Abstract: Surgical devices and methods are described herein that provide improved motor control and feedback, thereby combining advantages of manually-operated and powered surgical devices. In one embodiment, a surgical device includes a proximal handle portion that includes a motor, a distal end effector coupled to the handle portion, and a cutting element configured to cut tissue engaged by the end effector, wherein the motor is configured to supply power that moves the cutting element. The device also includes a motor control mechanism configured to cause the amount of the power to dynamically change in response to a manual user input when the cutting element is moving.

Abstract: Devices and methods are described herein for providing enhanced power to a surgical device from a secondary power supply that operates in parallel to a primary power supply that provides power for therapeutic functions of the device. The secondary power supply can provide additional power for the therapeutic functions of the device, and/or it can provide power for non-therapeutic functions of the device such as sensors, displays, motors, etc. Subsystems powered by the primary power supply can be wholly isolated from subsystems powered by the secondary power supply, thus helping to prevent faults in one subsystem from affecting the other and providing secondary power without the need to modify the subsystems powered by the primary power supply. According to any of the systems described herein, additional power can thus be supplied to the device without affecting the structure and/or function of existing subsystems configured to supply primary power.

Abstract: Various embodiments are directed to systems and methods for providing segmented power curves to tissue. A surgical generator may receive an indication of a first impedance of tissue to be treated by a surgical end effector. The generator may determine that the first impedance is within an impedance range corresponding to a first power curve segment of the segmented power curve and provide a drive signal to the end effector according to a first power curve. The generator may further receive an indication of a second impedance of the tissue to be treated by the end effector, determine that the second impedance is within an impedance range corresponding to a second power curve segment of the segmented power curve, and provide the drive signal to the end effector according to a second power curve.

Abstract: Various examples are directed to a surgical system comprising an end effector and a generator. The end effector may comprise at least one jaw member having an open position and a closed position. The generator may be programmed to receive a request for an energy cycle routine to the end effector. The generator may determine that the at least one jaw member has not been in the open position since a conclusion of a previous energy cycle. The generator may apply a modified energy cycle routine to the end effector. Applying the modified energy cycle routine may comprise delivering less energy than applying the energy cycle routine.

Abstract: Methods and devices for allowing articulation of an end effector on a surgical instrument are provided. In one embodiment, a surgical device can include a flexible neck portion having an end effector coupled to a distal end thereof. The flexible neck portion is configured to bend to as to allow the end effector to articulate. The flexible neck portion can include a monolithic flexible outer shell defining an inner lumen extending therethrough. At least one flexible divider can be disposed within the inner lumen such that it separates the outer shell into elongate pathways configured to receive articulation members extending through the shaft assembly and the flexible neck and coupled to the end effector to cause articulating movement thereof.

Abstract: An electrosurgical instrument. The electrosurgical instrument includes an end effector movable between a first position and a second position, a first jaw member which includes first and second electrically conductive members, and a second jaw member which includes a third electrically conductive member. The first jaw member is movable relative to the second jaw member from an open position to a closed position to grasp a tissue positioned between the first and second jaw members. At least one of the first and second jaw members is adapted to connect to an electrosurgical energy source such that electrosurgical energy can be selectively communicated through the tissue positioned between the first and second jaw members to effect a tissue seal. A distance between the first electrically conductive member and the third electrically conductive member is less than a distance between the second electrically conductive member and the third electrically conductive member.

Abstract: An ultrasonic surgical instrument includes a reusable handle assembly and a removable and disposable shaft assembly. The handle assembly includes a trigger, a housing having a distal aperture formed in a distal end of the housing, and a drive member in communication with the trigger to actuate the drive member. The shaft assembly includes a proximal shaft portion, a rotator knob having a coupling feature, a transmission assembly extending distally from the proximal shaft portion, and an end effector coupled to the distal end of the transmission assembly. The drive member of the handle assembly is removably coupled to the proximal shaft portion of the shaft assembly. Another version includes a drive member of the handle assembly configured to removably engage a proximal shaft portion of the shaft assembly via a biasing member. Another version includes a waveguide of the transmission assembly non-threadably coupled to a transducer.

