With Magazine Patents (Class 227/176.1)
  • Patent number: 12042146
    Abstract: A surgical instrument comprising a firing drive and a bailout retraction system is disclosed.
    Type: Grant
    Filed: October 5, 2022
    Date of Patent: July 23, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Jason L. Harris, Shane R. Adams
  • Patent number: 12035906
    Abstract: A surgical instrument comprising a handle system, an elongate shaft assembly, and an end effector extending from the elongate shaft assembly is disclosed. The elongate shaft assembly comprises a first drive member and a second drive member. The end effector comprises an elongate channel configured to support a staple cartridge therein, an anvil movably coupled to the elongate channel, and a cutting member. When the handle system is engaged with the first drive member, a first actuation of the handle system advances the cutting member a first distance. When the handle system is engaged with the second drive member, a second actuation of the handle system moves the cutting member a second distance. The second distance is greater than the first distance.
    Type: Grant
    Filed: May 22, 2020
    Date of Patent: July 16, 2024
    Assignee: Cilag GmbH International
    Inventors: Richard W. Timm, Frederick E. Shelton, IV
  • Patent number: 12029423
    Abstract: A surgical stapling instrument comprising a replaceable staple cartridge is disclosed. The staple cartridge comprises a cartridge body comprising a proximal end, a distal end, and a longitudinal slot extending between the proximal end and the distal end. The staple cartridge further comprises a pan attachable to the cartridge body, wherein the pan is configured to prevent staples from falling out of a base of the cartridge body. The pan comprises a pan slot aligned with the longitudinal slot when the pan is attached to the cartridge body. The pan slot comprises a proximal portion comprising a first width and a distal portion comprising a second width. The first width is different than the second width.
    Type: Grant
    Filed: April 15, 2019
    Date of Patent: July 9, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Michael E. Setser
  • Patent number: 12029419
    Abstract: A surgical instrument that includes an elongate channel that is configured to operably support a surgical staple cartridge therein. In at least one form, an anvil is pivotally coupled to a proximal end of the elongate channel such that the anvil is pivotal about a discrete, non-movable anvil axis defined by the elongate channel. A firing member is configured for axial travel within the elongate channel in response to an application of firing motions thereto. The firing member is configured to movably engage the anvil and the elongate channel to space the anvil relative to the elongate channel at a desired spacing as the firing member is axially driven through the elongate channel. A closure member is configured to move the anvil from an open position to closed positions relative to the elongate channel upon application of closure motions to the closure member.
    Type: Grant
    Filed: April 11, 2023
    Date of Patent: July 9, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Chester O. Baxter, III
  • Patent number: 12029417
    Abstract: An end effector for use with a surgical instrument includes a lower jaw, an anvil, and a resilient member. The anvil is pivotable relative to the lower jaw between a fully opened position and a fully closed position. The resilient member is configured to bias the anvil to remain in the fully opened position when the anvil is in the fully opened position. The end effector may include a closure ring coupled with the anvil that is translatable relative to the lower jaw and configured to engage the anvil at an interface as the closure ring translates proximally relative to the lower jaw to thereby pivot the anvil relative to the lower jaw toward the fully opened position. In various embodiments, the resilient member may comprise elastomeric material positioned between the closure ring and the anvil or a pair of springs or resilient arms that engage the anvil.
    Type: Grant
    Filed: March 17, 2022
    Date of Patent: July 9, 2024
    Assignee: Cilag GmbH International
    Inventors: Rebecca J. Gettinger, Katherine J. Schmid, Charles J. Scheib, Frederick E. Shelton, IV
  • Patent number: 12029473
    Abstract: A surgical instrument having a jaw lock includes first jaw and second jaws that are moveable from an open position to a closed position. At least one of the jaws includes a jaw slot having a jaw closing portion and a jaw locking portion. A pin positioned within the jaw slot is advanced by a blade. The blade includes a cutting edge and a notch defining a first edge configured to advance the pin to move the jaws to, and secure the jaws in, the closed position.
    Type: Grant
    Filed: May 31, 2019
    Date of Patent: July 9, 2024
    Assignee: Intuitive Surgical Operations, Inc.
    Inventors: Michael Steven Whitlock, William A. Burbank, Scott Eugene Manzo
  • Patent number: 12029421
    Abstract: A surgical instrument comprising a power source, a first voltage regulator, and a second voltage regulator are disclosed. The surgical instrument further comprises a power source configured to sequentially power the first voltage regulator and the second voltage regulator.
    Type: Grant
    Filed: April 27, 2022
    Date of Patent: July 9, 2024
    Assignee: CILAG GMBH INTERNATIONAL
    Inventors: Nicholas J. Ross, Shane R. Adams
  • Patent number: 12029426
    Abstract: A surgical stapler for applying a suture to tissue includes a first jaw and a second jaw configured to receive a cartridge. An actuation mechanism translates a drive member distally through the first and second jaws to apply staples to tissue such that a suture, in combination with the staples, forms a purse string when the stapler activated. The cartridge includes a first upper portion and a second lower portion.
