Abstract: An apparatus includes a body, a shaft assembly, an articulation section, an end effector, and an articulation drive assembly. The articulation drive assembly is configured to drive the articulation section to deflect the end effector relative to the longitudinal axis from a non-articulated configuration to an articulated configuration. The articulation drive assembly includes a rotatable housing, a static member, and an indication feature. The rotatable housing is rotatably coupled to the body. The static member is fixed relative to the body. The indication feature is configured to indicate when the end effector is deflected into the non-articulated configuration. The indication feature includes a ridge and a cantilever arm. The ridge extends from an exterior surface of the rotatable housing. The cantilever arm defines a slot configured to house the ridge when the end effector is in the non-articulated configuration.

Abstract: Methods of controlling velocity of a firing member in a robotic surgical system are disclosed. One method detects an end effector condition during closure, sets a command velocity of a displacement member based on the closure condition, fires the displacement member at the set command velocity, detects an end effector condition during a firing phase, and sets a command velocity based on the firing condition. Another method receives closure force of a closure member, compares the actual closure force to a threshold, determines a set point velocity based on the comparison, and controls the actual velocity of the closure member based on the set point velocity. Another method receives actual closure force of a closure member, receives actual position of a firing member, and sets a new closure force based on the actual closure force applied to the closure member and the actual position of the firing member.

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a shaft extending therefrom with opposed jaws formed on a distal end thereof. A formed tube can extend along the shaft and it can be configured to advance over the jaws to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including engagement features formed between the former tube and the jaws to prevent scissoring and misalignment of the jaws to ensure proper closure of the jaws.

Abstract: A robotic surgical tool includes a tool driver, a drive housing mountable to the tool driver and including one or more component parts made of or including a magnetically responsive material, a first inductor coil included on the tool driver and configured to generate a magnetic field, and a second inductor coil included on the drive housing and configured to measure an intensity of the magnetic field and a field distortion caused by the one or more component parts. A change in the field distortion provides an indication of movement of the one or more component parts.

Abstract: An articulable wrist for an end effector includes a first linkage rotatably coupled to a second linkage at a first articulation joint, a flexible member extending at least partially through a central channel cooperatively defined by the first and second linkages, and a first pair of roller supports arranged at the first articulation joint and laterally offset from each other, each roller support extending parallel to a first pivot axis extending through the first articulation joint. A drive cable extends through a first axially-extending conduit defined in the flexible member and through a gap defined between the first pair of roller supports. The drive cable is supported at the first articulation joint by the first pair of roller supports during articulation and the first pair of roller supports prevents a centerline of the drive cable from moving past the first pivot axis during actuation of the end effector.

Abstract: An articulable wrist for an end effector includes a first linkage, a second linkage rotatably coupled to the first linkage at a first articulation joint, and a flexible member extending at least partially through a central channel cooperatively defined by the first and second linkages. A first pivot guide is rotatably coupled to the second linkage at the first articulation joint and rotatable about a first pivot axis extending through the first articulation joint, the first pivot guide defining a central aperture alignable with the central channel and sized to accommodate the flexible member therethrough. The first pivot guide supports an outer diameter of the flexible member at the first articulation joint and prevents the flexible member from flexing beyond the first pivot axis during articulation.

Abstract: An end effector for a surgical tool includes a first jaw that defines an aperture, a second jaw rotatably coupled to the first jaw, and a spacer pin received within the aperture and protruding from an upper surface of the first jaw. The spacer pin is adjustable within the aperture to define a jaw gap between the first and second jaws when the second jaw is moved to a closed position and engages the spacer pin, and the spacer pin is secured within the aperture to set the jaw gap.

Abstract: A method includes positioning a surgical tool with an end effector adjacent a surgical site, the end effector including a housing having a tapered section that defines an inner surface, first and second arcuate jaw members protruding distally from the housing and defining a channel therebetween, each arcuate jaw member exhibiting a curved profile shaped to receive an arcuate surgical clip, and a feedbar movable within the housing. The method further including urging the arcuate surgical clip against the inner surface, advancing the feedbar within the housing to engage and follow the inner surface and thereby flexing the feedbar downward and into engagement with the arcuate surgical clip, advancing the arcuate surgical clip with the feedbar into interposition between the first and second arcuate jaw members, and collapsing the first and second arcuate jaw members to crimp the arcuate surgical clip.

Abstract: Surgical devices and systems having rotating end effector assemblies for treating tissue are provided. In one exemplary embodiment, a surgical device can include a housing, an instrument shaft extending from the housing, and an effector assembly, in which the instrument shaft includes an outer sleeve, a waveguide, and a rotation assembly having an inner sleeve. Methods for using the same are also provided.

Abstract: Surgical systems and methods are provided for controlling actuation and movement of various surgical devices.

