Abstract: Described herein are endoscopic staplers used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed staplers allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver staples for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention.

Abstract: Described herein are endoscopic staplers used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed staplers allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver staples for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention.

Abstract: An articulating elongate surgical instrument includes a handle assembly, an elongated body portion, a tool assembly pivotally supported on the distal end of the elongated body portion. The elongate surgical instrument includes as well an articulation mechanism to effect the movement of the tool assembly, the articulation mechanism including a pivot member operatively coupled to the tool assembly. The elongated body includes at least one articulation drive member having at least one retaining surface therein; a firing rod disposed adjacent the articulation drive, with an articulation locking actuating surface disposed upon the firing rod; and an articulation locking means configured to selectively engage and disengage from the actuating surface and to selectively engage and disengage from the retaining surface of the articulation drive member.

Abstract: The present disclosure provides for a loading unit for use with and/or supportable on a distal end of a surgical stapling apparatus. The loading unit includes a housing portion including a distal end and a proximal end, a drive assembly slidably supported within the housing portion of the loading unit, and a locking mechanism pivotally supported on the housing portion of the loading unit, the locking mechanism having a first position wherein the locking mechanism engages a portion of the drive assembly and maintains the position, preferably the axial position, of the drive assembly relative to the housing portion of the loading unit, and the locking mechanism having a second position wherein the locking mechanism disengages the drive assembly and enables the drive assembly to move relative to the housing portion.

Abstract: An electrically powered surgical instrument includes a surgical end effector having a surgical procedure effecting actuation assembly. A handle is coupled with the end effector. An electric motor is disposed within a shell of the handle and has power terminals and a drive train actuating the assembly when the motor is supplied with power. A break-before-make power supply switch at the handle selectively controls supply of power to the motor. A post-termination braking circuit electrically short-circuits the power terminals when the switch does not supply power to the motor. A method for post-termination braking of an electrical motor utilizes the permanent magnetic field of the motor to counteract an inertia-induced over-stroke characteristic of the motor, drive train, and/or actuation assembly after powered operation by short-circuiting the still-spinning motor to create an electrically generated magnetic field in opposition to the permanent magnetic field upon ceasing supply of power to the motor.

Abstract: The present disclosure provides for a loading unit for use with and/or supportable on a distal end of a surgical stapling apparatus. The loading unit includes a housing portion including a distal end and a proximal end, a drive assembly slidably supported within the housing portion of the loading unit, and a locking mechanism pivotally supported on the housing portion of the loading unit, the locking mechanism having a first position wherein the locking mechanism engages a portion of the drive assembly and maintains the position, preferably the axial position, of the drive assembly relative to the housing portion of the loading unit, and the locking mechanism having a second position wherein the locking mechanism disengages the drive assembly and enables the drive assembly to move relative to the housing portion.

Abstract: A surgical stapling instrument including a latch for securing first and second jaw members together, a cutting member which can be advanced and/or retracted relative to first and second jaw members, and, in addition, a lock which can prevent, or at least inhibit, the cutting member from being moved, or at least advanced, relative to the first and second jaw members before the latch has been closed. In at least one embodiment, the latch can be configured to engage the lock as the latch is moved from a fully open position to a fully closed position and operably disengage the lock from the cutting member.

Abstract: The invention relates to a surgical stapler for applying at least two rows of staples, said surgical stapler comprising a cartridge housing said rows of staples and having a slot extending along the cartridge between two rows of staples, said surgical stapler further comprising a cutting means movable along said slot and a lockout mechanism for preventing movement of said cutting means, wherein said lockout mechanism comprises a blocking member movable between a first position, in which the blocking member blocks movement of said cutting means, and a second position, in which the blocking member permits movement of said cutting means, and a biasing member for biasing said blocking member towards said first position and wherein said cartridge comprises a release member for moving said blocking member towards said second position upon insertion of said cartridge into said surgical stapler.

