Abstract: An apparatus includes a body, an end effector, a trocar, and an anvil. The anvil head includes an annular surface defining a plurality of staple forming pockets. The plurality of staple forming pockets are configured to deform the plurality of staples when the anvil is in the staple forming position. The shank extends proximally from the annular stapling head. The shank and the anvil head cooperatively define a bore dimensioned to receive a portion of the trocar. The shank defines a lateral opening. The latch member is pivotally coupled with the shank via a living hinge. The latch member comprises a latch shelf configured to selectively couple the anvil with trocar when the trocar is inserted into the bore.

Abstract: An apparatus includes an anvil, a closure assembly, a firing assembly, and a casing assembly. The firing assembly includes a staple driver and an annular array of staples. The casing assembly includes a first section and a second section. The first section includes a first handle portion, a first shaft portion, and a tubular casing. The tubular casing slidably houses the staple driver. The first section defines a homogenous continuum of material along the length of the first handle portion, the first shaft portion, and the tubular casing. The second section includes a second handle portion and a second shaft portion. The second handle portion is laterally coupled with the first handle portion. The second shaft portion is laterally coupled with the first shaft portion. The second section defines a homogenous continuum of material along the length of the second handle portion and the second shaft portion.

Abstract: An apparatus includes a body assembly, an end effector, and a firing assembly. The body includes a handle portion and a shaft portion. The end effector includes a staple driver. The firing assembly includes a driver actuator and a trigger. The driver actuator is configured to actuate the staple driver. The driver actuator is slidably housed within the shaft portion. The trigger includes a lever and an integral spring member. The lever is pivotally coupled to the handle portion via a pivot boss of the handle portion. The trigger is configured to pivot between a first position and a second position to slide the driver actuator within the shaft portion, to thereby actuate the staple driver. The integral spring member is at least partially housed within a spring channel of the handle portion and is configured to resiliently bias the trigger toward the first position.

Abstract: An apparatus includes a body, an anvil, a firing assembly, and a closure assembly. The firing assembly includes a staple driver, a deck member, and an annular array of staples. The closure assembly includes a trocar, a knob, and a limiting adjustment feature. The trocar is configured to actuate the anvil relative to the body to capture tissue between the anvil and the deck member. The knob is configured to rotate relative to the body to actuate the trocar relative to the body. The limiting adjustment feature is configured to selectively rotate the knob to actuate the trocar and the anvil proximally until tissue captured between the anvil and the deck member is compressed under a predetermined maximum clamping force. The limiting adjustment feature is configured to slip relative to the knob when tissue captured between then anvil and the deck member is compressed over the predetermined maximum clamping force.

Abstract: An apparatus includes a handle portion, an end effector, an anvil, a knob, and a monolithic closure rod. The monolithic closure rod includes a proximal shank portion, a distal trocar portion, and a band portion. The proximal shank portion is located within the handle portion and is configured to linearly actuate in response to rotation of the knob. The distal trocar portion is configured to selectively couple with the anvil in order to actuate the anvil relative to the end effector. The band portion extends between the proximal shank portion and the distal trocar portion and provides a reduced cross-sectional area. The monolithic closure rod consists of a single homogenous continuum of material extending along the lengths of the proximal shank portion, the band portion, and the distal trocar portion.

Abstract: In various embodiments, a shaftless end effector is disclosed. The end effector can comprise an anvil assembly including a staple forming surface. The end effector can also comprise a staple cartridge channel configured to receive a staple cartridge therein. The end effector can include a closure system configured to close the anvil. In various instances, the closure system can also form the staples contained within the staple cartridge. The end effector can also include a cutting member configured to cut tissue positioned intermediate the anvil and the staple cartridge. In various instances, the cutting member can be actuated by the closure system. In other instances, the end effector can include an independent system for actuating the cutting member. In various instances, the end effector can be delivered to a surgical site through a trocar and then operated by one or more actuators that are assembled to the end effector.

Abstract: In various embodiments, a shaftless end effector is disclosed. The end effector can comprise an anvil assembly including a staple forming surface. The end effector can also comprise a staple cartridge channel configured to receive a staple cartridge therein. The end effector can include a closure system configured to close the anvil. In various instances, the closure system can also form the staples contained within the staple cartridge. The end effector can also include a cutting member configured to cut tissue positioned intermediate the anvil and the staple cartridge. In various instances, the cutting member can be actuated by the closure system. In other instances, the end effector can include an independent system for actuating the cutting member. In various instances, the end effector can be delivered to a surgical site through a trocar and then operated by one or more actuators that are assembled to the end effector.

Abstract: An apparatus includes a body, a shaft, a stapling head assembly, and an anvil. The body includes a motor, a first user input feature, and a second user input feature. The first user input feature is operable to activate the motor. The shaft extends distally from the body. The stapling head assembly is positioned at a distal end of the shaft. The stapling head assembly includes an anvil coupling feature, at least one annular array of staples, and a staple driver. The second user input feature is operable to drive the anvil coupling feature longitudinally. The staple driver is operable to drive the at least one annular array of staples. The motor is operable to drive the staple driver. The anvil is configured to couple with the anvil coupling feature. The anvil is further configured to deform the staples driven by the staple driver.

