A61B2017/00929

ELECTROSURGICAL ADAPTATION TECHNIQUES OF ENERGY MODALITY FOR COMBINATION ELECTROSURGICAL INSTRUMENTS BASED ON SHORTING OR TISSUE IMPEDANCE IRREGULARITY

Disclosed is a method of adapting energy modality due to a short circuit or tissue type grasped in the jaws of an end effector of a surgical instrument. The method includes selecting an electrode in an array of segmented electrodes during a pre-energy activation cycle. The method includes applying a sub-therapeutic electrical signal to the selected electrode to differentiate between a shorted electrode and low impedance tissue grasped in the jaws of the end effector. The method includes determining the selected electrode is shorted based on a measured electrical parameter received by the control circuit after applying the sub-therapeutic electrical signal and blending monopolar and bipolar RF energy. The method includes determining that the selected electrode is shorted and switching output energy of the RF generator between monopolar and bipolar RF energy.

SURGICAL SYSTEMS CONFIGURED TO CONTROL THERAPEUTIC ENERGY APPLICATION TO TISSUE BASED ON CARTRIDGE AND TISSUE PARAMETERS

Disclosed are surgical instruments configured to control therapeutic energy application to tissue based on cartridge and tissue parameters.

SURGICAL INSTRUMENT COMPRISING A CLOSURE BAR AND A FIRING BAR
20220346784 · 2022-11-03 ·

A surgical instrument comprising a translatable closing bar and a translatable firing bar is disclosed.

SURGICAL SYSTEMS CONFIGURED TO COOPERATIVELY CONTROL END EFFECTOR FUNCTION AND APPLICATION OF THERAPEUTIC ENERGY

Disclosed is a surgical system for tissue treatment using therapeutic energy and stapling.

STAPLE CARTRIDGE COMPRISING FORMATION SUPPORT FEATURES

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

Robotic surgical assemblies

A surgical instrument holder includes a carriage, a housing, and a drive assembly. The carriage is configured for engagement to a surgical robotic arm and for supporting an instrument drive unit. The housing extends from the carriage and defines a channel. The drive assembly includes a pulley, a belt, and an annular member. The pulley is rotatably disposed within the housing and in operable engagement with a motor of the carriage such that actuation of the motor rotates the pulley. The belt is rotatably disposed within the housing and in operable engagement with the pulley such that rotation of the pulley effects rotation of the belt. The annular member is disposed within the channel of the housing and configured for non-rotatable receipt of an instrument drive unit. The annular member is in operable engagement with the belt such that rotation of the belt effects rotation of the annular member.

Illuminated and modular soft tissue retractor
11633094 · 2023-04-25 · ·

A surgical retractor for illuminating a surgical field includes an ergonomic handle, a retractor blade coupled with the handle, a quick release mechanism, and an illuminator blade. The retractor blade is adapted to engage and retract tissue, and the quick release mechanism is adapted to couple the handle with the retractor blade. The illuminator blade acts as a waveguide to transmit light by total internal reflection. Light is extracted from the illuminator to illuminate the surgical field. The retractor blade is releasable from the handle without requiring uncoupling of the illuminator blade from the handle and also without requiring optical uncoupling of the illuminator blade from a light source. The retractor may also be adapted to evacuate smoke from the surgical field.

Electrically enhanced retrieval of material from vessel lumens

Retrieval of material from vessel lumens can be improved by electrically enhancing attachment of the material to the removal device. The removal device can have a core assembly that includes a hypotube coupled to a first electrical terminal and a pushwire coupled to a second electrical terminal, the pushwire extending through the hypotube lumen. An insulating layer separates the hypotube and the pushwire, and an interventional element is coupled to a distal end of the pushwire. The interventional element can be disposed adjacent to a thrombus. An electrical signal is delivered to the interventional element to promote adhesion of the thrombus to the interventional element. The electrical signal can optionally be a periodic waveform, and the total energy delivered can be between 0.75-24,000 mJ and the peak current delivered via the electrical signal can be between 0.5-5 mA.

Devices, systems, and methods for treatment of intracranial aneurysms

Systems and methods for treating an aneurysm in accordance with embodiments of the present technology include intravascularly delivering an occlusive member to an aneurysm cavity via an elongated shaft and transforming a shape of the occlusive member within the cavity. The method may include introduction of an embolic element to a space between the occlusive member and an inner surface of the aneurysm wall. In some embodiments, the elongated shaft is detachably coupled to a distal portion of the occlusive member.

End cap assembly for retractor and other medical devices
11622756 · 2023-04-11 · ·

A medical device including a handle portion connected to an operative portion at a proximal end thereof, the handle portion having a hollow cross-section and an open distal end, an illumination assembly comprising at least one light source, a switch assembly for energizing the light source, and at least one battery for powering the light source, an end cap assembly configured to attach to the open distal end of the handle portion, the end cap assembly accommodating the switch assembly and being configured to hold the at least one battery within the handle and to partially enclose the at least one battery, and a smoke evacuation channel in communication with the hollow cross-section of the handle, wherein a portion of the switch assembly extends through an opening in the end cap assembly and the at least one battery is held by the end cap assembly to overlap with the switch assembly and to overlap with the opening in the end cap assembly, and wherein the end cap assembly includes a vacuum port configured to couple to a vacuum source and to provide suction to the smoke evacuation channel through the handle.