A method for controlling a plurality of surgical devices includes: receiving a foot pedal signal indicating a foot pedal activation of a first foot pedal of a plurality of foot pedals; generating a control signal based on the foot pedal signal, wherein: if the foot pedal signal indicates that only the first foot pedal is pressed, then generating the control signal to cause a generator to activate a first surgical device associated with the first foot pedal; if the foot pedal signal indicates that the first foot pedal remains pressed and a second foot pedal is newly pressed, then generating the control signal to cause the generator to: maintain activation of the first surgical device associated with the first foot pedal; and not activate a second surgical device associated with the second foot pedal; and outputting the control signal to the generator.

A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.

An adapter assembly selectively interconnects a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector. The end effector includes a first axially translatable drive member and a second axially translatable drive member. The surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.

It is disclosed an actuation mechanism and ultrasonic surgical instrument. The ultrasonic surgical instrument includes an elongated body, a clamping assembly and an actuation mechanism configured to actuate the clamping assembly. The actuation mechanism includes: a handle portion; a first trigger and a second trigger pivotally arranged on the handle portion, respectively; and a driving member configured to actuate the clamping assembly, where the clamping assembly is arranged on a distal portion of the elongated body. The first trigger is engaged with the driving member through a first link, and the second trigger is engaged with the driving member through the first link and a second link. The first trigger is movable independently with respect to the second trigger during a portion of movement of the first trigger.

Disclosed herein are various systems and methods for facilitating control of a tool or tools. The systems can allow a user to control multiple degrees of freedom. One such system allows a user to control multiple degrees of freedom of two tools simultaneously. Another such system allows a user to control multiple degrees of freedom with a single hand. Frames and rails for supporting and/or constraining movement of a tool or tools are also described herein.

A surgical stapling instrument comprising a housing, an end effector, and a firing system is disclosed. The end effector comprises a first jaw, a second jaw, and a replaceable staple cartridge. The first jaw is rotatable relative to the second jaw. The firing system comprises a firing actuator, a firing member movable from an unfired position toward a fired position during a firing stroke, and an electric motor operable by the firing actuator to advance the firing member through the firing stroke and retract the firing member back into the unfired position during a retraction stroke. The firing actuator is operable to slow the retraction stroke.

An endoscopic stitching device includes an actuation shaft, a tool assembly, and a drive assembly. The tool assembly includes a suture needle and a pair of jaws transitionable between open and closed positions. Each jaw includes a needle engaging blade slidably supported thereon. Each needle engaging blade is transitionable between an extended position in which the needle engaging blade engages the suture needle and a retracted position in which the needle engaging blade is disengaged from the suture needle. The drive assembly includes first, second, and third electrical actuators. The first actuator is operatively coupled with the actuation shaft to cause axial displacement of the actuation shaft. The axial displacement of the actuation shaft causes opening and closing of the pair of jaws. The second and third actuators are operatively coupled with the needle engaging blades to provide axial displacement of the needle engaging blades.

An adapter assembly selectively interconnects a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector. The end effector includes a first axially translatable drive member and a second axially translatable drive member. The surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.

Embodiments of the present invention provide an improved surgical instrument having an end effector mounted on the end of an elongate shaft extending from a handle. The end-effector is capable of several different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by a trigger mechanism contained within the handle. In some embodiments, the end effector includes a pair of curved jaw members and a blade assembly having a cutting blade at its distal end. The trigger mechanism is arranged to drive the blade assembly longitudinally within the elongate shaft such that the cutting blade protrudes between the jaw members. In order to help the trigger mechanism push the blade assembly around the curved jaws, the distal end of the blade has a graduated flexibility such that it can more easily bend to the shape of the jaw members. The distal end of the blade may also be provided with a low friction coating so that it can more easily slide between the jaw members.

A wound retractor includes a sleeve with proximal and distal ends, an inner ring inside the sleeve between the proximal and distal ends, and an outer ring outside the sleeve between the proximal and distal ends. The inner ring includes a tapered outer surface that increases in diameter from a proximal end of the inner ring toward a distal end of the inner ring. The outer ring includes a tapered inner surface that increases in diameter from a proximal end of the outer ring toward a distal end of the outer ring. A portion of the sleeve is captured between the tapered outer surface and the tapered inner surface.