Surgical instrument systems comprising battery arrangements

Information

  • Patent Grant
  • 11648022
  • Patent Number
    11,648,022
  • Date Filed
    Friday, August 24, 2018
    6 years ago
  • Date Issued
    Tuesday, May 16, 2023
    a year ago
Abstract
A surgical instrument system comprising a handle, a shaft, and a disposable power module is disclosed. The handle comprises a motor, a control switch, and a motor-control processor which is in communication with the control switch. In various instances, the disposable power module comprises a disposable battery and a display unit configured to indicate at least one function of the surgical instrument system.
Description
BACKGROUND

The present invention relates to surgical systems and, in various arrangements, to grasping instruments that are designed to grasp the tissue of a patient, dissecting instruments configured to manipulate the tissue of a patient, clip appliers configured to clip the tissue of a patient, and suturing instruments configured to suture the tissue of a patient, among others.





BRIEF DESCRIPTION OF THE DRAWINGS

Various features of the embodiments described herein, together with advantages thereof, may be understood in accordance with the following description taken in conjunction with the accompanying drawings as follows:



FIG. 1 illustrates a surgical system comprising a handle and several shaft assemblies—each of which are selectively attachable to the handle in accordance with at least one embodiment;



FIG. 2 is an elevational view of the handle and one of the shaft assemblies of the surgical system of FIG. 1;



FIG. 3 is a partial cross-sectional perspective view of the shaft assembly of FIG. 2;



FIG. 4 is another partial cross-sectional perspective view of the shaft assembly of FIG. 2;



FIG. 5 is a partial exploded view of the shaft assembly of FIG. 2;



FIG. 6 is a partial cross-sectional elevational view of the shaft assembly of FIG. 2;



FIG. 7 is an elevational view of a drive module of the handle of FIG. 1;



FIG. 8 is a cross-sectional perspective view of the drive module of FIG. 7;



FIG. 9 is an end view of the drive module of FIG. 7;



FIG. 10 is a partial cross-sectional view of the interconnection between the handle and shaft assembly of FIG. 2 in a locked configuration;



FIG. 11 is a partial cross-sectional view of the interconnection between the handle and shaft assembly of FIG. 2 in an unlocked configuration;



FIG. 12 is a cross-sectional perspective view of a motor and a speed reduction gear assembly of the drive module of FIG. 7;



FIG. 13 is an end view of the speed reduction gear assembly of FIG. 12;



FIG. 14 is a partial perspective view of an end effector of the shaft assembly of FIG. 2 in an open configuration;



FIG. 15 is a partial perspective view of the end effector of FIG. 14 in a closed configuration;



FIG. 16 is a partial perspective view of the end effector of FIG. 14 articulated in a first direction;



FIG. 17 is a partial perspective view of the end effector of FIG. 14 articulated in a second direction;



FIG. 18 is a partial perspective view of the end effector of FIG. 14 rotated in a first direction;



FIG. 19 is a partial perspective view of the end effector of FIG. 14 rotated in a second direction;



FIG. 20 is a partial cross-sectional perspective view of the end effector of FIG. 14 detached from the shaft assembly of FIG. 2;



FIG. 21 is an exploded view of the end effector of FIG. 14 illustrated with some components removed;



FIG. 22 is an exploded view of a distal attachment portion of the shaft assembly of FIG. 2;



FIG. 22A is an exploded view of the distal portion of the shaft assembly of FIG. 2 illustrated with some components removed;



FIG. 23 is another partial cross-sectional perspective view of the end effector of FIG. 14 detached from the shaft assembly of FIG. 2;



FIG. 24 is a partial cross-sectional perspective view of the end effector of FIG. 14 attached to the shaft assembly of FIG. 2;



FIG. 25 is a partial cross-sectional perspective view of the end effector of FIG. 14 attached to the shaft assembly of FIG. 2;



FIG. 26 is another partial cross-sectional perspective view of the end effector of FIG. 14 attached to the shaft assembly of FIG. 2;



FIG. 27 is a partial cross-sectional view of the end effector of FIG. 14 attached to the shaft assembly of FIG. 2 depicting a first, second, and third clutch of the end effector;



FIG. 28 depicts the first clutch of FIG. 27 in an unactuated condition;



FIG. 29 depicts the first clutch of FIG. 27 in an actuated condition;



FIG. 30 depicts the second clutch of FIG. 27 in an unactuated condition;



FIG. 31 depicts the second clutch of FIG. 27 in an actuated condition;



FIG. 32 depicts the third clutch of FIG. 27 in an unactuated condition;



FIG. 33 depicts the third clutch of FIG. 27 in an actuated condition;



FIG. 34 depicts the second and third clutches of FIG. 27 in their unactuated conditions and the end effector of FIG. 14 locked to the shaft assembly of FIG. 2;



FIG. 35 depicts the second clutch of FIG. 27 in its unactuated condition and the third clutch of FIG. 27 in its actuated condition;



FIG. 36 depicts the second and third clutches of FIG. 27 in their actuated conditions and the end effector of FIG. 14 unlocked from the shaft assembly of FIG. 2;



FIG. 37 is a partial cross-sectional view of a shaft assembly in accordance with at least one alternative embodiment comprising sensors configured to detect the conditions of the first, second, and third clutches of FIG. 27;



FIG. 38 is a partial cross-sectional view of a shaft assembly in accordance with at least one alternative embodiment comprising sensors configured to detect the conditions of the first, second, and third clutches of FIG. 27;



FIG. 39 depicts the first and second clutches of FIG. 38 in their unactuated conditions and a sensor in accordance with at least one alternative embodiment;



FIG. 40 depicts the second and third clutches of FIG. 38 in their unactuated conditions and a sensor in accordance with at least one alternative embodiment;



FIG. 41 is a partial cross-sectional view of a shaft assembly in accordance with at least one embodiment;



FIG. 42 is a partial cross-sectional view of the shaft assembly of FIG. 41 comprising a clutch illustrated in an unactuated condition;



FIG. 43 is a partial cross-sectional view of the shaft assembly of FIG. 41 illustrating the clutch in an actuated condition;



FIG. 44 is a partial cross-sectional view of a shaft assembly in accordance with at least one embodiment comprising first and second clutches illustrated in an unactuated condition;



FIG. 45 is a perspective view of the handle drive module of FIG. 7 and one of the shaft assemblies of the surgical system of FIG. 1;



FIG. 46 is another perspective view of the handle drive module of FIG. 7 and the shaft assembly of FIG. 45;



FIG. 47 is a partial cross-sectional view of the shaft assembly of FIG. 45 attached to the handle of FIG. 1;



FIG. 48 is another partial cross-sectional view of the shaft assembly of FIG. 45 attached to the handle of FIG. 1;



FIG. 49 is a partial cross-sectional perspective view of the shaft assembly of FIG. 45;



FIG. 50 is a schematic of the control system of the surgical system of FIG. 1.



FIG. 51 is an elevational view of a handle in accordance with at least one embodiment and one of the shaft assemblies of the surgical system of FIG. 1;



FIG. 52A is a partial top view of a drive module of the handle of FIG. 51 illustrated in a first rotation configuration;



FIG. 52B is a partial top view of the drive module of FIG. 52A illustrated in a second rotation configuration;



FIG. 53A is a partial top view of the drive module of FIG. 52A illustrated in a first articulation configuration;



FIG. 53B is a partial top view of the drive module of FIG. 52A illustrated in a second articulation configuration;



FIG. 54 is a partial cross-sectional perspective view of a drive module in accordance with at least one embodiment;



FIG. 55 is a partial perspective view of the drive module of FIG. 54 illustrated with some components removed;



FIG. 56 is a partial cross-sectional view of the drive module of FIG. 54 illustrating an eccentric drive in a disengaged condition; and



FIG. 57 is a partial cross-sectional view of the drive module of FIG. 54 illustrating the eccentric drive of FIG. 56 in an engaged condition.



FIG. 58 illustrates a surgical instrument system comprising a handle and several shaft assemblies—each of which are selectively attachable to the handle in accordance with at least one embodiment;



FIG. 59 is an elevational view of the handle and one of the shaft assemblies of the surgical instrument system of FIG. 58;



FIG. 60 is an elevational view of a drive module of the handle of FIG. 58;



FIG. 61 is a cross-sectional perspective view of the drive module of FIG. 60;



FIG. 62 is an end view of the drive module of FIG. 60;



FIG. 63 is a perspective view of the handle drive module of FIG. 60 and one of the shaft assemblies of the surgical instrument system of FIG. 58;



FIG. 64 is another perspective view of the handle drive module of FIG. 58 and the shaft assembly of FIG. 63;



FIG. 65 is a partial cross-sectional perspective view of a handle drive module in accordance with at least one embodiment;



FIG. 66 illustrates a surgical instrument system comprising several handle assemblies and a shaft assembly selectively attachable to the handle assemblies in accordance with at least one embodiment;



FIG. 66A is an elevational view of a handle assembly of FIG. 66 in accordance with at least one embodiment;



FIG. 66B is an elevational view of a handle assembly of FIG. 66 in accordance with at least one embodiment;



FIG. 66C is an elevational view of a handle assembly of FIG. 66 in accordance with at least one embodiment;



FIG. 66D is an elevational view of a handle assembly and the shaft assembly of FIG. 66 in accordance with at least one embodiment;



FIG. 66E is an elevational view of the handle assembly of FIG. 66B attached to the shaft assembly of FIG. 66 in accordance with at least one embodiment;



FIG. 66F is an elevational view of the handle assembly of FIG. 66B and the shaft assembly of FIG. 66 in accordance with at least one embodiment;



FIG. 66G is an elevational view of the handle assembly of FIG. 66C and the shaft assembly of FIG. 66 in accordance with at least one embodiment;



FIG. 67 is a perspective view of the shaft assembly of FIG. 66;



FIG. 68A is a proximal end view of the handle assembly of FIG. 66A;



FIG. 68B is a proximal end view of the handle assembly of FIG. 66B;



FIG. 68C is a proximal end view of the handle assembly of FIG. 66C;



FIG. 68D is a proximal end view of the shaft assembly of FIG. 66D;



FIG. 69 illustrates a chart depicting various functions of the surgical instrument system of FIG. 66;



FIG. 70 is an exploded view of one of the handle assemblies and the shaft assembly of FIG. 66;



FIG. 71 depicts various aspects of the handle assembly of FIG. 70;



FIG. 72 is an exploded view of the handle assembly of FIG. 66B and the shaft assembly of FIG. 66;



FIG. 73 depicts various aspects of the handle assembly of FIG. 72;



FIG. 73A is a proximal end view of the handle assembly of FIG. 72;



FIG. 73B illustrates a chart depicting various functions of the handle assembly of FIG. 72;



FIG. 74 is a partial exploded view the handle assembly of FIG. 66A and the shaft assembly of FIG. 66;



FIG. 75 depicts various aspects of the handle assembly of FIG. 74;



FIG. 75A is a proximal end view of the handle assembly of FIG. 74;



FIG. 75B illustrates a chart depicting various functions of the handle assembly of FIG. 74;



FIG. 76 illustrates a shaft assembly in accordance with at least one embodiment;



FIG. 76A is a block diagram illustrating the electrical connections of a surgical instrument system in accordance with at least one embodiment;



FIG. 77 illustrates a surgical system comprising a handle and a shaft assembly in accordance with at least one embodiment;



FIG. 77A is a perspective view of the handle assembly of FIG. 77;



FIG. 77B is a cut-away view of a curved cylinder of the handle assembly of FIG. 77;



FIG. 78A is a partial cross-sectional view of the curved cylinder of FIG. 77A illustrating an electroactive polymer located in the cylinder in a non-energized state;



FIG. 78B is a partial cross-sectional view of the curved cylinder of FIG. 77A illustrating the electroactive polymer located in the cylinder in an energized state;



FIG. 79 is a block diagram illustrating various aspects of the handle and shaft assembly of FIG. 77 in accordance with at least one embodiment;



FIG. 80 is a graph illustrating the relationship between the forces experienced by an end effector and shaft of the surgical system of FIG. 77 and the voltage applied to the electroactive polymer over time;



FIG. 81 is a graph illustrating the compressive force applied by the electroactive polymer over time;



FIG. 82 illustrates a surgical system comprising a handle and a shaft assembly in accordance with at least one embodiment;



FIG. 83 is a partial perspective view of the shaft assembly of FIG. 82 comprising a locking mechanism;



FIG. 84 is a perspective view of the locking mechanism of FIG. 83 in an unlocked configuration;



FIG. 85 is a perspective view of the locking mechanism of FIG. 83 in a locked configuration;



FIGS. 85A-85C illustrate the locking mechanism of FIG. 83 in three different states during the operation of the surgical instrument system;



FIG. 86 is a partial perspective view of a distal attachment portion selectively attachable to the surgical system of FIG. 82;



FIG. 87 is a graph illustrating possible drive force curves of the distal attachment portion of FIG. 86; and



FIG. 88 is a flow chart illustrating a start-up process of a surgical instrument system in accordance with at least one embodiment.





Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate various embodiments of the invention, in one form, and such exemplifications are not to be construed as limiting the scope of the invention in any manner.


DETAILED DESCRIPTION

Applicant of the present application owns the following U.S. Patent Applications that were filed on Aug. 24, 2018 and which are each herein incorporated by reference in their respective entireties:

    • U.S. patent application Ser. No. 16/112,129, entitled SURGICAL SUTURING INSTRUMENT CONFIGURED TO MANIPULATE TISSUE USING MECHANICAL AND ELECTRICAL POWER, now U.S. Patent Application Publication No. 2019/0125431;
    • U.S. patent application Ser. No. 16/112,155, entitled SURGICAL SUTURING INSTRUMENT COMPRISING A CAPTURE WIDTH WHICH IS LARGER THAN TROCAR DIAMETER, now U.S. Patent Application Publication No. 2019/0125335;
    • U.S. patent application Ser. No. 16/112,168, entitled SURGICAL SUTURING INSTRUMENT COMPRISING A NON-CIRCULAR NEEDLE, now U.S. Patent Application Publication No. 2019/0125336;
    • U.S. patent application Ser. No. 16/112,180, entitled ELECTRICAL POWER OUTPUT CONTROL BASED ON MECHANICAL FORCES, now U.S. Patent Application Publication No. 2019/0125432;
    • U.S. patent application Ser. No. 16/112,193, entitled REACTIVE ALGORITHM FOR SURGICAL SYSTEM, now U.S. Pat. No. 10,932,806;
    • U.S. patent application Ser. No. 16/112,099, entitled SURGICAL INSTRUMENT COMPRISING AN ADAPTIVE ELECTRICAL SYSTEM, now U.S. Patent Application Publication No. 2019/0125378;
    • U.S. patent application Ser. No. 16/112,112, entitled CONTROL SYSTEM ARRANGEMENTS FOR A MODULAR SURGICAL INSTRUMENT, now U.S. Patent Application Publication No. 2019/0125320;
    • U.S. patent application Ser. No. 16/112,119, entitled ADAPTIVE CONTROL PROGRAMS FOR A SURGICAL SYSTEM COMPRISING MORE THAN ONE TYPE OF CARTRIDGE, now U.S. Patent Application Publication No. 2019/0125338;
    • U.S. patent application Ser. No. 16/112,109, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING HANDLE ARRANGEMENTS, now U.S. Patent Application Publication No. 2019/0125388;
    • U.S. patent application Ser. No. 16/112,114, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING FEEDBACK MECHANISMS, now U.S. Pat. No. 10,980,560;
    • U.S. patent application Ser. No. 16/112,117, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING LOCKOUT MECHANISMS, now U.S. Patent Application Publication No. 2019/0125476;
    • U.S. patent application Ser. No. 16/112,095, entitled SURGICAL INSTRUMENTS COMPRISING A LOCKABLE END EFFECTOR SOCKET, now U.S. Pat. No. 11,291,465;
    • U.S. patent application Ser. No. 16/112,121, entitled SURGICAL INSTRUMENTS COMPRISING A SHIFTING MECHANISM, now U.S. Pat. No. 11,026,712;
    • U.S. patent application Ser. No. 16/112,151, entitled SURGICAL INSTRUMENTS COMPRISING A SYSTEM FOR ARTICULATION AND ROTATION COMPENSATION, now U.S. Pat. No. 10,772,651;
    • U.S. patent application Ser. No. 16/112,154, entitled SURGICAL INSTRUMENTS COMPRISING A BIASED SHIFTING MECHANISM, now U.S. Pat. No. 11,207,090;
    • U.S. patent application Ser. No. 16/112,226, entitled SURGICAL INSTRUMENTS COMPRISING AN ARTICULATION DRIVE THAT PROVIDES FOR HIGH ARTICULATION ANGLES, now U.S. Pat. No. 11,129,636;
    • U.S. patent application Ser. No. 16/112,062, entitled SURGICAL DISSECTORS AND MANUFACTURING TECHNIQUES, now U.S. Pat. No. 10,959,744;
    • U.S. patent application Ser. No. 16/112,098, entitled SURGICAL DISSECTORS CONFIGURED TO APPLY MECHANICAL AND ELECTRICAL ENERGY, now U.S. Patent Application Publication No. 2019/0125430;
    • U.S. patent application Ser. No. 16/112,237, entitled SURGICAL CLIP APPLIER CONFIGURED TO STORE CLIPS IN A STORED STATE, now U.S. Pat. No. 11,026,713;
    • U.S. patent application Ser. No. 16/112,245, entitled SURGICAL CLIP APPLIER COMPRISING AN EMPTY CLIP CARTRIDGE LOCKOUT, now U.S. Pat. No. 11,051,836;
    • U.S. patent application Ser. No. 16/112,249, entitled SURGICAL CLIP APPLIER COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM, now U.S. Pat. No. 11,109,878;
    • U.S. patent application Ser. No. 16/112,253, entitled SURGICAL CLIP APPLIER COMPRISING ADAPTIVE FIRING CONTROL, now U.S. Pat. No. 11,103,268; and
    • U.S. patent application Ser. No. 16/112,257, entitled SURGICAL CLIP APPLIER COMPRISING ADAPTIVE CONTROL IN RESPONSE TO A STRAIN GAUGE CIRCUIT, now U.S. Pat. No. 11,071,560.


Applicant of the present application owns the following U.S. patent applications that were filed on May 1, 2018 and which are each herein incorporated by reference in their respective entireties:


U.S. Patent Application Ser. No. 62/665,129, entitled SURGICAL SUTURING SYSTEMS;


U.S. Provisional Patent Application Ser. No. 62/665,139, entitled SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS;


U.S. Patent Application Ser. No. 62/665,177, entitled SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS;


U.S. Patent Application Ser. No. 62/665,128, entitled MODULAR SURGICAL INSTRUMENTS;


U.S. Patent Application Ser. No. 62/665,192, entitled SURGICAL DISSECTORS; and


U.S. Patent Application Ser. No. 62/665,134, entitled SURGICAL CLIP APPLIER.


Applicant of the present application owns the following U.S. patent applications that were filed on Feb. 28, 2018 and which are each herein incorporated by reference in their respective entireties:


U.S. patent application Ser. No. 15/908,021, entitled SURGICAL INSTRUMENT WITH REMOTE RELEASE;


U.S. patent application Ser. No. 15/908,012, entitled SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT;


U.S. patent application Ser. No. 15/908,040, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;


U.S. patent application Ser. No. 15/908,057, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;


U.S. patent application Ser. No. 15/908,058, entitled SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES; and


U.S. patent application Ser. No. 15/908,143, entitled SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS.


Applicant of the present application owns the following U.S. patent applications that were filed on Oct. 30, 2017 and which are each herein incorporated by reference in their respective entireties:


U.S. Provisional Patent Application Ser. No. 62/578,793, entitled SURGICAL INSTRUMENT WITH REMOTE RELEASE;


U.S. Provisional Patent Application Ser. No. 62/578,804, entitled SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT;


U.S. Provisional Patent Application Ser. No. 62/578,817, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;


U.S. Provisional Patent Application Ser. No. 62/578,835, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS;


U.S. Provisional Patent Application Ser. No. 62/578,844, entitled SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES; and


U.S. Provisional Patent Application Ser. No. 62/578,855, entitled SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS.


Applicant of the present application owns the following U.S. Provisional Patent Applications, filed on Dec. 28, 2017, the disclosure of each of which is herein incorporated by reference in its entirety:


U.S. Provisional Patent Application Ser. No. 62/611,341, entitled INTERACTIVE SURGICAL PLATFORM;


U.S. Provisional Patent Application Ser. No. 62/611,340, entitled CLOUD-BASED MEDICAL ANALYTICS; and


U.S. Provisional Patent Application Ser. No. 62/611,339, entitled ROBOT ASSISTED SURGICAL PLATFORM.


Applicant of the present application owns the following U.S. Provisional Patent Applications, filed on Mar. 28, 2018, each of which is herein incorporated by reference in its entirety:


U.S. Provisional Patent Application Ser. No. 62/649,302, entitled INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES;


U.S. Provisional Patent Application Ser. No. 62/649,294, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD;


U.S. Provisional Patent Application Ser. No. 62/649,300, entitled SURGICAL HUB SITUATIONAL AWARENESS;


U.S. Provisional Patent Application Ser. No. 62/649,309, entitled SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER;


U.S. Provisional Patent Application Ser. No. 62/649,310, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS;


U.S. Provisional Patent Application Ser. No. 62/649,291, entitled USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT;


U.S. Provisional Patent Application Ser. No. 62/649,296, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES;


U.S. Provisional Patent Application Ser. No. 62/649,333, entitled CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER;


U.S. Provisional Patent Application Ser. No. 62/649,327, entitled CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES;


U.S. Provisional Patent Application Ser. No. 62/649,315, entitled DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK;


U.S. Provisional Patent Application Ser. No. 62/649,313, entitled CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES;


U.S. Provisional Patent Application Ser. No. 62/649,320, entitled DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;


U.S. Provisional Patent Application Ser. No. 62/649,307, entitled AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS; and


U.S. Provisional Patent Application Ser. No. 62/649,323, entitled SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS.


Applicant of the present application owns the following U.S. patent applications, filed on Mar. 29, 2018, each of which is herein incorporated by reference in its entirety:


U.S. patent application Ser. No. 15/940,641, entitled INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES;


U.S. patent application Ser. No. 15/940,648, entitled INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES;


U.S. patent application Ser. No. 15/940,656, entitled SURGICAL HUB COORDINATION OF CONTROL AND COMMUNICATION OF OPERATING ROOM DEVICES;


U.S. patent application Ser. No. 15/940,666, entitled SPATIAL AWARENESS OF SURGICAL HUBS IN OPERATING ROOMS;


U.S. patent application Ser. No. 15/940,670, entitled COOPERATIVE UTILIZATION OF DATA DERIVED FROM SECONDARY SOURCES BY INTELLIGENT SURGICAL HUBS;


U.S. patent application Ser. No. 15/940,677, entitled SURGICAL HUB CONTROL ARRANGEMENTS;


U.S. patent application Ser. No. 15/940,632, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD;


U.S. patent application Ser. No. 15/940,640, entitled COMMUNICATION HUB AND STORAGE DEVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BE SHARED WITH CLOUD BASED ANALYTICS SYSTEMS;


U.S. patent application Ser. No. 15/940,645, entitled SELF DESCRIBING DATA PACKETS GENERATED AT AN ISSUING INSTRUMENT;


U.S. patent application Ser. No. 15/940,649, entitled DATA PAIRING TO INTERCONNECT A DEVICE MEASURED PARAMETER WITH AN OUTCOME;


U.S. patent application Ser. No. 15/940,654, entitled SURGICAL HUB SITUATIONAL AWARENESS;


U.S. patent application Ser. No. 15/940,663, entitled SURGICAL SYSTEM DISTRIBUTED PROCESSING;


U.S. patent application Ser. No. 15/940,668, entitled AGGREGATION AND REPORTING OF SURGICAL HUB DATA;


U.S. patent application Ser. No. 15/940,671, entitled SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER;


U.S. patent application Ser. No. 15/940,686, entitled DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE;


U.S. patent application Ser. No. 15/940,700, entitled STERILE FIELD INTERACTIVE CONTROL DISPLAYS;


U.S. patent application Ser. No. 15/940,629, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS;


U.S. patent application Ser. No. 15/940,704, entitled USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT;


U.S. patent application Ser. No. 15/940,722, entitled CHARACTERIZATION OF TISSUE IRREGULARITIES THROUGH THE USE OF MONO-CHROMATIC LIGHT REFRACTIVITY; and


U.S. patent application Ser. No. 15/940,742, entitled DUAL CMOS ARRAY IMAGING.


Applicant of the present application owns the following U.S. patent applications, filed on Mar. 29, 2018, each of which is herein incorporated by reference in its entirety:


U.S. patent application Ser. No. 15/940,636, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES;


U.S. patent application Ser. No. 15/940,653, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS;


U.S. patent application Ser. No. 15/940,660, entitled CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER;


U.S. patent application Ser. No. 15/940,679, entitled CLOUD-BASED MEDICAL ANALYTICS FOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OF LARGER DATA SET;


U.S. patent application Ser. No. 15/940,694, entitled CLOUD-BASED MEDICAL ANALYTICS FOR MEDICAL FACILITY SEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION;


U.S. patent application Ser. No. 15/940,634, entitled CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES;


U.S. patent application Ser. No. 15/940,706, entitled DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK; and


U.S. patent application Ser. No. 15/940,675, entitled CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES.


Applicant of the present application owns the following U.S. patent applications, filed on Mar. 29, 2018, each of which is herein incorporated by reference in its entirety:


U.S. patent application Ser. No. 15/940,627, entitled DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;


U.S. patent application Ser. No. 15/940,637, entitled COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;


U.S. patent application Ser. No. 15/940,642, entitled CONTROLS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;


U.S. patent application Ser. No. 15/940,676, entitled AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;


U.S. patent application Ser. No. 15/940,680, entitled CONTROLLERS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;


U.S. patent application Ser. No. 15/940,683, entitled COOPERATIVE SURGICAL ACTIONS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;


U.S. patent application Ser. No. 15/940,690, entitled DISPLAY ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS; and


U.S. patent application Ser. No. 15/940,711, entitled SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS.


Applicant of the present application owns the following U.S. Provisional Patent Applications, filed on Mar. 30, 2018, each of which is herein incorporated by reference in its entirety:


U.S. Provisional Patent Application Ser. No. 62/650,887, entitled SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES;


U.S. Provisional Patent Application Ser. No. 62/650,877, entitled SURGICAL SMOKE EVACUATION SENSING AND CONTROLS;


U.S. Provisional Patent Application Ser. No. 62/650,882, entitled SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM; and


U.S. Provisional Patent Application Ser. No. 62/650,898, entitled CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS.


Applicant of the present application owns the following U.S. Provisional Patent Application, filed on Apr. 19, 2018, which is herein incorporated by reference in its entirety:


U.S. Provisional Patent Application Ser. No. 62/659,900, entitled METHOD OF HUB COMMUNICATION.


Numerous specific details are set forth to provide a thorough understanding of the overall structure, function, manufacture, and use of the embodiments as described in the specification and illustrated in the accompanying drawings. Well-known operations, components, and elements have not been described in detail so as not to obscure the embodiments described in the specification. The reader will understand that the embodiments described and illustrated herein are non-limiting examples, and thus it can be appreciated that the specific structural and functional details disclosed herein may be representative and illustrative. Variations and changes thereto may be made without departing from the scope of the claims.


The terms “comprise” (and any form of comprise, such as “comprises” and “comprising”), “have” (and any form of have, such as “has” and “having”), “include” (and any form of include, such as “includes” and “including”), and “contain” (and any form of contain, such as “contains” and “containing”) are open-ended linking verbs. As a result, a surgical system, device, or apparatus that “comprises,” “has,” “includes”, or “contains” one or more elements possesses those one or more elements, but is not limited to possessing only those one or more elements. Likewise, an element of a system, device, or apparatus that “comprises,” “has,” “includes”, or “contains” one or more features possesses those one or more features, but is not limited to possessing only those one or more features.


The terms “proximal” and “distal” are used herein with reference to a clinician manipulating the handle portion of the surgical instrument. The term “proximal” refers to the portion closest to the clinician and the term “distal” refers to the portion located away from the clinician. It will be further appreciated that, for convenience and clarity, spatial terms such as “vertical”, “horizontal”, “up”, and “down” may be used herein with respect to the drawings. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.


Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily appreciate that the various methods and devices disclosed herein can be used in numerous surgical procedures and applications including, for example, in connection with open surgical procedures. As the present Detailed Description proceeds, the reader will further appreciate that the various instruments disclosed herein can be inserted into a body in any way, such as through a natural orifice, through an incision or puncture hole formed in tissue, etc. The working portions or end effector portions of the instruments can be inserted directly into a patient's body or can be inserted through an access device that has a working channel through which the end effector and elongate shaft of a surgical instrument can be advanced.


A surgical instrument, such as a grasper, for example, can comprise a handle, a shaft extending from the handle, and an end effector extending from the shaft. In various instances, the end effector comprises a first jaw and a second jaw, wherein one or both of the jaws are movable relative to the other to grasp the tissue of a patient. That said, an end effector of a surgical instrument can comprise any suitable arrangement and can perform any suitable function. For instance, an end effector can comprise first and second jaws configured to dissect or separate the tissue of a patient. Also, for instance, an end effector can be configured to suture and/or clip the tissue of a patient. In various instances, the end effector and/or shaft of the surgical instrument are configured to be inserted into a patient through a trocar, or cannula, and can have any suitable diameter, such as approximately 5 mm, 8 mm, and/or 12 mm, for example. U.S. patent application Ser. No. 11/013,924, entitled TROCAR SEAL ASSEMBLY, now U.S. Pat. No. 7,371,227, is incorporated by reference in its entirety. The shaft can define a longitudinal axis and at least a portion of the end effector can be rotatable about the longitudinal axis. Moreover, the surgical instrument can further comprise an articulation joint which can permit at least a portion of the end effector to be articulated relative to the shaft. In use, a clinician can rotate and/or articulate the end effector in order to maneuver the end effector within the patient.


A surgical instrument system is depicted in FIG. 1. The surgical instrument system comprises a handle assembly 1000 which is selectively usable with a shaft assembly 2000, a shaft assembly 3000, a shaft assembly 4000, a shaft assembly 5000, and/or any other suitable shaft assembly. The shaft assembly 2000 is attached to the handle assembly 1000 in FIG. 2 and the shaft assembly 4000 is attached to the handle assembly 1000 in FIG. 45. The shaft assembly 2000 comprises a proximal portion 2100, an elongate shaft 2200 extending from the proximal portion 2100, a distal attachment portion 2400, and an articulation joint 2300 rotatably connecting the distal attachment portion 2400 to the elongate shaft 2200. The shaft assembly 2000 further comprises a replaceable end effector assembly 7000 attached to the distal attachment portion 2400. The replaceable end effector assembly 7000 comprises a jaw assembly 7100 configured to be opened and closed to clamp and/or manipulate the tissue of a patient. In use, the end effector assembly 7000 can be articulated about the articulation joint 2300 and/or rotated relative to the distal attachment portion 2400 about a longitudinal axis to better position the jaw assembly 7100 within the patient, as described in greater detail further below.


Referring again to FIG. 1, the handle assembly 1000 comprises, among other things, a drive module 1100. As described in greater detail below, the drive module 1100 comprises a distal mounting interface which permits a clinician to selectively attach one of the shaft assemblies 2000, 3000, 4000, and 5000, for example, to the drive module 1100. Thus, each of the shaft assemblies 2000, 3000, 4000, and 5000 comprises an identical, or an at least similar, proximal mounting interface which is configured to engage the distal mounting interface of the drive module 1100. As also described in greater detail below, the mounting interface of the drive module 1100 mechanically secures and electrically couples the selected shaft assembly to the drive module 1100. The drive module 1100 further comprises at least one electric motor, one or more controls and/or displays, and a controller configured to operate the electric motor—the rotational output of which is transmitted to a drive system of the shaft assembly attached to the drive module 1100. Moreover, the drive module 1100 is usable with one ore more power modules, such as power modules 1200 and 1300, for example, which are operably attachable to the drive module 1100 to supply power thereto.


Further to the above, referring again to FIGS. 1 and 2, the handle drive module 1100 comprises a housing 1110, a first module connector 1120, and a second module connector 1120′. The power module 1200 comprises a housing 1210, a connector 1220, one or more release latches 1250, and one or more batteries 1230. The connector 1220 is configured to be engaged with the first module connector 1120 of the drive module 1100 in order to attach the power module 1200 to the drive module 1100. The connector 1220 comprises one or more latches 1240 which mechanically couple and fixedly secure the housing 1210 of the power module 1200 to the housing 1110 of the drive module 1100. The latches 1240 are movable into disengaged positions when the release latches 1250 are depressed so that the power module 1200 can be detached from the drive module 1100. The connector 1220 also comprises one or more electrical contacts which place the batteries 1230, and/or an electrical circuit including the batteries 1230, in electrical communication with an electrical circuit in the drive module 1100.


Further to the above, referring again to FIGS. 1 and 2, the power module 1300 comprises a housing 1310, a connector 1320, one or more release latches 1350, and one or more batteries 1330 (FIG. 47). The connector 1320 is configured to be engaged with the second module connector 1120′ of the drive module 1100 to attach the power module 1300 to the drive module 1100. The connector 1320 comprises one or more latches 1340 which mechanically couple and fixedly secure the housing 1310 of the power module 1300 to the housing 1110 of the drive module 1100. The latches 1340 are movable into disengaged positions when the release latches 1350 are depressed so that the power module 1300 can be detached from the drive module 1100. The connector 1320 also comprises one or more electrical contacts which place the batteries 1330 of the power module 1300, and/or an electrical power circuit including the batteries 1330, in electrical communication with an electrical power circuit in the drive module 1100.


Further to the above, the power module 1200, when attached to the drive module 1100, comprises a pistol grip which can allow a clinician to hold the handle 1000 in a manner which places the drive module 1100 on top of the clinician's hand. The power module 1300, when attached to the drive module 1100, comprises an end grip which allows a clinician to hold the handle 1000 like a wand. The power module 1200 is longer than the power module 1300, although the power modules 1200 and 1300 can comprise any suitable length. The power module 1200 has more battery cells than the power module 1300 and can suitably accommodate these additional battery cells owing to its length. In various instances, the power module 1200 can provide more power to the drive module 1100 than the power module 1300 while, in some instances, the power module 1200 can provide power for a longer period of time. In some instances, the housing 1110 of the drive module 1100 comprises keys, and/or any other suitable features, which prevent the power module 1200 from being connected to the second module connector 1120′ and, similarly, prevent the power module 1300 from being connected to the first module connector 1120. Such an arrangement can assure that the longer power module 1200 is used in the pistol grip arrangement and that the shorter power module 1300 is used in the wand grip arrangement. In alternative embodiments, the power module 1200 and the power module 1300 can be selectively coupled to the drive module 1100 at either the first module connector 1120 or the second module connector 1120′. Such embodiments provide a clinician with more options to customize the handle 1000 in a manner suitable to them.


In various instances, further to the above, only one of the power modules 1200 and 1300 is coupled to the drive module 1100 at a time. In certain instances, the power module 1200 can be in the way when the shaft assembly 4000, for example, is attached to the drive module 1100. Alternatively, both of the power modules 1200 and 1300 can be operably coupled to the drive module 1100 at the same time. In such instances, the drive module 1100 can have access to power provided by both of the power modules 1200 and 1300. Moreover, a clinician can switch between a pistol grip and a wand grip when both of the power modules 1200 and 1300 are attached to the drive module 1100. Moreover, such an arrangement allows the power module 1300 to act as a counterbalance to a shaft assembly, such as shaft assemblies 2000, 3000, 4000, or 5000, for example, attached to the drive module 1100.


Referring to FIGS. 7 and 8, the handle drive module 1100 further comprises a frame 1500, a motor assembly 1600, a drive system 1700 operably engaged with the motor assembly 1600, and a control system 1800. The frame 1500 comprises an elongate shaft that extends through the motor assembly 1600. The elongate shaft comprises a distal end 1510 and electrical contacts, or sockets, 1520 defined in the distal end 1510. The electrical contacts 1520 are in electrical communication with the control system 1800 of the drive module 1100 via one or more electrical circuits and are configured to convey signals and/or power between the control system 1800 and the shaft assembly, such as the shaft assembly 2000, 3000, 4000, or 5000, for example, attached to the drive module 1100. The control system 1800 comprises a printed circuit board (PCB) 1810, at least one microprocessor 1820, and at least one memory device 1830. The board 1810 can be rigid and/or flexible and can comprise any suitable number of layers. The microprocessor 1820 and the memory device 1830 are part of a control circuit defined on the board 1810 which controls the operation of the motor assembly 1600, as described in greater detail below.


Referring to FIGS. 12 and 13, the motor assembly 1600 comprises an electric motor 1610 including a housing 1620, a drive shaft 1630, and a gear reduction system. The electric motor 1610 further comprises a stator including windings 1640 and a rotor including magnetic elements 1650. The stator windings 1640 are supported in the housing 1620 and the rotor magnetic elements 1650 are mounted to the drive shaft 1630. When the stator windings 1640 are energized with an electric current controlled by the control system 1800, the drive shaft 1630 is rotated about a longitudinal axis. The drive shaft 1630 is operably engaged with a first planetary gear system 1660 which includes a central sun gear and several planetary gears operably intermeshed with the sun gear. The sun gear of the first planetary gear system 1660 is fixedly mounted to the drive shaft 1630 such that it rotates with the drive shaft 1630. The planetary gears of the first planetary gear system 1660 are rotatably mounted to the sun gear of a second planetary gear system 1670 and, also, intermeshed with a geared or splined inner surface 1625 of the motor housing 1620. As a result of the above, the rotation of the first sun gear rotates the first planetary gears which rotate the second sun gear. Similar to the above, the second planetary gear system 1670 further comprises planetary gears 1665 (FIG. 13) which drive a third planetary gear system and, ultimately, the drive shaft 1710. The planetary gear systems 1660, 1670, and 1680 co-operate to gear down the speed applied to the drive shaft 1710 by the motor shaft 1620. Various alternative embodiments are envisioned without a speed reduction system. Such embodiments are suitable when it is desirable to drive the end effector functions quickly. Notably, the drive shaft 1630 comprises an aperture, or hollow core, extending therethrough through which wires and/or electrical circuits can extend.


The control system 1800 is in communication with the motor assembly 1600 and the electrical power circuit of the drive module 1100. The control system 1800 is configured to control the power delivered to the motor assembly 1600 from the electrical power circuit. The electrical power circuit is configured to supply a constant, or at least nearly constant, direct current (DC) voltage. In at least one instance, the electrical power circuit supplies 3 VDC to the control system 1800. The control system 1800 comprises a pulse width modulation (PWM) circuit which is configured to deliver voltage pulses to the motor assembly 1600. The duration or width of the voltage pulses, and/or the duration or width between the voltage pulses, supplied by the PWM circuit can be controlled in order to control the power applied to the motor assembly 1600. By controlling the power applied to the motor assembly 1600, the PWM circuit can control the speed of the output shaft of the motor assembly 1600. In addition to or in lieu of a PWM circuit, the control system 1800 can include a frequency modulation (FM) circuit. As discussed in greater detail below, the control system 1800 is operable in more than one operating mode and, depending on the operating mode being used, the control system 1800 can operate the motor assembly 1600 at a speed, or a range of speeds, which is determined to be appropriate for that operating mode.


Further to the above, referring again to FIGS. 7 and 8, the drive system 1700 comprises a rotatable shaft 1710 comprising a splined distal end 1720 and a longitudinal aperture 1730 defined therein. The rotatable shaft 1710 is operably mounted to the output shaft of the motor assembly 1600 such that the rotatable shaft 1710 rotates with the motor output shaft. The handle frame 1510 extends through the longitudinal aperture 1730 and rotatably supports the rotatable shaft 1710. As a result, the handle frame 1510 serves as a bearing for the rotatable shaft 1710. The handle frame 1510 and the rotatable shaft 1710 extend distally from a mounting interface 1130 of the drive module 1110 and are coupled with corresponding components on the shaft assembly 2000 when the shaft assembly 2000 is assembled to the drive module 1100. Referring primarily to FIGS. 3-6, the shaft assembly 2000 further comprises a frame 2500 and a drive system 2700. The frame 2500 comprises a longitudinal shaft 2510 extending through the shaft assembly 2000 and a plurality of electrical contacts, or pins, 2520 extending proximally from the shaft 2510. When the shaft assembly 2000 is attached to the drive module 1100, the electrical contacts 2520 on the shaft frame 2510 engage the electrical contacts 1520 on the handle frame 1510 and create electrical pathways therebetween.


Similar to the above, the drive system 2700 comprises a rotatable drive shaft 2710 which is operably coupled to the rotatable drive shaft 1710 of the handle 1000 when the shaft assembly 2000 is assembled to the drive module 1100 such that the drive shaft 2710 rotates with the drive shaft 1710. To this end, the drive shaft 2710 comprises a splined proximal end 2720 which mates with the splined distal end 1720 of the drive shaft 1710 such that the drive shafts 1710 and 2710 rotate together when the drive shaft 1710 is rotated by the motor assembly 1600. Given the nature of the splined interconnection between the drive shafts 1710 and 2710 and the electrical interconnection between the frames 1510 and 2510, the shaft assembly 2000 is assembled to the handle 1000 along a longitudinal axis; however, the operable interconnection between the drive shafts 1710 and 2710 and the electrical interconnection between the frames 1510 and 2510 can comprise any suitable configuration which can allow a shaft assembly to be assembled to the handle 1000 in any suitable manner.


As discussed above, referring to FIGS. 3-8, the mounting interface 1130 of the drive module 1110 is configured to be coupled to a corresponding mounting interface on the shaft assemblies 2000, 3000, 4000, and 5000, for example. For instance, the shaft assembly 2000 comprises a mounting interface 2130 configured to be coupled to the mounting interface 1130 of the drive module 1100. More specifically, the proximal portion 2100 of the shaft assembly 2000 comprises a housing 2110 which defines the mounting interface 2130. Referring primarily to FIG. 8, the drive module 1100 comprises latches 1140 which are configured to releasably hold the mounting interface 2130 of the shaft assembly 2000 against the mounting interface 1130 of the drive module 1100. When the drive module 1100 and the shaft assembly 2000 are brought together along a longitudinal axis, as described above, the latches 1140 contact the mounting interface 2130 and rotate outwardly into an unlocked position. Referring primarily to FIGS. 8, 10, and 11, each latch 1140 comprises a lock end 1142 and a pivot portion 1144. The pivot portion 1144 of each latch 1140 is rotatably coupled to the housing 1110 of the drive module 1100 and, when the latches 1140 are rotated outwardly, as mentioned above, the latches 1140 rotate about the pivot portions 1144. Notably, each latch 1140 further comprises a biasing spring 1146 configured to bias the latches 1140 inwardly into a locked position. Each biasing spring 1146 is compressed between a latch 1140 and the housing 1110 of the drive module 1100 such that the biasing springs 1146 apply biasing forces to the latches 1140; however, such biasing forces are overcome when the latches 1140 are rotated outwardly into their unlocked positions by the shaft assembly 2000. That said, when the latches 1140 rotate outwardly after contacting the mounting interface 2130, the lock ends 1142 of the latches 1140 can enter into latch windows 2140 defined in the mounting interface 2130. Once the lock ends 1142 pass through the latch windows 2140, the springs 1146 can bias the latches 1140 back into their locked positions. Each lock end 1142 comprises a lock shoulder, or surface, which securely holds the shaft assembly 2000 to the drive module 1100.


Further to the above, the biasing springs 1146 hold the latches 1140 in their locked positions. The distal ends 1142 are sized and configured to prevent, or at least inhibit, relative longitudinal movement, i.e., translation along a longitudinal axis, between the shaft assembly 2000 and the drive module 1100 when the latches 1140 are in their locked positions. Moreover, the latches 1140 and the latch windows 1240 are sized and configured to prevent relative lateral movement, i.e., translation transverse to the longitudinal axis, between the shaft assembly 2000 and the drive module 1100. In addition, the latches 1140 and the latch windows 2140 are sized and configured to prevent the shaft assembly 2000 from rotating relative to the drive module 1100. The drive module 1100 further comprises release actuators 1150 which, when depressed by a clinician, move the latches 1140 from their locked positions into their unlocked positions. The drive module 1100 comprises a first release actuator 1150 slideably mounted in an opening defined in the first side of the handle housing 1110 and a second release actuator 1150 slideably mounted in an opening defined in a second, or opposite, side of the handle housing 1110. Although the release actuators 1150 are actuatable separately, both release actuators 1150 typically need to be depressed to completely unlock the shaft assembly 2000 from the drive module 1100 and allow the shaft assembly 2000 to be detached from the drive module 1100. That said, it is possible that the shaft assembly 2000 could be detached from the drive module 1100 by depressing only one release actuator 1150.


Once the shaft assembly 2000 has been secured to the handle 1000 and the end effector 7000, for example, has been assembled to the shaft 2000, the clinician can maneuver the handle 1000 to insert the end effector 7000 into a patient. In at least one instance, the end effector 7000 is inserted into the patient through a trocar and then manipulated in order to position the jaw assembly 7100 of the end effector assembly 7000 relative to the patient's tissue. Oftentimes, the jaw assembly 7100 must be in its closed, or clamped, configuration in order to fit through the trocar. Once through the trocar, the jaw assembly 7100 can be opened so that the patient tissue fit between the jaws of the jaw assembly 7100. At such point, the jaw assembly 7100 can be returned to its closed configuration to clamp the patient tissue between the jaws. The clamping force applied to the patient tissue by the jaw assembly 7100 is sufficient to move or otherwise manipulate the tissue during a surgical procedure. Thereafter, the jaw assembly 7100 can be re-opened to release the patient tissue from the end effector 7000. This process can be repeated until it is desirable to remove the end effector 7000 from the patient. At such point, the jaw assembly 7100 can be returned to its closed configuration and retracted through the trocar. Other surgical techniques are envisioned in which the end effector 7000 is inserted into a patient through an open incision, or without the use of the trocar. In any event, it is envisioned that the jaw assembly 7100 may have to be opened and closed several times throughout a surgical technique.


Referring again to FIGS. 3-6, the shaft assembly 2000 further comprises a clamping trigger system 2600 and a control system 2800. The clamping trigger system 2600 comprises a clamping trigger 2610 rotatably connected to the proximal housing 2110 of the shaft assembly 2000. As discussed below, the clamping trigger 2610 actuates the motor 1610 to operate the jaw drive of the end effector 7000 when the clamping trigger 2610 is actuated. The clamping trigger 2610 comprises an elongate portion which is graspable by the clinician while holding the handle 1000. The clamping trigger 2610 further comprises a mounting portion 2620 which is pivotably connected to a mounting portion 2120 of the proximal housing 2110 such that the clamping trigger 2610 is rotatable about a fixed, or an at least substantially fixed, axis. The closure trigger 2610 is rotatable between a distal position and a proximal position, wherein the proximal position of the closure trigger 2610 is closer to the pistol grip of the handle 1000 than the distal position. The closure trigger 2610 further comprises a tab 2615 extending therefrom which rotates within the proximal housing 2110. When the closure trigger 2610 is in its distal position, the tab 2615 is positioned above, but not in contact with, a switch 2115 mounted on the proximal housing 2110. The switch 2115 is part of an electrical circuit configured to detect the actuation of the closure trigger 2610 which is in an open condition the closure trigger 2610 is in its open position. When the closure trigger 2610 is moved into its proximal position, the tab 2615 comes into contact with the switch 2115 and closes the electrical circuit. In various instances, the switch 2115 can comprise a toggle switch, for example, which is mechanically switched between open and closed states when contacted by the tab 2615 of the closure trigger 2610. In certain instances, the switch 2115 can comprise a proximity sensor, for example, and/or any suitable type of sensor. In at least one instance, the switch 2115 comprises a Hall Effect sensor which can detect the amount in which the closure trigger 2610 has been rotated and, based on the amount of rotation, control the speed in which the motor 1610 is operated. In such instances, larger rotations of the closure trigger 2610 result in faster speeds of the motor 1610 while smaller rotations result in slower speeds, for example. In any event, the electrical circuit is in communication with the control system 2800 of the shaft assembly 2000, which is discussed in greater detail below.


Further to the above, the control system 2800 of the shaft assembly 2000 comprises a printed circuit board (PCB) 2810, at least one microprocessor 2820, and at least one memory device 2830. The board 2810 can be rigid and/or flexible and can comprise any suitable number of layers. The microprocessor 2820 and the memory device 2830 are part of a control circuit defined on the board 2810 which communicates with the control system 1800 of the handle 1000. The shaft assembly 2000 further comprises a signal communication system 2900 and the handle 1000 further comprises a signal communication system 1900 which are configured to convey data between the shaft control system 2800 and the handle control system 1800. The signal communication system 2900 is configured to transmit data to the signal communication system 1900 utilizing any suitable analog and/or digital components. In various instances, the communication systems 2900 and 1900 can communicate using a plurality of discrete channels which allows the input gates of the microprocessor 1820 to be directly controlled, at least in part, by the output gates of the microprocessor 2820. In some instances, the communication systems 2900 and 1900 can utilize multiplexing. In at least one such instance, the control system 2900 includes a multiplexing device that sends multiple signals on a carrier channel at the same time in the form of a single, complex signal to a multiplexing device of the control system 1900 that recovers the separate signals from the complex signal.


The communication system 2900 comprises an electrical connector 2910 mounted to the circuit board 2810. The electrical connector 2910 comprises a connector body and a plurality of electrically-conductive contacts mounted to the connector body. The electrically-conductive contacts comprise male pins, for example, which are soldered to electrical traces defined in the circuit board 2810. In other instances, the male pins can be in communication with circuit board traces through zero-insertion-force (ZIF) sockets, for example. The communication system 1900 comprises an electrical connector 1910 mounted to the circuit board 1810. The electrical connector 1910 comprises a connector body and a plurality of electrically-conductive contacts mounted to the connector body. The electrically-conductive contacts comprise female pins, for example, which are soldered to electrical traces defined in the circuit board 1810. In other instances, the female pins can be in communication with circuit board traces through zero-insertion-force (ZIF) sockets, for example. When the shaft assembly 2000 is assembled to the drive module 1100, the electrical connector 2910 is operably coupled to the electrical connector 1910 such that the electrical contacts form electrical pathways therebetween. The above being said, the connectors 1910 and 2910 can comprise any suitable electrical contacts. Moreover, the communication systems 1900 and 2900 can communicate with one another in any suitable manner. In various instances, the communication systems 1900 and 2900 communicate wirelessly. In at least one such instance, the communication system 2900 comprises a wireless signal transmitter and the communication system 1900 comprises a wireless signal receiver such that the shaft assembly 2000 can wirelessly communicate data to the handle 1000. Likewise, the communication system 1900 can comprise a wireless signal transmitter and the communication system 2900 can comprise a wireless signal receiver such that the handle 1000 can wirelessly communicate data to the shaft assembly 2000.


As discussed above, the control system 1800 of the handle 1000 is in communication with, and is configured to control, the electrical power circuit of the handle 1000. The handle control system 1800 is also powered by the electrical power circuit of the handle 1000. The handle communication system 1900 is in signal communication with the handle control system 1800 and is also powered by the electrical power circuit of the handle 1000. The handle communication system 1900 is powered by the handle electrical power circuit via the handle control system 1800, but could be directly powered by the electrical power circuit. As also discussed above, the handle communication system 1900 is in signal communication with the shaft communication system 2900. That said, the shaft communication system 2900 is also powered by the handle electrical power circuit via the handle communication system 1900. To this end, the electrical connectors 1910 and 2010 connect both one or more signal circuits and one or more power circuits between the handle 1000 and the shaft assembly 2000. Moreover, the shaft communication system 2900 is in signal communication with the shaft control system 2800, as discussed above, and is also configured to supply power to the shaft control system 2800. Thus, the control systems 1800 and 2800 and the communication systems 1900 and 2900 are all powered by the electrical power circuit of the handle 1000; however, alternative embodiments are envisioned in which the shaft assembly 2000 comprises its own power source, such as one or more batteries, for example, an and electrical power circuit configured to supply power from the batteries to the handle systems 2800 and 2900. In at least one such embodiment, the handle control system 1800 and the handle communication system 1900 are powered by the handle electrical power system and the shaft control system 2800 and the handle communication system 2900 are powered by the shaft electrical power system.


Further to the above, the actuation of the clamping trigger 2610 is detected by the shaft control system 2800 and communicated to the handle control system 1800 via the communication systems 2900 and 1900. Upon receiving a signal that the clamping trigger 2610 has been actuated, the handle control system 1800 supplies power to the electric motor 1610 of the motor assembly 1600 to rotate the drive shaft 1710 of the handle drive system 1700, and the drive shaft 2710 of the shaft drive system 2700, in a direction which closes the jaw assembly 7100 of the end effector 7000. The mechanism for converting the rotation of the drive shaft 2710 to a closure motion of the jaw assembly 7100 is discussed in greater detail below. So long as the clamping trigger 2610 is held in its actuated position, the electric motor 1610 will rotate the drive shaft 1710 until the jaw assembly 7100 reaches its fully-clamped position. When the jaw assembly 7100 reaches its fully-clamped position, the handle control system 1800 cuts the electrical power to the electric motor 1610. The handle control system 1800 can determine when the jaw assembly 7100 has reached its fully-clamped position in any suitable manner. For instance, the handle control system 1800 can comprise an encoder system which monitors the rotation of, and counts the rotations of, the output shaft of the electric motor 1610 and, once the number of rotations reaches a predetermined threshold, the handle control system 1800 can discontinue supplying power to the electric motor 1610. In at least one instance, the end effector assembly 7000 can comprise one or more sensors configured to detect when the jaw assembly 7100 has reached its fully-clamped position. In at least one such instance, the sensors in the end effector 7000 are in signal communication with the handle control system 1800 via electrical circuits extending through the shaft assembly 2000 which can include the electrical contacts 1520 and 2520, for example.


