A surgical instrument can comprise a handle, a motor, and a shaft extending from the handle. The handle and/or the shaft can define a longitudinal axis. The surgical instrument can further comprise a fastener cartridge comprising a plurality of fasteners removably stored therein, an anvil configured to deform the fasteners, a closure drive configured to move the anvil toward and away from the fastener cartridge which is rotatable about the longitudinal axis, and a firing drive configured to deploy the fasteners from the fastener cartridge which is rotatable about the longitudinal axis. The surgical instrument can further comprise a transmission comprising a first operating configuration which connects the motor to the closure drive and a second operating configuration which connects the motor to the firing drive.

A surgical stapling device includes a tool assembly including a jaw assembly and an impedance assembly. The jaw assembly includes an anvil assembly and a cartridge assembly. The tool assembly supports an impedance assembly for measuring the impedance of tissue grasped within the jaw assembly.

A surgical stapling device includes a body portion that defines a longitudinal axis and a tool assembly that articulates about an axis transverse to the longitudinal axis. The surgical stapling device includes an articulation member that is supported in the body portion and is movable between retracted and advanced positions to pivot the tool assembly between a non-articulated position and articulated positions. The body portion supports a braking assembly that moves into engagement with the articulation member to stabilize the articulation member when the surgical stapling device is fired.

In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.

A tool assembly for a surgical stapling device includes a first jaw supporting an anvil. A second jaw supports a staple cartridge. A drive member is movable from a retracted position towards an advanced position to move the second jaw in relation to the first jaw from an open position to a clamped position. At least two first pivoting links are operably coupled to a first side of the first and second jaws. At least two second pivoting links are operably coupled to a second side of the first and second jaws. The pivoting links each pivot in response to longitudinal advancement of the I-beam to move the second jaw between the open position and the clamped position. The second surface of the cartridge assembly is maintained in substantially parallel alignment with the first surface of the anvil as the second jaw is moved between the open position and the clamped position.

A surgical stapling device includes a tool assembly that has a staple cartridge that includes a perfluorocarbon (hereinafter “PFC”) solution that is injected into tissue when the surgical stapling device is fired to improve oxygenation of tissue being treated. In aspects of the disclosure, the tool assembly of the surgical stapling device includes a staple cartridge that has staples that are supported on pushers and an actuation sled that is movable through the staple cartridge into engagement with the pushers to eject staples from the staple cartridge. In certain aspects of the disclosure, the PFC solution is contained within the pushers of a staple cartridge of the tool assembly and the actuation sled includes protrusions that engage the pushers to eject the PFC solution from the pushers when the stapling device is fired.

A surgical instrument includes a handle assembly, a shaft extending distally from the handle assembly, an articulating section coupled to the shaft, and an end effector coupled to the articulating section. The handle assembly includes a rotatable knob, a first lever, a second lever, and an actuating handle. A flexible drive rod extends through the shaft to the end effector. First and second articulation cables extend through the shaft and are coupled to the articulating section. A proximal end of the flexible drive rod is coupled to the actuating handle and a distal end of the flexible drive rod is coupled to the end effector. A proximal end of the first articulation cable is coupled to the first lever and a proximal end of the second articulation cable is coupled to the second lever. Distal ends of the first and second articulation cables are coupled to the articulating section.

A surgical stapling device includes a housing assembly that is coupled to a tool assembly by a flexible elongate body that having an outer tube, a middle tube, and an inner cable. Each of the outer tube and the inner cable has a proximal end portion fixedly connected to the housing assembly and a distal end portion that is fixedly connected to the tool assembly. The middle tube is positioned within the outer tube about the inner cable and is movable from a retracted position to an advanced position to operate the tool assembly.

Embodiments include a surgical instrument having an end effector, the end effector including a first jaw having a first end, a second end, and an anvil, the anvil having an anvil face, a second jaw having a first end, a second end, and a cartridge to house a plurality of staples, the cartridge having a cartridge face, a first coupling that couples the first end of the first jaw to the first end of the second jaw, and a second coupling that movably couples the second end of the first jaw to the second end of the second jaw, where the second coupling includes a rigid link, an elongate tube, where a distal end is coupled with the end effector, a handle, where a distal end of the handle is coupled with a proximal end of the elongate tube, and a drive assembly comprising a motor.

A surgical instrument for assessing a mechanical property of tissue under compression is disclosed herein comprising a handle; an elongated shaft distally disposed to the handle; an end effector distally disposed to the elongated shaft and comprising a first and a second jaw member pivotally engaged with each other to open and close when operated by the handle; a force gauge assembly comprising a compression head and a force transducer; an adjustable spacer assembly disposed on the first jaw member proximally to the force gauge assembly and comprising an adjustable spacer member and a spacer base; a control mechanism supported by the elongated shaft and disposed adjacent to the handle for producing an actuation force for controlling the adjustable spacer assembly; and at least one control link operably coupled with the control mechanism and the spacer base, and configured to transmit the actuation force.