Abstract: An apparatus is operable to provide an anastomosis coupling two hollow organs, such as a duodenum and ileum. The apparatus includes a first component that is inserted through an enterotomy in a first hollow organ and a second component that is inserted through an enterotomy in a second hollow organ. The first and second components are brought together to o align the enterotomies and compress apposed layers of tissue adjacent to the enterotomies. The compressed tissue eventually necroses and the apparatus may be removed or simply pass through the hollow organ. Each component may include a set of pivoting links and a resilient member that is configured to both bias the links to an expanded configuration and grip the tissue adjacent to the enterotomy. The components may include magnets that secure the positioning of the components relative to each other and provide a compressive force on the apposed tissue.

Abstract: A surgical stapler includes a first elongate member having a distal portion that supports an anvil surface, and a second elongate member having a distal portion configured to receive a staple cartridge. The stapler further includes a pin rotatably coupled with the first elongate member, and a clamp member movably coupled with the second elongate member. The clamp member is operable to releasably capture the pin to thereby clamp the first elongate member against the second elongate member. The pin is configured to rotate relative to the first elongate member in response to being captured by the clamp member.

Abstract: A method of suturing a trocar path incision in a tissue of a patient with an obturator includes inserting the obturator through the tissue such that a shaft of the obturator extends through a tissue opening about the trocar path incision and a distal tip of the obturator is positioned within a cavity of the patient. The method also includes directing the suture via a suturing feature with the obturator inserted through the tissue in order to direct the suture relative to the tissue. Furthermore, the method includes closing the tissue opening about the trocar path incision with the suture.

Abstract: A surgical instrument is disclosed comprising an actuator and circuitry mounted on and/or embedded in the actuator.

Abstract: A surgical instrument comprising a staple cartridge assembly is disclosed. The staple cartridge comprises a cartridge body defining a longitudinal axis, staples removably stored in the staple cavities, a cover releasably attached to the cartridge body, and a sled movable from a proximal unfired position to a distal fired position during a firing motion. The staple cartridge further comprises a first RFID tag affixed to the cartridge body at a first longitudinal position, a second RFID tag affixed to the sled, wherein the proximal unfired position of the sled is at a second longitudinal position which is not at the first longitudinal position, and a third RFID tag affixed to the cover at a third longitudinal position which is not at the first longitudinal position and the second longitudinal position.

Abstract: A surgical stapling assembly is disclosed that comprises a retainer that is configured to be removably mounted to a staple cartridge that is configured to be operably seated in a stapling device. The retainer comprises an authentication key that is configured to defeat a first firing member lockout provided the stapling device. The stapling device further comprises a second lockout that is configured to prevent the firing member of the device from advancing through a staple firing stroke when a spent staple cartridge is seated in said stapling device.

Abstract: Devices are used to modify a metabolic pathway of a digestive system by creating a pathway within the intestinal tract through an anastomosis between a proximal location within the intestinal tract and a distal location within the intestinal tract. A magnetic anastomosis compression device includes a first arm, a second arm, a resilient member, and a pair of magnets. The magnetic anastomosis compression device further includes a degradable retaining element. The retaining element temporarily holds the first arm and second arm in a wide configuration in opposition to the bias exerted by the resilient member. Upon the degradation of the retaining element, the resilient member causes the first arm and second arm to transition to a narrow configuration. The magnetic anastomosis compression device is configured to magnetically couple with another magnetic anastomosis compression device positioned within a different location within the intestinal tract.

Abstract: A retainer for use with a staple cartridge that is configured for use with a surgical stapling device is disclosed. The retainer comprises a retainer body that is configured to be received on the staple cartridge. A plurality of retention features protrude from the retainer body for releasable engagement with the staple cartridge to form a cartridge assembly. The retainer further comprises an authentication key that is configured to defeat a lockout in the surgical stapling device when the cartridge assembly is seated therein. At least one of the retention features is configured to be removed from the retainer body after the retainer has been removed from the staple cartridge.

Abstract: A surgical instrument system comprising an adaptive control system is disclosed.

