Abstract: In various embodiments, an assembly for clamping and stapling patient tissue is disclosed. The assembly comprises a housing, a shaft extending from the housing, and an end effector extending from the shaft. The end effector comprises a staple cartridge comprising a plurality of staples stored therein and an anvil configured to deform the staples. The assembly further comprises a first rotary drive mechanism configured to change a distance between the staple cartridge and the anvil at a first rate during a first complete clamping cycle and a second rotary drive mechanism configured to change the distance between the staple cartridge and the anvil at a second rate during another complete clamping cycle, wherein the second rotary drive mechanism is further configured to affect the another complete clamping cycle independent of the first rotary drive mechanism.

Abstract: An end effector for stapling tissue is disclosed. The end effector comprises a staple cartridge comprising staples removably stored therein and an anvil configured to deform the staples. The anvil comprises a proximal portion, a distal portion, and a middle portion intermediate the proximal portion and the distal portion, wherein one of the anvil and the staple cartridge is movable relative to the other one of the anvil and the staple cartridge between an open configuration and a closed configuration. The anvil and the staple cartridge are configured to hold the tissue therebetween in the closed configuration. The proximal portion and the distal portion of the anvil are closer to the staple cartridge than the middle portion in the closed configuration. The anvil is pivotally movable relative to the staple cartridge and the anvil is laterally and asymmetrically movable relative to the staple cartridge.

Abstract: An end effector of a surgical instrument may generally comprise a blade, and a clamp arm assembly comprising a clamp arm movable between an open position and a closed position relative to the blade, and at least one camming member rotationally attached to the clamp arm, wherein the at least one camming member is configured to rotate relative to the blade as the clamp arm moves from the open position to the closed position.

Abstract: A surgical instrument comprised of a stapling end effector having a staple-applying assembly with opposing stapling surfaces defining a closure distance therebetween, wherein at least one stapling surface is movable, and a handle connected to the stapling end effector and comprising a staple-firing assembly that causes the staple-applying assembly to staple tissue between the stapling surfaces. The handle further comprises a power source, electric motor, and closure assembly that has a drive part movable by the motor, detection mechanism, a controller. The drive part is connected to the stapling end effector. When the motor is supplied with power, the drive part advances the movable stapling surface towards the opposing stapling surface. The detection mechanism detects a position of the drive part along the drive-part axis and the controller is configured to prevent stapling unless the drive part is at a position corresponding to a closure distance within a pre-defined range.

Abstract: A surgical robot control system including a controller, a coupling system, a sensor, and a feedback device is disclosed. The coupling system is configured to couple a handheld surgical user interface to the controller. The handheld user interface may control a function of a robotic surgical system. The sensor is coupled to the controller and the coupling system and is configured to detect actuation of the handheld user interface and to communicate detected actuations to the controller. The feedback device is coupled to the controller and is configured to provide feedback associated with the robotic surgical system to a user. The controller is communicatively coupleable to the robotic surgical system and is configured to send robot control signals to the robotic surgical system, to receive feedback signals from the robotic surgical system, and to send feedback control signals to the feedback device to control the feedback provided to the user.

Abstract: The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor, and a segmented circuit. The segmented circuit includes a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments includes a power segment configured to provide a segment voltage to the primary processor, the safety processor, and each of the plurality of circuit segments. The power segment is configured to provide variable voltage protection of each segment.

Abstract: An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft. The end effector includes a pair of jaws that are operable to deliver RF energy to tissue that is clamped between the jaws. The cutting member is operable to sever tissue that is clamped between the jaws. The shaft extends between the body and the end effector. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. Some versions include a rotation section that is distal to the articulation section. The rotation section is operable to rotate the end effector relative to the articulation section.

Abstract: In various embodiments, a fastener cartridge is disclosed. The fastener cartridge comprises a cartridge body comprising a plurality of fasteners, a longitudinal knife slot defined in the cartridge body, and a circuit comprising a plurality of frangible resistors extending across the longitudinal knife slot. The plurality of frangible resistors comprises a first resistor and a second resistor, wherein the circuit comprises a first resistance when the first resistor and the second resistor are intact, wherein the circuit comprises a second resistance when the first resistor is split and the second resistor is intact, and wherein the second resistance is different than the first resistance.

Abstract: A surgical end effector comprising a staple cartridge, an anvil, and a compressible portion intermediate the staple cartridge and the anvil is disclosed. The compressible portion comprises a plurality of tubular members.

