Abstract: A multi-staple inserter and drill guide, and methods of use thereof, are disclosed therein. The orthopedic staples can also be used in addition to interfragmentary screws to apply further compression of the bone fragments.

Abstract: A method of surgical stapling that uses a surgical instrument operable to compress, staple, and cut tissue. The instrument includes a body, a shaft, and an end effector with a pair of jaws. A placement tip extends distally from one of the jaws of the end effector. The method includes positioning the end effector at a desired site for surgical stapling. The method also includes controlling one or more of the jaws of the end effector to place the end effector in an open position. The method also includes positioning the end effector such that tissue is located between the jaws. The method also includes clamping the tissue between the jaws by moving at least one of the jaws toward the other jaw. The method also includes advancing a firing beam of the apparatus from a proximal position to a distal position.

Abstract: A surgical fastener applier including a housing containing a compartment, an elongated member extending distally from the housing, first and second jaws and a firing mechanism positioned within the housing. The firing mechanism is movable between a first position and a second position to effect firing of fasteners into the tissue clamped between the first and second jaws. A cover on the housing is openable to access the compartment. A power pack is removably loadable into the compartment, the power pack having a motor and an engagement member removably engageable with the firing mechanism within the compartment when the power pack is loaded into the compartment to effect movement of the firing mechanism from the first position to the second firing position.

Abstract: A surgical stapling device includes a tool assembly having a drive assembly, an anvil, and a cartridge assembly. The cartridge assembly includes a replaceable staple cartridge that includes an actuation sled assembly having an actuation sled, a knife bar, and a retractor link. The retractor link is secured to the knife bar such that the actuation sled assembly is movable through a cartridge body of the staple cartridge. The retractor link is movable from a non-deformed condition disengaged from the drive assembly to a deformed condition engaged with the drive assembly to facilitate retraction of the actuation sled assembly after the stapling device is fired.

Abstract: A powered endoscopic surgical apparatus is provided and includes a handle including a housing, a power source supported in the housing; an endoscopic portion extending distally from the housing of the handle; an end effector assembly coupled to a distal end of the endoscopic portion, the end effector assembly including a pair of jaws configured to perform a surgical function; a driving member; a drive source including a motor powered by the power source and connected to the driving member; and a gear assembly engaged with the motor. The gear assembly including a gear rack provided on the driving member; and a main gear operatively connected with the gear rack, the motor spinning the main gear such that rotary motion of the main gear moves the driving member in an axial direction such that the driving member actuates the end effector to perform the surgical function.

Abstract: A motor control apparatus includes: a motor configured to drive a load; and a control unit configured to control the motor. The control unit is configured to, when activating the motor, determine whether a predetermined condition for determining that fluctuation in magnitude of the load occurs is satisfied, activate the motor in a first mode when the predetermined condition is satisfied, and activate the motor in a second mode when the predetermined condition is not satisfied, and the first mode is a mode in which an increase in rotation speed of the motor is gentler than an increase in rotation speed of the motor in the second mode.

Abstract: A surgical instrument that includes a shaft assembly that defines a shaft axis and includes a proximal articulation joint that defines a first articulation axis that is transverse to the shaft axis and a distal articulation joint that defines a second articulation axis that is transverse to the shaft axis and the first articulation axis. The instrument further includes an anvil that is non-removably attached to the shaft assembly and a channel that is removably attachable to the shaft assembly and configured to operably support a surgical staple cartridge.

Abstract: A surgical device includes a tool assembly and a handle assembly. The tool assembly includes a distal portion including a plurality of staples and an anvil assembly movable relative to the distal portion from an open position to a clamped position. The handle assembly includes an approximation mechanism coupled to the anvil assembly and configured to move the anvil assembly from the open position to the clamped position, a force sensor disposed at a distal end of the surgical device, and a controller. The force sensor is configured to sense a change in resistance indicating a force imparted on compressed tissue and on the approximation mechanism. The controller is configured to receive a signal indicative of a force measured by the force sensor and provide an indication of the sensed force.