When the clamping trigger 2610 is rotated distally out of its proximal position, the switch 2115 is opened which is detected by the shaft control system 2800 and communicated to the handle control system 1800 via the communication systems 2900 and 1900. Upon receiving a signal that the clamping trigger 2610 has been moved out of its actuated position, the handle control system 1800 reverses the polarity of the voltage differential being applied to the electric motor 1610 of the motor assembly 1600 to rotate the drive shaft 1710 of the handle drive system 1700, and the drive shaft 2710 of the shaft drive system 2700, in an opposite direction which, as a result, opens the jaw assembly 7100 of the end effector 7000. When the jaw assembly 7100 reaches its fully-open position, the handle control system 1800 cuts the electrical power to the electric motor 1610. The handle control system 1800 can determine when the jaw assembly 7100 has reached its fully-open position in any suitable manner. For instance, the handle control system 1800 can utilize the encoder system and/or the one or more sensors described above to determine the configuration of the jaw assembly 7100. In view of the above, the clinician needs to be mindful about holding the clamping trigger 2610 in its actuated position in order to maintain the jaw assembly 7100 in its clamped configuration as, otherwise, the control system 1800 will open jaw assembly 7100. With this in mind, the shaft assembly 2000 further comprises an actuator latch 2630 configured to releasably hold the clamping trigger 2610 in its actuated position to prevent the accidental opening of the jaw assembly 7100. The actuator latch 2630 can be manually released, or otherwise defeated, by the clinician to allow the clamping trigger 2610 to be rotated distally and open the jaw assembly 7100.


The clamping trigger system 2600 further comprises a resilient biasing member, such as a torsion spring, for example, configured to resist the closure of the clamping trigger system 2600. The torsion spring can also assist in reducing and/or mitigating sudden movements and/or jitter of the clamping trigger 2610. Such a torsion spring can also automatically return the clamping trigger 2610 to its unactuated position when the clamping trigger 2610 is released. The actuator latch 2630 discussed above can suitably hold the clamping trigger 2610 in its actuated position against the biasing force of the torsion spring.


As discussed above, the control system 1800 operates the electric motor 1610 to open and close the jaw assembly 7100. The control system 1800 is configured to open and close the jaw assembly 7100 at the same speed. In such instances, the control system 1800 applies the same voltage pulses to the electric motor 1610, albeit with different voltage polarities, when opening and closing the jaw assembly 7100. That said, the control system 1800 can be configured to open and close the jaw assembly 7100 at different speeds. For instance, the jaw assembly 7100 can be closed at a first speed and opened at a second speed which is faster than the first speed. In such instances, the slower closing speed affords the clinician an opportunity to better position the jaw assembly 7100 while clamping the tissue. Alternatively, the control system 1800 can open the jaw assembly 7100 at a slower speed. In such instances, the slower opening speed reduces the possibility of the opening jaws colliding with adjacent tissue. In either event, the control system 1800 can decrease the duration of the voltage pulses and/or increase the duration between the voltage pulses to slow down and/or speed up the movement of the jaw assembly 7100.


As discussed above, the control system 1800 is configured to interpret the position of the clamping trigger 2610 as a command to position the jaw assembly 7100 in a specific configuration. For instance, the control system 1800 is configured to interpret the proximal-most position of the clamping trigger 2610 as a command to close the jaw assembly 7100 and any other position of the clamping trigger as a command to open the jaw assembly 7100. That said, the control system 1800 can be configured to interpret the position of the clamping trigger 2610 in a proximal range of positions, instead of a single position, as a command to close the jaw assembly 7100. Such an arrangement can allow the jaw assembly 7000 to be better responsive to the clinician's input. In such instances, the range of motion of the clamping trigger 2610 is divided into ranges—a proximal range which is interpreted as a command to close the jaw assembly 7100 and a distal range which is interpreted as a command to open the jaw assembly 7100. In at least one instance, the range of motion of the clamping trigger 2610 can have an intermediate range between the proximal range and the distal range. When the clamping trigger 2610 is in the intermediate range, the control system 1800 can interpret the position of the clamping trigger 2610 as a command to neither open nor close the jaw assembly 7100. Such an intermediate range can prevent, or reduce the possibility of, jitter between the opening and closing ranges. In the instances described above, the control system 1800 can be configured to ignore cumulative commands to open or close the jaw assembly 7100. For instance, if the closure trigger 2610 has already been fully retracted into its proximal-most position, the control assembly 1800 can ignore the motion of the clamping trigger 2610 in the proximal, or clamping, range until the clamping trigger 2610 enters into the distal, or opening, range wherein, at such point, the control system 1800 can then actuate the electric motor 1610 to open the jaw assembly 7100.


In certain instances, further to the above, the position of the clamping trigger 2610 within the clamping trigger range, or at least a portion of the clamping trigger range, can allow the clinician to control the speed of the electric motor 1610 and, thus, the speed in which the jaw assembly 7100 is being opened or closed by the control assembly 1800. In at least one instance, the sensor 2115 comprises a Hall Effect sensor, and/or any other suitable sensor, configured to detect the position of the clamping trigger 2610 between its distal, unactuated position and its proximal, fully-actuated position. The Hall Effect sensor is configured to transmit a signal to the handle control system 1800 via the shaft control system 2800 such that the handle control system 1800 can control the speed of the electric motor 1610 in response to the position of the clamping trigger 2610. In at least one instance, the handle control system 1800 controls the speed of the electric motor 1610 proportionately, or in a linear manner, to the position of the clamping trigger 2610. For example, if the clamping trigger 2610 is moved half way through its range, then the handle control system 1800 will operate the electric motor 1610 at half of the speed in which the electric motor 1610 is operated when the clamping trigger 2610 is fully-retracted. Similarly, if the clamping trigger 2610 is moved a quarter way through its range, then the handle control system 1800 will operate the electric motor 1610 at a quarter of the speed in which the electric motor 1610 is operated when the clamping trigger 2610 is fully-retracted. Other embodiments are envisioned in which the handle control system 1800 controls the speed of the electric motor 1610 in a non-linear manner to the position of the clamping trigger 2610. In at least one instance, the control system 1800 operates the electric motor 1610 slowly in the distal portion of the clamping trigger range while quickly accelerating the speed of the electric motor 1610 in the proximal portion of the clamping trigger range.


As described above, the clamping trigger 2610 is movable to operate the electric motor 1610 to open or close the jaw assembly 7100 of the end effector 7000. The electric motor 1610 is also operable to rotate the end effector 7000 about a longitudinal axis and articulate the end effector 7000 relative to the elongate shaft 2200 about the articulation joint 2300 of the shaft assembly 2000. Referring primarily to FIGS. 7 and 8, the drive module 1100 comprises an input system 1400 including a rotation actuator 1420 and an articulation actuator 1430. The input system 1400 further comprises a printed circuit board (PCB) 1410 which is in signal communication with the printed circuit board (PCB) 1810 of the control system 1800. The drive module 1100 comprises an electrical circuit, such as a flexible wiring harness or ribbon, for example, which permits the input system 1400 to communicate with the control system 1800. The rotation actuator 1420 is rotatably supported on the housing 1110 and is in signal communication with the input board 1410 and/or control board 1810, as described in greater detail below. The articulation actuator 1430 is supported by and in signal communication with the input board 1410 and/or control board 1810, as also described in greater detail below.


Referring primarily to FIGS. 8, 10, and 11, further to the above, the handle housing 1110 comprises an annular groove or slot defined therein adjacent the distal mounting interface 1130. The rotation actuator 1420 comprises an annular ring 1422 rotatably supported within the annular groove and, owing to the configuration of the sidewalls of the annular groove, the annular ring 1422 is constrained from translating longitudinally and/or laterally with respect to the handle housing 1110. The annular ring 1422 is rotatable in a first, or clockwise, direction and a second, or counter-clockwise direction, about a longitudinal axis extending through the frame 1500 of the drive module 1100. The rotation actuator 1420 comprises one or more sensors configured to detect the rotation of the annular ring 1422. In at least one instance, the rotation actuator 1420 comprises a first sensor positioned on a first side of the drive module 1100 and a second sensor positioned on a second, or opposite, side of the drive module 1100 and the annular ring 1422 comprises a detectable element which is detectable by the first and second sensors. The first sensor is configured to detect when the annular ring 1422 is rotated in the first direction and the second sensor is configured to detect when the annular ring 1422 is rotated in the second direction. When the first sensor detects that the annular ring 1422 is rotated in the first direction, the handle control system 1800 rotates the handle drive shaft 1710, the drive shaft 2710, and the end effector 7000 in the first direction, as described in greater detail below. Similarly, the handle control system 1800 rotates the handle drive shaft 1710, the drive shaft 2710, and the end effector 7000 in the second direction when the second sensor detects that the annular ring 1422 is rotated in the second direction. In view of the above, the reader should appreciate that the clamping trigger 2610 and the rotation actuator 1420 are both operable to rotate the drive shaft 2710.


In various embodiments, further to the above, the first and second sensors comprise switches which are mechanically closable by the detectable element of the annular ring 1422. When the annular ring 1422 is rotated in the first direction from a center position, the detectable element closes the switch of the first sensor. When the switch of the first sensor is closed, the control system 1800 operates the electric motor 1610 to rotate the end effector 7000 in the first direction. When the annular ring 1422 is rotated in the second direction toward the center position, the detectable element is disengaged from the first switch and the first switch is re-opened. Once the first switch is re-opened, the control system 1800 cuts the power to the electric motor 1610 to stop the rotation of the end effector 7000. Similarly, the detectable element closes the switch of the second sensor when the annular ring 1422 is rotated in the second direction from the center position. When the switch of the second sensor is closed, the control system 1800 operates the electric motor 1610 to rotate the end effector 7000 in the second direction. When the annular ring 1422 is rotated in the first direction toward the center position, the detectable element is disengaged from the second switch and the second switch is re-opened. Once the second switch is re-opened, the control system 1800 cuts the power to the electric motor 1610 to stop the rotation of the end effector 7000.


In various embodiments, further to the above, the first and second sensors of the rotation actuator 1420 comprise proximity sensors, for example. In certain embodiments, the first and second sensors of the rotation actuator 1420 comprise Hall Effect sensors, and/or any suitable sensors, configured to detect the distance between the detectable element of the annular ring 1422 and the first and second sensors. If the first Hall Effect sensor detects that the annular ring 1422 has been rotated in the first direction, then, as discussed above, the control system 1800 will rotate the end effector 7000 in the first direction. In addition, the control system 1800 can rotate the end effector 7000 at a faster speed when the detectable element is closer to the first Hall Effect sensor than when the detectable element is further away from the first Hall Effect sensor. If the second Hall Effect sensor detects that the annular ring 1422 has been rotated in the second direction, then, as discussed above, the control system 1800 will rotate the end effector 7000 in the second direction. In addition, the control system 1800 can rotate the end effector 7000 at a faster speed when the detectable element is closer to the second Hall Effect sensor than when the detectable element is further away from the second Hall Effect sensor. As a result, the speed in which the end effector 7000 is rotated is a function of the amount, or degree, in which the annular ring 1422 is rotated. The control system 1800 is further configured to evaluate the inputs from both the first and second Hall Effect sensors when determining the direction and speed in which to rotate the end effector 7000. In various instances, the control system 1800 can use the closest Hall Effect sensor to the detectable element of the annular ring 1422 as a primary source of data and the Hall Effect sensor furthest away from the detectable element as a conformational source of data to double-check the data provided by the primary source of data. The control system 1800 can further comprise a data integrity protocol to resolve situations in which the control system 1800 is provided with conflicting data. In any event, the handle control system 1800 can enter into a neutral state in which the handle control system 1800 does not rotate the end effector 7000 when the Hall Effect sensors detect that the detectable element is in its center position, or in a position which is equidistant between the first Hall Effect sensor and the second Hall Effect sensor. In at least one such instance, the control system 1800 can enter into its neutral state when the detectable element is in a central range of positions. Such an arrangement would prevent, or at least reduce the possibility of, rotational jitter when the clinician is not intending to rotate the end effector 7000.


Further to the above, the rotation actuator 1420 can comprise one or more springs configured to center, or at least substantially center, the rotation actuator 1420 when it is released by the clinician. In such instances, the springs can act to shut off the electric motor 1610 and stop the rotation of the end effector 7000. In at least one instance, the rotation actuator 1420 comprises a first torsion spring configured to rotate the rotation actuator 1420 in the first direction and a second torsion spring configured to rotate the rotation actuator 1420 in the second direction. The first and second torsion springs can have the same, or at least substantially the same, spring constant such that the forces and/or torques applied by the first and second torsion springs balance, or at least substantially balance, the rotation actuator 1420 in its center position.


In view of the above, the reader should appreciate that the clamping trigger 2610 and the rotation actuator 1420 are both operable to rotate the drive shaft 2710 and either, respectively, operate the jaw assembly 7100 or rotate the end effector 7000. The system that uses the rotation of the drive shaft 2710 to selectively perform these functions is described in greater detail below.


Referring to FIGS. 7 and 8, the articulation actuator 1430 comprises a first push button 1432 and a second push button 1434. The first push button 1432 is part of a first articulation control circuit and the second push button 1434 is part of a second articulation circuit of the input system 1400. The first push button 1432 comprises a first switch that is closed when the first push button 1432 is depressed. The handle control system 1800 is configured to sense the closure of the first switch and, moreover, the closure of the first articulation control circuit. When the handle control system 1800 detects that the first articulation control circuit has been closed, the handle control system 1800 operates the electric motor 1610 to articulate the end effector 7000 in a first articulation direction about the articulation joint 2300. When the first push button 1432 is released by the clinician, the first articulation control circuit is opened which, once detected by the control system 1800, causes the control system 1800 to cut the power to the electric motor 1610 to stop the articulation of the end effector 7000.


In various instances, further to the above, the articulation range of the end effector 7000 is limited and the control system 1800 can utilize the encoder system discussed above for monitoring the rotational output of the electric motor 1610, for example, to monitor the amount, or degree, in which the end effector 7000 is rotated in the first direction. In addition to or in lieu of the encoder system, the shaft assembly 2000 can comprise a first sensor configured to detect when the end effector 7000 has reached the limit of its articulation in the first direction. In any event, when the control system 1800 determines that the end effector 7000 has reached the limit of articulation in the first direction, the control system 1800 can cut the power to the electric motor 1610 to stop the articulation of the end effector 7000.


Similar to the above, the second push button 1434 comprises a second switch that is closed when the second push button 1434 is depressed. The handle control system 1800 is configured to sense the closure of the second switch and, moreover, the closure of the second articulation control circuit. When the handle control system 1800 detects that the second articulation control circuit has been closed, the handle control system 1800 operates the electric motor 1610 to articulate the end effector 7000 in a second direction about the articulation joint 2300. When the second push button 1434 is released by the clinician, the second articulation control circuit is opened which, once detected by the control system 1800, causes the control system 1800 to cut the power to the electric motor 1610 to stop the articulation of the end effector 7000.


In various instances, the articulation range of the end effector 7000 is limited and the control system 1800 can utilize the encoder system discussed above for monitoring the rotational output of the electric motor 1610, for example, to monitor the amount, or degree, in which the end effector 7000 is rotated in the second direction. In addition to or in lieu of the encoder system, the shaft assembly 2000 can comprise a second sensor configured to detect when the end effector 7000 has reached the limit of its articulation in the second direction. In any event, when the control system 1800 determines that the end effector 7000 has reached the limit of articulation in the second direction, the control system 1800 can cut the power to the electric motor 1610 to stop the articulation of the end effector 7000.


As described above, the end effector 7000 is articulatable in a first direction (FIG. 16) and/or a second direction (FIG. 17) from a center, or unarticulated, position (FIG. 15). Once the end effector 7000 has been articulated, the clinician can attempt to re-center the end effector 7000 by using the first and second articulation push buttons 1432 and 1434. As the reader can appreciate, the clinician may struggle to re-center the end effector 7000 as, for instance, the end effector 7000 may not be entirely visible once it is positioned in the patient. In some instances, the end effector 7000 may not fit back through a trocar if the end effector 7000 is not re-centered, or at least substantially re-centered. With that in mind, the control system 1800 is configured to provide feedback to the clinician when the end effector 7000 is moved into its unarticulated, or centered, position. In at least one instance, the feedback comprises audio feedback and the handle control system 1800 can comprise a speaker which emits a sound, such as a beep, for example, when the end effector 7000 is centered. In certain instances, the feedback comprises visual feedback and the handle control system 1800 can comprise a light emitting diode (LED), for example, positioned on the handle housing 1110 which flashes when the end effector 7000 is centered. In various instances, the feedback comprises haptic feedback and the handle control system 1800 can comprise an electric motor comprising an eccentric element which vibrates the handle 1000 when the end effector 7000 is centered. Manually re-centering the end effector 7000 in this way can be facilitated by the control system 1800 slowing the motor 1610 when the end effector 7000 is approaching its centered position. In at least one instance, the control system 1800 slows the articulation of the end effector 7000 when the end effector 7000 is within approximately 5 degrees of center in either direction, for example.


In addition to or in lieu of the above, the handle control system 1800 can be configured to re-center the end effector 7000. In at least one such instance, the handle control system 1800 can re-center the end effector 7000 when both of the articulation buttons 1432 and 1434 of the articulation actuator 1430 are depressed at the same time. When the handle control system 1800 comprises an encoder system configured to monitor the rotational output of the electric motor 1610, for example, the handle control system 1800 can determine the amount and direction of articulation needed to re-center, or at least substantially re-center, the end effector 7000. In various instances, the input system 1400 can comprise a home button, for example, which, when depressed, automatically centers the end effector 7000.


Referring primarily to FIGS. 5 and 6, the elongate shaft 2200 of the shaft assembly 2000 comprises an outer housing, or tube, 2210 mounted to the proximal housing 2110 of the proximal portion 2100. The outer housing 2210 comprises a longitudinal aperture 2230 extending therethrough and a proximal flange 2220 which secures the outer housing 2210 to the proximal housing 2110. The frame 2500 of the shaft assembly 2000 extends through the longitudinal aperture 2230 of the elongate shaft 2200. More specifically, the shaft 2510 of the shaft frame 2500 necks down into a smaller shaft 2530 which extends through the longitudinal aperture 2230. That said, the shaft frame 2500 can comprise any suitable arrangement. The drive system 2700 of the shaft assembly 2000 also extends through the longitudinal aperture 2230 of the elongate shaft 2200. More specifically, the drive shaft 2710 of the shaft drive system 2700 necks down into a smaller drive shaft 2730 which extends through the longitudinal aperture 2230. That said, the shaft drive system 2700 can comprise any suitable arrangement.


Referring primarily to FIGS. 20, 23, and 24, the outer housing 2210 of the elongate shaft 2200 extends to the articulation joint 2300. The articulation joint 2300 comprises a proximal frame 2310 mounted to the outer housing 2210 such that there is little, if any, relative translation and/or rotation between the proximal frame 2310 and the outer housing 2210. Referring primarily to FIG. 22, the proximal frame 2310 comprises an annular portion 2312 mounted to the sidewall of the outer housing 2210 and tabs 2314 extending distally from the annular portion 2312. The articulation joint 2300 further comprises links 2320 and 2340 which are rotatably mounted to the frame 2310 and mounted to an outer housing 2410 of the distal attachment portion 2400. The link 2320 comprises a distal end 2322 mounted to the outer housing 2410. More specifically, the distal end 2322 of the link 2320 is received and fixedly secured within a mounting slot 2412 defined in the outer housing 2410. Similarly, the link 2340 comprises a distal end 2342 mounted to the outer housing 2410. More specifically, the distal end 2342 of the link 2340 is received and fixedly secured within a mounting slot defined in the outer housing 2410. The link 2320 comprises a proximal end 2324 rotatably coupled to a tab 2314 of the proximal articulation frame 2310. Although not illustrated in FIG. 22, a pin extends through apertures defined in the proximal end 2324 and the tab 2314 to define a pivot axis therebetween. Similarly, the link 2340 comprises a proximal end 2344 rotatably coupled to a tab 2314 of the proximal articulation frame 2310. Although not illustrated in FIG. 22, a pin extends through apertures defined in the proximal end 2344 and the tab 2314 to define a pivot axis therebetween. These pivot axes are collinear, or at least substantially collinear, and define an articulation axis A of the articulation joint 2300.


Referring primarily to FIGS. 20, 23, and 24, the outer housing 2410 of the distal attachment portion 2400 comprises a longitudinal aperture 2430 extending therethrough. The longitudinal aperture 2430 is configured to receive a proximal attachment portion 7400 of the end effector 7000. The end effector 7000 comprises an outer housing 6230 which is closely received within the longitudinal aperture 2430 of the distal attachment portion 2400 such that there is little, if any, relative radial movement between the proximal attachment portion 7400 of the end effector 7000 and the distal attachment portion 2400 of the shaft assembly 2000. The proximal attachment portion 7400 further comprises an annular array of lock notches 7410 defined on the outer housing 6230 which is releasably engaged by an end effector lock 6400 in the distal attachment portion 2400 of the shaft assembly 2000. When the end effector lock 6400 is engaged with the array of lock notches 7410, the end effector lock 6400 prevents, or at least inhibits, relative longitudinal movement between the proximal attachment portion 7400 of the end effector 7000 and the distal attachment portion 2400 of the shaft assembly 2000. As a result of the above, only relative rotation between the proximal attachment portion 7400 of the end effector 7000 and the distal attachment portion 2400 of the shaft assembly 2000 is permitted. To this end, the outer housing 6230 of the end effector 7000 is closely received within the longitudinal aperture 2430 defined in the distal attachment portion 2400 of the shaft assembly 2000.


Further to the above, referring to FIG. 21, the outer housing 6230 further comprises an annular slot, or recess, 6270 defined therein which is configured to receive an O-ring 6275 therein. The O-ring 6275 is compressed between the outer housing 6230 and the sidewall of the longitudinal aperture 2430 when the end effector 7000 is inserted into the distal attachment portion 2400. The O-ring 6275 is configured to resist, but permit, relative rotation between the end effector 7000 and the distal attachment portion 2400 such that the O-ring 6275 can prevent, or reduce the possibility of, unintentional relative rotation between the end effector 7000 and the distal attachment portion 2400. In various instances, the O-ring 6275 can provide a seal between the end effector 7000 and the distal attachment portion 2400 to prevent, or at least reduce the possibility of, fluid ingress into the shaft assembly 2000, for example.


Referring to FIGS. 14-21, the jaw assembly 7100 of the end effector 7000 comprises a first jaw 7110 and a second jaw 7120. Each jaw 7110, 7120 comprises a distal end which is configured to assist a clinician in dissecting tissue with the end effector 7000. Each jaw 7110, 7120 further comprises a plurality of teeth which are configured to assist a clinician in grasping and holding onto tissue with the end effector 7000. Moreover, referring primarily to FIG. 21, each jaw 7110, 7120 comprises a proximal end, i.e., proximal ends 7115, 7125, respectively, which rotatably connect the jaws 7110, 7120 together. Each proximal end 7115, 7125 comprises an aperture extending therethrough which is configured to closely receive a pin 7130 therein. The pin 7130 comprises a central body 7135 closely received within the apertures defined in the proximal ends 7115, 7125 of the jaws 7110, 7120 such that there is little, if any, relative translation between the jaws 7110, 7120 and the pin 7130. The pin 7130 defines a jaw axis J about which the jaws 7110, 7120 can be rotated and, also, rotatably mounts the jaws 7110, 7120 to the outer housing 6230 of the end effector 7000. More specifically, the outer housing 6230 comprises distally-extending tabs 6235 having apertures defined therein which are also configured to closely receive the pin 7130 such that the jaw assembly 7100 does not translate relative to a shaft portion 7200 of the end effector 7000. The pin 7130 further comprises enlarged ends which prevent the jaws 7110, 7120 from becoming detached from the pin 7130 and also prevents the jaw assembly 7100 from becoming detached from the shaft portion 7200. This arrangement defines a rotation joint 7300.


Referring primarily to FIGS. 21 and 23, the jaws 7110 and 7120 are rotatable between their open and closed positions by a jaw assembly drive including drive links 7140, a drive nut 7150, and a drive screw 6130. As described in greater detail below, the drive screw 6130 is selectively rotatable by the drive shaft 2730 of the shaft drive system 2700. The drive screw 6130 comprises an annular flange 6132 which is closely received within a slot, or groove, 6232 (FIG. 25) defined in the outer housing 6230 of the end effector 7000. The sidewalls of the slot 6232 are configured to prevent, or at least inhibit, longitudinal and/or radial translation between the drive screw 6130 and the outer housing 6230, but yet permit relative rotational motion between the drive screw 6130 and the outer housing 6230. The drive screw 6130 further comprises a threaded end 6160 which is threadably engaged with a threaded aperture 7160 defined in the drive nut 7150. The drive nut 7150 is constrained from rotating with the drive screw 6130 and, as a result, the drive nut 7150 is translated when the drive screw 6130 is rotated. In use, the drive screw 6130 is rotated in a first direction to displace the drive nut 7150 proximally and in a second, or opposite, direction to displace the drive nut 7150 distally. The drive nut 7150 further comprises a distal end 7155 comprising an aperture defined therein which is configured to closely receive pins 7145 extending from the drive links 7140. Referring primarily to FIG. 21, a first drive link 7140 is attached to one side of the distal end 7155 and a second drive link 7140 is attached to the opposite side of the distal end 7155. The first drive link 7140 comprises another pin 7145 extending therefrom which is closely received in an aperture defined in the proximal end 7115 of the first jaw 7110 and, similarly, the second drive link 7140 comprises another pin extending therefrom which is closely received in an aperture defined in the proximal end 7125 of the second jaw 7120. As a result of the above, the drive links 7140 operably connect the jaws 7110 and 7120 to the drive nut 7150. When the drive nut 7150 is driven proximally by the drive screw 6130, as described above, the jaws 7110, 7120 are rotated into the closed, or clamped, configuration. Correspondingly, the jaws 7110, 7120 are rotated into their open configuration when the drive nut 7150 is driven distally by the drive screw 6130.


As discussed above, the control system 1800 is configured to actuate the electric motor 1610 to perform three different end effector functions—clamping/opening the jaw assembly 7100 (FIGS. 14 and 15), rotating the end effector 7000 about a longitudinal axis (FIGS. 18 and 19), and articulating the end effector 7000 about an articulation axis (FIGS. 16 and 17). Referring primarily to FIGS. 26 and 27, the control system 1800 is configured to operate a transmission 6000 to selectively perform these three end effector functions. The transmission 6000 comprises a first clutch system 6100 configured to selectively transmit the rotation of the drive shaft 2730 to the drive screw 6130 of the end effector 7000 to open or close the jaw assembly 7100, depending on the direction in which the drive shaft 2730 is rotated. The transmission 6000 further comprises a second clutch system 6200 configured to selectively transmit the rotation of the drive shaft 2730 to the outer housing 6230 of the end effector 7000 to rotate the end effector 7000 about the longitudinal axis L. The transmission 6000 also comprises a third clutch system 6300 configured to selectively transmit the rotation of the drive shaft 2730 to the articulation joint 2300 to articulate the distal attachment portion 2400 and the end effector 7000 about the articulation axis A. The clutch systems 6100, 6200, and 6300 are in electrical communication with the control system 1800 via electrical circuits extending through the shaft 2510, the connector pins 2520, the connector pins 1520, and the shaft 1510, for example. In at least one instance, each of these clutch control circuits comprises two connector pins 2520 and two connector pins 1520, for example.


In various instances, further to the above, the shaft 2510 and/or the shaft 1510 comprise a flexible circuit including electrical traces which form part of the clutch control circuits. The flexible circuit can comprise a ribbon, or substrate, with conductive pathways defined therein and/or thereon. The flexible circuit can also comprise sensors and/or any solid state component, such as signal smoothing capacitors, for example, mounted thereto. In at least one instance, each of the conductive pathways can comprise one or more signal smoothing capacitors which can, among other things, even out fluctuations in signals transmitted through the conductive pathways. In various instances, the flexible circuit can be coated with at least one material, such as an elastomer, for example, which can seal the flexible circuit against fluid ingress.


Referring primarily to FIG. 28, the first clutch system 6100 comprises a first clutch 6110, an expandable first drive ring 6120, and a first electromagnetic actuator 6140. The first clutch 6110 comprises an annular ring and is slideably disposed on the drive shaft 2730. The first clutch 6110 is comprised of a magnetic material and is movable between a disengaged, or unactuated, position (FIG. 28) and an engaged, or actuated, position (FIG. 29) by electromagnetic fields EF generated by the first electromagnetic actuator 6140. In various instances, the first clutch 6110 is at least partially comprised of iron and/or nickel, for example. In at least one instance, the first clutch 6110 comprises a permanent magnet. As illustrated in FIG. 22A, the drive shaft 2730 comprises one or more longitudinal key slots 6115 defined therein which are configured to constrain the longitudinal movement of the clutch 6110 relative to the drive shaft 2730. More specifically, the clutch 6110 comprises one or more keys extending into the key slots 6115 such that the distal ends of the key slots 6115 stop the distal movement of the clutch 6110 and the proximal ends of the key slots 6115 stop the proximal movement of the clutch 6110.


When the first clutch 6110 is in its disengaged position (FIG. 28), the first clutch 6110 rotates with the drive shaft 2130 but does not transmit rotational motion to the first drive ring 6120. As can be seen in FIG. 28, the first clutch 6110 is separated from, or not in contact with, the first drive ring 6120. As a result, the rotation of the drive shaft 2730 and the first clutch 6110 is not transmitted to the drive screw 6130 when the first clutch assembly 6100 is in its disengaged state. When the first clutch 6110 is in its engaged position (FIG. 29), the first clutch 6110 is engaged with the first drive ring 6120 such that the first drive ring 6120 is expanded, or stretched, radially outwardly into contact with the drive screw 6130. In at least one instance, the first drive ring 6120 comprises an elastomeric band, for example. As can be seen in FIG. 29, the first drive ring 6120 is compressed against an annular inner sidewall 6135 of the drive screw 6130. As a result, the rotation of the drive shaft 2730 and the first clutch 6110 is transmitted to the drive screw 6130 when the first clutch assembly 6100 is in its engaged state. Depending on the direction in which the drive shaft 2730 is rotated, the first clutch assembly 6100 can move the jaw assembly 7100 into its open and closed configurations when the first clutch assembly 6100 is in its engaged state.


As described above, the first electromagnetic actuator 6140 is configured to generate magnetic fields to move the first clutch 6110 between its disengaged (FIG. 28) and engaged (FIG. 29) positions. For instance, referring to FIG. 28, the first electromagnetic actuator 6140 is configured to emit a magnetic field EFL which repulses, or drives, the first clutch 6110 away from the first drive ring 6120 when the first clutch assembly 6100 is in its disengaged state. The first electromagnetic actuator 6140 comprises one or more wound coils in a cavity defined in the shaft frame 2530 which generate the magnetic field EFL when current flows in a first direction through a first electrical clutch circuit including the wound coils. The control system 1800 is configured to apply a first voltage polarity to the first electrical clutch circuit to create the current flowing in the first direction. The control system 1800 can continuously apply the first voltage polarity to the first electric shaft circuit to continuously hold the first clutch 6110 in its disengaged position. While such an arrangement can prevent the first clutch 6110 from unintentionally engaging the first drive ring 6120, such an arrangement can also consume a lot of power. Alternatively, the control system 1800 can apply the first voltage polarity to the first electrical clutch circuit for a sufficient period of time to position the first clutch 6110 in its disengaged position and then discontinue applying the first voltage polarity to the first electric clutch circuit, thereby resulting in a lower consumption of power. That being said, the first clutch assembly 6100 further comprises a first clutch lock 6150 mounted in the drive screw 6130 which is configured to releasably hold the first clutch 6110 in its disengaged position. The first clutch lock 6150 is configured to prevent, or at least reduce the possibility of, the first clutch 6110 from becoming unintentionally engaged with the first drive ring 6120. When the first clutch 6110 is in its disengaged position, as illustrated in FIG. 28, the first clutch lock 6150 interferes with the free movement of the first clutch 6110 and holds the first clutch 6110 in position via a friction force and/or an interference force therebetween. In at least one instance, the first clutch lock 6150 comprises an elastomeric plug, seat, or detent, comprised of rubber, for example. In certain instances, the first clutch lock 6150 comprises a permanent magnet which holds the first clutch 6110 in its disengaged position by an electromagnetic force. In any event, the first electromagnetic actuator 6140 can apply an electromagnetic pulling force to the first clutch 6110 that overcomes these forces, as described in greater detail below.


Further to the above, referring to FIG. 29, the first electromagnetic actuator 6140 is configured to emit a magnetic field EFD which pulls, or drives, the first clutch 6110 toward the first drive ring 6120 when the first clutch assembly 6100 is in its engaged state. The coils of the first electromagnetic actuator 6140 generate the magnetic field EFD when current flows in a second, or opposite, direction through the first electrical clutch circuit. The control system 1800 is configured to apply an opposite voltage polarity to the first electrical clutch circuit to create the current flowing in the opposite direction. The control system 1800 can continuously apply the opposite voltage polarity to the first electrical clutch circuit to continuously hold the first clutch 6110 in its engaged position and maintain the operable engagement between the first drive ring 6120 and the drive screw 6130. Alternatively, the first clutch 6110 can be configured to become wedged within the first drive ring 6120 when the first clutch 6110 is in its engaged position and, in such instances, the control system 1800 may not need to continuously apply a voltage polarity to the first electrical clutch circuit to hold the first clutch assembly 6100 in its engaged state. In such instances, the control system 1800 can discontinue applying the voltage polarity once the first clutch 6110 has been sufficiently wedged in the first drive ring 6120.


Notably, further to the above, the first clutch lock 6150 is also configured to lockout the jaw assembly drive when the first clutch 6110 is in its disengaged position. More specifically, referring again to FIG. 28, the first clutch 6110 pushes the first clutch lock 6150 in the drive screw 6130 into engagement with the outer housing 6230 of the end effector 7000 when the first clutch 6110 is in its disengaged position such that the drive screw 6130 does not rotate, or at least substantially rotate, relative to the outer housing 6230. The outer housing 6230 comprises a slot 6235 defined therein which is configured to receive the first clutch lock 6150. When the first clutch 6110 is moved into its engaged position, referring to FIG. 29, the first clutch 6110 is no longer engaged with the first clutch lock 6150 and, as a result, the first clutch lock 6150 is no longer biased into engagement with the outer housing 6230 and the drive screw 6130 can rotate freely with respect to the outer housing 6230. As a result of the above, the first clutch 6110 can do at least two things—operate the jaw drive when the first clutch 6110 is in its engaged position and lock out the jaw drive when the first clutch 6110 is in its disengaged position.


Moreover, further to the above, the threads of the threaded portions 6160 and 7160 can be configured to prevent, or at least resist, backdriving of the jaw drive. In at least one instance, the thread pitch and/or angle of the threaded portions 6160 and 7160, for example, can be selected to prevent the backdriving, or unintentional opening, of the jaw assembly 7100. As a result of the above, the possibility of the jaw assembly 7100 unintentionally opening or closing is prevented, or at least reduced.


Referring primarily to FIG. 30, the second clutch system 6200 comprises a second clutch 6210, an expandable second drive ring 6220, and a second electromagnetic actuator 6240. The second clutch 6210 comprises an annular ring and is slideably disposed on the drive shaft 2730. The second clutch 6210 is comprised of a magnetic material and is movable between a disengaged, or unactuated, position (FIG. 30) and an engaged, or actuated, position (FIG. 31) by electromagnetic fields EF generated by the second electromagnetic actuator 6240. In various instances, the second clutch 6210 is at least partially comprised of iron and/or nickel, for example. In at least one instance, the second clutch 6210 comprises a permanent magnet. As illustrated in FIG. 22A, the drive shaft 2730 comprises one or more longitudinal key slots 6215 defined therein which are configured to constrain the longitudinal movement of the second clutch 6210 relative to the drive shaft 2730. More specifically, the second clutch 6210 comprises one or more keys extending into the key slots 6215 such that the distal ends of the key slots 6215 stop the distal movement of the second clutch 6210 and the proximal ends of the key slots 6215 stop the proximal movement of the second clutch 6210.


When the second clutch 6210 is in its disengaged position, referring to FIG. 30, the second clutch 6210 rotates with the drive shaft 2730 but does not transmit rotational motion to the second drive ring 6220. As can be seen in FIG. 30, the second clutch 6210 is separated from, or not in contact with, the second drive ring 6220. As a result, the rotation of the drive shaft 2730 and the second clutch 6210 is not transmitted to the outer housing 6230 of the end effector 7000 when the second clutch assembly 6200 is in its disengaged state. When the second clutch 6210 is in its engaged position (FIG. 31), the second clutch 6210 is engaged with the second drive ring 6220 such that the second drive ring 6220 is expanded, or stretched, radially outwardly into contact with the outer housing 6230. In at least one instance, the second drive ring 6220 comprises an elastomeric band, for example. As can be seen in FIG. 31, the second drive ring 6220 is compressed against an annular inner sidewall 7415 of the outer housing 6230. As a result, the rotation of the drive shaft 2730 and the second clutch 6210 is transmitted to the outer housing 6230 when the second clutch assembly 6200 is in its engaged state. Depending on the direction in which the drive shaft 2730 is rotated, the second clutch assembly 6200 can rotate the end effector 7000 in a first direction or a second direction about the longitudinal axis L when the second clutch assembly 6200 is in its engaged state.


As described above, the second electromagnetic actuator 6240 is configured to generate magnetic fields to move the second clutch 6210 between its disengaged (FIG. 30) and engaged (FIG. 31) positions. For instance, the second electromagnetic actuator 6240 is configured to emit a magnetic field EFL which repulses, or drives, the second clutch 6210 away from the second drive ring 6220 when the second clutch assembly 6200 is in its disengaged state. The second electromagnetic actuator 6240 comprises one or more wound coils in a cavity defined in the shaft frame 2530 which generate the magnetic field EFL when current flows in a first direction through a second electrical clutch circuit including the wound coils. The control system 1800 is configured to apply a first voltage polarity to the second electrical clutch circuit to create the current flowing in the first direction. The control system 1800 can continuously apply the first voltage polarity to the second electric clutch circuit to continuously hold the second clutch 6120 in its disengaged position. While such an arrangement can prevent the second clutch 6210 from unintentionally engaging the second drive ring 6220, such an arrangement can also consume a lot of power. Alternatively, the control system 1800 can apply the first voltage polarity to the second electrical clutch circuit for a sufficient period of time to position the second clutch 6210 in its disengaged position and then discontinue applying the first voltage polarity to the second electric clutch circuit, thereby resulting in a lower consumption of power. That being said, the second clutch assembly 6200 further comprises a second clutch lock 6250 mounted in the outer housing 6230 which is configured to releasably hold the second clutch 6210 in its disengaged position. Similar to the above, the second clutch lock 6250 can prevent, or at least reduce the possibility of, the second clutch 6210 from becoming unintentionally engaged with the second drive ring 6220. When the second clutch 6210 is in its disengaged position, as illustrated in FIG. 30, the second clutch lock 6250 interferes with the free movement of the second clutch 6210 and holds the second clutch 6210 in position via a friction and/or interference force therebetween. In at least one instance, the second clutch lock 6250 comprises an elastomeric plug, seat, or detent, comprised of rubber, for example. In certain instances, the second clutch lock 6250 comprises a permanent magnet which holds the second clutch 6210 in its disengaged position by an electromagnetic force. That said, the second electromagnetic actuator 6240 can apply an electromagnetic pulling force to the second clutch 6210 that overcomes these forces, as described in greater detail below.


Further to the above, referring to FIG. 31, the second electromagnetic actuator 6240 is configured to emit a magnetic field EFD which pulls, or drives, the second clutch 6210 toward the second drive ring 6220 when the second clutch assembly 6200 is in its engaged state. The coils of the second electromagnetic actuator 6240 generate the magnetic field EFD when current flows in a second, or opposite, direction through the second electrical shaft circuit. The control system 1800 is configured to apply an opposite voltage polarity to the second electrical shaft circuit to create the current flowing in the opposite direction. The control system 1800 can continuously apply the opposite voltage polarity to the second electric shaft circuit to continuously hold the second clutch 6210 in its engaged position and maintain the operable engagement between the second drive ring 6220 and the outer housing 6230. Alternatively, the second clutch 6210 can be configured to become wedged within the second drive ring 6220 when the second clutch 6210 is in its engaged position and, in such instances, the control system 1800 may not need to continuously apply a voltage polarity to the second shaft electrical circuit to hold the second clutch assembly 6200 in its engaged state. In such instances, the control system 1800 can discontinue applying the voltage polarity once the second clutch 6210 has been sufficiently wedged in the second drive ring 6220.


Notably, further to the above, the second clutch lock 6250 is also configured to lockout the rotation of the end effector 7000 when the second clutch 6210 is in its disengaged position. More specifically, referring again to FIG. 30, the second clutch 6210 pushes the second clutch lock 6250 in the outer shaft 6230 into engagement with the articulation link 2340 when the second clutch 6210 is in its disengaged position such that the end effector 7000 does not rotate, or at least substantially rotate, relative to the distal attachment portion 2400 of the shaft assembly 2000. As illustrated in FIG. 27, the second clutch lock 6250 is positioned or wedged within a slot, or channel, 2345 defined in the articulation link 2340 when the second clutch 6210 is in its disengaged position. As a result of the above, the possibility of the end effector 7000 unintentionally rotating is prevented, or at least reduced. Moreover, as a result of the above, the second clutch 6210 can do at least two things—operate the end effector rotation drive when the second clutch 6210 is in its engaged position and lock out the end effector rotation drive when the second clutch 6210 is in its disengaged position.


Referring primarily to FIGS. 22, 24, and 25, the shaft assembly 2000 further comprises an articulation drive system configured to articulate the distal attachment portion 2400 and the end effector 7000 about the articulation joint 2300. The articulation drive system comprises an articulation drive 6330 rotatably supported within the distal attachment portion 2400. That said, the articulation drive 6330 is closely received within the distal attachment portion 2400 such that the articulation drive 6330 does not translate, or at least substantially translate, relative to the distal attachment portion 2400. The articulation drive system of the shaft assembly 2000 further comprises a stationary gear 2330 fixedly mounted to the articulation frame 2310. More specifically, the stationary gear 2330 is fixedly mounted to a pin connecting a tab 2314 of the articulation frame 2310 and the articulation link 2340 such that the stationary gear 2330 does not rotate relative to the articulation frame 2310. The stationary gear 2330 comprises a central body 2335 and an annular array of stationary teeth 2332 extending around the perimeter of the central body 2335. The articulation drive 6330 comprises an annular array of drive teeth 6332 which is meshingly engaged with the stationary teeth 2332. When the articulation drive 6330 is rotated, the articulation drive 6330 pushes against the stationary gear 2330 and articulates the distal attachment portion 2400 of the shaft assembly 2000 and the end effector 7000 about the articulation joint 2300.


Referring primarily to FIG. 32, the third clutch system 6300 comprises a third clutch 6310, an expandable third drive ring 6320, and a third electromagnetic actuator 6340. The third clutch 6310 comprises an annular ring and is slideably disposed on the drive shaft 2730. The third clutch 6310 is comprised of a magnetic material and is movable between a disengaged, or unactuated, position (FIG. 32) and an engaged, or actuated, position (FIG. 33) by electromagnetic fields EF generated by the third electromagnetic actuator 6340. In various instances, the third clutch 6310 is at least partially comprised of iron and/or nickel, for example. In at least one instance, the third clutch 6310 comprises a permanent magnet. As illustrated in FIG. 22A, the drive shaft 2730 comprises one or more longitudinal key slots 6315 defined therein which are configured to constrain the longitudinal movement of the third clutch 6310 relative to the drive shaft 2730. More specifically, the third clutch 6310 comprises one or more keys extending into the key slots 6315 such that the distal ends of the key slots 6315 stop the distal movement of the third clutch 6310 and the proximal ends of the key slots 6315 stop the proximal movement of the third clutch 6310.


When the third clutch 6310 is in its disengaged position, referring to FIG. 32, the third clutch 6310 rotates with the drive shaft 2730 but does not transmit rotational motion to the third drive ring 6320. As can be seen in FIG. 32, the third clutch 6310 is separated from, or not in contact with, the third drive ring 6320. As a result, the rotation of the drive shaft 2730 and the third clutch 6310 is not transmitted to the articulation drive 6330 when the third clutch assembly 6300 is in its disengaged state. When the third clutch 6310 is in its engaged position, referring to FIG. 33, the third clutch 6310 is engaged with the third drive ring 6320 such that the third drive ring 6320 is expanded, or stretched, radially outwardly into contact with the articulation drive 6330. In at least one instance, the third drive ring 6320 comprises an elastomeric band, for example. As can be seen in FIG. 33, the third drive ring 6320 is compressed against an annular inner sidewall 6335 of the articulation drive 6330. As a result, the rotation of the drive shaft 2730 and the third clutch 6310 is transmitted to the articulation drive 6330 when the third clutch assembly 6300 is in its engaged state. Depending on the direction in which the drive shaft 2730 is rotated, the third clutch assembly 6300 can articulate the distal attachment portion 2400 of the shaft assembly 2000 and the end effector 7000 in a first or second direction about the articulation joint 2300.


As described above, the third electromagnetic actuator 6340 is configured to generate magnetic fields to move the third clutch 6310 between its disengaged (FIG. 32) and engaged (FIG. 33) positions. For instance, referring to FIG. 32, the third electromagnetic actuator 6340 is configured to emit a magnetic field EFL which repulses, or drives, the third clutch 6310 away from the third drive ring 6320 when the third clutch assembly 6300 is in its disengaged state. The third electromagnetic actuator 6340 comprises one or more wound coils in a cavity defined in the shaft frame 2530 which generate the magnetic field EFL when current flows in a first direction through a third electrical clutch circuit including the wound coils. The control system 1800 is configured to apply a first voltage polarity to the third electrical clutch circuit to create the current flowing in the first direction. The control system 1800 can continuously apply the first voltage polarity to the third electric clutch circuit to continuously hold the third clutch 6310 in its disengaged position. While such an arrangement can prevent the third clutch 6310 from unintentionally engaging the third drive ring 6320, such an arrangement can also consume a lot of power. Alternatively, the control system 1800 can apply the first voltage polarity to the third electrical clutch circuit for a sufficient period of time to position the third clutch 6310 in its disengaged position and then discontinue applying the first voltage polarity to the third electric clutch circuit, thereby resulting in a lower consumption of power.


Further to the above, the third electromagnetic actuator 6340 is configured to emit a magnetic field EFD which pulls, or drives, the third clutch 6310 toward the third drive ring 6320 when the third clutch assembly 6300 is in its engaged state. The coils of the third electromagnetic actuator 6340 generate the magnetic field EFD when current flows in a second, or opposite, direction through the third electrical clutch circuit. The control system 1800 is configured to apply an opposite voltage polarity to the third electrical shaft circuit to create the current flowing in the opposite direction. The control system 1800 can continuously apply the opposite voltage polarity to the third electric shaft circuit to continuously hold the third clutch 6310 in its engaged position and maintain the operable engagement between the third drive ring 6320 and the articulation drive 6330. Alternatively, the third clutch 6210 can be configured to become wedged within the third drive ring 6320 when the third clutch 6310 is in its engaged position and, in such instances, the control system 1800 may not need to continuously apply a voltage polarity to the third shaft electrical circuit to hold the third clutch assembly 6300 in its engaged state. In such instances, the control system 1800 can discontinue applying the voltage polarity once the third clutch 6310 has been sufficiently wedged in the third drive ring 6320. In any event, the end effector 7000 is articulatable in a first direction or a second direction, depending on the direction in which the drive shaft 2730 is rotated, when the third clutch assembly 6300 is in its engaged state.


Further to the above, referring to FIGS. 22, 32, and 33, the articulation drive system further comprises a lockout 6350 which prevents, or at least inhibits, the articulation of the distal attachment portion 2400 of the shaft assembly 2000 and the end effector 7000 about the articulation joint 2300 when the third clutch 6310 is in its disengaged position (FIG. 32). Referring primarily to FIG. 22, the articulation link 2340 comprises a slot, or groove, 2350 defined therein wherein the lockout 6350 is slideably positioned in the slot 2350 and extends at least partially under the stationary articulation gear 2330. The lockout 6350 comprises at attachment hook 6352 engaged with the third clutch 6310. More specifically, the third clutch 6310 comprises an annular slot, or groove, 6312 defined therein and the attachment hook 6352 is positioned in the annular slot 6312 such that the lockout 6350 translates with the third clutch 6310. Notably, however, the lockout 6350 does not rotate, or at least substantially rotate, with the third clutch 6310. Instead, the annular groove 6312 in the third clutch 6310 permits the third clutch 6310 to rotate relative to the lockout 6350. The lockout 6350 further comprises a lockout hook 6354 slideably positioned in a radially-extending lockout slot 2334 defined in the bottom of the stationary gear 2330. When the third clutch 6310 is in its disengaged position, as illustrated in FIG. 32, the lockout 6350 is in a locked position in which the lockout hook 6354 prevents the end effector 7000 from rotating about the articulation joint 2300. When the third clutch 6310 is in its engaged position, as illustrated in FIG. 33, the lockout 6350 is in an unlocked position in which the lockout hook 6354 is no longer positioned in the lockout slot 2334. Instead, the lockout hook 6354 is positioned in a clearance slot defined in the middle or body 2335 of the stationary gear 2330. In such instances, the lockout hook 6354 can rotate within the clearance slot when the end effector 7000 rotates about the articulation joint 2300.


Further to the above, the radially-extending lockout slot 2334 depicted in FIGS. 32 and 33 extends longitudinally, i.e., along an axis which is parallel to the longitudinal axis of the elongate shaft 2200. Once the end effector 7000 has been articulated, however, the lockout hook 6354 is no longer aligned with the longitudinal lockout slot 2334. With this in mind, the stationary gear 2330 comprises a plurality, or an array, of radially-extending lockout slots 2334 defined in the bottom of the stationary gear 2330 such that, when the third clutch 6310 is deactuated and the lockout 6350 is pulled distally after the end effector 7000 has been articulated, the lockout hook 6354 can enter one of the lockout slots 2334 and lock the end effector 7000 in its articulated position. Thus, as a result, the end effector 7000 can be locked in an unarticulated and an articulated position. In various instances, the lockout slots 2334 can define discrete articulated positions for the end effector 7000. For instance, the lockout slots 2334 can be defined at 10 degree intervals, for example, which can define discrete articulation orientations for the end effector 7000 at 10 degree intervals. In other instances, these orientations can be at 5 degree intervals, for example. In alternative embodiments, the lockout 6350 comprises a brake that engages a circumferential shoulder defined in the stationary gear 2330 when the third clutch 6310 is disengaged from the third drive ring 6320. In such an embodiment, the end effector 7000 can be locked in any suitable orientation. In any event, the lockout 6350 prevents, or at least reduces the possibility of, the end effector 7000 unintentionally articulating. As a result of the above, the third clutch 6310 can do things—operate the articulation drive when it is in its engaged position and lock out the articulation drive when it is in its disengaged position.


Referring primarily to FIGS. 24 and 25, the shaft frame 2530 and the drive shaft 2730 extend through the articulation joint 2300 into the distal attachment portion 2400. When the end effector 7000 is articulated, as illustrated in FIGS. 16 and 17, the shaft frame 2530 and the drive shaft 2730 bend to accommodate the articulation of the end effector 7000. Thus, the shaft frame 2530 and the drive shaft 2730 are comprised of any suitable material which accommodates the articulation of the end effector 7000.


Moreover, as discussed above, the shaft frame 2530 houses the first, second, and third electromagnetic actuators 6140, 6240, and 6340. In various instances, the first, second, and third electromagnetic actuators 6140, 6240, and 6340 each comprise wound wire coils, such as copper wire coils, for example, and the shaft frame 2530 is comprised of an insulative material to prevent, or at least reduce the possibility of, short circuits between the first, second, and third electromagnetic actuators 6140, 6240, and 6340. In various instances, the first, second, and third electrical clutch circuits extending through the shaft frame 2530 are comprised of insulated electrical wires, for example. Further to the above, the first, second, and third electrical clutch circuits place the electromagnetic actuators 6140, 6240, and 6340 in communication with the control system 1800 in the drive module 1100.


