Abstract: An apparatus includes a plurality of beads and a plurality of links joining the beads together. Each bead includes a housing, a passageway extending through the housing, and at least one annular magnet. The passageway defines an axis. The at least one annular magnet is coaxially positioned about the passageway. The housing defines a gap adjacent to the at least one annular magnet. The gap is sized and configured to allow at least one annular magnet to rotate relative to the housing about a rotation axis. The rotation axis is offset from the axis of the passageway. Portions of the links are slidably disposed in corresponding passageways of the beads.

Abstract: Techniques for a surgical system are provided that allow an electromechanical surgical arm to be coupled at a location adjacent to a patient, such as a surgical table. A first mating element can be formed on a support member and it can be in electrical communication with a power source and a controller, and a second mating element can be formed on the electromechanical arm. The first and second mating elements can each have a respective electrical contact, and they can be configured such that mechanical coupling between the first and second mating element causes electrical communication to be established between the first and second electrical contacts and thus between the electromechanical arm and the power source and the controller. The mating elements can include tolerance elements that allow for some discrepancies between the mating elements while still providing a desired mechanical and electrical connection between the mating elements.

Abstract: An apparatus includes a body assembly, a modular shaft assembly, and a coupling detection assembly. The body assembly includes a control circuit, a battery pack operable to power the control circuit, and a first electrical contact assembly. The modular shaft assembly includes a second electrical contact assembly that is configured to operatively engage the first electrical contact assembly when the modular shaft assembly selectively couples with the body assembly. A detection trigger member is configured to activate a detection activation member such that the detection activation member communicates a first detection signal to the control circuit when the modular shaft assembly selectively couples with the body assembly. The control circuit is configured to verify operative engagement between the first electrical contact and the second electrical contact in response to the control circuit receiving the first detection signal.

Abstract: Techniques for a surgical system are provided that allow an electromechanical surgical arm to be coupled at a location adjacent to a patient, such as a surgical table. A first mating element can be formed on a support member and it can be in electrical communication with a power source and a controller, and a second mating element can be formed on the electromechanical arm. The first and second mating elements can each have a respective electrical contact, and they can be configured such that mechanical coupling between the first and second mating element causes electrical communication to be established between the first and second electrical contacts and thus between the electromechanical arm and the power source and the controller. The mating elements can include tolerance elements that allow for some discrepancies between the mating elements while still providing a desired mechanical and electrical connection between the mating elements.

Abstract: A method is provided for rerouting flow through the small intestine of a patient with an implanted artificial sphincter that encircles a portion of the small intestine. The small intestine includes a duodenum, a jejunum extending from the duodenum, and an ileum extending from the jejunum. The method includes providing the artificial sphincter in an open state to thereby permit intestinal flow through the encircled portion of the small intestine such that the intestinal flow passes through the duodenum, the jejunum, and the ileum. The method further includes, in response to a user-activated electrical input, transitioning the artificial sphincter to a closed state to constrict the encircled portion of the small intestine and thereby redirect intestinal flow from a first portion of the small intestine to a second portion of the small intestine such that the intestinal flow bypasses at least a portion of the jejunum.

Abstract: A surgical instrument can comprise a handle including a battery cavity and electrical contacts and, in addition, a battery removably positionable in the battery cavity. The battery is configured to engage and supply power to the electrical contacts when the battery is operably seated in the battery cavity. The handle further comprises diagnostic means for assessing whether the handle is in a suitable operating and a battery lockout configured to permit the battery from being operably seated in the battery cavity if the diagnostic means determines that the handle is not in a suitable operating condition. Additionally or alternatively, the handle can comprise a battery lock configured to prevent the battery from being disengaged from the electrical contacts when the handle is transmitting an operating motion to a shaft assembly attached to the handle, for example. Either one system or two systems can comprise the battery lockout and battery lock.

Abstract: Techniques for a surgical system are provided that allow an electromechanical surgical arm to be coupled at a location adjacent to a patient, such as a surgical table. A first mating element can be formed on a support member and it can be in electrical communication with a power source and a controller, and a second mating element can be formed on the electromechanical arm. The first and second mating elements can each have a respective electrical contact, and they can be configured such that mechanical coupling between the first and second mating element causes electrical communication to be established between the first and second electrical contacts and thus between the electromechanical arm and the power source and the controller. The mating elements can include tolerance elements that allow for some discrepancies between the mating elements while still providing a desired mechanical and electrical connection between the mating elements.

Abstract: Methods and devices are provided for performing robotic surgery. In general, a surgical system is provided including an electromechanical tool with a first mode of operation in which the electromechanical tool mimics movement of a controller, and a second mode of operation in which the tool mirrors movement of the controller. A hybrid surgical device is also provided including an adapter matable to a handle assembly such that the adapter is electronically coupled to a motor of the handle assembly and is configured to communicate with the motor. A robotic laparoscopic surgical device is also provided including a motion sensor configured to sense movement of an electromechanical tool and an electromechanical arm that assists movement of the tool. A robotic surgical device is also provided including an electromechanical driver associated with a trocar and being configured to rotate and to translate a tool disposed through a passageway.

Abstract: An apparatus includes a plurality of beads and a plurality of links joining the beads together. Each bead includes a housing, a passageway extending through the housing, and at least one annular magnet. The passageway defines an axis. The at least one annular magnet is coaxially positioned about the passageway. The housing defines a gap adjacent to the at least one annular magnet. The gap is sized and configured to allow at least one annular magnet to rotate relative to the housing about a rotation axis. The rotation axis is offset from the axis of the passageway. Portions of the links are slidably disposed in corresponding passageways of the beads.

