Cilag GmbH International

A system includes a surgical mesh having an upper side and a lower side, where the upper side includes a visual indicia pattern that extends longitudinally along the upper side, and the lower side is configured to adhere to a section of skin of a patient that surrounds a wound. The system further includes a topical skin adhesive configured to be applied to the upper side of the surgical mesh based on the visual indicia pattern. The topical skin adhesive is configured to cure within the surgical mesh to thereby form a protective layer over the wound.

An apparatus includes a shaft and an end effector configured to receive a staple cartridge having staples and a sled. The end effector includes a knife, an anvil jaw, a cartridge jaw, and a blocker coupled to the cartridge jaw. The blocker is vertically translatable relative to the cartridge jaw and the knife between a raised and lowered positions. The blocker in the raised position is configured to directly contact and thereby inhibit distal advancement of the knife, and the blocker in the lowered position is configured to permit distal advancement of the. The blocker is configured to assume the raised position in the absence of an unspent staple cartridge and the lowered position in the presence of an unspent staple cartridge.

Patient biomarkers may be monitored before, during, and/or after thoracic surgery to predict complications, detect complications, track recovery, and/or make pre-, in- and/or post-surgery recommendations to avoid predicted complications and/or mitigate detected complications. Complications (e.g., prolonged air leak or esophageal stricture) may be predicted based on patient parameters and/or biomarker measurements. Complications may be predicted or detected based on biomarker measurements compared to thresholds associated with a biomarker (e.g., developed from baselines) generated based on patient parameters, pre- and/or in-surgery biomarker measurements, and/or surgical details (e.g., decrease in long capacity). Recovery milestones may be tracked based on biomarker measurements compared to predicted biomarker measurements for recovery stages. A recommendation (e.g., to avoid a predicted complication and/or mitigate a detected complication) may be a patient-specific selection and/or modification of more of: surgical preparation, in-surgery procedures, surgical instrument selection, surgical and/or post-surgical instrument settings, post-surgery procedures, in-surgery and/or post-surgery monitoring, etc.

An apparatus includes a cannula that can establish fluid communication with a suction source, and a wound closure path dimensioned to cover a wound in skin. The wound closure patch can receive a topical adhesive to adhere to the skin and form a microbial barrier over the wound. The wound closure patch defines a channel. The wound closure patch includes a top surface, a bottom surface defining at least one channel interposed between the top surface and the bottom surface, and a fluid coupling section in fluid communication with the channel. The fluid coupling section can couple with the cannula to thereby establish fluid communication between the cannula, the channel, and the at least one opening defined by the bottom surface.

Various methods are disclosed. One method includes reading an RFID card that is associated with a surgical instrument when the RFID card is located proximal to an RFID reader and initiating a wireless pairing process with the surgical instrument by the header module. Another method includes receiving an accessory at an accessory port of a modular energy system, communicating via a flexible serial communication interface coupled between a processor and the accessory port, the flexible serial communication interface configured to support multiple communication protocols, and detecting, by a presence detection circuit coupled between the accessory port and the processor, presence of the accessory connected to the accessory port. Other methods include a flexible serial bus power configuration method for a modular energy system and a remote power control interface method for a modular energy system.

Aspects of the present disclosure are presented for a single surgical instrument configured to grasp, seal, and/or cut tissue through application of therapeutic energy, and also detect nerves through application of non-therapeutic electrical energy. A medical device may include two jaws at an end effector, used to apply therapeutic energy and to perform surgical procedures. The therapeutic energy may be in the form of ultrasonic vibrations or higher voltage electrosurgical energy. One of the jaws may be configured to cut tissue through application of the blade. In addition, one or both of the two jaws may be configured to apply nontherapeutic energy for nerve stimulation probing. The application of therapeutic energy may be disabled while the nontherapeutic nerve stimulation energy is applied, and vice versa. The nontherapeutic nerve stimulation energy may be applied to the use of one or more probes positioned near one or both of the jaws.

A staple cartridge including: a proximal end; a distal end; a tissue supporting deck; a staple cavity defined in the deck and configured to hold a staple; a set of guide surfaces disposed adjacent the staple cavity; a driver configured to drive the staple out of the staple cavity; and a sled movable from the proximal end to the distal end of the staple cartridge during a firing stroke to lift the driver. A subset of the set of guide surfaces are movable relative to a remaining set of the set of guide surfaces in response to movement of a movable cartridge component during the firing stroke. The subset of the set of guide surfaces are configured to curl the staple during the firing stroke.

A surgical instrument includes a base and a shaft extending distally from the base along a longitudinal axis. The shaft is configured to rotate relative to the base about the longitudinal axis. The surgical instrument also includes an end effector operatively coupled with the shaft. The end effector is configured to articulate relative to the shaft about an articulation joint. The end effector includes a first jaw and a second jaw configured to cooperate with the first jaw to clamp tissue. The second jaw is configured to support a stapling assembly. The surgical instrument further includes a firing assembly configured to be distally advanced through the shaft for driving distal translation of a staple actuator of the stapling assembly. The firing assembly is configured to be proximally retracted against at least one of the second jaw or the shaft to thereby apply a compression bias to the shaft.

Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit.

In general, devices, systems, and methods for multi-source imaging are provided. In one embodiment, a surgical method includes visualizing, with a first imaging system, a first side of a tissue wall during performance of a surgical procedure, and visualizing, with an endoscopic imaging system, a second, opposite side of the tissue wall during the performance of the surgical procedure. The first imaging system and the endoscopic imaging system are unable to directly visualize each other, and the first imaging system and the endoscopic imaging system are operatively coupled together. The method also includes guiding a first surgical instrument based on the visualization provided by the first imaging system and the visualization provided by the endoscopic imaging system, and guiding a second surgical instrument based on the visualization provided by the endoscopic imaging system and based on the visualization provided by the first imaging system.