Abstract: Introducers for introducing a surgical circular stapler into a patient. Various embodiments comprise a hollow flexible sheath that has a distal end and an open proximal end that is sized to receive a stapling head portion of the circular stapler therein. A rigid cap assembly is attached to the distal end of the hollow flexible sheath. The rigid cap assembly may be configured to selectively move between a closed position wherein a distal face of the stapling head is covered when inserted therein and an open position wherein the cap assembly may be withdrawn from around the stapling head and elongated shaft. A release arrangement interfaces with the rigid cap assembly such that upon an application of a release motion thereto, the rigid cap is movable from the closed position to the open position.

Abstract: An insertion device configured for providing access to a treatment site within a body cavity is provided herein. In general, the device includes an elongate cannula configured to receive and allow passage therethrough of a surgical instrument to a treatment site. Additionally, a proximal end of the cannula is movably coupled to a housing thereby facilitating delivery of the instrument therethrough. Additionally, various embodiment of a method for delivering (e.g., laprascopically, endoscopically, etc.) various surgical instrument to various treatment sites via an elongate cannula wherein the cannula includes a proximal end movably coupled to a housing are provided herein.

Abstract: In accordance with the present invention there is provided a surgical fastening instrument. The instrument includes a handle and a shaft extending from the handle. The shaft contains a plurality of surgical fasteners therein. The instrument also has a mechanism for first distally deploying a penetrating member from the distal end of the shaft and thereafter feeding at least one of the surgical fasteners distally from the penetrating member. The instrument further includes a lockout mechanism for preventing the penetrating member from deploying from the shaft upon feeding all of the plurality of surgical fasteners from the shaft.

Abstract: A surgical biopsy system is provided for removing at least one tissue sample from a surgical patient. The surgical biopsy system comprises an elongated, hollow piercer and a cutter rotatably and axially positionable relative to the piercer. The piercer has a lateral port for receiving the tissue sample into the piercer. The surgical biopsy system further comprises a power transmission source operatively connected to the cutter for rotating and translating the cutter, a control unit, and a display mounted in a display frame for showing an operator a plurality of operational modes of the surgical biopsy system. The surgical biopsy system further comprises at least one control button operatively connected to the control unit by a circuit and remotely located from the control unit. The operator may actuate the control button(s) to select any one of the operational modes and the selected operational mode is visually identifiable on the display.

Abstract: A localization mechanism, or fixture, is used in conjunction with a breast coil for breast compression and for guiding a core biopsy instrument during prone stereotactic biopsy procedures in both open and closed Magnetic Resonance Imaging (MRI) machines. The localization fixture includes a fiducial marker and three-dimensional Cartesian positionable guide for supporting and orienting an MRI-compatible biopsy instrument with detachable probe/thumb wheel probe to the biopsy site of suspicious tissues or lesions.

Abstract: A Magnetic Resonance Imaging (MRI) compatible core biopsy instrument includes a detachable probe assembly to enhance the accuracy of placement at a biopsy site and avoid repeated insertions, even when used in a closed MRI magnet bore. In particular, the detachable probe assembly is configured for attachment to a localization fixture for accurate stereotopic placement to the desired biopsy site. While disengaged, dual lumens (vacuum and cutter) of the probe assembly allow applying vacuum to, draining fluid from, and insertion of fluids to the biopsy site. The biopsy instrument handle readily engages to the probe assembly for taking samples. Features are included for visual indications of the position of the cutter, prevention of disengagement when the cutter is advanced into the probe assembly, and a tolerance take-out feature that minimizes the deadzone gap at a distal end of the probe assembly, allowing samples to be taken close to sensitive tissues.

Abstract: A method for performing Magnetic Resonance Imaging (MRI) guided core biopsies is tendered more accurate and efficient by precisely positioning a disengaged probe assembly with respect to a localization fixture attached to a breast coil platform. The precise position is defined by MRI stereotopic location of suspicious tissue with respect to a fiducial marker on the localization fixture. With the probe inserted, dual lumens in the probe assembly are used for drainage or insertion of fluids as well as inserting diagnostic and therapeutic tools. Core biopsies are performed by engaging a biopsy instrument handle containing a cutter, with the localization fixture providing support and position to the handle. Repeated MRI scans are facilitated by the ability to disengage the handle without risk of displacing the probe assembly from the biopsy site.

Abstract: A method for detecting transverse mode vibrations in an ultrasonic hand piece/blade for determining the existence of unwanted vibration in the hand piece/blade. A tracking filter centered at the drive frequency of the generator, is used to monitor the drive frequency of the ultrasonic generator and attenuate the drive signal when it exceeds a predetermined level. The tracking filter has a wide pass band. Alternatively, a tracking filter having a pass band which is divided into several regions is used to avoid other longitudinal resonances, such as a resonance at a second harmonic, or other spectral features that would otherwise detract from the tracking accuracy of the filter.

Abstract: The start up performance of an ultrasonic system under zero load conditions is improved by setting a phase set point in a frequency control loop such that, at start up under zero load conditions, the phase set point intersects a point on a phase-frequency response curve which has a low positive slope. This intersection point on the phase-frequency response curve changes as the load is increased and the system Q is decreased. The controller “seeks” a target 0° impedance phase angle. The frequency of the ultrasonic generator is set to an off-resonance frequency which is lower than the resonance of any known hand piece/blade combination. In order for the drive voltage to not exceed the physical limit of the system, the drive current is set to a low level. The drive frequency is then smoothly increased in steps until the target 0° impedance phase delta is located.

