Surgical rfid assemblies for display and communication

Surgical RFI P components for display and communication

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a non-provisional application, requiring the priority of the U.S. Provisional Patent Application Serial No. 62/868,457 of the title of "SURGICAL SYSTEMS WITH MULTIPLE RFID TAGS" submitted on June 28, 2019, all of this provisional patent application The disclosure is incorporated herein by reference.

Background technique

[0003] The present invention relates to surgical instruments and, in various embodiments, to surgical cutting and stapling instruments and staple cartridges thereof designed for cutting and stapling tissue. In various embodiments, for example, RFID technology can be used to identify components of a surgical instrument, such as a staple cartridge. Examples of surgical systems using RFID technology can be found in US Patent No. 7,959,050, issued June 14, 2011, entitled ELECTRICALLY SELF-POWERED SURGICAL INSTRUMENT WITH MANUAL RELEASE, and entitled "ERROR DETECTION," issued February 26, 2015 ARRANGEMENTS FOR SURGICAL INSTRUMENT ASSEMBLIES", US Patent Application No. 2015/0053743, both of which are incorporated herein by reference in their entirety.

SUMMARY OF THE INVENTION

[0004] In various embodiments, a control system for a surgical instrument for use with a surgical system is disclosed that includes a first device and a second device. The control system includes an RFID scanner and a control circuit coupled to the RFID scanner. The control circuit is configured to receive first data via the RFID scanner from a first RFID tag associated with the first device, and receive second data via the RFID scanner from a second RFID tag associated with the second device, according to the A data and a second data determine a communication protocol suitable for the first device and the second device, and cause the surgical instrument to communicate with the first device and the second device using the determined communication protocol.

[0005] In various embodiments, a control system for a surgical instrument is disclosed. The control system includes an RFID scanner and control circuitry coupled to the RFID scanner and the display screen. The control circuit is configured to receive first data from a first RFID tag associated with the first device, receive second data from a second RFID tag associated with the second device, and determine based on the first data and the second data Type of surgical procedure.

[0006] In various embodiments, a control system for a surgical instrument is disclosed. The control system includes an RFID scanner and control circuitry coupled to the RFID scanner and the display screen. The control circuit is configured to receive first data via the RFID scanner from a first RFID tag associated with the surgical instrument (the first data identification means) and to receive second data via the RFID scanner from a second RFID tag (the first RFID tag). The second data identifies the user), and determines user settings corresponding to the user and the device.

Description of drawings

[0007] The various aspects are characterized with particularity in the appended claims. However, the various aspects (with respect to surgical tissue and methods) and their further objects and advantages are best understood by reference to the following description taken in conjunction with the following drawings.

[0008] FIG. 1 is a block diagram of a computer-implemented interactive surgical system in accordance with at least one aspect of the present disclosure.

[0009] FIG. 2 is a surgical system for performing a surgical procedure in an operating room in accordance with at least one aspect of the present disclosure.

[0010] FIG. 3 is a surgical hub paired with a visualization system, a robotic system, and an intelligent instrument in accordance with at least one aspect of the present disclosure.

[0011] FIG. 4 illustrates a surgical data network including a modular communication hub configured to enable a Modular units in any room in a medical facility or specially equipped for surgery are connected to the cloud.

[0012] FIG. 5 illustrates a computer-implemented interactive surgical system in accordance with at least one aspect of the present disclosure.

[0013] FIG. 6 illustrates a surgical hub including a plurality of modules coupled to a modular control tower in accordance with at least one aspect of the present disclosure.

[0014] FIG. 7 depicts a control system for a surgical stapling instrument in accordance with at least one aspect of the present disclosure.

[0015] FIG. 7A depicts another control system for a surgical stapling instrument in accordance with at least one aspect of the present disclosure.

[0016] FIG. 8 depicts a stapling head assembly and an anvil of a trocar coupled to the stapling head assembly in accordance with at least one aspect of the present disclosure.

[0017] FIG. 9 illustrates a partial transverse cross-sectional view of an anvil in an incorrectly seated orientation of the stapling head assembly in accordance with at least one aspect of the present disclosure.

[0018] FIG. 10 illustrates a partial longitudinal cross-sectional view of an anvil in an incorrectly seated orientation of the stapling head assembly in accordance with at least one aspect of the present disclosure.

[0019] FIG. 11 illustrates a surgical instrument communicatively coupled to a surgical hub in accordance with at least one aspect of the present disclosure.

[0020] FIG. 12 illustrates a surgical instrument component data sheet in accordance with at least one aspect of the present disclosure.

[0021] FIG. 13 shows a diagram of a surgical hub that detects RFID tags associated with surgical instruments and users in accordance with at least one aspect of the present disclosure.

[0022] FIG. 14 illustrates a cross-sectional view of a surgical instrument including an RFID scanner configured to detect an RFID tag associated with a consumable device, according to at least one aspect of the present disclosure.

[0023] FIG. 15 shows a table of surfaces of various surgical clip types in accordance with at least one aspect of the present disclosure.

[0024] FIG. 16 shows a table of mechanical properties of various surgical clip types in accordance with at least one aspect of the present disclosure.

[0025] FIG. 17 shows a logic flow diagram of a process for determining a surgical instrument communication protocol via an RFID component in accordance with at least one aspect of the present disclosure.

[0026] FIG. 18 illustrates a logic flow diagram of a process for determining surgical procedure information for display via an RFID component in accordance with at least one aspect of the present disclosure.

[0027] FIG. 19 shows a logic flow diagram of a process for determining information customized for a user via an RFID component in accordance with at least one aspect of the present disclosure.

[0028] FIG. 20 illustrates a logic flow diagram of a process for determining whether surgical system components are compatible via an RFID component in accordance with at least one aspect of the present disclosure.

[0029] FIG. 21A shows a perspective view of a first jaw assembly for a surgical clip applier in accordance with at least one aspect of the present disclosure.

[0030] FIG. 21B shows a perspective view of a second jaw assembly for a surgical clip applier in accordance with at least one aspect of the present disclosure.

[0031] FIG. 22 shows a graph depicting control by a control system in accordance with at least one aspect of the present disclosure.

The relationship between the firing force of various surgical clip appliers and the displacement travel.

[0032] FIG. 23 shows a logic flow diagram of a process for determining operational settings of a surgical instrument via an RFID component in accordance with at least one aspect of the present disclosure.

[0033] FIG. 24 illustrates a logic flow diagram of a process for determining surgical instrument operational settings based on consumable type via an RFID component in accordance with at least one aspect of the present disclosure.

[0034] FIG. 25 shows a graph depicting force versus displacement travel for firing various surgical clip appliers controlled by a control system, in accordance with at least one aspect of the present disclosure.

[0035] FIG. 26 illustrates a graph depicting longitudinal cam loading force versus displacement travel for firing various surgical clip appliers controlled by a control system in accordance with at least one aspect of the present disclosure.

[0036] FIG. 27 shows a graph depicting the resilience performance of various types of surgical clips in accordance with at least one aspect of the present disclosure.

[0037] FIG. 28 illustrates a logic flow diagram of a process for determining, via an RFID component, surgical instrument operating settings customized for a user, in accordance with at least one aspect of the present disclosure.

[0038] FIG. 29 illustrates a graphical user interface including a pin height applet in accordance with at least one aspect of the present disclosure.

[0039] FIG. 30 shows a graph depicting force versus displacement travel for firing a surgical stapler as controlled by a control system, in accordance with at least one aspect of the present disclosure.

[0040] FIG. 31 illustrates a graph depicting force versus time for firing of a surgical stapler controlled by a control system in accordance with at least one aspect of the present disclosure.

[0041] FIG. 32 illustrates a logic flow diagram of a process for continuously updating operating parameters via an RFID component in accordance with at least one aspect of the present disclosure.

[0042] FIG. 33 shows a logic flow diagram of a process for updating a default operating algorithm of a surgical instrument via an RFID component in accordance with at least one aspect of the present disclosure.

detailed description

The applicant of this application has the following U.S. patent applications filed on the same date as this application and each of which is incorporated herein by reference in its entirety:

The agent's case number is END9145USNP1/190235-1M, titled "METHOD FOR

AUTHENTICATING THE COMPATIBILITY OF A STAPLE CARTRIDGE WITH A SURGICAL INSTRUMENT";

The agent's case file number is END9146USNP1/190236, titled "SURGICAL INSTRUMENT SYSTEM

COMPRISING AN RFID SYSTEM";

The agent's case number is END9147USNP1/190237, titled "SURGICAL INSTRUMENT

COMPRISING AN RFID SYSTEM FOR TRACKING A MOVABLE COMPONENT";

The agent's case number is END9148USNP1/190238, titled "SURGICAL INSTRUMENT

COMPRISING AN ALIGNED RFID SENSOR";

The agent's case number is END9123USNP1/190239, titled "SURGICAL STAPLING SYSTEM

HAVING AN INFORMATION DECRYPTION PROTOCOL";

The agent's case file number is END9124USNP1/190240, titled "SURGICAL STAPLING SYSTEM

HAVING AN INFORMATION ENCRYPTION PROTOCOL";

The agent's case number is END9125USNP1/190241, titled "SURGICAL STAPLING SYSTEM

HAVING A LOCKOUT MECHANISM FOR AN INCOMPATIBLE CARTRIDGE";

The agent's case number is END9126USNP1/190242, titled "SURGICAL STAPLING SYSTEM

HAVING A FRANGIBLE RFID TAG"; and

The agent's case number is END9127USNP1/190243, titled " PACKAGING FOR A

REPLACEABLE COMPONENT OF A SURGICAL STAPLING SYSTEM".

The applicant of this application has the following U.S. patent applications filed on the same date as this application and each of which is incorporated herein by reference in its entirety:

The agent's case number is END9119USNP1/190245-1M, titled "METHOD OF USING

MULTIPLE RFID CHIPS WITH A SURGICAL ASSEMBLY";

The agent's case number is END9120USNP1/190246, titled "MECHANISMS FOR PROPER

ANVIL ATTACHMENT SURGICAL STAPLING HEAD ASSEMBLY";

The agent's case number is END9121USNP1/190247, titled "MECHANISMS FOR MOTOR

CONTROL ADJUSTMENTS OF A MOTORIZED SURGICAL INSTRUMENT";

The agent's case number is END9122USNP1/190248, titled "SURGICAL INSTRUMENT WITH

BATTERY COMPATIBILITY VERIFICATION FUNCTIONALITY";

The agent's case number is END9131USNP1/190249, titled "SURGICAL SYSTEM WITH RFID

TAGS FOR UPDATING MOTOR ASSEMBLY PARAMETERS";

The agent's case file number is END9132USNP1/190250, titled "SURGICAL SYSTEMS WITH

MULTIPLE RFID TAGS";

The agent's case number is END9149USNP1/190251, titled "RFID IDENTIFICATION

SYSTEMS FOR SURGICAL INSTRUMENTS";

The agent's case number is END9150USNP1/190252, titled "RFID IDENTIFICATION

SYSTEMS FOR SURGICAL INSTRUMENTS";

Attorney's docket number is END9152USNP1/190254, titled "SURGICAL RFID ASSEMBLIES

FOR COMPATIBILITY DETECTION"; and

Attorney's docket number is END9153USNP1/190255, titled "SURGICAL RFID ASSEMBLIES

FOR INSTRUMENT OPERATIONAL SETTING CONTROL"_o

The applicant of the present application has the following U.S. patent applications filed on May 1, 2018 and each of which is incorporated herein by reference in its entirety:

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

U.S. Provisional Patent Application Serial No. 62/665,139, entitled "SURGICAL INSTRUMENTS

COMPRISING CONTROL SYSTEMS";

U.S. Provisional Patent Application Serial No. 62/665,177, entitled "SURGICAL INSTRUMENTS

COMPRISING HANDLE ARRANGEMENTS";

U.S. Provisional Patent Application Serial No. 62/665,128, entitled "MODULAR SURGICAL

INSTRUMENTS";

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

U.S. Provisional Patent Application Serial No. 62/665,134, entitled "SURGICAL CLIP APPLIER".

[0071] The applicant of this application has the following U.S. patent applications filed on August 24, 2018, which are all incorporated herein by reference in their entirety:

U.S. Patent Application Serial No. 16/112,129, entitled "SURGICAL SUTURING INSTRUMENT

CONFIGURED TO MANIPULATE TISSUE USING MECHANICAL AND ELECTRICAL POWER";

U.S. Patent Application Serial No. 16/112,155, entitled "SURGICAL SUTURING INSTRUMENT

COMPRISING A CAPTURE WIDTH WHICH IS LARGER THAN TROCAR DIAMETER";

U.S. Patent Application Serial No. 16/112,168, entitled "SURGICAL SUTURING INSTRUMENT

COMPRISING A NON-CIRCULAR NEEDLE";

U.S. Patent Application Serial No. 16/112,180, entitled "ELECTRICAL POWER OUTPUT CONTROL

BASED ON MECHANICAL FORCES";

U.S. Patent Application Serial No. 16/112,193, entitled "REACTIVE ALGORITHM FOR SURGICAL

SYSTEM";

U.S. Patent Application Serial No. 16/112,099, entitled "SURGICAL INSTRUMENT COMPRISING

AN ADAPTIVE ELECTRICAL SYSTEM";

U.S. Patent Application Serial No. 16/112,112, entitled "CONTROL SYSTEM ARRANGEMENTS FOR

A MODULAR SURGICAL INSTRUMENT";

U.S. Patent Application Serial No. 16/112,119, entitled "ADAPTIVE CONTROL PROGRAMS FOR A

SURGICAL SYSTEM COMPRISING MORE THAN ONE TYPE OF CARTRIDGE";

U.S. Patent Application Serial No. 16/112,097, entitled "SURGICAL INSTRUMENT SYSTEMS

COMPRISING BATTERY ARRANGEMENTS";

U.S. Patent Application Serial No. 16/112,109, entitled "SURGICAL INSTRUMENT SYSTEMS

COMPRISING HANDLE ARRANGEMENTS";

U.S. Patent Application Serial No. 16/112,114, entitled "SURGICAL INSTRUMENT SYSTEMS

COMPRISING FEEDBACK MECHANISMS";

U.S. Patent Application Serial No. 16/112,117, entitled "SURGICAL INSTRUMENT SYSTEMS

COMPRISING LOCKOUT MECHANISMS";

U.S. Patent Application Serial No. 16/112,095, entitled "SURGICAL INSTRUMENTS COMPRISING

A LOCKABLE END EFFECTOR SOCKET";

U.S. Patent Application Serial No. 16/112,121, entitled "SURGICAL INSTRUMENTS COMPRISING

A SHIFTING MECHANISM";

U.S. Patent Application Serial No. 16/112,151, entitled "SURGICAL INSTRUMENTS COMPRISING

A SYSTEM FOR ARTICULATION AND ROTATION COMPENSATION";

U.S. Patent Application Serial No. 16/112,154, entitled "SURGICAL INSTRUMENTS COMPRISING

A BIASED SHIFTING MECHANISM";

U.S. Patent Application Serial No. 16/112,226, entitled "SURGICAL INSTRUMENTS COMPRISING

AN ARTICULATION DRIVE THAT PROVIDES FOR HIGH ARTICULATION ANGLES";

U.S. Patent Application Serial No. 16/112,062, entitled "SURGICAL DISSECTORS AND

MANUFACTURING TECHNIQUES";

U.S. Patent Application Serial No. 16/112,098, entitled "SURGICAL DISSECTORS CONFIGURED

TO APPLY MECHANICAL AND ELECTRICAL ENERGY";

U.S. Patent Application Serial No. 16/1 12,237, entitled "SURGICAL CLIP APPLIER

CONFIGURED TO STORE CLIPS IN A STORED STATE";

U.S. Patent Application Serial No. 16/1 12,245, entitled "SURGICAL CLIP APPLIER

COMPRISING AN EMPTY CLIP CARTRIDGE LOCKOUT";

U.S. Patent Application Serial No. 16/1 12,249, entitled "SURGICAL CLIP APPLIER

COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM";

U.S. Patent Application Serial No. 16/1 12,253, entitled "SURGICAL CLIP APPLIER

COMPRISING ADAPTIVE FIRING CONTROL"; and

U.S. Patent Application Serial No. 16/1 12,257, entitled "SURGICAL CLIP APPLIER

COMPRISING ADAPTIVE CONTROL IN RESPONSE TO A STRAIN GAUGE CIRCUIT".

[0096] The applicant of the present application has the following U.S. patent applications filed on October 26, 2018, which are all incorporated herein by reference in their entirety:

U.S. Patent Application Serial No. 16/172,130, entitled "CLIP APPLIER COMPRISING

INTERCHANGEABLE CLIP RELOADS";

U.S. Patent Application Serial No. 16/172,066, entitled "CLIP APPLIER COMPRISING A

MOVABLE CLIP MAGAZINE";

U.S. Patent Application Serial No. 16/172,078, entitled "CLIP APPLIER COMPRISING A

ROTATABLE CLIP MAGAZINE";

U.S. Patent Application Serial No. 16/172,087, entitled "CLIP APPLIER COMPRISING CLIP

ADVANCING SYSTEMS";

U.S. Patent Application Serial No. 16/172,094, entitled "CLIP APPLIER COMPRISING A CLIP

CRIMPING SYSTEM";

U.S. Patent Application Serial No. 16/172,128, entitled "CLIP APPLIER COMPRISING A

RECIPROCATING CLIP ADVANCING MEMBER";

U.S. Patent Application Serial No. 16/172,168, entitled "CLIP APPLIER COMPRISING A MOTOR

CONTROLLER";

U.S. Patent Application Serial No. 16/172,164, entitled "SURGICAL SYSTEM COMPRISING A

SURGICAL TOOL AND A SURGICAL HUB"; and

U.S. Patent Application Serial No. 16/172,303, entitled "METHOD FOR OPERATING A POWERED

ARTICULATING MULTI-CLIP APPLIER".

