Abstract: Disclosed are embodiments of an apparatus, system, and method for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach. The bougie can be operably configured to define a resection line for the sleeve gastrectomy when the predetermined positive pressure range is achieved within the stomach.

Abstract: Disclosed are embodiments of an apparatus and system for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach. The bougie can be operably configured to define a resection line for the sleeve gastrectomy when the predetermined positive pressure range is achieved within the stomach.

Abstract: A surgical system and device for use with a computerized surgical manipulation system, wherein the computerized surgical manipulation system includes a robotic arm and a support coupled to the robotic arm for receiving various instruments, comprising a surgical device, wherein the surgical device includes an elongated shaft; and a control housing coupled to the elongated shaft, wherein the control housing is configured to attach to a motor housing having a notch, wherein the motor housing is coupled to the support; and a trocar pivotally coupled to the support such that the trocar can pivot away from axial alignment with the support, wherein the elongated shaft extends into the pivoted trocar, wherein the trocar containing the surgical device is pivoted into axial alignment with the support such that the notch receives the elongated shaft of the surgical device, and wherein the control housing engages the motor housing.

Abstract: Systems and methods for reducing insufflation loss due to gas leakage during a laparoscopic surgical procedure are provided. The surgical procedure includes the use of a surgical instrument having an end effector and a trocar through which the surgical instrument is inserted for access to the abdominal cavity of a patient receiving laparoscopic surgery. The trocar includes a lip, a lip seal disposed within the lip, and a cannula located beneath the lip. The systems and methods reduce or prevent a loss of insufflation when using conventional systems and methods to insert the surgical instrument through a conventional trocar.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure can include an anvil, a cartridge, and a knife. The anvil includes a proximal end, a distal end, and a face that is positionable on a first side of the anatomical structure. The cartridge is configured to house a plurality of staples and includes a proximal end, a distal end, and a face that is positionable on a second side of the anatomical structure. The knife has a cutting edge, the knife being operably configured to move from a first position at about a distal end of the end effector to a second position at about a proximal end of the end effector. The distal end of the anvil is movably coupled to the distal end of the cartridge.

Abstract: Embodiments include an end effector including an anvil, the anvil having an anvil face, a cartridge having a cartridge face, the cartridge being configured to retain a plurality of staples, a cord, and a buttress being coupled with the anvil face or the cartridge face and including a planar section of material and a plurality of loops extending laterally from a first side and a second side of the planar section of material, wherein at least one of the anvil or the cartridge includes a plurality of cord supports.

Abstract: Embodiments include an end effector including an anvil that includes a first end, a second end, and an anvil face positionable on the first side of an anatomical structure, a cartridge operably configured to house a plurality of staples, the cartridge comprising a first end, a second end, and a cartridge face positionable on the second side of the anatomical structure. The end effector includes a blade assembly comprising a blade, a beam, and a nut, the blade comprising a first side and a second side joined at a cutting edge. The end effector includes first and second electrodes coupled to the first side of the blade and an electrosurgical power generating source in electrical communication with the first and second electrodes.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. The anvil has an anvil face and a first staple pocket defined by the anvil face, where the first staple pocket comprises a first cup and a second cup for staple formation. The cartridge has a first staple, the first staple having a first open leg with a first tip, a second open leg with a second tip, and a first crown coupling the first open leg and the second open leg, and a first driver. The first staple, once deployed by the first driver and deformed by the first staple pocket, comprises the first tip and the second tip crossing the first midline axis of the first crown in a formed configuration.

Abstract: A surgical instrument including a system for stopping a beam of the surgical instrument from impacting a distal pin when reversing a knife is disclosed. A knife assembly of the surgical instrument comprises the knife, the beam, and a firing nut. A firing lead screw can drive the firing nut distally and proximally. A firing screw compression spring extends along the firing lead screw and applies a load proximally on the firing nut when the firing nut is driven toward a distal end of the firing lead screw.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. Each of the anvil and the cartridge has a face that is positionable on the anatomical structure. The anvil is coupled to the cartridge at first and second ends. The anvil is movable relative to the cartridge to define a first gap between the faces at the first ends that is different from a second gap between the faces at the second ends.

Abstract: A system for preventing unwanted tissue migration in surgical staplers includes a surgical stapler having an end effector including an upper jaw and a lower jaw. A distal end of the upper jaw is connected to a distal end of the lower jaw, and a proximal end of the upper jaw is connected to a proximal end of the lower jaw. First and second tissue stops are formed on the distal and proximal ends of the lower jaw, respectively. The second tissue stop and the proximal end of the upper jaw define a no cut zone when the surgical stapler is in an open position. The surgical stapler also includes a tissue cutting device disposed within the lower jaw for resecting tissue. The system also includes a warning, blocking, impeding, or barrier forming device for preventing the unwanted migration of tissue into the no tissue zone.

