A system comprises a robotic manipulator for control of motion of a medical tool. The robotic manipulator including a joint and a link connected to the joint. The link is configured to connect to the medical tool. A processing unit of the system is configured to receive first data from an encoder of the joint. A first tool tip estimate of a first parameter of a tool tip coupled at a distal end of the medical tool is generated using the first data. The first parameter of the tool tip is a position or a velocity of the tool tip. Second data is received from a sensor system located at a sensor portion of the link or the medical tool. The joint is controlled based on a first difference between the first tool tip estimate and a second tool tip estimate generated using the first and second data.

Surgical systems and methods for use with a hand-guided tool. The surgical system includes a robotic manipulator that holds a tool guide. The tool guide receives and guides the surgical tool to enable the tool to manipulate a bone. The robotic manipulator autonomously aligns the tool guide to a target orientation relative to the bone. The tool guide is moved to an initial location adjacent to the bone while remaining aligned with the target orientation. The initial location is suitable for the tool to perform an initial manipulation of the bone. The robotic manipulator facilitates withdrawal of the tool guide away from the initial location to a spaced location after the initial manipulation of the bone while maintaining alignment of the tool guide with the target orientation at the spaced guide location. The spaced guide location is suitable for the tool to perform a further manipulation of the bone.

A surgical device (600) includes an articulating portion (604) for navigating the device within a bodily cavity. The articulating portion (604) includes an articulating sheath (1000) and an articulating torque transmission wrist within the articulating sheath (1000). The articulating sheath (1000) may define one degree of freedom or two or more degrees of freedom. The articulating portion (604) may be part of a surgical device shaft (602) connected to an end effector (603) rotated by an internal torque transmission shaft including the articulating torque transmission wrist. The articulating portion (604) may be articulated while the torque transmission shaft is being rotated.

Various systems and methods for determining the state of an end effector of an ultrasonic surgical instrument are disclosed. A control circuit can be configured to measure a complex impedance of an ultrasonic electromechanical system including an ultrasonic blade and compare the measured complex impedance to reference complex impedance patterns that each correspond to a state of the end effector. Accordingly, the control circuit can further be configured to determine the state of the end effector according to which of the plurality of reference complex impedance patterns the measured complex impedance corresponds.

Systems and methods of providing augmented reality assisted surgery are disclosed. Certain aspects provide a method including generating a virtual scene comprising one or more virtual elements comprising one or more anatomical elements corresponding to one or more anatomy parts. The method further includes identifying one or more references in an actual physical scene comprising the one or more anatomy parts. The method further includes registering the virtual scene to the one or more references to generate an augmented scene. The method further includes displaying the augmented scene on a display device.

An instrument drive unit includes a housing defining a central longitudinal axis; an inertial measurement unit disposed within the housing and configured to determine a pose of the instrument drive unit; and a controller disposed within the housing, the controller configured to receive the pose of the instrument drive unit from the inertial measurement unit and to generate a corrected output signal which compensates for the pose of the instrument drive unit.

A method of operating a surgical tool includes coupling a drive housing to a tool driver of a first robotic surgical system, driving rotation of a drive shaft mounted within the drive housing and thereby commencing a firing sequence of the end effector, and setting a bailout Boolean value as “true” in an internal computer of the drive housing upon commencing the firing sequence, and storing the bailout Boolean value in a memory of the internal computer. Manually bailing out the surgical tool before completing the firing sequence, installing the surgical tool on a tool driver of a second robotic surgical system, and querying the memory of the internal computer with the second robotic surgical system and recognizing the bailout Boolean value as “true”. Initiating one or more remedial actions to ensure safe operation of the surgical tool on the second robotic surgical system.

An ultrasonic surgical instrument includes an end effector with an ultrasonic blade, an acoustic waveguide, an ultrasonic transducer assembly, and a carrier. At least a proximal portion of the acoustic waveguide extends along a longitudinal axis. The ultrasonic transducer assembly is operatively coupled with the acoustic waveguide. The carrier is configured to translate the end effector. The carrier includes a carriage and a translation driver. The carriage movably supports the ultrasonic transducer assembly along the longitudinal axis. The translation driver is configured to translate the carriage and the ultrasonic transducer assembly along the longitudinal axis so that the ultrasonic transducer assembly moves from a proximal position along the longitudinal axis to a distal position along the longitudinal axis for inserting the ultrasonic blade into a patient.

Described within are systems, methods and apparatus for a bone mounted robotic-assisted orthopedic surgery system for precise implant position, soft tissue balancing and guidance of tools during a surgical procedure, particularly partial or total knee replacement procedure. The system features a bone mounted robotic arm with end-effector for precise positioning of surgical tool, positioning of implants and balancing of soft tissues. The reconfigurable robotic system requires minimal training by surgeons, is intuitive to use similar to conventional instrumented surgery and has a small footprint. The system works with existing, conventional instruments, patient specific instruments, sensor-assisted systems and computer-assisted systems and does not require increased surgical time and safely provides the enhanced precision achievable by robotic-assisted systems and computer-assisted technologies.

A surgical stapling instrument includes an end effector that has a first jaw; a second jaw movable relative to the first jaw between an open configuration and a closed configuration to grasp tissue between the first jaw and the second jaw; an anvil; and a staple cartridge with staples deployable into the tissue and deformable by the anvil. The surgical stapling instrument further includes a control circuit configured to: determine tissue impedances at predetermined zones; detect an irregularity in tissue distribution within the end effector based on the tissue impedances; and adjust a closure parameter of the end effector in accordance with the irregularity.