The applicant of this application has the following U.S. patent applications filed on December 4, 2018, the disclosures of each of these applications are incorporated herein by reference in their entirety:

U.S. Patent Application Serial No. 16/209,385, entitled "METHOD OF HUB COMMUNICATION,

PROCESSING, STORAGE AND DISPLAY";

U.S. Patent Application Serial No. 16/209,395, entitled "METHOD OF HUB COMMUNICATION";

U.S. Patent Application Serial No. 16/209,403, entitled "METHOD OF CLOUD BASED DATA

ANALYTICS FOR USE WITH THE HUB";

U.S. Patent Application Serial No. 16/209,407, entitled "METHOD OF ROBOTIC HUB

COMMUNICATION, DETECTION, AND CONTROL";

U.S. Patent Application Serial No. 16/209,416, entitled "METHOD OF HUB COMMUNICATION,

PROCESSING,DISPLAY,AND CLOUD ANALYTICS";

U.S. Patent Application Serial No. 16/209,423, entitled "METHOD OF COMPRESSING TISSUE

WITHIN A STAPLING DEVICE AND SIMULTANEOUSLY DISPLAYING THE LOCATION OF THE TISSUE WITHIN THE JAWS";

U.S. Patent Application Serial No. 16/209,427, entitled "METHOD OF USING REINFORCED

FLEXIBLE CIRCUITS WITH MULTIPLE SENSORS TO OPTIMIZE PERFORMANCE OF RADIO FREQUENCY DEVICES";

U.S. Patent Application Serial No. 16/209,433, entitled "METHOD OF SENSING PARTICULATE

FROM SMOKE EVACUATED FROM A PATIENT,ADJUSTING THE PUMP SPEED BASED ON THE SENSED INFORMATION,AND COMMUNICATING THE FUNCTIONAL PARAMETERS OF THE SYSTEM TO THE HUB";

U.S. Patent Application Serial No. 16/209,447, entitled "METHOD FOR SMOKE EVACUATION FOR

SURGICAL HUB";

U.S. Patent Application Serial No. 16/209,453, entitled "METHOD FOR CONTROLLING SMART

ENERGY DEVICES";

U.S. Patent Application Serial No. 16/209,458, entitled "METHOD FOR SMART ENERGY DEVICE

INFRASTRUCTURE";

U.S. Patent Application Serial No. 16/209,465, entitled "METHOD FOR ADAPTIVE CONTROL

SCHEMES FOR SURGICAL NETWORK CONTROL AND INTERACTION";

U.S. Patent Application Serial No. 16/209,478, entitled "METHOD FOR SITUATIONAL

AWARENESS FOR SURGICAL NETWORK OR SURGICAL NETWORK CONNECTED DEVICE CAPABLE OF ADJUSTING FUNCTION BASED ON A SENSED SITUATION OR USAGE";

U.S. Patent Application Serial No. 16/209,490, entitled "METHOD FOR FACILITY DATA

COLLECTION AND INTERPRETATION"; and

U.S. Patent Application Serial No. 16/209,491, entitled "METHOD FOR CIRCULAR STAPLER

CONTROL ALGORITHM ADJUSTMENT BASED ON SITUATIONAL AWARENESS".

Before describing in detail various aspects of surgical devices and systems, it should be noted that the application or use of the illustrative examples is not limited to the details of construction and arrangement of components shown in the accompanying drawings and detailed description . The illustrative examples can be implemented alone or in combination with other aspects, changes and modifications, and can be practiced or carried out in various ways. Furthermore, unless otherwise indicated, the terminology and expressions used herein have been chosen for the convenience of the reader to describe illustrative examples and are not for the purpose of limitation. Furthermore, it is to be understood that one or more of the aspects, aspects and/or examples of expressions described below may be combined with any one or more of the expressions of other aspects, aspects and/or examples described below.

[0123] In conjunction with the co-disclosed present disclosure, various surgical systems and instruments (eg, surgical stapling instruments, surgical clip appliers, surgical stapling instruments) are described. The surgical system and/or instrument includes a radio frequency identification (RFID) system that includes one or more RFID scanners and one or more RFID tags, as discussed in more detail below. Examples of surgical systems using RFID technology are disclosed in US Patent No. 7,959,050 and US Patent Application No. 2015/0053743, both of which

The entire contents of the patents are incorporated herein by reference.

[0124] Radio Frequency Identification (RFID) is used in a variety of industries to track and identify items. RFID relies on radio waves to transmit digitally stored information from an RFID tag to an RFID reader or receiver configured to receive the information. RFID technology uses an RFID tag, sometimes called a chip, containing electronically stored information and an RFID reader for identifying and communicating with the RFID tag. There are two different types of RFID systems - active RFID systems and passive RFID systems. Active RFID systems include an RFID tag that includes an onboard power source to broadcast its signal. The active RFID tag may include a battery within the RFID tag that allows the active RFID tag to operate independently of the RFID reader. Therefore, RFID tags in an active RFID system do not need to wait to receive a signal from an RFID reader before sending information. In contrast, active RFID tags are free to continuously emit signals or beacons. Many commercial active RFID systems typically operate in one of two main frequency ranges - 433MHz and 915MHz, but any suitable frequency range can be used. Typically, an RFID tag must be within a certain distance or frequency range in order to be recognized by its corresponding RFID reader.

[0125] Passive RFID systems include RFID tags that do not include an on-board power source, but instead receive the energy required for operation from an RFID reader. In contrast to active RFID tags, RFID tags in passive RFID systems do not actively signal until prompted. In contrast, passive RFID tags wait to receive information from an RFID reader before sending out a signal. Many commercial passive RFID systems typically operate in three frequency ranges - low frequency "LF), high frequency CHF") & near field communication "NFC) and ultra high frequency "UHF"). The LF bandwidth is 125KHz-134KHz and includes Longer wavelengths, with a shorter read range of approximately one centimeter to ten centimeters. HF and NFC bandwidths are 13.56MHz, and include medium wavelengths, with typical read ranges of one centimeter to one meter. UHF bandwidth is 865MHz - 960MHz, and includes a short high energy wavelength of one meter, which can be converted to a long read range. As mentioned above, any suitable frequency can be used.

[0126] There are various RFID systems that include RFID tags of different sizes. However, some are better suited for technical areas where very small objects need to be tracked. For example, Hitachi Chemical Co. Ltd. is a leading manufacturer in the field of RFID technology. Ultra-small UHF RFID tags manufactured by Hitachi Chemical Co., Ltd. are generally no larger than 1.0 mm to 13 mm, and enable communication between RFID tags and RFID readers over distances of several centimeters or more. Due to its compact nature, Hitachi RFID tags are suitable for very small products that need to be identified. Each Hitachi RFID tag includes an antenna, an IC chip connected to the antenna, and a sealing material that seals the IC chip and the antenna. Because Hitachi RFID tags integrate the antenna and IC chip in one unit, Hitachi RFID tags are very convenient, for example, can be easily attached to any small object using adhesive or tape.

[0127] The Hitachi RFID tag includes a square stainless steel plate and a metal antenna. The antenna includes an LC circuit or any other suitable circuit and is electrically connected to the board. After the board and antenna are connected to each other, the antenna and board are sealed together into a single unit with a sealing material. The sealing material is mainly composed of epoxy resin, carbon and silica to enhance the heat resistance of Hitachi RFID tags. That is to say, the heat resistance of RFID tags basically depends on the heat resistance of the sealing material. The sealing material has high heat resistance and can withstand up to 250°C to 300°C for a short period of time, such as several seconds, and can withstand up to 150°C for a longer period of time. Therefore, Hitachi RFID tags have higher heat resistance than conventional RFID tags and can function normally even at high temperatures. Additional information regarding Hitachi RFID tags can be found in US Patent No. 9,171,244, which is hereby incorporated by reference in its entirety.

surgical hub

1, in various aspects, the RFID systems of the present disclosure can be used in conjunction with a computer-implemented interactive surgical system 11100 that includes one or more surgical systems 11102 and a cloud-based system (eg, Cloud 11104, which may include a remote server 11113 coupled to storage 105). each department of surgery

System 11102 includes at least one surgical hub 11106 in communication with cloud 11104, which may include remote servers 11113. In one example, as shown in FIG. 1, surgical system 11102 includes visualization system 11108, robotic system 11110, and hand-held intelligent surgical instrument 11112, which are configured to communicate with each other and/or with hub 11106. In some aspects, surgical system 11102 may include M number of hubs 11106, N number of visualization systems 11108, O number of robotic systems 11110, and P number of hand-held intelligent surgical instruments 11112, where M, N, O, and P are greater than or An integer equal to one.

[0130] FIG. 2 shows an example of a surgical system 11102 for performing a surgical procedure on a patient lying flat on an operating table 11114 in a surgical operating room 11116. Robotic system 11110 is used as part of surgical system 11102 in a surgical procedure. The robotic system 11110 includes a surgeon's console 11118 , a patient side cart 11120 (surgical robot), and a surgical robotic hub 11122 . The patient side cart 11120 can maneuver at least one removably coupled surgical tool 11117 through a minimally invasive incision in the patient while the surgeon views the surgical site through the surgeon's console 11118. Images of the surgical site may be obtained by a medical imaging device 11124, which may be maneuvered by the patient side cart 11120 to orient the imaging device 11124. The robotic hub 11122 may be used to process images of the surgical site for subsequent display to the surgeon via the surgeon's console 11118.

[0131] Other types of robotic systems may be readily adapted for use with the surgical system 11102. Various examples of robotic systems and surgical tools suitable for use in the present disclosure are described in US Provisional Patent Application Ser. The disclosure of the entirety of is incorporated herein by reference.

Various examples of cloud-based analysis performed by cloud 11104 and suitable for use in the present disclosure are described in U.S. Provisional Patent Application Serial 62/611, entitled "CLOUD-BASED MEDICAL ANALYTICS", filed on December 28, 2017, 340, the disclosure of this provisional patent application is incorporated herein by reference in its entirety.

[0133] In various aspects, the imaging device 11124 includes at least one image sensor and one or more optical components. Suitable image sensors include, but are not limited to, charge coupled device (CCD) sensors and complementary metal oxide semiconductor (CMOS) sensors.

[0134] The optical components of the imaging device 11124 may include one or more illumination sources and/or one or more lenses. One or more illumination sources may be directed to illuminate portions of the surgical field. The one or more image sensors may receive light reflected or refracted from the surgical site, including light reflected or refracted from tissue and/or surgical instruments.

[0135] One or more illumination sources may be configured to radiate electromagnetic energy in the visible spectrum as well as the invisible spectrum. The visible spectrum (sometimes referred to as the optical or luminescence spectrum) is that portion of the electromagnetic spectrum that is visible to (ie, detectable by) the human eye, and may be referred to as visible light or simply light. A typical human eye will respond to wavelengths in air from about 380 nm to about 750 nm.

The invisible spectrum (ie, the non-luminescent spectrum) is the portion of the electromagnetic spectrum that lies below and above the visible spectrum (ie, wavelengths below about 380 nm and above about 750 nm). The invisible spectrum is not detectable by the human eye. Wavelengths greater than about 750 nm are longer than the red visible spectrum, and they become invisible infrared (IR), microwave and radio electromagnetic radiation. Wavelengths less than about 380 nm are shorter than the violet spectrum, and they become invisible ultraviolet, x-ray and y-ray electromagnetic radiation.

[0137] In various aspects, the imaging device 11124 is configured for use in minimally invasive procedures. Examples of imaging devices suitable for use in the present disclosure include, but are not limited to, arthroscopes, angioscopes, bronchoscopes, choledochoscopes, colonoscopes, cytoscopes, duodenoscopes, enteroscopes, esophago-duodenoscopes (gastroscopes) ), endoscopy, laryngoscopy, nasopharyngeal-renal endoscopy, sigmoidoscopy, thoracoscopy and ureteroscopy.

[0138] In one aspect, the imaging device employs multispectral monitoring to discern topography and underlying structure. A multispectral image is an image that captures image data across a specific wavelength range of the electromagnetic spectrum. The wavelengths can be separated by filters or by using instruments that are sensitive to specific wavelengths, including light from frequencies outside the visible range, such as IR and UV. Spectral imaging may allow extraction of additional information that the human eye fails to capture with its red, green and blue receptors. The use of multispectral imaging is described in more detail under the title Advanced Imaging Acquisition Module of US Provisional Patent Application Serial No. 62/611,341, filed December 28, 2017, and entitled "INTERACTIVE SURGICAL PLATFORM," the disclosure of which The entire contents of this document are incorporated herein by reference. After completing a surgical task to perform one or more of the previously described tests on the treated tissue, multispectral monitoring can be a useful tool for repositioning the surgical field.

[0139] It is self-evident that rigorous sterilization of the operating room and surgical equipment is required during any surgical procedure. The stringent hygiene and sterilization conditions required in the "surgical room" (ie, operating room or treatment room) require the highest possible sterility of all medical devices and equipment. Part of this sterilization process is the need to sterilize anything that comes into contact with the patient or penetrates the sterile field, including the imaging device 11124 and its attachments and components. It should be understood that a sterile field may be considered a designated area considered to be free of microorganisms, such as within a tray or sterile towel, or a sterile field may be considered an area around a patient that is ready for a surgical procedure. The sterile area may include properly dressed scrubbing team members, as well as all equipment and fixtures in the area.

In various aspects, visualization system 11108 includes one or more imaging sensors, one or more image processing units, one or more storage arrays, and one or more displays that are strategically placed relative to the sterile field , as shown in Figure 2. In one aspect, visualization system 11108 includes interfaces for HL7, PACS, and EMR. The various components of visualization system 11108 are described under the title Advanced Imaging Acquisition Module" of US Provisional Patent Application Serial 62/611,341, filed December 28, 2017, entitled "INTERACTIVE SURGICAL PLATFORM", the disclosure of which The contents are incorporated herein by reference in their entirety.

[0141] As shown in FIG. 2, the main display 11119 is positioned in the sterile field to be visible to the operator at the operating table 11114. Additionally, the visualization tower 11111 is positioned outside the sterile field. The visualization tower 11111 includes a first non-sterile display 11107 and a second non-sterile display 11109 that face away from each other. Visualization system 11108 directed by hub 11106 is configured to utilize displays 11107, 11109, and 11119 to coordinate information flow to operators inside and outside the sterile field. For example, hub 11106 can cause visualization system 11108 to display a snapshot of the surgical site recorded by imaging device 11124 on non-sterile display 11107 or 11109 while maintaining a live feed of the surgical site on main display 11119 . A snapshot on the non-sterile display 11107 or 11109 may allow a non-sterile operator, for example, to perform diagnostic steps associated with a surgical procedure. In one aspect, the hub 11106 is further configured to be able to route diagnostic input or feedback entered at the visualization tower 11111 by a non-sterile operator to the main display 11119 within the sterile field, wherein Operator view. In one example, the input may be a modified form of the snapshot displayed on the non-sterile display 11107 or 11109, which may be routed through the hub 11106 to the main display 11119.

[0143] Referring to FIG. 2, a surgical instrument 11112 is used in a surgical procedure as part of a surgical system 11102. The hub 11106 is further configured to coordinate the flow of information to the display of the surgical instrument 11112. For example, coordinated information flow is further described in US Provisional Patent Application Serial No. 62/611,341, filed December 28, 2017, entitled "INTERACTIVE SURGICAL PLATFORM," the disclosure of which is incorporated herein by reference in its entirety. . Diagnostic input or feedback entered by a non-sterile operator at visualization tower 11111 may be routed by hub 11106 to surgical instrument display 11237 (FIG. 5) within the sterile field, where the input or feedback may be viewed by the operator of surgical instrument 11112 .

Exemplary surgical instruments suitable for use in surgical system 11102 are described under the title "Surgical Instrument Hardware" in US Provisional Patent Application Serial No. 62/611,341, filed December 28, 2017, entitled "INTERACTIVE SURGICAL PLATFORM," The disclosure of this provisional patent application, for example, is incorporated herein by reference in its entirety.

[0144] Referring now to FIG. 3, a hub 11106 is depicted in communication with a visualization system 11108, a robotic system 11110, and a handheld smart surgical instrument 11112. Hub 11106 includes hub display 11135, imaging module 11138, generator module 11140 (which may include monopolar generator 11142, bipolar generator 11144, and/or ultrasonic generator 11143), communication module 11130, processor module 11132, and storage array 11134. In certain aspects, as shown in FIG. 3 , the hub 11106 also includes a fume extraction module 11126 , a suction/irrigation module 11128 , and/or an operating room mapping module 11133 .

