BR112016003415B1 - END ACTUATOR FOR USE WITH A SURGICAL INSTRUMENT AND SURGICAL INSTRUMENT SYSTEM - Google Patents

Abstract

SURGICAL END ACTUATORS WITH CLOSE INDICATOR DISPLAY. The present invention relates to a surgical instrument system which may comprise a surgical instrument (10) and an end actuator (10360), wherein the end actuator may comprise a distal end, a proximal connection portion configured for attachment of the end actuator with the surgical instrument, a first jaw (10362) and a second jaw (10364) movable relative to the first jaw, the second jaw being movable between an open orientation, a partially closed orientation, and a closed orientation. The end actuator may further comprise at least one sensor configured to detect the orientation of the second jaw and an array of indicators (10390) configured to simulate the orientation of the second jaw.

Description

FIELD OF THE INVENTION

[0001] The present invention relates to surgical instruments and, in various arrangements, to surgical instruments equipped with a cutting and stapling motor, and staple cartridges therefor, which are designed for cutting and stapling tissue.

BACKGROUND

[0002] Surgical staplers are often used to position staples into soft tissue to reduce or eliminate soft tissue bleeding, especially when tissue is being cut transversely, for example. Surgical staplers, such as an endocutter, for example, may comprise an end actuator that can be moved, or pivoted, with respect to an elongate shaft assembly. End actuators are often configured to clamp soft tissue between the first and second jaw members, with the first jaw member often including a staple cartridge which often includes an anvil. These surgical staplers may include a closure system to pivot the anvil to the staple cartridge.

[0003] Surgical staplers, as described above, can be configured to rotate the fixed jaw of the end actuator relative to the staple cartridge to capture the soft tissue therebetween. In various circumstances, the fixed jaw can be configured to apply a pinching force to the soft tissue to firmly hold the soft tissue between the fixed jaw and the staple cartridge. If a surgeon is not satisfied with the end actuator, however, the surgeon typically needs to activate a release mechanism on the surgical stapler to rotate the fixed jaw to an open position and then reposition the actuator and end. Accordingly, staples are typically applied from the staple cartridge by a driver that traverses a channel within the staple cartridge, and causes the staples to deform in contact with the gripper and grip the soft tissue layers. Often, as is known in the art, staples are positioned in several rows or rows of staples to securely hold the fabric layers. The end actuator also includes a cutting element such as a knife, for example, which is advanced between two rows of staples to sever the soft tissue after the soft tissue layers have been stapled.

[0004] These surgical staplers and actuators can be sized and configured to be inserted into a body cavity through a trocar or other access opening. The end actuator is typically coupled to an elongated shaft that is sized to pass through the trocar or opening. The elongated shaft assembly is often operatively coupled to a handle that holds the control systems and/or triggers to control end actuator operation. To facilitate proper orientation and location of the end actuator within the body, many surgical instruments are configured to facilitate articulation of the end actuator with respect to a portion of the elongated shaft.

[0005] Motor-equipped surgical instruments are disclosed in US patent application publication No. 2009/0090763 A1, entitled MOTOR-EQUIPPED SURGICAL STAPLING DEVICE by Zemlok et al. (hereinafter referred to as "Zemlok '763"), wherein the entire description thereof is hereby incorporated by reference. Motor-equipped surgical instruments are also disclosed in US patent application publication No. 2011/0278344 A1 entitled MOTOR-EQUIPPED SURGICAL INSTRUMENT by Zemlok et al. (hereinafter referred to as "Zemlok '344"), now in the form of US Patent No. 8,201,721, wherein the entire disclosure thereof is hereby incorporated by reference.

[0006] The aforementioned discussion is only intended to illustrate various aspects of the related art in the field of the invention at the time, and should not be taken as a denial of the scope of the claims.

BRIEF DESCRIPTION OF THE DRAWINGS

[0007] The features and advantages of this invention, and the manner of obtaining them, will become more apparent, and the invention itself will be better understood by referring to the description of embodiments of the invention below, considered in conjunction with the accompanying drawings. , in which:

[0008] Figure 1 is a perspective view of a surgical instrument that uses a form of retraction arrangement;

[0009] Figure 2 is a perspective view of an exemplary loading unit that may be employed in connection with various surgical instruments disclosed herein;

[0010] Figure 3 is an exploded perspective view of a portion of the charging unit shown in Figure 2;

[0011] Figure 4 is a top view of a portion of the surgical instrument of Figure 1;

[0012] Figure 5 is a partial side view of a portion of the surgical instrument shown in Figure 4 with the gear assembly in disengaged position;

[0013] Figure 6 is a top view of a portion of a retraction assembly embodiment and retraction lever arrangement thereof;

[0014] Figure 7 is a partial exploded view of a form of a drive unit with portions thereof shown in cross section;

[0015] Figure 8 is another top view of a portion of the surgical instrument with the drive unit locking system in the locked position;

[0016] Figure 9 is a top view of a form of the locking tongue assembly;

[0017] Figure 10 is a side elevation view of the locking tongue assembly of Figure 9;

[0018] Figure 11 is a bottom view of the locking tongue assembly of Figures 9 and 10;

[0019] Figure 12 is a front view of a gearbox embodiment of the gearbox;

[0020] Figure 13 is a partial side cross-sectional view of a surgical instrument embodiment with portions thereof displayed in cross-section and with the drive unit cross-sectional system in locked orientation;

[0021] Figure 14 is another partial side cross-sectional view of the surgical instrument of Figure 13 with the drive unit locking system in an unlocked orientation;

[0022] Figure 15 is a top view of another embodiment of surgical instrument with a portion of the cabinet removed to expose the portion of the arrangement of the instrument's drive unit locking system;

[0023] Figure 16 is a partial side cross-sectional view of the surgical instrument embodiment of Figure 15 with portions thereof shown in cross-section and with solid lines illustrating the drive unit locking system in a locked orientation and with lines dashes illustrating the drive unit locking system in an unlocked orientation;

[0024] Figure 17 is another partial top view of the surgical instrument modality of Figures 15 and 16 with solid lines illustrating the position of the retraction lever before activation and dashed lines illustrating the position of the retraction lever after initial activation;

[0025] Figure 18 is another partial top view of the surgical instrument modality of Figures 15 to 17, with dashed lines illustrating the retraction lever in a fully activated position;

[0026] Figure 19 is a partial top view of a portion of another embodiment of surgical instrument with a portion of the cabinet omitted to expose the drive unit locking system and with solid lines representing the retraction lever in a non-activated position and dashed lines illustrating the retract lever after initial activation;

[0027] Figure 20 is a partial top view of another embodiment of surgical instrument with a portion of the cabinet omitted to expose the drive unit locking system thereof in a locked orientation;

[0028] Figure 21 is another partial top view of the surgical instrument embodiment of Figure 20 with the drive unit locking system in an unlocked orientation;

[0029] Figure 22 is a partial cross-sectional side view of a portion of a surgical instrument and end actuator with its retraction assembly in a non-activated orientation;

[0030] Figure 23 is another partial cross-sectional side view of the surgical instrument and end actuator of Figure 22 after the firing rod assembly has been fired;

[0031] Figure 24 is another partial cross-sectional side view of the surgical instrument and end actuator of Figure 23 and after the retraction assembly has been activated to retract the drive beam back to its initial position within the end actuator;

[0032] Figure 25 is a side view in partial cross-section of a portion of another surgical instrument and end actuator in pre-trigger condition with the retraction assembly thereof in a non-activated orientation;

[0033] Figure 26 is another partial cross-sectional side view of the surgical instrument and end actuator of Figure 25 after firing;

[0034] Figure 27 is another partial cross-sectional side view of the surgical instrument and end actuator of Figure 26 with the closure of the retraction assembly thereof in a non-closed orientation;

[0035] Figure 28 is another partial cross-sectional side view of the surgical instrument and end actuator of Figure 27 with the distal firing rod portion in a retracted orientation;

[0036] Figure 29 is a partial cross-sectional view of a portion of another modality of surgical instrument with the coupler drive assembly thereof in a hinged orientation;

[0037] Figure 30 is a partial cross-sectional view of a portion of the surgical instrument embodiment of Figure 29 with the coupler drive assembly thereof in a firing orientation;

[0038] Figure 31 is an enlarged cross-sectional view of the surgical instrument drive coupler assembly of Figures 29 and 30 with the coupler selector element shown in solid lines in hinged orientation and with the coupler selector element shown in dashed lines in a shooting orientation;

[0039] Figure 32 is a partial cross-sectional view of a portion of another modality of surgical instrument;

[0040] Figure 33 is an enlarged partial cross-sectional view of a handle portion of the surgical instrument of Figure 32;

[0041] Figure 34 is another view in partial enlarged cross-section of a portion of the surgical instrument of Figures 32 and 33, with its displacement limiter in its most distal orientation;

[0042] Figure 35 is another view in partial enlarged cross-section of a portion of the surgical instrument of Figures 32 to 34, with its displacement limiter in its most proximal orientation;

[0043] Figure 36 is a partial cross-sectional view of the surgical instrument of Figure 33 taken along line 36-36 in Figure 33;

[0044] Figure 37 is a partial perspective view of the surgical instrument of Figures 32 to 36;

[0045] Figure 38 is a partial perspective view of a surgical instrument shaft, a cartridge, a disposable loading unit not attached to the shaft in accordance with various embodiments of the present invention;

[0046] Figure 39 is a partial perspective view of the shaft, cartridge and the disposable loading unit of Figure 38, representing the disposable loading unit attached to the shaft;

[0047] Figure 40 is a partial exploded perspective view of the shaft, cartridge and disposable loading unit of Figure 38;

[0048] Figure 41 is another partial exploded perspective view of the shaft, cartridge and disposable loading unit of Figure 38;

[0049] Figure 42 is a perspective view of a distal attachment portion of the disposable charging unit of Figure 38;

[0050] Figure 43 is another perspective view of a distal attachment portion of the disposable charging unit of Figure 38;

[0051] Figure 44 is a perspective view of a proximal attachment portion of the shaft of Figure 38;

[0052] Figure 45 is another perspective view of a proximal attachment portion of the shaft of Figure 38;

[0053] Figure 46 is a perspective view of the cartridge and firing axis of the surgical instrument of Figure 38;

[0054] Figure 47 is a partial perspective cross-section view of the disposable loading unit, cartridge and shaft of Figure 38, representing the disposable loading unit attached to the shaft;

[0055] Figure 48 is a partial elevation cross-sectional view of the disposable loading unit, cartridge and shaft of Figure 38, representing the disposable loading unit not attached to the shaft;

[0056] Figure 49 is a partial elevation cross-sectional view of the disposable loading unit, cartridge and shaft of Figure 38, representing the disposable loading unit attached to the shaft;

[0057] Figure 50 is an elevational view of the cartridge and axis of Figure 38 taken along the plane indicated in Figure 48;

[0058] Figure 51 is a partial cross-sectional view in perspective of the disposable loading unit, cartridge and shaft of Figure 38, depicting the disposable loading unit not attached to the shaft and additionally representing the cartridge in an initial orientation relative to the shaft. to the axis;

[0059] Figure 52 is a partial cross-sectional view in perspective of the disposable loading unit, cartridge and shaft of Figure 38, representing the disposable loading unit not attached to the shaft and, additionally representing the cartridge in the initial orientation with respect to the axle;

[0060] Figure 53 is a partial cross-sectional view in perspective of the disposable loading unit, cartridge and shaft of Figure 38, representing the disposable loading unit entering the shaft and, additionally representing the cartridge in the initial orientation with respect to the shaft ;

[0061] Figure 54 is a partial perspective cross-sectional view of the disposable loading unit, cartridge, and shaft of Figure 38, depicting the disposable loading unit entering the shaft, and additionally representing the cartridge in a rotated secondary orientation with respect to the shaft. to the axis;

[0062] Figure 55 is a partial cross-sectional view in perspective of the disposable loading unit, cartridge and shaft of Figure 38, depicting the disposable loading unit entering the shaft and additionally representing the cartridge in secondary orientation rotated relative to the shaft. axle;

[0063] Figure 56 is a partial perspective cross-sectional view of the disposable loading unit, cartridge, and shaft of Figure 38, depicting the disposable loading unit fully inserted into the shaft, and additionally representing the cartridge in secondary orientation rotated relative to to the axis;

[0064] Figure 57 is a partial cross-sectional view in perspective of the disposable loading unit, cartridge and shaft of Figure 38, representing the disposable loading unit fully inserted into the shaft and, additionally representing the cartridge in the initial orientation with respect to the axle;

[0065] Figure 58 is a partial cross-sectional view in perspective of the disposable loading unit, cartridge and shaft of Figure 38, depicting the disposable loading unit fully inserted into the shaft and additionally representing the cartridge in the initial orientation with respect to the axle;

[0066] Figure 59 is a partial perspective cross-sectional view of a surgical instrument shaft and a disposable loading unit not attached to the shaft in accordance with various embodiments of the present invention;

[0067] Figure 60 is a partial perspective cross-section view of the shaft and the disposable loading unit of Figure 59, depicting the disposable loading unit partially inserted into the shaft and, additionally representing a closure in an unclosed position;

[0068] Figure 61 is a partial perspective cross-sectional view of the shaft and the disposable loading unit of Figure 59, depicting the disposable loading unit fully inserted into the shaft and, additionally representing a closure in a closed position;

[0069] Figure 62 is a cross-sectional view with partial elevation of the shaft and the disposable loading unit of Figure 59, representing the disposable loading unit fully inserted into the shaft and, additionally representing a lock in a closed position;

[0070] Figure 63 is a schematic diagram of a torque-stress curve in accordance with various embodiments of the present disclosure;

[0071] Figure 64(a) is a schematic diagram of high duty cycle pulses provided by a pulse width modulation circuit in accordance with various embodiments of the present disclosure;

[0072] Figure 64(b) is a schematic diagram of low duty cycle pulses provided by a pulse width modulation circuit in accordance with various embodiments of the present disclosure;

[0073] Figure 65(a) is a schematic diagram of the triggering element driven by the high duty cycle pulses of the pulse width modulation circuit of Figure 64(a);

[0074] Figure 65(b) is a schematic diagram of the triggering element triggered by the low duty cycle pulses of the pulse width modulation circuit of Figure 64(b);

[0075] Figures 66(a) to 66(c) are schematic diagrams of pulse width modulation circuits with a primary set of coils and a secondary set of coils in accordance with various embodiments of the present disclosure;

[0076] Figure 67 is a graph depicting velocity and torque throughout the firing stroke in accordance with various embodiments of the present disclosure;

[0077] Fig. 68 is a graph depicting a rate limiting test segment throughout the firing stroke in accordance with various embodiments of the present disclosure;

[0078] Figures 69 and 70 are schematic diagrams of a simplified stepper motor in accordance with various embodiments of the present disclosure;

[0079] Figures 71 to 73 are schematic diagrams of a hybrid stepper motor in accordance with various embodiments of the present disclosure;

[0080] Figures 74(a) to 74(c) are schematic diagrams of the hybrid stepper motor of Figures 71 to 73 illustrating the changed polarities;

[0081] Figure 75 is a perspective view of a screen that includes a touch sensitive screen for use with an endoscope in accordance with various embodiments of the present disclosure;

[0082] Figure. 76 is an elevation view of a first layer of information for representation on the screen of Figure 75, the first layer of information including video feedback from a disposable charging unit (DLU) attached to a surgical instrument as viewed by the endoscope;

[0083] Figure. 77 is an elevational view of a second layer of information for representation on the screen of Figure 75, the second layer of information including a control panel for accepting data via the touch screen;

[0084] Figure 78 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76;

[0085] Figure 79 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76, with the second information layer including numerical data related to knife advance and a visual representation of knife advance. knife when the knife is close to the start of a firing stroke;

[0086] Figure 80 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76, with the second information layer including numerical data related to knife advance and a visual representation of knife advance. knife when the knife is near the distal end of a firing stroke;

[0087] Figure 81 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76, with the second information layer including a symbolic representation of the knife overlaying the detected position of the knife in the represented DLU in the first layer of information;

[0088] Figure 82 is an elevation view of the second layer of information of Figure 77 overlaying the first layer of information of Figure 76, with the second layer of information including a graphical representation of the knife speed advancing distally during a firing stroke ;

[0089] Figure 83 is an elevation view of the second layer of information of Figure 77 overlaying the first layer of information of Figure 76, with the second layer of information including a graphic representation of the pinching force exerted by the DLU grips on the fabric along the length of the DLU grips;

[0090] Figure 84 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76, with the second information layer including numerical data related to the orientation of the DLU and the DLU represented in first layer of information and is in an unhinged orientation;

[0091] Figure 85 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76, with the second information layer including numerical data related to the DLU orientation and a visual representation of the orientation of the DLU. DLU, and where the DLU represented in the first information layer is in a hinged orientation;

[0092] Figure 86 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76 illustrating a user's data for adjusting the DLU's articulation through the touch screen of Figure 75;

[0093] Figure 87 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76 illustrating a schematic diagram for DLU control and, illustrating in more detail the data of a user for adjustment of the joint of the DLU through the manipulation of the schematic diagram by the touch sensitive screen of Figure 75;

[0094] Figure 88 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76 illustrating the DLU in a hinged orientation in the first information layer in response to user-entered information illustrated in Figures 86 and 87;

[0095] Figure 89 is an elevation view of the second layer of information of Figure 77 overlaying the first layer of information of Figure 76 illustrating a user's data to control the closing of the mobile jaw through the touch screen of Figure 75;

[0096] Figure 90 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76 illustrating the DLU's movable jaw in a fixed orientation on the first information layer in response to user-entered information represented in Figure 89;

[0097] Figure 91 is an elevation view of a controller interface for the secondary information layer of Figure 77;

[0098] Figure 92 is an elevation view of the second information layer of Figure 77 overlaying the first information layer of Figure 76, with the second information layer including the controller interface of Figure 91 and a feed bar;

[0099] Figure 93 is a schematic diagram illustrating a communication system of a feedback controller and endoscope, surgical instrument and screen of Figure 75;

[0100] Figure 94 is an exploded view of a surgical instrument system including a handle and an end actuator that includes a plurality of indicators according to at least one embodiment;

[0101] Figure 95 is a partial exploded view of a handle of a surgical instrument system including a plurality of indicators according to at least one embodiment;

[0102] Figure 96 is a partial cross-sectional view of a handle of a surgical instrument system including an actuation lock according to at least one illustrated embodiment with the actuation lock in an unlocked condition;

[0103] Figure 97 is a partial cross-sectional view of the cable of Figure 96 illustrating the drive lock in a locked condition;

[0104] Figure 98 is a partial cross-sectional view of the actuation latch of Figure 96 illustrating the actuation latch in an unlocked condition;

[0105] Figure 99 is a cross-sectional view of the trigger lock of Figure 96 illustrating the trigger lock in a locked condition;

[0106] Figure 99A is a flowchart outlining an operating program of a surgical instrument controller to assess whether the surgical instrument has been exposed to a temperature that exceeds its temperature threshold and determine the manner in which to notify the surgical instrument user of the threshold temperature has been exceeded;

[0107] Figure 100 is a cross-sectional view of a handle of a surgical instrument system including an actuation lock in a locked condition in accordance with at least one embodiment;

[0108] Figure 101 is a cross-sectional view of the cable of Figure 100 illustrating the drive lock in its locked condition;

[0109] Figure 102 is another cross-sectional view of the cable from Figure 100 illustrating the drive lock in an unlocked condition;

[0110] Figure 103 is a perspective view of the actuation lock of Figure 100 illustrated in its locked condition;

[0111] Figure 104 is a partial cross-sectional view of a surgical instrument handle including an actuation lock in a locked condition in accordance with at least one embodiment;

[0112] Figure 105 is another partial cross-sectional perspective view of the cable of Figure 104 illustrated in an unlocked condition;

[0113] Figure 106 is a partial cross-sectional left side view of the cable of Figure 104 illustrated in a locked condition;

[0114] Figure 107 is a partial transverse right side view of the cable of Figure 104 illustrated in a locked condition;

[0115] Figure 108 is a partial cross-sectional left side view of the cable of Figure 104 illustrated in an unlocked condition;

[0116] Figure 109 is a partial transverse right side view of the cable of Figure 104 illustrated in an unlocked condition;

[0117] Figure 110 is a process flow diagram illustrating the steps that a surgical instrument controller can use to process the signal received from an end actuator attached to the surgical instrument;

[0118] Figure 110A is a schematic diagram depicting a variety of parameters that can be provided from an end actuator to a surgical instrument;

[0119] Figure 111 is a process flow diagram illustrating the steps for using the end actuator and surgical instrument of Figure 110;

[0120] Figure 112 is a schematic diagram illustrating an interconnection between an end actuator and a shaft of a surgical instrument according to at least one embodiment;

[0121] Figure 113 is a plan view of a printed circuit board of the interconnect of Figure 112;

[0122] Figure 114 is a partial perspective view of an end actuator of a surgical instrument according to at least one embodiment;

[0123] Figure 115 is a partial perspective view of the end actuator of Figure 114 and a shaft of a surgical instrument;

[0124] Figure 116 is a cross-sectional view of the end actuator of Figure 114 attached to the shaft of Figure 115;

[0125] Figure 117 is a cross-sectional view of an interconnection between an end actuator and a shaft according to at least one embodiment;

[0126] Figure 118 is a cross-sectional view of an interconnection between an end actuator and a shaft according to at least one embodiment;

[0127] Figure 119 is a cross-sectional view of an interconnection between an end actuator and a shaft according to at least one embodiment;

[0128] Figure 120 is a detailed view of the interconnection of Figure 119;

[0129] Figure 121 is a side view of an end actuator comprising an anvil and an anvil position indicator according to at least one embodiment illustrating the anvil in an open position;

[0130] Figure 122 is a side view of the end actuator of Figure 121 illustrating the anvil in a partially closed position;

[0131] Figure 123 is another side view of the end actuator of Figure 121 illustrating the anvil in a partially closed position;

[0132] Figure 124 is another side view of the end actuator of Figure 121 illustrating the anvil in a partially closed position;

[0133] Figure 125 is a detail view of the anvil deposition indicator of Figure 121 representing the anvil in the position illustrated in Figure 121;

[0134] Figure 126 is a detail view of the anvil deposition indicator of Figure 121 representing the anvil in the position illustrated in Figure 122;

[0135] Figure 127 is a detail view of the anvil deposition indicator of Figure 121 representing the anvil in the position illustrated in Figure 123;

[0136] Figure 128 is a detail view of the anvil deposition indicator of Figure 121 representing the anvil in the position illustrated in Figure 124;

[0137] Figure 129 illustrates the transverse side view of a surgical instrument according to certain embodiments described herein;

[0138] Figure 130 illustrates a power system for powering the surgical instrument of Figure 129, and the power system is in communication with a control system of the surgical instrument of Figure 129;

[0139] Figure 131 illustrates a battery power system of Figure 130 connected to a charger base;

[0140] Figure 132 illustrates a power management circuit of the power system of Figure 130;

[0141] Figure 133 illustrates a schematic block diagram exemplifying the operating parameters of the power system of Figure 130;

[0142] Figure 134 illustrates a perspective view of a power supply for a surgical instrument according to various embodiments described herein;

[0143] Figure 135 illustrates a perspective view of the power supply of Figure 134 disassembled according to various embodiments described herein;

[0144] Figure 136 illustrates a circuit diagram of a power supply circuit of Figure 134 including an intact tearable portion in accordance with various embodiments described herein;

[0145] Figure 137 illustrates a circuit diagram of the circuit of Figure 136 with the breakable portion broken in accordance with various embodiments described herein;

[0146] Figure 138 illustrates a block diagram of a data protection system stored in a memory against unauthorized access according to the various modalities described herein;

[0147] Figure 139 illustrates a perspective view of a surgical instrument power supply including the covered data access portal;

[0148] Figure 140 illustrates the data access portal of Figure 139 in an uncovered configuration;

[0149] Figure 141 illustrates a perspective view of a surgical instrument power supply including the internal data access portal;

[0150] Figure 142 illustrates a block diagram of a data protection system stored in a memory against unauthorized access according to the various modalities described herein;

[0151] Figure 143 illustrates a perspective view of a power supply of a surgical instrument according to various embodiments described herein;

[0152] Figure 144 illustrates a perspective view of the power supply of Figure 143 coupled to the surgical instrument;

[0153] Figure 145 illustrates the power supply LEDs of Figure 143 in different configurations according to various modalities described here;

[0154] Figure 146 illustrates a side view of a surgical instrument including a cabinet according to various embodiments described herein;

[0155] Figure 147 illustrates a side view of the Figure 146 case with the outer casing removed to expose the removable components fixed to the case through the fasteners;

[0156] Figure 148 illustrates a side view of the Figure 147 case with the removable components removed from the case;

[0157] Figure 149 is a schematic diagram depicting detectable indentations, notches or impressions of a bar code defined on a surface of an end actuator;

[0158] Figure 150 is a schematic diagram of an exemplary barcode that can be used with a barcode reader;

[0159] Figure 151 is a partial side view of an end actuator including a bar code according to at least one embodiment;

[0160] Figure 152 is a partial elevation view of an end actuator of a surgical instrument including a bar code according to at least one embodiment;

[0161] Figure 153 is a partial perspective view of a surgical instrument handle including a barcode reader according to at least one embodiment;

[0162] Figure 154 is a cross-sectional view of the barcode reader of Figure 153 illustrated with an end actuator positioned there;

[0163] Figure 155 is an exploded perspective view of an end actuator and a shaft of a surgical instrument according to at least one embodiment;

[0164] Figure 156 is an exploded perspective view of an end actuator and a shaft of a surgical instrument according to at least one embodiment, the end actuator comprising portions of a triggering member releasably locked together;

[0165] Figure 157 is a partial perspective view of the portions of the firing member of Figure 156 locked together by a locking member;

[0166] Figure 158 is a partial perspective view of the trigger member and latch member portions of Figure 156 illustrated with a portion of the trigger member removed to illustrate the latch member releasably locked with portions of the trigger member ;

[0167] Figure 159 is an exploded view of the trigger member of Figure 156 and a release actuator configured to move the latch member to an unlocked condition and unlock portions of the trigger member;

[0168] Figure 160 is a partial exploded view of an interconnection between the release actuator of Figure 159 and a corresponding shaft release actuator;

[0169] Figure 161 is a cross-sectional view of the interconnection of Figure 160;

[0170] Figure 162 is an exploded perspective view of an assembly comprising an engine, a drive shaft and a slip clutch configured to selectively transmit rotation between the engine and the drive shaft;

[0171] Figure 163 is a cross-sectional view of the set of Figure 162;

[0172] Figure 164 is a perspective view of a displacement element of the slip clutch of Figure 162;

[0173] Figure 165 is a cross-sectional view of the assembly of Figure 162 illustrating the slip clutch clutch element in a neutral position;

[0174] Figure 166 is a cross-sectional view of the assembly of Figure 162 illustrating the clutch element of Figure 165 in a forward facing position;

[0175] Figure 167 is a cross-sectional view of the assembly of Figure 162 illustrating the clutch element of Figure 165 in a rearward facing position;

[0176] Figure 168 is a perspective view of a motor and gear assembly in accordance with various embodiments of the present disclosure;

[0177] Figure 169 is a perspective view of an engine, a gear assembly and an audio feedback generator in accordance with various embodiments of the present disclosure;

[0178] Figure 170 is an elevation view of a collector on a disk of the gear set of Figure 169, representing the collector rotating clockwise and the collector interconnecting with a clicker of the audio feedback generator of Figure 169 according to various modalities of the present disclosure;

[0179] Figure 171 is an elevation view of a collector on a disk of the gear set of Figure 169, representing the collector rotating counterclockwise and the collector interconnecting with a clicker of the audio feedback generator of Figure 169 of according to various embodiments of the present disclosure;

[0180] Figure 172 is a perspective view of an engine, a multi-disk gear assembly and an audio feedback generator in accordance with various embodiments of the present disclosure;

[0181] Figure 173 is a graphic illustration of feedback generated near the end of a trigger stroke by the audio feedback generator of Figure 172 in accordance with various embodiments of the present disclosure;

[0182] Figures 174 and 175 are graphic illustrations of feedback generated near the hinge limit of a charging unit by the audio feedback generator of Figure 172 in accordance with various embodiments of the present disclosure;

[0183] Figure 176 is a schematic diagram representing an algorithm for operating a surgical instrument;

[0184] Figure 177 is another schematic diagram representing an algorithm for operating a surgical instrument;

[0185] Figure 178 is a schematic diagram representing an algorithm for operating a surgical instrument;

[0186] Figure 179 is a circuit configured to indicate the voltage of a battery;

[0187] Figure 180 is a schematic diagram of flashing light to indicate that a battery is charged;

[0188] Figure 181 is a schematic diagram of a diagnostic check for use with a surgical instrument in accordance with at least one embodiment;

[0189] Figure 182 is a schematic diagram illustrating a battery discharge and a power cut when the battery charge drops below the minimum charge level;

[0190] Figure 183 is a table of information that can be maintained and that records the operation and/or performance of a battery;

[0191] Figure 184 is a schematic diagram of a battery diagnostic circuit;

[0192] Figure 185 is a perspective view of a sealed motor and gear assembly for use with a surgical instrument in accordance with various embodiments of the present disclosure and

[0193] Figure 186 is an exploded, elevated cross-sectional view of the sealed motor and gear assembly of Figure 185 in accordance with various embodiments of the present disclosure.

DETAILED DESCRIPTION

[0194] The applicant of the present application is also the author of the following patent applications that were filed on the same date as the present application and which are all hereby incorporated by reference in their entirety:- US patent application entitled FIRING MEMBER RE- TRACTION DEVICES FOR POWERED SURGICAL INSTRUMENTS, attorney document no. END7293USNP/130016;- US patent application entitled SECONDARY BATTERY ARRANGEMENTS FOR POWERED SURGICAL INSTRUMENTS, attorney document no. END7294USNP/130017;- US patent application entitled ERROR DETECTION ARRANGEMENTS FOR SURGICAL INSTRUMENT ASSEMBLIES, attorney document no. END7295USNP/130018;- US patent application entitled ATTACHMENT PORTIONS FOR SURGICAL INSTRUMENT ASSEMBLIES, attorney document no. END7296USNP/130019;- US patent application entitled TAMPER PROOF CIRCUIT FOR SURGICAL INSTRUMENT BATTERY PACK, Attorney Document No. END7297USNP/130020;- US patent application entitled TORQUE OPTIMIZATION FO R SURGICAL INSTRUMENTS, Attorney Document No. END7299USNP/130022;- US Patent Application entitled SHROUD RETENTION ARRANGEMENT FOR STERILIZABLE SURGICAL INSTRUMENTS, Attorney Document No. END7300USNP/130023;- US Patent Application entitled CONDUCTOR ARRANGEMENTS FOR ELECTRICALLY POWERED SURGICAL INSTRUMENTS WITH ROTATABLE END EFFECTORS, attorney document no. END7301USNP/130024;- US patent application entitled END EFFECTOR DETECTION SYSTEMS FOR SURGICAL INSTRUMENTS, attorney document no. END7302USNP/130025;- US patent application entitled FIRING TRIGGER LOCKOUT ARRANGEMENTS FOR SURGICAL INSTRUMENTS, attorney document no. END7303USNP/130026;- US patent application entitled INTERACTIVE DISPLAYS, attorney document no. END7304USNP/130027 e- US patent application entitled MOTOR-POWERED

ARTICULATABLE SURGICAL INSTRUMENTS, attorney's document no. END7305USNP/130028.

[0195] Certain exemplifying modalities will now be described to provide a general understanding of the principles of structure, function, fabrication and use of the devices and methods disclosed herein. One or more examples of such embodiments are illustrated in the accompanying drawings. Those skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are exemplary, non-limiting embodiments, and that the scope of the various embodiments of the present invention is defined solely by the claims. Features illustrated or described in connection with one exemplary embodiment may be combined with features of other embodiments. Such modifications and variations are intended to be included within the scope of the present invention.

[0196] The terms "comprises" (and any form of comprises, such as "comprises" and "which comprises"), "has" (and any form of has, such as "has" and "which has"), "includes" ( and any form of includes, such as "includes" and "which includes") and "contains" (and any form of contains, such as "contains" and "which contains") are unrestricted linking verbs. As a result, a system, device or surgical device that "comprises", "has", "includes" or "contains" one or more elements has those one or more elements, but is not limited to having only those one or more elements. . Likewise, an element of a system, device or surgical device that "comprises", "has", "includes" or "contains" one or more features has those one or more features, but is not limited to having only those one or more features. or more resources.

[0197] The terms "proximal" and "distal" are used in the present invention with reference to a physician who manipulates the handle portion of the surgical instrument. The term "proximal" refers to the portion closest to the physician, and the term "distal" refers to the portion located away from the physician. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "upwards" and "downwards" may be used in the present invention in connection with the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.

[0198] Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, one of skill in the art will readily understand that the various methods and devices disclosed herein can be used in numerous surgical procedures and applications including, for example, those in conjunction with open surgical procedures. As the present Detailed Description advances, those of ordinary skill in the art will further appreciate that the various instruments disclosed herein can be inserted into a body in any manner, such as through a natural orifice, through an incision or perforation formed in tissue, etc. . The functional portions or end actuator portions of instruments may be inserted directly into a patient's body or may be inserted through an access device having a working channel through which the end actuator and elongated shaft of a surgical instrument can be advanced.

[0199] Figure 1 illustrates a surgical instrument equipped with a motor 10 which, in many ways, may be similar to the surgical instruments (including various features, components and subcomponents thereof) disclosed, for example, in Zemlok '763 and/or Zemlok ' 344, each of which is incorporated herein by reference in its entirety. The surgical instrument 10 shown in Figure 1 includes a housing 12 which has a handle portion 14 to facilitate manual manipulation and operation of the instrument. Thus, the term "cabinet", as used herein, can encompass a hand arrangement or one that can be manipulated by the hands. However, the term "cabinet" may also encompass portions of an automated surgical instrument system, such as a robot-controlled system that is not intended to be operated by the hands, but is manipulated and actuated by various components, portions, and/or system actuators.

[0200] An elongated shaft assembly 16 in the form of an endoscopic portion exits the cabinet 12 and is configured for operable attachment with a surgical end actuator that is constructed to perform at least one surgical procedure in response to trigger motion applications for this It is made. Said surgical end actuators may comprise, for example, endoscopic surgical instruments, forceps or other devices which may include a pair of jaws, one jaw being selectively movable with respect to the other jaw or, in some configurations, both jaws are furniture relative to each other. By way of example, the surgical end actuator may comprise a device configured to cut and staple tissue, such as the "loading unit" 20, as shown in Figures 2 and 3. Surgical end actuators, such as the loading unit 20, for example, can be releasably attached to the elongate shaft assembly 16 of the motor-equipped surgical instrument 10, as described in more detail in the present invention.

[0201] Figures 2 and 3 illustrate an exemplary form of a charging unit 20 that can be used with the surgical instrument 10. Said charging unit 20 may be similar to the charging units disclosed in the aforementioned US patent application publications, which have all been incorporated herein in their entirety by reference, as well as the charging units disclosed, for example, in US Patent Application Publication No. US 2012-0298719-A1 entitled SURGICAL CLIPING INSTRUMENTS WITH HANDLE POSITIONING DEVICES SWING CLIP, the description of which is incorporated herein by reference, in its entirety.

[0202] As can be seen in Figure 2, the loading unit 20 includes an anvil assembly 22 that is supported by a pivoting displacement with respect to the loader 24 that operatively supports the staple cartridge 26 thereof. A mounting assembly 28 is pivotally coupled to the cartridge magazine 24 to form an articulated joint 27 which enables the magazine 24 to pivot about a pivot axis "AA-AA" which is transverse to a longitudinal tool axis "LA" -THERE". Referring to Figure 3, mounting assembly 28 may include, for example, upper and lower mounting portions 30 and 32. Each mounting portion 30, 32 may include a threaded hole 34 on each side thereof sized to receive pegs. threaded (not shown) to secure the proximal end of carrier 24 for this purpose. A pair of centrally located pivot elements 36 may extend between the upper and lower mounting portions through a pair of coupling members 38 which engage a distal end of a housing portion 40. The coupling members 38 may include a socket proximal portion 39 configured to be inserted into grooves 42 formed in the proximal end of housing portion 40 to retain mounting assembly 30 and housing portion 40 in a longitudinally fixed position.

[0203] As can still be seen in Figure 3, the cabinet portion 40 of the loading unit 20 may include an upper cabinet half 44 and a lower cabinet half 46, each of which is configured to be received in the outer compartment 50 The proximal end of the housing half 44 may include engaging protuberances 48 to releasably engage a distal end of an elongate shaft assembly 16. The protuberances 48 may form a "bayonet-like" coupling with the distal end of the assembly of elongate axis 16, for example. Various coupling arrangements are described in more detail here. Cabinet halves 44, 46 may define a channel 47 for slidably receiving an axially movable drive beam 60. A second pivot link 70 can be dimensioned to be slidably positioned in slot 72 formed between cabinet halves 44 , 46. A pair of "purge" plates 74 may be positioned adjacent the distal end of the cabinet portion 40 adjacent the distal end of the axial drive beam 60 to prevent outward expansion of the drive beam 60 during loader pivoting. 24.

[0204] The drive beam 60 may include a distal working head 62 and a proximal engagement section 64. The drive beam 60 may be constructed from a single sheet of material or, preferably, multiple sheets stacked. Engagement section 64 may include a pair of engagement fingers which are sized and configured to mountably engage a pair of corresponding retaining slots formed in drive member 66. Drive member 66 may include a proximal hatch 67 which is configured to receive the distal end of a triggering rod when the proximal end of the loading unit 20 is engaged with the elongate shaft assembly of the surgical instrument 10. The distal working head 62 may have a tissue cutting portion 63 formed therein. . The distal working head 62 may also include a pair of pins 65 configured to engage the anvil assembly 22 to pivot it to the closed position to clamp tissue between the anvil 22 and the staple cartridge 26, seen that the distal working head 62 is driven distally through the staple cartridge 26. A tissue cutting portion 63 on the distal working head 62 acts to cut the pinched tissue as the surgical staples (not shown), which are supported in the staple cartridge 26, are directed to contact the anvil 22 in a known manner. For example, the distal working head 62 is configured to axially connect and advance on the slider (not shown) which is movably supported on the staple cartridge 26. As the slider is directed distally by the drive member 66, the slider contacts the thrusters (not shown) that are associated with the clips and causes the thrusters to direct the clips away from the cartridge 26, forming an engagement with the anvil 22 on the loading unit 20.

[0205] As can be seen in Figure. 1, the surgical instrument 10 includes a motor 100 that is configured to generate rotary actuation motions that can be used, for example, to apply trigger motions to the loading unit 20, as will be discussed in more detail below. In at least one form, for example, the motor 100 is configured to apply rotary actuation motions to a trigger member assembly, generally designated as 82. In one arrangement, for example, the trigger member assembly 82 includes a guide tube 102 which is rotatably supported within the cabinet 12 and has an internal thread (not shown) formed therein. The proximal threaded portion of a triggering rod 104 is supported in threaded engagement with the targeting tube 102 so that rotation of the targeting tube 102 results in axial movement of the triggering stem 104. The triggering stem 104 may interface in a manner that threadable with the inside of the drive beam 60 on the loading unit 20. As discussed further in detail in the previously incorporated Zemlok '763 and Zemlok '344, rotation of the steering tube 102 in a first direction (e.g. towards counterclockwise) causes the triggering rod 104 to advance the triggering member 60 in the distal direction. Initial advancement of drive member 60 in the distal direction within loading unit 20 causes anvil 22 to revolve toward staple cartridge 26. Anvil 22 is driven by pins 65 on drive member 60, which serves to rebound the anvil 22 to a closed position as the drive member 60 is initially directed in the distal "DD" direction. Further distal translation of the firing rod 104 and ultimately the driving member 60 through the loading unit 20 causes the staples to be directed to contact the staple forming subsurface on the anvil 22.

[0206] As can be seen in Figure 1, the surgical instrument 10 may include an articulated system generally designated as 109. However, the surgical instrument 10 may include various other articulated system arrangements disclosed in detail in the present invention. In at least one form, the articulation system 109 can include a articulation mechanism 110 that includes a articulation motor 112 and a manual articulation button 114. The articulation motor 112 may be actuated by an electric toggle switch 116 or by rotation. of the manual pivot knob 114. Actuation of the pivot motor 112 serves to rotate a pivot gear 118 of the pivot mechanism 110. Actuation of the pivot mechanism 110 can cause the end actuator (e.g., the cartridge/anvil portion of the loading unit 20) is displaced from its first position, its axis being substantially aligned with the axis of the longitudinal tool "LA-LA" of the elongated axis assembly 16 to a position at which the axis of the end actuator is arranged at an angle to the longitudinal tool axis "LA-LA" of the elongated shaft assembly around, for example, a pivot axis "AA-AA". Further discussions involving the various aspects of the linkage mechanism 110 can be found in Zemlok '763, which was previously incorporated in its entirety by way of reference. In addition, U.S. Patent No. 7,431,188 entitled MOTOR-EQUIPPED JOINT SURGICAL CLAMPING APPARATUS, incorporated herein in its entirety by reference, discloses motor-equipped articulated end actuators that can be used in conjunction with the instrument. surgical 10.

