Ethicon Endo-Surgery, Inc. Patent applications |
Patent application number | Title | Published |
20160113971 | Compositions of Microbiota and Methods Related Thereto - Methods and compositions are provided for treating weight related conditions and metabolic disorders by altering microbiota in a subject. One aspect provides methods and compositions to alter microbiota in a subject by administering to the subject a composition that includes a substantially purified microbiota from phyla such as Bacteroidetes, Proteobacteria, Firmicutes and Verrucomicrobia or orders such as Bacteroidales, Verrucomicrobiales, Clostridiales and Enterobacteriales or genera such as | 04-28-2016 |
20160058516 | Surgical Devices with Intracorporeal Elbow Joint - Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed. | 03-03-2016 |
20150297286 | DEVICE STATUS FEEDBACK FOR BIPOLAR TISSUE SPACER - A surgical instrument includes an end effector and a feedback system. The end effector includes a first jaw and a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other one of the first jaw and the second jaw to transition the end effector during a closure stroke between an open configuration, a first approximated configuration, and a second approximated configuration. The feedback system includes an indicator, the indicator transitionable between a first indicator position, a second indicator position, and a third indicator position, wherein the indicator is in the first indicator position when the end effect is in the open configuration, wherein the indicator is in the second indicator position when the end effector is in the first approximated configuration, and wherein the indicator is in the third indicator position when the end effector is in the second approximated configuration. | 10-22-2015 |
20150289925 | SOFTWARE ALGORITHMS FOR ELECTROSURGICAL INSTRUMENTS - A surgical system includes a module for compiling a plurality of operational parameters of the surgical system during a plurality of treatment cycles performed by the surgical system. The module includes a processor and a memory unit, the processor configured to store in the memory unit values of the plurality of operational parameters associated with each of the plurality of treatment cycles, wherein the processor is configured to identify a subset of the stored values of the plurality of operational parameters temporally proximate to an intervening event. | 10-15-2015 |
20150280424 | POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION - The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor, and a segmented circuit. The segmented circuit includes a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments includes a power segment configured to provide a segment voltage to the primary processor, the safety processor, and each of the plurality of circuit segments. The power segment is configured to provide variable voltage protection of each segment. | 10-01-2015 |
20150280384 | SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT - Various electrical and slip ring connector arrangements configured to facilitate the passage of electrical current and signals between two components that are rotatable relative to each other such as an interchangeable surgical shaft assembly that includes portions that are rotatable relative to fixed mounting portions. | 10-01-2015 |
20150277471 | SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT - The present disclosure provides a method for controlling a surgical instrument. The method includes connecting a power assembly to a control circuit, wherein the power assembly is configured to provide a source voltage, energizing, by the power assembly, a voltage boost convertor circuit configured to provide a set voltage greater than the source voltage, and energizing, by the voltage boost convertor, one or more voltage converters configured to provide one or more operating voltages to one or more circuit components. | 10-01-2015 |
20150272659 | TWO STAGE TRIGGER, CLAMP AND CUT BIPOLAR VESSEL SEALER - In various embodiments, a surgical instrument is disclosed. In one embodiment, the surgical instrument comprises a handle assembly. The handle assembly comprises a closure trigger, a push plate, a clamp plate, and a firing plate. Actuation of the closure trigger rotates the push plate. Rotation of the push plate to a first rotation rotates the clamp plate and rotation between the first rotation and a second rotation rotates the firing plate. A shaft assembly is coupled to the handle assembly. An end effector is coupled to the shaft assembly. The end effector comprises a jaw assembly. The jaw assembly defines a longitudinal slot. Rotation of the clamp plate pivotally moves a first jaw member from an open position to a closed position relative to a second jaw member. A cutting member is deployable within the longitudinal slot. | 10-01-2015 |
20150272657 | CONTROLLING IMPEDANCE RISE IN ELECTROSURGICAL MEDICAL DEVICES - Various embodiments are directed to electrosurgical systems for providing an electrosurgical signal to a patient. A control circuit may, for a first application period, apply the electrosurgical signal to first and second electrodes according to a first mode. In the first mode, the control circuit may limit the electrosurgical signal to a first maximum power when the impedance between the first and second electrodes exceeds a first mode threshold. The control circuit may also, for a second application period after the first application period, apply the electrosurgical signal according to a second mode. In the second mode, the control circuit may limit the electrosurgical signal to a second mode maximum power when the impedance between the first and second electrodes exceeds a second mode threshold. The second maximum power may be greater than the first maximum power. | 10-01-2015 |
20150272602 | ELECTROSURGICAL DEVICES - In various embodiments, a surgical instrument is disclosed. The surgical instrument comprises a handle assembly having a closure trigger, a closure actuator coupled to the closure trigger at a first pivot, and a closure spring. The closure actuator moves proximally on a longitudinal axis in response to actuation of the closure trigger. The closure spring applies a force vector to the closure spring tangential to the longitudinal axis. A shaft assembly is coupled to the handle assembly. An end effector is coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly comprising a first jaw member and a second jaw member. The first jaw member is pivotally moveable with respect to the second jaw member. At least one of the first and second jaw members are operatively coupled to the closure actuator. | 10-01-2015 |
20150272583 | SURGICAL STAPLING INSTRUMENT SYSTEM - A surgical system can include an electric motor, a sensor and a microcontroller in signal communication with the electric motor and the sensor. In various instances, the microcontroller can adjust the velocity of a firing element when the sensor detects a change in current drawn by the electric motor that exceeds a threshold amount. | 10-01-2015 |
20150272582 | POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS - The present disclosure provides a surgical instrument including a handle assembly and an interchangeable shaft assembly. The shaft assembly includes an elongate shaft, and an end effector extending distally from the elongate shaft. The handle assembly includes a motor configured to effectuate at least one motion in the end effector while said handle assembly is coupled to the shaft assembly. A power assembly is separably couplable to the handle assembly. The power assembly includes a power source configured to power the motor and a power management controller in communication with the power source. The power management controller is configured to receive an input signal corresponding to at least one power requirement of the shaft assembly. The power management controller is configured to modulate power output of the power source to the motor to conform the power output with the at least one power requirement of the shaft assembly. | 10-01-2015 |
20150272581 | STERILIZATION VERIFICATION CIRCUIT - The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor in signal communication with the primary processor, and a segmented circuit comprising a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments comprising a storage verification segment configured to indicate when a surgical instrument has been properly stored and sterilized. | 10-01-2015 |
20150272580 | VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT - The present disclosure provides a power assembly including a housing configured to couple to a surgical instrument. The housing includes at least two electrical contacts. A power source is coupled to the at least two electrical contacts. The power source is configured to provide power to the surgical instrument and a usage cycle circuit is configured to monitor one or more conditions of the power assembly and maintain a usage cycle count. | 10-01-2015 |
20150272579 | MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES - An interchangeable shaft assembly for a surgical instrument that includes first and second drive systems. The interchangeable shaft assembly is configured for removable attachment to a housing of the surgical instrument. Various embodiments include a latch system that enables the interchangeable shaft assembly to be detached from the housing when the first drive system is unactuated but prevents the interchangeable shaft assembly from being detached from the housing when the first drive system is in an actuated position. | 10-01-2015 |
20150272578 | SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR - The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor in signal communication with the primary processor, the safety processor, and a segmented circuit. The segmented circuit includes a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments is configured to control one or more operations of the surgical instrument. The safety processor is configured to monitor one or more parameters of the plurality of circuit segments. | 10-01-2015 |
20150272575 | SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM - A surgical instrument can comprise a handle, a shaft assembly, a first sensor configured to detect a condition of the surgical instrument, and a second sensor configured to detect the condition of the surgical instrument. The surgical instrument can further comprise a processor, wherein the first sensor and the second sensor are in signal communication with the processor, wherein the processor receives a first signal from the first sensor, wherein the processor receives a second signal from the second sensor, wherein the processor is configured to utilize the first signal and the second signal to determine the condition, and wherein the processor is configured to communicate instructions to the surgical instrument in view of the condition. | 10-01-2015 |
20150272574 | POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL - The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor in signal communication with the primary processor, and a segmented circuit. The segmented circuit includes a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments includes a power segment. The safety processor is configured to transition the primary processor and at least one of the plurality of circuit segments from an active mode to a sleep mode and from the sleep mode to the active mode. | 10-01-2015 |
20150272572 | INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS - A surgical instrument for use by an operator in a surgical procedure includes an elongate shaft, an end effector extending from the elongate shaft, and a control system. The end effector is articulatable relative to the elongate shaft between a home state position and an articulated position. The control system includes a processor and a memory coupled to the processor to store program instructions. The processor can alert the operator when the end effector reaches the home state position from the articulated position. | 10-01-2015 |
20150272571 | SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION - A surgical instrument can comprise a handle, a movable input, and an analog sensor configured to detect the position of the movable input, wherein the analog sensor is configured to produce an analog signal comprising analog data. The surgical instrument can further comprise a microcontroller comprising an input channel, wherein the analog sensor is in signal communication with the input channel, wherein the microcontroller is configured to compare the analog data to a reference value, and wherein the microcontroller is configured to produce a digital signal in response to the comparison. | 10-01-2015 |
20150272570 | SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS - In various instances, the surgical instrument can include a data storage protocol and/or at least one security feature. The surgical instrument can include a locking circuit, for example. In various instances, the surgical instrument can include sensors and/or magnets for detecting various characteristics of the surgical instrument, surgical operation, and/or surgical site. The surgical instrument can require a temporary access code for operating and/or can be selected for connection to an external display. A surgical system can include a first modular component, a second modular component, and a feedback system. The feedback system can include an engagement sensor, which can detect the engagement and/or degree of engagement of the first modular component and the second modular component. | 10-01-2015 |
20150272569 | FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS - The present disclosure provides a surgical instrument including an end effector, a drive member movable to effectuate a motion in said end effector, a motor operable to move the drive member to effectuate the motion in the end effector and a bailout assembly operable to perform a mechanical bailout of the surgical instrument in response to a bailout error. The bailout assembly includes a bailout door, a bailout handle accessible through the bailout door. The bailout handle is operable to move the drive member to effectuate a bailout motion in the end effector. A controller includes a memory and a processor coupled to the memory. The processor is configured to detect the bailout error. The processor is programmed to stop the motor in response to the detection of the bailout error. | 10-01-2015 |
20150272557 | MODULAR SURGICAL INSTRUMENT SYSTEM - A method for updating a component of a modular surgical instrument. The method can comprise comparing control modules and/or control systems of various modular components of a surgical system. For example, if corresponding control modules are different, at least one of the control modules can be updated and/or overwritten. If corresponding control modules have different effective dates, the outdated control module can be updated and/or overwritten, for example. | 10-01-2015 |
20150265347 | DETECTING SHORT CIRCUITS IN ELECTROSURGICAL MEDICAL DEVICES - Various embodiments are directed to an electrosurgical systems and methods for providing an electrosurgical signal to a patient. An electrosurgical signal defining a plurality of pulses may be provided to first and second electrodes. A first reading may be received indicating an impedance between the first and second electrodes taken at a first point of a first pulse of the electrosurgical signal. A second reading may indicate the impedance a first point of a second pulse of the electrosurgical signal, where the first point of the first pulse and the first point of the second pulse are at equivalent positions within the first and second pulses. Based on a comparison of the first reading and the second reading, a short circuit may be determined and a signal indicating the short circuit may be generated. | 09-24-2015 |
20150248613 | Systems and Methods for Predicting Metabolic and Bariatric Surgery Outcomes - Various systems and methods for predicting metabolic and bariatric surgery outcomes are provided. The systems and methods can also provide predictions for non-surgical metabolic and bariatric treatments. In general, a user can receive predictive outcomes of multiple bariatric procedures that could be performed on a patient. In one embodiment, a user can electronically access a metabolic and bariatric surgery outcome prediction system, e.g., using one or more web pages. The system can provide predictive outcomes of one or more different bariatric surgeries for the patient based on data gathered from the user and on historical data regarding outcomes of the different bariatric surgeries. The system can additionally provide predictive outcomes for not having any treatment and/or a comparison of the predictive outcomes of the one or more different bariatric surgeries to the predictive outcomes for not having any treatment. | 09-03-2015 |
