Abstract: A staple cartridge is disclosed that includes a first impedance sensing electrode and a second impedance sensing electrode. The first impedance sensing electrode is addressable to apply first energy to tissue positioned in a first zone. The second impedance sensing electrode is addressable to apply a second energy to tissue positioned in a second zone. A control circuit is configured to determine a thickness of the tissue positioned in the first zone based on the first energy and a thickness of the tissue positioned in the second zone based on the second energy. Advancement of a knife through an elongate slot of the staple cartridge is based on the determined thickness of the tissue in the first zone and the determined thickness of the tissue in the second zone.

Abstract: A surgical device having at least one rotary input screw in the end effector is provided. A rotary input screw can extend through a central longitudinal portion of the end effector. The end effector can include an improved closure system, firing systems, leveraging and alignment features between the staple cartridge and the surgical device, staple cartridges having multi-staple drivers, single-firing knifes and lockout/safety features for the same, and/or modified staple patterns, for example. Certain components can be 3D-printed components.

Abstract: A buttress applier cartridge configured to interface with an end effector of a surgical stapling instrument is disclosed. The buttress applier cartridge includes a first loading region configured to interface with an anvil of the end effector and a second loading region configured to interface with an elongate channel of the end effector. The first loading region includes a first absorbable layer and a loading assembly for securing the first absorbable layer to the anvil as the anvil approaches the first absorbable layer. The second loading region includes a staple cartridge removably coupled to the buttress applier cartridge. The staple cartridge includes a deck and a second absorbable layer positioned on the deck.

Abstract: Disclosed are techniques for stapler reload detection and identification. A manipulator is configured to have an instrument mounted thereto. The instrument includes an end effector configured for mounting of a replaceable stapler cartridge and a pusher member configured to articulate a staple pushing shuttle of the stapler cartridge to deploy staples from the stapler cartridge. An actuation mechanism is drivingly coupled with the pusher member. A control unit is configured to control operation of the actuation mechanism to move the pusher member from a first position to a second position, wherein at the second position, the pusher member makes contact with a portion of the staple cartridge or a portion of the end effector; determine a distance of movement of the pusher member from the first position to the second position; and determine, based on the distance of movement, an operational status of the instrument relating to the stapler cartridge.

Abstract: The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including handheld electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the handheld electromechanical surgical devices.

Abstract: A handheld power tool 1 has a tool socket 2 to hold a tool along a working axis 11. A motor-driven, pneumatic striking mechanism 6 has an exciter 17 which is driven by a motor 5, a striker 14 that is coupled to the exciter 17 via a pneumatic chamber 19, and an intermediate striker 22 arranged on the working axis 11 in the striking direction 12 behind the striker 14. A ventilation opening 30 connects a cavity 29 situated between the striker 14 and the intermediate striker 22 to the environment. A valve 38 that closes the ventilation opening 30 is opened when actuated by the intermediate striker 22 when the intermediate striker 22 is moved into its working position counter to the striking direction 12.

Abstract: A surgical stapling device for performing anastomoses procedures within a body of a patient includes a handle assembly, an elongate body, and a tool assembly. The handle assembly includes a manually actuated approximation mechanism and a motorized firing mechanism.

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 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: Compressible adjuncts for use with a surgical cartridge are provided. In one exemplary embodiment, a compressible adjunct includes a biocompatible adjunct material that is configured to be releasably retained on a staple cartridge and that is configured to be delivered to tissue by deployment of staples in the cartridge. The adjunct material includes a lattice main structure having at least one absorbable sub-structure formed in the lattice main structure, the at least one absorbable sub-structure configured to control fluid movement through the adjunct material such that the fluid movement impacts healing of tissue adjacent the adjunct material when the adjunct material is in a tissue deployed state. Stapling assemblies for use with a surgical stapler are also provided.

Abstract: A system and method for automatic closure of sample vessels such as vessels with medical laboratory samples, having a plurality of identically shaped, stackable closure caps with a convex outer face and concave inner face that are stacked in a closure cap stack such that an upper closure cap in the stack bears with its convex outer face on the concave inner face of a lower closure cap lying immediately below in the stack. The system includes a closure gripper for gripping an uppermost closure cap from the stack, for transferring the gripped closure cap to the sample vessel to be closed, and for introducing the gripped closure cap into an opening of the sample vessel in order to tightly close the opening. The closure gripper has a centering piece insertable into a closure cap such that it bears on the concave inner face of the closure cap.