As described above, the clutches 6110, 6210, and/or 6310 can be held in their disengaged positions so that they do not unintentionally move into their engaged positions. In various arrangements, the clutch system 6000 comprises a first biasing member, such as a spring, for example, configured to bias the first clutch 6110 into its disengaged position, a second biasing member, such as a spring, for example, configured to bias the second clutch 6210 into its disengaged position, and/or a third biasing member, such as a spring, for example, configured to bias the third clutch 6110 into its disengaged position. In such arrangements, the biasing forces of the springs can be selectively overcome by the electromagnetic forces generated by the electromagnetic actuators when energized by an electrical current. Further to the above, the clutches 6110, 6210, and/or 6310 can be retained in their engaged positions by the drive rings 6120, 6220, and/or 6320, respectively. More specifically, in at least one instance, the drive rings 6120, 6220, and/or 6320 are comprised of an elastic material which grips or frictionally holds the clutches 6110, 6210, and/or 6310, respectively, in their engaged positions. In various alternative embodiments, the clutch system 6000 comprises a first biasing member, such as a spring, for example, configured to bias the first clutch 6110 into its engaged position, a second biasing member, such as a spring, for example, configured to bias the second clutch 6210 into its engaged position, and/or a third biasing member, such as a spring, for example, configured to bias the third clutch 6110 into its engaged position. In such arrangements, the biasing forces of the springs can be overcome by the electromagnetic forces applied by the electromagnetic actuators 6140, 6240, and/or 6340, respectively, as needed to selectively hold the clutches 6110, 6210, and 6310 in their disengaged positions. In any one operational mode of the surgical system, the control assembly 1800 can energize one of the electromagnetic actuators to engage one of the clutches while energizing the other two electromagnetic actuators to disengage the other two clutches.


Although the clutch system 6000 comprises three clutches to control three drive systems of the surgical system, a clutch system can comprise any suitable number of clutches to control any suitable number of systems. Moreover, although the clutches of the clutch system 6000 slide proximally and distally between their engaged and disengaged positions, the clutches of a clutch system can move in any suitable manner. In addition, although the clutches of the clutch system 6000 are engaged one at a time to control one drive motion at a time, various instances are envisioned in which more than one clutch can be engaged to control more than one drive motion at a time.


In view of the above, the reader should appreciate that the control system 1800 is configured to, one, operate the motor system 1600 to rotate the drive shaft system 2700 in an appropriate direction and, two, operate the clutch system 6000 to transfer the rotation of the drive shaft system 2700 to the appropriate function of the end effector 7000. Moreover, as discussed above, the control system 1800 is responsive to inputs from the clamping trigger system 2600 of the shaft assembly 2000 and the input system 1400 of the handle 1000. When the clamping trigger system 2600 is actuated, as discussed above, the control system 1800 activates the first clutch assembly 6100 and deactivates the second clutch assembly 6200 and the third clutch assembly 6300. In such instances, the control system 1800 also supplies power to the motor system 1600 to rotate the drive shaft system 2700 in a first direction to clamp the jaw assembly 7100 of the end effector 7000. When the control system 1800 detects that the jaw assembly 7100 is in its clamped configuration, the control system 1800 stops the motor assembly 1600 and deactivates the first clutch assembly 6100. When the control system 1800 detects that the clamping trigger system 2600 has been moved to, or is being moved to, its unactuated position, the control system 1800 activates, or maintains the activation of, the first clutch assembly 6100 and deactivates, or maintains the deactivation of, the second clutch assembly 6200 and the third clutch assembly 6300. In such instances, the control system 1800 also supplies power to the motor system 1600 to rotate the drive shaft system 2700 in a second direction to open the jaw assembly 7100 of the end effector 7000.


When the rotation actuator 1420 is actuated in a first direction, further to the above, the control system 1800 activates the second clutch assembly 6200 and deactivates the first clutch assembly 6100 and the third clutch assembly 6300. In such instances, the control system 1800 also supplies power to the motor system 1600 to rotate the drive shaft system 2700 in a first direction to rotate the end effector 7000 in a first direction. When the control system 1800 detects that the rotation actuator 1420 has been actuated in a second direction, the control system 1800 activates, or maintains the activation of, the second clutch assembly 6200 and deactivates, or maintains the deactivation of, the first clutch assembly 6100 and the third clutch assembly 6300. In such instances, the control system 1800 also supplies power to the motor system 1600 to rotate the drive shaft system 2700 in a second direction to rotate the drive shaft system 2700 in a second direction to rotate the end effector 7000 in a second direction. When the control system 1800 detects that the rotation actuator 1420 is not actuated, the control system 1800 deactivates the second clutch assembly 6200.


When the first articulation actuator 1432 is depressed, further to the above, the control system 1800 activates the third clutch assembly 6300 and deactivates the first clutch assembly 6100 and the second clutch assembly 6200. In such instances, the control system 1800 also supplies power to the motor system 1600 to rotate the drive shaft system 2700 in a first direction to articulate the end effector 7000 in a first direction. When the control system 1800 detects that the second articulation actuator 1434 is depressed, the control system 1800 activates, or maintains the activation of, the third clutch assembly 6200 and deactivates, or maintains the deactivation of, the first clutch assembly 6100 and the second clutch assembly 6200. In such instances, the control system 1800 also supplies power to the motor system 1600 to rotate the drive shaft system 2700 in a second direction to articulate the end effector 7000 in a second direction. When the control system 1800 detects that neither the first articulation actuator 1432 nor the second articulation actuator 1434 are actuated, the control system 1800 deactivates the third clutch assembly 6200.


Further to the above, the control system 1800 is configured to change the operating mode of the stapling system based on the inputs it receives from the clamping trigger system 2600 of the shaft assembly 2000 and the input system 1400 of the handle 1000. The control system 1800 is configured to shift the clutch system 6000 before rotating the shaft drive system 2700 to perform the corresponding end effector function. Moreover, the control system 1800 is configured to stop the rotation of the shaft drive system 2700 before shifting the clutch system 6000. Such an arrangement can prevent the sudden movements in the end effector 7000. Alternatively, the control system 1800 can shift the clutch system 600 while the shaft drive system 2700 is rotating. Such an arrangement can allow the control system 1800 to shift quickly between operating modes.


As discussed above, referring to FIG. 34, the distal attachment portion 2400 of the shaft assembly 2000 comprises an end effector lock 6400 configured to prevent the end effector 7000 from being unintentionally decoupled from the shaft assembly 2000. The end effector lock 6400 comprises a lock end 6410 selectively engageable with the annular array of lock notches 7410 defined on the proximal attachment portion 7400 of the end effector 7000, a proximal end 6420, and a pivot 6430 rotatably connecting the end effector lock 6400 to the articulation link 2320. When the third clutch 6310 of the third clutch assembly 6300 is in its disengaged position, as illustrated in FIG. 34, the third clutch 6310 is contact with the proximal end 6420 of the end effector lock 6400 such that the lock end 6410 of the end effector lock 6400 is engaged with the array of lock notches 7410. In such instances, the end effector 7000 can rotate relative to the end effector lock 6400 but cannot translate relative to the distal attachment portion 2400. When the third clutch 6310 is moved into its engaged position, as illustrated in FIG. 35, the third clutch 6310 is no longer engaged with the proximal end 6420 of the end effector lock 6400. In such instances, the end effector lock 6400 is free to pivot upwardly and permit the end effector 7000 to be detached from the shaft assembly 2000.


The above being said, referring again to FIG. 34, it is possible that the second clutch 6210 of the second clutch assembly 6200 is in its disengaged position when the clinician detaches, or attempts to detach, the end effector 7000 from the shaft assembly 2000. As discussed above, the second clutch 6210 is engaged with the second clutch lock 6250 when the second clutch 6210 is in its disengaged position and, in such instances, the second clutch lock 6250 is pushed into engagement with the articulation link 2340. More specifically, the second clutch lock 6250 is positioned in the channel 2345 defined in the articulation 2340 when the second clutch 6210 is engaged with the second clutch lock 6250 which may prevent, or at least impede, the end effector 7000 from being detached from the shaft assembly 2000. To facilitate the release of the end effector 7000 from the shaft assembly 2000, the control system 1800 can move the second clutch 6210 into its engaged position in addition to moving the third clutch 6310 into its engaged position. In such instances, the end effector 7000 can clear both the end effector lock 6400 and the second clutch lock 6250 when the end effector 7000 is removed.


In at least one instance, further to the above, the drive module 1100 comprises an input switch and/or sensor in communication with the control system 1800 via the input system 1400, and/or the control system 1800 directly, which, when actuated, causes the control system 1800 to unlock the end effector 7000. In various instances, the drive module 1100 comprises an input screen 1440 in communication with the board 1410 of the input system 1400 which is configured to receive an unlock input from the clinician. In response to the unlock input, the control system 1800 can stop the motor system 1600, if it is running, and unlock the end effector 7000 as described above. The input screen 1440 is also configured to receive a lock input from the clinician in which the input system 1800 moves the second clutch assembly 6200 and/or the third clutch assembly 6300 into their unactuated states to lock the end effector 7000 to the shaft assembly 2000.



FIG. 37 depicts a shaft assembly 2000′ in accordance with at least one alternative embodiment. The shaft assembly 2000′ is similar to the shaft assembly 2000 in many respects, most of which will not be repeated herein for the sake of brevity. Similar to the shaft assembly 2000, the shaft assembly 2000′ comprises a shaft frame, i.e., shaft frame 2530′. The shaft frame 2530′ comprises a longitudinal passage 2535′ and, in addition, a plurality of clutch position sensors, i.e., a first sensor 6180′, a second sensor 6280′, and a third sensor 6380′ positioned in the shaft frame 2530′. The first sensor 6180′ is in signal communication with the control system 1800 as part of a first sensing circuit. The first sensing circuit comprises signal wires extending through the longitudinal passage 2535′; however, the first sensing circuit can comprise a wireless signal transmitter and receiver to place the first sensor 6180′ in signal communication with the control system 1800. The first sensor 6180′ is positioned and arranged to detect the position of the first clutch 6110 of the first clutch assembly 6100. Based on data received from the first sensor 6180′, the control system 1800 can determine whether the first clutch 6110 is in its engaged position, its disengaged position, or somewhere in-between. With this information, the control system 1800 can assess whether or not the first clutch 6110 is in the correct position given the operating state of the surgical instrument. For instance, if the surgical instrument is in its jaw clamping/opening operating state, the control system 1800 can verify whether the first clutch 6110 is properly positioned in its engaged position. In such instances, further to the below, the control system 1800 can also verify that the second clutch 6210 is in its disengaged position via the second sensor 6280′ and that the third clutch 6310 is in its disengaged position via the third sensor 6380′. Correspondingly, the control system 1800 can verify whether the first clutch 6110 is properly positioned in its disengaged position if the surgical instrument is not in its jaw clamping/opening state. To the extent that the first clutch 6110 is not in its proper position, the control system 1800 can actuate the first electromagnetic actuator 6140 in an attempt to properly position the first clutch 6110. Likewise, the control system 1800 can actuate the electromagnetic actuators 6240 and/or 6340 to properly position the clutches 6210 and/or 6310, if necessary.


The second sensor 6280′ is in signal communication with the control system 1800 as part of a second sensing circuit. The second sensing circuit comprises signal wires extending through the longitudinal passage 2535′; however, the second sensing circuit can comprise a wireless signal transmitter and receiver to place the second sensor 6280′ in signal communication with the control system 1800. The second sensor 6280′ is positioned and arranged to detect the position of the second clutch 6210 of the first clutch assembly 6200. Based on data received from the second sensor 6280′, the control system 1800 can determine whether the second clutch 6210 is in its engaged position, its disengaged position, or somewhere in-between. With this information, the control system 1800 can assess whether or not the second clutch 6210 is in the correct position given the operating state of the surgical instrument. For instance, if the surgical instrument is in its end effector rotation operating state, the control system 1800 can verify whether the second clutch 6210 is properly positioned in its engaged position. In such instances, the control system 1800 can also verify that the first clutch 6110 is in its disengaged position via the first sensor 6180′ and, further to the below, the control system 1800 can also verify that the third clutch 6310 is in its disengaged position via the third sensor 6380′. Correspondingly, the control system 1800 can verify whether the second clutch 6110 is properly positioned in its disengaged position if the surgical instrument is not in its end effector rotation state. To the extent that the second clutch 6210 is not in its proper position, the control system 1800 can actuate the second electromagnetic actuator 6240 in an attempt to properly position the second clutch 6210. Likewise, the control system 1800 can actuate the electromagnetic actuators 6140 and/or 6340 to properly position the clutches 6110 and/or 6310, if necessary.


The third sensor 6380′ is in signal communication with the control system 1800 as part of a third sensing circuit. The third sensing circuit comprises signal wires extending through the longitudinal passage 2535′; however, the third sensing circuit can comprise a wireless signal transmitter and receiver to place the third sensor 6380′ in signal communication with the control system 1800. The third sensor 6380′ is positioned and arranged to detect the position of the third clutch 6310 of the third clutch assembly 6300. Based on data received from the third sensor 6380′, the control system 1800 can determine whether the third clutch 6310 is in its engaged position, its disengaged position, or somewhere in-between. With this information, the control system 1800 can assess whether or not the third clutch 6310 is in the correct position given the operating state of the surgical instrument. For instance, if the surgical instrument is in its end effector articulation operating state, the control system 1800 can verify whether the third clutch 6310 is properly positioned in its engaged position. In such instances, the control system 1800 can also verify that the first clutch 6110 is in its disengaged position via the first sensor 6180′ and that the second clutch 6210 is in its disengaged position via the second sensor 6280′. Correspondingly, the control system 1800 can verify whether the third clutch 6310 is properly positioned in its disengaged position if the surgical instrument is not in its end effector articulation state. To the extent that the third clutch 6310 is not in its proper position, the control system 1800 can actuate the third electromagnetic actuator 6340 in an attempt to properly position the third clutch 6310. Likewise, the control system 1800 can actuate the electromagnetic actuators 6140 and/or 6240 to properly position the clutches 6110 and/or 6210, if necessary.


Further to the above, the clutch position sensors, i.e., the first sensor 6180′, the second sensor 6280′, and the third sensor 6380′ can comprise any suitable type of sensor. In various instances, the first sensor 6180′, the second sensor 6280′, and the third sensor 6380′ each comprise a proximity sensor. In such an arrangement, the sensors 6180′, 6280′, and 6380′ are configured to detect whether or not the clutches 6110, 6210, and 6310, respectively, are in their engaged positions. In various instances, the first sensor 6180′, the second sensor 6280′, and the third sensor 6380′ each comprise a Hall Effect sensor, for example. In such an arrangement, the sensors 6180′, 6280′, and 6380′ can not only detect whether or not the clutches 6110, 6210, and 6310, respectively, are in their engaged positions but the sensors 6180′, 6280′, and 6380′ can also detect how close the clutches 6110, 6210, and 6310 are with respect to their engaged or disengaged positions.



FIG. 38 depicts the shaft assembly 2000′ and an end effector 7000″ in accordance with at least one alternative embodiment. The end effector 7000″ is similar to the end effector 7000 in many respects, most of which will not be repeated herein for the sake of brevity. Similar to the end effector 7000, the shaft assembly 7000″ comprises a jaw assembly 7100 and a jaw assembly drive configured to move the jaw assembly 7100 between its open and closed configurations. The jaw assembly drive comprises drive links 7140, a drive nut 7150″, and a drive screw 6130″. The drive nut 7150″ comprises a sensor 7190″ positioned therein which is configured to detect the position of a magnetic element 6190″ positioned in the drive screw 6130″. The magnetic element 6190″ is positioned in an elongate aperture 6134″ defined in the drive screw 6130″ and can comprise a permanent magnet and/or can be comprised of iron, nickel, and/or any suitable metal, for example. In various instances, the sensor 7190″ comprises a proximity sensor, for example, which is in signal communication with the control system 1800. In certain instances, the sensor 7190″ comprises a Hall Effect sensor, for example, in signal communication with the control system 1800. In certain instances, the sensor 7190″ comprises an optical sensor, for example, and the detectable element 6190″ comprises an optically detectable element, such as a reflective element, for example. In either event, the sensor 7190″ is configured to communicate wirelessly with the control system 1800 via a wireless signal transmitter and receiver and/or via a wired connection extending through the shaft frame passage 2532′, for example.


The sensor 7190″, further to the above, is configured to detect when the magnetic element 6190″ is adjacent to the sensor 7190″ such that the control system 1800 can use this data to determine that the jaw assembly 7100 has reached the end of its clamping stroke. At such point, the control system 1800 can stop the motor assembly 1600. The sensor 7190″ and the control system 1800 are also configured to determine the distance between where the drive screw 6130″ is currently positioned and where the drive screw 6130″ should be positioned at the end of its closure stroke in order to calculate the amount of closure stroke of the drive screw 6130″ that is still needed to close the jaw assembly 7100. Moreover, such information can be used by the control system 1800 to assess the current configuration of the jaw assembly 7100, i.e., whether the jaw assembly 7100 is in its open configuration, its closed configuration, or a partially closed configuration. The sensor system could be used to determine when the jaw assembly 7100 has reached its fully open position and stop the motor assembly 1600 at that point. In various instances, the control system 1800 could use this sensor system to confirm that the first clutch assembly 6100 is in its actuated state by confirming that the jaw assembly 7100 is moving while the motor assembly 1600 is turning. Similarly, the control system 1800 could use this sensor system to confirm that the first clutch assembly 6100 is in its unactuated state by confirming that the jaw assembly 7100 is not moving while the motor assembly 1600 is turning.



FIG. 39 depicts a shaft assembly 2000′″ and an end effector 7000′″ in accordance with at least one alternative embodiment. The shaft assembly 2000′″ is similar to the shaft assemblies 2000 and 2000′ in many respects, most of which will not be repeated herein for the sake of brevity. The end effector 7000′″ is similar to the end effectors 7000 and 7000″ in many respects, most of which will not be repeated herein for the sake of brevity. Similar to the end effector 7000, the end effector 7000′″ comprises a jaw assembly 7100 and a jaw assembly drive configured to move the jaw assembly 7100 between its open and closed configurations and, in addition, an end effector rotation drive that rotates the end effector 7000′″ relative to the distal attachment portion 2400 of the shaft assembly 2000′. The end effector rotation drive comprises an outer housing 6230′″ that is rotated relative to a shaft frame 2530′″ of the end effector 7000′″ by the second clutch assembly 6200. The shaft frame 2530′″ comprises a sensor 6290′″ positioned therein which is configured to detect the position of a magnetic element 6190′″ positioned in and/or on the outer housing 6230′″. The magnetic element 6190′″ can comprise a permanent magnet and/or can be comprised of iron, nickel, and/or any suitable metal, for example. In various instances, the sensor 6290′″ comprises a proximity sensor, for example, in signal communication with the control system 1800. In certain instances, the sensor 6290′″ comprises a Hall Effect sensor, for example, in signal communication with the control system 1800. In either event, the sensor 6290′″ is configured to communicate wirelessly with the control system 1800 via a wireless signal transmitter and receiver and/or via a wired connection extending through the shaft frame passage 2532′, for example. In various instances, the control system 1800 can use the sensor 6290′″ to confirm whether the magnetic element 6190′″ is rotating and, thus, confirm that the second clutch assembly 6200 is in its actuated state. Similarly, the control system 1800 can use the sensor 6290′″ to confirm whether the magnetic element 6190′″ is not rotating and, thus, confirm that the second clutch assembly 6200 is in its unactuated state. The control system 1800 can also use the sensor 6290′″ to confirm that the second clutch assembly 6200 is in its unactuated state by confirming that the second clutch 6210 is positioned adjacent the sensor 6290′″.



FIG. 40 depicts a shaft assembly 2000″″ in accordance with at least one alternative embodiment. The shaft assembly 2000″″ is similar to the shaft assemblies 2000, 2000′, and 2000′″ in many respects, most of which will not be repeated herein for the sake of brevity. Similar to the shaft assembly 2000, the shaft assembly 2000″″ comprises, among other things, an elongate shaft 2200, an articulation joint 2300, and a distal attachment portion 2400 configured to receive an end effector, such as end effector 7000′, for example. Similar to the shaft assembly 2000, the shaft assembly 2000″″ comprises an articulation drive, i.e., articulation drive 6330″″ configured to rotate the distal attachment portion 2400 and the end effector 7000′ about the articulation joint 2300. Similar to the above, a shaft frame 2530″″ comprises a sensor positioned therein configured to detect the position, and/or rotation, of a magnetic element 6390″″ positioned in and/or on the articulation drive 6330″″. The magnetic element 6390″″ can comprise a permanent magnet and/or can be comprised of iron, nickel, and/or any suitable metal, for example. In various instances, the sensor comprises a proximity sensor, for example, in signal communication with the control system 1800. In certain instances, the sensor comprises a Hall Effect sensor, for example, in signal communication with the control system 1800. In either event, the sensor is configured to communicate wirelessly with the control system 1800 via a wireless signal transmitter and receiver and/or via a wired connection extending through the shaft frame passage 2532′, for example. In various instances, the control system 1800 can use the sensor to confirm whether the magnetic element 6390″″ is rotating and, thus, confirm that the third clutch assembly 6300 is in its actuated state. Similarly, the control system 1800 can use the sensor to confirm whether the magnetic element 6390″″ is not rotating and, thus, confirm that the third clutch assembly 6300 is in its unactuated state. In certain instances, the control system 1800 can use the sensor to confirm that the third clutch assembly 6300 is in its unactuated state by confirming that the third clutch 6310 is positioned adjacent the sensor.


Referring to FIG. 40 once again, the shaft assembly 2000″″ comprises an end effector lock 6400′ configured to releasably lock the end effector 7000′, for example, to the shaft assembly 2000″″. The end effector lock 6400′ is similar to the end effector lock 6400 in many respects, most of which will not be discussed herein for the sake of brevity. Notably, though, a proximal end 6420′ of the lock 6400′ comprises a tooth 6422′ configured to engage the annular slot 6312 of the third clutch 6310 and releasably hold the third clutch 6310 in its disengaged position. That said, the actuation of the third electromagnetic assembly 6340 can disengage the third clutch 6310 from the end effector lock 6400′. Moreover, in such instances, the proximal movement of the third clutch 6310 into its engaged position rotates the end effector lock 6400′ into a locked position and into engagement with the lock notches 7410 to lock the end effector 7000′ to the shaft assembly 2000″″. Correspondingly, the distal movement of the third clutch 6310 into its disengaged position unlocks the end effector 7000′ and allows the end effector 7000′ to be disassembled from the shaft assembly 2000″″.


Further to the above, an instrument system including a handle and a shaft assembly attached thereto can be configured to perform a diagnostic check to assess the state of the clutch assemblies 6100, 6200, and 6300. In at least one instance, the control system 1800 sequentially actuates the electromagnetic actuators 6140, 6240, and/or 6340—in any suitable order—to verify the positions of the clutches 6110, 6210, and/or 6310, respectively, and/or verify that the clutches are responsive to the electromagnetic actuators and, thus, not stuck. The control system 1800 can use sensors, including any of the sensors disclosed herein, to verify the movement of the clutches 6110, 6120, and 6130 in response to the electromagnetic fields created by the electromagnetic actuators 6140, 6240, and/or 6340. In addition, the diagnostic check can also include verifying the motions of the drive systems. In at least one instance, the control system 1800 sequentially actuates the electromagnetic actuators 6140, 6240, and/or 6340—in any suitable order—to verify that the jaw drive opens and/or closes the jaw assembly 7100, the rotation drive rotates the end effector 7000, and/or the articulation drive articulates the end effector 7000, for example. The control system 1800 can use sensors to verify the motions of the jaw assembly 7100 and end effector 7000.


The control system 1800 can perform the diagnostic test at any suitable time, such as when a shaft assembly is attached to the handle and/or when the handle is powered on, for example. If the control system 1800 determines that the instrument system passed the diagnostic test, the control system 1800 can permit the ordinary operation of the instrument system. In at least one instance, the handle can comprise an indicator, such as a green LED, for example, which indicates that the diagnostic check has been passed. If the control system 1800 determines that the instrument system failed the diagnostic test, the control system 1800 can prevent and/or modify the operation of the instrument system. In at least one instance, the control system 1800 can limit the functionality of the instrument system to only the functions necessary to remove the instrument system from the patient, such as straightening the end effector 7000 and/or opening and closing the jaw assembly 7100, for example. In at least one respect, the control system 1800 enters into a limp mode. The limp mode of the control system 1800 can reduce a current rotational speed of the motor 1610 by any percentage selected from a range of about 75% to about 25%, for example. In one example, the limp mode reduces a current rotational speed of the motor 1610 by 50%. In one example, the limp mode reduces the current rotational speed of the motor 1610 by 75%. The limp mode may cause a current torque of the motor 1610 to be reduced by any percentage selected from a range of about 75% to about 25%, for example. In one example, the limp mode reduces a current torque of the motor 1610 by 50%. The handle can comprise an indicator, such as a red LED, for example, which indicates that the instrument system failed the diagnostic check and/or that the instrument system has entered into a limp mode. The above being said, any suitable feedback can be used to warn the clinician that the instrument system is not operating properly such as, for example, an audible warning and/or a tactile or vibratory warning, for example.



FIGS. 41-43 depict a clutch system 6000′ in accordance with at least one alternative embodiment. The clutch system 6000′ is similar to the clutch system 6000 in many respects, most of which will not be repeated herein for the sake of brevity. Similar to the clutch system 6000, the clutch system 6000′ comprises a clutch assembly 6100′ which is actuatable to selectively couple a rotatable drive input 6030′ with a rotatable drive output 6130′. The clutch assembly 6100′ comprises clutch plates 6110′ and drive rings 6120′. The clutch plates 6110′ are comprised of a magnetic material, such as iron and/or nickel, for example, and can comprise a permanent magnet. As described in greater detail below, the clutch plates 6110′ are movable between unactuated positions (FIG. 42) and actuated positions (FIG. 43) within the drive output 6130′. The clutch plates 6110′ are slideably positioned in apertures defined in the drive output 6130′ such that the clutch plates 6110′ rotate with the drive output 6130′ regardless of whether the clutch plates 6110′ are in their unactuated or actuated positions.


When the clutch plates 6110′ are in their unactuated positions, as illustrated in FIG. 42, the rotation of the drive input 6030′ is not transferred to the drive output 6130′. More specifically, when the drive input 6030′ is rotated, in such instances, the drive input 6030′ slides past and rotates relative to the drive rings 6120′ and, as a result, the drive rings 6120′ do not drive the clutch plates 6110′ and the drive output 6130′. When the clutch plates 6110′ are in their actuated positions, as illustrated in FIG. 43, the clutch plates 6110′ resiliently compress the drive rings 6120′ against the drive input 6030′. The drive rings 6120′ are comprised of any suitable compressible material, such as rubber, for example. In any event, in such instances, the rotation of the drive input 6030′ is transferred to the drive output 6130′ via the drive rings 6120′ and the clutch plates 6110′. The clutch system 6000′ comprises a clutch actuator 6140′ configured to move the clutch plates 6110′ into their actuated positions. The clutch actuator 6140′ is comprised of a magnetic material such as iron and/or nickel, for example, and can comprise a permanent magnet. The clutch actuator 6140′ is slideably positioned in a longitudinal shaft frame 6050′ extending through the drive input 6030′ and can be moved between an unactuated position (FIG. 42) and an actuated position (FIG. 43) by a clutch shaft 6060′. In at least one instance, the clutch shaft 6060′ comprises a polymer cable, for example. When the clutch actuator 6140′ is in its actuated position, as illustrated in FIG. 43, the clutch actuator 6140′ pulls the clutch plates 6110′ inwardly to compress the drive rings 6120′, as discussed above. When the clutch actuator 6140′ is moved into its unactuated position, as illustrated in FIG. 42, the drive rings 6120′ resiliently expand and push the clutch plates 6110′ away from the drive input 6030′. In various alternative embodiments, the clutch actuator 6140′ can comprise an electromagnet. In such an arrangement, the clutch actuator 6140′ can be actuated by an electrical circuit extending through a longitudinal aperture defined in the clutch shaft 6060′, for example. In various instances, the clutch system 6000′ further comprises electrical wires 6040′, for example, extending through the longitudinal aperture.



FIG. 44 depicts an end effector 7000a including a jaw assembly 7100a, a jaw assembly drive, and a clutch system 6000a in accordance with at least one alternative embodiment. The jaw assembly 7100a comprises a first jaw 7110a and a second jaw 7120a which are selectively rotatable about a pivot 7130a. The jaw assembly drive comprises a translatable actuator rod 7160a and drive links 7140a which are pivotably coupled to the actuator rod 7160a about a pivot 7150a. The drive links 7140a are also pivotably coupled to the jaws 7110a and 7120a such that the jaws 7110a and 7120a are rotated closed when the actuator rod 7160a is pulled proximally and rotated open when the actuator rod 7160a is pushed distally. The clutch system 6000a is similar to the clutch systems 6000 and 6000′ in many respects, most of which will not be repeated herein for the sake of brevity. The clutch system 6000a comprises a first clutch assembly 6100a and a second clutch assembly 6200a which are configured to selectively transmit the rotation of a drive input 6030a to rotate the jaw assembly 7100a about a longitudinal axis and articulate the jaw assembly 7100a about an articulation joint 7300a, respectively, as described in greater detail below.


The first clutch assembly 6100a comprises clutch plates 6110a and drive rings 6120a and work in a manner similar to the clutch plates 6110′ and drive rings 6120′ discussed above. When the clutch pates 6110a are actuated by an electromagnetic actuator 6140a, the rotation of the drive input 6030a is transferred to an outer shaft housing 7200a. More specifically, the outer shaft housing 7200a comprises a proximal outer housing 7210a and a distal outer housing 7220a which is rotatably supported by the proximal outer housing 7210a and is rotated relative to the proximal outer housing 7210a by the drive input 6030a when the clutch plates 6110a are in their actuated position. The rotation of the distal outer housing 7220a rotates the jaw assembly 7100a about the longitudinal axis owing to fact that the pivot 7130a of the jaw assembly 7100a is mounted to the distal outer housing 7220a. As a result, the outer shaft housing 7200a rotates the jaw assembly 7100a in a first direction when the outer shaft housing 7200a is rotated in a first direction by the drive input 6030a. Similarly, the outer shaft housing 7200a rotates the jaw assembly 7100a in a second direction when the outer shaft housing 7200a is rotated in a second direction by the drive input 6030a. When the electromagnetic actuator 6140a is de-energized, the drive rings 6120a expand and the clutch plates 6110a are moved into their unactuated positions, thereby decoupling the end effector rotation drive from the drive input 6030a.


The second clutch assembly 6200a comprises clutch plates 6210a and drive rings 6220a and work in a manner similar to the clutch plates 6110′ and drive rings 6120′ discussed above. When the clutch pates 6210a are actuated by an electromagnetic actuator 6240a, the rotation of the drive input 6030a is transferred to an articulation drive 6230a. The articulation drive 6230a is rotatably supported within an outer shaft housing 7410a of an end effector attachment portion 7400a and is rotatably supported by a shaft frame 6050a extending through the outer shaft housing 7410a. The articulation drive 6230a comprises a gear face defined thereon which is operably intermeshed with a stationary gear face 7230a defined on the proximal outer housing 7210a of the outer shaft housing 7200a. As a result, the articulation drive 6230a articulates the outer shaft housing 7200a and the jaw assembly 7100a in a first direction when the articulation drive 6230a is rotated in a first direction by the drive input 6030a. Similarly, the articulation drive 6230a articulates the outer shaft housing 7200a and the jaw assembly 7100a in a second direction when the articulation drive 6230a is rotated in a second direction by the drive input 6030a. When the electromagnetic actuator 6240a is de-energized, the drive rings 6220a expand and the clutch plates 6210a are moved into their unactuated positions, thereby decoupling the end effector articulation drive from the drive input 6030a.


Further to the above, the shaft assembly 4000 is illustrated in FIGS. 45-49. The shaft assembly 4000 is similar to the shaft assemblies 2000, 2000′, 2000′″, and 2000″″ in many respects, most of which will not be repeated herein for the sake of brevity. The shaft assembly 4000 comprises a proximal portion 4100, an elongate shaft 4200, a distal attachment portion 2400, and an articulate joint 2300 which rotatably connects the distal attachment portion 2040 to the elongate shaft 4200. The proximal portion 4100, similar to the proximal portion 2100, is operably attachable to the drive module 1100 of the handle 1000. The proximal portion 4100 comprises a housing 4110 including an attachment interface 4130 configured to mount the shaft assembly 4000 to the attachment interface 1130 of the handle 1000. The shaft assembly 4000 further comprises a frame 4500 including a shaft 4510 configured to be coupled to the shaft 1510 of the handle frame 1500 when the shaft assembly 4000 is attached to the handle 1000. The shaft assembly 4000 also comprises a drive system 4700 including a rotatable drive shaft 4710 configured to be operably coupled to the drive shaft 1710 of the handle drive system 1700 when the shaft assembly 4000 is attached to the handle 1000. The distal attachment portion 2400 is configured to receive an end effector, such as end effector 8000, for example. The end effector 8000 is similar to the end effector 7000 in many respects, most of which will not be repeated herein for the sake of brevity. That said, the end effector 8000 comprises a jaw assembly 8100 configured to, among other things, grasp tissue.


As discussed above, referring primarily to FIGS. 47-49, the frame 4500 of the shaft assembly 4000 comprises a frame shaft 4510. The frame shaft 4510 comprises a notch, or cut-out, 4530 defined therein. As discussed in greater detail below, the cut-out 4530 is configured to provide clearance for a jaw closure actuation system 4600. The frame 4500 further comprises a distal portion 4550 and a bridge 4540 connecting the distal portion 4550 to the frame shaft 4510. The frame 4500 further comprises a longitudinal portion 4560 extending through the elongate shaft 4200 to the distal attachment portion 2400. Similar to the above, the frame shaft 4510 comprises one or more electrical traces defined thereon and/or therein. The electrical traces extend through the longitudinal portion 4560, the distal portion 4550, the bridge 4540, and/or any suitable portion of the frame shaft 4510 to the electrical contacts 2520. Referring primarily to FIG. 48, the distal portion 4550 and longitudinal portion 4560 comprise a longitudinal aperture defined therein which is configured to receive a rod 4660 of the jaw closure actuation system 4600, as described in greater detail below.


As also discussed above, referring primarily to FIGS. 48 and 49, the drive system 4700 of the shaft assembly 4000 comprises a drive shaft 4710. The drive shaft 4710 is rotatably supported within the proximal shaft housing 4110 by the frame shaft 4510 and is rotatable about a longitudinal axis extending through the frame shaft 4510. The drive system 4700 further comprises a transfer shaft 4750 and an output shaft 4780. The transfer shaft 4750 is also rotatably supported within the proximal shaft housing 4110 and is rotatable about a longitudinal axis extending parallel to, or at least substantially parallel to, the frame shaft 4510 and the longitudinal axis defined therethrough. The transfer shaft 4750 comprises a proximal spur gear 4740 fixedly mounted thereto such that the proximal spur gear 4740 rotates with the transfer shaft 4750. The proximal spur gear 4740 is operably intermeshed with an annular gear face 4730 defined around the outer circumference of the drive shaft 4710 such that the rotation of the drive shaft 4710 is transferred to the transfer shaft 4750. The transfer shaft 4750 further comprises a distal spur gear 4760 fixedly mounted thereto such that the distal spur gear 4760 rotates with the transfer shaft 4750. The distal spur gear 4760 is operably intermeshed with an annular gear 4770 defined around the outer circumference of the output shaft 4780 such that the rotation of the transfer shaft 4750 is transferred to the output shaft 4780. Similar to the above, the output shaft 4780 is rotatably supported within the proximal shaft housing 4110 by the distal portion 4550 of the shaft frame 4500 such that the output shaft 4780 rotates about the longitudinal shaft axis. Notably, the output shaft 4780 is not directly coupled to the input shaft 4710; rather, the output shaft 4780 is operably coupled to the input shaft 4710 by the transfer shaft 4750. Such an arrangement provides room for the manually-actuated jaw closure actuation system 4600 discussed below.


Further to the above, referring primarily to FIGS. 47 and 48, the jaw closure actuation system 4600 comprises an actuation, or scissors, trigger 4610 rotatably coupled to the proximal shaft housing 4110 about a pivot 4620. The actuation trigger 4610 comprises an elongate portion 4612, a proximal end 4614, and a grip ring aperture 4616 defined in the proximal end 4614 which is configured to be gripped by the clinician. The shaft assembly 4000 further comprises a stationary grip 4160 extending from the proximal housing 4110. The stationary grip 4160 comprises an elongate portion 4162, a proximal end 4164, and a grip ring aperture 4166 defined in the proximal end 4164 which is configured to be gripped by the clinician. In use, as described in greater detail below, the actuation trigger 4610 is rotatable between an unactuated position and an actuated position (FIG. 48), i.e., toward the stationary grip 4160, to close the jaw assembly 8100 of the end effector 8000.


Referring primarily to FIG. 48, the jaw closure actuation system 4600 further comprises a drive link 4640 rotatably coupled to the proximal shaft housing 4110 about a pivot 4650 and, in addition, an actuation rod 4660 operably coupled to the drive link 4640. The actuation rod 4660 extends through an aperture defined in the longitudinal frame portion 4560 and is translatable along the longitudinal axis of the shaft frame 4500. The actuation rod 4660 comprises a distal end operably coupled to the jaw assembly 8100 and a proximal end 4665 positioned in a drive slot 4645 defined in the drive link 4640 such that the actuation rod 4660 is translated longitudinally when the drive link 4640 is rotated about the pivot 4650. Notably, the proximal end 4665 is rotatably supported within the drive slot 4645 such that the actuation rod 4660 can rotate with the end effector 8000.


Further to the above, the actuation trigger 4610 further comprises a drive arm 4615 configured to engage and rotate the drive link 4640 proximally, and translate the actuation rod 4660 proximally, when the actuation trigger 4610 is actuated, i.e., moved closer to the proximal shaft housing 4110. In such instances, the proximal rotation of the drive link 4640 resiliently compresses a biasing member, such as a coil spring 4670, for example, positioned intermediate the drive link 4640 and the frame shaft 4510. When the actuation trigger 4610 is released, the compressed coil spring 4670 re-expands and pushes the drive link 4640 and the actuation rod 4660 distally to open the jaw assembly 8100 of the end effector 8000. Moreover, the distal rotation of the drive link 4640 drives, and automatically rotates, the actuation trigger 4610 back into its unactuated position. That being said, the clinician could manually return the actuation trigger 4610 back into its unactuated position. In such instances, the actuation trigger 4610 could be opened slowly. In either event, the shaft assembly 4000 further comprises a lock configured to releasably hold the actuation trigger 4610 in its actuated position such that the clinician can use their hand to perform another task without the jaw assembly 8100 opening unintentionally.


In various alternative embodiments, further to the above, the actuation rod 4660 can be pushed distally to close the jaw assembly 8100. In at least one such instance, the actuation rod 4660 is mounted directly to the actuation trigger 4610 such that, when the actuation trigger 4610 is actuated, the actuation trigger 4610 drives the actuation rod 4660 distally. Similar to the above, the actuation trigger 4610 can compress a spring when the actuation trigger 4610 is closed such that, when the actuation trigger 4610 is released, the actuation rod 4660 is pushed proximally.


Further to the above, the shaft assembly 4000 has three functions—opening/closing the jaw assembly of an end effector, rotating the end effector about a longitudinal axis, and articulating the end effector about an articulation axis. The end effector rotation and articulation functions of the shaft assembly 4000 are driven by the motor assembly 1600 and the control system 1800 of the drive module 1100 while the jaw actuation function is manually-driven by the jaw closure actuation system 4600. The jaw closure actuation system 4600 could be a motor-driven system but, instead, the jaw closure actuation system 4600 has been kept a manually-driven system such that the clinician can have a better feel for the tissue being clamped within the end effector. While motorizing the end effector rotation and actuation systems provides certain advantages for controlling the position of the end effector, motorizing the jaw closure actuation system 4600 may cause the clinician to lose a tactile sense of the force being applied to the tissue and may not be able to assess whether the force is insufficient or excessive. Thus, the jaw closure actuation system 4600 is manually-driven even though the end effector rotation and articulation systems are motor-driven.



FIG. 50 is a logic diagram of the control system 1800 of the surgical system depicted in FIG. 1 in accordance with at least one embodiment. The control system 1800 comprises a control circuit. The control circuit includes a microcontroller 1840 comprising a processor 1820 and a memory 1830. One or more sensors, such as sensors 1880, 1890, 6180′, 6280′, 6380′, 7190″, and/or 6290′″, for example, provide real time feedback to the processor 1820. The control system 1800 further comprises a motor driver 1850 configured to control the electric motor 1610 and a tracking system 1860 configured to determine the position of one or more longitudinally movable components in the surgical instrument, such as the clutches 6110, 6120, and 6130 and/or the longitudinally-movable drive nut 7150 of the jaw assembly drive, for example. The tracking system 1860 is also configured to determine the position of one or more rotational components in the surgical instrument, such as the drive shaft 2530, the outer shaft 6230, and/or the articulation drive 6330, for example. The tracking system 1860 provides position information to the processor 1820, which can be programmed or configured to, among other things, determine the position of the clutches 6110, 6120, and 6130 and the drive nut 7150 as well as the orientation of the jaws 7110 and 7120.


The motor driver 1850 may be an A3941 available from Allegro Microsystems, Inc., for example; however, other motor drivers may be readily substituted for use in the tracking system 1860. A detailed description of an absolute positioning system is described in U.S. Patent Application Publication No. 2017/0296213, entitled SYSTEMS AND METHODS FOR CONTROLLING A SURGICAL STAPLING AND CUTTING INSTRUMENT, the entire disclosure of which is hereby incorporated herein by reference.


The microcontroller 1840 may be any single core or multicore processor such as those known under the trade name ARM Cortex by Texas Instruments, for example. In at least one instance, the microcontroller 1840 is a LM4F230H5QR ARM Cortex-M4F Processor Core, available from Texas Instruments, for example, comprising on-chip memory of 256 KB single-cycle flash memory, or other non-volatile memory, up to 40 MHz, a prefetch buffer to improve performance above 40 MHz, a 32 KB single-cycle serial random access memory (SRAM), internal read-only memory (ROM) loaded with StellarisWare® software, 2 KB electrically erasable programmable read-only memory (EEPROM), one or more pulse width modulation (PWM) modules and/or frequency modulation (FM) modules, one or more quadrature encoder inputs (QEI) analog, one or more 12-bit Analog-to-Digital Converters (ADC) with 12 analog input channels, for example, details of which are available from the product datasheet.


In various instances, the microcontroller 1840 comprises a safety controller comprising two controller-based families such as TMS570 and RM4x known under the trade name Hercules ARM Cortex R4, also by Texas Instruments. The safety controller may be configured specifically for IEC 61508 and ISO 26262 safety critical applications, among others, to provide advanced integrated safety features while delivering scalable performance, connectivity, and memory options.


The microcontroller 1840 is programmed to perform various functions such as precisely controlling the speed and/or position of the drive nut 7150 of the jaw closure assembly, for example. The microcontroller 1840 is also programmed to precisely control the rotational speed and position of the end effector 7000 and the articulation speed and position of the end effector 7000. In various instances, the microcontroller 1840 computes a response in the software of the microcontroller 1840. The computed response is compared to a measured response of the actual system to obtain an “observed” response, which is used for actual feedback decisions. The observed response is a favorable, tuned, value that balances the smooth, continuous nature of the simulated response with the measured response, which can detect outside influences on the system.


The motor 1610 is controlled by the motor driver 1850. In various forms, the motor 1610 is a DC brushed driving motor having a maximum rotational speed of approximately 25,000 RPM, for example. In other arrangements, the motor 1610 includes a brushless motor, a cordless motor, a synchronous motor, a stepper motor, or any other suitable electric motor. The motor driver 1850 may comprise an H-bridge driver comprising field-effect transistors (FETs), for example. The motor driver 1850 may be an A3941 available from Allegro Microsystems, Inc., for example. The A3941 driver 1850 is a full-bridge controller for use with external N-channel power metal oxide semiconductor field effect transistors (MOSFETs) specifically designed for inductive loads, such as brush DC motors. In various instances, the driver 1850 comprises a unique charge pump regulator provides full (>10 V) gate drive for battery voltages down to 7 V and allows the A3941 to operate with a reduced gate drive, down to 5.5 V. A bootstrap capacitor may be employed to provide the above-battery supply voltage required for N-channel MOSFETs. An internal charge pump for the high-side drive allows DC (100% duty cycle) operation. The full bridge can be driven in fast or slow decay modes using diode or synchronous rectification. In the slow decay mode, current recirculation can be through the high-side or the lowside FETs. The power FETs are protected from shoot-through by resistor adjustable dead time. Integrated diagnostics provide indication of undervoltage, overtemperature, and power bridge faults, and can be configured to protect the power MOSFETs under most short circuit conditions. Other motor drivers may be readily substituted.


The tracking system 1860 comprises a controlled motor drive circuit arrangement comprising one or more position sensors, such as sensors 1880, 1890, 6180′, 6280′, 6380′, 7190″, and/or 6290′″, for example. The position sensors for an absolute positioning system provide a unique position signal corresponding to the location of a displacement member. As used herein, the term displacement member is used generically to refer to any movable member of the surgical system. In various instances, the displacement member may be coupled to any position sensor suitable for measuring linear displacement. Linear displacement sensors may include contact or non-contact displacement sensors. Linear displacement sensors may comprise linear variable differential transformers (LVDT), differential variable reluctance transducers (DVRT), a slide potentiometer, a magnetic sensing system comprising a movable magnet and a series of linearly arranged Hall Effect sensors, a magnetic sensing system comprising a fixed magnet and a series of movable linearly arranged Hall Effect sensors, an optical sensing system comprising a movable light source and a series of linearly arranged photo diodes or photo detectors, or an optical sensing system comprising a fixed light source and a series of movable linearly arranged photo diodes or photo detectors, or any combination thereof.


The position sensors 1880, 1890, 6180′, 6280′, 6380′, 7190″, and/or 6290′″, for example, may comprise any number of magnetic sensing elements, such as, for example, magnetic sensors classified according to whether they measure the total magnetic field or the vector components of the magnetic field. The techniques used to produce both types of magnetic sensors encompass many aspects of physics and electronics. The technologies used for magnetic field sensing include search coil, fluxgate, optically pumped, nuclear precession, SQUID, Hall-Effect, anisotropic magnetoresistance, giant magnetoresistance, magnetic tunnel junctions, giant magnetoimpedance, magnetostrictive/piezoelectric composites, magnetodiode, magnetotransistor, fiber optic, magnetooptic, and microelectromechanical systems-based magnetic sensors, among others.


In various instances, one or more of the position sensors of the tracking system 1860 comprise a magnetic rotary absolute positioning system. Such position sensors may be implemented as an AS5055EQFT single-chip magnetic rotary position sensor available from Austria Microsystems, AG and can be interfaced with the controller 1840 to provide an absolute positioning system. In certain instances, a position sensor comprises a low-voltage and low-power component and includes four Hall-Effect elements in an area of the position sensor that is located adjacent a magnet. A high resolution ADC and a smart power management controller are also provided on the chip. A CORDIC processor (for Coordinate Rotation Digital Computer), also known as the digit-by-digit method and Volder's algorithm, is provided to implement a simple and efficient algorithm to calculate hyperbolic and trigonometric functions that require only addition, subtraction, bitshift, and table lookup operations. The angle position, alarm bits, and magnetic field information are transmitted over a standard serial communication interface such as an SPI interface to the controller 1840. The position sensors can provide 12 or 14 bits of resolution, for example. The position sensors can be an AS5055 chip provided in a small QFN 16-pin 4×4×0.85 mm package, for example.


The tracking system 1860 may comprise and/or be programmed to implement a feedback controller, such as a PID, state feedback, and adaptive controller. A power source converts the signal from the feedback controller into a physical input to the system, in this case voltage. Other examples include pulse width modulation (PWM) and/or frequency modulation (FM) of the voltage, current, and force. Other sensor(s) may be provided to measure physical parameters of the physical system in addition to position. In various instances, the other sensor(s) can include sensor arrangements such as those described in U.S. Pat. No. 9,345,481, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, which is hereby incorporated herein by reference in its entirety; U.S. Patent Application Publication No. 2014/0263552, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, which is hereby incorporated herein by reference in its entirety; and U.S. patent application Ser. No. 15/628,175, entitled TECHNIQUES FOR ADAPTIVE CONTROL OF MOTOR VELOCITY OF A SURGICAL STAPLING AND CUTTING INSTRUMENT, which is hereby incorporated herein by reference in its entirety. In a digital signal processing system, absolute positioning system is coupled to a digital data acquisition system where the output of the absolute positioning system will have finite resolution and sampling frequency. The absolute positioning system may comprise a compare and combine circuit to combine a computed response with a measured response using algorithms such as weighted average and theoretical control loop that drives the computed response towards the measured response. The computed response of the physical system takes into account properties like mass, inertial, viscous friction, inductance resistance, etc., to predict what the states and outputs of the physical system will be by knowing the input.


The absolute positioning system provides an absolute position of the displacement member upon power up of the instrument without retracting or advancing the displacement member to a reset (zero or home) position as may be required with conventional rotary encoders that merely count the number of steps forwards or backwards that the motor 1610 has taken to infer the position of a device actuator, drive bar, knife, and the like.


A sensor 1880 comprising a strain gauge or a micro-strain gauge, for example, is configured to measure one or more parameters of the end effector, such as, for example, the strain experienced by the jaws 7110 and 7120 during a clamping operation. The measured strain is converted to a digital signal and provided to the processor 1820. In addition to or in lieu of the sensor 1880, a sensor 1890 comprising a load sensor, for example, can measure the closure force applied by the closure drive system to the jaws 7110 and 7120. In various instances, a current sensor 1870 can be employed to measure the current drawn by the motor 1610. The force required to clamp the jaw assembly 7100 can correspond to the current drawn by the motor 1610, for example. The measured force is converted to a digital signal and provided to the processor 1820. A magnetic field sensor can be employed to measure the thickness of the captured tissue. The measurement of the magnetic field sensor can also be converted to a digital signal and provided to the processor 1820.


The measurements of the tissue compression, the tissue thickness, and/or the force required to close the end effector on the tissue as measured by the sensors can be used by the controller 1840 to characterize the position and/or speed of the movable member being tracked. In at least one instance, a memory 1830 may store a technique, an equation, and/or a look-up table which can be employed by the controller 1840 in the assessment. In various instances, the controller 1840 can provide the user of the surgical instrument with a choice as to the manner in which the surgical instrument should be operated. To this end, the display 1440 can display a variety of operating conditions of the instrument and can include touch screen functionality for data input. Moreover, information displayed on the display 1440 may be overlaid with images acquired via the imaging modules of one or more endoscopes and/or one or more additional surgical instruments used during the surgical procedure.


As discussed above, the drive module 1100 of the handle 1000 and/or the shaft assemblies 2000, 3000, 4000, and/or 5000, for example, attachable thereto comprise control systems. Each of the control systems can comprise a circuit board having one or more processors and/or memory devices. Among other things, the control systems are configured to store sensor data, for example. They are also configured to store data which identifies the shaft assembly to the handle 1000. Moreover, they are also configured to store data including whether or not the shaft assembly has been previously used and/or how many times the shaft assembly has been used. This information can be obtained by the handle 1000 to assess whether or not the shaft assembly is suitable for use and/or has been used less than a predetermined number of times, for example.


A drive module 1100′ in accordance with at least one alternative embodiment is illustrated in FIGS. 51-53. The drive module 1100′ is similar to the drive module 1100 in many respects, most of which will not be discussed herein for the sake of brevity. The drive module 1100′ comprises an actuator 1420′ configured to control the rotation and articulation of the end effector 7000. Similar to the actuator 1420, discussed above, the actuator 1420′ is rotatable about a longitudinal axis LA that extends through a shaft assembly attached to the drive module 1100. For instance, the longitudinal axis LA extends through the center, or substantially the center, of the elongate shaft 2200 of the shaft assembly 3000 (FIG. 1) when the shaft assembly 3000 is assembled to the drive module 1100′. The longitudinal axis LA also extends through the center, or substantially the center, of the end effector 7000 when the end effector 7000 is attached to the shaft assembly 3000, for example.


The actuator 1420′ is rotatable within a channel 1190′ defined in the housing 1110 in a first direction to rotate the end effector 7000 in the first direction and, similarly, in a second, or opposite, direction to rotate the end effector 7000 in the second direction. Similar to the drive module 1100, the drive module 1100′ comprises a sensor system in communication with the control system 1800 configured to detect the rotation of the actuator 1420′ about the longitudinal axis LA. In at least one instance, the sensor system comprises a first sensor 1422′ configured to detect the rotation of the actuator 1420′ about the longitudinal axis LA in the first direction (FIG. 52A) and a second sensor 1424′ configured to detect the rotation of the actuator 1420′ about the longitudinal axis LA in the second direction (FIG. 52B). The first and second sensors 1422′ and 1424′ comprise Hall Effect sensors, for example, but could comprise any suitable type of sensor. In at least one such instance, further to the above, the actuator 1420′ comprises a center magnetic element 1426′ positioned in the top of the actuator 1420′ which is detectable by the first and second sensors 1422′ and 1424′ to determine the rotation of the actuator 1420′. The center magnetic element 1426′ can comprise a permanent magnet and/or can be comprised of iron and/or nickel, for example.