Abstract: A method for operating a surgical instrument. The method includes linking a second drive member to a first drive member such that the second drive member moves with the first drive member. The method further includes applying first control motions to the first drive member to cause the second drive member to apply actuation motions to a surgical end effector. The method also includes discontinuing application of the first control motions to the first drive member and de-linking the second drive member from the first drive member such that the second drive member is locked in place by a locking system. The method also includes re-applying control motions to the first drive member.

Abstract: A surgical stapling system is disclosed. In various embodiments, the system comprises a staple cartridge attachment portion, a first staple cartridge configured to be operably attached to the cartridge attachment portion, wherein the first cartridge comprises a plurality of first staples comprising first staple legs, and a second staple cartridge configured to be operably attached to the cartridge attachment portion in lieu of the first cartridge, wherein the second cartridge comprises a plurality of second staples comprising second staple legs, and wherein the second staples are different than the first staples. The system further comprises an anvil comprising a tissue-engaging surface and a plurality of forming pockets defined in the surface, wherein each pocket comprises a first landing zone configured to receive a leg of a first staple of the first cartridge and a second landing zone configured to receive a leg of a second staple of the second cartridge.

Abstract: A surgical instrument that includes a first jaw and a second jaw that are movable between a closed position and an open position. An axially movable closure member is supported relative to the jaws to apply closing and opening motions thereto. A closure actuator operably interfaces with the closure member and is movable from an unactuated position corresponding to the open position in a closure direction during a closure procedure. A first control system is configured to apply an opening control motion to the closure actuator to return the closure actuator to the unactuated position upon completion of the closure procedure. A second control system is configured to apply a variable closure force to the closure member as the closure actuator is moved in the closure direction.

Abstract: An apparatus includes a handle assembly having a body, a shaft assembly having an outer tube member, an end effector, an anvil, a first trocar closure system, and a second trocar closure system. The end effector has having a staple deck fixed relative to the body, a staple driver operable to actuate relative to the staple deck between an unfired position and a fired position, and the trocar configured to selectively couple with the anvil and actuate relative to the staple dreck. The first trocar closure assembly can actuate in a first motion to drive the trocar between a distal position and a first closed position. The second trocar closure assembly can actuate in a second motion between the first closed position and a second closed position.

Abstract: A deactivator element for use with a staple cartridge is disclosed. The deactivator element is configured to be removably supported on the staple cartridge in a deactivator position. When the deactivator element is supported on a staple cartridge in the deactivator portion and the staple cartridge is seated in a surgical stapling device, a cam surface on the deactivator element defeats a lockout in the surgical stapling device.

Abstract: A retainer system for use with staple cartridges configured for use with a surgical stapling device is disclosed. The retainer comprises a retainer body that is configured to be attached to the staple cartridge by retention features. The system includes a tool that moves the retention features between a first state wherein the retention features prevent the retainer from being attached to the staple cartridge to a second state where the retainer may be coupled to the staple cartridge by the retention features.

Abstract: A surgical stapling assembly is disclosed comprising a firing member comprising a vertically extending body portion comprising two lateral sides, a first jaw engagement member configured to slidably engage a first jaw as the firing member moves through a staple-firing stroke, and a second jaw engagement member extending laterally from each lateral side of the body portion, wherein the second jaw engagement member is configured to slidably engage a second jaw as the firing member moves through the staple-firing stroke. The second jaw engagement member comprises a vertical thickness and a lateral width defined as the distance between the body portion and an outer edge of the second jaw engagement member, wherein the vertical thickness and the lateral width comprise a ratio between about 1:2 and about 1:1.

Abstract: A surgical instrument is disclosed. The surgical instrument includes a shaft, a sensing array and a fluid detection circuit. The sensing array is positioned within the shaft. The fluid detection circuit is electrically coupled to the sensing array, and is configured to determine when a fluid originating from an environment external to the shaft is present within the shaft.

Abstract: Closure systems and members for actuating jaws of a surgical end effector. The closure systems include a closure member that is configured to interact with corresponding portions of the jaws to establish improved closure and clamping loads.

Abstract: A stapling system that comprises a retainer for use with staple cartridges that are configured for use with multiple surgical stapling devices that comprise different lockout arrangements is disclosed. The retainer is configured to be releasably attached to a staple cartridge to form a cartridge assembly. The retainer comprises an authentication key that is configured to defeat a lockout arrangement in any one of the surgical stapling devices in which the cartridge assembly is seated.