Abstract: A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

Abstract: An end effector comprises a first jaw, a second jaw, a firing beam, and a lockout feature. The second jaw pivots relative to the first jaw from an open position to a closed position. The firing beam has a sharp distal end and translates between the first and second jaws. The firing beam translates from a proximal position to a first distal position to pivot the second jaw to the closed position. The end effector applies bipolar RF energy when the firing beam is in the first distal position. The firing beam then translates to a second distal position to sever tissue captured between the first and second jaws. The lockout feature prevents the firing beam from advancing from the first distal position to the second distal position until the lockout feature is actuated.

Abstract: An apparatus for operating on tissue includes an end effector, a first actuator, and a second actuator. The end effector includes a first jaw pivotable relative to a second jaw to a closed position. The first actuator is movable from a first position to a second position to pivot the first jaw to the closed position. The first actuator engages the second actuator in the second position to selectively provide RF energy to the end effector.

Abstract: An electrosurgical device comprises an end effector, a cutting member, and en electromechanical driver. The end effector comprises a pair of jaws that clamp tissue. The jaws include electrodes that deliver RF energy to clamped tissue. The cutting member cuts tissue clamped between the jaws. The electromechanical driver drives the cutting member. A control module commands the electromechanical driver, and regulates the delivery of RF energy to the electrodes, based on a combination of user input and feedback signals from the electrodes and from the electromechanical driver. The device may provide tactile feedback to the user through the user input feature, based on a load encountered by the cutting member. The device may alert the user when the exterior of end effector makes incidental contact with tissue, to avoid inadvertently burning the tissue. The device may include a removable battery pack to power the electromechanical driver and the electrodes.

Abstract: An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.

Abstract: Ultrasound surgical apparatus are disclosed, including: medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal guide members for control of focal point depth; medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal rolling members for manipulability and control of focal point depth; medical ultrasound handpiece assemblies with coupled end effectors providing a probe with a probe dilation region configured to have an average outside diameter that is equal to or greater than the average outside diameter of a probe tip and neck; as well as junctions to an ultrasonically inactive probe sheath; medical ultrasound handpiece assemblies with coupled end effectors having positionable, ultrasonically inactive probe sheath ends slidably operable to both cover and expose at least a probe tip; and u

Abstract: A surgical instrument includes a handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.

Abstract: An ultrasonic surgical instrument comprises a handpiece and an ultrasonically actuated blade distal to the handpiece. The instrument includes an activation member that is operable to selectively activate the blade and a controller that is operable to select the energy level at which the blade will be activated. The activation member may comprise capacitive switches; resistive sensors; resonant cavity switching technology; infrared sensing technology; technology that uses a resonant, standing wave on a surface that is perturbed by the presence of a finger; and/or any other suitable type of technology. The controller may comprise the same. The controller may permit selection from three or more available ultrasonic energy levels. The activation member and/or controller may be manipulated from various longitudinal positions on the handpiece and/or various rotational positions about the handpiece, such that the handpiece may be gripped in a variety of ways.

Abstract: A system for inserting components into a medical device includes a container and an attachment member. The attachment member is coupled to a sidewall having an opening and is configured to be coupled to a medical device. Utilizing the attachment member and opening, an insertable component may be inserted into a medical device within the container while limiting the risk of contamination to the interior of the container. Alternatively, a cutting knob and an alignment member mounted to a container may be used. Cutting knob and alignment member are coupled and a knife on cutting knob is rotated about alignment member to create an opening in the container to access the interior of the medical device. Another alternative includes sandwiching an insertable component between an attachable member and the medical device while the attachable member and medical device are contained within flexible packaging that may be torn away.

Abstract: In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.

Abstract: An apparatus maintains the sterility of a medical device while providing for the insertion of an insertable component into the medical device. The apparatus includes a medical device having a housing sized to contain the insertable component, an active feature, a cap, and a hinge member. A container encases the medical device within a device recess, a cap recess, and a container cover. The insertable component may be inserted into the housing while limiting potential contact with the exterior of the medical device. An alternative assembly comprises an insertion assembly having a handle and the insertable component detachably attached thereto. The medical device comprises a housing, an active feature, and a flexible member. An insertion tube is insertable within the flexible member to limit contact when the insertable component is inserted into the housing. Yet another configuration includes a resiliently hinged door assembly releasable by a release button.