Further to the above, the control system 1800 is configured to control the motor assembly 1600 and the clutch system 6000 to rotate the end effector 7000 about the longitudinal axis LA in the first direction when the actuator 1420′ is rotated about the longitudinal axis LA in the first direction. Similarly, the control system 1800 is configured to control the motor assembly 1600 and the clutch system 6000 to rotate the end effector 7000 about the longitudinal axis LA in the second direction when the actuator 1420′ is rotated about the longitudinal axis LA in the second direction. By associating the rotation of the end effector 7000 about the longitudinal axis LA with the rotation of the actuator 1420′ about the longitudinal axis LA, the clinician is provided with a system that is very intuitive to use.


As discussed above, the end effector 7000 is configured to rotate about a longitudinal axis within a socket defined in the distal attachment portion 2400 of the shaft assembly 2000. Depending on the amount of rotation desired, the end effector 7000 can be rotated less than 360 degrees or more than 360 degrees in either direction. In various instances, the end effector 7000 can be rotated through several rotations in either direction. In alternative embodiments, the rotation of the end effector 7000 about the longitudinal axis can be limited. In at least one embodiment, the shaft assembly 2000 comprises one or more stops which limit the rotation of the end effector 7000 to less than one rotation. In certain embodiments, the control system 1800 monitors the rotation of the drive shaft 1710, such as by an encoder and/or an absolute positioning sensor system, for example, and limits the rotation of the end effector 7000 by stopping or pausing the motor 1610 when the end effector 7000 has reached the end of its permitted range. In at least one instance, the control system 1800 can disengage the second clutch 6210 from the drive shaft 2730 to stop or pause the rotation of the end effector 7000 when the end effector 7000 has reached the end of its permitted range.


Further to the above, the drive module 1100′ and/or a shaft module attached to the drive module 1100′ can provide feedback to the clinician that the end effector 7000 has reached the end of its rotation. The drive module 1100′ and/or the shaft module attached thereto can comprise an indicator light 1427′, such as a red LED, for example, on a first side of the module housing 1110′ which is illuminated by the control system 1800 when the end effector 7000 has reached the end of its permitted rotation in the first direction, as illustrated in FIG. 52A. In at least one instance, the drive module 1100′ and/or the shaft module attached thereto can comprise an indicator light 1429′, such as a red LED, for example, on a second side of the module housing 1110′ which is illuminated by the control system 1800 when the end effector 7000 has reached the end of its permitted rotation in the second direction, as illustrated in FIG. 52B. In various instances, further to the above, the illumination of either the first light 1427′ or the second light 1429′ can indicate to the clinician that the motor 1610 has been paused and that the end effector 7000 is no longer rotating. In at least one instance, the first light 1427′ and/or the second light 1429′ can blink when the motor 1610 is paused.


In addition to or in lieu of the above, the drive module 1100′ and/or the shaft assembly attached thereto can comprise an annular series, or array, of indicator lights 1428′ extending around the perimeter thereof which is in communication with the control system 1800 and can indicate the rotational orientation of the end effector 7000. In at least one instance, the control system 1800 is configured to illuminate the particular indicator light which corresponds, or at least substantially corresponds, with the position in which the top of the end effector 7000 is oriented. In at least one instance, the center of the first jaw 7110 can be deemed the top of the end effector 7000, for example. In such instances, the illuminated light indicates the top-dead-center position of the end effector 7000. In other instances, the control system 1800 can illuminate the particular indicator light which corresponds, or at least substantially corresponds, with the position in which the bottom, or bottom-dead-center, of the end effector 7000 is oriented. In at least one instance, the center of the second jaw 7210 can be deemed the bottom of the end effector 7000, for example. As a result of the above, the illuminated indicator light can follow the rotation of the end effector 7000 around the array of indicator lights 1428′.


Further to the above, the actuator 1420′ is also rotatable, or tiltable, about a transverse axis TA within the housing channel 1190′. The sensor system of the drive module 1100′ is further configured to detect the rotation of the actuator 1420′ about the transverse axis TA in a first tilt direction and a second tilt direction. In at least one instance, the sensor system comprises a first tilt sensor 1423′ configured to detect the rotation of the actuator 1420′ about the longitudinal axis TA in the first tilt direction (FIG. 53A) and a second tilt sensor 1425′ configured to detect the rotation of the actuator 1420′ in the second tilt direction (FIG. 53B). The first and second tilt sensors 1423′ and 1425′ comprise Hall Effect sensors, for example, but could comprise any suitable type of sensor. The actuator 1420′ further comprises a first lateral magnetic element adjacent the first tilt sensor 1423′, the motion of which is detectable by the first tilt sensor 1423′. The actuator 1420′ also comprises a second lateral magnetic element adjacent the second tilt sensor 1425′, the motion of which is detectable by the second tilt sensor 1425′. The first and second lateral magnetic elements can comprise a permanent magnet and/or can be comprised of iron and/or nickel, for example. As illustrated in FIGS. 53A and 53B, the lateral sides of the actuator 1420′ are movable proximally and distally about the transverse axis TA and, as a result, the first and second lateral magnetic elements are also movable proximally and distally relative to the first and second tilt sensors. The reader should appreciate that, while the first and second lateral magnetic elements actually travel along arcuate paths about the transverse axis TA, the distances in which the first and second lateral magnetic elements move is small and, as a result, the arcuate motion of the first and second lateral magnetic elements approximates translation in the proximal and distal directions.


In various embodiments, further to the above, the entire actuator 1420′ comprises a magnetic ring of material which is detectable by the tilt sensors 1423′ and 1425′ of the drive module 1100′. In such embodiments, the rotation of the actuator 1420′ about the longitudinal axis LA would not create a compound motion relative to the tilt sensors when the actuator 1420′ is tilted. The magnetic ring of material can comprise a permanent magnet and/or can be comprised of iron and/or nickel, for example.


In any event, when the sensor system detects that the actuator 1420′ has been tilted in the first direction, as illustrated in FIG. 53A, the control system 1800 operates the motor assembly 1600 and the clutch system 6000 to articulate the end effector 7000 about the articulation joint 2300 in the first direction. Similarly, the control system 1800 operates the motor assembly 1600 and the clutch system 6000 to articulate the end effector 7000 about the articulation joint 2300 in the second direction when the sensor system detects that the actuator 1420′ has been tilted in the second direction, as illustrated in FIG. 53B. By associating the rotation of the end effector 7000 about the articulation joint 2300 with the rotation of the actuator 1420′ about the transverse axis TA, the clinician is provided with a system that is very intuitive to use.


Further to the above, the actuator 1420′ comprises a biasing system configured to center the actuator 1420′ in its unrotated and untilted position. In various instances, the biasing system comprises first and second rotation springs configured to center the actuator 1420′ in its unrotated position and first and second tilt springs configured to center the actuator 1420′ in its untilted position. These springs can comprise torsion springs and/or linear displacement springs, for example.


As discussed above, the end effector 7000 rotates relative to the distal attachment portion 2400 of the shaft assembly 3000. Such an arrangement allows the end effector 7000 to be rotated without having to rotate the shaft assembly 3000, although embodiments are possible in which an end effector and shaft assembly rotate together. That said, by rotating the end effector 7000 relative to the shaft assembly 3000, all of the rotation of the surgical system occurs distally relative to the articulation joint 2300. Such an arrangement prevents a large sweep of the end effector 7000 when the end effector 7000 is articulated and then rotated. Moreover, the articulation joint 2300 does not rotate with the end effector 7000 and, as a result, the articulation axis of the articulation joint 2300 is unaffected by the rotation of the end effector 7000. In order to mimic this arrangement, the transverse axis TA does not rotate with the actuator 1420′; rather, the transverse axis TA remains stationary with respect to the drive module 1100′. That said, in alternative embodiments, the transverse axis TA can rotate, or track the end effector 7000, when the articulation joint rotates with the end effector. Such an arrangement can maintain an intuitive relationship between the motion of the actuator 1420′ and the motion of the end effector 7000.


Further to the above, the transverse axis TA is orthogonal, or at least substantially orthogonal, to the longitudinal axis LA. Similarly, the articulation axis of the articulation joint 2300 is orthogonal, or at least substantially orthogonal, to the longitudinal axis LA. As a result, the transverse axis TA is parallel to, or at least substantially parallel to, the articulation axis.


In various alternative embodiments, the tiltable actuator 1420′ is only used to control the articulation of the end effector 7000 and is not rotatable about the longitudinal axis LA. Rather, in such embodiments, the actuator 1420′ is only rotatable about the transverse axis TA. In at least one instance, the housing of the drive module 1100′ comprises two posts 1421′ (FIG. 51) about which the actuator 1120′ is rotatably mounted which defines the transverse axis TA. The posts 1421′ are aligned along a common axis. The above being said, the posts 1421′, or any suitable structure, can be used in embodiments in which the actuator 1420′ is both rotatable and tiltable to control the rotation and articulation of the end effector 7000. In at least one such instance, the actuator 1420′ comprises an annular groove defined therein in which the posts 1421′ are positioned.


In various instances, the drive module 1100 and/or the shaft assembly attached thereto can comprise a series, or array, of indicator lights 1438′ which is in communication with the control system 1800 and can indicate the articulation orientation of the end effector 7000. In at least one instance, the control system 1800 is configured to illuminate the particular indicator light which corresponds, or at least substantially corresponds, with the position in which the end effector 7000 is articulated. As a result of the above, the illuminated indicator light can follow the articulation of the end effector 7000. Such an array of indicator lights can assist a clinician in straightening the end effector 7000 before attempting to remove the end effector 7000 from a patient through a trocar. In various instances, an unstraightened end effector may not pass through a trocar and prevent the removable of the end effector from the patient.


A drive module 1100″ in accordance with at least one alternative embodiment is illustrated in FIGS. 54-57. The drive module 1100″ is similar to the drive modules 1100 and 1100′ in many respects, most of which will not be discussed herein for the sake of brevity. The drive module 1100″ comprises a feedback system configured to inform the clinician using the surgical instrument system that the drive shaft and/or any other rotatable component of the surgical instrument system is rotating. The feedback system can use visual feedback, audio feedback, and/or tactile feedback, for example. Referring primarily to FIG. 55, the drive module 1100″ comprises a tactile feedback system which is operably engageable with the drive shaft 1710″ of the drive module 1100″. The tactile feedback system comprises a slideable clutch 1730″, a rotatable drive ring 1750″, and an eccentric, or offset, mass 1770″ mounted to the drive ring 1750″. The clutch 1730″ is slideable between an unactuated position (FIG. 56) and an actuated position (FIG. 57) along the drive shaft 1710″. The drive shaft 1710″ comprises one or more slots 1740″ defined therein which are configured to constrain the movement of the slideable clutch 1730″ relative to the drive shaft 1710″ such that the clutch 1730″ translates longitudinally relative to the drive shaft 1710″ but also rotates with the drive shaft 1710″. The frame shaft 1510″ of the handle frame 1500″ comprises an electromagnet 1530″ embedded therein which is configured to emit a first electromagnetic field to slide the clutch 1730″ toward its actuated position, as illustrated in FIG. 57, and a second, or opposite, electromagnetic field to slide the clutch 1730″ toward its unactuated position, as illustrated in FIG. 56. The clutch 1730″ is comprised of a permanent magnet and/or a magnetic material such as iron and/or nickel, for example. The electromagnet 1530″ is controlled by the control system 1800 to apply a first voltage polarity to a circuit including the electromagnet 1530″ to create the first electromagnetic field and a second, or opposite, voltage polarity to the circuit to create the second electromagnetic field.


When the clutch 1730″ is in its unactuated position, as illustrated in FIG. 56, the clutch 1730″ is not operably engaged with the drive ring 1750″. In such instances, the clutch 1730″ rotates with the drive shaft 1710″, but rotates relative to the drive ring 1750″. Stated another way, the drive ring 1750″ is stationary when the clutch 1730″ is in its unactuated position. When the clutch 1730″ is in its actuated position, as illustrated in FIG. 57, the clutch 1730″ is operably engaged with an angled face 1760″ of the drive ring 1750″ such that the rotation of the drive shaft 1710″ is transmitted to the drive ring 1750″ via the clutch 1730″ when the drive shaft 1710″ is rotated. The eccentric, or offset, mass 1770″ is mounted to the drive ring 1750″ such that the eccentric mass 1770″ rotates with the drive ring 1750″. In at least one instance, the eccentric mass 1770″ is integrally-formed with the drive ring 1750″. When the drive ring 1750″ and eccentric mass 1770″ rotate with the drive shaft 1710″, the eccentric mass 1770″ creates a vibration that can be felt by the clinician through the drive module 1100″ and/or the power modules assembled thereto. This vibration confirms to the clinician that the drive shaft 1710″ is rotating. In at least one instance, the control system 1800 energizes the electromagnet 1530″ when one of the clutches of the clutch system 6000 is energized. In such instances, the vibration can confirm to the clinician that the drive shaft 1710″ is rotating and that one of the clutches in the clutch system 6000 is engaged with the drive shaft 1710″. In at least one instance, the clutch 1730″ can be actuated when the jaw assembly 7100, for example, has reached or is reaching its closed position such that the clinician knows that the tissue has been clamped within the jaw assembly 7100 and that the surgical instrument can be used to manipulate the tissue. The above being said, the tactile feedback system, and/or any other feedback system, of the drive module 1100″ can be used to provide tactile feedback when appropriate.


Sterilization processes are part of customary surgical preparation procedures. A variety of sterilization processes exist for surgical instruments. Various methods include sterilization by way of autoclave which utilizes high heat and pressure, and sterilization utilizing steam, dry heat, and/or radiation, for example. However, one of the most widely used methods of sterilization is ethylene oxide processing. Ethylene oxide is an alkylating chemical compound which inhibits and disrupts the DNA of microorganisms in order to prevent reproduction of those organisms. Ethylene oxide processing is a highly effective sterilization process, but it does not come without cost. Some of the early steps involved during ethylene oxide processing involve heating the surgical instruments to a sustainable internal temperature and humidifying the surgical instruments. Often times, the surgical instruments undergo the heating and humidifying processes for anywhere from twelve to seventy-two hours during a single sterilization process. In addition to the heat and humidity, the potency of ethylene oxide tends to affect the soft electronic circuitry of powered surgical instruments. In the field of endoscopy, certain components of the powered endoscopy surgical instruments, such as display screens, for example, react poorly to the sterilization process when ethylene oxide is used. Improperly functioning display screens could result in difficulties and/or delays during a surgical procedure. Thus, a need exists for a surgical instrument system which incorporates a variety of cost-efficient disposable and replaceable components in order to avoid the damage caused by the sterilization process.


A surgical instrument system is illustrated in FIG. 58. The surgical instrument system illustrated in FIG. 58 is similar to the surgical instrument system depicted in FIG. 1 in many respects, most of which will not be repeated herein out of the sake of brevity. The surgical instrument system comprises a variety of interchangeable shaft assemblies and power modules, as will be discussed in greater detail below. The surgical instrument system comprises a handle assembly 11000. The handle assembly 11000 is usable with a variety of interchangeable shaft assemblies, such as a shaft assembly 12000, a shaft assembly 13000, a shaft assembly 14000, a shaft assembly 15000, and/or other any other suitable shaft assembly. The interchangeable shaft assemblies 12000, 13000, 14000, and 15000 are similar to the shaft assemblies 2000, 3000, 4000, and 5000 in many respects. Similar to the shaft assembly 2000, the shaft assembly 12000 comprises a proximal end portion 12100 and an elongate shaft 12200 extending from the proximal end portion 12100. The shaft assembly 12000 also comprises an end effector 12400 which is rotatably attached to the elongate shaft 12200 by an articulation joint 12300. The end effector 12400 comprises a first jaw 17000 and a second jaw 17100. Similar to the shaft assembly 12000, the shaft assembly 13000 comprises a proximal end portion 13100, and an elongate shaft 13200 extending from the proximal end portion 13100. The shaft assembly 13000 is also configured for use with the end effector 12400 which is rotatably attached to the elongate shaft 13200 by an articulation joint 12300. Similar to the shaft assembly 12000, the shaft assembly 14000 comprises a proximal end portion 14100, and an elongate shaft 14200 extending from the proximal end portion 14100. The shaft assembly 14000 is also configured for use with an end effector 12400′ which is rotatably attached to the elongate shaft 14200 by an articulation joint 12300. The end effector 12400′ comprises a first jaw 18000 and a second jaw 18100. The shaft assembly 15000 comprises similar components to those of the shaft assemblies 12000, 13000, and 14000, many of which will not be discussed in detail for the sake of brevity.


Still referring to FIG. 58, the handle assembly 11000 comprises a drive module 11100. The drive module 11100 comprises a distal mounting interface 11130 which allows for the selective and separate engagement of any one of the shaft assemblies 12000, 13000, 14000, and 15000 with the drive module 11100. Each of the shaft assemblies 12000, 13000, 14000, and 15000 comprises the same or a substantially similar proximal mounting interface which is configured to engage the distal mounting interface of the drive module 11100. Still referring to FIG. 58, the shaft assembly 12000 comprises a proximal mounting interface 12130 which is configured for attachment to the distal mounting interface 11130 of the drive module 11100 by at least one latch 11140 of the drive module 11100. Similarly, the shaft assembly 13000 comprises a proximal mounting interface 13130 which is configured for attachment to the distal mounting interface 11130 of the drive module 11100 by at least one latch 11140 of the drive module 11100. Also, similarly, the shaft assembly 14000 comprises a proximal mounting interface 14130 which is configured for attachment to the distal mounting interface 11130 of the drive module 11100 by at least one latch 11140 of the drive module 11100. Likewise, the shaft assembly 15000 comprises a proximal mounting interface 15130 which is configured for attachment to the distal mounting interface 11130 of the drive module 11100. The drive module 11100 is configured to electrically couple to each of the shaft assembles 12000, 13000, 14000, and 15000. The surgical instrument system comprises a motor positioned in the handle assembly 11000, as will be discussed in greater detail below. Each of the shaft assemblies 12000, 13000, 14000, and 15000 comprises a control circuit as will be discussed in greater detail below. The control circuit is configured to interact with the motor in order to control various functions of the surgical instrument system. The surgical instrument system further comprises a motor-control processor which is configured to communicate with the control circuit in order to control the motor. Referring to FIG. 76A, the processor is positioned in any suitable portion of the surgical instrument apart from the drive module 11100. For example, the processor is positioned in a shaft assembly of the surgical instrument system. The handle assembly 11000 is configured for use with at least one power module as will be discussed in greater detail below.


Referring to FIGS. 58 and 59, the drive module 11100 comprises a housing 11110 which is capable of use with a variety of power modules such as the power modules 11200 and 11300, for example. In various instances, each power module 11200 and 11300 comprises one or more battery cells, as illustrated in FIG. 59, which are configured to enable pistol, scissor, and/or pencil grip configurations comprising different load requirements. In particular, the housing 11110 comprises a first attachment portion 11120 and a second attachment portion 11120′ which are configured to engage either the power module 11200 or the power module 11300 at either the bottom of the handle assembly 11000 or the proximal end of the handle assembly 11000 depending on which shaft assembly is attached to the handle assembly 11000. For example, when the shaft assembly 14000 is attached to the handle assembly 11000, a power module is attached to the proximal end of the handle assembly 11000 in a first configuration as illustrated in FIG. 58. As another example, when the shaft assembly 13000 is attached to the handle assembly 11000, a power module is attached to the bottom of the handle assembly 11000 in a second configuration. As illustrated in FIGS. 58 and 59, the first configuration and the second configuration are different from one another.


Still referring to FIG. 59, the drive module 11100 comprises a rotation actuator 11420 which is similar to the rotation actuator 1420, which is described in greater detail above. The drive module 11100 further comprises release actuators 11150 which, when depressed by a clinician, move the latches 11140 from their locked positions into their unlocked positions. The drive module 11100 comprises a first release actuator 11150 slideably mounted in an opening defined in the first side of the handle housing 11110 and a second release actuator 11150 slideably mounted in an opening defined in a second, or opposite, side of the handle housing 11110.


Referring to FIG. 59 and FIG. 60, the drive module 11100 comprises an articulation actuator 11430. The articulation actuator 11430 comprises a first push button 11432 and a second push button 11434. The first push button 11432 is part of a first articulation control circuit and the second push button 11434 is part of a second articulation circuit of an input system similar to the input system 1400 discussed in greater detail above.


Referring again to FIG. 58, the surgical instrument system comprises a power module 11200. The power module 11200 comprises a housing 11210, a connector portion 11220, and at least one battery (as illustrated in at least FIG. 59). The connector portion 11220 is configured to be engaged with the first connector portion 11120 in order to attach the power module 11200 to the bottom of the handle assembly 11000. The power module 11200 comprises at least one latch 11240 positioned at the top of the power module 11200 which is configured to secure the power module 11200 to the bottom of the drive module 11100. More specifically, the latch 11240 is configured to securely attach the housing 11210 of the power module 11200 to the housing 11110 of the drive module 11100 located within the handle assembly 11000. The connector portion 11220 comprises a plurality of electrical contacts which enable an electrical connection between the power module 11200 and the drive module 11100. The power module 11200 comprises a release latch 11250 which is configured to release the power module 11250 from the drive module 11000.


Referring again to FIG. 58, the surgical instrument system comprises a power module 11300. The power module 11300 comprises a housing 11310, a connector portion 11320, and at least one battery. The connector portion 11320 is configured to be engaged with the second connector portion 11120′ in order to attach the power module 11300 to the handle assembly 11000. The power module 11300 comprises at least one latch 11340 positioned at a distal end of the power module 11300 which is configured to secure the power module 11300 to the drive module 11100. More specifically, the latch 11340 is configured to securely attach the housing 11310 of the power module 11300 to the housing 11110 of the drive module 11100 located within the handle assembly 11000. The connector portion 11320 comprises a plurality of electrical contacts which enable an electrical connection between the power module 11300 and the drive module 11100.


Still referring to FIG. 58, the power module 11200 and the power module 11300 each comprise at least one display unit. The power module 11200 comprises a display unit 11440 located on the power module housing 11210. The power module 11300 comprises a display unit 11440′. The display units 11440 and 11440′ can comprise any suitable display screen, for example, configured for use with a powered surgical device. In various instances, the display units 11440 and 11440′ comprise an electrochromic display. The electrochromic display comprises an array of electrodes created from a metal oxide semi conductor. The electrodes are mounted on a flexible film comprising attachments of electrochromic molecules. As a charge is applied to the semiconducting electrodes, the electrochromic molecules travel to the surface of the film to receive the charge. As the electrochromic molecules are charged, a change in color occurs in the molecules. Suitable versions of this type of display screen are available from Ntera and Seiko, for instance.


In certain instances, the display units 11440 and 11440′ comprise an electrophoretic display. The electrophoretic display comprises titanium dioxide particles approximately one micrometer in diameter which are dispersed in a hydrocarbon oil, for example. A dark-colored dye is also added to the oil, along with surfactants and charging agents that cause the particles to take on an electric charge. The mixture of titanium dioxide particles and hydrocarbon oil is placed between two parallel conductive plates separated by a gap of 10 to 100 micrometers, for example. The parallel conductive plates comprise opposite charges from one another. When a voltage is applied across the two plates, the titanium dioxide particles migrate electrophoretically to the plate that bears the opposite charge from the charge of the particles. When the particles are located at the front (viewing) side of the display, it appears white, because light is scattered back to the viewer by the high-index titanium dioxide particles. When the particles are located at the rear side of the display, it appears dark, because the incident light is absorbed by the colored dye. If the rear electrode is divided into a number of small picture elements (pixels), then an image can be formed by applying the appropriate voltage to each region of the display to create a pattern of reflecting and absorbing regions.


Other suitable variations of display screens include various types of liquid-crystal displays including liquid-crystal character display modules, thin film transistor liquid-crystal displays, and/or any other suitable display screens. Liquid crystal character display modules are flat-panel displays which use the light-modulating properties of liquid crystals in order to produce images in color or monochrome by using a backlight or a reflector. Thin film transistor liquid-crystal displays use thin-film transistor technology to provide for improved image qualities including, but not limited to, contrast. Additional types of display screens comprise touch screen capable screens and/or active matrix backplanes comprising an amorphous silicon semiconductor or a polythiophene semiconductor, for example.


Referring primarily to FIG. 59, the power module 11200 is attached to the handle assembly 11000 in a first orientation. When the power module 11200 is positioned in the first orientation, a first maximum level of power is supplied to the surgical instrument system. As seen in FIG. 59, the surgical instrument system comprises a pistol grip when the power module 11200 is attached to the surgical instrument. Still referring to FIG. 59, the power module 11200 comprises at least a first battery 11230 and a second battery 11260. Referring to FIG. 60, the power module 11300 comprises a housing 11310 which is configured to attach the power module 11300 to the handle assembly 11000 in a second orientation. The second orientation of the power module 11300 is configured to supply an appropriate amount of power when the surgical instrument comprises a pencil or wand grip configuration. The power module 11200 is configured to supply more power to the surgical instrument when the power 11200 is in the first orientation, and the power module 11300 is configured to supply less power to the surgical instrument in the second orientation. The use of various power modules ensures that the necessary amount of power for the operation of the surgical instrument system is provided. With respect to FIGS. 60-62, the drive module 11100 comprises the same and/or similar components as the drive module 1100 discussed in detail above with respect to FIGS. 7-9. That is, the drive module 11100 interacts with each of the shaft assemblies 12000, 13000, 14000, and 15000 in the same and/or a similar manner as the drive module 1100 interacts with the shaft assemblies 2000, 3000, 4000, and 5000.



FIGS. 63-65 illustrate the surgical instrument system comprising the power module 11300 in the first orientation for use with the scissor grip configuration of the shaft assembly 14000. The surgical instrument system illustrated in FIGS. 63-65 is similar in some aspects to the surgical instrument system illustrated in FIGS. 45-47, which is discussed in greater detail above and is also configured for use with the power module 11300 which comprises the display unit 11440′. Various surgical instruments described herein are compatible with the power modules 11200 and 11300.


Turning now to FIG. 66, a surgical instrument system can comprise a variety of handle assemblies such as a pencil grip handle, a scissor grip handle, a pistol grip handle, among others, and a shaft assembly, such as the shaft assembly 20000, for example, that can be used with each of the handle assemblies. The surgical instrument system comprises a first handle assembly 21000, which is a pencil grip handle. Referring primarily to FIGS. 66A and 68A, the first handle assembly 21000 comprises one electric drive motor, a first drive shaft 21100, and a first set of controls which controls the one electric drive motor. The drive shaft 21100 of the one drive motor is configured to be coupled with a drive system of the shaft assembly 20000 when the shaft assembly 20000 is attached to the handle assembly 21000. The drive motor used in connection with the surgical instrument system of FIG. 66 is similar in many respects to other motors discussed in detail above, such as the motor 1610, for example. The first handle assembly 21000 further comprises a plurality of electrical contacts 21022 for placing the handle assembly 21000 in electrical communication with the shaft assembly 20000 via electrical contacts 20022 defined thereon. Referring to FIGS. 66 and 66A, the first handle assembly 21000 further comprises an insertable power module 21020 at the proximal end of the handle assembly 21000.


The surgical instrument system further comprises a second handle assembly 22000, which is a scissors grip handle. Referring primarily to FIG. 66B, the second handle assembly 22000 comprises first and second electric drive motors, a drive shaft 22100, a second drive shaft 22200, a first set of controls which controls the first drive motor, and a second set of controls which controls the second drive motor. The first drive shaft 22100 and the second drive shaft 22200 of the first and second drive motors can be coupled with two drive systems of the shaft assembly 20000. The first and second drive motors are similar in many respects to other motors discussed in detail above, such as the motor 1610, for example. The second handle assembly 22000 further comprises a plurality of electrical contacts 22022 for placing the handle assembly 22000 in electrical communication with the shaft assembly 20000 via electrical contacts 20022 defined thereon as seen in FIG. 66D. Referring primarily to FIGS. 66 and 66B, the second handle assembly 22000 further comprises an insertable power module 22020 at the proximal end of the handle assembly 22000.


Referring to FIGS. 66 and 66C, the surgical instrument system further comprises a third handle assembly 23000, which is a pistol grip handle. The third handle assembly 23000 comprises first, second, and third electric drive motors, a first drive shaft 23100, a second drive shaft 23200, a third drive shaft 23300, a first set of controls which controls the first drive motor, a second set of controls which controls the second drive motor, and a third set of controls which controls the third drive motor. The third handle assembly 23000 comprises a third set of controls. The first drive shaft 23100, the second drive shaft 23200, and the third drive shaft 23300 can be coupled with the three drive systems of the shaft assembly 20000. The third handle assembly 23000 further comprises a plurality of electrical contacts 23022 for placing the handle assembly 23000 in electrical communication with the shaft assembly 20000 via electrical contacts 20022 defined thereon as seen in FIGS. 66C and 66G. The third handle assembly 23000 further comprises an insertable power module 23020 at the proximal end of the handle assembly 23000.


Further to the above, the shaft assembly 20000 comprises three drive systems which are drivable by a drive motor of a handle assembly—this is, of course, assuming that the handle assembly that the shaft assembly 20000 is attached to has a sufficient number of drive motors to drive all three drive systems of the shaft assembly 20000. Stated another way, the first handle assembly 21000 has only one drive motor to drive one of the drive systems of the shaft assembly 20000 and, similarly, the second handle assembly 22000 has only two drive motors to drive two of the drive systems of the shaft assembly 20000. Thus, two drive systems of the shaft assembly 20000 cannot be driven by the first handle assembly 21000 and one drive system of the shaft assembly 20000 cannot be driven by the second handle assembly 22000. In various instances, the undriven system, or systems, of the shaft assembly 20000 can remain inert while the other drive system, or systems, of the shaft assembly 20000 are being used. In at least one embodiment, the handle assemblies 21000 and 22000 can be configured to lock out the drive systems of the shaft assembly 20000 that aren't being used. In at least one instance, the handle assembly 21000 comprises two stationary posts extending therefrom which engage the second and third drive systems of the shaft assembly 20000 when the shaft assembly 20000 is assembled to the handle assembly 21000. The stationary posts prevent the second and third drive systems of the shaft assembly 20000 from being unintentionally actuated. Similarly, the handle assembly 22000 comprises one stationary post extending therefrom which engages the third drive system of the shaft assembly 20000 to prevent the third drive system from being unintentionally actuated. The third handle assembly 23000 does not comprise stationary posts to lock a drive system of the shaft assembly 20000 as all three drive systems of the shaft assembly 20000 are coupled to a drive motor in the third handle assembly 23000.


In addition to or in lieu of the above, the shaft assembly 20000 can comprise a second lock that is biased into a locked configuration to lock the second drive system in place and a third lock that is biased into a locked configuration to lock the third drive in place. When the shaft assembly 20000 is attached to the first handle assembly 21000, the shaft assembly 20000 does not receive electrical power from the first handle assembly 21000 to unlock the second lock or the third lock. When the shaft assembly 20000 is attached to the second handle assembly 22000, the shaft assembly 20000 receives electrical power from the second handle assembly 22000, via the electrical contacts 22022, and the second lock is unlocked so that the second drive system of the shaft assembly 20000 can be used by the second handle assembly 22000. That said, the second handle assembly 22000 does not receive electrical power from the second handle assembly 22000 to unlock the third lock as the second and third locks are part of separate and distinct circuits. When the shaft assembly 20000 is attached to the third handle assembly 23000, the shaft assembly 20000 receives power from the third handle assembly 23000, via the electrical contacts 23022, to unlock the second and third locks so that the second and third drive systems of the shaft assembly 20000 can be used by the third handle assembly 23000.


As discussed above and referring to FIG. 66, the shaft assembly 20000 is selectively attachable to the first handle assembly 21000, the second handle assembly 22000, and the third handle assembly 23000. That being said, the handle assemblies 21000, 22000, and 23000 are all configured to be held differently by a clinician. The pen configuration of the first handle assembly 21000 is configured to be held, or pinched, between the clinician's thumb and index finger on one hand. The scissors configuration of the second handle assembly 22000 is configured to be gripped by an outstretched hand of the clinician. The pistol configuration of the third handle assembly 23000 is configured to be gripped by a closed, clenched hand of the clinician. As a result, the handle configurations 21000, 22000, and 23000 can be configured such that the shaft assembly 20000 is attached thereto in different orientations to match the grip orientation of the clinician's hand. For instance, the shaft assembly 20000 is attached to the handle assembly 21000 in a first orientation and attached to the shaft assemblies 22000 and 23000 in a second orientation which is rotated 90 degrees from the first orientation. Such an arrangement matches the typical expectations of the clinician regarding the orientation of the shaft assembly 20000 relative to their hand. Similarly, the first set of controls on the first handle assembly 21000 for controlling the first drive motor can be oriented 90 degrees relative to the orientation of the first set of controls on the second handle assembly 22000 and the third handle assembly 23000. Moreover, it can be desirable for a certain function of the shaft assembly 20000 to be always coupled to a motor-driven drive system regardless of the handle assembly that it is attached to. To achieve this, in various instances, the shaft assembly 20000 may have to be attached to the handles 21000, 22000, and 23000 in different orientations to align the articulation drive system, for example, to a motor-driven drive system.


Further information regarding the different configurations of the handle assemblies 21000, 22000, and 23000 are presented in FIG. 69. For example, the pencil handle assembly 21000 comprises a motor-driven output which is configured to enable right and left articulation of the shaft 20400. The end effector can be manually rotated relative to the shaft 20400. The pencil handle assembly 21000 is not configured to perform any actuation motions of the end effector or rotation of the shaft 20400 as it does not comprise a motor driven output for the actuation motions of the end effector or the rotation of the shaft 20400. As another example, the scissor grip handle assembly 22000 comprises a motor-driven output which is configured to enable right and left articulation of the shaft 20400. The scissor grip handle assembly 22000 comprises another motor-driven output which is configured to enable a first actuation motion of the end effector. The scissor grip handle assembly 22000 is not configured to perform a second actuation motion of the end effector or rotation of the shaft 20400 as it does not comprise a motor-driven output for the second actuation motion of the end effector or the rotation of the shaft 20400. As another example, the pistol handle assembly 23000 comprises motor-driven outputs which are configured to enable right and left articulation of the shaft 20400. The pistol handle assembly also comprises motor-driven outputs which are configured to enable the first and second actuation motions of the end effector as well as rotation of the shaft 20400 via a motor and a shiftable transmission.


Referring primarily to FIGS. 66D and 68D, a handle assembly 24000, which is similar to the handle assembly 22000 in many respects, comprises at least one spring loaded pin 24024 which is configured to flex to allow the shaft assembly 20000 to be releasably held to the shaft assembly 20000. Such an arrangement can be adapted to the handle assemblies 21000, 22000, and 23000 to releasably hold the shaft assembly 20000 thereto. Similar to the handle assembly 22000, the handle assembly 24000 comprises a set of electrical contacts 24022, a first drive shaft 24100, and a second drive shaft 24200.


As discussed above, the shaft assembly 20000 comprises a first drive shaft 20100, a second drive shaft 20200, and a third drive shaft 20300, each of which enables a particular function of the surgical instrument system by establishing a mechanical connection with a drive shaft in any one of the handle assemblies 21000, 22000, and 23000—so long as the handle assembly has a sufficient number of drives to be coupled to. While the shaft assembly 20000 is attached to the first handle assembly 21000, certain functions of the surgical instrument and/or the end effector are enabled and certain functions of the surgical instrument and/or the end effector are locked out as seen in FIG. 69 and described in greater detail above. For example, the first handle assembly 21000 can drive the articulation system of the shaft 20400 with its one drive motor. All other functions of the shaft assembly 20000 would have to be performed by the manual manipulation of the first handle assembly 21000. Referring primarily to FIG. 66, the pencil grip configuration of the handle assembly 21000 does not afford a motor-driven output for actuating the end effector and/or rotating the shaft 20400.


The second handle assembly 22000 comprises two motors configured to drive two of the drives of the shaft assembly 20000. While the shaft assembly 20000 is attached to the second handle assembly 22000, certain functions of the surgical instrument and/or the end effector are enabled and certain functions of the surgical instrument and/or the end effector are locked out as seen in Table A of FIG. 69 and described in greater detail above. The first motor of the second handle assembly 22000 drives the articulation drive of the shaft assembly 20000 and the second motor of the second handle assembly 22000 drives a jaw assembly of the shaft assembly 20000 to move the jaw assembly between open and closed configurations. The third function of the shaft assembly 20000, i.e., the rotation of the jaw assembly about a longitudinal axis must be performed manually by rotating the second handle assembly 22000 about the longitudinal axis. The third handle assembly 23000 comprises three motors configured to drive all three of the drives of the shaft assembly 20000. While the shaft assembly 20000 is attached to the third handle assembly 23000 in the third orientation, none of the functions of the surgical instrument and/or the end effector are locked out as seen in Table A of FIG. 69 and described in greater detail above.


Referring to FIG. 70, the third handle assembly 23000 comprises a pistol grip configured for use with a smoke evacuation tube 23400. The smoke evacuation tube 23400 is configured to fit inside a groove 23420 within the handle assembly 23000. The shaft assembly 20000 further comprises a smoke evacuation tube 20410 which fits over the shaft 20400. Referring to FIG. 71, the third handle assembly 23000 comprises a first motor 23062 configured to power the right and left articulation of the end effector. The third handle assembly comprises a second motor configured to power the jaw drive of the shaft assembly 20000. The third handle assembly 23000 comprises a third motor configured to power the rotation of the end effector about the longitudinal axis. The handle assembly 23000 further comprises a first gear box 23064 to reduce the speed of the first motor and a second gear box 23068 to reduce the speed of the second motor. Still referring to FIG. 71, the insertable power module 23020 comprises at least two battery cells 23040 and 23050.


Referring to FIG. 72, the second handle assembly 22000 comprises a scissor grip configuration for use with a smoke evacuation tube 22400. The smoke evacuation tube 22400 is configured to fit inside a groove 22420 within the handle assembly 22000. Referring to FIG. 73, the handle assembly 22000 comprises a first motor 22062 and a second motor 22066 which are configured to power certain functions of the surgical instrument system as discussed above. Referring to FIG. 73B for example, the first motor 22062 is configured to power right and left articulation of the end effector, for example. The second motor 22066 is configured to power the jaw drive of the shaft assembly 20000. When the handle assembly 22000 is in use, the rotation of the end effector is performed manually by the clinician. The handle assembly 22000 further comprises a first speed reduction gear box 22064 and a second speed reduction gear box 22068 disposed within the handle assembly 22000. Still referring to FIG. 73, the insertable power module 22020 comprises at least two battery cells 22040 and 22050.


Referring to FIG. 74, the first handle assembly 21000 comprises a pencil grip configured for use with a smoke evacuation tube 21400. The smoke evacuation tube 21400 is configured to fit inside a groove 21420 within the handle assembly 21000. The shaft assembly 20000 further comprises a smoke evacuation tube 20410 which fits over the shaft 20400. Referring to FIG. 75, the handle assembly 21000 comprises a motor 21062 which is configured to power the right and left articulation of the end effector. When the handle assembly 21000 is in use, the rotation of the end effector is performed manually by the clinician, and certain functions such as a first actuation motion and a second actuation motion of the end effector are locked out as seen in FIG. 75B. The handle assembly 21000 further comprises a speed reduction gear box 21064 disposed within the handle assembly 21000. Still referring to FIG. 75, the insertable power module 21020 comprises at least two battery cells 21040 and 21050.


Referring to FIG. 77, various surgical instrument systems described herein comprise one or more feedback systems which are configured to alert the clinician as to the state of the surgical instrument system. The surgical instrument system comprises a handle assembly 26000 which includes a first drive 26100, a second drive 26200, and a third drive 26300 which are configured to permit drive systems within the handle assembly 26000 to be operably coupled to the drive systems of a shaft assembly 27000. The shaft assembly 27000 is similar to the shaft assembly 20000 in many respects. The handle assembly 26000 further comprises a plurality of electrical contacts 26022 configured to place the handle assembly 26000 in electrical communication with the shaft assembly 27000. The shaft assembly 27000 comprises an actuation rod 27700 extending within a shaft 27770, wherein the actuation rod 27700 is drivable by a drive system of the handle assembly 26000. The shaft assembly 27000 further comprises an end effector 27200 rotatably attached to the shaft 27770 about an articulation joint 27300. The end effector 27200 comprises a first jaw 27220 and a second jaw 27222 which are movable between open and closed positions in response to the motions of the actuation rod 27700. The handle assembly 26000 further comprises a curved trigger 26400 rotatably connected to the handle assembly 26000 which, as described in greater detail below, is used to control the drive system. The curved trigger 26400 comprises a curved trigger rod 26500 extending therefrom, as also discussed in greater detail below.


Referring to FIG. 79, further to the above, the handle assembly 26000 comprises a motor control system 26010 which is configured to run a motor 26030 configured to drive the drive system of the shaft assembly 27000 as mentioned above. The handle assembly 26000 further comprises a power module 26028 configured to supply power to the motor 26030 at the direction of a motor control system 26010. The handle assembly 26000 comprises a trigger sensor 26800 which is in communication with the motor control system 26010 and is configured to monitor the motion of the trigger 26400. The trigger sensor 26800 is configured to generate a voltage potential which is detectable by the motor control system 26010—the magnitude of which can be used to ascertain the actuation and/or position of the trigger 26400. In response to the signal from the trigger sensor 26800, the motor control system 26010 is configured to run the motor 26030 to drive the drive rod 26050. In various instances, the trigger sensor 26800 comprises a variable resistance sensor, for example, and the speed of the motor 26030 is responsive to the signal provided by the trigger sensor 26800.


As the drive rod 26050 is driven distally by the motor 26030, the drive rod 26050 experiences a force load. There is a wide range of acceptable force loads that the drive rod 26050 may experience during use. That said, such force loads can suggest certain information about the performance of the surgical system. For instance, force loads toward the top of the acceptable range can indicate that thick and/or dense tissue is captured within the end effector 27200 while force loads toward the bottom of the acceptable range can indicate that thin and/or less dense tissue is captured within the end effector 27200, for example. Without more, this information is not conveyed to the clinician as the trigger 26400 is not mechanically coupled to the drive rod 26050; rather, the trigger 26400 is electrically coupled to the motor 26030 via the motor control system 26010. Without this information, a clinician may not fully appreciate what is occurring within the surgical system. To this end, the surgical instrument system comprises means for detecting the force load experienced by the drive rod 26050 and communicating this information to the clinician. In at least one instance, the surgical instrument system comprises one or more load cells and/or strain gauges configured to detect the force load within the drive rod 26050. In addition to or in lieu of these mechanical detection systems, the motor control system 26010 is configured to monitor the current drawn by the electric motor 26030 during use and this information as a proxy for the force load being experienced by the drive rod 26050. Referring to FIG. 79, the handle assembly comprises a current sensor 26012 in communication with the power control system 26020, and/or the motor control system 26010, which is configured to monitor the amount of current drawn by the motor 26030. Discussed below are systems which can restore the clinician's sense for the loads being experienced within the drive system based on the load data supplied to the power control system 26020.


Referring to FIGS. 77A and 77B, the handle assembly 26000 further comprises an electroactive polymer (hereinafter “EAP”) 26600 positioned within an aperture defined therein. The EAP 26600 is in signal communication with the power control system 26020 and is responsive to a voltage output provided by the power control system 26020. Referring primarily to FIG. 77B, the handle assembly 26000 comprises a curved cylinder 26900 which surrounds a portion of the curved trigger rod 26500 of the trigger 26400. More specifically, the curved trigger rod 26500 comprises a trigger bar 26550 extending through the curved cylinder 26900 positioned within the handle assembly 26000. The EAP 26600 is radially constrained by the sidewalls of the curved aperture defined in the handle 26000. The EAP 26600 reacts to the voltage potential applied thereto by the power control system 26020 and expands and contracts proportionately in size to the magnitude of the force being applied to the drive rod 26050. When the voltage applied to the EAP 26600 is increased, the walls of the handle assembly 26000 prevent the EAP 26600 from expanding. As a result, the EAP 26600 expands toward the trigger bar 26550 extending from the curved trigger 26500 and, thus, applies a compressive force to the trigger bar 26550. The compression force applied by the EAP 26600 on the trigger bar 26550 compresses the trigger bar 26550 which, in turn, creates a drag force between the EAP 26600 and the trigger bar 26550 when the trigger bar 26550 is moved by the trigger 26400. This drag force is felt by the clinician pulling the trigger 26400 and directly communicates the forces of the end effector 27200 to the clinician. As the magnitude of the load force experienced by the drive rod 26050 increases, the voltage applied to the EAP 26600 by the power control system 26020 increases, and the drag experienced by the trigger 26400 also increases. As the magnitude of the load force experienced by the drive rod 26050 decreases, the voltage applied to the EAP 26600 by the power control system 26020 decreases, and the drag experienced by the trigger 26400 also decreases. These relationships are linearly proportional; however, any proportional relationship could be used. Moreover, further to the above, the magnitude of the voltage potential applied to the EAP 26600 by the power control system 26020 is proportionately coupled to the motor current drawn by the motor 26030, the voltage supplied by the load cell circuit, and/or the voltage supplied by the strain gauge circuit, for example.


Turning to FIG. 78A, the EAP 26600 is shown in a non-energized state before the voltage potential is applied to the EAP 26600. As seen in FIG. 78A, there is space defined between the EAP 26600 within the curved cylinder 26900 and the curved trigger 26500. Referring to FIG. 78B, as the voltage potential is applied to the EAP 26600, the EAP 26600 constricts the trigger bar 26550 of the curved trigger 26500 which creates the drag force discussed above. The relationship between the forces on the end effector 27200 and/or the shaft 27770 and the compressive force on the curved trigger 26500 is further illustrated in FIGS. 80 and 81.


Referring to FIG. 80, L1 illustrates the torque experienced by the motor drive shaft. L2 illustrates the load force experienced by the drive rod 26050. L3 illustrates the voltage applied to the EAP 26600. The load force on the drive rod 26050 and the torque on the motor drive shaft are proportional to the amount of voltage applied to the EAP 26600. That is, as the load force and torque increase, as illustrated by way of L1 and L2 in FIG. 80, the voltage applied to the EAP 26600 also increases. Further to the above, there is a proportional relationship between the compressive force applied to the trigger 26500 and the voltage applied to the EAP 26600. As the voltage applied to the EAP 26600 increases, the drag force on the trigger 26500 increases, as discussed in greater detail above. The voltage applied to the EAP 26600 increases as a reaction to the amount of current flowing through the motor 26030 which is an indicator of the forces on the drive rod 26050 and the torques on the motor drive shaft. Referring to FIG. 81, L4 illustrates the change in the voltage potential applied to the EAP 26600 over time.


Turning to FIG. 86, additional feedback systems similar to those are configured for use with suturing devices. In particular, various surgical instrument systems are equipped with programs which are capable of measuring bending and axial loads applied to a suturing device shaft such as the shaft 28100 of the suturing device 28000 illustrated in FIG. 86. The suturing device 28000 comprises at least one motor configured to provide power to the suturing device during a surgical procedure. The suturing device 28000 further comprises a distal head 28300 rotatably connected to the shaft 28100 by an articulation joint 28200. The handle of the suturing device 28000 comprises a display which is configured to indicate a predefined proportion of loads to a user. The surgical instrument systems described herein are also configured for use with robotic surgical systems as well as cloud-based technology. Various applications disclosed which are incorporated by reference disclose situational awareness of an interactive HUB system which is configured to define various surgical steps. The devices, systems, and methods disclosed in the Subject Application can also be used with the devices, systems, and methods disclosed in U.S. Provisional Patent Application No. 62/659,900, entitled METHOD OF HUB COMMUNICATION, filed on Apr. 19, 2018, U.S. Provisional Patent Application No. 62/611,341, entitled INTERACTIVE SURGICAL PLATFORM, filed on Dec. 28, 2017, U.S. Provisional Patent Application No. 62/611,340, entitled CLOUD-BASED MEDICAL ANALYTICS, filed on Dec. 28, 2017, and U.S. Provisional Patent Application No. 62/611,339, entitled ROBOT ASSISTED SURGICAL PLATFORM, filed on Dec. 28, 2017, which are incorporated by reference in their entireties herein. Such surgical steps include providing the handle of the suturing device 28000 with and updated ration of the amount of the load being exerted as a portion of the suture stitch or knot tension. The tension is used by the user to create more standardization of the stitch to stitch tightness. Further uses are contemplated which include instructional uses for new users of the surgical instrument systems described herein. FIG. 87 further illustrates the relationship between the forces applied to the shaft 28100 and the distal head 28300 based on the different motors (e.g. the motor supplying power to perform an actuation motion of an end effector and the motor supplying power to perform a distal head rotation motion).


The surgical instrument systems discussed in greater detail above are configured for use with locking and safety mechanisms. The locking mechanisms comprise electrical sensing means configured to detect whether a modular attachment is in a usable or unusable state. The locking mechanisms further comprise electrical sensing means configured to detect whether a loadable mechanism is in a usable or unusable state. FIG. 82 illustrates an exemplary shaft assembly 30000 which is similar to the shaft assembly 20000. The locking mechanisms which will be discussed in greater detail below are configured for use with any of the surgical instrument systems described herein. The shaft assembly 30000 comprises a drive 30100, a second drive 30200, and a third drive 30300. The shaft assembly 30000 comprises a plurality of electrical contacts 30022 configured to place the shaft assembly 30000 in electrical communication with any of the handle assemblies described herein upon being attached thereto. The shaft assembly 30000 further comprises an on-board control circuit 30500. One example of a single use lockout 30400 is illustrated in FIG. 83. The single use lockout comprises a lock solenoid 30410, a lock spring 30420, and a lock pin 30430 as seen in FIGS. 84 and 85. The lock solenoid 30410 is energized upon power being supplied to the shaft assembly 30000.


In such instances, the lock solenoid 30410 is configured to push the lock pin 30430 outwardly into a locked position; however the lock pin 30430 is held in a staged position until the shaft assembly 30000 is detached from the handle. At such point, the lock spring 30420 can push the lock pin 30430 from its staged position into its locked position. In various instances, the shaft assembly 30000 comprises a lock shoulder 30440 configured to hold the lock pin 30430 in its locked position and prevent the lock pin 30430 from being reset. In such instances, the lock pin 30430 protrudes proximally from the housing of the shaft assembly 30000 which prevents the shaft assembly 30000 from being reattached to a handle. While the solenoid 30410 can drive the lock pin 30430 into its locked position in certain instances; in other instances, the solenoid 30410 holds the lock pin 30430 in its unlocked position until energized by the attachment of the shaft assembly 30000 to the handle wherein, at such point, the solenoid 30410 can release the lock pin 30430 such that the lock spring 30420 can move the lock pin 30430 into its staged position where the shaft assembly 30000 is attached to the handle and into its locked position once the shaft assembly 30000 is removed from the handle.


Other lockout mechanisms comprise a locking member which immobilizes a drive shaft of a surgical instrument if a modular shaft is attached to an incompatible handle can be used. For example, when a scissor grip handle is attached to an articulating clip applier shaft with distal head rotation, a lockout prevents distal head rotation drive because the scissor grip handle is used for only one drive system which is often the clip drive. In various instances, the lockout fixes the rotation of the distal head by engaging a lockout member into the drive shaft at the proximal end of the shaft. An additional locking mechanism for use with the surgical instrument systems described herein comprises a distal locking mechanism which prevents actuation motions of a clip applier or suturing device if a loaded cartridge is not in the jaws. A similar lockout mechanism comprises a distal locking mechanism which prevents actuation motions of a clip applier or suturing device if a spent cartridge is positioned in the jaws. The distal locking mechanism further comprises a means for sensing the engagement state of the distal lockout through a power system of the surgical instrument in order to prevent the activation of the motor or to instruct the motor to provide haptic vibration feedback that the handle assembly is incompatible with the attachment portion. Additional lockout assemblies include a modular lockout which prohibits or changes the operation of the motor if the shaft is detected to be in an unusable state.


Turning now to FIG. 88, an exemplary system for identifying the components of a surgical instrument system is disclosed. Step 32100 comprises attaching a shaft module to a handle assembly. Step 32200 comprises attaching a battery to a handle assembly. Step 32300 comprises energizing a safety circuit or watchdog processor wherein either is compatible with surgical instrument systems discussed in greater detail above. Decision 32400 comprises the verification of the integrity of the electrical circuit within the surgical instrument system. If the integrity of the circuit is bad, then the system is configured to display an error signal and shut down in step 32410. If the integrity of the circuit is good, the system is configured to identify and log a serial number associated with a handle assembly, battery, and/or shaft assembly, as illustrated in step 32420. Decision 32500 is configured to identify the type of handle assembly. For example, if the handle assembly is a simple scissors handle, the system is configured to control a program for a simple mechanism configuration which includes a shaft rotation lockout, as illustrated in step 32500. If the system determines that the handle assembly is not a simple scissors handle, then the system is configured to verify the functionality of all instrument mechanisms as illustrated in step 32510.


