A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. 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 includes a collar that is located distal to a nodal portion of the waveguide and is operable to deflect the end effector away from the longitudinal axis. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation drive assembly is operable to drive articulation of the articulation section. The articulation drive assembly comprises at least one translating articulation driver coupled with the collar. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue even when the articulation section is in an articulated state.

A battery-powered, modular surgical device comprising an electrically powered surgical instrument that requires a pre-determined minimum amount of electrical energy to complete a surgical procedure, and a power module assembly that has a battery that powers the surgical instrument and has a current state of electrical charge, and a control circuit that is electrically coupled to the battery and the surgical instrument and has a memory and a microprocessor. The microprocessor determines the current state of electrical charge of the battery, compares the current state of electrical charge to the pre-determined minimum amount of electrical energy, permits the battery to discharge if the current state of electrical charge is above the pre-determined minimum amount of electrical energy, and maintains the battery in a non-discharge state if the current state of electrical charge is below the pre-determined minimum amount of electrical energy.

A surgical instrument end effector assembly includes a first jaw member defining an insulative tissue-contacting surface and first and second electrically-conductive tissue-contacting surfaces, and a second jaw member positioned including an ultrasonic blade body and defining at least one electrically-conductive tissue-contacting surface. The first jaw member is movable relative to the second jaw member between a spaced-apart position and an approximated position to grasp tissue therebetween. The second jaw member is movable relative to the first jaw member between a first configuration, to facilitate transmission of ultrasonic energy to tissue grasped between the first and second jaw members, and a second configuration, to facilitate conduction of electrosurgical energy through tissue grasped between the first and second jaw members.

The present disclosure relates generally to the field of medical devices and establishing access to body passageways. In particular, the present disclosure relates to devices, systems and methods to facilitate entry of an endoscopic accessory tool into and/or through patient-specific anatomies. For example, the devices, systems and methods of the present disclosure may transmit mechanical motion to the distal end of an endoscopic accessory tool to facilitate atraumatic access to tortuous or otherwise restricted anatomies.

An ultrasonic surgical system is disclosed including an end effector, an elongate shaft, an articulation joint, and an articulation system. The end effector is rotatable relative to the elongate shaft about the articulation joint. The articulation system includes a distal plate, a first cable, a second cable, and a gear. The distal plate is configured to articulate toward a first side of the gear based on the gear rotating in a first direction and articulate toward a second side of the gear based on the gear rotating in a second direction. The end effector is configured to articulate in a first articulation direction about the articulation joint based on the distal plate articulating toward the first side of the gear. The end effector is configured to articulate in a second articulation direction about the articulation joint based on the distal plate articulating toward the second side of the gear.

A surgical instrument includes an ultrasonic waveguide extending through a body assembly. An ultrasonic blade connects to the ultrasonic waveguide. A clamp arm assembly of the surgical instrument is able to move from an opened position for receiving a tissue toward a closed position for clamping the tissue. The clamp arm assembly includes a clamp body and a clamp pad facing the ultrasonic blade. A clamp arm actuator of the surgical instrument is able to move from a first position toward a second position to direct the clamp arm assembly from the opened position toward the closed position. A modular coupling of the surgical instrument connects to the clamp pad such that at least the clamp pad can be disconnected relative to the ultrasonic blade for replacement thereof.

Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit.

A treatment tool includes: a pair of grippers configured to grip living tissue, at least one of the pair of grippers being configured in an openable and closable manner; a transmission portion connected to the at least one of the pair of grippers, the transmission portion being configured to move forward and backward along a first direction to open and close the pair of grippers; an operating portion configured to receive user operation for gripping the living tissue; an elastic body configured to transmit, to the transmission portion, an operating force applied to the operating portion by the user operation while being compressively deformed in accordance with the operating force; and an adjustment mechanism configured to adjust an amount of compressive deformation of the elastic body when the user operation is performed on the operating portion, to thereby adjust a gripping force of the pair of grippers.

Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit.

A surgical instrument includes an ultrasonic transducer supported by a housing and an elongated assembly extending distally therefrom. The elongated assembly includes a jaw and a waveguide coupled to the transducer and defining a blade having upper and lower tissue-contacting surface and first and second lateral surfaces disposed therebetween that are coated with a material. The jaw is pivotable relative to the blade and includes a structural base having a backspan and first and second uprights extending from the backspan. The jaw further includes a jaw liner supported within the structural base and positioned to oppose the upper tissue-contacting surface with the first and second uprights disposed on either side of the blade. In an ultrasonic mode, ultrasonic energy produced by the transducer is transmitted along the waveguide to the blade. In an electrosurgical mode, electrosurgical energy is conducted between the blade and the first and second uprights.