Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes a surgical visualization system and a control circuit configured to propose a portion of an organ to resect based on visualization data from the surgical visualization system, determine a first value of a non-visualization parameter of the organ prior to resection of the portion, and determine a second value of the non-visualization parameter of the organ after resection of the portion. Resection of the portion is configured to yield an estimated capacity reduction of the organ.

Abstract: A surgical instrument includes an end effector, a handle assembly, and an electrode activation assembly. The end effector includes a first jaw, a second jaw, a knife, and an electrode assembly. The handle assembly includes a housing, and an arm. The arm can pivot the second jaw between the open position and the closed position. The arm can pivot relative to the housing between a first position, a second position, and a third position. The electrode activation assembly includes an activation button associated with the handle assembly, a resilient body, and a detent associated with either the housing or the arm. The activation button can activate the electrode assembly in response to the arm pivoting to the third position. The resilient body includes a first cam feature. The detent can engage the first cam feature as the arm pivots between the first position and the second position.

Abstract: The present invention is directed to a hemostatic material comprising a compacted, hemostatic aggregates of cellulosic fibers. In some aspects, the hemostatic material further includes additives, such as carboxymethyl cellulose (CMC) or other polysaccharides, calcium salts, anti-infective agents, hemostasis promoting agents, gelatin, collagen, or combinations thereof. In another aspect, the present invention is directed to a method of making the hemostatic materials described above by compacting a cellulosic-based material into hemostatic aggregates. In another aspect, the present invention is directed to a method of treating a wound by applying hemostatic materials described above onto and/or into the wound of a patient.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: A surgical system is disclosed. The surgical system includes a monopolar return pad and a surgical hub wirelessly coupled to the monopolar return pad. The surgical hub includes a control circuit configured to determined a presence and a position of a patient on the monopolar return pad according to data received from the monopolar return pad.

Abstract: Surgical instruments and end effectors therefor are disclosed. In various implementations, the surgical instrument includes a surgical end effector that comprises a lower jaw and an upper jaw that are supported for movable travel toward and away from each other. The instrument may further include a firing member that is operably supported for selective operable travel within the surgical end effector. The instrument may also include a first jaw closure system that operably interfaces with the lower jaw and is configured to selectively move the lower jaw relative to the upper jaw. A second jaw closure system operably interfaces with the upper jaw and is configured to selectively move the upper jaw relative to the lower jaw. A firing system operably interfaces with the firing member and is configured to apply firing motions to the firing member to move the firing member within the end effector.

Abstract: A robotic surgical system includes a surgical tool including a drive housing having first and second ends, a carriage movably mounted to the drive housing, and an elongate shaft extending from the carriage and penetrating the first end, the shaft having an end effector arranged at a distal end. An instrument driver is arranged at an end of a robotic arm and includes a body having proximal and distal ends and defining a central aperture extending between the proximal and distal ends, the shaft and the end effector penetrate the instrument driver by extending through the central aperture, an outer housing extending between the proximal and distal ends, a tool drive assembly provided at the proximal end and extending into the outer housing, and a drive motor operatively coupled to the tool drive assembly and operable to cause the tool drive assembly to rotate relative to the outer housing.

Abstract: A compressible adjunct for use with a staple cartridge is provided and includes a biocompatible adjunct material configured to be releasably retained on a staple cartridge and configured to be delivered to tissue by deployment of staples in the staple cartridge. The adjunct material is formed from a porous polymer body and is configured to exhibit a first stiffness in compression that is approximately constant during a first time period from contact with the tissue. The adjunct material is further configured to exhibit a second stiffness in compression during a second time period following the first time period. The second stiffness is less than the first stiffness and is configured to decrease with time as a function of at least one of oxidation, enzyme-catalyzed hydrolysis, and change of pH resulting from interaction with at least one physiological element released from the tissue during healing progression of the tissue.

Abstract: A surgical device having at least one rotary input screw in the end effector is provided. A rotary input screw can extend through a central longitudinal portion of the end effector. The end effector can include an improved closure system, firing systems, leveraging and alignment features between the staple cartridge and the surgical device, staple cartridges having multi-staple drivers, single-firing knifes and lockout/safety features for the same, and/or modified staple patterns, for example. Certain components can be 3D-printed components.

Abstract: A surgical instrument includes a stapling assembly and an anvil configured to cooperate to compress, staple, and cut tissue. The stapling assembly includes a deck member having a deck surface that faces distally and includes a plurality of staple openings configured to receive a plurality of staples, and a knife member having a distal end that defines a cutting edge. The anvil includes an anvil surface having a plurality of staple forming pockets configured to form the staples, and a washer positioned adjacent to the anvil surface and having a proximal face. The cutting edge of the knife member is configured to cut through the tissue and the proximal face when the surgical instrument is fired. The proximal face includes a tissue gripping feature configured to stabilize and inhibit the tissue from translating across the washer and the anvil surface during firing.