With further reference to FIG. 88, once the system identifies the type of handle assembly, the system is configured to determine whether the shaft assembly comprises a loadable portion in decision 32600, and is further configured to determine the status of the loadable portion. If the loadable portion is unloaded, the system is configured to generate an error message in step 32610 which indicates that the system is waiting for the loadable portion to be reloaded before a surgical procedure can continue. If the loadable portion is loaded, the system is configured detect whether a display unit is present during decision 32700. If the surgical instrument does not comprise a display unit, for example, the system is configured use a simple green light to indicate that the surgical instrument is ready for use. If the surgical instrument comprises a display unit, for example, the system configures the display unit for use with whatever shaft assembly is attached to the surgical instrument in step 32720. Additional systems comprise the identification of various compatible shaft assemblies and handle assemblies. Other systems comprise the identification of the status of a power module and the status of the power module. The verification processes described above are configured for use with any of the surgical instrument systems described herein. The surgical instruments, modules, systems, and methods disclosed herein can be used with the various disclosures incorporated by reference. The devices, systems, and methods disclosed in the Subject Application can also be used with the devices, systems, and methods disclosed in U.S. Provisional Patent Application No. 62/659,900, entitled METHOD OF HUB COMMUNICATION, filed on Apr. 19, 2018, U.S. Provisional Patent Application No. 62/611,341, entitled INTERACTIVE SURGICAL PLATFORM, filed on Dec. 28, 2017, U.S. Provisional Patent Application No. 62/611,340, entitled CLOUD-BASED MEDICAL ANALYTICS, filed on Dec. 28, 2017, and U.S. Provisional Patent Application No. 62/611,339, entitled ROBOT ASSISTED SURGICAL PLATFORM, filed on Dec. 28, 2017, which are incorporated by reference in their entireties herein.


The surgical instrument systems described herein are motivated by an electric motor; however, the surgical instrument systems described herein can be motivated in any suitable manner. In certain instances, the motors disclosed herein may comprise a portion or portions of a robotically controlled system. U.S. patent application Ser. No. 13/118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now U.S. Pat. No. 9,072,535, for example, discloses several examples of a robotic surgical instrument system in greater detail, the entire disclosure of which is incorporated by reference herein.


The surgical instrument systems described herein can be used in connection with the deployment and deformation of staples. Various embodiments are envisioned which deploy fasteners other than staples, such as clamps or tacks, for example. Moreover, various embodiments are envisioned which utilize any suitable means for sealing tissue. For instance, an end effector in accordance with various embodiments can comprise electrodes configured to heat and seal the tissue. Also, for instance, an end effector in accordance with certain embodiments can apply vibrational energy to seal the tissue. In addition, various embodiments are envisioned which utilize a suitable cutting means to cut the tissue.


The entire disclosures of:


U.S. patent application Ser. No. 11/013,924, entitled TROCAR SEAL ASSEMBLY, now U.S. Pat. No. 7,371,227;


U.S. patent application Ser. No. 11/162,991, entitled ELECTROACTIVE POLYMER-BASED ARTICULATION MECHANISM FOR GRASPER, now U.S. Pat. No. 7,862,579;


U.S. patent application Ser. No. 12/364,256, entitled SURGICAL DISSECTOR, now U.S. Patent Application Publication No. 2010/0198248;


U.S. patent application Ser. No. 13/536,386, entitled EMPTY CLIP CARTRIDGE LOCKOUT, now U.S. Pat. No. 9,282,974;


U.S. patent application Ser. No. 13/832,786, entitled CIRCULAR NEEDLE APPLIER WITH OFFSET NEEDLE AND CARRIER TRACKS, now U.S. Pat. No. 9,398,905;


U.S. patent application Ser. No. 12/592,174, entitled APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING, now U.S. Pat. No. 8,123,764;


U.S. patent application Ser. No. 12/482,049, entitled ENDOSCOPIC STITCHING DEVICES, now U.S. Pat. No. 8,628,545;


U.S. patent application Ser. No. 13/118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now U.S. Pat. No. 9,072,535;


U.S. patent application Ser. No. 11/343,803, entitled SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES, now U.S. Pat. No. 7,845,537;


U.S. patent application Ser. No. 14/200,111, entitled CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,629,629;


U.S. patent application Ser. No. 14/248,590, entitled MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS, now U.S. Pat. No. 9,826,976;


U.S. patent application Ser. No. 14/813,242, entitled SURGICAL INSTRUMENT COMPRISING SYSTEMS FOR ASSURING THE PROPER SEQUENTIAL OPERATION OF THE SURGICAL INSTRUMENT, now U.S. Patent Application Publication No. 2017/0027571;


U.S. patent application Ser. No. 14/248,587, entitled POWERED SURGICAL STAPLER, now U.S. Pat. No. 9,867,612;


U.S. patent application Ser. No. 12/945,748, entitled SURGICAL TOOL WITH A TWO DEGREE OF FREEDOM WRIST, now U.S. Pat. No. 8,852,174;


U.S. patent application Ser. No. 13/297,158, entitled METHOD FOR PASSIVELY DECOUPLING TORQUE APPLIED BY A REMOTE ACTUATOR INTO AN INDEPENDENTLY ROTATING MEMBER, now U.S. Pat. No. 9,095,362;


International Application No. PCT/US2015/023636, entitled SURGICAL INSTRUMENT WITH SHIFTABLE TRANSMISSION, now International Patent Publication No. WO 2015/153642 A1;


International Application No. PCT/US2015/051837, entitled HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM, now International Patent Publication No. WO 2016/057225 A1;


U.S. patent application Ser. No. 14/657,876, entitled SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES, U.S. Patent Application Publication No. 2015/0182277;


U.S. patent application Ser. No. 15/382,515, entitled MODULAR BATTERY POWERED HANDHELD SURGICAL INSTRUMENT AND METHODS THEREFOR, U.S. Patent Application Publication No. 2017/0202605;


U.S. patent application Ser. No. 14/683,358, entitled SURGICAL GENERATOR SYSTEMS AND RELATED METHODS, U.S. Patent Application Publication No. 2016/0296271;


U.S. patent application Ser. No. 14/149,294, entitled HARVESTING ENERGY FROM A SURGICAL GENERATOR, U.S. Pat. No. 9,795,436;


U.S. patent application Ser. No. 15/265,293, entitled TECHNIQUES FOR CIRCUIT TOPOLOGIES FOR COMBINED GENERATOR, U.S. Patent Application Publication No. 2017/0086910; and


U.S. patent application Ser. No. 15/265,279, entitled TECHNIQUES FOR OPERATING GENERATOR FOR DIGITALLY GENERATING ELECTRICAL SIGNAL WAVEFORMS AND SURGICAL INSTRUMENTS, U.S. Patent Application Publication No. 2017/0086914, are hereby incorporated by reference herein.


EXAMPLES
Example 1

A surgical instrument system comprising a handle, and a shaft. The handle comprises a housing, a motor disposed within the handle, at least one control switch, and a motor-control processor in communication with the at least one control switch to control the motor, wherein the processor is not positioned in the handle. The surgical instrument system also comprises a disposable battery housing configured to be attached to the housing. The disposable battery housing comprises a disposable battery and a display unit.


Example 2

The surgical instrument system of Example 1, further comprising a controller.


Example 3

The surgical instrument system of Example 2, wherein the controller is located within the shaft.


Example 4

The surgical instrument system of Examples 2 or 3, wherein the controller comprises a control circuit configured to control the display unit on the disposable battery housing.


Example 5

The surgical instrument system of Examples 1, 2, 3, or 4, wherein the display unit on the disposable battery housing is touch screen capable.


Example 6

The surgical instrument system of Examples 1, 2, 3, 4, or 5, wherein the display unit comprises a multi-color display configured to indicate at least one function of the surgical instrument system to a user.


Example 7

A surgical instrument comprising a handle, a shaft, and a disposable power module. The handle comprises a housing, a motor located in the handle, and at least one control switch. The disposable power module comprises a disposable battery and a display unit. The surgical instrument also comprises a motor-control processor in communication with the at least one control switch to control the motor, wherein the processor is positioned in at least one of the shaft and the disposable power module.


Example 8

The surgical instrument of Example 7, further comprising a controller.


Example 9

The surgical instrument of Example 8, wherein the controller is located within the shaft.


Example 10

The surgical instrument of Examples 8 or 9, wherein the controller comprises a control circuit configured to control the display unit on the disposable power module.


Example 11

The surgical instrument of Examples 7, 8, 9, or 10, wherein the display unit on the disposable power module is touch screen capable.


Example 12

The surgical instrument of Examples 7, 8, 9, 10, or 11, wherein the display unit comprises a multi-color display configured to indicate at least one function of the surgical instrument.


Example 13

A surgical instrument comprising a housing, a handle attached to the housing, an end effector, a shaft, and a disposable battery comprising a multi-color display unit. The handle comprises a motor and at least one control switch. The shaft comprises a controller located within the shaft, wherein the controller is configured to control at least one function of the end effector.


Example 14

The surgical instrument of Example 13, wherein the controller comprises a control circuit configured to control the display unit on the disposable battery.


Example 15

The surgical instrument of Examples 13 or 14, wherein the end effector further comprises at least one sensor.


Example 16

The surgical instrument of Examples 13, 14, or 15, wherein the display unit on the disposable battery is touch screen capable.


Example 17

A sterilizable surgical instrument system comprising a handle assembly, a shaft attached to the distal end of the handle assembly, a disposable battery assembly, and an end effector attached to a distal end of the shaft. The handle assembly comprises a motor and at least one control switch. The shaft comprises a controller located within the shaft. The disposable battery assembly comprises a disposable battery and a display unit.


Example 18

The surgical instrument system of Example 17, wherein the controller comprises a control circuit configured to control the display unit on the disposable battery.


Example 19

The surgical instrument system of Examples 17 or 18, wherein the end effector further comprises at least one sensor.


Example 20

The surgical instrument system of Examples 17, 18, or 19, wherein the display unit on the disposable battery housing is touch screen capable.


Example 21

The surgical instrument system of Examples 17, 18, 19, or 20, wherein the display unit comprises a multi-color display configured to indicate at least one function of the surgical instrument system.


Example 22

A surgical instrument system comprising a handle assembly comprising a drive system including an electric motor, a battery comprising a first battery cell and a second battery cell, a first shaft assembly attachable to the handle assembly, and a second shaft assembly attachable to the handle assembly. The drive system utilizes a first power load from the battery to operate the first shaft assembly and the first power load is supplied by the first battery cell and not the second battery cell. The drive system comprises a second power load to operate the second shaft assembly which is different than the second power load and the second power load is supplied by the first battery cell and the second battery cell.


Example 23

A surgical instrument system comprising a handle assembly and a battery. The handle assembly comprises a housing and a drive system including an electric motor. The battery is insertable into the housing in a first orientation and a second orientation. The battery is configured to supply a first maximum power to the drive system when the battery is in the first orientation, wherein the battery is configured to supply a second maximum power when the battery is in the second orientation, and wherein the first orientation is different than the second orientation.


Example 24

The surgical instrument system of Example 23, wherein the battery is inserted into the handle in the first orientation when a first shaft assembly is attached to the handle, and wherein the battery is inserted into the second orientation when a second shaft assembly is attached to the handle.


Example 25

A surgical instrument system comprising a drive module comprising a drive module housing and a shaft assembly attachable to the drive module housing. The surgical instrument system also comprises a drive system and a battery attachable to the drive module housing. The drive system comprises an electric motor positioned in the drive module housing, a drive shaft in the shaft assembly which is operably couplable with the electric motor when the shaft assembly is attached to the drive module, and a control circuit including a microprocessor, wherein the microprocessor is positioned in the shaft assembly. The battery comprises a battery housing, at least one battery cell in the battery housing configured to supply power to the drive system when the battery is attached to the drive module housing, and a display in communication with control circuit when the battery is attached to the drive module housing.


Example 26

The surgical instrument system of Example 25, wherein the display comprises electrophoretic media.


Example 27

The surgical instrument system of Example 25, wherein the display comprises an active matrix backplane.


Example 28

The surgical instrument system of Example 27, wherein the active matrix backplane comprises an amorphous silicon semiconductor.


Example 29

The surgical instrument system of Example 27, wherein the active matrix backplane comprises a polythiophene semiconductor.


Example 30

The surgical instrument system of Example 27, wherein the display comprises an electrochromic display.


Example 31

The surgical instrument system of Example 27, wherein the display comprises a liquid-crystal display.


Example 32

The surgical instrument system of Example 27, wherein the display comprises a thin-film transistor liquid-crystal display.


Example 33

A surgical instrument system comprising a drive module comprising a drive module housing and a battery attachable to the drive module housing. The battery comprises a battery housing, at least one battery cell in the battery housing configured to supply power to the drive system when the battery is attached to the drive module housing, and a display in communication with a control circuit when the battery is attached to the drive module housing. The surgical instrument system also comprises a drive system, an electric motor positioned in the drive module housing and a control circuit including a microprocessor, wherein the microprocessor is positioned in the battery housing.


Example 34

The surgical instrument system of Example 33, wherein the display comprises electrophoretic media.


Example 35

The surgical instrument system of Example 33, wherein the display comprises an active matrix backplane.


Example 36

The surgical instrument system of Example 35, wherein the active matrix backplane comprises an amorphous silicon semiconductor.


Example 37

The surgical instrument system of Example 35, wherein the active matrix backplane comprises a polythiophene semiconductor.


Example 38

The surgical instrument system of Example 33, wherein the display comprises an electrochromic display.


Example 39

The surgical instrument system of Example 33, wherein the display comprises a liquid-crystal display.


Example 40

The surgical instrument system of Example 33, wherein the display comprises a thin-film transistor liquid-crystal display.


Example 41

A surgical instrument system, comprising a drive module comprising a drive module housing and a battery attachable to the drive module housing. The battery comprises a battery housing, at least one battery cell in the battery housing configured to supply power to the drive system when the battery is attached to the drive module housing, and a display in communication with a control circuit when the battery is attached to the drive module housing. The surgical instrument system also comprises a drive system, an electric motor positioned in the drive module housing, and a control system including a microprocessor, wherein the microprocessor is not positioned in the drive module.


Example 42

The surgical instrument system of Example 41, wherein the control system comprises at least one input on the drive module.


Example 43

The surgical instrument system of Example 41, wherein the control system comprises at least one switch on the drive module.


Example 44

A surgical instrument system comprising a drive module comprising a housing and an electric motor and a battery selectively attachable to the drive module. The battery comprises a housing comprising a connector configured to releasably connect the battery to the drive module, at least one battery cell, and an electronic display.


Example 45

The surgical instrument system of Example 44, wherein the display comprises electrophoretic media.


Example 46

The surgical instrument system of Example 44, wherein the display comprises an active matrix backplane.


Example 47

The surgical instrument system of Example 46, wherein the active matrix backplane comprises an amorphous silicon semiconductor.


Example 48

The surgical instrument system of Example 46, wherein the active matrix backplane comprises a polythiophene semiconductor.


Example 49

The surgical instrument system of Example 44, wherein the display comprises an electrochromic display.


Example 50

The surgical instrument system of Example 44, wherein the display comprises a liquid-crystal display.


Example 51

The surgical instrument system of Example 44, wherein the display comprises a thin-film transistor liquid-crystal display.


Example 52

A handle for use with a surgical instrument system, wherein the handle comprises a drive module and a sealed battery module. The a drive module comprises a housing and a sealed motor module removably positionable with the housing. The sealed motor module comprises a liquid-tight barrier, at least one electrical input extending through the liquid-tight barrier, and a rotatable output extending through the liquid-tight barrier. The sealed battery module comprises a housing comprising a connector configured to attach the sealed battery module to the drive module, a liquid-tight battery barrier, and at least one electrical output extending through the liquid-tight battery barrier.


Example 53

A surgical instrument system comprising a drive module comprising a drive system including an electric motor, a shaft attachable to the drive module, wherein the shaft comprises an end effector configured to treat the tissue of a patient. The surgical instrument system also comprises a battery attachable to the drive module and at least one electronic display system on at least one of the shaft and the battery. The surgical instrument system also comprises a control circuit comprising a processor, wherein the control circuit is configured to control the drive system, and wherein the control circuit is configured to communicate with the at least one electronic display system, and a power switch configured to place the battery in communication with the control circuit when the power switch is placed in an operational configuration, wherein the processor is configured to interrogate the shaft and the battery to assess the number of electronic display systems in the surgical instrument system.


Example 54

The surgical instrument system of Example 53, wherein the processor is configured to interrogate the shaft and the battery to assess the number of electronic display systems in the surgical instrument system when the power switch is moved into the operational configuration.


Example 55

The surgical instrument system of Example 53, wherein the processor is configured to interrogate the shaft and the battery to assess the number of electronic display systems in the surgical instrument system when the battery is assembled to the surgical instrument system.


Example 56

A surgical instrument system comprising a drive module comprising a drive system including an electric motor, a shaft attachable to the drive module, wherein the shaft comprises an end effector configured to treat the tissue of a patient, and a battery attachable to the drive module. The surgical instrument system also comprises at least one electronic display system on at least one of the drive module, the shaft, and the battery and a control circuit comprising a processor, wherein the control circuit is configured to control the drive system, wherein the control circuit is configured to communicate with the at least one electronic display system, and wherein the processor is configured to interrogate the shaft and the battery to assess the number of electronic display systems in the surgical instrument system.


Example 57

The surgical instrument system of Example 56, wherein the processor is configured to interrogate the drive module, the shaft, and the battery to assess the number of electronic display systems in the surgical instrument system when the battery is assembled to the surgical instrument system.


Example 58

A surgical instrument system comprising a drive module comprising a drive system including an electric motor, a shaft attachable to the drive module, wherein the shaft comprises an end effector configured to treat the tissue of a patient, and a battery attachable to the drive module. The surgical instrument system also comprises a control circuit comprising a processor, wherein the control circuit is configured to control the drive system during an operational sequence, and wherein the battery is configured to supply power to the control circuit during an initiation sequence, and a communications circuit configured to communicate with and receive data from an off-board control system during the initiation sequence, wherein the communications circuit is in communication with the control circuit, wherein the control circuit is configured to receive the data from the communications circuit, and wherein the control circuit is configured to modify the operational sequence using the data.


Example 59

The surgical instrument system of Example 58, wherein the initiation sequence is initiated by the assembly of the battery to the drive module.


Example 60

The surgical instrument system of Example 58, further comprising a switch configurable in an operational configuration, wherein the initiation sequence is initiated by placing the switch in the operational configuration.


Example 61

The surgical instrument system of Example 58, wherein the communications circuit comprises a wireless signal transmitter and a wireless signal receiver.


Example 62

The surgical instrument system of Example 58, wherein the operational sequence comprises an algorithm, and wherein the control circuit modifies the algorithm when modifying the operational sequence.


Example 63

The surgical instrument system of Example 62, wherein the control circuit decactivates a function of the surgical instrument system when modifying the algorithm.


Example 64

The surgical instrument system of Example 58, wherein the initiation sequence comprises an algorithm, and wherein the control circuit decactivates a function of the surgical instrument system when modifying the algorithm.


Example 65

A surgical instrument system, comprising a surgical instrument configured to perform at least three functions of an end effector, a first motor, a second motor, a third motor, and a first handle comprising a first number of controls, wherein each control corresponds to one of the three functions of the end effector. The surgical instrument system also comprises a second handle comprising a second number of controls and a shaft assembly attachable to the first handle and the second handle, wherein the shaft assembly is attachable to the first handle in a first orientation to engage one of the motors, and wherein the shaft assembly is attachable to the second handle in a second orientation to engage a different one of the motors, and wherein the surgical instrument system is configured to perform a different end effector function in the first orientation and the second orientation, and wherein certain end effector functions are locked out based on which motor is engaged in each orientation.


Example 66

The surgical instrument system of Example 65, wherein the first number of controls is different than the second number of controls.


Example 67

The surgical instrument system of Example 65 or 66, wherein the first orientation is different than the second orientation.


Example 68

The surgical instrument system of Examples 65, 66, or 67, wherein the first orientation prevents the surgical instrument from performing at least one function of the end effector.


Example 69

The surgical instrument system of Examples 65, 66, 67, or 68, wherein the second orientation prevents the surgical instrument from performing at least one function of the end effector.


Example 70

A surgical instrument system comprising a surgical instrument configured to perform at least three functions of an end effector and a motor operable in at least three states. The surgical instrument system also comprises a first handle comprising a first number of controls, wherein each control corresponds to a function of the end effector, a motor drive, and a first attachment portion, wherein the first attachment portion connects to the surgical instrument in a first orientation in order to enable a first set of end effector functions. The surgical instrument system also comprises a second handle comprising a second number of controls. The surgical instrument system also comprises a shaft assembly attachable to the first handle and the second handle, wherein the shaft assembly is attachable to the first handle in a first orientation, and wherein the shaft assembly is attachable to the second handle in a second orientation. The surgical instrument system also comprises an end effector attachable to the shaft assembly.


Example 71

The surgical instrument system of Example 70, wherein the first number of controls is different than the second number of controls.


Example 72

The surgical instrument system of Examples 70 or 71, wherein the first orientation is different than the second orientation.


Example 73

The surgical instrument system of Examples 70, 71, or 72, wherein the first orientation prevents the surgical instrument from performing at least one function of the end effector.


Example 74

The surgical instrument system of Examples 70, 71, 72, or 73, wherein the second orientation prevents the surgical instrument from performing at least one function of the end effector.


Example 75

A surgical instrument system comprising a surgical instrument configured to perform at least three functions of an end effector, a first motor, a second motor, and a third motor. The surgical instrument system further comprises a first handle comprising a first number of controls, wherein each control corresponds to an end effector function, a second handle comprising a second number of controls, and a third handle comprising a third number of controls. The surgical instrument system also comprises a shaft assembly attachable to each of the handles, wherein the shaft assembly is attachable to each of the handles in a different orientation, and wherein the surgical instrument system is configured to perform a different end effector function in each different orientation, and wherein certain end effector functions are locked out based on which motor is engaged in each orientation.


Example 76

A surgical instrument system, comprising a surgical instrument configured to perform at least three functions of an end effector. The surgical instrument system also comprises a first handle comprising a first number of controls, wherein each control corresponds to an end effector function, a second handle comprising a second number of controls, and a third handle comprising a third number of controls. The surgical instrument system also comprises a shaft assembly attachable to each of the handles, wherein the shaft assembly is attachable to each of the handles in a different orientation, and wherein the surgical instrument system is configured to perform a different end effector function in each different orientation, and wherein certain end effector functions are locked out based on which handle is attached to the end effector.


Example 77

A surgical instrument system comprising a first shaft assembly configured to perform a first function, a second function, and a third function and a second shaft assembly configured to perform the first function and the second function, but not the third function. The surgical instrument system also comprises a handle, wherein the first shaft assembly and the second shaft assembly are selectively and separately attachable to the handle, wherein the handle comprises a first electric motor configured to drive the first function, a second electric motor configured to drive the second function, a third electric motor configured to drive the third function when the first shaft assembly is attached to the handle, and a lockout configured to prevent the third electric motor from being operated when the second shaft assembly is attached to the handle.


Example 78

The surgical instrument system of Example 77, wherein the first shaft assembly is attachable to the handle in a first orientation and the second shaft assembly is attachable to the handle in a second orientation, and wherein the first orientation is different than the second orientation.


Example 79

A surgical instrument system comprising a first shaft assembly configured to perform a first function, a second function, and a third function, a second shaft assembly configured to perform the first function and the second function, and a handle, wherein the first shaft assembly and the second shaft assembly are selectively, and separately, attachable to the handle. The handle comprises a first control configured to control the first function, a second control configured to control the second function, and a third control configured to control the third function when the first shaft assembly is attached to the handle, and locking means for locking out the third control when the second shaft assembly is attached to the handle.


Example 80

The surgical instrument system of Example 79, wherein the handle further comprises a microprocessor comprising input gates and output gates, wherein the first control, the second control, and the third control are in signal communication with the microprocessor via the input gates, and wherein the locking means comprises deactivating the input gate associated with the third control when the second shaft assembly is attached to the handle.


Example 81

The surgical instrument system of Example 79, wherein the handle further comprises a microprocessor comprising input gates and output gates, wherein the shaft assembly is in signal communication with the microprocessor via the output gates, and wherein the locking means comprises deactivating the output gate associated with the third function when the second shaft assembly is attached to the handle.


Example 82

A surgical instrument system comprising a shaft assembly configured to perform a first function, a second function, and a third function. The surgical instrument system also comprises a first handle comprising a first control for controlling the first function, a second control for controlling the second function, and a third control for controlling the third function when the shaft assembly is operably coupled to the first handle. The surgical instrument system also comprises a second handle comprising a first control for controlling the first function, a second control for controlling the second function, and a lockout for preventing the shaft assembly from performing the third function when the shaft assembly is operably coupled to the second handle.


Example 83

The surgical instrument system of Example 82, wherein the shaft assembly is attachable to the first handle in a first orientation and the handle in a second orientation, and wherein the first orientation is different than the second orientation.


Example 84

The surgical instrument system of Examples 82 or 83, wherein the shaft assembly comprises a longitudinal axis, an end effector, and an articulation joint, wherein the end effector comprises a jaw movable between an open position and a closed position, wherein the first function comprises moving the jaw, wherein the second function comprises articulating the end effector about the articulation joint, and wherein the third function comprises rotating the shaft assembly about the longitudinal axis.


Example 85

A surgical instrument system comprising a shaft assembly configured to perform a first function, a second function, and a third function. The surgical instrument system also comprises a first handle comprising a first motor for driving the first function, a second motor for driving the second function, and a third motor for driving the third function when the shaft assembly is operably coupled to the first handle. The surgical instrument system also comprises a second handle comprising a first motor for driving the first function, a second motor for driving the second function, and a lockout for preventing the shaft assembly from performing the third function when the shaft assembly is operably coupled to the second handle.


Example 86

The surgical instrument system of Example 85, wherein the shaft assembly is attachable to the first handle in a first orientation and the second handle in a second orientation, and wherein the first orientation is different than the second orientation.


Example 87

The surgical instrument system of Examples 85 or 86, wherein the shaft assembly comprises a longitudinal axis, an end effector, and an articulation joint, wherein the end effector comprises a jaw movable between an open position and a closed position, wherein the first function comprises moving the jaw, wherein the second function comprises articulating the end effector about the articulation joint, and wherein the third function comprises rotating the shaft assembly about the longitudinal axis.


Example 88

The surgical instrument system of Examples 85, 86, or 87, wherein the shaft assembly comprises a first drive system for performing the first function, a second drive system for performing the second function, and a third drive system for performing the third function, and wherein the lockout comprises a locking element configured to engage the third drive and prevent the third drive from driving the third function.


Example 89

A surgical instrument system comprising a shaft assembly, a first handle, and a second handle. The shaft assembly is configured to perform a first function, a second function, and a third function and comprises a first drive configured to perform the first function, a second drive configured to perform the second function, a third drive configured to perform the third function, and a lockout, wherein the lockout is selectively switchable between an unlocked configuration and a locked configuration, wherein the lockout prevents the shaft assembly from performing the third function when the lockout is in the locked configuration, and wherein the lockout permits the shaft assembly to perform the third function when the lockout is in the unlocked configuration. The first handle comprises a first motor for driving the first function, a second motor for driving the second function, a third motor for driving the third function when the shaft assembly is operably coupled to the first handle, and a control system configured to place the lockout in the unlocked configuration. The second handle comprises a first motor for driving the first function, a second motor for driving the second function, and a control system configured to place the lockout in the locked configuration.


Example 90

A surgical instrument system comprising a first handle comprising a first gripping portion and a first shaft lock, and a second handle comprising a second gripping portion and a second shaft lock. The surgical instrument system also comprises a shaft assembly selectively, and separately, attachable to the first handle and the second handle, wherein the first shaft lock holds the shaft assembly to the first handle in a first orientation when the shaft assembly is attached to the first handle, wherein the second shaft lock holds shaft assembly to the second handle in a second orientation when the shaft assembly is attached to the second handle, and wherein the first orientation is different than the second orientation.


Example 91

The surgical instrument system of Example 90, wherein the shaft assembly comprises a housing and an array of lock apertures extending around the housing, and wherein the first shaft lock and the second shaft lock engage the lock apertures.


Example 92

The surgical instrument system of Example 91, wherein the first shaft lock comprises an arcuate ridge including a first end and a second end, a first lock shoulder at the first end, wherein the first lock shoulder is positionable in a lock aperture, and a second lock shoulder at the second end, wherein the second lock shoulder is positionable in a lock aperture.


Example 93

The surgical instrument system of Examples 91 or 92, wherein the second shaft lock comprises an arcuate ridge including a first end and a second end, a first lock shoulder at the first end, wherein the first lock shoulder is positionable in a lock aperture, and a second lock shoulder at the second end, wherein the second lock shoulder is positionable in a lock aperture.


Example 94

A surgical instrument system comprising a shaft assembly comprising three drive functions, a first handle, and a second handle. The shaft assembly is selectively attachable to the first handle, wherein the first handle comprises a drive system configured to drive all three drive functions of the shaft assembly when the shaft assembly is attached to the first handle. The shaft assembly is selectively attachable to the second handle, wherein the second handle comprises a drive system configured to drive less than all three functions of the shaft assembly when the shaft assembly is attached to the second handle.


Example 95

The surgical instrument system of Example 94, wherein the shaft assembly comprises a first drive system configured to perform a first drive function of the three drive functions, a second drive system configured to perform a second drive function of the three drive functions, and a third drive system configured to perform a third drive function of the three drive functions.


Example 96

The surgical instrument system of Example 95, wherein the second handle comprises a housing and a lock projection, and wherein the lock projection is configured to engage the second drive system to prevent the operation of the second drive system when the shaft assembly is assembled to the second handle.


Example 97

The surgical instrument system of Example 96, wherein the second handle comprises another lock projection, and wherein the another lock projection is configured to engage the third drive system to prevent the operation of the third drive system when the shaft assembly is assembled to the second handle.


Example 98

The surgical instrument system of Examples 96 or 97, wherein the lock projection extends from the housing.


Example 99

The surgical instrument system of Examples 96, 97, or 98, wherein the lock projection is integrally formed with the housing.


Example 100

The surgical instrument system of Examples 94, 95, 96, 97, 98, or 99, wherein the first handle comprises a pistol grip and the second handle comprises a scissors grip.


Example 101

The surgical instrument system of Examples 94, 95, 96, 97, 98, or 99, wherein the first handle comprises a pistol grip and the second handle comprises a pencil grip.


Example 102

The surgical instrument system of Examples 94, 95, 96, 97, 98, 99, 100, or 101, wherein the shaft assembly comprises a clip applier.


Example 103

A surgical instrument system comprising a shaft assembly comprising three drive functions requiring power above a power threshold, a first handle, and a second handle. The shaft assembly is selectively attachable to the first handle, wherein the first handle comprises a drive system configured to drive all three drive functions of the shaft assembly at or above the power threshold when the shaft assembly is attached to the first handle. The shaft assembly is selectively attachable to the second handle, wherein the second handle comprises a drive system configured to drive less than all three functions of the shaft assembly at or above the power threshold when the shaft assembly is attached to the second handle, and wherein the second handle is configured to disable the drive functions receiving power below the power threshold.


Example 104

A surgical instrument system comprising a handle assembly. The handle assembly comprises an actuation trigger comprising a curved proximal portion and a curved cylinder surrounding the curved proximal portion of the actuation trigger, wherein the curved cylinder comprises at least one electroactive polymer. The surgical instrument system also comprises a motor, a shaft attached to the handle assembly, an end effector attached to a distal end of the shaft, an actuation rod configured to transmit an actuation force to the end effector, and a sensor system configured to detect the magnitude of the actuation force, wherein the electroactive polymer is responsive to the actuation force, and wherein the electroactive polymer provides tactile feedback to a user of the surgical instrument system by applying forces to the actuation trigger.


Example 105

The surgical instrument system of Example 104, wherein the forces applied to the actuation trigger by the electroactive polymer are proportional to the actuation force.


Example 106

The surgical instrument system of Example 105, wherein the forces applied to the actuation trigger by the electroactive polymer are directly proportional to the actuation force.


Example 107

The surgical instrument system of Example 106, wherein the forces applied to the actuation trigger by the electroactive polymer are linearly proportional to the actuation force.


Example 108

The surgical instrument system of Example 106, wherein the forces applied to the actuation trigger by the electroactive polymer are non-linearly proportional to the actuation force.


Example 109

The surgical instrument system of Examples 104, 105, 106, 107, or 108, further comprising a power source and a control system in communication with the sensor system, the curved cylinder, and the power source, wherein the control system is configured to apply a voltage potential to the curved cylinder in response to the actuation force detected by the sensor system.


Example 110

The surgical instrument system of Example 109, wherein the voltage potential is proportional to the actuation force.


Example 111

The surgical instrument system of Example 110, wherein the voltage potential is linearly proportional to the actuation force.


Example 112

The surgical instrument system of Examples 109, 110, or 111, wherein the curved cylinder expands in proportion to the magnitude of the voltage potential applied to the curved cylinder.


Example 113

The surgical instrument system of Examples 104, 105, 106, 107, 108, 109, 110, 111, or 112, wherein the handle comprises a cavity comprising a sidewall, wherein the curved cylinder is positioned in the cavity, and wherein the sidewall prevents the expansion of the curved cylinder when a voltage potential is applied to the curved cylinder such that a gripping force is applied to the curved proximal portion.


Example 114

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector comprises a crimping mechanism configured to apply a clip to the tissue of a patient, and wherein the crimping mechanism is driven by the actuation rod.


Example 115

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector is configured to apply staples to the tissue of a patient, and wherein the staples are pushed out of a staple cartridge by the actuation rod.


Example 116

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector comprises a needle configured to apply a suture to the tissue of a patient, and wherein the needle is driven by the actuation rod.


Example 117

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector comprises jaws configured to grasp tissue, and wherein the actuation rod closes the jaws.


Example 118

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector comprises jaws configured to dissect tissue, and wherein the actuation rod opens the jaws.


Example 119

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector is configured to ablate tissue with electrical energy.


Example 120

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector comprises at least one electrode and is configured to apply RF energy to tissue.


Example 121

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the handle comprises a transducer, and wherein the end effector is configured to apply vibrational energy to tissue.


Example 122

The surgical instrument of Examples 104, 105, 106, 107, 108, 109, 110, 111, 112, or 113, wherein the end effector comprises a knife configured to cut tissue, and wherein the knife is pushed distally by the actuation rod.


Example 123

A surgical instrument system comprising a handle assembly wherein the handle assembly comprises an actuation trigger and a cylinder surrounding a portion of the actuation trigger, wherein the cylinder comprises at least one electroactive polymer. The surgical instrument system also comprises a power source, a motor, an actuation member configured to transmit an actuation force, a sensor system configured to detect the magnitude of the actuation force, and a control system in communication with the sensor system and the cylinder, wherein the control system is configured to apply a voltage potential from the power source to the cylinder in response to the actuation force, and wherein the cylinder applies a gripping force to the actuation trigger indicative of the magnitude of the actuation force.


Example 124

A surgical instrument system comprising a handle assembly wherein the handle assembly comprises an actuation trigger and an electroactive polymer actuator. The surgical instrument system also comprises a voltage source, an electric motor, an actuation member configured to transmit an actuation force, a sensor system configured to detect the magnitude of the actuation force, and a control system in communication with the sensor system and the electroactive polymer actuator, wherein the control system is configured to apply a voltage potential from the voltage source to the electroactive polymer actuator in response to the actuation force, and wherein the electroactive polymer actuator applies a gripping force to the actuation trigger which is proportional to the magnitude of the actuation force.


Example 125

A surgical instrument system comprising a handle assembly wherein the handle assembly comprises an actuation trigger and an electroactive polymer actuator. The surgical instrument system also comprises a power source, an electric motor configured to draw an electrical current from the power source, an actuation member operably coupled to the electric motor which is configured to transmit an actuation force, a sensor system configured to detect the magnitude of the electrical current, and a control system in communication with the sensor system and the electroactive polymer actuator, wherein the control system is configured to apply a voltage potential to the electroactive polymer actuator in response to the electrical current, and wherein the electroactive polymer actuator applies a gripping force to the actuation trigger which is proportional to the magnitude of the electrical current.


Example 126

A robotic surgical instrument system comprising a surgical robot and a console configured to control the surgical robot. The console comprises an actuation trigger and an electroactive polymer actuator. The robotic surgical instrument system comprises a power source, an electric motor configured to draw an electrical current from the power source, an actuation member operably coupled to the electric motor which is configured to transmit an actuation force, a sensor system configured to detect the magnitude of the electrical current, and a control system in communication with the sensor system and the electroactive polymer actuator, wherein the control system is configured to apply a voltage potential to the electroactive polymer actuator in response to the electrical current, and wherein the electroactive polymer actuator applies a gripping force to the actuation trigger which is proportional to the magnitude of the electrical current.


Example 127

A robotic surgical instrument system comprising a surgical robot and a console configured to control the surgical robot. The console comprises an actuation trigger and an electroactive polymer actuator. The robotic surgical instrument system also comprises a voltage source, an electric motor, an actuation member configured to transmit an actuation force, a sensor system configured to detect the magnitude of the actuation force, and a control system in communication with the sensor system and the electroactive polymer actuator, wherein the control system is configured to apply a voltage potential from the voltage source to the electroactive polymer actuator in response to the actuation force, and wherein the electroactive polymer actuator applies a gripping force to the actuation trigger which is proportional to the magnitude of the actuation force.


Example 128

A surgical instrument system comprising a handle assembly which comprises an actuation trigger and an electroactive polymer actuator. The surgical instrument system also comprises a voltage source, an electric motor, an actuation member configured to transmit an actuation force, a sensor system configured to detect the magnitude of the actuation force, and a control system in communication with the sensor system and the electroactive polymer actuator, wherein the control system is configured to apply a voltage potential from the voltage source to the electroactive polymer actuator in response to the actuation force, and wherein the electroactive polymer actuator applies a friction force to the actuation trigger which is proportional to the magnitude of the actuation force.


Example 129

A surgical instrument system comprising a handle assembly which comprises an actuation trigger and an electroactive polymer actuator. The surgical instrument system also comprises a voltage source, an electric motor, an actuation member configured to transmit an actuation force, a sensor system configured to detect the magnitude of the actuation force, and a control system in communication with the sensor system and the electroactive polymer actuator, wherein the control system is configured to apply a voltage potential from the voltage source to the electroactive polymer actuator in response to the actuation force, and wherein the electroactive polymer actuator applies a resistance force to the actuation trigger which is proportional to the magnitude of the actuation force.


Example 130

A surgical instrument system comprising a handle assembly which comprises an actuation trigger and an electroactive polymer actuator. The surgical instrument system also comprises a power source, an electric motor configured to draw an electrical current from the power source, an actuation member operably coupled to the electric motor which is configured to transmit an actuation force, a sensor system configured to detect the magnitude of the electrical current, and a control system in communication with the sensor system and the electroactive polymer actuator, wherein the control system is configured to apply a voltage potential to the electroactive polymer actuator in response to the electrical current, and wherein the electroactive polymer actuator applies a resistance force to the actuation trigger which is proportional to the magnitude of the electrical current.


Example 131

A surgical instrument system comprising a surgical instrument and a housing which comprises a handle assembly, at least one motor, and a drive shaft. The surgical instrument system also comprises a shaft assembly configured to be attached to a distal end of the housing, wherein the shaft assembly comprises a control circuit and a locking mechanism, wherein the locking mechanism prevents movement of the drive shaft if the shaft assembly is not attached to the surgical instrument in an orientation which enables operation of the surgical instrument, and wherein the locking mechanism further comprises sensing means for determining whether the locking mechanism is actively engaged and an end effector attachable to a distal end of the shaft assembly.


Example 132

The surgical instrument system of Example 131, wherein the control circuit further comprises at least one safety feature.


Example 133

The surgical instrument system of Examples 131 or 132, wherein the locking mechanism is configured to prevent the actuation of the surgical instrument.


Example 134

The surgical instrument system of Examples 131, 132, or 133, wherein the locking mechanism is configured to prevent activation of the motor.


Example 135

The surgical instrument system of Examples 131, 132, 133, or 134, wherein the locking mechanism prevents movement of the shaft assembly when the shaft assembly is not attached to the housing.


Example 136

The surgical instrument system of Examples 131, 132, 133, 134, or 135, wherein the locking mechanism is configured to detect whether the end effector is in a usable state.


Example 137

The surgical instrument system of Examples 131, 132, 133, 134, 135, or 136, wherein the sensing means is configured to enable haptic feedback of the motor in order to alert a user of a state of the surgical instrument.


Example 138

A surgical instrument comprising a housing which comprises a handle assembly, at least one motor, and a drive shaft. The surgical instrument also comprises a shaft assembly configured to be attached to a distal end of the housing, wherein the shaft assembly comprises a control circuit, and a locking mechanism, wherein the locking mechanism prevents movement of the drive shaft if the shaft assembly is not attached to the surgical instrument in an orientation which enables operation of the surgical instrument. The surgical instrument also comprises an end effector attachable to a distal end of the shaft assembly.


Example 139

The surgical instrument of Example 138, wherein the control circuit further comprises at least one safety feature.


Example 140

The surgical instrument of Examples 138 or 139, wherein the locking mechanism is configured to prevent the actuation of the surgical instrument.


Example 141

The surgical instrument of Examples 138, 139, or 140, wherein the locking mechanism is configured to prevent activation of the motor.


Example 142

The surgical instrument of Examples 138, 139, 140, or 141, wherein the locking mechanism prevents movement of the shaft assembly when the shaft assembly is not attached to the housing.


Example 143

The surgical instrument of Examples 138, 139, 140, 141, or 142, wherein the locking mechanism is configured to detect whether the end effector is in a usable state.


Example 144

The surgical instrument of Examples 138, 139, 140, 141, 142, or 143, wherein the sensing means is configured to enable haptic feedback of the motor in order to alert a user of a state of the surgical instrument.


Example 145

A surgical assembly comprising a surgical instrument and a housing which comprises a handle, at least one motor, and a drive shaft assembly. The surgical assembly also comprises a shaft assembly configured to be attached to a distal end of the housing, wherein the shaft assembly comprises a control circuit and a locking mechanism, wherein the locking mechanism prevents movement of the drive shaft if the shaft assembly is not attached to the surgical instrument in an orientation which enables operation of the surgical instrument and wherein the locking mechanism further comprises an electrical sensor for determining whether the locking mechanism is actively engaged within the surgical instrument. The surgical assembly also comprises an end effector attachable to a distal end of the shaft assembly.


Example 146

The surgical assembly of Example 145, wherein the control circuit further comprises at least one safety feature.


Example 147

The surgical assembly of Examples 145 or 146, wherein the locking mechanism is configured to prevent the actuation of the surgical instrument.


Example 148

The surgical assembly of Examples 145, 146, or 147, wherein the locking mechanism is configured to prevent activation of the at least one motor.


Example 149

The surgical assembly of Examples 145, 146, 147, or 148, wherein the locking mechanism prevents movement of the shaft assembly when the shaft assembly is not attached to the housing.


Example 150

The surgical assembly of Examples 145, 146, 147, 148, or 149, wherein the locking mechanism is configured to detect whether the end effector is in a usable state.


Example 151

The surgical assembly of Examples 145, 146, 147, 148, 149, or 150, wherein the electrical sensor is configured to enable haptic feedback of the motor in order to alert a user of a state of the surgical instrument.


Example 152

A surgical instrument configured to apply clips to the tissue of a patient, comprising an end effector which comprises a replaceable clip cartridge comprising a plurality of clips removably stored therein, an actuator configured to deploy the clips, and a lockout configurable in a locked configuration and an unlocked configuration, wherein the lockout is in the locked configuration when the replaceable clip cartridge is not in the end effector, wherein the lockout prevents the actuator from being actuated when the lockout is in the locked configuration, wherein the lockout is in the unlocked configuration when the replaceable clip cartridge is positioned in the end effector, and wherein the lockout permits the actuator to deploy the clips when the lockout is in the unlocked configuration. The surgical instrument also comprises a handle, an electric motor configured to drive the actuator, a control circuit configured to control the electric motor, and a sensing system configured to determine when the lockout is in the locked configuration, wherein the sensing system is in communication with the control circuit, and wherein the control circuit prevents the actuation of the electric motor when the sensing system determines that the lockout is in the locked configuration.


Example 153

A surgical instrument configured to apply clips to the tissue of a patient, comprising an end effector which comprises a replaceable clip cartridge comprising a plurality of clips removably stored therein, an actuator configured to deploy the clips, a lockout configurable in a locked configuration and an unlocked configuration, wherein the lockout is in the locked configuration when the replaceable clip cartridge is not in the end effector, wherein the lockout prevents the actuator from being actuated when the lockout is in the locked configuration, wherein the lockout is in the unlocked configuration when the replaceable clip cartridge is positioned in the end effector, and wherein the lockout permits the actuator to deploy the clips when the lockout is in the unlocked configuration. The surgical instrument also comprises a handle, an electric motor configured to drive the actuator, a control circuit configured to control the electric motor, and a sensing system configured to determine when the lockout is in the locked configuration, wherein the sensing system is in communication with the control circuit, and wherein the control circuit provides haptic feedback to the user of the surgical instrument when the sensing system determines that the lockout is in the locked configuration.


Example 154

A surgical instrument configured to apply clips to the tissue of a patient comprising an end effector which comprises a replaceable clip cartridge comprising a plurality of clips removably stored therein, an actuator configured to deploy the clips, and a lockout configurable in a locked configuration and an unlocked configuration, wherein the lockout is in the locked configuration when the replaceable clip cartridge has been completely expended, wherein the lockout prevents the actuator from being actuated when the lockout is in the locked configuration, wherein the lockout is in the unlocked configuration when the replaceable clip cartridge is positioned in the end effector and has not been completely expended, and wherein the lockout permits the actuator to deploy the clips when the lockout is in the unlocked configuration. The surgical instrument also comprises a handle, an electric motor configured to drive the actuator, a control circuit configured to control the electric motor, and a sensing system configured to determine when the lockout is in the locked configuration, wherein the sensing system is in communication with the control circuit, and wherein the control circuit prevents the actuation of the electric motor when the sensing system determines that the lockout is in the locked configuration.


Example 155

A surgical instrument system configured to apply clips to the tissue of a patient comprising a shaft assembly which comprises a longitudinal axis, an end effector, an articulation joint rotatably connecting the end effector to the shaft, a rotation drive shaft configured to rotate the shaft about the longitudinal axis, a clip firing drive shaft configured to deploy the clips, and an articulation drive shaft configured to articulate the end effector relative to the shaft. The end effector comprises a clip cartridge comprising a plurality of clips removably stored therein and an actuator configured to deploy the clips. The surgical instrument system also comprises a first handle which comprises a rotation drive system configured to drive the rotation drive shaft, a clip firing drive system configured to drive the clip firing drive shaft, and an articulation drive system configured to drive the articulation drive shaft. The surgical instrument system also comprises a second handle comprising a rotation drive lockout configured to lock the rotation drive shaft, a clip firing drive system configured to drive the clip firing drive shaft, and an articulation drive lockout configured to lock the articulation drive shaft.


Example 156

A surgical instrument configured to apply a suture to the tissue of a patient, comprising an end effector which comprises a replaceable suture cartridge comprising a suture removably stored therein, an actuator configured to deploy the suture, and a lockout configurable in a locked configuration and an unlocked configuration, wherein the lockout is in the locked configuration when the replaceable suture cartridge is not in the end effector, wherein the lockout prevents the actuator from being actuated when the lockout is in the locked configuration, wherein the lockout is in the unlocked configuration when the replaceable suture cartridge is positioned in the end effector, and wherein the lockout permits the actuator to deploy the suture when the lockout is in the unlocked configuration. The surgical instrument also comprises a handle, an electric motor configured to drive the actuator, a control circuit configured to control the electric motor, and a sensing system configured to determine when the lockout is in the locked configuration, wherein the sensing system is in communication with the control circuit, and wherein the control circuit prevents the actuation of the electric motor when the sensing system determines that the lockout is in the locked configuration.


Example 157

A surgical instrument configured to apply a suture to the tissue of a patient comprising an end effector which comprises a replaceable suture cartridge comprising a suture removably stored therein, an actuator configured to deploy the suture, a lockout configurable in a locked configuration and an unlocked configuration, wherein the lockout is in the locked configuration when the replaceable suture cartridge is not in the end effector, wherein the lockout prevents the actuator from being actuated when the lockout is in the locked configuration, wherein the lockout is in the unlocked configuration when the replaceable suture cartridge is positioned in the end effector, and wherein the lockout permits the actuator to deploy the suture when the lockout is in the unlocked configuration. The surgical instrument also comprises a handle, an electric motor configured to drive the actuator, a control circuit configured to control the electric motor, and a sensing system configured to determine when the lockout is in the locked configuration, wherein the sensing system is in communication with the control circuit, and wherein the control circuit provides haptic feedback to the user of the surgical instrument when the sensing system determines that the lockout is in the locked configuration.


Example 158

A surgical instrument configured to apply a suture to the tissue of a patient comprising an end effector which comprises a replaceable suture cartridge comprising a suture removably stored therein, an actuator configured to deploy the suture, a lockout configurable in a locked configuration and an unlocked configuration, wherein the lockout is in the locked configuration when the replaceable suture cartridge has been completely expended, wherein the lockout prevents the actuator from being actuated when the lockout is in the locked configuration, wherein the lockout is in the unlocked configuration when the replaceable suture cartridge is positioned in the end effector and has not been completely expended, and wherein the lockout permits the actuator to deploy the suture when the lockout is in the unlocked configuration. The surgical instrument also comprises a handle, an electric motor configured to drive the actuator, a control circuit configured to control the electric motor, and a sensing system configured to determine when the lockout is in the locked configuration, wherein the sensing system is in communication with the control circuit, and wherein the control circuit prevents the actuation of the electric motor when the sensing system determines that the lockout is in the locked configuration.


Example 159

A surgical instrument system configured to treat the tissue of a patient, comprising a shaft assembly which comprises a longitudinal axis, an end effector comprising a movable member and an actuator configured to deploy the plurality of surgical clips, an articulation joint rotatably connecting the end effector to the shaft, a rotation drive shaft configured to rotate the shaft about the longitudinal axis, a firing drive shaft configured to deploy the movable member, and an articulation drive shaft configured to articulate the end effector relative to the shaft. The surgical instrument system also comprises a first handle comprising a rotation drive system configured to drive the rotation drive shaft, a firing drive system configured to drive the firing drive shaft, and an articulation drive system configured to drive the articulation drive shaft. The surgical instrument system also comprises a second handle comprising a rotation drive lockout configured to lock the rotation drive shaft and a firing drive system configured to drive the firing drive shaft.


Example 160

A surgical instrument system configured to treat the tissue of a patient comprising a shaft assembly which comprises a longitudinal axis, an end effector comprising a movable member and an actuator configured to deploy a plurality of clips, an articulation joint rotatably connecting the end effector to the shaft, a rotation drive shaft configured to rotate the shaft about the longitudinal axis, a firing drive shaft configured to deploy the movable member, and an articulation drive shaft configured to articulate the end effector relative to the shaft. The surgical instrument system also comprises a first handle comprising a rotation drive system configured to drive the rotation drive shaft, a firing drive system configured to drive the firing drive shaft, and an articulation drive system configured to drive the articulation drive shaft. The surgical instrument system also comprises a second handle comprising an articulation drive lockout configured to lock the articulation drive shaft and a firing drive system configured to drive the firing drive shaft.


Example 161

A surgical instrument system configured to treat the tissue of a patient comprising a shaft assembly configured to perform a first function, a second function, and a third function wherein the shaft assembly comprises a first drive shaft configured to perform the first function, a second drive shaft configured to perform the second function, and a third drive shaft configured to perform the third function. The surgical instrument system also comprises a first handle and a second handle. The first handle comprises a first drive system configured to drive the first drive shaft, a second drive system configured to drive the second drive shaft, and a third drive system configured to drive the third drive shaft. The second handle comprises a first drive lockout configured to lock the first drive shaft and a second drive system configured to drive the second drive shaft.


Example 162

The surgical instrument system of Example 161, wherein the second handle comprises a drive lockout configured to lock the third drive shaft.


Example 163

A surgical instrument system configured to treat the tissue of a patient, comprising a shaft assembly which comprises a first drive system configured to perform a first function, a second drive system configured to perform a second function, a first lockout configured to selectively engage the first drive system and prevent the first drive system from performing the first function, and a second lockout configured to selectively engage the second drive system and prevent the second drive system from performing the second function. The surgical instrument system also comprises a first handle comprising a first operating system configured to operate the first drive system and a second operating system configured to operate the second drive system, wherein the first lockout and the second lockout are disengaged when the shaft assembly is assembled to the first handle. The surgical instrument system also comprises a second handle comprising a first operating system configured to operate the first drive system but not comprising a second operating system configured to operate the second drive system, wherein the first lockout is disengaged and the second lockout is engaged when the shaft assembly is assembled to the second handle.


Example 164

The surgical instrument system of Example 163, wherein the first lockout and the second lockouts are in their engaged states when the shaft assembly is not assembled to either the first handle or the second handle.