[0207] In various embodiments, the surgical instrument may include at least one motor, which may apply triggering motions to the loading unit 20 and/or pivoting motions to the hinge system 109, as described in the present disclosure in more detail. The motor 100 may, for example, be powered by a power supply 200 of the type described in more detail in Zemlok '763. For example, the power supply 200 may comprise a rechargeable battery (e.g., lead-based, nickel-based, lithium-ion, etc.). It is also understood that the power supply 200 may include at least one disposable battery. The disposable battery can, for example, have between 9 volts and about 30 volts. However, other power sources can be used. Figure 1 illustrates an example in which the power supply 200 includes a plurality of battery cells 202. The number of battery cells 202 used may depend on the actual charging requirements of the instrument 10.

[0208] In certain embodiments, the surgical instrument 10 may include a secondary power supply for powering at least one motor of a surgical instrument 10. For example, now referring to Figure 129, the surgical instrument 10 may include a power supply system. 2000 which can be configured to supply power for the operation of the surgical instrument 10. The power system 2000, as shown in Figure 129, can be placed, for example, in the cable portion 14 of the cabinet 12 and can include a power supply primary 2002 and a secondary or backup power supply 2004. The primary power supply 2002 may be configured to supply power to operate the surgical instrument 10 during normal operation and the secondary power supply 2004 may be configured to supply power to the operation of the surgical instrument 10, at least in limited capacity, when the primary power supply 2002 is not is available to provide power for the operation of the surgical instrument 10, for example, when the primary power supply 2002 is depleted and/or when it is disconnected from the surgical instrument 10. For example, the secondary power supply 2002 can be configured to supply power to restore the surgical instrument 10 to factory configuration if the primary power supply 2002 is depleted and/or disconnected from the surgical instrument 10 during a surgical procedure.

[0209] With reference to Figure. 1, as described in the present disclosure in more detail, the power supply, such as the power supply 200, can supply power for the operation of the surgical instrument 10. For example, the power supply 200 can supply power to a motor, such as motor 100 to result in rotation of targeting tube 102 in a first direction and finally axial advancement of firing rod 104 which directs targeting beam 60 distally through loading unit 20 Alternatively, the power supply 200 may supply power to a motor 100 to result in the rotation of the steering tube 102 in a second direction opposite to the first direction and, ultimately, the axial retraction of the firing rod 104 which may displace the beam. targeting tool 60 proximally to its starting and/or default position. Similarly, primary power supply 2002 may be configured to supply power to motor 100 to advance and/or retract firing rod 104 during normal operation of surgical instrument 10. In addition, secondary power supply 2004 may be configured to provide the power needed to retract the firing rod 104 to its default position in the event that the 2002 primary power supply is not available to supply the required power, such as when the 2002 primary power supply is depleted and/ or disconnected from the surgical instrument 10.

[0210] In addition to the above, as described in the present disclosure in more detail, the surgical instrument 10 can be configured to record and store a variety of information about the operation of the surgical instrument 10 during a surgical procedure, such as, for example, an angle of end actuator linkage 20 (see Figure 2), an actuation situation of end actuator 20, sensor readings, number of shots, tissue thickness and/or position of trigger rod 104. In certain examples, such information may be recorded and stored in volatile or temporary memory, such as a random access memory (RAM) unit that may require power to maintain stored information. During the normal operation of the surgical instrument 10, the primary power supply 2002, similar to the other power supplies described in more detail herein, can provide the necessary energy to maintain the information stored within the volatile or temporary memory units of the surgical instrument 10. In addition, the 2004 secondary power supply can provide the power needed to temporarily hold the stored information in the event the 2002 primary power supply is not available to provide the required power, such as when the 2002 primary power supply is exhausted and/or disconnected from the surgical instrument 10.

[0211] In certain aspects, the surgical instrument 10 may include a control system 2005 of the type and construct disclosed in Zemlok '763, which has been incorporated herein by reference, in its entirety. Further details on the construction and operation of said 2005 control system can be obtained from the publication. For example, the 2005 control system can be configured to generate or provide information, such as a warning or instrument state, to a user through the user interface, such as a visual or audio display. The signals or inputs generated by the 2005 control system may be, for example, in response to other user-supplied signals or inputs, instrument components, or may be a function of one or more measurements associated with the instrument 10. During normal operation of the surgical instrument 10, as described in the present disclosure in more detail, a power supply, such as the primary power supply 2002 (see Figure 129) can provide the necessary power to enable the control system 2005 to perform its functions , including interactions with a user through the user interface. In addition, the 2004 secondary power supply can provide, at least in limited capacity, the power needed to temporarily interact with a user through the user interface in case the 2002 primary power supply is not available to provide the required power, such as, for example, when the primary power supply 2002 is depleted and/or disconnected from the surgical instrument 10.

[0212] Now with reference to Figure. 130, the power supply system 2000 may comprise a power management circuit 2006 which may be connected to the primary power supply 2002 and the secondary power supply 2004. The power management circuit 2006 may include or may be selectively associated with a semiconductor , computer chip or memory. The 2006 power management circuit may be configured to send or receive analog or digital data or signals to or from various components of the surgical instrument 10, including, but not limited to, the 2005 control system, 2002 primary power supply, and/or secondary power supply 2004. In various aspects, the power management circuit 2006 may use software that may utilize one or more algorithms to further formulate the input signals in order to control and monitor the various components of the surgical instrument 10 , including the primary power supply 2002 and/or the secondary power supply 2004. Said formulated input signals may be a function of criteria measured and/or calculated by the power management circuit 2006 or, in some cases, provided to the 2006 power management circuit by another instrument component, a user, or a separate system in operative communication with the circ power management ui 2006.

[0213] Again with reference to Figure. 129, the primary power supply 2002 may comprise one or more battery cells, depending on the current charging needs of the instrument 10. In various respects, as illustrated in Figure 129, the primary power supply 2002 may include a battery 2008 which may include a plurality of battery cells 2010 that can be connected in series with each other, for example. The 2008 battery is replaceable. In other words, battery 2008 can be disconnected and removed from surgical instrument 10 and replaced with another similar battery. In certain aspects, the primary power supply 2002 may comprise a rechargeable battery (eg, lead-based, nickel-based, lithium-ion, etc.). The 2008 battery cells can be, for example, 3 volt lithium battery cells, such as CR 123A battery cells, although, for example, in other embodiments, different types of battery cells can be used, such as battery with different voltage levels and/or different chemistry, for example. A user can disconnect and remove a depleted or used battery 2008 from the surgical instrument 10 and connect a charged battery 2008 to power the surgical instrument 10. The depleted battery 2008 can then be charged and reused. It is also understood that the primary power supply 2002 may include at least one disposable battery. In many respects, the disposable battery can be anywhere from 9 volts to around 30 volts, for example. A user can disconnect and remove a depleted 2008 disposable battery and connect a new 2008 disposable battery to power the surgical instrument 10.

[0214] As previously described, the 2008 battery may include rechargeable battery cells and may be removably positioned within the cable portion 14 of the cabinet 12, for example. Under certain circumstances, the 2008 battery can be charged using a charger base. For example, as illustrated in Figure 131, charger base 2012 can be connected to battery 2008 by removing battery 2008 from its location on cable portion 14 and connecting it to charger base 2012. As shown in Figure 131, base The charger base 2012 may comprise a power supply 2014 for charging the battery 2008. The power source 2014 of the charger base 2012 may be, for example, a battery (or several batteries connected in series), or an AC/DC converter which converts AC power, such as from the utility power grid, into DC power, or any other source of power suitable for charging the 2008 battery. The 2012 charger base may also comprise indicator devices such as LEDs, an LCD display , etc., to show the 2008 battery charge status.

[0215] In addition as shown in Figure 131, the base loader 2012 may comprise one or more processors 2016, one or more memory units 2018 and i/o interfaces 2020, 2022, for example. Through the first 2020 I/O interface, the 2012 charger base can communicate with the 2008 battery (via the battery's I/O interface) to allow, for example, data stored in a 2008 battery memory to be downloaded to the memory 2020 of charger base 2012. Under various circumstances, the downloaded data can then be downloaded to another computing device through the second I/O 2022 interface for evaluation and analysis, such as by the hospital system where the operation involving the instrument 10 is performed by the surgeon's office, the instrument distributor, the instrument manufacturer, etc.

[0216] The charger base 2012 may also comprise a load gauge 2024 to measure the charge across the battery cells of the battery 2008. The load gauge 2024 may be in communication with the 2016 processor so that the 2016 processor can determine real-time the suitability of the 2008 battery for use to ensure that the battery performs as expected.

[0217] Again with reference to Figure. 129, the secondary power supply 2004 may comprise one or more battery cells 2026 which may be disposed, for example, within the cable portion 14. The battery cell 2026 may be rechargeable (e.g., lead, nickel, and lithium ions etc.). For example, the 2026 battery cell could be a 3 volt lithium battery cell, such as the CR 123A battery cell. In addition, the 2026 battery cell can be configured to be recharged without having to be removed from the instrument 10. For example, the 2002 primary power supply can be used to charge the 2026 battery cell when the 2002 primary power supply is connected. to instrument 10.

[0218] With reference to Figure. 132, an exemplary embodiment of power management circuit 2006 is illustrated. Among other things, the power management circuit 2006 can be configured to monitor electrical parameters associated with the operation of the primary power supply 2002 and/or secondary power supply 2004. For example, the power management circuit 2006 can be configured to monitor the power levels of the 2002 primary power supply and/or 2004 secondary power supply. The 2006 power management circuit, as shown in Figure 132, may comprise a 2028 load meter that can be configured to measure loads in the primary power supply 2002 and/or secondary power supply 2004. The power management circuit 2006 may comprise non-volatile memory 2030, such as flash memory or ROM, for example, and one or more processors 2032. Processor 2032 can be connected and can control memory 2030. Furthermore, processor 2032 can be connected to load meter 2028 to read readings from and otherwise controlling load meter 2028. Additionally, eg 2032 can control output devices of power management circuit 2006, such as LEDs.

[0219] The reader will understand that the 2024 and/or 2028 load meters can be configured to measure voltage, load, resistance and/or current. In certain examples, load meters 2024 and/or 2028 may comprise a battery capacity measurement circuit, which may be configured to measure the state of voltage at a predetermined load.

[0220] In addition to the foregoing, processor 2032 may store information about primary power supply 2002 and/or secondary power supply 2004 in memory 2030. The information may include, among other things, the total available load, number of uses, and /or performance. Additionally, information stored in memory 2030 may comprise primary power supply ID values 2002 that power management circuit 2006 can read and store. Said IDs can be, for example, RFIDs that the power management circuit 2006 reads through an RFID transponder 2034. The RFID transponder 2034 can read the RFIDs of power supplies that include RFID tags. ID values may be read, stored in memory 2030, and compared by processor 2032 to a list of acceptable ID values stored in memory 2030 or other storage associated with power management circuit 2006, to determine, for example, if the source Removable/Replaceable 2002 Primary Power Supply associated with the Read ID value is authentic and/or appropriate. In such circumstances, if the 2032 processor determines that the removable/replaceable component associated with the Read ID value is not authentic, the 2006 power management circuit can be configured to avoid using the instrument 10, such as when opening a switch ( not shown) that would prevent battery power from being delivered to the instrument 10. Various parameters that the 2032 processor can evaluate to determine if the component is authentic and/or appropriate include: date code, component model/type, manufacturer, information regional and/or previous error codes, for example.

[0221] In addition to the above, the power management circuit 2006 may also comprise an I/O interface 2036 for communicating with another device, e.g. a comprise, to allow data stored in memory 2030 to be downloaded to another device for evaluation and analysis, such as by the hospital system where the operation involving the instrument 10 is performed, by the surgeon's office, by the instrument distributor and/or by the instrument manufacturer, for example. The I/O interface 2036 can be, for example, a wired or wireless interface.

[0222] Now referring to the block diagram illustrated in Figure 133, the power management circuit 2006 can selectively transmit power to the surgical instrument 10 from the primary power supply 2002 and the secondary power supply 2004. For example, the processor 2032 can be programmed to allow power to be transmitted to the instrument 10 from the 2002 primary power supply when the 2002 primary power supply is available to power the 2002 instrument and from the 2004 secondary power supply when the 2002 primary power supply is not is available to power the instrument 10.

[0223] During normal operation of instrument 10, processor 2032, upon detection and authentication of primary power supply 2002 as described above, may allow primary power supply 2002 to power instrument 10. Primary power supply 2002 may continue powering instrument 10 until primary power supply 2002 reaches or falls below a predetermined minimum load level, such as when primary power supply 2002 is disconnected and/or depleted. The power management circuit 2006 can be used to determine when the primary power supply 2002 reaches or drops below a predetermined minimum load level. For example, the 2032 processor can be configured to use the 2028 load meter or other similar load meter to monitor the load level of the 2002 primary power supply and detect when the load level reaches or drops below a predetermined minimum level. which can be stored in memory 2030 of the power management circuit 2006. At this point, the processor 2032 may alert the user to the replacement of the primary power supply 2002. The power management circuit 2006 may include an indicator such as one or more LEDs, an LCD display, for example, which is activated to alert a user of the instrument 10 to the replacement of the primary power supply 2002. In addition, the processor 2032 can be configured to change the power supply to the instrument 10 from the power supply. 2002 primary power supply to 2004 secondary power supply when it is detected that the load level of the 2002 primary power supply has reached the u has fallen below the predetermined minimum level. The reader will understand that additional indicators may be used to provide additional feedback to the user. For example, an indicator can be used to alert the user that the instrument 10 is switching from the 2002 primary power supply to the 2004 secondary power supply and vice versa.

[0224] In addition to the above, the processor 2032 can be programmed to allow the primary power supply 2002 to charge the secondary power supply 2004 when the primary power supply 2002 is connected to the surgical instrument 10. In certain instances, the power supply secondary power supply 2004 may remain inactive after being fully charged by the primary power supply 2002 to a predetermined maximum power level for as long as the primary power supply 2002 remains available to power the instrument 10. In addition, the power management circuit 2006 may be used to determine when the 2004 secondary power supply is sufficiently charged. For example, the 2032 processor can be configured to use the 2028 load meter or another similar load meter to monitor the load level of the 2004 secondary power supply until the load level reaches a predetermined maximum level that can be stored in memory. 2030 of the 2006 power management circuit, when the 2032 processor may stop charging from the 2002 primary power supply to the 2004 secondary power supply. The 2006 power management circuit may include an indicator, such as one or more LEDs, a LCD display, etc., which can be activated to alert an instrument user 10 when the 2004 secondary power supply is sufficiently charged.

[0225] Again with reference to Figure. 129, primary power supply 2002 may be placed in chamber 2038 of cable portion 14 of instrument 10. To replace primary power supply 2002, an outer housing of cable portion 14 may be removed to expose chamber 2038. For example, a trigger or switch may be associated with the outer shell of the cable portion 14 such that the attempt to remove the outer shell of the cable portion 14 may be understood by the processor 2032 as a trigger event to switch the power source. 2002 primary power supply to 2004 secondary power supply.

[0226] When replacing the 2002 primary power supply of surgical instrument 10 with a new 2002 primary power supply, the 2006 power management circuit can verify the authenticity of the new 2002 primary power supply as described above and upon confirmation In such authenticity, the power management circuit 2006 can allow the new primary power supply 2002 to transmit power to the instrument 10. In addition, the primary power supply 2002 can charge the secondary power supply 2004 as described above.

[0227] Surgical end actuators, such as the loading unit 20 (Figures 2 and 3), for example, can be operationally coupled to the elongated shaft assembly 16 of the motor-equipped surgical instrument 10 (Figure 1). For example, now referring to Figures 38 to 58, the surgical end actuator, such as the Disposable Loading Unit (DLU) 5502, for example, can be releasably attached to a surgical instrument, such as the motor-equipped surgical instrument. 10 (Figure 1), for example. In various embodiments, the surgical instrument may include a shaft 5520, which can be engaged with the DLU 5502, for example. In various embodiments, a cartridge, such as the swivel cartridge 5580, for example, may releasably lock the DLU 5502 with respect to the axis 5520. Additionally, in various embodiments, rotation of the cartridge 5580 may facilitate attachment and/or alignment. of a trigger assembly and/or a linkage assembly as described here.

[0228] In various embodiments, the DLU 5502 may include a distal attachment portion 5504 and the shaft 5520 may include an outer tube 5554 and a proximal attachment portion 5522. The distal attachment portion 5504 of the DLU 5502 may receive the attachment portion proximal 5522 of the 5520 shaft when the 5502 DLU is attached to the 5520 shaft (Figure 39). In addition, the swivel cartridge 5580 can be positioned around the proximal attachment portion 5522 of the shaft 5520, so that the distal attachment portion 5504 of the DLU 5502 can also be positioned on the swivel cartridge 5580. The swivel cartridge 5580 may be clamped to shaft 5502 and/or proximal attachment portion 5504 and, in certain embodiments, may be pivotally attached to proximal attachment portion 5504 of shaft 5502, for example. In certain embodiments, the proximal attachment portion of the shaft 5520 may receive a distal attachment portion of the DLU 5502 when the DLU 5502 is secured to the shaft 5520. Also, in certain embodiments, a cartridge 5580 may be pivotally attached to the DLU. 5502.

[0229] Still referring to Figures 38 to 58, as the DLU moves between the unfixed position and a fixed position with respect to the axis 5520 of the surgical instrument, the DLU 5502 can translate along a longitudinal axis defined by the axis 5520. The distal attachment portion 5504 of the DLU 5502 may be inserted into the proximal attachment portion 5522 of the shaft 5520 as the DLU 5502 moves from the unattached to the secured position. For example, the 5502 DLU can translate in the A direction (Figure 39) when the 5502 DLU is shifted between the unfixed position and the fixed position. In certain embodiments, a groove-slot engagement between the distal attachment portion 5504 and the proximal attachment portion 5522 can guide the DLU 5502 along the longitudinal axis defined by axis 5520. Referring primarily to Figure 42, the distal attachment portion 5504 may include a guide rail 5514. Additionally, referring primarily to Figure 44, the proximal attachment portion 5522 may include a guide slot 5534. The guide slot 5534 may be sized and structured to receive and guide the guide rail 5534. guide 5514 as proximal attachment portion 5504 of DLU 5502 is inserted into distal attachment portion 5522 of shaft 5520. For example, guide slot 5534 may comprise a longitudinal slot and guide rail 5514 may comprise a longitudinal ridge , for example. In certain embodiments, a guide slot 5534 and guide rail 5514 can prevent twisting and/or rotation of the DLU 5502 with respect to the longitudinal axis defined by axis 5520.

[0230] With reference mainly to Figure. 38, distal attachment portion 5504 may include a first alignment symbol 5510, such as a first arrow, for example, and shaft 5520 and/or cartridge 5580 may include a second alignment symbol 5590, such as a second arrow, for example. . The alignment of the first and second alignment symbols 5510, 5590 may align the guide rail 5514 and the guide slot 5534, which may facilitate attachment of the distal attachment portion 5504 to the proximal attachment portion 5522. As described herein, translation of the DLU 5502 along the longitudinal path towards axis 5520 may releasably lock the DLU 5502 with respect to axis 5520. In such embodiments, rotation of the DLU 5502 with respect to axis 5520 may not be necessary to secure the DLU 5502 relative to the 5520 axis. In fact, the rotation of the DLU 5502 relative to the 5520 axis can be restricted and/or prevented by a groove-slot engagement between the proximal attachment portion 5522 and the distal attachment portion 5504, as described here. In various embodiments, the 5580 cartridge can rotate with respect to the 5502 DLU and/or the 5520 axis to releasably lock the 5502 DLU on the 5520 axis. For example, as described here, the 5580 cartridge can rotate from an initial orientation (Figure 53) toward a secondary orientation (Figure 54) and then back toward the initial orientation (Figure 57) to lock the 5502 DLU on the 5520 axis.

[0231] Referring primarily to Figures 42 and 43, the 5504 proximal portion of the 5502 DLU may include a 5506 rotation key or rib. As the 5502 DLU moves in the A direction (Figure 39) between an unfixed position (Figure 39). 38) and a fixed position (Figure 39), the 5506 rotation key can affect the rotation of the 5580 cartridge. For example, the 5506 rotation key can rotate and/or shift the 5580 cartridge in the B direction (Figure 39) from from initial orientation to secondary orientation. Distal attachment portion 5504 may be inserted into proximal attachment portion 5522 when cartridge 5580 is shifted to secondary orientation. Furthermore, when the distal attachment portion 5504 is fully inserted into the proximal attachment portion 5522, the rotation key 5506 may allow the cartridge 5580 to rotate in the C direction (Figure 39) from the secondary orientation towards the initial orientation. Direction C can be opposite direction B, for example. As described herein, when the cartridge 5580 returns to its initial orientation, the cartridge 5580 may lock the distal attachment portion 5504 with respect to the proximal attachment portion 5522. Still referring to Figures 42 and 43, the rotation key 5506 may include a rotation ramp 5508 at the proximal end thereof. Rotation ramp 5508 can engage a shaft element 5520 to affect rotation of rotation cartridge 5580, for example.

[0232] In various embodiments, the rotation ramp 5508 may affect the rotation of a trigger shaft 5540 positioned within the shaft 5520. For example, referring primarily to Figures 47 to 50, the trigger shaft 5540 may include a rotator of the 5544 trigger shaft that can extend radially away from the 5540 trigger shaft. The 5508 rotation ramp of the 5506 rotation switch can engage a rotator of the 5544 trigger shaft when the 5502 DLU is inserted into the 5520 shaft. In various embodiments , the rotation ramp 5508 can rotate the trigger shaft rotator 5544, which in turn can rotate the trigger shaft 5540. For example, the trigger shaft 5540 and the trigger shaft rotator 5544 can rotate in the direction B (Figure 54) between a first orientation (Figure 53) and a second orientation (Figure 54). Still referring to Figures 47 to 50, the firing shaft 5540 may be engaged with the swivel cartridge 5580. For example, the swivel cartridge 5580 may include a rotator groove 5584, which may be structured and sized to receive and/or hold the 5544 Firing Shaft Rotator. The 5544 Firing Shaft Rotator can be gripped by the 5584 Rotator Groove, so that rotation of the 5544 Firing Shaft Rotator rotates the 5580 Rotary Cartridge. In such embodiments, the insertion of the DLU 5502 on the 5520 axis can affect the rotation of the spinner cartridge 5580 in the B direction (Figure 54) through the rotation of the 5544 firing axis rotator in the B direction, for example.

[0233] Referring primarily to Figures 44 and 45, the proximal attachment portion 5522 may include a rotation key slot 5524, which may receive the rotation key 5506 when the distal attachment portion 5504 is inserted into the proximal attachment portion 5522 In various embodiments, the trigger shaft rotator key slot 5524 may include a distance notch 5526 for receiving the trigger shaft rotator 5544. For example, the rotation ramp 5508 at the proximal end of the rotation key 5506 may rotate firing shaft rotator 5544 to second orientation and into distance notch 5526 (Figure 54). The 5506 rotation key can continue to move along the 5524 rotation key slot as the 5502 DLU is inserted into the 5520 shaft. Also, when the 5509 distal end of the 5506 rotation key moves beyond the shaft rotator 5544, the trigger shaft rotator 5544 can rotate back to the first orientation (Figure 58), which can correspondingly rotate the rotating cartridge 5580 back to the initial orientation thereof.

[0234] In various embodiments, the swivel cartridge 5580 may be displaced to the initial orientation with respect to the axis 5520 and/or proximal attachment portion 5522. For example, a spring 5592 may displace the cartridge from the latch 5580 in the initial orientation. Spring 5592 can include proximal end 5594 that can be clamped with respect to shaft 5520 and a distal end 5596 that can be clamped with respect to cartridge 5580. For example, proximal end 5594 of spring 5592 can be held in a spring slot. 5538 (Figure 51) of shaft 5520 and the distal end 5596 of spring 5592 may be held in a distal spring slot 5588 (Figure 46) of swivel cartridge 5580, for example. In such embodiments, rotation of cartridge 5580 can displace distal end 5596 of spring 5592 relative to proximal end 5594 of spring 5592, which can generate a torsional force. Consequently, the cartridge 5580 can resist rotation from the initial orientation to the secondary orientation, and when the cartridge is rotated to the secondary orientation, the spring 5592 can move the cartridge 5580 back to the initial orientation. As the firing axis rotator 5544 is engaged with the cartridge 5580, the spring 5592 can also move the firing axis 5540 towards the first orientation thereof.

[0235] In various embodiments, the swivel cartridge 5580 may include a locking detent 5582 that releasably locks the 5502 DLU on the 5520 shaft. Referring primarily to Figure 46, the locking detent 5582 may extend radially into the inner perimeter cartridge 5580. In various embodiments, the locking detent 5582 may extend into a detent slot 5536 (Figure 44) in the proximal attachment portion 5522. Referring primarily to Figure 44, the detent slot 5536 may form a notch in the guide slot 5534. In various embodiments, the detent slot 5536 may extend from the guide slot 5534 and may be perpendicular or substantially perpendicular to the guide slot 5534, for example. Additionally, the locking detent 5582 can move along the slot of the detent 5536 when the rotating cartridge 5580 rotates between home orientation and secondary orientation with respect to axis 5520.

[0236] In various embodiments, the locking detent 5582 may engage the distal attachment portion 5504 of the DLU 5502 to lock the DLU 5502 with respect to the shaft 5520. For example, again with reference to Figure 42, the distal attachment portion 5504 may include a guide rail 5514, which may have a lock notch 5516 defined here. The locking notch 5516 may be structured and sized to receive the locking detent 5582 of the swivel cartridge 5580 when the DLU 5502 is fully inserted into the proximal attachment portion 5522. For example, when the proximal attachment portion 5504 is fully inserted into the 5522 proximal attachment portion. locking notch 5522, the locking notch 5516 of the distal attachment portion 5504 may be aligned with the detent slot 5536 of the proximal attachment portion 5522. Accordingly, the locking detent 5582 may slide along the detent slot 5536 in the proximal attachment portion 5522. proximal attachment 5522 and the locking notch 5516 in the proximal attachment portion. In addition, the locking detent 5582 can be moved towards engagement with the locking notch 5516 by the torsion spring 5592. For example, after the trigger shaft rotator 5544 releases the distal end 5509 of the rotation key 5506, the firing axis 5540 can be moved back to the first orientation and the rotating cartridge 5580 can be moved back to the initial orientation by the torsion spring 5592. Also, when the cartridge 5580 is rotated from the secondary orientation to the initial orientation, the detent locking notch 5582 thereof can be aligned and engaged with locking notch 5516 on guide rail 5514.

[0237] In various embodiments, rotation of the 5580 cartridge can facilitate the attachment and/or alignment of a firing assembly. For example, the trigger shaft 5540 may extend between the proximal end 5546 and a distal end 5542. The proximal end 5546 may have a pivot joint, which may allow the rotation of the trigger shaft 5540 between the first configuration and the second configuration. . In addition, the distal end 5542 may have a coupler for securing the cutting element of the DLU 5502. Rotation of the trigger shaft 5540 may facilitate attachment of the cutting element. For example, as the coupler at the distal end 5542 of the firing shaft 5540 rotates, the coupler may engage and connect with the cutting element on the DLU 5502. In certain embodiments, the coupler may include a bayonet mount, which may engage a corresponding bayonet receiver of the cutting element on the DLU 5502. Referring primarily to Figures 40 and 41, the firing assembly may further include a sleeve 5550 positioned around the firing axis 5540 between the proximal end 5546 and the distal end 5542, for example.

[0238] In various embodiments, when the trigger shaft 5540 rotates within the shaft 5520, the trigger shaft 5540 may rotate until it aligns with the trigger shaft slot 5518 on the DLU 5502. For example, the trigger shaft rotator 5544 can be aligned with the 5518 trigger shaft slot when the 5502 DLU is fully inserted and secured to the 5520 shaft. However, in various embodiments, when the 5502 DLU is only partially inserted into the 5520 shaft, the 5544 trigger shaft rotator can be rotated, by turning key 5506, out of alignment with the trigger shaft slot 5518. In other words, the trigger shaft rotator 5544 can be aligned with the trigger shaft slot 5514 when the trigger shaft trigger 5540 is in the first orientation and may be misaligned with the slot of the trigger axis 5514 when the trigger axis 5540 rotates towards the second orientation. In such embodiments, when the 5502 DLU is only partially inserted into the 5520 axis and/or before the 5502 DLU is releasably locked to the 5520 axis by the 5580 spinner cartridge, the firing path of the 5544 firing axis rotator may be blocked by the distal attachment portion 5504. The integration of the firing axis 5540 and the cartridge 5580 can ensure that the DLU 5502 is securely attached to the axis 5520 before the firing axis 5540 is able to fire and/or advance. For example, the surgical instrument may be unable to fire until the cutting element on the DU 5502 is coupled to the firing axis 5540 and/or until the firing axis 5540 is correctly aligned on the axis 5520, for example.

[0239] In certain embodiments, rotation of cartridge 5580 may facilitate attachment and/or alignment of a pivot assembly 5559. Referring primarily to Figures 40 and 41, a pivot assembly 5559 may include a proximal pivot bar 5560, a distal pivot bar 5562 and a pivot connector 5566. In addition, the shaft 5520 can include a proximal pivot bar slot 5528 and the DLU 5502 can include a distal pivot bar slot 5512, for example. In certain embodiments, the proximal pivot bar 5560 can be aligned with the slot of the proximal pivot bar 5528 and the distal pivot bar 5562 can be aligned with the slot of the distal pivot bar 5512. Now with reference to the Figure. 46, hinge connector 5566 may be housed in swivel cartridge 5580. For example, swivel cartridge 5580 may include a hinge connector slot 5586 and a hinge connector 5566 may be movably positioned therein.

[0240] In various embodiments, referring again to Figures 40 and 41, the proximal hinge bar 5560 may have a proximal notch 5572 and the distal hinge bar 5562 may have a distal notch 5574. In addition, the hinge connector 5566 may include a proximal pivot pin 5568 and a distal pivot pin 5572. The proximal pivot pin 5568 may be secured in the proximal groove 5572 of the proximal pivot bar 5560. In certain embodiments, the distal pivot pin 5570 may operatively engage with the distal notch 5574 of the distal pivot bar 5562. As described here, the swivel cartridge 5580 can rotate between the initial configuration and the secondary configuration. As the cartridge 5580 rotates, the pivot connector 5566 housed therein may also rotate with respect to the longitudinal axis defined by the axis 5520. In various embodiments, the proximal pivot pin 5568 of the pivot connector 5566 may remain positioned in the proximal notch. 5572 of the proximal pivot bar 5560 as the pivot connector 5566 rotates. In addition, the distal pivot pin 5570 of the 5566 pivot connector can move into engagement with the distal notch 5574 of the 5562 distal pivot bar as the 5566 connector rotates with the 5580 cartridge from the secondary orientation toward the home orientation. . For example, when the DLU 5502 is fully inserted into the shaft 5508, the distal notch 5574 of the distal pivot bar 5562 can be aligned with the distal pivot pin 5568 of the pivot connector 5566. In such embodiments, when the swivel cartridge 5580 rotates Back to the initial configuration, the Distal Pivot Pin 5568 can slide into the Distal Slot 5574 of the Distal Pivot Bar 5562. When the Distal Pivot Pin 5568 is positioned in the Distal Slot 5574, the 5559 Pivot Assembly can be fully assembled .

[0241] Referring primarily to Figure 45, in various embodiments, the proximal hinge bar slot 5528 may include a first distance 5530 and a second distance 5532. The proximal and distal hinge pins 5568, 5570 of the hinge connector 5566 may extend up into the first and second distances 5530, 5532, respectively. In certain embodiments, the first and second distances 5530, 5532 may provide space for the proximal pivot pins and distance 5568, 5570 to move as the cartridge 5580 rotates and/or as the pivot assembly 5559 is pivoted, for example.

[0242] Now with reference to the Figures. 51 to 58, to connect the DLU 5502 with the 5520 axis of the surgical instrument, a user can align the 5510 alignment symbol of the 5502 DLU with the 5590 alignment symbol of the 5520 axis and/or 5580 cartridge (Figure 51). While maintaining the alignment of the alignment symbols 5510, 5590 at the same time, the user can move the DLU 5502 with respect to the 5520 axis along the longitudinal axis defined by the 5520 axis. The user can move the DLU 5502 along a straight or substantially straight path and, in many embodiments, it is not necessary to rotate the DLU with respect to the 5520 axis, for example. Referring primarily to Figure 53, the DLU 5502 can continue to translate with respect to the shaft 5520 and the guide rail 5514 of the distal attachment portion 5504 may fit into the guide slot 5534 (Figure 44) in the proximal attachment portion 5522 of the shaft 5520. As distal attachment portion 5504 moves into proximal attachment portion 5522, guide slot 5534 may guide guide rail 5514 and may maintain alignment of alignment symbols 5510, 5590, for example . In other words, guide slot 5534 and guide rail 5514 can prevent rotation of DLU 5502 with respect to the longitudinal axis of axis 5520. Referring primarily to Figure 52, proximal pivot pin 5568 of pivot connector 5522 can extends into the first distance 5530 and can be positioned in the proximal notch 5572 of the proximal pivot bar 5562 and the distal pivot pin 5570 of the pivot connector 5522 can extend to the second distance 5532, for example.

[0243] Referring primarily to Figure 54, as the distal attachment portion 5504 is inserted into the proximal attachment portion 5522, the rotation key ramp 5508 of the rotation key 5506 may be in a boundary position with the rotation shaft rotator. trigger 5544. Rotation ramp 5508 can guide and/or direct trigger shaft rotator 5544 into distance notch 5526 extending from rotation key slot 5524. Further, as the trigger rotator Firing axis 5544 moves into the notch of distance 5526, the Firing axis 5540 can rotate in the B direction. The Firing axis 5540 can rotate from the first orientation to the second orientation. Such rotation of the firing axis 5540 can facilitate attachment of the distal end 5542 of the firing axis 5540 with a cutting element to the DLU 5502. Furthermore, rotation of the rotator of the firing axis 5544 can rotate the cartridge 5580 in the B direction through of the engagement between the 5544 firing shaft rotator and the 5584 firing shaft rotator groove (Figure 46) on the 5580 cartridge. The 5580 cartridge can rotate from initial orientation to secondary orientation, for example. Additionally, locking detent 5582 can move along detent slot 5536 on axis 5520 as cartridge 5580 rotates. Additionally, rotation of cartridge 5580 can rotate distal end 5596 of spring 5592 because distal end 5596 of spring 5592 can be caught in the slot of distal spring 5588 (Figure 46) in cartridge 5580. Displacement of distal end 5596 relative to proximal end 5594 can generate a torsional flexible force, which can displace the cartridge 5580 from the secondary orientation towards the initial orientation, for example, and can displace the firing axis 5540 from the secondary orientation towards the first orientation, for example.

[0244] Referring primarily to Figure 55, as the 5580 cartridge rotates toward the secondary orientation, the proximal pivot pin 5568 may remain engaged with the proximal notch 5572 on the proximal pivot bar 5560. In addition, the pivot pin 5570 can rotate so that the 5570 Distal Pivot Pin provides distance to the 5562 Distal Pivot Bar of the 5502 DLU. Referring to Figure 56, the 5502 DLU can be fully inserted into the 5520 shaft when the 5580 cartridge and connector pivot 5566 positioned there are rotated to the secondary orientation. In various embodiments, the distal pivot bar 5562 can release the distal pivot pin 5570 from the pivot connector 5566 when the pivot connector 5566 is rotated to the secondary orientation. In addition, the 5570 Distal Pivot Pin can be pivotally aligned with the 5574 Distal Slot on the 5566 Pivot Connector. Still referring to Figure 56, when the 5502 DLU is fully inserted into the 5520 shaft, the trigger rod rotator 5544 can release the distal end 5509 from the 5506 rotation key.

[0245] Now referring to Figure 57, the trigger shaft rotator 5544 can rotate in the C direction when the distal end 5509 of the rotation key 5506 passes the trigger shaft rotator 5544. For example, the trigger shaft rotator 5544 can rotate in the C direction from the second orientation towards the first orientation. Also, rotation of the 5544 firing axis rotator can affect the rotation of the 5580 cartridge in the C-direction from the secondary orientation towards the initial orientation. In various embodiments, spring 5592 may move firing rod 5540 toward the first orientation thereof and cartridge 5580 toward the initial orientation thereof. For example, the 5544 firing axis rotator can be positioned in the 5584 firing axis rotator groove (Figure 46) on the 5580 cartridge so that rotation of the 5544 firing axis rotator rotates the 5580 cartridge. Distal Pivot Pin 5570 of Pivot Connector 5566 and Distal Slot 5574 of Distal Pivot Bar 5562, Pivot Connector 5566 can rotate as cartridge 5580 rotates, and Distal Pivot Pin 5570 can rotate until it engages with the distal notch 5574. The pivot assembly 5559 can be assembled when the distal pivot pin 5570 engages the distal notch 5574. Also, as the trigger shaft rotator 5544 rotates in the C direction, the distal end 5542 of the shaft 5540 can rotate in the C direction, which can facilitate attachment of a cutting element of the 5502 DLU to the distal end 5542 of the 5540 trigger shaft.

[0246] Now referring to Figure 58, rotation of the 5580 cartridge can also rotate the locking detent 5582 of the 5580 cartridge to the locking notch 5516 on the guide rail 5514 of the 5504 distal attachment portion. For example, when the 5502 DLU is fully inserted into shaft 5520, lock notch 5516 can be aligned with detent slot 5536 so that lock detent 5582 can rotate through detent slot 5536 and into lock notch 5516. As described here, the spring 5592 can displace the cartridge 5580 to rotate in the C direction (Figure 57) after the trigger shaft rotator 5544 releases the distal end 5509 of the rotation key 5506. Still referring to Figure 58, when the trigger shaft rotator 5544 rotates in the C direction, the 5544 trigger shaft rotator can move until it lines up with the 5518 trigger shaft slot on the 5502 DLU. The 5544 trigger shaft rotator alignment with the 5518 trigger shaft slot can allow the axis the 5540 trigger advances distally to trigger the 5502 DLU, for example.

[0247] As described here, a 5580 rotating cartridge can releasably lock the 5502 DLU with respect to the 5520 axis. In addition, rotation of the 5580 cartridge can facilitate attachment and/or alignment of the 5559 pivot assembly, as well as securing and /or aligning the trigger axis 5540 with a cutting element on the DLU 5502, for example. In addition, rotating the cartridge can also unlock the 5502 DLU from the shaft, disconnect the 5559 pivot assembly, and/or disconnect the 5540 trigger shaft from the cutting element on the 5502 DLU. For example, when the 5580 cartridge is rotated again from the initial orientation toward secondary orientation, locking detent 5582 may disengage locking notch 5516 in distal attachment portion 5504. Accordingly, distal attachment portion 5504 may be withdrawn from proximal attachment portion 5522 along the defined longitudinal axis. by the 5520 axis, for example. In various embodiments, the 5502 DLU can be detached from the 5520 axle without rotating the 5502 DLU with respect to the 5520 axle. However, the 5580 cartridge can rotate with respect to the 5520 axle, which can disconnect the 5562 distal pivot bar from the pivot connector 5566 on the 5580 cartridge and can disconnect the 5540 trigger axis from the cutting element on the 5502 DLU, for example.

[0248] Referring now to Figures 59 to 62, the Disposable Loading Unit (DLU) or End Actuator 5602 may be releasably attached to a shaft 5620 of a surgical instrument. In various embodiments, the spring or a plurality of springs, for example, can move the DLU 5602 into a locked position with respect to the axle 5620. For example, the DLU 5602 can be releasably secured to the axle 5620 by a bayonet mount. and a spring can rotate the DLU 5602 to connect the DLU 5602 with the 5620 shaft in the bayonet connection. The DLU 5602 may include a distal attachment portion 5604 and the shaft 5620 may include a proximal attachment portion 5622, for example. The distal attachment portion 5604 of the DLU 5602 may receive the proximal attachment portion 5622 of the shaft 5620 when the DLU 5602 is secured to the shaft 5620. In other embodiments, the proximal attachment portion of the shaft 5620 may receive a distal attachment portion of the shaft 5620. DLU 5602 when the DLU 5602 is attached to the 5620 shaft.

[0249] In various embodiments, the distal attachment portion 5604 of the DLU 5602 may include a detent 5606, which may extend radially outward from a portion of the distal attachment portion 5604. In addition, the detent 5606 may include a ramped surface. 5608. As described herein, the ramped surface 5608 of the detent 5606 may engage with the spring, such as the spring 5636b, for example, and may deform the spring 5636b when the distal attachment portion 5604 is inserted into the proximal attachment portion 5622 In addition, the detent 5606 may be gripped by the proximal attachment portion 5622 to releasably lock the DLU 5602 on the shaft 5622. Referring primarily to Figure 59, the proximal attachment portion 5622 of the shaft 5620 may define a cavity 5624. In various embodiments, cavity 5624 may be structured and sized to receive distal attachment portion 5604 of DLU 5602. In addition, a spring 5636a, 5636b may be positioned within cavity 5624. For example, a first spring 5636a may be positioned on a first side of cavity 5624 and a second spring 5636b may be positioned on a second side of cavity 5624. Springs 5636a, 5636b may be symmetrical or non-symmetrical with respect to cavity 5624. In various embodiments, at least a portion of a spring 5636a, 5636b may extend into cavity 5624. For example, one leg 5637 of second spring 5636b may extend into cavity 5624 and another leg 5637 of second spring 5636 may be secured in portion proximal attachment 5622, for example.

