Abstract: A bone cutting surgical instrument includes features to mitigate heat generation during use. Excessive heat can be detrimental to bone health as well as to the instrument itself. In one example a liquid dispensing feature provides a flow of cooling liquid to an ultrasonic blade via a lumen in a waveguide of the instrument. In another example, the blade has a serrated edge with a plurality of teeth arranged in a pattern to provide dimension and space during cutting actions. In another example, the blade has an oversize distal portion that creates an oversize slot when cutting to avoid excessive contact between the cut bone and proximal portions of the blade. In another example the blade includes an irrigation slot and also a micro slot in a distal end of the blade that connects with the irrigation slot.

Abstract: An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source.

Abstract: An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source.

Abstract: An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source.

Abstract: An end effector of an electrosurgical device may include one or more electrodes and a movable electrode scraper having a plurality of features in mechanical communication with a surface of the one or more electrodes and configured to move across the surface of the electrodes thereby removing biological debris adhering to the surface of the electrodes. The electrosurgical device may include a diverter in mechanical communication with the one or more electrodes. The scraper may also be configured to move across the surface of the diverter. The scraper may be operated by the action of an extendable mechanism in mechanical communication with a shaft of the electrosurgical device. An end effector of an electrosurgical device may include one or more electrodes and a movable electrode sleeve configured to movably cover the one or more electrodes.

Abstract: A surgical instrument includes an ultrasonic waveguide extending through a body assembly. An ultrasonic blade connects to the ultrasonic waveguide. A clamp arm assembly of the surgical instrument is able to move from an opened position for receiving a tissue toward a closed position for clamping the tissue. The clamp arm assembly includes a clamp body and a clamp pad facing the ultrasonic blade. A clamp arm actuator of the surgical instrument is able to move from a first position toward a second position to direct the clamp arm assembly from the opened position toward the closed position. A modular coupling of the surgical instrument connects to the clamp pad such that at least the clamp pad can be disconnected relative to the ultrasonic blade for replacement thereof.

Abstract: Various ultrasonic instruments are disclosed. The ultrasonic instruments include structures configured to indicate the cutting length of the instruments, detect when grasped tissue has extended beyond the cutting length of the instrument, and prevent tissue from extending beyond the cutting length. Several techniques for each types of structures are disclosed.

Abstract: A bone cutting surgical instrument includes features to mitigate heat generation during use. Excessive heat can be detrimental to bone health as well as to the instrument itself. In one example a liquid dispensing feature provides a flow of cooling liquid to an ultrasonic blade via a lumen in a waveguide of the instrument. In another example, the blade has a serrated edge with a plurality of teeth arranged in a pattern to provide dimension and space during cutting actions. In another example, the blade has an oversize distal portion that creates an oversize slot when cutting to avoid excessive contact between the cut bone and proximal portions of the blade. In another example the blade includes an irrigation slot and also a micro slot in a distal end of the blade that connects with the irrigation slot.

Abstract: An end effector of a surgical instrument may generally comprise a blade, and a clamp arm assembly comprising a clamp arm movable between an open position and a closed position relative to the blade, and at least one camming member rotationally attached to the clamp arm, wherein the at least one camming member is configured to rotate relative to the blade as the clamp arm moves from the open position to the closed position.

Abstract: A surgical instrument includes an ultrasonic transducer, an ultrasonic transmission waveguide extending from the ultrasonic transducer, and an ultrasonic blade acoustically coupled to the ultrasonic transmission waveguide. The ultrasonic blade includes a base and a curved body extending distally from the base. The curved body includes a tissue-treating surface extending on a first side of the curved body and a curved edge extending on a second side of the curved body opposite the first side. The curved edge has a proximal end and a distal end, wherein the proximal end is offset from the distal end in a first direction, wherein the proximal end is offset from the distal end in a second direction, and wherein the first direction is perpendicular to the second direction.

Abstract: An ultrasonic surgical instrument that is configured to permit selective positioning of the relative distance between an end effector for cutting and coagulating tissue and a power actuation switch that is carried by the instrument for selectively energizing the end effector. In one instance, the end effector is able to change position relative to the actuation switch, alternatively, the actuation switch moves relative to the end effector, and still further, both the end effector and the actuation switch are capable of moving relative to each other.

Abstract: A surgical instrument includes a rotatable electrical coupling assembly having a first part and a second part that electrically couple and rotate relative to each other. The second part is carried by and rotates with a tube collar coupled to a transducer. A portion of the transducer is inserted through an aperture of the second part, but does not contact the second part. The first part of the assembly may electrically couple to the second part via pogo pins, brush contacts, or ball bearings. Alternatively, the first part may comprise conductive channels formed in the casing. The second part may comprise a rotatable drum with a conductive trace. In some versions, one or more components may comprise MID components. In another version, the rotatable electrical coupling assembly comprises a rotatable PC board and brush contact. Further still, a circuit board may be provided with the transducer inside a transducer casing.

Abstract: An end effector of a surgical instrument may generally comprise a blade, and a clamp arm assembly comprising a clamp arm movable between an open position and a closed position relative to the blade, and at least one camming member rotationally attached to the clamp arm, wherein the at least one camming member is configured to rotate relative to the blade as the clamp arm moves from the open position to the closed position.

Abstract: A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

Abstract: An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator.

Abstract: Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising an ultrasonic waveguide including a proximal end and a distal end. The proximal end may be configured to couple to an ultrasonic transducer. The surgical instrument may comprise a first tube, and end effector, and an impedance mechanism. The first tube may define a lumen, wherein the waveguide is located within the lumen. The end effector may be coupled to the distal end of the waveguide. The end effector may comprise an ultrasonic blade and a clamp arm. The clamp arm is movable from a clamped position to a non-clamped position. The impedance mechanism may be configured to operatively couple to the end effector to prevent materials from accumulating within the lumen during a surgical procedure.

Abstract: Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade.

Abstract: Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising an ultrasonic waveguide. The ultrasonic waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer. The surgical instrument may further comprise a rotation knob, a rotation shroud, and a rotation stop mechanism. The rotation knob may be configured to couple to an ultrasonic transducer to rotate the ultrasonic transducer. The rotation shroud may be configured to rotate the ultrasonic waveguide. The rotation stop mechanism may be coupled to the rotation shroud to limit rotation of the rotation knob beyond a predetermined rotary distance.

Abstract: Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising an ultrasonic waveguide. The ultrasonic waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer. The surgical instrument may further comprise a tube, and end effector, and a shaft assembly. The tube may define a lumen, wherein the waveguide is located within the lumen. The end effector may be coupled to the distal end of the waveguide and comprise an ultrasonic blade and a clamp arm comprising a movable jaw member. The shaft assembly may be configured to counteract deflection of the blade.