A stapling assembly comprising a proximal end, a distal end, a first jaw, a second jaw, a staple cartridge, a first motor-driven system, and a second motor-driven system is disclosed. The first jaw comprises a first bottom surface. The second iaw is rotatably coupled to the first iaw about a pivot and is movable between an unclamped position and a fully-clamped position. The second jaw comprises a second bottom surface. The staple cartridge comprises a plurality of staples removably stored therein. The first motor-driven system is configured to engage the second bottom surface of the second iaw to move the second iaw toward the fully-clamped position. The second motor-driven system is configured to engage the second jaw and the first bottom surface of the first jaw and hold the second jaw in the fully-clamped position. The second motor-driven system is actuatable after the first motor-driven system has been actuated.

A screw driver system includes a screw driving bit and a guide clamp. The screw driving bit includes a unitary body having a first end and a second end with a longitudinal axis defined therebetween and an outer surface having a cylindrical portion between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove that are affixed in coaxially positioned arrangement about the longitudinal axis on the outer surface of the cylindrical portion each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw driving bit.

A robotic surgical system has a user interface with a control arm that includes a passive axis system for maintaining degrees-of-freedom of a gimbal rotatably supported on the control arm as the gimbal is manipulated during a surgical procedure. The control arm includes a swivel member, a first member, and a second member. The swivel member is rotatable about a first axis. The first member rotatably coupled to the swivel member about a second axis that is orthogonal to the first axis. The second member rotatably coupled to the first member about a third axis that is parallel to the second axis. The gimbal rotatably supported by the second member about a fourth axis that is orthogonal to the third axis. The passive axis system correlating rotation of the swivel member about the first axis with rotation of the gimbal about the fourth axis.

A system, method and/or reamer driver device provides a fully closed tube which prevents the invasion of debris and minimizes abrasion of soft tissue during use. The reamer device includes a minimum number of component assemblies, so as to permit easy replacement and minimize wear.

A screw driver system includes a screw driver and a guide clamp. The screw driver includes a driving bit. The driving bit includes a body having a first end and a second end and an outer surface comprising a cylindrical portion between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove on the outer surface of the cylindrical portion each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw driving bit.

A robotic electromechanical surgical instrument includes a housing, an elongated shaft that extends distally from the housing, a wrist assembly supported on the elongated shaft, an end effector coupled to the wrist assembly, a universal joint assembly supported within the wrist assembly, and cables coupled to the wrist assembly. The elongated shaft defines a longitudinal axis. The wrist assembly includes a first joint coupled to a second joint. The universal joint assembly is rotatable to actuate a function of the end effector. The plurality of cables is movable to manipulate the first and second joints to enable the universal joint assembly and the wrist assembly to articulate relative to the longitudinal axis.

A bone clamping device includes a pair of clamps mounted on a clamp connector. Each clamp has a variable size opening that varies in size transverse to the clamp connector. At least one clamp is longitudinally and angularly displaceable relative to the other along the clamp connector. The clamps are preferably made from a plastic and the clamp connector is preferably made from metal.

A medical instrument comprising: (a) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in a first degree of freedom; (b) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a second degree of freedom; (c) a pair of repositionable jaws operatively coupled to the first joint and the second joint; (d) an open-ended occlusion clip detachably mounted to the pair of repositionable jaws; and, (e) a controller operatively coupled to the first joint, the second joint, and the pair of repositionable jaws, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member, and a third control configured to direct repositioning of the pair of repositionable jaws, the third control including a line operatively coupled to the first and second jaws in at least a gun tackle pulley configuration

A surgical retraction system includes a frame and a universal joint coupled to the frame. A handle adaptor secures a surgical retractor to the frame via the universal joint. The handle adaptor includes an extension arm, a hinge, and a clamp. The extension arm comprises an elongated member having a proximal end and a distal end. The elongated member is secured to the frame via the universal joint. The hinge is attached to the distal end of the extension arm. The clamp is attached to the hinge and is configured to receive and retain a handle of a surgical retractor.

Devices, methods and systems are provided for occluding an opening within the tissue of a body, such as a left atrial appendage. In one embodiment, a delivery system for use in occluding an opening in the tissue of a body includes an actuation assembly operatively coupled to a medical device including an anchor portion and an occluder portion. The actuation assembly is configured to move the anchor portion between a deployed state and retracted state while the occluder portion maintains a deployed state. With this arrangement, the deployed occluder portion can be visualized via imaging at a preferred position prior to deploying the anchor portion of the medical device.