A surgical instrument comprising a first jaw, a second jaw rotatable relative to said first jaw, and jaw drive system is disclosed. The jaw drive system comprises a drive screw and a closure member threadably engaged with the drive screw configured to close the second jaw. The jaw drive system further comprises an opening link connecting the closure member to the second jaw which acts to open the second jaw when the closure member is driven in an opposite direction. In the event that the second jaw is not opened by the closure link, the jaw drive system further comprises a pull member which is pushed by the closure member to dislodge the second jaw into its open position.

Certain aspects relate to systems, devices and techniques for vessel sealing and cutting. In particular, an instrument is provided that is capable of performing multiple functions, including sealing and cutting. The instrument can be robotically controlled, and can include a shaft, a multi-DOF wrist, and an end effector. The end effector is capable of generating and delivering heat via different energy modalities to perform the various functions at different temperatures.

A rotatable jaw device for use with an endoscope and method of using a rotatable jaw device. The device includes a fork, and two jaws pivotally mounted to the fork. The jaws are movable between a predetermined closed position and a predetermined open position. At least one jaw has at least one protrusion on a surface of the jaw. The at least one protrusion prohibits movement of the two jaws in the opening direction beyond the predetermined open position. One jaw may have an elongated center void defined by twin jaw extensions, and the other jaw may rotate within the elongated center void when the two jaws move toward the predetermined closed position.

A surgical fastener applier having a housing containing a compartment therein, an elongated member extending distally from the housing and first and second jaws. A firing mechanism is positioned within the housing movable to a second position to effect firing of fasteners. A power pack is removably loadable into the compartment, the power pack having one or both of a) a first motor and a first engagement member removably engageable with the firing mechanism when the power pack is loaded into the compartment to effect movement of the firing mechanism; and b) a second motor and a second engagement member removably engageable with an articulating mechanism in the housing of the surgical fastener applier to effect movement of an articulation mechanism to effect articulation. One or both of a firing position and an articulation position are tracked during the surgical procedure. Sensors are provided to detect select parameters and instrument functions.

Methods for operating a surgical instrument are disclosed. In various instances, the methods include preventing the operation of the surgical instrument in some capacity if an unspent staple cartridge is not seated in the surgical instrument. Moreover, in various instances, the methods include preventing the operation of the surgical instrument in some capacity if the surgical instrument cannot identify and/or authenticate the staple cartridge seated in the surgical instrument.

The present invention proposes a sensory perception system for robot-assisted laparoscopic surgery. The invention comprises an electrosurgical forceps coupled to a surgical tool, an electrocautery radiofrequency signal generator and an impedance measurement circuit. The latter includes a measurement sensor for measuring a signal indicative of a magnitude corresponding to the value of contact impedance between the forceps and a patient's tissue; an oscillator; a first electrical circuit with resistors and a voltage limiter for protecting the measurement sensor and the oscillator; and a second electronic circuit with switches. The sensor and the oscillator are connected to the forceps by means of a power cable of the surgical tool. A processor connected to the measurement circuit receives said measured signal and converts same into a force vector, the modulus of which is a function of the contact impedance being measured and the argument is a function of the trajectory being followed.

A surgical stapling instrument is disclosed. An end effector for the surgical stapling instrument comprises a staple cartridge assembly and an anvil. The staple cartridge assembly comprises a proximal end, a distal end, and a cartridge body comprising a shortened nose at the distal end. The staple cartridge assembly further comprises staples removably stored in the cartridge body, a driver configured to support at least one of the staples, and a sled movable toward the distal end. The sled comprises a ramp configured to lift the driver and at least one of the staples and a base, wherein the shortened nose of the cartridge body is shorter than the base of the sled. The anvil comprises a staple forming surface comprising a plurality of staple forming pockets and a blunt distal nose extending downward toward the staple cartridge assembly.

An end effector assembly for use with a surgical instrument is disclosed. The end effector assembly comprises a staple cartridge jaw, a threaded rod, and a replaceable staple cartridge configured to be seated in the staple cartridge jaw. The replaceable staple cartridge comprises a proximal end, a distal end, a longitudinal slot extending between the proximal end and the distal end, and a driver configured to support a staple, wherein the driver comprises a surface facing the threaded rod, wherein the surface comprises a clearance, and wherein at least a portion of the threaded rod is configured to be received in the clearance when the replaceable staple cartridge is seated in the staple cartridge jaw.

A surgical stapling device includes a drive assembly and a knife bar assembly that can be selectively coupled together or uncoupled from each other to place the stapling device in a cutting mode or in a non-cutting mode. The stapling device may also include a locking member that locks a distal portion of the anvil to a distal portion of the cartridge assembly to define a maximum tissue gap between the anvil and the cartridge assembly.

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.