20150239180 | IMPLANTABLE LAYERS AND METHODS FOR ALTERING ONE OR MORE PROPERTIES OF IMPLANTABLE LAYERS FOR USE WITH FASTENING INSTRUMENTS - A method is disclosed for changing the spring rate of an implantable layer for use with a surgical instrument which includes the steps of obtaining an implantable layer having a first spring rate, wherein the implantable layer is at least partially comprised of a material having a glass transition temperature and a melting temperature, heating the implantable layer to a temperature higher than the glass transition temperature and lower than the melting temperature, deforming the implantable layer to change the first spring rate to a second spring rate, wherein the second spring rate is different than the first spring rate, allowing the implantable layer to cool below the glass transition temperature, and releasing the implantable layer. | 08-27-2015 |
20150238191 | IMPLANTABLE LAYERS COMPRISING A PRESSED REGION - A staple cartridge is disclosed which includes a cartridge body, a plurality of staples removably stored, at least partially, within the cartridge body, and an implantable layer. The implantable layer can include a first portion, a second portion spaced apart from the first portion, and a third portion intermediate the first portion and the second portion, the third portion including a pressed region. | 08-27-2015 |
20150238188 | IMPLANTABLE LAYERS AND METHODS FOR MODIFYING THE SHAPE OF THE IMPLANTABLE LAYERS FOR USE WITH A SURGICAL FASTENING INSTRUMENT - A method is disclosed for altering an implantable layer for use with a surgical instrument which includes the steps of obtaining an implantable layer comprised at least partially from a material including a glass transition temperature and a melting temperature, wherein the implantable layer includes a first shape, heating the material to a temperature higher than the glass transition temperature and lower than the melting temperature, manipulating the implantable layer to a second shape different than the first shape, allowing the material to cool below the glass transition temperature, and releasing the implantable layer. | 08-27-2015 |
20150238187 | IMPLANTABLE LAYER ASSEMBLIES - An end effector for use with a surgical instrument is disclosed which includes a staple cartridge comprising a cartridge body, a plurality of staples, and a longitudinal slot extending longitudinally along a length of the cartridge body. The longitudinal slot includes a first side and a second side opposite the first side. In addition, the end effector includes a cutting member slidably movable along the longitudinal slot and an implantable assembly which includes a first layer and a second layer, wherein the second layer includes a first portion and a second portion spaced apart from the first portion, and wherein the first layer is attached to the first portion and the second portion. | 08-27-2015 |
20150238186 | FASTENING SYSTEM COMPRISING A FIRING MEMBER LOCKOUT - A fastener cartridge assembly for use with a surgical instrument is disclosed. The fastener cartridge assembly can include a cartridge body, a plurality of fasteners removably stored within the cartridge body, and an implantable layer. The fastener cartridge assembly and/or the surgical instrument can include a lockout system configured to deactivate the fastener cartridge assembly and/or surgical instrument in the event that the implantable layer is prematurely removed from the fastener cartridge. | 08-27-2015 |
20150238185 | IMPLANTABLE LAYERS AND METHODS FOR ALTERING IMPLANTABLE LAYERS FOR USE WITH SURGICAL FASTENING INSTRUMENTS - A method is disclosed for altering a implantable layer which includes the steps of obtaining an implantable layer comprising a surface at least partially comprised from a material with a glass transition temperature and a melting temperature, heating the surface to a temperature higher than the glass transition temperature and lower than the melting temperature, manipulating the surface, allowing the manipulated surface to cool below the glass transition temperature, and releasing the surface. | 08-27-2015 |
20150223809 | DELIVERABLE SURGICAL INSTRUMENT - In various embodiments, a shaftless end effector is disclosed. The end effector can comprise an anvil assembly including a staple forming surface. The end effector can also comprise a staple cartridge channel configured to receive a staple cartridge therein. The end effector can include a closure system configured to close the anvil. In various instances, the closure system can also form the staples contained within the staple cartridge. The end effector can also include a cutting member configured to cut tissue positioned intermediate the anvil and the staple cartridge. In various instances, the cutting member can be actuated by the closure system. In other instances, the end effector can include an independent system for actuating the cutting member. In various instances, the end effector can be delivered to a surgical site through a trocar and then operated by one or more actuators that are assembled to the end effector. | 08-13-2015 |
20150201953 | DEVICE TRIGGER DAMPENING MECHANISM - In various embodiments, a surgical instrument comprising a handle assembly, a shaft assembly, and an end effector are disclosed. In one embodiment, the handle assembly comprises a closure trigger and a yoke coupled to the closure trigger. Actuation of the closure trigger drives the yoke longitudinally in a first direction. A closure spring is coupled to the yoke. Longitudinal movement of the yoke in the first direction compresses the closure spring. A directional return stroke damper is coupled to the yoke. The directional return stroke damper is configured to provide a dampening force to longitudinal movement of the yoke in a second direction. A shaft assembly comprising a proximal end and a distal end is coupled to the handle. An end effector comprising a first jaw member and a second jaw member is coupled to the distal end of the shaft assembly. | 07-23-2015 |
20150190189 | HARVESTING ENERGY FROM A SURGICAL GENERATOR - Various embodiments are directed surgical devices and systems and methods for use with a surgical device to harvest energy from a surgical generator. The surgical device may comprise an energy storage device. The energy storage device may be in electrical communication with a surgical generator connection to provide energy from a surgical generator to charge the energy storage device and in electrical communication with at least one load component to be powered by the energy storage device. The surgical device may also comprise an end effector at least one energy element for treating tissue. The at least one energy element may be in electrical communication with the surgical generator connection to provide a therapeutic drive signal to the energy element. | 07-09-2015 |
20150182250 | COUPLING FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT - A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The body comprises a pivotal trigger. The shaft couples the end effector and the body together. The end effector comprises a clamp arm and an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue. Pivotal movement of the trigger causes movement of the clamp arm. The shaft is operable to be selectively coupled and decoupled from the ultrasonic transducer. The apparatus comprises electro-mechanical means for coupling and decoupling the shaft from the ultrasonic transducer, and may further comprise means for preventing movement of the shaft as it is coupled to the ultrasonic transducer. | 07-02-2015 |
20150173789 | SURGICAL INSTRUMENTS WITH ARTICULATABLE SHAFT ARRANGEMENTS - A surgical instrument that can comprise a surgical end effector that is configured to perform at least one surgical procedure upon application of at least one control motion thereto. The surgical instrument may further include an elongated shaft assembly that defines a longitudinal tool axis and is operably coupled to the surgical end effector. The elongated shaft assembly may operably support at least one control component and include a flexible articulation portion for facilitating articulation of the surgical end effector relative to the longitudinal tool axis. The flexible articulation portion may comprise a longitudinally-extending, elongated articulation spine that includes a plurality of ribs that extend from each lateral side of the articulation spine. Each rib may include at least one anti-twist feature for preventing the flexible articulation portion from twisting about the longitudinal tool axis during articulation of the surgical end effector. | 06-25-2015 |
20150173762 | FASTENER CARTRIDGE COMPRISING A FIRING MEMBER INCLUDING FASTENER TRANSFER SURFACES - A fastener cartridge can comprise a cartridge body including a plurality of fastener cavities and a plurality of fasteners removably stored therein. The fastener cartridge can further comprise a firing member including a first ramp surface and a second ramp surface which can be configured to co-operatively lift and eject the fasteners from the fastener cavities. The first ramp surface can initially lift the fasteners. The second ramp surface can then complete the lift of the fasteners. In such circumstances, the fasteners can be transferred from the first ramp surface to the second ramp surface of the firing member. In various circumstances, the first ramp surface and/or the second ramp surface can directly engage the fasteners. In other circumstances, the fastener cartridge can include fastener drivers which are directly lifted by the first ramp surface and/or the second ramp surface. The fastener cartridge can further include an anvil. | 06-25-2015 |
20150173761 | FASTENER CARTRIDGE COMPRISING A FIRING MEMBER CONFIGURED TO DIRECTLY ENGAGE AND EJECT FASTENERS FROM THE FASTENER CARTRIDGE - A fastener cartridge can comprise a cartridge body including a deck and a plurality of fastener cavities, wherein each fastener cavity includes an opening in the deck. The fastener cartridge can further comprise a plurality of fasteners, wherein each fastener is at least partially stored within a fastener cavity and a firing member movable between a first position and a fired position to eject the fasteners from the fastener cavities. The firing member can comprise a ramp configured to directly engage the fasteners and lift each fastener between an unlifted position and a lifted position, and wherein the lifted position is located completely above the deck. The fastener cartridge can further comprise an anvil wherein the ramp is configured to overdrive the fasteners against the anvil. | 06-25-2015 |
20150173760 | FASTENER CARTRIDGE COMPRISING AN EXTENDABLE FIRING MEMBER - A fastener cartridge for use with a surgical instrument is disclosed. The fastener cartridge and/or surgical instrument can include an anvil. The fastener cartridge can comprise a cartridge body including a deck and a plurality of fastener cavities. The fastener cartridge can comprise fasteners at least partially stored within the fastener cavities, and a firing member configured to move the fasteners toward the anvil. The firing member can comprise a first ramp and a second ramp configured to lift the fasteners toward the anvil, and means for extending the first ramp relative to the second ramp. The fastener cartridge can further comprise means for retracting the first ramp relative to the second ramp. In various instances, the first ramp and/or the second ramp can directly lift the fasteners. In certain instances, the fastener cartridge can include fastener drivers which are directly lifted by the first ramp and/or the second ramp. | 06-25-2015 |
20150173756 | SURGICAL CUTTING AND STAPLING METHODS - Surgical methods for cutting and fastening tissue are disclosed. The methods may include employing a surgical end effector that includes a pair of jaws wherein an upper jaw is movable relative to a lower jaw that supports a surgical fastener cartridge. The methods may include manipulating the end effector to a compact configuration to facilitate its insertion through a trocar port and then manipulating and actuating the end effector to treat target tissue. | 06-25-2015 |
20150173755 | SURGICAL CUTTING AND STAPLING INSTRUMENTS WITH ARTICULATABLE END EFFECTORS - Surgical instruments and end effectors therefor are disclosed. In various implementations, the surgical instrument includes an elongated shaft assembly that defines a longitudinal tool axis. An elongated channel of an end effector is movably coupled to the elongated shaft assembly for selective pivotal travel about a pivot axis that is transverse to the longitudinal tool axis upon application of articulation motions thereto. The elongated channel may be configured to operably support a surgical staple cartridge. An anvil assembly is pivotally coupled to the elongated channel for selective pivotal travel relative thereto between open and closed positions about the pivot axis upon application of closing and opening motions thereto. In some implementations, the anvil assembly comprises a two part assembly. | 06-25-2015 |
20150173751 | SURGICAL STAPLES, STAPLE CARTRIDGES AND SURGICAL END EFFECTORS - A surgical staple. The staple can define a seamless unitary piece. In various instances, the staple can be formed and/or stamped from a sheet of material. The staple can include a base and staple legs. A staple drive surface can be integrally formed in the base, and a sled can directly contact the staple drive surface to directly drive the staple. | 06-25-2015 |
20150173750 | SURGICAL STAPLES AND METHODS FOR MAKING THE SAME - A surgical staple and staple cartridge for removably storing the surgical staple. The staple can be formed and/or stamped from a sheet of material. The staple can include a base and staple legs extending from the base. The base can be non-linear and/or laterally contoured intermediate the staple legs. | 06-25-2015 |
20150173749 | SURGICAL STAPLES AND STAPLE CARTRIDGES - A surgical staple and staple cartridge for removably storing the surgical staple. The surgical staple can comprise staple legs positioned in a staple leg plane and a staple base. An intermediate portion of the staple base can be laterally offset from the staple leg plane, and/or the center of mass of the staple can be laterally offset from the staple leg plane. The surgical staple can be formed and/or stamped from a sheet of material. | 06-25-2015 |
20150173747 | MODULAR SURGICAL INSTRUMENTS - A surgical instrument equipped with a coupler arrangement for coupling end effectors to an elongated shaft assembly of the surgical instrument. The end effectors may include a pair of jaws in the form of a carrier supporting a surgical staple cartridge and an anvil. The anvil is movable relative to the carrier in opening and closing directions. The end effector may include an articulation joint that facilitates pivotal travel of the carrier and anvil as a unit relative to the elongated shaft assembly in the same directions in which the anvil is opened and closed relative to the carrier. | 06-25-2015 |
20150173746 | SURGICAL CUTTING AND STAPLING INSTRUMENTS WITH INDEPENDENT JAW CONTROL FEATURES - Surgical instruments and end effectors therefor are disclosed. In various implementations, the surgical instrument includes a surgical end effector that comprises a lower jaw and an upper jaw that are supported for movable travel toward and away from each other. The instrument may further include a firing member that is operably supported for selective operable travel within the surgical end effector. The instrument may also include a first jaw closure system that operably interfaces with the lower jaw and is configured to selectively move the lower jaw relative to the upper jaw. A second jaw closure system operably interfaces with the upper jaw and is configured to selectively move the upper jaw relative to the lower jaw. A firing system operably interfaces with the firing member and is configured to apply firing motions to the firing member to move the firing member within the end effector. | 06-25-2015 |
20150173745 | ARTICULATABLE SURGICAL INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSING AND FIRING SYSTEMS - A surgical instrument that has an articulatable end effector that includes a second jaw that is selectively moveable in a first direction relative to a first jaw upon application of a closing motion to the second jaw from a closure system and is further movable in a second direction relative to the first jaw upon application of an opening motion to the second jaw from the closure system. An elongated shaft assembly is coupled to the end effector and defines a longitudinal tool axis. The end effector is selectively articulatable in the first and second directions relative to the longitudinal tool axis upon application of articulation motions to the end effector. The end effector may include a firing member that is operable in response to firing motions applied thereto from a firing system. The closing system and firing system may be selectively independently operable from each other. | 06-25-2015 |
20150173744 | SURGICAL STAPLES AND STAPLE CARTRIDGES - A surgical staple and staple cartridge for removably storing the surgical staple. The surgical staple can comprise a plurality of separate and discrete staple drive surfaces. The staple drive surfaces can be configured to move along parallel paths in the staple cartridge. Additionally, the staple cartridge can comprise a staple cavity, and a plurality of lift planes can extend through the staple cavity. | 06-25-2015 |
