Abstract: A medical agent dispensing system and surgical instruments that employ the medical agent dispensing system are provided. The dispensing system may be structured for use with a surgical severing/stapling instrument structured for severing and stapling tissue. The dispensing system may include at least one storage reservoir structured for storing at least a component of a medical agent and a pump in communication with the storage reservoir; a delivery tube in communication with the pump which is structured to receive a quantity of the medical agent from the storage reservoir during operation of the pump; and, at least one agent tube in communication with the delivery tube which is structured for communication with a least one agent port formed in a staple cartridge or an anvil of the surgical instrument for dispensing the medical agent therethrough.

Abstract: A medical agent dispensing system can be provided that may be structured for use with a surgical severing/stapling instrument that is designed for severing and stapling tissue. The dispensing system may include at least one storage reservoir structured for storing at least a component of a medical agent; a gear pump casing in communication with the storage reservoir; a screw pump auger positioned within the gear pump casing capable of rotational manipulation to move the medical agent through the gear pump casing; and, at least one agent tube in communication with the gear pump casing. The agent tube may be structured for communication with a least one agent port formed in a staple cartridge of the surgical instrument for dispensing the medical agent therethrough.

Abstract: A hydraulically actuated surgical instrument. The instrument may comprise a handle portion and a shaft. The shaft is mechanically coupled to the handle. The instrument may also include an end effector mechanically coupled to the shaft along its longitudinal axis. The end effector may comprise a surgical implement and a hydraulic device. At least a portion of the surgical implement may be translatable along a transverse axis, wherein the transverse axis is substantially perpendicular to the longitudinal axis of the shaft. Also, the hydraulic device may be positioned to be expandable toward the surgical instrument in a direction substantially parallel to the transverse axis of the shaft.

Abstract: Embodiments of an electrical energy transmission system structured for use with a surgical severing/stapling instrument including a removably connectable disposable severing/stapling unit are provided. The energy transmission system may include an electrical power source; and, at least one electrode positioned on at least one of an anvil assembly or a cartridge assembly of the disposable severing/stapling unit. The assembly electrode may be configured to receive electrical power from the electrical power source when the disposable severing/stapling unit is removably connected to the surgical instrument. In certain embodiments, the electrical power source may include a radio frequency electrical power source configured to provide electrical current to the assembly electrode.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, resilient structures may be formed into one or more of the elongate channel that supports the staple cartridge, the anvil that is pivotally attached to the elongate channel, and/or a firing member that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a lower foot that engage the elongate channel. The resilience responds to the force exerted by clamped tissue to vary the spacing between the anvil and the staple cartridge supported within the elongate channel.

Abstract: A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, resilient structures are formed into an E-beam firing bar that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a middle pin and lower foot that engage the lower jaw. The resilience responds to the force exerted by clamped tissue to vary the spacing.

Abstract: A surgical instrument for being endoscopically or laparoscopically inserted through a cannula of a trocar into an insufflated body cavity or lumen (“surgical site”) for simultaneous stapling and severing of tissue including gripping surfaces on inner surfaces of an upper and lower jaw that enhance use as a grasping instrument to preposition tissue prior to performing a stapling and severing procedure. An illustrative version advantageously includes a separate closure trigger and closure mechanism that facilitates use as a grasper without the possibility for inadvertent firing (i.e., stapling and severing).

Abstract: A surgical severing and stapling instrument clamps tissue in a staple applying assembly comprising a lower jaw of an elongate channel holding a staple cartridge and a pivotally opposed upper jaw (anvil). A firing handle drives a rack in a handle connected to a firing rod and bar that pass through an elongate shaft and into the staple applying assembly to sever and staple tissue. Upon release of the firing handle, a retraction spring assists in withdrawing the rack and other firing components. To advantageously assist in firing, a spring biased plunger is cocked prior to firing to impart assistance upon depression of the firing trigger. Alternatively, a torsion coil spring ratchet mechanism is preloaded to act through a gear into the rack to assist. As a further alternative, a retraction spring is preloaded and disengaged until the rack is fully fired.

