Abstract: A system includes a medical device and a charging device. A sterile barrier may be interposed between the medical device and the charging device. The medical device includes an integral power source and an active element. The charging device is configured to charge the integral power source. The charging device may charge the integral power source through direct contact between features of the charging device and features the medical device. The charging device may alternatively charge the integral power source wirelessly, such as through inductive coupling. The medical device may include conductive prongs that are retained by the charging device. The charging device may physically couple with the medical device via magnets. The medical device and the charging device may be provided together in a sterile package as a kit. The kit may also include a reclamation bag to facilitate reclamation of electrical components.

Abstract: A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In various embodiments, the staples can be supported by a support jaw of the surgical stapler and can comprise legs which can extend upwardly through apertures defined in the cartridge deck. In use, the cartridge deck can be pushed downwardly relative to the staples into a well defined in the support jaw.

Abstract: A surgical stapling assembly can include a staple cartridge, an anvil, and a firing system configured to eject staples from the staple cartridge. The firing system can include a firing member configured to relatively position the anvil and the staple cartridge. The staple cartridge can include a first deck portion, a second deco portion, and a wall defined between the first deck portion and the second deck portion.

Abstract: A staple cartridge includes a plurality of staples, wherein each said staple comprises a base and a deformable leg extending from said base. The staple cartridge further includes a first region comprising a first density, a second region, and a third region comprising a density greater than said first density, wherein said third region is separable into a plurality of pieces.

Abstract: A fastener cartridge can comprise a cartridge body comprising fastener cavities, fasteners at least partially stored within the cartridge body, and a layer positioned over the cartridge body. The cartridge body can include a proximal end and a distal end. Similarly, the layer can include a proximal end and a distal end. The distal end of the layer can extend distally with respect to the distal end of the cartridge body. Furthermore, the layer can include a distal portion which extends distally with respect to the fastener cavities defined in the cartridge body. This distal portion can be positioned against the tissue being fastened and can flexibly support the tissue after the layer has been implanted against the tissue. The layer may include a proximal portion which extends proximally with respect to the fastener cavities which can flexibly support the tissue after the layer has been implanted.

Abstract: In various embodiments, a method is provided. The method comprises obtaining a surgical tool configured to perform a surgical function, wherein the surgical tool comprises a firing member and a lockout, wherein an actuation movement of the firing member is configured to generate the surgical function, and wherein the lockout is configured to prevent the actuation movement of the firing member, engaging a test device with the surgical tool, permanently disabling the lockout while the test device is engaged with the surgical tool, and permanently preventing the surgical function while the test device is engaged with the surgical tool.

Abstract: Devices and methods for sealing and cutting tissue are provided. In one exemplary embodiment, a surgical device includes a pair of opposed, pivoting jaws, a cutting blade assembly slidably coupled to the jaws, and a biasing member disposed in a portion of the cutting blade assembly and configured to be received by a track formed between proximal ends of the jaws. The cutting blade assembly can be operative to open and close the jaws, and the biasing member can be configured to be disposed at a location in the track that applies a spring bias to a proximal end of at least one of the jaws. The spring bias in turn increases a compressive force applied by distal ends of the jaws, which in turn can maintain or increase a force applied to tissue disposed between the jaws. Other devices and methods for sealing and cutting tissue are also provided.

Abstract: A surgical stapling assembly. The surgical stapling assembly comprises a frame, a distal end, a first jaw comprising a channel, and a second jaw extending from the frame. The surgical stapling assembly comprises a channel retainer, wherein the channel is slidably attachable to the channel retainer. The surgical stapling assembly further comprises a plurality of staples and a staple firing member comprising a first cam configured to engage the first jaw and a second cam configured to engage the second jaw when the staple firing member is advanced from an unadvanced position toward the distal end, wherein one of the first jaw and the second jaw comprises a clearanced opening configured to permit the firing member to be unengaged with one of the first jaw and the second jaw when the firing member is in the unadvanced position.

Abstract: A fastener cartridge for use with a surgical instrument is disclosed. The fastener cartridge and/or surgical instrument can include an anvil. The fastener cartridge can comprise a cartridge body including a deck and a plurality of fastener cavities. The fastener cartridge can comprise fasteners at least partially stored within the fastener cavities, and a firing member configured to move the fasteners toward the anvil. The firing member can comprise a first ramp and a second ramp configured to lift the fasteners toward the anvil. In various instances, the first ramp and/or the second ramp can directly lift the fasteners. In certain instances, the fastener cartridge can include fastener drivers which are directly lifted by the first ramp and/or the second ramp.

Abstract: An apparatus comprises a body, a shaft assembly, an end effector assembly, and a drive assembly. The body may include a handpiece with an integral motor. The shaft assembly may include two pairs of concentric shafts. The end effector assembly may include arms that selectively grasp and release a suturing needle. The drive assembly is operable to drive the end effector assembly via the shaft assembly. The drive assembly is operable to convert a single rotary input into at least two rotary outputs. In some versions, the drive assembly comprises a plurality of shaft assemblies that include an input shaft, a first output shaft, a second output shaft, and a third output shaft. The drive assembly is operable to selectively rotate and hold the shaft assemblies in accordance with a predetermined sequence, such as to perform tissue suturing through a trocar in a minimally invasive surgical procedure.

