Abstract: An end effector assembly of a surgical instrument includes an ultrasonic blade. A jaw member is movable relative to the ultrasonic blade from a spaced-apart position to an approximated position. The jaw member includes a structural body. The structural body defines a first side facing the ultrasonic blade and a second side facing away from the ultrasonic blade. A jaw liner is engaged with the first side of the structural body such that the jaw liner contacts the ultrasonic blade when the jaw member is in the approximated position. An electrode is engaged with the second side of the structural body. The electrode is adapted to connect to a source of electrosurgical energy. The electrode defines a first portion and a second portion. The first portion of the electrode is in contact with the structural body and the second portion of the electrode tapers to a pointed edge.

Abstract: A surgical stapling device (10) includes a replaceable cartridge assembly (44) having knife assembly (80) and an anvil assembly (42) including a cutting plate (52). The cutting plate (52) is configured be durable to maintain performance of the stapling device (10) over multiple firings.

Abstract: A ventilator system is capable of displaying complex information patterns in a GUI, thereby allowing a clinician to get subtract complex information from multiple parameters inputs.

Abstract: A tissue-resecting end effector includes an outer shaft having a hub housing, an inner shaft including a sun gear, and a drive assembly disposed within the hub housing. The drive assembly includes a first and second drivers disposed about the inner shaft distally and proximally of the sun gear, respectively. The drive assembly further includes a plurality of planetary gears radially disposed about and in meshed engagement with the sun gear between the drivers, and a locking clip proximal of the planetary gears and the sun gear, rotationally keyed to the second driver, and engaged with the first driver via at least one snap-fit engagement. The locking clip retains the drivers and the planetary gears in operable engagement with one another and the sun gear such that a rotational input provided to the second driver drives rotation of the inner shaft.

Abstract: The present disclosure relates generally to medical ventilators, and more particularly to systems and methods for detecting and quantifying patient-ventilator asynchrony. In an example, a processor receives ventilation data from a medical ventilator and outputs a data dashboard on a display screen. The data dashboard displays a detection of first and second different types of patient-ventilator asynchrony events in the ventilation data. The data dashboard also includes time-scaled asynchrony metrics organized into tiles for each of the first and second asynchrony events.

Abstract: A microwave ablation catheter assembly is provided. A coaxial cable configured to connect to a microwave energy source at its proximal end and at its distal end to a distal radiating section. The coaxial cable includes inner and outer conductors and a dielectric positioned therebetween. An extended working channel is configured to receive the coaxial cable for positioning the coaxial cable adjacent target tissue. At least a portion of an inner surface of the extended working channel is electrically conductive. The electrically conductive inner surface of the extended working channel may function as a balun to maintain a balanced signal between the inner and outer conductors of the coaxial cable when the distal radiating section of the coaxial cable is energized.

Abstract: A surgical instrument includes a housing and an elongated shaft operably coupled to an actuating mechanism moveable between an actuated position and an unactuated position. An end effector includes a pair of opposing first and second jaw members. One or more drive surfaces are disposed on the actuating mechanism and configured to compress a spring upon movement of the actuating mechanism to the actuated position. The spring imparts a spring force in a distal direction to bias the actuating mechanism to the unactuated position. An electrically conductive tissue sealing surface extends along a length of one or both of the jaw members and is adapted to connect to a source of electrosurgical energy.

Abstract: The present disclosure relates to skirted hernia repair devices which includes at least a first mesh layer having a first side, a second side, and an outer peripheral edge, a skirt mesh layer positioned on the first side of the first mesh layer, the skirt mesh layer having an inner peripheral edge defining an opening in the skirt mesh layer, and, at least one reinforcement member that prevents the skirt mesh layer from inverting.

Abstract: A flexible catheter includes an elongated body, a first monolithic wire, and a second monolithic wire. The first monolithic wire forms a first sensor that is disposed in the distal end portion of the elongated body. The first sensor is configured to detect the position of a distal end of the elongated body within anatomy of a patient. The second monolithic wire forms a second sensor that is disposed in the distal end portion of the elongated body a known distance from the first sensor. The first and second sensors are configured to determine the position of the distal end portion within six degrees-of-freedom. A method of manufacturing the flexible catheter is also provided.

Abstract: A system for navigating to a target includes an extended working channel having a lumen for receiving a tool, a computing device including a memory and at least one processor, and a display device. A plurality of images and a program are stored in the memory. The program, when executed by the at least one processor, presents a user interface. The user interface includes at least one image of the plurality of images depicting the target and a progression of the extended working channel through the airway. The user interface also includes a probability treatment zone defining a probability distribution of a trajectory of the tool once deployed beyond an opening of the extended working channel.

Abstract: A method and a tool assembly maintain a tissue gap between distal portions of an anvil and a cartridge assembly of a stapling device. In embodiments, the tool assembly includes a locking member that is supported on one of the anvil and the cartridge assembly and is movable from an unlocked position to a locked position to secure distal portions of the anvil and the cartridge assembly together. In the locked position, the locking member is engaged with the distal portion of the other of the anvil and the cartridge assembly to maintain a tissue gap between the distal portion of the anvil and the cartridge assembly.

