Abstract: A surgical device assembly includes a vessel-sealing end effector having opposing surfaces engaging tissue when disposed therebetween, at least one of the surfaces having an energy delivering component, and a surgical device handle. The surgical device handle is connected to the end effector and has a switch with a switch-actuation direction in which the switch actuates, an unactuated position at a rest point of the switch, a first actuated position at first distance from the rest point in the switch-actuation direction, a second actuated position at a second distance further from the rest point in the switch-actuation direction than the first distance, and a force required to sustain the first actuated position being less than a force required to enter the second actuated position. The energy delivering component delivers energy when in at least one of the first and second actuated positions.

Abstract: A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.

Abstract: A battery-powered, modular surgical device includes an electrically powered surgical instrument operable to surgically interface with human tissue and a handle assembly connected to the surgical instrument. The handle assembly has a removable hand grip and a handle body. The hand grip is shaped to permit handling of the surgical device by one hand of an operator, has an upper portion and a cordless internal battery assembly that powers the surgical instrument. The internal battery assembly has at least one energy storage cell. The handle body is operable to removably connect at least the upper portion of the hand grip thereto and create an aseptic seal around at least a portion of the hand grip when connected thereto and electrically couple the internal battery assembly of the hand grip to the surgical instrument and thereby power the surgical instrument for interfacing surgically with the human tissue.

Abstract: A method for assembling an ultrasonic surgical device includes the steps of rotatably freely connecting an ultrasonic waveguide to an ultrasonic surgical handle body, the ultrasonic waveguide having a proximal coupling end, substantially simultaneously removably coupling an ultrasonic-driving-wave-signal generating circuit to the ultrasonic surgical handle body and removably inserting an ultrasonic-movement-producing distal end of a cordless, rotatably free ultrasonic transducer into the ultrasonic surgical handle body opposite the proximal coupling end of the ultrasonic waveguide, and rotating the ultrasonic waveguide with respect to the ultrasonic transducer to fixedly couple the ultrasonic waveguide to the ultrasonic-movement-producing distal end of the ultrasonic transducer.

Abstract: Embodiments of the present invention include methods and apparatus for dynamically controlling pressure within a wellbore while forming the wellbore. In one aspect, one or more pressure control apparatus are used to maintain desired pressure within the wellbore while drilling the wellbore. In another aspect, pressure is dynamically controlled while drilling using foam to maintain a substantially homogenous foam flow regime within the wellbore annulus for carrying cuttings from the wellbore.

Abstract: A switch comprising a switching element, a hollow body defining an interior cavity in which the switching element is movably disposed along a longitudinal device axis to define a first and second positions along the longitudinal device axis, the second position being different from the first position, a biasing element imparting an adjustable biasing force to the switching element to place the switching element in one of the first position and the second position until an external force imparted to the switching element along the longitudinal device axis exceeds the biasing force thereby causing the switching element to move to the other one of the first position and the second position, and an electrically-conductive contact coupled to the switching element and defining a first switching state when the switching element is in the first position and a second switching state when the switching element is in the second position.

Abstract: A method for operating a surgical end effector of a medical device includes the steps of operably associating a passive articulation joint with a surgical end effector to allow articulation of the end effector, retaining the passive articulation joint in a still position with an articulation lock, releasing the articulation lock to free the passive articulation joint from its still position thereby permitting the end effector to articulate through the passive articulation joint dependent upon forces that are external to the device and are applied to the end effector, and passively articulating the end effector into a desired articulated position by pressing a portion of the end effector against a feature of the environment.

Abstract: A surgical instrument comprising a tissue-compressing device comprising opposing compression surfaces, a switching element having first and second switching states changed solely by mechanical movements, a biasing element mechanically coupled to the switching element, the biasing element retaining the switching element in one of the first and second switching states until a pre-determined force is imparted to the switching element, wherein the pre-determined force is an amount of force proportional to an optimal tissue compression force of compressed tissue disposed between the opposing compression surfaces and the switching element is positioned in line with the tissue-compressing device to cause a force, proportional to a force placed upon compressed tissue disposed between the opposing compression surfaces, to be imparted to the switching element.

Abstract: A method of creating a switch to be disposed along a longitudinal axis of a device, comprising providing a hollow body defining an interior cavity, disposing a switching element movably within the interior cavity, the switching element defining a switch-making position and a switch-breaking position and having a biasing element, coupling an electrically-conductive contact to the switching element to define a switch-making state when the switching element is in the switch-making position and a switch-braking state when the switching element is in the switch-braking position, and imparting a variable longitudinal bias to the switching element with the biasing element to place the switching element in one of the switch-making position and the switch-braking position until an external force imparted to the switching element along the switching axis exceeds the longitudinal bias thereby causing the switching element to move to the other one of the switch-making position and the switch-braking position.

Abstract: A method for implanting a stent includes contracting a self-expanding/forcibly-expanding stent of a shape-memory material set to a given shape to a reduced implantation size with a delivery system having drive wires. The stent has a selectively adjustable assembly with adjustable elements operatively connected to the drive wires such that, when the adjustable elements are adjusted by the drive wires, a configuration change in at least a portion of the self-expanding stent occurs. The contracted stent is inserted into a native annulus in which the stent is to be implanted. The drive wires are rotated with the delivery system to forcibly expand the stent into the native annulus. While rotating the drive wires, a torque applied to the drive wires is determined with the delivery system. Rotation of the drive wires is stopped based upon a value of the determined torque.