    Type: Grant
    Filed: October 18, 2019
    Date of Patent: July 9, 2024
    Assignee: Intuitive Surgical Operations, Inc.
    Inventors: Paul Millman, William Burbank, Nina Frankel, Steven D. Wexner
  • Patent number: 12023028
    Abstract: A surgical stapling apparatus includes a shaft assembly, an end effector secured to the shaft assembly, a firing assembly, an articulation assembly, and an articulation guide. The firing assembly includes a flexible knife bar assembly that is selectively advanceable through the end effector for firing the end effector. The articulation assembly has an articulation link assembly and a pivotable bar guide assembly. The articulation link assembly is coupled to the end effector. The articulation link assembly is actuatable to cause the end effector to move relative to the shaft assembly between an unarticulated position and an articulated position. The articulation guide is associated with the pivotable bar guide assembly to enable the flexible knife bar assembly to advance through the pivotable bar guide assembly when the end effector is disposed in the unarticulated position or the articulated position.
    Type: Grant
    Filed: February 7, 2022
    Date of Patent: July 2, 2024
    Assignee: Covidien LP
    Inventors: Justin P. Williams, Griffin S. Delancy
  • Patent number: 12023025
    Abstract: A surgical stapler including an anvil, a staple cartridge, and a buttress material removably retained to the anvil and/or staple cartridge. In various embodiments, the staple cartridge can include at least one staple removably stored therein which can, when deployed, or fired, therefrom, contact the buttress material and remove the buttress material from the anvil and/or staple cartridge. In at least one embodiment, the anvil can include at least one lip and/or groove configured to removably retain the buttress material to the anvil until deformable members extending from the surgical staple are bent by the anvil and are directed toward and contact the buttress material.
    Type: Grant
    Filed: May 20, 2022
    Date of Patent: July 2, 2024
    Assignee: Cilag GmbH International
    Inventors: Christopher J. Hess, William B. Weisenburgh, II, Jerome R. Morgan, Frederick E. Shelton, IV
  • Patent number: 12023029
    Abstract: A flexible assembly for use within an articulated component of a motor driven surgical system is disclosed comprising a flexible shaft circuit strip comprising a plurality of wires, a knife bar comprising a first laminated plate disposed along a first side of the flexible shaft circuit strip and a second laminated plate disposed along a second side of the flexible shaft circuit strip, and a leaf spring disposed between the first side of the flexible shaft circuit strip and the first laminated plate. The knife bar is configured to reciprocate along a longitudinal axis of the flexible shaft circuit strip.
    Type: Grant
    Filed: March 1, 2022
    Date of Patent: July 2, 2024
    Assignee: Cilag GmbH International
    Inventors: Jeffrey D. Messerly, David C. Yates, Jason L. Harris, Frederick E. Shelton, IV
  • Patent number: 12023026
    Abstract: A staple cartridge configured to defeat a staple firing lockout is disclosed. Also disclosed is a staple cartridge configured to defeat a jaw closure lockout.
    Type: Grant
    Filed: August 14, 2023
    Date of Patent: July 2, 2024
    Assignee: Cilag GmbH International
    Inventors: Gregory J. Bakos, Jason L. Harris, Frederick E. Shelton, IV
  • Patent number: 12023027
    Abstract: A surgical instrument includes a tool assembly having an anvil and a cartridge assembly that are movable in relation to each other between an open position and a clamped position to clamp tissue between the anvil and the cartridge assembly. The staple cartridge and/or the anvil includes a tissue contact surface that is formed of or includes a compliant material to allow the tool assembly to adapt to the topography of the tissue being clamped to uniformly compress the tissue along the length of the tool assembly and minimize trauma inflicted on the tissue.
    Type: Grant
    Filed: July 2, 2020
    Date of Patent: July 2, 2024
    Assignee: Covidien LP
    Inventors: Haley Strassner, Mallory A. Pille, Robert H. Knapp
  • Patent number: 12016556
    Abstract: A surgical device includes an end effector having a pair of opposing jaw members and a drive beam movable longitudinally through the pair of opposing jaw members thereby approximating the pair of opposing jaw members relative to each other. The device also includes an adapter assembly configured to selectively couple to the end effector. The adapter assembly includes an actuation assembly configured to mechanically engage the drive beam and to move the drive beam longitudinally. The device also includes a handle assembly configured to selectively couple to the adapter assembly. The handle assembly includes: a power source, a motor coupled to the power source, a sensor configured to measure a force imparted on the drive beam, and a motor controller configured to control the motor to maintain constant force on the drive beam based on the force measured by the sensor during longitudinal movement of the drive beam approximating the pair of opposing jaw members closer relative to each other.
