A robotic surgical tool includes a drive housing having a first end, a second end, and a lead screw extending between the first and second ends, a carriage movably mounted to the lead screw at a carriage nut secured to the carriage, and an elongate shaft extending from the carriage and extending through the first end, the shaft having an end effector arranged at a distal end thereof. Rotation of the lead screw moves the carriage and the carriage nut axially between the first and second ends and thereby moves the end effector distally or proximally.

A robotic surgical tool includes a drive housing having first and second ends, at least one spline extending between the first and second ends and including a drive gear that rotates with rotation of the spline, and a carriage mounted to the spline. A closure tube extends from the carriage through the first end and has an end effector arranged at a distal end. An activating mechanism is housed in the carriage and includes a driven gear coupled to the drive gear such that rotation of the drive gear rotates the driven gear, and a carrier arranged at a proximal end of the closure tube and coupled to the driven gear such that rotation of the driven gear moves the carrier and the closure tube axially along a longitudinal axis of the closure tube. Moving the closure tube along the longitudinal axis closes or opens end effector jaws.

A robotic surgical system includes a surgical tool including a drive housing having first and second ends, a carriage movably mounted to the drive housing, and an elongate shaft extending from the carriage and penetrating the first end, the shaft having an end effector arranged at a distal end. An instrument driver is arranged at an end of a robotic arm and includes a body having proximal and distal ends and defining a central aperture extending between the proximal and distal ends, the shaft and the end effector penetrate the instrument driver by extending through the central aperture, an outer housing extending between the proximal and distal ends, a tool drive assembly provided at the proximal end and extending into the outer housing, and a drive motor operatively coupled to the tool drive assembly and operable to cause the tool drive assembly to rotate relative to the outer housing.

A surgical system includes a robotic device, and a surgical tool coupled to the robotic device and comprising a distal end. The system further includes a neural monitor configured to generate an electrical signal and apply the electrical signal to the distal end of the surgical tool, wherein the electrical signal causes innervation of a first portion of a patient's anatomy which generates an electromyographic signal, and a sensor configured to measure the electromyographic signal. The neural monitor is configured to determine a distance between the distal end of the surgical tool and a portion of nervous tissue based on the electrical signal and the electromyographic signal, and cause feedback to be provided to a user based on the distance.

Various torque-limiting screwdriver devices, systems, and methods are disclosed. The screwdriver can include a body, a motor that is configured to rotate a screw engaged with the screwdriver, and a processor configured to control operation of the screwdriver. The screwdriver can have torque-limiting functionality, such as by monitoring the amount of torque applied to the screw and reducing or stopping rotation of the screw when certain torque-limiting criteria are met. In some embodiments, the screwdriver can be switched between manual operation by a user, and automated operation by a motor within the screwdriver. In some embodiments, the screwdriver can be attached to a robotic arm.

Various exemplary systems, devices, and methods are provided for resisting torque in articulating surgical tools. In general, a surgical tool can include an elongate shaft having at a distal end thereof an end effector configured to engage tissue. The end effector can be configured to articulate relative to the elongate shaft. The surgical tool can include a cutting element configured to translate longitudinally along the end effector to cut the engaged tissue. When the end effector is articulated, the longitudinal translation of the cutting element along the end effector exerts a torque force on the end effector that urges the end effector away from its current angled orientation. The surgical tool can be configured to have a corrective tension or force applied thereto that counteracts the torque force.

Provided is a surgical imaging apparatus that includes a multi-link, multi-joint structure including a plurality of joints that interconnect a plurality of links to provide the multi-link, multi-joint structure with a plurality of degrees of freedom, at least one video camera being disposed on a distal end of the multi-link, multi-joint structure; at least one actuator that drives at least one of the plurality of joints; and circuitry that detects a joint force experienced at the at least one of the plurality of joints in response to an applied external force, and controls the at least one actuator based on the joint force so as to position the video camera.

An endoluminal punch system including a sheath and dilator. The endoluminal punch may include energy delivery system capable of being transmitted from the proximal end to the distal end of the endoluminal punch to assist with tissue crossing and incisions. The dilator may include selectively deployable cutting mechanism to create incisions in tissue that are larger than their basic external diameter. The system may also be configured to reduce the risk of generating plastic emboli during insertion of the endoluminal punch.

A surgical system and a computing device for a surgical system that is configured to calculate actual operating parameters of an electrosurgical instrument, including an actual angle between the jaw members of the electrosurgical instrument, and to display a user interface. The user interface includes an ideal angle range between the jaw members and the actual angle between the jaw members of the electrosurgical instrument relative to the ideal angle range. The computing device is further configured to determine if the actual angle between the jaw members of the electrosurgical instrument is outside the ideal angle range.

The invention provides a force stimulation loading device and a working method thereof, the force stimulation loading device comprises: a containing body, a stretching mechanism and a twisting mechanism; the containing body is suitable for containing a gel encapsulating cardiomyocytes, and is made of a non-rigid material; the stretching mechanism is suitable for stretching or squeezing the containing body from opposite sides of the containing body to apply a stretching or squeezing force to the gel; the twisting mechanism is suitable for twisting the containing body to apply a twisting stress to the gel; the force stimulation loading device of the present invention is capable of simultaneously applying the stretching or squeezing force and the twisting stress to the gel encapsulating the cardiomyocytes through the stretching mechanism and the twisting mechanism, that is, applying the stretching or squeezing force and the twisting stress to the cardiomyocytes at the same time.