008] Figure 1 is a block diagram of an interactive surgical system implemented by computer, in accordance with at least one aspect of the present invention.
[0009] [0009] Figure 2 is a surgical system being used to perform a surgical procedure in an operating room, in accordance with at least one aspect of the present invention.
[0010] [0010] Figure 3 is a central surgical controller paired with a visualization system, a robotic system, and an intelligent instrument, in accordance with at least one aspect of the present invention.
[0011] [0011] Figure 4 is a partial perspective view of a compartment of the central surgical controller, and of a generator module in combination received slidingly in a compartment of the central surgical controller, according to at least one aspect of this invention.
[0012] [0012] Figure 5 is a perspective view of a generator module in combination with bipolar, ultrasonic and monopolar contacts and a smoke evacuation component, in accordance with at least one aspect of the present invention.
[0013] [0013] 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 invention.
[0014] [0014] Figure 7 illustrates a vertical modular cabinet configured to receive a plurality of modules, according to at least one aspect of the present invention.
[0015] [0015] Figure 8 illustrates a surgical data network that comprises a modular communication center configured to connect modular devices located in one or more operating rooms of a health care facility, or any environment in a utility facility specially equipped for surgical operations, to the cloud, in accordance with at least one aspect of the present invention.
[0016] [0016] Figure 9 illustrates an interactive surgical system implemented by computer, according to at least one aspect of the present invention.
[0017] [0017] Figure 10 illustrates a central surgical controller that comprises a plurality of modules coupled to the modular control tower, according to at least one aspect of the present invention.
[0018] [0018] Figure 11 illustrates an aspect of a universal serial bus (USB) central controller device, in accordance with at least one aspect of the present invention.
[0019] [0019] Figure 12 illustrates a logical diagram of a control system for an instrument or surgical tool, according to at least one aspect of the present invention.
[0020] [0020] Figure 13 illustrates a control circuit configured to control aspects of the instrument or surgical tool, according to at least one aspect of the present invention.
[0021] [0021] Figure 14 illustrates a combinational logic circuit configured to control aspects of the instrument or surgical tool, according to at least one aspect of the present invention.
[0022] [0022] Figure 15 illustrates a sequential logic circuit configured to control aspects of the instrument or surgical tool, according to at least one aspect of the present invention.
[0023] [0023] Figure 16 illustrates an instrument or surgical tool that comprises a plurality of motors that can be activated to perform various functions, according to at least one aspect of the present invention.
[0024] [0024] Figure 17 is a schematic diagram of a robotic surgical instrument configured to operate a surgical tool described therein, in accordance with at least one aspect of the present invention.
[0025] [0025] Figure 18 illustrates a block diagram of a surgical instrument programmed to control the distal translation of the displacement member, according to an aspect of the present invention.
[0026] [0026] Figure 19 is a schematic diagram of a surgical instrument configured to control various functions, in accordance with at least one aspect of the present invention.
[0027] [0027] Figure 20 is a simplified block diagram of a generator configured to provide tuning without an inductor, among other benefits, according to at least one aspect of the present invention.
[0028] [0028] Figure 21 illustrates an example of a generator, which is a form of the generator of Figure 20, according to at least one aspect of the present invention.
[0029] [0029] Figure 22 is a block diagram of the interactive surgical system implemented by computer, according to at least one aspect of the present invention.
[0030] [0030] Figure 23 is a block diagram that illustrates the functional architecture of the interactive surgical system implemented by a computer, according to at least one aspect of the present invention.
[0031] [0031] Figure 24 is an illustrative illustration of an organization of several resources correlated to specific types of surgical categories, according to at least one aspect of the present invention.
[0032] [0032] Figure 25 provides an illustrative illustration of how data is analyzed by the cloud-based system to provide a comparison between multiple facilities to compare resource usage, in accordance with at least one aspect of the present invention.
[0033] [0033] Figure 26 illustrates an example of how the cloud-based system can determine trends in the effectiveness of an aggregated set of data across entire regions, in accordance with at least one aspect of the present invention.
[0034] [0034] Figure 27 provides an exemplary illustration of some types of analysis that the cloud-based system can be configured to perform to provide predictive modeling, in accordance with at least one aspect of the present invention.
[0035] [0035] Figure 28 provides a graphic illustration of a type of exemplary analysis that the cloud-based system can perform.
[0036] [0036] Figure 29 provides an illustration of how the cloud-based system can perform analyzes to identify a statistical correlation for a local issue that is linked to how a device is used in the localized configuration, according to at least one aspect of the present invention.
[0037] [0037] Figure 30 provides a graphic illustration of an example of how some devices can satisfy an equivalent use compared to an intended device, and that the cloud-based system can determine such an equivalent use, according to at least one aspect of the present invention.
[0038] [0038] Figure 31 provides several examples of how some data can be used as variables in deciding how a post-operative decision tree can branch, according to at least one aspect of the present invention.
[0039] [0039] Figure 32 is a timeline that represents the situational recognition of a central surgical controller, according to at least one aspect of the present invention. DESCRIPTION
[0040] [0040] The applicant for this application holds the following provisional US patent applications, filed on March 28, 2018, each of which is incorporated into the reference document in its entirety in this document: e Patent application US Provisional Serial No. 62 / 649,302, entitled INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES; and US Provisional Patent Application Serial No. 62 / 649,294, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD;
[0041] [0041] The applicant for this application holds the following US patent applications, filed on March 29, 2018, each of which is incorporated in this document in its entirety for reference: e US patent application serial number, entitled INTERACTIVE-
[0042] [0042] The applicant for this application holds the following US patent applications, filed on March 29, 2018, each of which is incorporated in this document in its entirety by reference: e US patent application serial number. , entitled ADAPTI-VE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES; Attorney document number END8506USNP / 170773; and US patent application serial number. , entitled ADAPTI-VE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS; Attorney document number END8506USNP1 / 170773-1; and US patent application serial number. , entitled CLOUD-
[0043] [0043] The applicant for the present application holds the following US patent applications, filed on March 29, 2018, each of which is incorporated in this document as a reference in its entirety: + US patent application serial number, entitled DRIVE AR- RANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS; Attorney document number END8511USNP / 170778; and US patent application serial number, entitled COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS; Attorney document number END8511USNP1 / 170778-1; and US patent application serial number, entitled CONTROLS
[0044] [0044] 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. 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 .
[0045] [0045] 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 central surgical controller 106 in communication with the cloud 104 which can include a remote server 113. In one example, as shown in Figure 1, surgical system 102 includes a display system 108 , a robotic system 110, a smart handheld surgical instrument 112, which are configured to communicate with one another and / or the central controller 106. In some respects, a surgical system 102 may include an M number of controllers centers 106, an N number of visualization systems 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 larger integers or equal to one.
[0046] [0046] Figure 3 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 robotic central surgical controller
[0047] [0047] 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 invention are described in provisional patent application no. 62 / 611,339, entitled ROBOT ASSISTED SURGI-CAL PLATFORM, filed on December 28, 2017, the description of which is hereby incorporated by reference in its entirety for reference.
[0048] [0048] Various examples of cloud-based analysis that are performed by the cloud 104, and are suitable for use with the present invention, 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 included in the present document for reference, in its entirety.
[0049] [0049] In several aspects, 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.
[0050] [0050] 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 directed to illuminate portions of the surgical field. The one or more image sensors can receive reflected or refracted light from the surgical field,
[0051] [0051] 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.
[0052] [0052] 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.
[0053] [0053] In several respects, the imaging device 124 is configured for use in a minimally invasive procedure. Examples of imaging devices suitable for use with the present invention include, but are not limited to, an arthroscope, angioscope, bronchoscope, choledocoscope, colonoscope, cytoscope, duodenoscope, enteroscope, esophagus-duodenoscope (gastroscope), endoscope, laryngoscope, nasopharyngoscope, sigmoidoscope, thoracoscope and ureteroscope.
[0054] [0054] In one aspect, the imaging device uses multiple spectrum monitoring to discriminate topography and underlying structures. A multi-spectral image is one that captures image data within wavelength bands along the electromagnetic spectrum. 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 receptors for the colors red, green, and blue. The use of multispectral imaging is described in greater 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 in the present document incorporated by reference in its entirety. Multispectral monitoring can be a useful tool for relocating a surgical field after a surgical task is completed to perform one or more of the tests previously described on the treated tissue.
[0055] [0055] 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 the 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.
[0056] [0056] In several 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 illustrated in Figure 2. In one aspect, the display system 108 includes an interface for HL7, PACS and EMR. Various components of the visualization 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, whose description this document is incorporated by reference in its entirety by reference.
[0057] [0057] As illustrated 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 display tower 111 includes a first non-sterile screen 107 and a second non-sterile screen 109, which are opposite each other. The visualization system 108, guided by the central controller 106, is configured to use screens 107, 109, and 119 to coordinate the flow of information to operators inside and outside the sterile field. For example, the central controller 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 of the surgical site on the main screen 119. The snapshot on the non-sterile screen 107 or 109 can allow a non-sterile operator to perform, for example, a diagnostic step relevant to the surgical procedure.
[0058] [0058] In one aspect, the central controller 106 is also configured to route an entry or diagnostic feedback by a non-sterile operator in the display tower 111 to the primary screen 119 within the sterile field, where it can be seen by a sterile operator 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 main screen 119 by central controller 106.
[0059] [0059] With reference to Figure 2, a surgical instrument 112 is being used in the surgical procedure as part of the surgical system 102. The central controller 106 is also configured to coordinate the flow of information to a screen of the surgical instrument 112. For For example, in US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE SURGICAL PLATFORM, deposited on December 28, 2017, the description of which is incorporated in this document for reference in its entirety. A diagnostic input or feedback entered by a non-sterile operator in the viewing tower 111 can be routed by the central controller 106 to the screen of the surgical instrument 115 in the sterile field, where it can be seen by the operator of the surgical instrument 112. Ins - exemplary surgical instruments that are suitable for use with surgical system 102 are described under the title "Surgical Instrument Hardware" and in US provisional patent application serial number 62 / 611.341, entitled INTERACTIVE SURGICAL PLATFORM, deposited on 28 December 2017, whose description is included in the present document for reference in its entirety, for example.
[0060] [0060] Now with reference to Figure 3, a central controller
[0061] [0061] 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 compartment of the central controller 136 offers a unified environment to manage power, data and fluid lines, which reduces the frequency of interleaving between such lines.
[0062] [0062] Aspects of the present invention feature a central surgical controller for use in a surgical procedure that involves applying energy to the tissue at a surgical site. The central surgical controller includes a central controller compartment and a combination generator module received slidingly in a central controller compartment 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.
[0063] [0063] 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 received slidingly in the central controller compartment. In one aspect, the central controller compartment comprises a fluid interface.
[0064] [0064] 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 invention present a solution in which a modular compartment of central controller 136 is configured to accommodate different generators and facilitate interactive communication between them. One of the advantages of the modular compartment of the central controller 136 is that it allows the quick removal and / or replacement of several modules.
[0065] [0065] Aspects of the present invention feature a modular surgical compartment for use in a surgical procedure that involves applying energy to the tissue. The modular surgical compartment 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 power contacts, with the first power generator module is slidingly movable in an electrical coupling with the data and power contacts and the first power generator module is slidingly movable out of the electric coupling with the first contacts data and power.
[0066] [0066] In addition to the above, the modular surgical compartment 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 comprising a second docking port which includes second data and power contacts and the second power generator module is slidingly movable in an electrical coupling with the data and power contacts, and the second energy generator module is mobile sliding way out of the electrical coupling with the second data and power contacts.
[0067] [0067] In addition, the modular surgical compartment 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.
[0068] [0068] With reference to Figures 3 to 7, aspects of the present invention are presented for a modular compartment of the central controller 136 that allows the modular integration of a generator module 140, a smoke evacuation module 126, and a suction / irrigation module 128. The central controller modular module 136 further facilitates interactive communication between modules 140, 126, 128. As illustrated in Figure 5, generator module 140 can be a generator module with monopoly components, bipolar and integrated ultrasound, supported in a single cabinet unit 139 slidably insertable in the central compartment modular module 136. As illustrated in Figure 5, generator module 140 can be configured to connect to a monopolar device 146 , a bipolar device 147 and an ultrasonic device 148. Alternatively, generator module 140 may comprise a series of monopolar, bipolar and / or ultrasonic generator modules interacting through the modular compartment of the central controller
[0069] [0069] In one aspect, the modular compartment of the central controller 136 comprises a modular power and a back communication board 149 with external and wireless communication heads to allow the removable fixing of modules 140, 126, 128 and interactive communication between them.
[0070] [0070] In one aspect, the modular compartment of the central controller 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 way. Figure 4 illustrates a partial perspective view of a central surgical controller compartment 136, and a combined generator module 145 received slidably at a docking station 151 of the central surgical controller housing 136. An anchor port 152 with data and power contacts on a rear side of the combined generator module 145 is configured to engage a corresponding docking port 150 with data and power contacts from a corresponding docking station 151 of the central controller 136 modular compartment how the combined generator module 145 is slid into position in the corresponding docking station 151 of the central controller module compartment 1 36. In one aspect, the combined generator module 145 includes a bipolar, ultrasonic and monopolar module and a smoke evacuation module integrated into a single cabinet unit 139, as illustrated in Figure 5.
[0071] [0071] 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 towards the smoke evacuation module 126 which is received in the central controller compartment 136.
[0072] [0072] 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.
[0073] [0073] In one aspect, the surgical tool includes a drive shaft that has an end actuator at one end
[0074] [0074] 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 central controller compartment 136 separately from the suction / irrigation module 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.
[0075] [0075] In one aspect, modules 140, 126, 128 and / or their corresponding docking stations in the central controller modular bay 136 may include alignment features that are configured to align the docking ports of the modules in engagement with their counterparts in the docking stations of the modular compartment of the central controller 136. For example, as illustrated in Figure 4, the combined generator module 145 includes side supports 155 which are configured to slide the corresponding supports 156 of the docking station in a sliding way. corresponding to 151 in the central controller 136 modular compartment.
[0076] [0076] In some respects, the drawers 151 of the modular compartment of the central controller 136 are the same, or substantially the same size, and the modules are adjusted in size to be received in the drawers 151. For example, the side brackets 155 and / or 156 can be larger or smaller depending on the size of the module. In other respects, drawers 151 are different in size and are each designed to accommodate a specific module.
[0077] [0077] In addition, the contacts of a specific module can be switched to engage with the contacts of a specific drawer to prevent the insertion of a module in a drawer with unpaired contacts.
[0078] [0078] As shown in Figure 4, the coupling port 150 of one drawer 151 can be coupled to the coupling port 150 of another drawer 151 via a communication link 157 to facilitate interactive communication between the modules housed in the modular compartment of the central controller 136. The docking ports 150 of the modular compartment of the central controller 136 can, alternatively or additionally, facilitate interactive wireless communication between the modules housed in the modular compartment of the central controller 136. Any communication without suitable wire can be used, such as Air Titan Bluetooth.
[0079] [0079] Figure 6 illustrates individual power bus connectors for a plurality of side coupling ports of a side modular cabinet 160 configured to receive a plurality of modules from a central surgical controller 206. The side modular cabinet 160 is configured to receive and interconnect laterally
[0080] [0080] Figure 7 illustrates a vertical modular cabinet 164 configured to receive a plurality of modules 165 from the central surgical controller 106. Modules 165 are slidably inserted into docking stations, or drawers, 167 of vertical modular cabinet 164, which includes a rear panel for interconnection of modules 165. Although drawers 167 of 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 docking doors of the vertical modular cabinet 164. In the example of Figure 7, a screen 177 is provided to show the data relevant to the operation of modules 165. In addition, the vertical modular cabinet 164 includes a master module 178 that houses a plurality of submodules that are received slidingly in the master module 178.
[0081] [0081] In several respects, imaging module 138 comprises an integrated video processor and a modular light source and is adapted for use with various imaging devices. In one aspect, the imaging device is comprised of a modular cabinet that can be mounted with a light source module and a camera module. The cabinet can be a disposable cabinet. In at least one example, the disposable case is removably coupled to a reusable controller, a light source module, and a camera module. The light source module and / or the camera module can be selected selectively depending on the type of surgical procedure. In one aspect, the camera module comprises a CCD sensor. In another aspect, the camera module comprises a CMOS sensor. In another aspect, the camera module is configured for imaging the scanned beam. Similarly, the light source module can be configured to provide a white light or a different light, depending on the surgical procedure.
[0082] [0082] 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 invention is configured to allow replacement of a light source module or "midstream" camera module during a surgical procedure, without the need to remove the imaging device from the cyclic field. surgical.
[0083] [0083] In one aspect, the imaging device comprises a tubular cabinet 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 receive the camera module in a sliding way, which can be configured for a snap-fit fit (pressure fit) with the first channel. In another example, the camera module and / or the light source module can be rotated to an end position within their respective channels. A threaded coupling can be used instead of a pressure fitting.
[0084] [0084] 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, imaging module 138 can be configured to integrate images from different imaging devices.
[0085] [0085] Various image processors and imaging devices suitable for use with the present invention 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 present document incorporated as a reference in its entirety. In addition, US patent No. 7,982,776, entitled SBI
[0086] [0086] MOTION ARTIFACT REMOVAL APPARATUS AND METHOD, granted on July 19, 2011, which is incorporated in this document as a reference in its entirety, describes several systems for removing motion artifacts from image data. Such systems can be integrated with image module 138. In addition to these, the publication of US patent application No. 2011/0306840, entitled CONTROLLABLE MAGNETIC SOURCE TO FIXTURE INTRACORPOREAL APPARATUS, published on December 15, 2011, and publication of US patent application No. 2014/0243597, entitled SYSTEM FOR PERFORMING A MINIMALLY INVASIVE SURGICAL PROCEDURE, published on August 28, 2014, which are, each of which, in this document, incorporated by reference in its entirety.
[0087] [0087] Figure 8 illustrates a surgical data network 201 comprising a central modular communication controller 203 configured to connect modular devices located in one or more operating rooms of a healthcare facility, or any environment in a facility. from utilities specially equipped for surgical operations, to a cloud-based system (for example, cloud 204 which can include a remote server 213 coupled to a storage device 205). In one aspect, the modular central communication controller 203 comprises a central network controller 207 and / or a network key 209 in communication with a network router. The modular central communication controller 203 can also be coupled to 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 central network controller 207 or network key 209. An intelligent surgical data network it can be called a central controller or a controllable key. A central switching controller reads the destination address of each packet and then forwards the packet to the correct port.
[0088] [0088] Modular devices 1a to 1n located in the operating room can be coupled to the central controller of modular communication 203. The central network controller 207 and / or the network switch 209 can be coupled to a network router 211 to connect - connect devices 1a to 1h to the cloud 204 or to the local computer system 210. The data associated with devices 1a to 1h can be transferred to cloud-based computers via the router for remote data processing and manipulation. The data associated with devices 1a to 1h can also be transferred to the local computer system 210 for processing and manipulation of the local data. Modular devices 2a to 2m located in the same operating room can also be coupled to a network switch 209. The network switch 209 can be attached to the central network controller 207 and / or to the network router 211 for co-operation. connect devices 2a to 2m to cloud 204. The data associated with devices 2a to 2n can be transferred to cloud 204 via network router 211 for data processing and manipulation. The data associated with devices 2a to 2m can also be transferred to the local computer system 210 for processing and manipulation of the local data.
[0089] [0089] It will be understood that the surgical data network 201 can be expanded by interconnecting multiple central network controllers 207 and / or multiple network keys 209 with multiple network routers 211. The central communication controller 203 can be contained in a modular control roaster 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 central modular communication controller 203 is connected to a screen 212 to display 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 1nN / 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 evacuation module smoke 126, a suction / irrigation module 128, a communication module 130, a processor module 132, a storage set 134, a surgical device attached to a screen and / or a non-contact sensor module, between other modular devices that can be connected to the central modular communication controller 203 of the surgical data network 201.
[0090] [0090] In one aspect, the surgical data network 201 may comprise a combination of central network controllers, network switches, and network routers that connect devices 1a to 1n / 2a to 2m to the cloud. Any or all of the 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 to the controller modular communication center 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 central controller 203 and / or the 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 central controller hardware allows multiple devices or connections to be connected to a computer that communicates with cloud computing and storage resources.
[0091] [0091] The application of cloud computer data processing techniques to the data collected by devices 1a to 1n / 2a to 2m, the surgical data network provides better surgical results, reduced costs, and better patient satisfaction. At least some of the devices 1a to 1n / 2a to 2m can be used to view tissue status to assess leakage or perfusion of sealed tissue after a tissue sealing and cutting procedure. At least some of the devices 1a to 1n / 2a to 2m can be used to identify pathology, such as the effects of disease, 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 overlaying 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 data processing and manipulation including data processing and manipulation. Image. The data can be analyzed to improve the results of the surgical procedure by determining whether additional treatment, such as the application of endoscopic intervention, emerging technologies, targeted radiation, targeted intervention, precise robotics at specific sites and conditions of fabric, can be followed. This data analysis can additionally use analytical processing of the results, and with the use of standardized approaches they can provide beneficial standardized feedback both to confirm surgical treatments and the behavior of the surgeon or to suggest modifications to the surgical treatments and the behavior of the surgeon. surgeon.
[0092] [0092] In an implementation, the operating room devices 1a to 1n can be connected to the modular central communication controller 203 via a wired channel or a wireless channel depending on the configuration of the devices 1a to 1h in a central network controller. The central network controller 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 them to the router in "half-duplex" mode. The central network controller 207 does not store any media access control / Internet protocol (MACY / 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 central network controller 207 does not have routing tables or intelligence about where to send information and transmits all network data through each connection and a remote server 213 (Figure 9) in the cloud 204. The central network controller 207 can detect basic network errors, such as collisions, but having all the information transmitted to multiple input ports can be a security risk and cause bottlenecks.
[0093] [0093] 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 switch 209 works in the data connection layer of the OSI model. The network key
[0094] [0094] The central network controller 207 and / or the network switch 209 are coupled to the network router 211 for connection with the number 204. The network router 211 works on the network layer of the OSI model. The network router 211 creates a route to transmit data packets received from the central network controller 207 and / or the network key 211 to a computer with cloud resources for future processing and manipulation of the data collected by any among or all of the 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. different health service facilities. 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. Network router 211 uses | P addresses to transfer data.
[0095] [0095] In one example, the central network controller 207 can be implemented as a central USB controller, which allows multiple USB devices to be connected to a host computer. The central USB controller can expand a single USB port on several levels so that more ports are available to connect the devices to the system's host computer. The central network controller 207 can include wired or wireless capabilities to receive information about a wired channel or a wireless channel. In one aspect, a wireless wireless, broadband and short-range wireless USB communication protocol can be used for communication between devices 1a to 1n and devices 2a to 2m located in the operating room.
[0096] [0096] In other examples, devices in the operating room 1a to 1n / 2a to 2m can communicate with the central modular communication controller 203 via standard Bluetooth wireless technology for exchanging data over short distances ( with the use of short-wavelength UHF radio waves in the ISM band of 2.4 to 2.485 GHz) from fixed and mobile devices and build 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 (IEXE 802.11 family), WiMAX (IEEE 802.16 family), IEEE 802.20, long-term evolution (LTE, "long-term evolution"), and Ev-DO, HSPA +, HSDPA +, HSUPAr +, 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, Wi-MAX, LTE, Ev-DO and others.
[0097] [0097] 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 known data type
[0098] [0098] The modular communication central controller 203 can be used as a standalone device or be connected to compatible central network controllers and network switches to form a larger network. The 203 modular communication central controller is, in general, easy to install, configure and maintain, making it a good option for the network of devices 1a to 1n / 2a to 2m from the operating room.
[0099] [0099] 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 central surgical controller 206 communicating with a cloud 204 which may 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, for example, smart surgical instruments, robots and other localized computerized devices - used in the operating room. As shown in Figure 10, the modular control tower 236 comprises a modular central communication controller 203 coupled to a computer system 210. As illustrated in the example in Figure 9, the modular control tower 236 is coupled to a control module. imaging 238 which is attached to an endoscope 239, a generator module 240 which is attached to an energy device 241, a smoke evacuation module 226, a suction / irrigation module 228, a communication module 230, a processor module 232, a storage array 234, an intelligent device / instrument 235 optionally attached to a screen 237 and a non-contact sensor module 242. The operating room devices are coupled with cloud computing resources and to data storage through the modular control tower 236. The robotic central controller 222 can also be connected to the modular control tower 236 and cloud computing resources. Devices / Instruments 235, display systems 208, among others, can be coupled to the modular control tower 236 by means of wired or wireless communication standards or protocols, as described in the present invention. The modular control tower 236 can be coupled to a central controller screen 215 (for example, monitor, screen) to display and overlay images received from the imaging module, device / instrument screen and / or other display systems 208 The central controller screen can also display the data received from the devices connected to the modular control tower in conjunction with overlapping images and images.
[0100] [0100] Figure 10 illustrates a central surgical controller 206 comprising a plurality of modules coupled to the modular control tower 236. The modular control tower 236 comprises a central modular communication controller 203, for example, a device - network connectivity device, and a computer system 210 to provide local processing, visualization, and imaging, for example. As shown in Figure 10, the central co-controller
[0101] [0101] The central surgical controller 206 uses a non-contact sensor module 242 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 outside 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 INTERACTIVE SURGICAL PLATFORM, filed on December 28, 2017, the description of which is in this document 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 pairing distance with Bluetooth. A laser-based non-contact sensor module scans the operating room by transmitting pulses of laser light, receiving pulses of laser light that bounce from 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, for example, the pairing distance limits with Bluetooth.
[0102] [0102] 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 input / output interface 251 via a system bus. The system bus can be any one of several types of bus structures, including the memory bus or memory controller, a peripheral bus or external bus and / or local bus that uses any variety of security architectures. bus available including, but not limited to, 9-bit bus, Industrial Standard Architecture (ISA), Micro-Charmel Architecture (MSA), Extended ISA (EISA), Intelligent Drive Electronics (IDE), VESA Local Bus (VLB ), Peripheral Component Interconnect (PCI), USB, Advanced Graphics Port (AGP), Personal Computer Memory Card International Association (PCMCIA), Small Computer Systems Interface (SCSI), or any other proprietary bus.
[0103] [0103] Processor 244 can be any single-core or multi-core processor, such as those known under the ARM Cortex trade name 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 prefetch 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 StellarisWareO software, a memory 2 KB electrically erasable, programmable read-only (EEPROM), one or more pulse width modulation (PWM) modules, one or more quadrature encoder (QEI) analog inputs, one or more "analog to digital converters "12-bit (ADC) with 12 channels of analog input, details of which are available for the product data sheet.
[0104] [0104] 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 safety controller can be configured specifically for IEC 61508 and ISO 26262 safety critical applications, among others, to provide advanced integrated safety features while providing scalable performance, connectivity and memory options.
[0105] [0105] 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), EE-PROM 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 (ESDRAM), Synchlink DRAM (SLDRAM), and direct RAM Rambus RAM (DRRAM).
[0106] [0106] 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 driver, Zip driver, LS-60 driver, flash memory card or memory stick ( pen drive). In addition, the storage disc 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 disc ROM device ( CD-ROM) writeable compact disc drive (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.
[0107] [0107] 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 management capabilities by the operating system through program modules and “program data stored in the system's memory or 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.
[0108] [0108] A user enters commands or information into computer system 210 through the input device (s) coupled to the 1 / O 251. interface. Input devices include, but are not limited to, a pointing device such as a mouse, trackball, stylus, touchpad, keyboard, microphone, joystick, game pad, satellite card, 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.
[0109] [0109] 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 - in many or all of the 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 interface
[0110] [0110] In several respects, the computer system 210 of Figure 10, the imaging module 238 and / or display system 208, and / or the processor module 232 of Figures 9 to 10, may comprise an image processor. image, 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 single multi-data instruction (SIMD) or multiple 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.
[0111] [0111] 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 the computer system 210. The hardware / software required for connection to the network interface includes, for purposes only illustrative, internal and external technologies such as modems, including regular telephone series modems, cable modems and DSL modems, ISDN adapters and Ethernet cards.
[0112] [0112] Figure 11 illustrates a functional block diagram of an aspect of a USB 300 central network controller device, in accordance with at least one aspect of the present invention. In the illustrated aspect, the USB 300 network central controller device uses a TUSB2036 integrated circuit central controller available from Texas Instruments. The USB 300 central network controller is a CMOS device that provides one USB transceiver port 302 and up to three USB transceiver ports downstream 304, 306, 308 in accordance with the USB 2.0 specification. The upstream USB transceiver port 302 is a differential data root port comprising a "minus" differential data input (DMO) paired with a "plus" differential data input (DPO). The three ports of the downstream USB transceiver 304, 306, 308 are differential data ports, each port including "more" differential data outputs (DP1-DP3) paired with "less" differential data outputs (DM1- DM3).
[0113] [0113] The USB 300 central network controller device is implemented with a digital state machine instead of a micro controller, 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 by automatically configuring the scan rate according to the speed of the device connected to the ports. The USB 300 network central controller device can be configured in bus powered or self-powered mode and includes 312 central controller power logic to manage power.
[0114] [0114] The USB 300 central network controller device includes a 310 series interface engine (SIE). The SIE 310 is the hardware front end of the USB 300 central network controller 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: package recognition, transaction sequencing, SOP, EOP, RESET, and RESUME signal detection / generation, clock / data separation, non-zero data encoding / decoding inverted (NRZI), generation and verification of CRC (token and data), generation and verification / decoding of packet ID (PID), and / or series-parallel / parallel-series conversion. The 310 receives a clock input 314 and is coupled to a logic suspend / resume logic and frame timer 316 and a central controller repeat circuit 318 to control communication between the upstream USB transceiver port 302 and the ports. downstream USB transceiver 304, 306, 308 via the logic circuits of ports 320, 322, 324. The SIE 310 is coupled to a 326 command decoder via the logic interface to control the commands of a serial EEPROM via 330 series EEPROM interface.
[0115] [0115] In several aspects, the USB 300 central network controller can connect 127 functions configured in up to six logical layers (levels) to a single computer. In addition, the USB 300 central network controller 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 central network controller can be configured to support four power management modes: a bus-powered central controller with individual port power management or grouped port power management, and the au central controller -
[0116] [0116] Figure 12 illustrates a logic diagram of a module of a 470 control system of a surgical instrument or tool, according to one or more aspects of the present invention. The 470 system comprises a control circuit. The control circuit includes a microcontroller 461 comprising a processor 462 and a memory 468. One or more of the sensors 472, 474, 476, for example, provide real-time feedback to the processor
[0117] [0117] In one aspect, the 461 microcontroller can be any single-core or multi-core processor, such as those known under the ARM Cortex trade name available from Texas Instruments. In one aspect, the main microcontroller 461 can be an LM4F230H5QR ARM Cortex-M4F processor, available from Texas Instruments, for example, which comprises an integrated 256 KB single cycle flash memory, or other non-memory. volatile, up to 40 MHz, a seek-ahead buffer to optimize performance above 40 MHz, a 32 KB single-cycle SRAM memory, an internal ROM loaded with StellarisWareO software, a 2 KB EEPROM memory, one or more PWM modules, one or more analog QEI and / or one or more 12-bit ADCs with 12 analog input channels, details of which are available for the product data sheet.
[0118] [0118] In one aspect, the 461 microcontroller can comprise a safety controller that comprises two families based on controllers, such as TMS570 and RM4x known under the trade name of Hercules ARM Cortex R4, also available from Texas Instruments. The safety controller can be configured specifically for IEC 61508 and ISO 26262 safety critical applications, among others, to provide advanced integrated safety features while providing scalable performance, connectivity and memory options.
[0119] [0119] The 461 microcontroller can be programmed to perform various functions, such as precise control of the speed and position of the joint and knife systems. In one aspect, the 461 microcontroller includes a 462 processor and a 468 memory. Electric motor 482 can be a brushed direct current (DC) motor with a gearbox and mechanical connections with a linkage system. or scalpel. In one aspect, a motor drive 492 can be an A3941 available from Allegro Microsystems, Inc. Other motor drives can be readily replaced for use in tracking system 480 which comprises an absolute positioning system. A detailed description of an absolute positioning system is given in the publication of US patent application 2017/0296213, entitled SYSTEMS AND METHODS FOR CONTRACTING A SURGICAL STAPLING AND CUTTING INSTRUMENT, published on October 19, 2017, which is in this document incorporated by reference in its entirety for reference.
