Abstract: An ultrasonic surgical instrument and method of assembly with a predetermined alignment includes first and second modular assemblies and an electrical lockout. The first modular assembly includes at least a portion of an end effector configured to manipulate a tissue. The second modular assembly includes a transducer power circuit and an activation switch electrically connected to the transducer power circuit. The electrical lockout is electrically connected to the transducer power circuit and configured to inhibit the activation switch from powering the ultrasonic transducer with the first and second modular assemblies misaligned from the predetermined alignment such that the first and second modular assemblies are in a locked-out state. The electrical lockout is further configured to allow the activation switch to power the ultrasonic transducer with the first and second modular assemblies in the predetermined alignment such that the first and second modular assemblies are in an operational state.

Abstract: An ultrasonic surgical instrument includes a first modular assembly including at least one operator input feature an ultrasonic transducer supported by the first modular assembly, and a second modular assembly configured to be removably coupled with the first modular assembly. The second modular assembly includes at least a portion of an end effector extending distally from a distal end portion of the second modular assembly. The instrument includes a mechanical lockout assembly configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the first modular assembly and the second modular assembly are partially coupled together such that the operator is physically prevented from activating the instrument using the operator input feature. In the unlocked configuration, the first modular assembly and the second modular assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

Abstract: An apparatus configured for use with an end effector of a surgical instrument, comprising: (a) a housing, wherein the housing includes a first housing portion defining a first gap, wherein the first gap is configured to receive a jaw of the end effector; and (b) a lubricant application member positioned within the first gap, wherein the lubricant application member is configured to be loaded with a lubricant for applying the lubricant to a tissue clamping surface of the jaw when the jaw is received within the first gap.

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: A surgical instrument includes a body, a shaft assembly, an end effector, a clamp actuator, and a blade cooling system. The end effector has a clamp arm and an ultrasonic blade coupled with an ultrasonic transducer. The clamp arm is configured to selectively move from a first actuator position toward a second actuator position thereby directing movement of the clamp arm from the open position toward the closed position, respectively. The cooling system is operable to deliver fluid coolant to the ultrasonic blade to thereby cool the ultrasonic blade while the clamp actuator remains in the first actuator position.

Abstract: A method for presenting surgical data onto a livestream of a surgical field on a display during a surgical procedure is disclosed. The method includes detecting, by a control module, surgical data, assigning, by the control module, display priority values to the surgical data, determining, by the control module, a display arrangement of the surgical data on the display based on the display priority values, and presenting onto the livestream visual representations of the surgical data in accordance with the display arrangement.

Abstract: A method of distributing data among members of a surgical team may include receiving imaging data, by a modular control tower, from a plurality of imaging devices, receiving device-dependent data, by the modular control tower, from each of a plurality of intelligent surgical instruments, associating, by the modular control tower, a display device with a member of the surgical team, defining, by the modular control tower, a functional role for the member of the surgical team, and displaying, by the modular control tower, a augmented reality display by the display device. The augmented reality display on the display device may include virtual objects based on the imaging data, the device-dependent data, the functional role of the member of the surgical team, and a surgical activity by the member of the surgical team. An interactive surgical system may implement this method.

Abstract: A camera system integrated into a trocar. The camera system allows for wide field of view of an internal surgical site and 3D mapping of fiducial markers during a laparoscopic procedure. Upon entry into the patient, the camera system is configured to deploy from a recessed position at the distal end of the trocar. In various aspects, the internal camera system is configured to keep the trocar ports free for surgical instruments and provide the surgical staff members with an increased view of the surgical environment.

Abstract: A surgical instrument includes a reusable assembly having an inner tube and an ultrasonic blade positioned within the inner tube. The inner tube includes at least one opening to receive a sterilization fluid therethrough for sterilizing the ultrasonic blade within the inner tube. The surgical instrument further includes a sterilization detection system to determine whether the reusable assembly has been sterilized during a sterilization cycle. A seal is selectively couplable with the at least one opening of the inner tube to fluidly seal the at least one opening for inhibiting bodily fluid from entering the at least one opening during a surgical procedure.

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: A handle assembly for use with a surgical instrument system. The handle assembly comprises a disposable outer housing defining a sterile barrier, a control inner core receivable inside the disposable outer housing in the open configuration, a wireless electrical interface assembly, and a wired electrical interface assembly. The disposable outer housing is movable between an open configuration and a closed configuration. The disposable outer housing is configured to isolate the control inner core within the sterile barrier in the closed configuration. The wireless electrical interface assembly configured to effect a wireless transmission through the sterile barrier. The wireless electrical interface assembly comprises a first wireless-interface portion on a first side of the sterile barrier and a second wireless-interface portion on a second side of the sterile barrier opposite the first side. The wired electrical interface assembly configured to effect a wired transmission through the sterile barrier.

Abstract: A method for treating tissue using a surgical instrument including at least one electrode and a staple cartridge is disclosed. The method includes causing the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment by the surgical instrument, deploying staples from the staple cartridge into the tissue in a second phase of the surgical treatment, monitoring a first tissue property in the first phase of the surgical treatment, switching from the first phase to the second phase if at least one of two conditions is met, setting a parameter of the second phase of the surgical treatment based on at least one measurement of the first tissue property determined in the first phase of the surgical treatment, and monitoring a second tissue property, different from the first tissue property, in the second phase of the surgical treatment.

