Abstract: A surgical fastener applying apparatus includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector.

Abstract: The present invention provides a tissue closure device, comprising: a first clamping base and a second clamping base which may be opened/closed relatively and form an accommodation cavity after being closed; and a pouch assembly which may be driven to move in the accommodation cavity, wherein: the pouch assembly comprises a staple pusher, a pair of needle heads movably connected to the staple pusher, and a connection portion connected to the proximal ends of the pair of needle heads; and when the staple pusher moves from the proximal end to the distal end, the pair of needle heads pushes a tubular tissue located in the accommodation cavity to the distal end until the distal ends of the pair of needle heads are closed to close the tubular tissue into a purse string. A bundled purse string with a gathered center may be formed through the tissue closure device.

Abstract: A surgical instrument (10) includes a handle assembly (20), an elongate body portion (50) extending from the handle assembly (20) and defining a longitudinal axis, and a rotation assembly (100) rotatably securing the elongate body portion (50) to the handle assembly (20). The rotation assembly (100) includes a sleeve member (110) and a rotation knob (120) supported about the sleeve member (110). The rotation knob (120) is movable relative to the sleeve member (110) and the handle assembly (20) along the longitudinal axis.

Abstract: A buttress applier cartridge assembly includes a buttress assembly and a buttress applier cartridge. The buttress assembly includes a buttress configured to support a staple formed therein as well an adhesive layer for adhering to an end effector. The buttress applier cartridge includes a housing defining a gap extending in a longitudinal direction as well as a platform. The platform extends longitudinally from a proximal portion to a distal portion and is exposed in a transverse direction adjacent to the gap. The proximal and distal portions respectively have a proximal stiffness and a different, distal stiffness in the transverse direction. Thereby, the proximal and distal portions support the buttress assembly thereon to deform with the proximal and distal stiffnesses and provide reactionary forces of at least the predetermined minimum force while receiving the end effector for accommodating various camber orientations of the end effector.

Abstract: A method of adjusting a staple parameter of a surgical stapling instrument is disclosed. The method includes determining, by a control circuit of the surgical stapling instrument, a first stroke length for a first staple driver of the surgical stapling instrument to drive a first row of staples of a circular stapling head assembly of the surgical stapling instrument; detecting, by the control circuit, a malformed staple in the first row of staples; adjusting, by the control circuit, the staple parameter, based on the detection of the malformed staple; and determining, by the control circuit, a second stroke length for a second staple driver of the surgical stapling instrument to drive a second row of staples of the circular stapling head assembly.

Abstract: A surgical system includes a handle having a controller and a motor, an adapter releasably coupled to the handle, and a loading unit releasably coupled to the adapter. The motor is coupled to a drive shaft of the handle. The adapter including an adapter identification device in communication with the controller, configured to store adapter data, and to communicate the adapter data to the controller. The loading unit configured to affect tissue in response to a force transmitted by the adapter from the drive shaft. The loading unit including a loading unit identification device in communication with the controller, configured to store loading unit data, and to communicate the loading unit data to the controller. The controller is configured to adjust output of a motor based on at least one of the adapter data or the loading unit data.

Abstract: The present disclosure includes apparatuses for a surgical handle assembly. An example apparatus includes a movable handle member and a switch configured to provide two or more modes of operation for the movable handle member and a driving pawl pivotally connected to a swing wheel configured to advance an actuation shaft linearly in a distal direction in response to actuation of the movable handle member.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure, the anatomical structure having a first side and a second side, the end effector including an anvil that includes a first end, a second end, and a face, and a cartridge that is configured to house a plurality of staples and that includes a first end, a second end, and a face, and an engagement element that movably couples the first end of the anvil to the first end of the cartridge, and a knife, the knife having a first flange, a second flange, and a web including a cutting edge, and where the second end of the anvil is movably coupled to the second end of the cartridge, each of the anvil and the cartridge is insertable through a trocar, and the end effector is remotely operable from outside the patient.

