Patents Issued in July 1, 2021
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Publication number: 20210196321Abstract: A uterine manipulator device includes: an elongated cannulated tube comprising a proximal end and a distal end; a cervical cup having a top proximal portion of a first diameter and a base distal portion of a second smaller diameter, wherein: the base distal portion includes a hole formed therein having a perimeter including a distal end and a proximal end, and including a longitudinal axis positioned therethrough; one of the proximal end of the perimeter and the distal end of the perimeter is angled away from the longitudinal axis and the other of the proximal end of the perimeter and the distal end of the perimeter is in line with the longitudinal axis; and the elongated cannulated tube is positioned through the hole in the cervical cup.Type: ApplicationFiled: March 11, 2021Publication date: July 1, 2021Applicant: Conmed CorporationInventors: Ashley Holbrooks, Rachelle D. Fitzgerald, Christopher Yantsides, David Hughes, Xiao Wu, Irtiza Ali
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Publication number: 20210196322Abstract: A foot sander assembly includes a sanding plate that is positionable against the bottom of a user's foot. A handle is coupled to the sanding plate for gripping. An oscillator is positioned in the sanding plate and the oscillator oscillates when the oscillator is turned on. Moreover, the oscillator is in mechanical communication with the sanding plate thereby facilitating the sanding plate to vibrate when the oscillator is turned on. A sanding pad is attachable to the sanding plate. The sanding pad is comprised of an abrasive material to abrade dead skin from the bottom of the user's foot when the oscillator is turned on.Type: ApplicationFiled: December 27, 2019Publication date: July 1, 2021Inventor: Candace Fletcher
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Publication number: 20210196323Abstract: An automatic traction device for a lower limb fracture osteosynthesis includes a chassis structure, a lower leg supporting structure and an upper leg supporting structure connected two by two. The automatic traction device further includes a tibia distal position adjusting device, for adjusting a position and an angle of a distal end of a tibia, on the lower leg supporting structure and close to the first end portion of the lower leg supporting structure; and a tibia proximal position adjusting device, for adjusting a position and an angle of a proximal end of a tibia, on the lower leg supporting structure and close to the second end portion of the lower leg supporting structure.Type: ApplicationFiled: July 23, 2020Publication date: July 1, 2021Applicants: The Third Hospital of Hebei Medical UniversityInventors: Wei CHEN, Qi ZHANG, Hongzhi LV, Yingze ZHANG, Zhiyong HOU, Yanbin ZHU, Xin XING, Huijie LI, Dongwei SUN, Xiaodong LIAN, Lin JIN, Lijie MA
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Publication number: 20210196324Abstract: A method of performing a bunion surgery to correct an alignment between a first metatarsal and a first cuneiform may involve aligning a bone cutting guide with a joint between the first metatarsal and the first cuneiform. The bone cutting guide can have a joint plate offset from a guide feature, with the joint plate extending downwardly relative to the guide feature. The process of aligning the bone cutting guide with the joint may involve inserting the joint plate into the joint. The method may involve using the guide feature of the bone cutting guide to guide a cutting tool to cut a leading edge of the first metatarsal and adjusting an alignment of the first metatarsal relative to the first cuneiform using a bone positioning device. The method may also involve fixing a position of the first metatarsal relative to the first cuneiform with a bone connector.Type: ApplicationFiled: March 15, 2021Publication date: July 1, 2021Inventors: Paul Dayton, F. Barry Bays
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Publication number: 20210196325Abstract: The present invention presents various embodiments showing combination of a body, rods, platforms and pin (or wire) clamps for the relative fixation of separated bone segment. In some embodiments there is an overall linear arrangement of the assemblies. The rods are threaded and extend lengthwise throughout a substantial portion of the length of the body. Engaged with the threaded rods are one or more moveable platforms, with each moveable platform engaging one or more pin clamps. Preferably each moveable platform includes at least one tapped (generally threaded) hole and at least one smooth through-hole in each moveable platform, so that each moveable platform engages with one threaded rod via the tapped hole but can pass freely along the other threaded rod. Each body also typically bears at least one stationary platform, generally at or near one end of the device.Type: ApplicationFiled: December 31, 2020Publication date: July 1, 2021Inventors: Victor A. Lavi, Volus Tucker McKenna
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Publication number: 20210196326Abstract: Surgical support instruments are described herein that can couple to, e.g., an implanted anchor and provide a platform for coupling other surgical implements thereto. In one embodiment, an instrument can include an elongate body having opposed projections extending laterally from a distal portion thereof that can at least partially surround a shank of an implantable anchor such that a longitudinal axis of the elongate body is laterally offset from a longitudinal axis of the anchor. The instrument can further include a lock configured to exert a drag force on a head of the anchor to control polyaxial movement of the instrument relative to the anchor. Further, a proximal portion of the elongate body can be configured to receive a retractor assembly including a plurality of tissue manipulating implements and selectively lock the retractor assembly at any of a plurality of positions along a length of the elongate body.Type: ApplicationFiled: February 4, 2021Publication date: July 1, 2021Inventors: Andrew Medeiros, Zoher Bootwala, Nicholas Miller, Roman Lomeli
