Abstract: A torque-transmitting, variably-flexible, locking insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument, a distal end with a tip for protrusion of the instrument, and a handle to be gripped by an operator. A device locks the handle to and unlocks the handle from the instrument, which is at least partly disposed within the hollow body. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A method for operating a torque-transmitting, locking insertion device includes placing the instrument at least partly within the hollow body and locking the handle to and unlocking the handle from the instrument. The hollow body is transitioned between a relatively flexible condition and a relatively stiff 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: An OTC surgical device includes a handle having therein a compression controller and thereat an end effector, which has an electrically controlled tissue-compressor coupled to the controller and powered thereby to selectively control tissue compression. A mechanical binary-output electrical switch is disposed in-line with the compressor to place a compressing force directed upon the compressed tissue proportionally upon the switch. The switch has two switching states initiated and changed only by mechanical movement. The switch includes a biasing device retaining the switch in a first switching state until a force imparted thereupon overcomes the bias force to change to the second switching state. A switching-state-status output provides information identifying a current state and communicates with the compression controller to selectively control compression of tissue based upon the information. With appropriate feedback, the controller can keep the tissue at OTC while the surgical procedure is carried out.

Abstract: A method for effecting a tissue-compressing surgery at a user-selected compression force provides an electrical switch having switching states changed solely by mechanical movements. The switch is mechanically coupled with an adjustable biasing device retaining the switch in one state until a force greater than the bias device is imparted to the switch. The switch is in line with a tissue-compressing device to place a proportional amount of compression force on the switch as imparted upon the tissue. The biasing device is set to a desired state-changing tissue compression force so that the switch changes its state when the force on the switch is at least the desired force. Tissue compresses until a force imparted on the switch at least equals the desired state-changing tissue compression force and, at such time, the switching state changes and, thereafter, a surgical procedure is carried out on the compressed tissue.

Abstract: A surgical instrument includes an end effector having an actuation assembly to effect a surgical procedure when actuated. An electric motor has a rated operating voltage and is operationally connected to the end effector to operate the actuation assembly. A power supply is electrically connected to the motor and selectively powers the motor to actuate the actuation assembly at least 1 and less than 16 times during a clinical life of at least one of the end effector, the motor, or the power supply. The power supply has a battery cell with a critical current rate. When activated to power the motor and actuate the actuation assembly, the power supply operates the battery cell at a super-critical current rate during a non-zero super-critical pulse discharge period lasting less than approximately 16 seconds. The power supply operates the motor above the rated operating voltage during the super-critical pulse discharge period.

Abstract: A surgical instrument includes a surgical end effector having at least one actuation assembly to effect a surgical procedure when actuated, an electric motor operationally connected to the end effector to operate the at least one actuation assembly, and a power supply electrically connected to the motor and selectively powering the motor to actuate the actuation assembly. The power supply has a battery cell with a critical current rate and, when activated to power the motor and actuate the actuation assembly, operates the cell at a super-critical current rate or at an average current rate above the critical current rate. The power supply selectively powers the motor to actuate the assembly less than 16 times during a clinical life of at least one of the end effector, the motor, and the power supply. When actuated, the assembly operates only between 0.5 seconds and 16 seconds in duration.

Abstract: An automatically releasing instrument holder includes a grip to be held by an operator for guiding an instrument, an actuator to be activated by the operator and a biasing device exerting a force. A clamp is moved by the actuator toward the instrument against the force of the biasing device and is moved by the biasing device away from the instrument upon releasing the actuator. A method for operating the instrument holder is also provided.

Abstract: An electrically operated surgical instrument includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.

Abstract: An anti-counterfeiting identification system for a medical tubing system, including a tubing assembly having upstream and downstream tubing portions removably connected to one another in a mechanically coupled state and a mechanically uncoupled state. The mechanically coupled state is a reliable fluid tight connection of the upstream and downstream portions for fluids passing there through from the upstream portion to the downstream portion. A two-part encrypted identification assembly has a first part connected to the upstream portion and a second part connected to the downstream portion. The first and second parts are electrically connected only through one lead and ground and are electrically connected to one another only in the mechanically coupled state. Also provided are methods for identification, anti-piracy, and inventory.

Abstract: An electrically operated surgical instrument includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.

Abstract: An automatically releasing instrument holder includes a grip to be held by an operator for guiding an instrument, an actuator to be activated by the operator and a biasing device exerting a force. A clamp is moved by the actuator toward the instrument against the force of the biasing device and is moved by the biasing device away from the instrument upon releasing the actuator. A method for operating the instrument holder is also provided.