[0250] Still referring to Figure 59, the proximal attachment portion 5622 may also include a locking slot 5638, which may be defined in cavity 5624 and/or may be accessed through cavity 5624, for example. Lock slot 5638 may be structured and sized to receive detent 5606, for example. In various embodiments, lock slot 5638 may secure detent 5606 to releasably lock DLU 5602 with respect to axis 5620. Further, in various embodiments, proximal attachment portion 5622 may include a lock 5630. Lock 5630 it can be movable between the non-closed position (Figures 59 and 60) and the closed position (Figures 61 and 62). In various embodiments, latch 5630 can be spring loaded and spring 5634 can move latch 5630 to the closed position. For example, latch 5630 can include a latch spring 5634, which can move latch 5630 toward and/or into the closed position. The closed position can be distal to the non-closed position, for example. In certain embodiments, the latch 5630 may include a thumb grip and/or ridges 5632 to facilitate movement of the latch 5630 from the closed position to the unclosed position. For example, a user may engage thumb grip 5632 and draw latch 5630 proximally to open latch 5630.

[0251] In various embodiments, latch slot 5630 can operationally lock, or at least partially block, latch slot 5638. For example, when latch 5630 is in the closed position (Figures 61 and 62), an arm 5635 of the latch 5630 may extend over at least a portion of the latch slot 5638. The latch slot 5630 may cover or partially cover the latch slot 5638 and may prevent and/or limit access to the latch slot 5638. In certain embodiments, arm 5635 of latch 5630 may prevent detent 5606 from moving and/or sliding into latch slot 5638. Additionally, when latch 5630 is in the closed position, latch 5630 may engage spring 5636a, 5636b. For example, with reference to Figures 61 and 62, latch 5630 may support spring 5636b so that deformation of spring 5636b is limited and/or prevented. In addition, latch 5630 may support spring 5636b such that cavity 5624 cannot receive distal attachment portion 5604 of DLU 5602. For example, at least a portion of spring 5636b may block cavity 5624, which may prevent the complete insertion of the distal attachment portion 5604 into the proximal attachment portion 5622. In certain embodiments, the proximal attachment portion 5622 may include a plurality of springs that can exert a rotational force on the distal attachment portion 5604 to rotate the locking portion 5604. distal attachment 5604 relative to proximal attachment portion 5622. For example, proximal attachment portion 5622 may include a pair of springs or more than three springs. In other embodiments, a single spring in the proximal attachment portion 5622 may seek to rotate the distal attachment portion 5604 with respect to the proximal attachment portion 5622. Additionally or alternatively, in various embodiments, the distal attachment portion 5602 of the DLU 5602 may include at least one spring, which can pivot the distal attachment portion 5602 relative to the proximal attachment portion 5622, for example.

[0252] In various embodiments, when the latch 5630 is in the unclosed position (Figures 59 and 60), the latch slot 5638 may be unlocked and/or less locked by the arm 5635 of the latch 5630. For example, the detent 5606 may be snaps past the unclosed latch 5630 to fit the latch slot 5638. In addition, the detent 5606 can be moved beyond the unclosed latch 5630 and into the latch slot 5638, as described herein. Additionally, in various embodiments, when latch 5630 is in the non-closed position, latch 5630 may disengage on spring 5636a, 5636b. For example, latch 5630 may not protect and/or limit deformation of spring 5636a, 5636b when latch 5630 is not closed.

[0253] With reference mainly to Figure. 59, when the latch 5630 is moved and held in a proximal and/or non-closed position, for example, the spring 5636b may not be supported by the latch 5630. In such embodiments, the DLU 5602 may move in the A direction so that the distal attachment portion 5604 moves relative to proximal attachment portion 5622. Referring primarily to Figure 60, detent 5606 of distal attachment portion 5604 may engage spring 5636b and may compress and/or deform spring 5636b, for example . In certain embodiments, ramped surface 5608 of detent 5606 can slide along spring 5636b and can move free leg 5637 of spring 5636b. Deformation of spring 5636b can generate a flexible force, whereby spring 5636b can be exerted on detent 5606. Now referring to Figure 61, the flexible force can affect rotation of detent 5606. For example, detent 5606 can rotate in direction B to the latch slot 5638 defined in cavity 5624. In various embodiments, the latch spring 5634 can return the latch 5630 to the unclosed position when the user releases the latch 5630. Also, when the latch slot 5630 returns In the non-closed position, arm 5635 of lock 5630 may lock or partially block locking slot 5638. In such embodiments, detent 5606 of distal attachment portion 5604 may read releasably locked with respect to proximal attachment portion 5622 when the detent 5606 is held in the latch slot 5638. Also, in certain embodiments, the latch 5630 may hold and/or support the spring 5636b against the detent 5606 until the latch is moved back to the unclosed position. In various embodiments, to release the 5602 DLU from the 5620 shaft, a user can move the latch 5630 back from the closed position to the non-closed position, so that the detent 5606 can be rotated out of the latch slot 5638. In such embodiments, rotation of detent 5606 again compresses and/or deforms spring 5636b until distal attachment portion 5604 is withdrawn from proximal attachment portion 5622.

[0254] In addition to the above, the surgical instrument can be configured to identify, or at least attempt to identify, the end actuator that has been mounted on the surgical instrument. In certain embodiments, as described in more detail below, the end actuator may include electrical contacts that can connect to corresponding electrical contacts on the shaft of the surgical instrument when the end actuator is mounting on the shaft. In such embodiments, the controller of the surgical instrument may establish a wired connection to the end actuator and signal communication between the controller and end actuator can take place via electrical contacts. As described in more detail below, the end actuator can include at least one data stored there, which can be accessed by the controller to identify the end actuator. The at least one piece of data can include one bit, more than one bit, one byte or more than one byte of information, for example. In certain other embodiments, the end actuator may include a transmitter that can perform wireless signal communication with the surgical instrument controller. Similar to the above, the end actuator may include at least one data stored there, which can be transmitted to the controller to identify the end actuator. In such embodiments, the surgical instrument controller may include a receiver or utilize a receiver, which may receive transmission from the end actuator. Such a receiver can be positioned on the shaft and/or handle of the surgical instrument, for example.

[0255] As the reader understands, the end actuator that communicates wirelessly with the controller, for example, can be configured to emit a wireless signal. In various circumstances, the end actuator can be configured to emit this signal once or more than once. Under certain circumstances, the end actuator can be instructed to output the signal at a desired time and/or output the signal repeatedly on a continuous basis. In some circumstances, the end actuator may include a switch that can be operated by the user of the surgical instrument before, during and/or after the end actuator of the surgical instrument has been mounted to the surgical instrument. In various embodiments, the end actuator switch may comprise an on/off, or on/off switch, which can be closed or operated to activate the end actuator. In at least one of these embodiments, the end actuator may include at least one power source, such as a battery, for example, which may be used by the transmitter to output the signal when the on/off switch is closed. Upon activation of the end actuator, in various circumstances, the end actuator controller can be configured to generate the signal and output the signal through the transmitter. In some circumstances, the end actuator may not output the signal until the end actuator is activated. Such an arrangement can conserve battery supply, for example. In certain embodiments, the surgical instrument may be placed in an operational mode where it can wait for the signal from the end actuator before the end actuator switch is activated. In various circumstances, the surgical instrument may be in standby operating mode, or low power consumption, and after the signal is received by the controller, the controller may place the surgical instrument in a full power operating mode. In some embodiments, the end actuator switch may instruct an end actuator controller to output the signal to the surgical instrument controller. Such a switch may or may not comprise an on/off switch; however, such a switch can be selectively activated by the user to instruct the end actuator to output the signal at the desired time and/or continuously from the desired time.

[0256] Now referring to Figure 114, an end actuator, such as the 9560 end actuator, for example, may include one or more electrical contacts, such as the 9561 contacts, for example, which can be used to activate the end actuator. 9560. For example, now referring to Figure 112, the surgical instrument shaft 9040 may include a 9562 contact bridge that may be configured to short-circuit or electrically connect two or more of the 9561 contacts when the 9560 end actuator is mounted on axis 9040. Bridge 9562 can complete the circuit, including two contacts 9561, a battery 9564, and at least one integrated circuit 9566 defined on a printed circuit board 9565. When the circuit is completed, in addition to the above, battery 9564 can power the integrated circuit, or 9566 circuits, and the 9560 end actuator can be activated. In various circumstances, the integrated circuit, or circuits 9566, and an antenna 9567 defined on the printed circuit board 9565 may comprise the controller and transmitters discussed above. In certain embodiments, the shaft 9040 may include a displacement element, such as a spring 9563, for example, which may be configured to move the bridge 9562 until it contacts the electrical contacts 9561. Before the bridge 9562 connects to the contacts electrical 9561 and/or after the end actuator 9560 has been separated from the shaft 9040, the circuit may be opened, battery power 9564 may not be supplied to the IC 9566 and/or the power supplied to the IC 9566 may be reduced and the 9560 End Actuator may be in an inactive condition. As a result of the foregoing, in such embodiments, the end actuator assembly may be activated as a result of mounting the end actuator on the surgical instrument. In several examples, in addition to the above, the end actuator and the surgical instrument can be constructed and arranged so that only the complete or adequate assembly of the end actuator in the surgical instrument will activate the end actuator.

[0257] As discussed earlier, now with reference to Figure 111, an end actuator can be attached to the surgical instrument, indicated by step 9600, activated, indicated by step 9602, and then evaluated by the surgical instrument indicated by step 9604. surgical instrument is trying to evaluate a wireless signal from an activated end actuator, in addition to the above, the surgical instrument can be configured to evaluate whether the signal is complete. In various embodiments, asynchronous serial communication between the end actuator and the surgical instrument can be used to assess whether the signal received by the surgical instrument is complete. For example, the end actuator may output a signal comprising a start bit that precedes a data structure, such as an information byte, for example, and/or a stop bit that follows the data structure. In such examples, the start bit, the data byte, and the stop bit may comprise a 10-bit character structure, or bit pattern, for example. When the surgical instrument controller can identify the start bit and stop bit of a bit pattern, in such examples the controller can assume that the data byte, or data bits, received between the start bit and the stop bit stop is correct and/or otherwise complete. In various circumstances, the start bit and/or stop bit may comprise a pause period before the next information byte is transmitted and/or before the previous information byte is communicated again.

[0258] In addition to the above, now with reference to Figure 110, the surgical instrument controller can compare the pattern of bits, or certain bits of data, to determine if the data that has been received is correct and/or otherwise complete. In various circumstances, data may be transmitted in such a way that the controller can evaluate the data and compare the data to a bit pattern model, or models, in which data is expected to be received. For example, such a template can be configured and arranged so that the most significant data bit, such as the leftmost data bit, for example, comprises a 1, for example. If the controller is able to identify that the most significant data bit is equal to 1, with reference to step 9700 of Figure 110, the controller can perform an XOR operation on the data and compare the data with the standard model of bits, or models, available. to the controller as indicated in step 9702. An XOR operation is known and a detailed discussion of the same has not been provided here for brevity. If the bit pattern received by the surgical instrument matches the bit pattern model available to the controller, the controller will have identified the end actuator. By identifying the end actuator, the controller can access information stored regarding the end actuator in a memory chip accessible by the controller, for example. If the controller determines that the most significant data bit of the received bit pattern is not equal to 1, again with reference to step 9700, the controller can perform a bit change operation. There are known to be many bit shift operations, such as arithmetic shifts, logic shifts and/or circular shifts, for example, which can be used to eliminate bad data bits that were received before the desired bit pattern. In various circumstances, the 0, leading and leftmost data bits can be eliminated, now with reference to step 9704 of Figure 110, and the bit pattern can be shifted to the left, for example, until the leading bit is a 1. At such point, in addition to the above, the changed bit pattern can be compared to the bit pattern patterns to identify the end actuator. If the changed bit pattern does not match a bit pattern pattern, the controller can change the bit pattern again until the next 1 of the bit pattern becomes the leading bit and the new changed bit pattern can be compared with the bit pattern templates. Such change and operation comparison may be performed any suitable number of times until the end actuator is identified and/or the surgical instrument considers that the end actuator has not been identified.

[0259] As the reader will understand, a surgical instrument may include information pertaining to any suitable number of end actuators. When the end actuator has been identified by the surgical instrument, in addition to the above, the surgical instrument can access the information stored regarding the end actuator. For example, such stored information may instruct the surgical instrument as to, one, the distance the triggering member of the end actuator must be advanced to complete the trigger stroke and/or, two, the maximum amount of power or torque. that the surgical instrument motor must apply to the triggering member, for example. Such information, or a set of information, may be unique to each end actuator and, consequently, identify the end actuator in some way that allows the surgical instrument to operate in the desired manner. Without such information, the surgical instrument may not be able to discern the length of stroke required to fully utilize the end actuator and/or adequately limit the power it applies to the triggering member. In various circumstances, the surgical instrument may rely on sensors configured to detect when the triggering member has completed and/or if the power applied to the triggering member is excessive. Such sensors can prevent overcharging of the surgical instrument motor and damage to the triggering member, for example, the end actuator.

[0260] In addition to the above, certain end actuators may be more robust than other end actuators and, as a result, certain end actuators may be able to withstand large forces from the surgical instrument motor. Correspondingly, other end actuators may be less robust and, as a result, may be able to withstand only small motor forces. In order for the surgical instrument to determine the proper forces to be applied to any specific end actuator, in addition to the above, the surgical instrument must identify the end actuator attached to the surgical instrument. If the end actuator cannot identify the end actuator, the surgical instrument can use a standard operating program, or mode. In standard operating mode, the surgical instrument controller can limit the power that the motor can apply to the end actuator triggering member, for example, to a minimum or default power. Minimum power can be selected so that the motor will not damage an end actuator, regardless of which end actuator is being used. In some circumstances, the parameters for using the weakest or least robust end actuator that can be used with the surgical instrument may be used by the standard operating mode so that the surgical instrument will not overfeed the end actuator independently of the end actuator that is being used. In several examples, it is the advent of motor-equipped surgical instruments that can cause the end actuator to be supercharged. Stated another way, end actuators that were previously used by hand-operated surgical instruments and essentially unbreakable by such hand-operated surgical instruments, can be easily broken by a motor-equipped surgical instrument. Furthermore, such pre-end actuators may not include the technology to be identified by the motor-operated surgical instruments and, as a result of the standard operating program described herein, such pre-end actuators may still be used even with the motor-operated surgical instruments. . That said, the default operating program can also use other default parameters. For example, the standard operating program may use a minimum, or default, stroke length. In several examples, the standard operating program may use the shortest stroke length of the end actuator that can be used with the surgical instrument. In such examples, the trigger member will not collide with, or hit, the distal end of the end actuator regardless of which end actuator is in use.

[0261] As the reader understands, a surgical instrument that includes stored information regarding the end actuators that can be used with the surgical instrument, the information available for the surgical instrument may need updating. For example, if the preferred operating parameters with respect to certain end actuators change over time, the information stored on each surgical instrument may need updating. Also, for example, surgical instruments may need updating when a new end actuator is developed for use with surgical instruments. To the extent that the surgical instrument is not updated in a timely manner, the surgical instrument may not be able to identify the end actuator and, as a result, may use the standard operating program described here. In various embodiments, a surgical instrument may not include stored information regarding end actuators, or at least certain end actuators, that may be used with the surgical instrument. In such embodiments, an end actuator may include stored information, or parameters, related to the end actuator. Such parameters can be accessed and/or communicated to the surgical instrument. In various circumstances, in addition to the above, the end actuator assembly with the surgical instrument may cause the end actuator to emit a signal that can be received by the surgical instrument. Also similar to the above, the end actuator can be instructed to output the signal. This signal, in various circumstances, can be transmitted to the surgical instrument via a wired and/or wireless connection. In certain embodiments, the surgical instrument may instruct the end actuator to transmit the signal.

[0262] In addition to the above, an end actuator may include one or more parameters related to the end actuator stored here. Such parameters can be stored in one or more devices, for example. In various examples, such parameters may include the desired firing speed of the firing member, the desired retraction speed of the firing member, the distance or stroke over which the firing member must travel, the maximum torque to be applied to the firing member. triggering by the surgical instrument motor and/or the maximum angle at which the end actuator must be pivoted if the end actuator is in fact a pivoted end actuator, for example. Certain articulating end actuators are disclosed in US Patent Application No. 13/803,097 entitled HANGING SURGICAL INSTRUMENT COMPRISING A TRIGGER DRIVE, the disclosure of which is incorporated herein by reference in its entirety. Regarding the parameter related to maximum pivot angle, the controller can use this parameter to limit the degree to which the pivot portion of the end actuator pivots. In some cases, the maximum articulation angle may be 45 degrees, for example as measured from the longitudinal axis of the surgical instrument axis. With respect to the parameter relating to the firing speed and/or retraction speed of the firing member, for example, the parameter may communicate a desired speed for the firing member and/or a percentage or fraction of the maximum motor speed, for example . For example, a trigger speed value of 3 could communicate that the controller must run the motor at 30% of its maximum speed, for example, when advancing the trigger member. Additionally, for example, a value of 5 for the retract speed could communicate that the controller must run the motor at 50% of its maximum speed, for example, when retracting the triggering member. With respect to the parameter related to the maximum torque of the motor, for example, the parameter can communicate a maximum torque value and/or a percentage or fraction of the maximum torque of the motor, for example. Also, with respect to the parameter related to the stroke length of the trigger member, for example, the parameter may communicate the desired distance at which the trigger member should be advanced and/or retracted and/or a percentage or fraction of the trigger length. maximum stroke of the surgical instrument. For example, a value of 60 could indicate that the firing stroke must be 60 mm, for example. In various examples, parameter values may be reported in any suitable format, including a binary format comprising bits and/or bytes of data, for example. An exemplary embodiment of a parameter matrix is illustrated in Fig. 110A.

[0263] In several embodiments, in addition to the above, the surgical instrument can be configured to obtain the end actuator parameters in a specific order. For example, a signal emitted from the end actuator may comprise a start bit, a first bit pattern for a first parameter such as maximum pivot angle, a second bit pattern for a second parameter such as firing rate, a third bit pattern for a third bit parameter like retraction speed, a fourth bit pattern for a fourth parameter like maximum motor torque, a fifth bit pattern for a fifth parameter like stroke length, and a stop bit, for example. This is just an example. Any suitable number of parameters can be communicated as part of the signal. In addition, any suitable number of start bits and/or stop bits can be used. For example, a start bit can precede each bit pattern parameter and/or a stop bit can follow each bit pattern parameter. As discussed earlier, the use of at least one start bit and/or at least one stop bit can facilitate the surgical instrument controller in analyzing to see if the end actuator signal is complete. In certain embodiments, a start bit and/or a stop bit may not be used. Additionally, a plurality of signals may be output from the end actuator to communicate the end actuator parameters with the surgical instrument.

[0264] In various circumstances, in addition to the above, the controller of the surgical instrument can use the checksum to assess whether the signal it received from the end actuator is complete and/or if the signal it received is authentic, i.e. from a recognized end actuator. The checksum may comprise a value used to ensure that data is stored, transmitted and/or received without error. It can be created by calculating the binary values, for example, from data and combining the binary values with some algorithm. For example, binary data values can be summed together, although various other algorithms can be used. In embodiments where parameters related to certain end actuators are stored in the surgical instrument, as discussed earlier, the checksum value can also be stored for each end actuator. In use, the controller of the surgical instrument can access the parameter data and checksum value, and after calculating the checksum value from the parameter data, i.e. calculating a calculated checksum value, the controller can compare the calculated checksum value with the stored checksum value. If the calculated checksum value is equal to the stored checksum value, the controller can assume that all data retrieved from the surgical instrument memory is correct. At this time, the controller can then operate the surgical instrument according to the data transferred from memory. If the calculated checksum value is not equal to the stored checksum value, the controller can assume that at least one piece of the retrieved data is incorrect. In several examples, the controller can then operate the surgical instrument under the standard operating program, in addition to the above, block the trigger of the surgical instrument and/or otherwise communicate the event to the user of the surgical instrument, e.g. example. In certain examples, the controller may retry transmitting data from the surgical instrument's memory and re-perform the checksum and comparison calculation discussed above. If the recalculated checksum value and the stored checksum value are the same, the controller can then operate the surgical instrument according to the data transferred from memory. If the recalculated checksum value and the stored checksum value are not the same, the controller can then operate the surgical instrument under the standard operating program, in addition to the above, lock the trigger of the surgical instrument and/or or, otherwise, communicate the event to the user of the surgical instrument, for example.

[0265] In embodiments where parameters related to an end actuator are stored in the end actuator memory, as discussed earlier, the checksum value can also be stored in the end actuator memory, for example. In use, the surgical instrument controller can access the parameter data and stored checksum value. In several examples, in addition to the above, the end actuator may emit one or more signals that communicate the parameters and checksum value to the surgical instrument. As a result of the foregoing, the stored checksum value and parameters can be transmitted together, and for purposes of discussion of the present invention, the checksum value received by the surgical instrument can be called the received checksum value. When parameter data has been received, similar to above, the controller can calculate the checksum value from the parameter data, i.e. calculate a calculated checksum value and compare the checksum value calculated with the received checksum value. If the calculated checksum value is equal to the received checksum value, the controller can assume that all parameter data retrieved from the end actuator is correct. At this time, the controller can then operate the surgical instrument according to the data transferred from the end actuator. If the calculated checksum value is not equal to the received checksum value, the controller can assume that at least one piece of the retrieved data is incorrect. In several examples, the controller can then operate the surgical instrument under the standard operating program, in addition to the above, block the trigger of the surgical instrument and/or otherwise communicate the event to the user of the surgical instrument, e.g. example. Such occurrences may be more frequent when parameter data is communicated from the end actuator to the surgical instrument via one or more wireless transmissions, for example. In any case, in certain examples, the controller may retry transmitting the end actuator data and re-perform the checksum and comparison calculation discussed above. If the recalculated checksum value and the received checksum value are the same, the controller can then operate the surgical instrument according to the data transferred from the end actuator. If the recalculated checksum value and the received checksum value are not the same, the controller can then, in addition to the above, operate the surgical instrument under the standard operating program, block the trigger of the surgical instrument and/or or, otherwise, communicate the event to the user of the surgical instrument, for example. In several examples, as a result of the above, the surgical instrument does not need to store the information regarding the end actuators that are used to operate the surgical instrument when using the end actuator. In such examples, data related to the parameters of an end actuator and the checksum value used to confirm the integrity of the data can be fully stored in the end actuator. The surgical instrument may include an operating program that requires only enough data input from the end actuator to use the end actuator. A specific operating program for each end actuator that can be used with the surgical instrument may not be necessary. A single operating program can be used with all end actuators. In this way, the surgical instrument may not need to be updated to include operational programs for adding end actuators and/or modified programs for existing end actuators, for example.

[0266] In addition to or instead of the wireless communication systems used to identify the end actuator attached to the surgical instrument discussed herein, now with reference to Figures 149 to 154, a surgical instrument, according to at least one embodiment, may include means for scanning and identifying an end actuator. Figure 153 illustrates a cable 11020 including a barcode reader 11022 that can be configured to scan the barcode, illustrated in Figures 149 and 150, on an end actuator 11060, illustrated in Figures 151, 152, and 154. Similar In addition to other embodiments presented in the present invention, the end actuator 11060 may include a shaft portion, an anvil 11062 and/or a staple cartridge 11064, for example, one or more portions of the end actuator 11060 may include bars in it. In some embodiments, the end actuator 11060 may include a removable component 11063 in an intermediate position between the anvil 11062 and the staple cartridge 11064, which may be removed before or after the end actuator 11060 has been mounted on the surgical instrument. In Figure 151, barcode 11065 is shown as being positioned on the shaft portion of end actuator 11060. In Figure 152, barcode 11065 is shown as being positioned on removable component 11063. In various embodiments, cable 11020 of the surgical instrument may include a barcode reader, such as the 11024 barcode reader, for example, configured to read a barcode on an end actuator. For example, referring primarily to Figure 154, cable 11020 may include a portion of internal barcode reader 11022 configured to read barcode 11065 set on end actuator shaft 11060. portion of bar code reader 11022 may include a bowl 11026 sized and configured to receive end actuator shaft 11060, with bar code reader 11024 being mounted within and/or relative to opening 11027 defined in bowl 11026 so that the barcode reader 11024 can read the barcode 11065. As the reader understands, a multitude of barcode readers and barcode protocols are known, and all deemed suitable can be used. . In some cases, the barcode may include bi-directional information that allows the barcode to be read in two different directions, for example. In some cases, the barcode may use multiple layers of information. In some cases, the bar code protocol may include preamble information preceding information that will identify the end actuator and/or otherwise provide information to the surgical instrument that will allow the surgical instrument to operate, or operate using a program specific operational. In some cases, a barcode reader may emit one or more beams of light that can contact a plurality of peaks and troughs that comprise the barcode. In some cases, bar code depressions may extend inward and/or be defined in the end actuator shaft housing. The emitted light beams can be reflected back to the barcode reader where they can be interpreted. That said, barcode reader 11024 of cable 11020 is positioned and arranged in bowl 11026 so that emitted and reflected light beams are confined, or at least substantially confined, within the barcode reader portion 11022. In this way, the 11024 barcode reader may not accidentally or unintentionally scan a different end actuator, that is, an end actuator in addition to the one that will be mounted on the surgical instrument, which may be present in the OR.

[0267] In several examples, in addition to the above, an end actuator may be passed through the barcode reader of a surgical instrument before the end actuator is mounted on the surgical instrument. In various alternative embodiments, the surgical instrument may include a mobile barcode reader that can be used to scan the end actuator bar code after each end actuator is mounted on the surgical instrument. In any case, once the end actuator has been identified, in at least some circumstances the controller can access the operating program configured to use the identified end actuator. In a way, the barcode can comprise a boot program. In other circumstances, as described here, the barcode may provide the controller with the necessary information, or parameters, to use a common operating system. In some circumstances, each end actuator may be identified with a serial number so that any two end actuators, although they may be end actuators of the same type, may have two different barcodes there. In such circumstances, the controller can be configured to refuse the use of an end actuator that has already been scanned by the surgical instrument. Such a system can prevent an at least partially expanded end actuator from being used again, for example.

[0268] As discussed earlier, an end actuator can be configured to communicate with a surgical instrument via a wired connection and/or wireless connection. With respect to a wired connection, now referring to Figure 115, the proximal end of an end actuator, such as the proximal end 9969 of the end actuator 9960, for example, may comprise a plurality of electrical contacts 9968 that can be placed in electrical communication with a plurality of electrical contacts 9948 disposed on and/or within the distal end 9942 of a shaft 9940 of a surgical instrument. Referring primarily to Figure 116, each electrical contact 9968 may include a contact element 9967 at least partially positioned in the cavity of element 9965. Each electrical contact 9968 may additionally include a displacement member, such as spring 9966, for example, in an intermediate position between contact element 9967 and an inner wall of element cavity 9965. Spring 9966 may be configured to displace the contact element radially outward. The contact element 9967 may comprise a lock 9964 which projects therefrom and which is movably displaceable until it engages with another inner side wall of the cavity of the element 9965 through the spring 9966, at least before the end actuator 9960 is mounted on the 9940 shaft. Interaction between the 9964 lock and the cavity side wall of the 9965 element can prevent the outward movement of the 9967 contact element. When the 9960 end actuator is mounted on the 9940 shaft, the 9967 contact elements of the electrical contacts 9968 can be pushed in by electrical contacts 9948 on the shaft against the changing force applied by springs 9966, as illustrated in Figure 116. In various circumstances, each pair of contacts 9948 and 9968 can complete a circuit or a communication channel 9950. Although three pairs are illustrated, any suitable number of contacts and/or communication channels could be used. In various embodiments, referring to Figure 117 the shaft contacts 10048 may each comprise a movable element 10047 and a bias spring 10046 configured to push movable elements 10047 against corresponding end actuator contacts 10068. In certain embodiments, now referring to Figure 118, one or both of the end actuator contacts and spring contacts may comprise a flexible portion. For example, an end actuator may comprise flexible contacts 10168 which may resiliently engage corresponding shaft contacts 9948.

[0269] With respect to the modalities described above, in various circumstances, the end actuator can be mounted on the shaft along the longitudinal axis. In such circumstances, referring primarily to Figure 115, the most proximal contact of the 9968 end actuator will first make electrical contact with the most distal contact of the 9948 shaft. As the reader will understand, the 9960 end actuator has not yet been completely fixed to the 9940 shaft when such contacts are connected. While such a connection between these contacts may be temporary, i.e. until the 9960 end actuator is positioned deeper into the 9940 axis, the surgical instrument controller may become confused and misinterpret one or more signals from the 9960 end actuator. similar confusion as the longitudinal array of end actuator contacts 9968 progressively contact the longitudinal array of shaft contacts 9948 until end actuator 9940 is fully positioned. In various embodiments, the surgical instrument controller can be configured to ignore signals transmitted through the contacts until the most proximal contact of the 9968 end actuator is engaged with the most proximal contact of the 9948 end actuator. Referring now to Figures 119 and 120, one of the contact pairs may be different from the other contact pairs so that the controller can identify when this pair of contacts has mated and, as a result, the end actuator has been fully positioned. For example, an end actuator and a shaft of a surgical instrument may include a first pair of contacts 10248a, 10268a, a second pair of contacts 10248b, 10268b, and a third pair of contacts 10248c, 10268c, with the third pair of contacts may be different from the first pair of contacts and the second pair of contacts. When the first pair of contacts 10248a, 10268a are coupled, a contact element 10267a can be pushed inward so that the first connecting portion 10263a of the contact element 10267a contacts the first path portion 9951a of a path of communication 9950a and a second connecting portion 10264a of the contact element 10267a contacts the second portion of the path 9952a of the communication path 9950a. In such a position of the contact element 10267a, the first portion of the path 9951a and the second portion of the path 9952a can both transmit a signal through the contact element 10267a. When the second pair of contacts 10248b, 10268b are coupled, a contact element 10267b can be pushed inward so that the first connecting portion 10263b of the contact element 10267b contacts the first path portion 9951b of a communication path. 9950b and a second connecting portion 10264b of the contact element 10267b contacts the second portion of the path 9952b of the communication path 9950b. In such a position of the contact element 10267b, the first portion of the path 9951b and the second portion of the path 9952b can both transmit a signal through the contact element 10267b. When the third pair of contacts 10248c, 10268c are coupled, a contact element 10267c can be pushed inward so that the first connecting portion 10263c of the contact element 10467c is out of contact with the first path portion 9951c of a path. path 9950c and a second connecting portion 10264c of contact element 10267c contact the second path portion 9952c of communication path 9950c and contact the first path portion 9951c. In such a position of the contact element 10267a, the first portion of the path 9951c can transmit a signal through the contact element 10267c. As a result of the foregoing, the first, second and third sets can have a specific connectivity arrangement with their corresponding channel paths when the end actuator is fully positioned and the controller can be configured to assess whether this full connection arrangement is in place. in force. For example, when the end actuator is initially inserted into the shaft, the third contact 10264c may initially contact the first contact of the shaft 10248a. In such a position, only two portions of path, i.e. 9951a and 9952a, can be able to communicate a signal from the end actuator to the controller, and in this way, the controller can be configured to detect a different voltage drop between the interconnections in compared to voltage drop that occurs when five portions of the path, ie 9951a, 9952a, 9951b, 9952b and 9951c are able to communicate the signal when the end actuator is fully positioned. Similarly, the end actuator can be further inserted into the shaft until the third contact element 10267c contacts the second contact element 10248b and the second contact element 10267b contacts the first contact element of the shaft. 10248a. In such a position, only four path portions, i.e. 9951a, 9952a, 9951b and 9952b, can be able to communicate a signal from the end actuator to the controller, and in this way the controller can be configured to detect a different voltage drop. between the interconnects compared to voltage drop that occurs when five portions of the path i.e. 9951a, 9952a, 9951b, 9952b and 9951c are able to communicate the signal when the end actuator is fully positioned.

[0270] In certain instances, when an end actuator is mounted on an elongated shaft of a surgical instrument, the operator may engage the actuator system and/or linkage of the end actuator to initiate closing, firing, and/or articulation of the end actuator. end actuator, for example. An end actuator may include a first jaw, a second jaw, and one or more sensors configured to sense the position of the first jaw relative to the second jaw. Referring now to Figures 121 to 124, an end actuator 10360 may comprise a first jaw, or anvil, 10362 and a second jaw, or staple cartridge, 10364, with the anvil 10362 being movable toward and away from to the 10364 staple cartridge. Often, the 10360 End Actuator is inserted through a trocar into the patient when the 10360 End Actuator may not be readily visible even with the aid of an endoscope. As a result, the user of a surgical instrument may not be able to readily assess the position of the anvil 10362 in relation to the second jaw 10364. To facilitate the use of the end actuator, as mentioned above, the end actuator 10360 may include a sensor for detection. the position of anvil 10362. In various circumstances, said sensor may be configured to detect the gap between anvil 10362 and staple cartridge 10364. Certain sensors may be configured to detect the rotational position of anvil 10362 with respect to staple cartridge 10364 The sensors are disclosed in US Patent Application Serial No. 13/800,025 entitled SENSOR SYSTEM FOR FABRIC THICKNESS IN STAPLE CARTRIDGE, which was filed March 13, 2013, and US Patent Application Serial No. 13/800,067 entitled TISSUE THICKNESS SENSOR SYSTEM IN STAPLE CARTRIDGE, which was filed on March 13, 2013. The disclosures in their entirety of the application for US Patent Serial No. 13/800,025 entitled SENSOR SYSTEM FOR TISSUE THICKNESS IN STAPLE CARTRIDGE, which was filed on March 13, 2013, and US Patent Application Serial No. 13/800,067 entitled SENSOR SYSTEM FOR TISSUE THICKNESS IN STAPLE CARTRIDGE, which was deposited March 13, 2013, are incorporated herein by reference. Regardless of the sensor or sensors used, the position of the 10362 anvil can be communicated to the surgical instrument user via a display. Such a display may be located on the end actuator 10360 and/or on the axis of the surgical instrument, such as the axis 10340, for example. When the display is located on the end actuator, the display can be visible using an endoscope, for example. In such examples, the display can be positioned on the end actuator so that it is not obscured by the trocar that allowed the end actuator to enter the OR. In other words, the display can be situated so that it is in a distal position with respect to the distal end of the trocar when in use. When the display is located on the shaft, the display can be positioned on the shaft so that it is not obscured by the trocar. In other words, the display can be situated so that it is in a proximal position with respect to the proximal end of the trocar when in use. With reference to the embodiment shown in Figures 121 to 124, a display 10390 is located on axis 10340.

[0271] Still with reference to Figure. 121, anvil 10362 of end actuator 10360 is shown in a fully open position. In this position of the anvil 10362, the trigger member 10330 of the end actuator 10360 is in a proximal position and has not yet been advanced distally. As we will discuss in more detail below, the trigger member 10330 is advanced distally to move the anvil 10362 toward the staple cartridge 10364. The position of the trigger member 10330 illustrated in Figure 121 may represent an unfired, more proximal position of the member. trigger 10300. When anvil 10362 is in its fully open position, referring primarily to Figure 125, the anvil display 10390 may not be illuminated. As the reader will understand, the anvil display 10390 can represent the position of anvil 10362 in one of several different positions. The anvil 10390 display is capable of representing five potential anvil positions 10362; however, other modalities are envisaged, which may include an anvil display using more than five indicators or less than five indicators. As anvil 10362 is moved from its open position to its closed position, display 10390 can sequentially represent the position of anvil 10362 using indicators 10391-10395. Indicator 10391 represents anvil 10362 in a slightly closed position. Indicators 10392, 10393 and 10394represent anvil 10362 in partially closed positions. Indicator 10395 represents anvil 10362 in a fully closed or parallel position. When comparing Figure 121 with Figure 122, the reader will understand that the triggering member 10330 has been inserted distally until at least partially closing the anvil 10362. When the anvil 10362 is in the position shown in Figure 122, the anvil position sensor can detecting the new position of the anvil 10362 and the indicator 10391 of the display of the anvil 10390 can be illuminated as shown in Figure 126. When comparing Figure 122 with Figure 123, the triggering member 10330 has been inserted distally until it closes even more, although does not close completely, the anvil 10362. When the anvil 10362 is in the position shown in Figure 123, the anvil position sensor can detect the new position of the anvil 10362 and the indicator 10393 can be illuminated as shown in Figure 127. When comparing in addition to Figure 122 with Figure 123, the reader will understand that anvil 10362 has been rotated about 10 degrees, for example, and that if anvil 10362 has only been rotated about 10 degrees and 5 degrees, for example, indicator 10392 of anvil display 10390 would be illuminated. When comparing Figure 123 with Figure 124, the triggering member 10330 has been inserted distally until the anvil 10362 is completely closed. When the anvil 10362 is in the position shown in Figure 124, the anvil position sensor can detect the new position of the anvil. 10362 and indicator 10395 can be illuminated, as illustrated in Figure 128. By further comparing Figure 123 with Figure 124, the reader will understand that anvil 10362 has been rotated about 10 degrees, for example, and that if anvil 10362 had been rotated only about 5 degrees, for example, the anvil display indicator 10394 10390 would be illuminated.

[0272] In addition to the above, the end actuator and/or surgical instrument may include a controller that can be configured to control the 10390 anvil display. For example, when the end actuator includes the 10390 anvil display, the controller may be positioned on the end actuator. When the axis of the surgical instrument includes the anvil display 10390 and/or any portion of the surgical instrument includes the anvil display 10390, the surgical instrument may include the controller. In other instances, one of the end actuator and the surgical instrument may include the anvil display 10390 while the other of the end actuator and the surgical instrument may include the controller. In either case, the anvil position sensor, or sensors, may be in signal communication with the controller. The controller can be configured to interpret one or more signals from the sensor, or sensors, to determine the position of anvil 10362. The controller can be in communication with the anvil display 10390 to illuminate indicators 10391-10395 as described above. In various circumstances, each indicator 10391-10395 may comprise an LED, for example. In such circumstances, each LED can be brought into electrical communication with an output channel of a microprocessor of the controller, so that the controller can selectively illuminate the LED independently of other LEDs. In many instances, the controller can continuously assess the position of the 10362 anvil based on the anvil sensor data and, using this data, continuously update which indicator is being illuminated. For example, when anvil 10362 is being closed or opened, the controller can track the position of anvil 10362 and readily display this information to the surgical instrument user via indicators 10391-10395. Such examples can provide the user with real-time, or near-real-time, feedback regarding the position of anvil 10362. In other instances, the controller may wait to display the position of anvil 10362 only after anvil 10362 has stopped moving, or at least stop moving substantially, for a certain period of time, for example. As the reader will understand, indicators 1039110395 can represent the discrete positions of anvil 10362; however, it is likely that anvil 10362 can only momentarily pass each of these discrete positions when closed, for example. In various circumstances, the controller may use an algorithm to decide which indicator to illuminate. For example, the controller can apply an algorithm that determines which indicator most accurately represents the position of anvil 10362 even though anvil 10362 may not be aligned with any of the discrete positions that can be represented by the display of indicator 10390. In various circumstances, the controller can illuminate two adjacent indicators on the 10390 indicator display when the 10362 anvil is in an intermediate position between two discrete positions represented by the two adjacent indicators.

[0273] In various instances, in addition to the above, indicators 10391-10395 may each comprise a light emitting diode that emits the same color of light, or at least substantially the same color of light. In other instances, one or more 10391-10395 indicators may emit a color that is different from the color of the other 10391-10395 indicators. For example, the 10391 indicator could be configured to emit a yellow color while the 10392-10395 indicators could be configured to emit a green color, for example. As the reader will understand, referring to Figure 122, the tissue T positioned between the anvil 10362 and the cartridge 10364 may not be properly clamped by the anvil 10362 when the anvil 10362 is in the partially closed position illustrated in Figure 122 and, when the 10391 indicator associated with this 10362 anvil position is illuminated yellow, the surgical instrument user can be reminded to take action before moving the 10360 end actuator and/or continuing the firing process. In some cases, one or more indicators 10361-10365 can each be configured to emit more than one color. For example, each indicator 10361-10365 may comprise an LED configured to emit a green light and a red light. In such instances, indicators 10361-10365 may emit a green color when indicating the position of anvil 10362 as described above, or alternatively emit a red light when there is an error with the 10360 end actuator and/or surgical instrument.

[0274] As discussed above, an anvil of an end actuator can be movable relative to the staple cartridge between an open position and a closed position and the surgical instrument system can be configured to sense anvil movement and communicate the movement of the anvil. anvil to the user. That said, embodiments are envisaged in which the staple cartridge is movable with respect to the anvil. In at least one of these embodiments, the anvil may be fixed or non-pivoting. When fixed or non-pivoting, the anvil can rigidly extend from a portion of the end actuator frame; however, this portion of the end actuator frame, the anvil extending therefrom, and the staple cartridge may be pivotable with respect to another portion of the end actuator or shaft of the surgical instrument. Whether or not the end actuator is pivotable, in such embodiments the staple cartridge may be pivotable with respect to the anvil. The systems and methods described herein for detecting the movement of an anvil may be adapted to detect staple cartridge movement. Additionally, the systems and methods described herein for displaying the movement of an anvil can be adapted to display the movement of the staple cartridge.

