Milling device for prosthetic surgery comprising a milling tool rotating about a milling axis, and a handling body. The handling body is provided with a drive rotating rod which develops along a longitudinal axis of linear rotation and is connected to the milling tool in order to make the milling tool rotate about the milling axis.

A surgical fastener applier having a housing containing a compartment therein, an elongated member extending distally from the housing and first and second jaws. A firing mechanism is positioned within the housing movable to a second position to effect firing of fasteners. A power pack is removably loadable into the compartment, the power pack having one or both of a) a first motor and a first engagement member removably engageable with the firing mechanism when the power pack is loaded into the compartment to effect movement of the firing mechanism; and b) a second motor and a second engagement member removably engageable with an articulating mechanism in the housing of the surgical fastener applier to effect movement of an articulation mechanism to effect articulation. One or both of a firing position and an articulation position are tracked during the surgical procedure. Sensors are provided to detect select parameters and instrument functions.

A device can pierce and hold tissue and then pass suture through tissue. The device can have a shuttle that can removably attach to a suture and jaws that can be rotatably opened and closed with respect to each other. A method for using the device to repeatedly pass the suture through the tissue without removing the suture or device from the target site is also disclosed.

Disclosed herein are apparatuses, systems, kits, and methods for treating skin, such as skin tightening or for treating diseases, disorders, and conditions that would benefit from tissue area or volume reduction, skin restoration, skin tightening, skin lifting, and/or skin repositioning and/or for generally improving skin function or appearance (e.g., the removal of unwanted skin features or irregularities such as sebaceous glands, sweat glands, hair follicles, necrosis, and fibrosis). Such apparatuses, systems, kits, and methods comprise an apparatus having a handheld main body and a detachably attachable tip comprising one or more needles.

Instruments and methods for providing selective surgical instrument trigger lockout are provided herein. In one embodiment, a surgical instrument can include a distal end effector, a proximal actuator portion, a first trigger, a second trigger, and a lock arm. The lock arm can be configured to move between a first position, in which it interferes with actuation of the first trigger, and a second position, in which it permits actuation of the first trigger. Further, actuation of the second trigger can be effective to move the lock arm from the first position to the second position. Actuation of the first trigger can therefore be prevented if the second trigger is not already actuated. Selective trigger lockout can be useful in a variety of instruments, including, for example, surgical instruments that grasp, seal, and transect tissue.

A surgical instrument including a trigger configured to be actuated by a proximally directed force and by a distally directed force. The trigger may include 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.

A surgical apparatus includes a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide includes a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section includes a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector includes an ultrasonic blade in acoustic communication with the waveguide. The rigidizing member is configured to selectively engage at least a portion of the articulation section to thereby selectively provide rigidity to the articulation section.

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.

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force.

An electrosurgical instrument has dual zone smoke evacuation for providing efficient capture and evacuation of smoke generated during an electrosurgical procedure. A hand piece with a proximal and a distal end is coupled to a front piece having a distal opening leading into an interior conduit. An extendable section is at least partially disposed within the interior conduit and extends distally out of the distal opening of the front piece. The extendable section is selectively translatable within the interior conduit. A negative pressure source enables the capture and evacuation of smoke through both the extendable section and the interior conduit.