Abstract: A surgical instrument. The surgical instrument includes an elongated channel configured to support a staple cartridge, an anvil pivotably connected to the elongated channel, a knife mechanically coupled to the staple cartridge, an electric motor and a control circuit electrically connected to the electric motor. The control circuit is configured to change a firing motion a first way based on a first value of a projected peak firing force and a second way based on a second value of the projected peak firing force value.

Abstract: Systems, devices, and methods for controlling cooperative surgical instruments with variable surgical site access trajectories are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common surgical site from different approach and/or separate body cavities to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with one another, to effect a desired surgical treatment.

Abstract: Disclosed is a surgical end effector for use with a surgical instrument. The surgical end effector comprises a jaw, and a staple cartridge seatable in the jaw. The staple cartridge comprises a sensor array configured to take measurements corresponding to a parameter associated with a function of the surgical instrument, a processor, and a memory storing program instructions. The memory storing program instructions that, when executed by the processor, cause the processor to perform an initial calibration of the sensor array, determine an initial adjustment to the measurements based on the initial calibration, perform an in-use calibration of the sensor array, and modify the initial adjustment based on the in-use calibration.

Abstract: A surgical stapling instrument includes an end effector that has a first jaw; a second jaw movable relative to the first jaw between an open configuration and a closed configuration to grasp tissue between the first jaw and the second jaw; an anvil; and a staple cartridge with staples deployable into the tissue and deformable by the anvil. The surgical stapling instrument further includes a control circuit configured to: determine tissue impedances at predetermined zones; detect an irregularity in tissue distribution within the end effector based on the tissue impedances; and adjust a closure parameter of the end effector in accordance with the irregularity.

Abstract: A method of manufacturing a bead assembly for a sphincter augmentation device includes initiating 3D printing of a unibody housing such that the unibody housing defines a first opening, a chamber, and a magnet chamber. The method further includes pausing the 3D printing process, inserting a magnet within the magnetic chamber, and then resuming 3D printing of the unibody housing to form a hermetic seal between the magnet chamber and an external surface of the unibody housing.

Abstract: A staple having a crown, a deformable leg extending from the crown, and a spring extending from the crown configured to compress tissue between the spring and the deformable member. Owing to the flexibility of the spring, the staple can accommodate a wide range of tissue thicknesses while still compressing the tissue captured therein. As a result, a single staple design can be used in a wide variety of surgical procedures thereby reducing the amount of staple designs that must be provided to the surgeon. In at least one embodiment, the staple includes a crushable member. This crushable member can include a plastically deformable first portion and an elastically deformable second portion. The present invention can also include, in various embodiments, a crown, a first deformable member extending from the crown, and means for compressing the tissue against the first deformable member.

Abstract: In general, devices, systems, and methods for multi-source imaging are provided. In one embodiment, a surgical system is provided that includes a first imaging device configured to gather first images for visualization of a surgical target, a second imaging device configured to gather second images that enhance the visualization of the surgical target, and a controller configured to cause a display device to show a single view of the surgical target that is a cooperation of the first and second images. The first imaging device has a different point of view of the surgical site than the second imaging device.

Abstract: An end effector including an anvil and a staple cartridge assembly is disclosed. The staple cartridge assembly comprises a deck having steps defined thereon for compressing tissue positioned between the anvil and the staple cartridge assembly to different pressures. The staple cartridge assembly further comprises staples having different unformed heights removably stored therein. The staples are deformed against the anvil to different formed heights.

Abstract: Systems, devices, and methods for controlling cooperative surgical instruments are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing various surgical sites from different or shared surgical approaches to achieve a common or cooperative surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with, one another to effect a desired surgical treatment.

Abstract: A staple cartridge assembly for use with a surgical stapling instrument is disclosed. The staple cartridge assembly comprises a compressible adjunct and a staple cartridge. The compressible adjunct comprises attachment regions. The staple cartridge comprises a proximal end, a distal end, a deck, a longitudinal row of staple cavities, staples, bonding zones, and barbs. The attachment regions of the compressible adjunct are configured to be secured to bonding areas defined by the bonding zones. The barbs protrude from the deck, and the barbs are configured to maintain an initial alignment between the attachment regions and the bonding zones prior to attachment of the compressible adjunct to the deck.

Abstract: Various surgical systems are disclosed. A surgical system comprises a robotic tool, a robot control system, a surgical instrument, and a surgical hub. The robot control system comprises a control console and a control unit in signal communication with the control console and the robotic tool. The surgical hub comprises a display. The surgical hub is in signal communication with the robot control system. The surgical hub is configured to detect the surgical instrument and represent the surgical instrument on the display.

