A61B90/03

Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout

A surgical stapling assembly is disclosed that comprises a retainer that is configured to be removably mounted to a staple cartridge that is configured to be operably seated in a stapling device. The retainer comprises an authentication key that is configured to defeat a first jaw lockout of the stapling device that is configured to prevent the jaws of the stapling device from closing. The stapling device further comprises a second lockout that is configured to prevent a firing member of the stapling device from advancing through a staple firing stroke when a spent staple cartridge is seated in one of the jaws.

Surgical staple cartridges with integral authentication keys

A staple cartridge configured for use with a surgical stapling device is disclosed. The staple cartridge includes an authentication ramp that extends from a proximal end of the cartridge body and defines a ramp axis that is transverse to an axis of the cartridge. The authentication ramp is aligned with a sled cavity in the cartridge and comprises first and second cam surfaces that are configured to move a lockout of the surgical stapling device in a direction away from the cartridge axis upon contact therewith when the staple cartridge is seated into the surgical stapling device.

TROCAR ASSEMBLY FOR ADAPTER ASSEMBLIES WITH HARD-STOP

A trocar assembly for releasable engagement with an adapter assembly of a surgical stapling instrument includes housing, a trocar member slidably supported within the housing between a retracted position and an advanced position, and a chive member rotatably supported within the housing and in operable engagement with the trocar member to cause longitudinal movement of the trocar member relative to the housing between an advanced position and a retracted position. The housing includes a tubular body having a distal portion and an end cap assembly secured to the distal portion. The trocar member includes a proximal portion and at least one tab disposed on the proximal portion. The at least one tab is configured to engage the end cap assembly when the trocar member is in the advanced position to prevent further advancement of the trocar member.

SYSTEMS AND METHODS FOR LIMITING GRIP FORCE OF CLOSING JAWS IN POSITION CONTROL MODE
20220096192 · 2022-03-31 ·

Disclosed are systems and methods for limiting the grip force generated by closing robotic wrist jaws while operating in position mode in which the jaws are commanded to a desired jaw angle prior to being commanded to generate a grip force. In the positional mode, the desired jaw angle is above a threshold that corresponds to an angle at which both jaws are just simultaneously in contact with an object between the jaws or, if there is no object to grasp, when the jaws begin to touch each other. A feedback loop may analyze the desired jaw angle and the measured grip force to determine if the jaws are closing in the position mode and if the measured grip force exceeds a maximum grip force threshold. If so, the feedback loop may calculate a grip force error to limit the measured grip force to the maximum grip force threshold.

SYSTEMS AND METHODS FOR CONTROLLING GRIP FORCE OF JAWS WHEN TRANSITIONING BETWEEN POSITION CONTROL MODE AND FORCE MODE
20220096193 · 2022-03-31 ·

Disclosed are systems and methods for achieving a smooth transition in the grip force when the wrist jaws transition between the position and force mode. In the position mode, the desired jaw angle is above a threshold corresponding to an angle at which both jaws are just simultaneously in contact with an object held between the jaws or, if there is no object, when the jaws begin to touch each other. A feedback loop may determine that the jaws are transitioning between the modes based on changes of the desired jaw angle. The feedback loop may analyze the commanded grip force and the measured grip force to determine whether to adjust the commanded grip force during the transition. If so, the feedback loop may adjust the commanded grip force to reduce changes in the measured grip force that is otherwise based on the desired jaw angle.

Dual cam cartridge based feature for unlocking a surgical stapler lockout

A staple cartridge configured for use with a surgical stapling device is disclosed. The stapling device includes a lockout for prevent operation of the device. The staple cartridge includes a first cam surface configured to move the lockout from a locked position to an intermediate position when the staple cartridge is initially inserted into the device. The staple cartridge further includes a second cam surface configured to move the lockout from the intermediate position to an unlocked position when the staple cartridge is operably seated in the device. The first cam surface is proximal to the second cam surface and may be vertically displaced therefrom.

Method and apparatus for cardiac procedures

Described herein are methods and apparatus for approximating targeted tissue using locking sutures. The locking sutures can be configured to receive suture ends that are interweaved through portions of the locking sutures. In a pre-deployment configuration, a locking suture can slide along suture tails and can be positioned at a target location within a target region. Once a desired position and/or tension is achieved, the locking suture can be transitioned to a post-deployment configuration where the locking suture constricts around the suture tails to inhibit relative movement between the suture tails and the locking suture.

Surgical anvil assemblies for surgical stapling instruments
11832821 · 2023-12-05 · ·

A surgical anvil assembly for use with a circular stapling instrument includes an anvil center rod defining a longitudinal axis and an anvil head pivotally coupled to the anvil center rod and movable between a first operative condition and a second tilted condition. The anvil assembly further includes a locking assembly configured to selectively lock the anvil head in each of the first and second conditions.

Systems and methods for generating customized control boundaries
11832887 · 2023-12-05 · ·

A method includes providing a standard control boundary defining a portion of a bone to be resected, registering a position of a soft tissue at the bone, obtaining a customized control boundary by moving a vertex of the standard control boundary based on the position of the soft tissue, and controlling a robotic device to constrain operation of a cutting tool to an area defined by the customized control boundary.

SURGICAL INSTRUMENT

In one embodiment, a surgical instrument comprises an articulable waveguide. The articulable waveguide may be configured to transmit ultrasonic energy therealong. The articulable waveguide comprises a proximal drive section, an end effector and a first flexible. The proximal drive section is configured to couple to an ultrasonic transducer. The end effector is located at a distal portion of the articulable waveguide. The first flexible section comprises a flex bias and be positioned between the proximal drive section and the end effector. The surgical instrument further comprises a first tine extending longitudinally relative to the articulable waveguide.