Abstract: A staple cartridge is adapted to enhance cell migration towards a wound site when staples are placed in tissue. In order to enhance cell migration, the staples in the staple cartridge are adapted to create an electrical potential within the tissue in the area of a wound or cut line. More specifically, the staples are arranged in spaced rings, wherein the staples in the spaced rings are formed of dissimilar metals having different anodic indexes to create a voltage gradient in the tissue to enhance cell migration toward the cut line.

Abstract: The ultrasonic surgical device includes a power source configured to generate power, an ultrasonic transducer having a first resonant frequency, the ultrasonic transducer electrically coupled to the power source and configured to generate ultrasonic motion in response to the generated power, an ultrasonic probe configured to be mechanically couplable to the ultrasonic transducer, the ultrasonic transducer and the ultrasonic probe having a second resonant frequency when the ultrasonic probe is coupled to the ultrasonic transducer, and a controller configured to determine whether the ultrasonic probe is properly coupled to the ultrasonic transducer based on the first resonant frequency and the second resonant frequency.

Abstract: Retrieval of material from vessel lumens can be improved by electrically enhancing attachment of the material to a medical device. The device can include an elongate core member having a distal portion configured to be intravascularly positioned at a treatment site within a blood vessel lumen, and an interventional element connected to the distal portion of the elongate core member. The interventional element includes a body that is expandable from a first configuration to a second configuration and an electrically conductive radiopaque marker coupled to the body. An electrically conductive lead has a distal portion electrically coupled to the radiopaque marker and a proximal portion configured to be electrically coupled to a current source.

Abstract: A method of treating an ectopic pregnancy without compromising the pregnancy includes inserting a surgical device trans-vaginally to a position outside a uterus such that a portion of the surgical device is positioned adjacent a gestational sac, including an embryo, that is disposed outside the uterus. The method further includes atraumatically capturing the gestational sac with the surgical device, atraumatically moving the surgical device to relocate the captured gestational sac to a position within the uterus, atraumatically releasing the gestational sac from the surgical device within the uterus, and withdrawing the surgical device.

Abstract: Methods and systems are provided for determining fluid administration. The system may determine fluid administration based on the fluid responsiveness and regional oxygen saturation of a subject. The system may receive the fluid responsiveness and regional oxygen saturation from external sources or may determine one or both based on received physiological signals. In some embodiments, the system may determine whether to administer fluid based on the fluid responsiveness and regional oxygen saturation. In some embodiments, the system may determine the amount of fluid to administer based on the fluid responsiveness and regional oxygen saturation. In some embodiments, the system may determine the effectiveness of fluid administration. In some embodiments, the system may provide an indication of the determined fluid administration so that a care-giver can implement the appropriate fluid administration. In some embodiments, the system may control the fluid administration based on its determination.

Abstract: An example system includes a thermal camera, a memory, and processing circuitry coupled to the thermal camera and the memory. The processing circuitry is configured to acquire a core temperature of a patient and acquire a first thermal image associated with the patient. The processing circuitry is configured to determine, based on the first thermal image, a first sensed temperature of a location associated with the patient. The processing circuitry is configured to determine a core temperature delta between the core temperature and the first sensed temperature. The processing circuitry is configured to acquire a second thermal image associated with the patient. The processing circuitry is configured to determine, based on the second thermal image, a second sensed temperature. The processing circuitry is configured to determine, based on the second sensed temperature and the core temperature delta, a measure of the core temperature.

Abstract: Surgical instruments include a first drive assembly having a first drive gear and a lockout mechanism positioned for releasable engagement with the first drive assembly to inhibit rotation of the first drive gear. The lockout mechanism includes a pawl and an actuator means for moving the pawl from a first position in engagement with the first drive gear to a second position spaced from the first drive gear.

Abstract: An end effector assembly for use with an electrosurgical instrument is provided. The electrosurgical instrument includes a handle having a shaft that extends therefrom, an end effector disposed at a distal end of the shaft, at least one electrode operably coupled to the end effector and adapted to couple to a source of electrosurgical energy, a chromium nitride coating covering at least a portion of the electrode, and a hexamethyldisiloxane plasma coating covering at least a portion of the chromium nitride coating.

Abstract: A controller for an electrosurgical generator includes an RF inverter, a signal processor, a software compensator, a hardware compensator, and an RF inverter controller. The RF inverter generates an electrosurgical waveform and the signal processor outputs a measured value of at least one of a voltage, a current, or power of the electrosurgical waveform. The software compensator generates a desired value for at least one of the voltage, the current, or the power of the electrosurgical waveform, and the hardware compensator generates a phase shift based on the measured value and the desired value. The RF inverter controller generates a pulse-width modulation (PWM) signal based on the phase shift to control the RF inverter.