20150142033 | ULTRASONIC SURGICAL INSTRUMENT WITH FEATURES FOR FORMING BUBBLES TO ENHANCE CAVITATION - An ultrasonic element comprises an ultrasonic transducer and a head or blade. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The head or blade is in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically. The head or blade has a curved distal face. The curved distal face defines a proximally extending concave curve. The transducer and head or blade may be driven using a control logic that is configured to cause the ultrasonic transducer to generate a first vibration set followed by a second vibration set. The first vibration set is configured to generate microbubbles in a fluid. The second vibration set is configured to grow microbubbles generated by the first vibration set. The control logic may provide a pause between the first vibration set and the second vibration set. | 05-21-2015 |
20150142032 | SURGICAL INSTRUMENT WITH ACTIVE ELEMENT AND SUCTION CAGE - A surgical system comprises an end effector for operating on tissue and a screen positioned around the end effector. The screen is fluidly coupled with a suction source by a conduit such as a tube. The screen is configured to communicate suction through the screen while preventing tissue from contacting the end effector. The screen is further configured to retract proximally relative to the end effector to thereby expose the end effector. | 05-21-2015 |
20150142031 | ULTRASONIC SURGICAL INSTRUMENT WITH INTEGRAL BLADE CLEANING FEATURE - An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. The shaft assembly comprises a feature to provide for the removal of surgical debris (e.g. tissue, coagulated blood, etc.), body fluid, etc. from the shaft assembly. The feature may remove the surgical debris, body fluid, etc. from a cavity within the shaft assembly. The feature may also prevent the collection of surgical debris, body fluid, etc. within the shaft assembly. | 05-21-2015 |
20150141981 | ULTRASONIC SURGICAL INSTRUMENT WITH ELECTROSURGICAL FEATURE - A surgical instrument system includes an end effector, a generator, and a controller. The end effector includes an ultrasonic blade and at least one electrode surface. The generator provides power to the end effector. The end effector applies ultrasonic energy to tissue via the blade or RF energy to tissue via the at least one electrode surface. The controller is configured to select between one or both of ultrasonic energy or RF energy, and thereby control the generator to provide the selected one or both of ultrasonic energy or RF energy at the end effector, based on a sensed operating condition of the end effector. The controller may select between ultrasonic energy and RF energy based on whether a clamp arm is in an open position relative to the blade, based on which button is being activated, and based on whether tissue is sensed at the end effector. | 05-21-2015 |
20150134077 | SEALING MATERIALS FOR USE IN SURGICAL STAPLING - Implantable materials for use with end effectors like surgical stapling devices, and methods associated with the operation of such end effectors, are provided herein. In one exemplary embodiment, a tissue reinforcement material is releasably retained on a portion of a surgical stapler end effector for delivery to tissue upon deployment of staples. The tissue reinforcement material comprises a plurality of fibers having an arrangement configured to compress and seal around a fastener component inserted therethrough. Other implants, devices, and methods for surgical stapling are also provided. | 05-14-2015 |
20150133921 | ELECTROSURGICAL DEVICES - In one embodiment, a surgical instrument comprises a handle assembly. The handle assembly comprises a closure trigger defining an energy button hole, an energy button located within the energy button hole, and a firing trigger. A shaft assembly is coupled to the handle assembly and comprises an outer tube, a closure actuator coupled to the closure trigger, and a firing actuator operatively coupled to the firing trigger. An end effector is coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly having a proximal end and a distal end. The jaw assembly comprises a first and a second jaw member. The first and second jaw members define a longitudinal slot. The closure actuator is coupled to the first jaw member to pivotally move the first jaw member from an open position to a closed position. A cutting member is deployable within the longitudinal slot. | 05-14-2015 |
20150133915 | ELECTROSURGICAL DEVICES - In various embodiments, a surgical instrument is disclosed. In one embodiment, the surgical instrument comprises a handle, a shaft assembly extending distally from the handle; and an end effector coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly having a proximal end and a distal end. The jaw assembly comprises a moveable jaw member and a fixed jaw member. The moveable jaw member is pivotably moveable between an open position and a closed position with respect to the fixed jaw member. In the closed position, the jaw assembly defines a radius of curvature and a smooth taper from the proximal end to the distal end. | 05-14-2015 |
20150119849 | METHODS AND DEVICES FOR ACTIVATING BROWN ADIPOSE TISSUE WITH COOLING - Methods and devices are provided for activating brown adipose tissue (BAT) with cooling. Generally, the methods and devices can activate BAT to increase thermogenesis, e.g., increase heat production in the patient, which over time can lead to weight loss and/or improved metabolic function. In one embodiment, a medical device is provided that activates BAT by cooling tissue having a high density of cold sensitive thermoreceptors and/or by cooling BAT depots directly, thereby increasing thermogenesis in the BAT and inducing weight loss and/or improved metabolic function through energy expenditure. | 04-30-2015 |
20150112335 | ELECTROSURGICAL DEVICES WITH FLUID FLOW CONTROL - 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. | 04-23-2015 |
20150080891 | ELECTROSURGICAL (RF) MEDICAL INSTRUMENTS FOR CUTTING AND COAGULATING TISSUE - An electrosurgical device is disclosed. The electrosurgical device includes a handle, a shaft extending distally from the handle, and an end effector coupled to a distal end of the shaft. The end effector comprises a first electrode and a second electrode. The second electrode includes a first position and a second position. The second electrode is configured to move from the first position to the second position when a force is applied to the end effector by a tissue section. The first electrode and the second electrode define a treatment area when the second electrode is in the second position. | 03-19-2015 |
20150080879 | INTEGRATED SYSTEMS FOR ELECTROSURGICAL STEAM OR SMOKE CONTROL - A medical device includes an end effector configured to apply bipolar energy to target tissue along a working portion thereof and a fluid control system to control the flow of a fluid produced when the end effector applies the bipolar energy to heat the target tissue. The fluid control system includes a fluid path element defining a fluid path, a distal fluid port configured to intake the fluid adjacent to the working portion of an end effector for transport through the fluid path, and a proximal fluid port configured to intake the fluid transported through the fluid path and to exhaust the transported fluid. | 03-19-2015 |
20150066022 | SURGICAL DEVICES WITH CLOSE QUARTER ARTICULATION FEATURES - The disclosure provides various apparatuses comprising a shaft section extending longitudinally along a first plane. An end effector comprises a first jaw and a second jaw configured to pivotally open and close in a second plane relative to the first plane about a pivot point. The first plane is orthogonal to the second plane. An articulation section is disposed between the shaft section and the end effector. The articulation section is configured to articulate in the second plane relative to the first plane in response to a rotatable articulation control mechanism. Also disclosed are configuration where at least one of the first and second jaws comprises an electrode. Also disclosed are configurations in which the end effector pivots and articulates about the same pivot point. | 03-05-2015 |
20150054753 | INTERACTIVE DISPLAYS - An interactive display. The interactive display can include a first layer of information and a second layer of information. The first layer of information can include video feedback of a surgical instrument as viewed by an endoscope. The second layer of information can include a control panel, feedback measured and/or sensed by the surgical instrument, and/or controls for controlling the surgical instrument. A user can interface with the interactive display via a touch screen. | 02-26-2015 |
20150053749 | CLOSURE INDICATOR SYSTEMS FOR SURGICAL INSTRUMENTS - A surgical instrument system can comprise a surgical instrument and an end effector, wherein the end effector can comprise a distal end, a proximal connection portion configured to attach the end effector to the surgical instrument, a first jaw, and a second jaw movable relative to the first jaw, wherein the second jaw is movable between an open orientation, a partially-closed orientation, and a closed orientation. The end effector can further comprise at least one sensor configured to detect the orientation of the second jaw and an array of indicators configured to simulate the orientation of the second jaw. | 02-26-2015 |
20150053748 | SECONDARY BATTERY ARRANGEMENTS FOR POWERED SURGICAL INSTRUMENTS - A power system, for powering a surgical instrument including an end effector and a motor configured to generate at least one motion to effectuate the end effector, includes a primary power source configured to supply a first power to operate the surgical instrument, wherein the primary power source is detachable from the surgical instrument, a secondary power source configured to supply a second power to operate the surgical instrument when the primary power source is detached from the surgical instrument, wherein the secondary power source is rechargeable, and wherein the primary power source is configured to charge the secondary power system, and a power management circuit configured to selectively transmit the first power from the primary power source and the secondary power from the secondary power source to operate the surgical instrument. | 02-26-2015 |
20150053746 | TORQUE OPTIMIZATION FOR SURGICAL INSTRUMENTS - A control system having speed management control. The control system can be in signal communication with a battery, and the battery can be coupled to a motor. The speed management control can include a pulse width modulation circuit, which can control the duration of pulses supplied from the battery to the motor. The motor can include a primary set of coils and a secondary set of coils. The control system can direct surplus current to the secondary set of coils to maximize the torque generated by the motor. | 02-26-2015 |
20150053745 | CONDUCTOR ARRANGEMENTS FOR ELECTRICALLY POWERED SURGICAL INSTRUMENTS WITH ROTATABLE END EFFECTORS - A surgical instrument that includes a housing that has an elongated shaft assembly attached thereto that is configured to be rotated relative to the housing. The surgical instrument further includes a conductor arrangement that facilitates transfer of electrical power or current from a power source which may be located in the housing or external to the housing to a distal portion of the elongated shaft assembly or to a surgical end effector coupled thereto. The surgical instrument may further include a travel limiting arrangement for limiting the amount of rotary travel of the elongated shaft assembly relative to the housing to a predetermined range of rotary travel. | 02-26-2015 |
20150053744 | MOTOR-POWERED ARTICULATABLE SURGICAL INSTRUMENTS - A motor driven surgical instrument that includes a surgical end effector configured to perform at least one surgical procedure in response to firing motions applied thereto from a firing system. The surgical instrument further includes an articulation system that is configured to facilitate articulation of the end effector relative to an elongated tool axis. The instrument further includes a coupler assembly configured to enable the motor to selectively power the firing system and the articulation system. | 02-26-2015 |
20150053743 | ERROR DETECTION ARRANGEMENTS FOR SURGICAL INSTRUMENT ASSEMBLIES - A surgical instrument system can comprise an end effector comprising, one, stored data regarding parameters of the end effector and, two, a stored checksum. The system can further comprise a surgical instrument which can comprise means for ascertaining the stored data and the stored checksum, calculating a calculated checksum using the stored data, and comparing the calculated checksum to the stored checksum, wherein the surgical instrument is configured to generate an error response if the calculated checksum does not match the stored checksum. An end effector can comprise a start bit, stored data regarding the end effector, and an end bit which can be transmitted to the surgical instrument. The surgical instrument can be configured to identify the start bit and the end bit and generate an error response if at least one of the start bit and the end bit are not identified. | 02-26-2015 |
20150053742 | FIRING TRIGGER LOCKOUT ARRANGEMENTS FOR SURGICAL INSTRUMENTS - A surgical instrument system can comprise, one, a surgical instrument including a handle, a shaft comprising a distal end, and a trigger and, two, an end effector attachable to the shaft. The instrument can further include a firing member and a motor configured to move the firing member toward the distal end, wherein the trigger is configured to operate the motor. The surgical instrument system can further include a plurality of sensors configured to detect one or more error conditions, a plurality of indicators, and a controller in communication with the plurality of sensors and the indicators, wherein the controller is configured to selectively activate the indicators to indicate the error conditions detected. A surgical instrument can comprise a plurality of actuators and a plurality of actuator locks, wherein the controller can actuate one or more of the actuator locks to indicate the error condition detected. | 02-26-2015 |
20150053741 | TAMPER PROOF CIRCUIT FOR SURGICAL INSTRUMENT BATTERY PACK - A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached. | 02-26-2015 |
20150053740 | ATTACHMENT PORTIONS FOR SURGICAL INSTRUMENT ASSEMBLIES - A connection portion for attaching a disposable loading unit to the shaft of a surgical instrument. The connection portion can include a rotatable collar, which can be rotated relative to the disposable loading unit and the shaft. The connection can include a spring for biasing the collar and/or the disposable loading unit into a locked orientation. | 02-26-2015 |
20150053739 | FIRING MEMBER RETRACTION DEVICES FOR POWERED SURGICAL INSTRUMENTS - A surgical instrument that includes a motor-powered drive unit that drives a portion of a firing member assembly in an axial direction to actuate a surgical end effector coupled to the instrument. The instrument may further include a retraction system configured to interact with the firing member assembly to permit a clinician to manually retract the portion of the firing member assembly should it become jammed or inadvertently stopped during a firing process. The surgical instrument includes a locking arrangement that interfaces with the retraction system and the motor-powered drive unit to prevent the transfer of the retraction forces generated by the retraction system to the motor shaft without physically separating portions of the motorized drive unit. | 02-26-2015 |
20150053738 | SHROUD RETENTION ARRANGEMENT FOR STERILIZABLE SURGICAL INSTRUMENTS - A surgical instrument comprises a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing comprises a first shroud portion, a second shroud portion, a working assembly nested in the first shroud portion, wherein the working assembly is detachable from the first shroud portion, wherein the second shroud portion is removably couplable to the first shroud portion to permit the working assembly to be detached from the first shroud portion, and at least one securing member movable to secure the working assembly to the first shroud portion. | 02-26-2015 |
20150053737 | END EFFECTOR DETECTION SYSTEMS FOR SURGICAL INSTRUMENTS - A surgical instrument system can comprise a surgical instrument, a first end effector, and a second end effector, wherein the end effectors are attachable to the surgical instrument. The first end effector can comprise a first set of stored data pertaining to the first end effector, wherein the surgical instrument is configured to ascertain the first set of data and enter a first operating state. The second end effector can comprise a second set of stored data pertaining to the second end effector, wherein the surgical instrument is configured to ascertain the second set of data and enter a second operating state. The surgical instrument is further configured to enter a default operating state if said surgical instrument is unable to ascertain a set of stored data from an end effector. | 02-26-2015 |
