Abstract: Various exemplary surgical adjuncts with medicants affected by activator materials are provided. In general, an adjunct is provided with at least one medicant that is configured to be activated by an activator material. The adjunct can be delivered to a tissue of a patient, where the adjunct can be implanted. Various activator materials can be configured to activate the at least one medicant retained by the adjunct, the activation causing any one or more of a variety of actions. For example, the at least one medicant can be activated so as to yield at least one of a signal and/or an effect on the adjunct.

Abstract: An impact driver includes a motor, a spindle, a hammer externally and coaxially mounted on the spindle to receive rotation of the spindle and move relative to the spindle in an axial direction, an anvil in front of the hammer and coaxial with the spindle to be struck by the hammer in a rotation direction, and a hammer case accommodating the spindle, the hammer, and the anvil, allowing a front end of the anvil to protrude frontward from the hammer case, and filled with grease. The spindle includes a grease supply path located in the spindle and open in a sliding surface of the spindle on which the hammer slides to allow grease to be supplied to the sliding surface, and an accelerator in the spindle to accelerate a flow of the grease onto the sliding surface along the grease supply path in response to rotation of the motor.

Abstract: A surgical stapling instrument comprising an end effector is disclosed. The end effector comprises an anvil and a cartridge jaw comprising a channel. A staple cartridge is replaceably seated in the channel. The staple cartridge comprises a longitudinal slot extending from a proximal end toward a distal end, a first longitudinal row of staple cavities extending alongside the longitudinal slot, and second and third longitudinal rows of staple cavities extending alongside the first longitudinal row. Staples are removably positioned in the staple cavities. A double staple driver supports a staple from the first row and a staple from the second row. A single staple driver supports a staple from the third row. A sled comprises first and second camming surfaces configured to drive the double staple driver and the single staple driver toward the anvil, respectively. Distal ends of the first and second camming surfaces are staggered.

Abstract: An electrical tool includes a housing, a motor, a bearing set and a shock-absorbing element. The motor is disposed in the housing and has a driving shaft and a nut. The bearing set is arranged on a side of the motor and includes a bearing seat, a bearing and a tool spindle. The tool spindle has a slot disposed at one end thereof facing the motor, and another end thereof is disposed protrusively from the bearing seat. One end of the driving shaft is combined in the slot through the nut. The shock-absorbing element sheathes the nut and is attached to an inner wall of the slot to reduce the vibration and noise during the operation of the electrical tool.

Abstract: An adapter assembly for connecting an end effector to an electrosurgical instrument is provided. The adapter assembly includes a drive transfer assembly, first and second pusher assemblies, a drive member, an extension assembly, and a trocar assembly. The drive transfer assembly includes first, second and third rotatable shafts. Each pusher assembly is operably connected to a rotatable shaft for converting rotational motion from one rotatable shaft to longitudinal movement to perform a different function. The drive member is operably connected to the third rotatable shaft for transferring rotational motion from the third rotatable shaft to perform a third function. The extension assembly is operably connected to a distal end of the adapter assembly and includes at least one flexible band assembly operably connected to one of the first and second pusher assemblies. The trocar assembly is configured for releasable engagement with the extension assembly.

Abstract: An anvil buttress loading system includes an anvil assembly, an anvil buttress loading tool, and an anvil buttress. The anvil buttress is releasably retained on the anvil buttress loading tool with a body of the anvil buttress is positioned on a base of the anvil buttress loading tool, a proximal tab of the anvil buttress positioned over a loading ramp of the anvil buttress loading tool, and a distal tab of the anvil buttress positioned within a flange of the anvil buttress loading tool. The anvil buttress is transferrable from the anvil buttress loading tool to the anvil assembly such that the anvil buttress is releasably secured to the anvil assembly with the body positioned on a tissue facing surface of the anvil assembly, the proximal tab engaged with a pin assembly of the anvil assembly, and the distal tab engaged with an anvil tip of the anvil assembly.

Abstract: A surgical stapling instrument comprising an end effector is disclosed. The end effector comprises an anvil and a cartridge jaw comprising a channel, wherein the channel comprises a lockout recess defined therein. A staple cartridge is replaceably seated in the channel. A firing member is configured to distally advance a sled during a staple firing stroke. The firing member comprises a first portion configured to engage the anvil, a second portion configured to engage the cartridge jaw, and a lockout portion positioned between the first portion and the second portion. The lockout portion is configured to engage the lockout recess when the sled is not in a proximal position prior to the staple firing stroke. The surgical stapling instrument is unable to perform the staple firing stroke when the lockout portion engages the lockout recess.

Abstract: A tool for working a substrate, the tool having a stator and a working piston, which is intended to move relative to the stator along a working axis, also having a drive, which is intended to drive the working piston from a starting position along the working axis to the substrate, the drive comprising a first piston coil arranged on the working piston and a first stator coil arranged on the stator, and the first piston coil being intended to enter the first stator coil during a movement of the working piston relative to the stator along the working axis.