Abstract: An apparatus includes a plurality of beads, a plurality of links, a clasp assembly, and an adjustment feature. Each bead includes a housing, a passageway extending through the housing, and at least one annular magnet. The at least one annular magnet is coaxially positioned about the passageway. The links join the beads together. Portions of the links are slidably disposed in corresponding passageways of the beads. The clasp assembly is configured to removably secure the beads and links in a loop formation. The adjustment feature is operable to adjust an effective circumference of the loop formation. The adjustment feature may be incorporated into one or both of the clasp assembly or at least one of the beads.

Abstract: An apparatus includes a handle assembly, a shaft assembly, an end effector, and an auto-tensioning feature. The handle assembly includes a body and a plunger. The shaft assembly includes an external sheath that is fixed to the handle body and an interior shaft that is coupled to the plunger. The interior shaft is slidable relative to the external sheath. The end effector is configured to encompass a bodily lumen and includes a flexible member extending distally from the interior shaft. A first coupling element is fixed to the distal tip of the flexible member. A second coupling element is fixed to the external sheath. The first and second coupling elements are magnetically attracted to each other and are biased toward each other such that the flexible member defines an adjustable loop. The auto-tensioning feature is configured to bias the plunger portion proximally relative to the handle body.

Abstract: A surgical instrument handle operates a microsurgical instrument on a surgical instrument head by manipulation of the instrument handle. The instrument handle has an elongate center rod with a ring mounted on the rod for reciprocating movement. The ring is operatively associated with the surgical instrument head for operation of the microsurgical instrument of the head. A plurality of resilient arms extend along the length of the rod and engage against a sliding surface of the ring. The inward and outward movement of the plurality of arms reciprocates the ring on the handle rod to cause operation of the surgical instrument head.

Abstract: A surgical instrument system comprising a housing, a shaft assembly, and an end effector is disclosed. The housing comprises a plurality of electric motors. The shaft assembly comprises a plurality of rotatable shafts. The electric motors are simultaneously coupled to the rotatable shafts as the shaft assembly is connected to the housing. The shaft assembly further comprises an articulation joint including an electrically conductive articulation joint conductor that traverses the articulation joint, an electrically conductive shaft conductor in communication with the articulation joint conductor, and a distal coupler. The end effector is releasably connectable to the distal coupler and comprises an electrically conductive end effector conductor. The distal coupler comprises an electrically conductive coupler pathway from the end effector conductor to the articulation joint conductor.

Abstract: Methods and devices are provided for performing robotic surgery. In general, a surgical system is provided including an electromechanical tool with a first mode of operation in which the electromechanical tool mimics movement of a controller, and a second mode of operation in which the tool mirrors movement of the controller. A hybrid surgical device is also provided including an adapter matable to a handle assembly such that the adapter is electronically coupled to a motor of the handle assembly and is configured to communicate with the motor. A robotic laparoscopic surgical device is also provided including a motion sensor configured to sense movement of an electromechanical tool and an electromechanical arm that assists movement of the tool. A robotic surgical device is also provided including an electromechanical driver associated with a trocar and being configured to rotate and to translate a tool disposed through a passageway.

Abstract: A cover for an articulation joint that is supported in an elongate shaft assembly of a surgical instrument that is operably coupled to a surgical end effector that includes at least one end effector conductor therein. The cover includes at least one electrically conductive pathway that extends from the distal end of the cover to form an electrically conductive pathway from the end effector conductor to a shaft conductor on the elongate shaft assembly while facilitating operation of the articulation joint. Various conductor arrangements facilitating the passage of electrical current between an end effector to a control system across the articulation joint are also disclosed.

Abstract: A surgical instrument can comprise a handle including a battery cavity and electrical contacts and, in addition, a battery removably positionable in the battery cavity. The battery is configured to engage and supply power to the electrical contacts when the battery is operably seated in the battery cavity. The handle further comprises diagnostic means for assessing whether the handle is in a suitable operating and a battery lockout configured to permit the battery from being operably seated in the battery cavity if the diagnostic means determines that the handle is not in a suitable operating condition. Additionally or alternatively, the handle can comprise a battery lock configured to prevent the battery from being disengaged from the electrical contacts when the handle is transmitting an operating motion to a shaft assembly attached to the handle, for example. Either one system or two systems can comprise the battery lockout and battery lock.

Abstract: Techniques for a surgical system are provided that allow controlling a force applied by an electromechanical surgical tool coupled to an electromechanical surgical arm. A force limiter can be associated with at least one of the surgical arm and the tool and is used to limit the force applied by jaws of the tool to tissue when the tissue is engaged therebetween or when the tissue is otherwise manipulated. The force can be limited to a maximum force value, which can be preselected, and it can be adjustable based on user input or automatically. Also are provided techniques for a surgical system that allow controlling a stiffness of an electromechanical passive arm coupled to a fixture and having an active arm mounted thereon. The stiffness is adjusted, either manually or automatically, by adjusting a friction at a joint of the arm based on an angle at the arm's joint.

Abstract: A cover for an articulation joint that is supported in an elongate shaft assembly of a surgical instrument that is operably coupled to a surgical end effector that includes at least one end effector conductor therein. The cover includes at least one electrically conductive pathway that extends from the distal end of the cover to form an electrically conductive pathway from the end effector conductor to a shaft conductor on the elongate shaft assembly while facilitating operation of the articulation joint. Various conductor arrangements facilitating the passage of electrical current between an end effector to a control system across the articulation joint are also disclosed.