20150045850 | DEVICES AND METHODS FOR THE TREATMENT OF METABOLIC DISORDERS - An implantable system for stimulating the release of satiety hormone in a subject comprises a stimulus device ( | 02-12-2015 |
20150038987 | Applier For Anchoring A Lining To A Hollow Organ - The present invention relates generally to medical apparatuses and methods and more particularly to devices and methods for positioning and anchoring a lining to a hollow body organ, such as a stomach, intestine or gastrointestinal tract. | 02-05-2015 |
20140352463 | POWER MODULE FOR USE WITH A SURGICAL INSTRUMENT - A surgical instrument, in at least one form, includes an end effector and a power module. The power module may include a first motion conversion assembly. The first motion conversion assembly includes a first rotary drive and a first axial drive operably coupled to the first rotary drive. The power module may further include a second motion conversion assembly which may include a second rotary drive and a second axial drive operably coupled to the second rotary drive. The power module may further include a motor configured to generate at least one rotational motion to actuate the end effector and a transmission assembly configured to selectively engage the motor with the first rotary drive and the second rotary drive, wherein the motor is concentrically arranged with the first rotary drive and the second rotary drive. | 12-04-2014 |
20140336698 | SURGICAL INSTRUMENT WITH SPLIT JAW - An apparatus for operating on tissue includes an end effector having a first jaw and a second jaw that pivots relative to the first jaw from a closed position to an open position. The second jaw includes a first portion and a second portion that pivots relative to the first portion. The second portion is positioned adjacent to the first portion of the second jaw when the second jaw is in the closed position. The first and second portions of the second jaw pivot outwardly as the second jaw is pivoted from the closed position to the open position. | 11-13-2014 |
20140330161 | INTERCHANGEABLE TOOLS FOR SURGICAL INSTRUMENTS - A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom. | 11-06-2014 |
20140316338 | Pleated Trocar Seal - A trocar seal comprising an elastomeric membrane having an opening adapted to receive a surgical instrument. The membrane is configured with a plurality of pleats circumscribing the opening and extending laterally from opening. The pleats comprise a plurality of pleat walls increasing in height as the pleats extend laterally from the opening. In one embodiment, the pleats are conically arranged. | 10-23-2014 |
20140309670 | METHOD AND APPARATUS FOR JOINING HOLLOW ORGAN SECTIONS IN ANASTOMOSIS - An apparatus is operable to provide an anastomosis coupling two hollow organs, such as a duodenum and ileum. The apparatus includes a first component that is inserted through an enterotomy in a first hollow organ and a second component that is inserted through an enterotomy in a second hollow organ. The first and second components are brought together to o align the enterotomies and compress apposed layers of tissue adjacent to the enterotomies. The compressed tissue eventually necroses and the apparatus may be removed or simply pass through the hollow organ. Each component may include a set of pivoting links and a resilient member that is configured to both bias the links to an expanded configuration and grip the tissue adjacent to the enterotomy. The components may include magnets that secure the positioning of the components relative to each other and provide a compressive force on the apposed tissue. | 10-16-2014 |
20140309666 | POWERED LINEAR SURGICAL STAPLER - A surgical instrument can comprise a first jaw, a second jaw comprising a fastener cartridge, and a closing system. The closing system can comprise a closure member configured to engage the first jaw and move the first jaw toward the second jaw. A pivot can pivotably couple the first jaw to the second jaw. The closure member can engage the first jaw at a location which is distal with respect to the pivot. The closure member and the first jaw can include a cam pin/cam slot arrangement which increases the leverage or mechanical advantage that the closure member applies to the first jaw as the first jaw is moved from an open position to a closed position. The surgical instrument can further comprise a first motor configured to operate the closing system and a second motor configured to operate a firing system configured to eject fasteners from the fastener cartridge. | 10-16-2014 |
20140309665 | POWERED SURGICAL STAPLER - A surgical instrument can comprise a handle, a motor, and a shaft extending from the handle. The handle and/or the shaft can define a longitudinal axis. The surgical instrument can further comprise a fastener cartridge comprising a plurality of fasteners removably stored therein, an anvil configured to deform the fasteners, a closure drive configured to move the anvil toward and away from the fastener cartridge which is rotatable about the longitudinal axis, and a firing drive configured to deploy the fasteners from the fastener cartridge which is rotatable about the longitudinal axis. The surgical instrument can further comprise a transmission comprising a first operating configuration which connects the motor to the closure drive and a second operating configuration which connects the motor to the firing drive. | 10-16-2014 |
20140305994 | MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS - Coupling systems for removably coupling dual rotary drive shafts of a surgical instrument to corresponding driven shafts of a surgical end effector. The surgical instrument may include a first rotary drive shaft that includes a first drive shaft axis and a second rotary drive shaft that includes a second drive shaft axis. The second drive shaft axis may be offset from and parallel with the first drive shaft axis. The coupling systems may facilitate simultaneous operable attachment of the first and second drive shafts of the surgical instrument with corresponding first and second driven shafts of a surgical end effector such that rotation of the first drive shaft rotates the first driven shaft and rotation of the second drive shaft rotates the second driven shaft. | 10-16-2014 |
20140305992 | MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS - A surgical end effector for use in connection with a surgical instrument. In one form the end effector includes an end effector housing that is configured for operable attachment to the surgical instrument. A first end effector drive system is configured to linearly move a first end effector actuator between a first linear position and a second linear position in response to first rotary motions applied thereto by the surgical instrument. A second end effector drive system is configured to linearly move a second end effector actuator between a beginning and ending position in response to second rotary motions applied thereto by the surgical instrument. The instrument further includes a status assembly arrangement for provide an indication on the end effector housing of a linear location of at least one of the first and second end effector actuators. | 10-16-2014 |
20140305991 | TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT - A drive system for a surgical instrument is disclosed. The system can comprise a drive assembly, a first output assembly, and a second output assembly. The drive assembly can be coupled to a motor, and can operably transmit a force from the motor to the first output assembly and/or the second output assembly. The drive system can further comprise a shifter assembly, which can shift engagement of the drive assembly between the first output assembly and the second output assembly. A spring-loaded latch for releasably securing a drive member of n handle to a drive member socket of a coupling arrangement in a surgical end effector is also disclosed. | 10-16-2014 |
20140305990 | DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT - A surgical end effector is disclosed. The surgical end effector can comprise a shaft and a pair of jaws. The surgical end effector can further comprise a housing and a drive system, which can be positioned within the housing. The drive system can comprise a proximal assembly and a distal assembly, wherein the proximal assembly can be releasably coupled to the distal assembly by a pin. | 10-16-2014 |
20140305989 | SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT - A surgical instrument can comprise an end effector, a first drive configured to perform a first end effector function, a second drive configured to perform a second end effector function, and a rotatable shaft. The rotatable shaft can comprise a first thread, wherein the first drive is engageable with the first thread to perform the first end effector function, and a second thread, wherein the second drive is engageable with the second thread to perform the second end effector function, and wherein the first thread is at least partially co-extensive with or overlaps the second thread. | 10-16-2014 |
20140305988 | SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION OF THE SURGICAL INSTRUMENT - A surgical instrument system is disclosed. The surgical instrument system can include a handle and a plurality of shafts which can be selectively assembled to the handle. Each shaft can include a system of sensors which can direct the operation of the handle during use. | 10-16-2014 |
20140305987 | MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS - Motor driven surgical instruments that include a first rotary drive system and a second rotary drive system. Various forms include a transmission assembly that is selectively shiftable between a first drive position wherein rotary motion generated by the motor is transferred to the first rotary drive system and a second drive position wherein rotary motion generated by the motor is transferred to the second rotary drive system. Various forms further include a locking assembly configured to mechanically prevent rotation of the second rotary drive system when the transmission assembly is in the first drive position as well as to prevent rotation of the first rotary drive system when the transmission assembly is in the second drive position. | 10-16-2014 |
20140303650 | Surgical Clip Applier Methods - A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. | 10-09-2014 |
20140291382 | FASTENER CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR INCLUDING OPENINGS THEREIN - A fastener cartridge assembly. The fastener cartridge assembly can comprise a cartridge body, a tissue thickness compensator releasably secured relative to the cartridge body, and a fastener removably positioned in a staple cavity of the cartridge body. The tissue thickness compensator can comprise a first clearance aperture extending along a first predefined trajectory and a second clearance aperture extending along a second predefined trajectory. The fastener can comprise a first leg aligned with the first clearance aperture and moveable along the first predefined trajectory, a second leg aligned with the second clearance aperture and moveable along the second predefined trajectory. The first and second predefined trajectories can be parallel. | 10-02-2014 |
20140291381 | FASTENER CARTRIDGE ASSEMBLIES - A fastener cartridge assembly. The fastener cartridge assembly can comprise a fastener, a cartridge body, and a tissue thickness compensator. The fastener can comprise a base, a first leg extending from the base, and a second leg extending from the base. The cartridge body can comprise a fastener cavity for receiving the fastener and a trajectory control for controlling the trajectory of the first and second legs of the fastener. The fastener can be removable from the fastener cavity along a fastener axis. The trajectory control can extend inwardly toward the fastener axis and can bias the first leg and the second leg toward alignment with the fastener axis when the fastener is positioned in the fastener cavity. | 10-02-2014 |
20140291379 | TISSUE THICKNESS COMPENSATOR COMPRISING A CUTTING MEMBER PATH - A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners. In use, the fastener cartridge can be arranged in a jaw of a surgical fastening device. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward an anvil wherein the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened. The cartridge body can further comprise a first knife path configured to receive a cutting member and the tissue thickness compensator can further comprise a second knife path aligned with the first knife path. The second knife path can comprise different portions configured to apply different resistances to the cutting member as the cutting member is advanced through the fastener cartridge. | 10-02-2014 |
20140277324 | Device For Providing Transdermal Electrical Stimulation at an Adjustable Position on a Head - A device for providing transdermal electrical stimulation at an adjustable position on a head. The device including a supporting member ergonomically shaped and configured to be fixedly supported about an anatomical body part; the supporting member being adjustably positionable in only two directions substantially perpendicular to one another. No electrical stimulation is provided by the supporting member. Alternatively, the device includes at least one pair of electrodes for producing the transdermal electrical stimulation to the head. The electrodes are mounted to a securing member shaped and configured to be releasably securable only about a plurality of strands of hair at a predetermined fixed orientation without being secured about any anatomical body part. | 09-18-2014 |
20140277018 | Percutaneous Instrument and Method - A surgical instrument comprises a housing. A pair of tissue manipulating jaws extend distally from the housing. The jaws have an opened position and a closed position. A driver is slideably positioned in the housing and operatively connected to the jaws. The driver has a tissue piercing end projecting proximally from the housing. A percutaneous instrument comprises inner and outer coaxial shafts each having a proximal end and a distal end. An actuator is connected to the proximal ends of the coaxial shafts. Mating features on the distal ends of the coaxial shafts are adapted to engage the driver and housing. A loader comprises an elongate shaft having a proximal end and a distal end. An actuator is attached to the proximal end of the loader elongate shaft. A tube on the distal end of the loader shaft is adapted to releasably hold the end effector. | 09-18-2014 |
20140276970 | MECHANICAL FASTENERS FOR USE WITH SURGICAL ENERGY DEVICES - A surgical system comprises an end effector including an ultrasonic blade and a capturing arm, wherein the capturing arm is movable to capture tissue against the ultrasonic blade. In addition, the surgical system includes a transducer configured to generate ultrasonic energy for transmission to the ultrasonic blade and a clamping member removably coupled to the end effector, the clamping member configured to clamp the captured tissue. | 09-18-2014 |
20140276736 | Surgical Instrument with Partial Trigger Lockout - 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. | 09-18-2014 |
20140276735 | Tissue Clamping Features of Surgical Instrument End Effector - An apparatus comprises a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is in communication with the shaft assembly. The end effector comprises a first jaw and a second jaw. The second jaw comprises a proximal portion and a distal portion. The second jaw is moveable relative to the first jaw between a first position, a second position, and a third position. The second jaw in the first position is open relative to the first jaw. The second jaw in the second position is positioned such that the distal portion is closer to the first jaw than the proximal portion. The second jaw in the third position is parallel the first jaw. | 09-18-2014 |
20140263572 | SURGICAL STAPLING DEVICE HAVING SUPPORTS FOR A FLEXIBLE DRIVE MECHANISM - The present invention includes a surgical stapler having a staple cartridge, an anvil, a cutting member having a cutting surface, and a driver operably engaged with the cutting member to move the cutting member relative to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can also be configured to receive a portion of the driver operably engaged with cutting member and support the driver when it moves the cutting member. In at least one embodiment, the slot is defined by at least one radius of curvature. | 09-18-2014 |
20140263571 | END EFFECTOR FOR USE WITH A SURGICAL FASTENING INSTRUMENT - A surgical staple including a crown and a deformable member extending from the crown, the deformable member having a notch configured to cause the deformable member to bend at the notch when the staple is deformed from a first shape into a second shape. The crown of the surgical staple, in various embodiments, further includes a forming surface, or anvil, which is configured to deform the deformable member and/or guide a distal end of the deformable member when the distal end contacts the crown. | 09-18-2014 |
