A surgical instrument assembly comprising an end effector, a shaft assembly, a closure drive system, and a firing drive system is disclosed. The surgical instrument assembly further comprises a dual lock configured to engage a closure member and a firing member to prevent the firing member from being advanced distally from a proximal firing stroke position before the closure member is in a distal closure stroke position. The dual lock is further configured to prevent the closure member from being retracted from the distal closure stroke position before the firing member is returned to the proximal firing stroke position after the firing stroke.

A surgical instrument assembly configured to be operably attached to and detached from a surgical robot interface is disclosed. The surgical instrument assembly comprises a shaft assembly comprising an end effector and a closure drive member configured to move a second jaw relative to a first jaw of the end effector. The surgical instrument assembly further comprises a control assembly, wherein the shaft assembly is operably coupled with the control assembly, and wherein the control assembly comprises a housing, a closure drive system configured to actuate the closure drive member, and an exterior closure drive actuator exterior to the housing and configured to be actuated by a clinician to manually rotate a rotary input drive of the closure drive system to move the second jaw relative to the first jaw when the surgical instrument assembly is not operably attached to the surgical robot interface.

The invention concerns a perfected device for the transosseous insertion of suture threads. This device comprises a main body (1) supporting a protruding cannula (3) provided with an active end (30); the device comprises a flexible threadlike element (4), on which there are fashioned a sharp tip (40) and an opening (41) that serves for the threading of at least one suture thread (5), said element (4) being housed in a coaxially sliding manner inside said cannula (3) and, on command, exiting from the active end (30) of the cannula, assuming a curved position; the device comprises first means for producing the coaxial movement of the threadlike element (4) in the two directions with respect to the cannula (3) and second means for producing a coaxial movement of the threadlike element in the exiting direction from the cannula (3); for a short tract, the movement produced by the second means is disengaged from the advancement of the threadlike element produced by the first means.

Jaws of a surgical clip applier with housings formed thereon and methods for manufacturing and use during a procedure to apply surgical clips to a vessel, duct, shunt, etc. are provided. In one exemplary embodiment, a surgical clip applier is provided having jaws on a distal end thereof with a rigid internal frame and an outer housing formed around the internal frame. The jaws of the surgical clip applier can include a variety of features to facilitate placement of surgical clips, including features to align a clip with the jaws and to prevent clip fallout during formation.

A surgical instrument includes a housing, a handle, an elongated shaft, an end effector assembly, a drive assembly, and an extension depending from the handle. The extension includes a proximal surface having a first proximal cam portion defining a first angle with respect to the longitudinal axis and a second proximal cam portion defining a second angle with respect to the longitudinal axis. Initial actuation of the handle from a non-actuated position causes the first proximal cam portion to contact the first portion of the drive assembly causing a first movement of the at least one jaw member, and a subsequent actuation of the handle causes the second proximal cam portion to contact the first portion of the drive assembly causing a second movement of the at least one jaw member.

Jaws of a surgical clip applier with housings formed thereon and methods for manufacturing and use during a procedure to apply surgical clips to a vessel, duct, shunt, etc. are provided. In one exemplary embodiment, a surgical clip applier is provided having jaws on a distal end thereof with a rigid internal frame and an outer housing formed around the internal frame. The jaws of the surgical clip applier can include a variety of features to facilitate placement of surgical clips, including features to align a clip with the jaws and to prevent clip fallout during formation.

A surgical instrument is disclosed which comprises a tissue clamping system, a staple firing system, and a tissue cutting system. The systems of the surgical instrument can co-operate with one another to prevent the systems from being operated out of order, and/or prevent the systems from being operated in an undesirable order.

An instrument including an actuation gear mechanism that provides two functions of a tool. The actuation gear mechanism comprises a cam mechanism and a gear segment mechanism. The circumference of the cam disk of the cam mechanismin a first section (?1)is a spiral curve for generating a stroke for closing the forceps tool, while the circumference of the cam diskin a second, adjoining, angular range (?2)is circular. When the cam disk with the circular curved line biases the spring means, no further movement takes place on the output of the cam mechanism. Preferably, two congruent cam disks are provided, whereby thesetogether with the driving gear and the segment gear, as well as the shaftform a one-piece plastic injection-molded part. The installation space between the cam disks can be utilized for a slide with a gear rack for shifting the knife.

Surgical devices and methods are provided that utilize an end effector biased to a closed position when an actuator of the device is biased in an uncompressed configuration. End effectors according to the present disclosure can include first and second jaws that can be moved from the biased closed position to an open position by compressing the actuator from the uncompressed configuration and towards a compressed configuration. Various force assemblies and related components are provided that allow the device to achieve two end effector actuation profiles: (1) moving from a closed position and to an open position; and (2) moving from a closed position, to an open position, and back to the closed position. Various structures and methods for operating such devices during a surgical procedure are also provided.

A surgical instrument comprises a shaft, wherein a deflectable articulation section is formed at the shaft, a proximal handling portion at a proximal end of the shaft, a distal effector at a distal end of the shaft, and a deflection mechanism for controlling a bending state of the articulation section. The deflection mechanism comprises a first pull element for a deflection movement and a second pull element for a return movement. The first pull element and the second pull element are jointly pretensioned during the movement of the articulation section. An interface is provided where the instrument is demountable into a distal shaft assembly and a proximal handle piece, wherein the effector is controlled via an actuation mechanism that passes through the interface in a mounted state. The actuation mechanism comprises a push piece having a distal end that is coupled with the effector and a proximal end that is actuable by a pushing movement.