[0145] During surgical procedures, the application of energy to tissue for sealing and/or cutting is often associated with evacuation, aspiration of excess fluid, and/or irrigation of tissue. Fluid, power, and/or data lines from different sources often become tangled during surgical procedures. Valuable time can be lost addressing this issue during the surgical procedure. Disconnecting a line may require disconnecting the line from its corresponding module, which may require resetting the module. The hub modular housing 11136 provides a unified environment for managing power, data, and fluid lines, which reduces the frequency of tangles between such lines.

[0146] Aspects of the present disclosure provide surgical hubs for use in surgical procedures involving the application of energy to tissue at a surgical site. The surgical hub includes a hub housing and a combined generator module slidably received in a docking base of the hub housing. The docking base includes data contacts and power contacts. The combined generator module includes two or more of an ultrasonic energy generator component, a bipolar RF energy generator component, and a monopolar RF energy generator component seated in a single unit. In one aspect, the combination generator module further includes a fume extraction component for connecting the combination generator module to at least one energy delivery cable of a surgical instrument, configured to exhaust smoke generated by applying therapeutic energy to tissue, At least one fume extraction component for fluids and/or particles, and a fluid line extending from the remote surgical site to the fume extraction component.

[0147] In one aspect, the fluid line is a first fluid line, and the second fluid line extends from the remote surgical site to an aspiration and irrigation module slidably received in the hub housing. In one aspect, the hub housing includes a fluid interface.

[0148] Certain surgical procedures may require the application of more than one type of energy to tissue. One type of energy may be more beneficial for cutting tissue, while a different type of energy may be more beneficial for sealing tissue. For example, a bipolar generator can be used to seal tissue, while an ultrasonic generator can be used to cut the sealed tissue. Aspects of the present disclosure provide a solution in which the hub modular housing 11136 is configured to accommodate different generators and facilitate interactive communication between them. One of the advantages of the hub modular housing 11136 is to enable quick removal and/or replacement of various modules.

[0149] Aspects of the present disclosure provide modular surgical housings for use in surgical procedures involving the application of energy to tissue. The modular surgical housing includes a first energy generator module configured to generate a first energy for application to tissue, and a first docking base including a first docking station a port, the first docking port including first data and power contacts, wherein the first energy generator module is slidably movable into electrical engagement with the power and data contacts, and wherein the first energy generator module is slidably movable out of electrical engagement with the first power and data contacts,

[0150] Further to the above, the modular surgical housing further includes a second energy generator module configured to generate a second energy different from the first energy for application to the tissue, and a second docking base that includes a second docking port that includes second data and power contacts that

wherein the second energy generator module is slidably movable into electrical engagement with the power and data contacts, and wherein the second energy generator is slidably movable out of electrical contact with the second power and data contacts.

In addition, the modular surgical housing also includes a communication bus between the first docking port and the second docking port, which is configured to facilitate communication between the first energy generator module and the second energy generator module Communication.

FIG. 4 shows a surgical data network 11201 including a modular communication hub 11203 configured to enable modular devices located in one or more operating rooms of a medical facility or specially equipped for use in Any room in a surgically operated medical facility is connected to a cloud-based system (eg, cloud 11204, which may include remote server 11213 coupled to storage device 11205, as shown in FIG. 5). In one aspect, the modular communication hub 11203 includes a network hub 11207 and/or a network switch 11209 in communication with a network router. Modular communication hub 11203 may also be coupled to local computer system 11210 to provide local computer processing and data manipulation. Surgical data network 11201 can be configured as passive, intelligent or switched. A passive surgical data network acts as a conduit for data, enabling its transfer from one device (or segment) to another device (or segment) as well as cloud computing resources. The intelligent surgical data network includes additional features to enable monitoring of traffic across the surgical data network and configuration of each port in the network hub 11207 or network switch 11209. An intelligent surgical data network may be referred to as a managed hub or switch. The switching hub reads the destination address of each packet and then forwards the packet to the correct port.

[0153] The modular devices 1a-1n located in the operating room may be coupled to the modular communication hub 11203. A network hub 11207 and/or a network switch 11209 may be coupled to a network router 11211 to connect the devices 1a-1n to the cloud 11204 or local computer system 11210. Data associated with devices 1a-1n may be transferred via routers to cloud-based computers for remote data processing and manipulation. Data associated with devices 1a-1n may also be communicated to local computer system 11210 for local data processing and manipulation. Modular devices 2a-2m located in the same operating room may also be coupled to network switch 11209. Network switch 11209 may be coupled to network hub 11207 and/or network router 11211 to connect device 2a2m to cloud 11204. Data associated with devices 2a-2n may be communicated via network router 11211 to cloud 11204 for data processing and manipulation. Data associated with devices 2a-2m may also be communicated to local computer system 11210 for local data processing and manipulation.

[0154] It should be appreciated that the surgical data network 11201 may be extended by interconnecting a plurality of network hubs 11207 and/or a plurality of network switches 11209 with a plurality of network routers 11211. The modular communication hub 11203 may be included in a modular control tower configured to receive multiple devices 1a-1n/2a-2m. Local computer system 11210 may also be included in the modular control tower. The modular communication hub 11203 is connected to the display 11212 to display images obtained by some of the devices 1a-1n/2a-2m, for example, during a surgical procedure. In various aspects, the devices 1a-1n/2a2m may include, for example, various modules such as an imaging module 11138 coupled to an endoscope, a generator module 11140 coupled to an energy-based surgical device, a smoke evacuation module 11126, a smoke extraction module 11126, a Suction/Irrigation Module 11128, Communication Module 11130, Processor Module 11132, Storage Array 11134, Surgical Device Connected to Display, and/or Other Modular Devices Connectable to Modular Communication Hub 11203 of Surgical Data Network 11201 Touch sensor module.

In one aspect, the surgical data network 11201 may include a network hub(s), a network switch(s), and a network switch(s) that connect the devices 1a-1n/2a-2m to the cloud A combination of network routers. Any or all of the devices 1a-1n/2a-2m coupled to a network hub or network switch may collect data in real-time and transmit the data to a cloud computer for data processing and manipulation. It should be understood that cloud computing relies on sharing computing resources, rather than using local servers or personal devices to process software applications. The term "cloud" may be used as a metaphor for "internet", although the term is not so limited. Thus, the term "cloud computing" may be used herein to refer to "types of Internet-based computing,"

where different services (such as servers, storage and applications) are delivered to modular communication hubs 11203 and/or computer systems 11210 located in surgical rooms (eg, fixed, mobile, temporary or on-site operating rooms or spaces) and via the Internet Devices connected to Modular Communication Hub 11203 and/or Computer System 11210. Cloud infrastructure may be maintained by cloud service providers. In this case, the cloud service provider may be the entity that coordinates the use and control of the devices 1a-1n/2a-2m located in one or more operating rooms. Cloud computing services can perform extensive computations based on data collected by intelligent surgical instruments, robots, and other computerized devices located in operating rooms. Hub hardware enables multiple devices or connections to connect to a computer in communication with cloud computing resources and storage.

[0156] Applying cloud computer data processing techniques to the data collected by the devices 1a-1n/2a-2m, the surgical data network provides improved surgical outcomes, reduced costs and improved patient satisfaction. At least some of the devices 1a-1n/2a-2m may be employed to observe tissue status to assess leakage or perfusion of the sealed tissue following the tissue sealing and cutting procedure. At least some of the devices 1a-1n/2a-2m may be employed to identify pathology, such as the effects of disease, using cloud-based computing to examine data including images of body tissue samples for diagnostic purposes. This includes localization and edge confirmation of tissues and phenotypes. At least some of the devices 1a-1n/2a-2m may be employed to identify the anatomy of the body using various sensors integrated with imaging devices and techniques, such as overlaying images captured by multiple imaging devices. Data collected by devices 1a-1n/2a-2m, including image data, may be transmitted to cloud 11204 or local computer system 11210 or both for data processing and manipulation, including image processing and manipulation. Data can be analyzed to improve surgical procedure outcomes by determining whether further treatments such as endoscopic interventions, emerging technologies, targeted radiation, targeted interventions, and the application of precision robotics to tissue-specific sites and conditions can be pursued. Class data analysis can be further processed with result analysis, and using standardized methods can provide Useful feedback to confirm surgical treatment and surgeon behavior, or suggest modifications to surgical treatment and surgeon behavior.

[0157] In one implementation, the operating room devices 1a-1n may be connected to the modular communication hub 11203 through wired channels or wireless channels, depending on the configuration of the devices 1a-1n to the network hub. In one aspect, the hub 11207 may be implemented as a local network broadcaster operating on the physical layer of the Open Systems Interconnection (OSI) model. The network hub provides connections to devices 1a-1n located in the same operating room network. The hub 11207 collects data in packets and sends it to the router in half-duplex mode. The network hub 11207 does not store any Media Access Control/Internet Protocol (MAC/IP) used to communicate device data. Only one of the devices 1a-1n can send data through the hub 11207 at a time. The network hub 11207 has no routing tables or intelligence about where to send the information and broadcast all network data on each connection and through the cloud 11204 to the remote server 11213 (FIG. 5). The network hub 11207 can detect basic network errors such as collisions, but broadcasting all information to multiple ports can introduce security risks and cause bottlenecks.

[0158] In another implementation, the operating room devices 2a-2m may be connected to the network switch 11209 through a wired channel or a wireless channel. The network switch 11209 operates in the data link layer of the OSI model. The network switch 11209 is a multicast device for connecting the devices 2a-2m located in the same operating room to the network. Network switch 11209 sends data to network router 11211 in frames and operates in full duplex mode. Multiple devices 2a-2m can transmit data simultaneously through the network switch 11209. Network switch 11209 stores and uses the MAC addresses of devices 2a-2m to transmit data.

[0159] The network hub 11207 and/or the network switch 11209 are coupled to the network router 11211 to connect to the cloud 11204. Network router 11211 works in the network layer of the OSI model. Network router 11211 generates routes for transmitting packets received from network hub 11207 and/or network switch 11209 to cloud-based computer resources for further processing and manipulation by any of devices 1a-1n/2a-2m or all collected data. Network router 11211 may be employed to connect two or more different networks located in different locations, such as, for example, different hands of the same medical facility.

operating rooms or different networks of different operating rooms located in different medical facilities. Network router 11211 sends data to cloud 11204 in packets and operates in full duplex mode. Multiple devices can send data simultaneously. The network router 11211 uses the IP address to transmit data.

[0160] In one example, the network hub 11207 may be implemented as a USB hub that allows multiple USB devices to connect to a host. A USB hub can expand a single USB port to multiple levels so that more ports are available for connecting devices to a host system computer. Network hub 11207 may include wired or wireless capabilities for receiving information over wired or wireless channels. In one aspect, a wireless USB short-range, high-bandwidth wireless radio communication protocol may be used for communication between device 1a1n and devices 2a-2m located in the operating room.

In other examples, the operating room devices 1a-1n/2a-2m may communicate with the modular communication hub 11203 via the Bluetooth wireless technology standard for short distances (using 2.4 to 2.485 GHz in the ISM band) wavelength UHF radio waves) to exchange data from stationary and mobile devices and build Personal Area Networks (PANs). In other aspects, the operating room devices 1a-1n/2a-2m may communicate with the modular communication hub 11203 via a variety of wireless or wired communication standards or protocols, including but not limited to Wi-Fi (IEEE 802.11 series), WiMAX (IEEE 802.16 Series), IEEE 802.20, Long Term Evolution (LTE), Ev-DO, HSPA+, HSDPA+, HSUPA+, EDGE, GSM, GPRS, CDMA, TDMA, DECT, and their Ethernet derivatives, and designated as 3G, 4G, 5G and Any other wireless and wired protocols above. The computing module may include multiple communication modules. For example, the first communication module may be dedicated to shorter range wireless communications such as Wi-Fi and Bluetooth, and the second communication module may be dedicated to longer range wireless communication such as GPS, EDGE, GPRS, CDMA, WiMAX, LTE, Ev-DO et al.

[0162] The modular communication hub 11203 may serve as a central connection for one or all of the operating room devices 1a-1n/2a-2m, and handle a type of data known as a frame. Frames carry data generated by devices 1a-1n/2a-2m. When the frame is received by the modular communication hub 11203, it is amplified and transmitted to the network router 11211, which transmits the data to the cloud computing resource using a number of wireless or wired communication standards or protocols as described herein.

[0163] The modular communication hub 11203 can be used as a stand-alone device or connected to compatible network hubs and network switches to form larger networks. The modular communication hub 11203 is generally easy to install, configure and maintain, making it a good option for networking the operating room devices 1a-1n/2a-2m.

[0164] FIG. 5 shows an interactive surgical system 11200 implemented by a computer. The computer-implemented interactive surgical system 11200 is similar to the computer-implemented interactive surgical system 11100 in many respects. For example, the computer-implemented interactive surgical system 11200 includes one or more surgical systems 11202 that are similar in many respects to the surgical system 11102. Each surgical system 11202 includes at least one surgical hub 11206 in communication with a cloud 11204 that may include a remote server 11213 . In one aspect, the computer-implemented interactive surgical system 11200 includes a modular control tower 11236 that connects to a plurality of operating room devices, such as, for example, smart surgical instruments, robots, and other computerized devices located in the operating room . As shown in FIG. 6 , modular control tower 11236 includes modular communication hub 11203 coupled to computer system 11210 . As shown in the example of FIG. 5 , modular control tower 11236 is coupled to imaging module 11238 (which is coupled to endoscope 11239 ), generator module 11240 coupled to energy device 11241 , smoke extractor module 11226 , suction/irrigation module 11228, communication module 11230, processor module 11232, storage array 11234, Smart device/instrument 11235 and contactless sensor module 11242 optionally coupled to display 11237. Operating room equipment is coupled to cloud computing resources and data storage via modular control tower 11236. Robotic hub 11222 may also be connected to modular control tower 11236 and cloud computing resources. Devices/apparatus 11235 and visualization system 11208, among others, may be coupled to modular control tower 11236 via wired or wireless communication standards or protocols, as described herein. Modular control tower 11236 can be coupled to hub displays 11215 (eg, monitors, screens) to display and overlay slave imaging modules, device/instrument displays and/or

or other images received by the visualization system 11208. The hub display may also combine images and overlay images to display data received from devices connected to the modular control tower.

[0165] FIG. 6 shows a surgical hub 11206 including a plurality of modules coupled to a modular control tower 11236. Modular control tower 11236 includes modular communication hub 11203 (eg, network connectivity device) and computer system 11210 to provide, eg, local processing, visualization, and imaging. As shown in FIG. 6 , the modular communication hub 11203 can configure connections in a hierarchical configuration to expand the number of modules (eg, devices) that can be connected to the modular communication hub 11203 and communicate data associated with the modules to the computer system 11210 , cloud computing resources, or both. As shown in Figure 6, each of the network hubs/switches in the modular communication hub 11203 includes three downstream ports and one upstream port . An upstream hub/switch is connected to the processor to provide a communication connection with cloud computing resources and the local display 11217. Communication with the cloud 11204 may be through wired or wireless communication channels.

[0166] The surgical hub 11206 employs a non-contact sensor module 11242 to measure the dimensions of the operating room, and uses an ultrasonic or laser type non-contact measurement device to generate a map of the surgical room. Ultrasound-based non-contact sensor module scans operating rooms by transmitting a burst of ultrasound and receiving echoes as it bounces off the walls of the operating room, as described in a US interim titled "INTERACTIVE SURGICAL PLATFORM" filed December 28, 2017 Patent Application Serial No. 62/611,341 is described under the title Surgical Hub Spatial Awareness Within an Operating Room, which is incorporated by reference in its entirety, wherein the sensor module is configured to be able to size the operating room and adjust for Bluetooth pairing distance restrictions. The laser-based non-contact sensor module scans the operating room by transmitting laser pulses, receiving laser pulses that bounce off the walls of the operating room, and comparing the phase of the transmitted pulses with the received pulses to determine the size and adjustment of the operating room Bluetooth pairing distance limit.

[0167] The computer system 11210 includes a processor 11244 and a network interface 11245. The processor 11244 is coupled to the communication module 11247, the storage device 11248, the memory 11249, the non-volatile memory 11250, and the input/output interface 11251 via the system bus. The system bus can be any of several types of bus structures, including a memory bus or memory controller, a peripheral bus or external bus, and/or a local bus using any of the various available bus architectures, including but not limited to 9-bit bus, Industry Standard Architecture (ISA), Micro Channel Architecture (MSA), Extended ISA (EISA), Intelligent Drive Electronics (QDE), VESA Local Bus (VLB), Peripheral Component Interconnect (PCI), USB, Advanced Graphics Port (AGP), Personal Computer Memory Card International Association bus (PCMCIA), Small Computer System Interface (SCSI) or any other peripheral bus.

[0168] The controller 11244 may be any single-core or multi-core processor, such as those offered by Texas Instruments under the tradename ARM Cortex. In one aspect, the processor may be an on-chip commercially available, eg, Texas Instruments LM4F230H5QR ARM Cortex-M4F processor core that includes 256KB of single-cycle flash or other non-volatile memory (up to 40MHz) Memory, prefetch buffer for improved execution above 40MHz, 32KB single-cycle sequential random access memory (SRAM), internal read only memory (ROM) loaded with Stellaris Ware® software, 2KB electrically erasable programmable only memory Read memory (EEPROM), and/or one or more pulse width modulation (PWM) modules, one or more quadrature encoder input (QEI) analog, one or more 12-bit analog-to-digital with 12 analog input channels Converter (ADC), details of which can be found in the product data sheet.

