A combined isolator-diplexer device for supplying radiofrequency (RF) energy and microwave energy obtained from separate sources to a probe via a common signal pathway. The invention combines into a single unit all the necessary components to isolate a microwave channel from an RF channel whilst providing a high withstanding voltage (e.g. greater than 10 kV). The device comprises a waveguide isolator for isolating the microwave channel having a pair of DC isolation barriers arranged therein to provide a pair of series-connected capacitive structures between a ground conductor at an output of the combining circuit and a conductive input section of the waveguide isolator.

Various systems and methods for determining the composition of tissue via an ultrasonic surgical instrument are disclosed. A control circuit can be configured to monitor the change in resonant frequency of an ultrasonic electromechanical system of the ultrasonic surgical instrument as the ultrasonic blade oscillates against a tissue and determine the composition of the tissue accordingly. In some aspects, the control circuit can be configured to modify the operation of the ultrasonic electromechanical system or other operational parameters of the ultrasonic surgical instrument according to the detected tissue composition.

A generator includes a number of impulse generators that are individually controlled by means of a control device in a timely flexible manner. The RF voltage required for supply of a surgical instrument is thus composed of individual impulses. The same applies for the current flowing at the electrode of the instrument. Due to omitting resonance effects in the impulse generators and omitting of energy storage in a system that is able to oscillate (system of second order), the user has an increased degree of control of the wave forms of the voltage supplied to the instrument and the current flowing to the instrument.

An electrosurgical system comprising: a plurality of electrosurgical connection units, each electrosurgical connection unit comprising an input port connectable to an electrosurgical channel and an output port connectable to an electrosurgical instrument, the electrosurgical connection unit configured to connect the input port to the output port; an electrosurgical network comprising a plurality of electrosurgical links that connect the input ports of the electrosurgical connection units to an electrosurgical channel; and a control unit configured to: receive information from a device indicating that the device has detected an electrosurgical generator connected to the electrosurgical channel, the device being one of the electrosurgical connection units and an electrosurgical output device connected to the electrosurgical channel; determine a location of the electrosurgical generator in the electrosurgical network based on the received information; and transmit one or more control signals to the electrosurgical connection units and/or one or more electrosurgical output devices connected to the electrosurgical channel to cause the output port of a selected combination of electrosurgical connection units to be connected to the electrosurgical channel based on the determined location of the electrosurgical generator.

A surgical instrument includes an ultrasonic transducer supported by a housing and an elongated assembly extending distally therefrom. The elongated assembly includes a jaw and a waveguide coupled to the transducer and defining a blade having upper and lower tissue-contacting surface and first and second lateral surfaces disposed therebetween that are coated with a material. The jaw is pivotable relative to the blade and includes a structural base having a backspan and first and second uprights extending from the backspan. The jaw further includes a jaw liner supported within the structural base and positioned to oppose the upper tissue-contacting surface with the first and second uprights disposed on either side of the blade. In an ultrasonic mode, ultrasonic energy produced by the transducer is transmitted along the waveguide to the blade. In an electrosurgical mode, electrosurgical energy is conducted between the blade and the first and second uprights.

A method for controlling a user interface of a modular energy system. The modular energy system comprises a header module and a display screen on which the user interface is displayed. The modular energy system can detect attachment of a first module thereto, control the user interface to display one or more first user interface elements corresponding to the first module, detect attachment of a second module to the modular energy system, control the user interface to resize the one or more first user interface elements to accommodate display of one or more second user interface elements corresponding to the second module, and control the user interface to display the one or more second user interface elements. The various UI elements can correspond to the particular module type that is being connected to the modular energy system.

An electrosurgical generator for an electrosurgical instrument includes a DC voltage supply and a high-voltage inverter that generates a high-frequency AC voltage having a variable voltage and frequency that is output at an output for the connection of the electrosurgical instrument. The inverter is configured as a multilevel inverter and includes a plurality of inverter cells connected in a cascaded manner that are driven by a control device. Thanks to the cascading, switching losses incurred in the power semiconductors are reduced, both in terms of value (through the divided and thus lower voltage) and in terms of frequency (through the reduced switching frequency).

An electrosurgical generator for an electrosurgical instrument includes DC voltage supply and high-voltage inverter that generates high-frequency AC voltage having variable voltage and frequency. Inverter is multilevel inverter controlled by reference signal and having at least two groups of series-connected inverter cells, wherein each group is supplied with different DC voltage and wherein the voltages output by the two groups are summed to be output at output. Group supplied with higher voltage enables fast and large voltage changes with its inverter cells, while inverter cells of other group supplied with lower voltage allow fine setting with high change speed. Dynamic range is improved both from temporal viewpoint and in terms of increased voltage span. The number of HVC cells to be switched may furthermore be varied by way of modulator, wherein further number of LVC cells are switched in an opposing manner for compensation purposes. Switching losses may be reduced.

A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed.

A method of operating a modular surgical system including a control module, a first surgical module, and a second surgical module is disclosed. The method includes detachably connecting the first surgical module to the control module by stacking the first surgical module with the control module in a stack configuration, detachably connecting the second surgical module to the first surgical module by stacking the second surgical module with the control module and the first surgical module in the stack configuration, powering up the modular surgical system, and monitoring distribution of power from a power supply of the control module to the first surgical module and the second surgical module.