[0120] [0120] The 461 microcontroller can be programmed to provide precise control of the speed and position of the displacement members and articulation systems. The 461 microcontroller can be configured to compute a response in the 461 microcontroller software. The computed response is compared to a measured response from the real system to obtain an "observed" response, which is used for actual feedback-based decisions. The observed response is a favorable and adjusted value, which balances the uniform and continuous nature of the simulated response with the measured response, which can detect external influences in the system.
[0121] [0121] In one aspect, the 482 motor can be controlled by the 492 motor actuator and can be used by the instrument trigger system or surgical tool. In several ways, the 482 motor can be a brushed direct current (DC) motor with a maximum rotational speed of approximately 25,000 RPM. In other arrangements, the 482 motor may include a brushless motor, a wireless motor, a synchronous motor, a stepper motor or any other suitable type of electric motor. Motor starter 492 may comprise an H bridge starter comprising field effect transistors (FETs), for example. The 482 engine can be powered by a feed set releasably mounted on the handle assembly or tool cabinet to provide control power for the instrument or surgical tool. The power pack may comprise a battery that may include several battery cells connected in series, which can be used as the power source to power the instrument or surgical tool. In certain circumstances, the battery cells in the power pack may be replaceable and / or rechargeable. In at least one example, the battery cells can be lithium-ion batteries that can be coupled and separable from the power pack.
[0122] [0122] The 492 motor driver can be an A3941, available from Allegro Microsystems, Inc. The 492 A3941 driver is an entire bridge controller for use with semiconductor metal oxide field effect transistors (MOSFET). external power, N channel, specifically designed for inductive loads, such as brushed DC motors. The 492 actuator comprises a single charge pump regulator that provides full port drive (> 10 V) for batteries up to 7 V voltage and allows the A3S941 to operate with a reduced door drive, up to 5.5 V. A capacitor bootstrap can be used to supply the battery supply voltage required above for N channel MOSFETs. An internal charge pump for high side drive allows direct current operation (100% duty cycle). The entire bridge can be triggered in fast or slow drop modes using diodes or synchronized rectification. In the slow drop mode, the current can be recirculated by means of FET from the top or from the bottom. The energy FETs are protected from the shoot-through effect through resistors with programmable dead time. The di-
[0123] [0123] Tracking system 480 comprises a controlled motor drive circuit arrangement comprising a position sensor 472 in accordance with an aspect of the present invention. The position sensor 472 for an absolute positioning system provides a unique position signal that corresponds to the location of a displacement member. In one aspect, the displacement member represents a longitudinally movable drive member comprising a rack of drive teeth for engagement with a corresponding drive gear of a gear reduction assembly. In other respects, the displacement member represents the trigger member, which can be adapted and configured to include a rack of drive teeth. In yet another aspect, the displacement member represents the firing bar or the beam with an | profile, each of which can be adapted and configured to include a rack of driving teeth. Consequently, as used in the present invention, the term "displacement member" is used generically to refer to any moving member of the tool or surgical instrument, such as the driving member, the firing member, the firing bar, the beam with profile in | or any element that can be moved. In one aspect, the longitudinally movable drive member is coupled to the firing member, the firing bar and the beam with an | profile. Consequently, the absolute positioning system can, in effect, track the linear displacement of the beam with | by tracking the linear displacement of the longitudinally movable drive member. In several other respects, the displacement member can be coupled to any position sensor 472 suitable for measuring linear displacement. In this way, the longitudinally movable drive member, the firing member, the firing bar or the profile-shaped beam, or combinations thereof, can be coupled to any suitable linear displacement sensor. Linear displacement sensors can include contact or non-contact displacement sensors. Linear displacement sensors can comprise variable differential linear transformers (LVDT), variable reluctance differential transducers (DVRT), a sliding potentiometer, a magnetic detection system comprising a moving magnet and a series of linearly arranged sensors, a magnetic detection system comprising a fixed magnet and a series of linearly arranged mobile Hall effect sensors, an optical detection system comprising a mobile light source and a series of linearly arranged photodiodes or photodetectors, a detection system optics comprising a fixed light source and a series of linearly arranged mobile photodiodes or photodetectors, or any combination thereof.
[0124] [0124] The 482 electric motor can include a rotary drive shaft, which interfaces operationally with a gear set, which is mounted on a coupling hitch with a set or rack of driving teeth on the drive member. A sensor element can be operationally coupled to a gear assembly so that a single revolution of the position sensor element 472 corresponds to some linear longitudinal translation of the displacement member. An array of gears and sensors can be connected to the linear actuator by means of a rack and pinion arrangement, or by a rotary actuator, by means of a sprocket or other connection. A power source supplies power to the absolute positioning system and an output indicator can display the output from the absolute positioning system. The drive member represents the longitudinally movable drive member which comprises a drive tooth rack formed thereon for engagement with a corresponding drive gear of the gear reducer assembly. The displacement member represents the longitudinally movable firing member, the firing bar, the beam with a profile | or combinations thereof.
[0125] [0125] A single revolution of the sensor element associated with the position sensor 472 is equivalent to a linear longitudinal displacement of d1 of the displacement member, where d1 represents the longitudinal linear distance by which the displacement member moves. from point "a" to point "b" after a single revolution of the sensor element coupled to the displacement member. The sensor arrangement can be connected by means of a gear reduction which results in the position sensor 472 completing one or more revolutions for the complete travel of the displacement member. The 472 position sensor can complete multiple revolutions for the full travel of the displacement member.
[0126] [0126] A series of keys, where n is an integer greater than one, can be used alone or in combination with a gear reduction to provide a single position signal for more than one revolution of the 472 position sensor. of the switches is transmitted back to microcontroller 461 which applies logic to determine a single position signal corresponding to the longitudinal linear displacement d1 + d2 + ... dh of the displacement member. The output of the position sensor 472 is supplied to the microcontroller
[0127] [0127] The position sensor 472 can comprise any number of magnetic detection elements, such as, for example, magnetic sensors classified according to whether they measure the total magnetic field or the vector components of the magnetic field. The techniques used to produce both types of magnetic sensors cover many aspects of physics and electronics. The technologies used for magnetic field detection include flow meter, saturated flow, optical pumping, nuclear precession, SQUID, Hall effect, anisotropic magnetoresistance, giant magnetoresistance, magnetic tunnel junctions, giant magnetoimpedance, magnetostrictive / piesoelectric compounds, magnetodiode, magnetic transistors, fiber optics, magneto-optics and magnetic sensors based on microelectromechanical systems, among others.
[0128] [0128] In one aspect, the position sensor 472 for tracking system 480 comprising an absolute positioning system comprises a magnetic rotating absolute positioning system. The 472 position sensor can be implemented as an ASSOSSEQFT single-circuit magnetic rotary position sensor, available from Austria Microsystems, AG. The position sensor 472 interfaces with the 461 microcontroller to provide an absolute positioning system. The 472 position sensor is a low voltage, low power component and includes four effect elements in an area of the 472 position sensor located above a magnet. A high-resolution ADC and an intelligent power management controller are also provided in the circuit.
[0129] [0129] Tracking system 480 comprising an absolute positioning system can comprise and / or be programmed to implement a feedback controller, such as a PID, state feedback, and adaptive controller. A power source converts the signal from the feedback controller to a physical input to the system, in this case the voltage. Other examples include a voltage, current and force PWM. Other sensors can be provided to measure the parameters of the physical system in addition to the position measured by the position sensor 472. In some respects, the other sensors may include sensor arrangements such as those described in US patent No. 9,345,481 entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, granted on May 24, 2016, which is incorporated by reference in its entirety into this document; US patent application serial number 2014/0263552, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, published on September 18, 2014, is incorporated by reference in its entirety into this document; and US patent application serial number 15 / 628,175, entitled TECHNIQUES FOR ADAPTIVE CON-
[0130] [0130] The absolute positioning system provides an absolute positioning of the displaced member on the activation of the instrument without having to retract or advance the longitudinally movable drive member to the restart position (zero or initial), as may be required by conventional rotary encoders that merely count the number of progressive or regressive steps that the 482 motor has traversed to infer the position of a device actuator, actuation bar, scalpel, and the like.
[0131] [0131] A 474 sensor, such as a strain gauge or a micro strain gauge, is configured to measure one or more parameters of the end actuator, such as the amplitude of the strain exerted on the anvil during a gripping operation, which can be indicative of tissue compression. The measured effort is converted into a digital signal and fed to the 462 processor. Alternatively, or in addition to the 474 sensor, a 476 sensor, such as a load sensor, can measure the closing force applied by the drive system. anvil closure. The 476 sensor, such as a load sensor, can measure the firing force applied to a beam with a | in a firing stroke of the surgical tool or instrument. The i-profile beam is configured to engage a wedge slider, which is configured to move the clamp actuators upward to force the clamps to deform in contact with an anvil. The i-profile beam includes a sharp cutting edge that can be used to separate fabric as the i-profile beam | it is advanced distally by the firing bar. Alternatively, a current sensor 478 can be used to measure the current drawn by the 482 motor. The force required to trigger the displacement member can correspond to the current drained by the 482 motor, for example. The measured force is converted into a digital signal and supplied to the 462 processor.
[0132] [0132] In one form, a 474 strain gauge sensor can be used to measure the force applied to the tissue by the end actuator. A strain gauge can be attached to the end actuator to measure the force applied to the tissue being treated by the end actuator. A system for measuring forces applied to the tissue attached by the end actuator comprises a 474 strain gauge sensor, such as, for example, a microstrain meter, which is configured to measure one or more parameters of the end actuator, for example. In one aspect, the 474 strain gauge sensor can measure the amplitude or magnitude of the mechanical stress exerted on a clamp member of an end actuator during a gripping operation, which can be indicative of tissue compression. The measured effort is converted into a digital signal and fed to the 462 processor of a microcontroller.
[0133] [0133] Measurements of tissue compression, tissue thickness and / or the force required to close the end actuator on the tissue, as measured by sensors 474, 476, can be used by microcontroller 461 to characterize the position trigger member and / or the corresponding trigger member speed value. In one case, a 468 memory can store a technique, an equation and / or a query table that can be used by the 461 microcontroller in the evaluation.
[0134] [0134] The control system 470 of the instrument or surgical tool can also comprise wired or wireless communication circuits for communication with the modular central communication controller shown in Figures 8 to 11.
[0135] [0135] Figure 13 illustrates a control circuit 500 configured to control aspects of the instrument or surgical tool according to an aspect of the present invention. The control circuit 500 can be configured to implement various processes in this document described. The control circuit 500 may comprise a microcontroller that comprises one or more processors 502 (for example, microprocessor, microcontroller) coupled to at least one memory circuit 504. The memory circuit 504 stores instructions executable on a machine that, when executed by processor 502, they cause processor 502 to execute machine instructions to implement several of the processes described in this document. The 502 processor can be any one of a number of single-core or multi-core processors known in the art. The memory circuit 504 may comprise volatile and non-volatile storage media. The processor 502 can include an instruction processing unit 506 and an arithmetic unit 508. The instruction processing unit can be configured to receive instructions from the memory circuit 504 of the present invention.
[0136] [0136] Figure 14 illustrates a combinational logic circuit 510 configured to control aspects of the instrument or surgical tool according to an aspect of the present invention. The combinational logic circuit 510 can be configured to implement the various processes described in this document. The combinational logic circuit 510 may comprise a finite state machine comprising a combinational logic 512 configured to receive data associated with the surgical tool or instrument at an input 514, process the data by combinational logic 512 and provide an output 516.
[0137] [0137] Figure 15 illustrates a sequential logic circuit 520 configured to control aspects of the surgical instrument or tool according to an aspect of the present invention. Sequential logic circuit 520 or combinational logic 522 can be configured to implement the process in this document described. Sequential logic circuit 520 may comprise a finite state machine. Sequential logic circuit 520 may comprise, for example, combinational logic 522, at least one memory circuit 524 and a clock 529. The at least one memory circuit 524 can store a current state of the finite state machine. In certain cases, the sequential logic circuit 520 may be synchronous or asynchronous. The combinational logic 522 is configured to receive data associated with the instrument or surgical tool from an
[0138] [0138] Figure 16 illustrates an instrument or surgical tool that comprises a plurality of motors that can be activated to perform various functions. In certain cases, a first engine may be activated to perform a first function, a second engine may be activated to perform a second function, a third engine may be activated to perform a third function, a fourth engine may be activated to perform a fourth function, and so on. In certain cases, the plurality of motors of the robotic surgical instrument 600 can be individually activated to cause triggering, closing and / or articulation movements in the end actuator. The triggering, closing and / or articulation movements can be transmitted to the end actuator through a set of drive axes, for example.
[0139] [0139] In certain cases, the tool or surgical instrument system may include a 602 firing motor. The 602 firing motor can be operationally coupled to a 604 firing motor drive assembly, which can be configured to transmitting firing movements, generated by the motor 602 to the end actuator, particularly to move the beam element with profile in | In certain cases, the firing movements generated by the firing motor 602 can cause the staples to be positioned from the staple cartridge on the tissue captured by the actuator.
[0140] [0140] In certain cases, the surgical instrument or tool may include a closing motor 603. The closing motor 603 can be operationally coupled to a drive assembly of the closing motor 605 that can be configured to transmit closing movements , generated by the motor 603 to the end actuator, particularly to move a closing tube to close the anvil and compress the fabric between the anvil and the staple cartridge. Closing movements can cause the end actuator to transition from an open configuration to an approximate configuration to capture tissue, for example. The end actuator can be moved to an open position by reversing the direction of the 603 motor.
[0141] [0141] In certain cases, the surgical instrument or tool may include one or more articulation motors 606a, 606b, for example. The motors 606a, 606b can be operationally coupled to the drive assemblies of the articulation motor 608a, 608b, which can be configured to transmit articulation movements generated by the motors 606a, 606b to the end actuator. In some cases, articulation movements can cause the end actuator to be articulated in relation to the drive shaft assembly, for example.
[0142] [0142] As described above, the surgical instrument or tool can include a plurality of motors that can be configured to perform various independent functions. In certain cases, the plurality of motors of the instrument or surgical tool can be activated individually or separately to perform one or more functions, while other motors remain inactive. For example, the articulation motors 606a, 606b can be activated to cause the end actuator to be articulated, while the firing motor 602 remains inactive. Alternatively, the firing motor 602 can be activated to trigger the plurality of clamps, and / or advance the cutting edge, while the articulation motor 606 remains inactive. In addition, the closing motor 603 can be activated simultaneously with the firing motor 602 to make the closing tube and the beam element with profile in | move forward, as described in more detail later in this document.
[0143] [0143] In certain cases, the surgical instrument or tool may include a common control module 610 that can be used with a plurality of the instrument's instruments or surgical tool. In certain cases, the common control module 610 can accommodate one of the plurality of motors at a time. For example, the common control module 610 can be coupled to and separable from the plurality of motors of the robotic surgical instrument individually. In certain cases, a plurality of instrument or surgical tool motors may share one or more common control modules, such as the common control module 610. In certain cases, a plurality of instrument or surgical tool motors may be individually and selectively engaged with the common control module 610. In certain cases, the common control module 610 can be selectively switched between interfacing with one of a plurality of instrument motors or surgical tool to interface with another among the plurality of motors of the instrument or surgical tool.
[0144] [0144] In at least one example, the common control module 610 can be selectively switched between the operating coupling with the 606a, 606b articulation motors, and the operating coupling with the 602 firing motor or the 603 closing motor. at least one example, as illustrated in Figure 16, a key 614 can be moved or transitioned between a plurality of positions and / or states. In the first position 616, the switch 614 can electrically couple the common control module 610 to the trip motor 602; in a second position 617, the switch 614 can electrically couple the control module 610 to the closing motor 603; in a third position 618a, the switch 614 can electrically couple the common control module 610 to the first articulation motor 606a; and in a fourth position 618b, the switch 614 can electrically couple the common control module 610 to the second articulation motor 606b, for example. In certain cases, separate common control modules 610 can be electrically coupled to the firing motor 602, closing motor 603 and hinge motors 606a, 606b at the same time. In certain cases, key 614 can be a mechanical key, an electromechanical key, a solid state key, or any suitable switching mechanism.
[0145] [0145] Each of the 602, 603, 606a, 606b motors can comprise a torque sensor to measure the output torque on the motor drive shaft. The force on an end actuator can be detected in any conventional manner, such as by means of force sensors on the outer sides of the jaws or by a motor torque sensor that drives the jaws.
[0146] [0146] In several cases, as illustrated in Figure 16, the common control module 610 may comprise a motor starter 626 which may comprise one or more H-Bridge FETs. The motor driver 626 can modulate the energy transmitted from a power source 628 to a motor coupled to the common control module 610, based, for example, on an input from a microcontroller
[0147] [0147] In certain examples, the microcontroller 620 may include a microprocessor 622 (the "processor") and one or more non-transitory computer-readable media or 624 memory units (the "memory"). In certain cases, memory 624 can store various program instructions which, when executed, can cause processor 622 to perform a plurality of functions and / or calculations described in this document. In certain cases, one or more of the memory units 624 can be coupled, for example, to the processor 622.
[0148] [0148] In certain cases, the power source 628 can be used to supply power to the microcontroller 620, for example. In certain cases, the 628 power source may comprise a battery (or "battery pack" or "power source"), such as a Li ion battery, for example. In certain cases, the battery pack can be configured to be releasably mounted to the handle to supply power to the surgical instrument 600. Several battery cells connected in series can be used as the power source
[0149] [0149] In several cases, the 622 processor can control the motor driver 626 to control the position, direction of rotation and / or speed of a motor that is coupled to the common control module 610. In certain cases cases, the processor 622 can signal the motor driver 626 to stop and / or disable a motor that is coupled to the common control module 610. It should be understood that the term "processor", as used in this document
[0150] [0150] In one example, the 622 processor can be any single-core or multi-core processor, such as those known by the Texas Instruments ARM Cortex trade name. In certain cases, the 620 microcontroller may be an LM 4F230H5QR, available from Texas Instruments, for example. In at least one example, the Texas Instruments LM4F230H5QR is an ARM Cortex-M4F processor core comprising an integrated 256 KB single cycle flash memory, or other non-volatile memory, up to 40 MHz, a search buffer anticipated to optimize performance above 40 MHz, a 32 KB single cycle SRAM, an internal ROM loaded with StellarisWareG software, 2 KB EEPROM, one or more PWM modules, one or more QEI analogs, one or more 12-bit ADCs with 12 analog input channels, among other features that are readily available for the product data sheet. Other microcontrollers can be readily replaced for use with the 4410 module. Consequently, the present invention should not be limited in this context.
[0151] [0151] In certain cases, memory 624 may include program instructions for controlling each of the motors of the surgical instrument 600 that are attachable to the common control module 610. For example
[0152] [0152] In certain cases, one or more mechanisms and / or sensors, such as 630 sensors, can be used to alert the 622 processor to program instructions that need to be used in a specific configuration. For example, sensors 630 can alert the 622 processor to use the program instructions associated with triggering, closing, and pivoting the end actuator. In certain cases, sensors 630 may comprise position sensors that can be used, for example, to detect the position of switch 614. Consequently, processor 622 can use the program instructions associated with firing the beam with | the end actuator by detecting, through sensors 630, for example, that key 614 is in first position 616; the processor 622 can use the program instructions associated with closing the anvil upon detection through sensors 630, for example, that switch 614 is in second position 617; and processor 622 can use the program instructions associated with the articulation of the end actuator upon detection through sensors 630, for example, that switch 614 is in the third or fourth position 618a, 618b.
[0153] [0153] Figure 17 is a schematic diagram of a robotic surgical instrument 700 configured to operate a surgical tool described in this document, in accordance with an aspect of that description. The robotic surgical instrument 700 can be programmed or configured to control the distal / proximal translation of a displacement member, the distal / proximal displacement of a closing tube, the rotation of the drive shaft, and articulation, either with a single type or multiple articulation drive links. In one aspect, the surgical instrument 700 can be programmed or configured to individually control a firing member, a closing member, a driving shaft member and / or one or more hinge members. The surgical instrument 700 comprises a control circuit 710 configured to control motor-driven firing members, closing members, drive shaft members and / or one or more articulation members.
[0154] [0154] In one aspect, the robotic surgical instrument 700 comprises a control circuit 710 configured to control an anvil 716 and a beam portion with profile in | 714 (including a sharp cutting edge) of an end actuator 702, a removable clamp cartridge 718, a drive shaft 740 and one or more hinge members 742a, 742b through a plurality of motors 704a to 704e. A position sensor 734 can be configured to provide feedback on the beam with 1714 profile to control circuit 710. Other sensors 738 can be configured to provide feedback to control circuit 710. A timer / counter 731 provides information timing and counting to control circuit 710. A power source 712 can be provided to operate motors 704a to 704e and a current sensor 736 provides motor current feedback to the control circuit
[0155] [0155] In one aspect, the control circuit 710 may comprise one or more microcontrollers, microprocessors or other processors suitable for executing instructions that cause the processor or processors to perform one or more tasks. In one aspect, a timer / counter 731 provides an output signal, such as elapsed time or a digital count, to control circuit 710 to correlate beam position with i 714 profile, as determined by position sensor 734, with the timer / counter output 731 so that the control circuit 710 can determine the position of the beam with i-profile 714 at a specific time (t) in relation to an initial position or time (t) when the beam with i 714 profile is in a specific position in relation to an initial position. The timer / counter 731 can be configured to measure elapsed time, count external events or measure external events.
[0156] [0156] In one aspect, control circuit 710 can be programmed to control functions of end actuator 702 based on one or more tissue conditions. The control circuit 710 can be programmed to directly or indirectly detect tissue conditions, such as thickness, as described in this document. Control circuit 710 can be programmed to select a trigger control program or closure control program based on tissue conditions. A trigger control program can describe the distal movement of the displacement member. Different trigger control programs can be selected to better treat different tissue conditions. For example, when a thicker tissue is present, the control circuit 710 can be programmed to move the displacement member at a lower speed and / or with a lower power. When a thinner tissue is present, the control circuit 710 can be programmed to move the displacement member at a higher speed and / or with greater power. A closing control program can control the closing force applied to the tissue by the anvil 716. Other control programs control the rotation of the drive shaft 740 and the hinge members 742a, 742b.
[0157] [0157] In one aspect, the 710 motor control circuit can generate motor setpoint signals. Motor setpoint signals can be provided for various motor controllers 708a through 708e. Motor controllers 708a to 708e may comprise one or more circuits configured to provide motor start signals for motors 704a to 704e in order to drive motors 704a to 704e, as described in this document. In some examples, motors 704a to 704e can be brushed DC motors. For example, the speed of engines 704a to 704e can be proportional to the respective engine start signals. In some instances, motors 704a to 704e may be brushless DC electric motors, and the respective motor drive signals may comprise a PWM signal provided for one or more stator windings of motors 704a to 704e. In addition, in some instances, motor controllers 708a to 708e can be omitted and control circuit 710 can directly generate motor drive signals.
[0158] [0158] In one aspect, the control circuit 710 can initially operate each of the motors 704a to 704e in an open circuit configuration for a first open circuit portion of the travel member travel. Based on the response of the robotic surgical instrument 700 during the open circuit portion of the stroke, control circuit 710 can select a trigger control program in a closed circuit configuration. The response of the instrument may include a travel distance from the displacement member during the open circuit portion, a time elapsed during the open circuit portion, the energy supplied to one of the
[0159] [0159] In one aspect, motors 704a to 704e can receive power from a power source 712. Power source 712 can be a DC power source powered by an AC power source, a battery, a super capacitor, or any other suitable power source. Motors 704a to 704e can be mechanically coupled to individual moving mechanical elements such as the i-profile beam 714, the anvil 716, the drive shaft 740, the joint 742a and the joint 742b, through the respective transmissions 706a at 706e. Transmissions 706a through 706e may include one or more gears or other connecting components for coupling motors 704a to 704e to moving mechanical elements. A 734 position sensor can detect a beam position with a | 714. The position sensor 734 can be or can include any type of sensor that is capable of generating position data that indicate a beam position with profile in | 714. In some examples, the position sensor 734 may include an encoder configured to supply a series of pulses to the control circuit 710 such as the beam with profile in | 714 transferred distally and proximally. Control circuit 710 can track pulses to determine the position of the beam with | 714. Other suitable position sensors
[0160] [0160] In one aspect, the control circuit 710 is configured to drive a firing member as the beam portion with profile in | 714 of end actuator 702. Control circuit 710 provides a motor setpoint for motor control 708a, which provides a drive signal for motor 704a. The output shaft of the motor 704a is coupled to a torque sensor 744a. The torque sensor 744a is coupled to a transmission 706a which is coupled to the beam with profile in | 714. The 706a transmission comprises moving mechanical elements, such as rotating elements, and a firing member to control the movement of the beam with a profile in distal and proximally. 714 along a longitudinal geometric axis of the end actuator 702. In one aspect, the motor 704a can be coupled to the knife gear assembly, which includes a knife gear reduction assembly that includes a first drive gear and a second knife drive gear. A torque sensor 744a provides a feedback signal from the firing force to the control circuit 710. The firing force signal represents the force required to fire or move the beam in profile | 714. A 734 position sensor can be configured to provide the beam position with | 714 along the firing stroke or firing member position as a feedback signal to the control circuit
[0161] [0161] In one aspect, control circuit 710 is configured to drive a closing member, such as anvil portion 716 of end actuator 702. Control circuit 710 provides a motor setpoint for motor control 708b, which provides a drive signal for motor 704b. The output shaft of the 704b motor is coupled to a 744b torque sensor. The torque sensor 744b is coupled to a transmission 706b which is coupled to the whisker 716. The transmission 706b comprises moving mechanical elements, such as rotating elements and a closing member, to control the movement of the anvil 716 between the open and closed positions. In one aspect, the 704b motor is coupled to a closing gear assembly, which includes a closing reduction gear assembly that is supported in gear engaged with the closing sprocket. The torque sensor 744b provides a closing force feedback signal to control circuit 710. The closing force feedback signal represents the closing force applied to the anvil 716. The position sensor 734 can be configured to provide the position of the closing member as a feedback signal for control circuit 710. Additional sensors 738 on end actuator 702 can provide the feedback signal for closing force to control circuit 710. A pivoting anvil 716 it is positioned opposite the staple cartridge 718. When ready for use, control circuit 710 can provide a closing signal to the motor control 708b. In response to the closing signal, the engine 704b advances a closing member to secure the fabric between the anvil 716 and the staple cartridge 718.
[0162] [0162] In one aspect, control circuit 710 is configured to rotate a drive shaft member, such as drive shaft 740, to rotate end actuator 702. Control circuit 710 provides a set point motor for a 708c motor control, which provides a drive signal for the 704c motor. The output shaft of the 704c motor is coupled to a 744c torque sensor. The torque sensor 744c is coupled to a transmission 706c which is coupled to the axis 740. The transmission 706c comprises moving mechanical elements, such as rotating elements, to control the rotation of the drive shaft 740 clockwise or anti-clockwise -time up to and over 360º. In one aspect, the 704c motor is coupled to the rotary drive assembly, which includes a pipe gear segment that is formed over (or attached to) the proximal end of the proximal closing tube for engagement operable by a gear assembly rotational that is operationally supported on the tool mounting plate. The torque sensor 744c provides a rotation force feedback signal for control circuit 710. The rotation force feedback signal represents the rotation force applied to the drive shaft 740. The position sensor 734 can be configured to provide the position of the closing member as a feedback signal to control loop 710. Additional sensors 738, such as a drive shaft encoder, can provide the rotational position of drive shaft 740 to the circuit control unit 710.
[0163] [0163] In one aspect, control circuit 710 is configured to link end actuator 702. Control circuit 710 provides a motor setpoint for a 708d motor control, which provides a drive signal for the motor 704d. The output shaft of the 704d motor is coupled to a 744d torque sensor. Torque sensor 744d is coupled to a transmission 706d which is coupled to a pivot member 742a. The 706d transmission comprises moving mechanical elements, such as articulation elements, to control the articulation of the 702 + 65º end actuator. In one aspect, the 704d motor is coupled to a pivot nut, which is rotatably seated on the proximal end portion of the distal column portion and is pivotally driven thereon by a pivot gear assembly. The torque sensor 744d provides a feedback signal from the articulation force to the control circuit 710. The feedback signal from the articulation force represents the articulation force applied to the end actuator 702. The sensors 738, as an articulation encoder, can supply the articulation position of end actuator 702 to control circuit 710.
[0164] [0164] In another aspect, the articulation function of the robotic surgical system 700 may comprise two articulation members, or connections, 742a, 742b. These hinge members 742a, 742b are driven by separate disks at the robotic interface (the crema-
[0165] [0165] In one aspect, the one or more motors 704a to 704e may comprise a brushed DC motor with a gearbox and mechanical connections to a firing member, closing member or articulation member. Another example includes electric motors 704a to 704e that operate the moving mechanical elements such as the displacement member, the articulation connections, the closing tube and the drive shaft. An external influence is an excessive and unpredictable influence of things like tissue, surrounding bodies, and friction in the physical system. This external influence can be called drag, which acts in opposition to one of the electric motors 704a to 704e. External influence, such as drag, can cause the functioning of the physical system to deviate from a desired operation of the physical system.
[0166] [0166] In one aspect, the position sensor 734 can be implemented as an absolute positioning system. In one aspect, the 734 position sensor can comprise an absolute rotary magnetic positioning system implemented as a single integrated circuit rotary magnetic position sensor, ASSOSSEQFT, available from Austria Microsystems, AG. The position sensor 734 can interface with the control circuit 710 to provide an absolute positioning system. The position can include multiple Hall effect elements located above a magnet and coupled to a CORDIC processor, also known as the digit by digit method and Volder's algorithm, which is provided to implement a simple and efficient algorithm for calculating hyperbolic functions and trigonometry that require only addition, subtraction, bit shift and lookup table operations.
[0167] [0167] In one aspect, the control circuit 710 can be in communication with one or more sensors 738. The sensors 738 can be positioned on the end actuator 702 and adapted to work with the robotic surgical instrument 700 to measure various derived parameters such as span distance in relation to time, compression of the tissue in relation to time, and deformation of the anvil in relation to time. The 738 sensors can comprise a magnetic sensor, a magnetic field sensor, a strain gauge, a load cell, a pressure sensor, a force sensor, a torque sensor, an inductive sensor as a sensor eddy current, a resistive sensor, a capacitive sensor, an optical sensor and / or any other sensor suitable for measuring one or more parameters of the end actuator 702. The 738 sensors may include one or more sensors. The sensors 738 can be located on the platform of the staple cartridge 718 to determine the location of the tissue using segmented electrodes. The torque sensors 744a to 744e can be configured to detect force such as firing force, closing force and / or articulation force, among others. Consequently, control circuit 710 can detect (1) the closing load experienced by the distal closing tube and its position, (2) the trigger member on the rack and its position, (3) which portion of the staple cartridge 718 has fabric in it, and
[0168] [0168] In one aspect, the one or more sensors 738 may comprise an effort meter such as, for example, a microstrain meter, configured to measure the magnitude of the effort on the 716 during a grip condition. The voltage meter provides an electrical signal whose amplitude varies with the magnitude of the voltage. The 738 sensors can comprise a pressure sensor configured to detect a pressure generated by the presence of compressed tissue between the anvil 716 and the staple cartridge 718. The sensors 738 can be configured to detect the impedance of a section of tissue located between the anvil 716 and the staple cartridge 718 which is indicative of the thickness and / or completeness of the fabric located between them.
[0169] [0169] In one aspect, the 738 sensors can be implemented as one or more limit switches, electromechanical devices, solid state switches, Hall effect devices, magneto-resistive devices (MR) giant magneto-resistive devices (GMR), magnetometers, among others. In other implementations, the 738 sensors can be implemented as solid state switches that operate under the influence of light, such as optical sensors, infrared sensors, ultraviolet sensors, among others. In addition, the switches can be solid state devices such as transistors (for example, FET, junction FET, MOSFET, bipolar, and the like). In other implementations, the 738 sensors can include driverless electric switches, ultrasonic switches, accelerometers and inertia sensors, among others.
[0170] [0170] In one aspect, sensors 738 can be configured to measure the forces exerted on the anvil 716 by the closing drive system. For example, one or more sensors 738 may be at a point of interaction between the closing tube and the anvil 716 to detect the closing forces applied by the closing tube on the anvil 716. The forces exerted on the anvil 716 can be representative of the tissue compression experienced by the tissue section captured between the anvil 716 and the staple cartridge 718. The one or more sensors 738 can be positioned at various points of interaction throughout the drive system closing to detect the closing forces applied to the anvil 716 by the closing drive system. The one or more 738 sensors can be sampled in real time during a hold operation by the control circuit processor 710. The control circuit 710 receives sample measurements in real time to provide and analyze information based on time and evaluate, in real time, the closing forces applied to the anvil
[0171] [0171] In one aspect, a current sensor 736 can be used to measure the current drawn by each of the 704a to 704e motors. The force required to advance any of the moving mechanical elements such as the beam with a profile | 714 corresponds to the current drawn by one of the motors 704a to 704e. The force is converted into a digital signal and supplied to the control circuit 710. The control circuit 710 can be configured to simulate the response of the instrument's actual system in the controller software. A displacement member can be actuated to move a beam with | 714 on end actuator 702 at or near a target speed. The robotic surgical instrument 700 may include a re-information controller, which may be one or any of the re-information controllers, including, but not limited to, a PID controller, state feedback, linear quadratic (LQR) and / or, for example, an adaptive controller. The robotic surgical instrument 700 can include a power source to convert the signal from the feedback controller to a physical input such as case voltage, PWM voltage, frequency modulated voltage, current, torque and / or force, for example. Additional details are described in US Patent Application Serial No. 15 / 636,829, entitled CLOSED LOOP VELOCITY CONTROL TECHNIQUES FOR ROBOTIC SURGICAL INSTRUMENT, filed on June 29, 2017, which is hereby incorporated by reference in its entirety for reference.
[0172] [0172] Figure 18 illustrates a block diagram of a surgical instrument 750 programmed to control the distal translation of a displacement member in accordance with an aspect of the present invention. In one aspect, the 750 surgical instrument is programmed to control the distal translation of a displacement member, such as the beam with a | 764. The surgical instrument 750 comprises an end actuator 752 which can comprise a bib 766, a beam with a profile | 764 (including a sharp cutting edge) and a removable staple cartridge 768.
[0173] [0173] The position, movement, displacement, and / or translation of a member of linear displacement, such as the beam with profile in | 764, can be measured by an absolute positioning system, sensor arrangement, and a position sensor 784. As the beam with | 764 is coupled to a longitudinally movable drive member, the beam position with | 764 can be determined by measuring the position of the longitudinally movable drive member using the 784 position sensor. Consequently, in the following description, the position, displacement and / or translation of the beam with profile in | 764 can be obtained by the position sensor 784, as described in the present invention. A control circuit 760 can be programmed to control the translation of the displacement member, such as the beam with | 764. The control circuit 760, in some examples, may comprise one or more microcontrollers, microprocessors or other suitable processors to execute the instructions that cause the processor or processors to control the displacement member, for example, the beam with profile on | 764, as described. In one aspect, a timer / counter 781 provides an output signal, such as elapsed time or a digital count, to control circuit 760 to correlate the position of the beam with | 764 as determined by the position sensor 784 with the timer / counter output 781 so that the control circuit 760 can determine the position of the beam with profile in | 764 at a specific time (t) in relation to an initial position. The timer / counter 781 can be configured to measure elapsed time, count external events, or measure eternal events.