In one aspect, the processor 11244 may include a safety controller including two series based controllers (such as the TMS570 and RM4x), also known to be produced by Texas Instruments 's trade name is Hercules ARM Cortex R4. The safety controller can be configured specifically for IEC 61508 and ISO 26262 safety critical applications, among others, to provide advanced integrated safety features while delivering scalable execution, connectivity and memory options.

[0170] System memory includes volatile memory and non-volatile memory. A basic input/output system (BIOS), which contains the basic routines for transferring information between elements within a computer system, such as during startup, is stored in non-volatile memory. For example, nonvolatile memory may include ROM, programmable ROM (PROM), electrically programmable ROM (EPROM), EEPROM, or flash memory. Volatile memory includes random access memory (RAM) that acts as external cache memory. Additionally, RAM is available in various forms such as SRAM, Dynamic RAM (DRAM), Synchronous DRAM (SDRAM), Double Data Rate SDRAM (DDR SDRAM) Enhanced SDRAM (ESDRAM), Synchronous Link DRAM (SLDRAM), and Direct Rambus RAM ( DRRAM).

[0171] The computer system 11210 also includes removable/non-removable, volatile/non-volatile computer storage media, such as, for example, disk storage. Disk storage includes, but is not limited to, devices such as disk drives, floppy disk drives, tape drives, Jaz drives, Zip drives, LS-60 drives, flash memory cards, or memory sticks. In addition, magnetic disk storage may include storage media alone or in combination with other storage media, including but not limited to optical disk drives such as compact disk ROM devices (CD-ROMs), compact disk recordable drives (CD-R drives), compact disk rewritable drives (CD-RW drive) or digital versatile disk ROM drive (DVD-ROM). To facilitate the connection of the disk storage device to the system bus, removable or non-removable interfaces may be used.

[0172] It should be understood that computer system 11210 includes software that acts as an intermediary between a user and the basic computer resources described in a suitable operating environment. Such software includes operating systems. An operating system, which may be stored on disk storage, is used to control and allocate the resources of the computer system. System applications utilize the operating system to manage resources through program modules and program data stored in system memory or disk storage. It should be understood that the various components described herein may be implemented with various operating systems or combinations of operating systems.

[0173] A user enters commands or information into computer system 11210 through input device(s) coupled to I/O interface 11251. Input devices include, but are not limited to, pointing devices such as mice, touch balls, styluses, touch pads, keyboards, microphones, joysticks, game pads, satellite dishes, scanners, TV tuner cards, digital cameras, digital video cameras, material camera, etc. These and other input devices are connected to the processor via the interface terminal(s) through the system bus. The interface port(s) include, for example, Serial, Parallel, Game, and USB. The output device(s) use the same type of ports as the input device(s). Thus, for example, a USB port can be used to provide input to a computer system and output information from the computer system to an output device. Output adapters are provided to illustrate the presence of some output devices (such as monitors, displays, speakers, and printers) that require special adapters among other output devices. Output adapters include, by way of example, but are not limited to, providing connections between output devices and a system bus The device's video and sound cards. It should be noted that other devices or systems such as remote computer(s) provide both input and output capabilities.

[0174] Computer system 11210 may operate in a networked environment using logical connections to one or more remote computers (such as cloud computer(s)) or local computers. The remote cloud computer(s) may be personal computers, servers, routers, network PCs, workstations, microprocessor-based appliances, peer-to-peer devices, or other public network nodes, etc., and generally include those described with respect to computer systems many or all of the elements. For simplicity, only the memory storage device is shown with the remote computer(s). The remote computer(s) are logically connected to the computer system through a network interface, and then physically connected via a communication connection. Network interfaces encompass communication networks such as local area networks (LANs) and wide area networks (WANs). LAN technologies include Fiber Distributed Data Interface (FDDI), Copper Distributed Data Interface (CDDI), Ethernet/IEEE 802.3, Token Ring/IEEE 802.5, and the like. WAN technologies include, but are not limited to, point-to-point links, circuit-switched networks such as Integrated Services Digital Network (ISDN) and variants thereof, packet-switched networks, and Digital Subscriber Line (DSL). [0175] In various aspects, the computer system 11210 of FIG. 6, the imaging module 11238 of FIGS. 5-6, and/or the visualization system

System 11208, and/or processor module 11232, may include an image processor, an image processing engine, a media processor, or any dedicated digital signal processor (DSP) for processing digital images. Image processors may employ parallel computing with single instruction; multiple data (SIMD); or multiple instruction, multiple data (MIMD) techniques to increase speed and efficiency. A digital image processing engine can perform a series of tasks. The image processor may be a system-on-a-chip with a multi-core processor architecture.

[0176] The communication connection(s) refers to the hardware/software used to connect the network interface to the bus. Although shown for example clarification within the computer system, the communication connection may also be located external to the computer system 11210. The hardware/software necessary to connect to a network interface includes, for exemplary purposes only, internal and external technologies, such as modems, including conventional telephone-grade modems, cable modems, DSL modems, ISDN adapters, and Ethernet cards.

RFID detection assembly

[0178] During various surgical procedures, surgical instruments that include at least one replaceable component are used. It is important that such replaceable parts be replaced with functional and/or compatible parts. The various identification systems described in greater detail herein, inter alia, verify the compatibility of the component with the surgical instrument and/or verify the operational status of the component. For example, the controller and/or identification system can be used, for example, to ensure that the package containing the replaceable part has not been damaged and/or tampered with, alerting the clinician if the part is compatible or incompatible with the surgical instrument, and alerting the clinician if the replaceable part is expired Physicians, and/or alert clinicians if there is a recall for a particular manufacturing lot and/or type of replaceable part.

[0179] The identification systems described herein can be active systems or passive systems. In various embodiments, a combination of active and passive identification systems is used. Passive systems may include, for example, barcodes, quick response (QR) codes, and/or radio frequency identification (RFID) tags. Passive systems do not include an internal power source, and the passive systems described herein require a reader and/or scanner to transmit a first signal, such as an interrogation signal.

[0180] Passive radio frequency identification (RFID) systems communicate information through the use of radio frequencies. This passive RFID system includes an RFID scanner and an RFID tag without an internal power source. RFID tags are powered by electromagnetic energy transmitted from an RFID scanner. Each RFID tag includes a chip, such as a microchip, that stores information about the replaceable part and/or surgical instruments that are compatible with the replaceable part. While the chip may contain only an identification number, in various cases, the chip may store additional information, such as manufacturing data, shipping data, and/or maintenance history. Each RFID tag includes a radio antenna that allows the RFID tag to communicate with an RFID scanner. The radio antenna extends the range over which the RFID tag can receive signals from the RFID scanner and transmit response signals back to the RFID scanner. In passive RFID systems, the RFID scanner also includes its own antenna that transmits radio signals to activate RFID tags located within a predetermined range. The RFID scanner is configured to receive a response signal "reflected" from the RFID tag, allowing the RFID scanner to capture identifying information representing the replaceable part. In each case, the one or more response signals comprise the same signal as the interrogation signal. In various cases, the one or more response signals include signals modified from the interrogation signal. In a variety of situations, RFID scanners are also able to Then write or encode to the RFID tag. In any event, the RFID scanner can communicate information about the replaceable part to a control system such as a surgical instrument and/or a controller of a remote surgical system or hub. RFID scanners are configured to be able to read multiple RFID tags at once because the RFID tags are activated by radio signals. Additionally, in some cases, an RFID scanner can update or rewrite information stored on an RFID tag within range of the RFID scanner's signal. Updates may be transmitted to the RFID scanner, for example, from a surgical hub (eg, 11106, 8001) or any suitable server 11113 (FIG. 1). Various surgical hubs are described in US Patent Application Serial No. 16/209,395, filed April 12, 2018, entitled "METHOD OF HUB COMMUNICATION," which is incorporated herein by reference in its entirety.

[0181] Active radio frequency identification (RFID) systems also include RFID tags and RFID scanners. However, in active RFID systems

The RFID tag includes an internal power supply. Active RFID systems utilize battery-powered RFID tags that are configured to continuously broadcast their own signals. One type of active RFID tag is commonly referred to as a "beacon". This beacon RFID tag does not wait to receive a first signal from an RFID scanner. Instead, beacon RFID tags continuously transmit stored information. For example, the beacon may transmit information every 3 to 5 seconds. Another type of active RFID tag includes a transponder. In such systems, the RFID scanner transmits the signal first. The RFID transponder tag then sends a signal back to the RFID scanner with the relevant information. Such RFID transponder tag systems are efficient because they save battery life when, for example, RFID tags are out of range of an RFID scanner. In various cases, active RFID tags include onboard sensors to track environmental parameters. For example, onboard sensors can track humidity levels, temperature, and/or other potentially relevant data.

[0182] In various aspects, the RFID systems of the present disclosure may be disposed on surgical instruments 11112 (FIGS. 1-3), components of surgical instruments 11112, consumables that may be used in conjunction with surgical instruments 11112, and/or in association with surgical system 11100 on or otherwise associated with other systems or devices (FIGS. 1-3), such as visualization system 11108 (FIGS. 1-3), robotic system 11110 (FIGS. 1-3), hubs 11106 (Figures 1 to 3) or parts thereof. Additionally, RFID tags, described in greater detail below, can be used to store data or data profiles that identify devices or components of the surgical system 11100 with which the RFID tags are associated. In addition, corresponding RFID scanners can be configured to read RFID tags when components of surgical system 11100 are in use, in order to identify components, devices and/or systems used in the operating room, and then control surgical instruments 11112, hubs, and 11106. Visualization system 11108 or another component, device and/or system.

In various examples, an RFID scanner can be positioned within or on surgical instrument 11112 such that when surgical instrument 11112 is assembled, the RFID scanner can read components (eg, batteries, shafts, or cartridges) RFID tags. As another example, an RFID scanner can be associated with surgical instrument 11112 such that when surgical instrument 11112 approaches or interacts with hub 11106, visualization system 11108, and/or robotic system 11110, the RFID scanner can read those systems associated with these systems RFID tags. These and other RFID detection assemblies will be described in more detail below.

[0184] In addition to this, various control systems are described herein for controlling the RFID system, surgical instruments associated therewith, and/or other devices or components of the surgical system 11100. Examples of such control systems include control system 1211 (FIG. 7), control system 8111 (FIG. 7A), and processor module 11232 of surgical hub 11206 (FIGS. 5 and 6). Such control systems can be integrated directly into the components or devices they control. For example, the control system 1211 shown in FIG. 7 can control the surgical instrument 1100 ( FIGS. 8-10 ) into which the control system is integrated. In another example, the control system 8111 shown in FIG. 7A can control the surgical instrument 8002 ( FIG. 11 ) into which the control system is integrated. Alternatively, such control systems may be communicatively coupled to the components or devices they control. For example, processor module 11232 may be configured to control surgical instrument 11112 and/or other components or devices of surgical system 11100 that are mated or communicatively coupled to surgical hub 11206, as described above. These control systems may include or be communicatively coupled to RFID scanners for detecting RFID tags. The control system can then control the target device based on the detected combination or arrangement of RFID tags.

7 and 8-10, the control system 1211 includes a control circuit 1210, which may be integrated with the RFID scanner 1202, or may be coupled to the RFID scanner 1202 but positioned to scan with the RFID device separation. Control circuit 1210 may be configured to receive input from RFID scanner 1202 indicative of information stored in RFID tag 1203 regarding staple cartridge 1320 and/or information stored in RFID tag 1201 regarding anvil 1200 .

[0186] In various examples, RFID tag 1203 stores identification information for staple cartridge 1320, and RFID tag 1201 stores identification information for anvil 1200. In such an example, the control circuit 1210 receives input from the RFID scanner 1202 indicative of identifying information of the staple cartridge 1320, and verifies the identity of the staple cartridge 1320 based on the input. Additionally, the control circuit 1210 scans from the RFID

The monitor 1202 receives input indicative of identifying information of the anvil 1200 and verifies the identity of the anvil 1200 based on the input.

[0187] In at least one example, the control circuit 1210 includes a microcontroller 1213 having a processor 1214 and a storage medium such as, for example, a memory 1212. The memory 1212 stores program instructions for performing various processes such as, for example, authentication. When executed by the processor 1214, the program instructions cause the processor 1214 to authenticate the staple cartridge 1320 by comparing the identifying information received from the RFID tags 1201, 1203 to identifying information stored in the memory 1212, eg, in the form of an identity database or table and the identity of Anvil 1200.

[0188] In at least one example, the control circuit 1210 can be configured to be able to check the compatibility of the anvil 1200 with the staple cartridge 1320 of the stapling head assembly 1300 based on input from the RFID scanner 1202. The processor 1214 may check the identity information of the anvil 1200 and the staple cartridge 1320 against a compatibility database or table stored in the memory 1212, for example.

[0189] In one aspect, an RFID scanner 1202 may be positioned within or otherwise associated with a surgical instrument to read a corresponding RFID tag 1201 configured to indicate an action performed by the surgical instrument or operation. For example, FIGS. 8-10 illustrate one such configuration of a surgical instrument 1100 in the form of a circular stapler. The obvious problem with circular staplers is that their anvils are detachable from their stapling head assemblies and must be introduced into the surgical site in different ways and from different entry points. Therefore, unlike other stapling instruments, circular staplers run the risk of anvil-stapling head assembly mismatch and/or anvil-cartridge mismatch. Furthermore, for proper assembly or coupling, the anvil and stapling head assembly must be properly oriented relative to each other in a particular orientation of the surgical site. As shown in FIG. 9, incorrect orientation of the anvil and corresponding stapling head assembly can cause misalignment between the staple forming pockets 414 (FIG. 8) of the anvil and the staple openings 324 (FIG. 8) of the staple cartridge 1320, This can lead to improper staple formation. Furthermore, incorrect orientation of the anvil and corresponding stapling head assembly can result in incorrect positioning of the anvil relative to the stapling head assembly. An improperly seated or partially seated anvil may become disengaged or separated from the stapling head assembly due to external loads applied from tissue captured between the anvil and the stapling head assembly during closure.

[0190] To address the above problems, the surgical instrument 1100 includes an anvil 1200 equipped with an RFID tag 1201 that can be identified or detected by an RFID scanner 1202 on the stapling head assembly 1300 of the surgical instrument. Likewise, the staple cartridge 1320 includes an RFID tag 1203, which can also be identified or detected by the RFID scanner 1202. RFID tag 1201 stores information about anvil 1200 , and RFID tag 1203 stores information about staple cartridge 1320 . As described below, the information may be checked and compared for authentication and/or compatibility.

[0191] Still referring to FIGS. 7 and 8-10, the anvil 1200 includes a head 410, a staple forming pocket 414, and a shank 1420. In this example, the RFID tag 1201 is supported on its outer surface by the handle 1420 proximate the aperture 422 defined by the handle 1420 . Anvil 1200 is coupled or assembled with stapling head assembly 1300 by advancing anvil 1200 toward trocar 330 of stapling head assembly 1300 such that trocar 330 is received through bore 422, as shown in FIG. In at least one example, when anvil 1200 is properly oriented and fully seated relative to stapling head assembly 1300, RFID tag 1201 is positioned on handle 1420 at a first longitudinal position that corresponds to or substantially Corresponds to the second longitudinal position of the tip of the head 334 of the trocar 330 . In other words, when the tip of the head 334 of the trocar 330 is received in the handle 1420 in its final seated position, the tip is laterally aligned, or at least substantially aligned, with the RFID tag 1201 . In at least one example, the RFID tag 1201 is positioned on the handle 1420 away from the hole 422 and near the lateral opening 424 and/or near the latch member 430 of the handle 1420 that passes through the side of the handle 1420 wall formation.

8, the RFID scanner 1202 is located on the outer surface of a cylindrical inner core member 1312 that extends distally within the tubular housing 1310 of the suturing head assembly 1300. The tubular housing 1310 is fixedly secured to the outer sheath 210 of the shaft assembly 1206 of the surgical instrument such that the tubular housing 1310 serves as the mechanical basis for the stapling head assembly 1300. RFID scanning

The device 1202 is supported on its outer surface by an inner core member 1312 near its distal end. In at least one example, a recess or dimple is defined in the inner core member 1312, and the RFID scanner 1202 is positioned in the recess or dimple. The RFID scanner 1202 may be held in place in the groove or dimple using any suitable technique such as, for example, a friction fit or a biocompatible adhesive. Alternatively, the RFID scanner 1202 may be located on the inner surface of the cylindrical core member 1312. In the example of FIG. 8 , the RFID scanner 1202 is located at the distal end portion of the inner core member 1312 below the platform member of the staple cartridge 1320 . In various examples, RFID tag 1201 and RFID tag 1203 are insulated from handle 1420 and inner core member 1312 using any suitable insulating material.

In various examples, RFID tag 1201 and RFID tag 1203 may be identified or detected by RFID scanner 1202 in the closed configuration of the instrument, in which tissue is captured in anvil 1200 and stapling head assembly between 1300. [0194] Additional details regarding the aspects shown in Figures 8-10 can be found in the concurrently filed U.S. patent application entitled "MECHANISMS FOR PROPER ANVIL ATTACHMENT SURGICAL STAPLING HEAD ASSEMBLY", Attorney Docket No. is END9120USNP1/190246, the entire contents of which are incorporated herein by reference.