Abstract: A torque-transmitting, variably-flexible, locking insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument, a distal end with a tip for protrusion of the instrument, and a handle to be gripped by an operator. A device locks the handle to and unlocks the handle from the instrument, which is at least partly disposed within the hollow body. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A method for operating a torque-transmitting, locking insertion device includes placing the instrument at least partly within the hollow body and locking the handle to and unlocking the handle from the instrument. The hollow body is transitioned between a relatively flexible condition and a relatively stiff condition.

Abstract: An OTC surgical device includes a handle having therein a compression controller and thereat an end effector, which has an electrically controlled tissue-compressor coupled to the controller and powered thereby to selectively control tissue compression. A mechanical binary-output electrical switch is disposed in-line with the compressor to place a compressing force directed upon the compressed tissue proportionally upon the switch. The switch has two switching states initiated and changed only by mechanical movement. The switch includes a biasing device retaining the switch in a first switching state until a force imparted thereupon overcomes the bias force to change to the second switching state. A switching-state-status output provides information identifying a current state and communicates with the compression controller to selectively control compression of tissue based upon the information. With appropriate feedback, the controller can keep the tissue at OTC while the surgical procedure is carried out.

Abstract: A method for effecting a tissue-compressing surgery at a user-selected compression force provides an electrical switch having switching states changed solely by mechanical movements. The switch is mechanically coupled with an adjustable biasing device retaining the switch in one state until a force greater than the bias device is imparted to the switch. The switch is in line with a tissue-compressing device to place a proportional amount of compression force on the switch as imparted upon the tissue. The biasing device is set to a desired state-changing tissue compression force so that the switch changes its state when the force on the switch is at least the desired force. Tissue compresses until a force imparted on the switch at least equals the desired state-changing tissue compression force and, at such time, the switching state changes and, thereafter, a surgical procedure is carried out on the compressed tissue.

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 flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

Abstract: A multifilar flexible rotary shaft includes a plurality of individual filaments which are not wound around each other or around a central core, a loose ensemble of filaments. The input ends of each filament are coupled to each other and the output ends of each filament are coupled to each other. A loose ensemble of N filaments can transmit N times the torque of a single filament, and will have N times the torsional stiffness of a single filament, while retaining the minimum radius of operation of a single filament. Since a loose ensemble of filaments does not have any appreciable contact forces among the filaments (because they are not forcibly twisted together), there is no appreciable internal friction or hysteresis. The filaments should be no more than loosely twisted together, if at all. Several practical applications of the invention are also disclosed.

Abstract: A surgical instrument includes a surgical end effector having at least one actuation assembly to effect a surgical procedure when actuated, an electric motor operationally connected to the end effector to operate the at least one actuation assembly, and a power supply electrically connected to the motor and selectively powering the motor to actuate the actuation assembly. The power supply has a battery cell with a critical current rate and, when activated to power the motor and actuate the actuation assembly, operates the cell at a super-critical current rate or at an average current rate above the critical current rate. The power supply selectively powers the motor to actuate the assembly less than 16 times during a clinical life of at least one of the end effector, the motor, and the power supply. When actuated, the assembly operates only between 0.5 seconds and 16 seconds in duration.

Abstract: A surgical instrument includes an end effector having an actuation assembly to effect a surgical procedure when actuated. An electric motor has a rated operating voltage and is operationally connected to the end effector to operate the actuation assembly. A power supply is electrically connected to the motor and selectively powers the motor to actuate the actuation assembly at least 1 and less than 16 times during a clinical life of at least one of the end effector, the motor, or the power supply. The power supply has a battery cell with a critical current rate. When activated to power the motor and actuate the actuation assembly, the power supply operates the battery cell at a super-critical current rate during a non-zero super-critical pulse discharge period lasting less than approximately 16 seconds. The power supply operates the motor above the rated operating voltage during the super-critical pulse discharge period.

Abstract: A surgical instrument includes an end effector having an actuator effecting a surgical procedure when actuated, an electric motor operating the actuator, and a power supply actuating the actuator when power is supplied to the motor. The power supply has a battery cell with a given rated power for an operating period of over 15 seconds and for a total aggregate operating time of over 300 seconds. The motor and power supply are configured to utilize the battery cell at a power greater than the given rated power. The motor characteristics are selected to utilize the battery cell for periods of operation of less than 16 seconds and for a total aggregate operating time of less than 300 seconds. A one-handed handle contains all of the power supply, at least part of an anvil control assembly, and at least part of an electrically-powered stapler/cutter control assembly.