[0174] [0174] The control circuit 760 can generate a setpoint signal from the engine 772. The setpoint signal from the engine 772 can be supplied to a 758 motor controller. The 758 motor controller can comprise one or more circuits configured to provide a motor 774 drive signal to motor 754 to drive motor 754, as described in the present invention. In some instances, the 754 motor may be a DC motor with a brushed DC electric motor. For example, the speed of motor 754 may be proportional to the drive signal of motor 774. In some instances, motor 754 may be a brushless DC electric motor and the motor 774 drive signal may comprise a supplied PWM signal for one or more motor stator windings 754. In addition, in some examples, motor controller 758 can be omitted, and control circuit 760 can generate motor drive signal 774 directly.
[0175] [0175] The 754 motor can receive power from a power source
[0176] [0176] The control circuit 760 can be in communication with one or more sensors 788. The sensors 788 can be positioned on the end actuator 752 and adapted to work with the surgical instrument 750 to measure the various derived parameters, such as distance span in relation to time, compression of the tissue in relation to time and tension of the anvil in relation to time. The 788 sensors can comprise a magnetic sensor, a magnetic field sensor, a stress meter, a pressure sensor, a force sensor, an inductive sensor such as a eddy current sensor, a resistive sensor, a capacitive sensor, a sensor optical and / or any other sensors suitable for measuring one or more parameters of the 752 end actuator. The 788 sensors may include one or more sensors.
[0177] [0177] The one or more sensors 788 may comprise a stress meter, such as a microstrain meter, configured to measure the magnitude of the stress on the anvil 766 during a grip condition. The voltage meter provides an electrical signal whose amplitude varies with the magnitude of the voltage. The 788 sensors can comprise a pressure sensor configured to detect a pressure generated by the presence of compressed tissue between the anvil 766 and the staple cartridge 768. The 788 sensors can be configured to detect the impedance of a section of tissue located between the anvil 766 and the staple cartridge 768 which is indicative of the thickness and / or completeness of the fabric located between them.
[0178] [0178] The 788 sensors can be configured to measure the forces exerted on the anvil 766 by a closing drive system. For example, one or more sensors 788 can be at a point of interaction between a closing tube and anvil 766 to detect the closing forces applied by a closing tube to anvil 766. The forces exerted on anvil 766 can be representative of the tissue compression experienced by the tissue section captured between the anvil 766 and the staple cartridge 768. The one or more sensors 788 can be positioned at various points of interaction throughout the closing drive system to detect the closing forces applied anvil 766 by the closing drive system. The one or more 788 sensors can be sampled in real time during an operation
[0179] [0179] A current sensor 786 can be used to measure the current drained by the 754 motor. The force required to advance the beam with profile in | 764 corresponds to the current drained by the motor
[0180] [0180] The control circuit 760 can be configured to simulate the response of the real system of the instrument in the controller software. A displacement member can be actuated to move a beam with a profile | 764 on end actuator 752 at or near a target speed. The surgical instrument 750 may include a feedback controller, which can be any or any feedback controller, including, but not limited to, a PID controller, status feedback, LOR and / or, for example, a controller adaptable. The surgical instrument 750 may include a power source for converting the feedback signal from the feedback controller to a physical input such as case voltage, PWM voltage, frequency modulated voltage, current, torque and / or, for example, force.
[0181] [0181] The actual drive system of the surgical instrument 750 is configured to drive the displacement member, the cutting member or the beam with profile in | 764, by a direct current motor with brushes and gearbox and mechanical connections to a joint and / or knife system. Another example is the 754 electric motor that operates the displacement member and the articulation drive, for example, from an interchangeable drive shaft assembly. An external influence is an excessive and unpredictable influence
[0182] [0182] Several exemplifying aspects are addressed to a 750 surgical instrument that comprises a 752 end actuator with motor-driven surgical stapling and cutting implements. For example, a motor 754 can drive a displacement member distally and proximally along a longitudinal geometry axis of end actuator 752. End actuator 752 may comprise an articulating anvil 766 and, when configured for use, a ultrasonic blade 768 positioned on the opposite side of the anvil 766. A doctor can hold the tissue between the anvil 766 and the staple cartridge 768, as described in the present invention. When ready to use the 750 instrument, the physician can provide a trigger signal, for example, by pressing a trigger on the 750 instrument. In response to the trigger signal, motor 754 can drive the displacement member distally along the axis. longitudinal ometric of end actuator 752 from a proximal start position to an end position distal from the start position. As the displacement member moves distally, the beam with a | 764 with a cutting element positioned at a distal end, you can cut the fabric between the staple cartridge 768 and the anvil 766.
[0183] [0183] In several examples, the surgical instrument 750 may comprise a control circuit 760 programmed to control the distal translation of the displacement member, such as the beam with profile in | 764, for example, based on one or more tissue conditions. Control circuit 760 can be programmed to detect direct
[0184] [0184] In some examples, control circuit 760 may initially operate motor 754 in an open circuit configuration for a first open circuit portion of a travel of the travel member. Based on an instrument response 750 during the open circuit portion of the stroke, control circuit 760 can select a trip control program. The response of the instrument may include a travel distance of the displacement member during the open circuit portion, a time elapsed during the open circuit portion, the power supplied to the motor 754 during the open circuit portion, a sum of pulse widths a motor start signal, etc. After the open circuit portion, control circuit 760 can implement the selected trigger control program for a second portion of the travel member travel. For example, during the closed loop portion of the stroke, control circuit 760 can modulate motor 754 based on translation data that describes a position of the displacement member in a closed circuit manner to translate the displacement member into a constant speed. Additional details are described in US patent application serial no. 15 / 720,852, entitled SYSTEM AND METHODS FOR CONTROLLING A DISPLAY OF A SURGICAL INSTRUMENT, filed on September 29, 2017, which is hereby incorporated by reference in its entirety.
[0185] [0185] Figure 19 is a schematic diagram of a 790 surgical instrument configured to control various functions in accordance with an aspect of the present invention. In one aspect, the surgical instrument 790 is programmed to control the distal translation of a displacement member, such as the beam with a | 764. Surgical instrument 790 comprises an end actuator 792 which may comprise an anvil 766, a beam with a profile in | 764 and a removable staple cartridge 768 that can be interchanged with an RF cartridge 796 (shown in dashed line).
[0186] [0186] In one aspect, the 788 sensors can be implemented as a limit switch, electromechanical device, solid state switches, Hall effect devices, MRI devices, GMR devices, magnetometers, among others. In other implementations, 638 sensors can be solid state switches that operate under the influence of light, such as optical sensors, infrared sensors, ultraviolet sensors, among others. In addition, the switches can be solid-state devices such as transistors (for example, FET, junction FET, MOSFET, bipolar, and the like). In other implementations, 788 sensors can include driverless electric switches, ultrasonic switches, accelerometers, inertia sensors and, among others.
[0187] [0187] In one aspect, the position sensor 784 can be implemented as an absolute positioning system, which includes an absolute magnetic rotating positioning system
[0188] [0188] In one aspect, the beam with a profile | 764 can be implemented as a knife member comprising a knife body that operationally supports a tissue cutting blade in the same and can additionally include flaps or sling hitch features and channel hitch features or a base. In one aspect, the staple cartridge 768 can be implemented as a standard (mechanical) surgical clamp cartridge. In one aspect, the RF cartridge 796 can be implemented as an RF cartridge. These and other sensor provisions are described in Commonly Owned US Patent Application Serial No. 15 / 628,175, entitled
[0189] [0189] The position, movement, displacement and / or translation of a member of linear displacement, such as the beam with profile in | 764, can be measured by an absolute positioning system, sensor position and position sensor represented as the position sensor 784. As the beam with profile in | 764 is attached to the
[0190] [0190] Control circuit 760 can generate a motor setpoint signal 772. The motor setpoint signal 772 can be supplied to a motor controller 758. Motor controller 758 can comprise one or more circuits configured to provide a motor 774 drive signal to motor 754 to drive motor 754, as described in the present invention. In some instances, the 754 motor may be a direct current electric motor with
[0191] [0191] The 754 motor can receive power from a power source
[0192] [0192] The control circuit 760 can be in communication with one or more sensors 788. The sensors 788 can be positioned on the end actuator 792 and adapted to work with the surgical instrument 790 to measure the various derived parameters, such as distance span in relation to time, compression of the tissue in relation to time and tension of the anvil in relation to time. The 788 sensors can comprise a magnetic sensor, a magnetic field sensor, a stress meter, a pressure sensor, a force sensor, an inductive sensor such as a eddy current sensor, a resistive sensor, a capacitive sensor, a sensor optical and / or any other sensors suitable for measuring one or more parameters of the end actuator 792. The 788 sensors may include one or more sensors.
[0193] [0193] The one or more sensors 788 may comprise a stress meter, such as a microstrain meter, configured to measure the magnitude of the stress on the anvil 766 during a hold condition. The voltage meter provides an electrical signal whose amplitude varies with the magnitude of the voltage. The 788 sensors can comprise a pressure sensor configured to detect a pressure generated by the presence of compressed tissue between the anvil 766 and the staple cartridge 768. The 788 sensors can be configured to detect the impedance of a section of tissue located between the anvil 766 and the staple cartridge 768 which is indicative of the thickness and / or completeness of the fabric located between them.
[0194] [0194] The 788 sensors can be configured to measure the forces exerted on the anvil 766 by the closing drive system. For example, one or more sensors 788 may be at a point of interaction between a closing tube and anvil 766 to detect the closing forces applied by a closing tube to anvil 766. The forces exerted on the anvil 766 po - they must be representative of the tissue compression experienced by the tissue section captured between the anvil 766 and the staple cartridge 768. The one or more sensors 788 can be positioned at various points of interaction throughout the drive system. closing to detect the closing forces applied to the anvil 766 by the closing drive system. The one or more sensors 788 can be sampled in real time during a gripping operation by a processor portion of the control circuit 760. The control circuit 760 receives sample measurements in real time to provide and analyze time-based information and assess, in real time, the closing forces applied to the anvil
[0195] [0195] A current sensor 786 can be used to measure the current drained by the 754 motor. The force required to advance the beam with profile in | 764 corresponds to the current drained by the motor
[0196] [0196] An RF 794 power source is coupled to the end actuator 792 and is applied to the RF 796 cartridge when the RF 796 cartridge is loaded on the end actuator 792 in place of the staple cartridge 768. The circuit Control Panel 760 controls the supply of RF energy to the 796 RF cartridge.
[0197] [0197] Additional details are described in US patent application serial number 15 / 636,096, entitled SURGICAL SYSTEM COUPLABLE WITH STAPLE CARTRIDGE AND RADIO FREQUENCY CARTRIDGE, AND METHOD OF USING SAME, filed on June 28, 2017, which is in this document incorporated by way of reference in its entirety.
[0198] [0198] Figure 20 is a simplified block diagram of a generator 800 configured to provide tuning without an inductor, among other benefits. Additional details for generator 800 are described in US patent No. 9,060,775, entitled "SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES", granted on June 23, 2015, hereby incorporated in its entirety for reference. The generator 800 can comprise a stage isolated from patient 802 in communication with a non-isolated stage 804 via a power transformer 806. A secondary winding 808 of power transformer 806 is contained in isolated stage 802 and can comprise a bypass configuration (for example, a central bypass or non-central bypass configuration) to define the trigger signal outputs 810a, 810b and 810c in order to provide trigger signals to different surgical instruments, such as an ultrasonic surgical device, an RF electrosurgical instrument and a multifunctional surgical instrument that includes ultrasonic and RF energy modes that can be delivered alone or simultaneously. In particular, trigger signal emissions 810a and 810c can provide an ultrasonic trigger signal (for example, a 420 V mean square value (RMS) trigger signal) to an ultrasonic surgical instrument, and the trigger signal emissions 810b and 810c can provide an RF electrosurgical trigger signal (for example, a 100 V RMS trigger signal) to an RF electrosurgical instrument, with output 810b corresponding to the center tap of the 806 power transformer.
[0199] [0199] In certain forms, ultrasonic and electrosurgical trigger signals can be supplied simultaneously to different surgical instruments and / or to a single surgical instrument, such as the instrument
[0200] [0200] The non-isolated stage 804 may comprise a power amplifier 812 that has an output connected to a primary winding 814 of the power transformer 806. In certain forms the power amplifier 812 may comprise a push-type amplifier and pull. For example, the non-isolated stage 804 may additionally contain a logic device 816 to provide a digital output to a digital-to-analog converter (DAC) 818 which, in turn, , provides an analog signal corresponding to a power amplifier 812 input. In certain forms, logic device 816 may comprise a programmable gate array (PGA), an FPGA (field FPGA) -programmable gate array "), a programmable logic device (PLD, of" programmable logic device "), among other logic circuits, for example. The logic device 816, by controlling the input of the power amplifier 812 through the DAC 818, can therefore control any of several parameters (for example, frequency, waveform, amplitude of the waveform) of drive signals appearing at the drive signal outputs 810a, 810b and 810c. In certain ways and as discussed below, logic device 816, in conjunction with a processor (for example, a DSP discussed below), can implement a number of DSP-based control algorithms and / or other control algorithms for control parameters of the drive signals provided by generator 800.
[0201] [0201] Power can be supplied to a power rail of the power amplifier 812 by a key mode regulator 820, such as a power converter. In certain forms, the key mode regulator 820 may comprise, for example, an adjustable buck regulator. The non-isolated stage 804 may further comprise a first processor 822 which, in one form, may comprise a PSD processor as an analog device ADSP-21469 SHARC PSD, available from Analog Devices, Norwod, MA, USA, for example, although in various forms, any suitable processor can be used. In certain ways, the DSP 822 processor can control the operation of the key mode regulator 820 responsive to voltage feedback data from the power amplifier 812 by the DSP processor 822 via an ADC 824 circuit. For example, the DSP 822 processor can receive input via the ADC 824 circuit, and the waveform envelope of a signal (for example, an RF signal) is amplified by the power amplifier 812. The PSD 822 processor can then control the key mode regulator 820 (for example, via a PWM output so that the rail voltage supplied to the power amplifier 812 follows the waveform aging of the amplified signal By dynamically modulating the rail voltage of the 812 power amplifier based on the waveform envelope, the efficiency of the 812 power amplifier can be significantly improved over rail voltage amplifier schemes fixed.
[0202] [0202] In certain ways, the logic device 816, in conjunction with the PSD 822 processor, can implement a digital synthesis circuit as a control scheme with a direct digital synthesizer to control the waveform, frequency and / or the amplitude of the trigger signals emitted by the generator 800. In one way, for example, the logic device 816 can implement a DDS control algorithm by retrieving waveform samples stored in a lookup table (LUT , "look-up table") updated dynamically, like a LUT RAM that can be integrated into an FPGA. This control algorithm is particularly useful for ultrasonic applications in which an ultrasonic transducer, such as an ultrasonic transducer, can be driven by a clean sinusoidal current at its resonant frequency. As other frequencies can excite parasitic resonances, minimizing or reducing the total distortion of the current of the movement branch can correspondingly minimize or reduce the undesirable effects of resonance. As the waveform of a drive signal output by generator 800 is impacted by various sources of distortion present in the output drive circuit (for example, power transformer 806, power amplifier 812) , voltage and current feedback data based on the trigger signal
[0203] [0203] The non-isolated stage 804 may additionally comprise a first ADC 826 circuit and a second ADC 828 circuit coupled to the output of the power transformer 806 by means of the respective isolation transformers, 830 and 832, to respectively sample the voltage and current of drive signals emitted by generator 800. In certain ways, ADC 826 and 828 circuits can be configured for high-speed sampling (eg, 80 mega samples per second (MSPS)) to allow over-sampling of signals drive. In one way, for example, the sampling speed of the ADC 826 and 828 circuits can allow for an oversampling of approximately 200x (de-
[0204] [0204] In certain forms, voltage and current feedback data can be used to control the frequency and / or amplitude (eg current amplitude) of the drive signals
[0205] [0205] In another form, for example, the current feedback data can be monitored in order to maintain the current amplitude of the drive signal at a current amplitude setpoint. The current amplitude set point can be specified directly or indirectly determined based on the specified set points for voltage and power amplitude. In certain ways, the control of the current amplitude can be implemented by the control algorithm, such as a proportional-integral-derivative control algorithm (PID), in the DSP 822 processor. The variables controlled by the control algorithm to control the current - when the current amplitude of the drive signal can include, for example, the scaling of the LUT waveform samples stored in logic device 816 and / or the full-scale output voltage of the DAC 818 circuit (which provides input to the power amplifier 812) via a DAC 834 circuit.
[0206] [0206] The non-isolated stage 804 may additionally comprise a second processor 836 to provide, among other things, the functionality of the user interface (UI). In one form, the 836 processor can comprise an Atmel AT91SAM 9263 processor with an ARM 926EJ-S core, available from Atmel Corporation, of San Jose, California, USA, for example. Examples of UI functionality supported by the UIl 836 processor may include audible and visual feedback from the user, communication with peripheral devices (eg via a USB interface), communication with the foot switch, communication with a data entry device (for example, a touchscreen) and communication with an output device (for example, a speaker). The UI processor 836 can communicate with the DSP processor 822 and logic device 816 (for example, via SPI buses). Although the UI 836 processor can primarily support UI functionality, it can also coordinate with the PSD 822 processor to implement risk mitigation in certain ways. For example, the UI 836 processor can be programmed to monitor various aspects of inputs by the user and / or other inputs (for example, touchscreen inputs, foot switch inputs, temperature sensor inputs) and it can disable the generator 800 output when an error condition is detected.
[0207] [0207] In certain ways, both the PSD 822 processor and the UI 836 processor can, for example, determine and monitor the operational state of generator 800. For the PSD 822 processor, the operational state of generator 800 can determine, for example, which control and / or diagnostic processes are implemented by the PSD 822 processor. For the UI 836 processor, the operational state of the generator 800 can determine, for example, which elements of a UI (for example, screens display, sounds) are presented to a user. The respective UI and PSD processors 822 and 836 can independently maintain the current operational state of generator 800, as well as recognize and evaluate possible transitions out of the current operational state. The PSD 822 processor can act as the master in this relationship, and can determine when transitions between operational states should occur. The UI 836 processor can be aware of valid transitions between operational states, and can confirm that a particular transition is appropriate. For example, when the DSP 822 processor instructs the UI 836 processor to transition to a specific state, the UI 836 processor can verify that the requested transition is valid. If a requested transition between states is determined to be invalid by the UI 836 processor, the UI 836 processor can cause generator 800 to enter a fault mode.
[0208] [0208] The non-isolated stage 804 can also contain an 838 controller for monitoring input devices (for example, a capacitive touch sensor used to turn generator 800 on and off, a capacitive touch screen) . In certain ways, controller 838 can comprise at least one processor and / or another controller device in communication with the UI processor
[0209] [0209] In certain ways, when generator 800 is in an "off" state, controller 838 can continue to receive operational power (for example, through a line from a power source
[0210] [0210] In certain forms, controller 838 may cause generator 800 to provide audible feedback or other sensory feedback to alert the user that an on or off sequence has been initiated. This type of alert can be provided at the beginning of a sequence on or off, and before the start of other processes associated with the sequence.
[0211] [0211] In certain forms, the isolated stage 802 may comprise an instrument interface circuit 840 to, for example, offer a communication interface between a control circuit of a surgical instrument (for example, a control circuit that comprises grip keys) and non-insulated stage 804 components, such as logic device 816, DSP processor 822 and / or UI processor 836. The instrument interface circuit 840 can exchange information with components of the non-isolated stage 804 via a communication link that maintains an adequate degree of electrical isolation between the isolated and non-isolated stages 802 and 804, for example, an infrared (IR) based communication link. Power can be supplied to the 840 instrument's interface circuit using, for example, a low-voltage voltage regulator powered by an isolation transformer driven from the non-isolated stage 804.
[0212] [0212] In one form, the instrument interface circuit 840 may comprise a logic circuit 842 (for example, a logic circuit, a programmable logic circuit, PGA, FPGA, PLD) in communication with a signal conditioning circuit 844 Signal conditioning circuit 844 can be configured to receive a periodic signal from logic circuit 842 (for example, a 2 kHz square wave) to generate a bipolar interrogation signal that has an identical frequency. The question mark can be generated, for example, using a source of bipolar current fed by a differential amplifier. The question mark can be communicated to a surgical instrument control circuit (for example, using a conductive pair on a cable that connects the generator 800 to the surgical instrument) and monitored to determine a state or configuration of the control circuit . The control circuit can comprise a number of switches, resistors and / or diodes to modify one or more characteristics (for example, amplitude, rectification) of the question mark so that a state or configuration of the control circuit is discernible, so unambiguous, based on one or more characteristics. In one form, for example, the signal conditioning circuit 844 may comprise an ADC circuit for generating samples of a voltage signal appearing between inputs of the control circuit, resulting from the passage of the interrogation signal through it. Logic circuit 842 (or a non-isolated stage component 804) can then determine the status or configuration of the control circuit based on the samples of ADC circuits.
[0213] [0213] In one form, the instrument interface circuit 840 may comprise a first data circuit interface 846 to enable the exchange of information between logic circuit 842 (or another element of the instrument interface circuit 840) and a pri - first data circuit disposed in a surgical instrument or otherwise associated with it. In certain ways, for example, a first data circuit may be arranged on a wire integrally attached to a handle on the surgical instrument, or on an adapter to interface between a specific type or model of surgical instrument and the generator 800. The first data circuit can be deployed in any suitable manner and can communicate with the generator according to any suitable protocol, including, for example, as described in this document with respect to the first data circuit. In certain ways, the first data circuit may comprise a non-volatile storage device, such as an EEPROM device. In some ways, the first data circuit interface 846 can be implemented separately from logic circuit 842 and comprises a suitable circuit set (for example, separate logic devices, a processor) to allow communication between the logic circuit 842 and the first data circuit. In other forms, the first data circuit interface 846 can be integral with logic circuit 842.
[0214] [0214] In some ways, the first data circuit can store
[0215] [0215] As discussed earlier, a surgical instrument can be removable from a handle (for example, the multifunctional surgical instrument can be removable from the handle) to promote interchangeability and / or disposability of the instrument. In such cases, conventional generators may be limited in their ability to recognize specific instrument configurations being used, as well as to optimize the control and diagnostic processes as needed. The addition of readable data circuits to surgical instruments to address this issue is problematic from a compatibility point of view, however. For example, designing a surgical instrument so that it remains backward compatible with generators that lack the indispensable data reading functionality may be impractical due, for example, to different signaling schemes, design complexity and cost. The instrument forms discussed in this document address these concerns through the use of data circuits that can be implemented in existing surgical instruments, economically and with minimal design changes to preserve the compatibility of surgical instruments with generator platforms. current.
[0216] [0216] Additionally, the shapes of the generator 800 can allow communication with instrument-based data circuits. For example, generator 800 can be configured to communicate with a second data circuit contained in an instrument (for example, the multifunctional surgical instrument). In some ways, the second data circuit can be implemented in a manner similar to that of the first data circuit in this document described. The instrument interface circuit 840 may comprise a second data circuit interface 848 to enable such communication. In one form, the second data circuit interface 848 can comprise a three-state digital interface, although other interfaces can also be used. In certain ways, the second data circuit can generally be any circuit for transmitting and / or receiving data. In one form, for example, the second data circuit can store information related to the specific surgical instrument with which it is associated. This information may include, for example, a model number, a serial number, a number of operations in which the surgical instrument was used, and / or any other types of information.
[0217] [0217] In some ways, the second data circuit can store information about the ultrasonic and / or electronic properties of an associated ultrasonic transducer, end actuator or ultrasonic drive system. For example, the first data circuit can indicate an initialization frequency slope, as described in this document. In addition or alternatively, any type of information can be communicated to the second data circuit for storage on it via the second data circuit interface 848 (for example, using logic circuit 842). This information may include, for example, an updated number of operations in which the surgical instrument was used and / or the dates and / or times of its use. In certain ways, the second data circuit can transmit data captured by one or more sensors (for example, an instrument-based temperature sensor). In certain ways, the second data circuit can receive data from generator 800 and provide an indication to a user (for example, an LED indication or other visible indication) based on the received data.
[0218] [0218] In certain ways, the second data circuit and the second data circuit interface 848 can be configured so that communication between logic circuit 842 and the second data circuit can be carried out without the need to provide additional conductors. for this purpose (for example, dedicated cable conductors connecting a handle to the 800 generator). In one way, for example, information can be communicated to and from the second data circuit using a wire bus communication scheme, implemented in the existing wiring, as one of the conductors used to transmit interrogation signals from signal conditioning circuit 844 to a control circuit on a handle. In this way, changes or modifications to the design of the surgical device that may otherwise be necessary are minimized or reduced. Furthermore, due to the fact that different types of communications implemented on a common physical channel can be separated based on frequencies.
[0219] [0219] In certain forms, the isolated stage 802 may comprise at least one blocking capacitor 850-1 connected to the output of the drive signal 810b to prevent the passage of direct current to a patient. A single blocking capacitor may be required to comply with medical regulations and standards, for example. Although failures in designs with a single capacitor are relatively uncommon, this type of failure can still have negative consequences. In one form, a second blocking capacitor 850-2 can be placed in series with the blocking capacitor 850-1, with current dispersion of one point between the blocking capacitors 850-1 and 850-2 being monitored, for example, by an ADC 852 circuit for sampling a voltage induced by leakage current. Samples can be received, for example, via logic circuit 842. Based on changes in the dispersion current (as indicated by the voltage samples), generator 800 can determine when at least one of the blocking capacitors 850-1, 850-2 failed, thus offering a benefit over single capacitor designs that have a single point of failure.
[0220] [0220] In certain forms, the non-isolated stage 804 may comprise a power supply 854 to provide direct current power with adequate voltage and current. The power supply can comprise, for example, a 400 W power supply to deliver a system voltage of 48 VDC. The power supply 854 can additionally comprise one or more DC / DC voltage converters 856 to receive the power supply output to generate DC outputs at the voltages and currents required by the various components of the generator 800. As discussed above in relation to controller 838, one or more of the 856 dc / dc voltage converters can receive an input from controller 838 when the activation of the "on / off" input device by a user is detected by controller 838, to enable the operation or awakening of the 856 DC / DC voltage converters.
[0221] [0221] Figure 21 illustrates an example of generator 900, which is a form of generator 800 (Figure 20). The 900 generator is configured to supply multiple types of energy to a surgical instrument. The 900 generator provides ultrasonic and RF signals to supply energy to a surgical instrument, independently or simultaneously. Ultrasonic and RF signals can be provided alone or in combination and can be provided simultaneously. As indicated above, at least one generator output can provide multiple types of energy (for example, ultrasonic, bipolar or monopolar RF, irreversible and / or reversible electroporation, and / or microwave energy, among others) through a single port, and these signals can be supplied separately or simultaneously to the end actuator to treat tissue.
[0222] [0222] Generator 900 comprises a processor 902 coupled to a waveform generator 904. Processor 902 and waveform generator 904 are configured to generate various signal waveforms based on information stored in a memory. coupled to processor 902, not shown for clarity of description. The digital information associated with a waveform is provided to the waveform generator 904 that includes one or more DAC circuits to convert the digital input to an analog output. The analog output is powered by an amplifier 1106 for signal conditioning and amplification. The conditioned and amplified output of the 906 amplifier is coupled to a power transformer.
[0223] [0223] A second voltage detection circuit 912 is coupled through the terminals identified as ENERGY1 and the RETURN path to measure the output voltage between them. A second voltage detection circuit 924 is connected via the terminals identified as ENERGY and the RETURN path to measure the output voltage between them. A current detection circuit 914 is arranged in series with the RETURN leg on the secondary side of the power transformer 908 as shown to measure the output current for any energy modality. If different return paths are provided for each energy modality, then a separate current detection circuit would be provided on each return leg. The outputs of the first and second voltage detection circuits 912, 924 are supplied to the respective isolation transformers 916, 922 and the output of the current detection circuit 914 is supplied to another isolation transformer 918. The outputs of isolation transformers 916, 928, 922 on the primary side of the power transformer 908 (non-isolated side of the patient)
[0224] [0224] In one aspect, impedance can be determined by processor 902 by dividing the output of the first voltage detection circuit 912 coupled over the terminals identified as ENERGY1 / RETURN or the second voltage detection circuit 924 connected over the terminals identified as ENERGY2 / RETURN, by the output of the current detection circuit 914 arranged in series with the RETURN leg on the secondary side of the power transformer
[0225] [0225] As shown in Figure 21, generator 900 comprising at least one output port may include a power transformer 908 with a single output and multiple taps to provide power in the form of one or more types of energy technology, such as ultrasonic, bipolar or monopolar RF, irreversible and / or reversible electroporation, and / or microwave energy, among others, for example to the end actuator depending on the type of tissue treatment being performed. For example, the 900 generator can supply energy with higher voltage and lower current to drive an ultrasonic transducer, with lower voltage and higher current to conduct RF electrodes to seal the tissue or with a coagulation waveform. for point coagulation using monopolar or bipolar RF electrosurgical electrodes. The output waveform of the 900 generator can be oriented, switched or filtered to supply the frequency to the end actuator of the surgical instrument. The connection of an ultrasonic transducer to the output of generator 900 would preferably be located between the output identified as ENERGY1 and RETURN, as shown in Figure 21. In one example, a connection of bipolar RF electrodes would the output of generator 900 be preferably located between the output identified as ENERGY and RETURN. In the case of a monopolar output, would the preferred connections be an active electrode (for example, a light beam or another probe) for the ENERGY output and a suitable return block connected to the RETURN output.
[0226] [0226] Additional details are described in US patent application publication No. 2017/0086914 entitled TECHNIQUES FOR OPE-
[0227] [0227] As used throughout this description, the term "wireless" and its derivatives can be used to describe circuits, devices, systems, methods, techniques, communication channels, etc., that can communicate data through the use of electromagnetic radiation modulated through a non-solid medium. The term does not imply that the associated devices do not contain any wires, although in some ways they may not. The communication module can implement any of a number of wireless and wired communication standards or protocols, including, but not limited to, Wi-Fi (IEEE 802.11 family), WiMAX (IEEE 802.16 family), IEEE 802.20, long-term evolution (LTE, "long-term evolution"), Ev-DO, HSPA +, HSDPA +, HSUPA +, EDGE, GSM, GPRS, CDMA, TDMA, DECT, Bluetooth, derived from their Ethernet, 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 like Wi-Fi and Bluetooth, and a second communication module can be dedicated to longer-range wireless communications like GPS, EDGE, GPRS, CDMA , WiMAX, LTE, Ev-DO, and others.
[0228] [0228] As used in the present invention a processor or unit
[0229] [0229] As used in this document, a system on a chip or system on the chip (SoC or SOC) is an integrated circuit (also known as an "IC" or "chip") that integrates all the components of a computer or other electronic systems. It can contain digital, analog, mixed and often radio frequency functions - all on a single substrate. A SoC integrates a microcontroller (or microprocessor) with advanced peripherals such as a graphics processing unit (GPU), i-Fi module, or coprocessor. An SoC may or may not contain internal memory.
[0230] [0230] As used in this document, a microcontroller or controller is a system that integrates a microprocessor with peripheral circuits and memory. A microcontroller (or MCU for the microcontroller unit) can be implemented as a small computer on a single integrated circuit. It can be similar to a SoC; a SoC can include a microcontroller as one of its components. A microcontroller can contain one or more core processing units (CPUs) together with memory and programmable input / output peripherals. Program memory in the form of ferroelectric RAM, NOR flash or OTP ROM is also often included on the chip, as well as a small amount of RAM. Microcontrollers can be used for integrated applications, in contrast to microprocessors used in personal computers or other general purpose applications that consist of several separate integrated circuits.
[0231] [0231] As used in the present invention, the term controller or microcontroller may be an independent chip or IC (integrated circuit) device that interfaces with a peripheral device. This can be a connection between two parts of a computer or a controller on an external device that manages the operation of (and connection to) that device.
[0232] [0232] Any of the processors or microcontrollers in the present invention can be any implemented by any single-core or multi-core processor, such as those known under the trade name ARM Cortex by 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 prefetch 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 StellarisWareO software, a memory 2 KB electrically erasable, programmable read-only (EEPROM), one or more pulse width modulation (PWM) modules, one or more analog quadrature encoder (QEI) inputs, one or more "analog to digital" converters "12-bit (ADC) with 12 analog input channels, details of which are available for the product data sheet.
[0233] [0233] In one aspect, the processor may comprise a safety controller that comprises two controller-based families, such as TMS570 and RM4x, known under the tradename Hercules ARM Cortex R4, also by Texas Instruments. The safety controller can be configured specifically for IEC 61508 and ISO 26262 safety critical applications, among others, to provide advanced integrated safety features while providing scalable performance, connectivity and memory options.
[0234] [0234] Modular devices include modules (as described in connection with Figures 3 and 9, for example) that are receivable within a central surgical controller and the devices or surgical instruments that can be connected to the various modules a in order to connect or pair with the corresponding central surgical controller. Modular devices include, for example, smart surgical instruments, medical imaging devices, suction / irrigation devices, smoke evacuators, power generators, fans, insufflators and displays. The modular devices described in this document can be controlled by control algorithms. The control algorithms can be executed on the modular device itself, on the central surgical controller to which the specific modular device is paired, or on both the modular device and the central surgical controller (for example, through a distributed computing architecture). In some examples, the control algorithms of the modular devices control the devices based on the data detected by the modular device itself (that is, by sensors on, over or connected to the modular device). These data can be related to the patient being operated (for example, tissue properties or inflation pressure) or to the modular device itself (for example, the rate at which a knife is being advanced, the motor current, or the energy levels). For example, a control algorithm for a surgical stapling and cutting instrument can control the rate at which the instrument's motor drives its knife through the fabric according to the resistance encountered by the knife as it progresses.
[0235] [0235] Figure 22 is a block diagram of the interactive surgical system implemented by computer, according to at least one aspect of the present invention. 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 healthcare facilities. . The computer-implemented interactive surgical system comprises a cloud-based analytical system. Although the cloud-based analytical system is described as a surgical system, it is not necessarily limited as such and could be a cloud-based general medical system. As illustrated in Figure 22, the cloud-based analytical system comprises a plurality of surgical instruments 7012 (can be the same or similar to instruments 112), a plurality of central surgical controllers 7006 (can be the same or similar to 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 communicatively coupled to one or more surgical instruments 7012. Central controllers 7006 are also communicatively coupled to the cloud 7004 of the interactive surgical system implemented by computer over the 7001 network. The 7004 cloud is a centralized remote source of hardware and software for storing, manipulating and communicating the data generated based on the operation of various surgical systems. As shown in Figure 22, access to the 7004 cloud is obtained through the 7001 network, which can be the Internet or some other suitable computer network. The surgical controllers
[0236] [0236] 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 can indicate specific locations, such as operating rooms in healthcare facilities (for example, hospitals), for performing medical operations. For example, the memory of a central surgical controller 7006 can store location data. As shown in Figure 22, cloud 7004 comprises central servers 7013 (can be the same or similar to remote server 7013), application servers for central controllers 7002, data analysis modules 7034 and an input / output interface ("1 / 0 ") 7006. Central servers 7013 of the cloud 7004 collectively administer the cloud-based computing system, which includes monitoring requests from client central surgical controllers 7006 and managing the processing capacity of the cloud 7004 to execute requests - tions. Each of the central servers 7013 comprises one or more processors 7008 coupled to suitable memory devices that may include volatile memory 7010, such as random access memory (RAM), and non-volatile memory, such as magnetic storage devices. 7010 memory devices can comprise machine executable instructions that, when executed, cause the 7008 processors to execute the analysis modules.