Abstract: An apparatus comprises a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly comprises an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly comprises a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.

Abstract: A surgical apparatus comprises a body assembly, an ultrasonic transducer, a shaft assembly, a motor, and a locking feature. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises a waveguide operable to transmit ultrasonic vibrations. The motor is operable to rotate the ultrasonic transducer to thereby selectively couple the ultrasonic transducer with the waveguide. The locking feature is configured to selectively prevent rotation of at least a portion of the shaft assembly relative to the body assembly. The locking feature and the motor may be activated automatically in response to an operator positioning a proximal portion of the shaft assembly in a distal portion of the body assembly. The surgical apparatus may include a feature configured to alert a user when the waveguide has been adequately secured to the ultrasonic transducer.

Abstract: An apparatus includes a body, a shaft, an ultrasonic element, and an annular clamp pad. The shaft extends distally from the body. The ultrasonic element is located at the distal end of the shaft. The ultrasonic element includes a distally presented annular face. The clamp pad is movable toward the distally presented annular face of the ultrasonic element. When tissue is compressed between the clamp pad and the distally presented annular face of the ultrasonic element, the ultrasonic element may be activated with ultrasonic energy. The resulting ultrasonic vibrations may sever and seal the tissue captured between the distally presented annular face and the clamp pad, resulting in an anastomosis. The apparatus may thus be used to join two hollow tubular tissue structures, such as portions of a gastrointestinal tract.

Abstract: An ultrasonic element comprises an ultrasonic transducer and a head or blade. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The head or blade is in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically. The head or blade has a curved distal face. The curved distal face defines a proximally extending concave curve. The transducer and head or blade may be driven using a control logic that is configured to cause the ultrasonic transducer to generate a first vibration set followed by a second vibration set. The first vibration set is configured to generate microbubbles in a fluid. The second vibration set is configured to grow microbubbles generated by the first vibration set. The control logic may provide a pause between the first vibration set and the second vibration set.

Abstract: An ultrasonic surgical instrument comprises a handpiece and an ultrasonically actuated blade distal to the handpiece. The instrument includes an activation member that is operable to selectively activate the blade and a controller that is operable to select the energy level at which the blade will be activated. The activation member may comprise capacitive switches; resistive sensors; resonant cavity switching technology; infrared sensing technology; technology that uses a resonant, standing wave on a surface that is perturbed by the presence of a finger; and/or any other suitable type of technology. The controller may comprise the same. The controller may permit selection from three or more available ultrasonic energy levels. The activation member and/or controller may be manipulated from various longitudinal positions on the handpiece and/or various rotational positions about the handpiece, such that the handpiece may be gripped in a variety of ways.

Abstract: In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath and a blade disposed at least partially within the sheath. Coupled to the blade may be at least one ultrasonic transducer, which, in turn, may be coupled to a drive system. The drive system may be configured to deliver gross axial motions to the blade such that the blade translates with respect to the hollow sheath when the drive system is activated. Accordingly, tissue may be cut by the blade with gross axial movement of the blade and/or ultrasonic vibrational motion provided by the ultrasonic transducer(s). In alternative embodiments, the blade may be rotated axially instead of translated with respect to the hollow sheath.

Abstract: An apparatus for powering a medical device includes a battery pack, a connection feature on the battery pack, and a protective layer. In some versions the protective layer covers the battery pack and the connection feature to provide a fluid tight seal. In some versions, the connection feature comprises at least one electrode, which may pierce the protective layer to establish electrical communication with the medical device from within the protective layer such that a non-sterile battery pack could be used to deliver power to a sterile medical device without compromising sterility of the medical device. The protective layer may form a compartment. The at least one electrode may have a conical shape to facilitate piercing the protective layer.

Abstract: In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.

Abstract: An apparatus for delivering power to an electrically powered medical device includes a package and an electrical coupling feature. The package comprises an interior portion and a wall. The interior portion of the package is able to hold a sterile, electrically powered medical device having a rechargeable battery. The package is able to maintain sterility of the interior portion of the package. The electrical coupling feature may be in communication with the wall of the package and in further communication with the medical device. The electrical coupling feature may be able to deliver power from an external power source to the medical device to charge the battery of the medical device without compromising the sterility of the package or the sterility of the medical device.