CA2229874A1 - Electrosurgical generator power control circuit and method - Google Patents

Electrosurgical generator power control circuit and method Download PDF

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Publication number
CA2229874A1
CA2229874A1 CA002229874A CA2229874A CA2229874A1 CA 2229874 A1 CA2229874 A1 CA 2229874A1 CA 002229874 A CA002229874 A CA 002229874A CA 2229874 A CA2229874 A CA 2229874A CA 2229874 A1 CA2229874 A1 CA 2229874A1
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signal
control
linear
operational mode
electrically connected
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CA002229874A
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French (fr)
Inventor
Daniel J. Becker
Michael S. Klicek
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Valleylab Inc
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance

Abstract

A constant power control circuit (107) for an electrosurgical generator (101) and a method for maintaining the electrical power output of an electrosurgical generator (101) at a generally constant value throughout a given tissue impedance range are disclosed. The constant power control circuit (107) and the method recognize and use the unique and simple linear characteristics associated with certain electrosurgical generator (101) designs to monitor and control the electrical power output without having to calculate or monitor the actual output power. The constant power control circuit (107) includes a current sampling circuit (115), a linear conversion circuit (117), and a feedback correction circuit (119). The constant power control circuit (107) may also include protection circuitry that prevents the electrosurgical generator (101) from being over-driven during high and/or low impedance loading (121), and reduces the severity of exit sparking by providing a quick response to high impedance indications while nonetheless maintaining increased power levels throughout a preset, nominal impedance range. The constant power control circuit (107) and method may be included as an integral part of the overall electrosurgical generator's (101) circuitry, or may be embodied as a separate unit that connects to, and controls, an electrosurgical generator (101). The constant power control circuit (107) and method may be embodied through a variety of analog and/or digital circuit components or arrangements, including software running on computational and memory circuitry.

Description

W O 97/11648 PCT~B96/00618 ELECTROSURGICAL GENERATOR POWER CONTROL CIRCUIT AND METHOD
1. Field of the Invention A constant power control circuit for an electrosurgical generator and a method for maintaining the electrical power output of an electrosurgical generator at a generally constant level throughout a given tissue impedance range.
2. Backaround of the t)isclosure An electrosurgical generator is used in surgical procedures to deliver electrical energy to the tissue of a patient. An electrosurgical generator often includes a radio frequency generator and its controls.
When an electrode is connected to the generator, the electrode can be used for cutting or coagulating the tissue of a patient with high frequency eiectrical energy.
During normal operation, alternating electrical current from the generator flowsbetween an active electrode and a return electrode by passing through the tissue and bodily fluids of a patient.
The electrical energy usually has its waveform shaped to enhance its ability to cut or coagulate tissue. Different waveforms correspond to different modes ofoperation of the generator, and each mode gives the surgeon various operating advantages. Modes may include cut, coagulate, a blend thereof, desiccate, or spray. A surgeon can easily select and change the different modes of operation as the surgical procedure progresses.
In each mode of operation, it is important to regulate the electrosurgical power delivered to the patient to achieve the desired surgical effect. Applying more electrosurgical power than necessary results in tissue destruction and prolongs healing. Applying less than the desired amount of electrosurgical power inhibits the surgical procedure. Thus, it is desirable to control the output energy from the electrosurgical generator for the type of tissue being treated.
Different types of tissues will be encountered as the surgical procedure progresses and each unique tissue requires more or less power as a function of frequently changing tissue impedance. Even the same tissue will present a different load impedance as the tissue is desiccated.
Two conventional types of power regulation are used in commercial electrosurgical generators. The most common type controls the DC power supply of the generator by limiting the amount of power provided from the AC mains to CA 02229874 l99X-02-18 W O 97/11648 PCT~B96/00618 which the generator is connected. A feedback control loop regulates output voltage by comparing a desired voltage with the output voltage supplied by the power supply. Another type of power regulation in commercial electrosurgical generators controls the gain of the high-frequency or radio frequency amplifier. A feedbackcontrol loop compares the output power supplied from the RF amplifier for adjustment to a desired power level. Generators that have feedback control are typically designed to hold a constant output voltage, and not to hold a constantoutput power.
U.S. Patents 3,964,487; 3,980,085; 4,188,927 and 4,092,986 have circuitry to reduce the output current in accordance with increasing load impedance.
In those patents, constant voltage output is maintained and the current is decreased with increasing load impedance.
U.S. Patent 4,126,137 controls the power amplifier of the electrosurgical unit in accord with a non linear compensation circuit applied to a feedback signal derived from a comparison of the power level reference signal and the mathematical product of two signals including sensed current and voltage in the unit.
U.S. Patent 4,658,819 has an electrosurgical generator which has a microprocessor controller based means for decreasing the output power as a function of changes in tissue impedance.
U.S. Patent 4,727,874 includes an electrosurgical generator with a high frequency pulse width modulated feedback power control wherein each cycle of thegenerator is regulated in power content by modulating the width of the driving energy pulses.
U.S. Patent 3,601,126 has an electrosurgical generator having a feedback circuit that attempts to msintain the output current at a constant amplitude over a wide range of tissue impedances.
None of the aforementioned U.S. Patents include a constant power control circuit that provides for a generally constant output power while also providing a linear adjustment to account for the unique waveform crest factors associated with different operational modes.
The preferred constant power control circuit and method provided herein allows for output power control by way of a unique and simple linear conversion circuit coupled with protection circuitry that prevents the electrosurgical generator W O 97/11648 PCT~B96/00618 from being over-driven during high and/or low impedance loading. The preferred constant power control circuit also reduces the severity of exit sparking by responding quickly to high impedance indications while nonetheless maintaining subst~ntially increased power levels throughout a predeler-~;ned patient tissue 5 impedance range.