20140263565 | DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS - A surgical instrument is disclosed. The surgical instrument may include at least one drive system that is configured to generate control motions upon actuation thereof. At least one drive system defines an actuation axis. The surgical instrument may further include at least one interchangeable shaft assembly that is configured to be removably coupled to the at least one drive system in a direction that is substantially transverse to the actuation axis and transmit the control motions from the at least one drive system to a surgical end effector operably coupled thereto. A lockout assembly may interface with the at least one drive system for preventing actuation of the drive system unless the at least one interchangeable shaft assembly has been operably coupled to the at least one drive system. | 09-18-2014 |
20140263539 | CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS - Surgical instruments and control systems therefor are disclosed. A surgical instrument can comprise: a power circuit comprising a power source and a switch, a microcontroller coupled to the power circuit, a handle comprising an attachment portion, and a control circuit in signal communication with the microcontroller. The attachment portion can comprise a first electrical contact in signal communication with the microcontroller. The control circuit can comprise a sensor configured to detect an attachment state of the attachment portion. The control circuit can communicate the detected attachment state to the microcontroller, and the microcontroller can ignore signals from the first electrical contact when the control circuit communicates a detached state. The attachment portion can comprise a second electrical contact coupled to a second power circuit, and the second power circuit can decouple the second electrical contact and the second power source when the sensor detects the detached state. | 09-18-2014 |
20140259591 | AUTOMATED END EFFECTOR COMPONENT RELOADING SYSTEM FOR USE WITH A ROBOTIC SYSTEM - A surgical instrument. The surgical instrument includes an end effector that comprises a staple channel and an anvil that is movably translatable relative to the staple channel. A tool mounting portion is configured to interface with a robotic system and operably communicate with the end effector. The instrument further includes a first sensor that has an output that represents a first condition of a portion of the robotic system. A second sensor has an output that represents a position of the anvil. A third sensor has an output that represents a position of a reciprocating knife within the end effector. An externally accessible memory device communicates with the first, second and third sensors. | 09-18-2014 |
20140252071 | DETACHABLE MOTOR POWERED SURGICAL INSTRUMENT - A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement. | 09-11-2014 |
20140252069 | DETACHABLE MOTOR POWERED SURGICAL INSTRUMENT - A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement. | 09-11-2014 |
20140252068 | STAPLE CARTRIDGE COMPRISING A RELEASABLE PORTION - A staple cartridge includes a plurality of staples, wherein each said staple comprises a base and a deformable leg extending from said base. The staple cartridge further includes a first region comprising a first density, a second region, and a third region comprising a density greater than said first density, wherein said third region is separable into a plurality of pieces. | 09-11-2014 |
20140252067 | DETACHABLE MOTOR POWERED SURGICAL INSTRUMENT - A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement. | 09-11-2014 |
20140252066 | TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER COMPRISING AN ADJUSTABLE ANVIL - A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened. | 09-11-2014 |
20140249557 | THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS - A thumbwheel control assembly operably supported on the handle assembly of a motor powered surgical instrument. The thumbwheel control assembly communicates with a motor in the handle such that when an actuator portion of the thumbwheel control assembly is pivoted in a first direction, the motor applies a rotary motion to one of an elongate shaft assembly and an end effector coupled thereto in the first direction and when the actuator portion is pivoted in a second direction, the motor applies the rotary motion to one of the elongate shaft assembly and end effector in the second direction. | 09-04-2014 |
20140246479 | SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR - In various forms, a sensor-straightened end effector is disclosed. The sensor-straightened end effector may comprise an end effector coupled to a shaft at an articulation point. The end effector may be articulable at an angle with respect to the shaft. A sensor may be disposed on the sensor-straightened end effector, such as on the shaft or on the end effector. The sensor is configured to detect a gross proximal movement. When detecting a gross proximal movement, the sensor may generate a signal to control a motor to begin a straightening process to straighten the end effector with respect to the shaft. | 09-04-2014 |
20140246478 | MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR SURGICAL INSTRUMENTS - In various forms, the modular motor control system may comprise one or more motor controllers each having an associated motor. The one or more motor controllers may be in communication with a master controller. The master controller is configured to provide control signals to the motor controllers to control the associated motors. In some forms, the one or more motor controllers and the associated motors may be located within a surgical module. The surgical module may provide a communications interface between the master controller and the one or more motor controllers. | 09-04-2014 |
20140246477 | JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS - A joy stick control assembly for operating a motor driven surgical instrument. In at least one form, the joystick control assembly comprises a first switch assembly that is movably supported by a housing. The first switch assembly may include a joystick that is movably mounted thereto such that pivotal movement of the joystick relative to the first switch assembly causes at least one corresponding control signal to be sent to at least one motor communicating therewith. The joystick control assembly may further include a second switch assembly that comprises a first sensor and a second sensor that is movable with the first switch assembly such that movement of the second sensor relative to the first sensor causes at least one other control signal to be sent to another one of the surgical instrument motors. | 09-04-2014 |
20140246476 | SURGICAL INSTRUMENT SOFT STOP - A surgical instrument includes a drive member movable by a drive motor between a home position and an end of stroke. A mechanical stop is disposed at or near the end of stroke and is structured to increase resistance to movement of the drive member from a first position to a second position. A control system detects a current spike associated with the increased resistance and interrupts power to the drive motor. | 09-04-2014 |
20140246475 | CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE IMPLEMENT PORTIONS - A surgical instrument for acting on tissue. The surgical instrument comprises at least one processor, at least one motor in communication with the processor and at least one actuation device. The processor is programmed to receive from a removable implement portion a first variable describing the removable implement. The processor is also programmed to apply the first variable to an instrument control algorithm. Further, the processor is programmed to receive an input control signal from the actuation device and control the at least one motor to operate the surgical instrument in conjunction with the removable implement in accordance with the instrument control algorithm considering the input control signal. | 09-04-2014 |
20140246474 | ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT - A surgical instrument configured to relay a low-power signal from an end effector to a remote device is disclosed. The surgical instrument may comprise a handle, a shaft extending distally from the handle, and an end effector attached to the distal end of the shaft. A sensor may be disposed in the end effector. The sensor may generate a signal indicative of a condition at the end effector. A transmitter may be located in the end effector. The transmitter may transmit the signal from the sensor at a first power level. The signal may be received by a relay station located proximally to the shaft. The relay station is configured to retransmit the signal at a second power level, wherein the second power level is higher than the first power level. | 09-04-2014 |
20140246473 | ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM - A surgical instrument may comprise a drive system that is configured to electrically generate a plurality of discrete rotary control motions. In at least one form, the surgical instrument may include an elongate shaft assembly that is operably couplable to the drive system for receiving a first rotary control motion therefrom for rotating the elongate shaft assembly about a shaft axis. The elongate shaft assembly may be further configured to receive and transmit a second rotary control motion from the drive system to a surgical end effector that is operably coupled to the elongate shaft assembly to cause the surgical end effector to rotate about the shaft axis relative to the elongate shaft assembly. The elongate shaft assembly may be further configured to receive and transmit a third rotary control motion from the drive system to an articulation joint that communicates with the elongate shaft assembly and the surgical end effector to articulate the surgical end effector about an articulation axis that is substantially transverse to the shaft axis. | 09-04-2014 |
20140246472 | ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS - An articulation joint for a surgical instrument. In at least one form, the articulation joint includes a proximal joint portion that is coupled to an elongate shaft assembly of the surgical instrument. A distal joint portion is movably coupled to the proximal joint portion and is configured to interface with a surgical end effector. A first gear train operably interfaces with a proximal firing shaft segment within the elongate shaft assembly and a distal firing shaft segment that is configured to operably interface with the surgical end effector for transmitting a rotary firing motion thereto from the proximal firing shaft segment to the surgical end effector. A second gear train operably interfaces with a proximal rotation shaft portion of the elongate shaft assembly for transmitting a distal rotational control motion to the surgical end effector to cause the surgical end effector to rotate relative to the elongate shaft assembly while facilitating articulation of the distal joint portion relative to the proximal joint portion. | 09-04-2014 |
20140246471 | ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION - 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. | 09-04-2014 |
20140243868 | Percutaneous Instrument with Collet Locking Mechanisms - A surgical device comprises an elongate shaft comprising an outer tube and an inner rod positioned in the outer tube, the outer tube and inner rod each comprising a distal end and a proximal end. An actuator is operably connected to the proximal ends of the outer tube and the inner rod. An end effector is adapted for in vivo attachment to and detachment from the distal ends of the outer tube and the inner rod, the end effector comprising a collet for locking engagement with the distal end of the inner rod. The end effector may further comprise a second collet for locking engagement with the outer tube. The surgical device may further comprise a loader comprising a collet for locking the end effector in the loader. | 08-28-2014 |
20140243865 | INTERCHANGEABLE TOOLS FOR SURGICAL INSTRUMENTS - A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom. | 08-28-2014 |
20140243864 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 08-28-2014 |
20140243863 | ACTUATION MECHANISM FOR USE WITH AN ULTRASONIC SURGICAL INSTRUMENT - An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a force-limiting mechanism that effectively smooths out abusive tissue forces. | 08-28-2014 |
20140243801 | SURGICAL INSTRUMENT END EFFECTOR ARTICULATION DRIVE WITH PINION AND OPPOSING RACKS - An apparatus comprises a body and a shaft assembly. The shaft assembly is in communication with the body and comprises an end effector, first cam gear, second cam gear, and a lock bar. The end effector has an articulation joint. The first cam gear is rotatably positioned within the shaft assembly. The second cam gear is in communication with the end effector at the articulation joint. The lock bar is distally biased to lock against the second cam gear. The first cam gear is rotatable through a first range of motion to unlock the lock bar relative to the second cam gear. The first cam gear is rotatable through a second range of motion to rotate the end effector at the articulation joint. | 08-28-2014 |
20140243800 | Loader with Locking Collet Tube - A loader for facilitating in vivo attachment and detachment of an end effector to an instrument shaft comprises an elongate shaft having a distal end and a proximal end. A loader tube is connected to the distal end of the elongate shaft, the loader tube comprising a distal opening. A collet is positioned in the loader tube, the collet being adapted and sized to receive and engage the end effector inserted through the distal opening. The collet has a locked position relative the loader tube and an unlocked position relative the loader tube. An actuator is connected to the proximal end of the elongate shaft and is operative to select between the locked and unlocked positions. | 08-28-2014 |
20140243799 | Percutaneous Instrument with Tapered Shaft - A surgical instrument comprises an elongate shaft having a proximal end and a distal end. The shaft tapers distally. An actuator is connected to the proximal end of the elongate shaft. An end effector is adapted for in vivo attachment and detachment from the distal end of the elongate shaft connected to the distal end of the elongate shaft. The actuator may comprise a manual handle. The elongate shaft may comprise an outer tube and an inner rod positioned in the outer tube, with the outer tube comprising a wall thickness increasing proximally. The surgical instrument may further comprise an intermediate tube positioned between the outer tube and inner rod. The elongate shaft may be adapted for direct percutaneous insertion. | 08-28-2014 |
20140243597 | SYSTEM FOR PERFORMING A MINIMALLY INVASIVE SURGICAL PROCEDURE - A surgical system for performing a surgical procedure includes an ex-vivo positioning mechanism and an in-vivo instrument magnetically attracted to the ex-vivo positioning mechanism. The in-vivo instrument can be positioned within a patient by moving the ex-vivo positioning mechanism. In addition, the surgical system includes a percutaneous member introducible into the patient independent from the ex-vivo positioning mechanism, the percutaneous member comprising a connector at a distal end thereof, wherein the connector is selectively couplable to the in-vivo instrument within the patient. | 08-28-2014 |
20140239043 | DISTAL TIP FEATURES FOR END EFFECTOR OF SURGICAL INSTRUMENT - An apparatus comprises a body, a shaft, and an end effector that is operable to compress, staple, and cut tissue. The end effector comprises and anvil and a cartridge. A longitudinal axis intersects the distal tip of the anvil when the anvil is in a closed position. The cartridge defines a sight line extending along a distal surface of the cartridge from a first side of the cartridge toward the anvil. The first side of the cartridge is opposite to the anvil. The distal surface of the cartridge is neither parallel to nor perpendicular to the longitudinal axis. The sight line intersects the longitudinal axis near the distal tip when the anvil is in the closed position. A segment of the sight line and a segment the longitudinal axis define an angle θ. The angle θ is larger than 90°. | 08-28-2014 |
20140239042 | INTEGRATED TISSUE POSITIONING AND JAW ALIGNMENT FEATURES FOR SURGICAL STAPLER - An apparatus includes a body, a shaft in communication with the body, and an end effector in communication with the shaft. The end effector is operable to drive staples through tissue. The end effector comprises an anvil and a cartridge. The anvil is operable to move pivotally relative to the cartridge. The cartridge is positioned to drive staples upwardly toward the anvil. The cartridge comprises a plurality of protrusions operable to prevent lateral rocking of the anvil. The plurality of protrusions is pointed toward the anvil. In some versions, an alignment member and/or a lateral stabilization member may be used between the anvil and the cartridge. | 08-28-2014 |