[0237] [0237] Based on connections to multiple 7006 surgical centers via the 7001 network, the 7004 cloud can aggregate data from specific data generated by various 7012 surgical instruments and their corresponding 7006 central controllers. Such aggregated data can be stored in the aggregated medical databases 7012 of the cloud 7004. In particular, the cloud 7004 can advantageously perform data analysis and operations on the aggregated data to produce insights and / or perform functions that individual 7006 central controllers would not be able to run on their own. For this purpose, as shown in Figure 22, cloud 7004 and central surgical controllers 7006 are communicatively coupled to transmit and receive information. The 1 / O 7006 interface is connected to the plurality of central surgical controllers 7006 via the 7001 network. In this way, the 1 / O 7006 interface can be configured to transfer information between the 7006 central surgical controllers and the databases. aggregated medical data
[0238] [0238] The configuration of the computer system based on a specific number described in the present invention is specifically designed to address various issues that arise within the context of medical operations and procedures performed with the use of 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 doctors can control aspects of interaction between the surgical instruments 7012 and the cloud 7004. Other user interfaces suitable for control , such as auditorium-controlled user interfaces, can also be used.
[0239] [0239] Figure 23 is a block diagram that illustrates the functional architecture of the interactive surgical system implemented by computers.
[0240] [0240] 7034 that can be run by 7008 cloud 7004 processors to provide data analysis solutions for problems that arise specifically in the medical field. As shown in Figure 23, the functions of the 7034 cloud-based data analysis modules can be assisted by applications for central controllers 7014 hosted by the application servers for central controllers 7002 which can be accessed on controllers. central surgical 7006. Cloud computing processors 7008 and applications for central controllers 7014 can operate together to perform data analysis modules
[0241] [0241] 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 configurations (for example, trends), management of redundant data sets and data storage in paired data sets that can be grouped by surgery, but not necessarily linked to actual surgical dates and surgeries. In particular, paired data sets generated from 7012 surgical instrument operations may comprise applying a binary classification, for example, a bleeding or non-bleeding event. More generally, the binary classification can be characterized as a desirable event (for example, a successful surgical procedure) or an undesirable event (for example, a wrong or failed 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 of central surgical controllers 7006. For this purpose, 7008 processors can be operationally coupled to applications for central controllers 7014 and aggregated medical data databases 7011 to execute data analysis modules 7034. The 7022 data collection and aggregation module can store the aggregated organized data in the 2212 aggregated medical data databases.
[0242] [0242] The resource optimization module 7020 can be configured to analyze this aggregated data to determine an optimal use of resources for a specific or group of healthcare facilities or a specific facility. For example, the
[0243] [0243] The 7028 patient results analysis module can analyze surgical results associated with the currently used operating parameters of 7012 surgical instruments. The analysis module
[0244] [0244] The cloud-based analytical 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 an allowable level of access from the cloud. For example, based on the provision of accurate credentials, a central surgical controller 7006 can be given access to communicate with the cloud to a predetermined point (for example, it can only participate in the transmission and reception of certain 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 credentials provided. Different credentials can be associated with different permission levels for interacting with the 7004 cloud, such as a predetermined access level to receive the data analysis generated by the 7004 cloud. In addition, for security purposes, the cloud could maintain a database of central controllers 7006, instruments 7012 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 surgical instruments 7012 may not have functional access to a corresponding central controller 7006 and / or may be prevented from functioning fully when paired with their corresponding central controllers 7006. In addition or alternatively, the cloud 7004 can signal instruments 7012 based on incompatibility or other specified criteria. In this way, counterfeit medical devices and the inappropriate reuse of such devices across the cloud-based analytical system can be identified and addressed.
[0245] [0245] Surgical Instruments 7012 can use wireless transceivers to transmit wireless signals that can represent, for example, authorization credentials for access to the corresponding central controllers 7006 and the cloud 7004. Wired transceivers can also be used to transmit signals. These authorization credentials can be stored in the respective memory devices of the surgical instruments 7012. The authorization and security module 7024 can determine whether the authorization credentials are accurate or false. The 7024 authorization and security module can also generate authorization credentials dynamically to provide more security. Credentials could also be encrypted, such as using hash-based encryption. After the appropriate authorization has been transmitted, surgical instruments 7012 can transmit a signal to the corresponding central controllers 7006 and, finally, to cloud 7004 to indicate that the instruments 7012 are ready to obtain and transmit medical data. In response, the 7004 cloud can move to a state enabled to receive medical data for storage in the aggregated medical data databases 7011. This availability for data transmission could be indicated, for example, by a light indicator on instruments 7012. The cloud 7004 can also transmit signals to surgical instruments 7012 to update its associated control programs. The 7004 cloud can transmit signals that are directed to a specific class of 7012 surgical instruments (for example, electrosurgical instruments) so that software updates for control programs are transmitted only to the 7012 surgical instruments. the 7004 cloud could be used to implement system-wide solutions to address local or global problems based on the selective transmission of data and authorization credentials. For example, if a group of surgical instruments 7012 is identified as having a common manufacturing defect, the 7004 cloud can change the authorization credentials corresponding to that group to implement an operational block of the group.
[0246] [0246] The cloud-based analytical system can allow monitoring of multiple healthcare facilities (for example, medical facilities like hospitals) to determine improved practices and recommend changes (via the 2030 recommendations module, for example ) as the need. In this way, cloud 7004 processors 7008 can analyze the data associated with a health care 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 for the entire group of healthcare facilities. The cloud-based analytical system could also be used to increase situational awareness. For example, 7008 processors can predictively model the effects of recommendations on cost and effectiveness for a given facility (in relation to operations in general and / or various medical procedures). The cost and effectiveness associated with that specific facility can also be compared to a local region corresponding to other facilities or any other comparable facilities.
[0247] [0247] 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 the data analysis performed by the 7022 data collection and aggregation module and the 7028 patient result analysis modules. Different levels of prioritization can result - search for specific responses from the 7004 cloud (corresponding to a level of urgency) such as referral for faster response, special processing, deletion of aggregated medical data databases 7011 or other appropriate responses. In addition, if necessary, the 7004 cloud can transmit a request (for example, a push message) through the application servers to central controllers for additional data from corresponding 7012 surgical instruments. The push message can result in a notification displayed on the corresponding central controllers 7006 to request support or additional data. This push message may be necessary in situations where the cloud detects a significant irregularity or out-of-bounds result and the cloud cannot determine the cause of the irregularity. 7013 central servers can be programmed to trigger this push message in certain significant circumstances, such as when it is determined that the data is different from an expected value beyond a predetermined threshold or when it appears that security has been compromised, for example .
[0248] [0248] Additional example details for the various functions described are provided in the following descriptions. Each of the various descriptions can use the cloud architecture as described in Figures 22 and 23 as an example of implementing hardware and software. Usage, resource and efficiency modeling for medical facilities
[0249] [0249] Aspects of the present invention are presented for a cloud-based analytical system, communicatively coupled to a plurality of central controllers and smart medical instruments, and configured to provide personalized recommendations to local health care facilities for use medical supplies and other resources to improve efficiency and optimize resource allocation. A health care facility, such as a hospital or medical clinic, can develop a set of practices for obtaining, using and disposing of various medical supplies that are often derived from routines and traditions maintained over time. The behaviors of a medical facility are typically risk-averse, and they would generally be hesitant to adopt new and better practices unless and until a better practice is demonstrated convincingly. Similarly, even if a better use or efficiency model has been developed at a nearby facility, it is difficult for a local facility to adopt the improved practice because 1) each facility can be more actively resistant to outside changes and 2) there are many unknowns about how or why the improved practice works at the nearby facility compared to what is done by the local facility. In addition, even if a medical facility wants to improve its practices, it may be unable to do so optimally because it lacks sufficient knowledge of other facilities in similar situations, whether facilities in your region, of similar size and / or with similar practices and patients, among other aspects.
[0250] [0250] To help facilitate the dissemination of best practices across multiple medical facilities, it would be desirable if a common source could be aware of the contexts of multiple medical facilities and be able to determine what changes should be made to a specific medical facility , based on knowledge of the practices of any or all of the multiple facilities.
[0251] [0251] In some aspects, a cloud-based system communicatively coupled to knowledge centers in a medical facility, such as one or more medical centers, can be configured to aggregate resource usage data doctors from multiple medical facilities. The cloud-based system can then correlate medical resource usage data with the results of these facilities, and may be able to identify various patterns within the data. For example, in some respects, the cloud-based system can identify which hospitals generate the least amount of waste per unit cost, based on an aggregation of all waste and acquisition data obtained from medical facilities. over a wide geographic region (for example, all surgical centers in Japan). The cloud-based system can be configured to identify which medical facility produced the least amount of waste per unit cost, and then can analyze which practices differentiate that medical facility. If a trend is found, the cloud-based system can disseminate this information to all medical facilities in similar situations to improve their practices. This analysis can help improve inventory management, productivity efficiency, or the overall efficiency of a medical facility. Improved inventory management can help make surgical devices and other medical resources used at their highest performance levels over extended periods, compared to if the resources had been managed ineffectively, and the devices doctors can therefore be used continuously even when they are older and are more worn out.
[0252] [0252] In general, the cloud-based system can be configured to aggregate data from multiple medical facilities; something that no installation would be able to do on its own. In addition, the cloud-based system can be configured to analyze the broadest data set, controlling common variables, such as the type of practice, type of patient, number of patients, similar geographic region, which facilities use similar types of data. instruments, etc .; something that a facility would not be able to analyze on its own.
[0253] [0253] In this way, the cloud-based system of the present invention may be able to find more precise causalities that generate best practices in a given installation, and can then be disseminated to all other installations. In addition, the cloud-based system may be able to provide data from all different sources, which no installation may be able to do on its own.
[0254] [0254] With reference to Figure 24, an illustrative illustration of an organization of several resources related to specific types of surgical categories is shown. There are two bars for each category, with dashed line bars 7102, 7106 and 7110 representing unused and / or scrapped resources, and continuous line bars 7104, 7108 and 7112 showing a total of resources in use for the category in question. In this example, bars 7104, 7108 and 7112 show a total number of endo-cutter cartridges, sponges, saline, fibrin sealants, sutures and stapler reinforcements, for thoracic, colorectal and bariatric procedures respectively, compared to the lower values 7102, 7106, and 7110, which represent a number of unused resources for thoracic, colorectal and bariatric procedures, respectively.
[0255] [0255] The cloud-based system can be configured to identify waste products that were collected and were not used, or that were collected and used in a way that was not beneficial to the patient or the surgery. To do this, the cloud-based system can record all the inventory records for obtaining and disposing in memory. During each procurement, it is possible to analyze and insert an inventory entry, and the bar codes of each inventory item can identify the type of product, for example. In some ways, smart disposal containers can be used to automatically record when a product is being disposed of. These containers can ultimately be connected to the cloud-based system, either through one or more central surgical controllers, or through a separate inventory management system throughout the facility. Each installation can be tracked by its location, for example through defined GPS coordinates, entered address or similar. These data can be organized in memory using one or more databases with various metadata associated with them, such as date and time of use, place of origin, type of procedure for which it will be used, if applicable, cost per item, expiration date, if applicable, and so on.
[0256] [0256] In addition, the cloud-based system can be configured to identify faulty or misused products and track where the product was used, and can archive those results.
[0257] [0257] In some respects, the cloud-based system can be configured to perform analysis of product trends associated with the total length or quantity of the product, to identify insufficient uses or discarded products. For example, the cloud-based system can place the use of a product within a known period of time when a surgical procedure is taking place, with a timestamp. The cloud-based system can then register an amount of resources used during this procedure, and can compare the materials used in the referred procedure with procedures in similar situations carried out elsewhere. With that, it is possible to reach several conclusions
[0258] [0258] Still with reference to Figure 24, based on the organization of used and unused products, the cloud-based system can also generate several other conclusions. For example, the cloud-based system can be configured to generate a correlation of unused products with the fixed cost. The cloud-based system can also generate a calculation of expired products and how this impacts change rates with inventory. It can also generate an indication of where in the supply chain the product is not being used and how it is being accounted for. It can also generate ways to reduce costs or inventory space by finding substitutions of some resources for others for the same procedure. This can be based on the comparison of similar practices in different medical facilities that use different resources to perform the same procedures.
[0259] [0259] In some respects, the cloud-based system can be configured to analyze the use of inventory for any and all medical products and perform purchase management to determine when to obtain new products. The cloud-based system can optimize the use of the inventory space to determine the best way to use the available space, in view of the usage rates for certain products compared to others. Often, the inventory may not be carefully monitored for a product's shelf life. If certain products are used less frequently, but there are a lot of them, it can be identified that the storage space is misallocated. Therefore, the cloud-based system can better allocate storage space to reflect the actual use of the resource.
[0260] [0260] To achieve improvements in this area, in some respects, the cloud-based system can, for example, identify missing or insufficient products in an operating room (OR, for "operating room") for a specified procedure. The cloud-based system can then provide an alert or notification, or transmit data to display this deficiency on the central surgical controller in the OR. As another example, when a product is used in the OR, it can communicate its usage information to the cloud, such as activating a sensor or activation identification. The product can be registered using a scan or a key that can be
[0261] [0261] In some aspects, the use of the device within a procedure is monitored by the cloud-based system and compared for a given segment (for example, individual surgeon, individual hospital, network of hospitals, region, etc.). ) with the use of the device for similar procedures in other segments. Recommendations are presented to optimize use based on the unitary resource used or expenses to provide such a resource. In general, the cloud-based system can focus on a comparison of product usage between the different institutions to which it is connected.
[0262] [0262] Figure 25 provides an example illustration of how data is analyzed by the cloud-based system to provide a comparison between multiple facilities to compare resource usage. In general, the cloud-based system 7200 can obtain usage data from all facilities, like any of the types of data described with respect to Figure 24 and can associate each data with various other metadata, such as time, procedure, result - details of the procedure, cost, date of purchase, and so on. Figure 25 shows an example set of data 7202 being uploaded to the cloud 7200, with each circle in set 7202 representing a result and one or more resources and contextual metadata that may be relevant to generate the result. In addition, 7204 high-performance results and their associated contextual resources and metadata are also sent to the cloud
[0263] [0263] The example graph 7206 provides a visual representation of an example of a trend or pattern that the cloud can obtain from analyzing data of resources and results, according to some aspects. In this example, the cloud-based system may have analyzed resource data and results from various stapler shots and their relationship to surgery performance. The cloud-based system may have gathered data from multiple medical facilities, and multiple surgeons within each facility, based on trigger data recorded automatically during each surgery that are generated directly from the operation of the surgical staplers themselves. Performance results can be based on postoperative analyzes and / or immediate results during surgery, for example, if there is a bleeding event or a successful wound closure. Based on all the data, trends can be determined, and in this document, it can be found that there is a small window of the number of shots that results in the best performance results, in the "a" range, as shown. The magnitude of this performance compared to the most common number of shots is shown as the "b" interval. Since the number of shots that result in the best results may not be what is commonly practiced, it may not be immediately easy to discover these results without the aggregation and analysis features of the cloud-based system.
[0264] [0264] As another example, it is possible to obtain the type of cartridge, color and use of accessories that are monitored for vertical gastrectomy procedures for individual surgeons within the same hospital. The data can reveal that the average cost of the procedure is higher for a given surgeon compared to others in the same hospital, even though the patient's results are the same. The hospital is then informed and encouraged to analyze differences in the use of the device, techniques, etc. in search of cost optimization potentially through the elimination of accessories.
[0265] [0265] In some ways, the cloud-based system can also identify special cases. For example, it is possible to identify information about specific costs provided within the hospital, including OR time, device usage and personnel. These aspects can be unique to a specific OR or installation. The cloud-based system can be configured to suggest efficiencies in the use of OR time (scheduling), device inventory, etc. between different specialties (orthopedic, thoracic, colorectal, bariatric procedures, etc.) for these special cases.
[0266] [0266] In some ways, the cloud-based system can also be configured to compare the cost-benefit of robotic surgery with traditional methods, such as laparoscopic procedures.
[0267] [0267] According to some aspects of the cloud-based system, while the description above focuses on a determination of efficiency (ie value) and optimization based on it, in this document, this section is concerned with identifying which local practices can best be disseminated to other medical facilities in similar situations.
[0268] [0268] A health care facility, such as a hospital or medical clinic, can develop a set of practices on how to use medical devices to assist medical procedures that are often derived from routines and traditions maintained over time. The behaviors of a medical facility are typically risk-averse, and they would generally be hesitant to adopt new and better practices unless and until a better practice is demonstrated convincingly. Similarly, even if a practice of using a device or adjusting a procedure has been developed at a nearby facility, it is difficult for a local facility to adopt the improved practice because 1) each facility may be more actively resistant to changes from the outside and 2) there are many unknowns about how or why the improved practice works at the nearby facility compared to what is done by the local facility. In addition, even if a medical facility wants to improve its practices, it may be unable to do so ideally because it lacks sufficient knowledge of other facilities in similar situations, whether facilities in your region, with a similar size and / or with similar practices and patients, among other aspects.
[0269] [0269] To help facilitate the dissemination of best practices across multiple medical facilities, it would be desirable if a common source could have knowledge of the contexts of multiple medical facilities and be able to determine what changes should be made to a specific medical facility , based on knowledge of the practices of any or all of the multiple facilities.
[0270] [0270] In some respects, a cloud-based system communicatively coupled to knowledge centers in a medical facility, such as one or more medical centers, can be configured to aggregate resource usage data and results of patients from multiple medical facilities. The cloud-based system can then correlate resource usage data with the results of these facilities, and may be able to identify various patterns within the data. For example, in some aspects, the cloud-based system can identify which hospitals produce the best results for a given type of procedure, based on an aggregation of all patient outcome data for that specific procedure in a wide geographical region (for example, all surgical centers in Germany). The cloud-based system can be configured to identify which medical facility produced the best procedure result compared to the average across the geographic region, and then can analyze what procedural differences occur in that medical facility . If a trend is found and one or more differences are identified, the cloud-based system can disseminate this information to all medical facilities in similar situations to improve its practices.
[0271] [0271] In general, the cloud-based system can be configured to aggregate data from multiple medical facilities; something that no installation would be able to do on its own. In addition, the cloud-based system can be configured to analyze the broadest data set, controlling common variables, such as the type of practice, type of patient, number of patients, similar geographic region, which facilities use similar types of data. instruments, etc .; something that a facility would not be able to analyze on its own.
[0272] [0272] In this way, the cloud-based system of the present invention may be able to find more precise causalities that generate best practices in a given installation, and can then be disseminated to all other installations. In addition, the cloud-based system may be able to provide data from all different sources, which no installation may be able to do on its own.
[0273] [0273] The cloud-based system can be configured to generate conclusions about the effectiveness of any local installation in several ways. For example, the cloud-based system can determine whether an on-site treatment facility is using a mix or product use that differs from the community as a whole, and whether its results are superior. The cloud-based system can then correlate the differences and highlight them for use in other facilities, another central surgical controller or in clinical sales, for example. In general, this information can be widely disseminated in a way that no single installation could have had access to or knowledge of, including the installation that practiced this improved procedure.
[0274] [0274] As another example, the cloud-based system can determine whether the on-premises installation has equal or inferior results to the community as a whole. The cloud-based system can then correlate suggestions and provide that information back to the local facility as recommendations. The system can display data showing its performance in relation to the others, and it can also present suggestions about what this installation is doing compared to what is being done by all the others. Again, the local facility may not even know that it has an inefficiency in this regard, and even the others may not realize that they are using their resources more efficiently, so that no one would ever know how to examine these issues without the system cloud-based provides an overview of all data.
[0275] [0275] These suggestions can come in many forms. For example, the cloud-based system can provide recommendations at the acquisition level, suggesting better costs for obtaining similar results. As another example, the cloud-based system can provide recommendations at the OR level, when the procedure is being planned and equipped, and less desirable products are being used, suggesting other techniques and product mixes that would be in line with the general community that is getting better results. As yet another example, the cloud-based system can show results comparison needs that take into account the surgeon's experience, possibly through a count of similar cases performed by the surgeon from data in the cloud. In some aspects, an individual's learning curve can be reported in relation to a larger set of data, such as expectations of better results or the surgeon's performance in relation to colleagues to obtain a balanced level of results. .
[0276] [0276] Figure 26 illustrates an example of how the 7300 cloud-based system can determine the efficiency trends of an aggregated data set 7302 across entire regions, according to some aspects. In this document, for each circle in the 7302 data set, the use of devices, cost and results of a procedure are monitored and compared for a given segment (for example, individual surgeon, individual hospital, network of hospitals, region, etc.) with the use of devices, cost and results of similar procedures in other segments. This data can have metadata that associates it with a specific installation. In general, a result of a procedure can be linked to multiple types of data associated with it, such as what resources were used, which procedure was performed, who performed the procedure, where the procedure was performed, and so on . The data linked to the result can then be presented as a data pair. The data can be subdivided in several ways, such as between good and inferior results, filtered by specific facilities, specific demographic data, and so on. A regional filter 7304 is shown visually as an example. The 7302 data set contains good results and inferior results, with the inferior results being darkened for contrast.
[0277] [0277] Figure 26 also shows examples of graphs that have these distinctions and can be derived from the aggregated data set 7302, using one or more pairs of data. Graph 7306 shows a global analysis in one example, while a segmented analysis by region is provided in another graph 7308. Statistical analysis can be performed to determine whether the results are statistically significant. In graph 7306, the number-based system can determine that no statistical difference was found between good results and inferior results based on the occurrence rates. On the other hand, in graph 7308, the cloud-based system can determine that there is a statistically higher occurrence of inferior results for a given region, when filtering for a specific region. Recommendations are presented to share results against the cost and against the use of the device, and all combinations of them, to help provide information for the optimization of the results in relation to the costs of the procedure, with the use of the device. device being potentially one of the main factors contributing to the differences, according to some aspects.
[0278] [0278] As another example, a cartridge type and color are monitored for lobectomy procedures for individual surgeons within the same hospital. The data reveal that the average cost for a surgeon is higher on average for that surgeon, even though the average length of stay is less. The hospital is informed by the cloud-based system and is encouraged to analyze differences in device usage, techniques, etc. in search of improvements in patient results.
[0279] [0279] In some ways, the cloud-based system can also be configured to provide predictive modeling of changes in procedures, product mixes and time for a given local population or for the general population as a whole. Predictive modeling can be used to assess, for example, the impact on resource use, resource efficiency and resource performance.
[0280] [0280] Figure 27 provides an illustrative illustration of some types of analysis that the cloud-based system can be configured to perform to provide forecasting modeling, according to some aspects. The cloud-based system can combine your knowledge of the steps and instruments needed to perform a procedure, and can compare different paths through various metrics, such as the resources used, time, cost of the procedure, and the like. In this example from graph 7400, a thoracic lobectomy procedure is analyzed using two different types of methods to perform the same procedure. Option A describes a disposable ultrasonic instrument as the method to perform the procedure, while option B shows a combination of different methods that, in aggregate, perform the same procedure. The graphic illustration can help a surgeon or administrator to see how resources are used and their cost. Option B is divided into multiple sections, including sterilization costs, reusable dissectors and additional time in the OR to perform the procedure. The cloud-based system can be configured to convert these relatively abstract notions into a quantitative cost value based on a combination of your knowledge of time spent in the OR, staff salaries and resource costs per unit of time in the OR , and the resources used for sterilization and reusable dissectors and their associated costs. The cloud-based system can be configured to associate the various amounts of resources and costs with your knowledge of the steps required to perform the thoracic lobectomy procedure using the method prescribed in option B.
[0281] [0281] As another example, graph 7404 in Figure 27 shows a comparison between the use of a long ultrasonic dissector and a reusable monopolar dissector to perform several portions of a procedure. Graph 7404 shows a comparison in terms of the time required to perform each portion of the procedure for each instrument. The surgeon may then be able to select which instrument may be desired for a specific procedure. The split times can be automatically recorded empirically during real-time procedures, with the times for each portion of the general procedure being divided due to the knowledge of the cloud-based system about the expected sequence to perform the procedure. The demarcations between each portion can be defined by a surgeon who provides an entry to manually denote when each change occurs. In other cases, the cloud-based system can use situational recognition to determine when a portion of the procedure has ended based on how the devices are used and not used. The cloud-based system can aggregate several of these procedures, performed by multiple surgeons and multiple facilities, and then calculate an average time for each section, for example.
[0282] [0282] As another example, graph 7402 in Figure 27 shows an example of a graphical interface to compare the relative cost of using the long ultrasonic dissector or a reusable monopolar dissector, according to some aspect. The value of each instrument per unit of time is displayed for a specific procedure. The data used to generate these values can be similar to those obtained for graphs 7400 and 7404, according to some examples. The graphical display can allow a succinct description of key efficiency points that would be most useful for making a determination. This analysis can help a surgeon to see how valuable an instrument is for a given procedure.
[0283] [0283] In general, to perform predictive modeling, the cloud-based system can combine its knowledge of the exact steps to perform a procedure, which instruments can be used to perform each step and its aggregated data on how to the instrument performs each specific step. A surgeon may not have the combination of such knowledge to provide such an assessment on his own. Predictive modeling can therefore be the result of monitoring and capturing continuous data through multiple
[0284] [0284] In some respects, the cloud-based system can also obtain information from multiple sources (for example, central controller data collection sources, printed material, etc.) to identify the ideal procedural technique. Several other examples of how predictive modeling can be used include: (1) sigmoidectomy: multi-quadrant surgery; what is the best order of operations, etc .; (2) RYGB: what is the ideal limb length, etc., based on the circumstances for that patient; (3) Lobectomy: how many and which lymph nodes must be removed; and (4) VSG: Suppository size and distance from the pylorus.
[0285] [0285] In some respects, when a suggestion is made to a surgeon, the surgeon is given the option to refuse future suggestions like this, or to continue. In addition, through the interface with the central controller, the surgeon can request additional information from the cloud-based system to use in his decision. For example, the surgeon may want to isolate schedules for a more localized set of data, such as the specific facility or a certain demographic region that best serves the patient who is undergoing surgery. The data can change if, for example, the patient is a child or if the patient is a woman. Device configuration changes based on surgeon region, hospital or patient parameters (preoperative
[0286] [0286] Similar to the section above, the cloud-based system can also be configured to monitor the settings of smart instruments and, more generally, settings that use multiple smart instruments, such as an operating room.
[0287] [0287] The cloud-based system of the present invention can be configured to aggregate data relating to intelligent medical instrument and operating room (OR) configurations using multiple intelligent medical instruments. Smart medical instruments can include: handheld devices that are communicatively coupled to a medical data tower and are configured to generate sensor data; and robotic instruments that perform procedures in a more automated way. The cloud-based system can be configured to detect irregularities in an OR configuration, whether they are related to which devices are present in the room and / or which materials are used to create a product mix during a medical procedure. The irregularities can be based on the comparison of the materials and equipment present in the OR with other configurations of other medical facilities for a similar situation. The cloud-based system can then generate a change in firmware, software or other settings and transmit these changes to surgical devices as a device update.
[0288] [0288] In this way, the cloud-based system of the present invention may be able to identify errors and find more precise causalities that generate best practices in a given installation, and can then be disseminated to all other installations. In addition, the cloud-based system may be able to provide data from all different sources, which no
[0289] [0289] In some ways, the cloud-based system can be configured to provide instrument configuration recommendations, and even generate the appropriate device configuration changes, to customize the performance for them of a previously specified user.
[0290] [0290] For example, the cloud-based system can focus on a user of a surgical device or a surgeon based on a comparison of current use of a device with the historical trends of a broader data set. As some examples, the cloud-based system can provide recommendations on what type of cartridge to use based on what the user has previously used for the specific procedure or just what the specific surgeon wants in general. The cloud-based system can access data based on the specific surgeon, the type of procedure and the type of instruments used to make this determination.
[0291] [0291] As another example, the cloud-based system can provide a recommendation based on an identified anatomy indicated on a cartridge display. As another example, the cloud-based system can provide a recommendation referring to the hold and trigger speed of a baseline surgical device, based on previous local usage data that it has stored in its memory.
[0292] [0292] As yet another example, the cloud-based system can perform a comparison of the tissue interaction of the current device with a historical average for the same surgeon, or for the same step in the same procedure for a segment of surgeons.
[0293] [0293] As another example: In stapling, more than one of the following are known: cartridge color, stapler type, procedure, procedure step, patient information, grip strength over time, previous trigger information , deformations of the end actuator, etc. This information is compared with a historical average for a similar data set. The current situation is compared with this average, informing the user about the nature of the current trigger.
[0294] [0294] Figure 28 provides a graphic illustration of a type of exemplary analysis that the cloud-based system can perform to provide these recommendations, according to some aspects. In this example, graph 7500 shows data for parenchyma clip trigger analysis. In the 7502 bar graphs, several types of staples are used, with each staple color reflecting a different amount of force applied to the surgical site. The y-axis (left) associated with 7502 bar graphs reflects a percentage level of use of this type of staple color, where each color shows bar graphs for three different categories: average regional usage (in this case, in Japan), usage global average with the best results, and the average use of the local facility. Based on these data, the cloud-based system can be configured to develop a recommendation of which clamps should be changed for a given situation. Consequently, a series of suggested actions is shown in graph 7506. Graph 7500 also shows a set of line graphs 7504 that reflect a percentage of prolonged air leaks (the y-axis on the right) for each color used, and for each type of category (regional, global average, installation average). If the clips are too thick and do not match the thickness of the fabric, there could be holes in the clips that would lead to undesirable air leaks. In this document, the cloud-based system can provide a recommendation based on all the data shown, as well as data not shown, according to some aspects. The cloud-based system can simply provide a recommendation in the form of a letter like the tag, and the surgeon can check whether the data supports such a finding and decide whether to accept the recommendation from the cloud-based system.
[0295] [0295] As another example, the cloud-based system can be configured to provide a recommendation for ultrasonic sheet capacities or lengths based on the likelihood of finding vascular structures in a procedure. Similar to what is described above with reference to Figure 28, the cloud-based system can collect the relevant blade length data, and the respective results that were obtained from various central surgical controllers, and illustrate the various results of using different blade lengths in a specific procedure. A recommendation can be provided on a graphical display where the surgeon can check the recommendation using the graphic presentation created by the cloud-based system.
[0296] [0296] In some ways, the cloud-based system is also configured to provide recommendations to the team on which devices to use for the next procedure. These recommendations can be based on a combination of the surgeon's preference (selection list) compared to historical device usage rates for the same procedures performed by some segments of the broader database, as well as recommendations or uses in different installations that produce the best results. The data can be obtained by pairing good results with metadata, such as which devices were used to obtain these good results. Recommendations can be influenced by other factors, including patient information, demographic data, etc.
[0297] [0297] Similarly, in some respects, the cloud-based system can also provide identification of used instruments that may not be the preferred device for a given procedure. Blacklisting can more clearly eliminate any obviously flawed use of devices to help surgeons make the best decisions. This data can be obtained from the manufacturer's input, analysis of unsatisfactory results, specific input provided to the cloud-based system, and so on.
[0298] [0298] In addition, when inquiring about the properties of the tissue (elasticity, impedance, perfusion rate), a specific device with a given set of parameters (claw preload) could be suggested for use from the current stock in inventory by the cloud-based system. Some of the metadata associated with the results of previous procedures may include a description of the type of tissue on which it is being operated, and an associated description of the physical characteristics of that tissue. The cloud-based system can then extract trends or patterns based on different types of procedures, but having in common all the procedures that deal with similar types of tissue. This type of analysis can be used as a secondary recommendation, when a new or unknown procedure must be used and new suggestions are welcome. If the recommendation is accepted, the cloud-based system can be configured to generate the change in parameters and transmit them to the interconnected medical device, via the central surgical controller, to make the medical device readily available for use in the adjusted procedure.