Abstract: A surgical end effector that includes a channel that is configured to operably support a surgical staple cartridge therein and an anvil that is movable between an open position and a closed position. A rotary driven firing member is configured to move axially between a starting position and an ending position. The rotary driven firing member includes at least one anvil engagement member that is configured to engage the anvil and at least one channel engagement member that is configured to engage the channel. The anvil engagement members may differ in size and length from the channel engagement members. The channel engagement members may have different channel engagement surfaces thereon that are formed at angles relative to each other.

Abstract: A surgical instrument includes a body, a shaft assembly, a stapling head assembly, and a drive assembly. The shaft assembly includes an actuator. The stapling head assembly is operable to drive an annularly arranged array of staples into tissue in response to translation of the actuator along a first axis relative to the body. The drive assembly is operable to translate the actuator along the first axis. The drive assembly comprises first and second rotary members. The first rotary member is rotatable about a second axis. The second axis is non-parallel with the first axis. The second rotary member is rotatable about a third axis. The third axis is non-parallel with the first axis and non-parallel with the second axis. The first rotary member is operable to drive the second rotary member to rotate about the third axis to thereby drive the actuator along the first axis.

Abstract: A surgical apparatus comprises a surgical staple for treating tissues of a patient in a surgical procedure. The surgical staple is deformable from a first configuration (e.g., an un-deployed configuration) to a second configuration (e.g., a deployed configuration) in accordance with embodiments of the present invention. The surgical staple includes a first leg and a second leg, wherein said surgical staple substantially resembles a V-shape or a suture needle in the first configuration and substantially forms a D-shape in the second configuration in accordance with embodiments of the present invention.

Abstract: Methods for resetting a fuse in a surgical instrument are disclosed.

Abstract: A surgical stapling device includes an anvil assembly having a center rod and an anvil head that is pivotally coupled to the center rod. The anvil head supports a cut ring assembly that is movable between a pre-fired or retracted position in which the cut ring is positioned to retain the anvil head in an operative position and an advanced position in which the cut ring assembly is positioned to allow movement of the anvil head to a tilted position. The anvil assembly also includes at least one support member that is movable from a pre-fired position extending into the anvil head to an advanced position extending from the distal end of the anvil head to allow the cut ring assembly to move from the first position to the second position. The at least one support member can be returned to the pre-fired position after the stapling device is fired and the anvil head has tilted to reset the anvil head to the operative position.

Abstract: A hand-held electromechanical surgical device is configured to selectively connect with a surgical accessory. The surgical device includes a power-pack, an outer shell housing, and a gasket. The power-pack is configured to selectively control a surgical accessory. The outer shell housing includes a distal half-section and a proximal half-section, the distal half-section and the proximal half-section together defining a cavity configured to selectively encase substantially the entire power-pack therein. The gasket is located between the distal half-section and the proximal half-section of the outer shell housing. The gasket is configured to create a seal between the distal half-section and the proximal half-section and to provide a sterile barrier between the power-pack and an outside environment outside the outer shell housing.

Abstract: An apparatus includes a shaft assembly and an end effector. The shaft assembly includes an outer sheath and a staple driving mechanism. The end effector includes a staple deck, an anvil, a first staple driver, and a second staple driver. The staple deck defines a plurality of staple openings in at least one annular array. Each staple opening in the plurality of staple openings houses a staple. The anvil is configured to actuate relative to the staple deck to compress tissue between the staple deck and the anvil. The staple driving mechanism is configured to actuate the first staple driver to fire a first staple of the plurality of staples against the anvil. The staple driving mechanism is further configured to actuate the second staple driver independently of the first staple driver to fire a second staple of the plurality of staples against the anvil.