[0275] In many instances, an operator may want to retract the triggering member during the firing stroke. The surgical instrument unveiled in Zemlok '763 utilizes a retraction assembly comprising a manually actuated mechanical interface with a guide tube that is activated by handling the retraction lever on the handle. Said arrangement is intended to allow the physician to retract the firing rod and ultimately the drive member of the charging unit in case the power supply is interrupted or the motor or control system fails during firing. However, this retraction assembly can be difficult to operate effectively due to the fact that the motor and motor gearbox remain engaged during the handling (activation) process. Therefore, the retraction assembly of this device must be able to develop sufficient torque to turn the gears in the gearbox and the motor shaft to allow the steering tube to be manually turned. The generation of such forces can place extreme stress on the components of the retraction assembly, which can lead to catastrophic failure of the retraction assembly. The surgical instruments 10 depicted in Figures 1 to 28 can be configured with unique and novel retraction assembly arrangements, which can avoid this problem, among others.

[0276] For example, the surgical instrument 10 may include a retraction assembly 120 that includes a retraction chassis 124 that has an upper portion 126 and a lower portion 128. In various forms, the retraction assembly 120 mechanically interfaces with the drive gear 102 through drive gear 130 and retract gear 132. See Figure 5. Drive gear 130 is non-rotatically attached to drive gear 102 so that rotation of drive gear 130 imparts rotation to the tube drive gear 102. Drive gear 130 and retract gear 132 may comprise tilt gears or the like to enable interleaving of the connection with each other, as shown in Figure 5. Retract gear 132 may be coupled to a first spindle 134 (Figures 4 and 5) which is substantially perpendicular to the upper and lower portions 126 and 128 of the retract chassis 124 and extends therebetween. Spindle 134 can be supported by rotational displacement around the spindle axis "SA-SA" which is substantially perpendicular to the longitudinal axis "LA-LA" of the surgical instrument 10. See Figure 5. In various forms, the retraction gear 132 may have a first sprocket 136 attached for this purpose. The first sprocket 136 interfaces with a second sprocket 138 which is operatively supported on a second spindle 137 which is also disposed substantially perpendicularly between the upper and lower portions 126 and 128 of the retract chassis 124 and is rotatable about a second axis of the "SA'-SA'" axis defined as such. The second sprocket 138 is supported by an engagement in mesh with a third sprocket 140 which is disposed on the first spindle 134. The third sprocket 140 is attached to a first clutch portion 144 of a one-way clutch assembly 142. clutch 142 further includes a second clutch portion 146 which is rotationally disposed on the first spindle 134 above the first clutch portion 144. A spring or springs (not shown) may be disposed between the first and second clutch portions 144 and 146, thereby holding the first and second clutch portions 144 and 146 in a "non-interlocking" protruding orientation, as illustrated in Figure 5.

[0277] It will be understood that as the steering tube 102 is rotated, the drive gear 130 imparts rotation to the first, second and third sprockets 136, 138 and 140, as well as the first portion of the clutch 144 and respective spindles 134, 137. As the second clutch portion 146 can rotate about the spindle 134 and is displaced out of engagement with the first clutch portion 144 by the arrangement of the spring disposed therebetween (not shown), rotation of the first clutch portion 144 is not translated to the second clutch portion 146. As can be seen in Figure 5, the first and second clutch portions 144 and 146 include a plurality of interlock teeth 148, each of which has an interlock surface. flat and an inclined sliding surface. As will be discussed in more detail below, the second clutch portion 146 is displaceable in engagement with the first clutch portion 144 by the retraction lever 150. The sliding surfaces over the teeth 148 allow the interlocking surfaces to come into contact. with each other so that rotation of the second clutch portion 146 causes the first clutch portion 144 to rotate. Rotation of the first clutch portion 144 also causes all of the interface gears to rotate, as well as ultimately imparting rotational motion to the drive tube 102 around the axis of the longitudinal tool LA-LA.

[0278] Now with reference to Figure. 6, the retraction lever 150 may include an elongate handle portion 152 that includes a cam portion 154. The cam portion 154 may include an opening that may house a one-way needle clutch (not shown) that is supported in mechanical cooperation with a socket (not shown) which can be attached to the first spindle 134 to allow the retraction lever 150 to rotate around the first spindle 134. The Zemlok '763 further describes an operation of such a clutch with a one-way needle and socket arrangement and has been incorporated herein by reference in its entirety. In various forms, the retraction lever 150 includes one or more cam members 156, each of which has a cam surface 158 of its own. In a first orientation, the retraction lever 150 is disposed along a lever pocket 14 of the cabinet 12, as shown in Figure 1. The spring disposed between the first and second clutch portions 144, 146 serves to displace the lever. 150 against the upper portion 126 of the retract frame 124. As can be seen in Figure 6, the cam members 156 are disposed within the corresponding cam slots, or pockets, 160 in the upper portion 126 of the retract frame 124. The retraction lever 150 is held in a first orientation by a return spring 162 which is mounted between the upper portion 126 of the retraction frame 124 and the cam portion 154 of the retraction lever 150. cam slots 160 prevent further rotation of rotation lever 150.

[0279] In use, when the retraction lever 150 is moved out of the lever pocket 14 (Figure 1) in the cabinet 12, the cam members 156 interface with the corresponding cam slots 160 to displace the cam portion 154 of the lever. 150 in a downward direction against the changing force of the spring(s) positioned between the first and second clutch portions 144, 146. This downward movement compresses the spring(s) and pushes the first and second clutch portions 144, 146 for interlocking engagement. Rotation of cam portion 154 in a counterclockwise direction activates the needle clutch which interfaces with the socket and first spindle 134. Continuous activation of retraction lever 150 rotates clutch assembly 142 which in turn rotates the sprockets 136, 138, 140 and the retraction and drive gears 132 and 130. This, in turn, rotates the drive tube 102 around the axis of the longitudinal tool "LA-LA". As the triggering rod 104 has threaded engagement with the targeting tube 102, rotation of the targeting tube 102 in the manner described above results in retraction (or proximal axial displacement) of the triggering stem 104 in the targeting tube 102.

[0280] In operation, the steering tube 102 can be configured to be rotated in a direction that is opposite the direction of retraction (e.g. clockwise, for example) around the axis of the longitudinal tool "LA-LA" by the motor 100. Such rotation of the drive tube 102 causes the firing rod 104 to move axially in the distal direction "DD". This advancement of firing rod 104 and actuation member 60 of loading unit 20 may be called, in the present invention, a "firing" action. As can be seen in Figure. 5, for example, a gear set 170 is used to establish an amount of drive torque required to rotate the trigger rod 104 in the distal "DD" direction to activate the loading unit 20. The gear set 170 may include a gearbox housing 172 which is coupled to motor 100. For example, gearbox housing 172 may be coupled to motor housing 101 by screws 103 or other mechanical latches and/or latch arrangements. Gear set 170 and motor 100 may collectively be referred to as the "drive unit", commonly referred to as 186.

[0281] The gearbox housing 172 may be pivotally supported on a motor retainer portion 190 which is integrally formed or otherwise non-rotatably supported by the housing 12. Such an arrangement allows the drive unit 186 to rotate within the housing 12. cabinet 12 around the axis of the longitudinal tool "LA-LA", but prevents its axial movement within the cabinet 12. The motor 100 can, for example, be powered by a power supply 200 of the type described in more detail in Zemlok '763 and/or 2000 power system (Figure 129).

[0282] To facilitate the supply of electrical current to the drive unit 180 and more particularly to the motor 100, a unique contact arrangement 210 may be utilized. For example, the contact arrangement 210 may include an annular negative motor contact 212 and an annular positive motor contact 114 supported on the motor housing 101, as seen in Figure 4. A fixed negative contact 216 may be supported within the motor housing 101. cabinet 12 for sliding contact with negative motor contact 112. Similarly, a fixed positive contact 218 may be supported for sliding contact with positive motor contact 214 as drive unit 180 rotates within cabinet 12. Fixed negative and positive contacts 216, 218 may comprise flexible spring-like contacts to facilitate mounting and adjustment of drive unit 186 in cabinet 12. Fixed negative contact 216 may be electrically coupled to power supply 200 via a negative lead wire 220 and the fixed positive contact 218 can be electrically coupled to the power supply 200 by a positive lead wire 222. Such an arrangement of contacts allows that electrical power is supplied from the power supply 200 to the motor 100 while still facilitating the rotation of the drive unit 186 within the cable housing around the axis of the longitudinal tool "LA-LA".

[0283] Referring to Figure 5, the gear set 170 may comprise a planetary gear arrangement that is operatively coupled to the motor shaft 107. In one arrangement, for example, a ring gear 173 may be formed on the inner surface of the housing. of the gearbox 172. A primary sun gear 171 may be coupled to the motor shaft 107. The primary sun gear 171 may be supported in meshing gear with a plurality of first planetary gears 175 which are supported on a first planetary gear loader 174 so that they are also in mesh engagement with ring gear 173. A first sun gear 176 may be formed or otherwise attached to first planetary gear carrier 174 and may be supported in engagement mesh with a plurality of second planetary gears. 178 which are supported on a second planetary gear loader 177. The second planetary gears Gears 178 may also be supported in engagement meshing with ring gear 173. A second sun gear 179 may be formed or otherwise attached to second planetary gear carrier 177 and may be supported in engagement engaged with a plurality of third gears. planetary gears 181. Third planetary gears 181 may also be supported on a third gear magazine 180 in meshing engagement with ring gear 173. A third sun gear 183 may be formed or otherwise attached to third planetary gear magazine 180. and is in meshed engagement with a plurality of fourth planetary gears 187 which may be secured to the output shaft assembly 184 which is rotatably supported in the gearbox housing 172 by a bearing 185. The fourth planetary gears 187 may also be supported in the gear mesh with ring gear 173.

[0284] Figure 7 illustrates an arrangement for pivotally supporting the drive unit 186 in the cabinet 12. As can be seen from the Figure, a motor mounting boss 192 of motor retainer 190 may include a segment of the gearbox housing 196 which is rotatably supported on it. In one arrangement, for example, the gear set 170 is rotatably supported on the gearbox housing segment 196 by bearing 185. Similarly, the motor 100 is rotatably supported in the motor mounting cabinet portion 13 by a bearing. 198. Other methods of swiveling the drive unit 186 within the cabinet 12 may also be used.

[0285] Output shaft assembly 184 may be operatively coupled to a clutch 230 (Figure 5) of the type and construction disclosed in Zemlok '763, which is incorporated herein by reference in its entirety. Further details on the construction and operation of said clutch 230 may be obtained from the publication. In an alternative embodiment, however, the clutch 230 may be replaced by a shaft-to-shaft coupler or sleeve arrangement that serves to facilitate coupling of the output shaft unit 184 directly to the steer tube 102.

[0286] When the axially movable driving beam of the surgical instrument disclosed in the Zemlok '763 becomes jammed or the power to the instrument runs out, the user needs to utilize the retraction assembly to retract the driving beam back to the home position to facilitate removal of the charging unit. However, effective retraction is difficult because the retraction system must generate a sufficient amount of torque necessary to reverse the plurality of gear arrangements in the gear set. Thus, said retraction system can be extremely difficult to operate effectively.

[0287] At least one embodiment of surgical instrument disclosed utilizes a unique and novel removable drive unit locking system, commonly designated as the 240, to address this problem. As will be discussed in more detail below, for example, when the detachable drive unit locking system 240 is in the "locked" position, the drive unit 186 is prevented from rotating within the handle 12. The drive unit 186 is held in the locked position when the surgical instrument is "fired" to facilitate the transfer of motor torque from the motor 100 through the gear set 170 and finally to the drive tube 102. 120, the drive unit locking system 240 moves from the "unlocked" position to allow the drive unit 186 to rotate freely in the cabinet 12 and thus avoid the need to generate sufficient retraction torque to reverse the retraction arrangements. gear in gear set 170. Gear set 170 may remain operatively coupled between motor 100 and drive tube 102 during operation. of the retraction assembly 120. In such embodiments, while the gear assembly 170 remains operatively coupled to the motor 100 and drive unit 102, free rotation of the drive unit 186 can reduce the torque required to activate the gear assembly 170 as required. that the gear arrangements reverse to retract the drive tube 102. Such a reduction in required torque can optimize the effectiveness of the retraction system.

[0288] As can be seen in Figure. 8, for example, the third sprocket 140 of the retraction assembly 120 may include an unlocking cam 141 which is configured to activate the locking pawl assembly 250 of the drive unit locking system 240. One form of a pawl assembly lock 250 is illustrated in Figures 9 to 11. As can be seen in Figure. 10, for example, the pawl assembly 250 may include a pawl member 252 that has a pawl notch 254 formed therein. Locking notch 254 is sized to allow a series of spaced first locking wedges 256 formed around the outer circumference of gearbox housing 172 to pass freely therethrough. See, for example, Figures 12 and 13. The pawl latch wedge 258 is formed in the latch pawl 252 by latching engagement with any of the first latch wedges 256, as will be discussed in more detail below. As can also be seen in Figures 8 to 11, the pawl assembly 250 may also include a pawl guide rod 260 which is configured to be slidably received within a passage 194 in the motor mounting boss. 192. A pawl spring 262 is moved over pawl guide rod 260 and is positioned between pawl member 252 and motor mounting boss 192 to displace a cam engaging portion 264 from pawl member 252 until it engages. up with the third sprocket 140.

[0289] A method for operating the retraction assembly 120 and drive unit locking system 240 will now be described with reference to Figures 8, 13 and 14. Figure 13 illustrates the drive unit locking system 240 in position locked. As can be seen in the Figure, the pawl member 252 is moved to the distal locking position by the pawl spring 262. When in this locked position, the pawl latch wedge 258 on pawl member 252 is in locking engagement with the pawl. one of the first corresponding locking wedges 256 in the gearbox housing 172. When in this position, the retraction assembly 120 has not been activated and the gear assembly 170 is prevented from rotating within the housing 12. Operation of the motor 100 by the depression of main on/off switch 80 (Figure 1) results in rotation of drive tube 102 and ultimately axial advancement of trigger rod 104 which directs drive beam 60 distally through loading unit 20.

[0290] If, for example, the drive beam 60 gets stuck in the tissue clamped in the loading unit 20 or if the power does not reach the motor 100 or for some reason the motor 100 is unable to reverse the rotation of the guide tube 102 until, finally retracting the triggering rod 104, the clinician can use the retraction assembly 120 to manually retract the triggering rod 104 and drive beam 60. Figure 8 illustrates the retraction assembly 120 in the non-activated position (e.g. , when the drive unit locking system 240 is in the locked position). To initiate the manual retraction process, the clinician pulls the retraction lever 150 out of the lever pocket 14 in the cable compartment 12 (in the "R" direction - see Figure 6). Movement of the results lever 150 in the "R" direction results in rotation of the cam portion 154 of the retract lever 150 within the retract chassis 124. This initial rotation of the retract lever 150 in the "R" direction results in the cam unlocking. 141 to engage cam engaging portion 264 of pawl member 252 to move pawl member 252 to the unlocked position and thereby allow drive unit 186 to rotate freely in cable housing 12. Cam slots 160 in the retraction frame are located and are of sufficient length to facilitate this rotational displacement of the cam portion 154 of the retract lever 150 without initially disengaging the clutch assembly 142. In this way, the slots in the cam 160 can be longer than the slots. cams located before the retract frame arrangements to facilitate unlocking of the drive unit assembly 186 prior to applying actuation movements that result in rotation drive tube 102. For example, in at least one arrangement, cam slots 160 may be elongated to facilitate rotation of retraction lever 150 by approximately fifteen degrees. As the clinician continues to rotate the retraction lever 150 in the "R" direction, the engaging portion of the cam 264 slides along the outer circumference of the unlocking cam 141 on the third sprocket 140. Continued rotation of the retraction lever 150 in the "R" direction results in the cam members 156 engaging the cam portion 154 with the ends of the respective cam slots 160 to displace the cam portion 154 in the downward direction. This downward movement compresses the spring(s) positioned between the first and second clutch portions 144 and 146 to bring the teeth 148 thereof into meshed engagement with each other. Continuous rotation of the cam portion 154 in a counterclockwise direction can activate the needle clutch that interfaces with the socket and the first spindle. Continuous activation of retraction lever 150 rotates clutch assembly 142 which in turn rotates sprockets 136, 138, 140 and retraction and drive gears 132 and 130. This, in turn, rotates the drive tube. steering 102 and retracts firing rod 104.

[0291] The retract lever 150 can be activated for a predetermined amount of travel until a portion of the retract lever 150 abuts a portion of the cabinet 12. Thereafter, the return lever 150 returns to its first position via the spring 162. This action lifts the cam portion 152, allowing a second clutch portion 146 to also travel up and disengage the first clutch portion 144. The needle clutch may release the socket and thus allow the retraction lever 150 returns to its first position without affecting the movement of drive tube 102. Once retraction lever 150 returns to its first position, drive unit 186 is again held in a locked position. Tilting or rotating the retraction lever 150 may be repeated several times until the firing rod 104 returns to a desired position.

[0292] As the gearbox housing 172 is free to rotate during the application of this rotary motion, the amount of torque required to rotate the drive tube 102 and the gears within the gear set 170 is greatly reduced compared to the torque needed to operate the previous retraction sets. Such an arrangement also advantageously serves to prevent the transfer of torque forces generated by the retraction assembly to the motor shaft 107 while the gear set 170 remains directionally coupled to the motor shaft 107. In others, the gear set 170 may remain directionally coupled between motor shaft 107 and drive tube 102 during operation of retraction assembly 120. Such an arrangement differs from retraction arrangements disclosed, for example, in U.S. Patent No. 7,959,050, which is incorporated in its entirety herein, for reference, but which results in physical decoupling or physical interruption of portions of the transmission during activation of the retraction system.

[0293] Figures 15 to 18 illustrate another surgical instrument 310 that is substantially similar to the surgical instrument 10 described above, with the exception of the following differences discussed below. As can be seen in Figure 16, instrument 310 includes a gear set 470 comprising a gearbox housing 472 that can be coupled to motor 100 in the above-described manner, for example. Gearbox assembly 470 and motor 100 may collectively be referred to as the "drive unit", commonly referred to as 486. Gear assembly 470 may be identical to gear assembly 170 described above, except for the differences discussed below.

[0294] In at least one arrangement, the gearbox housing 472 may be non-rotatably supported or integrally formed with a portion of the motor retainer 190 that is integrally formed or otherwise non-rotatably secured to the housing 12 in various ways, as discussed herein. As the 486 drive unit does not rotate in this arrangement, it can be directly connected to the power supply. For example, engine 100 may be powered in the manner described in Zemlok '763 or in other suitable ways. As can be seen in Figure 16, the gear set 470 may comprise a planetary gear arrangement that is operatively coupled to the motor shaft 107. In one arrangement, for example, a fixed ring gear 473 may be formed on the inner surface of the motor. gearbox housing 472. A primary sun gear 471 may be attached to the motor shaft 107. The primary sun gear 471 may be supported in meshing gear with a plurality of first planetary gears 475 which are supported on a first planetary gear loader. 474. First planetary gears 475 may also be in meshed engagement with fixed ring gear 473. A first sun gear 476 may be formed on the first planetary gear carrier 474 and may be in meshed engagement with a plurality of second planetary gears 478 which are supported on a second 477 planetary gear loader. The second gears planetary gears 478 may also be supported in the meshing engagement with the fixed ring gear 473. A second sun gear 479 may be formed or otherwise fixed to the second planetary gear carrier 477 and may be supported in the engaged engagement with a plurality of gears. third planetary gears 481 supported on a third planetary gear magazine 480. The third planetary gears 481 are in meshed engagement with the fixed ring gear 473. A third sun gear 483 may be formed or otherwise secured to the third gear magazine planetary gear 480. Third sun gear 483 may be supported in meshed engagement with a plurality of fourth planetary gears 487 which are secured to output shaft assembly 484 which is rotatably supported in gearbox housing 472 by a bearing 185. A plurality of fourth planetary gears 487 can be in mesh with a gear m of lock ring 485 which is rotatably mounted to gearbox housing 472. Gears 471, 473, 475, 476, 478, 479, 481 and 483 may collectively be referred to herein as gear train assembly 460.

[0295] Locking ring gear 485 can be rotatably mounted in annular cavity 490 in retainer portion of motor 190 (Figure 16). The cavity 490 is dimensioned to allow free rotation of the lock ring gear 485 there, around the axis of the longitudinal tool "LA-LA". Lockable ring gear 485 may be installed in annular passage 490 and then held in position by a plug member 492 which is pressed or otherwise held in annular passage 490.

[0296] Surgical instrument 310 may additionally include a drive unit locking system 540 that includes a movable shaft ring assembly 542. In at least one form, the shaft ring assembly 542 may include, for example, a ring shaft 543 having at least one, and preferably a plurality of, locking members in the form of, for example, pins 544. Pins 544 protrude from shaft ring 543 and are configured to selectively lock engagement with the shaft. lockable ring gear 485. Each of the locking pins 544 is slidably received within a corresponding passage 546 in the plug member 492. The shaft ring 542 is supported for axial movement by a reverse link 550 which is attached to a 560 clutch clamp. As can be seen in the Figure. 15, clutch clamp 560 may comprise a spring clamp that is clamped around a portion of the outer circumference of third sprocket 140. Clutch clamp 560 may have a pin 562 therein that is attached to shift rod 564 The shift rod 564 may be somewhat flexible and can be pivotally coupled to the shift ring 542. During normal use (i.e., when the motor 100 is directed at the trigger rod 104), the locking pins 544 are in locking engagement with lockable ring gear 475 to prevent transfer ring gear 475 from rotating so that rotational torque is transferred to output shaft unit 484 and ultimately to drive tube 102.

[0297] When the clinician wishes to use the retraction assembly 120 to retract the firing rod 104, the retraction lever 150 is rotated from the initial position shown in Figure 15 in the "R" direction. As the retraction lever 150 is rotated, the clutch clamp 560 rotates with the third sprocket 140 and thus causes the shift rod 564 to move the shift ring 542 in the distal "DD" direction. As the shift ring 542 moves in the distal "DD" direction, the lock pins 544 move out of lock engagement with the lock ring gear 485 to allow the lock ring gear 485 to rotate relative to the lock ring gear 485. gearbox housing 472. The clinician continues to tilt the retract lever 150 to the end position shown in Figure 18. In at least one arrangement, for example, the retract lever 150 only needs to be rotated approximately fifteen degrees to disengage the pins 544 of the lockable ring gear 485. After the clinician releases the retract lever 150, the return spring 162 will return the retract lever 150 to the initial position and the clinician may repeat the procedure until the trigger rod 104 is retracted to a desired position. As lock ring gear 485 is free to rotate within bearing housing 472, rotation of drive tube 102 and output shaft unit 484 will not be resisted by other gear arrangements in gear set 470. The amount of tilt torque required to retract the firing rod 104 is reduced as compared to the retract arrangements that remain operationally engaged with the gear arrangements in the gear set during the retraction process. Also, although the torque required is reduced, the trigger rod 104 can remain operatively engaged with the gear set 470. In other words, the trigger rod 104 can remain operatively coupled with the motor 100. When the shift ring 542 enters in contact with bearing 185 on motor mounting boss 192, locking pins 544 lock-engage with lock-ring gear 485. Clutch clamp 560 may be configured to slide relative to third sprocket 140 after displacement ring contacts bearing 185 or other portion of motor mounting boss 192. In this way, drive unit locking system 540 serves to facilitate rotation of at least a portion of the drive unit within the drive unit. cable while applying retraction motions to the drive tube 102 to reduce the amount of retraction torque required to retract the rod firing te 104.

[0298] The surgical instrument 610 of Figure 19 is substantially identical to the surgical instrument 310, except that the clutch clamp 560 is attached to the third sprocket 140 in order to eliminate the reversing link 550 used in the surgical instrument 310. As can be seen in the figure. 18 for example, the shift rod 564 is directly connected to the shift ring 542. Tilting the retraction lever 150 in the above-described manner results in the shift ring 542 moving and engaging and disengaging the locking pins 544 with the locking ring gear. 485.

[0299] Figures 20 and 21 illustrate another surgical instrument 610' that is substantially identical to the surgical instrument 610, except for the following differences. In this arrangement, for example, at least two "leaf-type" lock springs 620 and ring gear lock members 622 are supported in the gearbox housing 472' of the gear set 470'. As can be seen in Figure 20, each lock spring 620 and corresponding latch member 622 is supported in a slot 624 in the gearbox housing 472'. In this arrangement, the locking pins 544' are secured to the displacement ring 542 and configured to contact and depress the corresponding lock spring 620 inwardly to press the corresponding ring gear locking member 622 into locking engagement with the lock ring gear 485. When in this position (shown in Figure 20), lock ring gear 485 is prevented from rotating with respect to gearbox housing 472'. When displacement rod 564 pulls displacement ring 542 in the distal "DD" direction, locking pins 544' disengage from corresponding locking spring 620, which allows spring 620 to flex to an initial position to enable the ring gear lock gear 622 disengage from lock ring gear 485 to allow it to rotate with respect to gearbox housing 472'. In this way, when the retraction assembly 120 is activated, the lock ring gear 485 is free to rotate with respect to the gearbox housing 472' to thereby reduce the amount of retraction torque required to cause the rod to trigger 104 is retracted in the proximal direction "PD".

[0300] Figures 22 to 24 illustrate another retraction assembly arrangement for selectively and manually retracting a distal portion of the triggering rod of a surgical instrument 710 if the distal portion of the triggering rod or other component of the surgical instrument to which it is operatively attached jam during operation or operating power to advance the firing rod assembly is interrupted. Except for the differences discussed below, the surgical instrument 710 may be similar in design and operation to the surgical instruments described above and/or disclosed in Zemlok '763, which is incorporated herein by reference in its entirety.

[0301] As can be seen in the Figures. 22 through 24, the surgical instrument 710 includes an enclosure 712 that operatively supports a firing rod assembly 720. The cabinet 712 may, for example, operatively support a motor and a gear assembly (not shown) for applying rotary motion in a steering tube, which can result in axial movement of the firing rod assembly 720 in the various ways described herein. In at least one arrangement, the firing rod assembly 720 may include a proximal firing member or portion of the rod 722 that operatively interfaces with the targeting tube in the various ways disclosed herein. In still other surgical instrument arrangements, the proximal portion of the triggering rod 722 may operatively interface with other actuation arrangements and systems configured to apply axial movements to the proximal portion of the triggering rod 722.

[0302] As can be seen in Figures 22 to 24, the triggering rod assembly 720 may additionally include a distal trigger member or a portion of the rod 724 that is operatively coupled to a proximal end of the axially movable drive beam 60 of a charging unit 20 coupled for this purpose in the various ways described herein. A retraction assembly 730 in the form of a retraction coupling assembly 732 may be pivotally coupled between the proximal portion of the firing rod 722 and the distal portion of the firing rod 724. In the illustrated arrangement, the retraction coupling assembly 732 includes an actuator coupling 734 that has an attached handle portion 736 that is attached to the proximal portion of the trigger rod 722. The retraction coupling assembly 732 further includes a distal retraction coupling 738 that is secured to the actuator coupling 734 and the distal portion of the firing rod 724, as shown. In the illustrated embodiment, housing 712 includes a distally extending pivot housing portion 714 which may also include a distally extending shaft housing segment 716. Shaft housing segment 716 may serve to axially support the shaft assembly. retraction coupling 732 as it moves axially in the distal and proximal directions in response to axial movement of the trigger shaft assembly 720. To facilitate axial movement of the retraction coupling assembly 732 with respect to the shaft housing segment 716, actuator coupling 734 extends outward through a slot 718 formed in the shaft housing segment 716, as shown.

[0303] Figure 22 illustrates the position of the triggering rod assembly 720 and retracting assembly 730 before firing. Figure 23 illustrates the position of firing rod assembly 720 and retraction assembly 730 after firing in the distal "DD" direction. If during the triggering process the clinician wishes to retract the drive beam 60 back to the starting position, the clinician can simply pinch the cable portion of the coupling 736 of the actuator coupling 734 and rotate it in the "R" direction, as shown in Figure 24, which displaces the distal portion of the trigger rod 724 and the trigger beam 60 in the proximal "PD" direction. As illustrated in Figures 22 and 23, during firing, the proximal end 725 of the distal portion of the firing rod 724 may be spaced normally and axially from the distal end 735 of the proximal portion of the firing rod 734 by a distance designated "RD". . Distance "RD" can, for example, remain unchanged during firing and normal retraction of the firing rod assembly 720 through the drive unit. However, when the clinician activates the retraction assembly, the distance between the proximal end 725 of the distal portion of the triggering rod 724 and the distal end 735 of the proximal portion of the triggering rod 734 ("RD") will be less than the distance " RD". Also, as can be seen in Figure 22, the distance between the start position of the distal work head 62 of the drive beam 60 and the end position of the distal work head 62 (i.e. after the firing stroke is completed) is represented as distance "FD". If desired, the distance "RD" may be large enough to allow the distal portion of the triggering rod 724 to be sufficiently retracted (i.e., moved close to the distal end 735 of the proximal portion of the triggering rod 722) to return to work head 62 from the end position back to its start position. In other words, the distal portion of firing rod 724 can be retracted a retraction distance that is at least equal to or greater than the firing distance "FD". In such an arrangement, for example, if work head 65 jams or otherwise stops in its final position, activation of the retraction assembly can fully retract drive beam 60 to bring distal work head 62 into position. its initial position with the distal working head 62 being able to allow the anvil 22 to rotate open and release tissue.

[0304] Figures 25 to 28 illustrate an alternative 720' trigger rod assembly that can be selectively and manually retracted. The firing rod assembly 720', as shown, includes a proximal portion of the firing rod 722' that can operatively interface with the targeting tube in the various ways disclosed herein. In still other arrangements of surgical instruments, the proximal portion of the triggering rod 722' may operatively interface with other actuation arrangements and systems configured to apply control movements to the proximal portion of the triggering rod 722'. The firing rod assembly 720' may additionally include a distal portion of the firing rod 724' which is at least partially hollow and operatively coupled to the axially movable drive beam end 60 of a loading unit 20 coupled for this purpose in the various ways described here. For example, the distal portion of the firing rod 724' may have a passage 725 therein which is sized to allow the distal portion of the firing rod 724' to slide axially over the proximal portion of the firing rod 722' by a retraction distance. "RDD". The retract distance may be greater than or equal to the firing distance "FD" to enable the retract assembly 730' to retract the drive beam 60 a sufficient distance to move the work head 62 therefrom from the end position "EP " to the home position "SP". See Figure 25. The retraction assembly 730' may comprise a retraction latch 732'. Retraction latch 732' may include a latch handle 735 that is movable between a closed position (Figures 25 and 26) and an unclosed position (Figures 27 and 28). When in its closed position, the retraction latch 732' is secured to the distal portion of the firing rod 724' so that it is prevented from sliding axially over the proximal portion of the firing rod 722' and the distal portion of the firing rod 724. '. When in this orientation, the proximal portion of the trigger rod 722' moves essentially as a unit. Thus, when in the closed orientation, the trigger rod assembly 720' can be triggered in the distal direction "DD" to its end position "EP", as shown in Figure 26. If the trigger beam 60 becomes jammed or the instrument power is interrupted or lost during the trigger stroke (or for other reasons), the clinician can simply move the retraction latch handle 735 to the non-closed position (Figure 27) and then manually pull the retraction latch. 732' in the proximal "PD" direction, as shown in Figure 28.

[0305] The various retraction systems and arrangements disclosed herein may address certain deficiencies commonly encountered by the earlier retraction arrangements used to retract the motor-equipped drive members utilized by surgical end actuators. For example, various retraction arrangements disclosed herein may facilitate the manual application of retraction movements to the drive member and/or associated drive arrangements without encountering the resistance normally provided by the gear/transmission arrangements associated with the engine, while still allowing gear/transmission arrangements remain "driveable" or physically coupled to the engine.

[0306] Accordingly, at least one example comprises a surgical instrument which may include a triggering member assembly which may comprise a portion which is supported for selective axial movement in a distal direction and a proximal direction. The instrument may additionally include a drive unit comprising a motor that includes a motor shaft. A gear assembly may be coupled to the motor shaft and including an output shaft assembly configured to interface with the firing member assembly, so that when the motor shaft is rotated in a first rotary direction, a portion of the assembly of the triggering member is directed axially in the distal direction and when the motor shaft is rotated in a second rotational direction, the portion of the triggering member assembly is directed axially in the proximal direction. The surgical instrument may further comprise a retraction assembly interfacing with the triggering member assembly to manually apply further rotational movements to the triggering member assembly in the second rotational direction when the motor is deactivated. The surgical instrument may further comprise locking means interfacing with the retraction assembly and drive unit to prevent transfer of further rotary motion to the motor shaft while the gear assembly remains operatively coupled to the motor shaft.

[0307] According to yet another example, the surgical instrument may comprise a drive unit to generate firing and retraction movements. The instrument may further comprise a surgical end actuator which is configured to perform at least one surgical function in response to an application of at least one of firing and retracting motions to this effect. The surgical instrument may further comprise a triggering member assembly which may include a proximal triggering member portion operatively interfacing with the drive unit and configured to operatively receive rotary actuation movements thereof. The triggering member assembly may further comprise a distal triggering member portion supported distally to the proximal triggering member portion and configured to transmit triggering and retraction motions to the surgical end actuator. A retraction assembly may be operatively coupled to the proximal triggering member portion and distal triggering member portion. A retraction assembly may be selectively movable between an actuatorless position, in which the retraction assembly is configured to transfer firing and retraction motions from the proximal firing member portion to the distal firing member portion, and a position with actuator, in which the distal trigger member portion is axially moved with respect to the proximal trigger member portion.

[0308] Another example of a surgical instrument may comprise a handle housing that includes an elongate shaft assembly that is operatively coupled thereto. The elongate shaft assembly may support an axially movable firing rod therein. A load unit can be operatively coupled to the elongated shaft and configured to interface with the trigger rod. A trigger tube can be rotatably supported within the handle and operationally interfacing with the trigger rod. The surgical instrument further comprises a motor having a motor shaft. The motor can be operationally supported within the cable and operationally coupled to a power supply. A gear assembly may be coupled to the motor shaft and including an output shaft assembly configured to interface with the steer tube, so that when the motor shaft is rotated in a first rotating direction, the steer tube directs the drive. firing rod in a distal direction and when the motor shaft is rotated in a rotating direction, the steering tube directs the firing rod in a proximal direction. A retraction assembly can interface with the drive tube to manually apply other rotary motions to it in the second rotary direction when the motor is deactivated. Locking means can interface with the retraction assembly and gear assembly to prevent transfer of other rotary motions to the motor shaft while the gear assembly remains drivenly coupled to the motor shaft.

[0309] Again with reference to Figures 1 to 3, in various embodiments, the motor 100 of the surgical instrument 10 can be operatively coupled to a trigger element, such as the trigger element 60, and can drive the trigger element 60 through the actuator or DLU 20 during a firing hit. For example, the trigger element 60 can cut fabric and/or release staples in the fabric during the trigger stroke. A battery may supply current to motor 100, for example, and the current supplied to motor 100 may be related to the torque generated by motor 100. Furthermore, torque generated by motor 100 may be related to the trigger force exerted by the trigger element. 60. The voltage on the motor may relate to the angular velocity of the motor 100, for example, which may relate to the speed of the trigger element 60. Now with reference to the Figure. 63, the motor can define a torque-voltage curve 5802. In various embodiments, the torque-voltage curve 5802 can have a maximum torque T1 at an optimized voltage V. At voltages greater than and/or less than the optimized voltage V, for For example, the touch generated by the motor may be less than the maximum torque T1. For example, at a voltage of 1/2V, the torque-voltage curve 5802 may have a torque T2, which may be less than T1, for example.

[0310] In various embodiments, a control system in signal communication with the engine can supply battery current to the engine. In some embodiments, the control system may include a speed management control, which can control the speed of the trigger element, for example. The control system may include a variable resistance circuit and/or a voltage regulation circuit, for example, which may control the supplied current and/or the voltage at the motor. In such embodiments, the control system can control the torque and/or angular speed of the motor and thus the firing force and/or speed of the firing element coupled to the motor. For example, the voltage regulation circuit can regulate the voltage on the motor to affect the speed of the triggering element. With reference to Figure. 63, if the voltage regulation circuit reduces the voltage from the ideal voltage V to 1/2V, for example, the torque can be reduced to T2, which can be less than the maximum torque T1, and the speed can be adjusted up to the speed S2, for example.

[0311] In various embodiments, the control system may include a pulse width modulation circuit and the control system may supply pulses of current to the motor. Referring primarily to Figures 64(a) to 65(b), the current can be pulsed at a constant voltage. In various embodiments, the duty cycle of the pulses, that is, the duration of the pulse per interval or period, can affect the speed of the 5804 trigger element. When the duty cycle is higher (FIG. 64(a)), each pulse can be a longer portion of the range, and as a result, the motor can drive the triggering element 5804 at a faster speed S1, for example. When the duty cycle is lower (FIG. 64(a)), each pulse may be a shorter portion of the range, and as a result, the motor may drive the triggering element 5804 at a slower speed S3, for example . In various embodiments, the pulse width modulation circuit can supply current pulses to the motor at the optimized voltage V (Figure 63) of the motor. In such embodiments, the speed of the triggering element 5804 can be controlled without reducing the torque generated by the motor. For example, the motor can operate at the optimized voltage V to generate maximum torque T1, for example, and the trigger element 5804 can be driven by the end actuator at a reduced speed, such as speed S3, for example, and/or any suitable speed by changing the width of the voltage pulses.

[0312] In various embodiments, the battery may have a volt-ampere limit or power threshold. In other words, the battery can supply a limited amount of energy per unit time. Battery power threshold may be related to battery and/or circuit design. For example, the thermal limits of the battery and/or circuit, such as the heat capacity and/or insulation of the wiring, for example, can affect the power threshold. Also, the battery power threshold can limit the amount of current supplied to the motor. In many embodiments, a motor that uses a speed management control, such as pulse width modulation, for example, may not need maximum volt-amps from the battery. For example, when the battery provides pulses of current at maximum or optimized voltage to drive the trigger element at desired speed and maximum or optimized torque, the excess current may not be used to drive the trigger element. In such embodiments, excess current can be used to produce additional torque. Referring to Figures 66(a) to 66(c), a motor can include an additional or secondary set of coils, for example, and the excess current can be selectively directed to the additional set of coils to generate additional torque. In such modes, the motor can produce more torque at lower speeds, for example. In various embodiments, the control system can maximize the excess current supplied to the secondary coil set based on the battery's volt-ampere threshold, for example. Also, in certain embodiments, the control system can optimize the torque generated by the motor during at least a portion of the firing stroke.

[0313] Still referring to Figures 66(a) to 66(c), a battery 6002 can selectively supply current to a motor 6004. The motor 6004 can include a set of primary coils 6006 and a set of secondary coils 6008, for example . In various embodiments, the 6020 control system in signal communication with the 6004 motor can selectively direct current to the 6006 primary coil set and/or 6008 secondary coil set. For example, the 6020 control system can supply current to the primary coil assembly 6006 during a first operating state and may supply current to the primary coil assembly 6006 and secondary coil assembly 6008 during a second operating state, for example. In various embodiments, a switch, such as switch 6010, for example, may move between an open position and a closed position to selectively supply current to secondary coil assembly 6008, for example. In various embodiments, coil sets 6006, 6008 can be activated separately. In addition, control system 6020 may include pulse width modulation circuitry 6022 and battery 6002 may supply pulses of current to at least one of coil sets 6006, 6008, for example. In various embodiments, the primary coil set 6006 can be coupled to a first circuit 6030 (Figure 66(a)) and the second coil set can be coupled to a second circuit 6032 (Figure 66(a)) that is independent of the first circuit 6030. In other embodiments, the primary and secondary coil assemblies 6006, 6008 may be arranged in parallel (Figure 66(b)) or in series (Figure 66(c)), for example. In certain embodiments, motor 6004 may include at least one additional set of primary coils and/or at least one additional set of secondary coils, for example.

[0314] In various embodiments, the motor can generate a first amount of torque during the first operating state and a second amount of torque during the second operating state. The second amount of torque can be greater than the first amount of torque, for example. Additionally, the additional torque generated by the secondary coil assembly 6006 during the second operating state can prevent and/or limit the trigger element from locking during a trigger stroke. For example, with reference to Fig. 67, the motor may direct the trigger element distally during the first operating state and may direct the trigger element proximally during the second operating state. In various embodiments, the motor can generate greater torque when retracting the trigger element than when advancing the trigger element. In such embodiments, the retraction of the trigger element can be optimized. If the trigger element becomes jammed, for example if the fabric is too thick and/or hard for the trigger element to cut and/or staple, the additional torque can be used to retract the trigger element, for example. Still referring to Figure 66, the torque generated by the motor can be gradually increased during the initial "soft" phase 5902 of the trigger stroke and/or may be gradually reduced during the "soft" stop phase 5904, 5906 of the trigger stroke . For example, when advancing the trigger, the motor may incrementally or slowly increase the trigger speed at the start of the trigger stroke and may incrementally or slowly reduce the trigger speed as the trigger completes the trigger. front portion of the firing stroke. Furthermore, in various embodiments, the motor can immediately, or substantially immediately, generate maximum torque and/or speed by retracting the triggering element. The motor can use the additional coil set 6008 (Figures 65(a) to (c)) to maximize the torque generated at the start of retraction, for example.

