Abstract: A surgical system is disclosed comprising a processor and a memory storing instructions executable by the processor to receive imaging data from a surgical visualization system, identify a critical structure within a patient based on the imaging data received from the surgical visualization system, transmit a margin signal based on the identified critical structure, measure a size of an anatomical structure of the patient based on the imaging data, identify information about a surgical instrument of a plurality of surgical instruments, customize an operational parameter of a surgical instrument of the plurality of surgical instruments, and provide electrosurgical energy to electrosurgical instruments of the plurality of surgical instrument. A display is configured to display a digital representation of the critical structure on the display. The display is configured to display a resection margin around the critical structure. The resection margin is generated based on the margin signal.

Abstract: Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.

Abstract: A surgical instrument includes a rotatable electrical coupling assembly having a first part and a second part that electrically couple and rotate relative to each other. The second part is carried by and rotates with a tube collar coupled to a transducer. A portion of the transducer is inserted through an aperture of the second part, but does not contact the second part. The first part of the assembly may electrically couple to the second part via pogo pins, brush contacts, or ball bearings. Alternatively, the first part may comprise conductive channels formed in the casing. The second part may comprise a rotatable drum with a conductive trace. In some versions, one or more components may comprise MID components. In another version, the rotatable electrical coupling assembly comprises a rotatable PC board and brush contact. Further still, a circuit board may be provided with the transducer inside a transducer casing.

Abstract: A method for generating and updating a three-dimensional representation of a surgical site based on imaging data from an imaging system is disclosed. The method comprises the steps of generating a first image of the surgical site based on structured electromagnetic radiation emitted from the imaging system, receiving a second image of the surgical site, aligning the first image and the second image, generating a three-dimensional representation of the surgical site based on the first image and the second image as aligned, displaying the three-dimensional representation on a display screen, receiving a user selection to manipulate the three-dimensional representation, and updating the three-dimensional representation as displayed on the display screen from a first state to a second state according to the received user selection.

Abstract: A surgical hub for use with a surgical system in a surgical procedure performed in an operating room is disclosed. The surgical hub comprises a control circuit configured to generate a first image of a surgical site from a real-time imaging source, receive a second image of the surgical site from a non-real-time image source, align the first image and the second image, generate a representation of the surgical site based on the first image and the second image as aligned, display the representation on a display screen, receive a first user selection to overlay hidden structures on the representation, receive a second user selection to manipulate the representation, and adjust the representation based on the second user selection.

Abstract: A method for adjusting control parameters of a clip applier using a surgical hub is disclosed. The method comprises gathering data during a first surgical procedure, evaluating the gathered data to determine the appropriate operation of a clip applier in a subsequent surgical procedure, gathering data during the operation of the clip applier in the subsequent surgical procedure, determining if the operation of the clip applier needs to be adjusted based on the data gathered during the subsequent surgical procedure, and adjusting the operation of the clip applier based on the data gathered during the subsequent surgical procedure.

Abstract: A surgical visualization system that can include a structured light emitter, a spectral light emitter, an image sensor, and a control circuit is disclosed herein. The structured light emitter can emit a structured pattern of electromagnetic radiation onto an anatomical structure. The spectral light emitter can emit electromagnetic radiation including a plurality of wavelengths. At least one of the wavelengths can penetrate a portion of the anatomical structure and reflect off a subject tissue. The image sensor can detect the structured pattern of electromagnetic radiation reflected off the anatomical structure and the at least one wavelength reflected off the subject tissue. The control circuit can receive signals from the image sensor, construct a model of the anatomical structure, detect a location of the subject tissue, and determine a margin about the subject tissue, based on at least one signal received from the image sensor.

Abstract: A surgical system is disclosed comprising a firing member, a motor configured to advance the firing member, a current sensor, and a control system configured to set a target firing speed range of the firing member based on a current draw of the motor sensed by the current sensor, set a threshold current draw range corresponding to the target firing speed range of the firing member, advance the firing member at a firing speed within the target firing speed range, monitor a current draw of the motor as the firing member is driven, compare the monitored current draw to the threshold current draw range, and adjust the firing speed of the firing member based on the monitored current draw crossing below a first non-zero current value corresponding to the threshold current draw range or above a second non-zero current value corresponding to the threshold current draw range.

Abstract: Methods for operating a surgical end effector that includes first and second jaws that are pivotally coupled together and are selectively movable between a fully open position and fully closed position. At least one method includes moving a dynamic clamping assembly through a closure stroke to apply a closure motion to the first and second jaws to move the first and second jaws from the fully open position to the fully closed position. A method also includes moving the dynamic clamping assembly through a firing stroke to perform a surgical function until the dynamic clamping assembly reaches an ending position within the closed first and second jaws. A method also includes moving the dynamic clamping assembly in direction configured to contact at least one positive jaw opening feature on at least one of the first and second jaws with to move the first and second jaws to the fully open position.

Abstract: A method for generating and updating a three-dimensional representation of a surgical site based on imaging data from an imaging system is disclosed. The method comprises the steps of generating a first image of the surgical site based on structured electromagnetic radiation emitted from the imaging system, receiving a second image of the surgical site, aligning the first image and the second image, generating a three-dimensional representation of the surgical site based on the first image and the second image as aligned, displaying the three-dimensional representation on a display screen, receiving a user selection to manipulate the three-dimensional representation, and updating the three-dimensional representation as displayed on the display screen from a first state to a second state according to the received user selection.

