Abstract: A surgical instrument for treating a patient includes a shaft assembly and a body assembly. The shaft assembly includes a proximal end portion, a distal end portion, and an articulation joint operable to selectively articulate the distal end portion relative to the proximal end portion. The body assembly includes a joint drive assembly, an actuator, and a joint stabilizer. The joint drive assembly is operatively connected to the articulation joint and configured to actuate the articulation to thereby articulate the distal end portion relative to the proximal end portion. The actuator is configured to actuate the joint drive assembly for articulating the articulation joint. The joint stabilizer includes a detent abutment and a detent notch configured to releasably capture the joint drive assembly and thereby inhibit articulation of the distal end portion of the shaft assembly relative to the proximal end portion of the shaft assembly.

Abstract: A surgical system comprises a surgical hub coupleable to inventory items of an institution. The inventory items include medical devices. The surgical hub comprises a processor, a memory, and a cloud-based analytics system. The memory stores instructions executable by the processor to communicate with the inventory items. The cloud-based analytics system is coupled to the surgical hub, and comprises a processor and a memory coupled to the processor. The memory stores instructions executable by the processor to receive data associated with the inventory items, determine availability of inventory items based on unique identifiers and system-defined constraints, generate a cloud interface for the institution, and transmit an alert for each inventory item determined as not available based on the system-defined constraints.

Abstract: A surgical cutting and fastening system is disclosed including an end effector and an actuation console. The end effector includes an anvil and a firing member. The anvil moves in response to a closure motion from a first drive member. The firing member moves in response to a firing motion from a second drive member. A gear arrangement is configured to transmit the closure motion to the first drive member and the firing motion to the second drive member. The actuation console includes an input interface including a first input and a second input. The first input is configured to communicate the closure motion to the first drive member. The second input is configured to communicate the firing motion to the second drive member. The motor drive system cannot be operated to perform the firing motion until the closure motion has positioned the anvil in the closed position.

Abstract: An implantable restriction device includes a plurality of beads and a plurality of links that join the beads together. The beads include a housing including a contact surface, a passageway extending through the hosing along an axis, and at least one magnet disposed around the passageway. Portions of the links are slidably disposed in corresponding passageways of the beads such that the beads are operable to transition between a constricted configuration and an expanded configuration. The contact surfaces of adjacent beads abut against each other in the constricted configuration. Adjacent magnets within adjacent beads generate an interactive magnetic field foxed on the abutting contact surfaces of adjacent beads.

Abstract: A surgical stapling device that comprises an end effector. According to various embodiments, the end effector comprises a circular anvil having a staple forming surface and a plurality of staples facing the staple forming surface of the anvil. The end effector also comprises a staple driver assembly comprising a plurality of staple drivers. Each staple driver supports one of the plurality of staples and is configured such that, when the staple driver assembly is actuated, each staple driver drives the staple into the staple forming surface of the anvil. A first quantity of the plurality of staple drivers has a first height and a second quantity of the plurality of staple drivers has a second height, wherein the first height is less than the second height.

Abstract: A surgical instrument includes a body assembly, a shaft assembly that releasably attaches to the body assembly, and an end effector at a distal end of the shaft assembly. The body assembly includes a first support structure, a first electrical contact supported by the first support structure, and a first sealing surface. The shaft assembly includes a second support structure, a second electrical contact supported by the second support structure, and a second sealing surface. When the shaft assembly attaches to the body assembly, the first and second electrical contacts electrically couple to establish an electrical connection therebetween, and the first and second sealing surfaces sealingly engage to block fluid from reaching the electrical connection. At least one of the first or second sealing surfaces is movable relative to the respective support structure to facilitate the sealing engagement.

Abstract: An end effector for a surgical clip applier includes an elongate body and a clip track provided within the body and containing one or more surgical clips. Each surgical clip includes a crown and a pair of legs extending longitudinally from the crown and diverging from each other at a diverging opening angle. A pre-forming region is provided within the body and arranged to receive and deform the one or more surgical clips from a first state, where the pair of legs diverge at the diverging opening angle, and a second state, where the diverging opening angle is minimized. First and second jaw members are positioned at a distal end of the body and arranged to receive the one or more surgical clips from the pre-forming region in the second state.

Abstract: A surgical instrument that includes a surgical end effector as well as a first drive member and a second drive member that are configured to apply actuation motions to the surgical end effector. A drive clutch assembly operably interfaces with the first and second drive members and is configured to move between an engaged position wherein the second drive member is linked to the first drive member and a second disengaged position wherein the first drive member is independently movable. A lock assembly is configured to move between a locked position wherein the second drive member is prevented from moving and an unlocked position wherein the second drive member is movable.

Abstract: A surgical instrument comprising an end effector configured to perform a plurality of end effector functions is disclosed. The surgical instrument further comprises a drive shaft which is both rotatable and translatable to drive the end effector functions.

Abstract: Disclosed is a method of controlling a modular battery powered handheld surgical instrument. The surgical instrument including a battery, a user input sensor, a controller, a radio frequency (RF) drive circuit, an ultrasonic transducer, ultrasonic transducer drive circuit, and an end effector. The end effector including an electrode electrically coupled to RF drive circuit, an ultrasonic blade acoustically coupled to the ultrasonic transducer, and a sensor to measure tissue parameters. The method includes applying an RF current drive signal to the electrode by the RF drive circuit; applying an ultrasonic drive signal to the ultrasonic transducer by the ultrasonic transducer drive circuit to acoustically excite the ultrasonic blade; controlling intensity, wave shape, and/or frequency of the RF current drive signal and the ultrasonic drive signal on a sensed measure of a tissue or user parameter.

