Abstract: A surgical stapler end effector assembly 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, an adhesive material, and a plurality of reinforcement strands. The reinforcement strands are configured to engage one or more staples fired through the buttress body.

Abstract: Systems, methods, and instrumentalities are described herein for autonomous operation of a surgical device within a predefined boundary. A discrete signal associated with clamping control (e.g., closure of a clamping jaw) may be received by the surgical device. The discrete signal may be triggered by a healthcare professional or autonomously activated. The surgical device, in response to the discrete signal and based on an algorithm, may generate a continuous signal to cause a continuous application of force or deployment of an operation. The surgical device, based at least on a measurement associated with one of tissue, inrush current, or the distance between the smart energy device and the smart grasper may determine a safety adjustment associated with the operation of the surgical device.

Abstract: A system includes a control console, a laparoscopic instrument, and a uterine manipulator. The laparoscopic instrument includes a first proximity sensor element. The uterine manipulator includes a base and a shaft extending distally from the base. The shaft includes a distal end dimensioned to be inserted into the uterus of a patient and a second proximity sensor element located at the distal end. The proximity sensor elements are configured to cooperatively generate a distance signal indicating a distance between the proximity sensor elements. The control console is configured to receive the distance signal from either the first proximity sensor element or the second proximity sensor element and calculate a corresponding distance between the proximity sensor elements. The control console is configured to compare the corresponding distance with a threshold distance and generate an alert signal when the corresponding distance is smaller than the threshold distance.

Abstract: In general, devices, systems, and methods for multi-source imaging are provided. In one embodiment, a surgical method includes visualizing, with a first imaging system, a first side of a tissue wall during performance of a surgical procedure, and visualizing, with an endoscopic imaging system, a second, opposite side of the tissue wall during the performance of the surgical procedure. The first imaging system and the endoscopic imaging system are unable to directly visualize each other, and the first imaging system and the endoscopic imaging system are operatively coupled together. The method also includes guiding a first surgical instrument based on the visualization provided by the first imaging system and the visualization provided by the endoscopic imaging system, and guiding a second surgical instrument based on the visualization provided by the endoscopic imaging system and based on the visualization provided by the first imaging system.

Abstract: A method of operating a surgical anchoring system can include inserting an outer sleeve of a surgical instrument at least partially into a first natural body lumen, the outer sleeve having a working channel. The method can include inserting a channel arm of the surgical instrument through the working channel of the outer sleeve and into a second natural body lumen. The channel arm has at least one first anchor member coupled thereto and a control actuator operatively coupled to the at least one first anchor member. The method can include expanding the at least one first anchor member from an unexpanded state to an expanded state to form an anchor point at a portion of the second natural body lumen. The method can include controlling, by the control actuator, a motion of the channel arm to selectively manipulate an organ associated with the first and second natural body lumens.

Abstract: A surgical instrument includes an end effector and a handle assembly. The end effector is configured to operate at a first energy level and at a second energy level. The end effector is further configured to transition between an open position and a closed position. The end effector is configured to grasp tissue in the closed position. The handle assembly includes a body, a trigger, and an activation element. The trigger is configured to pivot in a first direction relative to the body to actuate the end effector from the open position to the closed position. The activation element is configured to activate the end effector at either the first energy level or the second energy level. The trigger is configured to either activate the activation element or determine whether the end effector operates at the first energy level or the second energy level.

Abstract: Systems, methods, and instrumentalities for managing surgical consequences in a simulated surgical task may be provided. A simulation environment to simulate a surgical task defined by a set of environmental parameters may be received. Surgical interaction data may be received. In examples, the surgical interaction data may comprise an indication of a triggering event and/or an indication of consequence environmental parameters. The surgical interaction data may be associated with a surgical task. The consequence environmental parameters may be associated with the triggering event. User interaction data may be received. The user interaction data may be based on a user action within the simulation environment and may be associated with a surgical task. On a condition that the received user interaction data matches the triggering event, the simulation environment may be modified, for example, based on the consequence environmental parameters.

Abstract: Systems, methods, and instrumentalities for simulating a surgical task may be provided. In examples, a request for a simulation of the surgical task may be received. For example, the surgical task may comprise a medical procedure and a medical procedure context. Surgical event data associated with the surgical task may be received, for example, responsive to a database query. For example, the surgical event data may comprise historical data associated with the medical procedure and/or context data associated with the medical procedure context. One or more simulation parameter values may be generated, for example, based on the surgical event data. The simulation may be executed based on the simulation parameter values.

Abstract: A computing system may obtain and aggregate surgical monitoring data associated with multiple surgical procedures in multiple operating rooms (ORs), and the surgical monitoring data may be obtained via the surgical hubs in the ORs. Surgical resource utilization adjustments may be generated based on the aggregated surgical resource monitoring data, and an output may be generated based on the determined surgical resource utilization adjustment. The aggregated data may be used to generate resource allocation adjustments for the ORs. Resource allocation adjustments may include healthcare professional (HCP) assignment adjustments, surgery scheduling adjustments, surgical instrument allocation adjustments, OR layout adjustments, and/or medical facility layout adjustment(s), etc.

Abstract: An end effector for use with a surgical instrument includes a lower jaw, an anvil, and a resilient member. The anvil is pivotable relative to the lower jaw between a fully opened position and a fully closed position. The resilient member is configured to bias the anvil to remain in the fully opened position when the anvil is in the fully opened position. The end effector may include a closure ring coupled with the anvil that is translatable relative to the lower jaw and configured to engage the anvil at an interface as the closure ring translates proximally relative to the lower jaw to thereby pivot the anvil relative to the lower jaw toward the fully opened position. In various embodiments, the resilient member may comprise elastomeric material positioned between the closure ring and the anvil or a pair of springs or resilient arms that engage the anvil.