SUMMARY OF THE INVENTION
A constant power control circuit for use with an electrosurgical generator.
The constant power control circuit and method may be included as an integral part 10 of the overall electrosurgical generator's circuitry, or may be designed as a separate unit that connects to, and controls, an electrosurgical generator. The constant power control circuit and method may be embodied through a variety of analog and/or digital circuit components or arrangements, including software running on computational and memory circuitry.
The constant power control circuit and method maintain the output power of the electrosurgical current at a generally constant level over a finite patient tissue impedance range. The preferred patient tissue impedance range is about 300 to 2500 ohms.
The constant power control circuit and method provide the capability to control the output power of the electrosurgical generator without having to actually monitor the amplitude of both the output current and output voltage. This allows for a simple constant power control circuit and method which operate to control the power output without having to calculate the actual power output of the electrosurgical generator.
While the constant power control circuit may be used to control electrosurgical generators of varying designs, it is preferred that the electrosurgical generator includes a power selection system wherein the user may initialize, set, monitor, and/or control the operation of the electrosurgical generator. It is also preferred that the power selection system produces a control voltage signal that acts to control a high voltage direct current supply which in turn acts to supply a high voltage signal to an output switching radio frequency stage~ Then output switching radio frequency stage creates an electrosurgical energy between two output electrodes. The preferred electrosurgical generator need not be limited to these three W O 97/11648 PCT~B96/00618 functional elements, for example the electrosurgical generator could also include additional safety, monitoring, signal modification/conditioning, and/or feedbackcircuitry or functional elements/processes. The actual electrosurgical generator's design may include the use of digital components and signaling and/or analogue 5 components and signaling, or may be embodied, completely or partially within a software process running on hardware components.
The constant power control circuit includes a current sampling circuit, a linearconversion circuit, and a feedback correction circuit. The current sampling circuit is coupled to one of the output electrodes, and functions so as to produce a sampled 10 current signal that is proportional to the average current fiowing through the output electrode.
The linear conversion circuit which is connected to the current sampling circuit internally generates one or more multiplier reference signals and one or more offset reference signals, each of which is used to modify the sampled current signal 15 in accord with the crest factor associated with the electrosurgical energy output by the electrosurgical generator; the modified signal being a linear converted signal.
The feedback correction circuit which is electrically connected to receive the linear converted signal from the linear conversion circuit and the control voltage signal from the power selection system functions to produce a feedback control 20 signal which it then supplies to the power selection system, within the electrosurgical generator, so as to cause the power selection system to control the amount of electrosurgical energy created. The feedback correction circuit functions so as to de~ermine the c3irrerence in amplitude between the control voltage signal and the linear converted signal and to then add this difference to the control voltage 25 signal to produce a feedback control signal. The feedback correction circuit may also be connected to the primary transformer winding within the output switching radio frequency stage, or its equivalent, thereby allowing the feedback correction circuit to detect high impedance loading between the output electrodes and to reduce theamplitude of the feedback control signal to protect the circuitry and/or the patient 30 from excessive current and/or voltage levels. A high impedance load is generally considered to be above 2500 ohms. The feedback correction circuit may also include circuitry or processes that substitute another signal for the feedback control signal when the impedance loading between the output electrodes is calculated as W O 97/11648 PCT~B96/00618 being low. A low impedance load is generally co--s;dered to be below 300 ohms.
Both high and low impedance limits may be adjusted to match the instruments processes and/or procedures as necessa- y.

BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 presents an electrosurgical generdlor interfaced to a con~L~nL power control circuit having a current sampling circuit linear conversion circuit and feedback correction circuit.
Figure 2 is the prerer.ed embodiment of the linear conversion circuit shown in Figure 1.
Figure 3 is the prefe. .ed embodiment of the feedback correction circuit shown in Figure 1.

DETAILED DESCRIPTION OF THE INVENTION
For an electrosurçlical generator 101 having a high voltage direct current (DC) supply 103 which is electrically connected to control an output switching radio frequency (RF) stage 105 a unique linear relationship exists between the controlvoltage s- ~pplied to the high voltage DC supply 103 and the root-mean-square (RMS) current generdL~d by the ele~L.osurgical generaLor 101. This unique linear relationship can be used to design a con:.LanL power control circuit 107 that functions as a feedback control loop to control the ele~ L-osurgical generaLor 101.
The following "~aLl,en,atical derivations define this unique linear relationship.

It can be shown that:
Vcontrol = Vdc / Kps;
where Vcontrol = a control voltage s~pFlied to the high voltage DC supply Vdc = the output voltage signal of the high voltage DC supply and Kps = a feedback ratio of the high voltage DC supply.
It can further be shown that:
Vdc2 x Ka = Pout;
where SUBSTIT~JTE SffEET ~lJLE 26) W O 97/11648 PCT~B96/00618 Pout = the output power of the electrosurgical generaLor 101, and Ka = a linear conalal-l (which can be empirically derived).

Therefore, the output power of the electrosurgical generaLor 101 is directly proportional to the square of the output voltage signal of the high voltage DC supply.
Thus, by substitution:
(Vcontrol x Kps)2 x Ka = Pout, or Vcontrol2 x Kg = Pout;
where, k~ = Kps2 x Ka.

Therefore, the output power of the electrosurgical genefdLor 101 is proportional to the square of the control voltaç~e s~pplied to the high voltage DC supply.
Examining the output of the çlenerator we have:
Pout = Vrms x Irms;
where, Vrms = output RMS voltage of the electrosurgical generaLor 101, and Irms = output RMS current of the electrosurgical generator 101.

Accordingly, at a given load i,-,pedance = R:
Vrms = Irms x R, and by substitution Pout = Irms2 x R.
By allowing R to equal a 'matched' load impedance we have Vcontrol2 x Kg = Irrr~s2 x R, and therefore Vcontrol2 = Irms2 x R / Kg.

Consequently, for a qiven impedance Kr = R / Kg the equation can be simplified to:
Vcontrol2 = Irms2 x Kr.

