Abstract: A method for operating a surgical instrument includes mechanically coupling a manual release to a transmission of a surgical instrument having a self-contained power supply disposed entirely within a handle thereof. The transmission translates movement of an electrically powered motor inside the handle to movement of a part of a surgical end effector connected to the handle. The part is operable to move anywhere between a start position and a fully actuated position. The method further includes selectively interrupting the transmission with the manual release to move the part towards the start position independent of motor operation.

Abstract: A method of maintaining constant movement of a cutting blade of an ultrasonic waveguide includes the steps of providing an ultrasonic transducer operable to convert a received motional voltage into a movement of a cutting blade of an ultrasonic waveguide, a motional feedback circuit connected in a parallel configuration with the ultrasonic transducer, and a variable power source operable to apply a first voltage between a set of connection points to the parallel configuration. A feedback voltage measured from the motional feedback circuit is determined and an output of the power source is varied based upon the measured feedback voltage to result in a substantially constant feedback voltage and, thereby, maintain a substantially constant rate of movement of the cutting blade across a variety of cutting loads.

Abstract: An ultrasonic surgical assembly includes an ultrasonic waveguide having a proximal end for receiving ultrasonic movement thereat, an ultrasonic-movement-generator assembly having a shell, an ultrasonic-driving-wave-signal generating circuit housed within the shell, and an ultrasonic transducer having a proximal end disposed within the shell and an ultrasonic-movement-producing distal end, and a handle body having a waveguide attachment dock operable to accept the waveguide therein, an assembly dock shaped to removably secure at least a portion of the ultrasonic-movement-generator assembly thereat, the assembly dock operable to selectively removably secure at least the shell thereat and to position the ultrasonic-movement-producing distal end of the ultrasonic transducer co-axially opposite the proximal end of the ultrasonic waveguide when the ultrasonic waveguide is disposed within the waveguide attachment dock.

Abstract: An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional voltage into a movement of a cutting blade of an ultrasonic waveguide, a motional feedback circuit connected in a parallel configuration with the transducer, a variable power source operable to apply a first voltage between a set of connection points to the parallel configuration, a voltage meter operable to determine a feedback voltage measured from the motional feedback circuit, and a voltage controller operable to vary an output of the power source based upon the measured feedback voltage, resulting in a substantially constant feedback voltage and maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads.

Abstract: A method of maintaining a constant movement of a cutting blade of an ultrasonic waveguide includes providing an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, and a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer. Current is supplied through a set of connection points of the parallel configuration with the variable power source to, thereby, create the motional current in the ultrasonic transducer and the motional current is regulated with a current controller by varying an output of the power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads.

Abstract: An ultrasonic surgical assembly includes an ultrasonic-movement-generator assembly having a shell and an ultrasonic-driving-wave-signal generating circuit housed within the shell, an ultrasonic transducer having a proximal end and an ultrasonic-movement-producing distal end, an ultrasonic waveguide having a proximal end for receiving ultrasonic movement thereat, and a handle body having a waveguide attachment dock operable to accept the waveguide therein, an ultrasonic-movement-generator assembly dock operable to selectively removably secure the ultrasonic-movement-generator assembly thereto, and a transducer attachment dock operable to substantially simultaneously selectively removably and rotatably freely couple the ultrasonic transducer to the handle body rotationally independent of the ultrasonic-movement-generator assembly and axially align the ultrasonic-movement-producing distal end opposite the proximal end of the ultrasonic waveguide when the ultrasonic waveguide is disposed within the waveguide atta

Abstract: An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer, and a current controller operable to regulate the motional current by varying an output of the variable power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads.

Abstract: A method for assembling an ultrasonic surgical device includes the steps of providing a proximal end of an ultrasonic waveguide at an ultrasonic surgical handle body, removably coupling an ultrasonic-movement-generator assembly having a ultrasonic-driving-wave-signal generating circuit to the ultrasonic surgical handle body, mechanically coupling an ultrasonic transducer rotationally freely and substantially longitudinally fixedly to the ultrasonic surgical handle body to place an ultrasonic-movement-producing distal end of the ultrasonic transducer opposite and adjacent the proximal end of the ultrasonic waveguide, and rotating the waveguide and the ultrasonic transducer with respect to one another to removably fixedly couple the waveguide to the ultrasonic-movement-producing distal end of the ultrasonic transducer and to electrically couple the ultrasonic-driving-wave-signal generating circuit to the ultrasonic surgical handle body.

Abstract: An electrically operated surgical instrument includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.

Abstract: A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes the steps of providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, relieving the vacuum for placing the hollow body in a relatively flexible condition, maintaining the hollow body in the relatively flexible and relatively stiff conditions with tendons disposed within the hollow body, and individually adjusting at least some of the tendons in length for steering a distal end of the hollow body.

