A powered surgical stapling device includes an end effector having a stationary anvil and a cartridge assembly that is supported for pivotal movement in relation to the anvil. In embodiments, the end effector includes a housing that supports an input shaft, an anvil fixedly supported on the housing, and a cartridge assembly pivotally supported in relation to the housing and the anvil. The cartridge assembly includes a channel that is pivotally supported on the housing. A lead screw is positioned within the channel and supports an internally threaded dynamic clamping member. The lead screw is secured to the input shaft by a universal joint such that rotation of the input shaft effects rotation of the lead screw and longitudinal translation of the dynamic clamping member along the lead screw. The universal joint facilitates the translation of the rotatable movement of the input shaft into rotation of the lead screw while allowing pivotal movement of the lead screw in relation to the input shaft.

A surgical instrument system that includes a housing and a rotatable drive shaft, a motor operably coupled to the drive shaft, and a plurality of replaceable end effectors that can be connected to the housing. Each replaceable end effector includes a drive screw that is turned a fixed number of revolutions by the motor-driven rotatable drive shaft when the end effector is connected to the housing. Each end effector further comprises a firing member operably coupled with the drive screw of the end effector. The drive screw is configured to displace the firing member over a firing length as a result of the fixed number of revolutions. In certain embodiments, each replaceable end effector can include a drive screw with a thread pitch set to the firing length divided by the fixed number of revolutions.

An electromechanical surgical device includes an end effector configured to perform at least one function, the end effector including an input drive axle projecting therefrom; and a shaft assembly. The shaft assembly includes a rotatable drive shaft; a proximal neck housing supported at a distal end of an outer tube; a distal neck housing pivotally connected to the proximal neck housing; a pivot pin interconnecting the proximal neck housing and the distal neck housing; and a gear train supported in the proximal neck housing, on the pivot pin, and in the distal neck housing. The gear train includes a proximal gear; an intermediate gear; a distal gear; and a pair of output gears, wherein each output gear defines a coupling socket each configured to selectively receive the drive axle of the end effector.

A surgical end effector assembly includes a pair of jaw members, a knife defining a longitudinal slot, a pivot pin coupling the jaw members to one another, and a drive member including a drive pin that is engaged to the jaw members. The pivot pin and/or the drive pin extends through the longitudinal slot of the knife to couple the knife to the jaw members and/or the drive member. The end effector assembly is transitionable between a use position, wherein the knife and drive member are generally aligned with one another to facilitate releasable engagement of the end effector assembly with a surgical instrument, and a cleaning position, wherein the jaw members, knife, and drive member are fanned apart from one another to facilitate cleaning of the end effector assembly. Methods of disengaging and sterilizing end effector assemblies for reuse are also provided.

A surgical instrument comprising a shiftable transmission is disclosed. The transmission comprises a mechanism for assuring that the transmission is in one of a plurality of predefined configurations.

A surgical instrument is provided, namely surgical scissors. The surgical instrument has a removable actuating rod which, in conjunction with the clevis and a tube, provides means for securing blades of the scissors. The tube prevents a removable pivot pin of the blades from becoming displaced from the clevis of the instrument. When the actuating rod is removed from the surgical instrument the pivot pin may be removed and, thus, the blades of the scissors may be removed for cleaning and/or replacement. The tube provides the tension and further constrains the scissor blades in a manner which results in the consistent and effective cutting performance of the scissors post assembly.

A surgical instrument with insulating grips is described. The grips can include internal metal frames that are arranged to limit electrical conductivity within the grips and to other components that attach to a grip, such as a ratchet. The internal metal frames can be constructed of multiple internal portions, spatially separated from one another to interrupt electrical conductivity between the internal portions, but coated with an insulating overmold to provide mechanical coupling between the portions. An internal metal frame can also include a notch, cut-out, or other region partially surrounded by the structure of the internal metal frame, which can be coated with an insulating overmold to define a region of the grip that does not have an internal metal frame therein but which can include an attachment point for mechanically coupling other components while limiting electrical coupling between the metal frame and the other components.

A stapling assembly for use with a surgical stapler is disclosed. The stapling assembly comprises a first jaw, a second jaw, an elongate channel configured to receive a staple cartridge, a firing member, and a lockout. The staple cartridge comprises a sled configured to eject staples. The firing member is configured to move distally in response to a rotary motion. The firing member is configured to advance the sled during a firing stroke. The lockout is configured to selectively prevent said firing member from performing said firing stroke.

A method for operating a medical device, comprising: (1) providing a surgical end effector at a distal end of an instrument shaft and a rotating actuator at a proximal end of the instrument shaft, and (2) operating the rotating actuator to perform at least one of actuating the surgical end effector by sliding the rotating actuator in a proximal direction and rotating the surgical end effector with respect to the instrument shaft and about a shaft axis.

Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.