    Type: Grant
    Filed: May 3, 2021
    Date of Patent: June 25, 2024
    Assignee: Covidien LP
    Inventors: Christopher K. Evans, Robert H. Knapp
  • Patent number: 12011168
    Abstract: A surgical instrument includes an elongate shaft and an end effector. The end effector includes a jaw, and a coupling member configured to receive a first and second reload and to removably couple the first and second reload to the end effector. The coupling member is configured to retain the first reload in a closed position relative to the jaw such that the jaw and the first reload have a tissue gap therebetween. The coupling member is configured to retain the second reload in a closed position relative to the jaw such that the jaw and the second reload have a tissue gap therebetween that is larger than the first tissue gap. The instrument is designed to accommodate reloads with different tissue gaps between the first jaw and the reload, thereby allowing an operator to treat tissue of varying sizes, shapes and thicknesses with the same surgical instrument.
    Type: Grant
    Filed: March 30, 2020
    Date of Patent: June 18, 2024
    Assignee: INTUITIVE SURGICAL OPERATIONS, INC.
    Inventor: Matthew Wixey
  • Patent number: 12011164
    Abstract: A surgical stapling instrument includes a shaft assembly and an end effector. The end effector includes a first jaw having an anvil, a second jaw configured to removably receive a staple cartridge, and a driving assembly translatable distally through the second jaw for pivoting the second jaw toward the first jaw to clamp tissue between the first jaw and the second jaw. The instrument also includes a lockout mechanism configured to transition between a first state in which the lockout mechanism prevents distal translation of the driving assembly through the second jaw, and a second state in which the lockout mechanism permits distal translation of the driving assembly through the second jaw. The lockout mechanism is configured to transition from the first state to the second state when the staple cartridge is removably received by the second jaw.
    Type: Grant
    Filed: August 16, 2021
    Date of Patent: June 18, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Adam D. Hensel, Gregory J. Bakos
  • Patent number: 12011165
    Abstract: A surgical stapling instrument comprising an end effector is disclosed. The end effector comprises an anvil and a cartridge jaw comprising a channel. A staple cartridge is replaceably seated in the channel. The staple cartridge comprises a longitudinal slot extending from a proximal end toward a distal end, a first longitudinal row of staple cavities extending alongside the longitudinal slot, and second and third longitudinal rows of staple cavities extending alongside the first longitudinal row. Staples are removably positioned in the staple cavities. A double staple driver supports a staple from the first row and a staple from the second row. A single staple driver supports a staple from the third row. A sled comprises first and second camming surfaces configured to drive the double staple driver and the single staple driver toward the anvil, respectively. Distal ends of the first and second camming surfaces are staggered.
    Type: Grant
    Filed: April 15, 2019
    Date of Patent: June 18, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Michael E. Setser
  • Patent number: 12004741
    Abstract: A staple cartridge is disclosed. The staple cartridge can comprise a cartridge body comprising a deck and a bottom surface opposite the deck. The staple cartridge can comprise a plurality of staple cavities, wherein each staple cavity extends into the cartridge body from the deck to the bottom surface. Additionally, a plurality of wells can be defined into the staple cartridge from the deck to a lowermost surface of the well. A plurality of staples can be removably positioned in the staple cavities. The staple cartridge can comprise a tissue thickness compensator releasably secured to the cartridge body, wherein the tissue thickness compensator comprises a compensator body and a plurality of extensions extending from the compensator body into the wells, wherein at least one extension is compressed within one of the wells. Each well can surround at least one staple cavity and/or can extend between at least two staple cavities.
    Type: Grant
    Filed: November 22, 2021
    Date of Patent: June 11, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Lauren S. Weaner, Jerome R. Morgan, Michael J. Vendely, Taylor W. Aronhalt, Chester O. Baxter, III, Mark S. Zeiner
  • Patent number: 12004745
    Abstract: Surgical stapling instruments are disclosed comprising a staple cartridge, a firing member, and a cartridge lockout configured to prevent the firing member from being advanced through the staple cartridge if the staple cartridge has been already spent. The stapling instruments further comprise a lockout in the shaft that responds to the cartridge lockout blocking the firing member.
    Type: Grant
    Filed: May 5, 2022
    Date of Patent: June 11, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Gregory J. Bakos, Jason L Harris
  • Patent number: 11998198
    Abstract: A surgical stapling instrument comprising an end effector is disclosed. The end effector comprises an anvil and a cartridge jaw comprising a channel, wherein the channel comprises a lockout recess defined therein. A staple cartridge is replaceably seated in the channel. A firing member is configured to distally advance a sled during a staple firing stroke. The firing member comprises a first portion configured to engage the anvil, a second portion configured to engage the cartridge jaw, and a lockout portion positioned between the first portion and the second portion. The lockout portion is configured to engage the lockout recess when the sled is not in a proximal position prior to the staple firing stroke. The surgical stapling instrument is unable to perform the staple firing stroke when the lockout portion engages the lockout recess.