Abstract: An apparatus includes a body, and anchoring feature, and a guide feature. The body is sized and configured to be positioned on an eye of a patient. The anchoring feature is configured to secure the body to the eye of the patient. The guide feature is configured to guide a cannula into a scleral incision formed in the eye of the patient along a path that is substantially tangential relative to the eye of the patient. The guide feature is sized and configured to allow the cannula to pivot laterally through a range of angular motion at the scleral incision.

Abstract: Surgical instruments and/or fastener apparatuses comprising an end effector with a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position. At least one of the jaws may comprise a channel for receiving a cartridge containing a plurality of surgical fasteners. Also, an electrically powered actuator may be for deploying the surgical fasteners and may comprise a power source and a motor. An activation mechanism may be attached to the handle to move the pair of jaws from the open to the closed position and to activate the actuator. A lockout mechanism may be configured to permit current to flow from the power source to the motor when the pair of jaws is in the closed position and to prevent current from flowing to the power source to the motor when the pair of jaws is in the open position.

Abstract: A surgical instrument system comprising a motor, an end effector, a main control circuit, and a motor control circuit is disclosed. The end effector is actuatable by the motor to perform a tissue treatment function. The main control circuit comprises a processor and a memory. The motor control circuit is electrically coupled to the motor and the main control circuit, and the motor control circuit is configured to receive a motor activation signal from the main control circuit, activate the motor based on the received motor activation signal, receive a feedback signal associated with the motor during actuation of the motor, determine a motor control parameter based on the feedback signal, and control a current delivered to the motor based on the motor control parameter and a predetermined magnitude of current.

Abstract: A force transmission system for a robotically controlled medical device can include a pushing actuator configured to be pushed by a robotic instrument controller and a wire. The wire can include a first end attached to an end of the pushing actuator to be pushed distally by the pushing actuator, and a second end attached to a distal location of the medical device. The system can include a reverse motion device that can be interfaced with the wire between the first end and the second end. The reverse motion device can be configured to cause a proximal pulling action on the second end in response to pushing of the first end distally by the pushing actuator or other actuation by the pushing actuator. The reverse motion device can be configured to maintain a point of contact with the wire in the same spatial location to prevent wire motion due to actuation.

Abstract: A medical device including an attachment device having a longitudinal axis, a pivot arm having a first end pivotally attached to the attachment device, an end effector pivotally attached to a second end of the pivot arm and configured to move from a first configuration to a second configuration, and a longitudinally extending body attached to a proximal end of the end effector. Movement of the longitudinally extending body in a proximal direction rotates the end effector from the first configuration to the second configuration, the end effector is approximately parallel to the longitudinal axis of the attachment device in the first configuration, and the end effector is angled relative to the longitudinal axis of the attachment device in the second configuration.

Abstract: A circular stapling apparatus including a stationary handle, a trigger pivotably coupled to the stationary handle, a trigger lock selectively engageable with the trigger, and a firing link coupled to the trigger. The firing link has a catch thereon. The trigger lock has a latch assembly that is selectively engageable with the catch.

Abstract: A surgical instrument includes an end effector including a first jaw having a plurality of pockets and a second jaw. The first and second jaws are operable to clamp tissue therebetween. The surgical instrument also includes a stapling assembly supported by the second jaw of the end effector. The stapling assembly includes a deck, a plurality of staple openings extending through the deck, and a plurality of staples slidably housed within corresponding staple openings. Each staple has a respective pair of legs configured to be driven into contact with a corresponding pocket. The surgical instrument further includes a plurality of staple leg constraints. Each staple leg constraint is aligned with and extends at least partially across a corresponding staple opening for guiding a respective leg of the corresponding staple toward the corresponding pocket.

