A surgical device comprising a housing, a shaft extending from the housing, an end effector extending from the shaft, a feeder drive, a rotatable clip magazine, and a rotary input is disclosed. The shaft defines a shaft axis and comprises a feeding chamber. The feeder drive is configured to move between a proximal position and a distal position relative the shaft. The rotatable clip magazine is configured to rotate about the shaft axis. The rotary input is selectively engageable with the feeder drive and the rotatable clip magazine. The rotary input is configured to be engaged with the feeder drive and the rotatable clip magazine to consecutively feed a clip from and deliver a clip to the feeding chamber.

A surgical device for clipping tissue is disclosed. The surgical device comprises a housing, a shaft extending from the housing, an end effector extending from the shaft, a motor, a rotary input configured to rotate in response to the motor, and a clip magazine comprising a plurality of clips. The shaft defines a shaft axis. The clip magazine is operably connected to the rotary input. The clip magazine is movable in a first direction through a clip feed stroke in response to the rotation of the rotary input. The clip magazine is movable in a second direction in response to the rotation of the rotary input. The second direction is transverse to the first direction.

A surgical system comprising a housing assembly, a shaft extending from the housing assembly, a closure system, an end effector extending from the shaft, and a rotation system is disclosed. The housing assembly comprises a motor. The end effector is configurable in an unclamped configuration and a clamped configuration. The end effector is moved into the clamped configuration by the closure system. The end effector comprises a staple cartridge and a firing member. The staple cartridge comprises a plurality staples. The firing member is configured to move through the staple cartridge and deploy the plurality of staples. The rotation system is configured to rotate the end effector about a rotation axis when the end effector is in the unclamped configuration and prevent the end effector from rotating about the rotation axis when the end effector is in the clamped configuration.

An adapter assembly of a surgical instrument includes a cam member defining a proximal cam slot and a distal cam slot, a first articulation shaft, and a second articulation shaft. The first articulation shaft has a proximal end portion received in the proximal cam slot, and a distal end portion configured to be coupled to a surgical loading unit. The second articulation shaft has a proximal end portion received in the distal cam slot, and a distal end portion configured to be coupled to the surgical loading unit. The first and second articulation shafts are configured to move in opposing longitudinal directions in response to a rotation of the cam member to articulate the surgical loading unit.

A surgical device for clipping tissue is disclosed. The surgical device comprises a housing, a shaft defining a shaft axis, and an end effector. The end effector comprises a first jaw, a second jaw, and a receiver. The first jaw and the second jaw are movable relative to each other between an open position and a closed position. The receiver is at least partially defined between said first jaw and said second jaw. The surgical device further comprises a rotatable clip magazine configured to rotate about the shaft axis, a first advancing system, and a second advancing system. The clip magazine is configured to store at least two clips. The second advancing system is configured to operate sequentially with the first advancing system. The first advancing system and the second advancing system are configured to sequentially advance the clips into the receiver of the end effector.

A surgical instrument with improved end-effector gripping force. The instrument comprises a shaft, which may be inserted into a body of a patient. The articulated end-effector is mounted on the distal extremity of the instrument shaft and comprises a plurality of links interconnected by a plurality of joints, whose movements are remotely actuated by the surgeon's hands. This remote actuation is accomplished through mechanical transmission, mainly along flexible elements, which are able to deliver motion from a set of actuation elements, placed at a proximal extremity of the shaft, to the instrument's articulated end-effector. The articulated end-effector further comprises one or more cam-and-follower mechanisms that are able to amplify the force transmitted by the flexible elements so that the actuation force at the instrument jaws is maximized and the tension on the transmission elements minimized, thus increasing the fatigue resistance and life of the instrument.

Disclosed herein are suture clip delivery devices that can be loaded with several flat, disk-shaped suture clips and can deploy the suture clips one after another onto respective sutures without reloading the device with additional suture clips. An exemplary device includes a handle portion with an actuation mechanism that is coupled to a shaft portion that holds and deploys the suture clips. The shaft portion includes a mandrel on which the suture clips are mounted and a retainer that restricts the suture clips from moving proximally when the actuation mechanism pulls the mandrel proximally, which causes a distal-most suture clip to slide off the mandrel and be deployed onto one or more suture. The mandrel and remaining suture clips can them move distally to prepare to deploy the next suture clip.

An improved surgical instrument having an end effector mounted on the end of an elongate shaft extending from a handle. The end-effector is capable of different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by a trigger mechanism contained within the handle. In some embodiments, the end effector includes a pair of curved jaw members and blade assembly having a cutting blade at its distal end. The trigger mechanism drives blade assembly longitudinally within the elongate shaft such that the cutting blade protrudes between the jaw members. To help the trigger mechanism push the blade assembly around the curved jaws, the distal end of blade has a graduated flexibility that easily bends to the shape of the jaw members. The distal end of the blade may also be provided with a low friction coating so that it can easily slide between the jaw members.

A surgical instrument includes a body, a shaft, and an end effector that is operable to compress, staple, and cut tissue. The end effector includes a pair of jaws. One of the jaws has a deflectable placement tip attached thereto. The placement tip may be attached using a mechanical connection in some versions. Still in other versions the placement tip may be attached via an overmolding process. Where an overmolding process is used, a portion of the jaw can be configured with various connection features that improve the overmolding attachment success.

A surgical device comprising: (a) a stylet comprising: one or more support rods; (b) a hand piece comprising: one or more housing structures defining a cavity; and one or more actuating mechanisms comprising: one or more levers attached to one or more pivot axes in the hand piece and configured to form one or more slidable joints in communication with the one or more support rods; wherein the one or more levers are configured to be assembled by: being placed into the hand piece along the assembly direction before the stylet so the stylet may be placed into the hand piece over the one or more levers; or being placed into the hand piece along the assembly direction after the stylet so the one or more levers is placed into the hand piece over the stylet and in communication with the stylet.