A61B2017/00106

Powered surgical instrument including a rotary drive screw

A powered surgical instrument comprising a housing, an elongate shaft, an articulation joint, a rotary drive member configured to rotate in response to rotary motion from an electric motor, a coupling portion, and a stapling attachment releasably attachable to the coupling portion is disclosed. The stapling attachment is secured to the coupling portion by rotating one of the stapling attachment and the coupling portion relative to the other of the stapling attachment and the coupling portion. The stapling attachment comprises an elongate channel configured to receive a staple cartridge. The stapling attachment further comprises an anvil, a drive screw, and a firing member operably engaged with the drive screw. The coupling portion operably couples the rotary drive member and the drive screw when the stapling attachment is attached to the elongate shaft. The firing member is advanced distally within the stapling attachment when the drive screw is rotated.

Surgical systems and tools for moving energy applicators in superimposed modes
11529163 · 2022-12-20 · ·

A surgical tool may move a saw blade in a sagittal plane. The saw blade has a distal blade end with teeth. The surgical tool comprises a handpiece body and a carrier operatively attached to the handpiece body. The carrier is configured for oscillating movement about a pivot axis. A retainer is operatively attached to the carrier for concurrent movement and releasably secures the saw blade in the sagittal plane relative to the handpiece body. An actuator is coupled to the handpiece body to selectively oscillate the carrier relative to the handpiece body such that the retainer and the saw blade pivot back and forth about the pivot axis within the sagittal plane. An ultrasonic transducer is operatively attached to the handpiece body to selectively generate ultrasonic energy to resonate the saw blade such that the teeth at the distal blade end reciprocate proximally and distally within the sagittal plane.

CONFORMAL, NON-OCCLUDING SENSOR ARRAY FOR CARDIAC MAPPING AND ABLATION

Systems, methods, and devices having improved conformal properties for biomedical signal measurement are disclosed. A device can have a first polymer substrate coupled to a conductive layer forming a conductive trace electrically coupled to a conductive pad exposed via an opening. The device can have a second polymer substrate forming a first cavity between the first polymer substrate and the second polymer substrate. The device can have a first inlet portion that receives a fluid that expands the first cavity causing the device to conform to an anatomical structure. The structure can be an atrium, such as the left atrium, of the heart of a patient. The device can conform to the walls of the tissue structure, and the conductive pad exposed via the opening can detect a signal from the wall of the tissue structure. The signal can be provided to an external measurement device for processing.

ELECTROSURGICAL FORCEPS WITH TISSUE RESONANCE DETECTION
20220378496 · 2022-12-01 ·

A surgical instrument includes a housing having an elongated shaft extending distally therefrom and configured to support an end effector assembly at a distal end thereof. The end effector assembly includes first and second jaw members each having a tissue sealing plate disposed thereon and adapted to connect to an electrosurgical energy source for delivery thereto upon activation thereof. A sensor is disposed on one (or both) of the tissue sealing plates and is configured to communicate data relating to tissue disposed between the first and second jaw members to the electrosurgical energy source for correlation to a resonance frequency of the tissue. The resonance frequency of the tissue, in turn, is used to adjust one or more parameters associated with the delivery of electrosurgical energy to the tissue upon activation thereof.

SYSTEMS AND METHODS FOR MONITORING AND REGULATING BLADDER FUNCTION AND MECHANICS

Devices, methods, and systems for controlling a bladder of a subject are disclosed. For example, an apparatus for controlling the bladder can comprise a garment or accessory configured to be worn at least partially around a lower truncal region of a subject and a compression device coupled to the garment or accessory. The compression device can be configured to pressurize an abdominal wall of the subject when the garment or accessory is worn by the subject. The compression device can comprise a device housing having a contact surface, a device base, and an actuator. The actuator can translate the device housing in relation to the device base in a medial or lateral direction relative to the subject such that the contact surface of the device housing applies compressive forces to the abdominal wall of the subject when translated.

Clip applier and methods of use

A system having an elongate assembly, an expandable assembly having a fixed end region and a movable end region, the expandable assembly selectively transitioning between an expanded state and an unexpanded state with movement of the movable end region towards the fixed end region, and an advancement aid extending distally from the expandable assembly.

Method for controlling smart energy devices

A method for controlling an operation of an ultrasonic blade of an ultrasonic electromechanical system is disclosed. The method includes providing an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade via an ultrasonic waveguide; applying, by an energy source, a power level to the ultrasonic transducer; determining, by a control circuit coupled to a memory, a mechanical property of the ultrasonic electromechanical system; comparing, by the control circuit, the mechanical property with a reference mechanical property stored in the memory; and adjusting, by the control circuit, the power level applied to the ultrasonic transducer based on the comparison of the mechanical property with the reference mechanical property.

Articulating microsurgical instrument

An apparatus and method for an articulating microsurgical instrument is disclosed herein. The articulating microsurgical instrument may be configured to be operable with a Doppler probe, bone grasper, soft tissue grasper/dissector, scissors, flexible forceps, or a suction/irrigation line configured to provide tools within a surgical location that can be adjusted to a desired angle of operation. A tip assembly may comprise an articulating portion at a distal tip and the articulating portion may be configured to deflect upon actuation of an articulation control. The articulation control may be a trigger assembly or a roller wheel. A bayonet-style handle may include a set of posts configured to interact with the one or more control wires during actuation of the articulation control. One or more control wires may be housed in a lumen and actuated using a articulation control of a handle assembly.

SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION

An electronic system for a surgical instrument is disclosed. The electronic system comprises a main power supply circuit configured to supply electrical power to a primary circuit. A supplementary power supply circuit configured to supply electrical power to a secondary circuit. A short circuit protection circuit coupled between the main power supply circuit and the supplementary power supply circuit. The supplementary power supply circuit is configured to isolate itself from the main power supply circuit when the supplementary power supply circuit detects a short circuit condition at the secondary circuit. The supplementary power supply circuit is configured to rejoin the main power supply circuit and supply power to the secondary circuit, when the short circuit condition is remedied.

DETECTION OF A COMPLETE INCISION BY AN ULTRASONIC TREATMENT DEVICE

A treatment device for treating a target tissue includes a drive source having a transducer configured to convert electrical energy to mechanical vibrations, an instrument having a blade connected to the drive source and configured to apply the mechanical vibrations to the target tissue, and a control unit configured to control a supply of electrical energy to the drive source. The control unit is configured to automatically adjust the supply of electrical energy to the drive source in response to a detection of a change in a resonance frequency of the blade. The change in resonance frequency of the blade occurs after the target tissue has been completely cut by the blade.