Abstract: A buttress device includes an applicator assembly including an applicator body, the applicator body being flexible, and a release liner. The release liner is coupled to the applicator body. The buttress device includes a buttress positioned on the applicator body, and a buttress fastener, the buttress fastener configured to couple the buttress to an end effector. The buttress fastener is configured to be releasably fastened to the release liner. The buttress device has a first configuration in which the buttress is coupled to the applicator assembly, and a second configuration in which the buttress is uncoupled from the applicator assembly, wherein the sacrificial tab is removed from the applicator assembly in the second configuration.

Abstract: An end effector for stapling and cutting an anatomical structure includes an anvil, a cartridge, and a blade. The anvil has an anvil face and a plurality of staple pockets positioned on the anvil face. The cartridge has a cartridge face defining a cartridge blade channel, the cartridge being configured to retain a plurality of staples. Each of the plurality of staples comprises a first staple leg, a second staple leg, and a crown connecting the first and second staple legs and having a midpoint. Each of the plurality of staples comprises an open staple configuration and a closed staple configuration where a first portion of the first staple leg and a second portion of the second staple leg are bent relative to the crown such that the first portion of the first staple leg and the second portion of the second staple leg cross the midpoint of the crown.

Abstract: An end effector for use to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. The anvil has an anvil face and a first staple pocket defined by the anvil face, where the first staple pocket comprises a first cup and a second cup for staple formation. The cartridge has a first staple and a first driver. The first staple, once deployed by the first driver and deformed by the first staple pocket, has a formed configuration in which a first portion of a first staple leg and a second portion of a second staple leg are bent relative to a crown and cross the midpoint of the crown and one of the first portion and the second portion overlaps the other of the first portion and the second portion.

Abstract: Disclosed are embodiments of an apparatus and system for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach.

Abstract: Embodiments include an end effector including an anvil, the anvil having an anvil face, an anvil blade channel defined by the anvil face, a first pocket row of first row staple pockets, a second pocket row of second row staple pockets, a third pocket row of third row staple pockets, a fourth pocket row of fourth row staple pockets, a fifth pocket row of fifth row staple pockets, a sixth pocket row of sixth row staple pockets, a cartridge having a cartridge face defining a cartridge blade channel, the cartridge being configured to retain a plurality of staples, and a blade, the blade having a cutting edge, where the blade is movable from a first position at a distal end of the cartridge to a second position at a proximal end of the cartridge.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. Each of the anvil and the cartridge has a face that is positionable on the anatomical structure. The anvil is coupled to the cartridge at first and second ends. The anvil is movable relative to the cartridge to define a first gap between the faces at the first ends that is different from a second gap between the faces at the second ends.

Abstract: A buttress device includes an applicator assembly including an applicator body, the applicator body being flexible, and a release liner, the release liner comprising a sacrificial tab. The release liner is coupled to the applicator body. The buttress device includes a buttress positioned on the applicator body, and a buttress fastener, the buttress fastener configured to couple the buttress to an end effector. The buttress fastener is configured to be releasably fastened to the release liner. The buttress device has a first configuration in which the buttress is coupled to the applicator assembly, and a second configuration in which the buttress is uncoupled from the applicator assembly, wherein the sacrificial tab is removed from the applicator assembly in the second configuration.

Abstract: A system for preventing unwanted tissue migration in surgical staplers includes a surgical stapler having an end effector including an upper jaw and a lower jaw. A distal end of the upper jaw is connected to a distal end of the lower jaw, and a proximal end of the upper jaw is connected to a proximal end of the lower jaw. First and second tissue stops are formed on the distal and proximal ends of the lower jaw, respectively. The second tissue stop and the proximal end of the upper jaw define a no cut zone when the surgical stapler is in an open position. The surgical stapler also includes a tissue cutting device disposed within the lower jaw for resecting tissue. The system also includes a warning, blocking, impeding, or barrier forming device for preventing the unwanted migration of tissue into the no tissue zone.

Abstract: One or more medical devices may be provided that may be used, for example, in bariatric surgery including a vertical sleeve gastrectomy. Occlusion devices can be integrated with a catheter or tube to occlude one or more proximal or distal landmarks of a stomach and a stapling guide may be used to occlude a lateral boundary of the stomach to define a cavity. A volume of the potential resultant sleeve may be determined by inserting fluid or gas into the catheter or tube, measuring pressure, and calculating the volume of the cavity.