# US 12,009,095 B2 · Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes

> Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt

- Number: US 12,009,095 B2
- Document ID: US12009095B2
- Status: Granted
- Kind: B2
- Application number: 17/592,080
- Filed: 2022-02-03
- Published: 2022-07-21
- Granted: 2024-06-11
- Earliest claimed: 2017-12-28
- Assignees: Cilag GmbH International
- Applicants: Cilag GmbH International
- Inventors: Frederick E. Shelton, IV; Jason L. Harris; Taylor W. Aronhalt
- Web page: https://patentgrep.com/patent/US12009095B2

## CPC

- G16H 40/40: for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
- A61B 18/14: Probes or electrodes therefor
- A61B 34/35: for telesurgery
- A61B 90/08: {Accessories or related features not otherwise provided for}
- A61B 90/361: {Image-producing devices, e.g. surgical cameras}
- G06Q 10/06315: {Needs-based resource requirements planning or analysis}
- G06Q 10/20: Administration of product repair or maintenance
- G16H 40/20: for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
- G16H 40/63: for local operation
- G16H 40/67: for remote operation
- G16H 50/70: for mining of medical data, e.g. analysing previous cases of other patients
- A61B 2017/00057: {Light}
- A61B 2017/00106: {ultrasonic}
- A61B 2017/00199: {with a console, e.g. a control panel with a display}
- A61B 2017/00221: {with wireless transmission of data, e.g. by infrared radiation or radiowaves}
- A61B 2017/00225: {Systems for controlling multiple different instruments, e.g. microsurgical systems}
- A61B 2017/0688: {Packages or dispensers for surgical staplers}
- A61B 2018/00541: {Lung or bronchi}
- A61B 2018/00601: {Cutting}
- A61B 2018/0063: {Sealing}
- A61B 2018/00839: {Bioelectrical parameters, e.g. ECG, EEG}
- A61B 2018/00982: {combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes}
- A61B 2018/00994: {combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound}
- A61B 2034/301: {for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes}
- A61B 2090/0803: {Counting the number of times an instrument is used}
- A61B 2090/0805: {automatically, e.g. by means of magnetic, optical or photoelectric detectors}
- A61B 2218/002: Irrigation
- A61B 2218/008: for smoke evacuation
- Y02W 90/00: Enabling technologies or technologies with a potential or indirect contribution to greenhouse gas [GHG] emissions mitigation
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G06Q: INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- Y02W: CLIMATE CHANGE MITIGATION TECHNOLOGIES RELATED TO WASTEWATER TREATMENT OR WASTE MANAGEMENT

## Abstract

Various systems and methods for tracking surgical procedure costs are disclosed. A computer system, such as surgical hub, is configured to be communicably coupled to a plurality of surgical devices. The computer system can be programmed to identify the surgical devices that are being utilized during a surgical procedure via perioperative data received from the surgical devices and then calculate the total cost associated with the surgical devices used in the surgical procedure. The total cost can include an aggregation of the maintenance costs of each of the reusable surgical devices and the replacement costs of the nonreusable surgical devices consumed during the surgical procedure.

## Claims

### Claim 1

A surgical system comprising:
a plurality of surgical devices distributed across a plurality of medical facilities, wherein each surgical device of the plurality of surgical devices is configured to generate and transmit signals; and
a surgical hub configured to be communicably coupled to the plurality of surgical devices, wherein the surgical hub comprises a processor and a memory coupled to the processor, the memory storing instructions that, when executed by the processor, cause the surgical system to:
detect a connection of a first surgical device of the plurality of surgical devices in a first medical facility of the plurality of medical facilities;
receive operational parameters associated with a historical use of the first surgical device;
generate a control program update for the first surgical device based on the received operational parameters, wherein the control program update is determined to improve a surgical outcome associated with a use of the first surgical device;
detect a connection of a second surgical device of the plurality of surgical devices in a second medical facility of the plurality of medical facilities; and
implement the control program update via the second surgical device to improve a surgical outcome associated with a use of the second surgical device.

### Claim 2 (depends on 1)

The surgical system of claim 1, wherein the instructions, when executed by the processor, further cause the processor to correlate the first surgical device to the second surgical device, and wherein implementing the control program update via the second surgical device is based on the correlation of the first surgical device to the second surgical device.

### Claim 3 (depends on 2)

The surgical system of claim 2, wherein the instructions, when executed by the processor, further cause the processor to:
receive a first signal from the first surgical device;
receive a second signal from the second surgical device; and
determine a type of surgical procedure performed by the first surgical device and the second surgical device based on the received first signal and the received second signal, wherein the correlation is based on the type of surgical procedure performed by the first surgical device and the second surgical device, and wherein the improved surgical outcome comprises better sealing and less bleeding during the type of surgical procedure performed by the first surgical device and the second surgical device.

### Claim 4 (depends on 2)

The surgical system of claim 2, wherein the instructions, when executed by the processor, further cause the processor to:
receive a first signal from the first surgical device;
receive a second signal from the second surgical device; and
determine a type of tissue operated on by the first surgical device and the second surgical device, wherein the correlation is based on the type of tissue operated on by the first surgical device and the second surgical device, and wherein the improved surgical outcome comprises better sealing and less bleeding of the type of tissue operated on by the first surgical device and the second surgical device.

