Drive systems and methods of use are disclosed herein for performing medical procedures on a patient. The drive systems include various handle types and triggers for controlling catheters and end effectors. The various handle types include a flexible handle and ambidextrous handles that can alter the handedness of the handle for particularized use. The handles drive articulation sections of the catheter and end effectors with various degrees of freedom, and include locks for holding the catheter and/or end effector in place. The catheter systems include structures for allowing degrees of freedom, such as notches, mechanical interlocks, and articulation joints. In addition, the catheters articulate via cables or fluids.

A user system for a robotic surgical system, the user system including a handheld groundless user interface device configured to control the robotic surgical system, and a user console. The user console includes a seat and a first adjustable, ergonomic arm support linkage coupled to the seat, in which the first arm support linkage is movable between a folded storage configuration and at least one unfolded use configuration corresponding to at least one of a user characteristic and a surgical task characteristic. The at least one unfolded use configuration may be pre-stored in a database.

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

A tissue splayer (76) is described which includes an index finger portion (4) and a middle finger portion (5). The tissue splayer also includes a first pivot joint (80) coupling the index finger portion (4) to the middle finger portion (5) to permit the middle finger portion (5) to rotate relative to the index finger portion (4) about a first pivot axis (81). The tissue splayer (76) also includes a first splay mechanism (88) configured to permit rotation of the middle finger portion (5) away from the index finger portion (4) about the first pivot axis, and to resist rotation of the middle finger portion (5) towards the index finger portion (4) about the first pivot axis (81).

Surgical instruments and methods of minimally invasive surgery are provided. The device may include two proximal handles each sized for a surgeon's hand, the two handles in fixed relative positions, and a distal probe attached to the handles. The probe can include a distal cutting member and contain or receive an imaging device. The system can be used for cutting anatomic members, such as ligaments, during minimally invasive surgical procedures, for example, performing endoscopic ligament release surgery, such as carpal tunnel release, plantar fasciotomy, gastrocnemius release, cubital tunnel release, and tarsal tunnel release surgery, and similar surgical procedures on anatomic members.

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

A user console for controlling a remote surgical robotic instrument may include an adjustable ergonomic seat assembly comprising a seat pan, where the seat assembly is configurable between a seated configuration and an elevated configuration, and where the seat pan has a higher anteverted position in the elevated configuration than in the seated configuration. The user console may further include a display configured to receive real time surgical information, and one or more controls for remotely controlling the robotic instrument. The display and/or the one or more controls may have multiple positions and change position automatically according to a seating profile associated with at least one user.

An ambidextrous locking clamp system for providing a user the ability to use the right or left hand to engage and disengage a ratcheting means on the clamp. The clamp includes hingedly connected first and second elongated members each with a finger engaging member, a working head, and a latching member featuring ratcheting teeth. The teeth are engaged by moving the finger engaging members toward each other in an engaging motion, and are disengaged by sliding them in a disengaging motion perpendicular to the engaging motion with opposing force applied to the finger engaging members. One of the elongated members includes a planar portion that is rotatably received in a slot defined in a female portion of the other elongated member. The planar portion can include a wedge that contacts a side of the female portion that defines the slot when the clamp is in a closed position.

A medical device for debridement can include an elongate housing, a shaft extending through the housing and distally therefrom, a drive to manipulate the cutter, and a collapsible handle than can to couple with the housing. An elongate grip of the handle can turn aft and be at least partially disposed in the elongate housing for use of the device with pen grip. The elongate grip of the handle can turn fore and extend distally from the housing for use of the device with pistol grip.

A surgical stapling instrument including a staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.