20140239041 | LOCKOUT FEATURE FOR MOVABLE CUTTING MEMBER OF SURGICAL INSTRUMENT - An end effector for use with a surgical instrument includes a first jaw, a second jaw, a blade assembly, and a lockout assembly. The first jaw removably couples with a staple cartridge. The second jaw is movably coupled with the first jaw. The blade assembly translates relative to the first jaw and includes a first tab. The lockout assembly includes a resilient member that biases the blade assembly to a lockout position. The lockout assembly engages the first tab of the blade assembly in the lockout position to prevent the blade assembly from translating distally relative to the first jaw when a staple cartridge is absent from the first jaw or when a spent staple cartridge is disposed in the first jaw. | 08-28-2014 |
20140239040 | SURGICAL INSTRUMENT WITH ARTICULATION LOCK HAVING A DETENTING BINARY SPRING - A apparatus includes a shaft, an end effector, an articulation joint, and a locking feature. The end effector is pivotable from a first position to a second position. The end effector is aligned with a longitudinal axis of the shaft in the first position and angled relative to the longitudinal axis of the shaft in the second position. The articulation joint couples the shaft with the end effector and pivots the end effector from the first position to the second position. The locking feature is coupled with the articulation joint and translates from a proximal position to a distal position. The locking feature locks the articulation joint when the locking feature is in the distal position. | 08-28-2014 |
20140239038 | SURGICAL INSTRUMENT WITH MULTI-DIAMETER SHAFT - An apparatus includes an end effector and a shaft having a longitudinal axis. The end effector includes a first jaw and second jaw. The first jaw is pivotable relative to the second jaw. The distal end of the shaft has an articulation joint that pivots the end effector from a first position aligned with the longitudinal axis of the shaft to a second position angled from the longitudinal axis of the shaft. The articulation joint includes at least one articulation band that bends outwardly within the shaft when the end effector is in the first position. The articulation band then bends inwardly when the end effector is pivoted from the first position to the second position. The shaft includes an outer closure tube having a neck-down region that promotes a greater range of pivotal movement within a surgical passageway. | 08-28-2014 |
20140239037 | STAPLE FORMING FEATURES FOR SURGICAL STAPLING INSTRUMENT - An end effector for a surgical instrument comprises a first jaw and a second jaw. The first jaw is configured to receive a staple cartridge. The second jaw is movable relative to the first jaw and is configured to provide an anvil for forming staples. The anvil has staple forming pockets. Each staple forming pocket comprises first and second staple forming surface regions configured to receive respective first and second staple legs. The first and second staple forming surface regions each have a respective length that is greater than half of the length of the staple forming pocket. The staple forming surface regions may include convex surfaces that drive staple legs laterally. The pocket minimizes re-entry of staple leg tips into tissue. | 08-28-2014 |
20140239036 | JAW CLOSURE FEATURE FOR END EFFECTOR OF SURGICAL INSTRUMENT - An end effector for use with a surgical instrument includes a first jaw, a second jaw, and a closure ring. The second jaw is pivotable relative to the first jaw. The second jaw has a proximal end with a first ramped surface and a second ramped surface distal of the first ramped surface. The closure ring is coupled with the second jaw to engage the first and second ramped surfaces of the second jaw. The closure ring translates from a proximal position to a distal position to engage the first ramped surface of the second jaw and then the second ramped surface of the second jaw. The camming engagement of the closure ring with the first and second ramped surfaces of the second jaw pivots the second jaw toward the first jaw. The closure ring may also provide camming engagement to pivot the second jaw away from the first jaw. | 08-28-2014 |
20140236184 | SURGICAL INSTRUMENT HAVING A POWER CONTROL CIRCUIT - Various embodiments are directed to a powered surgical instrument for cutting and fastening tissue. The instrument may comprise an end effector comprising a first jaw member and a second jaw member. The second jaw member may be coupled to move relative to the first jaw member from an open position, where the jaw members are apart from one another, to a closed position. The end effector may also comprise a firing bar positioned to fire by translating within the end effector when the first and second jaw members are in the closed position. Additionally, the surgical instrument may comprise a drive device, a clamping trigger and a control circuit. The drive device may be mechanically coupled to the firing bar. The clamping trigger may be mechanically coupled to the end effector such that actuation of the clamping trigger causes the second jaw member to pivot towards the first jaw member. The control circuit may comprise a firing switch, a clamp switch, a latching device and an end-of-stroke sensor. The firing switch may be configured to be in electrical communication with a power supply for powering the drive device and in electrical communication with the drive device. The clamp switch may be in mechanical communication with the clamping trigger. The latching device may be in electrical communication with the clamp switch, the power supply and the drive device. The end-of-stroke switch may be in electrical communication with the latching device. Additionally, the firing switch may be electrically connected to, upon actuation, connect the power supply to the drive device via a first connection comprising the latching device and the firing switch. Further, the end-of-stroke switch may be electrically connected to, upon sensing an end of a stroke of the firing bar, cause a change in a state of the latching device to break the first connection between the power supply and the drive device. | 08-21-2014 |
20140222054 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - 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. | 08-07-2014 |
20140217145 | Cartridge Assembly - The present utility model provides a cartridge assembly comprising a cartridge having a plurality of staple-containing slots for containing surgical staplers; a stapler driver with a plurality of tips for driving the surgical staplers; and a casing for housing the stapler driver, wherein the casing is provided with openings for delivering a medium in its side area corresponding to the plurality of tips. | 08-07-2014 |
20140214029 | SURGICAL INSTRUMENT WITH BLADE COMPLIANT ALONG VERTICAL CUTTING EDGE PLANE - An apparatus comprises a body, a shaft, an end effector, and a firing beam. The shaft extends distally from the body. The end effector is positioned at the distal end of the shaft. The end effector comprises a first jaw and a second jaw, with the first jaw being pivotable toward the second jaw. The firing beam is operable to translate relative to the end effector to thereby drive the first jaw toward the second jaw. The firing beam includes a deformable portion operable to deform in response to a stress imposed by the end effector on the firing beam as the jaws clamp on dense or thick tissue. The deformable portion is defined in part by a cutout. A compliance restriction feature restricts deformation in the firing beam. A resilient member biases the firing beam to a non-deformed configuration. | 07-31-2014 |
20140214025 | END EFFECTOR WITH COMPLIANT CLAMPING JAW - An apparatus for operating on tissue includes an end effector assembly, a body, and a shaft. The shaft extends from the body to the end effector assembly. The body is operable to communicate with the end effector assembly via the shaft. The end effector assembly includes a pair of pivoting jaws and a firing beam. The firing beam is operable to advance distally through slots in the jaws to close the jaws. One of the jaws comprises a plurality of segments that are movable relative to each other. The segments may be joined by living hinges, pivoting hinges, or sliding features. One of the jaws may be formed by a combination of a distally projecting tongue of the shaft and two members that are secured above and below the tongue, respectively. An end effector jaw may also include a resiliently biased electrode cartridge. | 07-31-2014 |
20140214019 | BIPOLAR ELECTROSURGICAL HAND SHEARS - An apparatus comprises a first jaw, a second jaw, a first handle, and a second handle. The second jaw is pivotally coupled with the first jaw. The first jaw and the second jaw are configured to grasp tissue. The jaws provide offset electrode surfaces that are operable to deliver bipolar RF energy to tissue grasped between the jaws. The apparatus is further operable to sever tissue. A lockout feature selectively prevents tissue severing, based on an energization state of the jaws. | 07-31-2014 |
20140207166 | SURGICAL INSTRUMENT HAVING A FEEDBACK SYSTEM - A surgical instrument comprises an articulable end effector; a drive shaft connected to the end effector that drives the end effector; an electric motor connected to the drive shaft that drives the drive shaft; a battery unit for supplying power to the electric motor; at least one sensor for sensing a status of the instrument; and a visual status indicator located on the instrument and in communication with the at least one sensor. The visual status indicator is for displaying visually to a user of the instrument a status of the instrument based on an input from the at least one sensor. | 07-24-2014 |
20140207163 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - 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. | 07-24-2014 |
20140207124 | SURGICAL INSTRUMENT WITH SELECTABLE INTEGRAL OR EXTERNAL POWER SOURCE - A surgical instrument includes a body, a shaft, and an end effector. The shaft extends distally from the body. The end effector is located at a distal end of the shaft. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is operable to selectively couple with a variety of power sources such that the drive feature may receive electrical power form a battery or from a corded power source, based on a user's preference. The body may include a handpiece that has a socket configured to receive a battery or cable adapter. The body may removably receive various kinds of shaft assemblies to provide various operating modalities. The shaft assemblies may include user interface features. | 07-24-2014 |
20140205637 | TISSUE THICKNESS COMPENSATOR CONFIGURED TO REDISTRIBUTE COMPRESSIVE FORCES - A tissue thickness compensator may generally comprise a compressible core comprising a plurality of movable particles, and a wrap surrounding the compressible core. The plurality of movable particles may comprise at least one medicament. A tissue thickness compensator may generally comprise a compressible core comprising a plurality of crushable particles, and a wrap surrounding the compressible core. The plurality of crushable particles may comprise at least one medicament. The compressible core may comprise a material selected from a group consisting of a biocompatible material. The wrap may comprise a material selected from a group consisting of a biocompatible material. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described. | 07-24-2014 |
20140200601 | CURVED CLAMP ARM FOR USE WITH ULTRASONIC SURGICAL INSTRUMENTS - The present invention relates to ultrasonic surgical clamping instruments and, more particularly, to a curved clamp arm for use with ultrasonic surgical instruments that have an ultrasonically actuated blade that, in one case, is ultrasonically actuated to have motion in substantially a single plane. The curved clamp arm opens and closes with respect to the blade and also has a plane of curvature that is parallel to the plane of motion of the blade when the clamp arm is in the closed position, and not parallel to the plane of motion of the blade when the clamp arm is in the open position. | 07-17-2014 |
20140199278 | BROWN ADIPOCYTE MODIFICATION - Methods and therapeutics are provided for treating metabolic disorders by increasing activation of brown adipose tissue. Generally, the methods and therapeutics can increase activation of brown adipose tissue to increase energy expenditure and induce weight loss. In one embodiment, a method for increasing activation of brown adipose tissue includes modifying brown adipocytes to express a gene that activates brown adipocytes, such as uncoupling protein 1. In another embodiment, a method for increasing brown adipose tissue activation includes increasing the number of brown adipocytes. This can be accomplished by inducing proliferation of adipocytes in vivo or expanding adipocytes ex vivo, transplanting adipocytes into brown adipose tissue depots or elsewhere and inducing differentiation of adipocyte progenitor cells, such as MSCs, adipocyte progenitor cells, pre-adipocytes and adipocyte precursor cells. | 07-17-2014 |
20140197223 | CARTRIDGE ASSEMBLY HAVING A BUTTRESSING MEMBER - A staple cartridge assembly includes a cartridge body. The cartridge body includes a deck and a plurality of staples deployable into tissue. The staple cartridge assembly also includes a buttressing member removably attached to the deck and a firing member movable relative to the cartridge body during a firing stroke to deploy the plurality of staples into the tissue, wherein the buttressing member is completely removed from the deck as a result of the firing stroke. | 07-17-2014 |
20140194915 | ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH JAWS HAVING A PARALLEL CLOSURE MOTION - 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. 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 end effector may additionally comprise a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a first pivot point as well as a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a second pivot point. In this way, distal motion of the reciprocating member may exert a force on the first and second jaw members causing the first and second jaw members to translate towards one another in a substantially parallel motion. | 07-10-2014 |
20140194914 | SURGICAL CUTTING AND SEALING INSTRUMENT WITH REDUCED FIRING FORCE - A surgical instrument is provided that can comprise and end effector including two jaws and a cutting member configured to move between the jaws. In at least one embodiment, one or both of the jaws may be flexible, such that a jaw is configured to flex when gripping tissue. Further, at least one of the jaws may include a thin cross-sectional area such that the jaw flexes when gripping tissue. Additionally, in at least one embodiment, one or more compression elements may extend from the cutting member and may be configured to cause the jaws to close when the cutting member is advanced. The compression elements may comprise a roller and/or a low-friction material. Moreover, in at least one embodiment, one or both of the jaws may be precurved, away from the cutting member's longitudinal axis. Accordingly, in various embodiments, the overall force required to advance the cutting member and/or close the jaws may be reduced. | 07-10-2014 |
20140191015 | STAPLING ASSEMBLY FOR FORMING DIFFERENT FORMED STAPLE HEIGHTS - A surgical stapling assembly can include a staple cartridge, an anvil, and a firing system configured to eject staples from the staple cartridge. The firing system can include a firing member configured to relatively position the anvil and the staple cartridge. The staple cartridge can include a first deck portion, a second deco portion, and a wall defined between the first deck portion and the second deck portion. | 07-10-2014 |
20140191014 | STAPLING ASSEMBLY FOR FORMING DIFFERENT FORMED STAPLE HEIGHTS - A surgical stapling assembly can include a staple cartridge, an anvil, and a firing system configured to eject staples from the staple cartridge. The firing system can include a firing member configured to relatively position the anvil and the staple cartridge. | 07-10-2014 |
20140180175 | HAND ACTIVATED ULTRASONIC INSTRUMENT - An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. The handle of the apparatus is configured to permit hand activation for cutting, coagulation, and clamping of tissue during surgical procedures. In order to promote convenient and efficient use of the apparatus, one or more fingertip controls are provided directly into the disposal shears handle in a position that allows surgeons to activate the device without repositioning their hand. The one or more buttons provide independent control of the power levels available from the generator, matching the two foot pedal configuration of the prior art. | 06-26-2014 |
