A surgical clip applier is disclosed which is configured to automatically feed a clip from a clip cartridge once the surgical clip applier is positioned in the patient.

A surgical device comprising a housing, a shaft extending from the housing, an end effector extending from the shaft, a feeder drive, a rotatable clip magazine, and a rotary input is disclosed. The shaft defines a shaft axis and comprises a feeding chamber. The feeder drive is configured to move between a proximal position and a distal position relative the shaft. The rotatable clip magazine is configured to rotate about the shaft axis. The rotary input is selectively engageable with the feeder drive and the rotatable clip magazine. The rotary input is configured to be engaged with the feeder drive and the rotatable clip magazine to consecutively feed a clip from and deliver a clip to the feeding chamber.

A surgical device for clipping tissue is disclosed. The surgical device comprises a housing, a shaft extending from the housing, an end effector extending from the shaft, a motor, a rotary input configured to rotate in response to the motor, and a clip magazine comprising a plurality of clips. The shaft defines a shaft axis. The clip magazine is operably connected to the rotary input. The clip magazine is movable in a first direction through a clip feed stroke in response to the rotation of the rotary input. The clip magazine is movable in a second direction in response to the rotation of the rotary input. The second direction is transverse to the first direction.

A surgical clip applier comprising an electric motor system is disclosed. The electric motor system is configured to drive one or more drive systems of the surgical clip applier. The surgical clip applier comprises a control system configured to control the electric motor system. The control system is configured to monitor a parameter of the electric motor system to assess the operation of the one or more drive systems. In at least one instance, the control system monitors the electric current drawn by an electric motor and adapts the operation of the electric motor based on the electric current being drawn by the motor. The control system slows the electric motor down when the electric current drawn by the electric motor exceeds a threshold. The control system modulates the width, or duration, of voltage pulses applied to the electric motor to control the speed of the electric motor.

Described herein are drive systems and methods. One exemplary system includes a tool having a proximal handle and a catheter body. The tool can be mated with a rail and the rail mated with a frame. The connection between the tool and rail and/or the rail and frame can allow relative movement of the tool with respect to the frame, a patient, and/or a point of reference. In one exemplary configuration the handle of the tool rotates around an axis that corresponds to a portion of the catheter body, such that rotational movement of the handle has a minimal impact on longitudinal movement and/or position of a distal end of the tool.

A system for performing an endoscopic procedure is provided. The system includes an actuation assembly having a handle assembly and a shaft assembly. The system also includes an end effector configured for selective and operative connection to a distal end of the shaft assembly. The system further includes a holder for selectively engaging the end effector and facilitating attachment of the end effector to the shaft assembly.

The present disclosure relates to electromechanical surgical systems configured for use with removable disposable loading units and/or single use loading units for clamping, cutting and/or stapling tissue. A force transmitting assembly of surgical instrument transmits a rotation of a rotatable drive member of the surgical instrument to the rotation receiving member of the end effector. A distal neck assembly of the surgical instrument includes at least one gear system configured to convert a rotational input of the rotatable drive member into at least two output forces to the end effector; and an articulating neck assembly interconnecting the tubular body and the distal neck housing. The articulating neck assembly is configured to enable off-axis articulation of the distal neck assembly. The rotatable drive member extends through the articulating neck assembly.

A tubular shaft for a tubular shaft instrument includes a hollow shaft component, an actuating rod arranged in the hollow shaft component, and functional elements that are attached at the distal ends of the shaft component and/or of the actuating rod. The actuating rod is axially displaceable relative to the hollow shaft component to move the distal sections of the functional elements toward one another, past one another, and/or away from one another. The actuating rod includes at least one bending area in which flexible segments and support segments alternate and in which the actuating rod has significantly less bending resistance than outside the at least one bending area. A friction-reducing layer on the at least one bending area of the actuating rod reduces the friction of the actuating rod on the inside wall of the shaft component.

A surgical instrument includes a body, an ultrasonic blade, a clamp arm assembly, and a detent assembly. The clamp arm assembly includes a clamp arm pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The detent assembly is configured to provide tactile resistance to pivotal movement of the clamp arm relative to the body beyond a predefined pivot angle. The detent assembly is configured to permit pivotal movement of the clamp arm relative to the body beyond a predefined pivot angle upon application of a force sufficient to overcome the tactile resistance.

Described here are methods, systems, and devices, useful for minimally invasive surgical procedures. The methods may include introducing a grasper through an opening into an abdominal cavity, grasping a portion of a left lobe of a liver with the grasper, rotating the grasper towards a control element located outside the abdominal cavity by applying a magnetic field to the grasper across a body wall, and moving the control element over a set of ribs such that the liver bends into a folded configuration.