Abstract: A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes the steps of providing a hollow body having a proximal end with an entrance for receiving an instrument, a distal end with a tip for protrusion of the instrument, an outer jacket and an inner sleeve, maintaining the hollow body in relatively flexible and relatively stiff conditions with wires disposed at least partly between the outer jacket and the inner sleeve and being free of at least one of the outer jacket and the inner sleeve, transmitting torque along the hollow body with a corrugated tube disposed between the outer jacket and the inner sleeve, and applying suction to create a vacuum between the outer jacket and the inner sleeve for placing the hollow body in the relatively stiff condition and relieving the vacuum for placing the hollow body in the relatively stiff condition, with a transitioning device for frictionally locking the wires and the corrugated tube in place.

Abstract: A device for sterilizing and charging a battery of a surgical instrument, comprising a surgical sterilization device that has a sealable sterilization enclosure and is operable to surgically sterilize a rechargeable battery of a battery-operated surgical instrument when the battery is sealed in the sterilization enclosure. An inductively powered battery-charging platform is also disposed inside the sterilization enclosure and has a charger that conductively charges the battery when the battery is placed at the charger. A power receiver sub-assembly that is electrically coupled to the charger receives electrical power inductively from a power supply that is disposed outside the sterilization enclosure. Thus, the battery is charged without breaching the sealed sterilization enclosure and simultaneously while the battery is being sterilized.

Abstract: A method for simultaneously surgically sterilizing and charging a battery, which comprises providing an inductively powered battery charger inside a selectively sealable surgical sterilization enclosure of a surgical sterilization device. The surgical sterilization device is operable to surgically sterilize at least one rechargeable battery of a battery-operated surgical instrument placed therewithin. The charger has an inductive power receiver sub-assembly operable to receive power inductively and to supply charging power to the at least one rechargeable battery. The at least one rechargeable battery is electrically charged while being surgically sterilized by supplying power inductively from a power supply positioned outside the surgical sterilization enclosure to the inductive power receiver sub-assembly through the surgical sterilization enclosure.

Abstract: An ultrasonic, self-powered surgical device includes a handle, a self-contained power supply associated with the handle, and a control circuit disposed within the handle and/or the power supply. The control circuit is operable to carry out at least two operational conditions of the surgical device. A two-stage switch is electrically connected to the control circuit and effects the at least two operational conditions of the surgical device. A first stage of the switch effects a first of the at least two operational conditions and a second stage of the switch effects a second of the at least two operational conditions that is different from the first operational condition.

Abstract: A method for operating an ultrasonic, self-powered surgical device, includes the steps of connecting a self-contained power supply to a surgical device handle, providing a control circuit within at least one of the handle and the power supply, the control circuit being operable to carry out at least two operational conditions of the surgical device, and effecting the at least two operational conditions with a two-stage switch electrically connected to the control circuit, a first stage of the switch effecting a first of the at least two operational conditions and a second stage of the switch effecting a second of the at least two operational conditions different from the first operational condition.

Abstract: A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device having non-metallic properties and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the soft state. Power is removed from the temperature-changing device to alter the non-metallic properties of the stiffness device and directly result in a change of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.

Abstract: A surgical stapling instrument includes a handle having a stapler-closing device. A surgical stapling end effector is connected to the handle and has a pair of opposing stapling surfaces. At least one of the stapling surfaces is operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing device to apply a compressive force to tissue therebetween. At least one variable member is operable to receive the compressive force applied to the tissue and to exhibit at least one of mechanical and electrical change associated with the received compressive force. The change influences a surgical procedure on the compressed tissue.

Abstract: A method for encrypted authentication of interchangeable parts of a surgical instrument includes providing a surgical end effector at a distal end of a handle of the surgical instrument and electrically connecting an authentication controller within the handle to a receiving portion of the end effector. An interchangeable part is removably placed at the receiving portion. The interchangeable part is authenticated with the authentication controller when the interchangeable part is seated in the end effector.

Abstract: A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the flexible state of the catheter. Power is removed from the temperature-changing device to change stiffness of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.

Abstract: A joint support and subchondral support system for providing structural and dampening support to damaged subchondral bone in generalized or discrete arthritis includes a contoured, porous plate having a variable shaped inner surface, outer surface, and peripheral surface of variable thickness extending between the inner surface and the outer surface, suitable for insertion within the subchondral bone. The inner surface, outer surface and peripheral surface each have a concave portion and a convex portion. A guide pin hole or slot is located within the contoured, porous plate to aid in insertion and placement of the plate over at least one corresponding guide pin within the subchondral bone. The joint support and subchondral support system of the present invention is applicable to many parts of the joint as any area with cartilage disease has an adjoining subchondral component.