IP Library Granted Patent US 12,582,457
Granted Patent B2
US 12,582,457 · App. 17/132,156 · Granted Mar 24, 2026

Bipolar combination device that automatically adjusts pressure based on energy modality

Inventors: David C. Yates (Morrow, OH); Frederick E. Shelton, IV (Hillsboro, OH); Jason L. Harris (Lebanon, OH)
Assignee: Cilag GmbH International
A61B18/1206A61B17/320068A61B17/320092A61B18/1445A61B34/30A61B34/76A61B2017/00017A61B2017/00026A61B2017/00084A61B2017/0011A61B2017/00199A61B2017/00398A61B2017/00871A61B2018/00595A61B2018/00601A61B2018/00619A61B2018/0063A61B2018/00666A61B2018/00702A61B2018/00779A61B2018/00827A61B2018/00875A61B2018/00892A61B2018/00994A61B2018/1226A61B2018/1253A61B2018/126A61B2018/1467A61B34/25A61B2034/256A61B2090/032
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Quick Facts
Patent No.
US 12,582,457
App. No.
17/132,156
Granted
Mar 24, 2026
Kind
B2
Abstract

A surgical instrument, system and method for adjusting a compression force applied by a surgical instrument are disclosed. The method includes determining tissue impedance of tissue in contact with an end effector of the surgical instrument, determining a tissue type based on the tissue impedance, selecting a first energy modality to deliver to the surgical instrument, generating a first signal waveform based on the first energy modality, selecting a second energy modality to deliver to the surgical instrument, generating a second signal waveform based on the second energy modality, outputting the first and second signal waveform to deliver energy to the end effector, and adjusting a compression force applied by the end effector by changing a size of a gap between the tissue and the clamp arm based on a proportion of the first signal waveform to the second signal waveform.

Claims (38)

1 . A surgical system, comprising:

one or more modular devices; and

a surgical hub configured to serve as a central connection for a surgical operating theater, wherein the one or more modular devices are operably coupled to the surgical hub, wherein the surgical hub comprises a processor and a memory communicatively coupled to the processor, and wherein the memory stores instructions executable by the processor to:

receive data from data sources;

infer a type of surgical procedure to be performed based on the received data;

receive additional data from one or more of the data sources or additional data sources;

continuously infer a current step of the surgical procedure throughout the surgical procedure as the additional data is received; and

adjust the one or more modular devices based on the current step of the surgical procedure.

2 . The surgical system of claim 1 , further comprising a plurality of auxiliary equipment, and wherein the received data comprises which equipment of the plurality of auxiliary equipment has been activated.

3 . The surgical system of claim 1 , wherein the memory further stores instructions executable by the processor to retrieve steps associated with the type of surgical procedure from a memory.

4 . The surgical system of claim 3 , wherein the received data comprises data from medical devices in the surgical operating theater.

5 . The surgical system of claim 3 , wherein the memory further stores instructions executable by the processor to record data pertaining to the surgical procedure being performed.

6 . The surgical system of claim 1 , wherein the surgical system further comprises a monitoring device, wherein the received data comprises data from the monitoring device, and wherein the memory further stores instructions executable by the processor to infer a location of a patient relative to the surgical operating theater based on the received data.

7 . The surgical system of claim 1 , wherein the one or more modular devices are mounted to a robotic arm of a robotic surgical system.

8 . The surgical system of claim 1 , wherein the memory further stores instructions executable by the processor to adjust the one or more modular devices by adjusting a field of view of one or more modular devices.

9 . The surgical system of claim 1 , wherein the one or more modular devices further comprise an electrosurgical instrument, and wherein the memory further stores instructions executable by the processor to adjust the one or more modular devices by adjusting an energy level of the electrosurgical instrument.

10 . The surgical system of claim 1 , wherein the one or more modular devices comprise a handheld surgical instrument.

11 . The surgical system of claim 1 , wherein the one or more modular devices comprise a surgical stapler, wherein the received additional data comprises data associated with a type of staple cartridge being utilized by the surgical stapler, and wherein the memory further stores instructions executable by the processor to infer a type of tissue being stapled based on the received additional data.

12 . The surgical system of claim 1 , wherein the received data comprises scanned medical supplies.

13 . A surgical system, comprising:

one or more surgical instruments; and

a surgical hub operable coupled to the one or more surgical instruments, wherein the surgical hub is configured to serve as a central connection for a surgical operating theater, and wherein the surgical hub comprises a processor and a memory communicatively coupled to the processor, and wherein the memory stores instructions executable by the processor to:

receive data from data sources within the surgical operating theater;

infer a type of surgical procedure to be performed based on the received data;

receive additional data from one or more of the data sources or additional data sources;

continuously infer a current step of the surgical procedure throughout the surgical procedure as the additional data is received; and

adjust the one or more surgical instruments based on the current step of the surgical procedure.

14 . The surgical system of claim 13 , wherein the one or more surgical instruments comprise an electrosurgical instrument, and wherein the memory further stores instructions executable by the processor to adjust the one or more surgical instruments by adjusting an energy level of the electrosurgical instrument.

15 . A surgical hub configured to serve as a central connection for a surgical operating theater, wherein the surgical hub comprises a processor and a memory communicatively coupled to the processor, and wherein the memory stores instructions executable by the processor to:

receive data from data sources within the surgical operating theater;

infer a type of surgical procedure to be performed based on the received data;

receive additional data from one or more of the data sources or additional data sources;

continuously infer a current step of the surgical procedure throughout the surgical procedure as the additional data is received; and

adjust one or more modular devices operably coupled to the surgical hub based on the current step of the surgical procedure.

16 . The surgical hub of claim 15 , wherein the received data comprises data associated with which equipment of a plurality of auxiliary equipment has been activated.

17 . The surgical hub of claim 15 , wherein the memory further stores instructions executable by the processor to retrieve steps associated with the type of surgical procedure from a memory.

18 . The surgical hub of claim 15 , wherein the memory further stores instructions executable by the processor to retrieve steps associated with the type of surgical procedure from a cloud-based system.

19 . The surgical hub of claim 15 , wherein the one or more modular devices comprise an electrosurgical instrument, and wherein the memory further stores instructions executable by the processor to adjust the one or more modular devices by adjusting an energy level of the electrosurgical instrument.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jul 6, 2021
From: ETHICON LLC
To: CILAG GMBH INTERNATIONAL
Reel/Frame 056983/0569 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 24, 2021
From: YATES, DAVID C.; SHELTON, FREDERICK E., IV; HARRIS, JASON L.
To: ETHICON LLC
Reel/Frame 055701/0438 →
Continuity (17)
Continuation 16115223 · Aug 28, 2018
Provisional Application 62721999 · Aug 23, 2018
Provisional Application 62721995 · Aug 23, 2018
Provisional Application 62721998 · Aug 23, 2018
Provisional Application 62721994 · Aug 23, 2018
Provisional Application 62721996 · Aug 23, 2018
Provisional Application 62692748 · Jun 30, 2018
Provisional Application 62692768 · Jun 30, 2018
Provisional Application 62692747 · Jun 30, 2018
Provisional Application 62650882 · Mar 30, 2018
Provisional Application 62650898 · Mar 30, 2018
Provisional Application 62650887 · Mar 30, 2018
Provisional Application 62650877 · Mar 30, 2018
Provisional Application 62611340 · Dec 28, 2017
Provisional Application 62611339 · Dec 28, 2017
Provisional Application 62611341 · Dec 28, 2017
Related Publication 20210177489A1 · Jun 17, 2021
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