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Publication number: 20210196327Abstract: A spinal device includes a rod which has a first end disposed in a housing and a second end which protrudes out of the housing through an aperture and which is movable to protrude more out of the housing or less out of the housing. A biasing device, mounted on the rod, includes a series of connected at-least partial coils. A first end of the biasing device is arranged to abut against the housing and a second end of the biasing device, opposite to the first end, is affixed to the rod.Type: ApplicationFiled: December 25, 2019Publication date: July 1, 2021Applicant: Apifix Ltd.Inventor: Uri Arnin
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Publication number: 20210196328Abstract: One aspect of the disclosure relates to a surgical instruments and surgical instrument guides, and associated methods. The surgical instrument may include: an elongated body having a distal end; a housing disposed at least partially within the elongated body and pivotably coupled to the elongated body; and an actuator engaged with a proximal end of the elongated body and operably associated with the housing such that the housing pivots about a pivot point upon actuation of the actuator. In another embodiment, the surgical instrument may include: an elongated body having a segmented distal tip; a guide barrel extending longitudinally within the elongated body, the guide barrel being substantially aligned with a bore within the segmented distal tip, wherein the segmented distal tip is configured to transition between an unexpanded configuration and an expanded configuration.Type: ApplicationFiled: December 30, 2020Publication date: July 1, 2021Inventors: Conrad Tyler Hammann, Jonathan Daniel Briend
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Publication number: 20210196329Abstract: An insert for receipt within a plate aperture having an inner wall along the plate aperture includes a body and collar. The body has inner and outer surfaces. The inner surface defines an insert aperture having a longitudinal axis. The collar extends from the outer surface in a first radial direction perpendicular to the longitudinal axis and extends along only a portion of the outer surface in a second radial direction transverse to the first radial direction and the longitudinal axis. The collar defines a first radial distance from the longitudinal axis at a first position of the collar and a second radial distance from the longitudinal axis at a second position of the collar that differs from the first radial distance. A fixation system includes the plate and insert which is receivable within the plate aperture such that the collar contacts and is slideable along the inner wall.Type: ApplicationFiled: March 15, 2021Publication date: July 1, 2021Inventor: Andreas Wiederkehr
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Publication number: 20210196330Abstract: An orthopedic implant has a plate and bone screws. Configured bone screw pockets of the plate provide variable angling and positional locking of a received bone screw relative. Each bone screw includes distal threads, a neck, and a dual threaded head. The plate has a bone screw pocket on a distal end, a bone screw pocket on a proximal end, and a strut extending between the two bone screw pockets. The bone screw pockets are at least generally cup shaped for receipt of a bone screw. The lower periphery of the opening of each bone screw pocket has an arrangement of configured prongs with configured openings to receive threading on the underside of the dual threaded head of the bone screw. The prongs can preferably, but not necessarily, deform slightly and grab onto the threading of the bone screw head to lock the bone screw in the bone screw pocket. Each prong can act independently.Type: ApplicationFiled: March 17, 2021Publication date: July 1, 2021Applicant: Life Spine, Inc.Inventors: Garrett D. Lauf, Paul C. Zakelj, Matthew S. Coyne
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Publication number: 20210196331Abstract: A surgical screw for fixation into bone or soft tissue. The surgical screw includes a cannulated body having a proximal end and a distal end. The distal end of the cannulated body has a tapered tip and a plurality of threads extend around the exterior of the cannulated body. An introducer extends distally from the tapered tip and has a diameter (which can be variable or constant) which is less than a diameter of the tapered tip. The surgical screw is cannulated such that a channel extends through the body from the proximal end to (and sometimes through) the distal end.Type: ApplicationFiled: September 28, 2018Publication date: July 1, 2021Applicant: Conmed CorporationInventor: Andrew P. Muser
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Publication number: 20210196332Abstract: A bone screw implant is provided for immobilizing the articular surfaces of two bone segments by securing, fusing, or compression the two segments. The implant may be fabricated from a porous biocompatible metal and have a cylindrical shape and fully or partially threaded and may have variable pitch threads and a variable diameter of the shaft. The implant may include a blunt tip or a fluted self-drilling tip and a headless screwdriver socket. Large pitch cancellous threads may be in the leading-end portion of the cylinder shaft, and smaller pitch cortical threads may be at the trailing edge portion of the shaft. The implant may be fenestrated, it may have a roughened surface, and it may be coated with an osteoconductive material. The implant may be cannulated. In a specific embodiment, the implant is used for immobilizing the articular surfaces of a sacroiliac joint. The implant may be coated with hydroxyapatite or tricalcium phosphate at thickness of 100 nm to 100 ?m thick.Type: ApplicationFiled: February 9, 2021Publication date: July 1, 2021Inventor: Amit R. PATEL
