A robotic system includes an electrosurgical instrument having an instrument housing with a shaft and first and second jaw members attached thereto movable to grasp tissue. An input is coupled to a jaw drive rod and is configured to move the jaw members. A strain gauge is coupled to the jaw drive rod and is configured to measure an amount of strain thereon and communicate the amount of strain to a robotic controller. A handle is remotely disposed relative to the instrument housing and is configured to communicate with the input for controlling the jaw members. The handle includes a housing having components therein and a lever operably associated therewith such that movement of the lever relative to the housing correlates to movement of the jaw members. The components are configured to operably regulate the resistance of the lever in response to the amount of strain from the strain gauge.

In one embodiment, an ablation system includes a catheter including at least one electrode, and configured to be inserted into a chamber of a heart of a living subject, an ablation power generator configured to apply an electrical signal to the at least one electrode to ablate tissue of the chamber, at least one body surface patch configured to be applied to a body surface of the living subject, and provide at least one position signal, and a processor configured to compute an index of a measurement of diaphragm movement responsively to the at least one position signal, and perform an action responsively to the computed index.

A control device (1) for an electrosurgical instrument (2), in particular a high-frequency sealing instrument, including a fixed handle part (3), a movable handle part (4), an activation element (5) for activating a current flow, in particular a first type, preferably a sealing current, wherein the activation element (5) is or can be adjusted between a deactivation position and at least one activation position when the movable handle part (4) is actuated, wherein, when the movable handle part (4) is actuated, the activation element (5) is or can be adjusted about an axis of rotation (7).

An electrosurgical forceps includes first and second shafts configured to rotate about a pivot to move jaw members between an open position and a closed position. A knife deployment mechanism is operably coupled to a knife and is configured to move the knife between a retracted position and an extended position. A knife lockout is configured to move between a first position wherein the jaw members are in the open position and movement of the knife from the retracted position to the extended position is prevented, a second position wherein the jaw members are in the closed position and movement of the knife from the retracted position to the extended position is permitted, and a third position wherein the jaw members are in the closed position and movement of the knife from the retracted position to the extended position is prevented.

Methods for guiding a surgical procedure include accessing information relating to a surgical procedure, accessing at least one image of a surgical site captured by an endoscope during the surgical procedure, identifying a tool captured in the at least one image by a machine learning system, determining whether the tool should be changed based on comparing the information relating to the surgical procedure and the tool identified by the machine learning system, and providing an indication when the determining indicates that the tool should be changed.

A surgical forceps includes an end effector assembly including a first jaw member and a second jaw member pivotally engaged with one another. At least one of the first or second jaw member is pivotable between a spaced-apart position and an approximated position. The first jaw member includes first and second surfaces on opposite sides thereof. The first surface is disposed in opposition to the second jaw member. The second surface includes a cutting edge disposed on a proximal portion thereof. The second jaw member includes a proximal flange having first and second raised sidewalls defining a proximal channel therebetween. The proximal channel receives the cutting edge of the first jaw member when the first and second jaw members are in the approximated position. The cutting edge of the first jaw member is exposed when the first and second jaw members are in the spaced apart position.

A vein harvesting device is disclosed. The vein harvesting device includes a handle assembly, at least one elongated portion, first and second end effectors, and a tip. Each end effector is disposed adjacent a distal portion of the at least one elongated portion. Each end effector includes a first jaw member and a second jaw member, and at least one jaw member is movable toward the other jaw member. The tip is disposed in mechanical cooperation with the elongated portion. A distal end of the tip extends distally beyond a distal-most end of the first end effector. The first end effector is movable independently of the tip, and the second end effector is movable independently of the tip.

The present invention is directed to a surgical instrument with a robotics system, a memory device and an end effector having an elongate channel, knife position sensor(s) and a firing bar coupled to a knife. In response to drive motions initiated by the robotics system, the firing bar may translate within the elongate channel. As the firing bar translates, the sensor(s) transmit a signal to the memory device. The position of the knife may be determined from the output signals and may be communicated to the robotics system or instrument user. The sensors may be Hall Effect sensors.

Various systems and methods for determining the composition of tissue via an ultrasonic surgical instrument are disclosed. A control circuit can be configured to monitor the change in resonant frequency of an ultrasonic electromechanical system of the ultrasonic surgical instrument as the ultrasonic blade oscillates against a tissue and determine the composition of the tissue accordingly. In some aspects, the control circuit can be configured to modify the operation of the ultrasonic electromechanical system or other operational parameters of the ultrasonic surgical instrument according to the detected tissue composition.

A surgical instrument includes a housing having a first handle and an elongated shaft extending therefrom. An end effector is disposed at a distal end of the elongated shaft and includes first and second jaw members, the first jaw member including a staple cartridge configured to house a series of staples therein. A second handle is operably coupled to the housing and is selectively moveable relative to the first handle to actuate the first and second jaw members between an open position and a closed position for grasping tissue. A first switch is activatable to supply energy to one of the jaw members. A stapler mode switch is actuatable between an unactuated position wherein movement of the second handle moves the jaws to the second position and an actuated position wherein movement of the second handle moves the jaws to the second position and drives the staples through tissue.