Abstract: A surgical stapling instrument includes a body member having a distal end. The distal end is configured to be fixedly secured to an annular deck member having a plurality of staple openings. The body member is configured to slidably house a staple driver member. The body member includes a radially expandable collar having at least one latching feature. The surgical stapling instrument also includes a shaft assembly, including a proximal sheath portion, a distal sheath portion, and at least one protrusion extending radially outwardly from the distal sheath portion. The at least one protrusion includes at least one abutment surface configured to engage the at least one latching feature of the radially expandable collar for coupling the body member to the shaft assembly.

Abstract: A surgical system is disclosed comprising a firing member, a motor configured to advance the firing member, a current sensor, and a control system configured to set a target firing speed range of the firing member based on a current draw of the motor sensed by the current sensor, set a threshold current draw range corresponding to the target firing speed range of the firing member, advance the firing member at a firing speed within the target firing speed range, monitor a current draw of the motor as the firing member is driven, compare the monitored current draw to the threshold current draw range, and adjust the firing speed of the firing member based on the monitored current draw crossing below a first non-zero current value corresponding to the threshold current draw range or above a second non-zero current value corresponding to the threshold current draw range.

Abstract: A surgical stapling assembly is disclosed. The surgical stapling assembly can include a first jaw, a second jaw, an articulation joint, a closure drive comprising a first flexible rotary drive extending through the articulation joint, and a firing drive comprising a second flexible rotary drive extending through the articulation joint and rotatable independent of the first flexible rotary drive. The surgical stapling assembly can further include a 3D-printed component.

Abstract: An end effector is disclosed comprising an ultrasonic blade and a clamp arm pivotable relative to the ultrasonic blade to capture tissue therebetween. The clamp arm defines an arcuate surface configured to at least partially surround the ultrasonic blade. The clamp arm comprises a circuit positioned on the arcuate surface. The circuit comprises an electrode layer configured to transmit RF energy to the tissue positioned between the clamp arm and the ultrasonic blade, a compressible layer positioned between the electrode layer and the arcuate surface, first pressure sensor layer positioned beneath the compressible layer between the compressible layer and the arcuate surface, and a second pressure sensor layer positioned above the compressible layer. The compressible layer is compressible to allow the electrode layer to deflect away from the ultrasonic blade. The compressible layer is compressible to allow the second pressure sensor layer to deflect away from the ultrasonic blade.

Abstract: A surgical instrument includes an end effector, a handle assembly, and a latch assembly. The end effector includes a first jaw, a second jaw pivotably coupled with the first jaw, a knife, and an electrode assembly. The handle assembly includes a housing associated with the first jaw, and an arm associated with the second jaw. The arm can pivot the second jaw between an open position and a closed position. The latch assembly can transition between an unlatched configuration and a latched configuration. The latch assembly can prevent the arm from pivoting the second jaw from the closed position toward the open position in the latched configuration. The latch assembly can allow the arm to pivot the second jaw from the closed position toward the open position in the unlatched configuration.

Abstract: A modular surgical system for use in a surgical procedure to treat tissue is disclosed. The modular surgical system includes a footer module including a power supply, a first surgical module configured to be stacked on top of the footer module, and a second surgical module configured to be stacked on top of the first surgical module. The first surgical module is detachably couplable to the footer module to receive power from the power supply of the footer module to generate a first therapeutic energy for delivery to the tissue. The second surgical module is detachably couplable to the first surgical module to receive power from the power supply of the footer module to generate a second therapeutic energy for delivery to the tissue.

Abstract: A robotic surgical tool includes a drive housing having a first end and a second end, at least one spline extending between the first and second ends and including a drive gear that rotates with rotation of the spline, and a carriage movably mounted to the spline. An elongate shaft extends from the carriage and through the first end, an end effector is arranged at a distal end of the elongate shaft, and a wrist interposes the end effector and the distal end of the shaft. An activating mechanism is housed in the carriage and operatively coupled to the drive gear such that rotation of the drive gear correspondingly actuates the activating mechanism and thereby causes the wrist to articulate the end effector in at least one plane.

Abstract: A surgical system assembly is disclosed. The surgical system assembly includes a first surgical system and a second surgical system coupled to the first surgical system. The second surgical system includes a control circuit. The control circuit is configured to operate in a first mode or a second mode and control one or more functions of the first surgical system when the second surgical system is in the second mode.

Abstract: Various robotic surgical systems are disclosed. A robotic surgical system comprises a first motor; a second motor; and a robotic surgical tool. The robotic surgical tool comprises: a first rotary driver configured to receive a first rotary motion from the first motor; a second rotary driver configured to receive a second rotary motion from the second motor; an output drive; and a shifter configured to selectively couple the first rotary driver and the second rotary driver to the output drive. The first rotary driver and the second rotary driver are configured to concurrently supply torque to the output drive in a high-torque operating state.