Abstract: Pulsed fluorescence imaging without input clock or data transmission clock is disclosed. A system includes an emitter for emitting pulses of electromagnetic radiation and an image sensor comprising a pixel array for sensing reflected electromagnetic radiation. The system includes a plurality of bidirectional data pads and a controller in communication with the image sensor. The system is such that at least a portion of the pulses of electromagnetic radiation emitted by the emitter comprises one or more of: electromagnetic radiation having a wavelength from about 770 nm to about 790 nm; or electromagnetic radiation having a wavelength from about 795 nm to about 815 nm.

Abstract: Systems, methods, and devices for fluorescence imaging with a minimal area image sensor are disclosed. A system includes an emitter for emitting pulses of electromagnetic radiation and an image sensor comprising a pixel array for sensing reflected electromagnetic radiation, wherein the pixel array comprises active pixels and optical black pixels. The system includes a black clamp circuit providing offset control for data generated by the pixel array. The system includes a controller comprising a processor in electrical communication with the image sensor and the emitter.

Abstract: Offset illumination using multiple emitters in a fluorescence imaging system is described. A system includes an emitter for emitting pulses of electromagnetic radiation and an image sensor comprising a pixel array for sensing reflected electromagnetic radiation. The emitter comprises a first emitter and a second emitter for emitting different wavelengths of electromagnetic radiation. The system is such that at least a portion of the pulses of electromagnetic radiation emitted by the emitter comprises one or more of a hyperspectral emission, a fluorescence emission, and/or a laser mapping pattern.

Abstract: Laser mapping imaging with reduced fixed pattern noise is disclosed. A method includes actuating an emitter to emit a plurality of pulses of electromagnetic radiation and sensing reflected electromagnetic radiation resulting from the plurality of pulses of electromagnetic radiation with a pixel array of an image sensor to generate a plurality of exposure frames. The method includes applying edge enhancement to edges within an exposure frame of the plurality of exposure frames. The method is such that at least a portion of the plurality of pulses of electromagnetic radiation emitted by the emitter comprises a laser mapping pattern.

Abstract: Pulsed hyperspectral imaging in a light deficient environment is disclosed. A system includes an emitter for emitting pulses of electromagnetic radiation and an image sensor comprising a pixel array for sensing reflected electromagnetic radiation. The system includes a plurality of bidirectional pads comprising an output state for issuing data and an input state for receiving data. The system includes a controller configured to synchronize timing of the emitter and the image sensor. The system is such that at least a portion of the pulses of electromagnetic radiation emitted by the emitter comprises electromagnetic radiation having a wavelength from about 513 nm to about 545 nm, from about 565 nm to about 585 nm, or from about 900 nm to about 1000 nm.

Abstract: An obturator configured for use with a trocar includes a head and a distally extending shaft configured to be received within a working channel of a trocar. The obturator further includes a distal tip configured to puncture tissue, first and second needle entrance ports each arranged on at least one of the head or the shaft, and first and second needle exit ports arranged on the shaft. The first and second needle entrance ports communicate with the first and second needle exit ports, respectively, to define respective first and second suture paths extending obliquely to the central axis. Each of the first and second suture paths includes at least one sealing element. In some examples, the obturator further includes at least one deployable member coupled to the shaft and configured to project radially outwardly in a deployed position.

Abstract: A surgical instrument assembly comprising a shaft assembly and an end effector is disclosed. The shaft assembly comprises a firing system and a closure system comprising a closing cam. The firing system comprises a first camming member and a second camming member. The closure system is separate and distinct from the firing system. The end effector comprises a first jaw, a second jaw, a cartridge body, and a metal staple matrix. The second jaw is movable relative to the first jaw when a closing motion is applied to the second jaw by the closure cam during a closing stroke. The first jaw is configured to be engaged by the first camming member and the second jaw is configured to be engaged by the second camming member during a staple firing stroke. The metal staple matrix comprises a plurality of staples and a metal staple-connecting member interconnecting the staples.

Abstract: An adapter for use with an electromechanical surgical instrument. The adapter includes a shaft assembly and a surgical end effector that is selectively articulatable and rotatable relative to the shaft assembly through a range of articulated and rotated positions. The adapter includes a firing member that is axially displaceable through the end effector. The adapter also includes a control system that operably interfaces with an articulation actuator assembly of the adapter and a source of articulation motions in the electromechanical surgical instrument to cause the source of articulation motions to apply additional rotary articulation motions to the articulation actuator assembly that are required to maintain the surgical end effector in an articulated position during an application of axial firing motions to the firing member.

Abstract: A surgical instrument system comprising a handle, a motor, a control system, an elongate shaft, a first unfired end effector configured to releasably attach to the elongate shaft, a second unfired end effector configured to releasably attach to the elongate shaft in lieu of the first end effector is disclosed. The first end effector comprises a stored datum. The second end effector does not comprise any stored datum. The control system is configured to identify the first end effector via the stored datum when the first end effector is attached to the elongate shaft and supply the motor with a first operating parameter based on the stored datum. The control system is further configured to detect an absence of any stored datum when the second end effector is attached to the elongate shaft and supply the motor with a second operating parameter based on the absence of any stored datum.

