Abstract: A surgical staple cartridge for use with a surgical end effector that includes a lock member that is movable between a locked configuration wherein a firing member is prevented from axial travel through the surgical end effector and an unlocked configuration wherein the firing member is axially advanceable. The staple cartridge includes a cartridge body that supports a cam assembly therein that is movable between a starting position and an ending position. The cam assembly defines a central axis and includes at least one unlocking feature that is laterally offset from the central axis and is configured to engage the lock member when the cartridge body is seated within the end effector and the cam assembly is in said starting position to thereby move the lock member to the unlocked configuration.

Abstract: An electromechanical robotic arm is provided having a distal end with a tool engaging member configured to mate with an electromechanical tool and a trocar holding member configured to mate with a trocar. The trocar holding member can have at least one engagement mechanism configured to engage and orient a trocar to mate the trocar to the trocar holding member in a desired orientation.

Abstract: A staple cartridge includes a stepped cartridge deck. The staple cartridge further includes tissue retention features configured to resist tissue slippage while tissue is captured between the staple cartridge and an anvil.

Abstract: A wound closure device and a method of its use are disclosed. The wound closure device comprises a wound closure strip, the wound closure strip comprising a wound-facing side and a top side, the wound-facing side comprises an adhesive applied over at least a portion of the wound facing side of the wound closure strip and a non-symmetric, two-part release liner assembly detachably adhered to the adhesive, the release liner assembly comprising a first section and a second section with the second section comprising a wound closure strip-free portion forming a tab. In an alternate embodiment, the device is multi-segmented and the wound closure strip may be coextensive with the release liner assembly.

Abstract: A stapling device comprising a shaft having a locked state and an unlocked state, an anvil, and a replaceable staple cartridge attachable to the shaft is disclosed. The staple cartridge comprises a cartridge body, staples removably stored in the cartridge body, a metal pan attached to the cartridge body, and a sled. The stapling device further comprises a firing member movable longitudinally through a staple firing stroke when the shaft is in the unlocked state. The firing member comprises an anvil cam configured to engage the anvil and a cartridge cam configured to engage the staple cartridge. The stapling device further comprises a lock. The anvil cam is positioned vertically above the lock and the cartridge cam is positioned vertically below the lock. The lock is movable vertically relative to the metal pan when the shaft is placed in its unlocked state.

Abstract: A mechanism is disclosed for adapting operations of a surgical instrument based on data from actual, expected or predicted properties of tissue, data from measuring operation of the surgical instrument itself, and data based on clinician conduct. The adaptive measures can be based on predetermined control measures such as algorithms stored in operative communication with the surgical instrument, based on dynamically generated control measures, or a combination of both. Utilizing such mechanisms can help to adjust closure and firing algorithms based on tissue properties, improve battery usage, and learn from user operations, enhancing functioning of the instrument within an operational envelope.

Abstract: A surgical stapler includes an anvil channel member, an anvil surface, and a cartridge channel member that releasably couples with the anvil channel member and includes a distal portion that receives a staple cartridge. The stapler further includes first and second latch features. The second latch feature moves between an open position and a closed position in which it engages the first latch feature and fixes the channel members together. A latch lockout member of the stapler is movable between a lockout state in which the lockout member locks the second latch feature in the open position, and a release state in which the lockout member permits the second latch feature to move to the closed position. The latch lockout member is configured to move from the lockout state to the release state in response to being engaged by the first latch feature.

Abstract: An adapter for use with an electromechanical surgical instrument. The adapter includes an end effector with first and second jaws that are movable between open and closed positions relative to each other by a dynamic clamping member that is axially movable through the end effector in a firing stroke. The adapter includes firing stroke sensing arrangements for monitoring an axial position of the dynamic clamping assembly as it moves within the firing stroke.

Abstract: A dispensing device configured to operate with an adhesive backed mesh and backing film for tissue bonding is disclosed. The dispensing device provides for low-friction, low force pay-out of a desired length of an adhesive backed mesh to a wound site. The device prevents or eliminates distortion of the mesh prior to application to the wound site, and includes means for reducing or eliminating binding during use. The dispensing device is configured to operate in a “forward” mode (substrate to which mesh is applied passes beneath applicator after mesh is applied) to provide essentially an unobstructed view of the wound site during use.

Abstract: Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.

Abstract: A method includes advancing an end effector of a surgical tool to a surgical site, setting a desired force vector to be assumed on the end effector during actuation of the end effector, engaging tissue at the surgical site with the end effector and calculating a force vector assumed on the end effector, and maneuvering the end effector to obtain the desired force vector.

Abstract: A method includes advancing an end effector of a surgical tool to a surgical site, the surgical tool being pivotably mounted to a robotic arm at a tool driver, engaging tissue at the surgical site with the end effector, calculating a force vector assumed on the end effector by engaging the tissue, optimizing the force vector to obtain an optimized force vector, and actuating the end effector after applying the optimized force vector on the end effector.