Abstract: A connection union and method for securing together first and second components of an ultrasonic waveguide or blade. The first and second components of the ultrasonic waveguide or blade are formed as complementary components which engage each other with a complementary fitting. Then a compressed fit over the connection union is formed by an electromagnetic metal forming operation which compressively deforms a female coupling member over the connection union. The female coupling member can comprise a separate sleeve which is compressed over the connection union by the electromagnetic metal forming operation. Alternatively, the female coupling member can comprise a terminal end of one of the first and second components which includes a longitudinally extending recess which forms an outer circumferentially extending sleeve which is compressed over the connection union by the electromagnetic metal forming operation.

Abstract: A method for delivering a plurality of individual surgical fasteners includes the steps of providing a surgical fastener delivery device. The delivery device has a drive mechanism having a distal and a proximal end, and a first and a second opposing member. The members are moveable proximally and distally with respect to the delivery device, and individually with respect to each other. The delivery device further includes a plurality of surgical fasteners located between the first and the second members. Next, the surgical fastener delivery device penetrates tissue by moving the drive mechanism distally. A distal end of one of the fasteners is partially deployed by moving the first member proximally. Finally, the distal end of the fastener is fully deployed by moving the second member proximally.

Abstract: The present invention provides a connector assembly including a connector for use in electrically connecting a surgical instrument to a power source, such as a generator. The connector generally includes an outer shell with a plurality of first and second electrical conductors disposed within the outer shell for providing the electrical connection between the surgical instrument and a cable leading to the power source. In one aspect of the present invention, the connector includes an isolation barrier disposed within the outer shell so as to separate each of the first electrical conductors from each of the second electrical conductors. In another aspect, the connector includes a keying feature in which the outer surface of the outer shell is modified so as to ensure that the connector may only be plugged into the generator a single way. This reduces the risk that the electrical conductors may be bent due to improper orientation during the insertion action.

Abstract: The present invention describes a method of designing a balanced ultrasonic surgical instrument including an ultrasonic transmission rod and an asymmetric ultrasonically actuated blade attached to the distal end of the ultrasonic transmission rod. According to the present invention, the ultrasonically actuated blade includes a treatment portion. The treatment portion has a functional feature such as, for example, a curved blade which makes the treatment portion asymmetric. In the method according to the present invention, a balance portion including at least a first asymmetric balance feature is designed and positioned between the ultrasonically actuated blade and the ultrasonic transmission rod to balance out any undesirable torque generated by the treatment portion.

Abstract: A tissue sampling apparatus comprises a tubular body having a primary lumen for receiving a tissue sample. The tubular body includes a distal end, a proximal end, and a longitudinal axis extending from the proximal end to the distal end. The tissue sampling apparatus further comprises a cutting cylinder having a distal cutting edge, which is movable both distally and proximally relative to the tubular body. A band having an eyelet disposed therein extends across a distal end of the tissue sampling apparatus, wherein the eyelet is advantageously movable relative to the distal cutting edge in order to sever a distal end of the tissue sample.

Abstract: A surgical stapler comprising at least one cam having a cam surface, an arrangement for actuating the cam for a longitudinal firing movement of the cam surface, a cartridge having a plurality of staple drive members driven by the longitudinal movement of the cam surface, and a plurality of surgical staples respectively associated with the staple drive members for being fired by the longitudinal movement of the cam surface. In one embodiment of the present invention, the staple drive members include at least a pair of alternating first and second staple drive members, the first staple drive member including a laterally spaced pair of staple driving surfaces, the second staple drive member including a single staple driving surface. The first and second staple drive members are disposed such that the staple driving surfaces thereof are arranged in laterally spaced three rows.

Abstract: A surgical stapling instrument with a remotely articulated staple head assembly on a rotatable support shaft. A joy stick mounted to the shaft of the instrument near the handle allows for remote articulation of the staple head assembly. The staple head assembly includes a narrow contour for insertion between adjacent rib pairs without rib spreading. The staple head assembly further includes a reloadable staple cartridge which may be replaced with differently sized staples of a second cartridge. A closure trigger clamps tissue prior to stapling and cooperates with a second trigger that performs the staple firing operation. The triggers include a safety lock mechanism for preventing premature staple firing.

Abstract: This invention provides an inventive tissue sampling probe which offers many advantages over probes available in the prior art. Unexpectedly superior results are obtained in connection with the retrieval of intact tissue specimens, because of a unique combination of cutting features, including, for example, the employment of an electrosurgical cutting element and a vacuum assist in one preferred embodiment. A particularly important feature of the invention is the ability to manipulate the electrosurgical cutting element to cleanly sever the distal end of the tissue specimen. In certain embodiments, this is accomplished without any cutting impact on surrounding tissue. The versatility of the invention permits its use in many applications, including, for example, breast biopsies, laparoscopic surgery, and lymphadenectomy procedures.

Abstract: A surgical stapling instrument with a remotely articulated staple head assembly on a rotatable support shaft. A joy stick mounted to the shaft of the instrument near the handle allows for remote articulation of the staple head assembly. The staple head assembly includes a narrow contour for insertion between adjacent rib pairs without rib spreading. The staple head assembly further includes a reloadable staple cartridge which may be replaced with differently sized staples of a second cartridge. A closure trigger clamps tissue prior to stapling and cooperates with a second trigger that performs the staple firing operation. The triggers include a safety lock mechanism for preventing premature staple firing.

Abstract: A surgical stapler for effecting simultaneous cutting and stapling of tissue includes a frame and a staple cartridge positionable in the frame. The stapler includes a knife blade mounted for movement distally of the staple cartridge, with the cartridge including a rotatable member which cooperates with the knife blade for preventing use of the stapler unless it is fitted with a fresh, unused staple cartridge. The rotatable member on the staple cartridge is configured to facilitate convenient and efficient use of the stapler by reducing the force required for operation of the device.