Abstract: Various surgical devices are provided having mechanisms for preventing premature actuation of a cutting mechanism. These devices generally include a handle having one or more actuators and an effector disposed at a distal end of the device and configured to grasp tissue. When the end effector is in an open position, a firing actuator can be positioned so that it cannot be actuated by a user. For example, the firing actuator can be obstructed by a shield or arm when the end effector is in the open position. In other embodiments, the firing actuator can be hidden in a recess formed in the closure actuator until the end effector is moved to the closed position. When the end effector is in the closed position, the firing actuator can be engaged to advance a cutting mechanism, thereby cutting the tissue grasped by the end effector.

Abstract: Ultrasonic surgical instruments having angularly and/or linearly off-set blades are described. The angularly and/or linearly off-set blades may facilitate increased surgical site access, visibility, and manipulability.

Abstract: A staple cartridge configured to be contained within a channel of a stapling device that has a sled that is selectively actuatable and an anvil portion that is selectively movable between open and closed positions to produce a different opening between the anvil portion and the staple cartridge in the open and closed positions is disclosed. The staple cartridge comprises a plurality of staples, a cartridge body, a first staple driver defining more than one staple forming distance defining at least one first formed staple height, and a second staple driver defining more than one staple forming distance. At least one of the staple forming distances of the second staple driver is different than any of the staple forming distances of the first staple driver and defines at least one second formed staple height which is different than the at least one first formed staple height.

Abstract: A surgical instrument including a shaft including a distal portion and an articulatable portion is disclosed. The articulatable portion, positioned proximal to the distal portion, includes a plurality of joint members. A first articulation cable extends through each first channel of each of the plurality of joint members and a second articulation cable extends through each second channel of each of the plurality of joint members to the distal portion. The first and second articulation cables are transitionable between: (i) an unlocked state, where the first and second articulation cables are free to translate distally and proximally and the plurality of joint members are slidable relative to one another to pivot the distal portion away from a longitudinal axis, and (ii) a locked state, where translation of the first and second articulation cables is locked, causing a position of the distal portion relative to the longitudinal axis to be locked.

Abstract: A surgical instrument includes a sled and an end effector. The end effector includes a first jaw, a second jaw movable relative to the first jaw, an anvil, and a cartridge channel. The staple cartridge includes a proximal end, a distal end, a cartridge body, and staples supported in the cartridge body, wherein the sled is movable to deploy the staples from the cartridge body against tissue captured between the staple cartridge and the anvil. The cartridge channel is configured to removably retain the staple cartridge, wherein a load is required to remove the staple cartridge from the cartridge channel, and wherein the sled is configured to reduce the cartridge removal load.

Abstract: A staple cartridge is disclosed. The staple cartridge can include a cartridge body, a plurality of staples, and an implantable layer. The implantable layer can include an inner portion, an outer portion positioned at least partially around the inner portion, and a plurality of passages formed through the outer portion toward the inner portion. The implantable layer can be porous. An implantable layer can include an outer portion including a plurality of fibers. A method of forming an implantable layer for use with a surgical stapler is also disclosed. The method can include forming at least one passage through an outer surface toward an inner portion of the implantable layer.

Abstract: A surgical instrument includes a stapling head assembly and a first locking feature. The stapling head assembly has a cartridge housing, a staple deck, a plurality of staples, a staple driver, a cylindraceous knife, and a trocar. The cartridge housing extends along a longitudinal axis that is configured to removably couple with a portion of a shaft assembly. The staple driver is configured to translate distally from a proximal driver position toward a distal driver position to thereby drive each of the plurality of staples distally from an annular array of staple pockets, respectively, for forming the plurality of staples in a tissue of a patient. The first locking feature is operatively connected to the cartridge housing and configured to removably couple against the portion of the shaft assembly for selectively coupling and decoupling the stapling head assembly relative to the portion of the shaft assembly.

Abstract: A surgical instrument assembly comprising a handle, a shaft, and an end effector is disclosed. The end effector comprises a first iaw comprising a tissue-supporting surface defining a plurality of staple cavities defined therein, a second iaw movable relative to the first jaw, a proximal pin coupling the first and second jaws, a first slot configured to receive the proximal pin, a distal pin coupling the jaw and second jaws, and a second slot configured to receive the distal pin. The proximal pin is movable vertically within the first slot. The distal pin is actuatable within the second slot between a first position where the second jaw is in an open position, a second position where the second jaw is in a clamped position, and a third position where the second jaw is in a fully closed position and the second iaw is in contact with the tissue-supporting surface.

Abstract: A method comprising the steps of obtaining a shaft assembly comprising an end effector, attaching the shaft assembly to a handle of a surgical instrument, wherein the handle comprises a trigger operable to actuate a function of the end effector when the shaft assembly is attached to the handle, removing the shaft assembly from the handle, attaching the shaft assembly to an arm of a surgical robot and removing the shaft assembly from the arm is disclosed.