Abstract: Aspects of the present disclosure include various ultrasonic surgical instruments. At least one disclosed surgical instrument includes a waveguide including a blade and a transducer base plate. The transducer base plate may be coupled to the waveguide to define a tapered joint at an interface between the waveguide and the transducer base plate. The transducer base plate may include first and second sides defining corresponding first and second flat faces configured to receive first and second piezoelectric elements. The first and second piezoelectric elements are configured to operate in a D31 mode.

Abstract: Systems, devices, and methods are operable to track usage of a surgical instrument and modify the performance of the surgical instrument based on the prior usage of the surgical instrument. Some surgical instruments are designed to have a limited service life beginning at their first use, or a limit to their overall usage in order to ensure safe use of the sensitive instruments. However, a lack of ability to track usage characteristics when the instrument is separated from an external power supply allows for user abuse and avoidance of such safety mechanisms. Adding a battery or capacitor to the instrument may allow for an ability to track usage when the instrument is separated from an external power supply. Implementing special user prompts, device use ratios, and device use half-life upon powering down of an instrument may additionally be used to prevent circumvention of safety features.

Abstract: An end effector of an electrosurgical device may include a discharge port in communication with a first fluid path, an aspiration port in communication with a second fluid path, a first and second electrode, and a diverter in mechanical communication with the two electrodes. The diverter may receive, on its surface, a fluid emitted by the discharge port, and maintain a contact of the fluid with the first and second electrodes. The diverter may be further configured to prevent an aspiration, by the aspiration port, of the fluid on its surface. An electrosurgical device may include a source port in communication with a first fluid path, an evacuation port in communication with a second fluid path, a first and second electrode, and a housing. The device may include a shaft extending distally from the housing and the end effector as described above.

Abstract: A method for operating a surgical stapling device that includes a lockout for preventing the surgical stapling device from operating is disclosed. The method includes installing a retainer on a staple cartridge to form a cartridge assembly. The method includes seating the cartridge assembly in the surgical stapling device to bring an authentication key on the retainer into actuation contact with the lockout to move the lockout out of a locked position to an unlocked position. The method further includes removing the retainer from the staple cartridge while retaining the lockout in the unlocked position.

Abstract: A staple cartridge configured for use with a surgical stapling device is disclosed. The stapling device includes a lockout for prevent operation of the device. The staple cartridge includes a first cam surface configured to move the lockout from a locked position to an intermediate position when the staple cartridge is initially inserted into the device. The staple cartridge further includes a second cam surface configured to move the lockout from the intermediate position to an unlocked position when the staple cartridge is operably seated in the device. The first cam surface is proximal to the second cam surface and may be vertically displaced therefrom.

Abstract: A surgical stapling assembly is disclosed that comprises a retainer that is configured to be removably mounted to a staple cartridge that is configured to be operably seated in a stapling device. The retainer comprises an authentication key that is configured to defeat a first jaw lockout of the stapling device that is configured to prevent the jaws of the stapling device from closing. The stapling device further comprises a second lockout that is configured to prevent a firing member of the stapling device from advancing through a staple firing stroke when a spent staple cartridge is seated in one of the jaws.

Abstract: A retainer for use with a staple cartridge that is configured for use with a stapling device is disclosed. The retainer comprises a retainer body that is configured to be removably coupled to the staple cartridge to form a cartridge assembly. The retainer further comprises an authentication key that is oriented in a first configuration to defeat a lockout in the surgical stapling device when the cartridge assembly is seated in the surgical stapling device. The authentication key is movable to a second configuration after the cartridge assembly is removed from the stapling device such that the authentication key is unable to return to the first configuration.

Abstract: A staple cartridge comprising a deformable authentication key that is movable between a first state and a second state is disclosed. The authentication key is configured to operably engage a lockout of a surgical stapling device when the staple cartridge is inserted into the surgical stapling device in an initial insertion position. When the cartridge is seated in a final position within the device, the authentication key is deformed from the first state to the second state and moves the lockout from a locked position to an unlocked position.

Abstract: A surgical stapling assembly is disclosed that comprises a retainer that is configured to be removably mounted to a staple cartridge that is configured to be operably seated in a stapling device. The retainer comprises an authentication key that is configured to defeat a first firing member lockout provided the stapling device. The stapling device further comprises a second lockout that is configured to prevent the firing member of the device from advancing through a staple firing stroke when a spent staple cartridge is seated in said stapling device.