[0299] [0299] In some respects, device configuration recommendations may include suggestions for accessories for devices based on pre-surgical imaging or data collected locally during the start of a procedure. That is, this accessory suggestion can be for use on or with devices based on the local correlation of use with the effectiveness of the device. As an example, based on a given procedure, surgeon and patient information, bleeding in one case must be tightly controlled and, therefore, the cloud-based system can conclude that reinforcement is recommended for all shots staple.
[0300] [0300] In some ways, the cloud-based system can also be configured to provide insight into any newly launched product that is available and suitable for operation, as well as instructions for use (IFU). Data can be collected from one or more central surgical controllers, or from factory direct information for newly launched products. The system
[0301] [0301] In some respects, in relation to any of the above examples of recommendations being provided by the cloud-based system, the cloud-based system can also provide conversely alerts or other signals when a suggested configuration or device is not followed or is not taken into account. The cloud-based system can be configured to access procedure data from a central surgical controller during a surgical procedure, for example. The central surgical controller can collect data on what type of device is being used during a procedure. The cloud-based system can monitor the progress of the process by checking whether an accepted method or device is used in the correct order or prescribed for the procedure. If there are deviations, so that a specific device is not expected or a step is skipped, the cloud-based system can send an alert to the central surgical controller stating that a specific device is not being used correctly, for example. This would occur in real time, as the timing of the procedure is important for patient safety.
[0302] [0302] In some ways, the cloud-based system can also be configured to provide recommendations or automatically adjust the settings of the surgical instrument to take into account specific differences in a medical facility. Although there are several similarities that can be normalized between multiple installations, there may also be specific differences that must be taken into account. For example, demographic differences
[0303] [0303] The cloud-based system of the present invention can be configured to aggregate not only data relating to intelligent medical instrument configurations and operating room (OR) configurations using multiple intelligent medical instruments, but also data that highlight differences specific to that region or specific medical facility. The cloud-based system can then take into account adjustments to device configurations or recommendations for changes in procedures based on these differences. For example, the cloud-based system can first provide a baseline recommendation on how an intelligent instrument should be used, based on best practices discovered by the aggregated data. In this way, the cloud-based system can increase the recommendation to take into account one or more unique differences specific to a medical facility. Examples of these differences are described above. The cloud-based system can be informed about which demographic and patient data generated the ideal baseline procedure, and then compare the on-site demographic and patient data with that data. The cloud-based system can develop or extrapolate a correlation from this baseline configuration to develop an adjustment or displacement that takes into account differences in demographic and patient data.
[0304] [0304] Thus, the cloud-based system of the present invention may be able to make ideal adjustments specific to each medical facility or even specific to each operating room or surgeon. The adjustments can offer better performance that takes into account the best practices observed, as well as any exclusive differences.
[0305] [0305] In some respects, the cloud-based system can be configured to provide changes in the instrument's usage variation to improve results. For example, the cloud-based system can identify a localized undesirable effect that is due to a specific way of using a surgical device. Figure 29 provides an illustration of how the cloud-based system can perform analyzes to identify a statistical correlation for a local issue that is linked to how a device is used in the localized configuration. The 7600 cloud can aggregate usage data from all types of devices and record its results. The data set can be filtered down to the level of only those results that used the specific device in question. The cloud-based system can then perform statistical analysis to determine if there is a trend in how procedures are performed in a given installation when using that device. A pattern that suggests that there is a consistent flaw in the way the device is used in this installation can arise, represented as the 7602 data points that demonstrate the statistical correlation. Additional data can then be analyzed, to see if a second pattern can emerge compared to how others are using the device in the aggregate. A suggestion can be provided when a pattern is identified and targeted to the local result outside the 7604 limits. In other cases, the cloud-based system may provide an installation-specific update to the device to compensate for local practice of how that device is used.
[0306] [0306] In some respects, the cloud-based system can be configured to communicate the deviation to the specific user and the recommendation of a different technique or use to improve the results of the specific device. The cloud-based system can transmit the data for display on the central surgical controller to illustrate what changes need to be made.
[0307] [0307] As an example: A stapler configured with a means to detect the force needed to secure the device transmits data indicating that the grip force is still changing rapidly (viscoelastic fluency) when the surgeon starts firing the staple , and it is observed that the staple line bleeds more times than expected. The cloud-based system and / or device is able to communicate a need to wait longer (for example, 15 seconds) before triggering the device to improve the results. This can be based on performing the statistical analysis described in Figure 29 using data points from similar procedures aggregated from multiple surgeons and multiple facilities. At the time of surgery, it would be impracticable or impractical for anyone on the surgery team to reach these conclusions without the help of the cloud-based system, adding this knowledge and reaching such conclusions.
[0308] [0308] In some aspects, the cloud-based system can also be configured for the intentional deployment of control algorithms on devices with a usage criterion that meets specific criteria. For regional differences, the cloud-based system can adjust the control algorithms for various surgical devices. A different amount of force can be applied to a device for patients in another demographic region, for example. As another example, surgeons can have different uses for one type of surgical device, and control algorithms can be adjusted to take this into account. The cloud-based system can be configured to send a wide-area update to a device, and can target the identifications of regional and specific instruments that allow updates targeted to your control programs.
[0309] [0309] In some respects, the cloud-based system can provide the encoding of the serial numbers of sales units and / or individual devices, which allows updated control programs to be sent to a specific device or groups specific devices based on the response to specific criteria or thresholds.
[0310] [0310] In addition, according to some aspects, the cloud-based system can be configured to perform the analysis of perioperative data in comparison with result data looking for correlations that identify exceptional results (positive and negative) . The analysis can be performed at multiple levels (for example, individual, hospital and geographic filters (for example, city, county, state, country, etc.)). In addition, regional confirmation of improved results can be directed to only a limited geographic area, as changes are known to occur only within a limited area. The ability to adjust devices to regional preferences, techniques and surgical preferences may allow for slightly different improvements for areas of specific regions.
[0311] [0311] In addition to directly changing instrument settings, the cloud-based system can also be configured to provide recommendations for different instruments or suggestions for equivalent devices due to regional availability. That is, an equivalent suggestion of a device to perform a specific function can be recommended by the cloud-based system, in the event that a device is missing and a specific region has a general or excessive availability of the different device that can be used to service equivalent purpose.
[0312] [0312] For example, the cloud-based system can determine which stapling devices for PPH hemorrhoids or curved cut devices 30 are available only in Italy due to a unique procedure configuration or hospital procedure design university. As another example, the cloud-based system may determine that there is an Asia-specific open vascular and TX stapler use due to cost sensitivity, lack of laparoscopic adoption and patient's chest cavity size and preferred university hospital techniques. As another example, the cloud-based system can provide awareness messages to OR staff about substandard counterfeit products available in a given region. This data can be obtained from ingesting information from multiple sources, such as inputs provided by specialists and doctors, and employing machine learning and natural language processing to interpret trends and news related to a local area. Figure 30 provides a graphic illustration of an example of how some devices can satisfy equivalent use compared to an intended device. In the present document, a 7702 circular stapling device is compared with a 7704 compression ring for use in a PPH 7700 stapler for hemorrhoidectomy procedures. The type of analysis performed to meet the recommendations of the cloud-based system can be similar to that described in Figure 29. The cloud-based system can provide a view of this suggestion, as well as an analysis of its efficiency and resource usage, in the example display 7706 that can be shown on a screen on a central surgical controller. In this case, the cost of the instrument is compared, as well as the time and effectiveness of each type of instrument. The cloud-based system can produce these recommendations by obtaining examples of the use of different facilities, noting how other facilities and doctors treat the same procedure.
[0313] [0313] In some respects, the cloud-based system can also be configured to provide a central surgical controller with local and post-operative care decision tree suggestions based on data processed during the procedure and analysis trends cloud-based data of results or performance of aggregated devices from broader population sets.
[0314] [0314] In some ways, the cloud-based system can provide upgradeable decision trees for post-operative care suggestions, based on the situational usage measured by the device. Postoperative treatment decisions can initially be derived from traditionally known responses that physicians would normally recommend. Once additional data is made available, for example, from the aggregation of types of post-operative care from other facilities, or from the analysis of new types of care from printed materials or research on new surgical devices, the decision may be updated by the cloud-based system. The decision tree can be displayed on a central surgical controller and graphically.
[0315] [0315] When using this decision tree, feedback can be provided for each node to inform how effective the current solutions are. The data can be fed based on any information provided by the patients. A doctor or data administrator does not need to perform any analysis on the fly, but the cloud-based system can aggregate all the data and watch what trends may arise. Feedback can then be provided
[0316] [0316] In some respects, the cloud-based system can incorporate operational data and device performance to propose activities and post-operative monitoring. For example, various patient measures can change which decisions in postoperative care should be made. Measurements may include, but are not limited to: (a) blood pressure; (b) low hematocrit level; (c) PTT (partial thromboplastin time); (d) INR (international normalized ratio); (e) oxygen saturation; (f) ventilation changes and (9) x-ray data.
[0317] [0317] As another example, the anesthesia protocol can dictate which postoperative decisions should be made. This can take into account: (a) any fluids administered; (b) anesthesia time; and (3) medications, as some non-limiting examples.
[0318] [0318] As another example, types of drugs can also play a role. Warfarin application is a good example. A postoperative patient has abnormal PTT and INR, for example. Since the patient is taking Warfarin, potential treatments could include vitamin K, factor 7 or plasma administration (ffp). Plavix can be another example. A postoperative patient has abnormal PTT and INR. Since the patient is taking Plavix, potential treatments for Warfarin would be ineffective. Instead, platelet administration may be the suggestion in the decision tree.
[0319] [0319] As a fourth example, post-operative instructions may be provided depending on the type of procedure. Some non-limiting examples include colorectal time for solid foods (motility); and (b) time for physical activity and PT. These varied decisions can be reflected in the decision tree, and all types of branching decisions can be stored in the cloud-based system and updated when additional data is acquired from any connected facility.
[0320] [0320] Figure 31 provides several examples of how some data can be used as variables in deciding how the post-operative decision tree can branch. As shown, some 7802 factors may include parameters used in surgical devices, such as the trigger force (FTF) used in an operation, or the closing force (FTC) used in a surgical device. Graph 7800 shows a graph of visual representation of how the FTC and FTF curves can relate to each other. Other factors include compression rate, waiting time and clamp adaptability. Based on some of these variables, a type of postoperative care must be adjusted. In this case, an analysis with multiple factors is applied, which can be excessively complex to calculate or modify without the aid of the processing capacity of a cloud-based system. This example suggests that a 7804 decision tree provided by the cloud-based system can be more than just a two-dimensional decision tree. To take multiple variables into account to make a single decision, the decision tree generated by the cloud may be visually available for perhaps only one portion, and the final conclusion may need to be displayed without a complete display of all the other branches. that were not considered. Graph 7806 can be an example of providing additional information on how to respond within the decision tree.
[0321] [0321] Situational recognition is the ability of some aspects of a surgical system to determine or infer information related to a surgical procedure from data received from databases and / or instruments. The information may include the type of procedure being performed, the type of tissue being operated on, or the body cavity that is the subject of the procedure. With contextual information related to the surgical procedure, the surgical system can, for example, improve the way in which it controls the modular devices (for example, a robotic arm and / or robotic surgical instrument) that are connected to it and provide contextual information or suggestions to the surgeon during the course of the surgical procedure. Situational recognition can be applied to perform and / or improve any of the functions described in Figures 22 to 31, for example.
[0322] [0322] Now with reference to Figure 32, a 5200 timeline is shown representing the situational recognition of a central controller, such as central surgical controller 106 or 206, 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 represents 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 post-op recovery room.
[0323] [0323] The central surgical controller with situational recognition 106, 206 receives data from data sources throughout the course of the surgical procedure, including the data generated each time medical personnel use a modular device that is paired with the surgical controller central 106, 206. Central surgical controller 106, 206 can receive this data from paired modular devices and other data sources and continuously derive inferences (ie contextual information) about the ongoing procedure as new data is received, such as which step 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 regarding the procedure to generate reports, verify the steps being taken by medical personnel, provide data or warnings (for example, through a display screen) 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 energy level of an ultrasonic surgical instrument or RF electrosurgical instrument), and take any other action described above.
[0324] [0324] In the first step 5202, in this illustrative procedure, the 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.
[0325] [0325] In the second step 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 supply mix 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 inlet supplies have an absence of certain supplies that are necessary for a thoracic wedge procedure or, otherwise, that inlet supplies do not correspond to a thoracic wedge procedure).
[0326] [0326] In the third step 5206, the medical staff scans the patient's band with a CT scanner that is communicably connected to the central surgical controller 106, 206. The central surgical controller 106, 206 can then confirm the patient's identity with based on the scanned data.
[0327] [0327] In the fourth step 5208, the medical staff connects the auxiliary equipment. The auxiliary equipment being used 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 vicinity of the modular devices as part of its initialization process. The central surgical controller 106, 206 can then derive contextual information about the surgical procedure by detecting the types of modular devices that correspond with it during this preoperative or initialization phase. In this particular example, the central surgical controller 106, 206 determines that the surgical procedure is a VATS (video-assisted thoracic surgery) procedure based on this specific combination of paired modular devices. Based on the combination of data from the electronic patient 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 can, in general , infer the specific procedure that the surgical team will perform. After the central surgical controller 106, 206 recognizes which 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 follow
[0328] [0328] In the fifth step 5210, team members fix 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. As the central surgical controller 106, 206 begins to receive data from patient monitoring devices, the surgical controller center 106, 206 thus confirms that the patient is in the operating room.
[0329] [0329] In the sixth step 5212, medical personnel induced 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 of them, for example. After the completion of the sixth step 5212, the preoperative portion of the lung segmentation procedure is completed and the operative portion begins.
[0330] [0330] In the seventh step 5214, the lung of the patient who is 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 started when it can compare the detection of the patient's lung collapse in the expected steps of the procedure (which can be accessed or retrieved earlier) and thus determine that the collapse of the lung is the first operative step in this specific procedure.
[0331] [0331] In the eighth step 5216, the medical imaging device (for example, a display device) is inserted and the video from the medical imaging device is started.
[0332] [0332] In the ninth step 5218 of the procedure, the surgical team starts the dissection step. Central surgical controller 106, 206 can infer that the surgeon is in the process of dissecting 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. The 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 fired at that point in the process (that is, after completion of the steps previously discussed in the procedure) corresponds to the dissection step. In certain cases, the energy instrument can be a power tool mounted on a robotic arm of a robotic surgical system.
[0333] [0333] In the tenth step 5220 of the procedure, the surgical team proceeds to the connection step. The central surgical controller 106, 206 can infer that the surgeon is ligating the arteries and veins because he receives data from the stapling and surgical 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 reception data of the stapling and surgical cutting instrument with the steps recovered in the process. In certain cases, the surgical instrument can be a surgical tool mounted on a robotic arm of a robotic surgical system.
[0334] [0334] In the eleventh step 5222, the segmentectomy portion of the procedure is performed. Central surgical controller 106, 206 can infer that the surgeon is transecting the parenchyma based on data from the surgical stapling and cutting instrument, including data from its cartridge. The cartridge data can correspond to the size or type of clamp being triggered by the instrument, for example. As different types of staples are used for different types of fabrics, the cartridge data can thus indicate the type of fabric being stapled and / or transected. In this case, the type of clamp that is fired is used for the parenchyma (or other similar types of tissue), which allows the central surgical controller 106, 206 to infer which segment of the procedure is being performed.
[0335] [0335] In the twelfth step 5224, the node dissection step is then performed. The 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 that 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 citizens
[0336] [0336] In the thirteenth step 5226, the patient's anesthesia is reversed. The central surgical controller 106, 206 can infer that the patient is emerging from anesthesia based on ventilator data (that is, the patient's respiratory rate begins to increase), for example.
[0337] [0337] Finally, in the fourteenth step 5228 is that medical personnel remove the various patient monitoring devices from the patient. Central surgical controller 106, 206 can therefore 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 that are communicably coupled to the central surgical controller 106, 206.
[0338] [0338] Situational recognition is additionally described in US provisional patent application serial number 62 / 611,341, entitled INTERACTIVE SURGICAL PLATFORM, filed on December 28, 2017, the description of which is incorporated by reference in its present document. wholeness. In certain cases, the operation of a robotic surgical system, including the various robotic surgical systems described in this document, for example, can be controlled by the central controller 106, 206 based on its situational perception and / or feedback from the components of the and / or based on information from the cloud 102.
[0339] [0339] Various aspects of the subject described in this document are defined in the following numbered examples.
[0340] [0340] Example 1. A cloud-based medical analytical system comprising: at least one processor; at least one memory coupled in communication with at least one processor; an input / output interface configured to access data from a plurality of medical central controller type communication devices, each communicatively coupled to at least one surgical instrument; and a database that resides in at least one memory and is configured to store the data; at least one memory stores executable instructions for at least one processor to: generate common medical usage patterns from medical devices based on the aggregation of usage data for medical devices from the plurality of central medical controllers; aggregate patient outcome data from the plurality of central medical controllers, with patient outcome data comprising: data related to the steps performed and the corresponding times of execution of each step in procedure
[0341] [0341] Example 2. The cloud-based medical analytical system of Example 1 in which the customized change comprises a change in a medical device configuration.
[0342] [0342] Example 3. The cloud-based medical analytical system of any of Examples 1 and 2 in which the personalized change comprises a change in guidance on the way a medical device is handled during a medical procedure.
[0343] [0343] Example 4. The cloud-based medical analytical system of any of Examples 1 to 3 in which the customized change comprises a change over when a medical device is used during a medical procedure.
[0344] [0344] Example 5. The cloud-based medical analytical system of any of Examples 1 to 4 in which the customized change comprises a change to a control algorithm for a medical device.
[0345] [0345] Example 6. The cloud-based medical analytical system of any of Examples 1 to 5 in which the customized change comprises a replacement of a first medical device with a second medical device during a medical procedure.
[0346] [0346] Example 7. The cloud-based analytical medical system of any of Examples 1 to 6 in which at least one processor is additionally configured to cause the display of quantitative metrics that show an estimate of superior results. when the recommended change is adopted.
[0347] [0347] Example 8. A cloud-based analytical medical system method to improve medical procedures individually, the method comprising: generating, through the cloud-based medical analytical system, common medical usage patterns of dis- medical positives based on the aggregation of usage data for medical devices from a plurality of central medical controllers communicatively coupled to the cloud-based medical analytical system; aggregate, through the cloud-based medical analytical system, patient outcome data from the plurality of central medical controllers, with patient outcome data comprising: data related to the steps performed and the corresponding execution times of each step in procedure - ment with the patient; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data that indicate the medical facilities to which the said medical resource was allocated; and for each data related to the patient's procedure: data indicative of the result of the patient's procedure; data indicative of a patient's biographical specification; and indicative data for a specific
[0348] [0348] Example 9. The method of Example 8 in which the personalized change comprises a change in a configuration of a medical device.
[0349] [0349] Example 10. The method of any of Examples 8 and 9 in which the personalized change comprises a change in the orientation on the way a medical device is handled during a medical procedure.
[0350] [0350] Example 11. The method of any of Examples 8a in which the personalized change comprises a change from when a medical device is used during a medical procedure.
[0351] [0351] Example 12. The method of any of Examples 8 to 11 in which the customized change comprises a change to a medical device control algorithm.
[0352] [0352] Example 13. The method of any of Examples 8 to 12 in which the personalized change comprises a replacement of a first medical device with a second medical device during a medical procedure.
[0353] [0353] Example 14. The method of any of Examples 8 to 13 in which at least one processor is additionally configured to cause the display of quantitative metrics that show an estimate of superior results when the recommended change is adopted.
[0354] [0354] Example 15. A non-transitory computer-readable medium that stores instructions executable by at least one processor in a cloud-based analytical system to: generate common medical use patterns for medical devices based on an aggregation of medical device usage data from a plurality of central medical controllers communicatively coupled to the cloud-based analytical system; aggregate patient outcome data from the plurality of central medical controllers, with patient outcome data comprising: data related to the steps performed and the corresponding execution times of each step in procedures with the patient ; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data indicating the medical facilities to which the said medical resource was allocated; and for each data related to the patient's procedure: data indicative of the result of the patient's procedure; data indicative of a patient's biographical specification; and data indicative of a psychological specification of the patient; for data indicative of a positive result of the patient's procedure, determine a psychological difference or a biographical specification about the patient in relation to the psychological or biographical specification data of common medical use patterns; determine a personalized change to the standard of medical use of medical devices in medical facilities associated with the biographical specification or psychological difference; and provide a recommendation on the personalized change to medical facilities associated with the biographical specification or psychological difference.
[0355] [0355] Example 16. The computer-readable, non-transitory media of Example 15 in which the customized change comprises a change in a medical device configuration.
[0356] [0356] Example 17. The non-transitory, computer-readable media of any of Examples 15 and 16 in which the customized change comprises a change in orientation about the way a medical device is handled during a medical procedure.
[0357] [0357] Example 18. The non-transitory, computer-readable media of any of Examples 15 to 17 in which the customized change comprises a change in when a medical device is used during a medical procedure.
[0358] [0358] Example 19. The non-transitory, computer-readable media of any of Examples 15 to 18 in which the customized change comprises a change to a medical device control algorithm.
[0359] [0359] Example 20. The non-transitory, computer-readable media of any of Examples 15 to 19 in which the customized change comprises a replacement of a first medical device with a second medical device during a medical procedure.
[0360] [0360] 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 invention. 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, where 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 cover all these modifications, combinations and variations that fall within the scope of the modalities presented. The appended claims are intended to cover all such modifications, variations, alterations, substitutions, modifications and equivalents.
[0361] [0361] 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 aspects 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 running on one 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 designing the circuitry and / or writing the code for the software and firmware would be within the scope of practice of those skilled in the art, in light of this description. In addition, those skilled in the art
[0362] [0362] 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, machine-readable media can include any mechanism for storing or transmitting information in a machine-readable form (for example, a computer), but is not limited to floppy disks, optical discs, memory-only compact discs. read (CD-ROMs), and optical-dynamos 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 a machine-readable tangible storage medium used to transmit information over the Internet via an electrical, optical, acoustic cable or other forms of propagation signals (for example, carrier waves, infrared signal, digital signals, etc.). Consequently, non-transitory, computer-readable media includes any type of machine-readable media suitable for storing or transmitting instructions or electronic information in a machine-readable form (for example, a computer).
[0363] [0363] 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 comprising 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 arrangement field programmable ports (FPGA)), state machine circuits, firmware that stores instructions executed by the programmable circuit, and any combination thereof.
[0364] [0364] 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 may be incorporated as a software package, code, instructions, instruction sets and / or data recorded on the computer-readable non-transitory storage media. The firmware can be incorporated as code, instructions or instruction sets and / or data that are hard-coded (for example, non-volatile) in memory devices.
[0365] [0365] 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 software running.
[0366] [0366] As in the present document used in one aspect of the present invention, 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 states logic that can, although not necessarily need, 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 can be associated with the appropriate physical quantities and are merely convenient identifications applied to these quantities and / or states.
[0367] [0367] 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.
[0368] [0368] Unless otherwise stated, as is evident from the above description, it is understood that, throughout the above description, discussions using terms such as "processing", "computation", "calculation", "determination" , "display", or similar, refer to the action and processes of a computer system, or similar electronic computing device, which manipulates and transforms data represented as physical (electronic) quantities in the computer system's records and memories in other data similarly represented as physical quantities in the memories or records of the computer system, or in other similar devices for storing, transmitting or displaying such information.
[0369] [0369] One or more components in the present invention may be called "configured for", "configurable for", "operable / operable for", "adapted / adaptable for", "capable of", "conformable / con- formed for ", etc. Those skilled in the art will recognize that "configured for" may, in general, cover components in an active state and / or components in an inactive state and / or components in a standby state, except when the context dictates otherwise.
[0370] [0370] The terms "proximal" and "distal" are used in the present invention with reference to a physician who handles the handle 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 in the opposite direction to 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.
[0371] [0371] People skilled in the art will recognize that in general
[0372] [0372] 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 by (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, this construct is generally intended to have the meaning in which the convention would be understood by (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 , either term, or both terms, except where 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 "AeB".
[0373] [0373] With respect to the attached claims, those skilled in the art will understand that the operations mentioned in the same can, in general, be carried out 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, interleaved, interrupted, reordered, incremental, preparatory, supplementary, simultaneous, inverse or other
[0374] [0374] 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 given 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 exemplification", "in one (1) exemplification", 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.
[0375] [0375] Any patent application, patent, non-patent publication or other description material mentioned in this specification and / or mentioned in any order data sheet is in this document incorporated by reference, up to the point in that the embedded materials are not inconsistent with this. Thus, and as necessary, the description as explicitly contained herein replaces any conflicting material incorporated by reference to the present invention. Any material, or portion thereof, taken as in this document incorporated as a reference, but which conflicts with the definitions, statements, or other description materials in this document presented will be in this document incorporated only to the extent that there is no conflict between the incorporated material and the existing description material.
[0376] [0376] 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 teachings above.
One or more modalities were chosen and described with the purpose of illustrating 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 (20)
[1]
1. Cloud-based analytical medical system, characterized by understanding: at least one processor; at least one memory coupled in communication with at least one processor; an input / output interface configured to access data from a plurality of communication devices of the medical central controller type, each communicatively coupled to at least one surgical instrument; and a database that resides in at least one memory and is configured to store the data.
where at least one memory stores executable instructions for at least one processor to: generate common medical usage patterns of medical devices based on the aggregation of usage data for medical devices from the plurality of medical central controllers ; aggregate patient outcome data from the plurality of central medical controllers, with patient outcome data comprising: data related to the steps performed and the corresponding execution times of each step in procedures with the patient ; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data that indicate the medical facilities to which the said medical resource was allocated; and for each data related to the patient's procedure: data indicative of the result of the patient's procedure;
data indicative of a biographical specification of the patient; and data indicative of a psychological specification of the patient; for data indicative of a positive result of the patient's procedure, determine a psychological difference or a biographical specification about the patient in relation to the data of psychological or biographical specification of common medical use patterns; determine a personalized change to the standard of medical use of medical devices in medical facilities associated with the biographical specification or psychological difference; and providing a recommendation on the personalized change to medical facilities associated with the biographical specification or psychological difference.
[2]
2. Cloud-based analytical medical system according to claim 1, characterized in that the customized change comprises a change in a medical device configuration.
[3]
3. Cloud-based analytical medical system according to claim 1, characterized in that the personalized change comprises a change in orientation on the way a medical device is handled during a medical procedure.
[4]
4, Cloud-based medical analytical system according to claim 1, characterized in that the personalized change comprises a change in when a medical device is used during a medical procedure.
[5]
5. Cloud-based medical analytical system, according to claim 1, characterized in that the personalized change comprises a change in a control algorithm of a medical device.
[6]
6. Cloud-based analytical medical system according to claim 1, characterized in that the personalized change comprises a replacement of a first medical device with a second medical device during a medical procedure.
[7]
7. Cloud-based analytical medical system, according to claim 1, characterized in that the at least one processor is additionally configured to cause the display of quantitative metrics that show an estimate of superior results when the recommended change is adopted.
[8]
8. Method for a cloud-based medical analytical system to enhance individual medical procedures, characterized in that the method comprises: generating, through the cloud-based medical analytical system, common medical usage patterns of medical devices based on the aggregation of usage data medical devices from a plurality of medical central controllers communicatively coupled to the cloud-based medical analytical system; aggregate, through the cloud-based medical analytical system, patient result data from the plurality of central medical controllers, and the patient results comprise: data related to the steps performed and the corresponding execution times of each step in procedures with the patient; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data that indicate the medical facilities to which the said medical resource was allocated; and for each data related to the patient's procedure:
data indicative of the result of the patient's procedure; data indicative of a biographical specification of the patient; and data indicative of a psychological specification of the patient; for data indicative of a positive result of the patient's procedure, determine, by the cloud-based medical analytical system, a psychological difference or a biographical specification about the patient in relation to the psychological or biographical specification data of common medical usage patterns; determine, by the medical analytical system based on a cloud, a personalized change to the pattern of medical use of medical devices in medical facilities associated with the biographical specification or psychological difference; and provide, through the cloud-based medical analytical system, a recommendation on the personalized change to medical facilities associated with the biographical specification or psychological difference.
[9]
Method according to claim 8, characterized in that the personalized change comprises a change in a configuration of a medical device.
[10]
Method according to claim 8, characterized in that the personalized change comprises a change in the guidance on how a medical device is handled during a medical procedure.
[11]
Method according to claim 8, characterized in that the personalized change comprises a change of when a medical device is used during a medical procedure.
[12]
12. Method according to claim 8, characterized in that the personalized change comprises a change in a medical device control algorithm.
[13]
13. Method according to claim 8, characterized in that the personalized change comprises a replacement of a first medical device with a second medical device during a medical procedure.
[14]
14. Method according to claim 8, characterized in that the at least one processor is additionally configured to cause the display of quantitative metrics that show an estimate of superior results when the recommended change is adopted.
[15]
15. Non-transient, computer-readable media, characterized by storing computer-readable instructions executable by at least one processor in a cloud-based analytical system to: generate common medical use patterns of medical devices based on data aggregation the use of medical devices from a plurality of central medical controllers communi- cated to the cloud-based analytical system; aggregate patient outcome data from the plurality of central medical controllers, with patient outcome data comprising: data related to the steps performed and the corresponding execution times of each step in procedures with the patient ; data related to the allocation of medical resources used in patient procedures; for each data related to the medical resource: location data indicating the medical facilities to which the said medical resource was allocated; and for each data related to the patient procedure: data indicative of the result of the patient's procedure
you; data indicative of a biographical specification of the patient; and data indicative of a psychological specification of the patient; for data indicative of a positive result of the patient's procedure, determine a psychological difference or a biographical specification about the patient in relation to the data of psychological or biographical specification of common medical use patterns; determine a personalized change to the standard of medical use of medical devices in medical facilities associated with the biographical specification or psychological difference; and providing a recommendation on the personalized change to medical facilities associated with the biographical specification or psychological difference.
[16]
16. Non-transitory, computer-readable media according to claim 15, characterized in that the personalized change comprises a change in a medical device configuration.
[17]
17. Computer-readable, non-transitory media according to claim 15, characterized in that the personalized change comprises a change in orientation about the way a medical device is handled during a medical procedure.
[18]
18. Non-transient, computer-readable media according to claim 15, characterized in that the personalized change comprises a change about when a medical device is used during a medical procedure.
[19]
19. Non-transient, computer-readable media according to claim 15, characterized in that the personalized change comprises a change in a device control algorithm
7I7 see doctor.
[20]
20. Computer readable non-transitory media according to claim 15, characterized in that the personalized change comprises a replacement of a first medical device with a second medical device during a medical procedure.

