Some embodiments are directed to a surgical robotic system for use in a surgical procedure, including a surgical arm having a movable arm part for mounting of a surgical instrument having at least one degree-of-freedom to enable longitudinal movement of the surgical instrument towards a surgical target. Some other embodiments are directed to a human machine interface for receiving positioning commands from a human operator for controlling the longitudinal movement of the surgical instrument, and an actuator configured for actuating the movable arm part to effect the longitudinal movement of the surgical instrument, and controlled by a processor in accordance with the positioning commands and a virtual bound. The virtual bound establishes a transition in the control of the longitudinal movement of the surgical instrument in a direction towards the surgical target. The virtual bound is determined, during use of the surgical robotic system, based on the positioning commands.

A surgical instrument comprising a firing system configured to perform one or more staple firing strokes, a power system, and a control system is disclosed. The firing system comprises a cutting member and an electric motor configured to drive the cutting member through each staple firing stroke and retract the cutting member after each staple firing stroke. The control system comprises a powered operating state in which the power system has enough power to drive the cutting member through a staple firing stroke, a limited-power operating state for placing the surgical instrument in a default condition that has sufficient functionality to retract the cutting member, a firing system lockout configured to prevent the firing system from performing a staple firing stroke when the control system is in the limited-power operating state, and a display configured to indicate that the surgical instrument is in the limited-power operating state.

A surgical instrument includes a body, an ultrasonic blade, a clamp arm assembly, and a detent assembly. The clamp arm assembly includes a clamp arm pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The detent assembly is configured to provide tactile resistance to pivotal movement of the clamp arm relative to the body beyond a predefined pivot angle. The detent assembly is configured to permit pivotal movement of the clamp arm relative to the body beyond a predefined pivot angle upon application of a force sufficient to overcome the tactile resistance.

Spinal surgical procedures can benefit from a rod reduction instrument with a ratchet lock-out mechanism. The instrument can include an inner shaft, an outer housing and a ratchet mechanism. The inner shaft can include a threaded proximal portion and a distal end that includes a plurality of engagement members adapted to receive a pedicle screw. The outer housing can be slidably received over the inner shaft, and include a top sleeve and a bottom sleeve. The top sleeve can include the ratchet mechanism to selectively engage the threaded proximal portion of the inner shaft and the bottom sleeve can engage a connecting rod. The ratchet mechanism can include an engagement feature to selectively engage the threaded proximal portion of the inner shaft, and a locking mechanism to selectively lock the engagement feature of the ratchet mechanism against the threaded proximal portion of the inner shaft.

A medical device system can include a surgical tool, and a one-way input, and a drive system operatively coupled to the surgical tool and the oneway input device. The drive system can be rotatable in a first direction to effectuate a first operation of the surgical tool, and rotatable in a second direction to effectuate a second the operation of the surgical tool. The one-way input device can be operable to rotate the rotatable drive system in the second direction but not the first direction.

A dental milling machine is provided with a tool which is guided in a chuck. A workpiece arm is mounted opposite the tool to be able to be moved at least in the direction of the spindle axis. With a control device it can be moved in relation to the workpiece, especially by means of a drive motor at the workpiece arm. The workpiece arm has an abutment element, whereby the control device moves the tool and the abutment element towards each other until they abut each other. The control device can be used to detect abutment of the abutment element with respect to the tool, in particular with respect to its tip, in particular by decelerating the (relative) movement of the tool and the abutment element towards each another, upon contact of the tool and the abutment element. This position may be signaled as a reference position and, especially may be stored.

A pivotal bone anchor assembly includes a receiver defining a channel for receiving an elongate rod and a central bore with an internal engagement surface adjacent a bottom opening, as well as a shank having an anchor portion and a capture structure opposite the anchor portion positionable within the central bore through the bottom opening. The pivotal bone anchor assembly further includes a retainer configured to capture and hold the capture structure within the central bore and having an outer surface with a lower portion that is engageable the internal engagement surface of the receiver, together with a compression insert having an upper surface engageable with the elongate rod and a lower surface in overlapping engagement with an upper portion of the outer surface of the retainer, with the compression insert being spaced apart from the capture structure of the shank upon assembly of the separate components within the receiver.

A surgical instrument system is disclosed comprising a plurality of outputs driven by an input. The input is selectively engaged with the outputs by a shifting system.

Surgical clip appliers are disclosed comprising a plurality of clips which are stored in a compressed state. When a stored clip is moved into the crimping chamber of the surgical clip applier, the clip can assume a configuration which is different than its stored configuration before it is crimped.

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.