    Type: Grant
    Filed: April 15, 2019
    Date of Patent: June 4, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Michael E. Setser, William B. Weisenburgh, II
  • Patent number: 11998288
    Abstract: An instrument drive unit for use in a robotic surgical system includes a carriage configured to be coupled to a robotic arm, a hub rotationally coupled to the carriage and configured to be non-rotatably coupled to an electromechanical surgical instrument, a plurality of electric motors disposed within the carriage, a plurality of drive shafts rotationally supported in the hub, and a plurality of drive gears. Each electric motor includes a stator and a rotor disposed within the stator. Each drive gear is fixed to a corresponding drive shaft and is configured for interfacing with a corresponding driven member of the electromechanical surgical instrument. Each rotor is configured to rotate a corresponding drive gear in response to an activation of a respective electric motor to actuate a function of the electromechanical surgical instrument.
    Type: Grant
    Filed: September 10, 2019
    Date of Patent: June 4, 2024
    Assignee: COVIDIEN LP
    Inventors: Jaimeen Kapadia, Ranjan Mishra
  • Patent number: 11998201
    Abstract: A surgical stapling instrument comprising a tissue cutting knife movable through a staple cartridge to perform a staple firing stroke is disclosed. The stapling instrument further comprises a lockout system configured to prevent the tissue cutting knife from being moved through the staple firing stroke if the staple cartridge is missing from the stapling instrument and/or if the staple cartridge has been previously fired. The lockout system comprises a flexible spring that acts on the bottom of the tissue cutting knife at the initiation of the staple firing stroke to push the tissue cutting knife into a lockout recess if the staple cartridge is missing or has been previously fired.
    Type: Grant
    Filed: April 25, 2022
    Date of Patent: June 4, 2024
    Assignee: Cilag CmbH International
    Inventors: Zhifan F. Huang, Richard L Leimbach, Geoffrey C. Hueil, Nicholas J. Ross, Brian K. Spinneweber, Joshua R. Ruoff, Robbin B. Johnson, Daniel L. Baber, Pierre R. Mesnil
  • Patent number: 11998196
    Abstract: A cartridge for use with a surgical instrument includes a curved body and a deck configured to clamp tissue against an anvil. A plurality of staple openings is formed in the deck and is configured to house a plurality of staples. An arcuate slot formed in the deck is configured to slidably receive a cutting member therethrough. An opening formed in the deck adjacent to an end of the arcuate slot is configured to slidably receive a pin therethrough. The cartridge further includes a raised surface offset from the deck and extending circumferentially about at least a portion of the opening. The raised surface is configured to clamp tissue against the anvil to thereby fix the tissue relative to the opening.
    Type: Grant
    Filed: August 27, 2021
    Date of Patent: June 4, 2024
    Assignee: Cilag GmbH International
    Inventors: Ryan P. Posey, Nicholas D. Courtwright, Stephen D. Geresy, Kevin D. Sackett, Frederick E. Shelton, IV
  • Patent number: 11998187
    Abstract: A suture method includes a first arrangement step of using a first treatment device including first/second grasping pieces to hook the first grasping piece to a first position of peripheral tissues of a lesion; a second arrangement step of hooking the second grasping piece to a second position of the peripheral tissues; a grasping step of grasping the first position and the second position while pressing the first position and the second position to the peripheral tissues; a retracting step of retracting the lesion site toward a proximal end side of the first treatment device while drawing the first position and the second position grasped by the first treatment device; and a suturing step of suturing a first suturing position at an external side of the first position and a second suturing position at an external side of the second position in the peripheral tissues.
    Type: Grant
    Filed: September 10, 2021
    Date of Patent: June 4, 2024
    Assignees: OLYMPUS CORPORATION, NATIONAL CANCER CENTER
    Inventors: Chisato Karasawa, Satoru Nonaka, Ichiro Oda
  • Patent number: 11992208
    Abstract: A stapling system including a housing that has a first rotatable disk configured to transmit a first operative motion and a second rotatable disk configured to transmit a second operative motion is disclosed herein. The second rotatable disk is operable independently of said first rotatable disk. The stapling system further includes an end effector, an elongate rigid shaft, and a drive system. The drive system is responsive to the first operative motion from the first rotatable disk to perform a closing motion of the end effector and responsive to the second operative motion from the second rotatable disk to perform a firing stroke. A control system is configured to assure that the closing motion and the firing stroke are separate and distinct, wherein the control system prevents the firing stroke from occurring prior to the completion of the closing motion.
