Abstract: A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

Abstract: Aspects of the present disclosure include various ultrasonic surgical instruments. At least one disclosed surgical instrument includes a waveguide including a blade and a transducer base plate. The transducer base plate may be coupled to the waveguide to define a tapered joint at an interface between the waveguide and the transducer base plate. The transducer base plate may include first and second sides defining corresponding first and second flat faces configured to receive first and second piezoelectric elements. The first and second piezoelectric elements are configured to operate in a D31 mode.

Abstract: An apparatus for operating on tissue comprises a shaft, an acoustic waveguide, and an end effector. The acoustic waveguide extends along the shaft and is configured to transmit ultrasonic vibration. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The clamp arm is pivotable toward the ultrasonic blade. The end effector defines a first longitudinal region and a second longitudinal region. The end effector is configured to clamp tissue between the clamp arm and the ultrasonic blade in the first longitudinal region. The end effector is configured to sever tissue with the ultrasonic blade in the second longitudinal region.

Abstract: Various forms are directed to systems and methods for dissection and coagulation of tissue. A surgical instrument includes an end effector configured to dissect and seal tissue at a distal end thereof, and a generator that is electrically coupled to the surgical instrument and that is configured to deliver energy to the end effector. The surgical instrument includes an end effector configured to interact with a tissue at a distal end thereof, a generator electrically coupled to the surgical instrument and configured to deliver radio frequency (RF) energy and ultrasonic energy to the end effector to allow the end effector to interact with the tissue. The energy delivered to the end effector switches between RF energy and ultrasonic energy based on a determination of various factors such as tissue impedance.

Abstract: A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.

Abstract: Disclosed is an ultrasonic surgical instrument comprising a transducer base plate, first and second piezoelectric elements positioned on opposite faces of the transducer base plate. The transducer base plate is coupled to a waveguide. The waveguide is electrically coupled to the first and second piezoelectric elements by a conductive adhesive. The first and second piezoelectric elements are electrically coupled to an ultrasonic signal generator through an electrode. A thermal conductor conducts thermal energy away from the first and second piezoelectric elements. Also disclosed is a method of fabricating such an ultrasonic surgical instrument.

Abstract: The present disclosure is directed to end effectors. An end effector includes an outer shaft extending along a longitudinal axis and an inner shaft partially located within the outer shaft. The end effector may include an ultrasonic blade. The inner shaft may include biased and unbiased portions. The inner shaft and outer shaft may be translatable relative to one another. At one translatable position, the biased portion of the inner shaft may be located within the outer shaft and the unbiased portion may be substantially straight along the longitudinal axis. At another translatable position, the biased portion of the inner shaft may be located outside of and distally positioned from the outer shaft such that the biased portion of the inner shaft is bent away from the longitudinal axis.

Abstract: Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.

Abstract: A surgical instrument includes a body, a shaft, and an end effector. The shaft extends distally from the body. The end effector is located at a distal end of the shaft. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is operable to selectively couple with a variety of power sources such that the drive feature may receive electrical power form a battery or from a corded power source, based on a user's preference. The body may include a handpiece that has a socket configured to receive a battery or cable adapter. The body may removably receive various kinds of shaft assemblies to provide various operating modalities. The shaft assemblies may include user interface features.

Abstract: A surgical stapling assembly comprising a staple cartridge carrier, an anvil, an outer surface, a closure member, a staple cartridge, and a firing system is disclosed. The anvil is rotatable between a first position and a second position. The closure member is slideable along the outer surface to hold the anvil in the second position. The closure member comprises a clearance opening. The staple cartridge is positioned within the staple cartridge carrier. The staple cartridge comprises staples removably stored therein. The staple cartridge and the anvil define a tissue gap therebetween when the anvil is in the second position. The clearance opening is aligned with the tissue gap when the anvil is in the second position. The firing system is configured to eject the staples from the staple cartridge during a staple firing stroke. The firing system engages the staple cartridge carrier and the anvil during the staple firing stroke.

Abstract: An end effector for a surgical instrument is disclosed. The end effector includes an ultrasonic blade and a jaw member including an asymmetric electrode comprising a first electrode and a second electrode. The first electrode defines a first width and the second electrode defines a second width. The first width is not equal to the second width. A first gap is defined between the first electrode and the ultrasonic blade and a second gap is defined between the second electrode and the ultrasonic blade. The first gap is not equal to the second gap.

Abstract: An apparatus comprises a body, a shaft assembly, an end effector, and a shield member. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is movable toward the ultrasonic blade to compress tissue against the ultrasonic blade. The shield member is selectively movable from a first position to a second position in response to movement of the clamp arm toward the ultrasonic blade. The shield member is configured cover at least a first portion of the ultrasonic blade in the first position. The shield member is configured to uncover the first portion of the ultrasonic blade in the second position.

Abstract: An apparatus includes a body assembly, an acoustic waveguide, an ultrasonic blade, and a liquid dispensing feature. The ultrasonic blade is positioned distally relative to the body assembly. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The liquid dispensing feature is positioned distally relative to the body assembly. The liquid dispensing feature is positioned adjacent to the ultrasonic blade. The liquid dispensing feature is configured to deliver a flow of cooling liquid to the ultrasonic blade.

Abstract: A surgical instrument includes a body, a shaft, and an end effector. The shaft extends distally from the body. The end effector is located at a distal end of the shaft. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is operable to selectively couple with a variety of power sources such that the drive feature may receive electrical power form a battery or from a corded power source, based on a user's preference. The body may include a handpiece that has a socket configured to receive a battery or cable adapter. The body may removably receive various kinds of shaft assemblies to provide various operating modalities. The shaft assemblies may include user interface features.

Abstract: An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a first electrode and a second electrode. The first and second electrodes are operable to cooperate to apply bipolar RF energy to tissue.

Abstract: An ultrasonic element comprises an ultrasonic transducer and a head or blade. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The head or blade is in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically. The head or blade has a curved distal face. The curved distal face defines a proximally extending concave curve. The transducer and head or blade may be driven using a control logic that is configured to cause the ultrasonic transducer to generate a first vibration set followed by a second vibration set. The first vibration set is configured to generate microbubbles in a fluid. The second vibration set is configured to grow microbubbles generated by the first vibration set. The control logic may provide a pause between the first vibration set and the second vibration set.

Abstract: An apparatus includes a body assembly, an acoustic waveguide, an ultrasonic blade, and a liquid dispensing feature. The ultrasonic blade is positioned distally relative to the body assembly. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The liquid dispensing feature is positioned distally relative to the body assembly. The liquid dispensing feature is positioned adjacent to the ultrasonic blade. The liquid dispensing feature is configured to deliver a flow of cooling liquid to the ultrasonic blade.

Abstract: Various embodiments are directed to a method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. A first response is triggered when the first set of logic conditions is met. A parameter is determined from the at least one electrical signal.

Abstract: An ultrasonic instrument includes a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The shaft assembly includes an acoustic waveguide configured to acoustically couple with an ultrasonic transducer. The end effector includes an ultrasonic blade, a clamp arm and a clamp pad. The ultrasonic blade is in acoustic communication with the waveguide. The clamp arm is pivotally coupled with the shaft assembly. The clamp pad is configured to removably couple with the clamp arm while the clamp arm is pivotally coupled to the shaft assembly.