Abstract: Various forms are directed to a method for operating an ultrasonic surgical instrument. The ultrasonic surgical instrument may be activated by generating a drive signal provided to the ultrasonic drive system to drive the end effector. A plurality of input variables may be applied to a multi-variable model to generate a multi-variable model output, where the multi-variable model output corresponds to an effect of the ultrasonic instrument on tissue. The plurality of input variables may comprise at least one variable describing the drive signal and at least one variable describing a property of the ultrasonic surgical instrument. When the multi-variable model output reaches a threshold value, feedback may be generated indicating a corresponding state of at least one of the ultrasonic surgical instrument and tissue acted upon by the ultrasonic surgical instrument.

Abstract: A surgical apparatus includes an end effector having an ultrasonic blade, a clamp arm, and a clamp pad. The end effector applies ultrasonic energy at the blade. The clamp arm pivots relative to the blade. The clamp pad is positioned on the clamp arm adjacent to the blade. The clamp arm includes a latching feature to retain the clamp pad relative to the clamp arm to prevent the clamp pad from moving laterally, longitudinally, and perpendicularly relative to the clamp arm.

Abstract: A robotic surgical system comprising a surgical instrument comprising an end effector comprising (i) a blade, (ii) a first jaw member including a first electrode, and (iii) a second jaw member including a second electrode. The robotic surgical system may also comprise a motor and a control circuit configured to: (i) produce control signals comprising a first control signal and a second control signal, (ii) deliver an electrosurgical energy signal to the first electrode and the second electrode via the first control signal, (iii) deliver a drive signal to the motor via the second control signal (iv) receive at least one feedback signal, (v) determine a rate of change based on a first feedback signal of the at least one feedback signal, and (vi) maintain the rate of change at a predetermined rate or within a predetermined range.

Abstract: A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector first and second tissue engaging surfaces that are slanted with respect to a transection plane. The end effector may, for example, have an electrode defining a V-shaped cross sectional profile. The end effector may comprise a plurality of raised surfaces that are received by a plurality of indentions when the end effector is in the closed position. The end effector may comprise a cutting member having a plurality of bands.

Abstract: A medical device is described having a handle and an end effector coupled to the handle. The end effector has at least one electrode for providing electrical signals to a tissue or vessel to be treated. An RF drive circuit is provided for generating an RF drive signal that is applied to the end effector electrode. The RF drive circuit includes a resonant circuit and a frequency controller is used to vary the frequency of a signal passed through the resonant circuit in order to control the power supplied to the end effector electrode.

Abstract: An apparatus comprises an end effector, a shaft assembly, and an interface assembly. The end effector is operable to manipulate tissue, the shaft assembly is in communication with the end effector and a portion of the shaft assembly extends proximally from the end effector. The interface assembly is in communication with the shaft assembly. The interface assembly comprises a housing portion, a shaft cartridge, and a base portion. The housing portion can engage the shaft cartridge. The shaft cartridge is able to rotate and articulate the end effector, and the shaft assembly extends from the shaft cartridge. The base portion and the housing portion are able to enclose the shaft cartridge.

Abstract: A surgical instrument comprised of an end effector having two opposing tissue-compression surfaces, wherein at least one of the tissue-compressing surfaces is movable with respect to the other of the tissue-compressing surfaces, and a handle connected to the end effector. The handle comprises a power source, an electric motor supplied with power from the power source, and a closure assembly comprising a drive part that is selectively moved by the motor along a drive-part axis and is operatively connected to the end effector such that, when the motor is supplied with power, the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface at a differential rate of speed dependent upon a position of the drive part along the drive-part axis.

Abstract: Various forms are directed to systems and methods for driving an end effector coupled to an ultrasonic drive system of a surgical instrument. A generator may generate at least one electrical signal. The at least one electrical signal may be monitored against a first set of logic conditions. When an ultrasonic impedance of the surgical instrument exceeds a threshold impedance, a resonant frequency of the at least one electrical signal may be stored as a baseline frequency. A first response of the generator may be triggered upon the occurrence of either the first set of logic conditions being met or the resonant frequency of the at least one electrical signal differing from the baseline frequency by a baseline deviation threshold.

Abstract: A fastener cartridge can comprise, one, a cartridge body configured to at least partially store a plurality of fasteners therein and, two, a layer of material attached to the cartridge body by a retention member. The retention member can be deactivated to release the layer from the cartridge body when a firing member is moved through the cartridge body to eject the fasteners from the cartridge body. The retention member can be deactivated at the beginning, the end, and/or at any suitable time during a firing stroke of the firing member. Certain fastener cartridges can comprise a plurality of retention members configured to releasably hold the layer to the cartridge body. In certain circumstances, the retention members can be sequentially released in order to progressively release the layer.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In various embodiments, the staples can comprise legs which extend upwardly from the deck wherein the deck can further include supports, or guides, which are configured to hold the staple legs in a particular alignment. In at least one such embodiment, the staple legs can extend upwardly from the supports into a tissue thickness compensator.