Abstract: A male circumcision and suture device includes a glans receiver socket including a glans socket for inserting into an excess foreskin of a patient and a socket shaft extended from the glans socket, an operation housing having a shaft channel extended from a front edge, an annular cutter coaxially coupled at the front edge of the operation housing, a plurality of staples spacedly disposed at the front edge of the operation housing, and two operation handles pivotally coupled at the operation housing to actuate the annular cutter and the staples at the same time. When the operation handles to are concurrently and pivotally actuated, the annular cutter is pushed out of the front edge of the operation housing for removing the excess foreskin of the patient and at the same time, the staples are pushed for applying stitches at a cut area of the excess foreskin of the patient.

Abstract: A surgical stapling device includes an anvil assembly including an anvil shaft and an anvil head assembly that is supported on a distal end portion of the anvil shaft. The anvil shaft defines a longitudinal axis and supports a first spline, a second spline, and a third spline. Each of the first, second, and third splines includes a pair of tapered camming surfaces that meet at a proximal end of the respective spline to define an apex. The apex of the first spline is positioned on the anvil shaft at a location proximal of the apex of the second spline, and the apex of the second spline is positioned on the anvil shaft at a location proximal of the apex of the third spline. In embodiments, each of the splines includes an apex. The apex of the first spline is aligned with a longitudinal axis of the first spline and the apex of the second and third splines are aligned with a longitudinal axis of the second and third splines, respectively.

Abstract: A surgical instrument for use with a robotic system that has a control unit and a shaft portion that includes an electrically conductive elongated member that is attached to a portion of the robotic system. The elongated member is configured to transmit control motions from the robotic system to an end effector.

Abstract: A surgical stapling apparatus can comprise, in various instances, a staple cartridge comprising staples removably stored therein, a firing system configured to eject the staples from the staple cartridge, and an electric motor configured to drive the firing system. The stapling apparatus can further comprise a lockout system configured to, one, detect whether a first jaw is in an open position or a closed position relative to a second jaw and, two, prevent the electric motor from driving the firing system when the first jaw is not in a closed position.

Abstract: An end effector including an anvil and a staple cartridge assembly is disclosed. The staple cartridge assembly comprises a deck having steps defined thereon for compressing tissue positioned between the anvil and the staple cartridge assembly to different pressures. The staple cartridge assembly further comprises staples having different unformed heights removably stored therein. The staples are deformed against the anvil to different formed heights.

Abstract: A surgical anvil assembly for use with a circular stapling instrument includes an anvil center rod defining a longitudinal axis and an anvil head pivotally coupled to the anvil center rod and movable between a first operative condition and a second tilted condition. The anvil assembly further includes a locking assembly configured to selectively lock the anvil head in each of the first and second conditions.

Abstract: A surgical instrument assembly configured to be operably attached to and detached from a surgical robot interface is disclosed. The surgical instrument assembly comprises a shaft assembly comprising an end effector and a closure drive member configured to move a second jaw relative to a first jaw of the end effector. The surgical instrument assembly further comprises a control assembly, wherein the shaft assembly is operably coupled with the control assembly, and wherein the control assembly comprises a housing, a closure drive system configured to actuate the closure drive member, and an exterior closure drive actuator exterior to the housing and configured to be actuated by a clinician to manually rotate a rotary input drive of the closure drive system to move the second jaw relative to the first jaw when the surgical instrument assembly is not operably attached to the surgical robot interface.

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

Abstract: A surgical system for selective connection to a robotic arm includes an instrument drive unit and a surgical instrument detachably coupled to the instrument drive unit. The instrument drive unit includes first and second actuators and a first translatable member operatively coupled with the first actuator. The surgical instrument includes an adapter portion, an elongate member extending distally from the adapter portion, and an end effector mounted on a distal end of the elongate member. The adapter portion has a first rotatable member operatively associated with the first translatable member. The first rotatable member is rotatable in response to translation of the first translatable member. The end effector is operatively coupled with the first rotatable member, wherein rotation of the first rotatable member effects a first function of the end effector.