Therefore, the square of the control voltage supplied to the high voltage DC supply 103 is directly proportional to the square of the output RMS current of the SL~ JTE SHEET (RULE 26) W O 97/11648 PCT/nB96/00618 ele~,~,osurgical generdLor 101. It can also be shown by similar derivation that the square of the control voltage supplied to the high voltage DC supply 103 is directly proportional to the square of the output RMS voltage of the electrosurgical gene-dlor 101 .
Thus, the above derivation implies that if either the output RMS current or voltage is sampled properly (Isample & Vsample respectively) the control voltagesupplied to the high voltage DC supply 103 may be used as a reference value in afeedback control loop to keep either the output RMS current or output RMS voltage constant. When the linear relationship of Irms to Isample is 'mapped' into the linear relationship of Vcontrol to Irms then a linear relationship can be derived between Vcontrol and Isample. When the scaling is done properly for a given power setting, Vcontrol will equal Isample at the 'matched' load impedance. Tl-ererore, in a feedback circuit designed with the above mapping a feedback loop which keeps Isample equal to Vcontrol will by definition keep Irms consld~-L.
In accord with the above presenLed mathe.. ,dLical derivation, we have designed a con~L~. .L power control circuit 107 for the electrosurgical generator 101, shown in Figure 1, having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency sta~qe 105 thereby 20 creating an electrosurgical energy beL~rJccn two output electrodes 111. The prerer,ed electrosurgical ge,-tsraLor 101 has a plurality of operational modes selectable within the power selection system 109, and a primary L(dnsro. ~"er winding 1 13 within the output switching radio frequency stage 105, as shown in Figure 1.
The co,lsLd-)L power control circuit 107, shown in Figure 1, includes a current 25 sampling circuit 1 15, a linear conversion circuit 1 17 and a feedback correction circuit 1 1 9.
In the p(ere...3d embodiment, the current sampling circuit 115 is inductively coupled to one of the output electrodes 1 11, as shown in Figure 1. AlLt:~..dLively the current sampling circuit 115 could be actively coupled, in circuit, with the output 30 electrode.
The current sampling circuit 115 produces a sampled current signal that is proportional in amplitude to the average current flowing from the electrosurgical SU~S~ JTE SHEET (RULE 26) W O 97/11648 PCT~B96/00618 ge~.e-dlor 101 through the one output electrode, an impedance load 121, and returnin~ to the electrosurgical gene-dLor 101 through another output electrode.The prefe~tsd errt-~ ' ..e--L of ths current sampling circuit t15 includes an inductive coil element, similar in design and function to that of a secondary winding 5 of a current L-an:.ro-,ner. Additional circuit elements function to L-~llsror.~. the induced current into a proportional voltage signal and include a voltage drop res;~Lor, a calib.dli--y variable resistor, and elements that rectify and average the sampled current signal.
The current sampling circuit 115 s~Fp!;es the sampled current si~nal to the 10 linear conversion circuit 1 17. However, before the sampled current signal can be used as a feedback term, the mode crest factor for the selected electrosursaicalge.,eraLor 101 operational mode, needs to be compensated for. The linear conversion circuit 117, in Fi~aures 1 and 2, compensates for the linear relationship between the sampled current signal and a 'true' sampled RMS value, which is of the 15 form Irms = m x Isample + b, where Irms is a signal which is directly propo~ Lional to the RMS current, and m and b are given consLdnLs derived for a given crest factor.
While electrosurgical generaLo(s 101 have a wide variety of dirrere,.L output wave shapes with varying crest factors, it is prer~r-ad that the crest factor for a given mode be significantly cGn~;LanL over a finite patient tissue impedance range, such as 20 between 300 and 2500 ohms.
Accold;,-~ly, the linear conversion circuit 117 first multiples the sampled current si~qnal by the gain, m, and then adds the offset to it, b. When the values of m and b are chosen prciperly the resulting linear converted signal is directly proportional to the output RMS current of the slecL-osurgical geneidLor 101. The25 prefel.~d method for deter--.i;.-.a the proper values of m and b for a çlivenoperational mode and electrosurgical generator 101 includes collecting empirical data on the control voltage supplied to the high voltage DC supply 103 and the resulting output RMS current of the electrosurgical generator 101 and solving the linear equation, for m and b, by substitution.
The linear conversion circuit 1 17, shown in Figures 1 and 2, is electrically connected to the current sampling circuit 1 15. In the prefer,ed embodiment, thelinear conversion circuit 1 17 is also ele~,-L,ically connected to the power selection system 109 such that the operational mode of the electrosurgical generaLor 101 can S~S 111 ~JTE SHEET (RULE 26) W O 97/11648 PCT~B96/00618 be determined based on this connection. The linear conversion circuit 117 generates a linear converted signal and supplies this signal to the feedback correction circuit 119.
The preferred embodiment includes a linear multiplier generating means 201 within the linear conversion circuit 117, see Figure 2. The linear multiplier generating means 201 generates a plurality of unique multiplier reference signals ~i.e., a factor 'm'). There is preferably one, unique, multiplier reference signal for each operational mode. The preferred embodiment, of the linear multiplier generating means 201 includes several resistive components connected to voltage sources, across whicha predetermined voltage is maintained.
The preferled embodiment includes a linear offset generating means 203 within the linear conversion circuit 117, see Figure 2. The linear offset generating means 203 generates a plurality of unique offset reference signals ~i.e., a factor 'b').
There is preferably one, unique, offset reference signal for each operational mode.
The preferred embodiment of the linear offset generating means 203 includes several resistive components connected to voltage sources, across which a predetermined voltage is maintained.
The preferred embodiment also includes a plurality of multipliers 205, within the linear conversion circuit 117, see Figure 2. There is preferably one, corresponding, multiplier 205 for each operational mode. Each multiplier 205 is electricallyconnected to receive the sampled current signal and one unique multiplier reference signal from the linear multiplier generating means 201. Each multiplier 205 multiplies the sampled current signal and the unique multiplier reference signalassociated with one operational mode to produce a unique multiplied signal for that operational mode. The preferred embodiment of the multiplier 205 includes a plurality of operational amplifiers.
The preferred embodiment includes a plurality of summers 207, within the linear conversion circuit 117, see Figure 2. There is preferably one, corresponding, summer 207 for each operational mode. Each summer 207 is electrically connected to receive a unique multiplied signal and one unique offset reference signal from the linear offset generating means 203. Each summer 207 sums the offset reference signal associated with one operational mode and the unique multiplied signal associated with that operational mode to produce a unique linear converted signal for that operational mode. The preferred embodiment of the surrimer 207 includesconfiguring the plurality of operational amplifiers used as multipliers 205 to also function as summers 207.
The preferred embodiment includes a mode monitor 209, within the linear conversion circuit 1 17, see Figure 2. The mode monitor 209 is electrically connected to the power selection system 109, for identifying the operational mode of the electrosurgical generator 101 and producing an identified operational mode signal therefrom.
Closely associated with the mode monitor 209, is a signal selector 211 that is also within the linear conversion circuit 1 17, see Figure 2. The signal selector 21 1 is electrically connected to receive the identified operational mode signal and the unique linear converted signal from each of the summers 207. The signal selector2 11 selects the unique linear converted signal associated with the identified operational mode, and causes that linear converted signal to be supplied to the feedback correction circuit 1 19. In the preferred embodiment the mode monitor 209 and signal selector 211 are embodied within a circuit including a digital processing component that activates and/or deactivates a plurality of electronic switching elements.
The feedback correction circuit 119, shown in Figures 1 and 3, is electrically connected to receive the linear converted signal from the linear conversion circuit 117, the control voltage signal from the power selection system 109, and the voltage signal across the primary transformer winding 1 13. The feedback correction circuit 119 produces a feedback control signal and supplies the feedback controlsignal to the power selection system 109 so as to control the amount of electrosurgical energy created by the electrosurgical generator 101.
The feedback correction circuit 1 19 includes a subtractor 301, see Figure 3.
The subtractor 301 is electrically connected to receive the linear converted signal from the linear conversion circuit 1 17 and the control voltags signal which is generated by the power selection system 109 and supplied to the high voltage DC
supply, see Figures 1 and 3. The subtractor 301 determines the difference in amplitude between the control voltage signal and the linear converted signal, and produces a delta signal proportional to the ditt,arel-ce. The preferred embodiment of the subtractor 301 includes an operational amplifier component.