类似技术:

---

公开号 | 公开日 | 专利标题

---

BR112020013224A2|2020-12-01|cloud-based medical analysis for segmented individualization of instrument functions in medical facilities

---

BR112020012809A2|2020-11-24|cloud-based medical analysis for linking local trends with resource capture behaviors of larger datasets

---

BR112020012904A2|2020-12-08|CLOUD-BASED MEDICAL DATA ANALYSIS FOR CUSTOMIZATION AND RECOMMENDATIONS FOR A USER

---

US10849697B2|2020-12-01|Cloud interface for coupled surgical devices

---

US11076921B2|2021-08-03|Adaptive control program updates for surgical hubs

---

EP3506287A1|2019-07-03|Adaptive control program updates for surgical devices

---

JP2021509324A|2021-03-25|Data processing and prioritization in cloud analytics networks

---

EP3506301A1|2019-07-03|Surgical system distributed processing

---

EP3506285A1|2019-07-03|Aggregation and reporting of surgical hub data

---

BR112020012793A2|2020-12-01|cloud-based medical analysis for security and authentication trends and reactive measures

---

BR112020012865A2|2020-12-29|DATA EXTRACTION METHOD TO INTERROGATE A PATIENT'S RECORDS AND CREATE AN ANONYMOUS RECORD

---

BR112020012849A2|2020-12-29|CENTRAL COMMUNICATION CONTROLLER AND STORAGE DEVICE FOR STORAGE AND STATE PARAMETERS AND A SURGICAL DEVICE TO BE SHARED WITH CLOUD-BASED ANALYSIS SYSTEMS

---

BR112020013116A2|2020-12-01|cooperative surgical actions for robot-assisted surgical platforms

---

BR112020012896A2|2020-12-08|SELF-DESCRIPTIVE DATA PACKAGES GENERATED IN AN EMISSION INSTRUMENT

---

BR112020013138A2|2020-12-01|data pairing to interconnect a measured parameter from a device with a result

---

BR112020012783A2|2020-12-01|situational perception of surgical controller centers

同族专利:

---

公开号 | 公开日

---

CN111527563A|2020-08-11|

---

US10966791B2|2021-04-06|

---

EP3506272A1|2019-07-03|

---

WO2019130079A1|2019-07-04|

---

JP2021509503A|2021-03-25|

---

US20190201119A1|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|

---

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

---

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

---

US5626587A|1992-10-09|1997-05-06|Ethicon Endo-Surgery, Inc.|Method for operating a surgical instrument|

---

DE4304353A1|1992-10-24|1994-04-28|Helmut Dipl Ing Wurster|Suturing device used in endoscopic surgical operations - has helical needle with fixed non-traumatic thread held and rotated by rollers attached to instrument head extended into patients body.|

---

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|

---

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

---

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.|

---

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|

---

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

---

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

---

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|

---

US5725536A|1996-02-20|1998-03-10|Richard-Allen Medical Industries, Inc.|Articulated surgical instrument with improved articulation control mechanism|

---

US5820009A|1996-02-20|1998-10-13|Richard-Allan Medical Industries, Inc.|Articulated surgical instrument with improved jaw closure mechanism|

---

US6010054A|1996-02-20|2000-01-04|Imagyn Medical Technologies|Linear stapling instrument with improved staple cartridge|

---

US5797537A|1996-02-20|1998-08-25|Richard-Allan Medical Industries, Inc.|Articulated surgical instrument with improved firing mechanism|

---

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

---

US5762255A|1996-02-20|1998-06-09|Richard-Allan Medical Industries, Inc.|Surgical instrument with improvement safety lockout mechanisms|

---

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|

---

US5997528A|1996-08-29|1999-12-07|Bausch & Lomb Surgical, Inc.|Surgical system providing automatic reconfiguration|

---

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|

---

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

---

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

---

US5766186A|1996-12-03|1998-06-16|Simon Fraser University|Suturing device|

---

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|

---

US5947996A|1997-06-23|1999-09-07|Medicor Corporation|Yoke for surgical instrument|

---

US5878938A|1997-08-11|1999-03-09|Ethicon Endo-Surgery, Inc.|Surgical stapler with improved locking mechanism|

---

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|

---

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

---

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

---

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|

---

US6331181B1|1998-12-08|2001-12-18|Intuitive Surgical, Inc.|Surgical robotic tools, data architecture, and use|

---

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|

---

US8945095B2|2005-03-30|2015-02-03|Intuitive Surgical Operations, Inc.|Force and torque sensing for surgical instruments|

---

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|

---

US7032798B2|1999-06-02|2006-04-25|Power Medical Interventions, Inc.|Electro-mechanical surgical device|

---

US8960519B2|1999-06-02|2015-02-24|Covidien Lp|Shaft, e.g., for an electro-mechanical surgical device|

---

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|

---

US6778846B1|2000-03-30|2004-08-17|Medtronic, Inc.|Method of guiding a medical device and system regarding same|

---

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|

---

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

---

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

---

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

---

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 |

---

EP1216651A1|2000-12-21|2002-06-26|BrainLAB AG|Wireless medical acquisition and treatment system|