20140175156 | SURGICAL STAPLING INSTRUMENT HAVING A RELEASABLE BUTTRESS MATERIAL - An end effector includes an anvil and a staple cartridge. The staple cartridge includes a first deck surface, a second deck surface, a plurality of first staple cavities arranged in a first row extending along the first deck surface, a plurality of second staple cavities arranged in a second row extending along the second deck surface, a plurality of third staple cavities arranged in a third row, a driven element, and a plurality of staples engaged with the driven element and simultaneously deployed into the tissue. The plurality of staples include a first staple removably stored in the first row, a second staple removably stored in the second row, and a third staple removably stored in the third row, the third staple at least partially distal to the second staple and the second staple at least partially distal to the first staple. | 06-26-2014 |
20140175155 | Surgical instrument comprising a firing system including a compliant portion - A surgical instrument can comprise a first jaw, a second jaw, and a firing system configured to be advanced relative to the first jaw and the second jaw. The firing system can comprise a firing member including a first portion configured to engage the first jaw and a second portion configured to engage the second jaw in order to position the first jaw and the second jaw relative to one another. | 06-26-2014 |
20140175154 | END EFFECTOR FOR USE WITH A SURGICAL FASTENING INSTRUMENT - A surgical instrument can comprise a first jaw, a second jaw, and a firing system configured to be advanced relative to the first jaw and the second jaw. The firing system can comprise a firing member including a first portion configured to engage the first jaw and a second portion configured to engage the second jaw in order to position the first jaw and the second jaw relative to one another. | 06-26-2014 |
20140175152 | SURGICAL STAPLING SYSTEMS AND STAPLE CARTRIDGES FOR DEPLOYING SURGICAL STAPLES WITH TISSUE COMPRESSION FEATURES - A surgical staple having at least one projection formed thereon. In various embodiments, the projection is formed on a crown of the surgical staple. In one various embodiment, the projection surrounds, or is positioned adjacent to, at least one deformable member of the surgical staple. In one embodiment, the projection can apply an increased compressive force or pressure to soft tissue surrounding the deformable member prior to the deformable members puncturing a hole in the soft tissue. As a result of the increased compressive force or pressure on the tissue, after staple deployment, blood flow proximate deformable member puncture holes can be reduced. | 06-26-2014 |
20140175150 | Providing Near Real Time Feedback To A User of A Surgical Instrument - A process and system are disclosed for downloading sensor data, stored in a memory device of a surgical cutting and fastening instrument, to an external or remote computer device. The process may involve storing data from one or more sensors of a surgical cutting and fastening instrument in a memory device of a control unit of the surgical cutting and fastening instrument during a surgical procedure involving the surgical cutting and fastening instrument. During the surgical procedure, the data may be transmitted to a local wireless communication device that is then transmitted to a central database for data analysis. Feedback is then communicated from the central database to a user of the surgical device via the local wireless communication device. | 06-26-2014 |
20140175149 | Electrically Self-Powered Surgical Instrument With Manual Release - A surgical instrument comprising a surgical end effector having an actuation assembly operable to effect a surgical procedure when actuated, a part of the actuation assembly being movable between a first position and second position, and a handle connected to the end effector for actuating the actuation assembly, the handle having a power supply disposed within the handle, a motor disposed within the handle and electrically powered by the power supply, a transmission connecting the motor to the moving part and operational to displace the moving part anywhere between the first and second positions when the motor is operated, and a manual release mechanism that selectively interrupts the transmission and, during interruption, displaces the moving part towards the first position independent of operation of the motor. | 06-26-2014 |
20140172015 | Surgical Needle with Formed Steps - A surgical needle for use in a circular needle applier comprises a leading end, a trailing end, and an arced body between the leading and trailing ends. The body has a medial face and a lateral face. A plurality of steps on the body are adapted to be engaged by a circular needle applier. The steps are formed by plastically deforming the body without removing material. A length of suture is connected to the trailing end. | 06-19-2014 |
20140171986 | Surgical Clip Having Comliant Portion - A clip is provided that can be used for ligating tissue, such as vessels, other tubular ducts, and the like. The clip has opposed first and second leg members having proximal and distal ends. The proximal end of each leg member is connected by an apex. The clip has a compliant portion formed on the inner surface of at least one of the first and second leg members. The compliant portion can fill gaps left by springback of the clip after formation. | 06-19-2014 |
20140171979 | Surgical Needle with Steps and Flats - A surgical needle for use in a circular needle applier comprises a distal leading end, a proximal trailing end, and an arced body between the leading and trailing ends. The body has a medial face and a lateral face. A first step on the body is adapted to be engaged by a circular needle applier. The first step is positioned distally from the leading end. A longitudinal flat extends proximally from the first step. The flat defines a generally D-shaped cross sectional shape in the body. A second step on the body is adapted to be engaged by a circular needle applier. The second step is positioned about 180 degrees from the first step. A length of suture is connected to the trailing end. | 06-19-2014 |
20140171978 | Needle Driver and Pawl Mechanism for Circular Needle Applier - A surgical suturing device comprises a needle having a leading end, a trailing end, an arced body between the leading and trailing ends, and two steps located at antipodal positions on the body. A length of suture is connected to the needle. A needle driver reciprocates at least 180 degrees between a driven position and a returned position. The needle driver is adapted to engage the needle steps to rotate the needle in a circular path in first rotational direction. A pawl is positioned adjacent the driven position of the needle driver. The pawl is adapted to engage the needle steps to prevent the needle from rotating in a second rotational direction opposite of the first rotational direction. | 06-19-2014 |
20140171977 | Pawl Mechanism in Circular Needle Applier - A surgical suturing device comprises a needle having a leading end, a trailing end, and an arced body between the leading and trailing ends. A length of suture is connected to the needle. A needle driver is adapted to engage and rotate the needle in a circular path in a first rotational direction. A pawl is adapted to engage the trailing end of the needle to prevent the needle from rotating in a second rotational direction opposite of the first rotational direction. | 06-19-2014 |
20140171976 | Transmission for Driving Circular Needle - A surgical suturing device comprises an arced needle track, an arced needle positioned in the needle track, and a length of suture connected to needle. A reciprocating needle driver is operative to engage and move the needle in the needle track. A rotary input rotates about an axis. A link has a proximal end connected to the rotary input and a distal end connected to the needle driver. Rotation of the rotary input in a first angular direction translates the needle driver in a second angular direction opposite of the first angular direction. | 06-19-2014 |
20140171975 | Suturing Device with Reusable Shaft and Disposable Cartridge - A surgical suturing system comprises a reusable shaft having a proximal end and a distal end, the distal end has a receiver and a rotary drive. A reusable actuator is connected to the proximal end of the shaft. A disposable cartridge is adapted to be attached to and detached from the receiver. The cartridge comprises an arced track, an arced needle positioned in the track having a leading end and a trailing end, a length of suture connected to the trailing end, a reciprocating needle driver operative to engage and move the needle in the arced circular track, and a transmission operatively connected to the needle driver having a rotary input adapted to couple to the rotary drive. The reusable shaft and actuator may be autoclavable. | 06-19-2014 |
20140171972 | Circular Needle Applier with Offset Needle and Carrier Tracks - A surgical suturing device comprises an arced needle track. An arced needle is positioned in the needle track, the needle having a leading end, a trailing end, a medial face, and a lateral face. A length of suture is connected to the needle. An arced carrier track is spaced from the needle track. A reciprocating needle driver has a carrier positioned in the carrier track and a driver positioned in the needle track and is operative to engage and move the needle in the needle track. A transmission is operative to reciprocate the carrier in the carrier track. | 06-19-2014 |
20140171970 | Circular Needle Applier with Articulating and Rotating Shaft - A surgical suturing device has an elongate shaft has a proximal end, a distal end, and a longitudinal axis between the proximal and distal ends. An actuator is connected to the proximal end of the elongate shaft. A circular needle applier is on the distal end of the elongate shaft. The circular needle applier has an arced needle and a needle driver operatively connected to the actuator to rotate the arced needle in a circular path. A joint is positioned between the proximal and distal ends of the elongate shaft. The joint is operatively connected to the actuator to selectively articulate the shaft. A bearing is on the shaft positioned distally of the joint. The bearing is operatively connected to the actuator to selectively rotate the circular needle applier about the longitudinal axis. | 06-19-2014 |
20140171966 | SURGICAL INSTRUMENT WITH WIRELESS COMMUNICATION BETWEEN A CONTROL UNIT OF A ROBOTIC SYSTEM AND REMOTE SENSOR - A surgical instrument for use with a robotic system that has a control unit and a shaft portion that includes an electrically conductive elongated member that is attached to a portion of the robotic system. The elongated member is configured to transmit control motions from the robotic system to an end effector. | 06-19-2014 |
20140166728 | MOTOR DRIVEN ROTARY INPUT CIRCULAR STAPLER WITH MODULAR END EFFECTOR - A surgical stapling device comprises a handle assembly, a shaft assembly, and a stapling head assembly. The shaft assembly comprises a rotary drive shaft that translates between two longitudinal positions to alternate between a tissue clamping mode and a tissue cutting/stapling mode. The stapling head assembly includes a first set of rotary drive elements that convert rotary motion of the drive shaft into a tissue clamping action when the drive shaft is in a distal position. The stapling head assembly also includes a second set of rotary drive elements that convert rotary motion of the drive shaft into a tissue cutting/stapling action when the drive shaft is in a proximal position. The drive shaft may be driven manually or by a motor. The stapling head assembly may be provided in a cartridge form that is removable from the shaft assembly. | 06-19-2014 |
20140166727 | CIRCULAR STAPLER WITH SELECTABLE MOTORIZED AND MANUAL CONTROL - An apparatus is operable to clamp, cut, and staple tissue. The apparatus includes a stapling head assembly, a shaft assembly coupled to the stapling head assembly, and an actuator handle assembly coupled to the shaft assembly. The stapling head assembly is operable to clamp tissue, cut tissue, and staple tissue in response to rotation imparted by a single rotary drive shaft extending through the shaft assembly. The actuator handle assembly includes a motor positioned within a motor housing, a rotation knob, and a selection assembly. The rotation knob is coupled to a proximal end of the motor housing. The rotation knob is configured to translate between a proximal position and a distal position. The selection assembly is operable to select between motorized operation of the apparatus or manual operation of the apparatus, based on the longitudinal position of the rotation knob. | 06-19-2014 |
20140166726 | STAPLE CARTRIDGE INCLUDING A BARBED STAPLE - An end effector for fastening tissue including a cartridge having a longitudinal row of staple cavities and a plurality of staples removably stored in the staple cavities. The staple includes a base, a pair of legs extending from the base, and a plane formed by the pair of legs, wherein at least one of the legs has a barb extending therefrom. The barb extends from the leg less than 360 degrees around the leg, wherein the barb extends beyond the plane formed by the legs. The end effector also includes an anvil configured to deform the staples, and a plurality of staple drivers movable within the cavities configured to lift the staples toward the anvil. The end effector further includes a firing member, configured to lift the staple driver system toward the anvil, including a first portion configured to engage the anvil and a second portion configured to engage the cartridge. The firing member is configured to relatively position the anvil and the cartridge. | 06-19-2014 |
20140166725 | STAPLE CARTRIDGE INCLUDING A BARBED STAPLE. - An end effector for fastening tissue including an anvil having a deck to support tissue. The deck has a first surface with a first longitudinal row of staple forming pockets, and a second surface, having a second longitudinal row of staple forming pockets wherein the first surface is positioned vertically above the second surface. The end effector also includes a cartridge having plurality of staple cavities arranged in first and second longitudinal rows. The end effector also includes a plurality of staples removably stored within the staple cavities. The staples include a base, a pair of legs extending from the base, wherein each the leg comprises a tip configured to pierce tissue, and wherein each the leg comprises at least one barb extending therefrom. The end effector also has a firing member configured to lift the staple drivers toward the anvil. | 06-19-2014 |
20140166724 | STAPLE CARTRIDGE INCLUDING A BARBED STAPLE - A staple cartridge is disclosed which includes a cartridge body and a plurality of staples removably stored therein. The staples can include at least one barb extending therefrom. A first group of the staples can have a first unformed height and a second group of the staples can have a second unformed height. A first group of the staples can have a first formed height and a second group of the staples can have a second formed height. | 06-19-2014 |
20140166722 | STAPLE CARTRIDGE COMPRISING STAPLES INCLUDING A LATERAL BASE - A surgical stapling system including a driver and a staple where the driver is connected to the staple. In previous surgical stapling systems, the driver and the staple were not connected. A surgical stapling system in accordance with the present invention may have fewer components, less assembly and manufacturing time, and may accommodate larger staples which are at least partially embedded in the driver. In various embodiments, a surgical stapling system comprises a staple, the staple including a deformable member, and a stapler, the stapler including an anvil, a staple cartridge for removably storing the staple, and a cam movable between a first position and a second position. In these embodiments, the surgical stapling system further comprises a driver attached to the staple, the driver being operatively engaged with the cam to move the staple toward the anvil when the cam is moved between the first position and the second position. | 06-19-2014 |
20140166718 | MOTOR DRIVEN ROTARY INPUT CIRCULAR STAPLER WITH LOCKABLE FLEXIBLE SHAFT - A circular stapler apparatus and method for stapling tissue include a shaft assembly and an anvil. The anvil is configured to proximally retract toward the shaft assembly, which at least severs or staples tissue based on a single rotary input. The shaft assembly includes a plurality of joint segments, and each joint segment includes a resilient member. The plurality of joint segments are configured to pivot relative to one another in a first, uncompressed position and are configured to lock against one another to prevent pivoting in a second, compressed position. A first plurality of joint segments defines a proximal portion that is attached to a first cable or shaft. A second plurality of joint segments defines a distal portion that is selectively lockable independent of the proximal portion and that is attached to a second cable or shaft. | 06-19-2014 |