Example 165

A surgical instrument system, comprising a handle comprising a drive system including an electric motor and a shaft assembly attachable to the handle, wherein the shaft assembly comprises a drive shaft that is operably engaged with the drive system when the shaft assembly is attached to the handle, wherein the drive system is configured to drive the drive shaft when the shaft assembly is in a usable condition. The surgical instrument system also comprises a sensor system configured to evaluate the condition of the shaft assembly and a control system in communication with the drive system and the sensor system, wherein the control system is configured to prevent the operation of the electric motor if the shaft assembly is in an unusable condition.


Example 166

The surgical instrument system of Example 165, further comprising a haptic feedback system in communication with the control system, wherein the control system is configured to actuate the haptic feedback system to provide haptic feedback to the user of the surgical instrument system when the sensor system detects that the shaft assembly is in an unusable condition.


Example 167

The surgical instrument system of Examples 165 or 166, wherein the handle further comprises a second drive system, wherein the shaft assembly further comprises a second drive shaft operably engageable with the second drive system when the shaft assembly is attached to the handle, and wherein the control system is configured to use the second drive system when the sensor system detects that the shaft assembly is in an unusable condition.


Example 168

A surgical instrument system comprising a handle which comprises a housing, a handle electrical connector, a drive system including an electric motor, and a power source. The surgical instrument system also comprises a shaft assembly operably attachable to the handle, wherein the shaft assembly comprises a connector attachable to the housing when the shaft assembly is attached to the handle, a drive shaft engageable with the drive system when the shaft assembly is attached to the handle, a shaft electrical connector configured to be electrically coupled with the handle electrical connector when the shaft assembly is attached to the handle, and a shaft control system in communication with the shaft electrical connector, wherein the shaft control system is configured to receive power from the power source through the shaft electrical connector. The surgical instrument system also comprises a lockout in communication with the shaft control system, wherein the lockout comprises a solenoid, a lock element movable between an unlocked position, a hold position, and a locked position, a catch configured to releasably hold the lock element in the unlocked position, wherein the solenoid is configured to release the catch and allow the lock element to be moved into the hold position when the shaft control system receives power from the power source, and a biasing member configured to move the lock element into the hold position when the catch releases the lock element and while the shaft assembly is attached to the handle, wherein the biasing member is configured to move the lock element into the locked position once the shaft assembly is detached from the handle, and wherein the lock element prevents the shaft assembly from being re-attached to the handle once the lock element is in the locked position.


Example 169

The surgical instrument system of Example 168, wherein the shaft assembly comprises an unreleasable catch configured to hold the lock element in the locked position.


Example 170

A surgical instrument system comprising a handle and a shaft assembly operably attachable to the handle. The handle comprises a housing and a power source. The shaft assembly comprises a connector attachable to the housing when the shaft assembly is attached to the handle, a shaft control system configured to receive power from the power source when the shaft assembly is attached to the handle, and a lockout in communication with the shaft control system. The lockout comprises a lock element movable between an unlocked position, a hold position, and a locked position, a catch configured to releasably hold the lock element in the unlocked position, wherein the catch is configured to allow the lock element to be moved into the hold position when the shaft control system receives power from the power source, and a biasing member configured to move the lock element into the hold position when the catch releases the lock element and while the shaft assembly is attached to the handle, wherein the biasing member is configured to move the lock element into the locked position once the shaft assembly is detached from the handle, and wherein the lock element prevents the shaft assembly from being re-attached to the handle once the lock element is in the locked position.


Example 171

The surgical instrument system of Example 170, wherein the shaft assembly comprises an unreleasable catch configured to hold the lock element in the locked position.


Although various devices have been described herein in connection with certain embodiments, modifications and variations to those embodiments may be implemented. Particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. Thus, the particular features, structures, or characteristics illustrated or described in connection with one embodiment may be combined in whole or in part, with the features, structures or characteristics of one ore more other embodiments without limitation. Also, where materials are disclosed for certain components, other materials may be used. Furthermore, according to various embodiments, a single component may be replaced by multiple components, and multiple components may be replaced by a single component, to perform a given function or functions. The foregoing description and following claims are intended to cover all such modification and variations.


The devices disclosed herein can be designed to be disposed of after a single use, or they can be designed to be used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of the steps including, but not limited to, the disassembly of the device, followed by cleaning or replacement of particular pieces of the device, and subsequent reassembly of the device. In particular, a reconditioning facility and/or surgical team can disassemble a device and, after cleaning and/or replacing particular parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will appreciate that reconditioning of a device can utilize a variety of techniques for disassembly, cleaning/replacement, and reassembly. Use of such techniques, and the resulting reconditioned device, are all within the scope of the present application.


The devices disclosed herein may be processed before surgery. First, a new or used instrument may be obtained and, when necessary, cleaned. The instrument may then be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and instrument may then be placed in a field of radiation that can penetrate the container, such as gamma radiation, x-rays, and/or high-energy electrons. The radiation may kill bacteria on the instrument and in the container. The sterilized instrument may then be stored in the sterile container. The sealed container may keep the instrument sterile until it is opened in a medical facility. A device may also be sterilized using any other technique known in the art, including but not limited to beta radiation, gamma radiation, ethylene oxide, plasma peroxide, and/or steam.


While this invention has been described as having exemplary designs, the present invention may be further modified within the spirit and scope of the disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles.


Any patent, publication, or other disclosure material, in whole or in part, that is said to be incorporated by reference herein is incorporated herein only to the extent that the incorporated materials do not conflict with existing definitions, statements, or other disclosure material set forth in this disclosure. As such, and to the extent necessary, the disclosure as explicitly set forth herein supersedes any conflicting material incorporated herein by reference. Any material, or portion thereof, that is said to be incorporated by reference herein, but which conflicts with existing definitions, statements, or other disclosure material set forth herein will only be incorporated to the extent that no conflict arises between that incorporated material and the existing disclosure material.

Claims
  • 1. A surgical instrument system, comprising: a drive module comprising a drive module housing;a shaft assembly attachable to said drive module housing; anda drive system, comprising: an electric motor positioned in said drive module housing;a drive shaft in said shaft assembly which is operably couplable with said electric motor when said shaft assembly is attached to said drive module; anda control circuit including a microprocessor, wherein said microprocessor is positioned in said shaft assembly;a battery attachable to said drive module housing at a first position or a second position, wherein said first position is different than said second position and at a different location on said drive module housing than said second position, wherein said battery comprises: a battery housing;at least one battery cell in said battery housing configured to supply power to said drive system when said battery is attached to said drive module housing; anda display screen in communication with said control circuit when said battery is attached to said drive module housing, wherein said display screen indicates a function of the surgical instrument system in addition to a status of said battery, and wherein said display screen is positioned directly on said battery housing.
  • 2. The surgical instrument system of claim 1, wherein said display screen comprises electrophoretic media.
  • 3. The surgical instrument system of claim 1, wherein said display screen comprises an active matrix backplane.
  • 4. The surgical instrument system of claim 3, wherein said active matrix backplane comprises an amorphous silicon semiconductor.
  • 5. The surgical instrument system of claim 3, wherein said active matrix backplane comprises a polythiophene semiconductor.
  • 6. The surgical instrument system of claim 3, wherein said display screen comprises an electrochromic display.
  • 7. The surgical instrument system of claim 3, wherein said display screen comprises a liquid-crystal display.
  • 8. The surgical instrument system of claim 3, wherein said display screen comprises a thin-film transistor liquid-crystal display.
  • 9. A surgical instrument system, comprising: a drive module comprising a drive module housing;a drive system;a control system including a microprocessor, wherein said microprocessor is not positioned in said drive module;a battery attachable to said drive module housing at a first location on said drive module housing or a second location on said drive module housing, wherein said first location is different than said second location, wherein said battery comprises: a battery housing;at least one battery cell in said battery housing configured to supply power to said drive system when said battery is attached to said drive module housing; anda display screen in communication with said control system when said battery is attached to said drive module housing, wherein said display screen indicates a status of said surgical instrument system in addition to a status of said battery, and wherein said display screen is positioned directly on said battery housing; andan electric motor positioned in said drive module housing.
  • 10. The surgical instrument system of claim 9, wherein said control system comprises at least one input on said drive module.
  • 11. The surgical instrument system of claim 9, wherein said control system comprises at least one switch on said drive module.
CROSS-REFERENCE TO RELATED APPLICATIONS

This non-provisional application claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Patent Application Ser. No. 62/578,793, entitled SURGICAL INSTRUMENT WITH REMOTE RELEASE, filed Oct. 30, 2017, of U.S. Provisional Patent Application Ser. No. 62/578,804, entitled SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT, filed Oct. 30, 2017, of U.S. Provisional Patent Application Ser. No. 62/578,817, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS, filed Oct. 30, 2017, of U.S. Provisional Patent Application Ser. No. 62/578,835, entitled SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS, filed Oct. 30, 2017, of U.S. Provisional Patent Application Ser. No. 62/578,844, entitled SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES, filed Oct. 30, 2017, and of U.S. Provisional Patent Application Ser. No. 62/578,855, entitled SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS, filed Oct. 30, 2017, the disclosures of which are incorporated by reference herein in their entirety. This non-provisional application claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Patent Application Ser. No. 62/665,129, entitled SURGICAL SUTURING SYSTEMS, filed May 1, 2018, of U.S. Provisional Patent Application Ser. No. 62/665,139, entitled SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS, filed May 1, 2018, of U.S. Provisional Patent Application Ser. No. 62/665,177, entitled SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS, filed May 1, 2018, of U.S. Provisional Patent Application Ser. No. 62/665,128, entitled MODULAR SURGICAL INSTRUMENTS, filed May 1, 2018, of U.S. Provisional Patent Application Ser. No. 62/665,192, entitled SURGICAL DISSECTORS, filed May 1, 2018, and of U.S. Provisional Patent Application Ser. No. 62/665,134, entitled SURGICAL CLIP APPLIER, filed May 1, 2018, the disclosures of which are incorporated by reference herein in their entirety.

