Abstract: An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a clamp arm pad, and a cantilever electrode that is free to deflect. The cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator. Also disclosed are configurations where the clamp arm includes a peripheral cantilever electrode and a clamp arm pad extending beyond the electrode, a floating cantilever electrode and a resilient clamp arm pad, an interlocked cantilever electrode plate and a clamp arm pad configured to receive the plate, a laterally deflectable cantilever electrode and a clamp arm pad extending beyond the electrode, and a flexible cantilever electrode and a clamp arm pad extending beyond the electrode.

Abstract: A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, a plurality of staple clusters, and an end effector. The end effector comprises a tissue compression surface and an anvil movable toward the tissue compression surface during a closing stroke, an anvil closing system configured to move the anvil through the closing stroke, and a staple firing system configured to deploy a staple cluster positioned in the end effector during a staple firing stroke. The surgical stapler further comprises a tissue cutting system configured to cut the patient tissue during a tissue cutting stroke and a propulsion system configured to move the end effector relative to the patient tissue during a propulsion stroke.

Abstract: A surgical instrument is disclosed herein. The surgical instrument includes a handheld device and an adapter assembly. The handheld device includes a first drive assembly and a power source. The adapter assembly includes an outer housing that defines an internal cavity configured to accommodate a handheld device. The adapter assembly is configured to establish a sterile barrier around the handheld device. The surgical instrument includes an energy management system configured to extract energy dissipated by the handheld device from the internal cavity without disrupting the sterile barrier. In some aspects, the surgical instrument further includes a plurality of interchangeable end effectors and the adapter assembly includes a drive interface assembly.

Abstract: In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.

Abstract: Surgical devices and systems having rotating end effector assemblies for treating tissue are provided. Methods for using the same are also provided.

Abstract: A surgical instrument includes an end effector, a handle assembly, a trigger assembly, an input driving body, and a coupling body. The end effector includes a pair of jaws, a knife, and an RF electrode assembly. The input driving body drives the knife between the pre-fired position and the fired position when traveling between the first position and the second position. The engagement body of the trigger assembly drives the input driving body from the first position to the second position when the coupling body is in the engaged position. The input driving body returns to the first position when the coupling body is in the disengaged position. The coupling body moves from the engaged position to the disengaged position is response to the input driving body traveling from the second position to the third position such that the input driving body returns to the first position.

Abstract: Various aspects of a generator, ultrasonic device, and method for estimating a state of an end effector of an ultrasonic device are disclsoed. The ultrasonic device includes an electromechanical ultrasonic system defined by a predetermined resonant frequency, including an ultrasonic transducer coupled to an ultrasonic blade. A control circuit measures a complex impedance of an ultrasonic transducer, wherein the complex impedance is defined as Z g ( t ) = V g t I g t . The control circuit receivs a complex impedance measurement data point and compares the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern. The control circuit then classifies the complex impedance measurement data point based on a result of the comparison analysis and assigns a state or condition of the end effector based on the result of the comparison analysis.

Abstract: A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section includes a collar that is located distal to a nodal portion of the waveguide and is operable to deflect the end effector away from the longitudinal axis. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation drive assembly is operable to drive articulation of the articulation section. The articulation drive assembly comprises at least one translating articulation driver coupled with the collar. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue even when the articulation section is in an articulated state.

Abstract: Methods for operating a surgical instrument are disclosed. In various instances, the methods include preventing the operation of the surgical instrument in some capacity if an unspent staple cartridge is not seated in the surgical instrument. Moreover, in various instances, the methods include preventing the operation of the surgical instrument in some capacity if the surgical instrument cannot identify and/or authenticate the staple cartridge seated in the surgical instrument.

Abstract: A method for controlling a powered surgical stapler that includes an end effector with jaws that are movable between an open and a closed position and a firing member that is movable between a starting position and an ending position within the end effector. The jaws and firing member are controlled by separate rotary systems and the end effector includes a firing member lockout system that prevents axial movement of the firing member unless the surgical staple cartridge is in ready to fire condition.

Abstract: An ultrasonic surgical instrument includes a body, an ultrasonic transducer rotatably supported within the body and having a threaded distal end, a shaft extending from the body, a waveguide extending through the shaft and having a threaded proximal end configured to threadedly engage the threaded distal end to define a threaded coupling, and an end effector at a distal end of the shaft. An integrated torque wrench mechanism is arranged within the body and includes a first torque wrench member rotationally coupled with a proximal end of the transducer, and a second torque wrench member arranged proximally of the first torque wrench member. The torque wrench members are configured to selectively couple together and frictionally engage one another to facilitate application of a predetermined maximum torque to the threaded coupling. The torque wrench members are configured to automatically decouple upon application of the predetermined maximum torque to the threaded coupling.

