A surgical apparatus includes an end effector having an ultrasonic blade, a clamp arm, and a clamp pad. The end effector applies ultrasonic energy at the blade. The clamp arm pivots relative to the blade. The clamp pad is positioned on the clamp arm adjacent to the blade. The clamp arm includes a latching feature to retain the clamp pad relative to the clamp arm to prevent the clamp pad from moving laterally, longitudinally, and perpendicularly relative to the clamp arm.

A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing configured to couple with the transmission assembly. An information transmission system transmits instrument information received from a sensor, for example, to a secure server via a secure gateway connected to the instrument. The instrument may be previously tested on a calibration kit to pre-determine and load surgeon-specific settings onto the instrument prior to use.

An ultrasonic treatment instrument includes a vibration transmitting member transmitting ultrasonic vibration toward a first gripper and formed as one piece, and a second gripper movable between a spaced position where the second gripper is spaced apart from the first gripper and a closed position where the second gripper is put in close to the first gripper. The ultrasonic treatment instrument includes an interlocking actuator increasing, by moving the first gripper in interlock with a movement of the second gripper to the spaced position, a spacing distance between the first gripper and the second gripper in accordance with a movement of the first gripper.

An electrosurgical instrument for sealing and cutting tissue is provided. The instrument includes a housing having a plurality of transducers included therein and a waveguide coupled to and extending from the housing. An end effector assembly disposed at a distal end of the waveguide includes a pair of opposing jaw members, where at least one of the jaw members includes a transducer. The transducer is configured to receive an acoustic signal from the plurality of transducers in the housing.

Disclosed are an ultrasonic surgical instrument (100) and ultrasonic surgical system; the ultrasonic surgical instrument (100) includes a waveguide (1) rotatable around an axis and in threaded connection with a transducer (200); a force transmission mechanism is in fixed connection with the waveguide (1), which has at least one stress surface (41); a rotatable mechanism includes a pushing mechanism and a rotatable driving mechanism having at least one force applying surface (51), the applying surface (51) and the stress surface (41) are not perpendicular to the axis, and can be engaged with each other; the pushing mechanism provides a pushing force the rotatable driving mechanism towards the force transmission mechanism, and the rotatable driving mechanism can overcome the pushing force when interaction force between the applying surface (51) and the stress surface (41) is in excess of a predetermined value.

A robotic surgical arm can include a puck containing motors to drive an end effector. A tool assembly attached to the puck generates ultrasonic and/or radio frequency energy to apply between the jaws of the end effector. The tool assembly can include modular components such as a modular shaft that can include an ultrasonic transducer, nonvolatile memory, wireless interface, and/or a power source. The power source allows the tool assembly and modular shaft to communicate wirelessly with the robotic arm.

A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement.

Aspects of the present disclosure are presented for a single surgical instrument configured to grasp, seal, and/or cut tissue through application of therapeutic energy, and also detect nerves through application of non-therapeutic electrical energy. A medical device may include two jaws at an end effector, used to apply therapeutic energy and to perform surgical procedures. The therapeutic energy may be in the form of ultrasonic vibrations or higher voltage electrosurgical energy. One of the jaws may be configured to cut tissue through application of the blade. In addition, one or both of the two jaws may be configured to apply nontherapeutic energy for nerve stimulation probing. The application of therapeutic energy may be disabled while the nontherapeutic nerve stimulation energy is applied, and vice versa. The nontherapeutic nerve stimulation energy may be applied to the use of one or more probes positioned near one or both of the jaws.

A surgical instrument comprising a housing, an acoustic assembly configured to produce vibrations, and a waveguide coupled to the acoustic assembly is disclosed. The surgical instrument further comprises an ultrasonic blade extending from the waveguide and a clamp movable between an open position and a closed position relative to the waveguide. The clamp comprises an electrically non-conductive pad, a first electrode embedded in the electrically non-conductive pad, and a second electrode embedded in the electrically non-conductive pad, wherein the first electrode and the second electrode longitudinally overlap a tissue treatment area of the ultrasonic blade when the clamp is in the closed position. The surgical instrument further comprises a first conductor and a second conductor, wherein the first conductor and the second conductor are configured to be placed in electrical communication with a power source such that current can flow from the first electrode to the second electrode.

A surgical instrument includes an ultrasonic transducer, a body, and a transducer carrier assembly. The ultrasonic transducer is operable to deliver energy through the surgical instrument to a surgical site. The body is operable to house the ultrasonic transducer. The transducer carrier assembly is in communication with the body and the ultrasonic transducer. The transducer carrier assembly is operable to enable the translation and/or the rotation of the ultrasonic transducer within the body.