Abstract: An assembly includes an applicator, which includes a housing defining a gap configured to receive an end effector jaw of a surgical stapler. The applicator also includes a platform positioned within the gap. The assembly also includes a buttress assembly having a first length and positioned on the platform. The assembly further includes a trimming feature presented by the applicator or the buttress assembly, and configured to facilitate trimming of the buttress assembly from the first length to a predetermined second length.

Abstract: Compressible adjuncts for use with a staple cartridge are provided. In one exemplary embodiment, the compressible adjunct includes a non-fibrous adjunct material formed of at least one fused bioabsorbable polymer and configured to be releasably retained on a cartridge and delivered to tissue by deployment of staples in the cartridge. The adjunct material includes a lattice macrostructure having primary and secondary microreservoirs formed in the lattice macrostructure. The primary microreservoirs and secondary microreservoirs are different in size relative to each other and contain drug.

Abstract: According to one aspect, a tissue fastening device may comprise a body configured to include a plurality of fasteners; an anvil rotatable relative to the body; and a tissue cutting device. The body may define a longitudinal channel configured to receive the tissue cutting device. The tissue fastening device may further comprise a fastener actuator configured to move proximally relative to the body to deploy the plurality of fasteners from the body; and an actuation wire coupled to the tissue cutting device and the fastener actuator. The actuation of the actuation wire may cause the fastener actuator to deploy at least one of the plurality of fasteners into tissue distally of tissue cut by the tissue cutting device.

Abstract: Compressible adjuncts for use with a surgical cartridge are provided. In one exemplary embodiment, a compressible adjunct includes a biocompatible adjunct material that is configured to be releasably retained on a staple cartridge and that is configured to be delivered to tissue by deployment of staples in the cartridge. The adjunct material includes a hollow lattice macrostructure having at least one drug contained therein. The hollow lattice macrostructure is formed of a plurality of unit cells having at least one absorbable sub-structure that is formed in the plurality of unit cells. The at least one absorbable sub-structure is configured to control a rate of fluid movement through the respective unit cell so as to control the release of the at least one drug from the adjunct material when the adjunct material is in a tissue deployed state. Stapling assemblies for use with a surgical stapler are also provided.

Abstract: A handle assembly (12) of a hand-held surgical instrument (10) includes a handle housing (26), a motor (36), and a dual thread lead screw (46) operably coupled to the motor (36) and configured to move proximally and/or distally in response to an actuation of the motor (36). A first thread pitch of the lead screw (46) is suitable for effecting a closing of jaw members (20a, 20b) of an end effector (20), and a second thread pitch of the lead screw (46) is suitable for effecting a stapling function of the end effector (20).

Abstract: A staple cartridge comprising a cartridge body including staple formation features is disclosed.

Abstract: A gripping device for gripping a binding material from an object comprises first and second elongated blades. The first and second elongated blades are arranged parallel and stationary in relation to each other, and they comprise wedge-shaped protrusions. The adjacent wedge-shaped protrusions of each elongated blades form spacing between said adjacent wedge-shaped protrusions. The device comprises also a third elongated blade arranged between said first and second elongated blades. The third elongated blade comprises finger like protrusions, and is arranged to move in relation to said first and second elongated blades in the direction of said longitudinal axis and between first and second positions. In the first position the finger like protrusions form openings and in the second position the finger like protrusions are deflected from the first position so to closing the openings.

Abstract: A stapling instrument comprising a firing drive including a motor-driven reciprocatable pawl is disclosed.

Abstract: A driving device, a surgical instrument, and an operation method of the surgical instrument. The driving device is driven by a power assembly. The driving device comprises a first driving assembly and a first motion conversion assembly. The first driving assembly comprises a first effective stroke structure and a first idle stroke structure. The driving device has a first state and a second state. In the first state, the power assembly is engaged with the first effective stroke structure, and the first effective stroke structure drives the first motion conversion assembly; in the second state, the power assembly is coupled with the first idle stroke structure, and the first motion conversion assembly is disengaged from the driving of the power assembly.

Abstract: According to one embodiment of the present disclosure, a surgical device is disclosed. The surgical device includes a motor and a transmission assembly movable by the motor. The surgical device also includes a force sensor configured to measure force imparted on the transmission assembly. The device may also include a controller configured to: control the motor to move the transmission assembly to a starting position, interrogate the force sensor to receive a sensor signal, compare the sensor signal to a threshold, and determine whether the force sensor is faulty based on the comparison of the sensor signal to the threshold.