    Type: Grant
    Filed: April 12, 2022
    Date of Patent: May 28, 2024
    Assignee: Cilag GmbH International
    Inventors: Richard W. Timm, Frederick E. Shelton, IV
  • Patent number: 11992215
    Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. The anvil has an anvil face and a first staple pocket defined by the anvil face, where the first staple pocket comprises a first cup and a second cup for staple formation. The cartridge has a first staple, the first staple having a first open leg with a first tip, a second open leg with a second tip, and a first crown coupling the first open leg and the second open leg, and a first driver. The first staple, once deployed by the first driver and deformed by the first staple pocket, comprises the first tip and the second tip crossing the first midline axis of the first crown in a formed configuration.
    Type: Grant
    Filed: September 7, 2022
    Date of Patent: May 28, 2024
    Assignee: Standard Bariatrics, Inc.
    Inventors: Jonathan Thompson, Bennie Thompson, Richard P. Nuchols, Russell L. Holscher
  • Patent number: 11992210
    Abstract: A surgical stapling instrument includes a shaft assembly, an end effector at a distal end of the shaft assembly and having a first jaw with an anvil and a second jaw operable to cooperate with the first jaw to clamp tissue, and a cartridge inserted into the second jaw. The cartridge includes staples, a movable member translatable distally during a firing stroke to discharge the staples into tissue, a first sensor assembly configured to monitor a first condition of the cartridge, and a second sensor assembly configured to monitor a second condition of the cartridge. A first processor is coupled with the first and second sensor assemblies and is configured to receive first and second signals from the sensor assemblies, respectively, where each signal is indicative of the respective condition of the cartridge. The first processor is configured to selectively permit or restrict the firing stroke based upon the signals.
    Type: Grant
    Filed: August 16, 2021
    Date of Patent: May 28, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Shane R. Adams, Nicholas J. Ross, Matthew D. Cowperthwait, Curtis A. Maples
  • Patent number: 11992213
    Abstract: A surgical stapling instrument having a surgical end effector that includes first and second jaws that are selectively movable relative to each other. The surgical stapling instrument further includes a staple cartridge having a sled movable through said staple cartridge between an unfired position and a fired position. The sled includes a central portion configured to be received by a longitudinal slot, a first wedge-shaped cam on a first side of the central portion, and a second wedge-shaped cam on a second side of the central portion. The central portion extends distal to the first wedge-shaped cam and said second wedge-shaped cam. The surgical stapling instrument further includes a firing member configured to advance the sled from the unfired position toward the fired position during a staple firing stroke and a lockout system.
    Type: Grant
    Filed: October 2, 2020
    Date of Patent: May 28, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Jason L. Harris
  • Patent number: 11986185
    Abstract: A method for controlling a powered surgical stapler that includes an end effector with jaws that are movable between an open and a closed position and a firing member that is movable between a starting position and an ending position within the end effector. The jaws and firing member are controlled by separate rotary systems and the end effector includes a firing member lockout system that prevents axial movement of the firing member unless the surgical staple cartridge is in ready to fire condition.
    Type: Grant
    Filed: February 21, 2023
    Date of Patent: May 21, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Jason L. Harris, Chad P. Boudreaux, Gregory J. Bakos, Chester O. Baxter, III
  • Patent number: 11986182
    Abstract: A surgical instrument includes a body, a shaft assembly, an end effector, a stapling assembly, and a restriction feature. The shaft assembly extends distally from the body. The end effector being on a distal end of the shaft assembly and incudes a first second jaw. The stapling assembly is supported by one of the first jaw or the second jaw. The stapling assembly includes a wedge sled. The wedge sled is configured to move relative to the one of the first jaw or the second jaw to drive movement of one or more staples. The restriction feature is configured to releasably hold the wedge sled in a predetermined position within the stapling assembly while the stapling assembly is in a pre-fired configuration. At least a portion of the restriction feature is configured to respond to movement of the edge sled to release the restriction feature from the wedge sled.
    Type: Grant
    Filed: August 16, 2021
    Date of Patent: May 21, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Adam D. Hensel
  • Patent number: 11980363
    Abstract: A surgical stapling assembly is disclosed. The assembly can include a cartridge body having cavities defined therein forming a pattern of openings in the deck of the cartridge body. The pattern can include longitudinally-repeating clusters of cavity ends. The assembly can also include fasteners removably positioned in the cavities. The pattern of openings can comprise openings on a first side of the cartridge body comprising inner openings each defining an inner proximal-to-distal axis oriented parallel to the longitudinal axis, outer openings each defining an outer proximal-to-distal axis obliquely-oriented relative to the longitudinal axis at an outer angle, and intermediate openings each defining an intermediate proximal-to-distal axis obliquely-oriented relative to the longitudinal axis at an intermediate angle, wherein the intermediate angle is different than the outer angle.