Abstract: A circular stapler with an automatic safety mechanism comprises a stapler body, a stapler head, an actuating mechanism and a transmission adjusting mechanism; wherein the actuating mechanism comprises a handle and a handle coat, the transmission adjusting mechanism comprises a screw rod and an adjusting knob; a stopper is disposed either inside said handle or said handle coat; a safety rod and a pulling sheet are further provided, the safety rod has a safety block on one end and has a protruding block and a pin hole as its middle portion, a cylindrical pin is inserted into the pin hole so as to get the safety rod to be pivotally connected with the stapler body; the pulling sheet has a rear portion mounted on the screw rod and has a pulling hook at its front portion, the pulling hook hooks with the protruding block.

Abstract: A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, a head portion and an indicator. A firing trigger is movable between first and second positions. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The indicator is disposed in mechanical cooperation with the handle assembly and is movable between a first position and a second position in response to movement of the anvil assembly towards its approximated position. The indicator is movable between the second position and a third position in response to firing of the instrument.

Abstract: A surgical instrument including a firing drive configured to selectively advance a firing member and/or cutting member relative to an end effector and, in addition, a reversing drive configured to selectively retract the firing member and/or cutting member relative to the end effector. The firing drive can include a pawl which can be selectively engaged with the firing member in order to advance the firing member, wherein the pawl can be disengaged from the firing member when the reversing drive is engaged with the firing member. The reversing drive can include a gear train having a first gear operably engaged with the firing member and, in addition, a second gear operably engaged with the first gear, wherein the second gear can be selectively operable with the trigger such that an actuation of the trigger can retract the firing member and/or cutting element via the first and second gears.

Abstract: A surgical instrument particularly suited to endoscopic use articulates an end effector by including a laterally sliding member in a proximal portion of a shaft that pivots the end effector to a selected side. Differentially opposing actuating forces (e.g., hydraulic, fluidic, mechanical) act against the laterally sliding member without binding by incorporating guidance mechanisms between the laterally sliding member and a frame of the shaft.

Abstract: A surgical cutting and stapling instrument is disclosed. The instrument includes an end effector and a handle. The end effector includes a channel, an anvil pivotally attached to the channel, a moveable cutting instrument for cutting an object positioned between the anvil and the channel, and a staple cartridge configured for removable receipt by the channel. The staple cartridge includes a sled that is engaged by the cutting instrument during a cutting stoke. The handle includes a motor for actuating the cutting instrument via a main drive shaft assembly. The instrument further includes a first interlock circuit for enabling initiation of motor operation based upon a position of the staple cartridge.

Abstract: A surgical instrument includes 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, a wedge integral to the staple cartridge is driven distally by a middle pin of the firing bar to effect stapling. A single lockout of the staple channel responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire. Otherwise, the single lockout prevents firing when the staple cartridge is missing or spent. Further, some versions include an Electroactive Polymer (EAP) actuator that presents an abutting surface, or acts as a trapdoor to a ramped recess in a staple channel to block the firing bar, as an active approach to preventing firing for one or more conditions.

Abstract: A linear surgical stapler adapted for applying a plurality of surgical fasteners to body tissue includes an anvil structure and a cartridge housing containing a plurality of surgical fasteners. The cartridge housing and anvil structure are relatively movable between a first spaced apart position and a second position in close approximation with one another. A firing mechanism is associated with the cartridge housing for ejecting the surgical fasteners from the cartridge housing to be driven against the anvil structure. A lockout mechanism interacts with the cartridge housing for selective activation and deactivation. The lockout mechanism includes a swing gate tab secured to the cartridge housing at a position adjacent a lockout lever, such that firing of the linear surgical stapler rotates the swing gate tab releasing the lockout lever for preventing further firing of the used cartridge housing.

Abstract: A surgical instrument including a handle portion, a body portion, an articulating tool assembly and a locking assembly is disclosed. The body portion extends distally from the handle portion and defines a first longitudinal axis. The articulating tool assembly defines a second longitudinal axis and is movable from a first position where the second longitudinal axis is substantially aligned with the first longitudinal axis to at least a second position where the second longitudinal axis is at an angle to the first longitudinal axis. The locking assembly includes a pusher in mechanical cooperation with the body portion and a pivot in mechanical cooperation with the articulating tool assembly. The pusher includes a mating surface dimensioned to mate with a pivot mating surface. The pusher is distally biased towards the pivot and is forced proximally as the articulating tool assembly is moved to the second position.