CA 02229874 l998-02-l8 W O 97/11648 PCT~B96/00618 Also included in the feedback correction circuit 119 is an adder 303, see Figure 3. The adder 303 is electrically connected to receive the delta signal and the control voltage signal. The adder 303 adds the delta si9nal to the control voltage signal to produce the feedback control signal. The prefel,dd embodiment includes5 an operational amplifier component.
Since holding the output RMS current constant for all impedances would be a physical impossibility based on the design limitations of the high voltage DC supply 103 and the output switching RF stage 105, it is preferred that the feedback control signal to the high voltage DC supply 103 be limited as a function of the impedance load 121 betweentheoutputelectrodes111.
In the prefer.ed embodiment, the feedback correction circuit 119 includes a maximum control voltage reference generator 305 for generating a maximum controlvoltage reference signal, see Figure 3. The preferred embodiment uses an operational amplifier component connected to the control voltage signal to establish a maximum control voltage reference signal based thereon.
The maximum control voltage reference signal is supplied to a switcher 307 within the preferred feedback correction circuit 119, see Figure 3. The switcher 307 is also electrically connected to receive the feedback control signal from the adder 303. The switcher 307 substitutes the maximum control voltage reference signal for the feedback control signal when the feedback control signal is greater in amplitude than the maximum control voltage reference signal, thereby limiting the electrosurgical generator's 101 output current through the output electrodes 111when the impedance load 121 is at a low impedance level. The preferred embodiment of the switcher 307 includes an AND circuit created with diodes that passes the lower of the two signals as the feedback control signal.
When the impedance load 121 between the output electrodes 111 is high, the preferred constant power control circuit 107 should limit the output voltage of the electrosurgical generator 101 so as protect the electrosurgical generator 101, and reduce leakage currents and exit sparking.
In the preferred embodiment, the feedback correction circuit 119 shown in Figure 3, includes a high impedance reference generator 309 for generating a high impedance refere,1ce signal. The high impedance reference generator 309 is electrically connected to receive the control voltage signal. The preferred high W O 97/11648 PCT~B96/00618 impedance reference generator 309 establishes the high impedance reference signal by linearly converting the control voltage signal with an operational amplifier.In the preferred embodiment a connector 311 is used for electrically connecting a comparator 313, within the feedback correction circuit 119, to the primary transformer winding 113, see Figures 1 and 3. The connector 311 providesthe comparator 313 with the voltage across the primary transformer winding 113.
The comparator 313 is also electrically connected to receive the high impedance reference signal. The comparator 313 compares the amplitude of the high impedance reference signal to the voltage across the primary transformer winding113 and produces a high impedance detection signal that indicates the results of this comparison. In the preferred embodiment the comparator 313 includes an operational amplifier component.
The high impedance detection signal is received by a reducer 315, shown in Figure 3 of the preferred embodiment, which is electrically connected to the comparator 313 and to the switcher 307. The reducer 315 reduces, to an internally generated preset reduced voltage level signal, the amplitude of the feedback control signal from the switcher 307 when the voltage across the primary trsnsformer winding 113 is greater than the high impedance reference signal as indicated by the high impedance detection signal. In the preferred embodiment, the reducer 315 includes a logic driven switched circuit and an adiuct~hlQ resistor providing a reduced voltage level signal. The reducer 315 supplies the resulting feedback control signal to the power selection system 109.
Associated with the constant power control circuit 107 is a method for maintaining a generally cons~ant output power from an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111.
The method includes the steps of inductively coupling to one output electrode, sensing the current flowing through the output electrode 111 and producing a sampled current signal proportional to the average current flowing through the output electrode. The method then continues with the steps of generaLing a multiplier reference signal, generating an offset reference signal, multiplying the sampled current signal and the multiplier reference signal, and then summing the offset reference signal to the product to producing a linear converted signal.
The method continues with the steps of connecting to the control voltage 5 signal from the power selection system 109, detel-nil,i"s the dirrerence in amplitude between the control voltage signal and the linear converted signal, adding the difference determined by the subtraction means to the control voltage signal to produce a feedback control signal, and then supplying the feedback control signal to the power selection system 109 to control the amount of electrosurgical energy 1 0 created.
To protect the electrosurgical generator 101 and the patient when the impedance load 121 is high, the method can include the steps of generating a high impedance reference signal, connecting to the primary transformer winding 113, comparing the amplitude of the high impedance reference signal to the voltage 15 across the primary transformer winding 113, and reducing the amplitude of thefeedback control signal when the voltage across the primary transformer winding 1 13 is greater than the high impedance It,ference signal.
To protect the electrosurgical generator 101 and patient when the impedance load 121 is low, the method can include the steps of generating a maximum control 20 voltage reference signal and substituting the maximum control voltage reference signal for the feedback control signal when the feedback control signal is greater in amplitude than the maximum control voltage reference signal.
For electrosurgical generators 101 having a plurality of operational modes, the method can be modified to include the steps of generating a plurality of unique linear 25 multiplier reference signals, one for each operational mode, and generating a plurality of unique linear offset reference signals, one for each operational mode. The method would then include the steps of multiplying the sampled current signal, separately and concurrently, with each of the unique multiplier reference signals to produce a plurality of unique multiplied signals, one for each operational mode, and then 30 summing each of the unique multiplied signals with the offset reference signal associated with the same operational mode to produce a plurality of unique linear converted signals, one for each operational mode. The method would continue withthe steps of connecting to the power selection system 109 to identify the W O 97/11648 PCT~B96/00618 operational mode selected, selecting the unique linear converted signal that matches the identified operational mode, and then causing that linear converted signal to be supplied to the feedback correction circuit 119.

Claims (9)

What is claimed is:
1. A constant power control circuit 107 for an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 1 1 1, the constant power control circuit 107 comprising:
a current sampling circuit 115 inductively coupled to one output electrode, the current sampling circuit 115 producing a sampled current signal proportional to the average current flowing through the output electrode;
a linear conversion circuit 117 electrically connected to the current sampling circuit 115 for generating a linear converted signal, wherein the linear conversion circuit 117 includes;
a linear multiplier generating means 201 for generating a multiplier reference signal;
a linear offset generating means 203 for generating an offset reference signal;
a multiplier, electrically connected to the linear multiplier generating means 201, for multiplying the sampled current signal and the multiplier reference signal to produce a multiplied signal; and a summer, electrically connected to the linear offset generating means 203, for summing the offset reference signal and the multiplied signal to produce the linear converted signal; and a feedback correction circuit 119 electrically connected to receive the linear converted signal from the linear conversion circuit 117 and the control voltage signal from the power selection system 109 for producing a feedback control signal which is supplied to the power selection system 109 to control the amount of electrosurgical energy created, wherein the feedback correction circuit 119 includes:
a subtractor 301, electrically connected to receive the linear converted signal and the control voltage signal, for determining a difference in amplitudebetween the control voltage signal and the linear converted signal and producing a delta signal proportional to the difference; and an adder 303, electrically connected to receive the delta signal and the control voltage signal, for adding the delta signal to the control voltage signal and producing the feedback control signal.
2. The constant power control circuit 107 for an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111 of Claim 1, wherein the output switching radio frequency stage 105 has a primary transformer winding 113, and wherein thefeedback correction circuit 119 further includes:
a high impedance reference generator 309, electrically connected to receive the control voltage signal, for generating a high impedance reference signal;
a connector 311 for electrically connecting the feedback correction circuit 119 to the primary transformer winding 113;
a comparator 313, electrically connected to the connector 311 and to receive the high impedance signal, for comparing the amplitude of the high impedance reference signal to the voltage across the primary transformer winding113 and producing a high impedance detection signal; and a reducer 315, electrically connected to receive the high impedance detection signal and the feedback control signal, for reducing the amplitude of the feedback control signal when the high impedance detection signal indicates that the voltage across the primary transformer winding 113 is greater than the high impedance reference signal.
3. The constant power control circuit 107 for an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111 of Claim 1, wherein the feedback correction circuit 119 further includes:
a maximum control voltage reference generator 305, electrically connected to receive the control voltage signal, for generating a maximum control voltage reference signal; and a switcher 307, electrically connected to receive the maximum control voltage reference signal and the feedback control signal, for substituting the maximum control voltage reference signal for the feedback control signal when the feedback control signal is greater in amplitude than the maximum control voltagereference signal.
4. The constant power control circuit 107 for an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111 of Claim 1, wherein the power selectionsystem 109 has a plurality of operational modes and wherein the linear multiplier generating means 201 generates a unique multiplier reference signal for each operational mode, and the linear offset generating means 203 generates a unique offset reference signal for each operational mode, and wherein the linear conversion circuit 117 further includes:
a plurality of multipliers 205, wherein there is one multiplier for each operational mode and each multiplier multiplies the sampled current signal and the unique multiplier reference signal associated with one operational mode to produce a unique multiplied signal for that operational mode;
a plurality of summers 207, wherein there is one summer for each operational mode and each summer sums the offset reference signal associated with one operational mode and the unique multiplied signal associated with that operational mode to produce a unique linear converted signal for that operational mode;
a mode monitor 209, electrically connected to the power selection system 109, for identifying the operational mode and producing an identified operational mode signal;
a signal selector 211, electrically connected to receive the identified operational mode signal and the unique linear converted signal from each of the summers, for selecting the unique linear converted signal associated with the identified operational mode, and causing that linear converted signal to be supplied to the feedback correction circuit 119.
5. A constant power control circuit 107 for an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111, wherein the power selection system 109 has a plurality of operational modes and the output switching radio frequency stage 105 has a primary transformer winding 113, and wherein the constant power control circuit 107 comprises:
a current sampling circuit 115 inductively coupled to one output electrode, the current sampling circuit 115 producing a sampled current signal proportional to the average current flowing through the output electrode;
a linear conversion circuit 117 electrically connected to the current sampling circuit 115 for generating a linear converted signal, wherein the linear conversion circuit 117 includes;
a linear multiplier generating means 201 for generating a plurality of unique multiplier reference signals, wherein there is one multiplier reference signal for each operational mode;
a linear offset generating means 203 for generating a plurality of unique offset reference signals, wherein there is one offset reference signal for each operational mode;
a plurality of multipliers 205, electrically connected to the linear multiplier generating means 201 and to receive the sampled current signal, wherein there is one multiplier for each operational mode and each multiplier multiplies the sampled current signal and the unique multiplier reference signal associated with one operational mode to produce a unique multiplied signal for that operational mode;
a plurality of summers 207, electrically connected to the linear offset generating means 203 and to each multiplier, wherein there is one summer for each operational mode and each summer sums the offset reference signal associated with one operational mode and the unique multiplied signal associated with that operational mode to produce a unique linear converted signal for that operational mode;

