Abstract: A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

Abstract: A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by a flexible retention matrix which is assembled to the fasteners in order to capture tissue therebetween. The flexible retention matrix can comprise, one, a plurality of retention matrix elements configured to engage the fasteners and, two, a lattice of connectors which connect one or more retention matrix elements.

Abstract: A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by, one, a retention matrix which is assembled to the fasteners in order to capture tissue within the fasteners and, two, an alignment matrix configured to hold the fasteners together before the retention matrix is assembled thereto. In various embodiments, the retention matrix and the alignment matrix can each comprise a tissue-contacting surface configured to compress tissue therebetween.

Abstract: Disclosed is a disposable surgical stapling unit configured for use with an actuation device that has an elongated shaft assembly. The disposable surgical stapling unit may include a housing assembly and a staple cartridge carrier configured to operably support a staple cartridge, and a drive member operably supported within the staple cartridge carrier. The drive member may comprise a cutting edge to cut tissue and a proximal end configured for operable engagement with a control member operably supported within the elongated shaft assembly. The disposable surgical stapling unit may further include articulation joints operably supported between the housing assembly and the staple cartridge carrier for selectively articulating the staple cartridge carrier about multiple articulation axes.

Abstract: A surgical apparatus particularly suited for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. A handle assembly includes a movable handle. The movable handle is movable through an actuation stroke. An elongate body extends distally from the handle assembly and defines a longitudinal axis. The elongate body has a distal end adapted to releasably engage both articulating and non-articulating disposable loading unit types. An actuation shaft is supported at least in part within the handle assembly and is mounted for longitudinal movement in response to manipulation of the actuation handle. An energy activated firing lockout system prevents operation of the surgical apparatus under a plurality of conditions.

Abstract: A surgical stapling apparatus having an end effector capable of performing a surgical procedure. The surgical stapling apparatus may include a driving pawl that interfaces with a manually actuatable handle. The driving pawl may have a pawl body with a driving tooth thereon that is configured to interact with an actuation shaft such that, as the manually actuatable handle is actuated, the driving tooth interacts with the actuation shaft to cause the actuation shaft to apply the actuation motions to an elongated body operably coupled to the end effector. When the end effector experiences a firing load that exceeds a predetermined magnitude of firing load, the driving tooth moves relative to the pawl body to disengage from the actuation shaft to prevent further transfer of the actuation motions to the elongated body even though the manually actuatable handle continues to be actuated.

Abstract: A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

Abstract: A surgical fastening system can comprise a plurality of fasteners, wherein each fastener can comprise, one, a base and, two, a leg extending from the base, wherein each leg can comprise a tip. The fastener system can further comprise a retention matrix comprising a first side facing toward the bases of the fasteners, a second side facing away from the bases of the fasteners, and a plurality of retention members configured to engage the legs. The fastener system can further comprise a cover configured to cover the staple tips, wherein the cover can comprise a sheet of material and/or a plurality of caps.

Abstract: In various embodiments, a surgical instrument can comprise an end effector including a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the staple cartridge channel. The surgical instrument can further comprise a closure tube configured to at least partially surround the anvil and the staple cartridge channel to hold the anvil in a closed position. The closure tube can extend around the anvil a greater distance than the staple cartridge channel. The surgical instrument can further comprise a shaft and, in addition, an articulation joint pivotably connecting the end effector to the shaft. The articulation joint can further comprise a floating guide member which can guidably support a knife bar extending into the end effector and, at the same time, move independently of the end effector and the shaft to provide such support.

Abstract: An apparatus comprises a surgical instrument having a proximal end and a distal end. The proximal end may comprise a handle. The distal end may comprise a cutter and a stapler. The apparatus may further comprise a staple for use with the stapler. The staple may comprise an inner channel extending along at least a portion of the length of the staple. The apparatus may further comprise an agent contained in the inner channel, which may be used to coagulate a surgical site where surgical instrument is used. The agent may facilitate coagulation of the fluids at a surgical site once the staples are anchored to the surgical site.

Abstract: An apparatus for endosurgical use includes an instrument having an end effector and a staple cartridge insertable into the end effector. The staple cartridge includes staples, staple apertures, a resistive member, and a medical fluid. When coupled to a power source, the medical fluid is vaporized by the resistive member and expelled out the staple apertures onto the stapled tissue. The power source may be contained within the instrument. In one configuration, a resistive strip with strip contacts may electrically couple to a conductor in the end effector. The medical fluid may also be divided into a plurality of sealant pads corresponding to the staple apertures, and the medical fluid may be a depolymerizable cyanoacrylate, a sprayable thermoplastic urethane, or any vaporizable medicament or pharmaceutical. The staple drivers may include one or more apertures to permit the medical fluid to pass through or around the staple drivers.

Abstract: A surgical stapling apparatus having an end effector capable of performing a surgical procedure. The surgical stapling apparatus may include a driving pawl that interfaces with a manually actuatable handle. The driving pawl may have a pawl body with a driving tooth thereon that is configured to interact with an actuation shaft such that, as the manually actuatable handle is actuated, the driving tooth interacts with the actuation shaft to cause the actuation shaft to apply the actuation motions to an elongated body operably coupled to the end effector. When the end effector experiences a firing load that exceeds a predetermined magnitude of firing load, the driving tooth moves relative to the pawl body to disengage from the actuation shaft to prevent further transfer of the actuation motions to the elongated body even though the manually actuatable handle continues to be actuated.

Abstract: A surgical instrument can comprise a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the channel. The surgical instrument can further comprise a cutting member configured to incise tissue positioned captured between the staple cartridge and the anvil and, in addition, means for stopping the cutting member prior to a distal end datum, wherein the distal end datum can be defined by the distal-most staple cavity in the staple cartridge. In such embodiments, the incision within the tissue may not extend beyond the portion of the tissue that has been stapled.

Abstract: A surgical fastening instrument can comprise a handle and an end effector, wherein the end effector can comprise a first jaw comprising a first cartridge attachment portion and a second jaw comprising a second cartridge attachment portion, and wherein one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw. The surgical fastening instrument can further comprise a first cartridge that is insertable into the first jaw and attachable to the first cartridge attachment portion and, in addition, a second cartridge that is insertable into the second jaw and attachable to the second cartridge attachment portion. In various embodiments, the first cartridge can comprise first fastener portions which are engageable with second fastener portions in the second cartridge.

Abstract: A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by, one, a retention matrix which is assembled to the fasteners in order to capture tissue within the fasteners and, two, an alignment matrix configured to hold the fasteners together before the retention matrix is assembled thereto. In various embodiments, the retention matrix and the alignment matrix can each comprise a tissue-contacting surface configured to compress tissue therebetween.

Abstract: A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs.

Abstract: A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

Abstract: A surgical fastening system can comprise a plurality of fasteners, wherein each fastener can comprise, one, a base and, two, a leg extending from the base, wherein each leg can comprise a tip. The fastener system can further comprise a retention matrix comprising a first side facing toward the bases of the fasteners, a second side facing away from the bases of the fasteners, and a plurality of retention members configured to engage the legs. The fastener system can further comprise a cover configured to cover the staple tips, wherein the cover can comprise a sheet of material and/or a plurality of caps.

Abstract: A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by a flexible retention matrix which is assembled to the fasteners in order to capture tissue therebetween. The flexible retention matrix can comprise, one, a plurality of retention matrix elements configured to engage the fasteners and, two, a lattice of connectors which connect one or more retention matrix elements.

Abstract: A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.