Abstract: A transmission for a motor-powered device is herein disclosed. The transmission includes a motor input, a first output and a second output both drivable by the motor input, and a planetary gearbox. The planetary gearbox includes a first stage ring gear engaged with the first output, a second stage ring gear engaged with the second output, and a lock selectively engageable with at least one of the first stage ring gear or the second stage ring gear, the lock having an unlocked position allowing the at least one of the first stage ring gear or the second stage ring gear to power at least one of the first output or the second output and a locked position that stops rotation of the at least one of the first stage ring gear or the second stage ring gear to lock at least one of the first output or the second output.

Abstract: In general, interconnection of drug administration systems is provided. In an exemplary embodiment, a drug administration device and a remotely located server can establish a unique key for wireless communication between the device and the server. The drug administration device can be configured to sense information relating to at least one of the device and a drug and can be configured to anonymize data indicative of the sensed information using the key stored in memory of the device. The drug administration device can also be configured to use the key in decrypting data received from the server.

Abstract: The present disclosure provides methods, systems, and devices for establishing dosing parameters for a drug administration device and establishing compatibility of components of the drug administration device. In an exemplary embodiment, a method can include acquiring data from a drug holder and communicating the data to a processor, communicating a relevant subset of dosing parameter data from a server to the processor, and establishing dosing parameters for a drug administration device based on the relevant subset of dosing parameter data. The relevant subset of dosing parameter data is determined based on the drug holder data. The method can include acquiring first component data relating to a first component of the drug administration device, comparing the first component data with acceptable first component data, and setting an operational status of the drug administration device based on the comparison.

Abstract: A surgical robotic system includes a housing, wherein the housing includes a rotary drive; a motor that applies a rotary motion to the rotary drive; a surgical tool that releasably attaches to the housing, the surgical tool including: an end effector; a rotary interface that releasably couples to the rotary drive; a firing assembly; a lockout member movable from a locked state to an unlocked state by a sled; and a control circuit communicably coupled to the motor, wherein the control circuit is configured to: activate the motor to effect the motion of the firing assembly; monitor a current draw of the motor during the motion of the firing assembly; detect a fault state in the motion of the firing assembly based on the current draw of the motor; stop the motor based on the detection of the fault state; and alert a user regarding the fault state.

Abstract: An apparatus includes a body, a shaft, a stapling head assembly, and an anvil. The body includes a motor, a first user input feature, and a second user input feature. The first user input feature is operable to activate the motor. The shaft extends distally from the body. The stapling head assembly is positioned at a distal end of the shaft. The stapling head assembly includes an anvil coupling feature, at least one annular array of staples, and a staple driver. The second user input feature is operable to drive the anvil coupling feature longitudinally. The staple driver is operable to drive the at least one annular array of staples. The motor is operable to drive the staple driver. The anvil is configured to couple with the anvil coupling feature. The anvil is further configured to deform the staples driven by the staple driver.

Abstract: In general, interconnection of drug administration systems is provided. In an exemplary embodiment, a drug administration device and a remotely located server can establish a unique key for wireless communication between the device and the server. The drug administration device can be configured to sense information relating to at least one of the device and a drug and can be configured to anonymize data indicative of the sensed information using the key stored in memory of the device. The drug administration device can also be configured to use the key in decrypting data received from the server.

Abstract: A method is used to manufacture a lower jaw of an end effector of a surgical instrument. The method includes providing a lower jaw that includes a U-shaped body portion. The U-shaped body portion includes a bottom wall interposed between first and second opposing side walls. The method also includes forming at least one feature into at least one of the first and second side walls, wherein the at least one feature has a near net shape. The method also includes subsequently machining the at least one feature to have a machined shape.

Abstract: Systems, devices, and methods designed to make it easier to couple end effectors to surgical instruments are provided. A variety of features are disclosed, which can be used independently or in conjunction with each other. The resulting benefits include enhanced visualization, more secure coupling, easier communication that coupling has occurred, self-clocking components with respect to each other, and more component modularity. In one exemplary embodiment, an end effector assembly having an end effector and an attachment arm includes a terminal end surface of the attachment arm having a three-dimensional configuration such that a portion of the end surface extends further away from a set location than another portion of the end surface extends from the location. In another exemplary embodiment, end effector assemblies include chambers having curved configurations that assist in self-clocking the assemblies with respect to surgical devices. Other features, devices, systems, and methods are also provided.

Abstract: In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsothable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule.

Abstract: A surgical stapling and severing instrument enables minimally invasive surgical procedures by having upper and lower jaws (i.e., anvil and staple channel) that are positioned with an elongate shaft and handle through a surgical opening, and in particular through a cannula of a trocar. A pair of fluid bladders (lift bags) are positioned in the staple channel beneath a proximally projecting lever tray so that transfer of fluid from the handle causes closing and clamping of the anvil. The bi-directional fluid control may be mechanically produced at the handle or by activating an electroactive polymer actuator. Once firing is sensed, an EAP plunger in a medical substance syringe inserted into the elongate shaft is activated to dispense a medical substance (e.g., anesthetics, adhesives, cauterizing substances, antibiotics, etc.) and is guided along a firing bar to a cutting surface of an E-beam placing the substance on tissue as severed.

