A surgical instrument includes a power pack, an outer shell housing configured to selectively encase the power pack, and an adapter assembly configured to selectively couple the outer shell housing to a loading unit. The outer shell housing includes a motor and a drive shaft coupled to and rotatable by the motor. The outer shell housing includes a drive member supported in a distal portion thereof. The drive member is configured to selectively couple to the drive shaft. The adapter assembly has a drive member supported in its proximal end. The drive member of the adapter assembly is configured to selectively couple to the drive member of the outer shell housing such that rotation of the drive shaft actuates movement of the drive member of the adapter assembly via the drive member of the outer shell housing.

Disclosed are systems, methods, and devices for percutaneous retrieval of objects, such as endovascular devices, from an internal body space. The present inventions have vascular, non-vascular (gastrointestinal), and surgical (laproscopic) applications. The inventions include a retrieval end having one or more compressed states and an expanded state, the retrieval end adopting the expanded state when the retrieval end is deployed into a subject's internal body space, the retrieval end having a mouth through which an object can be passed into an interior space within the retrieval end when the retrieval end is in the expanded state, the mouth being adjustable between an opened state and a closed state; wherein when at least a portion of the retrieval end of the inner sheath is transitioned to a compressed state following capture of the object, the retrieval end exerts an inward force that at least partially collapses or compresses the object.

Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft including a reciprocating driveshaft disposed within the elongated shaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft for displacing one or more fasteners within the elongated shaft towards a distal fastener deployment position. In some embodiments, the surgical instrument may include a removable preload lock-out attached to the elongated shaft to prevent the follower from applying a preload to the fasteners.

System for inserting a self-expandable occluder (12) into a patient and for releasing the occluder (12) in the left atrial appendage (10) of the patient, the system including an insertion unit (100) which has a drive unit (102) and an insertion catheter including an outer tube and an inner tube extending through the outer tube, wherein a proximal end region of the occluder is movement-coupled to the outer tube, and wherein a distal end region of the occluder, is movement-coupled to the inner tube, wherein, in order to release the occluder, the drive unit interacts with the inner tube and the outer tube such that, when actuated, the inner tube can be moved in a distal or proximal direction and the outer tube can be moved in the proximal direction or distal direction, so that the distal end and the proximal end of the occluder can be moved away from or toward one another.

A bone removal device, including an elongated shaft having a longitudinal axis, a distal end and a proximal end; a movable bone borer movably coupled to the distal end of the elongated shaft, wherein the movable bone borer is configured to rotate around the longitudinal axis; and a rotatable bone borer adjuster mounted on a proximal side of the elongated shaft and to the movable bone borer, wherein the adjuster is configured to rotate around an axis which is different from a rotation axis of the movable bone borer.

A robotic system assembly comprises a robotic manipulator including an actuator assembly and a surgical instrument having a base body mountable to the actuator assembly. The base includes a first control input and a second control input, wherein the first and second control inputs are positioned on different sides of the base. The actuator assembly is moveable between open and closed positions to facilitate removal and replacement of surgical instruments. When in the closed positions, drive elements of the actuator assembly are positioned to drive the first and second control inputs of the surgical instrument to cause end effector movement or actuation.

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 surgical stapling apparatus includes a loading unit having first and second jaw members, a drive beam, and a firing lockout assembly. The drive beam is axially movable within the loading unit during a firing sequence. The firing sequence includes an advancement stroke which moves the first and second jaw members to an approximated position and a retraction stroke which moves the first and second jaw members to an unapproximated position. The firing lockout assembly includes an iterating plate, a capture gear, and a lockout pin. The iterating plate is disposed adjacent to the drive beam and is incrementally movable proximally within the loading unit during the firing sequence. The capture gear is rotatable between first and second positions during the firing sequence and is configured to move the iterating plate. The lockout pin is configured to lock the drive beam after a pre-determined number of firing sequences.

A surgical end effector comprising a cartridge jaw is disclosed. The cartridge jaw comprises a proximal channel portion extending along a longitudinal axis, and a distal portion movable relative to the proximal channel portion between an open position and a closed position. The surgical end effector further comprising a staple cartridge removably seated in the cartridge jaw, wherein the staple cartridge is configured to slide along the longitudinal axis into the proximal channel portion of the cartridge jaw when the distal portion is in the open position.

A device for delivering an agent may comprise: a housing defining an enclosure. The housing may be configured to store an agent. The device may further comprise an inlet, in fluid communication with the enclosure, for receiving a flow of pressurized fluid; an outlet in fluid communication with the enclosure; and a filter disposed within the enclosure. Pores of a wall of the filter may be configured such that the fluid is permitted to pass through the pores into a channel defined by an inner surface of the wall. An actuation member may be configured to transition between a first configuration, in which portions of the agent disposed proximally to the actuation member are prevented from passing distally of the actuation member, and a second configuration, in which portions of the agent disposed proximally of the actuation member are capable of passing distally of the actuation member.