a mode monitor 209, electrically connected to the power selection system 109, for identifying the operational mode and producing an identified operational mode signal;
a signal selector 211, electrically connected to receive the identified operational mode signal and the unique linear converted signal from each of the summers, for selecting the unique linear converted signal associated with the identified operational mode, and causing that linear converted signal to be supplied to the feedback correction circuit 119; and a feedback correction circuit 119 electrically connected to receive the linear converted signal from the linear conversion circuit 1 17 and the control voltage signal from the power selection system 109 for producing a feedback control signal which is supplied to the power selection system 109 to control the amount of electrosurgical energy created, wherein the feedback correction circuit 1 19 includes:
a subtractor 301, electrically connected to receive the linear converted signal and the control voltage signal, for determining a difference in amplitudebetween the control voltage signal and the linear converted signal and producing a delta signal proportional to the difference;
an adder 303, electrically connected to receive the delta signal and the control voltage signal, for adding the delta signal to the control voltage signal and producing the feedback control signal;
a maximum control voltage reference generator 305, electrically connected to receive the control voltage signal, for generating a maximum control voltage reference signal;
a switcher 307, electrically connected to receive the maximum control voltage reference signal and the feedback control signal, for substituting the maximum control voltage reference signal for the feedback control signal when the feedback control signal is greater in amplitude than the maximum control voltagereference signal a high impedance reference generator 309, electrically connected to receive the control voltage signal, for generating a high impedance reference signal;
a connector 311 for electrically connecting the feedback correction circuit 119 to the primary transformer winding 113;

a comparator 313, electrically connected to the connector 311 and to receive the high impedance signal, for comparing the amplitude of the high impedance reference signal to the voltage across the primary transformer winding113 and producing a high impedance detection signal; and a reducer 315, electrically connected to receive the high impedance detection signal and the feedback control signal, for reducing the amplitude of the feedback control signal when the high impedance detection signal indicates that the voltage across the primary transformer winding 113 is greater than the high impedance reference signal.
6. A method for maintaining a generally constant output power from an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111, the method including the steps of:
inductively coupling to one output electrode;
sensing the current flowing through the output electrode;
producing a sampled current signal proportional to the average current flowing through the output electrode;
generating a multiplier reference signal;
generating an offset reference signal;
multiplying the sampled current signal and the multiplier reference signal; then summing the offset reference signal to the product to producing a linear converted signal;
connecting to the control voltage signal from the power selection system 109;
determining the difference in amplitude between the control voltage signal and the linear converted signal;
adding the difference determined by the subtraction means to the control voltage signal to produce a feedback control signal.
supplying the feedback control signal to the power selection system 109 to control the amount of electrosurgical energy created.
7. The method for maintaining a generally constant output power from an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111 of Claim 6, wherein the output switching radio frequency stage 105 has a primary transformer winding 113, and wherein the method further includes the steps of:
generating a high impedance reference signal;
connecting to the primary transformer winding 113;
comparing the amplitude of the high impedance reference signal to the voltage across the primary transformer winding 113; and reducing the amplitude of the feedback control signal when the voltage across the primary transformer winding 113 is greater than the high impedance reference signal.
8. The method for maintaining a generally constant output power from an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111 of Claim 6, the method further including the steps of:
generating a maximum control voltage reference signal; and substituting the maximum control voltage reference signal for the feedback control signal when the feedback control signal is greater in amplitude than the maximum control voltage reference signal.
9. The method for maintaining a generally constant output power from an electrosurgical generator 101 having a power selection system 109 that produces a control voltage signal to control a high voltage direct current supply 103 which supplies a high voltage signal to an output switching radio frequency stage 105 thereby creating an electrosurgical energy between two output electrodes 111 of Claim 6, wherein the power selection system 109 has a plurality of operational modes and wherein the method further includes the steps of:
generating a plurality of unique linear multiplier reference signals, one for each operational mode;

generating a plurality of unique linear offset reference signals, one for each operational mode;
multiplying the sampled current signal, separately and concurrently, with each of the unique multiplier reference signals to produce a plurality of unique multiplied signals, one for each operational mode;
summing each of the unique multiplied signals with the offset reference signal associated with the same operational mode to produce a plurality of unique linear converted signals, one for each operational mode;
connecting to the power selection system 109 to identify the operational mode selected;
selecting the unique linear converted signal that matches the identified operational mode; and then causing that linear converted signal to be supplied to the feedback correction circuit 119.
CA002229874A 1995-09-26 1996-06-28 Electrosurgical generator power control circuit and method Abandoned CA2229874A1 (en)

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US08/533,891 US5772659A (en) 1995-09-26 1995-09-26 Electrosurgical generator power control circuit and method
US08/533,891 1995-09-26
PCT/IB1996/000618 WO1997011648A2 (en) 1995-09-26 1996-06-28 Electrosurgical generator power control circuit and method