    Type: Grant
    Filed: October 18, 2021
    Date of Patent: May 14, 2024
    Assignee: Cilag GmbH International
    Inventors: Michael J. Stokes, Anil K. Nalagatla, Mark S. Zeiner, Chester O. Baxter, III, Disha V. Estera, Jason L. Harris, Laura S. Downing, Shannon L. Jones
  • Patent number: 11974744
    Abstract: Methods for applying one or more adjuncts to tissue are provided. In one embodiment, the method can include positioning an adjunct, e.g., using an adhesive, on one of first and second jaws of an end effector of a surgical stapler. In one embodiment, an attachment mechanism on the adjunct can prevent stretching of at least a portion of the adjunct. In other aspects, the adjunct can be maintained on the at least one jaw in a first state in which the adjunct is at least partially stretched over the at least one jaw, and actuation of the surgical stapler can cause the adjunct to transition from the first state to a second state such that the adjunct in the second state at least partially separates from the at least one jaw.
    Type: Grant
    Filed: February 24, 2021
    Date of Patent: May 7, 2024
    Assignee: ETHICON LLC
    Inventors: Frederick E. Shelton, IV, Jason L. Harris, Michael J. Vendely, Prudence Vulhop
  • Patent number: 11974747
    Abstract: A surgical stapling instrument. Various embodiments include an actuation system for selectively generating a plurality of control motions. A surgical end effector is operably coupled to the actuation system. The actuation system interfaces with an actuation member configured to operably engage rotatable camming members to fire staples within the end effector into forming contact with an anvil portion of the end effector.
    Type: Grant
    Filed: March 31, 2022
    Date of Patent: May 7, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Jerome R. Morgan
  • Patent number: 11974742
    Abstract: A surgical instrument assembly configured to be attached to and detached from a surgical robot is disclosed. The surgical instrument assembly comprises a drive system actuatable in a first direction and a second direction which is opposite the first direction, wherein the drive system is configured to perform an instrument function, a shaft, and an end effector. The surgical instrument assembly further comprises a drive system bailout comprising position indication means for indicating the position of the drive system and an actuation member configured to actuate the drive system in the first direction and the second direction, wherein the direction in which the drive system bailout is operated is based on the position of the drive system indicated by the position indication means.
    Type: Grant
    Filed: August 3, 2017
    Date of Patent: May 7, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Gregory J. Bakos, Jason L. Harris
  • Patent number: 11969181
    Abstract: Medical devices include a ground link, a first actuator pivotably coupled to the ground link and a first movable element operatively coupled to the first actuator by a linkage. The linkage including: the ground link; a second link that is pivotable with respect to the ground link; a fourth link that is pivotable with respect to the ground link; and a third link having a main body extending from a first portion to a second portion and a blocking tab extending away from the main body. The medical device further including a second actuator operatively coupled to the ground link, the second actuator having a blocking surface including a blocking tab that is positioned to engage with at least a portion of the blocking surface of the second actuator to limit movement of the second actuator until the first actuator is at least partially actuated.
    Type: Grant
    Filed: March 25, 2020
    Date of Patent: April 30, 2024
    Assignee: Gyrus ACMI, Inc.
    Inventors: Zane R. Ward, Christian J. Fiksen
  • Patent number: 11963679
    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.
    Type: Grant
    Filed: July 20, 2020
    Date of Patent: April 23, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Michael E. Setser, Kevin R. Doll, Jerome R. Morgan
  • Patent number: 11963680
    Abstract: A surgical instrument includes a sled and an end effector. The end effector includes a first jaw, a second jaw movable relative to the first jaw, an anvil, and a cartridge channel. The staple cartridge includes a proximal end, a distal end, a cartridge body, and staples supported in the cartridge body, wherein the sled is movable to deploy the staples from the cartridge body against tissue captured between the staple cartridge and the anvil. The cartridge channel is configured to removably retain the staple cartridge, wherein a load is required to remove the staple cartridge from the cartridge channel, and wherein the sled is configured to reduce the cartridge removal load.
    Type: Grant
    Filed: October 19, 2022
    Date of Patent: April 23, 2024
    Assignee: Cilag GmbH International
    Inventors: Brian F. DiNardo, Morgan R. Hunter, Gregory J. Bakos
  • Patent number: 11963678
    Abstract: A fastener cartridge can include, one, a cartridge body comprising a deck and a plurality of fastener cavities and, two, a plurality of fasteners positioned in the fastener cavities. The cartridge body can further comprise extensions extending from the deck having different sizes and/or configurations. The extensions can control the flow of tissue relative to the deck and/or support the fasteners as they are ejected from the fastener cavities.