[0315] With reference to Figure. 68, the control system can control the firing element to move at a slower speed during a 5912 test segment of the firing stroke. For example, when advancing the trigger element, the trigger element may initially move at a slower speed to ensure that the end actuator selection and/or placement is appropriate for the target tissue. In addition, as described in more detail in the present invention, a surgeon may engage an end actuator, such as a switch or a button, for example, to activate the motor and initiate the opening and closing of the end actuator jaws, movement of the firing element and/or linkage of the loading unit, for example. The start of a trial segment, such as the 5912 trial segment shown in Figure 68, for example when the actuator is engaged and at the start of a motor-driven action can allow the surgeon to "test" the surgical action so to ensure that intended and/or appropriate surgical action has been initiated. For example, in certain embodiments, a first button may initiate motor-driven linkage in a first direction and a second button may initiate motor-driven linkage in a second direction. When the surgical instrument is rotated and/or oriented "upside down", the placement of the first and second knobs may rotate and/or be inverted from the standard placement as seen from the operator's perspective. If the first direction is the intended pivot direction, it may be desirable to ensure that the loading unit is pivoted in the first direction, i.e. that the first button was actually activated during the test segment. Similarly, if the second direction is the intended pivot direction, it may be desirable to ensure that the loading unit is pivoted in the second direction, ie, that the second button was activated during the test segment. In certain embodiments, the trial segment during the initial portion of a surgical action may provide time for the surgeon to change and/or modify the surgical action if an unintended surgical action has been initiated. As described in more detail in this document, a pulse width modulation circuit, such as pulse width modulation circuit 6022, for example, may run the test segment during an initial portion of a surgical action.

[0316] As discussed above, the motor control can be configured to use pulse width modulation to operate the 6004 motor. In many instances, the motor controller can use equal pulse width modulation for the primary coil set. 6006 and secondary coil pack 6008, for example. In other instances, the motor controller may use a first pulse width modulation signal for the primary coil set 6006 and a second or different pulse width modulation signal for the secondary coil set 6008. In some cases, the motor controller may use a pulse width modulation signal for one of the coil sets 6006, 6008 but not the other. Furthermore, the knowledge discussed here can be adapted for motors with two or more sets of coils. For example, the motor controller may use a plurality of pulse width modulation signals to operate a plurality of sets of coils.

[0317] In various embodiments, the motor can be a brushed DC motor or a brushless DC motor, for example. In certain embodiments, the motor may be a stepper motor, such as a hybrid stepper motor, for example. Stepper motors can provide speed control, so an encoder is not needed. Eliminating the encoder can reduce cost and/or engine coma, for example. Referring to Figures 69 and 70, the motor may be a simplified stepper motor. For example, the motor may comprise four electromagnetic poles spaced around the perimeter. Referring now to Figures 71 to 74(c), the motor may be a hybrid stepper motor. The hybrid stepper motor may comprise permanent magnets and electromagnets, for example.

[0318] Prior to the disclosed surgical instrument provisions, for example, the Zemlok '763 and Zemlok '344 used two separate engines. A motor is used, for example, to advance the drive member distally through the loading unit, which results in closing the anvil, cutting tissue and firing staples from the staple cartridge resting on the loading unit. The other motor is used to pivot the loading unit around the pivot joint. Further details relating to the engines used in the articulated loading unit arrangements are also disclosed in US Patent No. 7,431,188, the entire description of which is incorporated herein by reference. The use of two motors in such devices can add to the complexity and add to the overall cost of the surgical instrument. For example, such arrangements can double the number of retraction systems and other mechanisms that can fail during use. The surgical instrument 810 depicted in Figures 29 to 31 utilizes a single motor that can be selectively employed to trigger and pivot a surgical end actuator configured to perform at least one surgical procedure in response to triggering motions applied thereto.

[0319] In at least one way, for example, the 810 surgical instrument may utilize many of the same components used in the various surgical instruments described in detail in this document. For example, surgical instrument 810 includes a cabinet 12 that operatively supports a motor 100 therein that is configured to generate rotary actuating motions. Motor 100 is operatively coupled to a gear set 820 which has a selectively positionable drive coupler assembly 840 associated therewith, which will be described in more detail below. Surgical instrument 810 may additionally include an articulated system, generally designated 859, which operatively interfaces with the elongate shaft assembly for application of articulation movements to the surgical end actuator. In one form, for example, the linkage system 859 may include a linkage activation mechanism, generally designated 860, which may be substantially similar to the linkage activation mechanisms disclosed in Zemlok '763 and/or Zemlok '344 and/or patent. US No. 7,431,188, except for the differences discussed here. For example, cabinet 12 may include a cylinder portion 90 which has a pivot member 92 mounted thereon. Swivel member 92 may interface with a proximal end of an elongate shaft assembly to facilitate rotation of the elongate shaft assembly with respect to housing 12. Swivel member 92 may operatively support a pivot knob and a sliding clutch arrangement, as disclosed in US Patent No. 7,431,188. A main pivot gear 94 of the arrangement is represented by dotted lines in Figures 29 and 30. The main pivot gear 94 may be connected to the main shaft 95 by a slip clutch, as described in the aforementioned U.S. Patent No. 7,431,188 of so that rotation of the main pivot gear 94 will result in corresponding rotation of the main shaft 95. As described in more detail in the present disclosure, a pivot knob can serve as a pivot position indicator. Main shaft 95 operatively interfaces with a J-channel member 96 which operatively interfaces with the proximal end of a hinge coupling assembly 97. In one way, the hinge coupling assembly 97 may comprise a proximal hinge coupling 98 which interfaces with pivot coupling 70 (Figure 3) on loading unit 20.

[0320] The linkage mechanism 860 may additionally include a linkage drive train arrangement 870 that operatively interfaces with the main linkage gear 94 and drive coupler assembly 840. As can be seen in Figures 29 and 30, the linkage arrangement Linkage drive train 870 may include a linkage drive shaft 872 that is attached to an output of the drive coupler assembly 840, as will be discussed in more detail below. A first articulation drive gear 873 is secured to the articulation drive shaft and is in meshed engagement with a center gear race 875 on a second articulation transfer gear 874 which is rotatably supported on swivel member 92. Thus, rotation of the first pivot drive gear 873 results in the rotation of the second center pivot transfer gear 874. As can be further seen in Figures 29 and 30, a "third" pivot shaft gear 877 is mounted on a second pivot shaft 876 which has a "fourth" pivot worm gear 878 in it. The third pivot shaft gear 877 is in meshed engagement with the second center pivot transfer gear 875 such that rotation of the first pivot drive gear 873 ultimately results in the rotation of the third pivot shaft gear 877 and second pivot shaft 876. Fourth pivot worm gear 878 is in meshed engagement with main pivot gear 94 such that rotation of fourth pivot worm gear 878 results in rotation of the gear linkage drive shaft 94 and, finally, the application of linkage movements to the linkage coupling assembly 97. As will be discussed in more detail below, the linkage drive shaft 872 is rotated by the motor 100 when the coupler assembly drive 840 is in a linkage control orientation.

[0321] As can be seen in Figure 31, the motor 100 is operatively coupled to the gear set 820. The gear set 820 may include a gearbox housing 822 which is coupled to the motor 100. For example, the gearbox housing 822 may be coupled to motor housing 101 by screws 103 or other mechanical latches and/or latch arrangements. Gear set 820 may comprise a planetary gear arrangement 821 that is operatively coupled to motor shaft 107. In one arrangement, for example, a ring gear 823 may be formed on the inner surface of the gearbox housing 822. Primary sun gear 821 is coupled to motor shaft 107. Primary sun gear 821 is in meshed engagement with a plurality of first planetary gears 825 that are supported on a first planetary gear loader 824 so that they are also in meshed engagement with the ring gear 823. A first sun gear 826 may be formed or otherwise attached to the first planetary gear loader 824 and is in meshed engagement with a plurality of second planetary gears 828 that are supported on a second planetary gear loader 827 The 828 second planetary gears are also supported in the meshing gear with the gear. ring gear 823. A second sun gear 829 is formed or otherwise attached to the second planetary gear carrier 827 and can be supported in meshing engagement with a plurality of third planetary gears 831. Third planetary gears 831 are also supported in a third gear loader 830 and are supported in engagement meshing with ring gear 823. A third center gear 833 is formed or otherwise attached to a shaft extension 832 on third planetary gear magazine 830 and is in meshing engagement with a plurality of fourth planetary gears 835 which are attached to a coupler gear comprising a fourth planetary gear loader 834 which is rotatably supported on the shaft extension 832. In addition, a thrust bearing 836 is displaceable in the shaft extension 832 between the fourth planetary gear loader 834. The fourth planetary gears 835 are in in mesh with output shaft assembly 850 which is rotatably supported by gearbox housing 822. A second thrust bearing 836 may be supported between fourth planetary gears and output shaft unit 850, as seen in Fig. Figure 30. Fourth planetary gears 835 are supported in meshed engagement with a sort of internal gear 854.

[0322] In the illustrated embodiment, the output shaft unit 850 is operatively coupled to a clutch 230 of the type and construction disclosed in Zemlok '763, which is incorporated herein by reference in its entirety. Further details on the construction and operation of said clutch 230 may be obtained from the publication. In an alternative embodiment, however, the clutch 230 may be replaced with a shaft-to-shaft coupler or sleeve arrangement that serves to facilitate coupling of the output shaft unit 850 directly to the steer tube 102.

[0323] Again with reference to Figure 31, a primary pivot drive gear 837 is attached to the pivot drive shaft 872 and is in meshed engagement with an outer gear ring 838 on the fourth planetary gear carrier 834. In various forms, drive coupler assembly 840 may additionally include a coupler selector member 842 that is movably coupled or otherwise movably supported by gearbox housing 822 or other portion of cabinet 812. In at least one arrangement , coupler selector member 842 may be formed of a first drive shaft retainer portion 844 and a first pivot shaft retainer portion 846. The first drive shaft retainer portion 844 comprises a grooved, roughened, etc. area. which is configured to non-movably engage a second portion of the drive shaft retainer 845 on the output shaft assembly 850. Similarly, the first portion of the pivot shaft retainer 846 comprises a grooved, roughened, etc. area. which is configured to non-movably engage a second portion of the pivot shaft retainer 847 on the fourth planetary gear loader 834.

[0324] The operation of the coupler assembly 840 can be understood from the reference to Figures 29 and 30. As can be seen in Figure. 29, the coupler selector member 842 is rotated to the pivot position, wherein the first portion of the pivot shaft retainer 846 is in non-movable engagement with the second portion of the pivot shaft 847 on the output shaft assembly 850. When in this position, the output shaft unit 850 is prevented from rotating about the longitudinal axis LA-LA. Thus, when in this position, the operation of the motor 100 results in the rotation of the third center gear 833 which is in meshed engagement with the fourth planetary gears 835. The rotation of the fourth planetary gears 835 will result in the rotation of the fourth planetary gear loader 834, which can rotate freely. Such rotation of fourth planetary gear loader 834 will also result in rotation of primary pivot gear 837 which is coupled to pivot drive shaft 872. Rotation of pivot drive shaft 872 will cause first pivot drive gear 873 rotate and steer the second linkage transfer gear 874. Rotation of the second linkage transfer gear 874 results in the rotation of the third linkage transfer gear and fourth linkage worm gear 878. Rotation of the fourth linkage transfer gear 878. pivot worm thread 878 will drive main pivot gear 94 which will result in axial pivot movements being applied to pivot couplings 97, 70 which ultimately results in the load unit 20 pivoting around the joint articulated. Rotation of the motor drive shaft 107 in a first rotary direction will result in the loading unit pivoting in a first pivot direction and rotation of the motor drive shaft 107 in an opposite rotary direction will result in the loading unit pivoting in a first pivot direction. a second hinge direction that is opposite to the first hinge direction.

[0325] As can be seen below in Figure. 30, coupler selector member 842 is rotated to the targeting or firing position, with the first portion of the drive shaft retainer 844 being in non-movable engagement with the second portion of the drive shaft retainer 845 in the fourth loader. planetary gear 834. When in this position, the fourth planetary gear loader 834 is prevented from rotating about the longitudinal axis "LA-LA". Thus, when in this position, operation of motor 100 results in third center gear 833 rotating. Third center gear 833 is in mesh engagement with fourth planetary gears 835 supported on fourth planetary gear loader 834. As fourth planetary gear loader 834. planetary gear 834 is prevented from rotating by virtue of non-movable engagement between the first pivot shaft retainer portion 846 and the second pivot shaft retainer portion 847 in the fourth planetary gear loader 834, the rotation of the fourth planetary gears 835 will result in rotation of the output shaft unit 850. The output shaft unit 850 may be coupled to the steering tube 102 by the clutch assembly 230 or by a direct coupling. Thus, rotation of output shaft unit 850 results in rotation of drive tube 102. As discussed earlier, rotation of drive tube 102 results in axial movement of the firing rod (not shown in Figure 31). Rotation of motor drive shaft 107 in a first rotational direction will result in distal advancement of the trigger rod and rotation of motor drive shaft 107 in an opposite rotational direction will result in proximal movement of the trigger rod. In various embodiments, closing the jaws of the loading unit 20, e.g. turning the anvil assembly 22 relative to the loader 24, can couple and/or uncouple the motor 100 in the articulated system and/or firing system of the surgical instrument. 10. For example, closing the anvil assembly 22 with respect to the magazine 24 may decouple the motor 100 from the articulation system, e.g., the articulation drive shaft 872, and may couple the motor 100 to the trigger system, e.g. , output shaft unit 850. Furthermore, opening the anvil assembly 22 with respect to the magazine 24 can decouple the motor 100 from the firing system and can couple the motor 100 to the linkage. In such embodiments, the motor 100 can affect the articulation of the loading unit 20 when the loading unit 20 is open and the motor 100 can affect the firing of the firing rod when the loading unit 20 is closed. Surgical instrument 10 may include a sensor and/or selector, for example. In certain embodiments, the sensor may detect the closing of the jaws of the loading unit 20. In addition, the sensor may be in signal communication with the selector, such as the selector member of coupler 842. The selector may engage and/or decouple the motor 100 in the articulated system and/or firing system when the anvil assembly 22 opens and/or closes with respect to the magazine 24, for example. Various motor-equipped surgical instruments utilizing the various drive coupler arrangements disclosed herein may represent vast improvements over earlier motor-equipped surgical instruments that utilize multiple motors to pivot the end actuator and trigger the end actuator drive member.

[0326] For example, at least one surgical instrument comprises an elongated axis assembly that defines a longitudinal tool axis. A surgical end actuator may be coupled to the elongate shaft assembly for selective articulation therewith. The surgical end actuator configured to perform at least one surgical procedure in response to trigger motions applied to it. An articulated system can operatively interface with the elongated shaft assembly for application of articulation movements on the surgical end actuator. A trigger member assembly can operatively interface with the elongate shaft assembly for applying triggering motions to the surgical end actuator. The surgical instrument further comprises a motor which is configured to generate rotary actuation movements. A drive coupler assembly can interface with the engine and the articulation system so that when the drive coupler assembly is in a first configuration, the operation of the engine will result in the application of activation motions to the articulation system, resulting in the articulation of the drive coupler. surgical end actuator relative to the longitudinal tool axis, and when the drive coupler assembly is in a second configuration, motor operation will result in activation motions being applied to the firing member assembly, causing the trigger assembly to triggering member apply at least one of the triggering motions on the surgical end actuator.

[0327] Another example of a surgical instrument may comprise a handle that has an elongated shaft assembly that is operatively coupled thereto, defining the longitudinal tool axis. A load unit may be operatively coupled to the elongate shaft assembly and may be configured to serve and clamp the tissue in response to firing motions applied thereto. The loading unit can be configured to be selectively pivoted with respect to the longitudinal tool axis around the pivot joint. The surgical instrument may further comprise a swivel system that includes a swivel coupling assembly that is supported by the elongate shaft assembly and is configured to operatively interface with a portion of the swivel joint on one of the elongate shaft and loading unit assemblies. A linkage activation mechanism can be supported by the handle and interface with the linkage coupling assembly to apply linkage activation movements for this purpose. The surgical instrument may further comprise a triggering member assembly that operatively interfaces with the loading unit to apply triggering motions for this purpose. A motor can be operationally supported by the cable and configured to generate rotary drive motions. A drive coupler assembly can interface with the engine and linkage activation mechanism so that when the drive coupler assembly is in a first configuration, engine operation will result in activation motions being applied to the linkage system, resulting in at the articulation of the loading unit with respect to the longitudinal tool axis, and when the drive coupler assembly is in a second configuration, motor operation will result in activation motions being applied to the firing member assembly, causing the firing member assembly apply at least one of the firing moves on the loading unit.

[0328] Yet another example of a surgical instrument may comprise an elongated axis assembly that defines the axis of the longitudinal tool. A surgical end actuator may be coupled to the elongate shaft assembly for selective articulation therewith. The surgical end actuator configured to perform at least one surgical procedure in response to trigger motions applied to it. An articulated system can operatively interface with the elongated shaft assembly for application of articulation movements on the surgical end actuator. A trigger member assembly can operatively interface with the elongate shaft assembly for applying triggering motions to the surgical end actuator. A motor can be configured to generate rotary activation motions. The surgical instrument may further comprise means for selectively applying an output movement of the motor to each of the linkage system and triggering member assembly.

[0329] In certain motor-driven surgical instruments, a motor may provide tactile feedback to the operator of the surgical instrument. For example, the rotation of the motor can generate movement or vibrating noise, which can depend on the direction and/or speed of the motor rotation, for example. However, multiple motors can generate minimal noise and thus tactile feedback to the surgeon may be limited and/or may not be desired by the surgeon. For example, various engine and/or transmission design modifications and/or optimizations can reduce tactile noise generated by the engine and/or transmission. In such embodiments, it may be advantageous to modify the motor and/or gear set operably coupled to the motor to generate artificial, or intentional, tactile feedback and/or other sensory feedback. In certain embodiments, the surgical instrument can communicate feedback to the surgeon without requiring the surgeon to look away from the surgical site. For example, the motor and/or gears can generate tactile and/or audible feedback for communication with the surgeon. In such modalities, the operator does not need to look at a display screen, for example, to check the operational status or condition of the surgical instrument. As described in more detail in the present invention, the surgical instrument may communicate the rotational direction of the motor, for example, which may correspond to the firing direction of the firing member and/or the pivoting direction of the loading unit, for example. Additionally or alternatively, the surgical instrument may communicate the velocity and/or position of the firing member during a firing stroke, for example, and/or velocity and/or degree of articulation of the loading unit, for example.

[0330] In various embodiments, as described in more detail in the present invention, a motor may be operatively coupled to a firing assembly and/or linkage assembly. Referring to Figure 168, motor 7010 can drive motor shaft 7014, which can engage a gear set 7020, for example. In various embodiments, a key, such as key 7016 on motor shaft 7014, may engage a portion of gear set 7020. In certain embodiments, gear set 7020 may include discs 7022, 7024, for example, which may be structured to rotate or rotate along with the motor shaft 014 when engaged with it via the key. For example, the first disk 7022 may include a groove (not shown). In addition, a first key (not shown) extending from the motor shaft 7014 may engage the groove of the first disc 7022 so that the first disc 7022 rotates clockwise (CW) when the motor shaft 7014 rotates clockwise. CW and rotates counterclockwise (CCW) when the motor shaft 7014 becomes CCW. In at least one embodiment, the first key may remain engaged in the groove of the first disc 7022 throughout the operation of the surgical instrument and/or motor thereof.

[0331] In certain embodiments, the first disk 7022 can be balanced with respect to its axis of rotation along the axis of the motor 7014. Still referring to Figure 168, a mass, such as mass 7026, for example, can extend from the first disk 7022 and may shift the center of mass of first disk 7022 away from the axis of rotation of first disk 7022. For example, mass 7026 may extend in the opposite direction of the motor axis 7014 and/or away from the perimeter of the first disk 7022. In other words, the mass 7026 may disturb the balance of the first disk 7022, result in a rotational imbalance of the first disk 7022, and thus generate a centrifugal force when the first disk 7022 rotates with the motor shaft 7014. Consequently, the rotation of the first disk 7022 and mass 7026 can generate tactile feedback, such as vibration or oscillation of the surgical instrument cabinet and/or cable compartment, for example. The tactile feedback can correspond to an operational state or condition of the surgical instrument. In addition, the tactile feedback generated by the rotation of the first disk 7022 and mass 7026 may depend on the rotational speed of the motor shaft 7014. In such embodiments, the firing speed and/or articulation speed may also be communicated to the surgeon, by example. For example, the first disk 7022 can generate tactile feedback at a higher frequency when the motor shaft 7014 is rotated faster and at a lower frequency when the motor shaft 7014 is rotated more slowly.

[0332] Similar to the first disk 7022, in certain embodiments, the second disk 7024 can be balanced with respect to its axis of rotation on the axis of the motor 7014. Still referring to Figure 168, however, a mass, such as mass 7028 , for example, may extend from the second disk 7024 and may displace its center of mass. For example, mass 7028 can extend away from the axis of motor 7014 and/or away from the outer perimeter of second disc 7024. In other words, mass 7028 can upset the balance of second disc 7024, resulting in a rotational imbalance of the second disk 7024 and thus generate a centrifugal force when the second disk 7024 rotates with the shaft of the motor 7014. Consequently, the rotation of the second disk 7024 and mass 7028 can generate tactile feedback such as vibration or oscillation of the surgical instrument cabinet and/or cable compartment, for example. The tactile feedback can correspond to an operational state or condition of the surgical instrument. In addition, the tactile feedback generated by the rotation of the second disk 7024 and mass 7028 may depend on the rotational speed of the motor shaft 7014. In such embodiments, the firing speed and/or articulation speed may also be communicated to the surgeon, by example. In various embodiments, the first and/or second discs 7022, 7024 may include additional masses, similar to masses 7026 and/or 7028, for example, which may additionally contribute to the tactile response of the surgical instrument cabinet and/or cable compartment. , for example. Furthermore, in some embodiments, the motor shaft 7014 may operatively engage with additional and/or different discs of the gear set 7120 to selectively generate additional and/or different tactile feedback.

[0333] Still referring to Figure 168, a second disc 7024 may include an inner perimeter 7026. In various embodiments, a second key 7016 may extend from the motor shaft 7014 and may operatively engage with the second disc 7024 across the perimeter Inner perimeter 7030. Inner perimeter 7030 may include a plurality of planar surfaces 7032 and a plurality of arcuate surfaces 7034 between adjacent planar surfaces 7032, for example. Each pair of planar and arcuate surfaces 7032, 7034 may define a groove, which may be structured to receive the second key 7016. In certain embodiments, when the key 7016 rotates in a first direction, the key 7016 may be in a boundary position with the planar surface 7032 and is secured and/or held in a groove of the second disk 7024. In such an arrangement, the second disk 7024 may rotate in the first direction along the axis of the motor 7014. Also, in certain embodiments, when the key 7016 rotates in a second direction opposite to the first direction, key 7016 may rotate past arcuate surfaces 7034 and may become trapped and/or held in grooves on inner perimeter 7030. In other words, key 7016 may rotate relative to second disk 7024 In such an arrangement, the motor shaft 7014 can rotate in the second direction with respect to the second disc 7024. Consequently, the key 7016 can only engage the second disc 7024 and cause the second disc 7024 to rotate when the 7014 motor shaft rotates in the first direction. In certain embodiments, the first direction may correspond to a CW rotation, and in other embodiments, the first direction may correspond to a CCW rotation.

[0334] As described here, as the engagement of the second disc 7024 may depend on the rotational direction of the motor shaft 7014, the second disc 7024 may only rotate when the motor shaft 7014 rotates in one direction, such as when the motor 7010 drives the member trigger in one direction and/or rotate the charging unit in one direction. For example, the second disk 7024 can rotate only when the motor 7010 retracts the firing member or rotates the CW charging unit, for example. Such selective engagement of the 7024 second disc can affect the tactile feedback generated by the surgical instrument. In other words, different and/or greater tactile feedback may result based on selective engagement of the second disk 7024. For example, in embodiments in which the second disk 7024 rotates only when the motor 7010 rotates to retract the firing member, a More tactile feedback can be generated during retraction than during advancement of the triggering member. During retraction, the second disk 7024 can also contribute to the generation of tactile feedback, which can result in a summation of feedback forces. In such embodiments, the increased tactile feedback generated by the first and second discs 7022, 7024 can communicate to the surgeon that the triggering member is being retracted by the motor 7010. In various embodiments, in view of the foregoing, only the first disc 7022 can be rotated when the motor shaft 7014 is rotated in one direction and both discs 7022, 7024 can be rotated when the motor shaft 7014 is rotated in the opposite direction. In this way, disks 7022, 7024 can generate different feedback when the motor shaft 7014 is rotated in different directions.

[0335] Now referring to Figure 169, in certain embodiments, the motor 7010 may drive the motor shaft 7014, which may engage a gear set 7120. In various embodiments, a key such as key 7016 on the shaft of motor 7014 , for example, can engage gear set 7120. Similar to gear set 7020, gear set 7120 can include a plurality of discs, such as first disc 7122 and second disc 7124. First and second discs 7122 , 7124 can be structured to rotate or rotate with the 7014 motor shaft when selectively engaged therewith via a key. For example, the first disk 7122 may include a groove (not shown). Additionally, a first key (not shown) extending from motor shaft 7014 may engage the groove of first disc 7122 so that first disc 7122 rotates with motor shaft 7014. In certain embodiments, the first key may be of the type not disengaging from the groove of the first disc 7122 during use. The second disc 7124 may include an inner perimeter 7130, similar to the inner perimeter 7030 of the second disc 7024, for example. The inner perimeter 7130 may comprise a plurality of planar surfaces 7132 and a plurality of arcuate surfaces 7134. As described herein with respect to Figure 168, the key 7016 may selectively engage and disengage from the inner perimeter 7130 of the second disk 7124 depending on the direction. rotational rotation of the motor shaft 7014. For example, when the motor shaft 7014 rotates in a first direction, the key 7016 may engage a second disc 7124 causing the second disc 7124 to rotate with the motor shaft 7014. Also, when the motor shaft 7014 rotates in a second direction, the key 7016 may remain disengaged from the second disk so that the key 7016 may rotate with respect to the second disk 7024 within the inner perimeter 7130 thereof.

[0336] In various embodiments, the first disk 7122 may include at least one collector 7126 and the second disk 7124 may also include at least one collector 7128. When the disks 7122, 7124 rotate, the collectors 7126, 7128 may target elements of a generator of 7140. For example, collectors 7126, 7128 can target clickers 7142, 7144 of audible feedback generator 7140. In various embodiments, collector or collectors 7126 of first disk 7122 can reach and deflect the first clicker 7142 when the first disk 7122 rotates, and the collector or collectors 7128 of the second disk 7124 can reach and deflect the second clicker 7144 as the second disk 7124 rotates. The impact and deflection of clickers 7142, 7144 can cause clickers 7142, 7144 to resonate and generate a beep. In other words, the rotation of the first and second disks 7122 can generate audible feedback. Furthermore, the rotational speed of the spinning disks 7122, 7124 and/or the number and arrangement of collectors that the second disk extends from the first and second disks 7122, 7124 can affect the frequency of the beeps. In such embodiments, the motor speed and corresponding firing speed of the firing element and/or loading unit velocity linkage can be communicated to the surgeon, for example.

[0337] Referring primarily to Figures 170 and 171, in various embodiments, the geometry of collectors 7126, 7128 can affect the sound signals generated by the generator, referring primarily to Sound Figure 7140. For example, collectors 7126, 7128 may, each include a dampened surface 7150 and a damped surface 7152. The dampened surface 7152 can include a planar surface, for example, and the damped surface 7152 can include an arcuate surface, for example. In various embodiments, when the undamped surface 7150 of the collector 7126 rotatably guides the damped surface 7152 of the collector 7126 (Figure 170), the resonance of the clicker 7142 may be damped and/or interrupted by the damped drag surface 7152 of the collector 7126. For example, the arcuate geometry of the damped surface 7152 may contact the deflected clicker 7126 to prevent and/or constrain the vibration or resonance of the clicker 7126. On the other hand, when the damped surface 7152 of the collector 7126 swivel guides the undamped surface 7150 of the collector 7126 (Figure 171), clicker resonance 7142 may not be damped by the undamped surface 7150 of the collector 7126. For example, the planar geometry of the undamped surface 7150 may prevent and/or or limiting contact with deflected clicker 7126 so that clicker 7126 resonance is allowed and/or restricted. In other words, the rotational direction of the disks 7122, 1724 and associated collectors 7126, 7128 can affect the sound feedback generated by the surgical instrument. Consequently, the operator of the surgical instrument can be informed of the operating status of the surgical instrument during use and without requiring the surgeon to look away from the surgical site. For example, beeps may be muffled when the triggering member is retracted and may not be muffled when the triggering member is advanced. In other embodiments, the beeps may be muffled when the triggering member is advanced and may not be muffled when the triggering member is retracted. Also, in some embodiments, the damped beeps may correspond with the load unit pivot in one direction and the undamped beeps may correspond with the load unit pivot in the other direction, for example. In various embodiments, at least one audible feedback generator may be used alone and/or in combination with at least one tactile feedback system. Furthermore, in various embodiments, at least one tactile feedback generator may be used alone and/or in combination with at least one audible feedback generator. Audible feedback and tactile feedback can communicate different operating conditions to the surgeon and/or provide duplicate feedback to the surgeon regarding the same operating conditions, for example.

[0338] In various embodiments, the surgical instrument can generate feedback when the triggering element approaches and/or reaches the end of the triggering stroke and/or when the loading unit approaches and/or reaches the articulation limit. In various embodiments, such feedback may be different from and/or in addition to feedback generated during the firing stroke and/or when the loading unit is pivoted. Consequently, the surgical instrument may notify the operator that the firing stroke is nearly complete and/or completed, for example, and/or may notify the operator that the loading unit is nearing the articulation limit and/or has reached the articulation limit.

[0339] Now referring to Figure 172, motor 7010 and motor shaft 7014 can be operationally engaged with gear set 7120 as described in more detail above. In addition, discs 7122, 7124 of gear set 7120 may contact the audible feedback generator 7240, which may be similar to the audible feedback generator 7140, for example. For example, collectors 7126, 7128 on disks 7122, 7124 can deflect clickers 7242, 7244 of audible feedback generator 7240 causing clickers 7242, 7244 to resonate and generate audible feedback. In addition, the audible feedback generator 7240 can move or translate with respect to the gear set 7120. As described in more detail below, the audible feedback generator 7240 can selectively move in and/or out of engagement with the clickers. 7242, 7244 on disks 7122, 7124 to selectively generate the beeps. In other embodiments, the motor, gear set, and/or the discs thereof may move such that the disc collectors are selectively moved in and/or out of engagement with the clickers of an audible feedback generator to selectively generate sound signals.

[0340] In various embodiments, the 7240 sound feedback generator can translate into the surgical instrument as the triggering member moves during a triggering stroke. For example, at the start of the trigger stroke, the audible feedback generator 7240 may be misaligned with the collectors 7126, 7128 of the disks 7122, 7124. Also, as the trigger member moves distally and/or approaches the end of the firing stroke, the audible feedback generator 7240 may move toward and/or in alignment with the collectors 7126, 7128 of the disks 7122, 7124. In such embodiments, the audible feedback generator 7240 may generate audible feedback when the firing member is near and/or at the end of the firing stroke. Referring to Fig. 173, for example, the feedback generator can generate feedback when the firing member is within a range of positions near and/or at the end of the firing stroke, for example, to communicate the position of the firing member. to the surgeon. In such embodiments, the surgical instrument can communicate the end of the trigger stroke to the operator. For example, referring again to Figure 172, at least one collector 7126, 7128 can be aligned with at least one clicker 7242, 7244 as the trigger member approaches the distal end of the trigger stroke. At this time, the surgical instrument can generate feedback to communicate the position of the triggering member to the surgeon. When each collector 7126, 7128 is aligned with one of the clickers 7242, 7242, greater and/or different feedback can be communicated to the surgeon. Furthermore, as the trigger member is retracted, at least one collector 7126, 7128 may again be misaligned with a clicker 7242, 7244 so that reduced and/or different feedback is communicated to the surgeon. Accordingly, as the feedback generator moves through the trigger stroke, the feedback generator may communicate variable feedback to the operator based on the position of the trigger member. In addition, gear set 7120 may include additional discs and/or collectors, which may move in and/or out of engagement with the audible feedback generator 7240 and/or the audible feedback generator 7240 may include additional clickers , which can move in and/or out of engagement with the collectors. In various embodiments, an audible feedback generator can communicate alternate and/or additional firing member positions to the surgeon. For example, a sonic feedback generator may communicate sonic feedback at the midpoint and/or incremental points along the length of the firing and/or retracting trajectory.

[0341] Now referring to Figures 174 and 175, a mobile feedback generator can also be used to communicate the joint limit of the loading unit to the surgeon. For example, the audible feedback generator 7240 shown in Figure 172, for example, can translate as the loading unit pivots. For example, when the loading unit is in a disjointed configuration, the audible feedback generator 7240 may be misaligned with the collectors 7126, 7128 of the disks 7122, 7124. Also, as the loading unit pivots, the audible feedback 7240 may travel toward and/or in alignment with collectors 7126, 7128 of disks 7122, 7124. In such embodiments, audible feedback generator 7240 may generate audible feedback when the charging unit is near and/or at the joint limit. For example, with reference again to Figures 174 and 175, for example, the feedback generator can generate feedback when the firing member is within a range of positions near and/or at the end of the firing stroke to communicate the position of the member. trigger to the surgeon. In such embodiments, the surgical instrument can communicate the joint limit to the operator. For example, referring again to Figure 172, at least one collector 7126, 7128 can be aligned with at least one clicker 7242, 7244 as the loading unit approaches its hinge limit, for example, approaches forty-five degrees. At this time, the surgical instrument can generate feedback to communicate the position of the triggering member to the surgeon. When the loading unit is near and/or at the articulation limit, each collector 7126, 7128 can be aligned with one of the clickers 7242, 7244 and greater and/or different feedback can be communicated to the surgeon. In addition, as the loading unit is pivoted back toward the neutral, non-hinged position, at least one collector 7126, 7128 may again be misaligned with a clicker 7242, 7244 so that reduced and/or different feedback is communicated to the surgeon. Consequently, as the feedback generator moves through the triggering stroke, the feedback generator may communicate variable feedback to the operator based on the configuration of the loading unit.

[0342] In various embodiments, it may be advantageous to protect certain components of a surgical instrument from contact with fluids. For example, unintentional contact with a bodily fluid during use can damage the surgical instrument and may limit and/or shorten the life of the surgical instrument. In addition, it may be advantageous to protect certain components of a surgical instrument from contact with fluids during sterilization. For example, unintentional contact with a sterilizing and/or cleaning fluid can damage the surgical instrument and may prevent and/or limit the reusability of the surgical instrument. In various embodiments, certain components of a surgical instrument may be sealed and/or protected from contact with fluids. For example, the electronics of the surgical instrument can be sealed in epoxy to protect against fluids. The moving components of the surgical instrument, such as the motor portions and/or gear set, for example, can also be sealed and/or protected from contact with fluids. Such a seal can accommodate the rotation of various moving components, for example. Furthermore, in various embodiments, such a seal may also facilitate heat transfer so that heat generated during operation of the surgical instrument is more effectively dissipated.

[0343] Now with reference to Figures 185 and 186, in certain embodiments, a motor 7510 and/or a gear set 7520 can be given and/or protected from fluids during use and/or during sterilization treatments. Motor 7510 can be similar to motor 100, for example, and gear set 7520 can be similar to gear set 170, for example. To seal and protect the 7510 motor, a motor enclosure, such as a rubber sleeve, for example, can be positioned around the 7510 motor within the enclosure 12 (Figure 1) of surgical instrument 10 (Figure 1). Such a rubber sleeve can limit heat transfer from the 7510 engine and the 7510 engine can be prone to overheating. In other embodiments, again referring to Figures 185 and 186, the motor housing may comprise a clamshell cover 7516, for example, which can be positioned around the motor 7510. In various embodiments, the dome-shaped cover shell 7516 may include at least two portions, which may be hinged and/or clamped together, for example. The 7516 clamshell cover can allow rotation of the 7510 motor and/or motor shaft. Additionally, in certain embodiments, the clamshell cover 7516 may facilitate heat transfer from the engine 7510 of the present invention. A contact arrangement 7512 (Figure 186), similar to contact arrangement 210, for example, may be used to supply electrical current to the motor 7510. Contact arrangement 7512 may include positive and negative annular contacts 7514a, 7514b (Figure 7514b). 186), for example, which can operatively connect to the fixed positive and negative contacts 7518a, 7518b (Figure 186) held by the clamshell cover 7516, for example. In addition, the clamshell cover 7516 may include an annular seal or trim 7519, which may be in a boundary position with the perimeter of the 7510 engine and the engine seal 7510 and contact arrangement 7512 within the clamshell cover 7516 , for example. In certain embodiments, the clamshell cover 7516 can comprise a metallic material, which can facilitate heat transfer from the engine 7510, for example, and can prevent overheating and/or damage to the engine 7410.

[0344] Still referring to Figures 185 and 186, the gear set 7520 can also be sealed and/or protected against fluids during use and/or sterilization. For example, the gasket 7522 can be positioned between the engine 7510 and the gear set housing 7520 so that the motor 7510 and the gear set 7520 form a fluid-tight seal. In addition, the sealing sleeve 7530 may be positioned around the housing of the gear assembly 7520. The sealing sleeve 7530 may include a lip 7536, which may be in a boundary position to the clamshell cover 7516 and/or motor 7510 to provide a fluid-tight seal between them. The sealing sleeve 7530 may also include an opening 7532 for an output shaft 7524. For example, the output shaft 7524 of the gear set 7520 may extend through the aperture 7532 and the fins 7534 may extend towards the input shaft. outlet 7524 to provide a fluid-tight seal while still allowing rotation of the outlet shaft 7524 within opening 7532. In various embodiments, sealing sleeve 7530 and/or lips 7536, gaskets and/or fins 7534 thereof may comprise rubber and/or other material suitable for forming a fluid-tight seal. In various embodiments, a mounting bracket or motor retainer 7540, similar to retainer 190, for example, can hold the sealed gear assembly 7520 and motor 7510 within the cabinet 12 (Figure 1) of surgical instrument 10 (Figure 1) .

[0345] Figures 32 to 37 illustrate another surgical instrument 910 which may include many of the features of the other surgical instruments disclosed herein. In at least one form, the surgical instrument 910 may include a hinge activation mechanism, generally designated 860, which may be substantially similar to the hinge mechanisms disclosed in Zemlok '763, Zemlok '344 and/or US Patent No. 7,431. 188, except for the differences discussed here. In other arrangements, the surgical instrument may include various forms of other joint activation mechanisms, as described here. As can be seen in Figure 32, the instrument 910 includes a cabinet 12 that may include a cylinder-shaped mounting portion 90 that has a swivel member 92 mounted thereon. Swivel member 92 interfaces with a proximal end of an elongate shaft assembly 16 to facilitate rotation of the elongate shaft assembly 16 with respect to the cabinet 12. Such an arrangement allows the clinician to selectively rotate the elongate shaft assembly 16 and the loading 20 (or other form of surgical end actuator) coupled thereto around the axis of the longitudinal tool "LA-LA". Swivel member 92 may be non-removably mounted to cylinder portion 90 or may be designed to be selectively separate therefrom.

[0346] As disclosed herein, depending on the type and/or construct of surgical end actuator used, it may be desirable to supply electrical current to the surgical end actuator. For example, the end actuator can use the sensors, lights, actuators, etc. that require electricity for activation. In such arrangements, however, the ability to rotate the surgical end actuator about the axis of the "LA-LA" longitudinal tool can be severely limited because the conductive system that carries the power to the surgical end actuator or charging unit through of an elongated shaft of an electrical power source can become strained and severely damaged - particularly in instances where the elongated shaft has been rotated by more than one revolution. Various surgical instruments disclosed herein may utilize a conductor management system commonly designated as 930 which can avoid such problems.

[0347] Again with reference to Figure 32, the surgical instrument 910 may be connected via an electrical power source 200. The electrical power source may, for example, be of the type described in more detail in Zemlok '763. For example, the electrical power supply 200 may comprise a rechargeable battery (e.g., lead-based, nickel-based, lithium-ion, etc.). It is also understood that the electrical power supply 200 may include at least one disposable battery. In at least one arrangement, for example, the disposable battery can be between 9 volts and about 30 volts. Figure 32 illustrates an example in which the electrical power supply 200 includes a plurality of battery cells 202. The number of battery cells used may depend on the actual charging requirements of the instrument 910. It is also conceivable that the electrical power supply may comprise an alternating current source available at the surgical site. For example, an external power cord and plug (not shown) can be used to carry alternating current from an outlet in the OR to various components, conductors, sensors, switches, circuits, etc. in the surgical instrument cabinet and/or end actuator. In other applications, surgical instrument 910 may obtain energy from, for example, a robotic system to which it is attached or associated.

[0348] As can be further seen in Figure 32, the conductor management system 930 may include a primary conductor member or metallic wire 932 that is coupled or interfaced with the electrical power source 200 of receiving power therefrom. Primary conductor member 932 is coupled to a coiled, coiled, and/or wound conductor assembly 934 which is supported on swivel member 92. In one arrangement, for example, spiral conductor assembly 934 may be formed or otherwise , comprises a tape-like conductor 936 that is spirally wound as shown, for example, in Figures 36 and 37. For example, the spiral conductor assembly 934 may be manufactured from a spiral wound conductor which may have attributes similar to a spiral wound spring such as a torsion spring. In one form, for example, conductor 936 may be wound in successive revolutions or wrapped as shown in Figures 36 and 37. In various arrangements, conductor 936 may be wrapped for one or more complete revolutions. For example, conductor 936 illustrated in Figures 36 and 37 is configured in more than four full revolutions.

