The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical reloads, and to surgical systems including handheld electromechanical surgical devices and adapter assemblies for connecting surgical reloads to the handheld electromechanical surgical devices.

An apparatus for penetrating bone and accessing bone marrow is provided. The apparatus may include a penetrator assembly and a powered drill. The penetrator assembly may include a trocar having a stylet. The penetrator assembly may also include an outer penetrator having a hollow cannula and a luer lock attachment. The powered drill may include a housing enclosing a motor and a power supply and associated circuitry. The powered drill may also include a connector receptacle for receiving a penetrator assembly connector of the penetrator assembly. The connector receptacle may releasably lock the penetrator assembly connector into place with the powered drill. The power supply may include a rechargeable battery within the housing for supplying power to the motor. A battery indicator may be provided to indicate a level of the battery.

A method for penetrating bone and accessing bone marrow is provided. The method may include inserting a penetrator assembly with a powered drill to penetrate the bone into the bone marrow. The penetrator assembly may include a trocar having a stylet. The penetrator assembly may also include an outer penetrator having a hollow cannula and a luer lock attachment. The powered drill may include a housing enclosing a motor and a power supply and associated circuitry. The powered drill may also include a connector receptacle for receiving a penetrator assembly connector of the penetrator assembly. The connector receptacle may releasably lock the penetrator assembly connector into place with the powered drill. The power supply may include a rechargeable battery within the housing for supplying power to the motor. A battery indicator may be provided to indicate a level of the battery.

A telescoping assembly such as an endobronchial ultrasound needle (EBUS) assembly includes a motor coupled to a biopsy needle within a telescoping housing to rotate (such as to oscillate) the needle during tissue harvest to improve harvesting.

A surgical system includes a bed extending along a main direction, a robotic arm disposed adjacent to the bed, and a surgical guide attached to the robotic arm. The bed has a table top to support a patient, the robotic arm is controllable to move in relation to the body of the patient; and the surgical guide is capable of holding a surgical instrument and measuring a translation of the surgical instrument as it moves through the surgical guide. The robotic arm is configured to position the surgical guide to a desired position in relation to a target area of the patient.

An engagement detection system (EDS) adapted to be positioned between, and in electrical communication with, an electrosurgical generator and an electrosurgical instrument. The EDS adapted to electronically detect that the electrosurgical instrument is inserted into a trocar cannula, and thereafter deliver electrosurgical energy to the instrument. A method of operating an endoscopic electrosurgical instrument inserted into a trocar cannula, as well as a switch assembly are also provided.

A penetrator assembly operable to provide access to a bone marrow is provided. The penetrator assembly may include an outer penetrator and a removable inner trocar operable to penetrate bone and bone marrow. The removable inner trocar may include a groove operable to receive a portion of the bone and bone marrow when the outer penetrator and the removable inner trocar penetrate the bone and bone marrow. The removable inner trocar may include a receptacle operable to receive a portion of a connector operable to releasably attach the penetrator assembly to a powered apparatus, and a release mechanism disposed within the receptacle and operable to engage the portion of the connector.

Drivers and drive systems (e.g., off-axis drive systems, pneumatic motors, multi-gear drive systems, and/or the like), and kits comprising drivers with drive systems, such as those, for example, configured to move a drive shaft.

An adapter assembly includes a sleeve, a trocar assembly releasably securable within the sleeve, and a retaining mechanism configured to releasably secure the trocar assembly within the sleeve. The retaining mechanism includes a retaining block, a cam wire moveably positioned relative to the retaining block between a lock position and a release position, a retaining block extension for maintaining the cam wire relative to the retaining block, a button member in operable engagement with the cam wire, and a pair of retaining members. The button member includes a center beam moveable from an unflexed position in engagement with a stop tab of the retaining block extension to prevent movement of the button member to a flexed position out of alignment with the stop tab to permit movement of the button member.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes inserting an intramural crossing device into the vascular lumen, positioning at least the distal tip of the crossing device in the vascular wall, advancing an orienting device over the crossing device such that an orienting element of the orienting device resides in the vascular wall, inserting a reentry device, and re-entering the true vascular lumen.