Abstract: Systems and subsystems for closing an end effector of a stapler are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment. The surgical instrument includes a closure subsystem that moves independently of other subsystems that are operable independently of each other.

Abstract: A surgical tool includes a shaft extending from a drive housing, an end effector including opposing jaws, and a wrist interposing the shaft and the end effector and including a distal clevis to which the jaws are rotatably mounted at a first axle, a proximal clevis rotatably mounted to the distal clevis at a second axle and operatively coupled to the shaft, a set of pulleys rotatably mounted to the second axle, and first and second redirect pulleys rotatably mounted to the distal clevis and axially interposing the pulleys and the jaws. A first closure cable extends through the pulleys to the first redirect pulley, which redirects the first closure cable with no fleet angle to the first jaw, and a second closure cable extends through the pulleys to the second redirect pulley, which redirects the second closure cable with no fleet angle to the second jaw.

Abstract: Systems and subsystems for articulating an end effector of a stapler are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment. The surgical instrument includes an articulation subsystem that moves independently of other subsystems that are operable independently of each other.

Abstract: A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. The articulation subsystem includes an articulation joint that has a plurality of concentric discs and a center beam assembly. A distal end of the center beam assembly couples the plurality of concentric discs to the end effector. The proximal end of the center beam assembly couples the plurality of concentric discs to the shaft.

Abstract: A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. The roll subsystem can include a shaft assembly and a shaft roll puck assembly. The shaft assembly includes a rotatable outer shaft and an inner shaft. The shaft roll puck assembly engages the housing and includes a shaft roll puck and first and second screw gears. Rotation of the shaft roll puck rotates the first screw gear, which rotates the second screw gear, which rotates the rotatable outer shaft.

Abstract: Systems and subsystems for cutting and stapling tissue are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment including a roll subsystem. The roll subsystem comprises a rotatable shaft having a longitudinal axis, a roll input puck engageable with a roll robotic output, a worm gear coupled to and rotatable by the roll input puck, and a worm follower coupled to the rotatable shaft. Rotation of the roll input puck causes the worm gear to rotate the worm follower and thereby roll the rotatable shaft about its longitudinal axis.

Abstract: A surgical tool includes a drive housing, a drive input rotatably mounted to a bottom of the drive housing, a capstan assembly arranged within the drive housing to rotate a drive gear about a rotational axis and within a drive plane orthogonal to the rotational axis, a longitudinally driven gear engageable with the drive gear, and a drive rod operatively coupled to the longitudinally driven gear and extending from the drive housing to a knife extendable within end effector of the surgical instrument. The drive rod is aligned within the drive plane such that translation of the longitudinally driven gear induces a corresponding longitudinal translation of the drive rod within the drive.

Abstract: Systems and subsystems for using a robotic instrument are disclosed. The method includes engaging a first closure input puck with a first closure robotic output. The method includes rotating the first closure robotic output to cause the first closure input puck to rotate. The method includes rotating a cam gear via the rotation of the first closure input puck. Rotation of the cam gear causes a yoke pin to track through a cam track in the cam gear, and the yoke pin is coupled to a closure tube. Tracking of the yoke pin through the cam track causes the yoke pin to translate from a first position to a second position, thereby translating the closure tube.

Abstract: A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. A maypole tube is further provided, around which one or more articulation cables can wrap when the end effector is rotated.

Abstract: Systems and subsystems for cutting and stapling tissue are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment. The surgical instrument includes a closure subsystem, an articulation subsystem, a roll subsystem, and a transection subsystem that are operable independently of each other.

Abstract: A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform.

Abstract: A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform.

Abstract: A surgical stapler for creating an anastomosis includes a stapling head assembly having a deck member that incorporates an alignment feature. The alignment feature aligns with a transection staple line prior to creating the anastomosis. In some versions the alignment feature is a groove formed in a surface of the deck member. The surgical stapler may include an anvil with a complementary stepped feature to the alignment feature of the deck member. Various surgical staplers with an alignment feature can be oval shaped, circular shaped, or dog-bone shaped. In some versions different staple geometries are used along the deck member incorporating the alignment feature.

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 stapler includes a first half having a first elongate member and a surface with staple forming pockets. The stapler also includes a second half for releasably coupling with the first half and including a second elongate member having a distal portion for deploying staples. The elongate members are pivotable relative to each other about a pivot axis when the halves are releasably coupled. The stapler further includes a latching member for selectively clamping the halves in a clamped state. The stapler also includes a detent member extending laterally from one of the halves toward the other. The stapler further includes a shoulder member positioned on the other of the halves and configured to selectively engage the detent member in response to rotation of the first elongate member away from the second elongate member to an open state in which the elongate members assume a maximum angular orientation.

Abstract: Examples described herein may include a surgical computing device that directs data communications to surgical networks. The surgical computing device may include a processor that is configured to determine a present network locus, wherein the present network locus is any of a first surgical network or a second surgical network; identify a data communications session; determine a surgical data type of the data communication session, wherein the surgical data type is any of a first type of surgical data or a second type of surgical data, and direct the data communications session to the first surgical network if the surgical data type is the first type of surgical data or to the second surgical network if the surgical data type is the second type of surgical data.

Abstract: A surgical system is disclosed including an end effector comprising a clamp arm, a tissue contacting surface, and a circuit defining a plurality of segmented sections. The plurality of segmented sections comprises a first segmented section comprising a first impedance sensor configured to sense a parameter associated with tissue positioned in the first segmented section and deliver electrosurgical energy to the tissue. A motor is configured to move the clamp arm. A current sensor is configured to sense a current draw of the motor. A control system is configured to interrogate the first impedance sensor to determine a value of the parameter, interrogate the current sensor to determine the current draw, compare the value of the parameter to a threshold value, compare the current draw to a threshold current draw, and divert the electrosurgical energy away from the first segmented section based on the comparisons.

Abstract: A surgical system comprising an end effector, a firing driver movable during a firing stroke, a motor to drive the firing driver during the firing stroke, and a control circuit is disclosed. The control circuit is to initiate the firing stroke to drive the firing driver in a first mode, wherein, in the first mode, the motor is to drive the firing driver at a first speed; detect a first motor stall condition in the first mode; transition from the first mode to a second mode based on the detected first motor stall condition, wherein, in the second mode, the motor is to drive the firing driver at a second speed less than the first speed; detect a second motor stall condition in the second mode; and pause driving the firing driver for a period of time based on the detected second motor stall condition.

Abstract: A method of replacing a surgical tool consumable, the surgical tool including a drive housing containing an ultrasonic transducer, a shaft extending distally from the drive housing, an end effector coupled to the shaft and including a blade operatively coupled to the ultrasonic transducer and extending from drive housing within the shaft, and a clamp assembly that includes a clevis extending about the blade and a clamp arm pivotably coupled to the clevis such that axial movement of the clevis causes the clamp arm to move between open and closed positions, and a wrist interposing the shaft and the end effector. The method further including decoupling the blade from the ultrasonic transducer, removing the end effector from the wrist and proximal portions of the surgical tool, replacing the consumable of the surgical tool, and reconnecting the end effector to the wrist and the proximal portions of the surgical tool.

Abstract: A surgical stapling end effector comprising a cartridge channel jaw, an anvil jaw, and a surgical staple cartridge positioned within the cartridge channel jaw is disclosed. The surgical staple cartridge comprises a plurality of staples, a cartridge body comprising a plurality of staple cavities, a longitudinal slot, and an outer lateral cartridge wall comprising a recess defined therein.