A surgical instrument including an end effector that has a selectively reciprocatable implement movably supported therein. The implement is selectively advanceable in a distal direction upon application of a rotary actuation motion thereto and retractable in a proximal direction upon application of a rotary retraction motion thereto. An elongate shaft assembly is coupled to the end effector and is configured to transmit the rotary actuation motion and rotary retraction motion to the reciprocatable implement from a robotic system that is configured to generate the rotary actuation motion and said rotary retraction motion.

A jaw assembly for a surgical tubular shaft instrument includes a supporting component, a first arm and a second arm, the first arm and/or the second arm each having one link element. The arms are held by the supporting component in the axial direction. A cam carrier element is axially movable relative to the supporting component and carries at least two cams. Each link element is designed to be in contact with at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, the cams being provided on the cam carrier element. Each link element is further designed to slide off of the cams to effect an opening or closing of the jaw assembly.

A device can pierce and hold tissue and then pass suture through tissue. The device can have a shuttle that can removably attach to a suture and jaws that can be rotatably opened and closed with respect to each other. A method for using the device to repeatedly pass the suture through the tissue without removing the suture or device from the target site is also disclosed.

Devices and methods are provided for facilitating ejection of surgical fasteners from a cartridge. In general, the devices and methods can facilitate complete removal of one or more fasteners from within the cartridge. In an exemplary embodiment, a surgical device can be configured to facilitate disconnection of fasteners from a carrier to which the fasteners are frangibly attached. The surgical device can include a separation feature in the form of a shearing element configured to facilitate separation of the fasteners from the carrier when the fasteners are deployed from a cartridge that has the fasteners and the carrier disposed therein.

A surgical assembly comprising a distal connector portion, a stapling assembly, and a sensor is disclosed. The stapling assembly comprises an end effector and a proximal connector portion configured to releasably connect to the distal connector portion. The end effector comprises an anvil and an elongate channel adapted to receive a staple cartridge. At least one of the anvil and the elongate channel is movable to a clamped configuration. The proximal connector portion comprises first bayonet-mount lugs and second bayonet-mount lugs. The sensor is configured to detect connections by the proximal connector portion. The surgical assembly further comprises an end-of-life indicator for the stapling assembly based on connections by the proximal connector portion.

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

The invention relates to surgical gripping forceps with two gripping jaws movable relative to a main body, with each gripping jaw having a stationary pivot axis relative to the main body, and a lever arm, and with the lever arms being articulated via at least one push element. Each gripping jaw has its own pivot axis. The distance between the individual pivot axis and the midline of the main body is at least greater than 38% of the maximum width of the main body or the maximum diameter of the main body. The present invention also provides microsurgical gripping forceps that a substantial clamping force between the gripping jaws with customary force for actuating the forceps.

A push-to-close actuated, dual-action, spaced pivot, assembly for jaws, blades, and forceps devices. The assembly is structured for use with a push rod, cable, or solid wire forceps actuator surgical instrument. A jaw receiving body of the assembly is adapted to receive a wide variety of types of jaws performing different surgical functions. Two separate moving jaws each pivot about a separate spaced pivot pin, on opposite sides of the jaw body centerline. A handle with a pushing actuating rod provides a pushing motion to a drive rod, cable, or solid wire within a cable sheath to push a connected yoke in the assembly to push against the jaws to close the jaws together.

An end effector for use with a surgical instrument includes a first jaw, a second jaw, and a closure ring. The second jaw is pivotable relative to the first jaw. The second jaw has a proximal end with a first ramped surface and a second ramped surface distal of the first ramped surface. The closure ring is coupled with the second jaw to engage the first and second ramped surfaces of the second jaw. The closure ring translates from a proximal position to a distal position to engage the first ramped surface of the second jaw and then the second ramped surface of the second jaw. The camming engagement of the closure ring with the first and second ramped surfaces of the second jaw pivots the second jaw toward the first jaw. The closure ring may also provide camming engagement to pivot the second jaw away from the first jaw.

An end effector assembly of a forceps includes a first jaw member and a second jaw member. The first jaw member and the second jaw member are selectively positionable relative to one another. At least one of the jaw members includes an electrically conductive tissue engaging surface configured to connect to an electrosurgical energy source, and at least one of the jaw members includes two blade channels defined therein and extending therealong and a feed in member selectively positioned between the two blade channels. The end effector further includes a cutting blade that is translatable such that selective positioning of the feed in member enables the cutting blade to selectively enter into at least one of the two blade channels.