Abstract: Capstan slip-stop shoulders limit relative rotation of capstans: a drive is shaft rotatably inserted within first and second axially aligned annular capstans, the first capstan including a first tooth extending parallel to the drive shaft in a first direction, the second capstan including a second tooth extending parallel to the drive shaft in a second direction opposite the first direction, the first tooth including first and second circumferentially spaced first tooth slip-stop shoulders, the second tooth including first and second circumferentially spaced second tooth slip-stop shoulders, the first and second capstans arranged such that abutting contact between the first and second slip-stop shoulders can halt capstan rotation about the drive shaft in one direction, and abutting contact between the second first and second slip-stop shoulders can halt capstan rotation about the drive shaft in an opposite direction.

Abstract: The present teaching relates to a reset apparatus including a first transmission mechanism, a first rotary transmission mechanism, a one-way rotary transmission mechanism, and a second rotary transmission mechanism; a stapler; and a medical device. The one-way rotary transmission mechanism only rotates in a set direction, and is connected with the second rotary transmission mechanism, and drives the same to rotate towards the set direction. In a first state, the first transmission mechanism is connected with the first rotary transmission mechanism which drives the first transmission mechanism to act along the set direction. In a second state, the first transmission mechanism is connected with the second rotary transmission mechanism which drives the first transmission mechanism to act along the set direction. The present invention achieves manual resetting when the device is accidentally shut down, and is simple in structure, and safe and reliable in use.

Abstract: A method for producing a surgical instrument is disclosed. The method comprises obtaining a handle, wherein the handle comprises a distal end comprising a shaft interface surface and a first set of magnetic elements. The method further comprises obtaining a shaft, wherein the shaft comprises a proximal end comprising a handle interface surface, a second set of magnetic elements, and a third set of magnetic elements. The method further comprises attaching the shaft to the handle, wherein the shaft interface surface is configured to engage the shaft at the handle interface surface, wherein an attractive magnetic force is configured to pull the handle towards the shaft when the first set of magnetic elements interact with the second magnetic elements, and wherein a repulsive magnetic force is configured to repel the handle from the shaft when the first set of magnetic elements interacts with the third set of magnetic elements.

Abstract: A surgical stapling system includes an adapter assembly, a trocar assembly attachable to the adapter assembly, a processor, and memory. The memory includes instructions executable by the processor to cause the trocar assembly to move relative to the adapter assembly and determine whether the trocar assembly is properly attached to the adapter assembly. Such determination is based on an amount of force applied between the trocar assembly and the adapter assembly, an amount of current detected in the surgical stapling system, or an amount of time the trocar assembly moves relative to the adapter assembly without an indication that the amount of force is within a predetermined range.

Abstract: Disclosed is a surgical system, comprising an end effector configurable between an open state and a clamped state. The end effector comprises a first jaw and a second jaw moveable relative to the first jaw. The surgical system further comprises a drive system, comprising a motor and a drive assembly movable by the motor to effect a tissue-treatment motion at the end effector. The surgical system further comprises a motor control system comprising motor control electronics. The motor control system is configured to transmit a motor drive signal that causes the motor to move the drive assembly to effect the tissue-treatment motion at the end effector and control the motor control electronics to modify the tissue-treatment motion independent of the motor drive signal.

Abstract: An ischemia control device is connected to a control unit that receives inputs from sensors and other surgical devices that senses patient conditions. The control unit uses the data inputs, as well as direct inputs from the medical operators, to output opening and closing instructions to the ischemia control device. The actuator on the ischemia control device receives the opening and closing instructions and manipulates the ischemia control device. The ischemia control device can be automatically operated using the sensed information to intermittently and alternately achieve ischemia of the organs and reperfuse the organs and, thereby, protect the organs from being damaged by the ischemia.

Abstract: An apparatus includes a shaft assembly and an end effector. The shaft assembly includes an outer sheath and a staple driving mechanism. The end effector includes a staple deck, an anvil, a first staple driver, and a second staple driver. The staple deck defines a plurality of staple openings in at least one annular array. Each staple opening in the plurality of staple openings houses a staple. The anvil is configured to actuate relative to the staple deck to compress tissue between the staple deck and the anvil. The staple driving mechanism is configured to actuate the first staple driver to fire a first staple of the plurality of staples against the anvil. The staple driving mechanism is further configured to actuate the second staple driver independently of the first staple driver to fire a second staple of the plurality of staples against the anvil.