---

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|

---

EP1381321B1|2001-04-20|2012-04-04|Tyco Healthcare Group LP|Bipolar or ultrasonic surgical device|

---

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

---

US7208005B2|2001-08-06|2007-04-24|The Penn State Research Foundation|Multifunctional tool and method for minimally invasive surgery|

---

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|

---

US20030093503A1|2001-09-05|2003-05-15|Olympus Optical Co., Ltd.|System for controling medical instruments|

---

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|

---

US7803151B2|2001-12-04|2010-09-28|Power Medical Interventions, Llc|System and method for calibrating a surgical instrument|

---

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|

---

US8016855B2|2002-01-08|2011-09-13|Tyco Healthcare Group Lp|Surgical device|

---

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

---

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

---

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

---

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|

---

US7527590B2|2002-03-19|2009-05-05|Olympus Corporation|Anastomosis system|

---

US6641039B2|2002-03-21|2003-11-04|Alcon, Inc.|Surgical procedure identification system|

---

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 |

---

US7457804B2|2002-05-10|2008-11-25|Medrad, Inc.|System and method for automated benchmarking for the recognition of best medical practices and products and for establishing standards for medical procedures|

---

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

---

US20030223877A1|2002-06-04|2003-12-04|Ametek, Inc.|Blower assembly with closed-loop feedback|

---

US7232447B2|2002-06-12|2007-06-19|Boston Scientific Scimed, Inc.|Suturing instrument with deflectable head|

---

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|

---

US9149322B2|2003-03-31|2015-10-06|Edward Wells Knowlton|Method for treatment of tissue|

---

US20040199180A1|2003-04-02|2004-10-07|Knodel Bryan D.|Method of using surgical device for anastomosis|

---

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

---

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

---

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

---

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

---

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

---

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

---

US7380695B2|2003-05-20|2008-06-03|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|

---

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|

---

EP1728189A2|2004-03-26|2006-12-06|Convergence Ct|System and method for controlling access and use of patient medical data records|

---

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

---

US7379790B2|2004-05-04|2008-05-27|Intuitive Surgical, Inc.|Tool memory-based software upgrades for robotic surgery|

---

WO2005110263A2|2004-05-11|2005-11-24|Wisconsin Alumni Research Foundation|Radiofrequency ablation with independently controllable ground pad conductors|

---

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|

---

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|

---

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

---

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

---

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

---

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|

---

US8641738B1|2004-10-28|2014-02-04|James W. Ogilvie|Method of treating scoliosis using a biological implant|

---

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|

---

US8027710B1|2005-01-28|2011-09-27|Patrick Dannan|Imaging system for endoscopic surgery|

---

US8200775B2|2005-02-01|2012-06-12|Newsilike Media Group, Inc|Enhanced syndication|

---

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|

---

US8628518B2|2005-12-30|2014-01-14|Intuitive Surgical Operations, Inc.|Wireless force sensor on a distal portion of a surgical instrument and method|

---

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

---

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|

---

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|

---

US8004229B2|2005-05-19|2011-08-23|Intuitive Surgical Operations, Inc.|Software center and highly configurable robotic systems for surgery and other uses|

---

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

---

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

---

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|

---

US20070078678A1|2005-09-30|2007-04-05|Disilvestro Mark R|System and method for performing a computer assisted orthopaedic surgical procedure|

---

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

---

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

---

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|

---

US7246734B2|2005-12-05|2007-07-24|Ethicon Endo-Surgery, Inc.|Rotary hydraulic pump actuated multi-stroke surgical instrument|

---

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|

---

US20070167702A1|2005-12-30|2007-07-19|Intuitive Surgical Inc.|Medical robotic system providing three-dimensional telestration|

---

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|

---

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

---

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

---

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

---

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|

---

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

---

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

---

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

---

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

---

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

---

CA2644983C|2006-03-16|2015-09-29|Boston Scientific Limited|System and method for treating tissue wall prolapse|

---

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

---

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

---

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|

---

US20070244478A1|2006-04-18|2007-10-18|Sherwood Services Ag|System and method for reducing patient return electrode current concentrations|

---

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

---

US7278563B1|2006-04-25|2007-10-09|Green David T|Surgical instrument for progressively stapling and incising tissue|

---

US7841980B2|2006-05-11|2010-11-30|Olympus Medical Systems Corp.|Treatment system, trocar, treatment method and calibration method|

---

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|

---

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

---

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

---

US8028885B2|2006-05-19|2011-10-04|Ethicon Endo-Surgery, Inc.|Electric surgical instrument with optimized power supply and drive|

---

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

---

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|

---

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

---

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|

---

JP2008026051A|2006-07-19|2008-02-07|Furuno Electric Co Ltd|Biochemical autoanalyzer|

---

US20080033404A1|2006-08-03|2008-02-07|Romoda Laszlo O|Surgical machine with removable display|

---

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|

---

JP5085996B2|2006-10-25|2012-11-28|テルモ株式会社|Manipulator system|

---

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|

---

US7836085B2|2007-02-05|2010-11-16|Google Inc.|Searching structured geographical data|

---

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|

---

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

---

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

---

CA2684474C|2007-04-16|2015-11-24|Neuroarm Surgical Ltd.|Methods, devices, and systems useful in registration|

---

US8170396B2|2007-04-16|2012-05-01|Adobe Systems Incorporated|Changing video playback rate|

---

US20080281678A1|2007-05-09|2008-11-13|Mclagan Partners, Inc.|Practice management analysis tool for financial advisors|

---

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

---

CA2687621C|2007-05-24|2016-01-05|Suturtek Incorporated|Apparatus and method for minimally invasive suturing|

---

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|

---

US8157145B2|2007-05-31|2012-04-17|Ethicon Endo-Surgery, Inc.|Pneumatically powered surgical cutting and fastening instrument with electrical feedback|

---

US8931682B2|2007-06-04|2015-01-13|Ethicon Endo-Surgery, Inc.|Robotically-controlled shaft based rotary drive systems for surgical instruments|

---

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

---

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

---

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|

---

US8035685B2|2007-07-30|2011-10-11|General Electric Company|Systems and methods for communicating video data between a mobile imaging system and a fixed monitor system|

---

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

---

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

---

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

---

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

---

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

---

FR2920086A1|2007-08-24|2009-02-27|Univ Grenoble 1|ANALYSIS SYSTEM AND METHOD FOR ENDOSCOPY SURGICAL OPERATION|

---

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|

---

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

---

US8968276B2|2007-09-21|2015-03-03|Covidien Lp|Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use|

---

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

---

US8224484B2|2007-09-30|2012-07-17|Intuitive Surgical Operations, Inc.|Methods of user interface with alternate tool mode for robotic surgical tools|

---

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|

---

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

---

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

---

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

---

US8967443B2|2007-10-05|2015-03-03|Covidien Lp|Method and apparatus for determining parameters of linear motion in a surgical instrument|

---

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

---

US20090090763A1|2007-10-05|2009-04-09|Tyco Healthcare Group Lp|Powered surgical stapling device|

---

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

---

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

---

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

---

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|

---

JP5278854B2|2007-12-10|2013-09-04|富士フイルム株式会社|Image processing system and program|

---

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|

---

US8740840B2|2008-01-16|2014-06-03|Catheter Robotics Inc.|Remotely controlled catheter insertion system|

---

JP5154961B2|2008-01-29|2013-02-27|テルモ株式会社|Surgery system|

---

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|

---

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

---

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

---

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

---

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

---

US20090206131A1|2008-02-15|2009-08-20|Ethicon Endo-Surgery, Inc.|End effector coupling arrangements for a surgical cutting and stapling instrument|

---

US9585657B2|2008-02-15|2017-03-07|Ethicon Endo-Surgery, Llc|Actuator for releasing a layer of material from a surgical end effector|

---

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

---

US8343096B2|2008-03-27|2013-01-01|St. Jude Medical, Atrial Fibrillation Division, Inc.|Robotic catheter system|

---

US8155479B2|2008-03-28|2012-04-10|Intuitive Surgical Operations Inc.|Automated panning and digital zooming for robotic surgical systems|

---

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|

---

EP2793153B1|2008-05-27|2021-12-29|Stryker Corporation|Wireless medical room control arrangement for control of a plurality of medical devices|

---

DE602009001103D1|2008-06-04|2011-06-01|Fujifilm Corp|Lighting device for use in endoscopes|

---

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

---

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

---

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

---

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

---

JP5216429B2|2008-06-13|2013-06-19|富士フイルム株式会社|Light source device and endoscope device|

---

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

---

US20090326321A1|2008-06-18|2009-12-31|Jacobsen Stephen C|Miniaturized Imaging Device Including Multiple GRIN Lenses Optically Coupled to Multiple SSIDs|

---

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|

---

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|

---

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

---

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

---

US8005947B2|2008-09-22|2011-08-23|Abbott Medical Optics Inc.|Systems and methods for providing remote diagnostics and support for surgical systems|

---

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|

---

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

---

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

---

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

---

US7918377B2|2008-10-16|2011-04-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with apparatus for providing anvil position feedback|

---

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|

---

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

---

US8918207B2|2009-03-09|2014-12-23|Intuitive Surgical Operations, Inc.|Operator input device for a robotic surgical system|

---

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

---

US8418073B2|2009-03-09|2013-04-09|Intuitive Surgical Operations, Inc.|User interfaces for electrosurgical tools in robotic surgical systems|

---

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

---

US20100249665A1|2009-03-26|2010-09-30|Martin Roche|System and method for orthopedic distraction and cutting block|

---

US8945163B2|2009-04-01|2015-02-03|Ethicon Endo-Surgery, Inc.|Methods and devices for cutting and fastening tissue|

---

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

---

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

---

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

---

US8365975B1|2009-05-05|2013-02-05|Cardica, Inc.|Cam-controlled knife for surgical instrument|

---

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|

---

US20100292535A1|2009-05-18|2010-11-18|Larry Paskar|Endoscope with multiple fields of view|

---

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

---

US9872609B2|2009-06-18|2018-01-23|Endochoice Innovation Center Ltd.|Multi-camera endoscope|

---

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|

---

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

---

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

---

GB0913930D0|2009-08-07|2009-09-16|Ucl Business Plc|Apparatus and method for registering two medical images|

---

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|

---

US9168054B2|2009-10-09|2015-10-27|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|

---

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|

---

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

---

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|

---

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

---

US8521331B2|2009-11-13|2013-08-27|Intuitive Surgical Operations, Inc.|Patient-side surgeon interface for a minimally invasive, teleoperated surgical instrument|

---

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

---

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

---

US10105140B2|2009-11-20|2018-10-23|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|

---

US8851354B2|2009-12-24|2014-10-07|Ethicon Endo-Surgery, Inc.|Surgical cutting instrument that analyzes tissue thickness|

---

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|

---

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|

---

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

---

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.|

---

US8951272B2|2010-02-11|2015-02-10|Ethicon Endo-Surgery, Inc.|Seal arrangements for ultrasonically powered surgical instruments|

---

US8486096B2|2010-02-11|2013-07-16|Ethicon Endo-Surgery, Inc.|Dual purpose surgical instrument for cutting and coagulating tissue|

---

US8403945B2|2010-02-25|2013-03-26|Covidien Lp|Articulating endoscopic surgical clip applier|

---

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|

---

JP5606120B2|2010-03-29|2014-10-15|富士フイルム株式会社|Endoscope device|

---

US9341704B2|2010-04-13|2016-05-17|Frederic Picard|Methods and systems for object tracking|

---

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|

---

US9052809B2|2010-05-26|2015-06-09|General Electric Company|Systems and methods for situational application development and deployment with patient event monitoring|

---

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|

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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|

---

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

---

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

---

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|

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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|

---

US8523043B2|2010-12-07|2013-09-03|Immersion Corporation|Surgical stapler having haptic feedback|

---

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|

---

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

---

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

---

US20120191091A1|2011-01-24|2012-07-26|Tyco Healthcare Group Lp|Reusable Medical Device with Advanced Counting Capability|

---

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

---

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

---

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

---

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|

---

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|

---

EP2683305B1|2011-03-07|2016-11-23|Passer Stitch, LLC|Suture passing devices|

---

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|

---

WO2012135705A1|2011-03-30|2012-10-04|Tyco Healthcare Group Lp|Ultrasonic surgical instruments|

---

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|

---

JP5865606B2|2011-05-27|2016-02-17|オリンパス株式会社|Endoscope apparatus and method for operating endoscope apparatus|

---

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

---

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

---

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|

---

US9498231B2|2011-06-27|2016-11-22|Board Of Regents Of The University Of Nebraska|On-board tool tracking system and methods of computer assisted surgery|

---

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|

---

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

---

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

---

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

---

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|

---

EP2768418B1|2011-10-19|2017-07-19|Ethicon Endo-Surgery, Inc.|Clip applier adapted for use with a surgical robot|

---

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

---

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

---

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

---

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

---

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

---

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|

---

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|

---

US10404801B2|2011-11-08|2019-09-03|DISH Technologies L.L.C.|Reconfiguring remote controls for different devices in a network|

---

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|

---

CN103945783B|2011-11-15|2016-10-26|直观外科手术操作公司|There is the operating theater instruments of the blade packed up|

---

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|

---

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

---

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

---

US20140108983A1|2012-01-22|2014-04-17|Karen Ferguson|Graphical system for collecting, presenting and using medical data|

---

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|

---

JP5815426B2|2012-01-25|2015-11-17|富士フイルム株式会社|Endoscope system, processor device for endoscope system, and image processing method|

---

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|

---

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

---

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

---

US9192375B2|2012-02-29|2015-11-24|Marker Medical, Llc|Surgical apparatus and method|

---

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|

---

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

---

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|

---

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|

---

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

---

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

---

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

---

US9814457B2|2012-04-10|2017-11-14|Ethicon Llc|Control interface for laparoscopic suturing instrument|

---

US9186141B2|2012-04-12|2015-11-17|Covidien Lp|Circular anastomosis stapling apparatus utilizing a two stroke firing sequence|

---

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|

---

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

---

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|

---

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|

---

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

---

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

---

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

---

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

---

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|

---

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

---

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

---

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

---

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

---

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

---

US9226767B2|2012-06-29|2016-01-05|Ethicon Endo-Surgery, Inc.|Closed feedback control for electrosurgical device|

---

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

---

US20140013565A1|2012-07-10|2014-01-16|Eileen B. MacDonald|Customized process for facilitating successful total knee arthroplasty with outcomes analysis|

---

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|

---

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|

---

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|

---

WO2014024578A1|2012-08-07|2014-02-13|オリンパスメディカルシステムズ株式会社|Medical control system|

---

US9993305B2|2012-08-08|2018-06-12|Ortoma Ab|Method and system for computer assisted surgery|

---

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|

---

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

---

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

---

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|

---

US9421014B2|2012-10-18|2016-08-23|Covidien Lp|Loading unit velocity and position feedback|

---

US10201365B2|2012-10-22|2019-02-12|Ethicon Llc|Surgeon feedback sensing and display methods|

---

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|

---

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

---

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|

---

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|

---

DE102012025102A1|2012-12-20|2014-06-26|avateramedical GmBH|Endoscope with a multi-camera system for minimally invasive surgery|

---

WO2014106275A1|2012-12-31|2014-07-03|Intuitive Surgical Operations, Inc.|Surgical staple cartridge with enhanced knife clearance|

---

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

---

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

---

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|

---

US9610114B2|2013-01-29|2017-04-04|Ethicon Endo-Surgery, Llc|Bipolar electrosurgical hand shears|

---

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|

---

US20140252064A1|2013-03-05|2014-09-11|Covidien Lp|Surgical stapling device including adjustable fastener crimping|

---

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

---

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

---

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|

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

EP2973105A2|2013-03-15|2016-01-20|Arthrex, Inc|Surgical imaging system and method for processing surgical images|

---

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|

---

KR20170035831A|2014-03-14|2017-03-31|시냅티브 메디컬 아이엔씨.|Intelligent positioning system and methods therefore|

---

US9600138B2|2013-03-15|2017-03-21|Synaptive Medical Inc.|Planning, navigation and simulation systems and methods for minimally invasive therapy|

---

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|

---

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

---

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

---

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|

---

SG10201707562PA|2013-03-15|2017-11-29|Synaptive Medical Inc|Intramodal synchronization of surgical data|

---

JP2016520342A|2013-03-15|2016-07-14|ピアブリッジ ヘルス インコーポレイテッド|Method and system for monitoring and diagnosing patient condition based on wireless sensor monitoring data|

---

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|

---

US9116597B1|2013-03-15|2015-08-25|Ca, Inc.|Information management software|

---

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|

---

US9111548B2|2013-05-23|2015-08-18|Knowles Electronics, Llc|Synchronization of buffered data in multiple microphones|

---

CA2914631A1|2013-06-05|2014-12-11|The Arizona Board Of Regents On Behalf Of The University Of Arizona|Dual-view probe for illumination and imaging, and use thereof|

---

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|

---

US11195598B2|2013-06-28|2021-12-07|Carefusion 303, Inc.|System for providing aggregated patient data|

---

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|

---

US9861428B2|2013-09-16|2018-01-09|Ethicon Llc|Integrated systems for electrosurgical steam or smoke control|

---

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|

---

US9936942B2|2013-09-26|2018-04-10|Surgimatix, Inc.|Laparoscopic suture device with release mechanism|

---

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|

---

US10463365B2|2013-10-17|2019-11-05|Covidien Lp|Chip assembly for surgical instruments|

---

US9922304B2|2013-11-05|2018-03-20|Deroyal Industries, Inc.|System for sensing and recording consumption of medical items during medical procedure|

---

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

---

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

---

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|

---

KR101527176B1|2013-12-09|2015-06-09|미래컴퍼니|Surgical Robot Apparatus and Method for Controlling Surgical Robot Apparatus|

---

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|

---

EP3087424A4|2013-12-23|2017-09-27|Camplex, Inc.|Surgical visualization systems|

---

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|

---

KR20150085251A|2014-01-15|2015-07-23|엘지전자 주식회사|Display device and method for controlling the same|

---

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|

---

US9802033B2|2014-01-28|2017-10-31|Ethicon Llc|Surgical devices having controlled tissue cutting and sealing|

---

US9700312B2|2014-01-28|2017-07-11|Covidien Lp|Surgical apparatus|

---

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|

---

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

---

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

---

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

---

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

---

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

---

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

---

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|

---

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|

---

US20150297223A1|2014-04-16|2015-10-22|Ethicon Endo-Surgery, Inc.|Fastener cartridges including extensions having different configurations|

---

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

---

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

---

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|

---

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

---

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|

---

CN112807074A|2014-05-12|2021-05-18|弗吉尼亚暨州立大学知识产权公司|Electroporation system|

---

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

---

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

---

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

---

US9770541B2|2014-05-15|2017-09-26|Thermedx, Llc|Fluid management system with pass-through fluid volume measurement|

---

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|

---

WO2015191562A1|2014-06-09|2015-12-17|Revon Systems, Llc|Systems and methods for health tracking and management|

---

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|

---

US9636825B2|2014-06-26|2017-05-02|Robotex Inc.|Robotic logistics system|

---

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

---

US20160034648A1|2014-07-30|2016-02-04|Verras Healthcare International, LLC|System and method for reducing clinical variation|

---

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|

---

US9848877B2|2014-09-02|2017-12-26|Ethicon Llc|Methods and devices for adjusting a tissue gap of an end effector of a surgical 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|

---

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

---

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

---

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

---

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

---

WO2016149794A1|2015-03-26|2016-09-29|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|

---

US9936961B2|2014-09-26|2018-04-10|DePuy Synthes Products, Inc.|Surgical tool with feedback|

---

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|

---

US9901406B2|2014-10-02|2018-02-27|Inneroptic Technology, Inc.|Affected region display associated with a medical device|

---

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|

---

US10095942B2|2014-12-15|2018-10-09|Reflex Robotics, Inc|Vision based real-time object tracking system for robotic gimbal control|

---

EP3730086A1|2014-12-16|2020-10-28|Intuitive Surgical Operations, Inc.|Ureter detection using waveband-selective imaging|

---

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

---

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

---

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|

---

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

---

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

---

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

---

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

---

US20160180045A1|2014-12-19|2016-06-23|Ebay Inc.|Wireless beacon devices used to track medical information at a hospital|

---

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|

---

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

---

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|

---

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|

---

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

---

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|

---

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|

---

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

---

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

---

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

---

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

---

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

---

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

---

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|

---

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|

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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

---

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|

---

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

---

US10653476B2|2015-03-12|2020-05-19|Covidien Lp|Mapping vessels for resecting body tissue|

---

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|

---

CN107529960B|2015-05-12|2020-10-02|亚伯拉罕·莱维|Dynamic visual field endoscope|

---

US9566708B2|2015-05-14|2017-02-14|Daniel Kurnianto|Control mechanism for end-effector maneuver|

---

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|

---

EP3311181B1|2015-06-16|2020-03-11|Covidien LP|Robotic surgical system torque transduction sensing|

---

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|

---

US9839419B2|2015-06-16|2017-12-12|Ethicon Endo-Surgery, Llc|Suturing instrument with jaw having integral cartridge component|

---

US10178992B2|2015-06-18|2019-01-15|Ethicon Llc|Push/pull articulation drive systems for articulatable surgical instruments|

---

CN107771063B|2015-06-19|2020-12-04|柯惠Lp公司|Robotic surgical assembly|

---

EP3310288A4|2015-06-19|2019-03-06|Covidien LP|Controlling robotic surgical instruments with bidirectional coupling|

---

US10792118B2|2015-06-23|2020-10-06|Matrix It Medical Tracking Systems, Inc.|Sterile implant tracking device, system and method of use|

---

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|

---

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|

---

US11129669B2|2015-06-30|2021-09-28|Cilag Gmbh International|Surgical system with user adaptable techniques based on tissue type|

---

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|

---

WO2017011646A1|2015-07-14|2017-01-19|Smith & Nephew, Inc.|Instrumentation identification and re-ordering system|

---

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|

---

US9532845B1|2015-08-11|2017-01-03|ITKR Software LLC|Methods for facilitating individualized kinematically aligned total knee replacements and devices thereof|

---

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|

---

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|

---

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|

---

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|

---

AU2016327595B2|2015-09-25|2020-07-23|Covidien Lp|Robotic surgical assemblies and electromechanical instruments thereof|

---

CN112618025A|2015-09-25|2021-04-09|柯惠Lp公司|Surgical robot assembly and instrument adapter therefor|

---

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|

---

US10687884B2|2015-09-30|2020-06-23|Ethicon Llc|Circuits for supplying isolated direct current voltage to surgical instruments|

---

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|

---

US10595930B2|2015-10-16|2020-03-24|Ethicon Llc|Electrode wiping surgical device|

---

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|

---

US10639027B2|2015-10-27|2020-05-05|Ethicon Llc|Suturing instrument cartridge with torque limiting features|

---

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|

---

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|

---

WO2017075122A1|2015-10-30|2017-05-04|Covidien Lp|Input handles for robotic surgical systems having visual feedback|

---

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|

---

US10898189B2|2015-11-13|2021-01-26|Intuitive Surgical Operations, Inc.|Push-pull stapler with two degree of freedom wrist|

---

WO2017083125A1|2015-11-13|2017-05-18|Intuitive Surgical Operations, Inc.|Stapler with composite cardan and screw drive|

---

WO2017091704A1|2015-11-25|2017-06-01|Camplex, Inc.|Surgical visualization systems and displays|

---

US20170143284A1|2015-11-25|2017-05-25|Carestream Health, Inc.|Method to detect a retained surgical object|

---

WO2017091048A1|2015-11-27|2017-06-01|Samsung Electronics Co., Ltd.|Method and apparatus for managing electronic device through wireless communication|

---

US10143526B2|2015-11-30|2018-12-04|Auris Health, Inc.|Robot-assisted driving systems and methods|

---

US10311036B1|2015-12-09|2019-06-04|Universal Research Solutions, Llc|Database management for a logical registry|

---

GB201521804D0|2015-12-10|2016-01-27|Cambridge Medical Robotics Ltd|Pulley arrangement for articulating a surgical instrument|

---

GB201521805D0|2015-12-10|2016-01-27|Cambridge Medical Robotics Ltd|Guiding engagement of a robot arm and 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|

---

US10265130B2|2015-12-11|2019-04-23|Ethicon Llc|Systems, devices, and methods for coupling end effectors to surgical devices and loading devices|

---

WO2017100534A1|2015-12-11|2017-06-15|Servicenow, Inc.|Computer network threat assessment|

---

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|

---

EP3380029A1|2015-12-21|2018-10-03|Gyrus ACMI, Inc. |High surface energy portion on a medical instrument|

---

US10368894B2|2015-12-21|2019-08-06|Ethicon Llc|Surgical instrument with variable clamping force|

---

US20170177806A1|2015-12-21|2017-06-22|Gavin Fabian|System and method for optimizing surgical team composition and surgical team procedure resource management|

---

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|

---

US10265068B2|2015-12-30|2019-04-23|Ethicon Llc|Surgical instruments with separable motors and motor control circuits|

---

US10368865B2|2015-12-30|2019-08-06|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

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|

---

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|

---

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|

---

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|

---

US10258415B2|2016-01-29|2019-04-16|Boston Scientific Scimed, Inc.|Medical user interfaces and related methods of use|

---

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|

---

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|

---

US10448948B2|2016-02-12|2019-10-22|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US10258331B2|2016-02-12|2019-04-16|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|

---

CN108697468B|2016-02-26|2021-06-08|柯惠Lp公司|Robotic surgical system and robotic arm thereof|

---

WO2017147596A1|2016-02-26|2017-08-31|Think Surgical, Inc.|Method and system for guiding user positioning of a robot|

---

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|

---

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|

---

US10271851B2|2016-04-01|2019-04-30|Ethicon Llc|Modular surgical stapling system comprising a display|

---

US10175096B2|2016-04-01|2019-01-08|Ethicon Llc|System and method to enable re-use of surgical instrument|

---

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|

---

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|

---

US10357247B2|2016-04-15|2019-07-23|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|

---

US10426467B2|2016-04-15|2019-10-01|Ethicon Llc|Surgical instrument with detection sensors|

---

US11179150B2|2016-04-15|2021-11-23|Cilag Gmbh International|Systems and methods for controlling a surgical stapling and cutting instrument|

---

US20170296213A1|2016-04-15|2017-10-19|Ethicon Endo-Surgery, Llc|Systems and methods for controlling a surgical stapling and cutting instrument|

---

US10492783B2|2016-04-15|2019-12-03|Ethicon, Llc|Surgical instrument with improved stop/start control during a firing motion|

---

US10456137B2|2016-04-15|2019-10-29|Ethicon Llc|Staple formation detection mechanisms|

---

US10368867B2|2016-04-18|2019-08-06|Ethicon Llc|Surgical instrument comprising a lockout|

---

US20170296173A1|2016-04-18|2017-10-19|Ethicon Endo-Surgery, Llc|Method for operating a surgical instrument|

---

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|

---

US20170304020A1|2016-04-20|2017-10-26|Samson Ng|Navigation arm system and methods|

---

DE102016207666A1|2016-05-03|2017-11-09|Olympus Winter & Ibe Gmbh|Medical smoke evacuation apparatus and method of operating the same|

---

US10456193B2|2016-05-03|2019-10-29|Ethicon Llc|Medical device with a bilateral jaw configuration for nerve stimulation|

---

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|

---

CA3022139A1|2016-05-26|2017-11-30|Covidien Lp|Instrument drive units|

---

EP3463158A4|2016-05-26|2020-01-22|Covidien LP|Cannula assemblies for use with robotic surgical systems|

---

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|

---

US20170360499A1|2016-06-17|2017-12-21|Megadyne Medical Products, Inc.|Hand-held instrument with dual zone fluid removal|

---

US20190333626A1|2016-06-23|2019-10-31|Siemens Healthcare Gmbh|System and method for artificial agent based cognitive operating rooms|

---

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|

---

USD847989S1|2016-06-24|2019-05-07|Ethicon Llc|Surgical fastener cartridge|

---

USD850617S1|2016-06-24|2019-06-04|Ethicon Llc|Surgical fastener cartridge|

---

USD826405S1|2016-06-24|2018-08-21|Ethicon Llc|Surgical fastener|

---

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|

---

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|

---

US10500000B2|2016-08-16|2019-12-10|Ethicon Llc|Surgical tool with manual control of end effector jaws|

---

US10813703B2|2016-08-16|2020-10-27|Ethicon Llc|Robotic surgical system with energy application controls|