[0195] FIG. 7A shows a block diagram of the control system 8111. Many of the components of the illustrated control system 8111 are identical to the components of the control system 2111 described above with reference to FIG. 7 and, therefore, the description of these components will not be repeated. In this regard, the control system 8111 includes a set or set of multiple RFID scanners 8008 positioned or configured to read a corresponding set or set of RFID tags 8006. As described below, the RFID scanner 8008 is communicatively coupled to the control circuit 1210 such that the control circuit 1210 can receive data from the RFID scanner 8008 and then take various actions based on the read data. In various aspects, the RFID scanner 8008 may be disposed on or otherwise associated with a surgical instrument or other surgical system component associated with the control system 8111. In other aspects, the RFID scanner 8008 may be disposed on or otherwise associated with other surgical system components communicatively coupled to the control system 8111. RFID tags 8006 may be disposed on or associated with any type of surgical system component, including surgical instruments 11112 (FIGS. 1-3), visualization systems 11108 (FIGS. 1-3), robotics System 11110 (Figures 1-3) or Other surgical system components (eg, sterile drapes, rib expanders, sponges, or accessories) or components thereof. In one aspect, each of the RFID scanners 8008a-h can be configured to be able to read the corresponding RFID tags 8006a-h. Finally, it should be noted that although the control system 8111 in Figure 7A is described as including eight RFID scanners 8008a-h configured to read a corresponding number of RFID tags 8006a-h, this particular number of component arrangements It is for illustrative purposes only and should not be construed as limiting in any way. In particular, the control system 8111 may include any number of RFID scanners 8008a-h configured to read any number of RFID tags 8006a-h.

In one aspect, as described above under the heading "SURGICAL HUBS" and shown in FIG. 11 , surgical system 8000 can include surgical instrument 8002 communicatively coupled to surgical hub 8001. Surgical instrument 8002 may include a number of distinct components that may be coupled together to assemble surgical instrument 8002 and/or consumable components that may be inserted into surgical instrument 8002 for firing or operating surgical instrument 8002. For example, the illustrated surgical instrument 8002 may include a housing assembly 8004a, a battery 8004b removably coupled to the housing assembly 8004a, a motor assembly 8004c removably coupled to the housing assembly 8004a, a motor assembly 8004c removably coupled to the housing assembly 8004a The shaft 8004d, the cartridge 8004e of the end effector that is removably inserted into the shaft 8004d, and other such components.

[0197] The surgical system 8000 may also include a control system 8111. In the example of FIG. 11, the control system 8111 includes a set of RFIDs 8006 located on or otherwise associated with the various surgical instrument components 8004a-e. Each of the surgical instrument components 8004a-e can include an RFID tag 8006 configured to

Information such as part type or part parameters about the part associated with the RFID tag 8006 is transmitted to the corresponding RFID scanner 8008 associated with the surgical instrument 8000 (eg, housing assembly 8004a), surgical hub 8001, or another surgical system device. For example, in the depicted aspect, housing assembly 8004a can include a first RFID tag 8006a, battery 8004b can include a second RFID tag 8006b, motor assembly 8004c can include a third RFID tag 8006c, shaft 8004d can include a fourth RFID tag 8006d, And the bin 8004e may include a fifth RFID tag 8006e. In one aspect, RFID tags 8006a-e can be read by a single RFID scanner disposed on surgical instrument 8002, surgical hub 8001, or another component of surgical system 8000. Thus, the control circuit 1210 of the control system 8111 can be communicatively coupled to a single RFID scanner. In another aspect, during assembly or operation of surgical instrument 8002, RFID tag 8006 can be read by multiple RFID scanners. For example, an RFID scanner can be positioned on the surgical instrument 8002 such that the RFID tags 8006a-e are used either as an assembly of the surgical instrument 8002 (an example of which is discussed in more detail below with respect to FIG. 13) or the use of the surgical instrument 8002 (shown in Examples are automatically read by the corresponding RFID scanners 8008a-e as a natural consequence of which is discussed above with respect to Figures 8-10). Accordingly, the control circuitry 1210 of the control system 8111 may be communicatively coupled to a plurality of RFID scanners 8008 positioned to read one or more corresponding RFID tags 8006. Although the aspects depicted in Figures 8-11, 13, and 14 show specific locations of the RFID tag 8006 and RFID scanner 8008, it should be noted that these locations are for illustration purposes only, and the RFID tag 8006 and/or RFID scanner 8008 may be repositioned according to the geometry of particular surgical system components, swapping their positions with each other, or otherwise reconfigured without departing from the overall structure and function of the system.

[0198] In addition to the surgical instrument 8002 or its components including the RFID tag 8006, other devices within the surgical system 8000 may also include the RFID tag 8006 and/or the RFID scanner 8008. For example, in the aspect shown in FIG. 11, surgical hub 8001 can include an RFID tag 8006g that can be configured to be readable by one or more RFID scanners 8008 associated with surgical instrument 8002 (FIG. 13). In other aspects, RFID tags 8006 and/or scanners 8008 may additionally or alternatively be associated with visualization system 11108 (FIGS. 1-3), robotic system 11110 (FIGS. 1-3), or components thereof. Accordingly, the surgical instrument 8002 including the RFID scanner 8008 can detect various devices or systems used in a surgical system configuration based on the detection range of these devices or systems.

[0199] As shown in FIG. 13, the surgical system 8000 may also include a user identification 8010 that may be worn or controlled by a user, such as a surgeon. User identification 8010 may include an RFID tag 8006h configured to store a unique identification associated with the user, which the control system may then utilize to retrieve specific parameters or settings associated with the user. User settings can be set manually by the user at a computer system (eg, Surgical Hub 8001 or local computer system 11210 (FIG. 6)) or learned by the Surgical Hub 8001 through context awareness, filed April 12, 2018 titled " METHOD OF HUB COMMUNICATION" is described in US Patent Application Serial No. 16/209,395, which is incorporated herein by reference in its entirety. Additionally, user settings may be stored in a database (eg, storage device 11248 (FIG. 6)) for retrieval by the control system.

[0200] In some aspects, the RFID tag 8006 and the RFID scanner 8008 can be positioned such that they are brought within detection range of each other during assembly of the surgical instrument 8002 or in an assembled configuration of the surgical instrument 8002. For example, FIG. 13 shows an aspect in which the surgical instrument 8002 is a circular stapler that includes a component of the RFID scanner 8008 that is detected during assembly of the surgical instrument 8002 or in the assembled configuration of the surgical instrument 8002 Corresponding RFID tag 8006. In particular, housing assembly 8004a includes an RFID scanner 8008a positioned adjacent to its coupling portion 8011 that is configured to engage a corresponding proximal coupling portion 8012 of shaft assembly 8004d. The shaft assembly 8004d also includes an RFID tag 8006d that is brought into the detection range of the RFID scanner 8008a when the aforementioned components are properly coupled together. In other words

Said, as a natural consequence of assembling surgical instrument 8002, RFID scanner 8008a is positioned to read RFID tag 8006d. Likewise, shaft assembly 8004d includes an RFID scanner 8008b positioned adjacent distal coupling portion 8013 that is configured to engage a corresponding coupling portion 8014 of end effector assembly 8004f. The end effector assembly 8004f also includes an RFID tag 8006f that is brought into the detection range of the RFID scanner 8006f when the aforementioned components are properly coupled together. Accordingly, the control system of the surgical instrument 8002 associated with this aspect can read the instrument components as they are assembled or coupled together to control the surgical instrument 8002 accordingly based on the presence, type and/or arrangement of the components used .

[0201] In some aspects, the RFID tag 8006 and the RFID scanner 8008 can be positioned such that they are brought within detection range of each other during use of the surgical instrument 8002. For example, Figures 8-10, described in greater detail above, illustrate an aspect in which the surgical instrument includes a pair of RFID tags 1201, 1203 when the stapling head assembly 1300 is in a closed configuration, ie, when tissue is captured in the anvil 1200 The pair of RFID tags can be identified or detected by the RFID scanner 1202 while in between the suturing head assembly 1300 . Thus, when a surgical instrument associated with this aspect is used or manipulated (eg, during a surgical procedure), the control system of the surgical instrument may read instrument components, based on the state of the surgical instrument or the action performed by the surgical instrument to control the surgical instruments accordingly.

[0202] RFID tags 8006 may also be located on consumables used by surgical instrument 8002 during its operation. For example, Figure 14 shows that surgical instrument 8002 is an aspect of a clip applier that includes an RFID scanner 8008c positioned adjacent jaws 8020 for crimping or applying surgical clips 8022 at a surgical incision . The clamp 8022 can include an RFID tag 8006i that can be read by the RFID scanner 8008c as a result of the clamp 8022 being located within the jaw 8020. Thus, when the surgical instrument 8002 associated with this aspect is used or manipulated (eg, during a surgical procedure), the control system of the surgical instrument can read the consumables, based on the type of consumable used with the surgical instrument 8002 or features to control the surgical instrument 8002 accordingly. In various aspects, a clip 8022 is fed into the jaws 8020 of the clip applier, and when the clips reach the jaws 8020, the fed clips 8022 become detectable by the RFID scanner 8008c.

[0203] The RFID tag 8006 may be configured to transmit a variety of different information to the associated RFID scanner 8008. Additionally, the various RFID tags 8006 described herein can be configured to transmit in an active manner (ie, actively transmitting data for reception by the RFID scanner 8008 ) or passively (ie, in response to an interrogation signal transmitted by the RFID scanner 8008 ) data. For example, the table 8030 shown in FIG. 12 indicates the data that may be transmitted by the RFID tags 8006 associated with the various components of the surgical instrument 8002 shown in FIG. 11 . In particular, RFID tag 8006a associated with housing assembly 8004a may store data identifying the type of device or surgical instrument; RFID tag 8006b associated with battery 8004b may store data identifying the type of battery; associated with motor assembly or gearbox 8004c The RFID tag 8006c can store data identifying the motor type; the RFID tag 8006d associated with the shaft assembly 8004d can store data identifying the shaft type and/or the characteristics associated with the shaft (eg, length or articulation type); and The RFID tag 8006e associated with the bin 8004e may store data identifying the bin type and/or other bin characteristics (eg, length, color, or grip surface type). when the corresponding RFID When read by the scanner 8008, this data can be transmitted by the RFID tag 8006, which in turn can be coupled to a control system for controlling the surgical instrument 8002. Various control algorithms that may be affected based on this data may include communication protocols implemented by the control system.

[0204] As another example, the tables 8040, 8050 shown in FIGS. 15 and 16 indicate data that may be transmitted by an RFID tag 8006 associated with a consumable such as the surgical clip 8022 shown in FIG. 14 . In particular, the RFID tag 8006i may store information identifying the consumable type (eg, product name, product code, or serial number) or consumable characteristics (eg, the cross-sectional profile, length, surface type, tensile strength, or resiliency of the surgical clip 8022). data where each RFID tag 8006i is associated with the consumable

Associated. Additionally, the data can be transmitted by the RFID tag 8006i for reception by a corresponding RFID scanner 8008c, which in turn can be coupled to a control circuit 1210, which can utilize the received data to control the operation of the surgical instrument or Features.

With the surgical system 8000 configuration shown in FIGS. 7-11, 13, and 14, the control system for the surgical instrument 8002 and other surgical system components may utilize a variety of different algorithms or logic through which the The RFID detection component detects the arrangement and/or type of surgical system components present in the operating room and/or identifies the user present in the operating room, controlling the action or operation of the subject device of the control system. In various examples, the control system and associated RFID detection components can be used to control the communication protocols used by the surgical instrument 8002, the information or alerts provided to the user, and/or the operational settings implemented by the surgical instrument 8002 to vary depending on the use and/or user preferences among specific devices to customize their functionality. In the description of the process that follows, reference should also be made to FIG. 7 . Additionally, the following procedures describe, in part, scanning or receiving data 8002 from a device for controlling a surgical instrument. Such devices may include various surgical system components, such as surgical instrument components (eg, as shown in FIGS. 11 , 13 and 14 ), visualization system 11108 ( FIGS. 1-3 ), surgical hub 11106 ( FIG. 1 ) to FIG. 3 ), robotic system 11110 ( FIG. 1 to FIG. 3 ), etc.

[0206] In one aspect, the control system 8111 for the surgical instrument 8002 can be configured to be able to establish a communication protocol utilized by the surgical instrument 8002 to communicate with various other surgical system components based on the RFID scanned thereby. For example, the control system 8111 may perform the process 8100 shown in FIG. 17 . Accordingly, control circuit 1210 receives 8102 the first RFID tag associated with the first device via one or more RFID scanners to which control circuit 1210 is coupled, such as, for example, RFID scanner 8008 (FIG. 7A) data, and receiving 8104 the second data from a second RFID tag associated with the second device. The received data may indicate, for example, the serial number of the device, the device type, and/or characteristics or parameters associated with the device.

[0207] Accordingly, the control circuit 1210 determines 8106 the communication protocol used to communicate with the first device and the second device. Control circuitry 1210 may determine 8106 the appropriate communication protocol by, for example, querying a look-up table (eg, a look-up table stored in memory 1212 ) with the received device data. The communication protocol may define, for example, encryption techniques, packet sizes, transmission speeds or handshake techniques. Accordingly, the control circuit 1210 causes the 8108 surgical instrument 8002 to communicate with the surgical system components using the determined communication protocol during the surgical procedure.

In operation, the control system 8111 performing the illustrated process 8100 can read RFID tags associated with surgical system components present in the operating room, determine the appropriate communication protocol for communicating with a particular arrangement of surgical system components, The surgical instrument 8002 is then caused to utilize the determined communication protocol. After communication is established between the surgical instrument 8002 and the corresponding surgical system components, the control circuitry 1210 can be configured to receive operational settings of the surgical instrument 8002 from at least one of the surgical system components. For example, if the surgical instrument 8002 is communicatively coupled to the surgical hub 8001, 11106, the surgical instrument 8002 may download an updated control program from the surgical hub 8001, 11106 that lists the updated operational settings or parameters. Alternatively, after communication is established between the surgical instrument 8002 and the corresponding surgical system component, the control circuit 1210 may be configured to transmit operational settings of the surgical system component. For example, if surgical instrument 8002 is communicatively coupled to robotic system 11110, surgical instrument 8002 may transmit operational settings to robotic system 11110 that indicate how robotic system 11110 should control or actuate surgical instrument 8002 during a surgical procedure. Additionally or alternatively, the surgical instrument 8002 may transmit sensor data to the surgical hub 8001, 11106, for example.

[0209] In one aspect, the control system 8111 for the surgical instrument 8002 can be configured to automatically display information related to the type of surgical procedure. For example, the control system 8111 may perform the process 8150 shown in FIG. 18 . Therefore, the control

Circuit 1210 is coupled via control circuit 1210 to one or more RFID scanners, such as, for example, RFID scanner 8008 (FIG. 7A) to receive 8152 first data from a first RFID tag associated with the first device, and from A second RFID tag associated with the second device receives 8154 the second data. The received data may indicate, for example, the serial number of the device, the device type, and/or characteristics or parameters associated with the device.

[0210] Accordingly, the control circuit 1210 determines 8156 the type of surgical procedure being performed based on the device data. Control circuitry 1210 can make this determination because the particular combination or arrangement of device types in the operating room can indicate what type of surgical procedure is being performed. Furthermore, the combination of data from multiple devices can indicate details of the surgical procedure that may not be determined by scanning any single device. For example, if the robotic system 11110 is present in an operating room with a particular surgical instrument type (eg, circular stapler or vascular stapler), a surgical procedure corresponding to that surgical instrument type may be performed by the robot. As another example, if the insufflator and visualization system 11108 were present in the operating room, it is likely that a laparoscopic procedure would be performed. In both examples, scanning a single device often does not provide the full context of the surgical procedure. Control circuitry 1210 may determine 8156 the surgical procedure type by, for example, querying a look-up table (eg, a look-up table stored in memory 1212 ) with the received device data. The control circuit 1210 then causes the 8158 display screen (eg, indicator 1209 or hub display 11215 (FIG. 5)) to display information related to the type of surgical procedure. The information displayed may include, for example, steps for performing a surgical procedure, for assembling the surgical instrument 8002 or other surgical system Steps of components, relevant data or visualization screens for the type of surgical instrument expected to be used in connection with the surgical procedure, etc. [0211] In one aspect, the control system 8111 of the surgical instrument 8002 can be configured to automatically display information tailored to a particular user. For example, the control system 8111 may perform the process 8200 shown in FIG. 19 . Accordingly, control circuit 1210 receives 8202 the first RFID tag associated with the device or surgical instrument via one or more RFID scanners to which control circuit 1210 is coupled, such as, for example, RFID scanner 8008 (FIG. 7A) One data, and the second data is received 8204 from a second RFID tag associated with the user (eg, received from the user identification 8010 as shown in FIG. 13). Data received from an instrument or device may indicate, for example, the serial number of the device, the type of device, and/or characteristics or parameters associated with the device. Data received from user identification 8010 may indicate, for example, the user's identity or title.