Abstract: A system includes a control console, a laparoscopic instrument, and a uterine manipulator. The laparoscopic instrument includes a first proximity sensor element. The uterine manipulator includes a base and a shaft extending distally from the base. The shaft includes a distal end dimensioned to be inserted into the uterus of a patient and a second proximity sensor element located at the distal end. The proximity sensor elements are configured to cooperatively generate a distance signal indicating a distance between the proximity sensor elements. The control console is configured to receive the distance signal from either the first proximity sensor element or the second proximity sensor element and calculate a corresponding distance between the proximity sensor elements. The control console is configured to compare the corresponding distance with a threshold distance and generate an alert signal when the corresponding distance is smaller than the threshold distance.

Abstract: An ultrasonic surgical instrument that can be used in a robotic surgical system includes an end effector having an ultrasonic blade and a clamp arm pivotally secured relative to the ultrasonic blade for clamping a tissue therebetween. A shaft assembly extends proximally from the end effector and includes a tube, an acoustic waveguide received within the tube, and a sheath positioned between the acoustic waveguide and the tube to damp acoustic vibrations from the acoustic waveguide toward the tube. At least one sensor is positioned on at least one of the end effector or the sheath to measure a force applied at the end effector or the sheath as a measured force, respectively, and thereby provide real-time feedback of a clamping force applied between the ultrasonic blade and the clamp arm.

Abstract: An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes a mode selection member and an activation member. The shaft assembly extends distally from the body. The shaft assembly includes an acoustic waveguide. The end effector includes an ultrasonic blade. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The end effector is configured to be activated in a first activation mode in response to actuation of the activation member when the mode selection member is in a first position. The end effector is configured to be activated in a second activation mode in response to actuation of the activation member when the mode selection member is in a second position.

Abstract: A system includes a uterine manipulator having a shaft. The uterine manipulator is coupled with the robotic arm. An imaging instrument is operable to provide an image of an exterior of the uterus of the patient. A console includes a display screen and is configured to provide a view from the imaging instrument of the exterior of the uterus of the patient, on the display screen. The console is further configured to provide an indicator on the view from the imaging instrument, on the display screen, the indicator indicating a location of a predefined anatomical structure, the indicator being provided as an overlay on the predefined anatomical structure.

Abstract: An apparatus includes a modular colpotomy cup component and a modular shaft component. The modular colpotomy cup component includes a proximal base, an elongated sleeve, an expanding member, and a colpotomy cup. The proximal base is configured to couple to a distal end of a head of a robotic arm. The modular shaft component includes a coupling body and an elongated shaft. The coupling body is configured to couple to the head of the robotic arm such that the modular shaft component and the modular colpotomy cup component are attached to each other via the head of the robotic arm. The elongated shaft extends distally from the coupling body and is configured to be inserted through the opening of the proximal base such that the coupling body is configured to couple to the head of the robotic arm.

Abstract: A computing device for generating a surgical procedure plan via surgical simulation may include a processor. The processor may be configured to obtain an indication of a surgical task. The surgical task may be associated with a surgical step of the surgical procedure plan. The processor may be configured to obtain a surgical choice and a corresponding predicted surgical outcome. The surgical choice and the corresponding predicted surgical outcome may be associated with the surgical task. The processor may be configured to generate a visualization of the surgical choice and the corresponding predicted surgical outcome in a simulated environment. The processor may be configured to obtain an indication of the surgical choice being selected. The processor may be configured to store the surgical choice in the surgical procedure plan.

Abstract: A method of operating a surgical anchoring system can include inserting an outer sleeve of a surgical instrument at least partially into a first natural body lumen, the outer sleeve having a working channel. The method can include inserting a channel arm of the surgical instrument through the working channel of the outer sleeve and into a second natural body lumen. The channel arm has at least one first anchor member coupled thereto and a control actuator operatively coupled to the at least one first anchor member. The method can include expanding the at least one first anchor member from an unexpanded state to an expanded state to form an anchor point at a portion of the second natural body lumen. The method can include controlling, by the control actuator, a motion of the channel arm to selectively manipulate an organ associated with the first and second natural body lumens.

Abstract: Generally, a sterile adapter for use in robotic surgery may include a frame configured to be interposed between a tool driver and a surgical tool, a plate assembly coupled to the frame, and at least one rotatable coupler supported by the plate assembly and configured to communicate torque from an output drive of the tool driver to an input drive of the surgical tool.

Abstract: A system includes a controller, a robotic arm in communication with the controller and having a head, and a surgical scope coupled with the head and having a scope shaft sized and configured to be inserted through an opening in a body wall and into a body cavity of a patient. The controller is programmed to control the robotic arm to manipulate the surgical scope relative to the patient while inhibiting the head from entering a predefined zone of a robotic arm workspace that overlies the body wall.

Abstract: An interactive and dynamic surgical simulation system may be used in the context of a computer-implemented interactive surgical system. The surgical simulation system may provide coordinated surgical imagining. A processor may be configured to execute a simulation of a surgical procedure. The surgical procedure may be simulated in a simulated surgical environment. The processor may generate a first visual representation and a second visual representation. The first visual representation may be of a first portion of the simulated surgical environment. The second visual representation may also be of the first portion of the simulated surgical environment.