Abstract: A surgical instrument. The surgical instrument has an end effector and a trigger in communication with the end effector. The surgical instrument also has a first sensor and an externally accessible memory device in communication with the first sensor. The first sensor has an output that represents a first condition of either the trigger or the end effector. The memory device is configured to record the output of the first sensor. In various embodiments, memory device may include an output port and/or a removable storage medium.

Abstract: A design for a suture for use in suture appositioning techniques, and a method for use are disclosed. In one embodiment the suture may comprise a hollow length having a wall forming a lumen, which may serve as a conduit through which fluid may be pumped and discharged through a plurality of perforations in the wall. In another embodiment the suture may comprise a plurality of suture members connected by a connecting member. In one embodiment of a method disclosed, a suture having a hollow length having a wall forming a lumen, with a plurality of perforations in the wall, may be placed in a stitching procedure to apposition tissues, and a fluid such as an adhesive, adhesive activating agent or drug may be pumped through the lumen and discharged out the perforations for various beneficial effects.

Abstract: A cable driven surgical instrument that has an elongate channel assembly that is constructed to operably support a staple cartridge assembly therein. The instrument may have a knife assembly that is oriented for travel within the elongate channel assembly and at least one cable transition support that is operably mounted to at least one of the elongate channel assembly and the knife assembly. A drive cable operably extends around at least a portion of the cable transition support and interfaces with a cable drive system to drive the knife assembly within the elongate channel. A cable retention arrangement may be included for retaining the drive cable around at least a portion of the cable transition support.

Abstract: A surgical instrument that has an elongate channel assembly configured to operably support a staple cartridge therein. An anvil assembly may be movably and detachably coupled to the elongate channel assembly. In various embodiments, the anvil assembly may have a pair of trunnions pivotally received in open-ended slots in the elongate channel assembly. The trunnions may be retained in the opened ended slots by a selectively movable trunnion retention bar or by a closure member configured to apply a closing motion to the anvil. In other embodiments, a knife assembly may be supported within the elongate channel assembly for axial travel therein. The knife assembly may be provided with a detachable pin that is configured to ride in a slot in the anvil as the knife assembly is driven in the elongate channel assembly to draw the anvil assembly toward the elongate channel assembly. The pin is configured to be detached from the knife assembly to enable the anvil assembly to be detached therefrom.

Abstract: A cable attachment arrangement for attaching a cable to a surgical instrument component. In various embodiments, the cable attachment arrangement comprises a wedge-shaped slug that is attached to a portion of the cable and shaped to be received in a complementary shaped pocket in the surgical instrument component. In various embodiments, the slug may be wedge-shaped or conical in shape. In other embodiments, an end portion of the cable is folded over adjacent another portion of the cable and attached thereto by clamps or adhesive to form a loop sized to receive a portion of a surgical instrument component therein. Other embodiments comprise an endless cable formed from woven material wherein the ends of the cable are woven together.

Abstract: A multi-axis surgical stapling and cutting instrument. In various embodiments, the instrument includes a tool assembly that operably supports a cable powered knife assembly and further has an anvil that is actuated by axial movement of a closure ring. The instrument may further include a disposable reload unit that may be attached to the reusable portion of the instrument without the use of tools. Various embodiments may also employ an active articulation control system for actively articulating the tool assembly.

Abstract: An apparatus for achieving weight loss in a patient is disclosed. The apparatus has a barrier material and an applicator for dispensing the barrier material about the intestine. An injector is used to place the barrier material to block nutrient transfer from the intestine into the blood stream. The barrier material is a polymerizable adhesive that can be injected interstitially between layers of the intestine, or injected into vascular structures to partially block the flow of blood to the nutrient absorbing layers.

Abstract: A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied so as to apply various clamping forces and pressures to soft tissue captured within the staples. In at least one embodiment, the staples can include crowns formed thereon which can be utilized to adjust or control the clamping force and/or pressure applied by the staples.

Abstract: The present invention includes a surgical stapler having a curved end-effector which is configured to deploy staples in at least one curved staple line. The surgical stapler can include a staple cartridge configured to removably store staples therein, an anvil configured to deform the staples, and a cutting member having a cutting surface. The staple cartridge and/or anvil can include a curved slot configured for receiving and guiding the cutting member wherein at least a portion of the cutting member can be defined by a curvature that substantially matches the curvature of the slot. In these embodiments, the curved cutting member can be easily moved within the curved slot thereby reducing the possibility that the cutting member will become stuck within the slot.

Abstract: The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, the anvil is movable between an open position and a partially-closed position. When the anvil is in its partially-closed position, the anvil and the staple cartridge can be configured to capture tissue therebetween without fully compressing the tissue. In at least one embodiment, the anvil includes a proximal portion, a distal portion, and a middle portion intermediate the proximal portion and the distal portion. In these embodiments, the tissue can be captured between the proximal and distal portions of the anvil before the middle portion of the anvil is brought into contact with the tissue.