Abstract: A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, collapsible staple drivers may be supported within the cartridge for driving a staple or staples supported thereon into forming contact with an underside of an anvil attached to the instrument. As the staples contact the anvil, the drivers can compress or collapse to control the overall formed height of the staple or staples based upon the amount of compression forces experienced by the drivers during the stapling process.

Abstract: A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied without the need to use different sizes of staples.

Abstract: A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular an upper pin of the firing bar is disengaged from the anvil before firing. A ramped transition from an anvil to an anvil slot avoids misfiring when the end effector has clamped too much tissue, yet assists in successfully clamping a slightly excess amount of tissue.

Abstract: A surgical stapling and severing instrument enables minimally invasive surgical procedures by having upper and lower jaws (i.e., anvil and staple channel) that are positioned with an elongate shaft and handle through surgical openings, and in particular through a cannula of a trocar. A pair of fluid actuator bladders (lift bags) are positioned in the staple channel beneath a proximally projecting lever tray so that transfer of fluid from the handle causes closing and clamping of the anvil. The bi-directional fluid control may be mechanically produced at the handle or by activating an electroactive polymer actuator. Once firing is sensed, an EAP plunger in a medical substance syringe inserted into the elongate shaft is activated to dispense a medical substance (e.g., anesthetics, adhesives, cauterizing substances, antibiotics, etc.) and is guided along a firing bar to a cutting surface of an E-beam placing the substance on tissue as severed.

Abstract: A method for suture lacing includes providing a suture with a needle attached thereto, inserting the needle and suture into an organ through a passageway, throwing a single stitch through a first tissue member, throwing a single stitch through an opposed and spaced apart second tissue member, repeating the preceding step at least once, bringing the first and second tissue members in contact by tensioning the suture, whereby suture drag is minimized during the tensioning and even tissue compression substantially achieved, and securing the suture.

Abstract: An endoscopic apparatus shaped and dimensioned for passage through an orifice in the body includes a scope attachment member coupled to an endoscopic instrument, and a connection member attaching the scope attachment member to the endoscopic instrument. The connection member has an insertion orientation sized for passage through the orifice and a deployed orientation too large to pass though the orifice. When the connection member is in its insertion orientation the endoscopic instrument is positioned closely adjacent an exterior of an endoscope for low profile insertion of the endoscopic instrument through an orifice, and when the connection is in its deployed orientation the endoscopic instrument is spaced from the endoscope to improve visibility.

Abstract: A surgical suturing apparatus includes a flexible member having a proximal end and a distal end. The proximal end has a handle attached thereto and the distal end has a suturing body attached thereto. The handle is operatively connected to the suturing body. The suturing body includes a suture housing in which a needle and drive assembly are housed for movement of the needle with a suture secured thereto about an arcuate path facilitating application of a suture to tissue. A mechanism is provided for accommodating and operating different sized needles and different sized sutures while maintaining the operative connection between the handle and the suturing body.

Abstract: A surgical suturing apparatus for performing a surgical procedure with a body cavity includes a flexible member having a distal end attached to a suturing body for insertion of the suturing body through an orifice and into a body cavity. The suturing body includes a suture housing in which a needle and drive assembly are housed for movement of the needle with a suture secured thereto about an arcuate path facilitating application of the suture to tissue. A non-visible spectrum sensing member is associated with the suturing body for communicating a parameter of the procedure to a visual display.

Abstract: A surgical suturing apparatus includes a suture housing, a needle mounted within the suture housing for movement about an arcuate path, and a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue. The suture housing has an open position and a closed position, and the needle can be removed from the suture housing when in the open position.

Abstract: A surgical suturing apparatus includes a suture housing, a needle mounted within the suture housing for movement about an arcuate path, a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue, and a collapsible vacuum chamber containing the suture housing. The vacuum chamber is shaped and dimensioned for coupling to a vacuum line.

Abstract: A surgical suturing apparatus includes a suture housing, a needle mounted within the suture housing for movement about an arcuate path, a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about an arcuate path in a first direction in a manner facilitating application of the suture to tissue, and an anti-backup mechanism associated with the needle for preventing movement of the needle in a second direction opposite to the first direction.