---

US10390895B2|2016-08-16|2019-08-27|Ethicon Llc|Control of advancement rate and application force based on measured forces|

---

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|

---

US10695134B2|2016-08-25|2020-06-30|Verily Life Sciences Llc|Motion execution of a robotic system|

---

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|

---

US10463371B2|2016-11-29|2019-11-05|Covidien Lp|Reload assembly with spent reload indicator|

---

US10881446B2|2016-12-19|2021-01-05|Ethicon Llc|Visual displays of electrical pathways|

---

US10318763B2|2016-12-20|2019-06-11|Privacy Analytics Inc.|Smart de-identification using date jittering|

---

AU2017379816B2|2016-12-20|2020-02-20|Verb Surgical Inc.|Sterile adapter control system and communication interface for use in a robotic surgical system|

---

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|

---

US10687810B2|2016-12-21|2020-06-23|Ethicon Llc|Stepped staple cartridge with tissue retention and gap setting features|

---

US10675026B2|2016-12-21|2020-06-09|Ethicon Llc|Methods of stapling tissue|

---

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|

---

US10426471B2|2016-12-21|2019-10-01|Ethicon Llc|Surgical instrument with multiple failure response modes|

---

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|

---

US20180168647A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments having end effectors with positive opening features|

---

US10888322B2|2016-12-21|2021-01-12|Ethicon Llc|Surgical instrument comprising a cutting member|

---

US20180168598A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Staple forming pocket arrangements comprising zoned forming surface grooves|

---

US11179155B2|2016-12-21|2021-11-23|Cilag Gmbh International|Anvil arrangements for surgical staplers|

---

US20180168625A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with smart staple cartridges|

---

US11134942B2|2016-12-21|2021-10-05|Cilag Gmbh International|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|

---

US20180168633A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments and staple-forming anvils|

---

US20180168608A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical instrument system comprising an end effector lockout and a firing assembly lockout|

---

US10993715B2|2016-12-21|2021-05-04|Ethicon Llc|Staple cartridge comprising staples with different clamping breadths|

---

US20180168618A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems|

---

US10779823B2|2016-12-21|2020-09-22|Ethicon Llc|Firing member pin angle|

---

US11160551B2|2016-12-21|2021-11-02|Cilag Gmbh International|Articulatable surgical stapling instruments|

---

US10945727B2|2016-12-21|2021-03-16|Ethicon Llc|Staple cartridge with deformable driver retention features|

---

US10842897B2|2017-01-20|2020-11-24|Éclair Medical Systems, Inc.|Disinfecting articles with ozone|

---

EP3582708A4|2017-02-15|2020-12-23|Covidien LP|System and apparatus for crush prevention for medical robot applications|

---

US20180242967A1|2017-02-26|2018-08-30|Endoevolution, Llc|Apparatus and method for minimally invasive suturing|

---

US9788907B1|2017-02-28|2017-10-17|Kinosis Ltd.|Automated provision of real-time custom procedural surgical guidance|

---

US11017906B2|2017-03-20|2021-05-25|Amino, Inc.|Machine learning models in location based episode prediction|

---

JP2018176387A|2017-04-19|2018-11-15|富士ゼロックス株式会社|Robot device and program|

---

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|

---

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|

---

US10881399B2|2017-06-20|2021-01-05|Ethicon Llc|Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument|

---

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|

---

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|

---

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|

---

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|

---

CN110831653B|2017-06-28|2021-12-17|奥瑞斯健康公司|Instrument insertion compensation|

---

US10398434B2|2017-06-29|2019-09-03|Ethicon Llc|Closed loop velocity control of closure member for robotic surgical instrument|

---

US10258418B2|2017-06-29|2019-04-16|Ethicon Llc|System for controlling articulation forces|

---

US10898183B2|2017-06-29|2021-01-26|Ethicon Llc|Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing|

---

US11007022B2|2017-06-29|2021-05-18|Ethicon Llc|Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument|

---

US10932772B2|2017-06-29|2021-03-02|Ethicon Llc|Methods for closed loop velocity control 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|

---

US11103268B2|2017-10-30|2021-08-31|Cilag Gmbh International|Surgical clip applier comprising adaptive firing control|

---

US20190125361A1|2017-10-30|2019-05-02|Ethicon Llc|Method for operating a powered articulating multi-clip applier|

---

US11090075B2|2017-10-30|2021-08-17|Cilag Gmbh International|Articulation features for surgical end effector|

---

US11141160B2|2017-10-30|2021-10-12|Cilag Gmbh International|Clip applier comprising a motor controller|

---

US11129634B2|2017-10-30|2021-09-28|Cilag Gmbh International|Surgical instrument with rotary drive selectively actuating multiple end effector functions|

---

US20190125459A1|2017-10-30|2019-05-02|Ethicon Llc|Method of hub communication with surgical instrument systems|

---

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|

---

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|

---

US10736616B2|2017-10-30|2020-08-11|Ethicon Llc|Surgical instrument with remote release|

---

US10932804B2|2017-10-30|2021-03-02|Ethicon Llc|Surgical instrument with sensor and/or control systems|

---

US20190125458A1|2017-10-30|2019-05-02|Ethicon Llc|Method for producing a surgical instrument comprising a smart electrical system|

---

US20190125457A1|2017-10-30|2019-05-02|Ethicon Llc|Method for communicating with surgical instrument systems|

---

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|

---

US20190201123A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical systems with autonomously adjustable control programs|

---

US20190201020A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical systems for detecting end effector tissue distribution irregularities|

---

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|

---

US20190201033A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical system distributed processing|

---

US20190201087A1|2017-12-28|2019-07-04|Ethicon Llc|Smoke evacuation system including a segmented control circuit for interactive surgical platform|

---

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|

---

US10987178B2|2017-12-28|2021-04-27|Ethicon Llc|Surgical hub control arrangements|

---

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|

---

US20190200844A1|2017-12-28|2019-07-04|Ethicon Llc|Method of hub communication, processing, storage and display|

---

US11109866B2|2017-12-28|2021-09-07|Cilag Gmbh International|Method for circular stapler control algorithm adjustment based on situational awareness|

---

US20190201027A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument with acoustic-based motor control|

---

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|

---

US20190200987A1|2017-12-28|2019-07-04|Ethicon Llc|Variable output cartridge sensor assembly|

---

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|

---

US20190201104A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical hub spatial awareness to determine devices in operating theater|

---

US20190201045A1|2017-12-28|2019-07-04|Ethicon Llc|Method for smoke evacuation for surgical hub|

---

US20190206563A1|2017-12-28|2019-07-04|Ethicon Llc|Method for adaptive control schemes for surgical network control and interaction|

---

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|

---

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|

---

US20190200905A1|2017-12-28|2019-07-04|Ethicon Llc|Characterization of tissue irregularities through the use of mono-chromatic light refractivity|

---

US20190206565A1|2017-12-28|2019-07-04|Ethicon Llc|Method for operating surgical instrument systems|

---

US10695081B2|2017-12-28|2020-06-30|Ethicon Llc|Controlling a surgical instrument according to sensed closure parameters|

---

US20190200985A1|2017-12-28|2019-07-04|Ethicon Llc|Systems for detecting proximity of surgical end effector to cancerous tissue|

---

US20190201030A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument comprising a plurality of drive systems|

---

US20190201036A1|2017-12-28|2019-07-04|Ethicon Llc|Temperature control of ultrasonic end effector and control system therefor|

---

US11013563B2|2017-12-28|2021-05-25|Ethicon Llc|Drive arrangements for robot-assisted surgical platforms|

---

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|

---

US20190200988A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical systems with prioritized data transmission capabilities|

---

US11051876B2|2017-12-28|2021-07-06|Cilag Gmbh International|Surgical evacuation flow paths|

---

US20190201146A1|2017-12-28|2019-07-04|Ethicon Llc|Safety systems for smart powered surgical stapling|

---

US10944728B2|2017-12-28|2021-03-09|Ethicon Llc|Interactive surgical systems with encrypted communication capabilities|

---

US20190201120A1|2017-12-28|2019-07-04|Ethicon Llc|Sensing arrangements for robot-assisted surgical platforms|

---

US20190201085A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical evacuation sensing and generator control|

---

US20190201091A1|2017-12-28|2019-07-04|Ethicon Llc|Radio frequency energy device for delivering combined electrical signals|

---

US20190201140A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical hub situational awareness|

---

US10943454B2|2017-12-28|2021-03-09|Ethicon Llc|Detection and escalation of security responses of surgical instruments to increasing severity threats|

---

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|

---

US20190201112A1|2017-12-28|2019-07-04|Ethicon Llc|Computer implemented interactive surgical systems|

---

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|

---

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|

---

US20190200986A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument cartridge sensor assemblies|

---

US20190201136A1|2017-12-28|2019-07-04|Ethicon Llc|Method of hub communication|

---

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|

---

US20190201075A1|2017-12-28|2019-07-04|Ethicon Llc|Mechanisms for controlling different electromechanical systems of an electrosurgical instrument|

---

US20190201046A1|2017-12-28|2019-07-04|Ethicon Llc|Method for controlling smart energy devices|

---

US11160605B2|2017-12-28|2021-11-02|Cilag Gmbh International|Surgical evacuation sensing and motor control|

---

US20190201158A1|2017-12-28|2019-07-04|Ethicon Llc|Control of a surgical system through a surgical barrier|

---

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|

---

US20190201090A1|2017-12-28|2019-07-04|Ethicon Llc|Capacitive coupled return path pad with separable array elements|

---

US11253315B2|2017-12-28|2022-02-22|Cilag Gmbh International|Increasing radio frequency to create pad-less monopolar loop|

---

US20190205001A1|2017-12-28|2019-07-04|Ethicon Llc|Sterile field interactive control displays|

---

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|

---

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|

---

US20190201079A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument having a flexible electrode|

---

US11076921B2|2017-12-28|2021-08-03|Cilag Gmbh International|Adaptive control program updates for surgical hubs|

---

US20190201083A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical evacuation sensor arrangements|

---

US20190205567A1|2017-12-28|2019-07-04|Ethicon Llc|Data pairing to interconnect a device measured parameter with an outcome|

---

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|

---

US20190274716A1|2017-12-28|2019-09-12|Ethicon Llc|Determining the state of an ultrasonic end effector|

---

US11056244B2|2017-12-28|2021-07-06|Cilag Gmbh International|Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks|

---

US11213359B2|2017-12-28|2022-01-04|Cilag Gmbh International|Controllers for robot-assisted surgical platforms|

---

US20190200980A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical system for presenting information interpreted from external data|

---

US20190201021A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical instrument having a flexible circuit|

---

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|

---

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|

---

US20190206551A1|2017-12-28|2019-07-04|Ethicon Llc|Spatial awareness of surgical hubs in operating rooms|

---

US11132462B2|2017-12-28|2021-09-28|Cilag Gmbh International|Data stripping method to interrogate patient records and create anonymized record|

---

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|

---

US20190200906A1|2017-12-28|2019-07-04|Ethicon Llc|Dual cmos array imaging|

---

US20190201137A1|2017-12-28|2019-07-04|Ethicon Llc|Method of robotic hub communication, detection, and control|

---

US10892995B2|2017-12-28|2021-01-12|Ethicon Llc|Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs|

---

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|

---

US20190201047A1|2017-12-28|2019-07-04|Ethicon Llc|Method for smart energy device infrastructure|

---

US20190201077A1|2017-12-28|2019-07-04|Ethicon Llc|Interruption of energy due to inadvertent capacitive coupling|

---

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|

---

US10892899B2|2017-12-28|2021-01-12|Ethicon Llc|Self describing data packets generated at an issuing instrument|

---

US11166772B2|2017-12-28|2021-11-09|Cilag Gmbh International|Surgical hub coordination of control and communication of operating room devices|

---

US11045591B2|2017-12-28|2021-06-29|Cilag Gmbh International|Dual in-series large and small droplet filters|

---

US20190206562A1|2017-12-28|2019-07-04|Ethicon Llc|Method of hub communication, processing, display, and cloud analytics|

---

US11234756B2|2017-12-28|2022-02-01|Cilag Gmbh International|Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter|

---

US20190201040A1|2017-12-28|2019-07-04|Ethicon Llc|Controlling activation of an ultrasonic surgical instrument according to the presence of tissue|

---

US20190201115A1|2017-12-28|2019-07-04|Ethicon Llc|Aggregation and reporting of surgical hub data|

---

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|

---

US20190206569A1|2017-12-28|2019-07-04|Ethicon Llc|Method of cloud based data analytics for use with the hub|

---

US11266468B2|2017-12-28|2022-03-08|Cilag Gmbh International|Cooperative utilization of data derived from secondary sources by intelligent surgical hubs|

---

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|

---

US10849697B2|2017-12-28|2020-12-01|Ethicon Llc|Cloud interface for coupled surgical devices|

---

US20190201086A1|2017-12-28|2019-07-04|Ethicon Llc|Surgical evacuation sensing and display|

---

US20190206003A1|2017-12-28|2019-07-04|Ethicon Llc|Adaptive control program updates for surgical devices|

---

US11069012B2|2017-12-28|2021-07-20|Cilag Gmbh International|Interactive surgical systems with condition handling of devices and data capabilities|

---

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|

---

US20190298353A1|2018-03-28|2019-10-03|Ethicon Llc|Surgical stapling devices with asymmetric closure features|

---

US11166716B2|2018-03-28|2021-11-09|Cilag Gmbh International|Stapling instrument comprising a deactivatable lockout|

---

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|

---

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|

---

US11213294B2|2018-03-28|2022-01-04|Cilag Gmbh International|Surgical instrument comprising co-operating lockout features|

---

US20190298352A1|2018-03-28|2019-10-03|Ethicon Llc|Surgical stapling devices with improved rotary driven closure systems|

---

US11219453B2|2018-03-28|2022-01-11|Cilag Gmbh International|Surgical stapling devices with cartridge compatible closure and firing lockout arrangements|

---

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|

---

US11096688B2|2018-03-28|2021-08-24|Cilag Gmbh International|Rotary driven firing members with different anvil and channel engagement features|

---

US11090047B2|2018-03-28|2021-08-17|Cilag Gmbh International|Surgical instrument comprising an adaptive control system|

---

US11141232B2|2018-03-29|2021-10-12|Intuitive Surgical Operations, Inc.|Teleoperated surgical instruments|

---

US20200054320A1|2018-08-20|2020-02-20|Ethicon Llc|Method for operating a powered articulatable surgical instrument|

---

US11045192B2|2018-08-20|2021-06-29|Cilag Gmbh International|Fabricating techniques for surgical stapler anvils|

---

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|

---

US10856870B2|2018-08-20|2020-12-08|Ethicon Llc|Switching arrangements for motor powered articulatable surgical instruments|

---

US11253256B2|2018-08-20|2022-02-22|Cilag Gmbh International|Articulatable motor powered surgical instruments with dedicated articulation motor arrangements|

---

US20200054321A1|2018-08-20|2020-02-20|Ethicon Llc|Surgical instruments with progressive jaw closure arrangements|

---

US10912559B2|2018-08-20|2021-02-09|Ethicon Llc|Reinforced deformable anvil tip for surgical stapler anvil|

---

US11207065B2|2018-08-20|2021-12-28|Cilag Gmbh International|Method for fabricating surgical stapler anvils|

---

US11039834B2|2018-08-20|2021-06-22|Cilag Gmbh International|Surgical stapler anvils with staple directing protrusions and tissue stability features|

---

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|

---

US10779821B2|2018-08-20|2020-09-22|Ethicon Llc|Surgical stapler anvils with tissue stop features configured to avoid tissue pinch|

---

US20200078077A1|2018-09-07|2020-03-12|Ethicon Llc|Flexible neutral electrode|

---

US20200261075A1|2019-02-19|2020-08-20|Ethicon Llc|Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers|

---

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|

---

US20200261083A1|2019-02-19|2020-08-20|Ethicon Llc|Staple cartridge retainers with frangible retention features and methods of using same|

---

US20200261087A1|2019-02-19|2020-08-20|Ethicon Llc|Surgical staple cartridges with movable authentication key arrangements|US20070084897A1|2003-05-20|2007-04-19|Shelton Frederick E Iv|Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism|

---

US8215531B2|2004-07-28|2012-07-10|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a medical substance dispenser|

---

US7669746B2|2005-08-31|2010-03-02|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|

---

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

---

US11246590B2|2005-08-31|2022-02-15|Cilag Gmbh International|Staple cartridge including staple drivers having different unfired heights|

---

US11224427B2|2006-01-31|2022-01-18|Cilag Gmbh International|Surgical stapling system including a console and retraction assembly|

---

US8186555B2|2006-01-31|2012-05-29|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with mechanical closure system|

---

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

---

US11207064B2|2011-05-27|2021-12-28|Cilag Gmbh International|Automated end effector component reloading system for use with a robotic system|

---

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|

---

US8931682B2|2007-06-04|2015-01-13|Ethicon Endo-Surgery, Inc.|Robotically-controlled shaft based rotary drive systems for surgical instruments|

---

US9585657B2|2008-02-15|2017-03-07|Ethicon Endo-Surgery, Llc|Actuator for releasing a layer of material from a surgical end effector|

---

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

---

US9386983B2|2008-09-23|2016-07-12|Ethicon Endo-Surgery, Llc|Robotically-controlled motorized surgical instrument|

---

US8517239B2|2009-02-05|2013-08-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising a magnetic element driver|

---

US20110024477A1|2009-02-06|2011-02-03|Hall Steven G|Driven Surgical Stapler Improvements|

---

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

---

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

---

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

---

US11197671B2|2012-06-28|2021-12-14|Cilag Gmbh International|Stapling assembly comprising a lockout|

---

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

---

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

---

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

---

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

---

MX369362B|2013-08-23|2019-11-06|Ethicon Endo Surgery Llc|Firing member retraction devices for powered surgical instruments.|

---

US11259799B2|2014-03-26|2022-03-01|Cilag Gmbh International|Interface systems for use with surgical instruments|

---

JP6612256B2|2014-04-16|2019-11-27|エシコンエルエルシー|Fastener cartridge with non-uniform fastener|

---

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

---

BR112017004361A2|2014-09-05|2017-12-05|Ethicon Llc|medical overcurrent modular power supply|

---

BR112017005981A2|2014-09-26|2017-12-19|Ethicon Llc|surgical staplers and ancillary materials|

---

US9924944B2|2014-10-16|2018-03-27|Ethicon Llc|Staple cartridge comprising an adjunct material|

---

US11141153B2|2014-10-29|2021-10-12|Cilag Gmbh International|Staple cartridges comprising driver arrangements|

---

US11154301B2|2015-02-27|2021-10-26|Cilag Gmbh International|Modular stapling assembly|

---

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

---

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

---

US10299878B2|2015-09-25|2019-05-28|Ethicon Llc|Implantable adjunct systems for determining adjunct skew|

---

US10292704B2|2015-12-30|2019-05-21|Ethicon Llc|Mechanisms for compensating for battery pack failure in powered surgical instruments|

---

US10265068B2|2015-12-30|2019-04-23|Ethicon Llc|Surgical instruments with separable motors and motor control circuits|

---

US10368865B2|2015-12-30|2019-08-06|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US11213293B2|2016-02-09|2022-01-04|Cilag Gmbh International|Articulatable surgical instruments with single articulation link arrangements|

---

US11224426B2|2016-02-12|2022-01-18|Cilag Gmbh International|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US11179150B2|2016-04-15|2021-11-23|Cilag Gmbh International|Systems and methods for controlling a surgical stapling and cutting instrument|

---

US10335145B2|2016-04-15|2019-07-02|Ethicon Llc|Modular surgical instrument with configurable operating mode|

---

US10456137B2|2016-04-15|2019-10-29|Ethicon Llc|Staple formation detection mechanisms|

---

US10368867B2|2016-04-18|2019-08-06|Ethicon Llc|Surgical instrument comprising a lockout|

---

US11179155B2|2016-12-21|2021-11-23|Cilag Gmbh International|Anvil arrangements for surgical staplers|

---

US10675026B2|2016-12-21|2020-06-09|Ethicon Llc|Methods of stapling tissue|

---

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|

---

US11160551B2|2016-12-21|2021-11-02|Cilag Gmbh International|Articulatable surgical stapling instruments|

---

JP2020501779A|2016-12-21|2020-01-23|エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ|Surgical stapling system|

---

US20180168618A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems|

---

US10307170B2|2017-06-20|2019-06-04|Ethicon Llc|Method for closed loop control of motor velocity of a surgical stapling and cutting instrument|

---

US11266405B2|2017-06-27|2022-03-08|Cilag Gmbh International|Surgical anvil manufacturing methods|

---

US11141154B2|2017-06-27|2021-10-12|Cilag Gmbh International|Surgical end effectors and anvils|

---

US20190000474A1|2017-06-28|2019-01-03|Ethicon Llc|Surgical instrument comprising selectively actuatable rotatable couplers|

---

US11259805B2|2017-06-28|2022-03-01|Cilag Gmbh International|Surgical instrument comprising firing member supports|

---

US11246592B2|2017-06-28|2022-02-15|Cilag Gmbh International|Surgical instrument comprising an articulation system lockable to a frame|

---

US11229436B2|2017-10-30|2022-01-25|Cilag Gmbh International|Surgical system comprising a surgical tool and a surgical hub|

---

US11103268B2|2017-10-30|2021-08-31|Cilag Gmbh International|Surgical clip applier comprising adaptive firing control|

---

US11090075B2|2017-10-30|2021-08-17|Cilag Gmbh International|Articulation features for surgical end effector|

---

US11141160B2|2017-10-30|2021-10-12|Cilag Gmbh International|Clip applier comprising a motor controller|

---

US11134944B2|2017-10-30|2021-10-05|Cilag Gmbh International|Surgical stapler knife motion controls|

---

US11071543B2|2017-12-15|2021-07-27|Cilag Gmbh International|Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges|

---

US11197670B2|2017-12-15|2021-12-14|Cilag Gmbh International|Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed|

---

US11076853B2|2017-12-21|2021-08-03|Cilag Gmbh International|Systems and methods of displaying a knife position during transection for a surgical instrument|

---

US10743868B2|2017-12-21|2020-08-18|Ethicon Llc|Surgical instrument comprising a pivotable distal head|

---

US10849697B2|2017-12-28|2020-12-01|Ethicon Llc|Cloud interface for coupled surgical devices|

---

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|

---

US11109866B2|2017-12-28|2021-09-07|Cilag Gmbh International|Method for circular stapler control algorithm adjustment based on situational awareness|

---

US10987178B2|2017-12-28|2021-04-27|Ethicon Llc|Surgical hub control arrangements|

---

US20190205001A1|2017-12-28|2019-07-04|Ethicon Llc|Sterile field interactive control displays|

---

US10695081B2|2017-12-28|2020-06-30|Ethicon Llc|Controlling a surgical instrument according to sensed closure parameters|

---

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|

---

US11166772B2|2017-12-28|2021-11-09|Cilag Gmbh International|Surgical hub coordination of control and communication of operating room devices|

---

US11213359B2|2017-12-28|2022-01-04|Cilag Gmbh International|Controllers for robot-assisted surgical platforms|

---

US11056244B2|2017-12-28|2021-07-06|Cilag Gmbh International|Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks|

---

US11051876B2|2017-12-28|2021-07-06|Cilag Gmbh International|Surgical evacuation flow paths|

---

US11076921B2|2017-12-28|2021-08-03|Cilag Gmbh International|Adaptive control program updates for surgical hubs|

---

US20190201146A1|2017-12-28|2019-07-04|Ethicon Llc|Safety systems for smart powered surgical stapling|

---

US11069012B2|2017-12-28|2021-07-20|Cilag Gmbh International|Interactive surgical systems with condition handling of devices and data capabilities|

---

US20190274716A1|2017-12-28|2019-09-12|Ethicon Llc|Determining the state of an ultrasonic end effector|

---

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|

---

US20190201087A1|2017-12-28|2019-07-04|Ethicon Llc|Smoke evacuation system including a segmented control circuit for interactive surgical platform|

---

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|

---

US10892899B2|2017-12-28|2021-01-12|Ethicon Llc|Self describing data packets generated at an issuing instrument|

---

US20190206551A1|2017-12-28|2019-07-04|Ethicon Llc|Spatial awareness of surgical hubs in operating rooms|

---

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|

---

US11132462B2|2017-12-28|2021-09-28|Cilag Gmbh International|Data stripping method to interrogate patient records and create anonymized record|

---

US10944728B2|2017-12-28|2021-03-09|Ethicon Llc|Interactive surgical systems with encrypted communication capabilities|

---

US11160605B2|2017-12-28|2021-11-02|Cilag Gmbh International|Surgical evacuation sensing and motor control|

---

US10892995B2|2017-12-28|2021-01-12|Ethicon Llc|Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs|

---

US11253315B2|2017-12-28|2022-02-22|Cilag Gmbh International|Increasing radio frequency to create pad-less monopolar loop|

---

US11266468B2|2017-12-28|2022-03-08|Cilag Gmbh International|Cooperative utilization of data derived from secondary sources by intelligent surgical hubs|

---

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|

---

US11045591B2|2017-12-28|2021-06-29|Cilag Gmbh International|Dual in-series large and small droplet filters|

---

US10943454B2|2017-12-28|2021-03-09|Ethicon Llc|Detection and escalation of security responses of surgical instruments to increasing severity threats|

---

US11234756B2|2017-12-28|2022-02-01|Cilag Gmbh International|Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter|

---

US11259830B2|2018-03-08|2022-03-01|Cilag Gmbh International|Methods for controlling temperature in ultrasonic device|

---

US11166716B2|2018-03-28|2021-11-09|Cilag Gmbh International|Stapling instrument comprising a deactivatable lockout|

---

US11090047B2|2018-03-28|2021-08-17|Cilag Gmbh International|Surgical instrument comprising an adaptive control system|

---

US11219453B2|2018-03-28|2022-01-11|Cilag Gmbh International|Surgical stapling devices with cartridge compatible closure and firing lockout arrangements|

---

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|

---

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|

---

US20190298350A1|2018-03-28|2019-10-03|Ethicon Llc|Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems|

---

US11213294B2|2018-03-28|2022-01-04|Cilag Gmbh International|Surgical instrument comprising co-operating lockout 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|

---

US11096688B2|2018-03-28|2021-08-24|Cilag Gmbh International|Rotary driven firing members with different anvil and channel engagement features|

---

US11207065B2|2018-08-20|2021-12-28|Cilag Gmbh International|Method for fabricating surgical stapler anvils|

---

US11253256B2|2018-08-20|2022-02-22|Cilag Gmbh International|Articulatable motor powered surgical instruments with dedicated articulation motor arrangements|

---

US11120904B2|2018-12-26|2021-09-14|General Electric Company|Imaging modality maintenance smart dispatch systems and methods|

---

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|

---

US11147551B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

---

US11172929B2|2019-03-25|2021-11-16|Cilag Gmbh International|Articulation drive arrangements for surgical systems|

---

US11147553B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

---

US11253254B2|2019-04-30|2022-02-22|Cilag Gmbh International|Shaft rotation actuator on a surgical instrument|

---

US11259803B2|2019-06-28|2022-03-01|Cilag Gmbh International|Surgical stapling system having an information encryption protocol|

---

US11224497B2|2019-06-28|2022-01-18|Cilag Gmbh International|Surgical systems with multiple RFID tags|

---

US11241235B2|2019-06-28|2022-02-08|Cilag Gmbh International|Method of using multiple RFID chips with a surgical assembly|

---

US11246678B2|2019-06-28|2022-02-15|Cilag Gmbh International|Surgical stapling system having a frangible RFID tag|

---

US11234698B2|2019-12-19|2022-02-01|Cilag Gmbh International|Stapling system comprising a clamp lockout and a firing lockout|

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|

---

US201762611341P| true| 2017-12-28|2017-12-28|

---

US201762611340P| true| 2017-12-28|2017-12-28|

---

US62/611,340|2017-12-28|

---

US62/611,339|2017-12-28|

---

US62/611,341|2017-12-28|

---

US201862649333P| true| 2018-03-28|2018-03-28|

---

US62/649,333|2018-03-28|

---

US15/940,694|2018-03-29|

---

US15/940,694|US10966791B2|2017-12-28|2018-03-29|Cloud-based medical analytics for medical facility segmented individualization of instrument function|

---

PCT/IB2018/055752|WO2019130079A1|2017-12-28|2018-07-31|Cloud-based medical analytics for medical facility segmented individualization of instrument function|

---