[0349] In various forms, the conductor 936 has a first end 938 which can be attached, for example, to the cylinder portion 90 of the cabinet 12. In addition, the conductor 936 additionally has a second end 940 which is attached or otherwise , supported by swivel member 92 for rotational displacement therein. Thus, when rotating member 92 is rotated in a first rotational direction around cylinder portion 90, spiral wound conductor 936 is tightly wound. On the other hand, when rotating member 92 is rotated in a second rotational direction, the degree of tightness of spiral wound conductor 936 may be loosened. In those configurations where the swivel member 92 is detachably supported in the cylinder portion 90, the first end 938 of the spiral wound conductor 936 may be detachably supported in a slot or other mounting cavity 942 in the cylinder portion 90. See, for example, Figures 36 and 37. In addition, the primary conductor member 932 may be detachably coupled to the spiral conductor 934 by a connector assembly 933. In particular, the detachable connector assembly 933 may be used to coupling the primary conductor member 932 with the first end 938 of the spiral wound conductor 936 to facilitate removal of the rotating member 92 from the cylinder portion 90. In other arrangements described herein, when the rotating portion 92 is not intended to be removed from the cylinder portion, first end 938 of spiral wound conductor 936 may be non-removably affixed to cylinder portion 90 and primary conductor member 932 may be permanently affixed (e.g. welded) to the first end of spiral wound conductor 936.

[0350] The second end 940 of the spiral wound conductor 936 may be non-removably affixed to the swivel member 92 by adhesive mechanical retainers, snap-fits, etc. In alternative arrangements, the second end 940 of the spiral wound conductor 936 may be removably supported in a slot or other mounting feature provided on the swivel member 92 to facilitate separation of the spiral wound conductor 936 from the swivel portion 92. As seen in Figures 32 and 33, a second shaft conductor member 944 is attached to the second end 940 of the coiled cable assembly 934. The secondary shaft conductor member 944 may be supported on the swivel member 92 and extend through the assembly. elongate hollow shaft assembly 16. For example, subshaft driver member 944 may extend through elongate shaft assembly 16 to its distal end to interface with other conductors, sensors, electrical components, etc. associated with surgical end actuator, charging unit etc. fixed to the same. In this way, when the clinician rotates the swivel member 92 relative to the cabinet 12, the spiral conductor assembly 934, and more particularly the spiral wound conductor 936, will be wound into an even tighter spiral while facilitating the application of energy from the 200 power supply on surgical end actuator, charging unit, etc. If the clinician rotates the rotating member 92 relative to the cabinet 12 in an opposite direction, the spiral wound cable 936 will unwind a little while still facilitating the application of power from the electrical power source 200 to the various components, sensors, etc. on surgical end actuator, charging unit, etc.

[0351] As can be further seen in Figures 34 and 35, the conductor management system 930 may additionally include a rotation limiter assembly commonly referred to as 950. In at least one arrangement, for example, the threaded limiter assembly 950 includes a stop member 952 that is movably attached to swivel member 92 and is configured for threaded engagement with a threaded portion 99 on cylinder 90 of cabinet 12. Stopper 952 may include a pair of opposing tabs 954 that lie on either side of an axial fin portion 958 formed in the swivel member 92, as shown in Figure 33. Such an arrangement allows the stopper 952 to move axially within the swivel member 92 as the swivel member 92 is rotated in the cylinder portion 90 of the cabinet 12. Opposite end 960 of stop member 952 is configured for threaded engagement with threaded portion 99 of cylinder 90. A proximal locking wall extending through A space inside 962 of swivel member 92 and an inwardly extending distal locking wall 964 serve to define the displacement distance "TD" that stopper 942 can travel axially as swivel member 92 is rotated in cylinder 90.

[0352] Figure 33 illustrates the stopper 952 at approximately the midpoint between the proximal locking wall 952 and the distal locking wall 954. When in this position, rotation of the rotating member 92 in a first direction with respect to the cylinder portion 90 will result in in the axial displacement of the stopper in the distal direction "DD" until the stopper 952 contacts the distal locking wall 964, as shown in Figure 34. Likewise, rotation of the rotating member 92 in an opposite direction with respect to the portion of cylinder 90 results in axial displacement of stopper 952 in the proximal "PD" direction until it contacts the proximal locking wall 962 of swivel member 92. Such an arrangement thus limits the number of times swivel member 92 can be rotated completely around the cylinder portion 90 to prevent inadvertent damage to the spiral conductor assembly 934. For example, the stopper assembly 950 may enable the clinician to rotate the shaft assembly elongated, and more particularly, the rotating member 92 for at least one complete revolution, but not more than, for example, three complete revolutions around the cylinder portion 90 in either direction. However, the number of revolutions, or more particularly, the amount of rotational displacement of rotating member 92 in cylinder 90 can be adjusted by adjusting the magnitude of displacement distance "TD".

[0353] Figure 33 illustrates the stopper 952 in a "neutral" or "central" position with the stopper being centrally disposed between the proximal blocking wall 954 and the distal blocking wall 952. In at least one form, the elements 980 can be used to move stop 952 to the neutral position when the elongate shaft assembly 16 and swivel member 92 are in a corresponding neutral position. When the physician applies a pivoting motion to the pivot portion 92, the elongate shaft assembly 16 will pivot in the manner described above. However, when the application of pivoting motion to pivot member 92 and elongate shaft assembly 16 is discontinued, tilt elements 980 will return stopper 952 to the neutral position.

[0354] For example, at least one surgical instrument may comprise a cabinet which may include a swivel member which is supported on a mounting portion of the cabinet for rotation about it through a rotation band. An elongate shaft assembly defining a longitudinal tool axis may be operatively coupled to the rotating member for rotational displacement thereof about the longitudinal tool axis. The surgical instrument may further comprise an electrical power source and include a conductor management system. The conductor management system may comprise a coil conductor assembly that can be supported on the swivel member and may include a first conductor end that is secured to the mounting portion of the cabinet and a second conductor end that is secured to the swivel member. for rotation on it through the rotation range. The conductor management system may further comprise a primary conductor which may be supported within the cabinet and configured to transmit electrical power from the electrical power source to the coil conductor assembly. The shaft conductor may be coupled to the coil conductor assembly for transmitting electrical power to the distal end of the elongated shaft assembly.

[0355] Another example of a surgical instrument may comprise a cabinet that includes a swivel member that is supported on a mounting portion of the cabinet. The surgical instrument further comprises an elongate shaft assembly which defines a longitudinal tool axis and which is operatively coupled to the rotating member for rotational displacement thereof about the longitudinal tool axis. The surgical instrument may further comprise a source of electrical energy and means for transferring power from the source of electrical energy through a conductor extending through the elongate shaft assembly. The surgical instrument may further comprise means for limiting the amount of rotational displacement of the rotating member around the mounting portion to a range of rotational displacement comprising at least one complete revolution and no more than three complete revolutions around the mounting portion.

[0356] As disclosed in the present invention, an end actuator can be attached to a surgical instrument. As disclosed herein, the surgical instrument may comprise a triggering drive configured to trigger staples from an end actuator including a staple cartridge. Referring now to the exemplary embodiment shown in Figure 94, for example, the surgical instrument 9000 may comprise a handle 9010 including a housing, a gripping portion 9012, a triggering actuator 9014, and a motor positioned in the housing. Surgical instrument 9000 may further comprise shaft 9040, including trigger shaft 9020 which may be advanced distally and/or retracted proximally by the motor. In certain circumstances, an end actuator may comprise a distal portion that can pivot with respect to a proximal portion around the hinge joint. In other circumstances, an end actuator may not have a swivel joint. The surgical instrument may further comprise a pivot drive configured to pivot at least a portion of the end actuator. With reference to the exemplary embodiment shown in Figure 94, for example, surgical instrument 9000 may comprise a hinge actuator 9070 which may be configured to direct a distal portion of an end actuator around the hinge joint. The end actuator shown in Figure 94, that is, the 9060 end actuator, is not a swivel end actuator; however, a pivoting-end actuator could be used with the 9000 surgical instrument. If a non-pivoting-end actuator, such as the 9060-end actuator, for example, is used with the 9000 surgical instrument, operation of the 9070 pivoting actuator may not affect the operation of the 9060 End Actuator.

[0357] In addition to the above, an end actuator may include actuation systems that correspond to the actuation systems of the surgical instrument. For example, end actuator 9060 may include a trigger member that is operatively engageable with a trigger shaft 9020 of surgical instrument 9000 when end actuator 9060 is mounted to the surgical instrument. Similarly, an end actuator may comprise a linkage driver that can be operatively engaged with a pivot shaft of the surgical instrument when the end actuator is mounted to the surgical instrument. In addition, end actuator 9060, for example, may comprise a proximal connection portion 9069 that can be mounted to a distal connection portion 9042 of shaft 9040 of surgical instrument 9000 when end actuator 9060 is attached to surgical instrument 9000 In various circumstances, proper assembly of the connection, drive system and linkage portions of an end actuator and surgical instrument may be required before the end actuator can be used properly.

[0358] Again with reference to Figure 94, cable 9010 may comprise a trigger trigger 9014 which, when activated by the user of surgical instrument 9000, can be configured to operate the motor on cable 9010. In various circumstances, cable 9010 may include a controller that can be configured to detect the activation of the 9014 trigger. In some cases, the activation of the 9014 trigger can close an electrical circuit in signal communication with the controller. In such cases, the controller can be configured to then operate the motor to advance trigger shaft 9020 distally and move jaw 9062 of end actuator 9060 toward jaw 9064. In some circumstances, cable 9010 may include the at least one sensor that can be configured to detect the force applied to the trigger trigger 9014 and/or the degree to which the trigger trigger 9014 moves. The sensor, or sensors, can be configured in signal communication with the controller, and the controller can be configured to adjust the motor speed based on one or more input signals from the sensors. The 9010 cable may comprise a 9015 safety switch that may need to be pressed before the controller operates the motor in response to trigger trigger 9014 information. In various circumstances, the 9015 safety switch may be in signal communication with the controller, where the controller can electronically block the use of the motor until safety switch 9015 is pressed. Handle 9010 may also comprise a retract actuator 9074 which, when activated, may cause the motor to be operated in an opposite direction to retract firing rod 9020 and allow jaw 9062 to move in the opposite direction to jaw 9064. In various circumstances, activating the 9074 retract actuator can close an electrical circuit in signal communication with the controller. In some cases, safety switch 9015 may need to be pressed before the controller operates the motor in its reverse direction in response to information from the 9074 retract actuator.

[0359] Prior to and/or during use of the Surgical Instrument 9000, the Surgical Instrument 9000 and/or certain systems of the Surgical Instrument 9000 may become inoperative, malfunction, and/or malfunction. In certain circumstances, such deficiencies, and/or the manner in which to address them, may not be readily apparent to the user of the surgical instrument, which may cause the user to become frustrated. Additionally, such uncertainties can increase the time needed to deal with the deficiency, or "error". The 9000 surgical instrument is an improvement over the previously mentioned. Referring again to Figure 94, the surgical instrument controller 9000 can be configured to detect an error of the surgical instrument 9000 and communicate this error to the user of the surgical instrument 9000 through one or more indicators. The surgical instrument 9000 may comprise one or more indicators which, when activated by the controller, may indicate the nature of the error and/or otherwise direct attention to the system of the surgical instrument 9000 that is otherwise deficient. For example, the surgical instrument 9000 may comprise an end actuator indicator 9086 which may, for example, be configured to indicate that an end actuator has not been mounted on the shaft 9040 of the surgical instrument 9010. In various circumstances, the surgical instrument 9000 may comprise a sensor which can be configured to detect when an end actuator has been mounted on shaft 9040 and/or, correspondingly, when an end actuator has not been mounted on shaft 9040. The sensor may be in signal communication with the controller so that the controller can receive a signal from the sensor and assess whether the end actuator has been mounted on the 9040 shaft. If the controller finds that the end actuator has not been mounted on the 9040 shaft, the controller can activate the end actuator indicator end 9086. In various circumstances, the end actuator indicator 9086 may comprise a light, such as a red light, for example. In some circumstances, the 9086 end actuator indicator may comprise an LED, such as a red LED, for example. In addition to or in lieu of the foregoing, surgical instrument 9000 may comprise a sensor in signal communication with the controller which may be configured to detect when the end actuator attached to shaft 9040 has previously been used. For example, such a sensor could be configured to verify that at least some of the staples stored in the end actuator have been triggered and/or that the end actuator's staple firing member has been pre-inserted. In such examples, the controller can activate the 9086 end actuator indicator. In this way, the activation of the 9086 end actuator indicator can signal to the user of the 9000 surgical instrument that there is an error regarding the end actuator and that such error must be, or needs to be, resolved prior to operating the surgical instrument 9000. The reader will understand from Figure 94 that the end actuator indicator 9086 is adjacent to the distal end of shaft 9040 and, in various circumstances, may be situated over or near the distal connection portion 9042 of shaft 9040. In various circumstances, the end actuator indicator 9086 would be located on the end actuator 9060. However, when the end actuator indicator 9086 is illuminated as a result of the foregoing , the user of the 9000 surgical instrument can quickly check if there is an error and if the error refers to the end actuator in some way. The. The 9086 End Actuator Indicator Illumination may indicate to the user that the End Actuator Assembly on the 9040 Shaft may be incomplete and/or that the End Actuator needs to be replaced.

[0360] In addition to or in lieu of the 9086 end-actuator indicator, a surgical instrument may comprise one or more indicators. For example, the surgical instrument 9000 may comprise a trigger trigger indicator 9081. The trigger trigger indicator 9081 may be in signal communication with the surgical instrument controller 9000 so that when the controller detects an error related to the triggering of trigger of surgical instrument 9000, for example, the controller can activate trigger trigger indicator 9081. As illustrated in Figure 94, trigger trigger indicator 9081 can be positioned adjacent to trigger trigger 9014. In such circumstances, the user of the Surgical Instrument 9000, by observing the activation of the Surgical Instrument Indicator 9081, you can deduce that an error has occurred regarding the trigger trigger and can begin to diagnose the source of the error. In some circumstances, the controller may activate the trigger trigger indicator 9081 when the battery of the surgical instrument 9000 is defective in some way, for example. For example, if the battery voltage is below the desired level, the battery may not operate the engine as intended and the trigger trigger indicator 9081 may indicate the need for battery replacement, for example. In various circumstances, the controller may actually render one or more operating systems of the surgical instrument 9000 inoperative when the controller illuminates an indicator, such as the end actuator indicator 9086 and/or the trigger trigger indicator 9081, for example. For example, the controller can be configured to operationally decouple the trigger trigger 9014 from the motor so that activating the trigger trigger 9014 does not operate the motor when the end actuator indicator 9086 and/or trigger trigger indicator 9081 is lit, for example. Such operational decoupling of the trigger trigger 9014 from the motor may also indicate to the user of the surgical instrument 9000 that the surgical instrument may have experienced an error and that the user should review the indicators of the surgical instrument 9000 to verify the nature of the error.

[0361] Again referring to the exemplary embodiment of Figure 94, the surgical instrument 9000 may comprise a retract actuator indicator 9085 positioned adjacent to the retract actuator 9074. Similar to the above, the retract actuator indicator 9085 may be in signal communication with the controller, whereby if the controller detects an error in connection with the retract drive, for example, the controller can illuminate the 9085 retract actuator indicator. In various circumstances, the controller may illuminate the retract actuator indicator. 9085 Retract Actuator in case the 9015 Safety Switch is not pressed before the 9074 Retract Actuator is activated. In such circumstances, the 9085 Retract Actuator Indicator can serve as a reminder to press the 9015 Safety Switch. the surgical instrument 9000 may comprise a security key indicator 9082 positioned adjacent the security key 9015. In Under certain circumstances, the 9000 Surgical Instrument Controller may illuminate the 9082 Safety Switch Indicator when the user actuates the 9074 Retract Actuator before the 9015 Safety Switch is activated. The 9082 Safety Switch Indicator may be in signal communication with the controller, whereby if the controller detects that the trigger system cannot be switched between trigger mode and a retract mode, for example, the controller can illuminate the safety switch indicator 9082. The surgical instrument 9000 can comprise a linkage actuator indicator 9084 positioned adjacent to the linkage actuator 9070. Similar to the above, the linkage actuator indicator 9084 may be in signal communication with the controller, and if the controller detects an error in connection with the linkage drive, for example, the controller can illuminate the indicator of the linkage actuator 9084. The surgical instrument 90 00 may comprise an axis indicator 9083 positioned adjacent an axis connection configured for attachment to axis 9040 on cable 9010. Similarly to the above, axis indicator 9083 may be in signal communication with the controller, whereby, if the controller detects an error in connection with the 9040 axis, for example, the controller can illuminate the 9083 axis indicator.

[0362] Now with reference to Figure 95, the surgical instrument 9100 may include a cable 9110, including an array of indicators 9190 configured and operated to indicate to the user of the surgical instrument 9100 that one or more errors may exist with respect to the surgical instrument 9100 and/or end actuator attached to it. The 9190 indicator matrix can be arranged in any suitable way. In various circumstances, an array of indicators 9190 may be arranged in the shape of, or approximately in the shape of, the surgical instrument 9100 and/or end actuator attached thereto, for example. In at least one example, the outer surface of handle 9110, for example, may include a representation of the surgical instrument 9100 and/or the end actuator attached to the surgical instrument. The array of indicators 9190 may be arranged relative to a contour of the surgical instrument and end actuator in a manner configured to convey the portion of the surgical instrument 9100 and/or end actuator that is in error, has failed, and/or may need to be evaluated for error resolution, for example. For example, the outline can be plotted to represent the 9060 End Actuator, 9040 Shaft, 9010 Cable, 9014 Trigger, 9015 Safety Switch, 9074 Reverse Actuator, and/or 9070 Linkage Actuator. In circumstances, an end actuator indicator 9192 may be positioned adjacent the end actuator representation 9060, an axis indicator 9193 may be positioned adjacent the axis representation 9040, a trigger trigger indicator 9191 may be positioned adjacent the representation of the trigger trigger 9014, a safety switch indicator 9195 may be positioned adjacent the representation of the safety switch 9015, a reverse actuator indicator 9196 may be positioned adjacent the representation of the 9074 reverse actuator and/or a linkage actuator indicator 9194 can be positioned adjacent to the representation of the 9070 linkage actuator, for example. In various circumstances, each of indicators 9191, 9192, 9193, 9194, 9195 and/or 9196 may comprise a light-emitting diode. In some circumstances, each LED may comprise a red LED that can be illuminated by the controller to indicate the presence of an error. In various circumstances, the controller can be configured to pulse the illumination of an LED which can decrease the time it takes for the user to notice that an indicator has been illuminated. Under certain circumstances, each indicator may include an LED that can emit more than one color. In some circumstances, each of said light-emitting diodes can be configured to selectively emit a red color and a green color, for example. The controller can be configured to illuminate the LED light green if no errors are detected with respect to the associated portion of the 9100 surgical instrument and/or end actuator attached thereto, or alternatively, color red if an error is detected. detected with respect to the associated portion of the surgical instrument 9100 and/or the end actuator attached thereto.

[0363] In some circumstances, as described in more detail below, the Surgical Instrument Controller 9000 may lock out one or more of the Surgical Instrument Actuators, such as Trigger Trigger 9014, Retract Actuator 9074, and/or Linkage Actuator 9070, for example for example, when the controller illuminates an indicator associated with that actuator. For example, the controller can lock the 9014 trigger trigger when it illuminates the 9081 trigger trigger indicator, the 9074 retract actuator when it illuminates the 9085 retract actuator indicator, and/or the 9070 linkage actuator when it illuminates the 9084 linkage actuator indicator. The 9010 handle of the 9000 surgical instrument, for example, may comprise a trigger trigger lock that can be configured to selectively "lock" the trigger trigger 9014 and prevent trigger trigger 9014 from activating . The trigger trigger lock can prevent the trigger trigger 9014 from activating sufficiently to operate the surgical instrument motor. In at least one such circumstance, the trigger trigger 9014 may be prevented from closing the trigger trigger switch. Under certain circumstances, the 9000 Surgical Instrument Controller can be configured to electronically lock the 9014 trigger, i.e., prevent battery power from being supplied to the motor, in addition to activating the trigger lock. In such circumstances, the electronic lock and the mechanical lock may be redundant; however, the mechanical lock may provide feedback to the 9000 Surgical Instrument user that the trigger trigger has been operationally disabled. As mentioned above, the surgical instrument controller 9000 can also provide feedback via the trigger trigger indicator 9081, for example. In this way, a user of the surgical instrument 9000 can receive tactile feedback and/or visual feedback that an error has occurred. In some circumstances, tactile feedback may instruct the user of the 9000 Surgical Instrument to begin searching for visual feedback. For example, the user can attempt to activate the 9014 trigger trigger, and when unable to activate the 9014 trigger, the user can then review the instrument for illuminated indicators. In any case, once the error is resolved, the controller can unlock the trigger trigger 9014 by disabling the trigger trigger lock.

[0364] Now referring to Figure 100, the 9000 surgical instrument may include a 9390 trigger lock that can be configured to lock the 9014 trigger. The 9390 trigger lock can be movable between a locked condition, illustrated in Figures 100, 101 and 103, and an unlocked condition, illustrated in Figure 102. When an end actuator is not mounted on the shaft 9040 of the surgical instrument 9000, the trigger trigger lock 9390 can be moved to its locked condition. In this latched condition, the trigger lock 9330 may block, or at least substantially block, the activation of the trigger trigger 9014. More particularly, the trigger trigger lock 9390 may include a row of shafts 9391, a pinion 9392 and a row of cables 9393, and a displacement member, such as a spring, for example, which can be configured to move the row of shafts 9391 to a proximal position and the row of cables 9393 to a downward position. The proximal position of the row of shafts 9391 and the descending position of the row of cables 9393 are illustrated in Figure 101. Referring primarily to Figure 101, the row of cables 9393 may include apertures 9396 and the trigger trigger 9014 may include projections 9395 that , when the string of cables is in its downward position, are not aligned with the openings 9396. More specifically, the trigger trigger 9014 may comprise a rocker switch including a fulcrum 9397, whereby when the string of cables 9393 is in its position downward, the swing of the trigger 9014 will cause at least one of the projections 9395 to extend from the trigger trigger 9014 until it is in a boundary position with the string of cables 9393 and prevent the trigger trigger 9014 from being fully activated.

[0365] When an end actuator is attached to the 9040 shaft, in addition to the above, the 9390 trip trigger lock can be shifted between its locked configuration and its unlocked configuration. In the unlocked configuration of the trip trigger lock 9390, referring mainly to Figure 102, the cable row 9393 can be in its up position. In the upward position of wire row 9393, openings 9396 defined in wire row 9393 are aligned with projections 9395 extending from trigger trigger 9014. In such circumstances, trigger trigger 9014 can be swung to activate the trigger. trigger 9014. More specifically, projections 9395 may pass through openings 9396 to allow the swing of trigger trigger 9014 around fulcrum 9397. Thus, in view of the foregoing, movement of wire string 9393 between its positions descending and ascending respectively locks and unlocks the firing trigger 9014. Various mechanisms can be used to move the string of cables 9393 between its descending position and its ascending position. In at least one such embodiment, referring again to Figure 100, shaft 9040 may include a trigger lock actuator 9399 which may be moved proximally by an end actuator when the end actuator is mounted on shaft 9040. The row of shafts 9391 may mount and/or extend proximally from the trigger lock actuator 9399 and may include teeth 9391a defined therein. Teeth 9391a may be in meshed engagement with teeth 9392a set on pinion gear 9392 so that when trigger lock actuator 9399 and shaft row 9391 move proximally, pinion gear 9392 may be rotated around. of the axis. Correspondingly, the row of cables 9393 may comprise the teeth of the row 9393a defined therein, which are also in meshed engagement with the teeth of the pinion gear 9392a, and thus when the row of shafts 9391 is directed proximally, the row of Cables 9393 can be driven from its downward position to its upward position and thereby unlock the trigger trigger 9014. To return the cable string 9393 to its downward position, the row of shafts 9391 can be moved distally to rotate the shift gear. 9392 pinion in the opposite direction. In various circumstances, the row of shafts 9391 may move distally as a result of an end actuator being dismantled from the shaft 9040.

[0366] Now referring to Figures 96 to 97, cable 9010, for example, may include a trigger lock 9290. The trigger lock 9290 may comprise an enclosure 9291, a positionable lock pin 9292, a retainer 9293 and a displacement member 9294 configured to move the lock pin 9294 between an uninstalled position, illustrated in Figures 96 and 98, and a ready position, illustrated in Figures 97 and 99. In various examples, the retainer 9293 may be comprised of a temperature sensitive material that is affected by heat. In at least one such example, the temperature sensitive material may be configured to transition between a solid and a fluid, such as a liquid, suspension and/or gas, for example, and/or between a solid material and a semi-solid material, for example. When the temperature sensitive material transitions, or at least partially transitions, between a solid and a fluid, the retainer 9293 can release the lock pin 9294 to lock the trigger and/or any other suitable trigger, from the cable 9010. In several examples, the locking pin 9294, when installed, may slide behind and/or otherwise engage the trigger. A cable may include any suitable number of trigger locks 9290, or the like, to selectively lock any suitable number of triggers and/or buttons, for example. As the reader will understand, the 9290 trigger lock may not be resettable. In such examples, an activated trigger lock 9290 may permanently lock the trigger trigger, for example, from the handle so that the instrument can no longer be used. A permanent lockout of the trigger trigger, and/or any other trigger, of the instrument may mean that the instrument may no longer be of use while, in other circumstances, the permanent lock may not be readily resettable and may require the instrument to be sent to a qualified technician, or company, for example, who can assess whether the instrument should be reconditioned and reused or whether the instrument should be discarded. When the heat sensitive material of retainer 9293 has been at least partially converted to a fluid, it can be assumed by the technician that the instrument has been exposed to a temperature that exceeds the transition temperature of the heat sensitive material. In various examples, the transition temperature of the heat sensitive material may be the temperature at which the solid material, for example, liquefies, evaporates and/or sublimes, for example. In either case, the heat sensitive material and thus the transition temperature of the retainer 9293 can be selected so that the release of the transition pin 9294 may indicate that the surgical instrument has been exposed to a temperature that exceeds certain temperatures, or thresholds. In several examples, a surgical instrument can be damaged if it is exposed to excessive temperature. For example, the surgical instrument may include solid state electronics, for example, which may be damaged when exposed to said excessive temperature. In such examples, the instrument temperature threshold and the transition temperature of the retainer 9293 may be equal, or at least substantially equal, with the result that it may be assumed that the surgical instrument has not been exposed to a temperature that exceeds the temperature threshold when the 9290 trigger lock was not activated and correspondingly that the instrument was exposed to a temperature that exceeds the temperature threshold when the 9290 trigger lock was activated and as such the surgical instrument may have been damaged or may at least need an assessment to see if it has been damaged.

[0367] In addition to the above, a surgical instrument may be exposed to temperatures that exceed the threshold temperature and/or transition temperature when the surgical instrument is sterilized. Many sterilization procedures are known, several of which include the step of exposing the surgical instrument to heat. In addition to or in lieu of the 3290 trigger lock, a surgical instrument may include at least one temperature sensor that can assess the temperature to which the surgical instrument has been exposed. In various examples, the temperature sensor, or sensors, may be in signal communication with a surgical instrument controller, which may be configured to assess whether the surgical instrument has been exposed to a temperature that exceeds the temperature threshold. In at least one of this example, the controller may include a microprocessor and an algorithm that can evaluate signals received from the temperature sensor, or sensors. If the controller determines that the temperature threshold has been reached and/or exceeded, the controller can permanently prevent the instrument from functioning. In other words, the controller can apply an electronic lock to the surgical instrument. Similar to the above, a permanent instrument lockout may mean that the instrument may no longer be useful while, in other circumstances, the permanent lockout may not be readily reset and may require the instrument to be sent to a qualified technician, or company. , for example, which can assess whether the instrument should be refurbished and reused or whether the instrument should be discarded. As the reader will understand, a power supply may be required to operate the surgical instrument controller and/or sensors while the surgical instrument is being sterilized. Various embodiments of surgical instruments include a removable battery, or power supply, which is removed prior to sterilization of the surgical instrument, in which instances the removable battery is separately sterilized and/or reprocessed. When the removable power supply has been removed from these previous instruments, as the reader will understand, the controller and/or sensors may not have enough power to monitor the temperature of the surgical instrument. Embodiments of the surgical instruments disclosed herein may include a battery, or power supply, which is not removed from the surgical instrument when it is reprocessed. Such a battery can be called a permanent battery, as it can supply power to the controller and/or temperature sensors while the instrument is being sterilized. In various examples, an instrument including a permanent battery may also include a removable and/or rechargeable battery. In either case, the instrument may have sufficient power to detect and record the temperature to which the instrument is exposed. In at least one instance, the instrument controller may have a memory chip configured to store temperature readings, as in a temperature recorder, for example. In various circumstances, the controller may record sensor readings intermittently, that is, at a suitable sampling rate. In some cases, the controller can be configured so that when it records a temperature reading above a certain temperature, despite being below the temperature threshold, the controller can increase the sample rate. Correspondingly, the controller can be configured so that when it subsequently records a temperature reading below a certain temperature, the controller can decrease the sampling rate, such as back to the original sampling rate, for example.

[0368] Now referring to Figure 99A, an algorithm for the controller is shown. In certain examples, this algorithm may comprise an initial procedure for the surgical instrument, as when the surgical instrument is used first after having gone through the sterilization process, for example. The initial procedure can start after the instrument is turned on. The instrument can be automatically turned on when an end actuator is mounted on the instrument. In at least one such example, the end actuator assembly on the surgical instrument may close a switch in signal communication with the controller. In addition to or in lieu of the above, the instrument can be turned on when a button and/or switch is pressed on the handle, for example. In either case, the controller can then evaluate the temperature readings stored in the memory chip, discussed above. For example, the controller can assess whether any of the stored temperature readings are equal to or greater than the temperature threshold. If the controller determines that all stored temperature readings are below the temperature threshold, the controller can proceed with its normal start-up procedure. If the controller determines that one or more stored temperature readings equal or exceed the temperature threshold, the controller can proceed with an alternate procedure. In at least one such example, the controller may permanently disable the instrument, such as by implementing an electronic lock and/or mechanical lock, as discussed here in this disclosure. In other examples, the controller may allow the instrument to be used even though the controller has determined that one or more stored temperature readings equal or exceed the temperature threshold. The controller can store this determination in its memory and/or indicate to the user through the display, such as a light emitting diode, for example, that the temperature threshold has previously been exceeded and then proceed with the normal start-up procedure. In several examples, the controller may treat the temperature threshold as an absolute maximum, that is, a single temperature reading greater than or equal to the temperature threshold and sufficient to reactivate an alternate startup program or permanently lock the instrument. In other instances, the controller can be configured to assess whether a pattern of temperature readings greater than or equal to the temperature threshold is sufficient to reactivate an alternate startup program or permanently lock the instrument, as both time and temperature can be factors. to be considered if the instrument was compromised in the sterilization procedure, for example.

[0369] Now referring to Figures 104 to 109, a surgical instrument, such as the surgical instrument 9000, for example, may include a handle 9410 including a trigger lock system 9490. Handle 9410 may be similar to handle 9110 in many considerations and such considerations are not repeated here for the sake of brevity. Similar to the above, the 9490 trigger lock system can be configured to lock and unlock the 9414 trigger trigger. Also similar to the above, the 9490 trigger lock system can be shifted to a locked condition when the actuator The end actuator is not mounted on the shaft 9040 of the surgical instrument, as shown in Figures 104 to 107, and moves to an unlocked condition when the end actuator is fully mounted on the shaft 9040, as shown in Figures 108 and 109. The end actuator is mounted on the shaft 9040, in addition to the above, mainly referring to Figures 108 and 109, the end actuator can push the sensing member 9499 proximally. Sensing member 9499 may extend through shaft 9040 from a distal end of shaft 9040 to a proximal end thereof. During use, the end actuator may be in a boundary position with the distal end of the sensing member 9499 when the end actuator is mounted on the shaft 9040 and pushing the sensing member 9499 proximally as described above. When the sensing member 9499 is pushed proximally, as illustrated in Figures 108 and 109, the sensing member 9499 can contact the swing arm 9486 of the trigger lock system 9490 and rotate the swing arm 9486 upwards. Swingarm 9486 may comprise an end pivotally mounted to the cable housing via a pin 9487 which is configured to allow swingarm 9486 to pivot about its axis. Swing arm 9486 may further comprise a cam follower portion 9488 that may contact sensing member 9499. In use, sensing member 9499 may move swing arm 9486 between a down position and an up position to move the 9490 trip trigger lock system between a locked position and an unlocked position, respectively. The 9490 Fire Trigger Lock System may additionally include a Lock Pin 9485 mounted on the swingarm 9486 which can be pulled up when the swingarm 9486 is rotated up and correspondingly pushed down when the swingarm 9486 is rotated upwards. 9486 is rotated down. Latch pin 9485 may comprise an upper end pivotally mounted to swingarm 9486 and a lower end that extends through an opening 9483 defined in firing trigger 9481 when latch pin 9485 is in its downward position. In various circumstances, aperture 9483 may be defined in an arm 9482 extending from trigger 9414. When lock pin 9485 is positioned inside aperture 9483, trigger trigger 9414 may not be rotated around its 9484 fulcrum and as a result the 9414 trigger trigger may not be activated by the user. When lock pin 9485 is in its up position, lock pin 9485 may not be positioned inside opening 9483 and as a result the trigger trigger 9414 may be activated by the user. When the end actuator is dismantled from the shaft 9040, the sensing member 9499 can move from its proximal position to its distal position. In other words, without an end actuator attached to the shaft 9040, a displacement element, such as a spring 9489, for example, can move the swingarm 9486 down and, consequently, move the trigger lock system 9490 to its locked condition. Additionally, spring 9489 can apply a shifting force to sensing member 9499 through arm 9482 and pushing sensing member 9499 distally when the end actuator is not mounted on shaft 9040.

[0370] In addition to the above, the operation of the 9499 detection member and the 9490 trigger lock system can serve to communicate with the user of the surgical instrument. For example, when an end actuator is not mounted on the 9040 shaft, the sensing member 9499 is displaced distally and the trigger trigger 9414 will be blocked, whereby if the user were to attempt to activate the trigger trigger 9414, the user would quickly would realize that there was something wrong with the triggering system of the surgical instrument. In this example, the user would quickly realize that an end actuator needs to be mounted on the 9040 shaft to use the surgical instrument. In various circumstances, the trigger trigger could be blocked if an end actuator, although fixed to the 9040 shaft, had been used. In at least one such circumstance, the end actuator could include a trigger member which, when positioned in its most proximal position, could push the sensing member proximally when the end actuator is mounted on shaft 9040; however, if such a trigger trigger was already at least partially advanced when the end actuator was mounted on shaft 9040, the sensing member may not be pushed proximally and, as a result, the trigger trigger may remain locked. Again, said trip trigger latch can communicate to the user that there is a problem with the trip trigger, namely, in this circumstance, that the end actuator has already been used. In the absence of such a tactile lock, the user would experience circumstances in which they are able to depress the actuator without the surgical instrument responding to the pressed actuator and thus possibly result in confusion for the user.

[0371] As discussed earlier, the previously unfired end actuator assembly on shaft 9040 can push a sensing member proximally until the trigger trigger is unlocked. Under various circumstances, the sensing member and trigger trigger lock system can be configured so that the trigger trigger is not unlocked until the end actuator is fully mounted on the 9040 shaft. If the end actuator is only partially mounted on shaft 9040, the detection member may not be sufficiently displaced to unlock the trigger. Again, said trip trigger latch can communicate to the user that there is a problem with the trip trigger, namely, in this circumstance, that the end actuator has not been completely mounted on the 9040 shaft.

[0372] As described here, an end actuator can be mounted on the surgical instrument which may include a controller configured to identify the end actuator. In some cases, the controller can be configured to evaluate the identity of the end actuator when the controller is activated. In certain examples, referring now to Figure 176, the controller can be activated when the battery has been inserted into the cable. In addition to or in lieu of the above, the controller can be configured to assess the condition of the surgical instrument when the controller is activated. For example, the controller can be configured to evaluate the position of the locking element of the locking system, the position of the triggering member of the triggering system, and/or the position of the pivoting member of the linkage system. In certain examples, the surgical instrument may include an absolute positioning sensor to detect the positioning of the triggering member. Such a sensor is disclosed in US Patent Application Serial No. 13/803,097 entitled JOINT SURGICAL INSTRUMENT COMPRISING A TRIGGER DRIVE, filed March 14, 2013, the disclosure of which is incorporated herein by reference. In some cases, the surgical instrument may include one end of a stroke recorder. Such an end of the course recorder may comprise a mechanical switch, counter and/or alternator and/or electronic switch, counter and/or alternator including data stored in non-volatile memory. In such mode, the controller can assess whether the previous firing stroke has been completed. Such modalities can be useful in a multitude of situations. For example, the controller may accidentally shut down or otherwise lose power during a surgical procedure, and when the controller is reactivated, the controller may not be able to assess whether the instrument is starting up for the first time or if the instrument was in the middle. from a previous firing hit. The end of course recorder can help the controller to discern between these two events. Additionally, a recorder stroke end that is not lost or reset by loss of power or interruption to the instrument can allow the controller to assess whether the surgical instrument has lost power during a trigger stroke. If the controller determines that the previous trigger stroke has not been completed, the controller can be configured to, one, allow power to be supplied to the motor to finish the trigger stroke, and/or, two, allow power to be supplied. to the motor to retract the trigger member, closing element and/or pivot member to their homes or non-activated positions. In several examples, the controller may provide the user of the surgical instrument with the option of proceeding with the trigger stroke or returning the instrument's mechanical and/or electrical systems to their original or non-activated positions. In such modalities, the surgical instrument may not automatically return these systems to their original, non-activated positions. In either case, when the surgical instrument is at home, or in the deactivated condition, a previously fired end actuator can be dismantled from the surgical instrument and/or unfired end actuator can be mounted to the surgical instrument. In various embodiments, as disclosed herein, the surgical instrument may then identify, or at least attempt to identify, the unfired end actuator.

[0373] Referring now to Figure 177, a controller of a surgical instrument can perform a diagnostic check of the instrument and/or battery. For example, upon activation of the controller, the surgical instrument can assess whether the surgical instrument has been exposed to a temperature beyond the temperature threshold of the surgical instrument, as described herein. Further, for example, the surgical instrument may assess available battery power, voltage, and/or current, as described herein. If the instrument fails one or more of the diagnostic tests the controller may not supply power to the motor, physically block the instrument and/or indicate such a failure to the user of the surgical instrument. In such circumstances, the instrument may be recorded as faults in its memory so that the test data can assist the technician in late evaluation of the instrument. Assuming the instrument passes the diagnostic tests, instruments similar to the one described above may also record the test data associated with passing the diagnostic tests. In either case, the instrument can then proceed with the assessment to see if the instrument is in a lodged, or deactivated condition, and assess the identity of the end actuator. As described herein, the procedure for identifying the end actuator is disclosed. Also disclosed herein is a procedure for assessing whether the "smart" end actuator or "dumb" end actuator is attached to the surgical instrument. In various examples, a "smart" end actuator may be an end actuator that can provide parameters and/or at least a portion of an operating program for the surgical instrument as part of the identification process. A "smart" end actuator can be an end actuator that somehow identifies the manner in which the end actuator is used by the surgical instrument. In certain instances, a "dumb" end actuator is an end actuator that does not identify the manner in which it is to be used with the surgical instrument in any way. An exemplary operating procedure according to the above is described in Figure 178.

[0374] As discussed in this document, the battery can be used to power the surgical instrument. In many instances, the surgical instrument and/or battery can be configured to assess whether the battery can provide enough power for the surgical instrument to perform one or more functions. In certain instances, the surgical instrument and/or battery may be configured to indicate to the surgical instrument user that the battery pack has sufficient power to perform one or more functions. Figure 179 represents a circuit configured to indicate battery voltage. Said circuit may be present in the surgical instrument and/or battery. In either case, a circuit may include a plurality of indicators which may be indicative of the load, voltage and/or power that can be supplied by the battery. For example, the circuit may include three indicators including a first indicator configured to indicate that the battery includes at least a first voltage, a second indicator configured to indicate that the battery includes at least a second voltage, and a third indicator configured to indicate that the battery includes at least a third voltage. As illustrated in Figure 179, a circuit 12100 may include a first indicator circuit 12110, a second indicator circuit 12120 and a third indicator circuit 12130 that are arranged in parallel with each other. When switch 12101 is closed, battery voltage may be applied to indicator circuits 12110, 12120, and 12130. The first indicator circuit 12110 may include a zener diode 12111, a light emitting diode 12112, and a resistor R1 12113. Similarly , a second indicator circuit 12120 may include a zener diode 12121, a light emitting diode 12122 and a resistor R2 12123 and the third indicator circuit 12130 may include a zener diode 12131, a light emitting diode 12132 and a resistor R3 12133. zener diodes 12111, 12121 and 12131 can each have a different breakdown voltage. For example, the first 12111 zener diode can have a breakdown voltage of 11.5V, for example, the second 12121 zener diode can have a 10V breakdown voltage, for example, and the third zener diode 12131 can have a voltage of 8V breakage, for example. In such mode, if the battery voltage is greater than or equal to 11.5V, LEDs 12112, 12122 and 12132 will be illuminated. Illumination of all LEDs can indicate to the surgical instrument user that the battery is fully charged and/or at least sufficiently charged to perform any function required by the surgical instrument. If the battery voltage is greater than or equal to 10V but less than 11.5V, LEDs 12112 and 12122 will be illuminated; however, the 12132 LED will not be illuminated. Illumination of LEDs 12112 and 12122, but not LED 12132, may indicate to the surgical instrument user that the battery is less than fully charged, but at least sufficiently charged to perform any function required by the surgical instrument. If the battery voltage is greater than or equal to 8V but less than 10V, LED 12112 will be illuminated; however, LEDs 12122 and 12132 will not be illuminated. Illumination of the 12112 LED, but not the 12122 and 12132 LEDs, may indicate to the surgical instrument user that the battery is near the end of its charge and may or may not have sufficient charge to perform certain functions required by the surgical instrument. Such an LED display may indicate that the battery may need to be replaced. If the battery voltage is less than 8V, none of the LEDs 12112, 12122 and 12132 will be illuminated. Such an LED display may indicate that the battery may not be usable to reliably perform any function of the surgical instrument. Although the 12100 circuit uses three indicator circuits 12110, 12120 and 12130, a circuit can include more than three indicator circuits with zener diodes with different breakdown voltages. Such a mode can provide a more finely graduated indication of battery voltage, for example. Other modalities are foreseen and will use only two indicator circuits.