Abstract: In various embodiments, a stapling assembly is disclosed. The stapling assembly comprises, among other things, an anvil configured to deform staples. The anvil comprises a tissue-engaging surface and a pair of forming pockets defined in the tissue-engaging surface, wherein the pair of forming pockets are configured to deform corresponding legs of a staple. The pair of forming pockets comprises a longitudinal pocket axis, an intermediate axis comprising a center point, a proximal forming pocket, and a distal forming pocket, wherein the pair of forming pockets are bilaterally asymmetric with respect to the longitudinal pocket axis and the intermediate axis, and wherein the pair of forming pockets are rotationally asymmetric with respect to the center point.

Abstract: A surgical instrument for treating the tissue of a patient is disclosed. The surgical instrument comprises a housing including a handle, a housing frame comprising a housing connector, and a drive system comprising at least one electric motor. The surgical instrument further comprises a shaft assembly releasably assembled to the housing including a shaft frame comprising a proximal connector and a distal connector, wherein the proximal connector is releasably coupled to the housing connector and a shaft drive system comprising at least one rotatable shaft operably coupled to the electric motor. The surgical instrument further comprises an end effector releasably assembled to the shaft assembly including an end effector frame comprising an end effector connector releasably coupled to the distal connector of the shaft assembly, a plurality of staple cartridges removably stored in the end effector, and a plurality of end effector drivers operably coupled to the rotatable shaft.

Abstract: A surgical device comprising a staple cartridge, a clamping mechanism configured to clamp patient tissue, a firing member, a manual bailout, an electric motor, a power source, and a control unit is disclosed. The clamping mechanism comprises a first iaw and a second iaw. The firing member configured to engage the first jaw and the second jaw during a closure stroke. The second jaw is moved to the closed position during the closure stroke and the firing member is further configured to eject staples from the staple cartridge during a firing stroke. The manual bailout is configured to retract the firing member through a retraction stroke. The electric motor is configured to drive the firing member. The control unit is configured to monitor a parameter of the electric motor and control the amount of current supplied to the electric motor based on the parameter.

Abstract: A surgical instrument can be provided as described herein. The surgical instrument can include a handle with first and second handle portions. One of the first and second housing portions can include a proximal latch and a proximal latch pin. The proximal latch and proximal latch pin can be configured to lock the first and second housing portions together at proximal ends thereof. One of the first and second housing portions can further include a latch projection, a clamp arm, an over center linkage where the latch projection and over center linkage can be configured to lock the surgical instrument in a closed position when the clamp arm is engaged or in an engaged position.

Abstract: An end effector for use with a surgical stapler is disclosed, the end effector comprises a cartridge body comprising a longitudinal axis and a plurality of staple cavities defined in the cartridge body. The staple cavities comprise a first annular row of staple cavities extending around the longitudinal axis and a second annular row of staple cavities extending around the longitudinal axis. The end effector further comprises staples removably stored in the staple cavities and a ramp rotatable about the longitudinal axis to sequentially eject the staples from the staple cavities. The end effector further comprises a cutting member which is deployed after the staples are ejected from the staple cavities.

Abstract: A surgical stapling apparatus for use with a surgical instrument system is disclosed. The surgical stapling apparatus comprises a housing assembly, a shaft, a proximal segment, a distal segment, and an articulation system. The proximal segment comprises a first proximal end and a first distal end comprising an articulating segment. The distal segment comprises a second proximal end and a second distal end. The second proximal end comprises a pivot segment configured to be coupled with the articulating segment. The second distal end is configured to be attached to a stapling assembly. The articulation system is operably engaged with the distal segment to transmit a first articulation motion to the distal segment to cause the stapling assembly to articulate in a first plane and a second articulation motion to the distal segment to cause the stapling assembly to articulate in a second plane that is different than the first plane.

Abstract: An end effector for use with a surgical stapler is disclosed, the end effector comprises a cartridge body comprising a longitudinal axis and a plurality of staple cavities defined in the cartridge body. The staple cavities comprise a first annular row of staple cavities extending around the longitudinal axis and a second annular row of staple cavities extending around the longitudinal axis. The end effector further comprises staples removably stored in the staple cavities and a ramp rotatable about the longitudinal axis to sequentially eject the staples from the staple cavities.

Abstract: Novel absorbable polymer blends are disclosed. The blends are useful for manufacturing medical devices having engineered degradation and breaking strength retention in vivo. The blends consist of a first absorbable polymeric component and a second absorbable polymeric component. The weight average molecular weight of the first polymeric component is higher than the weight average molecular weight of the second polymeric component. At least at least one of said components is at least partially end-capped by a carboxylic acid group. Further aspects are medical devices made therefrom.