US Referenced Citations (2602)
Number Name Date Kind
1853416 Hall Apr 1932 A
2222125 Stehlik Nov 1940 A
3082426 Miles Mar 1963 A
3503396 Pierie et al. Mar 1970 A
3584628 Green Jun 1971 A
3626457 Duerr et al. Dec 1971 A
3633584 Farrell Jan 1972 A
3759017 Young Sep 1973 A
3863118 Lander et al. Jan 1975 A
3898545 Coppa et al. Aug 1975 A
3912121 Steffen Oct 1975 A
3915271 Harper Oct 1975 A
3932812 Milligan Jan 1976 A
4041362 Ichiyanagi Aug 1977 A
4052649 Greenwell et al. Oct 1977 A
4087730 Goles May 1978 A
4157859 Terry Jun 1979 A
4171700 Farin Oct 1979 A
4202722 Paquin May 1980 A
4412539 Jarvik Nov 1983 A
4448193 Ivanov May 1984 A
4523695 Braun et al. Jun 1985 A
4608160 Zoch Aug 1986 A
4614366 North et al. Sep 1986 A
4633874 Chow et al. Jan 1987 A
4701193 Robertson et al. Oct 1987 A
4735603 Goodson et al. Apr 1988 A
4788977 Farin et al. Dec 1988 A
4849752 Bryant Jul 1989 A
D303787 Messenger et al. Oct 1989 S
4892244 Fox et al. Jan 1990 A
4976173 Yang Dec 1990 A
5010341 Huntley et al. Apr 1991 A
5026387 Thomas Jun 1991 A
5035692 Lyon et al. Jul 1991 A
5042460 Sakurai et al. Aug 1991 A
5047043 Kubota et al. Sep 1991 A
5084057 Green et al. Jan 1992 A
5100402 Fan Mar 1992 A
D327061 Soren et al. Jun 1992 S
5129570 Schulze et al. Jul 1992 A
5151102 Kamiyama et al. Sep 1992 A
5156315 Green et al. Oct 1992 A
5158585 Saho et al. Oct 1992 A
5171247 Hughett et al. Dec 1992 A
5189277 Boisvert et al. Feb 1993 A
5197962 Sansom et al. Mar 1993 A
5204669 Dorfe et al. Apr 1993 A
5217003 Wilk Jun 1993 A
5242474 Herbst et al. Sep 1993 A
5253793 Green et al. Oct 1993 A
5271543 Grant et al. Dec 1993 A
RE34519 Fox et al. Jan 1994 E
5275323 Schulze et al. Jan 1994 A
5318516 Cosmescu Jun 1994 A
5318563 Malis et al. Jun 1994 A
5322055 Davison et al. Jun 1994 A
5342349 Kaufman Aug 1994 A
5364003 Williamson, IV Nov 1994 A
5383880 Hooven Jan 1995 A
5385544 Edwards et al. Jan 1995 A
5396900 Slater et al. Mar 1995 A
5397046 Savage et al. Mar 1995 A
5403312 Yates et al. Apr 1995 A
5403327 Thornton et al. Apr 1995 A
5413267 Solyntjes et al. May 1995 A
5415335 Knodell, Jr. May 1995 A
5417699 Klein et al. May 1995 A
5439468 Schulze et al. Aug 1995 A
5445304 Plyley et al. Aug 1995 A
5462545 Wang et al. Oct 1995 A
5465895 Knodel et al. Nov 1995 A
5467911 Tsuruta et al. Nov 1995 A
5474566 Alesi et al. Dec 1995 A
5485947 Olson et al. Jan 1996 A
5496315 Weaver et al. Mar 1996 A
5496317 Goble et al. Mar 1996 A
5503320 Webster et al. Apr 1996 A
5529235 Boiarski et al. Jun 1996 A
5531743 Nettekoven et al. Jul 1996 A
5545148 Wurster Aug 1996 A
5552685 Young et al. Sep 1996 A
5560372 Cory Oct 1996 A
5584425 Savage et al. Dec 1996 A
5610379 Muz et al. Mar 1997 A
5610811 Honda Mar 1997 A
5613966 Makower et al. Mar 1997 A
5624452 Yates Apr 1997 A
D379346 Mieki May 1997 S
5626587 Bishop et al. May 1997 A
5643291 Pier et al. Jul 1997 A
5654750 Weil et al. Aug 1997 A
5673841 Schulze et al. Oct 1997 A
5673842 Bittner et al. Oct 1997 A
5675227 Roos et al. Oct 1997 A
5693042 Boiarski et al. Dec 1997 A
5693052 Weaver Dec 1997 A
5695502 Pier et al. Dec 1997 A
5697926 Weaver Dec 1997 A
5706998 Plyley et al. Jan 1998 A
5718359 Palmer et al. Feb 1998 A
5724468 Leone et al. Mar 1998 A
5725536 Oberlin et al. Mar 1998 A
5725542 Yoon Mar 1998 A
5735445 Vidal et al. Apr 1998 A
5735848 Yates et al. Apr 1998 A
5746209 Yost et al. May 1998 A
5749362 Funda et al. May 1998 A
5749893 Vidal et al. May 1998 A
5752644 Bolanos et al. May 1998 A
5762255 Chrisman et al. Jun 1998 A
5762458 Wang et al. Jun 1998 A
5766186 Faraz et al. Jun 1998 A
5769791 Benaron et al. Jun 1998 A
5775331 Raymond et al. Jul 1998 A
5797537 Oberlin et al. Aug 1998 A
5800350 Coppleson et al. Sep 1998 A
D399561 Ellingson Oct 1998 S
5817093 Williamson, IV et al. Oct 1998 A
5820009 Melling et al. Oct 1998 A
5833690 Yates et al. Nov 1998 A
5836849 Mathiak et al. Nov 1998 A
5836869 Kudo et al. Nov 1998 A
5836909 Cosmescu Nov 1998 A
5843080 Fleenor et al. Dec 1998 A
5846237 Nettekoven Dec 1998 A
5849022 Sakashita et al. Dec 1998 A
5873873 Smith et al. Feb 1999 A
5878938 Bittner et al. Mar 1999 A
5893849 Weaver Apr 1999 A
5906625 Bito et al. May 1999 A
5942333 Arnett et al. Aug 1999 A
5947996 Logeman Sep 1999 A
5968032 Sleister Oct 1999 A
5980510 Tsonton et al. Nov 1999 A
5987346 Benaron et al. Nov 1999 A
5997528 Bisch et al. Dec 1999 A
6004269 Crowley et al. Dec 1999 A
6010054 Johnson et al. Jan 2000 A
6030437 Gourrier et al. Feb 2000 A
6036637 Kudo Mar 2000 A
6039734 Goble Mar 2000 A
6039735 Greep Mar 2000 A
6059799 Aranyi et al. May 2000 A
6066137 Greep May 2000 A
6079606 Milliman et al. Jun 2000 A
6090107 Borgmeier et al. Jul 2000 A
6099537 Sugai et al. Aug 2000 A
6102907 Smethers et al. Aug 2000 A
6109500 Alli et al. Aug 2000 A
6113598 Baker Sep 2000 A
6126592 Proch et al. Oct 2000 A
6126658 Baker Oct 2000 A
6131789 Schulze et al. Oct 2000 A
6155473 Tompkins et al. Dec 2000 A
6214000 Fleenor et al. Apr 2001 B1
6258105 Hart et al. Jul 2001 B1
6269411 Reasoner Jul 2001 B1
6273887 Yamauchi et al. Aug 2001 B1
6283960 Ashley Sep 2001 B1
6301495 Gueziec et al. Oct 2001 B1
6302881 Farin Oct 2001 B1
6308089 von der Ruhr et al. Oct 2001 B1
6325808 Bernard et al. Dec 2001 B1
6325811 Messerly Dec 2001 B1
6331181 Tierney et al. Dec 2001 B1
6341164 Dilkie et al. Jan 2002 B1
6391102 Bodden et al. May 2002 B1
6423057 He et al. Jul 2002 B1
6434416 Mizoguchi et al. Aug 2002 B1
6443973 Whitman Sep 2002 B1
6451015 Rittman, III et al. Sep 2002 B1
6454781 Witt et al. Sep 2002 B1
6457625 Tormala et al. Oct 2002 B1
6461352 Morgan et al. Oct 2002 B2
6466817 Kaula et al. Oct 2002 B1
6480796 Wiener Nov 2002 B2
6524307 Palmerton et al. Feb 2003 B1
6530933 Yeung et al. Mar 2003 B1
6551243 Bocionek et al. Apr 2003 B2
6569109 Sakurai et al. May 2003 B2
6582424 Fleenor et al. Jun 2003 B2
6584358 Carter et al. Jun 2003 B2
6585791 Garito et al. Jul 2003 B1
6611793 Burnside et al. Aug 2003 B1
6618626 West, Jr. et al. Sep 2003 B2
6633234 Wiener et al. Oct 2003 B2
6648223 Boukhny et al. Nov 2003 B2
6678552 Pearlman Jan 2004 B2
6679899 Wiener et al. Jan 2004 B2
6685704 Greep Feb 2004 B2
6699187 Webb et al. Mar 2004 B2
6731514 Evans May 2004 B2
6742895 Robin Jun 2004 B2
6752816 Culp et al. Jun 2004 B2
6760616 Hoey et al. Jul 2004 B2
6770072 Truckai et al. Aug 2004 B1
6773444 Messerly Aug 2004 B2
6775575 Bommannan et al. Aug 2004 B2
6778846 Martinez et al. Aug 2004 B1
6781683 Kacyra et al. Aug 2004 B2
6783524 Anderson et al. Aug 2004 B2
6783525 Greep et al. Aug 2004 B2
6793652 Whitman et al. Sep 2004 B1
6793663 Kneifel et al. Sep 2004 B2
6824539 Novak Nov 2004 B2
6846308 Whitman et al. Jan 2005 B2
6849074 Chen et al. Feb 2005 B2
6852219 Hammond Feb 2005 B2
6863650 Irion Mar 2005 B1
6869430 Balbierz et al. Mar 2005 B2
6869435 Blake, III Mar 2005 B2
6911033 de Guillebon et al. Jun 2005 B2
6913471 Smith Jul 2005 B2
6937892 Leyde et al. Aug 2005 B2
6945981 Donofrio et al. Sep 2005 B2
6951559 Greep Oct 2005 B1
6962587 Johnson et al. Nov 2005 B2
6978921 Shelton, IV et al. Dec 2005 B2
6988649 Shelton, IV et al. Jan 2006 B2
7000818 Shelton, IV et al. Feb 2006 B2
7009511 Mazar et al. Mar 2006 B2
7030146 Baynes et al. Apr 2006 B2
7032798 Whitman et al. Apr 2006 B2
7041941 Faries, Jr. et al. May 2006 B2
7044352 Shelton, IV et al. May 2006 B2
7044911 Drinan et al. May 2006 B2
7044949 Orszulak et al. May 2006 B2
7048775 Jornitz et al. May 2006 B2
7053752 Wang et al. May 2006 B2
7055730 Ehrenfels et al. Jun 2006 B2
7073765 Newkirk Jul 2006 B2
7077853 Kramer et al. Jul 2006 B2
7077856 Whitman Jul 2006 B2
7081096 Brister et al. Jul 2006 B2
7097640 Wang et al. Aug 2006 B2
7103688 Strong Sep 2006 B2
7104949 Anderson et al. Sep 2006 B2
7118564 Ritchie et al. Oct 2006 B2
7121460 Parsons et al. Oct 2006 B1
7137980 Buysse et al. Nov 2006 B2
7140528 Shelton, IV Nov 2006 B2
7143923 Shelton, IV et al. Dec 2006 B2
7143925 Shelton, IV et al. Dec 2006 B2
7147139 Schwemberger et al. Dec 2006 B2
7155316 Sutherland et al. Dec 2006 B2
7164940 Hareyama et al. Jan 2007 B2
7169145 Isaacson et al. Jan 2007 B2
7177533 McFarlin et al. Feb 2007 B2
7182775 de Guillebon et al. Feb 2007 B2
7207472 Wukusick et al. Apr 2007 B2
7208005 Frecker et al. Apr 2007 B2
7217269 El-Galley et al. May 2007 B2
7230529 Ketcherside, Jr. et al. Jun 2007 B2
7232447 Gellman et al. Jun 2007 B2
7236817 Papas et al. Jun 2007 B2
7246734 Shelton, IV Jul 2007 B2
7252664 Nasab et al. Aug 2007 B2
7278563 Green Oct 2007 B1
7294106 Birkenbach et al. Nov 2007 B2
7294116 Ellman et al. Nov 2007 B1
7296724 Green et al. Nov 2007 B2
7317955 McGreevy Jan 2008 B2
7328828 Ortiz et al. Feb 2008 B2
7334717 Rethy et al. Feb 2008 B2
7343565 Ying et al. Mar 2008 B2
7344532 Goble et al. Mar 2008 B2
7353068 Tanaka et al. Apr 2008 B2
7362228 Nycz et al. Apr 2008 B2
7371227 Zeiner May 2008 B2
7380695 Doll et al. Jun 2008 B2
7383088 Spinelli et al. Jun 2008 B2
7391173 Schena Jun 2008 B2
7407074 Ortiz et al. Aug 2008 B2
7408439 Wang et al. Aug 2008 B2
7413541 Konishi Aug 2008 B2
7422136 Marczyk Sep 2008 B1
7422139 Shelton, IV et al. Sep 2008 B2
7423972 Shaham et al. Sep 2008 B2
D579876 Novotney et al. Nov 2008 S
7457804 Uber, III et al. Nov 2008 B2
D583328 Chiang Dec 2008 S
7464847 Viola et al. Dec 2008 B2
7464849 Shelton, IV et al. Dec 2008 B2
7496418 Kim et al. Feb 2009 B2
D589447 Sasada et al. Mar 2009 S
7515961 Germanson et al. Apr 2009 B2
7518502 Austin et al. Apr 2009 B2
7554343 Bromfield Jun 2009 B2
7563259 Takahashi Jul 2009 B2
7568604 Ehrenfels et al. Aug 2009 B2
7575144 Ortiz et al. Aug 2009 B2
7597731 Palmerton et al. Oct 2009 B2
7617137 Kreiner et al. Nov 2009 B2
7621192 Conti et al. Nov 2009 B2
7621898 Lalomia et al. Nov 2009 B2
7631793 Rethy et al. Dec 2009 B2
7637410 Marczyk Dec 2009 B2
7637907 Blaha Dec 2009 B2
7641092 Kruszynski et al. Jan 2010 B2
7644848 Swayze et al. Jan 2010 B2
7667592 Ohyama et al. Feb 2010 B2
7667839 Bates Feb 2010 B2
7670334 Hueil et al. Mar 2010 B2
7694865 Scirica Apr 2010 B2
7699860 Huitema et al. Apr 2010 B2
7720306 Gardiner et al. May 2010 B2
7721934 Shelton, IV et al. May 2010 B2
7721936 Shalton, IV et al. May 2010 B2
7736357 Lee, Jr. et al. Jun 2010 B2
7742176 Braunecker et al. Jun 2010 B2
7743960 Whitman et al. Jun 2010 B2
7753245 Boudreaux et al. Jul 2010 B2
7757028 Druke et al. Jul 2010 B2
7766207 Mather et al. Aug 2010 B2
7766905 Paterson et al. Aug 2010 B2
7770773 Whitman et al. Aug 2010 B2
7771429 Ballard et al. Aug 2010 B2
7776037 Odom Aug 2010 B2
7782789 Stultz et al. Aug 2010 B2
7784663 Shelton, IV Aug 2010 B2
7803151 Whitman Sep 2010 B2
7810692 Hall et al. Oct 2010 B2
7818041 Kim et al. Oct 2010 B2
7819298 Hall et al. Oct 2010 B2
7832612 Baxter, III et al. Nov 2010 B2
7833219 Tashiro et al. Nov 2010 B2
7836085 Petakov et al. Nov 2010 B2
7837079 Holsten et al. Nov 2010 B2
7837680 Isaacson et al. Nov 2010 B2
7841980 Minosawa et al. Nov 2010 B2
7845537 Shelton, IV et al. Dec 2010 B2
7857185 Swayze et al. Dec 2010 B2
D631252 Leslie Jan 2011 S
7862560 Marion Jan 2011 B2
7862579 Ortiz et al. Jan 2011 B2
7865236 Cory et al. Jan 2011 B2
7884735 Newkirk Feb 2011 B2
7887530 Zemlok et al. Feb 2011 B2
7892337 Palmerton et al. Feb 2011 B2
7907166 Lamprecht et al. Mar 2011 B2
7913891 Doll et al. Mar 2011 B2
7918230 Whitman et al. Apr 2011 B2
7918377 Measamer et al. Apr 2011 B2
7920706 Asokan et al. Apr 2011 B2
7927014 Dehler Apr 2011 B2
7932826 Fritchie et al. Apr 2011 B2
7942300 Rethy et al. May 2011 B2
7945065 Menzl et al. May 2011 B2
7945342 Tsai et al. May 2011 B2
7951148 McClurken May 2011 B2
7954682 Giordano et al. Jun 2011 B2
7954687 Zemlok et al. Jun 2011 B2
7955322 Devengenzo et al. Jun 2011 B2
7956620 Gilbert Jun 2011 B2
7963433 Whitman et al. Jun 2011 B2
7966269 Bauer et al. Jun 2011 B2
7967180 Scirica Jun 2011 B2
7976553 Shelton, IV et al. Jul 2011 B2
7979157 Anvari Jul 2011 B2
7980443 Scheib et al. Jul 2011 B2
7982776 Dunki-Jacobs et al. Jul 2011 B2
7988028 Farascioni et al. Aug 2011 B2
7993140 Sakezles Aug 2011 B2
7993354 Brecher et al. Aug 2011 B1
7995045 Dunki-Jacobs Aug 2011 B2
8005947 Morris et al. Aug 2011 B2
8007494 Taylor et al. Aug 2011 B1
8007513 Nalagatla et al. Aug 2011 B2
8010180 Quaid et al. Aug 2011 B2
8012170 Whitman et al. Sep 2011 B2
8015976 Shah Sep 2011 B2
8016855 Whitman et al. Sep 2011 B2
8019094 Hsieh et al. Sep 2011 B2
8025199 Whitman et al. Sep 2011 B2
8027710 Dannan Sep 2011 B1
8035685 Jensen Oct 2011 B2
8038686 Huitema et al. Oct 2011 B2
8038693 Allen Oct 2011 B2
8043560 Okumoto et al. Oct 2011 B2
8054184 Cline et al. Nov 2011 B2
8054752 Druke et al. Nov 2011 B2
8062306 Nobis et al. Nov 2011 B2
8062330 Prommersberger et al. Nov 2011 B2
8066721 Kortenbach et al. Nov 2011 B2
8074861 Ehrenfels et al. Dec 2011 B2
8075571 Vitali et al. Dec 2011 B2
8096459 Ortiz et al. Jan 2012 B2
8118206 Zand et al. Feb 2012 B2
8120301 Goldberg et al. Feb 2012 B2
8123764 Meade et al. Feb 2012 B2
D655678 Kobayashi et al. Mar 2012 S
8128625 Odom Mar 2012 B2
8131565 Dicks et al. Mar 2012 B2
8136712 Zingman Mar 2012 B2
8146149 Steinkogler et al. Mar 2012 B2
D657368 Magee et al. Apr 2012 S
8147486 Honour et al. Apr 2012 B2
8155479 Hoffman et al. Apr 2012 B2
8157145 Shelton, IV et al. Apr 2012 B2
8157150 Viola et al. Apr 2012 B2
8157151 Ingmanson et al. Apr 2012 B2
8160098 Yan et al. Apr 2012 B1
8160690 Wilfley et al. Apr 2012 B2
8161977 Shelton, IV et al. Apr 2012 B2
8170396 Kuspa et al. May 2012 B2
8172836 Ward May 2012 B2
8181839 Beetel May 2012 B2
8185409 Putnam et al. May 2012 B2
8206345 Abboud et al. Jun 2012 B2
8208707 Mendonca et al. Jun 2012 B2
8210411 Yates et al. Jul 2012 B2
8214007 Baker et al. Jul 2012 B2
8216849 Petty Jul 2012 B2
8220688 Laurent et al. Jul 2012 B2
8225643 Abboud et al. Jul 2012 B2
8225979 Farascioni et al. Jul 2012 B2
8229549 Whitman et al. Jul 2012 B2
8231042 Hessler et al. Jul 2012 B2
8239066 Jennings et al. Aug 2012 B2
8241322 Whitman et al. Aug 2012 B2
8255045 Gharib et al. Aug 2012 B2
D667838 Magee et al. Sep 2012 S
8257387 Cunningham Sep 2012 B2
8260016 Maeda et al. Sep 2012 B2
8262560 Whitman Sep 2012 B2
8292639 Achammer et al. Oct 2012 B2
8292888 Whitman Oct 2012 B2
8295902 Salahieh et al. Oct 2012 B2
8308040 Huang et al. Nov 2012 B2
8321581 Katis et al. Nov 2012 B2
8322590 Patel et al. Dec 2012 B2
8328065 Shah Dec 2012 B2
8335590 Costa et al. Dec 2012 B2
D675164 Kobayashi et al. Jan 2013 S
8343065 Bartol et al. Jan 2013 B2
8346392 Walser et al. Jan 2013 B2
8360299 Zemlok et al. Jan 2013 B2
8364222 Cook et al. Jan 2013 B2
D676392 Gassauer Feb 2013 S
8365975 Manoux et al. Feb 2013 B1
D678196 Miyauchi et al. Mar 2013 S
D678304 Yakoub et al. Mar 2013 S
8388652 Viola Mar 2013 B2
8393514 Shelton, IV et al. Mar 2013 B2
8397972 Kostrzewski Mar 2013 B2
8398541 DiMaio et al. Mar 2013 B2
8403944 Pain et al. Mar 2013 B2
8403945 Whitfield et al. Mar 2013 B2
8403946 Whitfield et al. Mar 2013 B2
8406859 Zuzak et al. Mar 2013 B2
8411034 Boillot et al. Apr 2013 B2
8413871 Racenet et al. Apr 2013 B2
8422035 Hinderling et al. Apr 2013 B2
8423182 Robinson et al. Apr 2013 B2
8428722 Verhoef et al. Apr 2013 B2
8429153 Birdwell et al. Apr 2013 B2
8439910 Greep et al. May 2013 B2
8444663 Houser et al. May 2013 B2
8452615 Abri May 2013 B2
8454506 Rothman et al. Jun 2013 B2
8461744 Wiener et al. Jun 2013 B2
8468030 Stroup et al. Jun 2013 B2
8469973 Meade et al. Jun 2013 B2
8472630 Konrad et al. Jun 2013 B2
8473066 Aghassian et al. Jun 2013 B2
D687146 Juzkiw et al. Jul 2013 S
8476227 Kaplan et al. Jul 2013 B2
8478418 Fahey Jul 2013 B2
8489235 Moll et al. Jul 2013 B2
8499992 Whitman et al. Aug 2013 B2
8500728 Newton et al. Aug 2013 B2
8500756 Papa et al. Aug 2013 B2
8503759 Greer et al. Aug 2013 B2
8505801 Ehrenfels et al. Aug 2013 B2
8506478 Mizuyoshi Aug 2013 B2
8512325 Mathonnet Aug 2013 B2
8512365 Wiener et al. Aug 2013 B2
8515520 Brunnett et al. Aug 2013 B2
8517239 Scheib et al. Aug 2013 B2
8521331 Itkowitz Aug 2013 B2
8523043 Ullrich et al. Sep 2013 B2
8533475 Frikart et al. Sep 2013 B2
8540709 Allen Sep 2013 B2
8546996 Messerly et al. Oct 2013 B2
8554697 Claus et al. Oct 2013 B2
8560047 Haider et al. Oct 2013 B2
8561870 Baxter, III et al. Oct 2013 B2
8562598 Falkenstein et al. Oct 2013 B2
8566115 Moore Oct 2013 B2
8567393 Hickle et al. Oct 2013 B2
8568411 Falkenstein et al. Oct 2013 B2
8571598 Valavi Oct 2013 B2
8573459 Smith et al. Nov 2013 B2
8573465 Shelton, IV Nov 2013 B2
8574229 Eder et al. Nov 2013 B2
8585631 Dacquay Nov 2013 B2
8585694 Amoah et al. Nov 2013 B2
8590762 Hess et al. Nov 2013 B2
8591536 Robertson Nov 2013 B2
8595607 Nekoomaram et al. Nov 2013 B2
8596513 Olson et al. Dec 2013 B2
8596515 Okoniewski Dec 2013 B2
8604709 Jalbout et al. Dec 2013 B2
8608044 Hueil et al. Dec 2013 B2
8608045 Smith et al. Dec 2013 B2
8616431 Timm et al. Dec 2013 B2
8617155 Johnson et al. Dec 2013 B2
8620055 Barratt et al. Dec 2013 B2
8620473 Diolaiti et al. Dec 2013 B2
8622275 Baxter, III et al. Jan 2014 B2
8623027 Price et al. Jan 2014 B2
8627483 Rachlin et al. Jan 2014 B2
8627993 Smith et al. Jan 2014 B2
8627995 Smith et al. Jan 2014 B2
8628518 Blumenkranz et al. Jan 2014 B2
8628545 Cabrera et al. Jan 2014 B2
8631987 Shelton, IV et al. Jan 2014 B2
8632525 Kerr et al. Jan 2014 B2
8636190 Zemlok et al. Jan 2014 B2
8636736 Yates et al. Jan 2014 B2
8641621 Razzaque et al. Feb 2014 B2
8652086 Gerg et al. Feb 2014 B2
8652121 Quick et al. Feb 2014 B2
8652128 Ward Feb 2014 B2
8657176 Shelton, IV et al. Feb 2014 B2
8657177 Scirica et al. Feb 2014 B2
8663220 Wiener et al. Mar 2014 B2
8663222 Anderson et al. Mar 2014 B2
8666544 Moll et al. Mar 2014 B2
8679114 Chapman et al. Mar 2014 B2
8682049 Zhao et al. Mar 2014 B2
8682489 Itkowitz et al. Mar 2014 B2
8685056 Evans et al. Apr 2014 B2
8688188 Heller et al. Apr 2014 B2
8690864 Hoarau Apr 2014 B2
8701962 Kostrzewski Apr 2014 B2
D704839 Juzkiw et al. May 2014 S
8719061 Birchall May 2014 B2
8720766 Hess et al. May 2014 B2
8733613 Huitema et al. May 2014 B2
8740840 Foley et al. Jun 2014 B2
8740866 Reasoner et al. Jun 2014 B2
8747238 Shelton, IV et al. Jun 2014 B2
8752749 Moore et al. Jun 2014 B2
8757465 Woodard, Jr. et al. Jun 2014 B2
8761717 Buchheit Jun 2014 B1
8763879 Shelton, IV et al. Jul 2014 B2
8768251 Claus et al. Jul 2014 B2
8771270 Burbank Jul 2014 B2
8775196 Simpson et al. Jul 2014 B2
8779648 Giordano et al. Jul 2014 B2
8790253 Sunagawa et al. Jul 2014 B2
8794497 Zingman Aug 2014 B2
8795001 Lam et al. Aug 2014 B1
8799008 Johnson et al. Aug 2014 B2
8799009 Mellin et al. Aug 2014 B2
8800838 Shelton, IV Aug 2014 B2
8801703 Gregg et al. Aug 2014 B2
8814996 Giurgiutiu et al. Aug 2014 B2
8818556 Sanchez et al. Aug 2014 B2
8819581 Nakamura et al. Aug 2014 B2
8820603 Shelton, IV et al. Sep 2014 B2
8820608 Miyamoto Sep 2014 B2
8827134 Viola et al. Sep 2014 B2
8827136 Hessler Sep 2014 B2
8840003 Morgan et al. Sep 2014 B2
D716333 Chotin et al. Oct 2014 S
8851354 Swensgard et al. Oct 2014 B2
8852174 Burbank Oct 2014 B2
8875973 Whitman Nov 2014 B2
8876857 Burbank Nov 2014 B2
8882662 Charles Nov 2014 B2
8885032 Igarashi et al. Nov 2014 B2
8886790 Harrang et al. Nov 2014 B2
8893949 Shelton, IV et al. Nov 2014 B2
8899479 Cappuzzo et al. Dec 2014 B2
8905977 Shelton et al. Dec 2014 B2
8912746 Reid et al. Dec 2014 B2
8914098 Brennan et al. Dec 2014 B2
8917513 Hazzard Dec 2014 B1
8918207 Prisco Dec 2014 B2
8920186 Shishikura Dec 2014 B2
8920414 Stone et al. Dec 2014 B2
8920433 Barrier et al. Dec 2014 B2
8930203 Kiaie et al. Jan 2015 B2
8930214 Woolford Jan 2015 B2
8931679 Kostrzewski Jan 2015 B2
8934684 Mohamed Jan 2015 B2
8936614 Allen, IV Jan 2015 B2
8945095 Blumenkranz et al. Feb 2015 B2
8945163 Voegele et al. Feb 2015 B2
8955732 Zemlok et al. Feb 2015 B2
8956581 Rosenbaum et al. Feb 2015 B2
8960519 Whitman et al. Feb 2015 B2
8960520 McCuen Feb 2015 B2
8962062 Podhajsky et al. Feb 2015 B2
8967443 McCuen Mar 2015 B2
8967455 Zhou Mar 2015 B2
8968276 Zemlok et al. Mar 2015 B2
8968296 McPherson Mar 2015 B2
8968309 Roy et al. Mar 2015 B2
8968312 Marczyk et al. Mar 2015 B2
8968337 Whitfield et al. Mar 2015 B2
8968358 Reschke Mar 2015 B2
8974429 Gordon et al. Mar 2015 B2
8979890 Boudreaux Mar 2015 B2
8986288 Konishi Mar 2015 B2
8986302 Aldridge et al. Mar 2015 B2
8989903 Weir et al. Mar 2015 B2
8991678 Wellman et al. Mar 2015 B2
8992565 Brisson et al. Mar 2015 B2
8998797 Omori Apr 2015 B2
9002518 Manzo et al. Apr 2015 B2
9010608 Casasanta, Jr. et al. Apr 2015 B2
9010611 Ross et al. Apr 2015 B2
9011366 Dean et al. Apr 2015 B2
9011427 Price et al. Apr 2015 B2
9016539 Kostrzewski et al. Apr 2015 B2
9017326 DiNardo et al. Apr 2015 B2
9020240 Pettersson et al. Apr 2015 B2
D729267 Yoo et al. May 2015 S
9023032 Robinson May 2015 B2
9023071 Miller et al. May 2015 B2
9027431 Tang et al. May 2015 B2
9028494 Shelton, IV et al. May 2015 B2
9035568 Ganton et al. May 2015 B2
9038882 Racenet et al. May 2015 B2
9043027 Durant et al. May 2015 B2
9044227 Shelton, IV et al. Jun 2015 B2
9044244 Ludwin et al. Jun 2015 B2
9044261 Houser Jun 2015 B2
9050063 Roe et al. Jun 2015 B2
9050083 Yates et al. Jun 2015 B2
9050120 Swarup et al. Jun 2015 B2
9052809 Vesto Jun 2015 B2
9055035 Porsch et al. Jun 2015 B2
9055870 Meador et al. Jun 2015 B2
9060770 Shelton, IV et al. Jun 2015 B2
9060775 Wiener et al. Jun 2015 B2
9066650 Sekiguchi Jun 2015 B2
9072523 Houser et al. Jul 2015 B2
9072535 Shelton, IV et al. Jul 2015 B2
9072536 Shelton, IV et al. Jul 2015 B2
9078653 Leimbach et al. Jul 2015 B2
9078727 Miller Jul 2015 B2
9084606 Greep Jul 2015 B2
9089360 Messerly et al. Jul 2015 B2
9095362 Dachs, II et al. Aug 2015 B2
9095367 Olson et al. Aug 2015 B2
9099863 Smith et al. Aug 2015 B2
9101358 Kerr et al. Aug 2015 B2
9101359 Smith et al. Aug 2015 B2
9101374 Hoch et al. Aug 2015 B1
9106270 Puterbaugh et al. Aug 2015 B2
9107573 Birnkrant Aug 2015 B2
9107662 Kostrzewski Aug 2015 B2
9107684 Ma Aug 2015 B2
9107688 Kimball et al. Aug 2015 B2
9107689 Robertson et al. Aug 2015 B2
9107694 Hendriks et al. Aug 2015 B2
9111548 Nandy et al. Aug 2015 B2
9113880 Zemlok et al. Aug 2015 B2
9114494 Mah Aug 2015 B1
9116597 Gulasky Aug 2015 B1
9119617 Souls et al. Sep 2015 B2
9119655 Bowling et al. Sep 2015 B2
9119657 Shelton, IV et al. Sep 2015 B2
9123155 Cunningham et al. Sep 2015 B2
9125644 Lane et al. Sep 2015 B2
9129054 Nawana et al. Sep 2015 B2
9137254 Bilbrey et al. Sep 2015 B2
9138129 Diolaiti Sep 2015 B2
9138225 Huang et al. Sep 2015 B2
9149322 Knowlton Oct 2015 B2
9155503 Cadwell Oct 2015 B2
9160853 Daddi et al. Oct 2015 B1
9161803 Yates et al. Oct 2015 B2
9168054 Turner et al. Oct 2015 B2
9168091 Janssen et al. Oct 2015 B2
9168104 Dein Oct 2015 B2
9179912 Yates et al. Nov 2015 B2
9183723 Sherman et al. Nov 2015 B2
9186143 Timm et al. Nov 2015 B2
9192375 Skinlo et al. Nov 2015 B2
9192447 Choi et al. Nov 2015 B2
9192707 Gerber et al. Nov 2015 B2
9198711 Joseph Dec 2015 B2
9202078 Abuelsaad et al. Dec 2015 B2
9204830 Zand et al. Dec 2015 B2
9204879 Shelton, IV Dec 2015 B2
9204995 Scheller et al. Dec 2015 B2
9211120 Scheib et al. Dec 2015 B2
9216062 Duque et al. Dec 2015 B2
9218053 Komuro et al. Dec 2015 B2
9220502 Zemlok et al. Dec 2015 B2
9226689 Jacobsen et al. Jan 2016 B2
9226751 Shelton, IV et al. Jan 2016 B2
9226766 Aldridge et al. Jan 2016 B2
9226767 Stulen et al. Jan 2016 B2
9226791 McCarthy et al. Jan 2016 B2
9232883 Ozawa et al. Jan 2016 B2
9237891 Shelton, IV Jan 2016 B2
9237921 Messerly et al. Jan 2016 B2
9241728 Price et al. Jan 2016 B2
9241730 Babaev Jan 2016 B2
9241731 Boudreaux et al. Jan 2016 B2
9247996 Merana et al. Feb 2016 B1
9250172 Harris et al. Feb 2016 B2
9255907 Heanue et al. Feb 2016 B2
9259282 Azizian et al. Feb 2016 B2
9265429 St. Pierre et al. Feb 2016 B2
9265585 Wingardner et al. Feb 2016 B2
9265959 Drew et al. Feb 2016 B2
9272406 Aronhalt et al. Mar 2016 B2
9277956 Zhang Mar 2016 B2
9277961 Panescu et al. Mar 2016 B2
9277969 Brannan et al. Mar 2016 B2
9280884 Schultz et al. Mar 2016 B1
9282962 Schmid et al. Mar 2016 B2
9282974 Shelton, IV Mar 2016 B2
9283045 Rhee et al. Mar 2016 B2
9283054 Morgan et al. Mar 2016 B2
9289211 Williams et al. Mar 2016 B2
9289212 Shelton, IV et al. Mar 2016 B2
9295514 Shelton, IV et al. Mar 2016 B2
9301691 Hufnagel et al. Apr 2016 B2
9301753 Aldridge et al. Apr 2016 B2
9301755 Shelton, IV et al. Apr 2016 B2
9301759 Spivey et al. Apr 2016 B2
9301810 Amiri et al. Apr 2016 B2
9302213 Manahan et al. Apr 2016 B2
9307894 von Grunberg et al. Apr 2016 B2
9307914 Fahey Apr 2016 B2
9307986 Hall et al. Apr 2016 B2
9314246 Shelton, IV et al. Apr 2016 B2
9314308 Parihar et al. Apr 2016 B2
9320563 Brustad et al. Apr 2016 B2
9325732 Stickle et al. Apr 2016 B1
9326767 Koch et al. May 2016 B2
9326770 Shelton, IV et al. May 2016 B2
9331422 Nazzaro et al. May 2016 B2
9332987 Leimbach et al. May 2016 B2
9333042 Diolaiti et al. May 2016 B2
9336385 Spencer et al. May 2016 B1
9341704 Picard et al. May 2016 B2
9345481 Hall et al. May 2016 B2
9345490 Ippisch May 2016 B2
9345544 Hourtash et al. May 2016 B2
9345546 Toth et al. May 2016 B2
9345900 Wu et al. May 2016 B2
9351726 Leimbach et al. May 2016 B2
9351727 Leimbach et al. May 2016 B2
9358003 Hall et al. Jun 2016 B2
9358685 Meier et al. Jun 2016 B2
9360449 Duric Jun 2016 B2
9364230 Shelton, IV et al. Jun 2016 B2
9364231 Wenchell Jun 2016 B2
9364249 Kimball et al. Jun 2016 B2
9364294 Razzaque et al. Jun 2016 B2
9370400 Parihar Jun 2016 B2
9375282 Nau, Jr. et al. Jun 2016 B2
9375539 Stearns et al. Jun 2016 B2
9381003 Todor et al. Jul 2016 B2
9381058 Houser et al. Jul 2016 B2
9386984 Aronhalt et al. Jul 2016 B2
9386988 Baxter, III et al. Jul 2016 B2
9387295 Mastri et al. Jul 2016 B1
9393017 Flanagan et al. Jul 2016 B2
9393037 Olson et al. Jul 2016 B2
9398905 Martin Jul 2016 B2
9398911 Auld Jul 2016 B2
9402629 Ehrenfels et al. Aug 2016 B2
9414776 Sillay et al. Aug 2016 B2
9414940 Stein et al. Aug 2016 B2
9419018 Sasagawa et al. Aug 2016 B2
9421014 Ingmanson et al. Aug 2016 B2
9433470 Choi Sep 2016 B2
9439622 Case et al. Sep 2016 B2
9439668 Timm et al. Sep 2016 B2
9439736 Olson Sep 2016 B2
9445764 Gross et al. Sep 2016 B2
9445813 Shelton, IV et al. Sep 2016 B2
9450701 Do et al. Sep 2016 B2
9451949 Gorek et al. Sep 2016 B2
9451958 Shelton, IV et al. Sep 2016 B2
9463022 Swayze et al. Oct 2016 B2
9463646 Payne et al. Oct 2016 B2
9468438 Baber et al. Oct 2016 B2
9474565 Shikhman et al. Oct 2016 B2
D772252 Myers et al. Nov 2016 S
9480492 Aranyi et al. Nov 2016 B2
9485475 Speier et al. Nov 2016 B2
9486271 Dunning Nov 2016 B2
9492146 Kostrzewski et al. Nov 2016 B2
9492237 Kang et al. Nov 2016 B2
9493807 Little et al. Nov 2016 B2
9498182 Case et al. Nov 2016 B2
9498215 Duque et al. Nov 2016 B2
9498231 Haider et al. Nov 2016 B2
9509566 Chu et al. Nov 2016 B2
9516239 Blanquart et al. Dec 2016 B2
9519753 Gerdeman et al. Dec 2016 B1
9522003 Weir et al. Dec 2016 B2
9526407 Hoeg et al. Dec 2016 B2
9526499 Kostrzewski et al. Dec 2016 B2
9526587 Zhao et al. Dec 2016 B2
9532827 Morgan et al. Jan 2017 B2
9532845 Dossett et al. Jan 2017 B1
9539007 Dhakad et al. Jan 2017 B2
9539020 Conlon et al. Jan 2017 B2
9542481 Halter et al. Jan 2017 B2
9546662 Shener-Irmakoglu et al. Jan 2017 B2
9549781 He et al. Jan 2017 B2
9554692 Levy Jan 2017 B2
9554794 Baber et al. Jan 2017 B2
9554854 Yates et al. Jan 2017 B2
9561038 Shelton, IV et al. Feb 2017 B2
9561045 Hinman et al. Feb 2017 B2
9561082 Yen et al. Feb 2017 B2
9561982 Enicks et al. Feb 2017 B2
9566708 Kurnianto Feb 2017 B2
9572592 Price et al. Feb 2017 B2
9579099 Penna et al. Feb 2017 B2
9579503 McKinney et al. Feb 2017 B2
9585657 Shelton, IV et al. Mar 2017 B2
9592095 Panescu et al. Mar 2017 B2
9597081 Swayze et al. Mar 2017 B2
9600031 Kaneko et al. Mar 2017 B2
9600138 Thomas et al. Mar 2017 B2
9603024 Wang et al. Mar 2017 B2
9603277 Morgan et al. Mar 2017 B2
D783675 Yagisawa et al. Apr 2017 S
D784270 Bhattacharya Apr 2017 S
9610114 Baxter, III et al. Apr 2017 B2
9610412 Zemlok et al. Apr 2017 B2
9615877 Tyrrell et al. Apr 2017 B2
9622684 Wybo Apr 2017 B2
9622808 Beller et al. Apr 2017 B2
9628501 Datta Ray et al. Apr 2017 B2
9629560 Joseph Apr 2017 B2
9629623 Lytle, IV et al. Apr 2017 B2
9629628 Aranyi Apr 2017 B2
9629629 Leimbach et al. Apr 2017 B2
9630318 Ibarz Gabardos et al. Apr 2017 B2
9636112 Penna et al. May 2017 B2
9636188 Gattani et al. May 2017 B2
9636239 Durand et al. May 2017 B2
9636825 Penn et al. May 2017 B2
9641596 Unagami et al. May 2017 B2
9641815 Richardson et al. May 2017 B2
9642620 Baxter, III et al. May 2017 B2
9643022 Mashiach et al. May 2017 B2
9649110 Parihar et al. May 2017 B2
9649111 Shelton, IV et al. May 2017 B2
9649126 Robertson et al. May 2017 B2
9649169 Cinquin et al. May 2017 B2
9652655 Satish et al. May 2017 B2
9655616 Aranyi May 2017 B2
9656092 Golden May 2017 B2
9662116 Smith et al. May 2017 B2
9662177 Weir et al. May 2017 B2
9668729 Williams et al. Jun 2017 B2
9668732 Patel et al. Jun 2017 B2
9668765 Grace et al. Jun 2017 B2
9671860 Ogawa et al. Jun 2017 B2
9675264 Acquista et al. Jun 2017 B2
9675354 Weir et al. Jun 2017 B2
9681870 Baxter, III et al. Jun 2017 B2
9686306 Chizeck et al. Jun 2017 B2
9687230 Leimbach et al. Jun 2017 B2
9690362 Leimbach et al. Jun 2017 B2
9700292 Nawana et al. Jul 2017 B2
9700309 Jaworek et al. Jul 2017 B2
9700312 Kostrzewski et al. Jul 2017 B2
9700320 Dinardo et al. Jul 2017 B2
9706993 Hessler et al. Jul 2017 B2
9710214 Lin et al. Jul 2017 B2
9710644 Reybok et al. Jul 2017 B2
9713424 Spaide Jul 2017 B2
9713503 Goldschmidt Jul 2017 B2
9717141 Tegg Jul 2017 B1
9717498 Aranyi et al. Aug 2017 B2
9717525 Ahluwalia et al. Aug 2017 B2
9717548 Couture Aug 2017 B2
9724094 Baber et al. Aug 2017 B2
9724100 Scheib et al. Aug 2017 B2
9724118 Schulte et al. Aug 2017 B2
9733663 Leimbach et al. Aug 2017 B2
9737301 Baber et al. Aug 2017 B2
9737310 Whitfield et al. Aug 2017 B2
9737335 Butler et al. Aug 2017 B2
9737355 Yates et al. Aug 2017 B2
9737371 Romo et al. Aug 2017 B2
9740826 Raghavan et al. Aug 2017 B2
9743016 Res et al. Aug 2017 B2
9743929 Leimbach et al. Aug 2017 B2
9743946 Faller et al. Aug 2017 B2
9743947 Price et al. Aug 2017 B2
9750499 Leimbach et al. Sep 2017 B2
9750500 Malkowski Sep 2017 B2
9750522 Scheib et al. Sep 2017 B2
9750523 Tsubuku Sep 2017 B2
9750560 Ballakur et al. Sep 2017 B2
9750563 Shikhman et al. Sep 2017 B2
9753135 Bosch Sep 2017 B2
9753568 McMillen Sep 2017 B2
9757126 Cappola Sep 2017 B2
9757128 Baber et al. Sep 2017 B2
9757142 Shimizu Sep 2017 B2
9757152 Ogilvie et al. Sep 2017 B2
9763741 Alvarez et al. Sep 2017 B2
9764164 Wiener et al. Sep 2017 B2
9770541 Carr et al. Sep 2017 B2
9775611 Kostrzewski Oct 2017 B2
9777913 Talbert et al. Oct 2017 B2
9782164 Mumaw et al. Oct 2017 B2
9782169 Kimsey et al. Oct 2017 B2
9782212 Wham et al. Oct 2017 B2
9782214 Houser et al. Oct 2017 B2
9788835 Morgan et al. Oct 2017 B2
9788836 Overmyer et al. Oct 2017 B2
9788851 Dannaher et al. Oct 2017 B2
9788902 Inoue et al. Oct 2017 B2
9788907 Alvi et al. Oct 2017 B1
9795436 Yates et al. Oct 2017 B2
9797486 Zergiebel et al. Oct 2017 B2
9801531 Morita et al. Oct 2017 B2
9801626 Parihar et al. Oct 2017 B2
9801627 Harris et al. Oct 2017 B2
9801679 Trees et al. Oct 2017 B2
9802033 Hibner et al. Oct 2017 B2
9804618 Leimbach et al. Oct 2017 B2
9805472 Chou et al. Oct 2017 B2
9808244 Leimbach et al. Nov 2017 B2
9808245 Richard et al. Nov 2017 B2
9808246 Shelton, IV et al. Nov 2017 B2
9808248 Hoffman Nov 2017 B2
9808249 Shelton, IV Nov 2017 B2
9814457 Martin et al. Nov 2017 B2
9814460 Kimsey et al. Nov 2017 B2
9814462 Woodard, Jr. et al. Nov 2017 B2
9814463 Williams et al. Nov 2017 B2
9820699 Bingley et al. Nov 2017 B2
9820738 Lytle, IV et al. Nov 2017 B2
9820741 Kostrzewski Nov 2017 B2
9820768 Gee et al. Nov 2017 B2
9826976 Parihar et al. Nov 2017 B2
9826977 Leimbach et al. Nov 2017 B2
9827054 Richmond et al. Nov 2017 B2
9827059 Robinson et al. Nov 2017 B2
9830424 Dixon et al. Nov 2017 B2
9833241 Huitema et al. Dec 2017 B2
9833254 Barral et al. Dec 2017 B1
9839419 Deck et al. Dec 2017 B2
9839424 Zergiebel et al. Dec 2017 B2
9839428 Baxter, III et al. Dec 2017 B2
9839467 Harper et al. Dec 2017 B2
9839470 Gilbert et al. Dec 2017 B2
9839487 Dachs, II Dec 2017 B2
9844321 Ekvall et al. Dec 2017 B1
9844368 Boudreaux et al. Dec 2017 B2
9844369 Huitema et al. Dec 2017 B2
9844374 Lytle, IV et al. Dec 2017 B2
9844375 Overmyer et al. Dec 2017 B2
9844376 Baxter, III et al. Dec 2017 B2
9844379 Shelton, IV et al. Dec 2017 B2
9848058 Johnson et al. Dec 2017 B2
9848877 Shelton, IV et al. Dec 2017 B2
9861354 Saliman et al. Jan 2018 B2
9861363 Chen et al. Jan 2018 B2
9861428 Trees et al. Jan 2018 B2
9864839 Baym et al. Jan 2018 B2
9867612 Parihar et al. Jan 2018 B2
9867651 Wham Jan 2018 B2
9867670 Brannan et al. Jan 2018 B2
9867914 Bonano et al. Jan 2018 B2
9872609 Levy Jan 2018 B2
9872683 Hopkins et al. Jan 2018 B2
9877718 Weir et al. Jan 2018 B2
9877721 Schellin et al. Jan 2018 B2
9883860 Leimbach Feb 2018 B2
9888864 Rondoni et al. Feb 2018 B2
9888914 Martin et al. Feb 2018 B2
9888919 Leimbach et al. Feb 2018 B2
9888921 Williams et al. Feb 2018 B2
9888975 Auld Feb 2018 B2
9895148 Shelton, IV et al. Feb 2018 B2
9900787 Ou Feb 2018 B2
9901342 Shelton, IV et al. Feb 2018 B2
9901406 State et al. Feb 2018 B2
9905000 Chou et al. Feb 2018 B2
9907196 Susini et al. Feb 2018 B2
9907550 Sniffin et al. Mar 2018 B2
9913642 Leimbach et al. Mar 2018 B2
9913645 Zerkle et al. Mar 2018 B2
9918326 Gilson et al. Mar 2018 B2
9918730 Trees et al. Mar 2018 B2
9918778 Walberg et al. Mar 2018 B2
9918788 Paul et al. Mar 2018 B2
9922304 DeBusk et al. Mar 2018 B2
9924941 Burbank Mar 2018 B2
9924944 Shelton, IV et al. Mar 2018 B2
9924961 Shelton, IV et al. Mar 2018 B2
9931040 Homyk et al. Apr 2018 B2
9931118 Shelton, IV et al. Apr 2018 B2
9931124 Gokharu Apr 2018 B2
9936863 Tesar Apr 2018 B2
9936942 Chin et al. Apr 2018 B2
9936955 Miller et al. Apr 2018 B2
9936961 Chien et al. Apr 2018 B2
9937012 Hares et al. Apr 2018 B2
9937014 Bowling et al. Apr 2018 B2
9937626 Rockrohr Apr 2018 B2
9938972 Walley Apr 2018 B2
9943230 Kaku et al. Apr 2018 B2
9943309 Shelton, IV et al. Apr 2018 B2
9943312 Posada et al. Apr 2018 B2
9943377 Yates et al. Apr 2018 B2
9943379 Gregg, II et al. Apr 2018 B2
9943918 Grogan et al. Apr 2018 B2
9943964 Hares Apr 2018 B2
9949785 Price et al. Apr 2018 B2
9962157 Sapre May 2018 B2
9968355 Shelton, IV et al. May 2018 B2
9974595 Anderson et al. May 2018 B2
9980140 Spencer et al. May 2018 B1
9980769 Trees et al. May 2018 B2
9980778 Ohline et al. May 2018 B2
9987000 Shelton, IV et al. Jun 2018 B2
9987068 Anderson et al. Jun 2018 B2
9987072 McPherson Jun 2018 B2
9990856 Kuchenbecker et al. Jun 2018 B2
9993248 Shelton, IV et al. Jun 2018 B2
9993258 Shelton, IV et al. Jun 2018 B2
9993305 Andersson Jun 2018 B2
10004491 Martin et al. Jun 2018 B2
10004497 Overmyer et al. Jun 2018 B2
10004500 Shelton, IV et al. Jun 2018 B2
10004501 Shelton, IV et al. Jun 2018 B2
10004527 Gee et al. Jun 2018 B2
10004557 Gross Jun 2018 B2
D822206 Shelton, IV et al. Jul 2018 S
10010322 Shelton, IV et al. Jul 2018 B2
10010324 Huitema et al. Jul 2018 B2
10013049 Leimbach et al. Jul 2018 B2
10016199 Baber et al. Jul 2018 B2
10021318 Hugosson et al. Jul 2018 B2
10022090 Whitman Jul 2018 B2
10022120 Martin et al. Jul 2018 B2
10022391 Ruderman Chen et al. Jul 2018 B2
10022568 Messerly et al. Jul 2018 B2
10028402 Walker Jul 2018 B1
10028744 Shelton, IV et al. Jul 2018 B2
10028761 Leimbach et al. Jul 2018 B2
10028788 Kang Jul 2018 B2
10034704 Asher et al. Jul 2018 B2
10037641 Hyde et al. Jul 2018 B2
10037715 Toly et al. Jul 2018 B2
D826405 Shelton, IV et al. Aug 2018 S
10039546 Williams et al. Aug 2018 B2
10039564 Hibner et al. Aug 2018 B2
10039565 Vezzu Aug 2018 B2
10039589 Virshek et al. Aug 2018 B2
10041822 Zemlok Aug 2018 B2
10044791 Kamen et al. Aug 2018 B2
10045704 Fagin et al. Aug 2018 B2
10045776 Shelton, IV et al. Aug 2018 B2
10045779 Savage et al. Aug 2018 B2
10045781 Cropper et al. Aug 2018 B2
10045782 Murthy Aravalli Aug 2018 B2
10045813 Mueller Aug 2018 B2
10048379 Markendorf et al. Aug 2018 B2
10052044 Shelton, IV et al. Aug 2018 B2
10052102 Baxter, III et al. Aug 2018 B2
10052104 Shelton, IV et al. Aug 2018 B2
10054441 Schorr et al. Aug 2018 B2
10058393 Bonutti et al. Aug 2018 B2
10069633 Gulati et al. Sep 2018 B2
10076326 Yates et al. Sep 2018 B2
10080618 Marshall et al. Sep 2018 B2
10084833 McDonnell et al. Sep 2018 B2
D831209 Huitema et al. Oct 2018 S
10085748 Morgan et al. Oct 2018 B2
10085749 Cappola et al. Oct 2018 B2
10092355 Hannaford et al. Oct 2018 B1
10095942 Mentese et al. Oct 2018 B2
10097578 Baldonado et al. Oct 2018 B2
10098527 Weisenburgh, II et al. Oct 2018 B2
10098635 Burbank Oct 2018 B2
10098642 Baxter, III et al. Oct 2018 B2
10098705 Brisson et al. Oct 2018 B2
10102926 Leonardi Oct 2018 B1
10105140 Malinouskas et al. Oct 2018 B2
10105142 Baxter, III et al. Oct 2018 B2
10105470 Reasoner et al. Oct 2018 B2
10111665 Aranyi et al. Oct 2018 B2
10111679 Baber et al. Oct 2018 B2
10111703 Cosman, Jr. et al. Oct 2018 B2
D834541 You et al. Nov 2018 S
10117649 Baxter et al. Nov 2018 B2
10117651 Whitman et al. Nov 2018 B2
10117702 Danziger et al. Nov 2018 B2
10118119 Sappok Nov 2018 B2
10130359 Hess et al. Nov 2018 B2
10130360 Olson et al. Nov 2018 B2
10130361 Yates et al. Nov 2018 B2
10130367 Cappola et al. Nov 2018 B2
10130432 Auld et al. Nov 2018 B2
10133248 Fitzsimmons et al. Nov 2018 B2
10135242 Baber et al. Nov 2018 B2
10136246 Yamada Nov 2018 B2
10136887 Shelton, IV et al. Nov 2018 B2
10136891 Shelton, IV et al. Nov 2018 B2
10136949 Felder et al. Nov 2018 B2
10136954 Johnson et al. Nov 2018 B2
10137245 Melker et al. Nov 2018 B2
10143526 Walker et al. Dec 2018 B2
10143948 Bonifas et al. Dec 2018 B2
10147148 Wu et al. Dec 2018 B2
10149680 Parihar et al. Dec 2018 B2
10152789 Carnes et al. Dec 2018 B2
10154841 Weaner et al. Dec 2018 B2
10159044 Hrabak Dec 2018 B2
10159481 Whitman et al. Dec 2018 B2
10159483 Beckman et al. Dec 2018 B2
10164466 Calderoni Dec 2018 B2
10166025 Leimbach et al. Jan 2019 B2
10166061 Berry et al. Jan 2019 B2
10169862 Andre et al. Jan 2019 B2
10172618 Shelton, IV et al. Jan 2019 B2
10172687 Garbus et al. Jan 2019 B2
10175096 Dickerson Jan 2019 B2
10175127 Collins et al. Jan 2019 B2
10178992 Wise et al. Jan 2019 B2
10179413 Rockrohr Jan 2019 B2
10180463 Beckman et al. Jan 2019 B2
10182814 Okoniewski Jan 2019 B2
10182816 Shelton, IV et al. Jan 2019 B2
10182818 Hensel et al. Jan 2019 B2
10188385 Kerr et al. Jan 2019 B2
10189157 Schlegel et al. Jan 2019 B2
10190888 Hryb et al. Jan 2019 B2
10194891 Jeong et al. Feb 2019 B2
10194907 Marczyk et al. Feb 2019 B2
10194913 Nalagatla et al. Feb 2019 B2
10194972 Yates et al. Feb 2019 B2
10197803 Badiali et al. Feb 2019 B2
10198965 Hart Feb 2019 B2
10201311 Chou et al. Feb 2019 B2
10201349 Leimbach et al. Feb 2019 B2
10201364 Leimbach et al. Feb 2019 B2
10201365 Boudreaux et al. Feb 2019 B2
10205708 Fletcher et al. Feb 2019 B1
10206605 Shelton, IV et al. Feb 2019 B2
10206752 Hares et al. Feb 2019 B2
10213201 Shelton, IV et al. Feb 2019 B2
10213203 Swayze et al. Feb 2019 B2
10213266 Zemlok et al. Feb 2019 B2
10213268 Dachs, II Feb 2019 B2
10219491 Stiles, Jr. et al. Mar 2019 B2
10220522 Rockrohr Mar 2019 B2
10222750 Bang et al. Mar 2019 B2
10226249 Jaworek et al. Mar 2019 B2
10226250 Beckman et al. Mar 2019 B2
10226254 Cabrera et al. Mar 2019 B2
10226302 Lacal et al. Mar 2019 B2
10231634 Zand et al. Mar 2019 B2
10231733 Ehrenfels et al. Mar 2019 B2
10231775 Shelton, IV et al. Mar 2019 B2
10238413 Hibner et al. Mar 2019 B2
10245027 Shelton, IV et al. Apr 2019 B2
10245028 Shelton, IV et al. Apr 2019 B2
10245029 Hunter et al. Apr 2019 B2
10245030 Hunter et al. Apr 2019 B2
10245033 Overmyer et al. Apr 2019 B2
10245037 Conklin et al. Apr 2019 B2
10245038 Hopkins et al. Apr 2019 B2
10245040 Milliman Apr 2019 B2
10251661 Collings et al. Apr 2019 B2
10251725 Valentine et al. Apr 2019 B2
10258331 Shelton, IV et al. Apr 2019 B2
10258359 Kapadia Apr 2019 B2
10258362 Conlon Apr 2019 B2
10258363 Worrell et al. Apr 2019 B2
10258415 Harrah et al. Apr 2019 B2
10258418 Shelton, IV et al. Apr 2019 B2
10258425 Mustufa et al. Apr 2019 B2
10263171 Wiener et al. Apr 2019 B2
10265004 Yamaguchi et al. Apr 2019 B2
10265035 Fehre et al. Apr 2019 B2
10265066 Measamer et al. Apr 2019 B2
10265068 Harris et al. Apr 2019 B2
10265072 Shelton, IV et al. Apr 2019 B2
10265090 Ingmanson et al. Apr 2019 B2
10265130 Hess et al. Apr 2019 B2
10271840 Sapre Apr 2019 B2
10271844 Valentine et al. Apr 2019 B2
10271850 Williams Apr 2019 B2
10271851 Shelton, IV et al. Apr 2019 B2
D847989 Shelton, IV et al. May 2019 S
10278698 Racenet May 2019 B2
10278778 State et al. May 2019 B2
10283220 Azizian et al. May 2019 B2
10285694 Viola et al. May 2019 B2
10285698 Cappola et al. May 2019 B2
10285700 Scheib May 2019 B2
10285705 Shelton, IV et al. May 2019 B2
10292610 Srivastava May 2019 B2
10292704 Harris et al. May 2019 B2
10292707 Shelton, IV et al. May 2019 B2
10292758 Boudreaux et al. May 2019 B2
10292769 Yu May 2019 B1
10292771 Wood et al. May 2019 B2
10293129 Fox et al. May 2019 B2
10299792 Huitema et al. May 2019 B2
10299870 Connolly et al. May 2019 B2
10305926 Mihan et al. May 2019 B2
D850617 Shelton, IV et al. Jun 2019 S
10307159 Harris et al. Jun 2019 B2
10307170 Parfett et al. Jun 2019 B2
10307199 Farritor et al. Jun 2019 B2
10311036 Hussam et al. Jun 2019 B1
10313137 Aarnio et al. Jun 2019 B2
10314577 Laurent et al. Jun 2019 B2
10314582 Shelton, IV et al. Jun 2019 B2
10321907 Shelton, IV et al. Jun 2019 B2
10321964 Grover et al. Jun 2019 B2
10327764 Harris et al. Jun 2019 B2
10327779 Richard et al. Jun 2019 B2
10335147 Rector et al. Jul 2019 B2
10335149 Baxter, III et al. Jul 2019 B2
10335180 Johnson et al. Jul 2019 B2
10335227 Heard Jul 2019 B2
10339496 Matson et al. Jul 2019 B2
10342543 Shelton, IV et al. Jul 2019 B2
10342602 Strobl et al. Jul 2019 B2
10342623 Huelman et al. Jul 2019 B2
10343102 Reasoner et al. Jul 2019 B2
10349824 Claude et al. Jul 2019 B2
10349939 Shelton, IV et al. Jul 2019 B2
10349941 Marczyk et al. Jul 2019 B2
10350016 Burbank et al. Jul 2019 B2
10357184 Crawford et al. Jul 2019 B2
10357246 Shelton, IV et al. Jul 2019 B2
10357247 Shelton, IV et al. Jul 2019 B2
10362179 Harris Jul 2019 B2
10363032 Scheib et al. Jul 2019 B2
10363037 Aronhalt et al. Jul 2019 B2
10368861 Baxter, III et al. Aug 2019 B2
10368865 Harris et al. Aug 2019 B2
10368867 Harris et al. Aug 2019 B2
10368876 Bhatnagar et al. Aug 2019 B2
10368894 Madan et al. Aug 2019 B2
10368903 Morales et al. Aug 2019 B2
10376263 Morgan et al. Aug 2019 B2
10376305 Yates et al. Aug 2019 B2
10376337 Kilroy et al. Aug 2019 B2
10376338 Taylor et al. Aug 2019 B2
10378893 Mankovskii Aug 2019 B2
10383518 Abu-Tarif et al. Aug 2019 B2
10383699 Kilroy et al. Aug 2019 B2
10384021 Koeth et al. Aug 2019 B2
10386990 Shikhman et al. Aug 2019 B2
10390718 Chen et al. Aug 2019 B2
10390794 Kuroiwa et al. Aug 2019 B2
10390825 Shelton, IV et al. Aug 2019 B2
10390831 Holsten et al. Aug 2019 B2
10390895 Henderson et al. Aug 2019 B2
10398348 Osadchy et al. Sep 2019 B2
10398434 Shelton, IV et al. Sep 2019 B2
10398517 Eckert et al. Sep 2019 B2
10398521 Itkowitz et al. Sep 2019 B2
10404521 McChord et al. Sep 2019 B2
10404801 Martch Sep 2019 B2
10405857 Shelton, IV et al. Sep 2019 B2
10405859 Harris et al. Sep 2019 B2
10405863 Wise et al. Sep 2019 B2
10413291 Worthington et al. Sep 2019 B2
10413293 Shelton, IV et al. Sep 2019 B2
10413297 Harris et al. Sep 2019 B2
10417446 Takeyama Sep 2019 B2
10420552 Shelton, IV et al. Sep 2019 B2
10420558 Nalagatla et al. Sep 2019 B2
10420559 Marczyk et al. Sep 2019 B2
10420620 Rockrohr Sep 2019 B2
10420865 Reasoner et al. Sep 2019 B2
10422727 Pliskin Sep 2019 B2
10426466 Contini et al. Oct 2019 B2
10426467 Miller et al. Oct 2019 B2
10426468 Contini et al. Oct 2019 B2
10426471 Shelton, IV et al. Oct 2019 B2
10426481 Aronhalt et al. Oct 2019 B2
10433837 Worthington et al. Oct 2019 B2
10433844 Shelton, IV et al. Oct 2019 B2
10433849 Shelton, IV et al. Oct 2019 B2
10433918 Shelton, IV et al. Oct 2019 B2
10441279 Shelton, IV et al. Oct 2019 B2
10441345 Aldridge et al. Oct 2019 B2
10448948 Shelton, IV et al. Oct 2019 B2
10448950 Shelton, IV et al. Oct 2019 B2
10456137 Vendely et al. Oct 2019 B2
10456140 Shelton, IV et al. Oct 2019 B2
10456193 Yates et al. Oct 2019 B2
10463365 Williams Nov 2019 B2
10463367 Kostrzewski et al. Nov 2019 B2
10463371 Kostrzewski Nov 2019 B2
10463436 Jackson et al. Nov 2019 B2
10470762 Leimbach et al. Nov 2019 B2
10470764 Baxter, III et al. Nov 2019 B2
10470768 Harris et al. Nov 2019 B2
10470791 Houser Nov 2019 B2
10471254 Sano et al. Nov 2019 B2
10478181 Shelton, IV et al. Nov 2019 B2
10478182 Taylor Nov 2019 B2
10478185 Nicholas Nov 2019 B2
10478189 Bear et al. Nov 2019 B2
10478190 Miller et al. Nov 2019 B2
10478544 Friederichs et al. Nov 2019 B2
10485450 Gupta et al. Nov 2019 B2
10485542 Shelton, IV et al. Nov 2019 B2
10485543 Shelton, IV et al. Nov 2019 B2
10492783 Shelton, IV et al. Dec 2019 B2
10492784 Beardsley et al. Dec 2019 B2
10492785 Overmyer et al. Dec 2019 B2
10496788 Amarasingham et al. Dec 2019 B2
10498269 Zemlok et al. Dec 2019 B2
10499847 Latimer et al. Dec 2019 B2
10499891 Chaplin et al. Dec 2019 B2
10499914 Huang et al. Dec 2019 B2
10499915 Aranyi Dec 2019 B2
10499994 Luks et al. Dec 2019 B2
10507068 Kopp et al. Dec 2019 B2
10510267 Jarc et al. Dec 2019 B2
10512413 Schepis et al. Dec 2019 B2
10512461 Gupta et al. Dec 2019 B2
10512499 McHenry et al. Dec 2019 B2
10512509 Bowling et al. Dec 2019 B2
10512514 Nowlin et al. Dec 2019 B2
10517588 Gupta et al. Dec 2019 B2
10517595 Hunter et al. Dec 2019 B2
10517596 Hunter et al. Dec 2019 B2
10517686 Vokrot et al. Dec 2019 B2
10524789 Swayze et al. Jan 2020 B2
10531579 Hsiao et al. Jan 2020 B2
10531874 Morgan et al. Jan 2020 B2
10531929 Widenhouse et al. Jan 2020 B2
10532330 Diallo et al. Jan 2020 B2
10536617 Liang et al. Jan 2020 B2
10537324 Shelton, IV et al. Jan 2020 B2
10537325 Bakos et al. Jan 2020 B2
10537351 Shelton, IV et al. Jan 2020 B2
10542978 Chowaniec et al. Jan 2020 B2
10542979 Shelton, IV et al. Jan 2020 B2
10542982 Beckman et al. Jan 2020 B2
10542991 Shelton, IV et al. Jan 2020 B2
D876466 Kobayashi et al. Feb 2020 S
10548504 Shelton, IV et al. Feb 2020 B2
10548612 Martinez et al. Feb 2020 B2
10548673 Harris et al. Feb 2020 B2
10552574 Sweeney Feb 2020 B2
10555675 Satish et al. Feb 2020 B2
10555748 Yates et al. Feb 2020 B2
10555750 Conlon et al. Feb 2020 B2
10555769 Worrell et al. Feb 2020 B2
10561349 Wedekind et al. Feb 2020 B2
10561422 Schellin et al. Feb 2020 B2
10561470 Hourtash et al. Feb 2020 B2
10561471 Nichogi Feb 2020 B2
10561560 Boutoussov et al. Feb 2020 B2
10561753 Thompson et al. Feb 2020 B2
10568625 Harris et al. Feb 2020 B2
10568626 Shelton, IV et al. Feb 2020 B2
10568632 Miller et al. Feb 2020 B2
10568704 Savall et al. Feb 2020 B2
10575868 Hall et al. Mar 2020 B2
10582928 Hunter et al. Mar 2020 B2
10582931 Mujawar Mar 2020 B2
10582964 Weinberg et al. Mar 2020 B2
10586074 Rose et al. Mar 2020 B2
10588623 Schmid et al. Mar 2020 B2
10588625 Weaner et al. Mar 2020 B2
10588629 Malinouskas et al. Mar 2020 B2
10588630 Shelton, IV et al. Mar 2020 B2
10588631 Shelton, IV et al. Mar 2020 B2
10588632 Shelton, IV et al. Mar 2020 B2
10588711 DiCarlo et al. Mar 2020 B2
10592067 Merdan et al. Mar 2020 B2
10595844 Nawana et al. Mar 2020 B2
10595882 Parfett et al. Mar 2020 B2
10595887 Shelton, IV et al. Mar 2020 B2
10595930 Scheib et al. Mar 2020 B2
10595952 Forrest et al. Mar 2020 B2
10602007 Takano Mar 2020 B2
10602848 Magana Mar 2020 B2
10603036 Hunter et al. Mar 2020 B2
10603128 Zergiebel et al. Mar 2020 B2
10610223 Wellman et al. Apr 2020 B2
10610224 Shelton, IV et al. Apr 2020 B2
10610286 Wiener et al. Apr 2020 B2
10610313 Bailey et al. Apr 2020 B2
10617412 Shelton, IV et al. Apr 2020 B2
10617414 Shelton, IV et al. Apr 2020 B2
10617482 Houser et al. Apr 2020 B2
10617484 Kilroy et al. Apr 2020 B2
10624635 Harris et al. Apr 2020 B2
10624667 Faller et al. Apr 2020 B2
10624691 Wiener et al. Apr 2020 B2
10631423 Collins et al. Apr 2020 B2
10631858 Burbank Apr 2020 B2
10631912 McFarlin et al. Apr 2020 B2
10631916 Horner et al. Apr 2020 B2
10631917 Ineson Apr 2020 B2
10631939 Dachs, II et al. Apr 2020 B2
10639027 Shelton, IV et al. May 2020 B2
10639034 Harris et al. May 2020 B2
10639035 Shelton, IV et al. May 2020 B2
10639036 Yates et al. May 2020 B2
10639037 Shelton, IV et al. May 2020 B2
10639039 Vendely et al. May 2020 B2
10639098 Cosman et al. May 2020 B2
10639111 Kopp May 2020 B2
10639185 Agrawal et al. May 2020 B2
10653413 Worthington et al. May 2020 B2
10653476 Ross May 2020 B2
10653489 Kopp May 2020 B2
10656720 Holz May 2020 B1
10660705 Piron et al. May 2020 B2
10667809 Bakos et al. Jun 2020 B2
10667810 Shelton, IV et al. Jun 2020 B2
10667811 Harris et al. Jun 2020 B2
10667877 Kapadia Jun 2020 B2
10674897 Levy Jun 2020 B2
10675021 Harris et al. Jun 2020 B2
10675023 Cappola Jun 2020 B2
10675024 Shelton, IV et al. Jun 2020 B2
10675025 Swayze et al. Jun 2020 B2
10675026 Harris et al. Jun 2020 B2
10675035 Zingman Jun 2020 B2
10675100 Frushour Jun 2020 B2
10675104 Kapadia Jun 2020 B2
10677764 Ross et al. Jun 2020 B2
10679758 Fox et al. Jun 2020 B2
10682136 Harris et al. Jun 2020 B2
10682138 Shelton, IV et al. Jun 2020 B2
10686805 Reybok, Jr. et al. Jun 2020 B2
10687806 Shelton, IV et al. Jun 2020 B2
10687809 Shelton, IV et al. Jun 2020 B2
10687810 Shelton, IV et al. Jun 2020 B2
10687884 Wiener et al. Jun 2020 B2
10687905 Kostrzewski Jun 2020 B2
10695055 Shelton, IV et al. Jun 2020 B2
10695081 Shelton, IV et al. Jun 2020 B2
10695134 Barral et al. Jun 2020 B2
10702270 Shelton, IV et al. Jul 2020 B2
10702271 Aranyi et al. Jul 2020 B2
10709446 Harris et al. Jul 2020 B2
10716489 Kalvoy et al. Jul 2020 B2
10716615 Shelton, IV et al. Jul 2020 B2
10716639 Kapadia et al. Jul 2020 B2
10717194 Griffiths et al. Jul 2020 B2
10722222 Aranyi Jul 2020 B2
10722233 Wellman Jul 2020 B2
10722292 Arya et al. Jul 2020 B2
D893717 Messerly et al. Aug 2020 S
10729458 Stoddard et al. Aug 2020 B2
10729509 Shelton, IV et al. Aug 2020 B2
10733267 Pedersen Aug 2020 B2
10736219 Seow et al. Aug 2020 B2
10736616 Scheib et al. Aug 2020 B2
10736628 Yates et al. Aug 2020 B2
10736629 Shelton, IV et al. Aug 2020 B2
10736636 Baxter, III et al. Aug 2020 B2
10736705 Scheib et al. Aug 2020 B2
10743872 Leimbach et al. Aug 2020 B2
10748115 Laster et al. Aug 2020 B2
10751052 Stokes et al. Aug 2020 B2
10751136 Farritor et al. Aug 2020 B2
10751768 Hersey et al. Aug 2020 B2
10755813 Shelton, IV et al. Aug 2020 B2
D896379 Shelton, IV et al. Sep 2020 S
10758229 Shelton, IV et al. Sep 2020 B2
10758230 Shelton, IV et al. Sep 2020 B2
10758294 Jones Sep 2020 B2
10758310 Shelton, IV et al. Sep 2020 B2
10765376 Brown, III et al. Sep 2020 B2
10765424 Baxter, III et al. Sep 2020 B2
10765427 Shelton, IV et al. Sep 2020 B2
10765470 Yates et al. Sep 2020 B2
10772630 Wixey Sep 2020 B2
10772651 Shelton, IV et al. Sep 2020 B2
10772673 Allen, IV et al. Sep 2020 B2
10772688 Peine et al. Sep 2020 B2
10779818 Zemlok et al. Sep 2020 B2
10779821 Harris et al. Sep 2020 B2
10779823 Shelton, IV et al. Sep 2020 B2
10779897 Rockrohr Sep 2020 B2
10779900 Pedros et al. Sep 2020 B2
10783634 Nye et al. Sep 2020 B2
10786298 Johnson Sep 2020 B2
10786317 Zhou et al. Sep 2020 B2
10786327 Anderson et al. Sep 2020 B2
10792038 Becerra et al. Oct 2020 B2
10792422 Douglas et al. Oct 2020 B2
10806499 Castaneda et al. Oct 2020 B2
10835206 Bell et al. Nov 2020 B2
10835247 Shelton, IV et al. Nov 2020 B2
10842897 Schwartz et al. Nov 2020 B2
D904612 Wynn et al. Dec 2020 S
10856768 Osadchy et al. Dec 2020 B2
10863984 Shelton, IV et al. Dec 2020 B2
10864037 Mun et al. Dec 2020 B2
10872684 McNutt et al. Dec 2020 B2
10898256 Yates et al. Jan 2021 B2
10902944 Casey et al. Jan 2021 B1
10905418 Shelton, IV et al. Feb 2021 B2
10905420 Jasemian et al. Feb 2021 B2
10912567 Shelton, IV et al. Feb 2021 B2
10916415 Karancsi et al. Feb 2021 B2
D914878 Shelton, IV et al. Mar 2021 S
10932784 Mozdzierz et al. Mar 2021 B2
10950982 Regnier et al. Mar 2021 B2
10959729 Ehrenfels et al. Mar 2021 B2
10966590 Takahashi et al. Apr 2021 B2
10980595 Wham Apr 2021 B2
10987102 Gonzalez et al. Apr 2021 B2
10992698 Patel et al. Apr 2021 B2
11000276 Shelton, IV et al. May 2021 B2
11051817 Shelton, IV et al. Jul 2021 B2
11051902 Kruecker et al. Jul 2021 B2
11058501 Tokarchuk et al. Jul 2021 B2
11071595 Johnson et al. Jul 2021 B2
11141213 Yates et al. Oct 2021 B2
11185325 Shelton, IV et al. Nov 2021 B2
11273290 Kowshik Mar 2022 B2
D950728 Bakos et al. May 2022 S
D952144 Boudreaux May 2022 S
11382715 Arai et al. Jul 2022 B2
D964564 Boudreaux Sep 2022 S
20010056237 Cane et al. Dec 2001 A1
20020049551 Friedman et al. Apr 2002 A1
20020052616 Wiener et al. May 2002 A1
20020072746 Lingenfelder et al. Jun 2002 A1
20020138642 Miyazawa et al. Sep 2002 A1
20020169584 Fu et al. Nov 2002 A1
20030009111 Cory et al. Jan 2003 A1
20030009154 Whitman Jan 2003 A1
20030018329 Hooven Jan 2003 A1
20030046109 Uchikubo Mar 2003 A1
20030069573 Kadhiresan et al. Apr 2003 A1
20030093503 Yamaki et al. May 2003 A1
20030114851 Truckai et al. Jun 2003 A1
20030130711 Pearson et al. Jul 2003 A1
20030210812 Khamene et al. Nov 2003 A1
20030223877 Anstine et al. Dec 2003 A1
20040015053 Bieger et al. Jan 2004 A1
20040078236 Stoodley et al. Apr 2004 A1
20040108825 Lee et al. Jun 2004 A1
20040199180 Knodel et al. Oct 2004 A1
20040199659 Ishikawa et al. Oct 2004 A1
20040206365 Knowlton Oct 2004 A1
20040229496 Robinson et al. Nov 2004 A1
20040243147 Lipow Dec 2004 A1
20040243148 Wasielewski Dec 2004 A1
20040243435 Williams Dec 2004 A1
20050020909 Moctezuma de la Barrera et al. Jan 2005 A1
20050020918 Wilk et al. Jan 2005 A1
20050021027 Shields et al. Jan 2005 A1
20050023324 Doll et al. Feb 2005 A1
