An apparatus includes a body assembly, a shaft defining a longitudinal axis extending from the body assembly, an acoustic waveguide having a flexible portion, and an articulation section coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section has a first member and a second member translatable relative to the first member. An end effector has an ultrasonic blade that is in communication with the waveguide. An articulating control assembly has a motor. The motor is operable to translate the first and second members to thereby deflect the end effector away from the longitudinal axis at the articulation section.

A surgical instrument includes a shaft assembly and an articulation control assembly. The shaft assembly includes an articulation section that is configured to deflect a distal end portion from the longitudinal axis. The articulation control assembly includes an articulation control member and a transmission assembly. The articulation control member is rotatably mounted relative to the shaft assembly. The transmission assembly is operatively connected between the articulation control member and the articulation section of the shaft assembly. The transmission assembly is configured to transmit selective manipulation of the articulation control member to the articulation section and selectively actuate the articulation section. The articulation control assembly is configured to lock without selective manipulation of the articulation control member to thereby inhibit actuation of the articulation section and unlock with selective manipulation of the articulation control member to thereby actuate the articulation section.

A surgical apparatus includes a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and a restricting member. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section is operable to flex to thereby deflect the end effector from a longitudinal axis defined by the shaft. The restricting member is operable to restrict lateral deflection of the end effector. The restricting member is further operable to cooperate with a translating member to rigidize the articulation section when the end effector is aligned with the longitudinal axis. Such rigidization includes removing any “play” or other small movement that might otherwise be provided by the articulation section due to manufacturing tolerances and/or looseness between parts.

An apparatus for operating on tissue includes a body assembly, a shaft assembly, an acoustic waveguide, an articulation section, an articulation control assembly, an end effector, and an articulation lock. A portion of the articulation section encompasses a flexible portion of the waveguide. The articulation includes a first member and a second member that is longitudinally translatable relative to the first member. The articulation control assembly is configured to move relative to the shaft assembly in order to longitudinally translate the second member relative to the first member. The end effector includes an ultrasonic blade in acoustic communication with the waveguide. The articulation lock is configured to prevent movement of the articulation control assembly relative to the shaft assembly.

A surgical instrument comprising a lockout is disclosed.

A surgical instrument comprising an end effector is disclosed. The end effector comprises a staple cartridge including a cartridge body comprising an annular array of staple cavities, staples removably stored in the staple cavities, a firing drive configured to eject the staples from the staple cavities, and a cutting member circumscribed by the staple cavities. The end effector further comprises an anvil including a tissue compression surface, forming surfaces configured to deform the staples and a tissue block. The anvil is movable toward the cartridge body to compress tissue between the cartridge body and the tissue block and the cutting member is configured to incise the tissue and the tissue block during a cutting stroke of the cutting member.

A medical device includes a handle, a flexible member extending from a proximal end connected to the handle to a distal end, a rotation mechanism connected to the distal end of the flexible member, an end effector coupled to a distal portion of the rotation mechanism and a push member extending through the handle and flexible member and connecting to the rotation mechanism, the rotation mechanism being configured and dimensioned to convert axial movement of the push member into rotation of the end effector.

A system for stapling tissue comprises a flexible endoscope and an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.

A uterine fibroid tissue removal device includes an inner tube disposed within an outer tube and configured to be translated and rotated relative to the outer tube, and a separately formed unitary distal tip member attached to a distal end of the inner tube, such that the distal tip member translates and rotates relative to the outer tube along with the inner tube, wherein a distal facing open cutting end of the distal tip member in fluid communication with an axial lumen of the distal tip member translates across a tissue resection window in a sidewall of the outer tube so as to sever tissue extending therethrough, the distal tip member axial lumen being in fluid communication with an axial lumen of the inner tube, wherein an outer diameter of the distal tip member is greater than an outer diameter of the inner tube.

An articulating instrument including a distal assembly having first and second configurations and intermediate configurations between them. At least one of the first and second configurations is substantially stable such that the distal assembly of the instrument has a tendency to remain in the stable configuration when placed in that configuration by a user of the instrument. Preferably, the distal assembly terminates in a distal tip unit defining at least one distal feature that is useful for manipulating tissue.