Abstract: A surgical visualization system is disclosed that comprises a control circuit configured to receive pre-operative imaging data associated with an organ, receive first intraoperative imaging data indicative of a structured light pattern on a surface of the organ, generate a three-dimensional digital representation of the organ based on the pre-operative imaging data and the first intraoperative imaging data, display the three-dimensional digital representation of the organ on a display screen, receive second intraoperative imaging data indicative of a plurality of spectral light waves penetrating the organ, intraoperatively identify a structure below the surface of the organ based on the second intraoperative imaging data, generate a three-dimensional digital representation of the structure below the surface of the organ, and overlay the three-dimensional digital representation of the structure with the three-dimensional digital representation of the organ on the display screen.

Abstract: A surgical visualization system includes multiple light sources, at least one optical sensor, at least one display device, and a controller. The controller is configured to control at least one light source to illuminate surgical tissue in a first manner, and control the optical sensor to receive an image from the surgical tissue illuminated in the first manner. The controller calculates a three-dimensional image from the tissue illuminated in the first manner. The controller is configured to control at the least one light source to illuminate surgical tissue in a second manner, and control the optical sensor to receive an image from the surgical tissue illuminated in the second manner. The controller calculates one or more subsurface critical anatomic structures from the tissue illuminated in the second manner and combines the display of the three-dimensional image and the anatomic structures on the at least one display device.

Abstract: Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.

Abstract: A method of imaging a surgical site is disclosed. The method comprises obtaining, by a controller of an automated surgical hub system, first image data of a surgical site, controlling, by the controller, at least one illumination source to illuminate a visible surface of the surgical site in a first manner by projecting structured light onto the visible surface, obtaining, by the controller, second image data of the visible surface of the surgical site under illumination in the first manner by the at least one illumination source, calculating, by the controller, a three-dimensional model of the visible surface based on the second image data obtained by the controller, and integrating, by the controller, the three-dimensional model of the visible surface with the first image data of the surgical site. The second image data is based on sensing the structured light projected onto the visible surface.

Abstract: A surgical instrument includes a shaft assembly and an articulation control assembly. The shaft assembly includes an articulation section that is configured to deflect a distal end portion from the longitudinal axis. The articulation control assembly includes an articulation control member and a transmission assembly. The articulation control member is rotatably mounted relative to the shaft assembly. The transmission assembly is operatively connected between the articulation control member and the articulation section of the shaft assembly. The transmission assembly is configured to transmit selective manipulation of the articulation control member to the articulation section and selectively actuate the articulation section.

Abstract: An apparatus includes a body having an interior space sized and shaped to receive a surgical stapler end effector in an open state in combination with an adjunct applicator that includes an adjunct. The apparatus further includes a closure member movably coupled with the body. The closure member is actuatable to close the surgical stapler end effector onto the adjunct applicator so that the adjunct is applied to a stapling surface of the surgical stapler end effector.

Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes at least one imaging device and a control circuit configured to identify an anatomical organ targeted by the surgical procedure, generate a virtual three-dimensional (3D) construct of at least a portion of the anatomical organ based on visualization data from the at least one imaging device, identify anatomical structures relevant to the surgical procedure from the visualization data from the at least one imaging device, couple the anatomical structures to the virtual 3D construct, and overlay onto the virtual 3D construct a layout plan of the surgical procedure determined based on the anatomical structures.

Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes at least one imaging device and a control circuit configured to identify an anatomical organ targeted by the surgical procedure, generate a virtual three-dimensional (3D) construct of at least a portion of the anatomical organ based on visualization data from the at least one imaging device, identify anatomical structures relevant to the surgical procedure from the visualization data from the at least one imaging device, couple the anatomical structures to the virtual 3D construct, and overlay onto the virtual 3D construct a layout plan of the surgical procedure determined based on the anatomical structures.

Abstract: A surgical system comprising a generator and a surgical instrument configured to receive power from the generator is disclosed. The surgical instrument comprises a housing, a shaft defining a longitudinal axis, an end effector, and an internal charge accumulator. The housing comprises a motor. The end effector is operably responsive to actuations from the electric motor, transitionable between an open and closed configuration, and rotatable about an articulation axis transverse to the longitudinal axis. The generator is incapable of supplying a sufficient power directly to the motor to perform the actuations. The internal charge accumulator is in electric communication with the generator and supplies power to the motor. The internal charge accumulator is chargeable by the generator to a threshold value at a charge rate dependent on a charge level of the internal charge accumulator. The charge rate is independent of a charge expenditure by the surgical instrument.

Abstract: An adapter module is configured to be coupled to a robotic arm of a robotic surgical system and a surgical instrument. The adapter module has a first interface configured to engage a second interface of the surgical instrument to removably secure the surgical instrument thereto. The adapter module further includes a sensor configured to detect whether the second interface is fully engaged with the first interface, and a control circuit coupled to the sensor. The control circuit is configured to monitor the sensor to determine an engagement status of the surgical instrument, and prevent activation of a component of the robotic surgical system in a disengaged status.