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.

An ultrasonic transducer for an ultrasonic surgical instrument includes a proximal hub, a piezoelectric rod array including a plurality of piezoelectric rods spaced-apart from one another and disposed in parallel and longitudinally-extending orientation relative to one another, and a distal horn including a distal connector configured to engage a waveguide. The proximal hub and the distal horn are configured to engage one another to retain the piezoelectric rod array therebetween under compression.

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.

An ultrasonic surgical instrument including a blade that treats tissue and a fluid control system to cool the blade by pumping cooling fluid through the blade. The blade defines a blade lumen in fluid contact with an inflow and return conduit of the fluid control system. The inflow conduit defines an open distal end positioned within the blade lumen adjacent the distal end of the blade lumen and the return conduit defines an open distal end positioned within the blade lumen adjacent the proximal end of the blade lumen. The fluid control system may further include a fluid reservoir holding the cooling fluid and an inflow pump. The inflow pump is configured to deliver the fluid from the fluid reservoir, through the inflow conduit and the blade lumen, and into return conduit.

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. Various embodiments are configured to be operably attached to a robotic system to receive actuation/control motions therefrom.

A power supply apparatus is for a treatment instrument including a probe having electrical conductivity which vibrates, a grasping member that is opened and closed with respect to the probe and an electrode provided in the grasping member. The power supply apparatus supplies high-frequency power between the probe and the electrode. The power supply apparatus includes a resistance acquisition circuit which repeatedly acquires a resistance value of electrical resistance between the probe and the electrode, a condition determination circuit which acquires the number of times the resistance value satisfies a predetermined condition while the probe is vibrating and power is supplied between the probe and the electrode, and a determination circuit which determines whether or not the probe and the electrode are electrically short-circuited based on the number of times.

A surgical treatment instrument includes an insertion portion including a longitudinal axis, an operation portion provided on one end side of the insertion portion, and a treatment portion provided on the other end side of the insertion portion and configured to treat a living tissue. The treatment portion includes a piezoelectric element configured to generate ultrasound and an ultrasound transmitting material configured to transmit the ultrasound generated by the piezoelectric element to the living tissue.

A robotic surgical system comprising a surgical instrument comprising an end effector comprising (i) a blade, (ii) a first jaw member including a first electrode, and (iii) a second jaw member including a second electrode. The robotic surgical system may also comprise a motor and a control circuit configured to: (i) produce control signals comprising a first control signal and a second control signal, (ii) deliver an electrosurgical energy signal to the first electrode and the second electrode via the first control signal, (iii) deliver a drive signal to the motor via the second control signal (iv) receive at least one feedback signal, (v) determine a rate of change based on a first feedback signal of the at least one feedback signal, and (vi) maintain the rate of change at a predetermined rate or within a predetermined range.

An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a clamp pad and an electrode. The clamp pad is configured to compress tissue against the ultrasonic blade. The clamp pad has a proximal end, a distal end, and a pair of lateral sides extending from the proximal end to the distal end. The electrode is operable to apply RF energy to tissue. The electrode extends along both lateral sides of the clamp pad. The electrode further extends around the distal end of the clamp pad.