Abstract: In various embodiments, a surgical instrument comprising a handle assembly, a shaft assembly, and an end effector are disclosed. In one embodiment, the handle assembly comprises a closure trigger and a yoke coupled to the closure trigger. Actuation of the closure trigger drives the yoke longitudinally in a first direction. A closure spring is coupled to the yoke. Longitudinal movement of the yoke in the first direction compresses the closure spring. A directional return stroke damper is coupled to the yoke. The directional return stroke damper is configured to provide a dampening force to longitudinal movement of the yoke in a second direction. A shaft assembly comprising a proximal end and a distal end is coupled to the handle. An end effector comprising a first jaw member and a second jaw member is coupled to the distal end of the shaft assembly.

Abstract: An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft. The end effector includes a pair of jaws that are operable to deliver RF energy to tissue that is clamped between the jaws. The cutting member is operable to sever tissue that is clamped between the jaws. The shaft extends between the body and the end effector. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. Some versions include a rotation section that is distal to the articulation section. The rotation section is operable to rotate the end effector relative to the articulation section.

Abstract: Surgical devices and methods are described herein that provide energy density control during tissue sealing. In general, these devices include a handle portion, an elongate shaft, and an end effector having a first jaw having a first tissue engaging surface and a second jaw having a second tissue engaging surface. The first tissue engaging surface can include an energy delivering electrode having a selected pattern of varying conductivity which may include a discrete region or a continuous pattern. The energy delivering electrode may be formed from a polymer substrate that includes a metal. The metal may be mixed into the substrate using an ion beam process. The amount of ions in the ion beam, the energy of the ion beam, or both may be varied to create the selected pattern of varying conductivity.

Abstract: A surgical end effector has a first jaw comprising a first electrode and a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other one of the first jaw and the second jaw to transition the end effector between an open configuration, an approximated configuration, and a fully approximated configuration. The second jaw includes a second electrode and a spacer extending from the second electrode, wherein the spacer is configured to maintain a predetermined distance between the first electrode and the second electrode when the end effector is in the fully approximated configuration, wherein the spacer is in contact with the first electrode in the fully approximated configuration, wherein the spacer is spaced apart from the first electrode in the open configuration, and wherein the spacer is comprised of a semi-conductive material.

Abstract: An apparatus for operating on tissue comprises an end effector disposed at the distal end of an elongate shaft and including a first jaw and a second jaw that is selectively pivotable toward and away from the first jaw to capture tissue. A trigger is configured to move the second jaw toward and away from the first jaw. The locking mechanism in the locked state is configured to allow movement of the second jaw along a first path where a relative angle between the first jaw and the second jaw is limited to a first maximum angle. The locking mechanism in the unlocked state is configured to allow movement of the second jaw along a second path where the relative angle between the first jaw and the second jaw is limited to a second maximum angle. The second maximum angle is greater than the first maximum angle.

Abstract: A surgical instrument includes a body, an elongate shaft extending distally from the body, an end effector disposed at a distal end of the elongate shaft, and a firing beam. The end effector has a first jaw and a second jaw. The first jaw is pivotable toward and away from the second jaw to capture tissue. The end effector further comprises at least one electrode. The at least one electrode is operable to apply RF energy to tissue captured between the first jaw and the second jaw.

Abstract: A dual one-way check valve arrangement that may be used for assessing an operating condition of at least one of first and second check valves situated in series along/within a section of a patient-specific section of tubing. A pressure sensor may be associated with at least part of the flow path between the first and second check valves and may be operable to provide an indication of a failed condition of at least one of the first and second check valves. In one embodiment, the pressure sensor may change from a first state to a second state upon fluid pressure within the flow path between the first and second check valves falling below a predetermined level. For instance, the predetermined level may be a cracking pressure of at least one of the first and second check valves. The change in state may be visually discernible on an exterior of the pressure sensor.