Abstract: A stapling system is disclosed. The stapling system comprises a housing comprising a rotary drive member, an elongate shaft extending from the housing, wherein the elongate shaft defines a longitudinal axis, and an end effector comprising a jaw configured to support a staple cartridge and an anvil rotatable relative to the jaw between an open position and a fully-closed position, wherein the anvil comprises a cam surface. The stapling system further comprises a closure cam operably coupled with the rotary drive member, wherein the closure cam is configured to move longitudinally to engage the cam surface and transmit a closing motion to the anvil to move the the into the fully-closed position and an opening member configured to move longitudinally to apply an opening force to the anvil at a location other than the cam surface to move the anvil into the open position.

Abstract: An end effector assembly for use with a surgical instrument. The end effector assembly can comprise an anvil, a fastener cartridge including fastener cavities, fasteners removably positioned in the fastener cavities, a piece of buttress material releasably secured intermediate the anvil and the fastener cartridge, a connector, and an actuator configured to overcome the connector when actuated. The connector can secure the piece of buttress material relative to the anvil or the fastener cartridge at a location that is distal to at least one fastener cavity. The actuator can overcome the connector prior to the removal of the fasteners from the fastener cavities. Further, the actuator can extend past the fasteners in the fastener cavities, and can be actuated proximal to the fastener cavities.

Abstract: Various exemplary composite adjunct materials for delivering medicants are provided. In general, the adjunct material can be configured to be delivered to tissue by deployment of staples from a cartridge body of a surgical stapler. The adjunct material includes a conformable region and a distinct reinforcing region that form the composite structure. An effective amount of at least one medicant can be disposed within and releasable from at least one of the conformable region and the reinforcing region and can provide a desired effect on tissue in-growth in a predetermined manner.

Abstract: An apparatus for operating on tissue comprises a body, a lever, an end effector, and a tissue severing assembly. The end effector has a pair of jaws configured to open and close on tissue. The end effector is also capable of delivering RF energy to the tissue. The lever is configured to drive the pair of jaws. The tissue severing assembly comprises a trigger having at least one elongate member, at least one gear, and a firing beam. The trigger may also comprise a button operable to activate the RF energy. The firing beam is operable to sever tissue captured between the jaws. The at least one elongate member, at least one gear, and firing beam are associated such that longitudinal movement of the trigger in a first direction causes longitudinal movement of the firing beam in a second direction.

Abstract: An apparatus for operating on tissue includes an end effector having a first jaw, a second jaw, a first blade, and a second blade. The second jaw pivots relative to the first jaw from an open position to a closed position. The first blade moves from a proximal position to a distal position to pivot the second jaw to the closed position. The second blade moves from a proximal position to a distal position when the second jaw is in the open position. The second blade is exposed between the first and second jaws when the second blade is in the distal position.

Abstract: An end effector is disclosed. The end effector comprises a first jaw, a second jaw, wherein at least one of the first jaw and the second jaw is movable to compress tissue between the first jaw and the second jaw, and a cartridge body configured to receive a cutting member. The end effector further comprises a layer arrangement including a tissue contact surface and a plurality of therapeutic agents releasably contained within the layer arrangement, wherein each therapeutic agent is configured to either initially treat the tissue or sustainably treat the tissue in contact with the tissue contact surface, wherein one of the plurality of therapeutic agents is configured to be released by the cutting member, and wherein another of the plurality of therapeutic agents is configured to be released by an absorption process.

Abstract: A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer.

Abstract: A fastener cartridge assembly. The fastener cartridge assembly can comprise a cartridge body, a tissue thickness compensator releasably secured relative to the cartridge body, and a fastener removably positioned in a staple cavity of the cartridge body. The tissue thickness compensator can comprise a first clearance aperture extending along a first predefined trajectory and a second clearance aperture extending along a second predefined trajectory. The fastener can comprise a first leg aligned with the first clearance aperture and moveable along the first predefined trajectory, a second leg aligned with the second clearance aperture and moveable along the second predefined trajectory. The first and second predefined trajectories can be parallel.

Abstract: An anvil introduction system is operable to provide smooth insertion of an anvil of a surgical stapling device through a bodily lumen such as the esophagus. The anvil introduction system is coupled to the anvil and includes a dilation feature. The dilation feature has a collapsed position and an expanded position. The dilation feature may cover staple pockets and an outer edge of the anvil with the dilation feature is in the expanded position. The anvil may be inserted through the bodily lumen with the dilation feature in the expanded position. The dilation feature may then be collapsed in order to complete an end-to-end anastomosis of the bodily lumen.

Abstract: A surgical instrument, such as an electrical ablation device, including a first elongate body having an insert and a second elongate body having an electrically insulative sheath that defines a bore. A mating element mates the elongate bodies when at least a portion of the insert is received within the bore. The second elongate body is configured to receive electrical energy from the first elongate body and transmit the electrical energy to an electrode. In certain embodiments, the electrical ablation device may include first and second elongate bodies. The first includes an electrically conductive insert configured to electrically couple to an energy source and apply the electrical energy to tissue, and the second includes an electrically insulative sheath defining a bore configured to receive the insert therethrough and move proximally or distally relative to the insert.