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Families Citing this family (731)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5772659A (en) * 1995-09-26 1998-06-30 Valleylab Inc. Electrosurgical generator power control circuit and method
DE19623840A1 (en) * 1996-06-14 1997-12-18 Berchtold Gmbh & Co Geb High frequency electrosurgical generator
US5954717A (en) * 1997-09-25 1999-09-21 Radiotherapeutics Corporation Method and system for heating solid tissue
US6358246B1 (en) 1999-06-25 2002-03-19 Radiotherapeutics Corporation Method and system for heating solid tissue
US6165173A (en) * 1997-10-06 2000-12-26 Somnus Medical Technologies, Inc. Memory for regulating device utilization and behavior
DE19757720A1 (en) * 1997-12-23 1999-06-24 Sulzer Osypka Gmbh Method for operating a high-frequency ablation device and device for high-frequency tissue ablation
US7137980B2 (en) 1998-10-23 2006-11-21 Sherwood Services Ag Method and system for controlling output of RF medical generator
US7364577B2 (en) 2002-02-11 2008-04-29 Sherwood Services Ag Vessel sealing system
US7901400B2 (en) 1998-10-23 2011-03-08 Covidien Ag Method and system for controlling output of RF medical generator
CA2397825C (en) 2000-02-28 2007-03-27 Conmed Corporation Electrosurgical blade with direct adhesion of silicone coating
US20050004559A1 (en) * 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
US8133218B2 (en) 2000-12-28 2012-03-13 Senorx, Inc. Electrosurgical medical system and method
US6620157B1 (en) 2000-12-28 2003-09-16 Senorx, Inc. High frequency power source
US6682527B2 (en) 2001-03-13 2004-01-27 Perfect Surgical Techniques, Inc. Method and system for heating tissue with a bipolar instrument
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
US8734441B2 (en) * 2001-08-15 2014-05-27 Nuortho Surgical, Inc. Interfacing media manipulation with non-ablation radiofrequency energy system and method
US20100324550A1 (en) * 2009-06-17 2010-12-23 Nuortho Surgical Inc. Active conversion of a monopolar circuit to a bipolar circuit using impedance feedback balancing
US6790206B2 (en) * 2002-01-31 2004-09-14 Scimed Life Systems, Inc. Compensation for power variation along patient cables
US7258688B1 (en) 2002-04-16 2007-08-21 Baylis Medical Company Inc. Computerized electrical signal generator
ATE371413T1 (en) 2002-05-06 2007-09-15 Covidien Ag BLOOD DETECTOR FOR CHECKING AN ELECTROSURGICAL UNIT
US6830569B2 (en) * 2002-11-19 2004-12-14 Conmed Corporation Electrosurgical generator and method for detecting output power delivery malfunction
US7044948B2 (en) 2002-12-10 2006-05-16 Sherwood Services Ag Circuit for controlling arc energy from an electrosurgical generator
US6972014B2 (en) * 2003-01-04 2005-12-06 Endocare, Inc. Open system heat exchange catheters and methods of use
US20040220557A1 (en) * 2003-04-30 2004-11-04 Eum Jay J. Closed system warming catheter and method of use
EP1617776B1 (en) 2003-05-01 2015-09-02 Covidien AG System for programing and controlling an electrosurgical generator system
US7258689B2 (en) * 2003-05-19 2007-08-21 Matteo Tutino Silver alloys for use in medical, surgical and microsurgical instruments and process for producing the alloys
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US8104956B2 (en) 2003-10-23 2012-01-31 Covidien Ag Thermocouple measurement circuit
US8808161B2 (en) 2003-10-23 2014-08-19 Covidien Ag Redundant temperature monitoring in electrosurgical systems for safety mitigation
US7396336B2 (en) 2003-10-30 2008-07-08 Sherwood Services Ag Switched resonant ultrasonic power amplifier system
US20050107780A1 (en) * 2003-11-19 2005-05-19 Goth Paul R. Thermokeratoplasty system with a calibrated radio frequency amplifier
US7131860B2 (en) 2003-11-20 2006-11-07 Sherwood Services Ag Connector systems for electrosurgical generator
US7766905B2 (en) 2004-02-12 2010-08-03 Covidien Ag Method and system for continuity testing of medical electrodes
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US7780662B2 (en) 2004-03-02 2010-08-24 Covidien Ag Vessel sealing system using capacitive RF dielectric heating
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US20060041252A1 (en) * 2004-08-17 2006-02-23 Odell Roger C System and method for monitoring electrosurgical instruments
PL1802245T3 (en) 2004-10-08 2017-01-31 Ethicon Endosurgery Llc Ultrasonic surgical instrument
US7628786B2 (en) 2004-10-13 2009-12-08 Covidien Ag Universal foot switch contact port
US8795195B2 (en) 2004-11-29 2014-08-05 Senorx, Inc. Graphical user interface for tissue biopsy system
US9474564B2 (en) 2005-03-31 2016-10-25 Covidien Ag Method and system for compensating for external impedance of an energy carrying component when controlling an electrosurgical generator
US7621889B2 (en) * 2005-06-09 2009-11-24 Endocare, Inc. Heat exchange catheter and method of use
US7621890B2 (en) * 2005-06-09 2009-11-24 Endocare, Inc. Heat exchange catheter with multi-lumen tube having a fluid return passageway
US7655003B2 (en) 2005-06-22 2010-02-02 Smith & Nephew, Inc. Electrosurgical power control
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US20070194079A1 (en) 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US8734438B2 (en) 2005-10-21 2014-05-27 Covidien Ag Circuit and method for reducing stored energy in an electrosurgical generator
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7947039B2 (en) 2005-12-12 2011-05-24 Covidien Ag Laparoscopic apparatus for performing electrosurgical procedures
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
CA2574935A1 (en) 2006-01-24 2007-07-24 Sherwood Services Ag A method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm
AU2007200299B2 (en) 2006-01-24 2012-11-15 Covidien Ag System and method for tissue sealing
US8216223B2 (en) 2006-01-24 2012-07-10 Covidien Ag System and method for tissue sealing
US8147485B2 (en) 2006-01-24 2012-04-03 Covidien Ag System and method for tissue sealing
US9186200B2 (en) 2006-01-24 2015-11-17 Covidien Ag System and method for tissue sealing
US8685016B2 (en) 2006-01-24 2014-04-01 Covidien Ag System and method for tissue sealing
US7513896B2 (en) 2006-01-24 2009-04-07 Covidien Ag Dual synchro-resonant electrosurgical apparatus with bi-directional magnetic coupling
CA2574934C (en) * 2006-01-24 2015-12-29 Sherwood Services Ag System and method for closed loop monitoring of monopolar electrosurgical apparatus
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7651493B2 (en) 2006-03-03 2010-01-26 Covidien Ag System and method for controlling electrosurgical snares
US7648499B2 (en) 2006-03-21 2010-01-19 Covidien Ag System and method for generating radio frequency energy
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US7651492B2 (en) 2006-04-24 2010-01-26 Covidien Ag Arc based adaptive control system for an electrosurgical unit
US8007494B1 (en) 2006-04-27 2011-08-30 Encision, Inc. Device and method to prevent surgical burns
US8753334B2 (en) 2006-05-10 2014-06-17 Covidien Ag System and method for reducing leakage current in an electrosurgical generator
WO2007145926A2 (en) * 2006-06-05 2007-12-21 Senorx, Inc. Biopsy system with integrated ultrasonic imaging
US8251989B1 (en) 2006-06-13 2012-08-28 Encision, Inc. Combined bipolar and monopolar electrosurgical instrument and method
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US7731717B2 (en) 2006-08-08 2010-06-08 Covidien Ag System and method for controlling RF output during tissue sealing
US8034049B2 (en) 2006-08-08 2011-10-11 Covidien Ag System and method for measuring initial tissue impedance
US7794457B2 (en) 2006-09-28 2010-09-14 Covidien Ag Transformer for RF voltage sensing
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US7735703B2 (en) 2007-03-15 2010-06-15 Ethicon Endo-Surgery, Inc. Re-loadable surgical stapling instrument
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8226675B2 (en) 2007-03-22 2012-07-24 Ethicon Endo-Surgery, Inc. Surgical instruments
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8777941B2 (en) 2007-05-10 2014-07-15 Covidien Lp Adjustable impedance electrosurgical electrodes
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US7834484B2 (en) 2007-07-16 2010-11-16 Tyco Healthcare Group Lp Connection cable and method for activating a voltage-controlled generator
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8882791B2 (en) 2007-07-27 2014-11-11 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8216220B2 (en) 2007-09-07 2012-07-10 Tyco Healthcare Group Lp System and method for transmission of combined data stream
US8512332B2 (en) 2007-09-21 2013-08-20 Covidien Lp Real-time arc control in electrosurgical generators
JP2010540186A (en) 2007-10-05 2010-12-24 エシコン・エンド−サージェリィ・インコーポレイテッド Ergonomic surgical instrument
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
RU2493788C2 (en) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Surgical cutting and fixing instrument, which has radio-frequency electrodes
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US8371491B2 (en) 2008-02-15 2013-02-12 Ethicon Endo-Surgery, Inc. Surgical end effector having buttress retention features
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
CA3161692A1 (en) 2008-03-31 2009-10-08 Applied Medical Resources Corporation Electrosurgical system
US8226639B2 (en) 2008-06-10 2012-07-24 Tyco Healthcare Group Lp System and method for output control of electrosurgical generator
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
EP2323578B1 (en) 2008-08-18 2018-10-03 Encision, Inc. Enhanced control systems including flexible shielding and support systems for electrosurgical applications
US9833281B2 (en) 2008-08-18 2017-12-05 Encision Inc. Enhanced control systems including flexible shielding and support systems for electrosurgical applications
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
PL3476312T3 (en) 2008-09-19 2024-03-11 Ethicon Llc Surgical stapler with apparatus for adjusting staple height
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8262652B2 (en) 2009-01-12 2012-09-11 Tyco Healthcare Group Lp Imaginary impedance process monitoring and intelligent shut-off
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
RU2525225C2 (en) 2009-02-06 2014-08-10 Этикон Эндо-Серджери, Инк. Improvement of drive surgical suturing instrument
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US9532827B2 (en) 2009-06-17 2017-01-03 Nuortho Surgical Inc. Connection of a bipolar electrosurgical hand piece to a monopolar output of an electrosurgical generator
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
USRE47996E1 (en) 2009-10-09 2020-05-19 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US8956349B2 (en) 2009-10-09 2015-02-17 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
EP3556308B1 (en) 2009-11-05 2023-12-20 Stratus Medical, LLC Systems for spinal radio frequency neurotomy
US8353438B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8961547B2 (en) 2010-02-11 2015-02-24 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with moving cutting implement
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8579928B2 (en) 2010-02-11 2013-11-12 Ethicon Endo-Surgery, Inc. Outer sheath and blade arrangements for ultrasonic surgical instruments
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
KR20150031339A (en) 2010-05-21 2015-03-23 님버스 컨셉츠, 엘엘씨 Systems and methods for tissue ablation
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8801735B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical circular stapler with tissue retention arrangements
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US8783542B2 (en) 2010-09-30 2014-07-22 Ethicon Endo-Surgery, Inc. Fasteners supported by a fastener cartridge support