Abstract: A medical device drive system including a lever body having portions defining a lever body cavity, a nut housing in the lever body cavity, and a first nut at least partially in the first nut cavity. The first nut is slideable in the first nut cavity between an engaged position in which the lead screw interface is engaged with the engagement portion of the lead screw, and a disengaged position in which the lead screw interface is not engaged with the engagement portion of the lead screw. The lead screw interface of the first nut is selectively engageable with the engagement portion of the lead screw by sliding the lever body and pin relative to the first nut housing.

Abstract: A method includes advancing an end effector of a surgical tool to a surgical site, the surgical tool being pivotably mounted to a robotic arm at a tool driver, engaging tissue at the surgical site with the end effector, calculating a force vector assumed on the end effector by engaging the tissue, optimizing the force vector to obtain an optimized force vector, and actuating the end effector after applying the optimized force vector on the end effector.

Abstract: A surgical anvil assembly for use with a circular stapling instrument includes an anvil center rod defining a longitudinal axis and an anvil head pivotally coupled to the anvil center rod and movable between a first operative condition and a second tilted condition. The anvil assembly further includes a locking assembly configured to selectively lock the anvil head in each of the first and second conditions.

Abstract: Various systems and methods of controlling a surgical instrument are disclosed. The surgical instrument can include a motor and a control circuit coupled to the motor. The motor can be coupled to a clamping member, which is configured to transition an end effector between an open position and a closed position, cut tissue, and/or eject staples from a staple cartridge in the end effector. The control circuit can be programmed to cause the motor to drive a clamping member at a first rate in a first zone between the first position and the second position and cause the motor to drive the clamping member at a second rate in a second zone between the first position and the second position; wherein the first rate is less than the second rate.

Abstract: A surgical instrument comprising a housing, an elongate shaft, a stapling attachment, a motor-driven system, and a control system is disclosed. The stapling attachment comprises a first jaw, a second jaw movable relative to the first jaw from an open position toward a closed position to capture patient tissue, and a staple cartridge comprising staples. The motor-driven system comprises a drive member configured to eject the staples from the staple cartridge during a firing stroke. The drive member comprises a first portion configured to engage the first jaw and a second portion configured to engage the second jaw during the firing stroke. The control system is configured to prevent the drive member from performing the firing stroke when a thickness of tissue captured exceeds a threshold thickness and prevent the drive member from performing the firing stroke when a current draw of the motor-driven system exceeds a threshold value.

Abstract: An end effector for use with a surgical apparatus. The end effector comprising a staple cartridge having a tissue contacting surface defining a central longitudinal slot and an anvil plate having a tissue contacting surface defining a central longitudinal slot. A folded surgical buttress configured to overlie each of the tissue contacting surfaces of the staple cartridge and anvil plate and configured to retain the surgical buttress to the tissue contacting surfaces of each of the staple cartridge and anvil plate. The surgical buttress having a first longitudinal portion, a second longitudinal portion, and middle longitudinal portion between the first and second longitudinal portions, wherein the middle longitudinal portion is folded and configured to fit within the central longitudinal slot of each of the staple cartridge and anvil plate.

Abstract: In various embodiments, a shaftless end effector is disclosed. The end effector can comprise an anvil assembly including a staple forming surface. The end effector can also comprise a staple cartridge channel configured to receive a staple cartridge therein. The end effector can include a closure system configured to close the anvil. In various instances, the closure system can also form the staples contained within the staple cartridge. The end effector can also include a cutting member configured to cut tissue positioned intermediate the anvil and the staple cartridge. In various instances, the cutting member can be actuated by the closure system. In other instances, the end effector can include an independent system for actuating the cutting member. In various instances, the end effector can be delivered to a surgical site through a trocar and then operated by one or more actuators that are assembled to the end effector.

Abstract: A surgical tool configured to be interchangeably attached to a first controller interface and a second controller interface that is different from the first controller interface is disclosed.

