Abstract: A connector module for an ultrasonic surgical instrument includes a housing having a spindle and a coupling rotatably mounted on the spindle. A first conductor is mechanically coupled to the housing. A first link is rotatable relative to the first conductor between a first position and a second position and includes a first contact positioned to electrically contact the first conductor and a second contact electrically coupled to the first contact and positioned to electrically contact an ultrasonic hand piece.

Abstract: A surgical apparatus comprises an instrument body, an end effector, and a control module. The end effector is in communication with the handle assembly. The end effector is operable for use in a surgical procedure. The control module is in communication with the end effector. The end effector with the control module is able to deliver surgical energy as well as nerve excitation energy to a surgical site. A surgeon may detect stimulation of nervous tissue by visually observing the tissue twitch, and may adjust surgical technique accordingly. A sensor may be used to detect excitation of nervous tissue based on excitation caused by the nerve excitation energy.

Abstract: Switch assemblies for handheld ultrasonic surgical instruments. The switch assemblies may include a first switch arrangement that is operably supported on a forward portion of a handle housing of the surgical instrument and is selectively movable relative to at least one first switch contact. The switch assembles may further include a second switch arrangement that comprises at least one of a right switch button that is movably supported on a right side of the handle housing relative to at least one right contact and a left switch button that is movably supported on a left side of the handle housing that is selectively movable relative to at least one left contact.

Abstract: A system includes an adjustable gastric band coupled with an injection port. The port includes sensors, a plate beneath a septum, and a vibration generator in communication with the sensors. A first sensor detects palpation through a patient's skin when the injection port is implanted in the patient. The vibration generator provides a vibratory response to detected palpation, thereby providing haptic feedback to a physician who is attempting to locate the injection port by palpating the patient. A second sensor detects a needle striking the plate, and the vibration generator provides a vibratory response to a detected needle strike. The vibration generator thereby provides haptic feedback to a physician to confirm that the needle has been successfully inserted through the septum. A pressure sensor may be used to provide vibratory feedback to the patient to indicate that an adjustment to the band is needed.

Abstract: A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling mechanism portions cooperatively couple the end effector assembly to the body assembly for use. A cartridge positionable between the instrument and a generator includes information regarding operating parameters unique to the selectively coupleable end effector assembly and/or the desired surgical procedure, such as information regarding setting a maximum current set point within an ultrasonic transducer. The instrument is programmable with operating parameter information while within a sealed and sterilized packaging unit.

Abstract: An apparatus for use with a minimally invasive medical procedure into human breast tissue includes a cannula and an obturator. The cannula includes an open distal end, a lateral opening proximate to the open distal end, and a longitudinal lumen communicating with the lateral opening and the open distal end. The lumen has a non-circular cross-section. The obturator is sized for insertion into the cannula. The obturator has a distal end extending from the open distal end of the cannula when the obturator is inserted fully into the cannula. The obturator has a recess proximate of the distal end of the obturator. The recess is positioned along a portion of the length of the obturator to align with the lateral opening of the cannula when the obturator is inserted fully into the cannula.

Abstract: Apparatus includes a magnetostrictive actuator of a medical ultrasound transducer assembly. The actuator comprises a magnetostrictive alloy chosen from a list. A medical ultrasound handpiece includes an ultrasound transducer assembly adapted to attachingly receive an end effector. The transducer assembly includes a magnetostrictive actuator having a magnetostrictive alloy, and includes a first coil surrounding the actuator and adapted to excite the actuator to substantially a desired medical resonant frequency and substantially a desired medical amplitude. A medical ultrasound system includes a handpiece housing, a first medical ultrasound transducer assembly, and a first medical end effector attachable to the first transducer assembly. The first transducer assembly includes a magnetostrictive first actuator having a first magnetostrictive alloy.

Abstract: An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode.

Abstract: In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from at least one ultrasonic transducer that is movably supported within a handle housing. The ultrasonic blade protrudes through an outer sheath assembly that is attached to the handle housing. A distal end portion of the outer sheath has at least one comb-like portion formed thereon. In some embodiments, a distal end of the ultrasonic blade is axially movable adjacent to the at least one comb-like portion. In other embodiments, the distal end of the ultrasonic blade is rotatable adjacent to the at least one comb-like portion.

Abstract: A surgical system comprises an ultrasonic surgical instrument and a conduit. The conduit may be coupled with a vacuum source and/or a fluid source. The instrument comprises an ultrasonic transducer, a waveguide, and an end effector. The waveguide extends fully through the transducer, such that a distal end of the waveguide is distal to the distal end of the transducer and such that a proximal end of the waveguide is proximal to the proximal end of the transducer. The waveguide is operable to transmit ultrasonic vibrations from the transducer to the end effector. The waveguide defines a lumen in fluid communication with the conduit. The lumen is also in fluid communication with the end effector. The end effector may thus be used to deliver one or more of ultrasonic energy, suction, and/or fluid to a surgical site, in any suitable sequence or simultaneously.

