A61B2017/00402

POWERED SURGICAL INSTRUMENTS WITH COMMUNICATION INTERFACES THROUGH STERILE BARRIER

A surgical instrument system that comprises a shaft and a handle assembly releasably couplable to the shaft. The handle assembly comprises a disposable outer housing defining a sterile barrier. The disposable outer housing is movable between an open configuration and a closed configuration. The handle assembly further comprises a control inner core receivable inside the disposable outer housing in the open configuration. The disposable outer housing is configured to isolate the control inner core within the sterile barrier in the closed configuration. The surgical instrument system further comprises an end effector releasably couplable to the shaft and an electrical interface assembly configured to transmit data and power between the control inner core and the end effector. The electrical interface assembly comprises a first interface portion on a first side of the sterile barrier, and a second interface portion on a second side of the sterile barrier opposite the first side.

METHOD FOR TISSUE TREATMENT BY SURGICAL INSTRUMENT

A method for treating tissue using a surgical instrument including at least one electrode and a staple cartridge is disclosed. The method includes causing the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment by the surgical instrument, deploying staples from the staple cartridge into the tissue in a second phase of the surgical treatment, monitoring a first tissue property in the first phase of the surgical treatment, switching from the first phase to the second phase if at least one of two conditions is met, setting a parameter of the second phase of the surgical treatment based on at least one measurement of the first tissue property determined in the first phase of the surgical treatment, and monitoring a second tissue property, different from the first tissue property, in the second phase of the surgical treatment.

SURGICAL INSTRUMENTS WITH ELECTRICAL CONNECTORS FOR POWER TRANSMISSION ACROSS STERILE BARRIER

A handle assembly for use with a surgical instrument system. The handle assembly comprises a disposable outer housing defining a sterile barrier, a control inner core receivable inside the disposable outer housing in the open configuration, a wireless electrical interface assembly, and a wired electrical interface assembly. The disposable outer housing is movable between an open configuration and a closed configuration. The disposable outer housing is configured to isolate the control inner core within the sterile barrier in the closed configuration. The wireless electrical interface assembly configured to effect a wireless transmission through the sterile barrier. The wireless electrical interface assembly comprises a first wireless-interface portion on a first side of the sterile barrier and a second wireless-interface portion on a second side of the sterile barrier opposite the first side. The wired electrical interface assembly configured to effect a wired transmission through the sterile barrier.

DEVICES AND METHODS OF MANAGING ENERGY DISSIPATED WITHIN STERILE BARRIERS OF SURGICAL INSTRUMENT HOUSINGS

A surgical instrument is disclosed herein. The surgical instrument includes a handheld device and an adapter assembly. The handheld device includes a first drive assembly and a power source. The adapter assembly includes an outer housing that defines an internal cavity configured to accommodate a handheld device. The adapter assembly is configured to establish a sterile barrier around the handheld device. The surgical instrument includes an energy management system configured to extract energy dissipated by the handheld device from the internal cavity without disrupting the sterile barrier. In some aspects, the surgical instrument further includes a plurality of interchangeable end effectors and the adapter assembly includes a drive interface assembly. The plurality of interchangeable end effectors can include different drive interfaces and operating modes, and the drive interface assembly can connect the first drive assembly of the handheld device to each end effector of the plurality of interchangeable end effectors.

BI-MODAL ULTRASONIC HANDPIECE SYSTEM

An ultrasonic handpiece includes a piezoelectric element assembly. Control signals drive the piezoelectric element assembly simultaneously in a first mode of oscillation and a second mode of oscillation. Feedback of a resulting oscillation of the piezoelectric element assembly in the first mode and the second mode is generated. Based on the feedback, the frequency of each of the first mode and second mode is independently adjusted, as needed, so that the resulting oscillation of each of the first mode and the second mode is each approximately at its respective resonant frequency.

Feedback dependent lithotripsy energy delivery

A lithotripter is provided that includes a lithotripsy apparatus for treatment of a urinary tract stone by fragmentation. The lithotripsy apparatus includes a lithotripsy wave guide shaft configured to transmit an energy form to at least one urinary tract stone. The lithotripter includes a sensing device configured to provide signal data for determining optimal application of energy during treatment with the lithotripsy apparatus. The lithotripter includes a processor configured to collect the signal data and provide feedback to a user. The processor has a control logic configured to determine at least one of: a) if the lithotripsy wave guide shaft is in contact with a tissue; b) if the lithotripsy wave guide shaft is in contact with a stone; c) type of stone; d) if a user is applying force in excess of a predetermined threshold; and e) physical characteristics of a stone. A method is also provided.

Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings

A surgical instrument is disclosed herein. The surgical instrument includes a handheld device and an adapter assembly. The handheld device includes a first drive assembly and a power source. The adapter assembly includes an outer housing that defines an internal cavity configured to accommodate a handheld device. The adapter assembly is configured to establish a sterile barrier around the handheld device. The surgical instrument includes an energy management system configured to extract energy dissipated by the handheld device from the internal cavity without disrupting the sterile barrier. In some aspects, the surgical instrument further includes a plurality of interchangeable end effectors and the adapter assembly includes a drive interface assembly. The plurality of interchangeable end effectors can include different drive interfaces and operating modes, and the drive interface assembly can connect the first drive assembly of the handheld device to each end effector of the plurality of interchangeable end effectors.

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.

Reusable ultrasonic transducer and generator assemblies, surgical instruments including the same, and methods of manufacturing the same

An ultrasonic transducer and generator (TAG) assembly of a surgical instrument includes generator components and transducer components. The generator components are disposed within a first cavity cooperatively defined by a body portion and a cover. The generator components are covered in a thermally insulative material. The transducer components are disposed within a second cavity cooperatively defined by a proximal housing and a spinner housing.

Devices and methods for ablation of the skin

Disclosed herein are apparatuses, systems, kits, and methods for treating skin, such as skin tightening or for treating diseases, disorders, and conditions that would benefit from tissue area or volume reduction, skin restoration, skin tightening, skin lifting, and/or skin repositioning and/or for generally improving skin function or appearance (e.g., the removal of unwanted skin features or irregularities such as sebaceous glands, sweat glands, hair follicles, necrosis, and fibrosis). Such apparatuses, systems, kits, and methods comprise an apparatus having a handheld main body and a detachably attachable tip comprising one or more needles.