Abstract: A surgical stapling device comprises a handle assembly, a shaft assembly, and a stapling head assembly. The shaft assembly comprises a rotary drive shaft that translates between two longitudinal positions to alternate between a tissue clamping mode and a tissue cutting/stapling mode. The stapling head assembly includes a first set of rotary drive elements that convert rotary motion of the drive shaft into a tissue clamping action when the drive shaft is in a distal position. The stapling head assembly also includes a second set of rotary drive elements that convert rotary motion of the drive shaft into a tissue cutting/stapling action when the drive shaft is in a proximal position. The drive shaft may be driven manually or by a motor. The stapling head assembly may be provided in a cartridge form that is removable from the shaft assembly.

Abstract: An anvil assembly suitable for trans-oral delivery includes an anvil head configured to be tilted. An anvil delivery assembly includes the anvil assembly and a tubular guide assembly secured to the anvil assembly. The tubular guide assembly includes a flexible tube having an oblate cross-section.

Abstract: A surgical instrument. The surgical instrument has a force delivery system which communicates a changing force to a user of the surgical instrument when a limit of a surgical function is reached. A sensor senses position of a moving element to communicate a signal to the force delivery system. In various embodiments, the system generates a vibratory force to signal the user.

Abstract: An anvil assembly is provided. The anvil assembly includes center rod assembly, a head assembly pivotal relative to the center rod assembly between an operative position and a tilted position, and a mechanism for selectively maintaining the head assembly in the operative position.

Abstract: A surgical system comprising a housing assembly, a shaft extending from the housing assembly, a closure system, an end effector extending from the shaft, and a rotation system is disclosed. The housing assembly comprises a motor. The end effector is configurable in an unclamped configuration and a clamped configuration. The end effector is moved into the clamped configuration by the closure system. The end effector comprises a staple cartridge and a firing member. The staple cartridge comprises a plurality staples. The firing member is configured to move through the staple cartridge and deploy the plurality of staples. The rotation system is configured to rotate the end effector about a rotation axis when the end effector is in the unclamped configuration and prevent the end effector from rotating about the rotation axis when the end effector is in the clamped configuration.

Abstract: Various robotic surgical systems are disclosed. A robotic surgical system comprises a first motor; a second motor; and a robotic surgical tool. The robotic surgical tool comprises: a first rotary driver configured to receive a first rotary motion from the first motor; a second rotary driver configured to receive a second rotary motion from the second motor; an output drive; and a shifter configured to selectively couple the first rotary driver and the second rotary driver to the output drive. The first rotary driver and the second rotary driver are configured to concurrently supply torque to the output drive in a high-torque operating state.

Abstract: Adjuncts for use with surgical instruments, such as staplers, are provided. In one embodiment, an adjunct can include a plurality of suction members configured to attach the adjunct to an end effector jaw of a surgical stapler using a suction force. The suction members can be configured to generate the suction force when compressed. The suction members can be further configured to release the suction force to decouple the adjunct from the end effector jaw, permitting deployment of the adjunct at a treatment site. In certain embodiments, the suction members can include a plurality of air pockets formed in the bulk of the adjunct or within protrusions extending outward from a surface of the adjunct. The air pockets can be in communication with corresponding openings allowing air to escape the air pockets when compressed.

Abstract: A surgical instrument is disclosed. The surgical instrument includes a control unit and a staple cartridge including a transponder. The control unit is configured to transmit a first wireless signal to the transponder and to receive a second wireless signal from the transponder to determine one of a first electronic state and a second electronic state of the transponder based on the second wireless signal.

Abstract: A surgical anvil assembly for use with a circular stapling instrument includes an anvil center rod defining a longitudinal axis and an anvil head pivotally coupled to the anvil center rod and movable between a first operative condition and a second tilted condition. The anvil assembly further includes a locking assembly configured to selectively lock the anvil head in each of the first and second conditions.