Abstract: A surgical instrument comprising a handle and a shaft attachment assembly attachable to and detachable from the handle is disclosed. The handle comprises a first handle drive system and a second handle drive system. The shaft attachment assembly comprises an end effector, a shaft extending from the end effector, a first shaft assembly drive system, a second shaft assembly drive system, and a coupling portion configured to be attached to the handle. The coupling portion comprises a coupling mechanism configured to operably couple the first handle drive system to the first shaft assembly drive system so that the first handle drive system can be operated to actuate a first surgical function of the end effector and operably couple the second handle drive system to the second shaft assembly drive system so that the second handle drive system can be operated to actuate a second surgical function of the end effector.

Abstract: Various embodiments of a surgical end effector are provided. The end effector can include upper and lower jaws, and an anvil assembly configured to be releasably coupled to the upper and/or lower jaws. The anvil assembly can include an anvil plate that mates and aligns with the jaw, and staple pockets that align with staple cavities formed in the cartridge for formed staples fired from the cartridge. An adjunct material can be releasably secured to either the cartridge or anvil assembly, such as with one or more sutures.

Abstract: A surgical suturing tracking system configured for use with a suturing needle is disclosed. The surgical suturing tracking system comprises a spectral light emitter, a waveform sensor, and a control circuit coupled to the waveform sensor. The control circuit is configured to cause the spectral light emitter to emit spectral light waves toward a suturing needle and a tissue structure, receive an input corresponding to the spectral light waves reflected by the needle and the tissue structure and determine a distance between the needle and the tissue structure based on the received input.

Abstract: A surgical stapling system is disclosed comprising a proximal housing portion, a distal housing portion removably coupleable to the proximal housing portion at a coupling interface, a motor, and a power source in electrical communication with the motor along an electrical communication pathway that does not traverse the coupling interface. The power source is configured to provide energy to the motor along the electrical communication pathway. The power source is permitted to provide energy to the motor based on the distal housing portion being coupled to the proximal housing portion.

Abstract: An electrosurgical instrument is disclosed including a pencil-grip handle, a shaft coupled to the pencil-grip handle, and an end effector coupled to the shaft. The end effector includes a body, a source electrode, and one or more return electrodes. The source electrode and the one or more return electrodes are configured to provide a multi-phase bipolar electrosurgical signal to tissue. The one or more return electrodes each comprise a first return electrode and a second return electrode. The electrosurgical instrument further includes an electrosurgical generator coupled to the end effector. The electrosurgical generator is configured to produce the multi-phase bipolar electrosurgical signal including a first phase, a second phase, and a third phase. The electrosurgical generator is coupled to the source electrode, the first return electrode, and the second return electrode. The first phase, the second phase, and the third phase are combined to generate the multi-phase bipolar electrosurgical signal.

Abstract: Surgical stapling systems and methods for stapling tissue during a surgical procedure are provided. In an exemplary embodiment, a control system is provided for controlling at least one motor coupled to a drive system on a surgical stapling device for driving one or more drive assemblies. The control system can be configured to communicate with the drive system of the stapling tool and to control and modify movement of one or more drive assemblies based on certain feedback.

Abstract: Implantable materials for use with end effectors like surgical stapling devices, and methods for using the same, are generally provided. In some embodiments, adjunct materials for use with surgical staplers are provided. For example, a kit for stapling tissue is provided that can include a surgical stapler having an end effector. The end effector can have first and second jaws. The kit can include an adjunct material having hydrophobic surface regions and hydrophilic surface regions and the adjunct material can be configured to mate to at least one of the jaws of the end effector. Other implants, devices, and methods for surgical stapling are also provided.

Abstract: A surgical instrument is disclosed comprising an end effector, a frame, an articulation system configured rotate the end effector relative to the frame, and a firing system configured to perform a firing stroke within the end effector. The firing system is selectively engageable with the articulation system to rotate the end effector. In such instances, the firing system cannot perform the firing stroke until the firing system has been operably decoupled from the articulation system.

Abstract: A surgical instrument is disclosed. The instrument includes an end effector comprising a moveable cutting instrument to cut an object and a motor coupled to the end effector. The motor actuates the cutting instrument in response to a current therethrough, causing the cutting instrument to move between a proximal-most position and a distal-most position. The instrument includes an interlock coupled to the end effector and to the motor to prevent actuation of the cutting instrument based on the current through the motor.

Abstract: A surgical instrument system comprising a shaft, an end effector, a firing member, a sensor system, an electric motor, a trigger coupled to the electric motor, and a control system is disclosed. The end effector comprises a first jaw and a second jaw rotatable relative to the first jaw. The firing member comprises a first portion configured to engage the first jaw and a second portion configured to engage the second jaw and control a position of the second jaw relative to the first jaw. The sensor system is configured to detect positions of the firing member. The electric motor is configured to move the firing member through a firing stroke. The control system is in communication with the sensor system, the electric motor, and the trigger. The control system is configured to limit a maximum movement of the trigger based on a signal generated by the sensor system.