Abstract: A surgical stapling device includes an elongate member and a loading unit. The loading unit includes a tool portion and a body portion including a first portion having a first length, a second portion having a second length, and a third portion having a third length. The first portion is configured to be releasably secured with the elongate member. The second portion is distal of the first portion and dimensioned to be received in the elongate member. The third portion is distal of the second portion. At least the second or third portion is configured to engage the elongate member in a sealing relation. The second length is greater than the first and third lengths. The third portion of the body portion is dimensioned to be flush with the elongate member when the first and second portions are received in the elongate member.

Abstract: A surgical instrument comprising an end effector, a firing member movable from an unfired position toward a fired position during a firing stroke, a firing system comprising a motor, and a control system. The firing system is configured to drive the firing member through the firing stroke. The control system is configured to drive the firing member from the unfired position toward the fired position with the firing system, detect a force to fire the firing member toward the fired position, pause advancement of the firing member for a first amount of time, based on the detected force to fire, resume advancement of the firing member after the first amount of time, and pause advancement of the firing member for a second amount of time, wherein the second amount of time is based on the first amount of time.

Abstract: A handle assembly for a surgical stapler can comprise a rotatable actuation shaft. The actuation shaft can have a first rotational orientation in which it can actuate a jaw assembly in a repeatable open and close mode, a second rotational orientation in which it can actuate a jaw assembly in a staple firing mode, and a third rotational orientation in which it can actuate a jaw assembly in a reversing mode. The handle assembly can include an articulation mechanism including a ball screw to selectively articulate the jaw assembly relative to an elongate shaft.

Abstract: An adapter assembly includes an articulation nut, an articulation link, and a drive belt operably coupled to a distal portion of the articulation link. The articulation link has a proximal end portion operably coupled to the articulation nut, such that rotation of the articulation nut results in translation of the articulation link. The drive belt has a distal end portion configured to be operably coupled to a proximal end portion of a surgical loading unit, such that movement of the drive belt articulates the surgical loading unit relative to the adapter assembly.

Abstract: A shipping wedge (10) for a staple cartridge includes a body (12), an elongate fin (22), at least one tooth (32), and a knife stop (20). The elongate fin (22) is supported on a bottom surface (16) of the body (12). The tooth (32) extends from the bottom surface (16) on the proximal portion of the body (12) and is positioned to be received within a recess formed in the staple cartridge (102). The knife stop (20) extends from a top surface (14) of the proximal end of the body and is positioned to obstruct movement of a knife bar (122) of the staple cartridge (102) when the shipping wedge (10) is attached to the staple cartridge (102). A sled stop member (26) extends from the bottom surface (16) on the proximal portion of the body (12) of the shipping wedge (10) and is positioned to obstruct movement of an actuation sled of the staple cartridge (102).

Abstract: A medical device, a stapler, and a rotation locking mechanism, the medical device including a handheld mechanism, a connecting mechanism, and an actuator. The connecting mechanism is connected to the handheld mechanism and the actuator. The handheld mechanism is internally provided with a first rotation locking mechanism and a first transmission mechanism connected to the first rotation locking mechanism. A second rotation locking mechanism matching the first rotation locking mechanism is disposed on the connecting mechanism. When the first transmission mechanism is in a first state, the first rotation locking mechanism and the second rotation locking mechanism are in an unlocked state, such that the connecting mechanism is rotatable. When the first transmission mechanism is in a second state, the first rotation locking mechanism and the second rotation locking mechanism are in a locked state, such that the connecting mechanism is locked, thereby improving surgery safety and surgery efficiency.

Abstract: A surgical instrument comprising a firing member driven by an electric motor is disclosed. The surgical instrument comprises a control system configured to evaluate the duty cycle of the electric motor and adjust the speed of the firing member based on the detected duty cycle of the electric motor.