20050063575 Ma et al. Mar 2005 A1
20050065438 Miller Mar 2005 A1
20050070800 Takahashi Mar 2005 A1
20050100867 Hilscher et al. May 2005 A1
20050131390 Heinrich et al. Jun 2005 A1
20050139629 Schwemberger et al. Jun 2005 A1
20050143759 Kelly Jun 2005 A1
20050148854 Ito et al. Jul 2005 A1
20050149001 Uchikubo et al. Jul 2005 A1
20050149356 Cyr et al. Jul 2005 A1
20050165390 Mauti et al. Jul 2005 A1
20050182655 Merzlak et al. Aug 2005 A1
20050192633 Montpetit Sep 2005 A1
20050203380 Sauer et al. Sep 2005 A1
20050203384 Sati et al. Sep 2005 A1
20050203504 Wham et al. Sep 2005 A1
20050213832 Schofield et al. Sep 2005 A1
20050222631 Dalal et al. Oct 2005 A1
20050228246 Lee et al. Oct 2005 A1
20050228425 Boukhny et al. Oct 2005 A1
20050236474 Onuma et al. Oct 2005 A1
20050251233 Kanzius Nov 2005 A1
20050277913 McCary Dec 2005 A1
20060020272 Gildenberg Jan 2006 A1
20060025816 Shelton Feb 2006 A1
20060059018 Shiobara et al. Mar 2006 A1
20060069388 Truckai et al. Mar 2006 A1
20060079872 Eggleston Apr 2006 A1
20060079874 Faller et al. Apr 2006 A1
20060116908 Dew et al. Jun 2006 A1
20060136622 Rouvelin et al. Jun 2006 A1
20060142739 DiSilestro et al. Jun 2006 A1
20060184160 Ozaki et al. Aug 2006 A1
20060241399 Fabian Oct 2006 A1
20060282009 Oberg et al. Dec 2006 A1
20060287645 Tashiro et al. Dec 2006 A1
20070010838 Shelton et al. Jan 2007 A1
20070016235 Tanaka et al. Jan 2007 A1
20070016979 Damaj et al. Jan 2007 A1
20070027459 Horvath et al. Feb 2007 A1
20070038080 Salisbury et al. Feb 2007 A1
20070049947 Menn et al. Mar 2007 A1
20070066970 Ineson Mar 2007 A1
20070078678 DiSilvestro et al. Apr 2007 A1
20070084896 Doll et al. Apr 2007 A1
20070085528 Govari et al. Apr 2007 A1
20070156019 Larkin et al. Jul 2007 A1
20070167702 Hasser et al. Jul 2007 A1
20070168461 Moore Jul 2007 A1
20070173803 Wham et al. Jul 2007 A1
20070175955 Shelton et al. Aug 2007 A1
20070179482 Anderson Aug 2007 A1
20070179508 Arndt Aug 2007 A1
20070191713 Eichmann et al. Aug 2007 A1
20070192139 Cookson et al. Aug 2007 A1
20070203744 Scholl Aug 2007 A1
20070225556 Ortiz et al. Sep 2007 A1
20070225690 Sekiguchi et al. Sep 2007 A1
20070239028 Houser et al. Oct 2007 A1
20070244478 Bahney Oct 2007 A1
20070249990 Cosmescu Oct 2007 A1
20070270660 Caylor et al. Nov 2007 A1
20070282195 Masini et al. Dec 2007 A1
20070282321 Shah et al. Dec 2007 A1
20070282333 Fortson et al. Dec 2007 A1
20070293218 Meylan et al. Dec 2007 A1
20080013460 Allen et al. Jan 2008 A1
20080015664 Podhajsky Jan 2008 A1
20080015912 Rosenthal et al. Jan 2008 A1
20080019393 Yamaki Jan 2008 A1
20080033404 Romoda et al. Feb 2008 A1
20080039742 Hashimshony et al. Feb 2008 A1
20080040151 Moore Feb 2008 A1
20080058593 Gu et al. Mar 2008 A1
20080059658 Williams Mar 2008 A1
20080077158 Haider et al. Mar 2008 A1
20080083414 Messerges Apr 2008 A1
20080091071 Kumar et al. Apr 2008 A1
20080114212 Messerges May 2008 A1
20080114350 Park et al. May 2008 A1
20080129465 Rao Jun 2008 A1
20080140090 Aranyi et al. Jun 2008 A1
20080167644 Shelton et al. Jul 2008 A1
20080177258 Govari et al. Jul 2008 A1
20080177362 Phillips et al. Jul 2008 A1
20080200940 Eichmann et al. Aug 2008 A1
20080234708 Houser et al. Sep 2008 A1
20080235052 Node-Langlois et al. Sep 2008 A1
20080255413 Zemlok et al. Oct 2008 A1
20080262654 Omori et al. Oct 2008 A1
20080272172 Zemlok et al. Nov 2008 A1
20080281301 DeBoer et al. Nov 2008 A1
20080281678 Keuls et al. Nov 2008 A1
20080296346 Shelton, IV et al. Dec 2008 A1
20080306759 Ilkin et al. Dec 2008 A1
20080312953 Claus Dec 2008 A1
20090017910 Rofougaran et al. Jan 2009 A1
20090030437 Houser et al. Jan 2009 A1
20090036750 Weinstein et al. Feb 2009 A1
20090036794 Stubhaug et al. Feb 2009 A1
20090043253 Podaima Feb 2009 A1
20090046146 Hoyt Feb 2009 A1
20090048589 Takashino et al. Feb 2009 A1
20090048611 Funda et al. Feb 2009 A1
20090076409 Wu et al. Mar 2009 A1
20090090763 Zemlok et al. Apr 2009 A1
20090099866 Newman Apr 2009 A1
20090114699 Viola May 2009 A1
20090128084 Johnson et al. May 2009 A1
20090182577 Squilla et al. Jul 2009 A1
20090206131 Weisenburgh, II et al. Aug 2009 A1
20090217932 Voegele Sep 2009 A1
20090234352 Behnke et al. Sep 2009 A1
20090259149 Tahara et al. Oct 2009 A1
20090259221 Tahara et al. Oct 2009 A1
20090270678 Scott et al. Oct 2009 A1
20090299214 Wu et al. Dec 2009 A1
20090306581 Claus Dec 2009 A1
20090307681 Armado et al. Dec 2009 A1
20090326321 Jacobsen et al. Dec 2009 A1
20090326336 Lemke et al. Dec 2009 A1
20100036374 Ward Feb 2010 A1
20100036405 Giordano et al. Feb 2010 A1
20100038403 D'Arcangelo Feb 2010 A1
20100057106 Sorrentino et al. Mar 2010 A1
20100065604 Weng Mar 2010 A1
20100069939 Konishi Mar 2010 A1
20100069942 Shelton, IV Mar 2010 A1
20100070417 Flynn et al. Mar 2010 A1
20100120266 Rimborg May 2010 A1
20100132334 Duclos et al. Jun 2010 A1
20100137845 Ramstein et al. Jun 2010 A1
20100137886 Zergiebel et al. Jun 2010 A1
20100168561 Anderson Jul 2010 A1
20100179831 Brown et al. Jul 2010 A1
20100191100 Anderson et al. Jul 2010 A1
20100198200 Horvath Aug 2010 A1
20100198248 Vakharia Aug 2010 A1
20100204717 Knodel Aug 2010 A1
20100217991 Choi Aug 2010 A1
20100234996 Schreiber et al. Sep 2010 A1
20100235689 Tian et al. Sep 2010 A1
20100250571 Pierce et al. Sep 2010 A1
20100258327 Esenwein et al. Oct 2010 A1
20100292535 Paskar Nov 2010 A1
20100292684 Cybulski et al. Nov 2010 A1
20100301095 Shelton, IV et al. Dec 2010 A1
20110022032 Zemlok et al. Jan 2011 A1
20110036890 Ma Feb 2011 A1
20110043612 Keller et al. Feb 2011 A1
20110046618 Minar et al. Feb 2011 A1
20110071530 Carson Mar 2011 A1
20110077512 Boswell Mar 2011 A1
20110087238 Wang et al. Apr 2011 A1
20110087502 Yelton et al. Apr 2011 A1
20110105277 Shauli May 2011 A1
20110105895 Kornblau et al. May 2011 A1
20110112569 Friedman et al. May 2011 A1
20110118708 Burbank et al. May 2011 A1
20110119075 Dhoble May 2011 A1
20110125149 El-Galley et al. May 2011 A1
20110152712 Cao et al. Jun 2011 A1
20110163147 Laurent et al. Jul 2011 A1
20110166883 Palmer et al. Jul 2011 A1
20110196398 Robertson et al. Aug 2011 A1
20110237883 Chun Sep 2011 A1
20110251612 Faller et al. Oct 2011 A1
20110264000 Paul et al. Oct 2011 A1
20110264078 Lipow et al. Oct 2011 A1
20110265311 Kondo et al. Nov 2011 A1
20110273465 Konishi et al. Nov 2011 A1
20110278343 Knodel et al. Nov 2011 A1
20110290024 Lefler Dec 2011 A1
20110295270 Giordano et al. Dec 2011 A1
20110306840 Allen et al. Dec 2011 A1
20120012638 Huang et al. Jan 2012 A1
20120021684 Schultz et al. Jan 2012 A1
20120022519 Huang et al. Jan 2012 A1
20120029354 Mark et al. Feb 2012 A1
20120046662 Gilbert Feb 2012 A1
20120059684 Hampapur et al. Mar 2012 A1
20120078247 Worrell et al. Mar 2012 A1
20120080336 Shelton, IV et al. Apr 2012 A1
20120083786 Artale et al. Apr 2012 A1
20120100517 Bowditch et al. Apr 2012 A1
20120101488 Aldridge et al. Apr 2012 A1
20120116265 Houser et al. May 2012 A1
20120116381 Houser et al. May 2012 A1
20120116394 Timm et al. May 2012 A1
20120130217 Kauphusman et al. May 2012 A1
20120145714 Farascioni et al. Jun 2012 A1
20120172696 Kallback et al. Jul 2012 A1
20120190981 Harris et al. Jul 2012 A1
20120191091 Allen Jul 2012 A1
20120191162 Villa Jul 2012 A1
20120197619 Namer Yelin et al. Aug 2012 A1
20120203067 Higgins et al. Aug 2012 A1
20120203785 Awada Aug 2012 A1
20120211542 Racenet Aug 2012 A1
20120226150 Balicki et al. Sep 2012 A1
20120245958 Lawrence et al. Sep 2012 A1
20120253329 Zemlok et al. Oct 2012 A1
20120253847 Dell'Anno et al. Oct 2012 A1
20120265555 Cappuzzo et al. Oct 2012 A1
20120292367 Morgan et al. Nov 2012 A1
20120319859 Taub et al. Dec 2012 A1
20130001121 Metzger Jan 2013 A1
20130006241 Takashino Jan 2013 A1
20130008677 Huifu Jan 2013 A1
20130024213 Poon Jan 2013 A1
20130046182 Hegg et al. Feb 2013 A1
20130046279 Niklewski et al. Feb 2013 A1
20130046295 Kerr et al. Feb 2013 A1
20130066647 Andrie et al. Mar 2013 A1
20130090526 Suzuki et al. Apr 2013 A1
20130090755 Kiryu et al. Apr 2013 A1
20130093829 Rosenblatt et al. Apr 2013 A1
20130096597 Anand et al. Apr 2013 A1
20130105552 Weir et al. May 2013 A1
20130116218 Kaplan et al. May 2013 A1
20130131845 Guilleminot May 2013 A1
20130144284 Behnke, II et al. Jun 2013 A1
20130153635 Hodgkinson Jun 2013 A1
20130165776 Blomqvist Jun 2013 A1
20130178853 Hyink et al. Jul 2013 A1
20130191647 Ferrara, Jr. et al. Jul 2013 A1
20130193188 Shelton, IV et al. Aug 2013 A1
20130197531 Boukhny et al. Aug 2013 A1
20130201356 Kennedy et al. Aug 2013 A1
20130206813 Nalagatla Aug 2013 A1
20130214025 Zemlok et al. Aug 2013 A1
20130253480 Kimball et al. Sep 2013 A1
20130256373 Schmid et al. Oct 2013 A1
20130267874 Marcotte et al. Oct 2013 A1
20130268283 Vann et al. Oct 2013 A1
20130277410 Fernandez et al. Oct 2013 A1
20130317837 Ballantyne et al. Nov 2013 A1
20130321425 Greene et al. Dec 2013 A1
20130325809 Kim et al. Dec 2013 A1
20130331873 Ross et al. Dec 2013 A1
20130331875 Ross et al. Dec 2013 A1
20140001231 Shelton, IV et al. Jan 2014 A1
20140001234 Shelton, IV et al. Jan 2014 A1
20140005640 Shelton, IV et al. Jan 2014 A1
20140006132 Barker Jan 2014 A1
20140006943 Robbins et al. Jan 2014 A1
20140009894 Yu Jan 2014 A1
20140013565 MacDonald et al. Jan 2014 A1
20140018788 Engelman et al. Jan 2014 A1
20140029411 Nayak et al. Jan 2014 A1
20140033926 Fassel et al. Feb 2014 A1
20140035762 Shelton, IV et al. Feb 2014 A1
20140066700 Wilson et al. Mar 2014 A1
20140073893 Bencini Mar 2014 A1
20140074076 Gertner Mar 2014 A1
20140081255 Johnson et al. Mar 2014 A1
20140081659 Nawana et al. Mar 2014 A1
20140084949 Smith et al. Mar 2014 A1
20140087999 Kaplan et al. Mar 2014 A1
20140092089 Kasuya et al. Apr 2014 A1
20140107697 Patani et al. Apr 2014 A1
20140108035 Akbay et al. Apr 2014 A1
20140108983 William R. et al. Apr 2014 A1
20140117256 Mueller et al. May 2014 A1
20140121669 Claus May 2014 A1
20140148729 Schmitz et al. May 2014 A1
20140148803 Taylor May 2014 A1
20140163359 Sholev et al. Jun 2014 A1
20140166724 Schellin et al. Jun 2014 A1
20140171778 Tsusaka et al. Jun 2014 A1
20140176576 Spencer Jun 2014 A1
20140187856 Holoien et al. Jul 2014 A1
20140188440 Donhowe et al. Jul 2014 A1
20140194864 Martin et al. Jul 2014 A1
20140195052 Tsusaka et al. Jul 2014 A1
20140204190 Rosenblatt, III et al. Jul 2014 A1
20140226572 Thota et al. Aug 2014 A1
20140243799 Parihar Aug 2014 A1
20140243809 Gelfand et al. Aug 2014 A1
20140243811 Reschke et al. Aug 2014 A1
20140246475 Hall et al. Sep 2014 A1
20140249557 Koch et al. Sep 2014 A1
20140252064 Mozdzierz et al. Sep 2014 A1
20140263541 Leimbach et al. Sep 2014 A1
20140263552 Hall et al. Sep 2014 A1
20140275760 Lee et al. Sep 2014 A1
20140276749 Johnson Sep 2014 A1
20140287393 Kumar et al. Sep 2014 A1
20140296694 Jaworski Oct 2014 A1
20140303660 Boyden et al. Oct 2014 A1
20140303990 Schoenefeld et al. Oct 2014 A1
20140336943 Pellini et al. Nov 2014 A1
20140337052 Pellini et al. Nov 2014 A1
20140364691 Krivopisk et al. Dec 2014 A1
20150006201 Pait et al. Jan 2015 A1
20150025549 Kilroy et al. Jan 2015 A1
20150032150 Ishida et al. Jan 2015 A1
20150051452 Ciaccio Feb 2015 A1
20150051598 Orszulak et al. Feb 2015 A1
20150051617 Takemura et al. Feb 2015 A1
20150053737 Leimbach et al. Feb 2015 A1
20150053743 Yates et al. Feb 2015 A1
20150057675 Akeel et al. Feb 2015 A1
20150062316 Haraguchi et al. Mar 2015 A1
20150066000 An et al. Mar 2015 A1
20150070187 Wiesner et al. Mar 2015 A1
20150073400 Sverdlik et al. Mar 2015 A1
20150077528 Awdeh Mar 2015 A1
20150083774 Measamer et al. Mar 2015 A1
20150108198 Estrella Apr 2015 A1
20150133945 Dushyant et al. May 2015 A1
20150136833 Shelton, IV et al. May 2015 A1
20150140982 Postrel May 2015 A1
20150145682 Harris May 2015 A1
20150148830 Stulen et al. May 2015 A1
20150157354 Bales, Jr. et al. Jun 2015 A1
20150173673 Toth et al. Jun 2015 A1
20150173756 Baxter, III et al. Jun 2015 A1
20150182220 Yates et al. Jul 2015 A1
20150196295 Shelton, IV et al. Jul 2015 A1
20150199109 Lee Jul 2015 A1
20150202014 Kim et al. Jul 2015 A1
20150208934 Sztrubel et al. Jul 2015 A1
20150223725 Engel et al. Aug 2015 A1
20150223868 Brandt et al. Aug 2015 A1
20150237502 Schmidt et al. Aug 2015 A1
20150238355 Vezzu et al. Aug 2015 A1
20150272557 Overmyer et al. Oct 2015 A1
20150272571 Leimbach et al. Oct 2015 A1
20150272574 Leimbach Oct 2015 A1
20150272580 Leimbach et al. Oct 2015 A1
20150272582 Leimbach et al. Oct 2015 A1
20150272694 Charles Oct 2015 A1
20150282821 Look et al. Oct 2015 A1
20150297200 Fitzsimmons et al. Oct 2015 A1
20150297222 Huitema et al. Oct 2015 A1
20150297228 Huitema et al. Oct 2015 A1
20150297233 Huitema et al. Oct 2015 A1
20150297311 Tesar Oct 2015 A1
20150302157 Collar et al. Oct 2015 A1
20150310174 Coudert et al. Oct 2015 A1
20150313538 Bechtel et al. Nov 2015 A1
20150317899 Dumbauld et al. Nov 2015 A1
20150320423 Aranyi Nov 2015 A1
20150324114 Hurley et al. Nov 2015 A1
20150328474 Flyash et al. Nov 2015 A1
20150332003 Stamm et al. Nov 2015 A1
20150332196 Stiller et al. Nov 2015 A1
20150335344 Aljuri et al. Nov 2015 A1
20150374259 Garbey et al. Dec 2015 A1
20160000437 Giordano et al. Jan 2016 A1
20160001411 Alberti Jan 2016 A1
20160015471 Piron et al. Jan 2016 A1
20160022374 Haider et al. Jan 2016 A1
20160034648 Mohlenbrock et al. Feb 2016 A1
20160038224 Couture et al. Feb 2016 A1
20160038253 Piron et al. Feb 2016 A1
20160048780 Sethumadhavan et al. Feb 2016 A1
20160058439 Shelton, IV et al. Mar 2016 A1
20160066913 Swayze et al. Mar 2016 A1
20160078190 Greene et al. Mar 2016 A1
20160100837 Huang et al. Apr 2016 A1
20160106516 Mesallum Apr 2016 A1
20160106934 Hiraga et al. Apr 2016 A1
20160121143 Mumaw et al. May 2016 A1
20160157717 Gaster Jun 2016 A1
20160158468 Tang et al. Jun 2016 A1
20160166336 Razzaque et al. Jun 2016 A1
20160174998 Lal et al. Jun 2016 A1
20160175025 Strobl Jun 2016 A1
20160180045 Syed Jun 2016 A1
20160184054 Lowe Jun 2016 A1
20160192960 Bueno et al. Jul 2016 A1
20160203599 Gillies et al. Jul 2016 A1
20160206202 Frangioni Jul 2016 A1
20160206362 Mehta et al. Jul 2016 A1
20160224760 Petak et al. Aug 2016 A1
20160225551 Shedletsky Aug 2016 A1
20160228061 Kallback et al. Aug 2016 A1
20160228204 Quaid et al. Aug 2016 A1
20160235303 Fleming et al. Aug 2016 A1
20160235402 Chowaniec Aug 2016 A1
20160242836 Eggers et al. Aug 2016 A1
20160249910 Shelton, IV et al. Sep 2016 A1
20160249920 Gupta et al. Sep 2016 A1
20160270861 Guru et al. Sep 2016 A1
20160275259 Nolan et al. Sep 2016 A1
20160278841 Panescu et al. Sep 2016 A1
20160287312 Tegg et al. Oct 2016 A1
20160287316 Worrell et al. Oct 2016 A1
20160287912 Warnking Oct 2016 A1
20160292456 Dubey et al. Oct 2016 A1
20160296246 Schaller Oct 2016 A1
20160302210 Thornton et al. Oct 2016 A1
20160310055 Zand et al. Oct 2016 A1
20160310203 Gaspredes et al. Oct 2016 A1
20160310204 McHenry et al. Oct 2016 A1
20160314716 Grubbs Oct 2016 A1
20160314717 Grubbs Oct 2016 A1
20160321400 Durrant et al. Nov 2016 A1
20160323283 Kang et al. Nov 2016 A1
20160324537 Green et al. Nov 2016 A1
20160331460 Cheatham, III et al. Nov 2016 A1
20160342753 Feazell Nov 2016 A1
20160342916 Arceneaux et al. Nov 2016 A1
20160345857 Jensrud et al. Dec 2016 A1
20160350490 Martinez et al. Dec 2016 A1
20160354160 Crowley et al. Dec 2016 A1
20160354162 Yen et al. Dec 2016 A1
20160361070 Ardel et al. Dec 2016 A1
20160367305 Hareland Dec 2016 A1
20160367401 Claus Dec 2016 A1
20160374665 DiNardo et al. Dec 2016 A1
20160374710 Sinelnikov et al. Dec 2016 A1
20160374723 Frankhouser et al. Dec 2016 A1
20160374762 Case et al. Dec 2016 A1
20160374775 Prpa et al. Dec 2016 A1
20160379504 Bailey et al. Dec 2016 A1
20170000516 Stulen et al. Jan 2017 A1
20170000553 Wiener et al. Jan 2017 A1
20170005911 Kasargod et al. Jan 2017 A1
20170007247 Shelton, IV et al. Jan 2017 A1
20170027603 Pandey Feb 2017 A1
20170042604 McFarland et al. Feb 2017 A1
20170068792 Reiner Mar 2017 A1
20170079530 DiMaio et al. Mar 2017 A1
20170079730 Azizian et al. Mar 2017 A1
20170086829 Vendely et al. Mar 2017 A1
20170086930 Thompson et al. Mar 2017 A1
20170105754 Boudreaux et al. Apr 2017 A1
20170105787 Witt et al. Apr 2017 A1
20170116873 Lendvay et al. Apr 2017 A1
20170127499 Unoson et al. May 2017 A1
20170132374 Lee et al. May 2017 A1
20170132385 Hunter et al. May 2017 A1
20170132785 Wshah et al. May 2017 A1
20170143284 Sehnert et al. May 2017 A1
20170143442 Tesar et al. May 2017 A1
20170151026 Panescu et al. Jun 2017 A1
20170156076 Eom et al. Jun 2017 A1
20170164997 Johnson et al. Jun 2017 A1
20170165008 Finley Jun 2017 A1
20170165012 Chaplin et al. Jun 2017 A1
20170172550 Mukherjee et al. Jun 2017 A1
20170172565 Heneveld Jun 2017 A1
20170172614 Scheib et al. Jun 2017 A1
20170172674 Hanuschik et al. Jun 2017 A1
20170172676 Itkowitz et al. Jun 2017 A1
20170173262 Veltz Jun 2017 A1
20170177807 Fabian Jun 2017 A1
20170181745 Penna et al. Jun 2017 A1
20170185732 Niklewski et al. Jun 2017 A1
20170196583 Sugiyama Jul 2017 A1
20170196637 Shelton, IV et al. Jul 2017 A1
20170202591 Shelton, IV et al. Jul 2017 A1
20170202595 Shelton, IV Jul 2017 A1
20170202605 Shelton, IV et al. Jul 2017 A1
20170202607 Shelton, IV Jul 2017 A1
20170202608 Shelton, IV et al. Jul 2017 A1
20170209145 Swayze et al. Jul 2017 A1
20170215944 Keffeler Aug 2017 A1
20170224332 Hunter et al. Aug 2017 A1
20170224334 Worthington et al. Aug 2017 A1
20170224428 Kopp Aug 2017 A1
20170231553 Igarashi et al. Aug 2017 A1
20170231627 Shelton, IV et al. Aug 2017 A1
20170231628 Shelton, IV et al. Aug 2017 A1
20170245809 Ma et al. Aug 2017 A1
20170249431 Shelton, IV et al. Aug 2017 A1
20170249432 Grantcharov Aug 2017 A1
20170255751 Sanmugalingham Sep 2017 A1
20170262604 Francois Sep 2017 A1
20170265864 Hessler et al. Sep 2017 A1
20170265943 Sela et al. Sep 2017 A1
20170273715 Piron et al. Sep 2017 A1
20170281171 Shelton, IV et al. Oct 2017 A1
20170281173 Shelton, IV et al. Oct 2017 A1
20170281186 Shelton, IV et al. Oct 2017 A1
20170281187 Shelton, IV et al. Oct 2017 A1
20170281189 Nalagatla et al. Oct 2017 A1
20170290585 Shelton, IV et al. Oct 2017 A1
20170296169 Yates et al. Oct 2017 A1
20170296173 Shelton, IV et al. Oct 2017 A1
20170296177 Harris et al. Oct 2017 A1
20170296185 Swensgard et al. Oct 2017 A1
20170296213 Swensgard et al. Oct 2017 A1
20170303984 Malackowski Oct 2017 A1
20170304007 Piron et al. Oct 2017 A1
20170304020 Ng et al. Oct 2017 A1
20170311777 Hirayama et al. Nov 2017 A1
20170312456 Phillips Nov 2017 A1
20170325876 Nakadate et al. Nov 2017 A1
20170325878 Messerly et al. Nov 2017 A1
20170333152 Wade Nov 2017 A1
20170337043 Brincat et al. Nov 2017 A1
20170360358 Amiot et al. Dec 2017 A1
20170360439 Chen et al. Dec 2017 A1
20170360499 Greep et al. Dec 2017 A1
20170367583 Black et al. Dec 2017 A1
20170367695 Shelton, IV et al. Dec 2017 A1
20170367697 Shelton, IV et al. Dec 2017 A1
20170367754 Narisawa Dec 2017 A1
20170367771 Tako et al. Dec 2017 A1
20170367772 Gunn et al. Dec 2017 A1
20170370710 Chen et al. Dec 2017 A1
20180008359 Randle Jan 2018 A1
20180011983 Zuhars et al. Jan 2018 A1
20180014848 Messerly et al. Jan 2018 A1
20180021058 Meglan Jan 2018 A1
20180042659 Rupp et al. Feb 2018 A1
20180049817 Swayze et al. Feb 2018 A1
20180050196 Pawsey et al. Feb 2018 A1
20180052971 Hanina et al. Feb 2018 A1
20180055529 Messerly et al. Mar 2018 A1
20180065248 Barral et al. Mar 2018 A1
20180078170 Panescu et al. Mar 2018 A1
20180098049 Sugano et al. Apr 2018 A1
20180098816 Govari et al. Apr 2018 A1
20180108438 Ryan et al. Apr 2018 A1
20180110523 Shelton, IV Apr 2018 A1
20180116662 Shelton, IV et al. May 2018 A1
20180116735 Tierney et al. May 2018 A1
20180122506 Grantcharov et al. May 2018 A1
20180125590 Giordano et al. May 2018 A1
20180132895 Silver May 2018 A1
20180144243 Hsieh et al. May 2018 A1
20180153436 Olson Jun 2018 A1
20180153574 Faller et al. Jun 2018 A1
20180153628 Grover et al. Jun 2018 A1
20180153632 Tokarchuk et al. Jun 2018 A1
20180154297 Maletich et al. Jun 2018 A1
20180161062 Kaga et al. Jun 2018 A1
20180161716 Li et al. Jun 2018 A1
20180165780 Romeo Jun 2018 A1
20180168574 Robinson et al. Jun 2018 A1
20180168575 Simms et al. Jun 2018 A1
20180168577 Aronhalt et al. Jun 2018 A1
20180168578 Aronhalt et al. Jun 2018 A1
20180168579 Aronhalt et al. Jun 2018 A1
20180168584 Harris et al. Jun 2018 A1
20180168586 Shelton, IV et al. Jun 2018 A1
20180168589 Swayze et al. Jun 2018 A1
20180168590 Overmyer et al. Jun 2018 A1
20180168592 Overmyer et al. Jun 2018 A1
20180168593 Overmyer et al. Jun 2018 A1
20180168597 Fanelli et al. Jun 2018 A1
20180168598 Shelton, IV et al. Jun 2018 A1
20180168601 Bakos et al. Jun 2018 A1
20180168603 Morgan et al. Jun 2018 A1
20180168605 Baber et al. Jun 2018 A1
20180168607 Shelton, IV et al. Jun 2018 A1
20180168608 Shelton, IV et al. Jun 2018 A1
20180168609 Fanelli et al. Jun 2018 A1
20180168610 Shelton, IV et al. Jun 2018 A1
20180168614 Shelton, IV et al. Jun 2018 A1
20180168615 Shelton, IV et al. Jun 2018 A1
20180168617 Shelton, IV et al. Jun 2018 A1
20180168618 Scott et al. Jun 2018 A1
20180168619 Scott et al. Jun 2018 A1
20180168623 Simms et al. Jun 2018 A1
20180168625 Posada et al. Jun 2018 A1
20180168627 Weaner et al. Jun 2018 A1
20180168628 Hunter et al. Jun 2018 A1
20180168629 Shelton, IV et al. Jun 2018 A1
20180168632 Harris et al. Jun 2018 A1
20180168633 Shelton, IV et al. Jun 2018 A1
20180168639 Shelton, IV et al. Jun 2018 A1
20180168647 Shelton, IV et al. Jun 2018 A1
20180168648 Shelton, IV et al. Jun 2018 A1
20180168649 Shelton, IV et al. Jun 2018 A1
20180168650 Shelton, IV et al. Jun 2018 A1
20180168651 Shelton, IV et al. Jun 2018 A1
20180168715 Strobl Jun 2018 A1
20180172420 Hein et al. Jun 2018 A1
20180177383 Noonan et al. Jun 2018 A1
20180177557 Kapadia et al. Jun 2018 A1
20180182475 Cossler et al. Jun 2018 A1
20180183684 Jacobson et al. Jun 2018 A1
20180193579 Hanrahan et al. Jul 2018 A1
20180199995 Odermatt et al. Jul 2018 A1
20180206884 Beaupre Jul 2018 A1
20180206905 Batchelor et al. Jul 2018 A1
20180211726 Courtemanche et al. Jul 2018 A1
20180214025 Homyk et al. Aug 2018 A1
20180221005 Hamel et al. Aug 2018 A1
20180221598 Silver Aug 2018 A1
20180228557 Darisse et al. Aug 2018 A1
20180233222 Daley et al. Aug 2018 A1
20180235719 Jarc Aug 2018 A1
20180235722 Baghdadi et al. Aug 2018 A1
20180242967 Meade Aug 2018 A1
20180247128 Alvi et al. Aug 2018 A1
20180247711 Terry Aug 2018 A1
20180250080 Kopp Sep 2018 A1
20180250084 Kopp et al. Sep 2018 A1
20180250086 Grubbs Sep 2018 A1
20180250825 Hashimoto et al. Sep 2018 A1
20180263699 Murphy et al. Sep 2018 A1
20180263710 Sakaguchi et al. Sep 2018 A1
20180263717 Kopp Sep 2018 A1
20180268320 Shekhar Sep 2018 A1
20180271520 Shelton, IV et al. Sep 2018 A1
20180271603 Nir et al. Sep 2018 A1
20180289427 Griffiths et al. Oct 2018 A1
20180294060 Kassab Oct 2018 A1
20180296286 Peine et al. Oct 2018 A1
20180303552 Ryan et al. Oct 2018 A1
20180304471 Tokuchi Oct 2018 A1
20180310935 Wixey Nov 2018 A1
20180310986 Batchelor et al. Nov 2018 A1
20180315492 Bishop et al. Nov 2018 A1
20180317826 Muhsin et al. Nov 2018 A1
20180317915 McDonald, II Nov 2018 A1
20180317916 Wixey Nov 2018 A1
20180333188 Nott et al. Nov 2018 A1
20180333207 Moctezuma De la Barrera Nov 2018 A1
20180333209 Frushour et al. Nov 2018 A1
20180338806 Grubbs Nov 2018 A1
20180353186 Mozdzierz et al. Dec 2018 A1
20180357383 Allen et al. Dec 2018 A1
20180358112 Sharifi Sedeh et al. Dec 2018 A1
20180360449 Shelton, IV et al. Dec 2018 A1
20180360452 Shelton, IV et al. Dec 2018 A1
20180360454 Shelton, IV et al. Dec 2018 A1
20180360456 Shelton, IV et al. Dec 2018 A1
20180366213 Fidone et al. Dec 2018 A1
20180368930 Esterberg et al. Dec 2018 A1
20180369511 Zergiebel et al. Dec 2018 A1
20190000446 Shelton, IV et al. Jan 2019 A1
20190000448 Shelton, IV et al. Jan 2019 A1
20190000478 Messerly et al. Jan 2019 A1
20190000530 Yates et al. Jan 2019 A1
20190000565 Shelton, IV et al. Jan 2019 A1
20190000569 Crawford et al. Jan 2019 A1
20190001079 Zergiebel et al. Jan 2019 A1
20190005641 Yamamoto Jan 2019 A1
20190006047 Gorek et al. Jan 2019 A1
20190025040 Andreason et al. Jan 2019 A1
20190029712 Stoddard et al. Jan 2019 A1
20190036688 Wasily et al. Jan 2019 A1
20190038335 Mohr et al. Feb 2019 A1
20190038364 Enoki Feb 2019 A1
20190045515 Kwasnick et al. Feb 2019 A1
20190046198 Stokes et al. Feb 2019 A1
20190053801 Wixey et al. Feb 2019 A1
20190053866 Seow et al. Feb 2019 A1
20190059986 Shelton, IV et al. Feb 2019 A1
20190069949 Vrba et al. Mar 2019 A1
20190069962 Tabandeh et al. Mar 2019 A1
20190069964 Hagn Mar 2019 A1
20190069966 Petersen et al. Mar 2019 A1
20190070550 Lalomia et al. Mar 2019 A1
20190070731 Bowling et al. Mar 2019 A1
20190083190 Graves et al. Mar 2019 A1
20190087544 Peterson Mar 2019 A1
20190090969 Jarc et al. Mar 2019 A1
20190099221 Schmidt et al. Apr 2019 A1
20190104919 Shelton, IV et al. Apr 2019 A1
20190110828 Despatie Apr 2019 A1
20190110855 Barral et al. Apr 2019 A1
20190115108 Hegedus et al. Apr 2019 A1
20190125320 Shelton, IV et al. May 2019 A1
20190125321 Shelton, IV et al. May 2019 A1
20190125324 Scheib et al. May 2019 A1
20190125335 Shelton, IV et al. May 2019 A1
20190125336 Deck et al. May 2019 A1
20190125337 Shelton, IV et al. May 2019 A1
20190125338 Shelton, IV et al. May 2019 A1
20190125339 Shelton, IV et al. May 2019 A1
20190125344 DiNardo et al. May 2019 A1
20190125347 Stokes et al. May 2019 A1
20190125348 Shelton, IV et al. May 2019 A1
20190125352 Shelton, IV et al. May 2019 A1
20190125353 Shelton, IV et al. May 2019 A1
20190125354 Deck et al. May 2019 A1
20190125355 Shelton, IV et al. May 2019 A1
20190125356 Shelton, IV et al. May 2019 A1
20190125357 Shelton, IV et al. May 2019 A1
20190125358 Shelton, IV et al. May 2019 A1
20190125359 Shelton, IV et al. May 2019 A1
20190125360 Shelton, IV et al. May 2019 A1
20190125361 Shelton, IV et al. May 2019 A1
20190125378 Shelton, IV et al. May 2019 A1
20190125379 Shelton, IV et al. May 2019 A1
20190125380 Hunter et al. May 2019 A1
20190125381 Scheib et al. May 2019 A1
20190125383 Scheib et al. May 2019 A1
20190125384 Scheib et al. May 2019 A1
20190125385 Scheib et al. May 2019 A1
20190125386 Shelton, IV et al. May 2019 A1
20190125387 Parihar et al. May 2019 A1
20190125388 Shelton, IV et al. May 2019 A1
20190125389 Shelton, IV et al. May 2019 A1
20190125430 Shelton, IV et al. May 2019 A1
20190125431 Shelton, IV et al. May 2019 A1
20190125432 Shelton, IV et al. May 2019 A1
20190125454 Stokes et al. May 2019 A1
20190125455 Shelton, IV et al. May 2019 A1
20190125456 Shelton, IV et al. May 2019 A1
20190125457 Parihar et al. May 2019 A1
20190125458 Shelton, IV et al. May 2019 A1
20190125459 Shelton, IV et al. May 2019 A1
20190125476 Shelton, IV et al. May 2019 A1
20190133703 Seow et al. May 2019 A1
20190142449 Shelton, IV et al. May 2019 A1
20190142535 Seow et al. May 2019 A1
20190145942 Dutriez et al. May 2019 A1
20190150975 Kawasaki et al. May 2019 A1
20190159778 Shelton, IV et al. May 2019 A1
20190162179 O'Shea et al. May 2019 A1
20190163875 Allen et al. May 2019 A1
20190167296 Tsubuku et al. Jun 2019 A1
20190192044 Ravi et al. Jun 2019 A1
20190192157 Scott et al. Jun 2019 A1
20190192236 Shelton, IV et al. Jun 2019 A1
20190200844 Shelton, IV et al. Jul 2019 A1
20190200863 Shelton, IV et al. Jul 2019 A1
20190200905 Shelton, IV et al. Jul 2019 A1
20190200906 Shelton, IV et al. Jul 2019 A1
20190200977 Shelton, IV et al. Jul 2019 A1
20190200980 Shelton, IV et al. Jul 2019 A1
20190200981 Harris et al. Jul 2019 A1
20190200984 Shelton, IV et al. Jul 2019 A1
20190200985 Shelton, IV et al. Jul 2019 A1
20190200986 Shelton, IV et al. Jul 2019 A1
20190200987 Shelton, IV et al. Jul 2019 A1
20190200988 Shelton, IV Jul 2019 A1
20190200996 Shelton, IV et al. Jul 2019 A1
20190200997 Shelton, IV et al. Jul 2019 A1
20190200998 Shelton, IV et al. Jul 2019 A1
20190201020 Shelton, IV et al. Jul 2019 A1
20190201021 Shelton, IV et al. Jul 2019 A1
20190201023 Shelton, IV et al. Jul 2019 A1
20190201024 Shelton, IV et al. Jul 2019 A1
20190201025 Shelton, IV et al. Jul 2019 A1
20190201026 Shelton, IV et al. Jul 2019 A1
20190201027 Shelton, IV et al. Jul 2019 A1
20190201028 Shelton, IV et al. Jul 2019 A1
20190201029 Shelton, IV et al. Jul 2019 A1
20190201030 Shelton, IV et al. Jul 2019 A1
20190201033 Yates et al. Jul 2019 A1
20190201034 Shelton, IV et al. Jul 2019 A1
20190201036 Nott et al. Jul 2019 A1
20190201037 Houser et al. Jul 2019 A1
20190201038 Yates et al. Jul 2019 A1
20190201039 Widenhouse et al. Jul 2019 A1
20190201040 Messerly et al. Jul 2019 A1
20190201041 Kimball et al. Jul 2019 A1
20190201042 Nott et al. Jul 2019 A1
20190201043 Shelton, IV et al. Jul 2019 A1
20190201044 Shelton, IV et al. Jul 2019 A1
20190201045 Yates et al. Jul 2019 A1
20190201046 Shelton, IV et al. Jul 2019 A1
20190201047 Yates et al. Jul 2019 A1
20190201073 Nott et al. Jul 2019 A1
20190201074 Yates et al. Jul 2019 A1
20190201075 Shelton, IV et al. Jul 2019 A1
20190201076 Honda et al. Jul 2019 A1
20190201077 Yates et al. Jul 2019 A1
20190201079 Shelton, IV et al. Jul 2019 A1
20190201080 Messerly et al. Jul 2019 A1
20190201081 Shelton, IV et al. Jul 2019 A1
20190201082 Shelton, IV et al. Jul 2019 A1
20190201083 Shelton, IV et al. Jul 2019 A1
20190201084 Shelton, IV et al. Jul 2019 A1
20190201085 Shelton, IV et al. Jul 2019 A1
20190201086 Shelton, IV et al. Jul 2019 A1
20190201087 Shelton, IV et al. Jul 2019 A1
20190201088 Shelton, IV et al. Jul 2019 A1
20190201090 Shelton, IV et al. Jul 2019 A1
20190201091 Yates et al. Jul 2019 A1
20190201092 Yates et al. Jul 2019 A1
20190201102 Shelton, IV et al. Jul 2019 A1
20190201104 Shelton, IV et al. Jul 2019 A1
20190201105 Shelton, IV et al. Jul 2019 A1
20190201111 Shelton, IV et al. Jul 2019 A1
20190201112 Wiener et al. Jul 2019 A1
20190201113 Shelton, IV et al. Jul 2019 A1
20190201114 Shelton, IV et al. Jul 2019 A1
20190201115 Shelton, IV et al. Jul 2019 A1
20190201116 Shelton, IV et al. Jul 2019 A1
20190201117 Yates et al. Jul 2019 A1
20190201118 Shelton, IV et al. Jul 2019 A1
20190201119 Harris et al. Jul 2019 A1
20190201120 Shelton, IV et al. Jul 2019 A1
20190201123 Shelton, IV et al. Jul 2019 A1
20190201124 Shelton, IV et al. Jul 2019 A1
20190201125 Shelton, IV et al. Jul 2019 A1
20190201126 Shelton, IV et al. Jul 2019 A1
20190201127 Shelton, IV et al. Jul 2019 A1
20190201128 Yates et al. Jul 2019 A1
20190201129 Shelton, IV et al. Jul 2019 A1
20190201130 Shelton, IV et al. Jul 2019 A1
20190201135 Shelton, IV et al. Jul 2019 A1
20190201136 Shelton, IV et al. Jul 2019 A1
20190201137 Shelton, IV et al. Jul 2019 A1
20190201138 Yates et al. Jul 2019 A1
20190201139 Shelton, IV et al. Jul 2019 A1
20190201140 Yates et al. Jul 2019 A1
20190201141 Shelton, IV et al. Jul 2019 A1
20190201142 Shelton, IV et al. Jul 2019 A1
20190201143 Shelton, IV et al. Jul 2019 A1
20190201144 Shelton, IV et al. Jul 2019 A1
20190201145 Shelton, IV et al. Jul 2019 A1
20190201146 Shelton, IV et al. Jul 2019 A1
20190201158 Shelton, IV et al. Jul 2019 A1
20190201159 Shelton, IV et al. Jul 2019 A1
20190201594 Shelton, IV et al. Jul 2019 A1
20190201597 Shelton, IV et al. Jul 2019 A1
20190204201 Shelton, IV et al. Jul 2019 A1
20190205001 Messerly et al. Jul 2019 A1
20190205441 Shelton, IV et al. Jul 2019 A1
20190205566 Shelton, IV et al. Jul 2019 A1
20190205567 Shelton, IV et al. Jul 2019 A1
20190206003 Harris et al. Jul 2019 A1
20190206004 Shelton, IV et al. Jul 2019 A1
20190206050 Yates et al. Jul 2019 A1
20190206216 Shelton, IV et al. Jul 2019 A1
20190206542 Shelton, IV et al. Jul 2019 A1
20190206551 Yates et al. Jul 2019 A1
20190206555 Morgan et al. Jul 2019 A1
20190206556 Shelton, IV et al. Jul 2019 A1
20190206561 Shelton, IV et al. Jul 2019 A1
20190206562 Shelton, IV et al. Jul 2019 A1
20190206563 Shelton, IV et al. Jul 2019 A1
20190206564 Shelton, IV et al. Jul 2019 A1
20190206565 Shelton, IV Jul 2019 A1
20190206569 Shelton, IV et al. Jul 2019 A1
20190206576 Shelton, IV et al. Jul 2019 A1
20190207773 Shelton, IV et al. Jul 2019 A1
20190207857 Shelton, IV et al. Jul 2019 A1
20190207911 Wiener et al. Jul 2019 A1
20190208641 Yates et al. Jul 2019 A1
20190224434 Silver et al. Jul 2019 A1
20190254759 Azizian Aug 2019 A1
20190261984 Nelson et al. Aug 2019 A1
20190269476 Bowling et al. Sep 2019 A1
20190272917 Couture et al. Sep 2019 A1
20190274662 Rockman et al. Sep 2019 A1
20190274705 Sawhney et al. Sep 2019 A1
20190274706 Nott et al. Sep 2019 A1
20190274707 Sawhney et al. Sep 2019 A1
20190274708 Boudreaux Sep 2019 A1
20190274709 Scoggins Sep 2019 A1
20190274710 Black Sep 2019 A1
20190274711 Scoggins et al. Sep 2019 A1
20190274712 Faller et al. Sep 2019 A1
20190274713 Scoggins et al. Sep 2019 A1
20190274714 Cuti et al. Sep 2019 A1
20190274716 Nott et al. Sep 2019 A1
20190274717 Nott et al. Sep 2019 A1
20190274718 Denzinger et al. Sep 2019 A1
20190274719 Stulen Sep 2019 A1
20190274720 Gee et al. Sep 2019 A1
20190274749 Brady et al. Sep 2019 A1
20190274750 Jayme et al. Sep 2019 A1
20190274752 Denzinger et al. Sep 2019 A1
20190278262 Taylor et al. Sep 2019 A1
20190282311 Nowlin et al. Sep 2019 A1
20190290389 Kopp Sep 2019 A1
20190298340 Shelton, IV et al. Oct 2019 A1
20190298341 Shelton, IV et al. Oct 2019 A1
20190298342 Shelton, IV et al. Oct 2019 A1
20190298343 Shelton, IV et al. Oct 2019 A1
20190298346 Shelton, IV et al. Oct 2019 A1
20190298347 Shelton, IV et al. Oct 2019 A1
20190298350 Shelton, IV et al. Oct 2019 A1
20190298351 Shelton, IV et al. Oct 2019 A1
20190298352 Shelton, IV et al. Oct 2019 A1
20190298353 Shelton, IV et al. Oct 2019 A1
20190298354 Shelton, IV et al. Oct 2019 A1
20190298355 Shelton, IV et al. Oct 2019 A1
20190298356 Shelton, IV et al. Oct 2019 A1
20190298357 Shelton, IV et al. Oct 2019 A1
20190298464 Abbott Oct 2019 A1
20190298481 Rosenberg et al. Oct 2019 A1
20190307520 Peine et al. Oct 2019 A1
20190311802 Kokubo et al. Oct 2019 A1
20190314015 Shelton, IV et al. Oct 2019 A1
20190314016 Huitema et al. Oct 2019 A1
20190314081 Brogna Oct 2019 A1
20190320929 Spencer et al. Oct 2019 A1
20190321117 Itkowitz et al. Oct 2019 A1
20190333626 Mansi et al. Oct 2019 A1
20190343594 Garcia Kilroy et al. Nov 2019 A1
20190374140 Tucker et al. Dec 2019 A1
20190374292 Barral et al. Dec 2019 A1
20190378610 Barral et al. Dec 2019 A1
20200000470 Du et al. Jan 2020 A1
20200000509 Hayashida et al. Jan 2020 A1
20200038120 Ziraknejad et al. Feb 2020 A1
20200046353 Deck et al. Feb 2020 A1
20200054317 Pisarnwongs et al. Feb 2020 A1
20200054320 Harris et al. Feb 2020 A1
20200054321 Harris et al. Feb 2020 A1
20200054322 Harris et al. Feb 2020 A1
20200054323 Harris et al. Feb 2020 A1
20200054326 Harris et al. Feb 2020 A1
20200054327 Harris et al. Feb 2020 A1
20200054328 Harris et al. Feb 2020 A1
20200054329 Shelton, IV et al. Feb 2020 A1
20200054330 Harris et al. Feb 2020 A1
20200054331 Harris et al. Feb 2020 A1
20200078070 Henderson et al. Mar 2020 A1
20200078071 Asher Mar 2020 A1
20200078076 Henderson et al. Mar 2020 A1
20200078077 Henderson et al. Mar 2020 A1
20200078078 Henderson et al. Mar 2020 A1
20200078079 Morgan et al. Mar 2020 A1
20200078080 Henderson et al. Mar 2020 A1
20200078081 Jayme et al. Mar 2020 A1
20200078082 Henderson et al. Mar 2020 A1
20200078089 Henderson et al. Mar 2020 A1
20200078096 Barbagli et al. Mar 2020 A1
20200078106 Henderson et al. Mar 2020 A1
20200078110 Henderson et al. Mar 2020 A1
20200078111 Oberkircher et al. Mar 2020 A1
20200078112 Henderson et al. Mar 2020 A1
20200078113 Sawhney et al. Mar 2020 A1
20200078114 Asher et al. Mar 2020 A1
20200078115 Asher et al. Mar 2020 A1
20200078116 Oberkircher et al. Mar 2020 A1
20200078117 Henderson et al. Mar 2020 A1
20200078118 Henderson et al. Mar 2020 A1
20200078119 Henderson et al. Mar 2020 A1
20200078120 Aldridge et al. Mar 2020 A1
20200081585 Petre et al. Mar 2020 A1
20200090808 Carroll et al. Mar 2020 A1
20200100825 Henderson et al. Apr 2020 A1
20200100830 Henderson et al. Apr 2020 A1
20200106220 Henderson et al. Apr 2020 A1
20200162896 Su et al. May 2020 A1
20200168323 Bullington et al. May 2020 A1
20200178760 Kashima et al. Jun 2020 A1
20200178971 Harris et al. Jun 2020 A1
20200193600 Shameli et al. Jun 2020 A1
20200197027 Hershberger Jun 2020 A1
20200203004 Shanbhag et al. Jun 2020 A1
20200214699 Shelton, IV et al. Jul 2020 A1
20200226751 Jin et al. Jul 2020 A1
20200230803 Yamashita et al. Jul 2020 A1
20200237372 Park Jul 2020 A1
20200261075 Boudreaux et al. Aug 2020 A1
20200261076 Boudreaux et al. Aug 2020 A1
20200261077 Shelton, IV et al. Aug 2020 A1
20200261078 Bakos et al. Aug 2020 A1
20200261080 Bakos et al. Aug 2020 A1
20200261081 Boudreaux et al. Aug 2020 A1
20200261082 Boudreaux et al. Aug 2020 A1
20200261083 Bakos et al. Aug 2020 A1
20200261084 Bakos et al. Aug 2020 A1
20200261085 Boudreaux et al. Aug 2020 A1
20200261086 Zeiner et al. Aug 2020 A1
20200261087 Timm et al. Aug 2020 A1
20200261088 Harris et al. Aug 2020 A1
20200261089 Shelton, IV et al. Aug 2020 A1
20200275928 Shelton, IV et al. Sep 2020 A1
20200275930 Harris et al. Sep 2020 A1
20200281665 Kopp Sep 2020 A1
20200305924 Carroll Oct 2020 A1
20200305945 Morgan et al. Oct 2020 A1
20200314569 Morgan et al. Oct 2020 A1
20200348662 Cella et al. Nov 2020 A1
20200405304 Mozdzierz et al. Dec 2020 A1
20200405375 Shelton, IV et al. Dec 2020 A1
20210000555 Shelton, IV et al. Jan 2021 A1
20210007760 Reisin Jan 2021 A1
20210015568 Liao et al. Jan 2021 A1
20210022731 Eisinger Jan 2021 A1
20210022738 Weir et al. Jan 2021 A1
20210022809 Crawford et al. Jan 2021 A1
20210059674 Shelton, IV et al. Mar 2021 A1
20210068834 Shelton, IV et al. Mar 2021 A1
20210076966 Grantcharov et al. Mar 2021 A1
20210128149 Whitfield et al. May 2021 A1
20210153889 Nott et al. May 2021 A1
20210169516 Houser et al. Jun 2021 A1
20210176179 Shelton, IV Jun 2021 A1
20210177452 Nott et al. Jun 2021 A1
20210177489 Yates et al. Jun 2021 A1
20210186454 Behzad et al. Jun 2021 A1
20210192914 Shelton, IV et al. Jun 2021 A1
20210201646 Shelton, IV et al. Jul 2021 A1
20210205020 Shelton, IV et al. Jul 2021 A1
20210205021 Shelton, IV et al. Jul 2021 A1
20210205028 Shelton, IV et al. Jul 2021 A1
20210205029 Wiener et al. Jul 2021 A1
20210205030 Shelton, IV et al. Jul 2021 A1
20210205031 Shelton, IV et al. Jul 2021 A1
20210212602 Shelton, IV et al. Jul 2021 A1
20210212694 Shelton, IV et al. Jul 2021 A1
20210212717 Yates et al. Jul 2021 A1
20210212719 Houser et al. Jul 2021 A1
20210212770 Messerly et al. Jul 2021 A1
20210212771 Shelton, IV et al. Jul 2021 A1
20210212774 Shelton, IV et al. Jul 2021 A1
20210212775 Shelton, IV et al. Jul 2021 A1
20210212782 Shelton, IV et al. Jul 2021 A1
20210219976 DiNardo et al. Jul 2021 A1
20210220058 Messerly et al. Jul 2021 A1
20210240852 Shelton, IV et al. Aug 2021 A1
20210241898 Shelton, IV et al. Aug 2021 A1
20210249125 Morgan et al. Aug 2021 A1
20210251487 Shelton, IV et al. Aug 2021 A1
20210259687 Gonzalez et al. Aug 2021 A1
20210259697 Shelton, IV et al. Aug 2021 A1
20210259698 Shelton, IV et al. Aug 2021 A1
20210282780 Shelton, IV et al. Sep 2021 A1
20210282781 Shelton, IV et al. Sep 2021 A1
20210306176 Park et al. Sep 2021 A1
20210315579 Shelton, IV et al. Oct 2021 A1
20210315580 Shelton, IV et al. Oct 2021 A1
20210315581 Shelton, IV et al. Oct 2021 A1
20210315582 Shelton, IV et al. Oct 2021 A1
20210322014 Shelton, IV et al. Oct 2021 A1
20210322015 Shelton, IV et al. Oct 2021 A1
20210322017 Shelton, IV et al. Oct 2021 A1
20210322018 Shelton, IV et al. Oct 2021 A1
20210322019 Shelton, IV et al. Oct 2021 A1
20210322020 Shelton, IV et al. Oct 2021 A1
20210336939 Wiener et al. Oct 2021 A1
20210353287 Shelton, IV et al. Nov 2021 A1
20210353288 Shelton, IV et al. Nov 2021 A1
20210358599 Alvi et al. Nov 2021 A1
20210361284 Shelton, IV et al. Nov 2021 A1
20220000484 Shelton, IV et al. Jan 2022 A1
20220054158 Shelton, IV et al. Feb 2022 A1
20220079591 Bakos et al. Mar 2022 A1
20220160438 Shelton, IV et al. May 2022 A1
20220175374 Shelton, IV et al. Jun 2022 A1
20220230738 Shelton, IV et al. Jul 2022 A1
20220241027 Shelton, IV et al. Aug 2022 A1
20220249097 Shelton, IV et al. Aug 2022 A1
Foreign Referenced Citations (83)
Number Date Country
2015201140 Mar 2015 AU
2795323 May 2014 CA
101617950 Jan 2010 CN
104490448 Mar 2017 CN
206097107 Apr 2017 CN
108652695 Oct 2018 CN
2037167 Jul 1980 DE
3016131 Oct 1981 DE
3824913 Feb 1990 DE
4002843 Apr 1991 DE
102005051367 Apr 2007 DE
102016207666 Nov 2017 DE
0000756 Oct 1981 EP
0408160 Jan 1991 EP
0473987 Mar 1992 EP
0929263 Jul 1999 EP
1214913 Jun 2002 EP
2730209 May 2014 EP
2732772 May 2014 EP
2942023 Nov 2015 EP
3047806 Jul 2016 EP
3056923 Aug 2016 EP
3095399 Nov 2016 EP
3120781 Jan 2017 EP
3135225 Mar 2017 EP
3141181 Mar 2017 EP
2838234 Oct 2003 FR
2509523 Jul 2014 GB
S5373315 Jun 1978 JP
H07132122 May 1995 JP
H08332169 Dec 1996 JP
2001029353 Feb 2001 JP
2001340350 Dec 2001 JP
2002272758 Sep 2002 JP
2007123394 May 2007 JP
2007300312 Nov 2007 JP
2009039515 Feb 2009 JP
2010057642 Mar 2010 JP
2010131265 Jun 2010 JP
2012065698 Apr 2012 JP
2014155207 Aug 2014 JP
2016174836 Oct 2016 JP
2017047022 Mar 2017 JP
2017513561 Jun 2017 JP
2017526510 Sep 2017 JP
2017532168 Nov 2017 JP
20140104587 Aug 2014 KR
101587721 Jan 2016 KR
WO-9734533 Sep 1997 WO
WO-0024322 May 2000 WO
WO-0108578 Feb 2001 WO
WO-0112089 Feb 2001 WO
WO-0120892 Mar 2001 WO
WO-03079909 Oct 2003 WO
WO-2007137304 Nov 2007 WO
WO-2008053485 May 2008 WO
WO-2008056618 May 2008 WO
WO-2008069816 Jun 2008 WO
WO-2008147555 Dec 2008 WO
WO-2011112931 Sep 2011 WO
WO-2013143573 Oct 2013 WO
WO-2014031800 Feb 2014 WO
WO-2014071184 May 2014 WO
WO-2014134196 Sep 2014 WO
WO-2015054665 Apr 2015 WO
WO-2015129395 Sep 2015 WO
WO-2016093049 Jun 2016 WO
WO-2016100719 Jun 2016 WO
WO-2016118752 Jul 2016 WO
WO-2016206015 Dec 2016 WO
WO-2017011382 Jan 2017 WO
WO-2017011646 Jan 2017 WO
WO-2017058617 Apr 2017 WO
WO-2017058695 Apr 2017 WO
WO-2017151996 Sep 2017 WO
WO-2017183353 Oct 2017 WO
WO-2017189317 Nov 2017 WO
WO-2017205308 Nov 2017 WO
WO-2017210499 Dec 2017 WO
WO-2017210501 Dec 2017 WO
WO-2018116247 Jun 2018 WO
WO-2018152141 Aug 2018 WO
WO-2018176414 Oct 2018 WO
Non-Patent Literature Citations (58)
Entry
US 10,504,709 B2, 12/2019, Karancsi et al. (withdrawn)
Flores et al., “Large-scale Offloading in the Internet of Things,” 2017 IEEE International Conference on Pervasive Computing and Communications Workshops (Percom Workshops), IEEE, pp. 479-484, Mar. 13, 2017.
Kalantarian et al., “Computation Offloading for Real-Time Health-Monitoring Devices,” 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EBMC), IEEE, pp. 4971-4974, Aug. 16, 2016.
Yuyi Mao et al., “A Survey on Mobile Edge Computing: The Communication Perspective,” IEEE Communications Surveys & Tutorials, pp. 2322-2358, Jun. 13, 2017.
Khazaei et al., “Health Informatics for Neonatal Intensive Care Units: An Analytical Modeling Perspective,” IEEE Journal of Translational Engineering in Health and Medicine, vol. 3, pp. 1-9, Oct. 21, 2015.
Benkmann et al., “Concept of iterative optimization of minimally invasive surgery,” 2017 22nd International Conference on Methods and Models in Automation and Robotics (MMAR), IEEE pp. 443-446, Aug. 28, 2017.
Trautman, Peter, “Breaking the Human-Robot Deadlock: Surpassing Shared Control Performance Limits with Sparse Human-Robot Interaction,” Robotics: Science and Systems XIIII, pp. 1-10, Jul. 12, 2017.
Yang et al., “A dynamic stategy for packet scheduling and bandwidth allocation based on channel quality in IEEE 802.16e OFDMA system,” Journal of Network and Computer Applications, vol. 39, pp. 52-60, May 2, 2013.
Takahashi et al., “Automatic smoke evacuation in laparoscopic surgery: a simplified method for objective evaluation,” Surgical Endoscopy, vol. 27, No. 8, pp. 2980-2987, Feb. 23, 2013.
Miksch et al., “Utilizing temporal data abstraction for data validation and therapy planning for artificially ventilated newborn infants,” Artificial Intelligence in Medicine, vol. 8, No. 6, pp. 543-576 (1996).
Horn et al., “Effective data validation of high-frequency data: Time-point-time-interval-, and trend-based methods,” Computers in Biology and Medic, New York, NY, vol. 27, No. 5, pp. 389-409 (1997).
Stacey et al., “Temporal abstraction in intelligent clinical data analysis: A survey,” Artificial Intelligence in Medicine, vol. 39, No. 1, pp. 1-24 (2006).
Zoccali, Bruno, “A Method for Approximating Component Temperatures at Altitude Conditions Based on CFD Analysis at Sea Level Conditions,” (white paper), www.tdmginc.com, Dec. 6, 2018 (9 pages).
Slocinski et al., “Distance measure for impedance spectra for quantified evaluations,” Lecture Notes on Impedance Spectroscopy, vol. 3, Taylor and Francis Group (Jul. 2012)—Book Not Attached.
Engel et al. “A safe robot system for craniofacial surgery”, 2013 IEEE International Conference on Robotics and Automation (ICRA); May 6-10, 2013; Karlsruhe, Germany, vol. 2, Jan. 1, 2001, pp. 2020-2024.
Bonaci et al., “To Make a Robot Secure: An Experimental Analysis of Cyber Security Threats Against Teleoperated Surgical Robots,” May 13, 2015. Retrieved from the Internet: URL:https://arxiv.org/pdf/1504.04339v2.pdf [retrieved on Aug. 24, 2019].
Homa Alemzadeh et al., “Targeted Attacks on Teleoperated Surgical Robots: Dynamic Model-Based Detection and Mitigation,” 2016 46th Annual IEEE/IFIP International Conference on Dependable Systems and Networks (Dsn), IEEE, Jun. 28, 2016, pp. 395-406.
Phumzile Malindi, “5. QoS in Telemedicine,” “Telemedicine,” Jun. 20, 2011, IntechOpen, pp. 119-138.
Staub et al., “Contour-based Surgical Instrument Tracking Supported by Kinematic Prediction,” Proceedings of the 2010 3rd IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics, Sep. 1, 2010, pp. 746-752.
Allan et al., “3-D Pose Estimation of Articulated Instruments in Robotic Minimally Invasive Surgery,” IEEE Transactions on Medical Imaging, vol. 37, No. 5, May 1, 2018, pp. 1204-1213.
Kassahun et al., “Surgical Robotics Beyond Enhanced Dexterity Instrumentation: A Survey of the Machine Learning Techniques and their Role in Intelligent and Autonomous Surgical Actions.” International Journal of Computer Assisted Radiology and Surgery, vol. 11, No. 4, Oct. 8, 2015, pp. 553-568.
Weede et al. “An Intelligent and Autonomous Endoscopic Guidance System for Minimally Invasive Surgery,” 2013 IEEE International Conference on Robotics ad Automation (ICRA), May 6-10, 2013. Karlsruhe, Germany, May 1, 2011, pp. 5762-5768.
Altenberg et al., “Genes of Glycolysis are Ubiquitously Overexpressed in 24 Cancer Classes,” Genomics, vol. 84, pp. 1014-1020 (2004).
Harold I. Brandon and V. Leroy Young, Mar. 1997, Surgical Services Management vol. 3 No. 3. retrieved from the internet <https://www.surgimedics.com/Research%20Articles/Electrosurgical%20Plume/Characterization%20And%20Removal%20Of%20Electrosurgical%20Smoke.pdf> (Year: 1997).
Marshall Brain, How Microcontrollers Work, 2006, retrieved from the internet <https://web.archive.org/web/20060221235221/http://electronics.howstuffworks.com/microcontroller.htm/printable> (Year: 2006).
CRC Press, “The Measurement, Instrumentation and Sensors Handbook,” 1999, Section VII, Chapter 41, Peter O'Shea, “Phase Measurement,” pp. 1303-1321, ISBN 0-8493-2145-X.
Jiang, “‘Sound of Silence’: a secure indoor wireless ultrasonic communication system,” Article, 2014, pp. 46-50, Snapshots of Doctoral Research at University College Cork, School of Engineering—Electrical & Electronic Engineering, UCC, Cork, Ireland.
Li, et al., “Short-range ultrasonic communications in air using quadrature modulation,” Journal, Oct. 30, 2009, pp. 2060-2072, IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control, vol. 56, No. 10, IEEE.
Salamon, “AI Detects Polyps Better Than Colonoscopists” Online Article, Jun. 3, 2018, Medscape Medical News, Digestive Disease Week (DDW) 2018: Presentation 133.
Misawa, et al. “Artificial Intelligence—Assisted Polyp Detection for Colonoscopy: Initial Experience,” Article, Jun. 2018, pp. 2027-2029, vol. 154, Issue 8, American Gastroenterolgy Association.
Dottorato, “Analysis and Design of the Rectangular Microstrip Patch Antennas for TM0n0 operating mode,”Article, Oct. 8, 2010, pp. 1-9, Microwave Journal.
Miller, et al., “Impact of Powered and Tissue-Specific Endoscopic Stapling Technology on Clinical and Economic Outcomes of Video-Assisted Thoracic Surgery Lobectomy Procedures: A Retrospective, Observational Study,” Article, Apr. 2018, pp. 707-723, vol. 35 (Issue 5), Advances in Therapy.
Hsiao-Wei Tang, “ARCM”, Video, Sep. 2012, YouTube, 5 screenshots, Retrieved from internet: <https://www.youtube.com/watch?v=UldQaxb3fRw&feature=youtu.be>.
Giannios, et al., “Visible to near-infrared refractive properties of freshly-excised human-liver tissues: marking hepatic malignancies,” Article, Jun. 14, 2016, pp. 1-10, Scientific Reports 6, Article No. 27910, Nature.
Vander Heiden, et al., “Understanding the Warburg effect: the metabolic requirements of cell proliferation,” Article, May 22, 2009, pp. 1-12, vol. 324, Issue 5930, Science.
Hirayama et al., “Quantitative Metabolome Profiling of Colon and Stomach Cancer Microenvironment by Capillary Electrophoresis Time-of-Flight Mass Spectrometry,” Article, Jun. 2009, pp. 4918-4925, vol. 69, Issue 11, Cancer Research.
Cengiz, et al., “A Tale of Two Compartments: Interstitial Versus Blood Glucose Monitoring,” Article, Jun. 2009, pp. S11-S16, vol. 11, Supplement 1, Diabetes Technology & Therapeutics.
Shen, et al., “An iridium nanoparticles dispersed carbon based thick film electrochemical biosensor and its application for a single use, disposable glucose biosensor,” Article, Feb. 3, 2007, pp. 106-113, vol. 125, Issue 1, Sensors and Actuators B: Chemical, Science Direct.
“ATM-MPLS Network Interworking Version 2.0, af-aic-0178.001” ATM Standard, The ATM Forum Technical Committee, published Aug. 2003.
IEEE Std 802.3-2012 (Revision of IEEE Std 802.3-2008, published Dec. 28, 2012.
IEEE Std No. 177, “Standard Definitions and Methods of Measurement for Piezoelectric Vibrators,” published May 1966, The Institute of Electrical and Electronics Engineers, Inc., New York, N.Y.
Shi et al., An intuitive control console for robotic syrgery system, 2014, IEEE, p. 404-407 (Year: 2014).
Choi et al., A haptic augmented reality surgeon console for a laparoscopic surgery robot system, 2013, IEEE, p. 355-357 (Year: 2013).
Xie et al., Development of stereo vision and master-slave controller for a compact surgical robot system, 2015, IEEE, p. 403-407 (Year: 2015).
Sun et al., Innovative effector design for simulation training in robotic surgery, 2010, IEEE, p. 1735-1759 (Year: 2010).
Anonymous, “Internet of Things Powers Connected Surgical Device Infrastructure Case Study”, Dec. 31, 2016 (Dec. 31, 2016), Retrieved from the Internet: URL:https://www.cognizant.com/services-resources/150110_IoT_connected_surgicai_devices.pdf.
Draijer, Matthijs et al., “Review of laser pseckle contrast techniques for visualizing tissue perfusion,” Lasers in Medical Science, Springer-Verlag, LO, vol. 24, No. 4, Dec. 3, 2008, pp. 639-651.
Roy D Cullum, “Handbook of Engineering Design”, ISBN: 9780408005586, Jan. 1, 1988 (Jan. 1, 1988), XP055578597, ISBN: 9780408005586, 10-20, Chapter 6, p. 138, right-hand column, paragraph 3.
“Surgical instrumentation: the true cost of instrument trays and a potential strategy for optimization”; Mhlaba et al.; Sep. 23, 2015 (Year: 2015).
Nabil Simaan et al, “Intelligent Surgical Robots with Situational Awareness: From Good to Great Surgeons”, DOI: 10.1115/1.2015-Sep-6 external link, Sep. 2015 (Sep. 2015), p. 3-6, Retrieved from the Internet: URL:http://memagazineselect.asmedigitalcollection.asme.org/data/journals/meena/936888/me-2015-sep6.pdf XP055530863.
Anonymous: “Titanium Key Chain Tool 1.1, Ultralight Multipurpose Key Chain Tool, Forward Cutting Can Opener—Vargo Titanium,” vargooutdoors.com, Jul. 5, 2014 (Jul. 5, 2014), retrieved from the internet: https://vargooutdoors.com/titanium-key-chain-tool-1-1.html.
Anonymous: “Screwdriver—Wikipedia”, en.wikipedia.org, Jun. 23, 2019, XP055725151, Retrieved from the Internet: URL:https://en.wikipedia.org/w/index.php?title=Screwdriver&oldid=903111203 [retrieved on Mar. 20, 2021].
Nordlinger, Christopher, “The Internet of Things and the Operating Room of the Future,” May 4, 2015, https://medium.com/@chrisnordlinger/the-internet-of-things-and-the-operating-room-of-the-future-8999a143d7b1, retrieved from the internet on Apr. 27, 2021, 9 pages.
Screen captures from YouTube video clip entitled “Four ways to use the Lego Brick Separator Tool,” 2 pages, uploaded on May 29, 2014 by user “Sarah Lewis”. Retrieved from internet: https://www.youtube.com/watch?v=ucKiRD6U1LU (Year: 2014).
Sorrells, P., “Application Note AN680. Passive RFID Basics,” retrieved from http://ww1.microchip.com/downloads/en/AppNotes/00680b.pdf on Feb. 26, 2020, Dec. 31, 1998, pp. 1-7.
“ATM-MPLS Network Interworking Version 2.0, af-aic-0178.001” ATM Standard, The ATM Forum Technical Committe, published Aug. 2003.
Hu, Jinwen, Stimulations of adaptive temperature control with self-focused hyperthermia system for tumor treatment, Jan. 9, 2012, Ultrasonics 53, pp. 171-177, (Year: 2012).
Lalys, et al., “Automatic knowledge-based recognition of low-level tasks in ophthalmological procedures”, Int J CARS, vol. 8, No. 1, pp. 1-49, Apr. 19, 2012.
Related Publications (1)
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20190125377 A1 May 2019 US
Provisional Applications (12)
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62665139 May 2018 US
62665129 May 2018 US
62665192 May 2018 US
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62665134 May 2018 US
62578835 Oct 2017 US
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