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Publication number: 20210196333Abstract: A fixation implant includes a head, a shank and a distal tip, and one or more of the head, shank and distal tip may be cannulated. The shank includes a threaded ingrowth portion extending from the head to the tapered distal tip that includes external threads, and at least one open network body extending along the length of the ingrowth portion. The open network body selected from one or a combination of a helix, an arrangement of trusses, a scaffold of open and interconnected pores, a porous framework of random open and interconnected pores, and combinations of these.Type: ApplicationFiled: February 23, 2021Publication date: July 1, 2021Applicant: CUTTING EDGE SPINE LLCInventors: Kyle KUNTZ, Shyam PATEL
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Publication number: 20210196334Abstract: Disclosed is a surgical instrument with an end-effector adapted and configured to deliver a plurality of energy modalities to tissue at a distal end thereof. The energy modalities may be applied simultaneously, independently, or sequentially. A generator is electrically coupled to the surgical instrument and is configured to supply a plurality of energy modalities to the end-effector. In one aspect, the generator is configured to supply electrosurgical energy (e.g., monopolar or bipolar radio frequency (RF) energy) and ultrasonic energy to the end-effector to allow the end-effector to interact with the tissue. The energy modalities may be supplied to the end-effector by a single generator or multiple generators.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: John M. Sarley, Chad P. Boudreaux, Tyler N. Brehm, Ellen E. Burkart, Jeffrey D. Messerly, Craig N. Faller, Robert S. Bishop, Michael A. Keenan, William A. Olson, Richard W. Flaker, Frederick E. Shelton, IV, Frederick L. Estera, Bruce Brunson, JR., Guion Y. Lucas, Demetrius N. Harris, Stephen M. Leuck, Nina Mastroianni, John E. Brady, Wei Guo, Geoffrey S. Strobl, Joseph S. Salguero, Lauren M. Valente, Joseph H. Kemper
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Publication number: 20210196335Abstract: An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a plurality of variable longitudinal support elements, and a cantilever electrode configured to electrically couple to an opposite pole of the electrical generator, the cantilever electrode fixed to the clamp jaw at a proximal end and free to deflect at a distal end. The cantilever electrode is supported by the variable longitudinal support elements. The variable longitudinal support elements apply a variable force on the cantilever electrode from the proximal end to the distal end.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: Jeffrey D. Messerly, Frederick E. Shelton, IV, Stephen M. Leuck, Nina Mastroianni, John E. Brady, Wei Guo
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Publication number: 20210196336Abstract: An end-effector is disclosed including an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator and a clamp arm including a clamp jaw and a cantilever electrode fixed to the clamp jaw. The cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator. The clamp arm may include an I-beam shaped clamp arm pad and the cantilever electrode is disposed between the I-beam. The clamp jaw, the cantilever electrode, and the clamp arm pad may define recesses along a length coinciding with the ultrasonic blade. The clamp arm pad may be fixed to the clamp jaw and disposed between the clamp jaw and the cantilever electrode and may extend beyond the surface of the cantilever electrode. The clamp arm may include a stationary gap setting pad and movable floating gap setting pads.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: Craig N. Faller, Richard W. Flaker, Nina Mastroianni, John E. Brady, Frederick E. Shelton, IV, Jeffrey D. Messerly
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Publication number: 20210196337Abstract: A method for treatment of solid cancer tumors. The method includes pre-operatively treating a patient having a solid cancer tumor with at least one of chemotherapy and radiation therapy, surgically removing the solid cancer tumor from the patient, applying cold atmospheric plasma to the surgical margins surrounding the area in the patient from which the solid cancer tumor was removed, performing at least one of intra-operative chemotherapy or radiation therapy, and post-operatively performing at least one of chemotherapy and radiation therapy on the patient.Type: ApplicationFiled: March 1, 2021Publication date: July 1, 2021Inventors: Jerome Canady, Xiaoqian Cheng, Saravana Murthy, Taisen Zhuang, Lawan Ly, Olivia Jones
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Publication number: 20210196338Abstract: A tool for cryosurgery for handling tissue is disclosed, which is particularly suited for ophthalmic applications. The tool for cryosurgery (1) comprises a tubular body (2), a container (3) positioned within the tubular body (2) for holding cryogenic fluid and a treatment tip (4) connected to a distal end (2a) of the tubular body (2). A capillary (5) for transporting cryogenic fluid from the container (3) to the treatment tip (4) is also provided. The treatment tip (4) comprises a closed off end tip (6) and a shaft (7) of thermally insulating material having an inner lumen (8) with a diameter (dl) which is larger than an outer diameter (do) of the capillary (5), the shaft (7) being sealingly coupled to the closed off end tip (6).Type: ApplicationFiled: May 22, 2019Publication date: July 1, 2021Applicant: Crea IP B.V.Inventor: Adriaantje Coliene Dam-Huisman