[0375] In various examples, a battery may include a circuit configured to indicate whether the battery is charged and/or has sufficient charge that it can be used with the surgical instrument. In certain examples, a surgical instrument may include circuitry configured to indicate whether the battery attached thereto is charged and/or has sufficient charge that it can be used with the surgical instrument. In either case, referring now to Figure 180, a circuit 12200 may include a microprocessor 12201 that includes one or more gates in communication with the battery, which may be a 9v battery, for example. Circuit 12200 may additionally comprise a capacitor 12202, such as a 10 microFarad capacitor, for example, which may receive power from a circuit that includes diode 12203 and resistor 12204. Circuit 12200 may additionally comprise an LED 12205 and a resistor 12206 in the path of discharge of capacitor 12202. Such a circuit may cause the LD 12205 to pulse intermittently for as long as the battery can supply sufficient power to the 12200 circuit. In such instances, a user could identify the pulsing LED 12205 and would know that the battery had at least least a little charge, if not enough charge, to be used with the surgical instrument. If the user does not identify that the 12205 LED is pulsing, the user can assume that the battery does not have enough power to use.

[0376] In various circumstances, as discussed in this document and referring to Figure 284, a battery and/or surgical instrument configured to be used with the battery may include a diagnostic circuit configured to assess the power, voltage and/or current that the battery can provide. Now referring to Figure 184, a 12300 battery diagnostic circuit is revealed. Such a circuit can be configured to evaluate the battery before it is used with a surgical instrument, while it is being used with a surgical instrument, and/or after it has been used with a surgical instrument. In several examples, the battery can be used more than once, in several examples, the battery can be rechargeable or non-rechargeable. Battery usage and information obtained during the diagnostic evaluation of the battery can be stored in a memory chip in the battery and/or the surgical instrument. Figure 183 represents an information table 12400 which is representative of the type of information that can be recorded in the memory integrated circuit. For example, the number of uses can be recorded. For each use, the maximum voltage and/or maximum current with which the battery is charged, or recharged, can be recorded, for example. For each user, the current capacity, currently used in mA, the current used in mA and/or minimum voltage presented during use can be recorded, for example. For each use, the time the battery is charged, the time the battery is used, the temperature of the battery while charging and/or the temperature of the battery being recorded, for example. These are just some examples of information that may be stored. In several examples, such information may be used by the surgical instrument and/or a technician to assess the battery's previous performance and/or the battery's suitability for future use, for example.

[0377] In several instances, now referring to Figure 182, a battery and/or a surgical instrument used with the battery may include a circuit to shut off the battery when the battery charge is below the minimum charge level. In some cases, a lithium-ion battery cell may experience a thermal incident if used below the minimum charge level and a shutdown circuit inhibiting battery usage below this minimum charge level may inhibit such a thermal incident from occurring.

[0378] In various examples, referring now to Figure 181, a surgical instrument may include a controller configured to perform a diagnostic check of the instrument and/or battery mounted thereon. For example, the controller may include a clock and memory chip configured to evaluate and record when the instrument and/or battery has been used. In certain instances, the controller can be configured to disable the instrument and/or battery if too much time has passed since the instrument and/or battery was last used. In certain examples, the instrument and/or battery may include one or more sensors that can be configured to assess various conditions of the instrument and/or battery, such as temperature, humidity, and/or time the instrument and/or battery has been exposed. temperature and humidity, for example. The controller can be configured to assess whether the sensors are working properly, and if not, the controller can disable the instrument and/or battery. The controller can also be configured to evaluate the number of times the instrument and/or battery has been used and, if uses exceed a certain amount, deactivate the instrument and/or battery. The controller can also be configured to assess the power the battery can provide, as described here, and, if insufficient power is available, deactivate the instrument and/or battery.

[0379] As described here, a surgical instrument may include multiple sensors to gather feedback and/or other instrument status information. In addition, the surgical instrument may include sensory indicators to provide feedback and/or instrument status information to the user. In certain examples, an endoscope may be used in connection with the surgical instrument to provide additional feedback and/or instrument status information to the user. As described herein, the endoscope and the surgical instrument may be in signal communication with a display, which may represent feedback from the endoscope and/or the sensors of the surgical instrument, for example. Now referring to Figures 75 through 93, a 5018 endoscope (Figure 93) can be in signal communication with a 5002 display (Figure 75). In certain embodiments, the display 5002 may comprise a heads-up display (HUD) and/or video monitor, for example. In addition, the 5002 display can be a plasma screen, an LCD screen or an electroluminescent screen, for example. In various embodiments, the display 5002 may transmit a first layer of information 5010 which may include video feedback, for example. Video feedback may be feedback from images viewed by an endoscope 5018 (Figure 93) at a surgical site, for example, and may represent at least a portion of a surgical instrument 5020 as viewed by the endoscope 5018, for example.

[0380] In various embodiments, the 5002 display may include a 5004 touchscreen. Referring primarily to Figure 75, a user may interact with the 5004 touchscreen to interface with the 5002 display and/or 5020 surgical instrument. For example, the 5004 touchscreen can communicate with the 5002 display and the 5004 touchscreen information can adjust and/or modify the information shown on the 5002 display. In such modes, the user can communicate with the display 5002 without using an additional display input, such as a keyboard and/or computer mouse, for example. In other words, additional input tools and/or parts may not be required to adjust and/or modify the information shown on the 5002 display. Additionally, in various embodiments, the 5004 touchscreen can be easily cleaned and/or sterilized. . For example, the 5004 touchscreen may include a flat surface that can be easily cleaned in an operating room and/or operating room. Additionally or alternatively, the 5004 touchscreen can communicate directly and/or indirectly with the 5020 surgical instrument so that the 5004 touchscreen input provides input to the 5020 surgical instrument. The user can be a surgeon, operator and/or assistant, for example.

[0381] In various embodiments, touch screen 5004 may be positioned over at least a portion of display 5002 and may be detachably attached to display 5002, for example. For example, the 5004 touchscreen can support multiple displays and can be releasably attached and detachable from at least one display. Also, in certain embodiments, the 5004 touchscreen may be a standalone display that can operate independently of the 5002 display. For example, a removable LCD screen may comprise the 5004 touchscreen and the removable LCD screen may overlay at least a portion of the 5002 display. In other embodiments, the 5004 touchscreen may be integrated into the 5002 display. The 5004 touchscreen may utilize resistive technology, capacitive technology, ultrasonic sound beam technology, and/or near field image.

[0382] Referring primarily to Figure 93, in various embodiments, a feedback controller 5016 may be in signal communication with the surgical instrument 5020, endoscope 5018, and/or display 5002. In certain embodiments, a wired and/or wireless connection 5017 wire between the 5016 feedback controller and the 5018 endoscope can provide video feedback from the 5018 endoscope to the 5016 feedback controller. In addition, a wired and/or wireless 5019 connection between the 5016 feedback controller and the surgical instrument 5020 and/or surgical instrument microcontroller 5020 can provide feedback data measured and/or sensed by the surgical instrument 5020 to the feedback controller 5016. For example, various sensors are described herein, as well as in Zemlock '263 and Zemlock '344, the disclosures of which are incorporated herein by reference, and the various sensors can detect feedback and/or instrument status information. Additionally, a wired and/or wireless connection 5015 between a feedback controller 5016 and the display 5002 can provide feedback data from the surgical instrument 5020 and/or video feedback from the endoscope 5018' to the display 5002. In at least one In one embodiment, the video feedback may be shown on a first information layer 5010 on the display 5002 and the feedback data may be shown on a second information layer 5012 on the display 5004. In embodiments where the removable LCD screen comprising the touch screen touch 5004 is positioned over the 5002 display, a wired and/or wireless connection between the 5016 feedback controller and the removable LCD screen can provide feedback data to the removable LCD screen and/or from the LCD screen to the 5010 feedback controller, for example.

[0383] Referring mainly to Figure 76, the display 5002 can transmit the first layer of information 5010, which can comprise the video feedback from the endoscope 5018 (Figure 93), for example. In various examples, the video feedback 5010 may include a demonstration of the surgical instrument 5020 affecting T-tissue. In various embodiments, the surgical instrument 5020 may be similar to the surgical instrument 10 (Figure 1), for example, and the loading unit disposable device (DLU) and/or end actuator 5022 attached to the surgical instrument may be similar to the charging unit 20 (Figure 2), for example. The DLU 5022 of the Surgical Instrument 5020 can pivot with respect to the T tissue, pinch and/or staple the T tissue between the pair of jaws, staple the T tissue, and/or cut the T tissue with a cutting element as described herein. In addition, the 5018 endoscope, which can be positioned at and/or close to the surgical site, can view the 5022 DLU and can transmit the video and/or recording feed to the 5016 feedback controller (Figure 93). In various embodiments, the video feedback on the first layer of information 5010 on the display 5002 can provide live and visual feedback from the surgical site to the operator of the surgical instrument 5020.

[0384] Referring primarily to Figure 77, the display 5002 can display a second layer of 5012 information. In addition, a user can select, move, resize, minimize, expand, modify and/or manipulate the second layer of 5012 information. For example, the user may manipulate the second layer of information 5012 by interfacing with the touch screen 5004. As described here, the second layer of information 5012 may include feedback data from the surgical instrument 5020 and/or controls for controlling the surgical instrument 5020 In various embodiments, the second layer of information 5012 may include a control panel 5030 and the touch screen 5004 may be used to select and/or utilize features of the control panel 5030. The control panel 5030 may be retractable, resizable, movable, and/or manipulable via the 5004 touchscreen. For example, a user can minimize or collapse the 5030 control panel by selecting the minimize/maximize icon 5032 and can maximize or undo the retraction of the control panel 5030 through re-selection of the minimize/maximize icon 5032. Also, a user can move the control panel 5030 in the display 5002 through the "drag and drop " on the 5030 control panel on the 5002 display, for example. Additionally, a user may resize the 5030 control panel relative to the 5002 display by "zooming in" and/or "zooming out" on multiple touch points on the 5004 touch screen. A person of ordinary skill in the art will understand that various conventional and/or intuitive touchscreen 5004 contacts may be used to modify and/or manipulate the second information layer 5012 and/or the control panel 5030 thereof, for example.

[0385] Still referring to Figure 77, the control panel 5030 may include a plurality of menus, categories and/or classifications. For example, the 5030 control panel may include a 5036 instrument feedback menu, a 5060 display menu, and/or a 5070 instrument controller menu. A user may use the 5030 control panel to select a menu and/or switch between the operating states of the 5004 touchscreen. For example, the 5004 touchscreen can communicate directives and/or controls to the 5016 instrument controller (Figure 93) and/or microcontroller when a user selects the 5070 instrument controller from the 5030 control panel. In such embodiments, as described here, the 5004 touchscreen can operate in an instrument-controlled state. In addition, settings related to the 5012 secondary information layer and/or 5002 display, for example, can be modified by a user when the 5060 display menu is selected on the 5030 control panel. In such modes, the touchscreen 5004 can operate in a mod-by-set state. Additionally or alternatively, the feedback data included in the secondary information layer 5012 can be modified by a user when the instrument feedback menu 5036 is selected. In such embodiments, the touch screen 5004 may operate in a feedback handling state. In various embodiments, the 5030 control panel may include additional menus and/or fewer menus, categories, and/or ratings. In addition, the 5030 control panel's various menus, categories and/or ratings can be modified according to user preferences, for example. The menus, categories and/or classifications can be verbally and/or symbolically indicated in the second layer of information 5012. In various embodiments, the categories of each menu 5036, 5060, 5070 can be shown selectively in the second layer of information 5012. For example , the categories of each menu 5036, 5060, 5070 can only be shown in the second information layer 5012 when the respective overlay menu 5036, 5060, 5070 is selected by the user. In other modes, the user can manually minimize and/or maximize the categories and/or subcategories corresponding to each menu 5036, 5060 and/or 5070, for example.

[0386] Still referring to Figure 77, the feedback menu of the instrument 5036 may include a plurality of feedback categories and may relate to feedback data measured and/or detected by the surgical instrument 5020 (Figure 93) during a surgical procedure. As described herein, the surgical instrument 5020 can detect and/or measure the position of a movable jaw between an open orientation and a closed orientation, thickness of the pinched tissue, pinch force on the pinched tissue, articulation of the DLU 5022 and/or position, speed and/or force of the triggering element, for example. In addition, the feedback controller 5016 (Figure 93) in signal communication with the surgical instrument 5020 can provide sensory feedback to the display 5002, which can display feedback on the second layer of information 5012. As described here, selection, insertion and/or form of feedback data displayed on the second layer of information 5012 may be modified based on information entered by the user on the touch screen 5004, for example.

[0387] In various embodiments, the display menu 5060 of the control panel 5030 may relate to a plurality of categories, such as 5062 unit systems and/or 5064 data modes, for example. In certain embodiments, a user can select the 5062 unit systems category to switch between unit systems, such as between metric and US customary units, for example. Additionally, a user can select data mode category 5064 to switch between types of numerical representations (Figures 79 to 81) of the feedback data and/or types of graphical representations (Figures 82 and 83) of the feedback data, for example . Numerical representations of feedback data can be displayed as numeric values and/or percentages, for example. In addition, numerical representations of the feedback data can be displayed as a function of time (Figure 82) and/or distance (Figure 83), for example. As described here, a user can select the 5070 Instrument Controller Menu on the 5030 Control Panel to enter directives for the 5020 Surgical Instrument (Figure 93), which can be implemented via the 5016 Instrument Controller (Figure 93) and/or microcontroller, for example.

[0388] Now referring to Figure 78, the second layer of information 5012 can overlay at least a portion of the first layer of information 5010 on the display 5002. In addition, the touch screen 5004 can allow a user to manipulate the second layer of information. information 5012 in relation to video feedback in the first layer of information 5010 underlying the display 5002. For example, a user may operate the touch screen 5004 to select, manipulate, reformat, resize and/or otherwise modify the information displayed in the second layer of information 5012. In certain embodiments, the user may use the touch screen 5004 to manipulate the second layer of information 5012 in relation to the surgical instrument 5020 shown in the first layer of information 5010 on the display 5002. A user may select a menu, category and/or classification from the control panel 5030 thereof, for example, and the second layer of information 5012 and/or control panel ntrol 5030 can be adjusted to reflect user selection. In various embodiments, a user can select a category from a category of instrument feedback 5036 that corresponds to a specific feature or features of the surgical instrument 5020 shown in the first layer of information 5010. Feedback corresponding to the category selected by the user may move, locate and/or "snap" into a position on the 5002 display relative to the specific feature or features of the 5020 surgical instrument. For example, selected feedback may move to a position close to and/or overlap with the specific feature or features of the instrument surgical 5020 shown in the first layer of information 5010.

[0389] With reference to Figures 79 and 80, if a user selects the 5040 knife advance category in the 5036 instrument feedback menu, for example, the sensory data and/or information related to knife advance may move and/or "snap" at a position in the second layer of information 5012 in relation to the knife of the DLU 5022 shown in the first layer of information 5010, for example. In addition, the 5030 control panel can be retracted and/or minimized after the user selects the desired category, or categories, from the 5036 instrument's feedback menu. 5052 feedback data related to knife advance can be shown on the 5002 display close to the detected knife of the DLU 5022 shown in the first layer of information 5010, and can move between a first position (Figure 79) when the knife is near the start of the firing stroke and a second position (Figure 80) when the knife is near the distal end of the firing stroke, for example, as the knife translates and/or moves through the DLU 5022. For example, when the knife translates a distance of X mm, the 5052 data related to the knife advance can be positioned in the first position (Figure 79), and when the knife translates a distance Y mm, the 5052 data related to the knife advance can be positioned in the second position (Figure 80). In such modes, the operator can follow the advance of the knife during the firing stroke by viewing the feedback data 5052 on the 5002 display. For example, when the knife of the DLU 5022 is blocked from view by the end actuator jaws 5024 /or T fabric, for example, operator can track and/or approximate knife position on DLU 5020 based on changed value of 5052 feedback data and/or change of position of 5052 feedback data relative to DLU 5022 shown on the first underlying 5010 information layer. In addition, the display 5002 may incorporate a numerical representation of knife advance, as well as a pictorial and/or symbolic representation of knife advance. For example, a 5054 symbol, such as an arrow, can move and/or extend in relation to the 5022 DLU shown in the first underlying 5010 information layer to display the knife advance on the 5022 DLU. Referring further to the Figures 79 and 80, for example, the 5054 symbol can extend distally as the knife advances distally from a position near the start of the firing stroke (Figure 79) to a position near the distal end of the firing stroke (Figure 80). , for example.

[0390] In various embodiments, a user can select one or more different categories of feedback data from the feedback menu of the instrument 5036, and the different categories of feedback data can be displayed in the second layer of information 5012 on the display 5002. In such embodiments , when a user selects a different category of feedback data in the 5036 instrument's feedback menu, a numerical and/or symbolic representation of the feedback data may move to a suitable position on the 5002 display in relation to the DLU 5022 shown in the first layer of information 5010 underlying. For example, if a user selects the jaw position category 5038 in the feedback menu of the 5036 instrument, feedback data related to the position of the mobile jaw between an open position and a pinched position can be displayed in the second layer of information 5012 and can move to a position close to the movable jaw(s) 5024 of the surgical instrument 5020 in the display 5002, for example. Also, if knife speed category 5042 is selected, feedback data 5058 (Figure 82) related to knife speed can be displayed in the second layer of information 5012 and can move to a position close to the knife on the DLU 5022 on display 5002, similar to numeric data 5052 and/or symbol 5054 discussed above. If the fabric thickness category 5044 is selected by a user, feedback data related to the selected fabric thickness can be displayed in the second information layer 5012 and can move to a position close to the fabric T measured in the display 5002, for example. Furthermore, in at least one embodiment, the second information layer 5012 may include a scale and/or ruler, which may illustrate the detected tissue thickness. The user can move the ruler across the touch screen 5004 in relation to the underlying fabric T shown in the first layer of information 5010, which can facilitate the user's understanding of fabric thickness variations, for example. If a user selects the linkage category of the 5046 end actuator, the 5252 feedback data (Figures 84 to 88) related to the linkage of the DLU 5022 can be displayed in the second layer of information 5012 and can move to a position close to the joint. 5026 (Figures 84 and 85) of the DLU 5022 in the display 5002, for example. If a user selects the trigger force category 5048, feedback data related to the trigger force exerted on the tissue by the knife can be displayed in the second layer of information 5012 and can be positioned close to the knife of the DLU 5022 in the display 5002, for example. Additionally, feedback data related to the firing force exerted by the knife may move in the second information layer 5012 as the knife moves relative to the DLU 5022, for example during a firing stroke. In addition, if the 5050 clamp force category is selected, the feedback data 5158 (Figure 83) related to the clamp force on tissue T can be shown in the second layer of information 5012 and can move close to the DLU 5022 shown in the first layer of underlying 5010 information. In such embodiments, the 5158 feedback data related to pinch force may show variations in pinch pressure along the length and/or width of the DLU 5022 during pinch and/or during the firing stroke, for example.

[0391] In various embodiments, the feedback shown in the second layer of information 5012 can move with the corresponding feature of the surgical instrument 5020 in the first layer of information 5010. For example, as the DLU 5022 is manipulated around the surgical site, the DLU 5022 can move around the display 5002. In such embodiments, feedback related to the DLU 5022, such as grip position and/or joint data, for example, can move along with the DLU 5022. Relevant feedback can ensure that the feedback remains in the operator's field of view without the operator having to move the eyes in the opposite direction to the corresponding feature of the 5020 surgical instrument shown in the first layer of information 5010 on the 5002 display. relevant can ensure that the feedback does not block the 5020 surgical instrument feature(s) shown in the first layer of information 50 10 that the operator wants to see on the 5002 display.

[0392] In certain embodiments, a user can select multiple categories of feedback for viewing on the 5002 display simultaneously. In addition, the selected feedback may be automatically arranged on the display 5002 to display the relevant data in a non-overlapping arrangement on the second layer of information 5012. In other words, the feedback displayed on the second layer of information 5012 may not overlap with other feedback displayed on the second layer of information 5012. second layer of information 5012; however, such feedback may overlay the video feedback of the first layer of information 5010 displayed on the display 5002, for example. In various embodiments, when the feedback data moves and/or "snaps" into a position on the screen relative to the 5020 surgical instrument shown in the underlying 5010 first layer of information, the user can overwrite the default position by "drag and drop" of the feedback data somewhere in the second layer of 5012 information.

[0393] Now with reference to Figure 81, a symbolic representation 5056 of the knife advance, such as a cross, center and/or pictorial representation of the knife and/or knife edge, for example, can move to a position in the second layer of 5012 information that overrides the knife position shown in the first layer of 5010 information. In certain embodiments, even when the knife is not visible on the 5002 display, for example, if the knife view is obstructed, the symbolic representation 5056 of the knife may become move and/or track the detected knife position on the DLU 5022 on the 5002 display. For example, the 5056 symbolic representation can be in a first position with the DLU 5022 near the start of the firing stroke and the 5056 symbolic representation moves to a second position with respect to the DLU 5022 near the end of the firing stroke.

[0394] In various embodiments, user-selected feedback via the 5004 touchscreen may "snap" into a corner, edge, and/or other predetermined location on the 5002 display. For example, still referring to Figure 81, the 5052 numerical data related to knife feed can move to a corner of the 5002 display. Additionally or alternatively, a user can interface with the 5004 touchscreen to move the 5052 numerical data to a different position on the 5004 touchscreen. Based on the position of the underlying surgical instrument 5020 in the first information layer 5010, the user can move the numeric data 5052 to a position in the second information layer 5012 so that the corresponding and/or specific feature of the 5022 DLU is not blocked and /or obstructed by the 5052 numeric data. Additionally or alternatively, the user can move the 5052 numeric data to a position close to the corresponding feature of the 5022 DLU so that the user can easily view the corresponding DLU 5022 resource and 5052 numeric data simultaneously.

[0395] With reference to Figures 84 and 85, a symbolic representation 5254 (Figure 85) of the feedback data from the feedback controller 5016 (Figure 93) may be included in the second layer of information 5012. For example, a symbolic representation 5254 of the joint of the DLU 5022, such as the subtended angle and/or arc, for example, can be shown in the second information layer 5012 and can move to a position on the display 5002 next to and/or overlapping the hinge joint 5026 of the surgical instrument 5020 shown in first layer of information 5010. For example, a subtended arc can span between an axis A defined by the non-hinged DLU 5022 (Figure 84) and an axis A' defined by the articulating DLU 5022 (Figure 85). In certain embodiments, even when the swivel joint 5026 is not visible on the display, the symbolic representation 5254 of the articulation angle may be visible in the second information layer 5012. For example, if the swivel joint 5026 is not positioned within the field of view of the endoscope and/or is obstructed or blocked, the symbolic representation 5254 of the articulation angle can provide a visible indication of the articulation to the user. In various embodiments, the 5252 symbolic representation may adjust and/or change as the 5022 DLU moves and/or pivots. For example, the 5254 symbolic representation can be an arc or arrowed line, which can extend from the initial and/or non-hinged position of the DLU 5022 (Figure 84) towards the articulated position of the DLU 5022 (Figure 85), as detected by the 5020 instrument. Also, in various embodiments, the 5254 symbolic representation can "snap" into a position with respect to the 5022 DLU shown in the first layer of information, such that the 5254 symbolic representation overlaps and/or is aligned with the DLU 5022. For example, referring primarily to Figure 85, the symbolic representation 5254 of the pivot angle may move at and/or near the pivot joint 5026 shown in the first information layer 5010 in the display 5002, and may extend between the A axis defined by the DLU 5022 in the home position and/or not pivoted and the A' axis defined by the DLU 5022 as the DLU 5022 pivots.

[0396] Also, in various embodiments, the 5022 DLU articulation related numeric data5252 can be displayed in the 5012 second information layer on the 5002 display. In addition, the 5252 data can change as the 5022 DLU articulates. For example, the second layer of information 5012 can show an X° joint before the DLU 5022 joint (Figure 84) and can show a Y° joint after the DLU 5022 joint (Figure 85). In various embodiments, the joint-related feedback data 5252 of the DLU 5022 may be displayed in the second information layer 5012 at and/or near the joint 5026 of the surgical instrument 5020 shown in the first information layer 5010, for example. A user may use touch screen 5004 to move, resize, minimize and/or manipulate joint data 5252 displayed on second information layer 5012 in relation to video feedback displayed on first information layer 5010, for example. Additionally or alternatively, a user can interface with the touchscreen 5004 to move the symbolic representation 5254 and/or the numerical data 5252 to a different position on the touchscreen 5004. Based on the position of the underlying surgical instrument 5020 in the first 5010 information layer, the user can move the 5252 numeric data to a position in the 5012 second information layer so that the corresponding and/or DLU 5022 specific resource(s) are not blocked and/or obstructed by the 5252 numeric data. Additionally or alternatively, the user can move the 5252 numeric data to a position close to the corresponding feature(s) of the 5022 DLU, so that the user can easily view the corresponding feature(s) of the DLU. DLU 5022 and numeric data 5252 simultaneously.

[0397] Now referring to Figure 82, a graphical representation can be selected from the 5060 display menu of the 5030 control panel via the 5004 touch screen, for example. In such embodiments, a graphical representation of the feedback 5058 may be displayed on the second layer of information 5012 on the display 5002. A user may select the graphical representation to view the measured and/or detected data on the surgical instrument 5020 and/or its controller in in relation to time and/or space. For example, a user may wish to observe the velocity of the firing element during the firing stroke, and thus can select knife velocity category 5042 (Figure 78) in the instrument feedback menu 5036 (Figure 78). In such embodiments, the 5058 graphical representation of knife velocity may continue to gain data points and grow during the firing stroke, for example. In various embodiments, at the completion of the firing stroke, the graphical representation 5058 may show a "soft" start period 5057 and/or a "soft" stop period 5059 of the knife. In addition, the 5058 graphical representation can be positioned on the 5002 display so that the knife speed at a specific location along the length of the 5024 end actuator jaws corresponds to the specific location along the length of the 5022 end actuator jaws shown in the first information layer 5010. For example, the graphic representation 5058 may start at and/or near the beginning of the knife trajectory by the DLU 5022 shown in the first information layer 5010 and may end at and/or near the end of the trajectory of the knife through the DLU 5022 shown in the first layer of information 5010, for example. Additionally, as described here, the 5058 graphical representation can "snap" into a suitable position on the display and a user can utilize the 5004 touchscreen to move and/or resize the 5058 graphical representation as desired. In certain embodiments, the graphical representation of the firing rate may be displayed on the second information layer 5012 along with the graphical representation 5058.

[0398] Now referring to Figure 83, in various embodiments, a user may wish to observe the pinching force exerted on the T fabric along the length and/or width of the 5024 End Actuator jaws and thus can select the category 5050 Pinch Force (Figure 78) in the 5036 Instrument Feedback Menu (Figure 78). In such embodiments, the graphical representation 5158 of the pinch force may be displayed on the second information layer 5012. In such embodiments, the graphical representation 5158 may be displayed on the second information layer 5012 with respect to the pinched tissue shown in the first information layer. 5010. For example, the graphical representation 5158 may start at and/or near the proximal end of the claws 5024 shown in the first information layer 5010 and may end at and/or close to the distal end of the claws 5024 shown in the first information layer 5010 , for example. Also, as described here, the 5158 graphic can "snap" into a suitable position on the display and a user can use the 5004 touchscreen to move and/or resize the 5158 graphic, for example. In certain embodiments, the graphical representation may change during use to reflect variations in pinch pressure during a firing stroke, for example.

[0399] Referring to Figures 86 to 88, a user can interface with the 5004 touchscreen to enter controls and/or directives into the 5020 Surgical Instrument through the 5016 Surgical Instrument Controller and/or microcontroller. For example, a user can enter controls directed at DLU 5022 linkage, 5024 end actuator gripping jaws, cutting element advance and/or retraction, and/or DLU 5022 eject clamps. In various modes, a user can select the instrument controller category 5070 on the 5030 control panel through the 5004 touch screen to activate the instrument control state, so that the user can control the 5020 surgical instrument through the 5004 touch screen. 5004 touchscreen is enabled to control the instrument, a user can interface with the 5004 touchscreen to control the 5020 surgical instrument. For example, a user can interface with the control buttons and/or icons in the second layer of information 5012 and/or can interface with the 5004 touchscreen locations corresponding to the underlying 5020 surgical instrument to enter directives for the ins. surgical instrument 5020, for example.

[0400] For example, referring to Figure 86, a user can interface with the 5004 touchscreen to indicate the desired direction and degree of articulation of the 5022 DLU, for example. In certain embodiments, a user may drag a contact point on the 5004 touchscreen from and/or near the 5022 DLU toward the desired pivot location of the 5002 end actuator. Referring to Figure 86, a user may draw a line or arc 5352 from and/or near the DLU 5022 shown in the first layer of information 5010 towards the desired joint location of the DLU 5022. For example, arc 5352 can extend from and/or approximately the A axis defined by the DLU 5022 and the arc 5352 may extend from the axis A' defined by the desired pivot position of the DLU 5022. Furthermore, the air 5352 may extend in the direction indicated by the arrow 5354, for example. In certain embodiments, an arc 5352 may not appear on the second layer of information 5010 when the user enters the desired articulation through the touch screen 5004. In various embodiments, the touch screen 5004 may communicate the desired articulation angle to the 5016 instrument controller (Figure 93) and/or microcontroller, which can affect the 5022 DLU pivot to the desired pivot angle. Now referring to Figure 88, the instrument controller 5016 (Figure 93) and/or microcontroller can affect the articulation of the DLU 5022 with the A' axis based on information entered by the user via the 5004 touch screen, for example.

[0401] Referring mainly to Figure 87, in various modes, a user can interface with the control buttons, schematic drawings and/or icons in the first layer of information 5012 to enter directives for the surgical instrument 5020. For example, the first layer 5012 can include a 5356 symbol or icon and the user can move and/or manipulate the 5356 icon to affect the articulation of the 5022 DLU. In various embodiments, the 5356 icon can include a schematic drawing of the 5022 DLU, for example. In addition, a user can drag the 5356 icon to a pivoted and/or rotated orientation to affect the articulation of the DLU 5022. In various embodiments, the 5358 line and/or arc can indicate the direction and/or degree of articulation desired by the 5358. user. For example, arc 5358 may extend from the non-hinged orientation of icon 5356 to the hinged orientation of icon 5356'. Hinged icon 5356' can correspond to the desired articulation of the DLU 5022, for example. Now referring to Figure 88, the 5016 instrument controller and/or microcontroller can affect the articulation of the 5022 DLU with the A' axis based on information entered by the user via the 5004 touch screen, for example. For example, the DLU 5022 can be hinged up to the subtended angle defined by arc 5358 between the unhinged icon 5356 and the hinged icon 5356' shown in Figure 87.

[0402] Mainly Figures 89 and 90, in various embodiments, a user can interface with the 5004 touch screen to enter directives for the 5020 surgical instrument related to the closure of the 5024 jaws. In certain embodiments, a user can drag a point touchscreen 5004 from and/or close to the movable jaw 5024 toward the closed orientation of the movable jaw 5024 to initiate the closing of the jaw 5024. For example, a user can draw a line or arc 5362 (Figure 89) from and/or near the movable jaw 5024 shown in the first information layer 5010 towards the desired closed orientation of the movable jaw 5024. In various embodiments, the touch screen 5004 can communicate the closing movement to the instrument controller 5016 and /or microcontroller, which may affect the closing of the movable jaw(s) 5024. In certain embodiments, the arc 5362 traced by the user on the touch screen 5004 may extend from and/or approximately from axis A defined by movable jaw 5024 and arc 5362 may extend to axis A' (Figure 90) defined by desired fixed orientation of movable jaw 5024. Additionally, air 5362 may extend in the direction indicated by arrow 5364 , for example. Now referring to Figure 90, the instrument controller 5016 and/or microcontroller can affect the closing of the movable jaw 5024 with the A' axis based on the information entered by the user via the touch screen 5004, for example.

[0403] Now with reference to Figures 91 and 92, in various modes, a user can interface with the control buttons and/or icons in the first layer of information 5012 to enter directives for the surgical instrument 5020. For example, the first layer of information 5012 information may include a 5072 control interface, which may include buttons 5074, 5075, 5076, 5077, 5078 for inputting directives to the 5016 instrument controller and/or microcontroller, for example. The pushbuttons for entering directives for the 5016 instrument controller (Figure 93) and/or microcontroller may relate to articulating the 5022 DLU, closing and/or pinching the 5024 jaws, triggering and/or retracting the cutting element and/or ejecting the staples from the DLU 5022, for example. User can interface with 5004 touch screen to select a 5072 control interface button or buttons. Referring mainly to Figure. 91, the control interface 5072 may include a stop/retract button 5474, a pause button 5475, a start button 5476, a speed up button 5477 and/or a speed down button 5478, for example. The user can contact the start button 5476 to start the firing stroke and/or advance the firing element, the pause button 5475 to pause the firing stroke and/or the stop/retract button 5474 to stop the blow trigger and retract the trigger element, for example. In addition, the user can interface with the 5072 control interface to adjust the speed of the trigger element during the trigger stroke. For example, the user can contact the 5477 plus speed button to increase the trigger element speed and the user can contact the 5478 minus speed button to decrease the trigger element speed. A user can increase the speed of the firing element after and/or during an initial "soft" phase of the firing blow, for example, and/or can decrease the velocity of the firing element in a "soft" stopping phase of the blow. of firing towards the end of the firing stroke, for example. In other embodiments, the 5072 control interface may include buttons and/or controls for modifying the closure of the 5024 jaws and/or articulation of the DLU 5022, for example. In various embodiments, the 5072 control interface can "snap" into a position on the 5012 second layer of information when the 5070 instrument controller menu is selected from the 5030 control panel and/or when the instrument's control status is selected by the user. The user can move, adjust and/or manipulate the control interface 5072 with respect to the first information layer 5010 and/or display 5002, for example.

[0404] In various embodiments, referring to Fig. 92, the secondary information layer 5012 may include a progress bar 5480, which may indicate the position of the trigger element on the DLU 5022, for example. Progression bar 5480 may extend between proximal end 5482 and distal end 5488 and may define a more proximal position and a more distal position of the trigger during the trigger stroke. In various embodiments, the position of the trigger may be indicated along the progress bar 5480, for example. In certain embodiments, the user can use the controls on the 5072 control interface to adjust the trigger stroke. For example, the user can interface with the 5072 control interface to start and/or end the "soft" start and/or "soft" end phases of the firing stroke based on the indicated position of the firing element along the bar. 5480. In addition, the progress bar 5480 may include symbols and/or measurement guides 5484, 5486 that may be set to positions along the progress bar 5480 where the "soft" start and/or stop phases " mole" can begin and/or end, for example. The 5484, 5486 guides can provide a visual cue for the user to start and/or end the "soft" start period with the speed plus button 5077 and/or the "soft" stop phase with the slow speed button 5078 during shotgun, for example. In various embodiments, the position of guides 5484, 5486 can be predefined by the user.

[0405] Still referring to Figure 92, in various embodiments, the instrument controller 5016 and/or microcontroller can automatically affect variations in trigger element speed based on the position of guides 5484, 5486 along the progress bar 5480 In addition, the user can interface with the 5004 touchscreen to move and/or manipulate the 5480 progress bar and thereby modify the "soft" start and "soft" stop phases of the firing stroke. For example, the "soft" start and "soft" stop phases can be set at predetermined positions along the progress bar 5480 between the proximal end 5482 and the distal end 5488. In certain embodiments, the user can interface with the screen 5004 to move and/or adjust the position of guides 5484, 5486 along the length of progress bar 5480. For example, the user may toggle guides 5484, 5486 between a plurality of positions on progress bar 5480 through drag and release guides 5484, 5486 to lengthen and/or shorten the "soft" start and "soft" stop phases of the firing stroke. In certain embodiments, the user may interface with touch screen 5004 to move and/or adjust the position of distal end 5488 of progress bar 5480 to lengthen and/or shorten a trigger stroke. For example, the user can drag the distal end 5488 proximally to shorten the trigger stroke and/or drag the distal end 5488 distally to lengthen the trigger stroke, for example. In various embodiments, the instrument controller 5016 and/or microcontroller may adjust trigger element speed and/or trigger stroke length based on the modified positions of guides 5484, 5486 and/or distal end 5488 along the progression bar 5480, for example.

[0406] In various embodiments, the surgical instrument 10 may include at least one deactivation mechanism. As described in more detail in the present invention, such a deactivation mechanism may discourage the end user from tampering with the surgical instrument. For example, with reference to Figure 134, a power supply 2500 is illustrated. Power supply 2500 can be used to supply power to a surgical instrument, such as surgical instrument 10 (see Figure 1) and is similar in many respects to the other power supplies described herein in the present invention, such as, for example, example, power supply 200 (see Figure 1) and other power supplies of the type described in more detail in Zemlok '763, which is incorporated herein by reference in its entirety. To protect the 2500 power supply from tampering, the 2500 power supply can be configured to be inoperable or inactive if tampered with. For example, the power supply 2500 may be inactive through shutdown to receive, store and/or transmit power, for example. Tamper protection can ensure correct operation of the 2500 power supply during use with the surgical instrument 10.

[0407] Referring to Figures 134 and 135, the power supply 2500 may include an external compartment 2502 which may enclose various components of the power supply 2500, such as, for example, a battery 2510. The compartment 2502 may include a first housing 2504 and a second housing 2506 that can be detachably coupled to the first housing 2504, as shown in Figure 135. In certain examples, housings 2504 and 2506 may be formed of a thermoplastic material, such as polycarbonate. Alternatively, other materials have suitable characteristics and can be used. In addition, housings 2504 and 2506 may be coupled together by one or more attachment techniques, such as, for example, adhesives, welding, interlocking structures, and/or screws. As an example, housings 2504 and 2506 can be secured together with a snap-in type hitch. In another example, housings 2504 and 2506 can be held together by fasteners 2508, as illustrated in Figure 135.

[0408] Referring to Figures 135 through 137, the power supply 2500 may include a disablement mechanism 2512 that can render the power supply 2500 inoperable if the power supply 2500 is compromised. For example, disablement mechanism 2512 can render power supply 2500 inoperable if bay 2502 is tampered with. As illustrated in Figures 135 to 137, deactivation mechanism 2512 may comprise circuit 2514 which may include a tearable portion 2516 (see Figure 136). In certain examples, the tearable portion 2516 may be comprised of a conductive material that may be easily broken. As illustrated in Figure 136 , circuit 2514 may be coupled to battery 2510 and may allow current to flow for as long as the tearable portion 2516 remains intact. The rupture of the breakable portion 2516, as illustrated in Figure 137, can interrupt the circuit 2514 and thus stop the flow of current through it. In addition to the foregoing, as illustrated in Figure 135, the surgical 2514 can be positioned so that the tearable portion 2516 can be ruptured when the first housing 2504 and second housing 2506 are separated from each other, which can cause the source power supply 2500 is unable to receive, store and/or supply power to the surgical instrument 10 without significant effort to repair the broken circuit 2514.

[0409] Again with reference to Figure. 135, the power supply 2500 may comprise one or more battery cells, depending on the current charging needs of the instrument 10. In various aspects, the primary power supply 2500 may include a battery, such as the 2510 battery, which may include a plurality of battery cells which may be connected in series with each other. The 2500 power supply is replaceable. In certain aspects, the power supply 2500 may comprise a rechargeable battery (eg, lead-based, nickel-based, lithium-ion, etc.). The battery cells can be, for example, 3 volt lithium battery cells, such as CR 123A battery cells, although in other embodiments, different types of battery cells can be used (including battery cells with different voltage levels and/or different chemicals). A user may disconnect and remove a depleted 2500 power supply from the surgical instrument 10 and connect a charged 2500 power supply in place. The 2500 power supply can then be charged and reused. It is also understood that the power supply 2500 may include at least one disposable battery. In many ways, the disposable battery can be anywhere from 9 volts to about 30 volts. A user can disconnect and remove a depleted power supply 2500 and connect a new disposable power supply 2500 to power the surgical instrument 10.

