Abstract: An ultrasonic surgical instrument comprises a handpiece and an ultrasonically actuated blade distal to the handpiece. The instrument includes an activation member that is operable to selectively activate the blade and a controller that is operable to select the energy level at which the blade will be activated. The activation member may comprise capacitive switches; resistive sensors; resonant cavity switching technology; infrared sensing technology; technology that uses a resonant, standing wave on a surface that is perturbed by the presence of a finger; and/or any other suitable type of technology. The controller may comprise the same. The controller may permit selection from three or more available ultrasonic energy levels. The activation member and/or controller may be manipulated from various longitudinal positions on the handpiece and/or various rotational positions about the handpiece, such that the handpiece may be gripped in a variety of ways.

Abstract: In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath and a blade disposed at least partially within the sheath. Coupled to the blade may be at least one ultrasonic transducer, which, in turn, may be coupled to a drive system. The drive system may be configured to deliver gross axial motions to the blade such that the blade translates with respect to the hollow sheath when the drive system is activated. Accordingly, tissue may be cut by the blade with gross axial movement of the blade and/or ultrasonic vibrational motion provided by the ultrasonic transducer(s). In alternative embodiments, the blade may be rotated axially instead of translated with respect to the hollow sheath.

Abstract: The disclosure provides various electrosurgical devices comprising a handle assembly comprising a valve having an input port and an output port. The input port is fluidically coupled to either an irrigation source or a suction source. At least one button is operatively coupled to the valve to control flow through the valve. At least one switch is provided to electrically couple energy from an energy source. A trigger and a shaft comprising a slidable element is operatively coupled to the trigger. An electrode is electrically coupled to the switch. The trigger is operable to position the slidable element relative to the electrode to conceal or expose the electrode. The handle assembly may comprise an articulating joint. The handle assembly may comprise a trigger lockout mechanism.

Abstract: A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.

Abstract: An energy-based surgical instrument is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The scissors grip instrument provides for tube-in-tube construction so the device is useful for both open and minimally invasive procedures. The assembly includes a clamping mechanism, including a clamp arm and/or housing which are specifically configured to create a desired level of tissue clamping forces.

Abstract: Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.

Abstract: In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath and a blade disposed at least partially within the sheath. Coupled to the blade may be at least one ultrasonic transducer, which, in turn, may be coupled to a drive system. The drive system may be configured to deliver gross axial motions to the blade such that the blade translates with respect to the hollow sheath when the drive system is activated. Accordingly, tissue may be cut by the blade with gross axial movement of the blade and/or ultrasonic vibrational motion provided by the ultrasonic transducer(s). In alternative embodiments, the blade may be rotated axially instead of translated with respect to the hollow sheath.

Abstract: A surgical generator for providing a drive signal to a surgical device may have a receptacle assembly having a receptacle body, a flange and a central protruding portion. The outer periphery of the central protruding portion may have at least one curved section and at least one linear section. Additionally, a surgical instrument may comprise an electrical connector assembly having a flange. The flange may comprise at least one curved section and at least one linear section. In some embodiments, A surgical instrument system may comprise a surgical generator, a surgical instrument comprising a connector assembly, and an adapter assembly operatively coupled to the receptacle assembly and the connector assembly.

Abstract: An apparatus for operating on tissue comprises a handpiece, an elongate shaft, an end effector, a firing beam, and a modular motor. The end effector has a pair of jaws configured to open and close upon tissue. The firing beam comprises a blade insert with a sharp edge operable to sever tissue captured within the end effector. The modular motor is insertable into the handpiece. The modular motor comprises a drive gear that engages a plurality of components disposed within the handpiece. Rotation of the drive gear drives longitudinal translation of the firing beam within the elongate shaft. Longitudinal translation of the firing beam opens and closes the jaws of the end effector relative to tissue. Longitudinal translation of the firing beam also severs tissue captured between closed jaws of the end effector.

Abstract: An apparatus for operating on tissue comprises a body, a lever, an end effector, and a tissue severing assembly. The end effector has a pair of jaws configured to open and close on tissue. The end effector is also capable of delivering RF energy to the tissue. The lever is configured to drive the pair of jaws. The tissue severing assembly comprises a trigger having at least one elongate member, at least one gear, and a firing beam. The trigger may also comprise a button operable to activate the RF energy. The firing beam is operable to sever tissue captured between the jaws. The at least one elongate member, at least one gear, and firing beam are associated such that longitudinal movement of the trigger in a first direction causes longitudinal movement of the firing beam in a second direction.

Abstract: A support system includes a headwear system, a frame adapted to have a visor attached thereto, a first member attached to the headwear system, a second member attached to the frame, which is pivotable relative to the first member, an adjustable mechanism adapted to abut and apply force to the second member in a first state to compress the second member into abutting engagement with the first member, an extending pivot member extending axially through a passage in the first member and a passage in the second member. The position of the adjustable mechanism is adjustable to place it in the first state or in at least a second, nonabutting state. The extending pivot member includes a first flange and a second flange, spaced from the first flange to capture a portion of the first member and a portion of the second member therebetween.

Abstract: Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.

Abstract: A system and method for calculating a quantitative operational risk score and assisting an organization in the risk decision-making process is disclosed. The method may include identifying a plurality of instances of operational risk relevant to the organization to scrutinize, and storing the list of instances of operational risk in computer memory. For each instance of operational risk, the system may provide a rating value for each risk rating input category, and storing the rating values in computer memory. A processor of the system may calculate an operational risk score for each instance of operational risk in the list, and generate/display a risk decision-making matrix/chart. In addition, the system may calculate a portfolio/aggregated operational risk score for each portfolio of related instances of operational risk, and generate/display a risk decision-making matrix/chart accordingly for the portfolio scores.

Abstract: An end effector comprises a first jaw, a second jaw, a firing beam, and a lockout feature. The second jaw pivots relative to the first jaw from an open position to a closed position. The firing beam has a sharp distal end and translates between the first and second jaws. The firing beam translates from a proximal position to a first distal position to pivot the second jaw to the closed position. The end effector applies bipolar RF energy when the firing beam is in the first distal position. The firing beam then translates to a second distal position to sever tissue captured between the first and second jaws. The lockout feature prevents the firing beam from advancing from the first distal position to the second distal position until the lockout feature is actuated.

Abstract: Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.

Abstract: A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a cartridge when in an open position. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further receives a matrix including glue beads suspended in the matrix. The staples are driven through the matrix to secure the matrix to tissue. The glue beads are activated when the matrix is secured to the tissue, such that the activated adhesive further secures the staple line in the tissue.

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 that has an actuation system that is configured to generate at least two separate actuation motions. A clutch assembly is movable between an engaged position wherein the clutch assembly is in operable engagement with the actuation system and an unengaged position. In various forms, the surgical instrument includes a manually actuatable trigger assembly that interfaces with the clutch assembly and the actuation system such that a first stroke of the trigger assembly causes the actuation system to generate a first one of the actuation motions and moves the clutch assembly from the unengaged position to the engaged position whereupon a second stroke of the trigger assembly causes the actuation system to generate another one of the actuation motions.

Abstract: Apparatus and method to permit selective cutting and coagulation required in fine and delicate surgical procedures. The apparatus includes two body members having proximal ends and distal ends with jaw members located adjacent the body member's distal ends. The body members are joined at a pivot located adjacent to the first and second jaw members joining the first and second body members where the body members' rotation about the pivot defines a plane of rotation. The scissors are adapted for selective application of energy to at least one jaw member by a switch located in the plane of rotation.