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Publication number: 20210196339Abstract: A surgical instrument includes an outer shaft defining a passageway. An inner shaft is disposed within the passageway and defines a lumen. An expandable structure has a first end coupled to a second end of the outer shaft and a second end coupled to a second end of the inner shaft. The expandable member defines a chamber. A delivery shaft includes a first end positioned within the passageway and a second end positioned within the chamber. The delivery shaft defines a channel configured to deliver a coolant out of an opening in the second end of the delivery shaft and into the chamber to move the expandable structure from an unexpanded configuration to an expanded configuration. A variable exhaust valve is in communication with the passageway and is configured to regulate pressure within the chamber. Systems and methods are disclosed.Type: ApplicationFiled: March 11, 2021Publication date: July 1, 2021Applicant: MEDTRONIC HOLDING COMPANY SÀRLInventor: Stephen Nash
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Publication number: 20210196340Abstract: A cold plasma device is suitable for treating a region of a biological surface. The device includes a cold plasma generator with an electrode and a dielectric barrier. The dielectric barrier includes a first side that faces the electrode and a second side that faces away from the electrode. An actuator is configured to selectively reciprocate the cold plasma generator between a first position and a second position, and a controller is programmed to control the actuator to selectively position the cold plasma generator relative to the biological surface.Type: ApplicationFiled: December 30, 2020Publication date: July 1, 2021Applicant: L'OREALInventor: Kyle Yeates
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Publication number: 20210196341Abstract: Systems, devices and methods treat target tissue to provide a therapeutic benefit to the patient. A tissue treatment device comprises a tissue treatment element constructed and arranged to treat target tissue, such as duodenal mucosa and/or submucosal tissue. Patients treated can safely eliminate or reduce their daily insulin intake.Type: ApplicationFiled: February 22, 2021Publication date: July 1, 2021Applicant: Fractyl Laboratories, Inc.Inventors: Harith Rajagopalan, Jay Caplan, Craig M. Gardner, J. Christopher Flaherty
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Publication number: 20210196342Abstract: The present invention relates to an RF treatment apparatus, the method of controlling the RF treatment apparatus and the skin treatment method using RF energy according to the present invention have an effect in that they can improve the accuracy and efficiency of treatment because whether a target tissue corresponds to a treatment temperature is determined based on impedance of the tissue and the volume of the target tissue corresponding to the treatment temperature can be maximized while maintaining the target tissue to the treatment temperature for a predetermined time.Type: ApplicationFiled: February 28, 2018Publication date: July 1, 2021Inventors: Kwang Chon KO, Richard Howard COHEN
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Publication number: 20210196343Abstract: A surgical system comprising a generator and a surgical instrument configured to receive power from the generator is disclosed. The surgical instrument comprises a housing, a shaft defining a longitudinal axis, an end effector, and an internal charge accumulator. The housing comprises a motor. The end effector is operably responsive to actuations from the electric motor, transitionable between an open and closed configuration, and rotatable about an articulation axis transverse to the longitudinal axis. The generator is incapable of supplying a sufficient power directly to the motor to perform the actuations. The internal charge accumulator is in electric communication with the generator and supplies power to the motor. The internal charge accumulator is chargeable by the generator to a threshold value at a charge rate dependent on a charge level of the internal charge accumulator. The charge rate is independent of a charge expenditure by the surgical instrument.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Daniel J. Mumaw, Kevin M. Fiebig
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Publication number: 20210196344Abstract: A surgical system comprising a surgical hub, a surgical instrument, a generator configured to energize an end effector; and a smoke evacuation system configured to remove smoke from a surgical site is disclosed. The surgical instrument comprises the end effector. A control command is passed directly from the surgical hub to the surgical instrument. The surgical instrument is configured to pass the control command received from the surgical hub to the generator and the smoke evacuation system in a daisy-chain manner.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Daniel J. Mumaw, Chad E. Eckert, Kevin M. Fiebig, Taylor W. Aronhalt
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Publication number: 20210196345Abstract: Disclosed is a surgical instrument having a housing, an end-effector, and a user interface. The end-effector includes a clamp arm and an ultrasonic blade configured to couple to an ultrasonic transducer and to a pole of an electrical generator. The clamp arm includes a clamp jaw pivotally movable about a pivot point, an electrode defining a surface configured to contact tissue and apply electrical energy to the tissue in contact therewith and configured to couple to an opposite pole of the electrical generator. The user interface includes a first activation button switch to activate a first energy source and a second button switch to select an energy mode for the activation button switch.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: Jeffrey D. Messerly, Craig N. Faller, Justin S. Cramer, Steven M. Boronyak, Ellen E. Burkart, Monica L.Z. Rivard, Gregory J. Bakos
