Surgical instruments are disclosed comprising a firing assembly including a fuse having a plurality of operating states.

Systems, devices, and methods for controlling cooperative surgical instruments are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing various surgical sites from different or shared surgical approaches to achieve a common or cooperative surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with, one another to effect a desired surgical treatment.

The present disclosure provides methods and devices for wound closure. In some exemplary embodiments, a tissue approximation device is provided. In some embodiments, the tissue approximation device includes a first scissors arm having a proximal end and a distal end and a second scissors arm having a proximal end and a distal end. In some embodiments, the second scissors arm is connected to the first scissors arm at a pivot point. In some embodiments, the tissue approximation device further includes a first rake member connected to the distal end of the first scissors arm via a first articulating joint. In some embodiments, the first rake member includes a plurality of hooks configured to grip tissue.

A surgical towel clamp apparatus includes a first elongated element having a curved tip and a right finger ring, a second elongated element having a curved tip and a left finger ring, wherein the first and second elongated elements are coupled at a first pivot point, a third elongated element having a straight tip and coupled to the right finger ring, a fourth elongated element having a straight tip and coupled to the left finger ring, wherein the third and fourth elongated elements are coupled at a second pivot point, wherein in an open orientation, the rings are apart, the curved tips are apart, and the straight tips are apart, and wherein in a closed orientation, the left and right finger rings are adjacent, the curved tips are in contact and the straight tips are in contact.

The present disclosure provides a surgical instrument comprising an instrument body with a distal end including a working portion, and a proximal end including a handle. The instrument body includes a first arm and a second arm that are pivotable relative to one another. Each of the first arm and the second arm having a handle portion of the handle and a portion of the working portion. And each of the handle portions of the first and second arms being configured to enable a user to control the instrument body and move the portions of the working portion of the first and second arms between opened and closed positions. The handle portion of the first arm having a thenar eminence contacting surface adapted to contact at least a portion of a thenar eminence of a hand of the user during use, and facilitate at least movement of the handle to move the working portion of the first and second arms from the open position to the closed position

A bipolar forceps includes a mechanical forceps including first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot. A disposable is housing is configured to be releasably coupled to at least one of the shafts and an electrode assembly is configured to be releasably coupled to the disposable housing. The electrode assembly includes electrodes releasably coupled to the jaw members. At least one of the electrodes includes a knife channel configured to receive a knife blade therethrough to cut tissue grasped between the jaw members. A tissue stop has a knife slot that aligns with the knife channel to receive the knife blade. An actuation mechanism advances the knife blade through the knife channel to cut tissue.

An exemplary embodiment provides a steering gear (13) for a surgical instrument (1) which has two motorised drives and is designed to spatially align a swash plate (14) via the adjustment angles of the two drives, which is designed to control the distal bending mechanism (9) of the surgical instrument (1). The first drive has a first drive pinion (16) which can be driven by a first motor (17) via a first drive shaft (17a) which defines a first drive axis (C) and which is connected to a first drive wheel rim (19) of a first drive wheel (18) in operative connection. The second drive has a second drive pinion (16′) which can be driven by a second motor (17′) via a second drive shaft (17a′) which defines a second drive axis (C′) and is connected to a second drive wheel rim (19′) of a second drive wheel (18′) in operative connection. The first and the second drive wheel (18, 18′) are designed as double wheels (18, 18′), each of which has the corresponding drive wheel rim (19, 19′) and a deviation wheel rim (15, 15′), wherein between the two drive wheels (18, 18′) which have a common axis of rotation (A), the swash plate (14) is arranged, and the deviation wheel rims (15, 15′) are arranged facing each other on the axis of rotation (A). A surgical instrument (1) with such a steering gear (13) is also disclosed.

An exemplary embodiment provides a steering gear (13) for a surgical instrument (1) which has two motorised drives and is designed to spatially align a swash plate (14) via the adjustment angles of the two drives, which is designed to control the distal bending mechanism (9) of the surgical instrument (1). The first drive has a first drive pinion (16) which can be driven by a first motor (17) via a first drive shaft (17a) which defines a first drive axis (C) and which is connected to a first drive wheel rim (19) of a first drive wheel (18) in operative connection. The second drive has a second drive pinion (16′) which can be driven by a second motor (17′) via a second drive shaft (17a′) which defines a second drive axis (C′) and is connected to a second drive wheel rim (19′) of a second drive wheel (18′) in operative connection. The first and the second drive wheel (18, 18′) are designed as double wheels (18, 18′), each of which has the corresponding drive wheel rim (19, 19′) and a deviation wheel rim (15, 15′), wherein between the two drive wheels (18, 18′) which have a common axis of rotation (A), the swash plate (14) is arranged, and the deviation wheel rims (15, 15′) are arranged facing each other on the axis of rotation (A). A surgical instrument (1) with such a steering gear (13) is also disclosed.

A surgical apparatus comprising: a mechanism that is configured to perform an operational motion of the surgical apparatus; and at least one transformation member having an original shape and a deformed shape, the at least one transformation member connecting the mechanism together, when the at least one transformation member is in the deformed shape so that the mechanism is capable of performing the operational motion; and wherein after the transformation member is subject a transition temperature, the at least one transformation member changes from the deformed shape to the original shape and disengages a portion of the mechanism so that the mechanism is prevented from performing the operational motion.

A surgical apparatus comprising: a mechanism that is configured to perform an operational motion of the surgical apparatus; and at least one transformation member having an original shape and a deformed shape, the at least one transformation member connecting the mechanism together, when the at least one transformation member is in the deformed shape so that the mechanism is capable of performing the operational motion; and wherein after the transformation member is subject a transition temperature, the at least one transformation member changes from the deformed shape to the original shape and disengages a portion of the mechanism so that the mechanism is prevented from performing the operational motion.