[0410] As previously described, the 2500 power supply may include rechargeable battery cells and may be removably positioned within the cable portion 14 of the cabinet 12, for example (see Figure 1). Under certain circumstances, the power supply 2500 may be charged using a charger base which may comprise a power supply for charging the power supply 2500. A deactivation mechanism, such as the deactivation mechanism 2512, may be provided. used to prevent the 2500 power supply from being recharged from the charger base if the 2500 power supply is tampered with as described above. For example, circuit 2514 can be coupled to battery 2510 and can be coupled to the charger base to allow the charger base to charge battery 2510. As described above, the breakable portion 2516 (see Figure 135) can be ruptured when the The first frame 2504 is separated from the second frame 2506 and thus interrupts the flow of current through the circuit 2514, which can prevent the charger base from recharging the battery 2510. This can be advantageous in discouraging the end user from violating the power supply 2500, as tampering with the power supply 2500 may result in it not being able to be recharged for subsequent use with the surgical instrument 10.

[0411] Now referring to Figures 138 to 141, the power supply 2500 may include a data storage unit, such as memory 2552, which can store data, including information about the power supply 2500, such as for example, the total available load, number of uses and/or performance. Additionally, memory 2552 may store data about the surgical instrument 10, including a variety of information about the operation of the surgical instrument 10 during the surgical procedure, such as, for example, various sensor readings, number of shots, number of cartridges used, and /or information about treated patients. The 2552 memory may include software storage media, including, but not limited to, ROM (read-only memory), RAM (random access memory), PROM (programmable ROM), EEPROM (electrically erasable PROM), and/or or other computer readable media.

[0412] In addition to the above, referring again to Figures 138 to 141, the power supply 2500 may include a data access portal, such as the I/O interface 2550 to provide access to data stored in memory 2552 For example the 2550 I/O interface can allow data stored in the 2552 memory of the 2500 power supply to be downloaded to an external computing device for evaluation and analysis. In certain circumstances, the 2550 I/O interface may be a wired interface and may be operationally coupled to a 2512 disablement mechanism that may include a breakable connection that may be detached to prevent data transmission through the 2550 I/O interface. Similar to the tear-off portion 2516 of the disablement mechanism 2512, the tear-off connection of the disablement mechanism 2554 may be positioned so that it can be detached when the compartment 2502 is violated, such as when the first housing 2504 and the second housing 2506 are separated from each other.

[0413] In addition to the foregoing, as illustrated in Figures 139 to 141, the I/O interface 2550 can include a connector 2555 that can be configured to receive a corresponding connector 2556 from the external computing device, for example, to allow data transfer between the 2552 memory and the computing device. Additionally, connector 2554 can be protected by a cover, such as a swivel cover 2559 that can be configured to move between the locked position (see Figure 139), in which connector 2554 is not exposed, and the locked position (see Figure 139), where connector 2554 is not exposed. unlocked (see Figure 140), in which connector 2554 is exposed to receive the corresponding connector 2556. In one example, a helical screw 2558 may be used to secure swivel cover 2559 to housing 2502. Other means of reversibly covering the connector 2556 were contemplated by the present disclosure. In addition to the foregoing, in certain examples, connectors 2554 and 2556 may include a key and a latch-type latch, with connectors 2554 and 2556 comprising, for example, unique complementary geometries that prevent connector 2554 from receiving other connectors for prevent or at least limit unauthorized access to data stored in memory 2552. In certain examples, connector 2554 may be positioned within compartment 2502, as illustrated in Figure 141, to further limit unauthorized access to data stored in memory 2552 In such circumstances, the connector 2554 can be accessed by separating the first frame 2504 from the second frame 2506 from the compartment 2502. However, as described above in more detail, the disablement mechanism 2512 can render the power supply 2500 inoperable when there is a violation of the 2502 compartment, which can further discourage attempts to expose the 2554 connector to gain access to data stored in memory 2552.

[0414] Referring to Figure 142, the 2500 power supply may include a 2560 processor that can manage data stored in the 2552 memory. To protect data from unauthorized access, the 2560 processor may be coupled with a tamper detection mechanism. 2562. For example, processor 2560 may be coupled to circuit 2514 and may be configured to detect breakage of breakable portion 2516. In one example, tamper detection mechanism 2562 may include one or more sensors configured to detect tampering in the 2562. compartment 2502. In either case, upon detection of tampering, the processor 2560 may be programmed to prevent unauthorized access to data stored in memory 2552, for example, by deleting or encrypting the data.

[0415] Referring to Figures 143 to 145, a surgical instrument 2600 is shown. The Surgical Instrument 2600 is similar to the Surgical Instrument 10 (see Figure 1) and/or Surgical Instrument 2100 (see Figure 146) in many respects. For example, surgical instrument 2600 may include a housing assembly 2602 that is similar to housing assembly 2102 of surgical instrument 2100 and/or cabinet 12 of surgical instrument 10. Additionally, surgical instrument 2600 may include a power supply 2500 ' which can be used to supply power to the surgical instrument 2600 and is similar in many respects to the other power supplies described herein in the present invention, such as the power supply 2500 (see Figure 134) and other power supplies of the type described in more detail in Zemlok '763, which is incorporated herein by reference in its entirety. Additionally, as illustrated in Figure 143 , the power supply 2500' may include a charge level indicator 2660 which may be configured to provide feedback to a user about the charge level of the power supply 2500'. Feedback can be in the form of sound and/or light, for example. The 2500' power supply may include one or more light emitting diodes (LEDs). The one programmed for 2560, for example, can be programmed to control the LEDs in providing feedback to a user regarding the load level of the 2500' power supply, as measured by a load meter, for example.

[0416] As illustrated in Figures 143 to 145, the power supply 2500' may include a first LED 2662 and a second LED 2664. Processor 2560 may be coupled to LEDs 2662 and 2664 and may be programmed to illuminate both LEDs 2662 and 2664 upon receiving a signal from the load meter that the power supply is fully charged. In addition, the 2560 processor can be programmed to turn off both the 2662 and 2664 LEDs upon receiving a signal from the load meter that the power supply is empty. In addition, the 2560 processor can be programmed to illuminate only the first 2662 LED, but not the second 2664 LED, upon receiving a signal from the load meter that the power supply includes just enough charge for full instrument operation. 2600. Other means of alerting the user to the charge level of the 2500' power supply are contemplated by the present disclosure.

[0417] In certain embodiments, various components of the surgical instrument 10 may be reusable and various components may be replaceable, for example. Furthermore, the surgical instrument 10 can be at least partially assembled, disassembled and/or reassembled. For example, the surgical instrument 10 can be at least partially disassembled and reassembled with reusable components and replacement components, for example. Additionally, the surgical instrument 10 can be at least partially disassembled for cleaning, disinfection and/or reprocessing between surgical procedures. Subsequently, the surgical instrument 10 can be reassembled, for example. As described in more detail in this document, various features, assemblies and/or systems of the surgical instrument 10 may facilitate disassembly and assembly thereof. For example, referring now to Figures 146 to 148, surgical instrument 2100 is shown. The Surgical Instrument 2100 is similar to the Surgical Instrument 10 (see Figure 1) in many respects. For example, the surgical instrument 2100 may include a housing assembly 2102 that is similar to the housing 12 of the surgical instrument 10. In addition, the housing assembly 2102 may include a number of removable components 2103 that can be detachably attached to the housing body. 2104, such as a working assembly 2106. Other components of the housing assembly 2102 may be detachably attached to the housing body 2104. For example, the housing assembly 2102 may include a replaceable power supply 2108 that can be detachably attached to a cable portion 2110 of the housing body 2104. Power supply 2108 is similar in many respects to other power supplies described elsewhere in the present disclosure, such as, for example, power supply 200 (see Figure 1).

[0418] Again with reference to Figure 147, the 2102 housing assembly, or some or all of its components, may be reusable. In other words, the housing assembly 2102, or some or all of its components, may be used in various surgical procedures that may require the housing assembly 2102 to be cleaned, disinfected, and/or reprocessed between surgical procedures. The ability to reversibly disassemble the housing assembly 2102, or to remove some or all of its components, such as the working assembly 2106, in a simple and reproducible manner can simplify the cleaning, disinfection and/or reprocessing steps of the 2012 housing assembly and/or can reduce costs.

[0419] With reference to Figure. 147, the housing assembly 2102 can be disassembled after a surgical procedure and the components of the housing assembly 2102 disassembled, such as the housing body 2104, work set 2106 and/or power supply 2110 can be cleaned, disinfected and/or reprocessed depending on the characteristics and internal parts of each component. In certain examples, the housing body 2104 may be disposable. In other words, the housing assembly 2102 can be disassembled after a surgical procedure and the housing body 2104 can be replaced with a new housing body 2104. However, the rest of the components can be cleaned, disinfected and/or reprocessed and then attached to the new 2104 housing body. The reader will understand that the other components of the housing assembly 2102 may also be disposable and may be replaced with similar new components.

[0420] Referring again to Figures 146 to 148, the housing body 2104 can be configured to allow the assembly and disassembly of the housing assembly 2102 in a simple, predictable and reproducible way. For example, the housing body 2104 may include a first covered portion 2112 (see Figure 147) and a second covered portion 2114 (see Figure 146) that can be releasably secured to the first covered portion 2112. covers 2112 and 2114 may be a snap-in type coupling. Covered portions 2112 and 2114 may be adapted for entangled engagement with each other. In one example, the covered portion 2112 may include a plurality of female members 2116 (see Figure 147) which may be cylindrical in shape and configured to receive corresponding male members (not shown) disposed on the covered portion 2114 and an engagement of the type snap fit when covered portions 2112 and 2114 are assembled together.

[0421] In addition to the above, the working set 2106 may be nested in the first covered portion 2112. As illustrated in Figure 147, the second covered portion 2114 may be removed from exposure to the working set 2106 nested in the first covered portion 2112 so as to allow the user to remove the working set 2106 from the housing body 2104. The working set 2106, as illustrated in Figure 147, may include a motor 2118 that can generate rotary motion to effect an end actuator (e.g., the the cartridge/anvil of the loading unit 20 is illustrated in Figure 2). Engine 2118 is similar in many respects to other engines described elsewhere in the present disclosure, such as, for example, engine 100 (see Figure 1). In addition, the working assembly 2106 may also include a transmission assembly 2120 that is operatively coupled to a motor 2118 and is similar in many respects to the other transmission assemblies described in the present disclosure, such as, for example, the gear assembly. 170 (see Figure 5). In addition, the working assembly 2106 may also include a triggering member assembly 2122 that can transform the rotary motions generated by the motor 2118 into axial movements that can be transmitted to the end actuator via a triggering rod 2124. The assembly of trigger member 2122 is similar in many respects to other trigger assemblies described in the present disclosure, such as, for example, trigger member assembly 82.

[0422] Referring to Figures 147 and 148, the first covered portion 2112 may include a plurality of compartments designed and spaced to receive the working set 2106. For example, the covered portion 2112, as illustrated in Figure 147, may include a compartment 2126 engine housing that may be spaced to accommodate the 2118 engine. In certain examples, the 2126 engine housing compartment may be designed to fit the 2118 engine in a specific arrangement to ensure accurate mounting. In addition, the engine housing compartment 2126 may include assembly instructions which can be, for example, molded into a wall of the engine housing compartment 2126 to ensure correct mounting. For example, the side walls of the engine housing compartment 2126 may be configured to flush the engine 2118. Additionally, the sides may be asymmetrically configured, at least in some respects, to receive the engine 2118 in only one orientation, i.e. , the correct orientation.

[0423] Similarly, the covered portion 2112, as illustrated in Figure 147, may include a drivetrain housing compartment 2128 that can be spaced to accommodate the drivetrain 2120. In addition, in certain examples, the drivetrain housing 2128 drive train housing can be designed to fit 2120 drive train in a specific arrangement to ensure accurate assembly. For example, the side walls of the transmission assembly housing compartment 2128 may be configured to receive the transmission assembly 2120 flush. Additionally, the sides may be asymmetrically configured, at least in some aspects, to receive the transmission assembly 2120 in only one orientation, that is, the correct orientation. In addition, the drivetrain housing housing 2128 may include assembly instructions that can be, for example, molded into a wall of the powertrain housing housing 2128 to ensure proper mounting. Similarly, the covered portion 2112, as illustrated in Figure 147, may include a firing member assembly housing compartment 2130 that can be spaced apart to accommodate the firing member assembly 2122. In addition, in certain examples, the 2130 Firing Member Assembly housing compartment can be designed to fit 2122 Firing Member Assembly in a specific arrangement to ensure accurate assembly. For example, the side walls of the firing member assembly housing compartment 2130 may be configured to flush with the firing member assembly 2122. Additionally, the sides may be asymmetrically configured, at least in some respects, to receive the assembly. of the firing member 2122 in only one orientation, i.e. the correct orientation. In addition, the firing member assembly housing compartment 2130 may include assembly instructions which can be, for example, molded into a wall of the firing member assembly housing compartment 2130 to ensure correct assembly. The reader will understand that other components of the working set 2106 may also be provided with unique designated accommodation compartments within the covered portion 2112. The reader will also understand that the electrical contacts of the components of the working set 2106 may also be integrated with the compartments of the covered portion 2112 so that when properly assembled, electrical connections can be established between the working assembly 2106, other components of the housing assembly 2102, such as, for example, the power supply 2108, and/or other components of the surgical instrument 2100.

[0424] In addition to the above, the working set 2106 can be detachably attached to the trigger rod 2124, as illustrated in Figure 147, which can allow a user to remove and reconnect the working set 2106 as a single unit on the surgical instrument 2100 to simplify disassembly and reassembly of working assembly 2106. In one example, as illustrated in Figure 147, firing member assembly 2122 may include a hollow tubular distal portion 2132 which may include a distal opening configured to receive and lock from releasable manner on a proximal portion 2134 of firing rod 2124 in a "push fit" type engagement, for example.

[0425] Again with reference to Figures 147 and 148, other components of the working set 2102 may be nested in dedicated compartments in the covered portion 2112 in a similar manner to the working set 2106. For example, the covered portion 2112 may include a housing compartment of the power supply 2136 that may be spaced to accommodate the power supply 2108. Also, in certain examples, the housing compartment of the power supply 2136 may be designed to fit the power supply 2108 in a specific arrangement to ensure the accurate assembly. For example, the side walls of the power supply housing compartment 2136 may be configured to receive flush with the power supply 2108. Additionally, the sides may be asymmetrically configured, at least in some respects, to receive the power supply 2108 in only one orientation, that is, the correct orientation. In addition, the power supply housing compartment 2136 may include mounting instructions which can be, for example, molded into a wall of the power supply housing compartment 2136 to ensure correct mounting.

[0426] In addition to the above, as illustrated in Figures 147 and 148, certain user-insertion mechanisms, such as, for example, the trigger button 2138 and/or closing key 2140, can also be separable from the housing body 2104 which can include a firing button housing compartment 2142 spaced to accommodate the firing button 2138 and/or a closing switch housing compartment 2144 spaced to accommodate the closing switch 2140. Further, in certain examples, the housing compartment 2142 Fire Button Assembly can be designed to fit the 2138 Fire Button Assembly in a specific arrangement to ensure accurate assembly. For example, the side walls of the firing button housing compartment 2142 can be configured to receive the fire button 2138 flush. Additionally, the sides can be asymmetrically configured, at least in some respects, to receive the fire button 2138 in only one orientation, that is, the correct orientation. Similarly, the closing switch housing 2144 may be designed to fit the closing switch 2140 in a specific arrangement to ensure accurate assembly. For example, the side walls of the lock key housing compartment 2144 may be configured to flush with the locking key 2140. Additionally, the sides may be asymmetrically configured, at least in some respects, to receive the locking key 2140 in only one orientation, that is, the correct orientation. In addition, the firing button housing compartment 2142 and/or the closing key housing compartment 2144 may include assembly instructions which can be, for example, molded into a wall of the firing button housing compartment 2142 and /or 2144 closing switch housing compartment to ensure correct mounting.

[0427] Again with reference to Figures 147 and 148, in addition to the nested compartments, the covered portion 2112 may include attachment mechanism(s) to secure some or all of the removable components 2103 of the housing assembly 2102 in their respective compartments in order to ensure that the 2103 removable components remain nested in their respective compartments. Such attachment mechanisms may include attachment members which may be movable between an unlocked configuration (see Figure 148) and a locked configuration (see Figure 147) to lock the removable components 2103 of the housing assembly 2102 in their respective compartments in the covered portion 2112 The reader will understand that a single or multiple attachment members may be used to secure one or more of the removable components 2103 to the covered portion 2112. In addition, the attachment mechanisms may also include security features that may prevent the attachment members from fixtures move to the locked configuration in cases of incorrect assembly to ensure correct assembly of the removable components 2103 of the housing assembly 2102. As illustrated in the exemplary embodiment of Figure 147, the working assembly 2106 can be fixed to the covered portion 2112 by various fixing members, such as, for example, an engine fixing member 2148, a and securing the drive assembly 2150 and/or a firing member assembly securing member 2152. In certain examples, as illustrated in Figure 147, the power supply securing member 2154, a firing button securing member 2156 and a closing switch fixing member 2158 can be used to fix the power supply 2108, firing button 2138 and closing switch 2140, respectively.

[0428] Clamping members may catch on removable components 2103 when moving from the unlocked configuration (see Figure 148) to the locked configuration (see Figure 147). For example, the motor attachment member 2148 can catch on the motor 2118 when moving from the unlocked configuration (see Figure 148) to the locked configuration (see Figure 147). In certain examples, some or all of the removable components 2103 may comprise tracks configured to receive the anchor members as they move from the unlocked configuration to the locked configuration. The rails may be positioned so that they can be aligned to receive the movable fixing members only when the removable components 2103 are correctly nested with their respective compartments in the covered portion 2112. For example, if the engine 2118 is not properly housed in the engine housing 2126, the engine fixing member 2148 may not be correctly aligned with its rail, and therefore, when moving the engine fixing member 2148 from the unlocked configuration to the locked configuration, the engine fixing member 2148 may not enter the rail and, for example, may be in adjoining position against an outer wall of the motor 2118. In certain examples, the motor attachment member 2148 may be positioned so that it can prevent the first covered portion 2112 from mating engagement with the second covered portion 2114 if a user attempts to mount the covered portions 2112 and 2114 while the motor attachment member 2148 is not have in the locked configuration. This provision can alert a user to recheck the assembled components of the 2102 housing assembly for proper assembly.

[0429] Similar to the engine attachment member 2148, the powertrain attachment member 2150 may be received on a dedicated rail on the powertrain assembly 2120 and the powertrain attachment member 2150 may be positioned so that it is aligned with the respective rail if the drive assembly 2120 is properly housed in the drive assembly housing compartment 2128. In addition, the firing member assembly attachment member 2152 may be received on a dedicated rail on the firing member assembly. 2122, for example, and the firing member assembly attachment member 2152 can be positioned so that it aligns with its rail only if the firing member assembly 2122 is properly housed in the firing member assembly housing compartment. 2130. Also similar to engine mounting member 2148, powertrain mounting mounting member 2150 and/or engine mounting mounting member 2130. triggering member 2152 may be positioned so that it can prevent the first covered portion 2112 from mating engagement with the second covered portion 2114 if a user attempts to assemble the covered portions 2112 and 2114 while the transmission assembly attachment member 2150 and/or the 2152 firing member assembly clamping member is not in the locked configuration. As described above, some of the removable components 2103 may be removed and re-attached to the covered member 2112 together with an assembly and may be secured by a plurality of attachment members. For example, working assembly 2106 may be secured to covered portion 2112 by motor attachment member 2148, transmission assembly attachment member 2150, and/or a firing member assembly attachment member 2152, as illustrated in Figure 147. Such an arrangement can provide an additional level of security of correct assembly, as failures in the correct assembly of any of the components of the 2106 working set can prevent the corresponding attachment member from reaching the locked configuration, which can prevent the the first covered portion 2112 is in mated engagement with the second covered portion 2114 if a user attempts to assemble the covered portions 2112 and 2114 while at least one of the securing members remains outside of the locked configuration.

[0430] Again with reference to Figures 147 and 148, some of the other attachment members may be pivotally attached to the first covered portion 2112 and may be movable with respect to the first covered portion 2112 of the unlocked configuration (see Figure 148) to the locked configuration (see Figure 147) and vice versa. In certain examples, the second covered portion 2114 may include protruding attachment members (not shown) configured to be received in the corresponding receiving member (not shown) on the removable components 2103 housed in the first covered portion 2112 when the covered portions 2112 and 2114 are aligned in mated engagement during assembly of the housing assembly 2102. The projecting fixing members can ensure that the removable components 2103 remain fixed to the first covered portion 2112. In addition, the projecting fixing members can prevent the first covered portion 2112 of a mated engagement with the second covered portion 2114 if a user attempts to assemble the covered portions 2112 and 2114 while the projecting attachment members are not correctly aligned with their corresponding receiving members, for example due to incorrect assembly of the removable components 2103, which can prompt the user to recheck the assembly of the co removable components 2103 of the housing assembly 2102 for correct assembly. The reader will understand that the positions of the projecting fixing members and their corresponding receiving members' may be reversed so that the projecting fixing members can be configured to protrude from the removable components 2103 and be received in the corresponding receiving member in the second portion. cover 2114. In either case, the projecting attachment members and six corresponding receiving members may be releasably attached to each other in a snap-in type engagement, for example. Other engagement mechanisms are contemplated by the present disclosure.

[0431] In addition to the foregoing, some or all of the removable components 2103 may include cam surfaces configured to receive the attachment members of the first covered portion 2112 as they move from the unlocked configuration (see Figure 148) to the locked configuration (see Figure 147). Cam surfaces may be arranged on an outer surface of some or all of the removable components 2103 and may allow corresponding attachment members to apply pressure to the removable components 2103 in the locked configuration. For example, the 2118 engine may include a cam surface along its track. As the 2148 engine clamping member moves from the unlocked configuration (see Figure 148) to the locked configuration (see Figure 147), the 2148 engine clamping member can travel along the cam surface on the 2118 engine, which may allow the 2148 engine mounting member to apply increasing pressure to the 2118 engine at full pressure, for example in the locked configuration. Pressure applied to the 2118 engine can assist in securing the engine in the 2126 engine housing compartment.

[0432] As discussed earlier, an end actuator can include a triggering member that can be advanced distally to staple and/or cut tissue. Referring now to Figure 155, an end actuator 11260 may comprise a first jaw including an anvil 11262 and a second jaw including a staple cartridge 11264. End actuator 11260 may additionally comprise a housing and/or frame 11261 extending proximally from anvil 11262 and staple cartridge 11264 and, two, a trigger member 11266 which is moveable relative to housing 11261, anvil 11262 and cartridge 11264. End actuator 11260 may additionally comprise a swivel joint 11230 configured to allow the anvil 11262 and cartridge 11264 to be pivoted by a pivot drive 11268. In use, the end actuator 11260 can be mounted on a shaft 11240 of a surgical instrument, for example, so that one, the cabinet of the 11261 End Actuator is coupled to a 11241 Shaft Cabinet configured to support the 11261 End Actuator Cabinet, two, the member 11266 end actuator trigger is coupled to a 11246 shaft trigger actuator configured to advance and retract the 11266 end actuator trigger member and/or, three, the 11268 end actuator pivot drive is coupled to a 11248 shaft linkage actuator configured to advance and retract the linkage drive of the 11268 end actuator. In use, the trigger member 11266 may be advanced distally to move the anvil 11262 from an open position in which tissue may be in contact. an intermediate position between anvil 11262 and cartridge 11264 to a closed position in which anvil 11262 compresses tissue against cartridge 11264. In various circumstances, firing member 11266 may include a first engaging member configured to engage the first jaw and a second engagement member configured to engage the second jaw when the trigger member 11266 is advanced distally so that the hook rna 11262 can be rotated towards the staple cartridge 11264 through the hook members. To reopen the end actuator and allow the anvil 11262 to return to its open position, the trigger member 11266 must be sufficiently retracted. In various circumstances, the triggering member 11266 may become stuck in an at least partially triggered position and, as a result, the anvil 11262 may not reopen and thus makes it difficult to remove the surgical instrument from the surgical site.

[0433] Now referring to Figures 156 to 161, an end actuator, such as the end actuator 11360, for example, may include a trigger member that can allow the anvil 11262 of the end actuator 11360 to be reopened although the end actuator member 11360 11360 End Actuator trip is stuck in a position at least partially tripped. More particularly, end actuator 11360 may include a trigger member 11366 comprising separable portions 11366a and 11366b which may be configured to allow relative movement between anvil 11262 and cartridge 11264 in various examples. Referring primarily to Figures 157 and 158, the separable portions 11366a and 11366b may be joined by a latch 11390 when the latch 11390 is in the locked condition, as illustrated in Figure 158. Correspondingly, when the latch 11390 is in the unlocked condition, the separable portions 11366a and 11366b can move relative to each other. Detachable portion 11366a of firing member 11366 may comprise a first side portion 11363a, a second side portion 11367a, and a cutting member portion 11365a at an intermediate position between side portions 11363a and 11367a. In various circumstances, side portions 11363a and 11367a may be held onto cutting member portion 11365a by one or more pins, not shown in Figures 157 and 158, extending through apertures 11396a defined herein. Detachable portion 11366b of firing member 11366 may comprise a first side portion 11363b, a second side portion 11367b, and a cutting member portion 11365b at an intermediate position between side portions 11363b and 11367b. In various circumstances, the side portions 11363b and 11367b may be retained on the cutting member portion 11365b by at least one retaining member, not shown in Figures 157 and 158, engaged with a foot 11396b extending therefrom. As the reader will understand, the aforementioned retaining pins hold the various components of the detachable portion 11363a together while the aforementioned retaining element holds the various components of the detachable portion 11363b together. As the reader will understand, the lock 11390, when in its locked position, holds the detachable portions 11363a and 11363b together. In various examples, referring primarily to Figure 158, the latch 11390 may include a first latch member 11397a configured to engage a first latch portion 11361a of the first portion of the cutting member 11365a and, additionally, a second latch member 11397b configured to engage a second latch portion 11361b of the second portion of the cutting member 11365b. The first latch portion 11361a and the second latch portion 11361b may be configured to operate concurrently and releasably secure the cutting member portions 11365a and 11365b together. In various examples, the latch portions 11397a, 11397b may secure the cutting member portions 11365a and 11365b together so that the cutting surfaces 11395a and 11395b of the cutting member portions 11365a and 11365b, respectively, form a cutting surface. continuous, or at least substantially continuous. Referring again to Figure 158 , the latch portions 11397a, 11397b of the latch 11390 may be configured to operatively and concomitantly engage keys 11361a and 11361b of the cutting member portions 11365a and 11365b, respectively. In various instances, the latch portions 11397a, 11397b may define a recess 11398 therebetween that is configured to receive keys 11361a and 11361b when the latch 11390 is in its locked position. When latch 11390 is pulled proximally, latch portions 11397a and 11397b can disengage keys 11361a and 11361b. At this point, the latch 11390 may no longer hold the cutting member portions 11365a and 11365b together. In such circumstances, as a result, the separable portions 11366a and 11366b may move relative to each other. For example, the detachable portion 11366a may move with the jaw 11262 when the jaw 11262 is reopened, and correspondingly, the detachable portion 11366b may remain with the cartridge 11264. In view of the above, the latch 11390 may be pulled proximally. to unlock the detachable portions 11366a and 11366b when the firing member 11366 is stuck in an at least partially fired position, for example.

[0434] As discussed above, the latch 11390 can be pulled proximally to unlock the detachable portions 11366a and 11366b of the triggering member 11366. Now referring to Figure 159, the latch 11390 can be pulled proximally and/or pushed distally by the latch bar. 11391. Latch bar 11391 may be positioned within end actuator 11360 and may include proximal end 11392 and a distal end 11393. Distal end 11393 of latch bar 11391 may be engaged with latch 11390. More specifically, in action In at least one embodiment, the distal end 11393 may include the projection extending therefrom which can be slidably positioned in an elongated slot 11399 defined in the latch 11390. To pull the latch 11390 proximally, the latch bar 11391 may be pulled proximally until the projection contacts the proximal end 11394 of the elongated slot 11399, whereby the movement of the latch bar 11391 can be 11390. Correspondingly, the projection may be configured to contact a distal end 11395 of the elongated slot 11399 to push the latch 11390 distally. As the reader will understand, again with reference to Figure 156, the trigger member 11366 may, one or more, include longitudinal slots 11369 defined in the present disclosure, which may be configured to allow the projection of the latch bar to extend through. and engage lock 11390 as described above.

[0435] In addition to the foregoing, referring primarily to Figures 156 and 160, the proximal end 11392 of the lock bar 11391 may comprise an attachment portion configured to be engaged by a lock actuator 11348 of a shaft 11340 of a surgical instrument. Referring primarily to Figure 160, latch actuator 11348 may comprise a distal end 11349, including a notch, for example, which may be configured to receive proximal end 11392 of latch bar 11391. Latch actuator 11348 may additionally comprise a proximal end 11347 that can be pulled proximally and/or pushed distally by a user of the surgical instrument to move the latch actuator 11348 and the latch bar 11391 proximally and/or distally, respectively. In use, the proximal end 11392 of the latch bar 11391 may be mounted to the distal end 11349 of the latch actuator 11348 when the end actuator 11360 is mounted on the shaft 11340.

[0436] As described above, the motor can be used to advance and/or retract a trigger member to deploy fasteners from an end actuator and/or cut tissue captured in the end actuator. In various instances, the motor may include a rotary drive shaft, the rotation of which may be converted to translational motion and transmitted to a triggering member, such as the cutting member and/or clamp driver, for example. In at least one such example, the rotary drive shaft may include a threaded portion that is threadedly engaged with a cartridge including a threaded opening defined in the present disclosure. In use, the cartridge may be constricted from the turns such that rotation of the drive shaft advances cartridge distally axis retracts cartridge proximally depending on the direction in which the drive shaft is rotated. In certain embodiments, the triggering member may jam and/or otherwise exhibit a force, or torque, that exceeds the predetermined or desired maximum force, or torque. Now referring to Figures 162 through 167, the 12000 engine assembly may include a 12010 engine, 12020 shaft, and a 12030 slip clutch assembly, with the 12030 slip clutch assembly being able to limit the force, or torque, that the 12010 engine can transmit to shaft 12020. In various instances, referring primarily to Figures 162 and 163, slip clutch assembly 12030 may transmit torque between a rotary drive output 12012 of motor 12010 and shaft 12020. Now with reference to Figures 165 to 167, drive output 12012 may include a substantially circular outer profile portion 12011 and a transition surface 12014, which may be flat, or at least substantially flat, in various examples. The outer profile of the drive outlet 12012 may additionally include a first driver recess 12016 defined between the circular profile portion 12011 and the flat surface 12014, and further, a second driver recess 12018 that is defined between the opposite end of the surface. planar 12014 and the circular profile portion 12011.

[0437] As also illustrated in Figures 165 to 167, the slip clutch assembly 12030 may include a drive element 12034 that is moved into engagement with the drive output 12012 by a displacement element, or spring, 12036. drive 12034 may be at least partially positioned within the retaining slot defined in a housing 12037 of slip clutch assembly 12030 so that movement of drive member 12034 relative to housing 12037 may be defined along an axis. As the reader will understand, housing 12037 of the slip clutch assembly can be mounted on shaft 12020 so that housing 12037 and shaft 12020 rotate together synchronously. As the reader will understand, drive element 12034 may transmit rotary motion from drive output 12012 to housing 12037, at least in certain circumstances. More specifically, when drive output 12012 is rotated in a first direction, as indicated by arrow 12017, to advance the trigger member distally, drive output 12012 can rotate relative to drive element 12034 to the first drive undercut. 12016 to contact drive element 12034. As the reader will understand, the first recess of driver 12016 may remain in contact with drive element 12034 for as long as displacement element 12036 is able to resist, or at least resist sufficiently, to radially outward movement of the drive element 12034. As long as the drive element 12034 is in contact with the first recess of the driver 12016, the motor 12010 can rotate the shaft 12020 in a direction that advances the firing member distally. In various instances, the motor 12010 may apply a torque to the drive output 12012 that is large enough to displace the drive element 12034 radially outward so that the first recess of the driver 12016 of the drive output 12012 slides across the drive element. 12034 and, as a result, drive output 12012 rotates with respect to drive element 12034, slip clutch housing 12037, and shaft 12020. In other words, drive element 12034 can be overridden and operationally disengaged from motor 12010 when torque applied to drive output 12012 exceeds a predetermined, or maximum, torque. When the torque applied to the drive output 12012 falls below this predetermined or maximum torque, the drive element 12034 can be re-engaged in the first recess of the driver 12016 and, as a result, the shaft 12020 can be operationally re-engaged in the motor 12010 so that shaft 12020 is rotated by drive output 12012 of motor 12010.

[0438] In addition to the above, when trigger output 12012 is rotated in a second direction, as indicated by arrow 12019, to retract the trigger member proximally, trigger output 12012 may rotate relative to trigger element 12034 to the second driver recess 12018 contacts drive element 12034. As the reader will understand, the second driver recess 12018 may remain in contact with drive element 12034 for as long as displacement element 12036 can resist, or at least sufficiently resist radially outward movement of drive element 12034. As long as drive element 12034 is in contact with the second recess of driver 12018, motor 12010 can rotate shaft 12020 in a direction that retracts firing member proximally. In various instances, the motor 12010 may apply a torque to the drive output 12012 that is large enough to displace the drive element 12034 radially outward so that the second recess of the driver 12018 of the drive output 12012 slides across the drive element. 12034 and, as a result, drive output 12012 rotates with respect to drive element 12034, slip clutch housing 12037, and shaft 12020. In other words, drive element 12034 can be overridden and operationally disengaged from motor 12010 when torque applied to drive output 12012 exceeds a predetermined, or maximum, torque. When the torque applied to the drive output 12012 falls below this predetermined, or maximum, torque, the drive element 12034 can be re-engaged in the second recess of the driver 12018 and, as a result, the shaft 12020 can be operationally re-engaged in the motor 12010 so that shaft 12020 is rotated by drive output 12012 of motor 12010.

[0439] In several instances, in addition to the above, the first drawdown of trigger 12016 and second drawdown of trigger 12018 may comprise the same configuration. In certain instances, the first recess of driver 12016 may be defined by a first radius of curvature and the second recess of driver 12018 may be defined by a second radius of curvature. In some cases, the first radius of curvature may be equal to the second radius of curvature. In such instances, the maximum torque, or slip, that the motor 12010 can apply when turning the drive output 12012 in the first direction 12017 may be equal to, or substantially equal to, the maximum torque, or slip, that the motor 12010 can apply when rotating drive output 12012 in the second direction 12019. In some cases, the first radius of curvature may differ from the second radius of curvature. In such instances, the maximum torque, or slip, that the 12010 motor can apply when it rotates the 12012 drive output in the first direction 12017 may be different from the maximum, or slip, torque that the 12010 motor can apply when it rotates the output. drive 12012 in the second direction 12019. In at least one such example, the first radius of curvature may be greater than the second radius of curvature, with the result that the maximum touch, or slip, in the first direction 12017 may be less than the maximum, or slip, torque in the second direction 12019. In other words, the 12010 motor can apply greater torque to the 12020 shaft when retracting the trigger element than when advancing the trigger element. Such examples may be advantageous when it is desirable to retract the trigger so that the end actuator of the surgical instrument can be reopened and detachable from tissue, for example. In at least one example, the first bend radius may be less than the second bend radius, with the result that the maximum, or slip, touch in the first direction 12017 may be greater than the maximum, or slip, torque , in the second direction 12019. In other words, the motor 12010 can apply greater torque to the axis 12020 when advancing the trigger element than when retracting the trigger element.

[0440] In addition to the foregoing, referring primarily to Figures 163 and 164, the displacement member 12036 may be resiliently supported by a spring cartridge 12032 positioned within a circumferential groove 12031 defined in the slip clutch housing 12037. In such Examples, spring cartridge 12032 and displacement member 12036 may operate concurrently to apply a radially inwardly changing force and/or resist radially outward movement of drive member 12034. Spring cartridge 12032, in various examples, may comprise an annular body including a first free end 12033 and a second free end 12034, wherein the annular body can resiliently expand when the radially outward force discussed above is applied thereto and resiliently contract when this radially outward force ceases or decreases. In such instances, the first free end 12033 of the spring cartridge 12032 can move relative to the second free end 12034.

[0441] The devices described here may be designed for single use disposal, or they may be designed for multiple use. In either case, however, the device may be refurbished for reuse after at least one use. Reconditioning can include any combination of the steps of disassembling the device, followed by cleaning or replacing specific parts and then reassembly. In particular, the device can be disassembled and any number of specific parts or parts of the device can be selectively replaced or removed, in any combination. When cleaning and/or replacing specific parts, the device can be reassembled for subsequent use at the refurbishment facility, or by a surgical team, immediately prior to a surgical procedure. Those skilled in the art will understand that refurbishing a device can use a variety of techniques to disassemble, clean/replace, and reassemble. The use of such techniques and the resulting refurbished device are within the scope of this application.

[0442] Preferably, the present invention described herein will be processed prior to surgery. First, a new or used instrument is obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and instrument are then placed in a field of radiation that can penetrate the container, such as gamma radiation, X-rays, or high-energy electrons. Radiation kills bacteria on the instrument and container. The sterilized instrument can then be stored in a sterile container. The sealed container keeps the instrument sterile until it is opened in the medical facility.

[0443] Any patent, publication or other disclosure material, in whole or in part, which is deemed to be incorporated by reference into the present invention, is incorporated into the present invention only to the extent that the materials incorporated herein do not conflict with definitions, existing statements or other disclosure material set forth in that disclosure. Accordingly, and to the extent necessary, the disclosure as explicitly presented herein supersedes any conflicting material incorporated herein by reference. Any material, or portions thereof, which is incorporated herein by reference, but which conflicts with the definitions, statements, or other existing disclosure material presented herein, is incorporated herein only to the extent that there is no conflict between the material embedded and existing developing material.

[0444] While this invention has been described as having exemplary designs, the present invention may be further modified within the spirit and scope of the disclosure. This application is therefore intended to cover any variations, uses or adaptations of the invention using its general principles. Additionally, that application is intended to cover deviations from the present disclosure that may occur with known or customary practice in the art to which this invention relates.

Claims (9)

1. End actuator (10360) for use with a surgical instrument, comprising: a distal end; a proximal connection portion configured to secure the end actuator (10360) to the surgical instrument; a first jaw; a second jaw (10362) ) movable with respect to the first jaw, the second jaw (10362) being movable between an open position, a partially closed position and a closed position; at least one sensor configured to detect the position of the second jaw (10362); characterized by the fact that the end actuator further comprises: a first indicator configured to indicate when the second jaw (10362) is in the open position; a second indicator configured to indicate when the second jaw (10362) is in the partially closed position and a third indicator configured to indicate when the second jaw (10362) is in the closed position, with the first index, second and third indexes positioned distally. relative to the proximal connection portion; a controller configured to control the first, second and third indicators, wherein the at least one sensor communicates by signal with the controller. 2. A surgical instrument system, comprising: a surgical instrument; an end actuator (10360), comprising: a distal end; a proximal connection portion configured to secure the end actuator (10360) to the surgical instrument; a first jaw; a second jaw (10362) movable with respect to the first jaw, the second jaw (10362) being movable between an open position, a partially closed position and a closed position; at least one sensor configured to detect the position of the second jaw (10362); characterized in that the end actuator further comprises: a first indicator configured to indicate when the second jaw (10362) is in the open position; a second indicator configured to indicate when the second jaw (10362) is in the open position; partially closed position; and a third indicator configured to indicate when the second jaw (10362) is in the closed position, wherein the first indicator, second indicator and third indicator are positioned distally of the proximal connecting portion, wherein the surgical instrument comprises a controller configured to control the first, second and third indicators, where the at least one sensor communicates by signal with the controller. 3. End actuator (10360), according to claim 1, or the surgical instrument system, according to claim 2, characterized in that the first indicator, the second indicator and the third indicator are arranged in a die approaching movement of the second jaw (10362), wherein the die preferably comprises an angled die. 4. End actuator (10360), according to claim 1 or claim 3, or surgical instrument system, according to claim 2 or claim 3, characterized in that it further comprises a battery configured to supply power to the first indicator, the second indicator and the third indicator. 5. End actuator (10360) according to any one of claims 1, 3 or 4, or surgical instrument system according to any one of claims 2 to 4, characterized in that the first indicator, the second indicator and the third indicator each comprises a green LED and a red LED. 6. End actuator (10360), according to claim 5, or surgical instrument system, according to claim 5, characterized in that the green LED of one of the first indicator, the second indicator and the third indicator is configured to activate when the end actuator (10360) is attached to the surgical instrument. 7. End actuator (10360), according to claim 5 or claim 6, or surgical instrument system, according to claim 5 or claim 6, characterized in that it further comprises a staple cartridge and a plurality of staples removably stored in the staple cartridge, whereby the green LED of one of the first indicator, the second indicator and the third indicator is configured to be illuminated when the end actuator (10360) is attached to the surgical instrument if the staples have not yet been fired from the staple cartridge. 8. End actuator (10360), according to claim 7, or surgical instrument system, according to claim 7, characterized in that the red light emitting diode of at least one of the first indicator, the second indicator and the third indicator is configured to be illuminated when the end actuator (10360) is attached to the surgical instrument if at least one staple has already been fired from the staple cartridge. 9. End actuator (10360) according to any one of claims 1 or 3 to 8, or surgical instrument system according to any one of claims 2 to 8, characterized in that it further comprises a plurality of contacts electrical contacts, the plurality of electrical contacts being configured to engage electrical contacts on the surgical instrument when the end actuator (10360) is properly mounted on the surgical instrument.

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