### Claim 5 (depends on 2)

The surgical system of claim 2, wherein the instructions, when executed by the processor, further cause the processor to:
receive a first signal from the first surgical device;
receive a second signal from the second surgical device; and
determine a body cavity being operated on by the first surgical device and the second surgical device, wherein the correlation is based on the body cavity being operated on by the first surgical device and the second surgical device, and wherein the improved surgical outcome comprises better sealing and less bleeding within the body cavity being operated on by the first surgical device and the second surgical device.

### Claim 6 (depends on 2)

The surgical system of claim 2, wherein the instructions, when executed by the processor, further cause the processor to:
receive a first signal from the first surgical device;
receive a second signal from the second surgical device; and
determine a cost associated with the use of the first surgical device and the use of the second surgical device, wherein the correlation is based on the cost associated with the use of the first surgical device and the use of the second surgical device, and wherein the improved surgical outcome comprises a reduced cost of a surgical procedure performed by the first surgical device and the second surgical device.

### Claim 7 (depends on 6)

The surgical system of claim 6, wherein the control program update comprises an optimal product mix for the first surgical device and the second surgical device.

### Claim 8 (depends on 7)

The surgical system of claim 7, wherein the optimal product mix comprises a recommended cartridge to be used by the first surgical device and the second surgical device during the surgical procedure.

### Claim 9 (depends on 8)

The surgical system of claim 8, wherein the recommended cartridge comprises a particular type of staple.

### Claim 10

A surgical system comprising:
a plurality of surgical devices distributed across a plurality of medical facilities, wherein each surgical device of the plurality of surgical devices is configured to generate and transmit signals; and
a surgical hub configured to be communicably coupled to the plurality of surgical devices, wherein the surgical hub comprises a processor and a memory coupled to the processor, the memory storing instructions that, when executed by the processor, cause the surgical system to:
detect a connection of a first surgical device of the plurality of surgical devices in a first medical facility of the plurality of medical facilities;
receive operational parameters associated with a historical use of the first surgical device;
generate a control program update for the first surgical device based on the received operational parameters, wherein the control program update is determined to improve a future surgical outcome associated with a use of the first surgical device; and
implement the control program update via the first surgical device to improve the future surgical outcome associated with a use of the first surgical device.

### Claim 11 (depends on 10)

The surgical system of claim 10, wherein the instructions, when executed by the processor, further cause the processor to:
receive a signal from the first surgical device; and
determine a type of surgical procedure performed by the first surgical device, and wherein the improved future surgical outcome comprises better sealing and less bleeding during the type of surgical procedure performed by the first surgical device.

### Claim 12 (depends on 10)

The surgical system of claim 10, wherein the instructions, when executed by the processor, further cause the processor to:
receive a first signal from the first surgical device; and
determine a type of tissue operated on by the first surgical device, and wherein the improved future surgical outcome comprises better sealing and less bleeding of the type of tissue operated on by the first surgical device.

### Claim 13 (depends on 10)

The surgical system of claim 10, wherein the instructions, when executed by the processor, further cause the processor to:
receive a first signal from the first surgical device; and
determine a body cavity being operated on by the first surgical device, and wherein the improved future surgical outcome comprises better sealing and less bleeding within the body cavity being operated on by the first surgical device.

### Claim 14 (depends on 10)

The surgical system of claim 10, wherein the instructions, when executed by the processor, further cause the processor to:
receive a first signal from the first surgical device; and
determine a cost associated with the use of the first surgical device, and wherein the improved future surgical outcome comprises a reduced cost of a surgical procedure performed by the first surgical device.

### Claim 15 (depends on 14)

The surgical system of claim 14, wherein the control program update comprises an optimal product mix for the first surgical device.

### Claim 16 (depends on 15)

The surgical system of claim 15, wherein the cost effective optimal product mix comprises a recommended cartridge to be used by the first surgical device during the surgical procedure.

### Claim 17 (depends on 16)

The surgical system of claim 16, wherein the recommended cartridge comprises a particular type of staple.

### Claim 18

A computer-implemented method for generating a control program update to improve a surgical outcome associated with a plurality of surgical devices distributed across a plurality of medical facilities, wherein the plurality of surgical devices are configured for use during a surgical procedure, the method comprising:
detecting a connection of a first surgical device of the plurality of surgical devices in a first medical facility of the plurality of medical facilities;
receiving operational parameters associated with a historical use of the first surgical device;
generating a control program update for the first surgical device based on the received operational parameters, wherein the control program update is determined to improve a future surgical outcome associated with a use of the first surgical device; and
implementing the control program update via the first surgical device to improve the future surgical outcome associated with the use of the first surgical device.

### Claim 19 (depends on 18)

The computer-implemented method of claim 18, further comprising:
detecting a connection of a second surgical device of the plurality of surgical devices in a second medical facility of the plurality of medical facilities;
correlating the second surgical device to the first surgical device; and
implementing the control program update via the second surgical device to improve a surgical outcome associated with a use of the second surgical device, wherein implementing the control program update via the second surgical device is based on the correlation of the second surgical device to the first surgical device.

### Claim 20 (depends on 19)

The computer-implemented method of claim 19, further comprising determining a type of surgical procedure performed by the first surgical device and the second surgical device, wherein the correlation of the second surgical device to the first surgical device is based on the determined type of surgical procedure performed by the first surgical device and the second surgical device, and wherein the improved surgical outcome comprises better sealing and less bleeding during the type of surgical procedure performed by the first surgical device and the second surgical device.