Abstract: In various embodiments, a surgical instrument can comprise an end effector including a staple cartridge and a datum portion positioned proximal to the staple cartridge. The surgical instrument can further comprise a shaft and an articulation joint configured to articulate the end effector relative to the shaft. In addition, the surgical instrument can further comprise a firing member configured to deploy a plurality of staples from the staple cartridge and a drive assembly including a drive member configured to move the firing member. The drive assembly may also include a stop configured to engage the datum portion to limit the movement of the drive member after the plurality of staples are fired.

Abstract: A stapling system including a housing that has a first rotatable disk configured to transmit a first operative motion and a second rotatable disk configured to transmit a second operative motion is disclosed herein. The second rotatable disk is operable independently of said first rotatable disk. The stapling system further includes an end effector, an elongate rigid shaft, and a drive system. The drive system is responsive to the first operative motion from the first rotatable disk to perform a closing motion of the end effector and responsive to the second operative motion from the second rotatable disk to perform a firing stroke. A control system is configured to assure that the closing motion and the firing stroke are separate and distinct, wherein the control system prevents the firing stroke from occurring prior to the completion of the closing motion.

Abstract: A surgical stapling system comprising an actuator system operable to generate independent motions and a stapling end effector responsive to the independent motions generated by the actuator system is disclosed. The stapling end effector comprises a staple cartridge jaw comprising a plurality of staples removably stored therein, an anvil jaw, and a firing member. The firing member comprises an anvil-engaging portion and a cartridge jaw-engaging portion configured to engage the staple cartridge jaw.

Abstract: A surgical stapling instrument. Various embodiments include an actuation system for selectively generating a plurality of control motions. A surgical end effector is operably coupled to the actuation system. The actuation system interfaces with an actuation member configured to operably engage rotatable camming members to fire staples within the end effector into forming contact with an anvil portion of the end effector.

Abstract: A drill adapter is fashioned to enable right-angle drilling, incorporating an input drive, an input bearing, an output bearing, and an output drive. The input drive is capable of receiving a hand-held driving tool and the output drive is capable of engaging a fastener. The input bearing, which is driven by the input drive, is operably attached to the output bearing, which drives the output drive. The adapter incorporates a housing to protect the bearings and also has a handle to enable an operator to grasp.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: A cartridge assembly includes a channel and a removable assembly in releasable engagement with the channel. The removable assembly includes a cartridge body and a support plate. The cartridge body includes an engagement structure disposed adjacent a proximal end thereof. The support plate is configured to mechanically engage the cartridge body and includes an engagement structure disposed adjacent a proximal end thereof. The engagement structure of the cartridge body is configured for longitudinal alignment with the engagement structure of the support plate. The engagement structures of the cartridge body and the engagement structure of the support plate are configured to mechanically engage the engagement structure of the channel when the removable assembly is engaged with the channel.

Abstract: An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable. The electromechanical system includes a staple cartridge that includes a knife that is movable between a raised position and a lowered position.

Abstract: A staple cartridge is disclosed, for use with a surgical instrument, having a cartridge body including a proximal end, a distal end, and staple cavities, staples removably stored in said staple cavities, a sled movable toward said distal end during a staple firing stroke to eject said staples from said staple cavities, a sensor configured to detect the position of said sled; a cartridge control circuit in communication with said sensor; and at least one memory device in communication with said cartridge control circuit, wherein said cartridge control circuit is configured to store data in said at least one memory device regarding operation of the staple cartridge.

Abstract: A surgical instrument equipped with a coupler arrangement for coupling end effectors to an elongated shaft assembly of the surgical instrument. The end effectors may include a pair of jaws in the form of a carrier supporting a surgical staple cartridge and an anvil. The anvil is movable relative to the carrier in opening and closing directions. The end effector may include an articulation joint that facilitates pivotal travel of the carrier and anvil as a unit relative to the elongated shaft assembly in the same directions in which the anvil is opened and closed relative to the carrier.

Abstract: A down the hole drilling assembly having a drill tube adapter, an elongate casing, a fluid powered piston, a top working chamber, a bottom working chamber, a top sub and an exhaust system, wherein the exhaust system is moveable with respect to the drill string. The top sub includes an exhaust valve arranged for opening and closing the connection between the at least one exhaust passage and the at least one exhaust port.

Abstract: A surgical instrument including an end effector that has a selectively reciprocatable implement movably supported therein. The implement is selectively advanceable in a distal direction upon application of a rotary actuation motion thereto and retractable in a proximal direction upon application of a rotary retraction motion thereto. An elongate shaft assembly is coupled to the end effector and is configured to transmit the rotary actuation motion and rotary retraction motion to the reciprocatable implement from a robotic system that is configured to generate the rotary actuation motion and said rotary retraction motion.