An apparatus includes a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly includes an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly includes a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.

Medical devices and instruments, particularly appliers that may be used to apply occlusion devices such as occlusion clips on anatomical structures, are disclosed. Some example clip appliers may include an activation lever configured to open and close an occlusion clip releasably mounted in an end effector. Some example clip appliers may include a deployment trigger configured to release the occlusion clip from the end effector. Some example clip appliers may include a shaft extending between a handle and the end effector that is rotatable and/or bendable.

A surgical instrument includes a housing having an elongated shaft with jaw members at a distal end thereof configured to treat tissue upon electrical activation thereof. A first handle is movable relative to the housing to move the jaw members relative to one another to grasp tissue therebetween. A switch is disposed on the housing and configured for activation by the first handle when fully actuated. A slider is disposed in the first handle and is movable between a first position configured to align a switch activation element on the first handle with the switch to activate the jaw members upon full actuation of the first handle and a second position wherein the switch activation element is misaligned with the switch such that full actuation of the first handle does not activate the jaw members.

A surgical device for performing surgery includes a handle assembly, an elongate member extending from the handle assembly, an articulation mechanism, and an adapter. The elongate member has articulating and straight sections. The articulating section is configured to articulate with respect to the straight section. The adapter rotatably couples the elongate member with the articulation mechanism such that when the elongate member is in a first rotational orientation with respect to the articulation mechanism, the articulating section articulates toward a first direction relative to the straight section upon movement of the handle assembly towards the first direction with respect to the straight section and when the elongate member is in a second rotational orientation with respect to the articulation mechanism, the articulating section articulates toward a second direction relative to the straight section upon movement of the handle assembly towards the first direction with respect to the straight section.

A manipulator including an elongated shaft, a distal-end treatment section disposed at a distal end of the shaft, a distal-end articulated section having a bendable joint and a rotatable joint, and a proximal-end operating section disposed at a proximal end side of the shaft, wherein the bendable joint has an axis intersecting a longitudinal axis of the shaft, the rotatable joint has an axis that intersects the axis of the bendable joint and that is substantially aligned with a central axis of the distal-end treatment section, the proximal-end operating section includes a first operating section gripped by one hand and causing the bendable joint to move about the axis intersecting the longitudinal axis of the shaft, and also includes a second operating section provided in the first operating section and causing the rotatable joint to move.

A medical manipulator including: a rotating joint that rotates an end effector disposed at a distal end thereof about a first axis; a flexing joint that is disposed on a base-end side of the rotating joint and that pivots the end effector about a second axis that intersects the first axis; a drive portion that generates a rotational driving force; a motive-power transmitting member that transmits the rotational driving force generated by the drive portion to the rotating joint by passing through the flexing joint; and a speed-reduction portion that transmits the rotational driving force transmitted thereto by the motive-power transmitting member to the end effector after performing speed-reduction.

An adapter assembly for connecting an end effector to an actuation assembly includes a base member defining a plurality of notches spaced at least partially about a circumference of the base member, a handle supported on the base member and rotatable about a longitudinal axis of the base member, and a latch mechanism supported on the handle assembly and selectively engageable with the base member. The latch mechanism includes a button member and a locking member. The button member is movable between a first position in which the locking member is received within one of the plurality of notches to lock the handle relative to the base member, and a second position in which the locking member is spaced from the plurality of notches to unlock the handle relative to the base member.

An adapter assembly for operably connecting an end effector to an electromechanical surgical instrument includes a drive transfer assembly, a drive member, and a first pusher assembly. The drive transfer assembly includes first and second rotatable shafts. The drive member is operably connected to the first rotatable shaft for transferring rotational motion from the first rotatable shaft to effect a first function and the first pusher assembly is operably connected to the second rotatable shaft for converting rotational motion from the second rotatable shaft to longitudinal movement to effect a second function. The first pusher assembly includes a brake member for rotationally locking the drive member relative to the first pusher assembly.

Various surgical systems are disclosed. A surgical system can include a surgical robot and a surgical hub. The surgical robot can include a control unit in signal communication with a control console and a robotic tool. The surgical hub can include a display. The surgical hub can be in signal communication with the control unit. A facility can include a plurality of surgical hubs that communicate data from the surgical robots to a primary server. To alleviate bandwidth competition among the surgical hubs, the surgical hubs can include prioritization protocols for collecting, storing, and/or communicating data to the primary server.

A robotic surgical assembly includes a drive assembly and a shaft assembly. The drive assembly is detachably mountable to a surgical robot and includes roll, pitch, and clamp/fire inputs configured to drivingly couple with respective outputs of the surgical robot. The shaft assembly is mounted to the drive assembly and configured to detachably couple with a stapler reload assembly that includes a reload roll shaft, a reload pitch shaft, and a reload clamp/fire shaft. The shaft assembly includes a roll shaft, a pitch shaft, and a clamp/fire shaft. The roll shaft is drivingly coupled with the roll input and configured to detachably couple to the reload roll shaft. The pitch shaft is drivingly coupled with the pitch input and configured to detachably couple to the reload pitch shaft. The clamp/fire shaft is drivingly coupled with the clamp/fire input and configured to detachably couple to the reload clamp/fire shaft.