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Publication number: 20210196346Abstract: An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw and an electrode configured to electrically couple to an opposite pole of the electrical generator. In one configuration, the electrode is segmented. In another configuration, the ultrasonic blade includes electrically insulative material deposited on selected areas to prevent electrical shorting in the event of the ultrasonic blade contacts the electrode. In another configuration, the clamp arm, the ultrasonic blade, or both include selectively coated components.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: Stephen M. Leuck, John E. Brady, Nina Mastroianni, Wei Guo, Geoffrey S. Strobl, Craig N. Faller, Jeffrey D. Messerly, Frederick E. Shelton, IV
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Publication number: 20210196347Abstract: Embodiments of the invention include an electrosurgical system with a controller, a fluid control unit electrically coupled to the controller, and an electrosurgical wand with a lumen having a coil-supported inner tubular member. Some embodiments include methods of manufacturing components of the electrosurgical system.Type: ApplicationFiled: May 14, 2019Publication date: July 1, 2021Inventors: Douglas G. Evans, David Turner, Brendan Smith
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Publication number: 20210196348Abstract: Tumor treating fields (TTFields) can be delivered to a subject's body at higher field strengths by switching off one or more electrode elements in a transducer array that are overheating. This may be accomplished by using thermistors that sense the temperature of each electrode element. Portions of the wiring of each transducer array is shared between the electrode elements and the thermistors by using a plurality of conductors, each of which electrically connects (a) a pin of a connector, (b) a respective electrode element, and (c) a respective thermistor. In some embodiments, all of the thermistors are wired in series. In other embodiments, all the thermistors share a common connection.Type: ApplicationFiled: December 21, 2020Publication date: July 1, 2021Applicant: Novocure GmbHInventor: Yoram WASSERMAN
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Publication number: 20210196349Abstract: An electrosurgical instrument comprising a housing, a shaft extending from the housing, an end effector extending from the shaft, an articulation joint rotatably connecting the end effector to the shaft, and a wiring circuit is disclosed. The housing comprises a printed control board. The wiring circuit extends from the printed control board through the shaft and into the end effector. The wiring circuit is configured to monitor a function of the end effector and communicate the monitored function to the printed control board. The wiring circuit comprises a proximal rigid portion fixed to the shaft, a distal rigid portion fixed to the end effector, and an intermediate portion extending from the proximal rigid portion to the distal rigid portion. The intermediate portion comprises a resilient portion and a stretchable portion.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Kevin M. Fiebig, Sarah A. Worthington, Joshua P. Morgan, Nicholas M. Morgan, Frederick E. Shelton, IV
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Publication number: 20210196350Abstract: A surgical instrument comprising a motor assembly, a shaft defining a shaft axis, a distal head, a rotary drive member, and a distal head lock member movable between a first position where the distal head is unlocked from the shaft and a second position where the distal head is locked to the shaft is disclosed. The motor assembly comprises a motor and a controller configured to operate the motor in first and second operating modes. The distal head comprises an end effector movable between an open configuration and a closed configuration. The distal head is rotated about the shaft axis when the distal head lock member is in the first position and the rotary drive member is actuated. The end effector is moved from the open configuration toward the closed configuration when the distal head lock member is in the second position and the rotary drive member is actuated.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Kevin M. Fiebig, Joshua P. Morgan, Nicholas M. Morgan, Frederick E. Shelton, IV
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Publication number: 20210196351Abstract: An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a clamp arm pad, and a cantilever electrode that is free to deflect. The cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator. Also disclosed are configurations where the clamp arm includes a peripheral cantilever electrode and a clamp arm pad extending beyond the electrode, a floating cantilever electrode and a resilient clamp arm pad, an interlocked cantilever electrode plate and a clamp arm pad configured to receive the plate, a laterally deflectable cantilever electrode and a clamp arm pad extending beyond the electrode, and a flexible cantilever electrode and a clamp arm pad extending beyond the electrode.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: John M. Sarley, Chad P. Boudreaux, Tyler N. Brehm, Wei Guo, Ellen E. Burkart, Jeffrey D. Messerly, Craig N. Faller, Robert S. Bishop, Michael A. Keenan, William A. Olson, Richard W. Flaker, Frederick E. Shelton, IV