Abstract: A partially reusable surgical stapler for deploying staples into tissue. The stapler has a body with a distal end, a proximal end and a longitudinal axis therebetween. The proximal end includes a handle while the distal end includes a staple cartridge holder and an opposing anvil. The stapler also has an actuator module for deploying staples. The actuator module includes at least one longitudinally movable member for sequentially ejecting staples towards the anvil. The actuator module is readily removable and replaceable to and from the body. The components of the stapler body can be disassembled, reconditioned and reassembled for reuse in a different surgical procedure.

Abstract: The present invention includes a tool assembly with a first jaw movable in relation to a second jaw between a spaced position and an approximated position. An approximation member is movable in relation to the first jaw to effect movement of the first and second jaws from the spaced position to the approximated position. A cam channel is configured to approximate the distal ends of the first and second jaws prior to approximation of the proximal ends of the first and second jaws. An articulation and firing actuator includes a flexible band having first and second end portions, wherein movement of either the first or the second end portion of the band effects pivoting of the tool assembly, and movement of the both end portions of the band, simultaneously, effects movement of a dynamic clamping member to eject staples from a cartridge assembly.

Abstract: A surgical fastening and cutting assembly having a housing defines a passage and a pusher, with a cam surface, slides in the passage. An arm couples to the housing and an anvil base is located on the arm. A body slides on the arm between the housing and the base. The body defines a bore and a staple passage having a staple therein. A cam follower extends from the cartridge body to the housing. In an open position, tissue can be placed between the anvil base and the body. In an intermediate position, the cam surface of the pusher can move the cam follower into a locked position and, thereby, the tissue can be clamped. In a fastened and cut position, the pusher can move such that the staple can be been driven and formed in the tissue and a knife, coupled to the pusher, can cut the tissue.

Abstract: A surgical instrument including a closure system configured to move an anvil of an end effector between an open position, a partially closed position, and a closed position. The surgical instrument can further include a lock member configured to selectively engage and lock the closure system when the anvil is positioned in at least one of its partially closed and closed positions. In at least one embodiment, the surgical instrument can include a trigger configured to pivot the anvil, the lock member can include a follower portion, and the closure drive can include a lock spring configured to bias the follower portion against a cam surface of the trigger such that the follower portion can engage a notch in the cam surface when the anvil is pivoted into its partially closed position, or closed position, and prevent the anvil from being pivoted into its open position.

Abstract: A surgical stapling device having a rotating knob locking mechanism, and a method of using the surgical stapling device is disclosed. The surgical stapling device includes a housing, an actuation member, an elongated body portion rotatably supported on the housing, and a locking mechanism for preventing the rotation of the elongate body portion, the locking mechanism being automatically engaged upon actuation of the actuation member. The stapling device further includes a knob for rotating the elongated body portion. The locking mechanism includes a pivotably mounted member configured to engage the knob. The stapling device may further include an articulating tool assembly and an articulation lever for articulating the tool assembly. The articulation lever may be disposed on the knob for rotating the elongated body portion.

Abstract: Described herein are endoscopic staplers used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed staplers allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver staples for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention.

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 for use with a disposable loading unit. Various embodiments include an elongated body assembly that comprises a distal body segment and a proximal body segment that are operably coupled together by an intermediate articulation joint such that the proximal body segment and the distal body segment define a longitudinal axis. The intermediate articulation joint may be configured to facilitate articulation of the distal body segment about an intermediate articulation axis that is substantially transverse to the longitudinal axis. The elongated body assembly may be configured to transfer actuation motions from an actuation shaft housed in a handle assembly to the disposable loading unit. In various embodiments, the intermediate articulation joint may be adjacent to the handle assembly.

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 stapling apparatus configured for use with disposable loading units. In various embodiments, the surgical stapling apparatus includes a retraction system that interfaces with an actuation shaft that is movably supported within a handle housing. The actuation shaft is configured to move axially within the handle housing from a fully retracted position to a fully fired position in response to manipulation of a movable handle operably mounted to the handle housing. The retraction system serves to automatically retract the actuation shaft to the fully retracted position when the actuation shaft has moved to the fully fired position.