    Type: Grant
    Filed: April 3, 2020
    Date of Patent: April 23, 2024
    Assignee: Cilag GmbH International
    Inventors: Thomas W. Huitema, Frederick E. Shelton, IV, Geoffrey C. Hueil, Jason L. Harris
  • Patent number: 11963681
    Abstract: A surgical instrument comprises a body, shaft, and end effector. The shaft couples the end effector and body together. The end effector comprises an anvil and lower jaw configured to receive a surgical staple cartridge. The anvil is configured to pivot toward and away from the staple cartridge and lower jaw. The shaft assembly comprises a knife member configured to longitudinally translate to thereby substantially simultaneously cut clamped tissue and staple the severed tissue. The end effector may comprise lockout features configure to prevent longitudinal translation of the knife member. The end effector or staple cartridge may comprise lockout bypass features configured to prevent lockout of the knife member. These lockout bypass features may operate to permit longitudinal translation of the knife member once or multiple times. The end effector may comprise features configured to ensure proper alignment of the anvil relative to the staple cartridge.
    Type: Grant
    Filed: December 22, 2020
    Date of Patent: April 23, 2024
    Assignee: Cilag GmbH International
    Inventors: Jason M. Rector, Douglas B. Hoffman, Robert J. Simms, John C. Schuckmann, Ryan J. Laurent, Frederick E. Shelton, IV, Jeffrey C. Gagel, Nicholas Fanelli
  • Patent number: 11957336
    Abstract: A surgical instrument includes a shaft assembly, an end effector, a firing system, and a firing lockout assembly. The end effector is operatively coupled with the shaft assembly. The end effector includes first and second jaws. The first jaw includes an anvil. The second jaw is configured to removably receive an unspent staple cartridge. The firing system extends through at least a portion of the shaft assembly and the end effector. The firing lockout assembly is selectively coupled with the firing system. The firing lockout assembly is disposed proximal to the end effector. The firing lockout assembly is configured to allow actuation of the firing system in an unlocked configuration in response to the unspent staple cartridge being coupled with the second jaw; and inhibit actuation of the firing system in a locked configuration in response to the unspent staple cartridge being absent from the second jaw.
    Type: Grant
    Filed: August 16, 2021
    Date of Patent: April 16, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Kevin M. Fiebig, Adam D. Hensel
  • Patent number: 11957340
    Abstract: A surgical stapler includes a first stapler half including an anvil surface having a plurality of staple forming pockets, and a second stapler half configured to releasably couple with the first stapler half. The second stapler half is operable to deploy staples toward the anvil surface. The stapler also includes a projection positioned on one of the stapler halves and extending laterally relative to a longitudinal axis of the stapler. The stapler halves are configured to pivot relative to each other about the projection. The stapler further includes a locking member positioned on the other of the stapler halves. The locking member is configured to translate along the longitudinal axis of the stapler between a locked state in which the locking member selectively captures the projection and an unlocked state in which the locking member selectively releases the projection. The locking member is biased proximally toward the locked state.
    Type: Grant
    Filed: January 5, 2022
    Date of Patent: April 16, 2024
    Assignee: Cilag GmbH International
    Inventors: Brian D. Schings, Jason D. Jones, Andrew C. Deck, Ryan J. Laurent, Bradley A. Arnold, Andréas N. Ward
  • Patent number: 11957372
    Abstract: An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable. The electromechanical system includes a staple cartridge that includes a knife that is movable between a raised position and a lowered position.
    Type: Grant
    Filed: June 14, 2023
    Date of Patent: April 16, 2024
    Assignee: Covidien LP
    Inventors: Stanislaw Kostrzewski, Ernest Aranyi, Paul Scirica
  • Patent number: 11950777
    Abstract: A staple cartridge is disclosed, for use with a surgical instrument, having a cartridge body including a proximal end, a distal end, and staple cavities, staples removably stored in said staple cavities, a sled movable toward said distal end during a staple firing stroke to eject said staples from said staple cavities, a sensor configured to detect the position of said sled; a cartridge control circuit in communication with said sensor; and at least one memory device in communication with said cartridge control circuit, wherein said cartridge control circuit is configured to store data in said at least one memory device regarding operation of the staple cartridge.
    Type: Grant
    Filed: February 26, 2021
    Date of Patent: April 9, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Morgan R. Hunter, Patrick L. Creamer
  • Patent number: 11950781
    Abstract: An adjunct configured for use with an end effector of a surgical stapler includes a tissue-effecting portion comprising a first material, and at least one movable attachment feature coupled to the tissue-effecting portion and comprising a second material different from the first material. The at least one movable attachment feature is configured to releasably attach the tissue-effecting portion to a stapling surface of the end effector. The tissue-effecting portion is configured to contact tissue clamped by the end effector during closure thereof. The tissue-effecting portion is further configured to be pierced and captured by staples ejected from the end effector into the clamped tissue and thereby reinforce the engagement between the ejected staples and the clamped tissue.