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
AU2011308701B2 (en) 2010-09-30 2013-11-14 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US9168038B2 (en) 2010-09-30 2015-10-27 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a tissue thickness compensator
EP2621389B1 (en) 2010-10-01 2015-03-18 Applied Medical Resources Corporation Electrosurgical instrument with jaws and with an electrode
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US9408658B2 (en) 2011-02-24 2016-08-09 Nuortho Surgical, Inc. System and method for a physiochemical scalpel to eliminate biologic tissue over-resection and induce tissue healing
US9033204B2 (en) 2011-03-14 2015-05-19 Ethicon Endo-Surgery, Inc. Circular stapling devices with tissue-puncturing anvil features
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
BR112013027794B1 (en) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc CLAMP CARTRIDGE SET
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
US9033973B2 (en) 2011-08-30 2015-05-19 Covidien Lp System and method for DC tissue impedance sensing
US8789739B2 (en) 2011-09-06 2014-07-29 Ethicon Endo-Surgery, Inc. Continuous stapling instrument
US9099863B2 (en) 2011-09-09 2015-08-04 Covidien Lp Surgical generator and related method for mitigating overcurrent conditions
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8664934B2 (en) 2012-01-27 2014-03-04 Covidien Lp System and method for verifying the operating frequency of digital control circuitry
EP2811932B1 (en) 2012-02-10 2019-06-26 Ethicon LLC Robotically controlled surgical instrument
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
RU2639857C2 (en) 2012-03-28 2017-12-22 Этикон Эндо-Серджери, Инк. Tissue thickness compensator containing capsule for medium with low pressure
BR112014024194B1 (en) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc STAPLER CARTRIDGE SET FOR A SURGICAL STAPLER
RU2014143258A (en) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. FABRIC THICKNESS COMPENSATOR CONTAINING MANY LAYERS
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9226766B2 (en) 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9241731B2 (en) 2012-04-09 2016-01-26 Ethicon Endo-Surgery, Inc. Rotatable electrical connection for ultrasonic surgical instruments
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
BR112014032740A2 (en) 2012-06-28 2020-02-27 Ethicon Endo Surgery Inc empty clip cartridge lock
BR112014032776B1 (en) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9283045B2 (en) 2012-06-29 2016-03-15 Ethicon Endo-Surgery, Llc Surgical instruments with fluid management system
US9529025B2 (en) 2012-06-29 2016-12-27 Covidien Lp Systems and methods for measuring the frequency of signals generated by high frequency medical devices
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
BR112015007010B1 (en) 2012-09-28 2022-05-31 Ethicon Endo-Surgery, Inc end actuator
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US10201365B2 (en) 2012-10-22 2019-02-12 Ethicon Llc Surgeon feedback sensing and display methods
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9579142B1 (en) 2012-12-13 2017-02-28 Nuortho Surgical Inc. Multi-function RF-probe with dual electrode positioning
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
BR112015021098B1 (en) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT
US9358003B2 (en) 2013-03-01 2016-06-07 Ethicon Endo-Surgery, Llc Electromechanical surgical device with signal relay arrangement
RU2669463C2 (en) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Surgical instrument with soft stop
US9895186B2 (en) 2013-03-11 2018-02-20 Covidien Systems and methods for detecting abnormalities within a circuit of an electrosurgical generator
US9519021B2 (en) * 2013-03-11 2016-12-13 Covidien Lp Systems and methods for detecting abnormalities within a circuit of an electrosurgical generator
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US9241728B2 (en) 2013-03-15 2016-01-26 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
BR112015026109B1 (en) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc surgical instrument
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9872719B2 (en) 2013-07-24 2018-01-23 Covidien Lp Systems and methods for generating electrosurgical energy using a multistage power converter
US9636165B2 (en) 2013-07-29 2017-05-02 Covidien Lp Systems and methods for measuring tissue impedance through an electrosurgical cable
MX369362B (en) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Firing member retraction devices for powered surgical instruments.
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
BR112016019387B1 (en) 2014-02-24 2022-11-29 Ethicon Endo-Surgery, Llc SURGICAL INSTRUMENT SYSTEM AND FASTENER CARTRIDGE FOR USE WITH A SURGICAL FIXING INSTRUMENT
US9775608B2 (en) 2014-02-24 2017-10-03 Ethicon Llc Fastening system comprising a firing member lockout
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
BR112016021943B1 (en) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
BR112016023698B1 (en) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc FASTENER CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
CN106456159B (en) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 Fastener cartridge assembly and nail retainer lid arragement construction
JP6612256B2 (en) 2014-04-16 2019-11-27 エシコン エルエルシー Fastener cartridge with non-uniform fastener
US10542988B2 (en) 2014-04-16 2020-01-28 Ethicon Llc End effector comprising an anvil including projections extending therefrom
EP3142583B1 (en) 2014-05-16 2023-04-12 Applied Medical Resources Corporation Electrosurgical system
EP3148465B1 (en) 2014-05-30 2018-05-16 Applied Medical Resources Corporation Electrosurgical system with an instrument comprising a jaw with a central insulative pad
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9649148B2 (en) * 2014-07-24 2017-05-16 Arthrocare Corporation Electrosurgical system and method having enhanced arc prevention
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (en) 2014-09-05 2023-04-11 Ethicon Llc ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
BR112017005981B1 (en) 2014-09-26 2022-09-06 Ethicon, Llc ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US10405915B2 (en) 2014-10-31 2019-09-10 Medtronic Advanced Energy Llc RF output stage switching mechanism
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
WO2016086084A1 (en) 2014-11-26 2016-06-02 Devicor Medical Products, Inc. Graphical user interface for biopsy device
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
MX2017008108A (en) 2014-12-18 2018-03-06 Ethicon Llc Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge.
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10420603B2 (en) 2014-12-23 2019-09-24 Applied Medical Resources Corporation Bipolar electrosurgical sealer and divider
USD748259S1 (en) 2014-12-29 2016-01-26 Applied Medical Resources Corporation Electrosurgical instrument
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US9931118B2 (en) 2015-02-27 2018-04-03 Ethicon Endo-Surgery, Llc Reinforced battery for a surgical instrument
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
JP2020121162A (en) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
US10034684B2 (en) 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10178992B2 (en) 2015-06-18 2019-01-15 Ethicon Llc Push/pull articulation drive systems for articulatable surgical instruments
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
JP6828018B2 (en) 2015-08-26 2021-02-10 エシコン エルエルシーEthicon LLC Surgical staple strips that allow you to change the characteristics of staples and facilitate filling into cartridges
US10390829B2 (en) 2015-08-26 2019-08-27 Ethicon Llc Staples comprising a cover
US10314587B2 (en) 2015-09-02 2019-06-11 Ethicon Llc Surgical staple cartridge with improved staple driver configurations
MX2022006189A (en) 2015-09-02 2022-06-16 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples.
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US11690623B2 (en) 2015-09-30 2023-07-04 Cilag Gmbh International Method for applying an implantable layer to a fastener cartridge
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US10709469B2 (en) 2016-01-15 2020-07-14 Ethicon Llc Modular battery powered handheld surgical instrument with energy conservation techniques
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
JP6911054B2 (en) 2016-02-09 2021-07-28 エシコン エルエルシーEthicon LLC Surgical instruments with asymmetric joint composition
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10675021B2 (en) 2016-04-01 2020-06-09 Ethicon Llc Circular stapling system comprising rotary firing system
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
CN109310431B (en) 2016-06-24 2022-03-04 伊西康有限责任公司 Staple cartridge comprising wire staples and punch staples
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10828056B2 (en) 2016-08-25 2020-11-10 Ethicon Llc Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
WO2018102376A1 (en) * 2016-11-29 2018-06-07 St. Jude Medical, Cardiology Division, Inc. Electroporation systems and catheters for electroporation systems
US10524789B2 (en) 2016-12-21 2020-01-07 Ethicon Llc Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration
JP2020501779A (en) 2016-12-21 2020-01-23 エシコン エルエルシーEthicon LLC Surgical stapling system
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US10835245B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10881401B2 (en) 2016-12-21 2021-01-05 Ethicon Llc Staple firing member comprising a missing cartridge and/or spent cartridge lockout
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
JP6983893B2 (en) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC Lockout configuration for surgical end effectors and replaceable tool assemblies
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
JP7010956B2 (en) 2016-12-21 2022-01-26 エシコン エルエルシー How to staple tissue
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11000279B2 (en) 2017-06-28 2021-05-11 Ethicon Llc Surgical instrument comprising an articulation system ratio
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US10682134B2 (en) 2017-12-21 2020-06-16 Ethicon Llc Continuous use self-propelled stapling instrument
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
CA3111558A1 (en) 2018-09-05 2020-03-12 Applied Medical Resources Corporation Electrosurgical generator control system
AU2019381617A1 (en) 2018-11-16 2021-05-20 Applied Medical Resources Corporation Electrosurgical system
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US20210196349A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with flexible wiring assemblies
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US20210196344A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Surgical system communication pathways
US20210196363A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US20210196359A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instruments with electrodes having energy focusing features
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US11864756B2 (en) 2020-07-28 2024-01-09 Cilag Gmbh International Surgical instruments with flexible ball chain drive arrangements
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US20220378424A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a firing lockout
CN113679467A (en) * 2021-08-10 2021-11-23 南京麦澜德医疗科技股份有限公司 Variable phase array electrode device
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
CN114391941A (en) * 2021-12-21 2022-04-26 杭州堃博生物科技有限公司 Control method, device, equipment and storage medium of radio frequency ablation circuit