Abstract: In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument.

Abstract: A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.

Abstract: A surgical stapler is provided that maintains the jaws of the stapler in an open position and prevents firing of staples when a cartridge is not loaded in one of the jaws. Distinct positioning and sequencing of the jaws, capture pin and firing of the staples are provided by a latch mechanism. Such locking and latching mechanisms ensure proper operation of the stapler.

Abstract: A surgical instrument including a shaft assembly and an end effector, where the end effector can be moved relative to the shaft assembly. The shaft assembly can include a lock member selectively engageable with the end effector to limit, or prevent, relative movement therebetween. In at least one embodiment, the end effector can include a lock member having a plurality of teeth and/or a plurality of recesses, where the shaft assembly lock member can engage the teeth and/or recesses to fix the relative position between the end effector and shaft assembly. In various embodiments, the teeth can be positioned between first and second surfaces of the end effector lock member to reduce the possibility that the teeth can impinge on soft tissue surrounding the lock member. In other embodiments, the teeth can be beveled in order to allow the teeth to slide relative to the soft tissue.

Abstract: A surgical device is disclosed which includes a handle assembly, an elongated member and a disposable loading unit. The handle assembly includes a mode selection mechanism configured to alternate the surgical device between a first grasping mode of operation and a second clamping mode of operation. The handle assembly includes a rotation control member and an articulation lever. The rotation control member is configured to facilitate rotation of the elongated member with respect to the handle assembly. The articulation lever is configured to facilitate articulation of the tool assembly about an axis substantially perpendicular to the longitudinal axis of elongated member. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly configured to clamp and staple tissue in the second clamping mode of operation of the device.

Abstract: A surgical stapling instrument including a handle portion, a body portion, an articulating tool assembly and an articulation mechanism is disclosed. The body portion extends distally from the handle portion. The articulation mechanism includes an articulation link for articulating the tool assembly, an articulation knob operatively coupled to the articulation link, wherein rotational motion of the articulation knob is translated into axial motion of the articulation link thereby articulating the articulating tool assembly.

Abstract: A surgical stapler which includes or onto which a tool assembly can be mounted for deforming a plurality of surgical fasteners through and fastening tissue includes a housing having a fixed handle and a clamping handle mountable to the housing. The clamping handle is selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. An adapter yoke is included which translates within the housing upon actuation of the clamping handle. The adapter yoke mechanically cooperates with a lead screw to actuate the tool assembly to clamp tissue. A drive assembly is also included for rotating a shaft which mechanically engages the lead screw. Upon selective activation of the drive assembly, the shaft rotates the lead screw to advance a roll nut and force a firing piston into the tool assembly to deform the surgical fasteners through and fasten the tissue.

Abstract: A powered surgical stapler is disclosed. The stapler includes a housing, an endoscopic portion extending distally from the housing and defining a first longitudinal axis, a drive motor disposed at least partially within a housing and a firing rod disposed in mechanical cooperation with the drive motor. The firing rod is rotatable by the motor about the first longitudinal axis extending therethrough. The stapler also includes an end effector disposed adjacent a distal portion of the endoscopic portion. The end effector is in mechanical cooperation with the firing rod so that the firing rod drives a surgical function of the end effector. The stapler further includes a control system having a plurality of sensors coupled to the drive motor, the firing rod, the loading unit and the end effector, the plurality of sensors configured to detect operating parameters thereof.

Abstract: A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A firing member reciprocates within an elongate shaft to the end effector to transfer this firing motion. A retraction spring retracts the firing member after full firing. Between firing strokes as the firing trigger is released, an anti-backup mechanism activates an electrical actuator (e.g., elecroactive polymer actuator) that is physically grounded to the handle to bind the firing member preventing inadvertent retraction.