Abstract: A stapling system that comprises a retainer for use with staple cartridges that are configured for use with multiple surgical stapling devices that comprise different lockout arrangements is disclosed. The retainer is configured to be releasably attached to a staple cartridge to form a cartridge assembly. The retainer comprises an authentication key that is configured to defeat a lockout arrangement in any one of the surgical stapling devices in which the cartridge assembly is seated.

Abstract: A retainer for use with a staple cartridge that is configured for use with a surgical stapling device is disclosed. The retainer comprises a retainer body that is configured to be received on the staple cartridge. A plurality of retention features protrude from the retainer body for releasable engagement with the staple cartridge to form a cartridge assembly. The retainer further comprises an authentication key that is configured to defeat a lockout in the surgical stapling device when the cartridge assembly is seated therein. At least one of the retention features is configured to be removed from the retainer body after the retainer has been removed from the staple cartridge.

Abstract: A retainer system for use with staple cartridges configured for use with a surgical stapling device is disclosed. The retainer comprises a retainer body that is configured to be attached to the staple cartridge by retention features. The system includes a tool that moves the retention features between a first state wherein the retention features prevent the retainer from being attached to the staple cartridge to a second state where the retainer may be coupled to the staple cartridge by the retention features.

Abstract: Surgical devices are provided having power-assisted or fully powered jaw closure. The devices herein generally include a handle portion, an elongate shaft, and an effector having first and second jaws configured to engage tissue. A motor and one or more compression springs can be operatively coupled, and activation of the motor can compress the spring(s) to reduce the amount of user supplied force to compress tissue between the jaws. In some embodiments, the devices can be configured to regulate an amount of compression applied by the jaws prior to, during, and/or after cutting of the tissue to promote hemostasis. For example, the devices can include sensors, processors, and/or other components that analyze data indicative of tissue type and tissue load. Based on this feedback, the device can automatically adjust the amount of compression or energy applied to the tissue to seal the tissue.

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 robotic surgical system comprising a surgical instrument comprising an end effector comprising (i) a blade, (ii) a first jaw member including a first electrode, and (iii) a second jaw member including a second electrode. The robotic surgical system may also comprise a motor and a control circuit configured to: (i) produce control signals comprising a first control signal and a second control signal, (ii) deliver an electrosurgical energy signal to the first electrode and the second electrode via the first control signal, (iii) deliver a drive signal to the motor via the second control signal (iv) receive at least one feedback signal, (v) determine a rate of change based on a first feedback signal of the at least one feedback signal, and (vi) maintain the rate of change at a predetermined rate or within a predetermined range.

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: An apparatus includes a body assembly, an acoustic waveguide, an ultrasonic blade, and a liquid dispensing feature. The ultrasonic blade is positioned distally relative to the body assembly. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The liquid dispensing feature is positioned distally relative to the body assembly. The liquid dispensing feature is positioned adjacent to the ultrasonic blade. The liquid dispensing feature is configured to deliver a flow of cooling liquid to the ultrasonic blade.

Abstract: An ultrasonic instrument includes a housing, an ultrasonic transducer support by the housing, and an integrated usage indicator. The housing is configured to removably connect to a shaft assembly. The ultrasonic transducer is configured to be acoustically connected to a waveguide and operated a predetermined number of use cycles. The integrated usage indicator is operatively connected to the housing and includes a used state indicator. The used state indicator is configured to indicate to a clinician in a used state when the ultrasonic transducer has been operated at least the predetermined number of use cycles for limiting usage of the ultrasonic transducer to the predetermined number of use cycles.

Abstract: A surgical instrument having a transmission assembly, a transducer, and a handle assembly is configured for coupling the transmission assembly to the handle assembly using a locking mechanism. The locking mechanism is operable to restrict the rotational movement of an actuator coupling member and the transducer relative to the handle assembly. The locking mechanism may also be operable to lock a trigger of the handle assembly in a first position. An inner tubular actuating member of the transmission assembly may be threadably attachable to the actuator coupling member or the actuator coupling member may include a latching mechanism to couple to a flared portion of the inner tubular actuating member. A waveguide of the transmission assembly may also be threadably attachable to the transducer. In one alternative, the trigger may be configured to operate the locking mechanism, either in the first position or when pivoted distally to a third position.