Abstract: It is disclosed an actuation mechanism for performing an action, where the actuation mechanism comprises: a first movable trigger assembly having a first trigger; a second movable trigger assembly have a second trigger, where the first trigger is movable independently with respect to the second trigger during a portion of movement of the first trigger and/or the second trigger; and a driving member in engagement with the first trigger assembly and the second trigger assembly, respectively, wherein, the first trigger assembly and the second trigger assembly are applied different mechanical advantages.

Abstract: The invention is an inserter for a staple having a bridge member and opposing open legs and the inserter holds the staple between a pair of cylindrical expanders which splay apart in response to a camming mechanism having a pair of followers that carry the expanders. The followers are activated as they are drawn over the camming ramp in response to a trigger action. The ramp also includes a detent which alerts the user that the staple is engaged in an activated position, and a safety that keeps the followers from returning to the un-loaded position.

Abstract: An adapter assembly includes an elongated body configured to couple to a handle assembly and a loading unit assembly. The adapter assembly includes an oscillator configured to output a voltage signal. A sensor determines a connection status of the loading unit assembly coupled to the adapter assembly based on a change in the voltage signal. The voltage signal includes a rectified voltage output and an induced voltage output and changes in response to the approximation of a winding disposed within a loading unit assembly to the oscillator.

Abstract: A surgical anvil assembly for use with a circular stapling instrument includes an anvil center rod defining a longitudinal axis and an anvil head pivotally coupled to the anvil center rod and movable between a first operative condition and a second tilted condition. The anvil assembly further includes a locking assembly configured to selectively lock the anvil head in each of the first and second conditions.

Abstract: A surgical instrument includes a staple cartridge that defines a stepped deck. The surgical instrument further includes a staple comprised of seamless unitary structure. The staple is configured to be formed and/or stamped from a sheet of material. The staple includes a base and staple legs. A staple drive surface is integrally formed in the base, and a sled is configured to directly contact the staple drive surface to directly drive the staple.

Abstract: A surgical instrument includes a handle, an adaptor, and a non-contact electrical interface. A proximal end of the adaptor is releasably coupled to a distal end of the handle. The non-contact electrical interface is configured to wirelessly transmit energy from the handle to the adaptor and is configured to wirelessly transmit data from the adaptor to the handle. The electrical interface may include a proximal coil disposed within the handle and a distal coil disposed within the adaptor. When the adaptor is coupled to the handle, the proximal coil may be disposed adjacent the distal coil to form a transformer to inductively transfer energy from the handle to the adaptor and inductively transmit data from the adaptor to the handle.

Abstract: A surgical instrument including a power assist device, and its method of use for deploying surgical fasteners, is disclosed. The surgical instrument may include a handle, an elongated shaft extending from the handle, and a surgical fastener deployment system including a driveshaft. The driveshaft is actuatable between at least a first proximal position and a second distal position. A striker is movable relative to the driveshaft and an impact surface is associated with the driveshaft. The impact surface is constructed and arranged to be struck by the striker member to displace the driveshaft to the second distal position and deploy the surgical fastener.

Abstract: A surgical stapling system is disclosed comprising an end effector configurable in an open configuration and a clamped configuration. The end effector comprises a firing member that moves toward an ending position in response to a firing motion. A sensor is configured to produce a signal corresponding to the configuration of the end effector. A rotatable drive screw is drivable by an electric motor and is threadably engaged with the firing member such that rotary motion is converted to the firing motion. A control system is configured to evaluate the signal produced by the sensor and allows the electric motor to provide the firing motion to the firing member if the end effector is in the clamped configuration. The control system does not allow the electric motor to provide the firing motion to the firing member if the end effector is in the open configuration.

Abstract: A trigger mechanism for a surgical instrument, particularly, a surgical stapling instrument provides significant mechanical advantages by increasing the length of the firing stroke of the surgical instrument while reducing the degree of movement of the trigger associated with the trigger mechanism. The trigger mechanism also reduces the forces required to actuate the trigger thereby enhancing usability and minimizing operator fatigue.