Abstract: A surgical instrument for stapling tissue includes a body, a shaft assembly, and an anvil. The shaft assembly includes a stapling head assembly and an actuator. The anvil is configured to be selectively coupled to the actuator. The anvil is configured to cooperate with the stapling head assembly to staple tissue. The anvil comprises a head and a shank extending from the head. The shank includes a proximal end, a distal end, a lumen, and an engagement feature. The engagement feature is in communication with the lumen such that the engagement feature is configured to move relative to the axis in response to the rod being directed into the lumen. The engagement feature is configured to selectively couple the shank to the actuator. The proximal end of the engagement feature is radially fixed relative to the axis.

Abstract: A surgical instrument includes a body, a shaft assembly, a stapling head assembly, an anvil, an anvil adjustment assembly, a trigger, and a lockout assembly. The stapling head assembly is operable to drive an annular array of staples. The anvil is configured to couple with the stapling head assembly. The anvil adjustment assembly includes a translating member, which translates relative to the body to thereby adjust the longitudinal position of the anvil relative to the stapling head assembly. The trigger is operable to actuate the stapling head assembly. The lockout assembly includes an electrically powered braking feature. A method of operating the surgical instrument includes providing the lockout assembly in a first state to permit translation of the translating member. The translating member is then translated. The lockout assembly is then transitioned to a second state to prevent further translation of the translating member.

Abstract: A surgical device comprises a guide tube having a proximal end, a distal end, and an inside diameter. A needle has a proximal end and a distal end. The needle comprises a longitudinal portion having a diameter suitable to be slidably received within the inside diameter of the guide tube. The needle comprises a helical element disposed at the distal end of the needle.

Abstract: An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide comprises a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section comprises a plurality of body portions aligned along the longitudinal axis and a flexible locking member. The flexible locking member is operable to secure the body portions in relation to each other and in relation to the shaft. The end effector comprises an ultrasonic blade in acoustic communication with the waveguide. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis.

Abstract: In various embodiments, a shaftless end effector is disclosed. The end effector can comprise an anvil assembly including a staple forming surface. The end effector can also comprise a staple cartridge channel configured to receive a staple cartridge therein. The end effector can include a closure system configured to close the anvil. In various instances, the closure system can also form the staples contained within the staple cartridge. The end effector can also include a cutting member configured to cut tissue positioned intermediate the anvil and the staple cartridge. In various instances, the cutting member can be actuated by the closure system. In other instances, the end effector can include an independent system for actuating the cutting member. In various instances, the end effector can be delivered to a surgical site through a trocar and then operated by one or more actuators that are assembled to the end effector.

Abstract: Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.

Abstract: A surgical staple and staple cartridge for removably storing the surgical staple. The surgical staple can comprise a plurality of separate and discrete staple drive surfaces. The staple drive surfaces can be configured to move along parallel paths in the staple cartridge. Additionally, the staple cartridge can comprise a staple cavity, and a plurality of lift planes can extend through the staple cavity.

Abstract: A surgical instrument, for forming an anastomosis between first and second lumens in a patient, includes a first catheter, a second catheter, a hollow needle, a guide wire, an inflatable member, and a hollow sleeve. The first catheter includes at least one first opening, which may be configured to slidably receive the hollow needle and the guide wire, which may be disposed within the hollow portion of the needle, and at least one second opening. The hollow needle includes a rotary needle. The inflatable member is mounted near the distal end of the first catheter and is in fluid communication with the second opening. The magnet is polarized such that magnetic attraction occurs perpendicular to an axis of the cylindrical body. The hollow sleeve is configured to retain at least a portion of the inflatable member, the guide wire, the hollow needle, and the magnet.

Abstract: Methods and devices are provided for deploying and applying a suture anchor. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body and to deliver a suture anchor with a coil of suture attached thereto to tissue. The shaft can be configured to deploy the suture anchor through tissue and to deliver the coil of suture into a body cavity such that the suture extending from the coil extends through the tissue to allow the anchor to engage the tissue. The coil can remain in the body cavity for subsequent use.

Abstract: An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.

Abstract: A surgical access device comprises a conduit comprising a proximal portion and a distal portion. An inflatable member at least partially surrounds a portion of the conduit and is positioned proximate to the distal portion of the conduit. In various embodiments, a protective sleeve can at least partially surround a portion of the conduit and is movable between at least a first position and a second position. In at least one embodiment, the protective sleeve is configured to at least partially cover the inflatable member when in the first position and is configured to expose the inflatable member when in the second position.

Abstract: A magnetic alignment and guidance system is described for use during a surgical or diagnostic procedure within a patient to align and magnetically join the free ends of catheters to form a continuous channel. The system includes two magnetic couplers mounted on the ends of the catheters. One or both of the catheters may be attached to a surgical or diagnostic device, such as a trocar or an endoscope.