Abstract: A surgical device, comprising a tissue compression device having a pair of opposing compression surfaces, a mechanical binary-output electrical switch having open and closed electrical switching states initiated and changed solely by mechanical movements, and an adjustable biasing device mechanically coupled to the switch and retaining the switch in one of the switching states until a force at least as great as a force imposed by the biasing device is imparted to the switch, wherein the switch is disposed in line with the tissue compression device to cause a proportional amount of force that is placed upon compressed tissue disposed between the opposing compression surfaces to be placed upon the switch, and the biasing device is set to an amount of force that is proportional to an optimal tissue compression force of the compressed tissue when disposed between the opposing compression surfaces.

Abstract: An integrated catheter and powered injector system includes a pump housed in a self-contained unit, a contrast media supply removably connected to the pump by a fluid supply line, an extension line removably connecting an arterial catheter to the pump, and a control device sending user control signals to the pump. The pump comprises a motorized pump drive sub-system operating the pump, and a battery electrically connected to and powering the pump drive sub-system. In response to signals received from the control device, the pump drive sub-system drives the pump to draw contrast media fluid from the supply into the pump through the fluid supply line and inject the contrast media fluid from the output of the pump through the extension line and into the arterial catheter at a controlled flow rate and/or pressure.

Abstract: A valve-plane-defining catheter includes a hollow flexible sheath having a distal end and defining a distal opening, a guidewire assembly, and three radiopaque valve-nadir markers. The guidewire assembly has a guidewire slidably disposed in the flexible sheath and having a distal end, three wire arms each having a terminating end and a proximal end offset from the terminating end and attached to the distal end of the guidewire to dispose the three wire arms approximately 120 degrees from one another about a circle defined by the terminating end of the three wire arms. The three radiopaque valve-nadir markers disposed respectively at the terminating end of each of the three wire arms, each of the valve-nadir markers being sized to fit within the distal opening.

Abstract: A method of configuring a surgical instrument having a surgical tissue-compressing device including opposing compression surfaces with a tissue-compression-measuring mechanism, the method comprising providing a switching element having first and second switching states changed solely by mechanical movements, mechanically coupling the switching element with a biasing element retaining the switching element in one of the first and second switching states until a pre-determined force is imparted to the switching element, the pre-determined force being an amount of force proportional to an optimal tissue compression force of compressed tissue disposed between the opposing compression surfaces, and positioning the switching element in line with the surgical tissue-compressing device to cause the pre-determined force, proportional to a force placed upon compressed tissue disposed between the opposing compression surfaces, to be placed upon the switching element.

Abstract: In a surgical device having a control device and a button operatively connected to the control device, the control device operative to carry out at least two operational conditions of the surgical device, a method for operating the surgical device comprising pressing a single actuation member of the button to a first depressed position to thereby effect a first of the at least two operational conditions and pressing the actuation member in substantially the same direction to a second depressed position to thereby effect a second of the at least two operational conditions different from the first operational condition.

Abstract: A surgical instrument includes a surgical end effector having a receiving portion for removably receiving therein an interchangeable part. The receiving portion has a communication connection. A handle connected to the end effector actuates the end effector. The handle has a controller electrically connected to the communication connection for authenticating the interchangeable part when placed at the end effector. An interchangeable part is removably connected to the receiving portion and has an encryption device electrically removably connected to the communication connection when placed at the receiving portion. The encryption device authenticates the interchangeable part when queried by the electric controller.

Abstract: A device for sterilizing and charging a battery of an instrument, comprising a sterilization device sealingly enclosing therein at least one battery of an instrument and operable to sterilize the at least one battery, an inductively powered battery-charging device disposed inside the sterilization device and having a charger operable to be placed in conductive contact with and charge the at least one battery and a power receiver sub-assembly electrically coupled to the charger and operable to receive electrical power inductively from outside the sterilization device and supply the received electrical power to the charger to charge the battery during sterilization, and a power supply disposed outside the sterilization device and operable to supply power inductively to the power receiver sub-assembly through the sterilization device.

Abstract: A surgical instrument comprising a surgical end effector having an actuation assembly operable to effect a surgical procedure when actuated, a part of the actuation assembly being movable between a first position and second position, and a handle connected to the end effector for actuating the actuation assembly, the handle having a power supply disposed within the handle, a motor disposed within the handle and electrically powered by the power supply, a transmission connecting the motor to the moving part and operational to displace the moving part anywhere between the first and second positions when the motor is operated, and a manual release mechanism that selectively interrupts the transmission and, during interruption, displaces the moving part towards the first position independent of operation of the motor.

Abstract: A cordless cautery and cutting surgical device includes a modular battery and a surgical handle operable to removably hold the battery thereto. The handle has a cordless radio-frequency-signal-generation assembly and a surgical bipolar end effector having jaws and a cutting blade therebetween. The signal-generation assembly selectively supplies radio-frequency signal to the end effector when powered for electrocautery of tissue between the jaws. The handle defines therein an aseptically sealable battery-holding compartment selectively exposed to the environment and removably holding therein the battery. A motor assembly is disposed in the handle and is electrically connected to the battery and/or the signal-generation assembly and is powered and controlled thereby. The motor assembly physically couples to the blade and/or at least one jaw for moving the blade/jaw(s).

Abstract: A surgical device control assembly includes a control device operable to carry out at least two operational conditions of a surgical device and a button operatively connected to the control device. The button has a button-actuation direction in which the button actuates, an unactuated position at a rest point of the button, a first actuated position at first distance from the rest point in the button-actuation direction, and a second actuated position at a second distance further from the rest point in the button-actuation direction than the first distance. The first actuated position effects a first of the at least two operational conditions. The second actuated position effects a second of the at least two operational conditions different from the first operational condition.