Abstract: A surgical instrument includes a body, a shaft assembly, an end effector, a clamp actuator, and a blade cooling system. The end effector has a clamp arm and an ultrasonic blade coupled with an ultrasonic transducer. The clamp arm is configured to selectively move from a first actuator position toward a second actuator position thereby directing movement of the clamp arm from the open position toward the closed position, respectively. The cooling system is operable to deliver fluid coolant to the ultrasonic blade to thereby cool the ultrasonic blade while the clamp actuator remains in the first actuator position.

Abstract: A surgical instrument includes a body, a shaft assembly, an end effector, a clamp actuator, and a blade cooling system. The end effector has a clamp arm and an ultrasonic blade coupled with an ultrasonic transducer. The clamp arm is configured to selectively move from a first actuator position toward a second actuator position thereby directing movement of the clamp arm from the open position toward the closed position, respectively. The cooling system is operable to deliver fluid coolant to the ultrasonic blade to thereby cool the ultrasonic blade while the clamp actuator remains in the first actuator position.

Abstract: A gyroscopic stabilizer configured to stabilize a surgical instrument relative to a patient includes a frame having a central axis and a hub configured to releasably couple with the surgical instrument. A first gyroscope assembly is coupled with a first frame portion and a second gyroscope assembly is coupled with a second frame portion. Each gyroscope assembly includes a gimbal pivotably coupled with the respective frame portion about a precession axis, a motor, and a rotor rotatably coupled with the motor about a spin axis perpendicular to the respective precession axis. Each gyroscope assembly is operable generate a torque in a torque plane that contains the respective spin axis and the respective precession axis. The torques are configured to resist rotation of the gyroscopic stabilizer relative to the patient about respective device axes that are perpendicular to the central axis and to one another.

Abstract: An ultrasonic surgical instrument that includes an ultrasonic transducer, a handle assembly supporting the ultrasonic transducer, a clamp arm assembly, and a mechanical lockout assembly. The handle assembly includes a housing and an ultrasonic blade acoustically coupled with the ultrasonic transducer. The clamp arm assembly includes a clamp arm. The mechanical lockout assembly is configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the handle assembly and the clamp arm assembly are not completely coupled together and the operator is physically prevented from activating the instrument using an operator input feature. In the unlocked configuration, the clamp arm assembly and the shaft assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

Abstract: An ultrasonic surgical instrument and method of assembly with a predetermined alignment includes first and second modular assemblies and an electrical lockout. The first modular assembly includes at least a portion of an end effector configured to manipulate a tissue. The second modular assembly includes a transducer power circuit and an activation switch electrically connected to the transducer power circuit. The electrical lockout is electrically connected to the transducer power circuit and configured to inhibit the activation switch from powering the ultrasonic transducer with the first and second modular assemblies misaligned from the predetermined alignment such that the first and second modular assemblies are in a locked-out state. The electrical lockout is further configured to allow the activation switch to power the ultrasonic transducer with the first and second modular assemblies in the predetermined alignment such that the first and second modular assemblies are in an operational state.

Abstract: An ultrasonic surgical instrument and method of assembly with a predetermined alignment includes first and second modular assemblies and an electrical lockout. The first modular assembly includes at least a portion of an end effector configured to manipulate a tissue. The second modular assembly includes a transducer power circuit and an activation switch electrically connected to the transducer power circuit. The electrical lockout is electrically connected to the transducer power circuit and configured to inhibit the activation switch from powering the ultrasonic transducer with the first and second modular assemblies misaligned from the predetermined alignment such that the first and second modular assemblies are in a locked-out state. The electrical lockout is further configured to allow the activation switch to power the ultrasonic transducer with the first and second modular assemblies in the predetermined alignment such that the first and second modular assemblies are in an operational state.

Abstract: An ultrasonic surgical instrument includes a first modular assembly including at least one operator input feature an ultrasonic transducer supported by the first modular assembly, and a second modular assembly configured to be removably coupled with the first modular assembly. The second modular assembly includes at least a portion of an end effector extending distally from a distal end portion of the second modular assembly. The instrument includes a mechanical lockout assembly configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the first modular assembly and the second modular assembly are partially coupled together such that the operator is physically prevented from activating the instrument using the operator input feature. In the unlocked configuration, the first modular assembly and the second modular assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

Abstract: An ultrasonic surgical instrument that includes a handle assembly including at least one user input feature; an ultrasonic transducer supported by the handle assembly, a shaft assembly configured to removably couple with the handle assembly, and a mechanical lockout assembly. The shaft assembly includes a distal end portion. The shaft assembly further includes an end effector extending distally from the distal end portion, and an ultrasonic waveguide configured to be acoustically coupled with the ultrasonic transducer. The mechanical lockout assembly is configured to move between at least an unlocked configuration and a locked configuration. In the locked configuration, the handle assembly and the shaft assembly are only partially coupled together physically preventing the user from activating the instrument using the user input feature.