[0212] Accordingly, the control circuitry 1210 determines 8206 user settings associated with the surgical instrument. User settings may include specific range types of magnification, instrument parameter information (eg, temperature, firing force or power level), and the like. Control circuitry 1210 may determine 8206 the user settings by retrieving the relevant user settings (eg, from memory 1212). As mentioned above, the user settings may be manually set by the user at the computer system, or automatically learned by the surgical system through context awareness. Accordingly, the control circuit 1210 causes the 8208 display screen to display information related to the surgical instrument according to the determined user settings.

[0213] In one aspect, the control system 8111 for the surgical instrument 8002 can be configured to be able to determine whether surgical instrument components are compatible with each other, and then take various corrective actions. For example, the control system 8111 may perform the process 8250 shown in FIG. 20 . Accordingly, the control circuit 1210 is coupled via the control circuit 1210 to one or more RFID scanners, such as, for example, RFID scanner 8008 (FIG. 7A) to receive 8252 the first data from the first RFID tag associated with the first device , and receive 8254 second data from a second RFID tag associated with the second device. The received data may indicate, for example, the serial number of the device, the device type, and/or characteristics or parameters associated with the device.

[0214] Accordingly, the control circuit 1210 determines 8256 whether the first device and the second device are compatible. Control circuitry 1210 may determine 8256 whether a device is compatible by, for example, querying a look-up table (eg, a look-up table stored in memory 1212) that lists compatible surgical instrument device types with the received device data. For example, control system 8111 may be fabricated to store a list of compatible component types or a remote computing system (eg, from a remote computing system to which control system 8111 is communicatively coupled)

Cloud 11204 (Figure 5)) receives compatible part types. If it is determined that the 8256 components are not compatible with each other, the control circuit 1210 may provide the user with a warning that the 8258 components are not compatible and/or a recommendation for a replacement compatible component for one of the incompatible components. For example, if the user inserts the battery 8004b into the housing assembly 8004a of the surgical instrument 8002 that is not compatible with the motor assembly 8004c, the control system 8111 can cause the display (eg, indicator 1209) to provide 8258 an alert or for a motor assembly 8004c compatible Alternative type of battery 8004b suggested. In one aspect, the control circuit 1210 may also be configured to prevent operation or activation of the surgical instrument 8002 if the first device and the second device are determined to be incompatible with each other.

[0215] In various aspects, preventing operation or activation of the surgical instrument 8002 may be accomplished using one or more suitable locking assemblies, such as, for example, locking assemblies 8170. Published December 5, 2006 entitled "SURGICAL STAPLING INSTRUMENT HAVING A FIRING LOCKOUT FOR AN UNCLOSED ANVIL" U.S. Patent No. 7,143, 923; U.S. Patent No. 7,044,352, issued May 16, 2006, entitled "SURGICAL STAPLING INSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRING"; US Patent No. 7,000,818 to DISTINCT CLOSING AND FIRING SYSTEMS"; US Patent No. 6,988,649, issued January 24, 2006, entitled "SURGICAL STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT"; and US Patent No. 6,988,649, issued December 27, 2005 Various locking assemblies suitable for use in the present invention are described in US Patent No. 6,978,921, entitled "SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRING MECHANISM," the entire contents of which are incorporated herein by reference.

As another example, a surgical instrument 8002 in the form of a surgical clip applier can have different types of jaw assemblies suitable for different types of surgical clips 8022, such as the first or thin jaw assembly 8051a shown in FIG. 21A and FIG. The second or thick jaw assembly 8051b shown in 21B. Figure 22 shows a graph 8052 for multiple predicted firings of a clip applier depicting the force applied to form or crimp the surgical clip (represented by vertical axis 8054) versus the displacement travel (represented by the vertical axis 8054) resulting in the applied force Represented by horizontal axis 8056), the clip applier includes a control system 8111 that performs the process 8250 shown in FIG. The first distance threshold [delta]] represents the maximum travel distance that a clip applier with a thin jaw assembly 8051a can perform. Furthermore, the second distance threshold δ₂Represents the maximum travel distance that a clip applier with thick jaw assembly 8051b can perform. As further shown in table 8050 in Figure 16, different types of surgical clips 8022 may have different mechanical properties; therefore, some types of surgical clips may not be suitable for all types of clip appliers. In this particular predictive example, the first row 8058 represents a first fixture type (eg, Ti-CP fixture), the second row 8060 represents a second fixture type (eg, Ti-3AI/2.5V fixture), and the first Three rows of 8062 represent a third clamp type (eg, Ti-6AI-4V clamp). In this embodiment of procedure 8250, the clip applier can be the first device and the surgical clip can be the second device. Thus, if the control circuit 1210 performing the process 8250 determines that the surgical clip read by the RFID scanner 8008 (eg, when the clip is inserted into the clip applier) is of the first type or the second type, then for Figure 21A and either of the clip applier types shown in Figure 21B, no warning or advice is provided to the user, as both clip types are compatible with either clip applier type (eg lines 8058, 8060 do not violate their respective Threshold δ1, δ₂). However, if the control circuit 1210 determines that the surgical clip read by the RFID scanner 8008 is of the third type and the clip applier is the thin forceps assembly type 8051a, the control circuit 1210 may provide an alert and/or an indication of a replacement surgical clip It is suggested because the maximum displacement travel δ1 of the thin jaw assembly type 8051a is not long enough to properly form the third clamp type (as shown by the third line 8062 across the threshold δ1).

[0217] In one aspect, the control system 8111 for the surgical instrument 8002 can be configured to automatically establish operational settings for the surgical instrument 8002 based on the scanned components. For example, the control system 8111 may execute the process shown in FIG. 23

8300. Accordingly, the control circuit 1210 is coupled via the control circuit 1210 to one or more RFID scanners, such as, for example, RFID scanner 8008 (FIG. 7A) to receive 8302 the first data from the first RFID tag associated with the first device , and receive 8304 second data from a second RFID tag associated with the second device. The received data may indicate, for example, the serial number of the device, the device type, and/or characteristics or parameters associated with the device. As one example, a device may include two or more components of the surgical instrument 8002 shown in FIGS. 11 and 12 . As another example, a device may include two or more components of surgical instrument 8002 shown in FIG. 13 .

[0218] Accordingly, the control circuit 1210 may determine 8306 the surgical instrument type based on the scanned part. The surgical instrument type may include, for example, a general instrument type (eg, surgical stapler, electrosurgical instrument, ultrasonic surgical instrument, or combinations thereof) combined with specific instrument component parameters (eg, shaft length, cartridge type, or battery power). In one aspect, as described above in connection with FIGS. 13 and 14 , the RFID scanner 8008 can be positioned such that the RFID tag associated with each of the components is detected by the RFID scanner as a natural result of assembly or use of the surgical instrument 8002 8008 reads naturally. Accordingly, the control circuit 1210 may determine 8308 the operational settings according to the determined instrument type. Operational settings may dictate how to control the surgical instrument 8002 itself (or components thereof) or how to control a third device (eg, a surgical generator to which the surgical instrument 8002 is coupled). The table 8030 shown in FIG. 12 represents various settings that can be controlled by the control circuit 1210 according to the determined instrument type. For example, the control circuit 1210 performing the process 8300 can control the maximum power of the surgical instrument 8002 based on the detected battery type and the detected motor assembly type. As another example, the control circuit 1210 performing the process 8300 may control the force to fire the knife in the surgical stapler based on the detected motor assembly type and the detected cartridge type.

[0219] In one aspect, the control system 8111 of the surgical instrument 8002 can be configured to automatically establish operational settings for the surgical instrument 8002 based on consumables that are scanned when assembled with and/or inserted into the surgical instrument 8002. For example, the control system 8111 may perform the process 8350 shown in FIG. 24 . Accordingly, control circuit 1210 receives 8352 from the first RFID tag associated with device or surgical instrument 8002 via one or more RFID scanners to which control circuit 1210 is coupled, such as, for example, RFID scanner 8008 (FIG. 7A) first data, and receiving 8354 second data from a second RFID tag associated with the consumable. The received data may indicate, for example, the serial number of the surgical instrument 8002 or consumable, the type of surgical instrument 8002 or consumable, and/or a feature or parameter associated with the surgical instrument 8002 or consumable. For example, the surgical instrument 8002 can include a clip applier, and the consumable can include a surgical clip 8022, as shown in FIG. 14 . As another example, the surgical instrument 8002 may include a surgical stapler and the consumables may include staples disposed within the cartridge 8004e, as shown in FIG. 12 .

[0220] Accordingly, the control circuit 1210 determines 8356 operational settings based on the type of consumable and the type of surgical instrument. The control circuitry 1210 may determine 8356 the operational settings based on the scanned consumables by, for example, querying a look-up table (eg, a look-up table stored in memory 1212) that lists the appropriate operational settings for the surgical instrument. Control system 8111 may be manufactured to store operational settings for various compatible device types or to receive operational settings from a remote computing system (eg, cloud 204 ( FIG. 5 )) to which control system 8111 is communicatively coupled. Accordingly, the control circuit 1210 can then control 8358 the surgical instrument according to the determined operational settings.

[0221] Various predictive implementations of the process 8350 are described in conjunction with FIGS. 25 and 26 . For example, Figure 25 shows a graph 8064 depicting force (represented by vertical axis 8066) and displacement travel applied to a surgical clip for a clip applier including a control system 8111 performing the process 8350 shown in Figure 24 (represented by the horizontal axis 8068). In this example, the control circuitry 1210 can determine that the surgical instrument is a clip applier, and can determine the identity of the consumable when it is loaded into the clip applier, as discussed above with respect to FIG. 14 . In the first firing of the clip applier represented by the first line 8070, the control circuit 1210 also determines that the consumable is a first type of surgical clip (eg, a Ti-CP clip). For this type of clamp, the operating parameters that are controlled include a first force threshold F1 and a first closure rate V1 . Therefore, the control circuit 1210 is based on

The determined operating parameters control the clip applier, ie, close the jaws D of the clip applier with a first closure rate V1 and stop closing at or below a first force threshold value F1 . In the second firing of the clip applier represented by second line 8072, the control circuit 1210 determines that the consumable is a second type of surgical clip (eg, a Ti-6AI-4V clip). For this type of gripper, suitable operating parameters include the second force threshold F₂and the second closure rate V₂. Accordingly, the control circuit 1210 controls the clip applier according to the determined operating parameter, ie, at the second closure rate V₂The jaws of the clip applier are closed and at the second force threshold F₂or stop closing when it falls below the second force threshold.

[0222] As another example, FIG. 26 shows a graph 8074, for multiple predictive firings of a clip applier, which plots longitudinal cam load force (represented by vertical axis 8076) versus displacement travel (represented by horizontal line 8078), the clip applier includes a control system 8111 that performs the process 8350 shown in FIG. In a clip applier, the cam assembly can be configured to apply a closing force to the jaws, thereby applying a clip to tissue located within the jaws. Thus, the longitudinal cam load force may correspond to the amount of force exerted on the jaws of the clip applier. The displacement travel may correspond to the distance the cam of the cam assembly has been translated. The profile of the cam force applied by the surgical clip applier as a function of the distance the cam has been translated is a controllable parameter that can be specific to different clip applier assemblies (eg, as shown in FIGS. 21A and 21B ) and/or Customized for different surgical clamp types. In various aspects, the controllable parameter may be automatically selected by the control system 8111 of the surgical instrument and/or manually selected by the user. In this example, the control circuit 1210 has received 8352 first data from the surgical instrument identifying the surgical instrument as a clip applier, received 8454 second data identifying the consumable as a specific type of surgical clip, determined 8456 the specific surgical clip type Correlate to a specific cam force profile and then control the 8458 appliers according to the determined force profile, as each Lines 8080, 8082, 8084, 8086 are shown. The first line 8080 may correspond to the determination 8356 by the control circuit 1210 for a first clip applier type (eg, jaw assembly 8051a shown in FIG. 21A ) and a first surgical clip type (eg, Ti-6AI-4V clip) force profile. The second line 8082 may correspond to the force profile determined 8356 by the control circuit 1210 for the first clip applier type and the second surgical clip type (eg, Ti-3AV/2.5V clip). The third line 8084 may correspond to the force profile determined 8356 by the control circuit 1210 for the first clip applier type and the third surgical clip type (eg, Ti-CP clip). The fourth line 8086 may correspond to the force profile determined 8356 by the control circuit 1210 for the second clip applier type (eg, jaw assembly 8051b shown in FIG. 21B ) and the third surgical clip type.

Because different types of clip appliers apply force in different ways, and different types of surgical clips have different mechanical properties, it is desirable to utilize an applied clip applier that is tailored to the type of clip applier and surgical clip used. force profile. Some examples of different mechanical properties are shown in the tables 8040 , 8050 of FIGS. 15 and 16 . Another mechanical property that a surgical clip can vary is the degree to which the surgical clip springs back in response to an applied force, which in turn can affect the degree or amount of force one wishes to apply to the surgical clip to keep them in the desired configuration. . For example, FIG. 27 shows a graph 8088 depicting the relationship between springback (represented by vertical axis 8090) for different surgical clip types (represented by horizontal axis 8092). For example, rebound may correspond to the percentage or degree to which the surgical clip returns relative to its original position in response to a set force. As can be seen from the graph 8088, the first surgical clip type 8094 has a rebound Pr and the second surgical clip type 8096 has a rebound P₂, and the third surgical clip type 8098 has a springback P₃. Therefore, it is desirable for the control circuit 1210 to perform the process 8350 shown in FIG. 24 to read which surgical clip type has been loaded into the clip applier and then adjust based at least in part on the detected resilience performance of the clip type The applied force profile.

[0224] In one aspect, the control system 8111 of the surgical instrument 8002 can be configured to automatically implement operational settings of the surgical instrument 8002 customized for a particular user. For example, the control system 8111 may perform the process 8400 shown in FIG. 28 . Accordingly, control circuit 1210 receives 8402 the first RFID tag associated with the device or surgical instrument via one or more RFID scanners to which control circuit 1210 is coupled, such as, for example, RFID scanner 8008 (FIG. 7A) a data, and

The second data is received 8404 from a second RFID tag associated with the user (eg, received from the user identification 8010 as shown in Figure 13). Data received from an instrument or device may indicate, for example, the serial number of the device, the type of device, and/or characteristics or parameters associated with the device. Data received from user identification 8010 may indicate, for example, the user's identity or title.

[0225] Accordingly, the control circuitry 1210 determines 8406 the operational settings of the surgical instrument associated with the user. Control circuitry 1210 may determine 8406 the user settings by retrieving relevant user settings (eg, from memory 1212). As mentioned above, the user settings may be manually set by the user at the computer system, or automatically learned by the surgical system through context awareness. In one aspect, the determined operational settings may be selected from a range of parameters. For example, the user can manually select values, or the surgical system can learn the user's preferences within the parameters. Thus, the control circuitry 1210 can control the surgical instrument according to the operational settings associated with the user.

[0226] Various predictive implementations of the process 8350 of FIG. 24 are described in conjunction with FIGS. 29-31. For example, FIG. 29 shows a pin height applet or icon 8500 that may be displayed on a graphical user interface. The staple height or degree of deformation applied by the surgical stapler to the deployed staples is a controllable parameter. The graphical user interface may be displayed, for example, on the device/instrument display 11237 or the hub display 11215. The staple height applet 8500 may include a range icon 8502 to indicate a suggested selection range of staple heights and a selection icon 8504 to indicate the actual staple height that has been selected for the surgical stapler. In various aspects, the staple height applet 8500 may be manually manipulated by a user of the surgical stapler and/or controlled by the control system 8111 of the surgical stapler. In this example, the control circuit 1210 has received 8402 from the surgical instrument first data identifying the surgical instrument as a surgical stapler and/or received 8402 first data from the staple cartridge identifying the type of cartridge, and received 8404 second data identifying the user , determine 8406 that the user identity is associated with a particular staple height setting for the surgical stapler, and then control 8408 the surgical stapler to set the staple height to the defined setting indicated by the selection icon 8504.

[0227] As another example, FIG. 30 shows a graph 8510 for predicted firing of a surgical stapler, which plots force (represented by vertical axis 8512) versus displacement travel (represented by horizontal axis 8516) In a relationship, the surgical stapler includes a control system 8111 that performs the process 8400 shown in FIG. 28 . The force represented by vertical axis 8512 may correspond to the force experienced or applied to the firing member by the firing member configured to close the jaws of the surgical stapler, causing the stapler to fire and/or cut captured by the jaws. organization. The force represented by the vertical axis 8512 may also correspond to the force load produced by the motor. The displacement travel represented by the horizontal axis 8516 may correspond to the distance traveled by the firing member, which may be depicted as two distinct phases. In a first or closing phase represented by first line 8520, the firing member drives the jaws closed. In the second or firing stage, represented by second line 8524, the firing member is deploying the staples and cutting tissue. Both the speed at which the firing member translates during the closing phase (ie, the closing speed) and the speed at which the firing member translates during the firing phase (ie, the firing speed) are controllable parameters. In addition, a force threshold representing the maximum force the surgical instrument is allowed to experience before the control system 8111 stops translation of the firing member or takes other corrective action is also a controllable parameter. The force threshold can depend on the The specific surgical instrument component type used. For example, the first force threshold FT1 may represent a standard or basic force limit, the second force threshold FT₂can represent force limits for a specific axis type, and a third force threshold FT₃Can represent force limits for a specific bin type. In various aspects, these controllable parameters may be automatically selected by the surgical instrument's control system 8111 and/or manually selected by the user. This particular graph 8510 shows that the control system 8111 of the surgical instrument is performing two separate processes.