Abstract: The present disclosure provides a staple cartridge for a surgical instrument having a staple and a staple pusher. The staple pusher has a recess forming a pocket in its top surface for receiving at least the backspan of the staple. The pocket is at least partially surrounded by a circumferential supporting element in the staple pusher body to support the backspan. The pocket provides additional vertical space and support for the staple such that a smaller staple cartridge may provide a substantially similar performance as conventional staple cartridges, allowing for a more compact and maneuverable surgical instrument. In addition, the pocket in the staple pusher allows for a staple having a larger bend radius than conventional staples, thereby providing additional support for the staple and minimizing malformation of the staple during use.

Abstract: A method for controlling a motor of a robotic surgical system is disclosed. The robotic surgical system comprises an end effector. The method comprises predicting a current speed of the motor, based on a previously detected condition of the robotic surgical system, detecting a condition of the end effector, determining an actual current speed of the motor based on the detected condition, comparing the predicted current speed of the motor to the actual current speed of the motor, and adjusting a speed of the motor based on the comparison.

Abstract: A surgical stapler comprising an end effector and a system configured to feed staples into the end effector is disclosed.

Abstract: A method of operating an articulatable surgical instrument. The method includes providing a rotary drive motion to a rotary drive member of a surgical end effector and converting the rotary drive motion to an upper axial motion and a lower axial motion at locations that are distal to the articulation joint. The method further includes applying the upper axial motion to an upper portion of a firing member and applying the lower axial motion to a lower portion of the firing member such that the upper axial motion and lower axial motion drives the firing member distally through the surgical end effector from a starting position to an ending position.

Abstract: The present disclosure relates generally to systems, medical devices, and methods for closing an opening in a target tissue using hydraulics and/or pneumatics. In some embodiments, a medical device may include an endoscopic device operable to close an opening in a target tissue, and an actuator operable with the endoscopic device, wherein the actuator includes a piston within a chamber. The piston may include a piston head engaged with an interior surface of the chamber, and a piston rod coupled to a tissue engagement component of the endoscopic device, wherein pressure from a fluid within the chamber actuates the tissue engagement component.

Abstract: Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.

Abstract: A staple driver actuator for a surgical stapler includes a base having at least one bottom surface. The bottom surface defines a plane and is configured to slide longitudinally relative to a jaw of the surgical stapler. The base also has at least one top surface parallel to the plane, a distal lower cam surface inclined relative to the plane, and at least one distal upper cam surface inclined relative to the plane. The at least one distal upper cam surface is opposed from the distal lower cam surface. The staple driver actuator further includes at least one rail extending upwardly from the base. The rail includes at least one rail cam surface longitudinally spaced apart from the distal upper cam surface, and the rail cam surface is inclined relative to the plane.

Abstract: A staple cartridge comprising a cartridge body including staple formation features is disclosed.

Abstract: A handle assembly includes a single-motor transmission assembly for actuating various functions of an attached end effector.

Abstract: In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.

Abstract: A surgical system is disclosed comprising a firing member movable from a proximal position toward a distal position during a firing stroke, a motor configured to drive the firing member toward the distal position, and a control system configured to operate in an open-loop configuration and a closed-loop configuration. In the open-loop configuration, the control system is configured to cause the motor to drive the firing member to a predetermined position between the proximal position and the distal position, determine a time required to drive the firing member to the predetermined position, compare the determined time to a predetermined time, and set a motor velocity of the motor based on the comparison. In the closed-loop configuration, the control system is configured to drive the firing member at the set motor velocity.

Abstract: A surgical stapling device includes a tool assembly having an actuation sled assembly that includes an actuation sled and a knife movably supported on the actuation sled. The tool assembly includes structure for moving the knife in relation to the actuation sled between extended and retracted positions in response to movement of the actuation sled through a staple cartridge of the tool assembly. Movement of the knife moves a cutting edge of the knife in relation to the actuation sled within a tissue gap defined by the tool assembly to impart a degree of vertical motion to the cutting edge of the knife. This enables the tool assembly to leverage micro-serrations on the cutting edge of the knife to enhance cutting efficiency of the knife.