20140166717 | CIRCULAR STAPLER WITH SELECTABLE MOTORIZED AND MANUAL CONTROL, INCLUDING A CONTROL RING - An apparatus for stapling tissue comprises a stapling head assembly, a rotary drive shaft, and a mode selector. The stapling head assembly comprises a closure assembly and a firing assembly. The closure assembly is operable to clamp tissue against an anvil. The firing assembly is operable to drive at least one staple through tissue toward the anvil. The mode selector is operable to select between a tissue clamping mode and a firing mode. The rotary drive shaft is operable to actuate the closure assembly in response to selection of the tissue clamping mode. The rotary drive shaft is operable to actuate the firing assembly in response to selection of the firing mode. The mode selector may translate the rotary drive shaft between a first longitudinal position and a second longitudinal position to select between the tissue clamping mode and the firing mode. The mode selector may comprise a sliding ring. | 06-19-2014 |
20140163549 | SURGICAL INSTRUMENT WITH FEEDBACK AT END EFFECTOR - An apparatus for operating on tissue includes a body, a lip in communication with the body, and at least one electrode also in communication with the body. The body is able to mechanically couple with a portion of an end effector, which may be controlled by a user through a handpiece. The lip is configured to grip a portion of the end effector. The at least one electrode is configured to provide sufficient electrical energy to weld at least a portion of tissue. In some versions, a temperature sensitive material may be positioned on a portion of the end effector. Additionally, in some versions, the handpiece of the end effector may comprise feedback features able to convey information to the user. | 06-12-2014 |
20140163541 | BIPOLAR ELECTROSURGICAL FEATURES FOR TARGETED HEMOSTASIS - An apparatus is configured to operate on tissue. The apparatus includes an end effector with an upper jaw and a lower jaw. The upper jaw is configured to pivot relative to the lower jaw. The apparatus also includes an electrode cap coupled to either the upper or lower jaw. The electrode cap includes a first electrode surface configured at a first polarity and a second electrode surface configured at a second polarity. The second polarity is opposite to the first polarity. The electrode cap is configured to be applied to tissue such that the electrode cap is operable to deliver bipolar RF energy to the tissue. The electrode cap may be used to selectively weld bleeding tissue in a localized fashion, without having to place the tissue between the jaws, and without having to use an instrument separate from the jaws. | 06-12-2014 |
20140158747 | SURGICAL STAPLER WITH VARYING STAPLE WIDTHS ALONG DIFFERENT CIRCUMFERENCES - An apparatus for stapling tissue includes a head assembly, a handle actuator in communication with the head assembly, and a staple cartridge. The head assembly is operable to drive a plurality of staples in response to actuating the handle actuator. The staple cartridge is in communication with the head assembly. The staple cartridge comprises a first annular ring of apertures and a second ring of apertures. The first annular ring of apertures includes apertures having a different size than the second annular ring of apertures, such that the apertures accommodate staples having different crown lengths. The staples may include pledgets that are configured to provide a greater staple footprint. | 06-12-2014 |
20140158741 | ELECTROSURGICAL END EFFECTOR WITH TISSUE TACKING FEATURES - An apparatus is provided for operating on tissue. The apparatus includes an end effector having an upper jaw and lower jaw. The upper and lower jaws each include an electrode surface. The apparatus also includes a tissue tacking cartridge coupled to one of either the upper jaw or the lower jaw. The tissue tacking cartridge includes at least one fastener positioned outside of the electrode surfaces. The fastener is operable to be deployed from the tissue tacking cartridge. A tack loading cartridge may also be operable to load the end effector with at least one fastener. | 06-12-2014 |
20140155921 | ERGONOMIC SURGICAL INSTRUMENTS - A surgical instrument comprising a trigger configured to be actuated by a proximally directed force and by a distally directed force. The trigger may comprise a proximal trigger portion having a first length and a distal trigger hook comprising a distal portion having a second length. The second length may be less than the first length. The distal trigger hook may be coupled to the proximal trigger portion. | 06-05-2014 |
20140155892 | Electrosurgical Instrument and Method - An electrosurgical working end and method for sealing and transecting tissue. An exemplary working end provides curved jaw members that are positioned on opposing sides of the targeted anatomic structure. The working end carries a slidable extension member having flange portions with inner surfaces that slide over the jaw members to clamp tissue therebetween. The working end carries an independent slidable cutting member that is flexible to follow the curved axis of the jaws. The electrosurgical surfaces of the jaws include partially-resistive bodies for carrying a current or load which modulates ohmic heating in the engaged tissue to prevent charring and desiccation of tissue to create a high strength thermal seal. | 06-05-2014 |
20140155878 | SURGICAL INSTRUMENT WITH CURVED BLADE FIRING PATH - An apparatus includes an end effector having a first jaw and a second jaw. The first and second jaws are able to clamp tissue. The first jaw and the second jaw define a curved path. The apparatus further includes a blade that is operable to translate along a curved path in the end effector. At least a portion of the blade is precurved. The blade may further include a laminate of sheets that slide relative to each other to accommodate travel along the curved path. | 06-05-2014 |
20140155807 | INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS - Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient. | 06-05-2014 |
20140151434 | SURGICAL STAPLING INSTRUMENT - A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments. | 06-05-2014 |
20140151433 | SURGICAL STAPLING INSTRUMENT - A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments. | 06-05-2014 |
20140151430 | CIRCULAR ANVIL INTRODUCTION SYSTEM WITH ALIGNMENT FEATURE - An apparatus is provided for stapling tissue. The apparatus includes an anvil and a trocar selectively coupled with the anvil. The anvil may have an inner opening and a plurality of staple pockets aligned around a surface of the anvil. The anvil may be inserted trans-orally through an esophagus prior to being coupled with the trocar. The trocar may include a shaft and a locking assembly. The locking assembly may secure the anvil in position relative to the trocar when the locking assembly is in the expanded position. The apparatus may also include an alignment assembly to align the staple pockets of the anvil relative to the apparatus. The apparatus may also include an introduction assembly to guide the anvil through the esophagus. | 06-05-2014 |
20140151429 | TRANS-ORAL CIRCULAR ANVIL INTRODUCTION SYSTEM WITH DILATION FEATURE - An anvil introduction system is operable to provide smooth insertion of an anvil of a surgical stapling device through a bodily lumen such as the esophagus. The anvil introduction system is coupled to the anvil and includes a dilation feature. The dilation feature has a collapsed position and an expanded position. The dilation feature may cover staple pockets and an outer edge of the anvil with the dilation feature is in the expanded position. The anvil may be inserted through the bodily lumen with the dilation feature in the expanded position. The dilation feature may then be collapsed in order to complete an end-to-end anastomosis of the bodily lumen. | 06-05-2014 |
20140151428 | SURGICAL INSTRUMENT WITH SECONDARY JAW CLOSURE FEATURE - An apparatus for operating on tissue includes an outer sheath, upper and lower jaws connected at a pivot point, and a firing beam comprising a distal pair of flanges. The firing beam is configured to be received within slots defined in the upper and lower jaws to close the jaws. A proximal portion of the upper jaw defines a lever arm, and a free end of the lever arm extends proximally past a distal end of the lower jaw and proximally past the pivot point. The lever arm includes a pair of segments defining a portion of the slot of the upper jaw. The segments are configured for receipt through an outer sheath aperture. The pair of segments are operable to abut a distal end of the distal pair of flanges or be driven by the distal pair of flanges to assist with closure of the jaws. | 06-05-2014 |
20140148848 | Adjustable Compression Staple and Method for Stapling With Adjustable Compression - A method for applying and maintaining compression with a staple includes piercing a material with deformable ends of staple legs. The legs enter the material until the material applies a pre-set compressive force within a pre-defined compression range to a compression device disposed at least partly between the legs. The compression device has a compression resistor connected to a compression surface. The compression surface is movably disposed with respect to the bridge. Movement of the compression surface towards the bridge is resisted with a force imparted by the compression resistor. The legs are deformed to maintain at least some of the compressive force between the material and the compression device. Forces greater than the pre-set force are absorbed with the compression resistor. The pre-set compressive force to the material is maintained within the pre-defined compression range throughout a state change of the material. | 05-29-2014 |
20140148806 | SURGICAL INSTRUMENTS AND END EFFECTORS THEREFOR - An end effector includes a first jaw and a second jaw, the first jaw movable relative to the second jaw to transition the end effector between an open configuration and an approximated configuration to clamp tissue therebetween. The end effector may also include a camming assembly movable along a curved path. The camming assembly includes a first camming member which includes a first distal camming portion, a first proximal camming portion, and a first flexible portion extending between the first distal camming portion and the first proximal camming portion. The camming assembly includes a second camming member and a connector at least partially disposed between the first camming member and the second camming member, wherein the camming assembly is movable relative to the end effector to exert a camming force against the first jaw and the second jaw to transition the end effector to the approximated configuration. | 05-29-2014 |
20140144969 | PIVOTING ANVIL FOR SURGICAL CIRCULAR STAPLER - A circular stapler apparatus for stapling tissue has a circular stapling head operable to drive staples toward an anvil to form the staples in a circular array. The anvil includes an anvil head, a proximal shaft extending proximally from the anvil head and having a proximal end disposed in a first plane, and a first pivot connecting the anvil head to the proximal shaft. The first pivot is operable to be disposed in a second plane that is laterally offset from the first plane. The anvil is configured to rotate via movement through multiple pivot points. The anvil may be configured to rotate to a position in which a portion of the anvil head is disposed below the first pivot and between the first pivot and the proximal shaft such that the anvil head is acutely angled with respect to a longitudinal axis of the proximal shaft. | 05-29-2014 |
20140144968 | SURGICAL STAPLE WITH INTEGRAL PLEDGET FOR TIP DEFLECTION - A circular stapler apparatus for stapling tissue includes a staple and pledget assembly and a circular staple head operable to drive staples toward an anvil. A staple of the staple and pledget assembly has a pair of legs disposed substantially perpendicular to a crown of the staple in a first position. The pair of legs is operable to advance against a pocket in the anvil to form a staple with bent legs. The staple and pledget assembly includes the staple and a pledget configured to receive the pair of legs of the staple. The pledget comprises a bioabsorbable material. The pledget is configured to advance distal ends of the pair of legs to a position in which the distal ends are laterally offset from a plane in which the crown of the staple is disposed. | 05-29-2014 |
20140142625 | Adjustable Compression Staple and Method for Stapling With Adjustable Compression - A substantially U-shaped staple has a bridge, legs, and an internally disposed compression device with a bias portion having a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and is formed to resist movement of the compression surface towards the bridge with a force. | 05-22-2014 |
20140135804 | ULTRASONIC AND ELECTROSURGICAL DEVICES - Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include ultrasonic blades comprising various grasping features, devices configured to prevent ingress of surgical matter, e.g., fluid and tissue, in the space between an ultrasonic blade and an inner or outer tube distal of the distal seal, alternate closure mechanisms for ultrasonic devices, ultrasonic transducer rotation limiters to limit the rotation of an ultrasonic transducer, ultrasonic transducer rotation systems to provide unlimited continuous rotation of an ultrasonic device, integrated ultrasonic instrument electrically connected to provide RF spot coagulation with an ultrasonic (RF) generator, and coated ultrasonic/RF blades. | 05-15-2014 |
20140128850 | POWER CONTROL ARRANGEMENTS FOR SURGICAL INSTRUMENTS AND BATTERIES - Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit. | 05-08-2014 |
20140121678 | INTERFACE SYSTEMS FOR AIDING CLINICIANS IN CONTROLLING AND MANIPULATING AT LEAST ONE ENDOSCOPIC SURGICAL INSTRUMENT AND A CABLE CONTROLLED GUIDE TUBE SYSTEM - Interface systems for interfacing between at least one endoscopic surgical instrument and a cable-controlled guide tube system. Various embodiments include at least one surgical tool docking assembly that is supportable relative to the cable-controlled guide tube system. The surgical tool docking assembly may comprise a cable drive assembly that is operably couplable to the cable-controlled guide system for applying control motions thereto. The surgical tool docking assembly may further comprise at least one tool docking station that is configured to support an endoscopic surgical instrument therein for selective pivotal travel about a first axis and a second axis. The tool docking stations cooperate with corresponding drive shafts for imparting rotary drive motions to the cable drive assembly. Various docking arrangements are disclosed for coupling the cable drive assembly to the cable-controlled guide tube assembly. | 05-01-2014 |
20140121465 | SURGICAL ACCESS DEVICE - The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough. | 05-01-2014 |
20140114334 | FLEXIBLE HARMONIC WAVEGUIDES/BLADES FOR SURGICAL INSTRUMENTS - In one embodiment, a surgical instrument comprises an articulable harmonic waveguide. The articulable harmonic waveguide comprises a first drive section comprising a proximal end and a distal end. The proximal end of the first drive section may be configured to connect to an ultrasonic transducer. The articulable harmonic waveguide further comprises a first flexible waveguide coupled to the distal end of the first drive section. An end effector extends distally from the first flexible waveguide. The surgical instrument further comprises an articulation actuator to flex the first flexible waveguide. | 04-24-2014 |
20140114327 | SURGEON FEEDBACK SENSING AND DISPLAY METHODS - Various embodiments described herein are directed to surgical instruments with visual feedback. In one embodiment, a surgical instrument with visual feedback comprises an end effector. The end effector has a first jaw member and a second jaw member. At least one sensor is coupled to the end effector. The at least one sensor is configured convert at least one state of the end effector to a feedback signal. The feedback signal is corresponding to the at least one state of the end effector. The feedback signal may be transmitted to a display to render a visual representation of the at least one state of the end effector. The surgical instrument may further comprise an instrument mounting portion to mount to a robotic surgical system. The instrument mounting portion comprises an interface to mechanically and electrically interface to the surgical instrument. | 04-24-2014 |
20140107640 | MOTORIZED SURGICAL CUTTING AND FASTENING INSTRUMENT - A surgical cutting and fastening instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train for powering the drive train and a plurality of series-connected DC power source connected to the motor for supplying electrical power to the motor. The handle also comprises a power source selection switch for connecting, when in a first state, all of the DC power sources to the motor, and, when in a second state, a subset of the DC power sources to the motor. Also disclosed are means for actuating a RF electrode in the end effector and means for indicating actuation of the RF electrode. | 04-17-2014 |