Abstract: Incontinence systems and methods for directing treatment to a target tissue of a patient comprise a guide having a first palpation member and a probe body having a treatment zone and a second palpation member. The guide is configured to be inserted into a urethra of the patient. The first palpation member is positioned in a fixed relationship to an anatomical landmark, such as a bladder neck. The probe body is configured to be inserted into a vagina of the patient. The second palpation member is registered proximal the first palpation member so as to position the treatment zone of the probe adjacent the target tissue of the patient and away from the nerves and/or tissues in the area of the bladder neck and bladder.

Abstract: A system for inserting components into a medical device includes a container and an attachment member. The attachment member is coupled to a sidewall having an opening and is configured to be coupled to a medical device. Utilizing the attachment member and opening, an insertable component may be inserted into a medical device within the container while limiting the risk of contamination to the interior of the container. Alternatively, a cutting knob and an alignment member mounted to a container may be used. Cutting knob and alignment member are coupled and a knife on cutting knob is rotated about alignment member to create an opening in the container to access the interior of the medical device. Another alternative includes sandwiching an insertable component between an attachable member and the medical device while the attachable member and medical device are contained within flexible packaging that may be torn away.

Abstract: An apparatus for delivering power to an electrically powered medical device includes a package and an electrical coupling feature. The package comprises an interior portion and a wall. The interior portion of the package is able to hold a sterile, electrically powered medical device having a rechargeable battery. The package is able to maintain sterility of the interior portion of the package. The electrical coupling feature may be in communication with the wall of the package and in further communication with the medical device. The electrical coupling feature may be able to deliver power from an external power source to the medical device to charge the battery of the medical device without compromising the sterility of the package or the sterility of the medical device.

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: A surgical instrument includes a handpiece having a user input feature and a user feedback feature. A shaft assembly extends distally from the handpiece. An end effector is disposed at a distal end of the shaft assembly. The end effector includes an active feature responsive to actuation of the user input feature. The active feature is operable to operate on tissue in response to actuation of the user input feature. The user feedback feature is operable to provide feedback to the user that indicates information relating to operation of the end effector. The feedback may include haptic, visual, and/or auditory feedback.

Abstract: An electrosurgical device comprises an end effector, a cutting member, and en electromechanical driver. The end effector comprises a pair of jaws that clamp tissue. The jaws include electrodes that deliver RF energy to clamped tissue. The cutting member cuts tissue clamped between the jaws. The electromechanical driver drives the cutting member. A control module commands the electromechanical driver, and regulates the delivery of RF energy to the electrodes, based on a combination of user input and feedback signals from the electrodes and from the electromechanical driver. The device may provide tactile feedback to the user through the user input feature, based on a load encountered by the cutting member. The device may alert the user when the exterior of end effector makes incidental contact with tissue, to avoid inadvertently burning the tissue. The device may include a removable battery pack to power the electromechanical driver and the electrodes.

Abstract: An apparatus comprises a base and at least one indicator in communication with the base. The base comprises a housing and at least one slot. The at least one slot is shaped to receive a reusable component from a surgical instrument. The at least one indicator is in communication with the at least one slot. The base is configured to detect at least one characteristic related to the reusable component when the reusable component is placed into the at least one slot. Wherein the at least one indicator is configured to provide a signal to the user regarding the at least one characteristic.

Abstract: A system includes a medical device and a charging device. A sterile barrier may be interposed between the medical device and the charging device. The medical device includes an integral power source and an active element. The charging device is configured to charge the integral power source. The charging device may charge the integral power source through direct contact between features of the charging device and features the medical device. The charging device may alternatively charge the integral power source wirelessly, such as through inductive coupling. The medical device may include conductive prongs that are retained by the charging device. The charging device may physically couple with the medical device via magnets. The medical device and the charging device may be provided together in a sterile package as a kit. The kit may also include a reclamation bag to facilitate reclamation of electrical components.

Abstract: An apparatus maintains the sterility of a medical device while providing for the insertion of an insertable component into the medical device. The apparatus includes a medical device having a housing sized to contain the insertable component, an active feature, a cap, and a hinge member. A container encases the medical device within a device recess, a cap recess, and a container cover. The insertable component may be inserted into the housing while limiting potential contact with the exterior of the medical device. An alternative assembly comprises an insertion assembly having a handle and the insertable component detachably attached thereto. The medical device comprises a housing, an active feature, and a flexible member. An insertion tube is insertable within the flexible member to limit contact when the insertable component is inserted into the housing. Yet another configuration includes a resiliently hinged door assembly releasable by a release button.

Abstract: An apparatus for powering a medical device includes a battery pack, a connection feature on the battery pack, and a protective layer. In some versions the protective layer covers the battery pack and the connection feature to provide a fluid tight seal. In some versions, the connection feature comprises at least one electrode, which may pierce the protective layer to establish electrical communication with the medical device from within the protective layer such that a non-sterile battery pack could be used to deliver power to a sterile medical device without compromising sterility of the medical device. The protective layer may form a compartment. The at least one electrode may have a conical shape to facilitate piercing the protective layer.