Abstract: A staple cartridge comprising a sensor array is disclosed. In various instances, the sensor array comprises a conductive trace embedded in a cartridge body of the staple cartridge.

Abstract: Various examples are directed to systems and methods for operating a surgical instrument comprising a firing member translatable proximally and distally along a longitudinal axis between a stroke begin position to a stroke end position distal of the stroke begin position; a knife coupled to the firing member; and a motor coupled to the firing member to translate the firing member between the stroke begin position and the stroke end position. A control circuit may receive a firing signal and begin a firing member stroke by providing an initial motor setting to the motor. The control circuit may maintain the initial motor setting for an open-loop portion of the firing member stroke. The control circuit may receive firing member motion data describing a motion of the firing member during the open-loop portion of the firing member stroke and may select a firing control program based at least in part on the motion of the firing member during the open-loop portion of the firing member stroke.

Abstract: A surgical stapling device includes a jaw assembly including a first jaw supporting an anvil assembly and a second jaw supporting a cartridge assembly. A drive assembly is translatable through the jaw assembly to effect the clamping and stapling of tissue. The drive assembly includes a clamping member and an adjustment member. The clamping member includes a first clamping surface configured to engage the anvil assembly. The adjustment member includes a second clamping surface configured to engage the staple cartridge. The first clamping surface is spaced from the second clamping surface to define a clamping height. The adjustment member is moveable relative to the clamping member between a first position and a second position to change the clamping height.

Abstract: A method for authenticating the compatibility of a staple cartridge with a surgical instrument is disclosed. The method can comprise inserting a staple cartridge into a surgical instrument, receiving a first signal from a first RFID tag on a first component of the staple cartridge with an RFID reader system, receiving a second signal from a second RFID tag on a second component of the staple cartridge with the RFID reader system, comparing the first signal and the second signal to stored data for a compatible staple cartridge, and locking a staple firing system of the surgical instrument if the first signal and the second signal do not match the stored data for a compatible staple cartridge.

Abstract: Disclosed is a surgical instrument, comprising a shaft, an articulation joint extending distally from the shaft, and an end effector extending distally from the articulation joint. The end effector comprises a jaw, and a staple cartridge seatable in the jaw. The staple cartridge comprises a cartridge body, staples removably stored in the cartridge body, and a first antenna. The surgical instrument further comprises a remote power source configured to supply power, a second antenna configured to cooperate with the first antenna when the staple cartridge is seated in the jaw to transmit at least one of the power and a data signal to the staple cartridge, and a tuning electronics package located in a cavity in a proximal portion of the end effector. The tuning electronics package is configured to facilitate a locally tunable wireless transmission of the at least one of the power and the data signal.

Abstract: A surgical instrument is disclosed herein. The surgical instrument includes a handheld device and an adapter assembly. The handheld device includes a first drive assembly and a power source. The adapter assembly includes an outer housing that defines an internal cavity configured to accommodate a handheld device. The adapter assembly is configured to establish a sterile barrier around the handheld device. The surgical instrument includes an energy management system configured to extract energy dissipated by the handheld device from the internal cavity without disrupting the sterile barrier. In some aspects, the surgical instrument further includes a plurality of interchangeable end effectors and the adapter assembly includes a drive interface assembly.

Abstract: In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.

Abstract: A surgical instrument comprising an articulatable end effector and a control system that controls the articulation of the end effector and provides feedback to the user of the surgical instrument.

Abstract: A surgical fastener applier including a housing containing a compartment, an elongated member extending distally from the housing, first and second jaws and a firing mechanism. The firing mechanism is movable between a first position and a second position to effect firing of fasteners into the tissue clamped between the first and second jaws. A power pack is removably loadable into the compartment, the power pack having a motor and an engagement member removably engageable with the firing mechanism within the compartment when the power pack is loaded into the compartment to effect movement of the firing mechanism. An interchangeable battery pack is removably loadable into the power pack for powering the motor. Bearings restrict axial and radial movement of the firing and articulation assembly in the power pack.