Patent classifications
A61B2017/00137
Surgical system distributed processing
Surgical hub systems are disclosed. A surgical hub system comprises a surgical hub configured to communicably couple to a modular device comprising a sensor configured to detect data associated with the modular device and a device processor. The surgical hub comprises a hub processor, a hub memory coupled to the hub processor. The surgical hub system also comprises a distributed control system executable at least in part by each of the device processor and the hub processor. The distributed control system is configured to: receive the data detected by the sensor; determine control adjustments for the modular device according to the data; and control the modular device according to the control adjustments. When in a first mode, the distributed control system is executed by both the hub processor and the device processor. In a second mode, the distributed control system is executed solely by the device processor.
Adaptive advanced tissue treatment pad saver mode
A method of controlling the temperature of an ultrasonic blade between two temperature set points includes applying a first power level to an ultrasonic transducer to set an ultrasonic blade temperature to a first target temperature T1, monitoring a phase angle φ between voltage V.sub.g(t) and current I.sub.g(t) signals applied to the transducer, inferring the temperature of the blade based on the phase angle φ, determining that a transection process is complete, and applying a second power level to the transducer to set the blade temperature to a second target temperature T2. The transducer may be coupled to the blade via an ultrasonic waveguide. The first target temperature may be optimized for vessel sealing and the second target temperature may be optimized for clamp arm pad life. The control circuit may determine that transection is complete by determining that the ultrasonic blade contacts the clamp arm pad.
System and method for non-contact electronic articulation sensing
A surgical instrument is disclosed. The instrument includes a handle portion, a body portion extending distally from the handle portion and defining a first longitudinal axis and an articulating tool assembly defining a second longitudinal axis and having a proximal end. The articulating tool assembly is disposed at a distal end of the body portion and is movable from a first position in which the second longitudinal axis is substantially aligned with the first longitudinal axis to at least a second position in which the second longitudinal axis is disposed at an angle with respect to the first longitudinal axis. The instrument also includes an articulation mechanism configured to articulate the articulating tool assembly, the articulation mechanism including an articulation sensor assembly configured to transmit a sensor signal to a microcontroller which is configured to determine an articulation angle of the articulation assembly.
FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS
The present disclosure provides a surgical instrument including an end effector, a drive member movable to effectuate a motion in said end effector, a motor operable to move the drive member to effectuate the motion in the end effector and a bailout assembly operable to perform a mechanical bailout of the surgical instrument in response to a bailout error. The bailout assembly includes a bailout door, a bailout handle accessible through the bailout door. The bailout handle is operable to move the drive member to effectuate a bailout motion in the end effector. A controller includes a memory and a processor coupled to the memory. The processor is configured to detect the bailout error. The processor is programed to stop the motor in response to the detection of the bailout error.
FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS
The present disclosure provides a surgical instrument including an end effector, a drive member movable to effectuate a motion in said end effector, a motor operable to move the drive member to effectuate the motion in the end effector and a bailout assembly operable to perform a mechanical bailout of the surgical instrument in response to a bailout error. The bailout assembly includes a bailout door, a bailout handle accessible through the bailout door. The bailout handle is operable to move the drive member to effectuate a bailout motion in the end effector. A controller includes a memory and a processor coupled to the memory. The processor is configured to detect the bailout error. The processor is programed to stop the motor in response to the detection of the bailout error.
Controlled tissue compression systems and methods
A surgical instrument includes an end effector configured to clamp, staple or cut tissue, a motor configured to drive the end effector, and a control system. The control system is configured to receive information about at least one tissue property and select a tissue management mode based on the at least one tissue property. The control system controls the motor based on the selected tissue management mode.
Surgical stapling device with rotary multi-turn retraction mechanism
A powered surgical device configured to clamp and fasten tissue is disclosed. The powered surgical device comprises a shaft, an articulation joint, a motor-driven flexible drive member movably supported in the shaft, an I-beam coupled to the motor-driven flexible drive member, and a housing. The shaft comprises a proximal end. The motor-driven flexible drive member passes through the articulation joint during a tissue clamping motion. The motor-driven flexible drive member is driven distally away from the proximal end of the shaft during the tissue clamping motion. The housing is coupled to the proximal end of the shaft. The housing comprises a rotary multi-turn unidirectional manually-operated retraction mechanism. A rotation of the rotary multi-turn unidirectional manually-operated retraction mechanism in a first direction is configured to retract the motor-driven flexible drive member proximally toward the proximal end of the shaft.
Surgical system comprising a display
A surgical instrument system is disclosed including a surgical instrument, an end effector, and a display. The end effector includes a distal end, a proximal connection portion configured to attach the end effector to the surgical instrument, a first jaw, a second jaw movable relative to the first jaw, and at least one sensor configured to detect an orientation of the second jaw. The second jaw is moveable between an open orientation, a partially-closed orientation, and a closed orientation. The display is configured to incrementally display discrete steps of partial closure of the second jaw.
Application of smart blade technology
An ultrasonic device may include an electromechanical ultrasonic system having a resonant frequency, the system including a transducer coupled to an ultrasonic blade. A method of driving the blade may include determining a tissue type contacting the blade, setting current delivered to the transducer to achieve a desired blade temperature, and setting a desired period during which the desired temperature is applied to the tissue. The tissue type may be determined by measuring an impedance of the transducer, comparing an impedance measurement data point to a reference data point, and classifying the impedance measurement data point based on a result of the comparison. Alternatively, the tissue type may be determined by applying a drive signal to the transducer, sweeping the frequency of the drive signal from below to above a resonance of the ultrasonic system, measuring and recording impedance/admittance variables, and comparing the measured variables to reference variables.
Start temperature of blade
A method of determining an initial temperature of an ultrasonic blade may include measuring a resonant frequency of an ultrasonic blade prior to activating an ultrasonic transducer, in which the ultrasonic transducer is coupled to the blade via an ultrasonic waveguide, comparing the measured resonant frequency to a baseline resonant frequency, determining an initial temperature of the ultrasonic blade based on a difference between the measured resonant frequency and the baseline resonant frequency, and applying a power level to the blade based on the initial temperature of the blade. The method may further include applying a high power level to the transducer when the initial temperature of the ultrasonic blade is low or applying a low power level to the transducer when the initial temperature of the blade is high. The baseline resonant frequency may be stored in a memory look up table.