    Type: Grant
    Filed: October 29, 2021
    Date of Patent: April 9, 2024
    Assignee: Cilag GmbH International
    Inventors: Christopher Q. Seow, Taylor W. Aronhalt, Tyler N. Brehm, Zhifan F. Huang, Austin J. Bridges, Pierre R. Mesnil, Diana M. Darpel, Morgan R. Hunter, Chad P. Boudreaux
  • Patent number: 11950776
    Abstract: A surgical instrument equipped with a coupler arrangement for coupling end effectors to an elongated shaft assembly of the surgical instrument. The end effectors may include a pair of jaws in the form of a carrier supporting a surgical staple cartridge and an anvil. The anvil is movable relative to the carrier in opening and closing directions. The end effector may include an articulation joint that facilitates pivotal travel of the carrier and anvil as a unit relative to the elongated shaft assembly in the same directions in which the anvil is opened and closed relative to the carrier.
    Type: Grant
    Filed: March 4, 2022
    Date of Patent: April 9, 2024
    Assignee: Cilag GmbH International
    Inventors: Chester O. Baxter, III, Frederick E. Shelton, IV
  • Patent number: 11950778
    Abstract: Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s).
    Type: Grant
    Filed: August 11, 2020
    Date of Patent: April 9, 2024
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: Daniel Balbierz, David Cole, Bretton Swope, Pablo R. Hambly, Justen England, Samuel T. Crews, Craig Arthur Purdy
  • Patent number: 11944300
    Abstract: A method of bailing out a surgical instrument assembly attached to a control interface is disclosed. The method comprises the steps of actuating an operating system of the surgical instrument assembly through an operating stroke, actuating a manually-driven bailout system to at least partially retract the operating system, and activating the manually-driven bailout system to at least partially advance the operating system through the operating stroke.
    Type: Grant
    Filed: August 3, 2017
    Date of Patent: April 2, 2024
    Assignee: Cilag GmbH International
    Inventors: Frederick E. Shelton, IV, Gregory J. Bakos, Jason L. Harris
  • Patent number: 11944301
    Abstract: The present disclosure provides a surgical instrument, such as a tissue sealing instrument, with an elongate shaft and first and second jaws movably coupled to the shaft. The second jaw comprises a cavity for receiving a staple cartridge and a substantially longitudinal reinforcing wall extending through the cavity. The instrument further includes a drive member configured to translate through the end effector to close the jaws and to engage a plurality of staples within the staple cartridge to drive the staples into tissue. The reinforcing wall provides additional support for the staple cartridge to inhibit deformation of the staple cartridge during actuation, thereby improving the staple formation in the tissue. This improves the tissue seal provided by the staples without increasing the overall size of the end effector.
    Type: Grant
    Filed: November 22, 2019
    Date of Patent: April 2, 2024
    Assignee: INTUITIVE SURGICAL OPERATIONS, INC.
    Inventors: Matthew Wixey, Babak Jasemian
  • Patent number: 11944302
    Abstract: The present disclosure provides a staple cartridge for a surgical instrument, such as a tissue sealing instrument. The staple cartridge includes a housing and one or more staple assemblies within the housing. The staple assemblies each include one or more staple pushers and associated staples. The staple pushers and housing include coupling elements configured to cooperate with each other to retain the staple assemblies to the housing prior to use in surgery. The coupling elements, along with other components of the cartridge and instrument, result in a smaller staple cartridge relative to conventional devices, allowing for a more compact and maneuverable surgical instrument.
    Type: Grant
    Filed: March 2, 2020
    Date of Patent: April 2, 2024
    Assignee: INTUITIVE SURGICAL OPERATIONS, INC.
    Inventors: Matthew Wixey, Atal Patel
  • Patent number: 11944304
    Abstract: A loading unit including double pushers and double retention cavities is disclosed. At least one double pusher includes a first body portion having a first upper surface configured to engage a portion of a first fastener, a second body portion having a second upper surface configured to engage a portion of a second fastener, and a bridge interconnecting the first body portion and the second body portion. Each of the first upper surface and the second upper surface defining an acute angle with respect to a longitudinal axis. At least one double retention cavity includes a first retention guiding surface configured to engage a proximal pusher guiding surface of the first body portion of the double pusher retained therein, and a second retention guiding surface configured to engage a distal pusher guiding surface of the first body portion of the double pusher retained therein.
    Type: Grant
    Filed: November 2, 2022
    Date of Patent: April 2, 2024
    Assignee: Covidien LP
    Inventor: Stanislaw Kostrzewski