Abstract: In one embodiment, a surgical instrument comprises a handle assembly. The handle assembly comprises a first translatable member defining a notch, a lockout lever comprising a cam surface and a detent, a closure trigger, a jaw position sensor in a first state, and a translatable cam operatively coupled to the closure trigger. The detent of the lockout lever is configured to engage the notch of the first translatable member. In response to actuation of the closure trigger, the translatable cam is configured to slidably interface with the cam surface of the lockout lever to: (i) disengage the detent of the lockout lever from the notch of the first translatable member, and (ii) actuate the jaw position sensor to a second state.

Abstract: Various embodiments of surgical robot control systems are disclosed. In one example embodiment, the surgical robot control system comprises a housing. A controller is located within the housing and is coupled to a socket. The socket receives a handheld surgical user interface therein to control a surgical instrument. The surgical instrument is connected to the surgical robot and comprises an end effector and a mechanical interface to manipulate the end effector. The mechanical interface is coupled to the controller. At least one sensor is coupled to the controller and the socket to convert movement of the handheld surgical user interface into electrical signals corresponding to the movement of the surgical instrument. At least one feedback device is coupled to the controller to provide feedback to a user. The feedback is associated with a predetermined function of the surgical instrument.

Abstract: Surgical devices are provided having power-assisted or fully powered jaw closure. The devices herein generally include a handle portion, an elongate shaft, and an effector having first and second jaws configured to engage tissue. A motor and one or more compression springs can be operatively coupled, and activation of the motor can compress the spring(s) to reduce the amount of user supplied force to compress tissue between the jaws. In some embodiments, the devices can be configured to regulate an amount of compression applied by the jaws prior to, during, and/or after cutting of the tissue to promote hemostasis. For example, the devices can include sensors, processors, and/or other components that analyze data indicative of tissue type and tissue load. Based on this feedback, the device can automatically adjust the amount of compression or energy applied to the tissue to seal the tissue.

Abstract: Surgical instruments and methods for controlling temperature are described herein and can have particular utility when sealing tissue. In one embodiment, an end effector can include first and second jaw members configured to clamp tissue therebetween, and an electrode having a single continuous conductive surface that is coupled to the first jaw member. The end effector can also include a plurality of electrical insulators of varying thermal conductivity disposed between the electrode and the first jaw member coupled thereto. The electrode can be divided into a plurality of thermal zones by at least one opening formed therein and the plurality of electrical insulators can be arranged such that at least a first thermal zone contacts an electrical insulator having a first thermal conductivity and at least a second thermal zone contacts an electrical insulator having a second thermal conductivity that is higher than the first thermal conductivity.

Abstract: A dual one-way check valve arrangement (300) that may be used for assessing an operating condition of at least one of first and second check valves (304, 308) situated in series along/within a section of a patient-specific section of tubing (244). A pressure sensor (332) may be associated with at least part of the flow path between the first and second check valves (304, 308) and may be operable to provide an indication of a failed condition of at least one of the first and second check valves (304, 308). In one embodiment, the pressure sensor (332) may change from a first state to a second state upon fluid pressure within the flow path between the first and second check valves (304, 308) falling below a predetermined level. For instance, the predetermined level may be a cracking pressure of at least one of the first and second check valves (304, 308). The change in state may be visually discernible on an exterior of the pressure sensor (332).

Abstract: In one embodiment, a surgical instrument comprises a handle assembly. The handle assembly comprises a closure trigger defining an energy button hole, an energy button located within the energy button hole, and a firing trigger. A shaft assembly is coupled to the handle assembly and comprises an outer tube, a closure actuator coupled to the closure trigger, and a firing actuator operatively coupled to the firing trigger. An end effector is coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly having a proximal end and a distal end. The jaw assembly comprises a first and a second jaw member. The first and second jaw members define a longitudinal slot. The closure actuator is coupled to the first jaw member to pivotally move the first jaw member from an open position to a closed position. A cutting member is deployable within the longitudinal slot.