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Publication number: 20210196352Abstract: An end-effector including a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw and an electrically conductive polymer clamp arm pad. The clamp arm may include electrically non-conductive layers and electrically conductive layers arranged in a sandwich like configuration to electrically couple to an opposite pole of the electrical generator. The clamp arm may include a composite clamp arm pad attached to the clamp jaw, the composite clamp arm pad includes electrically non-conductive layers and electrically conductive layers to couple to an opposite pole of the electrical generator. The clamp arm may include a carrier attached to the clamp jaw and a clamp arm pad including an electrically non-conductive pad and an electrically conductive pad to couple to an opposite pole of the electrical generator.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: Jeffrey D. Messerly, Frederick E. Shelton, IV, Geoffrey S. Strobl, Joseph S. Salguero, Wei Guo
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Publication number: 20210196353Abstract: An end-effector configured to grasp tissue is disclosed herein. The end-effector includes an ultrasonic blade configured to transfer ultrasonic energy to the tissue and a clamp arm. The clamp arm includes a clamp arm pad including an electrically conductive material and an electrically non-conductive material. The clamp arm pad is configured as an electrode of a radiofrequency energy circuit, wherein the electrode is configured to transfer radiofrequency energy through the tissue to a return electrode of the radiofrequency energy circuit, and wherein the electrically non-conductive material is configured to reduce the possibility of an electrical short between the electrically conductive material and the ultrasonic blade as the clamp arm pad degrades throughout the usable life of the end effector.Type: ApplicationFiled: November 18, 2020Publication date: July 1, 2021Inventors: Jacob S. Gee, Michael A. Keenan, Joshua D. Raker, Jeffrey D. Messerly, Frederick E. Shelton, IV, Geoffrey S. Strobl, Joseph S. Salguero, Wei Guo
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Publication number: 20210196354Abstract: A method for performing an electrosurgical procedure using an electrosurgical instrument including an end effector is disclosed. The method comprises applying a bipolar energy to a target tissue grasped by the end effector in a tissue-feathering segment, applying an energy blend of the bipolar energy and a monopolar energy to the target tissue in a tissue-warming segment and a tissue-sealing segment following the tissue-warming segment, and discontinuing the bipolar energy but continuing to apply the monopolar energy to the target tissue in a tissue-cutting segment following the tissue-sealing segment.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Taylor W. Aronhalt, Jeffrey D. Messerly, Mark S. Zeiner, Sarah A. Worthington, Joshua P. Morgan, Nicholas M. Morgan
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Publication number: 20210196355Abstract: A surgical instrument that includes first and second jaws that are movably coupled together to move between an open and a closed position. The first jaw includes a first proximal end, a first distal tip, and a first jaw midpoint between the first proximal end and the first distal tip. The second jaw includes a second proximal end and a second distal tip. The first jaw includes a first alignment feature that is distal to the first jaw midpoint and is configured to engage a corresponding portion of the second jaw when the first and second jaws are moved to the closed position to align the first distal tip with the second distal tip.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Taylor W. Aronhalt, Jeffrey D. Messerly
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Publication number: 20210196356Abstract: A surgical instrument with a rotatable and articulatable end effector. The end effector includes first and second jaws that are movable between an open position and a closed position by an axially movable drive member. The end effector is coupled to an elongate shaft such that the end effector is rotatable relative to the shaft about a shaft axis when the drive member is rotated. A releasable lock system is provided to selectively lock the end effector in a desired rotary position.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Mark S. Zeiner, Kevin M. Fiebig
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Publication number: 20210196357Abstract: A surgical instrument comprising an end effector including a proximal end, a distal end, a first jaw, and a second jaw is disclosed. The first jaw comprises a first electrode. The second jaw comprises a second electrode and a monopolar electrode centrally disposed down a length of the end effector. The first electrode and the second electrode cooperate to deliver bipolar energy to the tissue in a bipolar cycle. The monopolar electrode comprises a wedge shape that graduates in width along the length of the end effector. The monopolar electrode is electrically isolated from the first and second electrodes. The monopolar electrode is configured to employ monopolar energy to cut the tissue in a monopolar cycle.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Jeffrey D. Messerly, Kevin M. Fiebig