Abstract: A surgical device is disclosed which includes a handle portion, a central body portion and a SULU. The SULU includes a proximal body portion, an intermediate pivot member and a tool assembly. The intermediate pivot member is pivotally secured to the proximal body portion about a first pivot axis and the tool assembly is pivotally secured to the intermediate pivot member about a second pivot axis which is orthogonal to the first pivot axis. The SULU includes a plurality of articulation links which are operably connected to the tool assembly by non-rigid links. The articulation links are adapted to releasably engage articulation links positioned in the central body portion. The body portion articulation links are connected to an articulation actuator which is supported for omni-directional movement to effect articulation of the tool assembly about the first and second axes.

Abstract: A surgical fastening and cutting assembly having a housing defines a passage and a pusher, with a cam surface, slides in the passage. An arm couples to the housing and an anvil base is located on the arm. A body slides on the arm between the housing and the base. The body defines a bore and a staple passage having a staple therein. A cam follower extends from the cartridge body to the housing. In an open position, tissue can be placed between the anvil base and the body. In an intermediate position, the cam surface of the pusher can move the cam follower into a locked position and, thereby, the tissue can be clamped. In a fastened and cut position, the pusher can move such that the staple can be been driven and formed in the tissue and a knife, coupled to the pusher, can cut the tissue.

Abstract: A surgical device is described herein that can be used to fire different types and sizes of disposable loading units. In a preferred embodiment, the device applies parallel rows of surgical fasteners to body tissue and concomitantly forms an incision between the rows of staples during an endoscopic or laparoscopic surgical procedure. The device can be utilized with disposable loading units configured to apply linear rows of staples measuring from about 15 mm in length to about 60 mm in length and can be used to fire disposable loading units containing surgical clips and individual staples.

Abstract: A surgical device is disclosed which includes a handle assembly, an elongated member and a disposable loading unit. The handle assembly includes a mode selection mechanism configured to alternate the surgical device between a first grasping mode of operation and a second clamping mode of operation. The handle assembly includes a rotation control member and an articulation lever. The rotation control member is configured to facilitate rotation of the elongated member with respect to the handle assembly. The articulation lever is configured to facilitate articulation of the tool assembly about an axis substantially perpendicular to the longitudinal axis of elongated member. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly configured to clamp and staple tissue in the second clamping mode of operation of the device.

Abstract: A surgical instrument including a firing drive configured to selectively advance a firing member and/or cutting member relative to an end effector and, in addition, a reversing drive configured to selectively retract the firing member and/or cutting member relative to the end effector. In various embodiments, the surgical instrument can further include a switch including relatively movable first and second portions, wherein the first portion can be configured to operably disengage the firing drive from the firing member and, in addition, operably engage the reversing drive with the firing member. In at least one embodiment, the second portion can include a handle extending therefrom which can be motivated by the surgeon in order to engage the second portion with the first portion and move the first portion into position.

Abstract: A surgical instrument including a shaft assembly and an end effector, where the end effector can be moved relative to the shaft assembly. The shaft assembly can include a lock member selectively engageable with the end effector to limit, or prevent, relative movement therebetween. In at least one embodiment, the end effector can include a lock member having a plurality of teeth and/or a plurality of recesses, where the shaft assembly lock member can engage the teeth and/or recesses to fix the relative position between the end effector and shaft assembly. In various embodiments, the teeth can be positioned between first and second surfaces of the end effector lock member to reduce the possibility that the teeth can impinge on soft tissue surrounding the lock member. In other embodiments, the teeth can be beveled in order to allow the teeth to slide relative to the soft tissue.

Abstract: A surgical instrument including a shaft, an end effector movable relative to the shaft, a locking mechanism configured to engage the shaft and/or end effector to fix the relative relationship between the shaft and end effector, and a closure system configured to close the end effector and engage the locking mechanism to prevent it from becoming unlocked. The instrument can further include a firing drive comprising a trigger, a firing member, and a pawl, where the pawl is rotatable between a first position in which the pawl is disengaged from the firing member and a second position in which the trigger can advance the pawl and firing member toward the end effector. The instrument can also include a reel, a band, where the band can be wound around the reel to retract the firing member, and a return mechanism for selectively engaging the trigger with the firing member and the reel.