Specifically, graph 8510 shows that control circuit 1210 performing process 8400 shown in FIG. 28 has received 8402 first data from the surgical instrument identifying the surgical instrument as a surgical stapler, and received 8404 second data identifying the user data, determine 8406 that the user identity is associated with a specific surgical stapler closure speed setting selected from the allowable closure speed range 8518 and a specific surgical stapler firing speed setting selected from the allowable firing speed range 8522, and then control 8408 the surgical stapling The actuator drives the firing member at the selected speed.

[0229] In addition, the graph 8510 shows that the control circuit 1210 performing the process 8300 shown in FIG. 23 or the process 8350 shown in FIG. 24 has received 8302, 8352 from the surgical instrument the first time the surgical instrument is identified as a surgical stapler data, receiving 8304, 8354 second data from the staple cartridge identifying the cartridge type, determining 8306, 8356 that the cartridge type is associated with a particular force threshold setting of the surgical stapler, and then controlling 8308, 8358 the surgical instrument to implement the determined force threshold.

[0230] As shown in FIG. 30, the various procedures described herein, or any suitable portions thereof, may be used in conjunction with each other in any combination or arrangement to control a surgical instrument. Accordingly, control systems 8111 implementing any combination of the described processes are intended to be within the scope of this disclosure.

[0231] As yet another example, FIG. 31 shows a graph 8530 for predicted firing of a surgical stapler, which plots force (represented by the vertical axis 8532) versus time (represented by the horizontal axis 8534). In relation, the surgical stapler includes a control system 8111 that performs the process 8400 shown in FIG. 28 . After clamping the tissue, the surgical stapler is programmed to wait a period of time t before cutting the clamped tissue or performing other actions_w. waiting time t_ware controllable parameters. In all aspects, the waiting time t_wIt may be manually selected by the user of the surgical stapler and/or controlled by the control system 8111 of the surgical stapler. In this example, the control circuit 1210 has received 8402 from the surgical instrument first data identifying the surgical instrument as a surgical stapler and/or received 8402 first data from the staple cartridge identifying the type of cartridge, and received 8404 second data identifying the user , determine 8406 the user identity and the specific wait time t for the surgical stapler_wSet the association, then control 8408 the surgical stapler to wait by wait time t_wA limited time period is set, as indicated by line 8536.

[0232] In one aspect, the control system 8111 of the surgical instrument 8002 can be configured to update operational settings based on continuously scanned devices. For example, the control system 8111 may perform the process 8450 shown in FIG. 32 . Accordingly, control circuit 1210 receives 8452 the first RFID tag associated with the device or surgical instrument via one or more RFID scanners to which control circuit 1210 is coupled, such as, for example, RFID scanner 8008 (FIG. 7A) a data. Accordingly, the control circuit 1210 may determine 8454 the operational settings based on the scanned devices. Further, the control circuit 1210 may thereafter receive 8456 the second data via the RFID scanner 8008 from the second RFID tag associated with the second device. Accordingly, the control circuit 1210 may update the determined operational settings according to the second device. For example, the control circuit 1210 may change the operational setting from a first value dependent on the first device to a second value dependent on both the first device and the second device. The data received from the device may indicate, for example, the serial number of the device, the device type, and/or characteristics or parameters associated with the device. As one example, the surgical instrument 8002 can include a trocar that includes an RFID scanner 8008. When the first device is inserted through the trocar, the control circuit 1210 may read the RFID tag associated with the first device, and then update the data associated with the first device based on detection of the device. Operational settings associated with the surgical system. Then, when the second device is inserted through the trocar, the control circuit 1210 can read the RFID tag associated with the second device and update the operational settings accordingly. Operational settings in this example may include, for example, generator power settings, surgical stapler firing rates, or a counter that tracks the number of device changes. Thus, the control circuit 1210 performing the process 8450 can continuously update the operating settings as additional devices are introduced into the operating room or surgical environment.

[0233] In one aspect, the control system 8111 for the surgical instrument 8002 can be configured to automatically update a default operating algorithm for the surgical instrument 8002 based on the scanning components of the surgical instrument. For example, the control system 8111 may perform the process 8700 shown in FIG. 33 . Accordingly, the control circuit 1210 is coupled via the control circuit 1210 to one or more RFID scanners, such as, for example, RFID scanner 8008 (FIG. 7A) to receive 8702 the first data from the first RFID tag associated with the first device , and receive 8704 second data from a second RFID tag associated with the second device. The received data may indicate, for example, the serial number of the device, the device type, and/or characteristics or parameters associated with the device. In one aspect, the RFID scanner 8008 can be positioned as a natural consequence of the assembly or use of the surgical instrument 8002 as described above in connection with FIGS. 13 and 14

The RFID tags associated with each of the components are made to be read naturally by the RFID scanner 8008.

[0234] In addition, the control circuitry 1210 may determine 8706 adjustments to the default control algorithm of the surgical instrument 8002 from the data received. Additionally, the control circuit 1210 may update 8708 the default control algorithm to an updated control algorithm based on the determined adjustments. The control algorithm may specify how to control the surgical instrument 8002 itself (or components thereof) or how to control a third device (eg, a surgical generator to which the surgical instrument 8002 is coupled).

In one example according to the process 8700 of FIG. 33, the surgical instrument 8002 is an ultrasonic surgical instrument, and the first and second devices are ultrasonic transducers and ultrasonic catheters with RFID tags 8006, which store the A datum and a second datum indicating an adjustment to the default natural frequency of the surgical instrument 8002. Ultrasonic surgical instruments are designed to operate within a defined frequency band or range (eg, 53-57 kHz). Ultrasonic energy is used to drive a predetermined displacement of the ultrasonic blade. Ultrasound energy is transmitted from the ultrasound transducer to the ultrasound blade through the ultrasound catheter in order to accomplish the desired tissue treatment function. The manufacturing process of the first device and the second device can produce mass variations, material density variations, and/or component variations that can alter the natural frequency of the ultrasonic surgical instrument and cause differences in output displacement. Thus, during manufacture, each of the first device and the second device can be tested to capture the natural frequencies associated therewith. The RFID tags 8006 of the first device and the second device may store first and second data indicating the captured natural frequencies, respectively.

In addition, the control circuit 1210 can be configured to be able to determine 8706 adjustments to the default natural frequency of the surgical instrument 8002 based on the first data and the second data, which can cause a generator or handle associated with the surgical instrument 8002 The component adjusts the power delivered to the ultrasound transducer to produce an updated 8708 natural frequency based on the determined adjustment. This will optimize function and variation between devices by tuning the surgical instrument output to the specific design and/or manufacturing parameters of the components of the surgical instrument. Additionally, operating at the updated natural frequency will reduce undesired stresses and reduce the chance of breakage. In at least one example, the control circuit 1210 can employ a look-up table for natural frequency adjustment of the respective device of the surgical instrument 8002, which can be obtained via any suitable identifying information such as, for example, the device number, type, or manufacturer of the transmission identify.

[0237] For brevity, the various processes described above are described as being performed by the control circuit 1210 shown in FIG. 7 . However, this is a non-limiting example of control circuitry, and it should be appreciated that the depicted processes may be performed by circuitry including various hardware and/or software components. As another example, the processes may be implemented as an ASIC configured to perform the described functions. As yet another example, the procedures may be implemented as instructions stored in a memory coupled to the processor which, when executed by the processor, cause the processor or apparatus to perform the functions described. The control circuit may include, for example, the control circuit 1210 shown in FIG. 7, the processor module 11232 of the surgical hub 11206 shown in FIGS. 5 and 6, and various other hardware and/or software components.

[0238] In various aspects, one of the first device and the second device used in the processes described in connection with FIGS. 17, 18, 20, 23, 33 may be a device package. In one example, the second device is a device package for the first device. In another example, the second device is a device package that is releasably coupled to the third device of the surgical instrument 8002. In at least one example, the first device is housing assembly 8004a (FIG. 12), and the second device is a package for housing assembly 8004a. In such an example, the device packaging may include an RFID tag that stores information about the housing assembly 8004a. The stored information may indicate whether the device packaging has been opened or damaged, may indicate an expiration date of the packaged device, and/or may include compatibility and/or authenticity information.

Various aspects of the subject matter described herein are set forth in the following examples:

Example set 1

Example 1 - A control system for a surgical instrument for use with a surgical system, the surgical system

The system includes a first device and a second device, the control system includes an RFID scanner and a control circuit coupled to the RFID scanner. The control circuit is configured to receive first data via the RFID scanner from a first RFID tag associated with the first device, and receive second data via the RFID scanner from a second RFID tag associated with the second device, according to the A data and a second data determine a communication protocol suitable for the first device and the second device, and cause the surgical instrument to communicate with the first device and the second device using the determined communication protocol.

Embodiment 2 - The control system of embodiment 1, wherein each of the first device and the second device is selected from the group consisting of a surgical hub, a visualization system, and a robotic surgical system.

Embodiment 3 - The control system of embodiment 1 or 2, wherein the surgical instrument is selected from the group consisting of a surgical stapler, an electrosurgical instrument, an ultrasonic surgical instrument, a surgical clip applier, and a trocar.

Embodiment 4 - The control system of any one of Embodiments 1 to 3, wherein the control circuit is configured to enable communication from at least one of the first device or the second device via the determined communication protocol The operator receives the operating settings for the surgical instrument.

Embodiment 5 - The control system of any of Embodiments 1 to 3, wherein the control circuit is configured to be able to communicate to at least one of the first device or the second device via the determined communication protocol or transfer operation settings.

[0246] Example 6 - A control system for a surgical instrument, the control system comprising an RFID scanner and a control circuit coupled to the RFID scanner and a display screen. The control circuit is configured to receive first data from a first RFID tag associated with the first device, receive second data from a second RFID tag associated with the second device, and determine based on the first data and the second data Type of surgical procedure.

Embodiment 7 - The control system of embodiment 6, wherein at least one of the first device or the second device is a component of a surgical instrument.

Embodiment 8 - The control system of embodiment 7, wherein the component is selected from the group consisting of handpiece, battery, motor assembly, shaft, end effector, and consumables.

Embodiment 9 - the control system of any of embodiments 6 to 8, wherein at least one of the first device or the second device is selected from the group consisting of a surgical hub, a visualization system, and a robotic surgical system Group.

Embodiment 10 - the control system of any one of embodiments 6 to 9, wherein the surgical instrument is selected from the group consisting of a surgical stapler, an electrosurgical instrument, an ultrasonic surgical instrument, a surgical clip applier, and a trocar group.

Embodiment 11 - The control system of any of Embodiments 6 to 10, further comprising a display screen, wherein the control circuit is further configured to cause the display screen to display information related to the type of surgical procedure.

[0252] Embodiment 12 - The control system of embodiment 11, wherein the information includes steps of performing a type of surgical procedure.

[0253] Example 13 - A control system for a surgical instrument, the control system comprising an RFID scanner and a control circuit coupled to the RFID scanner and a display screen. The control circuit is configured to receive first data via the RFID scanner from a first RFID tag associated with the surgical instrument (the first data identification means) and to receive second data via the RFID scanner from a second RFID tag (the first RFID tag). The second data identifies the user), and determines user settings corresponding to the user and the device.

[0254] Embodiment 14 - The control system of embodiment 13, wherein the second RFID tag is provided on a belt that can be worn by the user.

Embodiment 15 - The control system of embodiment 13 or 14, wherein the surgical instrument is selected from the group consisting of a surgical stapler, an electrosurgical instrument, an ultrasonic surgical instrument, a surgical clip applier, and a trocar.

Embodiment 16 - The control system of any of Embodiments 13 to 15, further comprising a display screen, wherein the control circuit is further configured to cause the display screen to display in relation to the surgical instrument according to the determined user setting Information.

Embodiment 17 - The control system of any of Embodiments 13 to 16, wherein the determined user settings include a magnification of the visualization system.

Embodiment 18 - The control system of any of Embodiments 13 to 16, wherein the determined user settings comprise a layout of a graphical user interface displayed by the display screen.

[0259] Embodiment 19 - The control system of any of Embodiments 13 to 16, wherein the determined user settings comprise customized operating settings for the surgical instrument.

Example set 2

Example 1 - A control system for a surgical instrument, the control system comprising an RFID scanner and a control circuit coupled to the RFID scanner, the control circuit being configured to scan via the RFID The device receives first data from a first RFID tag associated with the first device, receives second data via the RFID scanner from a second RFID tag associated with the second device, and is based on a comparison of the first data and the second data to verify the compatibility of the first device and the second device.

Embodiment 2 - The control system of Embodiment 1, further comprising a display screen, wherein the control circuit is configured to provide an alert that the first device and the second device are not compatible via the display screen.

Embodiment 3 - The control system of embodiment 2, wherein the display screen is integrated into a surgical hub to which surgical instruments are communicatively coupled.

[0264] Embodiment 4 - The control system of any of Embodiments 1 to 3, wherein the first device comprises a first part of a surgical instrument and the second device comprises a second part of a surgical instrument.

Embodiment 5-the control system of embodiment 4, wherein each of the first component and the second component is selected from the group consisting of a handpiece, a battery, a motor assembly, a shaft, an end effector, and a consumable formed group.

Embodiment 6 - The control system of embodiment 4 or 5, wherein when the first part and the second part are assembled to form the surgical instrument, the RFID scanner is positioned to read the first RFID tag and each of the second RFID tags.

Embodiment 7-the control system of embodiment 4 or 5, wherein the RFID scanner comprises a first RFID scanner, the control system further comprises a second RFID scanner, and wherein when the first component and the second When the components are assembled to form the surgical instrument, the first RFID scanner is positioned to read the first RFID tag and the second RFID scanner is positioned to read the second RFID tag.

[0268] Embodiment 8 - The control system of any of Embodiments 1 to 7, wherein the control circuit is further configured to prevent surgical instrument operation based on incompatibility of the first device and the second device.

Example 9 - A control system for a surgical instrument, the control system comprising an RFID scanner and a control circuit coupled to the RFID scanner, the control circuit configured to be capable of scanning via the RFID The device receives first data from a first RFID tag associated with the first device, and receives second data via the RFID scanner from a second RFID tag associated with the second device, based on a relationship between the first data and the second data. By comparison, it is determined that the first device is not compatible with the second device, and a suggestion for a third device to replace the second device is provided.

Embodiment 10 - The control system of Embodiment 9, further comprising a display screen, wherein the control circuit is configured to provide an alert, and wherein the alert includes a notification displayed via the display screen.

Embodiment 11 - the control system of embodiment 10, wherein the display screen is integrated into the surgical hub, the external

The surgical instrument is communicatively coupled to the surgical hub.

Embodiment 12 - The control system of any of Embodiments 9 to 11, wherein the first device comprises a first part of a surgical instrument and the second device comprises a second part of a surgical instrument.

Embodiment 13-the control system of embodiment 12, wherein each of the first component and the second component is selected from a handpiece, a battery, a motor assembly, a shaft, an end effector, and a consumable formed group.

Embodiment 14 - The control system of embodiment 12 or 13, wherein when the first part and the second part are assembled to form a surgical instrument, the RFID scanner is positioned to read the first RFID tag and each of the second RFID tags.

Embodiment 15 - the control system of embodiment 12 or 13, wherein the RFID scanner comprises a first RFID scanner, the control system further comprises a second RFID scanner, wherein when the first part and the second part are When assembled to form the surgical instrument, the first RFID scanner is positioned to read the first RFID tag and the second RFID scanner is positioned to read the second RFID tag.

[0276] Embodiment 16 - The control system of any of Embodiments 9 to 15, wherein determining that the first device and the second device are incompatible causes the control circuit to prevent operation of the surgical instrument.

Embodiment 17-a control system for a surgical instrument for use with a surgical system, the control system comprising an RFID scanner and a control circuit coupled to the RFID scanner, the The control circuit is configured to receive first data from a first RFID tag associated with the first device via the RFID scanner, determine operational settings of the surgical system based on the first data, and from a RFID scanner associated with the second device via the RFID scanner The second RFID tag receives the second data and updates the operational setting from the first value to the second value based on the first data and the second data.

[0278] Embodiment 18-the control system of embodiment 17, wherein the operative arrangement is for a surgical instrument.

[0279] Embodiment 19-the control system of embodiment 17, wherein the operation provides a third device for the surgical system.

Embodiment 20 - the control system of any of embodiments 17 to 19, wherein, as a result of the use of the first and second devices in conjunction with a surgical instrument, the RFID scanner is configured to be able to read Each of the first RFID tag and the second RFID tag.

Embodiment 21 - The control system of any of embodiments 17 to 20, wherein the surgical instrument comprises a trocar, and the RFID scanner is positioned so that the first device and the second device pass through the cannula Each of the first RFID tag of the first device and the second RFID tag of the second device is read when the needle is inserted.

Example set 3

Example 1 - a control system for a surgical instrument comprising a first device and a second device, the control system comprising an RFID scanner and a control circuit coupled to the RFID scan the control circuit is configured to receive first data via the RFID scanner from a first RFID tag associated with the first device and second data via the RFID scanner from a second RFID tag associated with the second device , the type of the surgical instrument is determined according to the first data and the second data, and the operation setting is determined according to the type of the surgical instrument.

