摘要:
An end effector for use with a surgical instrument is disclosed. The end effector comprises a first jaw, a second jaw, wherein the first jaw is movable relative to the second jaw to transition the end effector between an open configuration and an approximated configuration to clamp tissue between the first jaw and the second jaw, and a camming assembly. The camming assembly comprises a first camming member comprising a first distal camming portion, a first proximal camming portion, and a first flexible portion extending between the first distal camming portion and the first proximal camming portion. The camming assembly further comprises a second camming member and a connector at least partially disposed between the first camming member and the second camming member, wherein the camming assembly is movable relative to the end effector to transition the end effector to the approximated configuration.
摘要:
An apparatus includes a body, an end effector, and outer beam, and an inner beam. The body comprises an actuator. The end effector is in communication with the body and has a first jaw and a second jaw. The outer beam is able to advance within the end effector such that the outer beam closes the second jaw toward the first jaw. The advancement of the outer beam is controlled mainly by the actuator. The inner beam is also able to advance within the end effector such that the inner beam transects tissue. The actuator is operable to control the advancement of the inner beam in at least two stages. The actuator advances the inner beam and the outer beam together in a first state. The actuator advances the inner beam while the outer beam remains stationary in a second stage.
摘要:
In one general aspect, various embodiments are directed to a surgical instrument that can supply mechanical energy and electrical energy to an end effector of the surgical instrument. The surgical instrument may be operated in a first operating mode in which a transducer of the surgical instrument produces mechanical energy, or vibrations, that are transmitted to the end effector and a second operating mode in which electrical energy, or current, can flow through the end effector to perform electrosurgery. In another general aspect, the surgical instrument may comprise a clamp, or jaw, which can be moved into a closed position to hold tissue against a waveguide, or blade, of the end effector. In the second operating mode of the surgical instrument, current can flow from a power source, through the waveguide, and return to the power source through a path comprising the jaw.
摘要:
In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that operably supports an electrical contact assembly therein that is in electrical communication with a signal source. An acoustic assembly is supported within the handpiece housing in rotatable contact with the electrical contact assembly. In various embodiments, the signal source produces at least one of an ultrasonic signal and a radio frequency signal.
摘要:
A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a damper. The damper may have barrel and a plunger.
摘要:
A surgical instrument can comprise a first jaw and second jaw, wherein the first jaw is movable relative to the second jaw to capture tissue having a tissue thickness. A tissue cutting force monitor is configured to determine the tissue thickness of the captured tissue and communicate the tissue thickness to a controller, wherein the controller is configured to adjust the speed of a tissue-cutting element during a cutting portion of a firing stroke based on the tissue thickness communicated from the tissue cutting force monitor. The controller is configured to reduce the speed of the tissue-cutting element when the tissue cutting force monitor communicates a thicker tissue thickness to the controller. The controller is configured to increase the speed of the tissue-cutting element when the tissue cutting force monitor communicates a thinner tissue thickness to the controller.
摘要:
A surgical instrument comprising a housing, an acoustic assembly configured to produce vibrations, and a waveguide coupled to the acoustic assembly is disclosed. The surgical instrument further comprises an ultrasonic blade extending from the waveguide and a clamp movable between an open position and a closed position relative to the waveguide. The clamp comprises an electrically non-conductive pad, a first electrode embedded in the electrically non-conductive pad, and a second electrode embedded in the electrically non-conductive pad, wherein the first electrode and the second electrode longitudinally overlap a tissue treatment area of the ultrasonic blade when the clamp is in the closed position. The surgical instrument further comprises a first conductor and a second conductor, wherein the first conductor and the second conductor are configured to be placed in electrical communication with a power source such that current can flow from the first electrode to the second electrode.
摘要:
A surgical instrument includes a first arm, wherein the first arm comprises a first jaw, and wherein the first jaw includes a first electrically conductive member. The surgical instrument further includes a second arm, wherein the second arm comprises a second jaw, wherein the second jaw includes a second electrically conductive member, wherein the first arm is pivotable relative to the second arm between an open configuration and a closed configuration to capture tissue, and wherein the electrically conductive members are configured to cooperate to deliver energy to the tissue. The surgical instrument further includes a cutting beam, an actuator actuatable proximally to translate the cutting beam distally to sever the tissue, a support structure, and a flexible member extending at least partially around the support structure, and configured to couple the actuator to the cutting beam.
摘要:
Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.
摘要:
An apparatus for operating on tissue includes an end effector assembly, a body, and a shaft. The shaft extends from the body to the end effector assembly. The body is operable to communicate with the end effector assembly via the shaft. The end effector assembly includes a pair of pivoting jaws and a firing beam. The firing beam is operable to advance distally through slots in the jaws to close the jaws. One of the jaws comprises a plurality of segments that are movable relative to each other. The segments may be joined by living hinges, pivoting hinges, or sliding features. One of the jaws may be formed by a combination of a distally projecting tongue of the shaft and two members that are secured above and below the tongue, respectively. An end effector jaw may also include a resiliently biased electrode cartridge.