A surgical instrument comprising a housing, an elongate shaft defining a longitudinal axis, an end effector, a firing member, and a laminate firing actuator connected to the firing member is disclosed. The elongate shaft comprises an articulation joint defining an articulation axis that is transverse to the longitudinal axis, a first lateral buckling support positioned on a first side of the articulation joint, and a second lateral buckling support positioned on a second side of the articulation joint. The laminate firing actuator extends through the articulation joint. The laminate firing actuator extends intermediate the first lateral buckling support and the second lateral buckling support. The first lateral buckling support and the second lateral buckling support engage the laminate firing actuator when the end effector is articulated about the articulation joint.

In various embodiments, a tissue thickness compensator can comprise one or more capsules and/or pockets comprising at least one medicament therein. In at least one embodiment, staples can be fired through the tissue thickness compensator to rupture the capsules. In certain embodiments, a firing member, or knife, can be advanced through the tissue thickness compensator to rupture the capsules.

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 then move distally to prepare to deploy the next suture clip.

A surgical system comprising an electric motor and a surgical instrument is disclosed. The surgical instrument comprises a housing, a shaft extending from the housing, a fastener cartridge, an anvil, a translatable drive member, and a rotatable actuator knob. The housing comprises an input shaft operably coupled to the electric motor. The input shaft is rotatable in a first mode by the electric motor. The fastener cartridge comprises a plurality of fasteners removably stored therein. The anvil is configured to deform the fasteners. The translatable drive member is configured to move the anvil toward and away from the fastener cartridge. The translatable drive member is movable by the electric motor in the first mode. The rotatable actuator knob is configured to be rotated multiple full rotations in a second mode to manually cause the input shaft to move the anvil.

A handle assembly of a hand-held surgical instrument includes a motor and an actuation trigger. Clamping and/or stapling tissue may be carried out by actuation of the trigger. The motor may be activated to assist the manual actuation of the trigger. The handle assembly may include distinct gears for effecting discrete functions of an attached end effector.

A surgical tool for use with a robotic system that includes a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to robotically-generate output motions. A drive system is configured to interface with a corresponding portion of the tool drive assembly for receiving the robotically-generated output motions and applying the output motions to a drive shaft assembly which is configured to apply control motions to a surgical end effector operably coupled thereto. A manually-actuatable control system operably interfaces with the drive shaft assembly to facilitate the selective application of manually-generated control motions to the drive shaft assembly.

In various embodiments, a surgical instrument comprising an end effector and a handle comprising an opening and an access panel covering the opening is disclosed. The surgical instrument further comprises a motor, a power source, a firing member movable through a staple firing stroke and a retraction stroke, an end-of-stroke switch configured to be actuated to automatically retract the firing member through the retraction stroke, and a bailout switch configured to prevent power from flowing from the power source to the motor when the bailout switch is in an open state and permit power to flow from the power source to the motor when the bailout switch is in a closed state. A user of the surgical instrument is provided access to a retraction lever to manually retract the firing member through the retraction stroke when the access panel is in the open position.

Methods and devices for reprocessing a surgical instrument are disclosed. The surgical instrument includes a housing defining a cavity and at least one interior component disposed within the cavity. The housing is opened along a seam to access the cavity, the at least one interior component is serviced, and a mating member is applied to the housing. The housing is joined together with the mating member, and the housing is reopened along the seam to access the cavity.

A surgical stapler is provided that includes a spring loaded lift that automatically adjusts a staple cartridge and/or staple formation between a range of sizes. The lift is automatically released as the staple firing mechanism begins its forward translation of the firing sequence. The automatic one-way adjustment also adjusts the staple cartridge while maintaining the cartridge parallel to the anvil to provide consistent staple formations.

An extraction system for bone staples provided with a first and a second element, comprising a main gripping body having a distal end and a proximal end. The device comprises, in addition, a central rod provided with a proximal end and a distal end, the latter adapted to couple with the first element of the staple. The central rod slides axially within the main gripping body between a first position and a second position by means of suitable movement means. The device has a plurality of abutment elements protruding in the axial direction from the distal end of the main body, which are arranged circumferentially around the central rod, adapted to act on the second element of the staple to obtain, in cooperation with the movement of the central rod, the separation of the second element of the staple from the first element of the staple and the removal thereof.