Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade. The electrical switch may be configured to electrically couple to the RF generator and the movable jaw member, wherein the switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. The fastener is provided with a groove that accommodates at least a portion of the fastening member to reduce the profile during the movement through the passage. The fastener is then pivoted to change its orientation. A second fastener can then be connected with the fastening member. While tension is maintained in the fastening member, the fasteners are secured against relative movement. This may be done by deforming the fastening member, either the first or second fasteners, or a bushing placed against the second fastener.

An ultrasonic surgical handpiece comprising a thermal diffuser that includes a thermal conductive layer and an electrical insulating layer. The thermal diffuser reduces hot spots that are objectionable to the user. The handpiece may also comprise an anti-rotation feature which distributes force of the metal horn applied to the polymer housing by increasing applied area under torque.

A surgical instrument includes an end effector, a handle assembly, and a knife drive assembly. The end effector includes a first jaw, a second jaw, a knife, and an electrode assembly. The handle assembly includes a housing, and an arm. The arm may pivot the second jaw between the open position and the closed position. The knife drive assembly includes an input assembly, and output assembly coupled with the knife, and a compound pulley assembly. The compound pulley assembly includes a pair of pulley wheels each having an input track, an output track, an input cable, and an output cable. The input assembly can drive the input cable a first proximal distance in order to rotate the pair of pulley wheels in a first angular direction, thereby driving the output cable a first distal direction to actuate the knife from the pre-fired position toward the fired position.

The present disclosure is directed to a customizable distractor for oral and maxillofacial surgery and a system and method for designing and making the same. The distractor includes a steering apparatus that is movable along the helical-shaped distraction path to create gap between the first and second bone segments, an anchoring member for coupling the steering apparatus a first and second bone segment, and a distraction drive mechanism is used to drive movement of the steering apparatus along the distraction path.

A surgical instrument comprising a shaft and an end effector is disclosed. The end effector is releasably attachable to the shaft by a lock biased into a locked condition to hold the end effector to the shaft.

A stop member for use with a surgical stapling device includes a plurality of sections that are releasably coupled to each other. Each of the sections includes a coupling member that can be selectively coupled to a tool assembly of the surgical stapling device to limit an actuation stroke of a drive assembly of the stapling device. Sections of the stop member can be removed from the stop member to change the position of a stop surface of the stop member on the tool assembly to change the effective stroke length of the clamp member.

Disclosed herein are methods, devices and systems for performing robotic procedures. The devices may include one or more robotic arms. The one or more robotic arms may comprise one or more joints. A joint may include a magnetic sensing system. The one or more robotic arms may be configured to move an elbow joint independently from an end effector or origin of the robotic arm. A working end of the robotic arm may be configured for insertion through a trocar into a body cavity of a subject and may be operatively coupled to a motor unit by one or more electrical or mechanical components housed in a support tube.

A surgical instrument (1) with a safety mechanism includes an end effector, an intermediate connector, and a controller (100), wherein the controller (100) includes housings (101, 102), a drive mechanism, the safety mechanism, and a reset mechanism, the drive mechanism, the safety mechanism and the reset mechanism being arranged or partially arranged in the housings (101, 102); the safety mechanism includes a safety trigger (104), a dry firing function block (109), and a biasing member (110). The surgical instrument can solve the problem that the instrument cannot be fired and reset when an automatic reset mechanism thereof fails, thereby protecting patient safety, and having a simple structure and a low cost.

A device for safely approaching vertebral disc space utilizing stereotactic guidance, clearing material from the disc space, a device for expanding the disc space, stereotactic methods for implant planning and monitoring articulating instrument end effectors and a device for implantation into the disc space for the purpose of fusion or disc replacement.