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3601126A (en) * 1969-01-08 1971-08-24 Electro Medical Systems Inc High frequency electrosurgical apparatus
US3913583A (en) * 1974-06-03 1975-10-21 Sybron Corp Control circuit for electrosurgical units
JPS5710740B2 (en) * 1974-06-17 1982-02-27
US3964487A (en) * 1974-12-09 1976-06-22 The Birtcher Corporation Uncomplicated load-adapting electrosurgical cutting generator
US4092986A (en) * 1976-06-14 1978-06-06 Ipco Hospital Supply Corporation (Whaledent International Division) Constant output electrosurgical unit
US4126137A (en) * 1977-01-21 1978-11-21 Minnesota Mining And Manufacturing Company Electrosurgical unit
US4188927A (en) * 1978-01-12 1980-02-19 Valleylab, Inc. Multiple source electrosurgical generator
US4658819A (en) * 1983-09-13 1987-04-21 Valleylab, Inc. Electrosurgical generator
US4727874A (en) * 1984-09-10 1988-03-01 C. R. Bard, Inc. Electrosurgical generator with high-frequency pulse width modulated feedback power control
US4961047A (en) * 1988-11-10 1990-10-02 Smiths Industries Public Limited Company Electrical power control apparatus and methods
DE4126608A1 (en) * 1991-08-12 1993-02-18 Fastenmeier Karl ARRANGEMENT FOR CUTTING ORGANIC TISSUE WITH HIGH-FREQUENCY CURRENT
DE4205213A1 (en) * 1992-02-20 1993-08-26 Delma Elektro Med App HIGH FREQUENCY SURGERY DEVICE
DE4233467A1 (en) * 1992-10-05 1994-04-07 Ivan Dr Dipl Ing Fuezes HF surgical appts. with load dependent performance control - has feed source controlled by combination of negative and positive feedback of electrode voltage and current
US5749871A (en) * 1993-08-23 1998-05-12 Refractec Inc. Method and apparatus for modifications of visual acuity by thermal means
DE4438978A1 (en) * 1994-10-31 1996-05-02 Helmut Wurzer Electrosurgical unit and method for its operation
US5772659A (en) * 1995-09-26 1998-06-30 Valleylab Inc. Electrosurgical generator power control circuit and method
US5792138A (en) * 1996-02-22 1998-08-11 Apollo Camera, Llc Cordless bipolar electrocautery unit with automatic power control

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US6251106B1 (en) 2001-06-26
WO1997011648A3 (en) 1997-06-12

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