Abstract: An adjunct material for use with an end effector in a surgical instrument is provided that has at least one projection configured to mate with a corresponding recess formed in at least one jaw, such as a cartridge or anvil, of the end effector. The at least one projection can be one or more discrete projections or longitudinal projection(s) extending between distal and proximal ends of the adjunct material. An applicator member can be used to apply force to the adjunct material to thus cause the adjunct material to mate with the jaw of the end effector. The applicator member can be configured told the adjunct material and can be clamped between the jaws of the end effector to release the adjunct material onto the jaw. Also, an applicator member can be used to push portions of an adjunct material into corresponding recesses in a jaw.

Abstract: An end effector for use with a surgical stapling instrument is disclosed. The end effector comprises an anvil, a staple cartridge, and a firing member. The staple cartridge comprises a proximal end, a distal end, a longitudinal slot extending from the proximal end toward the distal end, a first row of staple cavities, a second row of staple cavities, a third row of staple cavities, first staple drivers, and second staple drivers. The firing member is movable toward the distal end of the staple cartridge during a staple firing stroke. The firing member is configured to lift the first staple drivers and the second staple drivers toward the anvil during the staple firing stroke.

Abstract: A non-hazardous cleaning solution/process has been developed to remove oxide residues from the surface of blackened needles. Low concentrations of citric acid solution are mixed with blackened needles and treated in an ultrasonic tank for short period of time (<5 minutes). The oxide residues are substantially removed. Quite surprisingly and unexpectedly, the penetration performance of the cleaned needles are greatly improved by up to 50% over other tested cleaning solutions.

Abstract: A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material comprises a polymer. The polymer is bioabsorbable. The polymer has an inherent viscosity at or below 3.0 dL/g.

Abstract: A surgical instrument for use by an operator in a surgical procedure includes an elongate shaft, an end effector extending from the elongate shaft, and a control system. The end effector is articulatable relative to the elongate shaft between a home state position and an articulated position. The control system includes a processor and a memory coupled to the processor to store program instructions. The processor can alert the operator when the end effector reaches the home state position from the articulated position.

Abstract: A surgical stapler. The surgical stapler includes a firing system, an electric motor and a control circuit. Then electric motor is mechanically coupled to the firing system. The control circuit is electrically connected to the electric motor and includes a first portion and a second portion. The first portion includes an H-bridge circuit which includes a high side and a low side. The second portion is electrically connected in parallel with the electric motor. The control circuit is configured to control a rotation of the electric motor based on a parameter sensed within the second portion of the control circuit.

Abstract: A trocar assembly includes a trocar housing that defines a working chamber, and a cannula having opposing proximal and distal ends and defining a lumen that extends between the proximal and distal ends. One or more windows are defined in the cannula at or near the distal end, and one or more compliant deflection devices are arranged at or near the distal end and at least partially receivable within the one or more windows. Each compliant deflection device includes a radial biasing member that extends radially inward toward a centerline of the cannula.

Abstract: An end effector for a surgical clip applier includes a housing, and jaws that include opposed first and second jaw members each comprising an independent structure movable relative to the other, the first jaw member defining a first inner surface and the second jaw member defining a second inner surface opposite the first inner surface. An actuation mechanism is arranged within the housing and is operable to move the jaws between an open position and a closed position, the actuation mechanism including a linear drive that provides transition pins engageable with angled slots defined in the first and second jaw members. Linear movement of the linear drive moves the jaws between the open and closed positions, and the first and second inner surfaces remain substantially parallel to each other as the jaws move between the open and closed positions.

Abstract: The present invention generally provides methods and devices for controlling movement of an end effector, and in particular for causing mimicked motion between an input tool and an end effector during a surgical procedure. In an exemplary embodiment, a surgical system is provided having a master assembly with an input tool and a slave assembly with an end effector. The master assembly and the slave assembly can be coupled together by a mechanical assembly that is configured to mechanically transfer mimicked, rather than mirrored, motion from the input tool to the end effector. A floating frame is also provided and can be utilized with the surgical system. The floating frame can have a counterbalance that allows the surgical system to “float” above a patient and provide a weightless feel to movement of the surgical system. In addition, the floating frame can provide a number of additional degrees of freedom for ease of movement of the surgical system around the patient and/or the operating room.

Abstract: A surgical stapling anvil is disclosed comprising an anvil body comprising a longitudinal slot configured to receive a firing member therethrough and a tissue-facing surface comprising a plurality of staple-forming pockets defined therein. The anvil further comprises an anvil cap and a plurality of welds welding the anvil cap and the anvil body together. The welds comprise a shallow-welded zone comprising a first weld depth and a deep-welded zone comprising a second weld depth which is different than the first weld depth, wherein the shallow-welded zone and the deep-welded zone are configured to increase overall weld depth of the plurality of welds.