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Publication number: 20210196358Abstract: A surgical end effector for use with an electrosurgical instrument is disclosed. The end effector comprises a first jaw including a first electrode and a second jaw including a second electrode. The end effector is transitionable from an open configuration to a closed configuration to grasp tissue. The second electrode is laterally offset from the first electrode. The first electrode and the second electrode are configured to cooperate to deliver a bipolar energy to the tissue. The second jaw further comprises a monopolar electrode configured to deliver a monopolar energy to the tissue and a compliant substrate. The monopolar electrode and the second electrode are fixedly attached onto the compliant substrate in a spaced apart arrangement. The compliant substrate is configured to apply a biasing force to the second electrode and the monopolar electrode toward the first jaw in the closed configuration.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Jeffrey D. Messerly, Kevin M. Fiebig
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Publication number: 20210196359Abstract: An electrosurgical instrument comprising an end effector including a first jaw and a second jaw. The end effector is transitionable from an open configuration to a closed configuration to grasp tissue. The second jaw comprises a gradually narrowing body extending from a proximal end to a distal end. The gradually narrowing body comprises a conductive material, a first conductive portion extending from the proximal end to the distal end, and a second conductive portion defining a tapered electrode protruding from the first conductive portion and extending distally along at least a portion of the gradually narrowing body. The second jaw further comprises an electrically insulative layer configured to electrically insulate the first conductive portion from the tissue but not the second conductive portion. The first conductive portion is configured to transmit an electrical energy to the tissue only through the second conductive portion.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Taylor W. Aronhalt
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Publication number: 20210196360Abstract: An electrosurgical instrument comprising an end effector is disclosed. The end effector comprises a first jaw and a second jaw. At least one of the first jaw and the second jaw is movable to transition the end effector from an open configuration to a closed configuration to grasp tissue therebetween. The second jaw comprises linear portions cooperating to form an angular profile and a treatment surface comprising segments extending along the angular profile. The segments comprise different geometries and different conductivities. The segments are configured to produce variable energy densities along the treatment surface.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Taylor W. Aronhalt, Sarah A. Worthington
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Publication number: 20210196361Abstract: An electrosurgical instrument comprising an end effector including a first jaw, a second jaw, and an electrical circuit is disclosed. The first jaw comprises a first conductive skeleton, a first insulative coating selectively covering portions of the first conductive skeleton, and first-jaw electrodes comprising exposed portions of the first conductive skeleton. The second jaw comprises a second conductive skeleton, a second insulative coating selectively covering portions of the second conductive skeleton, and second-jaw electrodes comprising exposed portions of the second conductive skeleton. The circuit is configured to transmit a bipolar RF energy and a monopolar RF energy to the tissue through the first-jaw electrodes and the second-jaw electrodes. The monopolar RF energy shares a first electrical pathway and a second electrical pathway defined by the electrical circuit for transmission of the bipolar RF energy.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Taylor W. Aronhalt, Sarah A. Worthington
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Publication number: 20210196362Abstract: An electrosurgical instrument comprising a jaw configured to define an electrode is disclosed. The jaw comprises a first electrically conductive portion, a second electrically conductive portion, and an electrically insulative layer. The first electrically conductive portion is configured to resist heat transfer therethrough. The second electrically conductive portion is integral with and extending at least partially around the first electrically conductive portion. The second electrically conductive portion is configured to define a heat sink. The electrode is defined by selective application of the electrically insulative layer to an outer surface of the second electrically conductive portion.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig
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Publication number: 20210196363Abstract: An electrosurgical instrument comprising an end effector is disclosed. The end effector comprises a first jaw and a second jaw. The first jaw comprises a first electrode. The end effector is movable from an open configuration to a closed configuration to grasp tissue. The second jaw comprises a second electrode configured to deliver a first monopolar energy to the tissue, a third electrode, and a conductive circuit selectively transitionable between a connected configuration with the third electrode and a disconnected configuration with the third electrode. In the connected configuration, the third electrode is configured to cooperate with the first electrode to deliver bipolar energy to the tissue. The conductive circuit defines a return path for the bipolar energy. In the disconnected configuration, the first electrode is configured to deliver a second monopolar energy to the tissue.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, David C. Yates, Jeffrey D. Messerly, Kevin M. Fiebig, Taylor W. Aronhalt