Abstract: Methods and devices for controlling motorized surgical devices are provided. In general, the methods and devices can allow a surgical device to grasp and cut tissue. In some embodiments, the device can include at least one sensor and a motor, and an output of the motor can be configured to be adjusted based at least in part on an output from the at least one sensor. The output of the motor can be configured to provide power for translation of a cutting element along an end effector of the device. Adjusting the motor's output can cause the cutting element to translate through the end effector at different speeds, thereby allowing the cutting element to cut through tissue being grasped by the end effector at different speeds.

Abstract: An adjunct configured for use with an end effector of a surgical stapler includes a tissue-effecting portion comprising a first material, and at least one movable attachment feature coupled to the tissue-effecting portion and comprising a second material different from the first material. The at least one movable attachment feature is configured to releasably attach the tissue-effecting portion to a stapling surface of the end effector. The tissue-effecting portion is configured to contact tissue clamped by the end effector during closure thereof. The tissue-effecting portion is further configured to be pierced and captured by staples ejected from the end effector into the clamped tissue and thereby reinforce the engagement between the ejected staples and the clamped tissue.

Abstract: An adjunct configured for use with a surgical stapler end effector includes an adjunct body configured to overlie and directly contact a stapling surface of a surgical stapler end effector, and a plurality of resiliently compressible members coupled with the adjunct body. Each resiliently compressible member extends away from the adjunct body in a first plane that intersects the adjunct body and along which the resiliently compressible member is configured to receive a respective staple of the surgical stapler end effector. In response to closure of the surgical stapler end effector, each resiliently compressible member is configured to resiliently compress within the first plane without deforming in a second plane that perpendicularly intersects the first plane.

Abstract: A surgical system includes a surgical instrument, including a shaft assembly having a distal end and an end effector at the distal end of the shaft assembly. The end effector includes a first jaw, a second jaw movably coupled relative to the first jaw for clamping tissue therebetween, and an optical sensor for detecting the tissue. The surgical system also includes a generator configured to supply a therapeutic energy to the first jaw or the second jaw, and a pass-through device configured to be connected between the surgical instrument and the generator. The pass-through device includes a therapeutic energy connector configured to operatively couple the generator to the surgical instrument for transmitting the therapeutic energy from the generator to the first jaw or the second jaw, and at least one optical component configured to transmit light to the optical sensor and to receive light from the optical sensor.

Abstract: A surgical instrument includes a body, a shaft assembly extending distally from and rotatably coupled to the body, an end effector extending distally from the shaft assembly, a fiber optic cable, and a rotary coupling assembly. The end effector may rotate with the shaft assembly relative to the body. The end effector includes a sensor assembly. The fiber optic cable extends proximally from the sensor assembly, along the shaft assembly, and into the body. The fiber optic cable includes a distal portion that rotates with the end effector, a proximal portion associated with the body, and a coiled portion interposed between the distal portion and the proximal portion. The rotary coupling assembly includes a handle-side body and a shaft-side body. The rotary coupling assembly can radially expand and contract the coiled portion of the fiber optic cable in response to relative rotation between the handle-side body and the shaft-side body.

Abstract: A surgical instrument includes a shaft assembly having a distal end and an end effector at the distal end of the shaft assembly. The end effector includes a first jaw and a second jaw movably coupled relative to the first jaw for clamping tissue therebetween. The end effector also includes at least one lightbox for detecting the tissue. The at least one lightbox includes a housing having at least one optically transmissive surface configured to face the tissue. The at least one lightbox also includes at least one of an illuminating element or a light receiving element. The at least one of an illuminating element or a light receiving element is secured to the housing.

Abstract: A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section includes a collar that is located distal to a nodal portion of the waveguide and is operable to deflect the end effector away from the longitudinal axis. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation drive assembly is operable to drive articulation of the articulation section. The articulation drive assembly comprises at least one translating articulation driver coupled with the collar. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue even when the articulation section is in an articulated state.

Abstract: A staple cartridge comprising a firing member and a sled releasably attachable to the firing member is disclosed.

Abstract: A surgical instrument includes an ultrasonic waveguide extending through a body assembly. An ultrasonic blade connects to the ultrasonic waveguide. A clamp arm assembly of the surgical instrument is able to move from an opened position for receiving a tissue toward a closed position for clamping the tissue. The clamp arm assembly includes a clamp body and a clamp pad facing the ultrasonic blade. A clamp arm actuator of the surgical instrument is able to move from a first position toward a second position to direct the clamp arm assembly from the opened position toward the closed position. A modular coupling of the surgical instrument connects to the clamp pad such that at least the clamp pad can be disconnected relative to the ultrasonic blade for replacement thereof.