Abstract: A surgical system comprising an end effector, a clamp driver, a motor, and a control circuit is disclosed. The end effector comprises a first jaw and a second jaw moveable relative to the first jaw toward a closed configuration. The clamp driver is movable toward a closure end position. The motor is operably coupled to the clamp driver. The control circuit comprises a processor and a memory, and the control circuit is to: advance, by the motor, the clamp driver to the closure end position; determine a distance between the first jaw and the second jaw in the closed configuration, wherein the closure end position corresponds to the closed configuration; receive a signal indicative of at least one of a staple cartridge identity, type, or characteristic from a corresponding staple cartridge; and detect that the distance is acceptable for staple firing by the end effector based on the received signal.

Abstract: A staple cartridge assembly for use with a surgical stapling instrument includes a staple cartridge including a plurality of staples and a cartridge deck. The staple cartridge assembly also includes a compressible adjunct positionable against the cartridge deck, wherein the staples are deployable into tissue captured against the compressible adjunct, and wherein the compressible adjunct comprises a first biocompatible layer comprising a first portion, a second biocompatible layer comprising a second portion, and crossed spacer fibers extending between the first portion and the second portion.

Abstract: An apparatus comprises a body, a shaft assembly, an end effector, a cartridge, and a staple driver actuator. The end effector is operable to manipulate tissue. The end effector comprises a lower jaw, a pivotable anvil, and a translating cutter. The translating cutter is operable to translate relative to the lower jaw and the anvil when the anvil is pivoted toward the lower jaw to manipulate tissue. The cartridge is insertable into the lower jaw and includes a plurality of staples. The staple driver actuator is disposed within the cartridge. The staple driver actuator comprises a secondary cutting element. The translating cutter of the end effector is operable to drive the staple driver actuator distally to staple and cut tissue substantially simultaneously.

Abstract: A staple driver actuator for a surgical stapler includes a base having at least one bottom surface. The bottom surface defines a plane and is configured to slide longitudinally relative to a jaw of the surgical stapler. The staple driver actuator also includes a plurality of rails extending upwardly from the base. Each of the plurality of rails includes at least one cam surface, and each of the cam surfaces is inclined relative to the plane. The plurality of rails includes a laterally-opposed pair of outer rails and a laterally-opposed pair of inner rails. The staple driver actuator further includes a distal nose extending distally from at least a portion of the base and having at least one ledge surface. The ledge surface faces upwardly, is parallel to the plane, and is at least partially positioned distally relative to each of the outer and inner rails.

Abstract: Various surgical hubs are disclosed. A surgical hub comprises a storage device; a processor coupled to the storage device; and a memory coupled to the processor. The memory stores instructions executable by the processor to: receive data from a surgical instrument coupled to the surgical hub; and determine a rate at which to transfer the data from the surgical hub to a remote cloud-based medical analytics network based on available storage capacity of the storage device.

Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes a modular device, at least one data source, and a surgical hub configured to communicably couple to the at least one data source and the modular device. The surgical hub comprises a control circuit configured to receive data from the at least one data source. The data is determinative of a progress status the surgical procedure. The control circuit is further configured to adjust a response to a sensed parameter based on the progress status.

Abstract: An end effector for use with a surgical stapling instrument. The end effector comprises a first jaw and a second jaw. The first jaw comprises an anvil comprising a proximal camming member. At least one jaw is movable relative to the other to close the end effector. The second jaw comprises an elongated channel comprising a proximal channel aperture and a staple cartridge insertable into the elongated channel. The staple cartridge comprises a cartridge body and a cartridge pan. The cartridge pan comprises a proximal pan aperture configured to be positioned partially distal to the proximal channel aperture when the staple cartridge is assembled with the elongated channel in an unlocked configuration. The camming member is configured to proximally translate the cartridge pan relative to the cartridge body from the unlocked configuration to a locked configuration during a transition of the end effector to a closed configuration.

Abstract: An ultrasonic electromechanical system for an ultrasonic surgical instrument may include an ultrasonic blade, a clamp arm disposed opposite the ultrasonic blade, an ultrasonic transducer configured to oscillate the ultrasonic blade in response to a drive signal, and a control circuit coupled to the ultrasonic transducer. The control circuit can be configured to determine a temperature of the ultrasonic blade, increase an amount of power of the drive signal when the temperature of the ultrasonic blade is less than a first predetermined value, and decrease the amount of power of the drive signal when the temperature of the ultrasonic blade is greater than a second predetermined value. The second predetermined value may be greater than the first predetermined value. An ultrasonic generator connectable to the ultrasonic electromechanical system may include the control circuit.

Abstract: Methods of operating a surgical instrument are disclosed herein.