A surgical instrument. The surgical instrument includes an elongated channel, an anvil pivotably connected to the elongated channel, a closure member mechanically coupled to the anvil, an electric motor mechanically coupled to the closure member, a motor controller electrically coupled to the electric motor and a control circuit electrically connected to the motor controller. The control circuit is configured to monitor a first predefined event, monitor a second predefined event, provide a stop signal to the motor controller to stop a closing motion of at least one of the elongated channel and the anvil after an occurrence of the first predefined event, and provide a start signal to the motor controller to start the closing motion of the at least one of the elongated channel and the anvil after an occurrence of a second predefined event.

The present disclosure generally relates to the field of laser based medical devices. Particularly, but not exclusively, the present disclosure relates to an apparatus and method for enhancing laser beam efficacy in a liquid medium. In many embodiments, laser pulses are modulated based on bubble dynamics to improve energy delivery to a target. A variety of exemplary pulse modulation scheme are described including modulating pulse power down during expansion of an index bubble and modulating pulse power up during collapse of the index bubble.

A laser treatment apparatus that is configured to irradiate a laser beam to an affected area to treat the affected area. The laser treatment apparatus includes: a beam source device that is configured to output a laser beam; and a scanning device that is configured to scan a therapeutic range including the affected area with the laser beam by irradiating the laser beam to the therapeutic range. The scanning device has a transmission medium that is configured to change an output direction of a laser beam according to an applied voltage.

A system is provided that furnishes expert procedural guidance based upon patient-specific data gained from surgical instruments incorporating sensors on the instrument's working surface, one or more reference sensors placed about the patient, sensors implanted before, during or after the procedure, the patient's personal medical history, and patient status monitoring equipment. Embodiments include a system having a surgical instrument with a sensor for generating a signal indicative of a property of a subject tissue of the patient, which signal is converted into a current dataset and stored. A processor compares the current dataset with other previously stored datasets, and uses the comparison to assess a physical condition of the subject tissue and/or to guide a procedure being performed on the tissue.

Systems, devices, and methods for determining advancement of a surgical laser fiber in an endoscope and providing interlocking feedback for the surgical laser are disclosed. An exemplary method includes directing light from a distal end of an endoscope to a target, optically detecting an amount of the light reflected from the target, transmitting the optically detected amount of light through a laser fiber extending through a working channel of the endoscope, determining, based on the optically detected amount of light, a position of a distal end of the laser fiber relative to the distal end of the endoscope, and generating a control signal to the surgical laser system to adjust laser emission through the laser fiber.

Described herein are systems, devices and methods that enable dynamic modification of the physicochemical properties of a hydrogel during its in vivo formation and delivery by a catheter. In some example embodiments, an extended endoluminal hydrogel delivery device is employed for delivering a hydrogel within given body cavity, such as within the lumen of a blood vessels. In some example embodiments, a hydrogel precursor, as a non-viscous liquid, is injected through an intravascular catheter and crosslinking of the hydrogel precursor is initiated within a distal region of the catheter. The crosslinking process is controlled, by a control means associated with a distal region of the catheter, to control or modify one or more properties of the hydrogel. The properties may be controlled such that a hydrogel is suitable to embolize the specific target or deliver drugs or other materials beneficial to the site.

Disclosed are systems, apparatus, and methods for performing robotic surgery, including a surgical robot having a plurality of robotic arms, an image capture device operably coupled to a first one of the plurality of robotic arms and a light source, a surgical tool operably coupled to a second one of the plurality of robotic arms and a light sensor, and a computing device including a processor and a memory storing instructions which, when executed by the processor, cause the computing device to determine whether the light sensor coupled to the surgical tool is detecting at least a predetermined amount of light emitted by the light source coupled to the image capture device, and provide a notification when it is determined that the light sensor coupled to the surgical tool is not detecting at least the predetermined amount of light emitted by the light source coupled to the image capture device.

An electronic system for a surgical instrument is disclosed. The electronic system comprises a main power supply circuit configured to supply electrical power to a primary circuit. A supplementary power supply circuit configured to supply electrical power to a secondary circuit. A short circuit protection circuit coupled between the main power supply circuit and the supplementary power supply circuit. The supplementary power supply circuit is configured to isolate itself from the main power supply circuit when the supplementary power supply circuit detects a short circuit condition at the secondary circuit. The supplementary power supply circuit is configured to rejoin the main power supply circuit and supply power to the secondary circuit, when the short circuit condition is remedied.

Aspects of the present disclosure are presented for a surgical instrument having one or more sensors at or a near an end effector and configured to aide in the detection of tissues and other materials and structures at a surgical site. The detections may then be used to aide in the placement of the end effector and to confirm which objects to operate on, or alternatively, to avoid. Examples of sensors include laser sensors used to employ Doppler shift principles to detect movement of objects at the surgical site, such as blood cells; resistance sensors to detect the presence of metal; monochromatic light sources that allow for different levels of absorption from different types of substances present at the surgical site, and near infrared spectrometers with small form factors.

A powered surgical instrument including an end effector, which includes jaws that are configured to transition between various closure states. The surgical instrument includes a sensor configured to measure the closure state of the jaws and a display configured to display information indicative to the detected closure state. The surgical instrument further includes a firing member movable between a first position and a second position to transition the end effector between the plurality of closure states and a motor configured to drive the firing member between the first position and the second position.