Abstract: A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing configured to couple with the transmission assembly. An information transmission system transmits instrument information received from a sensor, for example, to a secure server via a secure gateway connected to the instrument. The instrument may be previously tested on a calibration kit to pre-determine and load surgeon-specific settings onto the instrument prior to use.

Abstract: A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling mechanism portions cooperatively couple the end effector assembly to the body assembly for use. A cartridge positionable between the instrument and a generator includes information regarding operating parameters unique to the selectively coupleable end effector assembly and/or the desired surgical procedure, such as information regarding setting a maximum current set point within an ultrasonic transducer. The instrument is programmable with operating parameter information while within a sealed and sterilized packaging unit.

Abstract: A surgical instrument includes a handle assembly having a trigger operable to fire a staple driver to staple tissue. The instrument includes a pointed rod to which an anvil may be coupled. An anvil detection feature is included to determine when the anvil is coupled to the rod. In some versions, the anvil detection feature comprises a translatable rod that inhibits a lockout feature from disengaging. In other versions, an anvil sensing tube is disposed about the pointed rod and interferes with actuation of the trigger in a first position. A recess in the tube permits trigger to actuate when the anvil sensing tube is in the second position. Alternatively, a resilient tab is coupled to the pointed rod and resists actuation of the staple driver. A trigger lockout assembly may include a spring-loaded button that “pops” out when a push rod is actuated, thereby freeing a pivotable lockout feature.

Abstract: A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.

Abstract: An ultrasonic assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The balanced blade provides a rounded distal end and concave edges to promote fine dissection and cutting in a variety of surgical procedures. The blade is curved for improved visibility at the blade tip and is designed to provide a multitude of tissue effects: coagulation, cutting, dissection, spot coagulation, tip penetration and tip scoring. The assembly features hand activation configured to provide an ergonomical grip and operation for the surgeon. The assembly further features user selectable blade rotation. A finger switch is placed in the range of the natural axial motion of the user's index finger, whether gripping the surgical instrument right-handed or left handed.

Abstract: An apparatus comprises a surgical instrument having a proximal end and a distal end. The proximal end may comprise a handle. The distal end may comprise a cutter and a stapler. The apparatus may further comprise a staple for use with the stapler. The staple may comprise an inner channel extending along at least a portion of the length of the staple. The apparatus may further comprise an agent contained in the inner channel, which may be used to coagulate a surgical site where surgical instrument is used. The agent may facilitate coagulation of the fluids at a surgical site once the staples are anchored to the surgical site.

Abstract: An apparatus for endosurgical use includes an instrument having an end effector and a staple cartridge insertable into the end effector. The staple cartridge includes staples, staple apertures, a resistive member, and a medical fluid. When coupled to a power source, the medical fluid is vaporized by the resistive member and expelled out the staple apertures onto the stapled tissue. The power source may be contained within the instrument. In one configuration, a resistive strip with strip contacts may electrically couple to a conductor in the end effector. The medical fluid may also be divided into a plurality of sealant pads corresponding to the staple apertures, and the medical fluid may be a depolymerizable cyanoacrylate, a sprayable thermoplastic urethane, or any vaporizable medicament or pharmaceutical. The staple drivers may include one or more apertures to permit the medical fluid to pass through or around the staple drivers.

Abstract: An energy-based surgical instrument is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The scissors grip instrument provides for tube-in-tube construction so the device is useful for both open and minimally invasive procedures. The assembly includes a clamping mechanism, including a clamp arm and/or housing which are specifically configured to create a desired level of tissue clamping forces.

Abstract: An exemplary surgical instrument comprises a handpiece, an end effector, and an activation and control feature that is operable to selectively activate an end effector and select an energy level for the end effector. One version of the activation and control feature includes a “floating” button feature where activation and control is accomplished based on the displacement of the button from a home position. In some versions the activation and control feature is sealed within the handpiece, but controllable by the user's touch with the handpiece. The sealed configuration can allow the handpiece to be sterilizable, e.g., using steam sterilization. The activation and control feature may comprise capacitive switches, resistive sensors, resonant cavity switching technology, infrared sensing technology, technology that uses a resonant standing wave on a surface that is perturbed by the presence of a finger, and/or any other suitable type of technology.

Abstract: A surgical instrument comprising a trigger configured to be actuated by a proximally directed force and by a distally directed force. The trigger may comprise a proximal trigger portion having a first length and a distal trigger hook comprising a distal portion having a second length. The second length may be less than the first length. The distal trigger hook may be coupled to the proximal trigger portion.

Abstract: A surgical instrument includes a handle assembly and a transmission assembly including an end effector. The end effector includes a visual indicator, such as dots disposed on a clamp arm, to emit light from at least one LED disposed between the clamp arm and a clamp pad. The LED is connectable to a power source. An outer sheath of the end effector is extruded to include a first set of electrical conduits. A distal assembly of the end effector includes the clamp arm, clamp pad, LED, and a second set of electrical conduits to mate with the first set of electrical conduits when the distal assembly is snap-fit into the extruded outer sheath. An ultrasonic surgical instrument includes an outer sheath configured to transmit light from an internally housed LED along portions of the outer sheath.