Abstract: A surgical instrument comprising an elongate channel assembly that has a distal end and a proximal end and is constructed to operably support a staple cartridge assembly therein. The instrument may further include a knife assembly that is oriented for travel within the elongate channel assembly. At least one first cable transition support is operably mounted to the distal end of the elongate channel and at least one second cable transition support is operably attached to the knife assembly. A first cable is affixed to the distal end of the elongate channel assembly and extends around the first and second cable transition supports to interface with a cable drive system. In various embodiments, the cable drive system may comprise a winch assembly or a pinion driven rack.

Abstract: A surgical apparatus has a clamp and a stapling mechanism. The clamp has a first jaw and a second jaw to clamp on a body tissue at a desired location for a stapling operation. The stapling mechanism is controlled by a trigger handle or a switch assembly. The surgical apparatus has a controller for providing a delay between clamping and actuating of the firing mechanism of the stapling mechanism. The delay provides for a desired amount of time for tissue compression producing a more uniform staple formation. The surgical apparatus also has an indicator. The indicator provides feedback about the status of the stapling mechanism and also displays a time of tissue compression by the clamp.

Abstract: A surgical stapler has a handle assembly including a stationary handle and a trigger. The stapler also has a drive assembly with a body having a working end and a cam member supported on the working end. The cam member is positioned to translate relative to the anvil to maintain the anvil in the closed position during firing of the stapler. The trigger is operatively connected to a power cell. The power cell is operably connected to a motor of the drive assembly. The manipulation of the trigger actuates the power cell such that the power cell powers the drive assembly to effect translation of the cam member relative to the anvil. The stapler also has a channel for supporting the staple cartridge and the motor of the drive assembly controls the actuation sled supported within the cartridge. The actuation sled urges the plurality of staples from the cartridge when the anvil is in the closed position and in cooperative alignment with the staple cartridge.

Abstract: A surgical fastener applying apparatus is provided including a cartridge half-section and an anvil half-section, the cartridge half-section and anvil half-section being relatively movable from an unclamped position to a clamped position; and a loading unit receivable in the cartridge half-section and having a plurality of staples and a plurality of staple pusher members. The cartridge half-section includes a frame; a member being longitudinally movable through the loading unit to interact with the plurality of staple pusher members to fire the staples; and a lockout mechanism arranged to block advancement of the member in a locked-out position of the lockout mechanism. In use, after loading of the loading unit in the surgical fastener applying apparatus and subsequent clamping of the cartridge and anvil half-sections, the lockout mechanism is moved to an unlocked position to allow advancement of the member.

Abstract: A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

Abstract: A method for effecting a tissue-compressing surgery at a user-selected compression force provides an electrical switch having switching states changed solely by mechanical movements. The switch is mechanically coupled with an adjustable biasing device retaining the switch in one state until a force greater than the bias device is imparted to the switch. The switch is in line with a tissue-compressing device to place a proportional amount of compression force on the switch as imparted upon the tissue. The biasing device is set to a desired state-changing tissue compression force so that the switch changes its state when the force on the switch is at least the desired force. Tissue compresses until a force imparted on the switch at least equals the desired state-changing tissue compression force and, at such time, the switching state changes and, thereafter, a surgical procedure is carried out on the compressed tissue.

Abstract: A surgical instrument for creating an anastomosis includes a housing, a handle extending from the housing and a fastener support member extending distally from the housing. The fastener support member is configured and dimensioned to releasably support a plurality of surgical fasteners. The instrument further includes a tissue retaining mechanism which is selectively movable from a first position relative to the fastener support member to a second position in closer proximity with the fastener support member such that tissue disposed adjacent to the fastener support member is retained thereagainst. Upon actuation of the handle, a fastener firing mechanism simultaneously deforms the plurality of surgical fasteners to complete the anastomosis.

Abstract: A medical device includes a surgical end effector, an end effector control handle, and a control shaft having a longitudinal axis and a handle portion connecting the control shaft to the control handle rotatably about the longitudinal axis. A passive articulation joint connects the end effector to the control shaft. An articulation joint release unlocks the articulation joint when actuated and locks the articulation joint when unactuated. An end effector control device is rotationally fixedly connected to at least a portion of the control shaft to correspondingly rotate the control shaft about the longitudinal axis when the control device is rotated and is longitudinally connected to the joint release to selectively unlock the articulation joint when actuated.