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Publication number: 20210196364Abstract: An electrosurgical system comprising an end effector and a control circuit is disclosed. The end effector comprises a first jaw and a second jaw. At least one of the first jaw and the second jaw is movable to transition the end effector from an open configuration to a closed configuration to grasp tissue therebetween. The control circuit is configured to cause an application of two different energy modalities to the tissue simultaneously and separately during a tissue treatment cycle comprising a tissue coagulation stage and a tissue transection stage.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Chad E. Eckert, Taylor W. Aronhalt
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Publication number: 20210196365Abstract: A surgical system comprising a surgical instrument, a generator configured to supply power to an end effector, and a processor configured to run a control program to operate the surgical system is disclosed. The surgical instrument comprises the end effector which includes a first jaw and a second jaw. At least one of the first jaw and the second jaw is moved with respect to one another between an open position and a closed position. Tissue is configured to be positioned between the first jaw and the second jaw. The processor is configured to detect a first parameter of the surgical system, detect at least one user input, and modify the control program in response to the detected first parameter and the at least one user input.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Chad E. Eckert, Taylor W. Aronhalt, Kevin M. Fiebig, David C. Yates
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Publication number: 20210196366Abstract: A surgical instrument comprising a housing, a shaft assembly, a processor, and a memory is disclosed. The shaft assembly is replaceably connected to the housing. The shaft assembly comprises an end effector. The memory is configured to store program instructions which, when executed from the memory cause the processor to send an electrical interrogation signal to the attached shaft assembly, receive a response signal from the attached shaft assembly, cause a default function to be performed when a response signal is not received by the attached shaft assembly, determine an identifying characteristic of the attached shaft assembly as a result of the performance of the default function, and modify a control program based on the identifying characteristic of the attached shaft assembly.Type: ApplicationFiled: May 28, 2020Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Chad E. Eckert, Kevin M. Fiebig, Taylor W. Aronhalt
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Publication number: 20210196367Abstract: An end-effector and a surgical instrument including the end-effector are disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and to electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a cantilever electrode configured to electrically couple to an opposite pole of the electrical generator. The cantilever electrode is fixed to the clamp jaw at a proximal end and free to deflect at a distal end. The clamp arm includes control features to adjust a tissue path relative to the clamp arm to create a predefined location of contact.Type: ApplicationFiled: May 29, 2020Publication date: July 1, 2021Inventors: Joseph S. Salguero, Lauren M. Valente, Joseph H. Kemper
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Publication number: 20210196368Abstract: An electrosurgical system is provided and includes an electrosurgical instrument and an electrosurgical generator. The electrosurgical system obtains information about the tissue undergoing a sealing process in order to calculate information about the tissue undergoing the sealing process and, in real-time, modify the RF energy being provided to the electrosurgical instrument from the electrosurgical generator. In this way, the electrosurgical system manages the supply of RF energy to optimally seal different types of tissue. The electrosurgical instrument is configured to seal the tissue using the RF energy.Type: ApplicationFiled: December 30, 2020Publication date: July 1, 2021Inventors: Ryan Pope, Melissa Brodsky, Vincent Rodriguez, Molly Marbut, Kevin Siazon, Emily Koehler
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Publication number: 20210196369Abstract: The present invention relates to a treatment apparatus and a method of controlling the same. There are provided a treatment apparatus, including a handpiece, an RF generator generating RF energy, an insertion unit configured to advance and retract toward one direction of the handpiece, selectively inserted into a tissue, and electrically connected to the RF generator to transfer the RF energy to the inside of the tissue, and a substance storage unit receiving a therapeutic substance therein and detachably installed on one side of the handpiece to transfer the substance to the inside of the tissue by the advancing operation of the insertion unit and a method of controlling the same.Type: ApplicationFiled: March 5, 2018Publication date: July 1, 2021Inventor: Kwang Chon KO
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Publication number: 20210196370Abstract: A medical probe includes a guidewire, and a connector at a proximal end of the probe. The guidewire is configured to be inserted into an organ of a patient and includes one or more electrical devices fitted at a distal end of the guidewire, and two or more conductors, which connect the electrical devices to a proximal end of the guidewire. The conductors have proximal ends that are exposed at different positions along the proximal end of the guidewire. The connector is fitted with multiple conductive rings that are positioned to mate with the respective exposed proximal ends of the conductors, and to maintain electrical contact with the conductors while the guidewire is rotated.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventor: Assaf Govari