[0284] Embodiment 2 - The control system of embodiment 1, wherein the first device comprises a first part of a surgical instrument and the second device comprises a second part of a surgical instrument.

Embodiment 3 - the control system , wherein each of the first and second components is selected from the group consisting of a handpiece, a battery, a motor assembly, a shaft, an end effector, and A group of consumables.

Embodiment 4 - the control system according to embodiment 2 or 3, wherein when the first part and the second part are assembled

To form a surgical instrument, an RFID scanner is positioned to read each of the first RFID tag and the second RFID tag.

Embodiment 5 - the control system of embodiment 2 or 3, wherein the RFID scanner comprises a first RFID scanner, the control system further comprises a second RFID scanner, wherein when the first part and the second part When assembled to form the surgical instrument, the first RFID scanner is positioned to read the first RFID tag, and the second RFID scanner is positioned to read the second RFID tag.

Embodiment 6 - The control system of any of Embodiments 1 to 5, wherein the control system is integrated into a surgical instrument.

Embodiment 7 - The control system of any one of Embodiments 1 to 5, wherein the control system is integrated into a surgical hub to which surgical instruments are communicatively coupled.

Embodiment 8 - The control system of any of Embodiments 1 to 7, wherein the operative arrangement is for a surgical instrument.

[0291] Embodiment 9 - The control system of any of Embodiments 1 to 7, wherein the operative provision is for a third device to which the surgical instrument is communicatively coupled.

Embodiment 10 - a control system for a surgical instrument, the control system comprising an RFID scanner and a control circuit coupled to the RFID scanner, the control circuit configured to be capable of scanning via the RFID The device receives first data from a first RFID tag associated with the surgical instrument, the first data identifying the surgical instrument, from the consumable device used with the surgical instrument via the RFID scanner in response to the consumable device being inserted into the surgical instrument The second RFID tag of the receiver receives second data identifying the consumable device, determines operational settings corresponding to the surgical instrument and the consumable device, and controls the surgical instrument according to the determined operational settings.

Embodiment 11 - the control system of embodiment 10, wherein the surgical instrument includes a clip applier, the consumer device includes a surgical clamp, and the operational setting is selected from a force profile or surgical instrument application of the surgical instrument to the surgical clamp The group consisting of the maximum force to the surgical clamp.

Embodiment 12-the control system of embodiment 10, wherein the surgical instrument includes a stapler, the stapler includes an I-beam and a motor configured to be able to move between a first position and a second position The I-beam is driven, the consumer device includes a staple cartridge, and the operational settings include the speed at which the motor drives the I-beam.

Embodiment 13 - The control system of any of Embodiments 10 to 12, wherein the control system is integrated into a surgical instrument.

Embodiment 14 - The control system of any one of Embodiments 10 to 12, wherein the control system is integrated into a surgical hub to which surgical instruments are communicatively coupled.

[0297] Embodiment 15 - The control system of any of Embodiments 10 to 14, wherein the operative arrangement is for a surgical instrument.

[0298] Embodiment 16 - The control system of any of Embodiments 10 to 14, wherein the operative arrangement is for a third device to which the surgical instrument is communicatively coupled.

Example 17 - A control system for a surgical instrument, the control system comprising an RFID scanner and a control circuit coupled to the RFID scanner, the control circuit configured to be capable of scanning via the RFID The device receives first data from a first RFID tag associated with the surgical instrument (identifying the surgical instrument), and receives second data via the RFID scanner from a second RFID tag (identifying the user of the surgical instrument) , determine operating settings corresponding to the user and the surgical instrument, and control the surgical instrument according to the determined operating settings.

Embodiment 18 - the control system of embodiment 17, wherein the control circuit is configured to retrieve and

The parameters of the surgical instrument correspond to the operating range, and the operating settings are selected from the operating range according to the user.

Embodiment 19 - The control system of embodiment 17 or 18, wherein the first RFID tag is associated with a component of a surgical instrument.

Embodiment 20 - The control system of embodiment 19, wherein the RFID scanner is positioned to read the first RFID tag when the component is coupled to the surgical instrument.

Embodiment 21 - The control system of any of Embodiments 17 to 20, wherein the second RFID tag is provided on a belt that can be worn by the user.

Embodiment 22 - The control system of any one of Embodiments 17 to 21, wherein the operational setting is selected from the group consisting of staple height, power level of the surgical instrument, a motor coupled to an end effector of the surgical instrument The group consisting of the closing speed that causes the end effector to close, the firing speed that the motor coupled to the firing member of the surgical instrument causes the firing member to advance, and the resonant frequency of the ultrasonic blade of the surgical instrument.

Embodiment 23 - The control system of any of Embodiments 17 to 22, wherein the control system is integrated into a surgical instrument.

Embodiment 24-the control system of any of embodiments 17 to 22, wherein the control system is integrated into a surgical hub to which surgical instruments are communicatively coupled.

[0307] While various forms have been illustrated and described, it is not the intention of applicants to restrict or limit the scope of the appended claims to such details. Numerous modifications, variations, changes, substitutions, combinations and equivalents of these forms may be made without departing from the scope of the present disclosure, and many modifications, variations, changes, substitutions, Combinations and Equivalents. Also, alternatively, the structure of each element associated with the described form may be described as a means for providing the function performed by the element. Additionally, where materials are disclosed for certain components, other materials may also be used. Therefore, it is to be understood that the foregoing detailed description and the appended claims are intended to cover all such modifications, combinations and variations as fall within the scope of the present disclosure. The appended claims are intended to cover all such modifications, variations, changes, substitutions, alterations and equivalents.

[0308] The foregoing detailed description has illustrated various forms of apparatus and/or methods using block diagrams, flowcharts, and/or examples. So long as such block diagrams, flowcharts and/or examples include one or more functions and/or operations, those skilled in the art will understand each function and/or operation in such block diagrams, flowcharts and/or examples or operations may be implemented individually and/or collectively by a variety of hardware, software, firmware, or virtually any combination thereof. Those skilled in the art will recognize that some aspects of the forms disclosed herein may be implemented as one or more computer programs (eg, as one or more computer programs) running on one or more computers one or more programs), as one or more programs running on one or more processors (for example, as one or more programs running on one or more microprocessors), as firmware, or as Indeed any combination of them is equivalently implemented in whole or in part in an integrated circuit, and it would be within the skill of those skilled in the art to design circuitry and/or code software and/or hardware in light of this disclosure. In addition, those skilled in the art will recognize that the mechanisms of the subject matter described herein can be distributed as one or more program products in a variety of forms, and that the illustrative forms of the subject matter described herein are applicable regardless of use in actual implementation. What is the specific type of signal bearing medium distributed.

[0309] Instructions for programming logic to perform the various disclosed aspects may be stored in memory in the system, such as dynamic random access memory (DRAM), cache, flash memory, or other memory. Furthermore, the instructions may be distributed over a network or through other computer-readable media. Thus, a machine-readable medium may include any mechanism for storing or transmitting information in a form readable by a machine (eg, a computer), but is not limited to a floppy disk, optical disk, compact disk read only memory (CD 38)

ROM), and magneto-optical disks, read only memory (ROM), random access memory (RAM), erasable programmable read only memory (EPROM), electrically erasable programmable read only memory (EEPROM), magnetic card or optical Cards, flash memory, or tangible, machine-readable storage devices used in transmitting information over the Internet via electrical, optical, acoustic, or other forms of propagated signals (eg, carrier waves, infrared signals, digital signals, etc.). Accordingly, non-transitory computer-readable media includes any type of tangible machine-readable media suitable for storing or transmitting electronic instructions or information in a form readable by a machine (eg, a computer).

As used in any aspect herein, the term "control circuitry" may refer to, for example, hardwired circuitry, programmable circuitry (e.g., a computer processor that includes one or more individual instruction processing cores, processing unit, processor, microcontroller, microcontroller unit, controller, digital signal processor (DSP), programmable logic device (PLD), programmable logic array (PLA), field programmable gate array (FPGA)) , state machine circuitry, firmware storing instructions for execution by programmable circuitry, and any combination thereof. The control circuits may be implemented collectively or individually as circuitry forming part of a larger system, such as an integrated circuit (IC), an application specific integrated circuit (ASIC), a system on a chip (SoC), a desktop computer, a laptop computer, a tablet computer , servers, smartphones, etc. Thus, as used herein, "control circuit" includes, but is not limited to, an electronic circuit having at least one discrete circuit, an electronic circuit having at least one integrated circuit, an electronic circuit having at least one application specific integrated circuit, forming a general-purpose computer configured by a computer program Electronic circuitry of an apparatus (eg, a general-purpose computer configured by a computer program at least partially implementing the methods and/or apparatus described herein, or a microcomputer configured by a computer program at least partially implementing the methods and/or apparatus described herein) processor), forming a memory device Electronic circuits (eg, forming random access memory), and/or electronic circuits forming communication devices (eg, modems, communication switches, or optoelectronic devices). Those skilled in the art will recognize that the subject matter described herein may be implemented in analog or digital fashion, or some combination thereof.

[0311] As used in any aspect herein, the term "logic" may refer to an application, software, firmware and/or circuitry configured to perform any of the foregoing operations. Software may be embodied as a software package, code, instructions, sets of instructions, and/or data recorded on a non-transitory computer-readable storage medium. Firmware may be embodied as code, instructions or a set of instructions and/or data hard-coded (eg, non-volatile) in a memory device.

[0312] As used in any aspect herein, the terms "component," "system," "module," etc. may refer to a computer-related entity, hardware, a combination of hardware and software, software, or software in execution.

As used in any aspect herein, "algorithm" refers to an orderly sequence of steps leading to a desired result, wherein "step" refers to the manipulation of physical quantities and/or logical states, which may be ( but not necessarily) in the form of electrical or magnetic signals capable of being stored, transferred, combined, compared and otherwise manipulated. Commonly used to refer to these signals, such as bits, values, elements, symbols, characters, terms, numbers, etc. These and similar terms may be associated with the appropriate physical quantities and are merely convenient labels applied to these quantities and/or states.

[0314] The network may include a packet-switched network. The communication devices may be capable of communicating with each other using the selected packet-switched network communication protocol. An exemplary communication protocol may include an Ethernet communication protocol that may enable communication using Transmission Control Protocol/Internet Protocol (TCP/IP). The Ethernet protocol may conform to or be compatible with the Ethernet standard titled "IEEE 802.3 Standard" published by the Institute of Electrical and Electronics Engineers (IEEE) in December 2008 and/or later versions of this standard. Alternatively or additionally, the communication devices may be able to communicate with each other using the X.25 communication protocol. The X.25 communication protocol may conform to or be compatible with standards published by the International Telecommunication Union Telecommunication Standardization Sector (ITU-T). Alternatively or additionally, the communication devices may be able to communicate with each other using a frame relay communication protocol. The Frame Relay communication protocol may conform to or be compatible with standards published by the Consultative Committee for International Telegraph and Telephone (CCITT) and/or the American National Standards Institute (ANSI). Alternatively or additionally, the transceiver may be able to enable

communicate with each other using the Asynchronous Transfer Mode (ATM) communication protocol. The ATM communication protocol may conform to or be compatible with the ATM standard entitled "ATM-MPLS Network Interworking 2.0" published by the ATM Forum in August 2001 and/or a later version of the standard. Of course, this paper also contemplates different and/or later A connection-oriented network communication protocol developed.

[0315] In various aspects, the microcontroller controlling the circuit according to the present disclosure may be any single-core or multi-core processor, such as a processor known by Texas Instruments under the trade name ARM Cortex. In one aspect, microcontroller 461 may be a LM4F230H5QR ARM Cortex-M4F processor core available from, for example, Texas Instruments, which includes 256KB of single-cycle flash or other non-volatile memory (up to 40MHz ), prefetch buffer for improved performance above 40MHz, 32KB single-cycle SRAM, internal ROM loaded with StellarisWare® software, 2KB electrical EEPROM, one or more PWM modules, one or more QEI analog , One or more 12-bit ADCs with 12 analog input channels, details of which can be found in the product data sheet.

Unless otherwise expressly stated in the above disclosure, it is understood that in the above disclosure, discussions using terms such as "processing", "estimating", "calculating", "determining", "displaying" refer to computer systems or similar electronic computing device acts and processes that manipulate and convert data represented as physical (electronic) quantities within the registers and memory of a computer system into a computer system memory or registers or other such storage of information , transmit or display other data of a physical quantity within a device.

One or more components may be referred to herein as "configured to be capable", "configurable to be capable", "operable/operable", "adapted/adaptable", "capable of" , "Conformable/Conformable to", etc. Those skilled in the art will recognize that unless the context dictates otherwise, "configured to be able" may generally encompass active state components and/or inactive state components and/or standby state components.

[0318] The terms "proximal" and "distal" are used herein with respect to a clinician manipulating the housing portion of a 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 should also be understood that, for brevity and clarity, spatial terms such as "vertical," "horizontal," "upper," and "lower" may be used herein in connection with the drawings. However, surgical instruments are used in many orientations and orientations, and these terms are not intended to be limiting and/or absolute.

Those skilled in the art will recognize that the terms used herein, in general, and in the appended claims in particular (e.g., the body of the appended claims) are generally intended to be "open" terms (e.g., , the term "including" should be interpreted as "including but not limited to", the term "having" should be interpreted as "having at least", the term "including" should be interpreted as "including but not limited to", etc.). It will also be understood by those within the art that if a specific number of an introduced claim recitation is intended, such an intent will be explicitly recited in the claim, and in the absence of such recitation no such intent is present . For example, as an aid to understanding, the following appended claims may contain usage of the introductory phrases "at least one" and "one or more" to introduce claims. However, use of such phrases should not be taken to imply that introduction of a claim expression by the indefinite articles "a" or "an" limits any particular claim containing such introduced claim expression to containing only one such expression even when the same claim includes the introductory phrases "one or more" or "at least one" and terms such as "an" or "an" (eg, "an" and/or "an" should generally be When interpreted as an indefinite article meaning "at least one" or "one or more"); this also applies to the use of the definite article used to introduce claim expressions.

Additionally, even if a specific number of an introduced claim recitation is explicitly recited, those skilled in the art will recognize that such recitation should generally be construed to mean at least the recited number (e.g., in the absence of other modifiers). , bare narration by "two narrations" generally means at least two narrations, or two or more narrations). Furthermore, in those cases where a convention similar to "at least one of A, B, and C, etc." is used, such constructions are generally intended to have art

Those skilled in the C together, B and C together, and/or A, B and C together, etc.). In those cases where a convention similar to "at least one of A, B, or C, etc." is used, such constructions are generally intended to have the meaning that those skilled in the art would understand the convention (eg, "A system having at least one of A, B, or C" shall include, but is not limited to, having A only, B only, C only, A and B together, A and C together, B and C together, and/or A, B systems such as with C). It will also be understood by those skilled in the art that generally, unless the context dictates otherwise, inflectional words and/or phrases presenting two or more alternative terms, whether in the detailed description, claims or drawings, are to be understood To cover the possibility of including one of the terms, either of the terms, or both. For example, the phrase "A or B" will generally be understood to include the possibilities of "A" or "B" or "A and B".

[0321] With regard to the appended claims, those skilled in the art will understand that the operations recited therein can generally be performed in any order. Additionally, although various operational flowcharts are presented in one or more sequences, it should be understood that the various operations may be performed in other orders than shown, or may be performed concurrently. Unless the context dictates otherwise, examples of such alternate orderings may include overlapping, interleaved, interrupted, reordered, incremental, preparatory, supplemental, simultaneous, reversed, or other altered orderings. Furthermore, terms like "responsive to," "related to," or other past-tense adjectives are generally not intended to exclude such variations unless the context dictates otherwise.

It is worth mentioning that any reference to "an aspect", "an aspect", "an example", "an example" is intended to refer to the particular feature, structure or feature described in connection with the aspect Included in at least one aspect. Thus, the appearances of the phrases "in one aspect," "in an aspect," "in an example," "in an example" in various places throughout the specification are not necessarily all referring to the same aspect. Furthermore, the particular features, structures or characteristics may be combined in any suitable manner in one or more aspects.

[0323] Any patent applications, patents, non-patent publications or other published materials mentioned herein and/or listed in any Application Data Sheet are incorporated herein by reference to the extent that the incorporated materials are not inconsistent herein. Accordingly, and to the extent necessary, the disclosure expressly set forth herein supersedes any conflicting material incorporated herein by reference. Any material, or part thereof, purportedly incorporated herein by reference but which conflicts with existing definitions, statements or other disclosed material set forth herein will only arise between the incorporated material and the existing disclosed material merged to the extent of conflict.

[0324] In summary, a number of benefits have been described that result from employing the concepts described herein. The foregoing detailed description has been presented in one or more forms for the purposes of illustration and description. These detailed descriptions are not intended to be exhaustive or to be limited to the precise forms disclosed. Modifications and variations of the present invention are possible in light of the above teachings. The form or forms was chosen and described in order to illustrate principles and practical application, to thereby enable one of ordinary skill in the art to utilize various forms and modifications as are suited to the particular use contemplated. The claims filed herewith are intended to define the full scope.