Abstract: A loading unit for use with a surgical instrument includes a body configured for coupling to a surgical instrument and defining a longitudinal axis and having proximal and distal ends, and an end effector coupled to the distal end of the body. The end effector includes a staple cartridge assembly having a staple cartridge and an anvil assembly having an anvil plate. A drive assembly is at least partially disposed within the body. The drive assembly includes an actuator member having a roller engageable with at least one of the staple cartridge assembly or the anvil assembly. The roller is configured to rotate upon longitudinal movement of the drive assembly to facilitate movement of the drive assembly and relative movement of the staple cartridge assembly and the anvil assembly between open and approximated conditions.

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

Abstract: A surgical instrument that includes a surgical end effector that has a first jaw and a second jaw that is pivotally attached to the first jaw for pivotal travel between a fully open position and a fully closed position by an axially movable closure member. The instrument further includes an axially movably firing member that has at least one jaw engagement feature that is configured to apply additional closure motions to the second jaw as the axially movable firing member is moved from a proximal most position to a distalmost position within the first end effector jaw. When the closure member is in a starting position and the axially movable firing member is in the proximal most position, a distal end of the closure member is distal to a distal end of the at least one jaw engagement feature.

Abstract: Stapling assemblies for use with a surgical stapler and methods for manufacturing the same are provided. Three dimensional adjuncts for use with a surgical stapling assembly and methods for manufacturing the same are also provided.

Abstract: A surgical instrument for use with and for selective connection to an instrument drive unit includes an end effector, an instrument drive connector including a plurality of drive assemblies, and a plurality of drive members in mechanical cooperation with the instrument drive connector and the end effector. Each drive assembly of the plurality of drive assemblies includes a drive screw including an elongated threaded body and a drive nut threadedly engaged with the elongated threaded body of the drive screw such that rotation of the drive screw results in longitudinal movement of the drive nut. Each drive member of the plurality of drive members includes a proximal end portion secured to a respective drive nut of one of the plurality of drive assemblies such that longitudinal translation of the respective drive nut causes longitudinal translation of the drive member to drive a function of the end effector.

Abstract: A drive shuttle is provided that includes a leader ramp mount that includes a longitudinal first axis; a first leader ramp that depends from (i.e. that physically couples to) a first side of the leader ramp mount; a pusher protrusion that depends from a second side of the leader ramp mount; a follower ramp mount; a follower protrusion that depends from the follower ramp mount; a first follower ramp that depends from the follower protrusion; wherein the first leader ramp, the pusher protrusion, the first follower ramp and the follower protrusion are disposed in relation to each another such that, in the first configuration, the pusher protrusion is spaced apart longitudinally from the follower protrusion by an offset amount and the first leader ramp is aligned longitudinally with the first follower ramp; and in the second configuration, the pusher protrusion contacts the follower protrusion and the first leader ramp is spaced apart longitudinally from the first follower ramp by the offset amount.

Abstract: A staple cartridge assembly comprises a connector, a cutter push rod and an elastic sheet, the elastic sheet having a first through groove and the cutter push rod being formed by laminating multiple sheets, wherein when the staple cartridge assembly is in an original status or a closed status, part of the cutter push rod is located in the first through groove, and the first through groove restricts detaching of the multiple sheets in a laminating direction of the multiple sheets; in a firing process of the staple cartridge assembly, the cutter push rod moves towards a distal end of the staple cartridge assembly to press the elastic sheet, such that the elastic sheet deforms and the cutter push rod is gradually detached from the first through groove; after the firing of the staple cartridge assembly is finished, the cutter push rod is detached from the first through groove.

Abstract: A circular stapling apparatus includes a staple cartridge, a pusher, and a buttress. The staple cartridge has a tissue contact surface and supports an array of fasteners therein. The pusher is configured to move relative to the staple cartridge to fire the fasteners from the staple cartridge. The buttress is supported on the staple cartridge and selectively pinned to the pusher.

Abstract: A calibration method for a hand-held surgical instrument is disclosed. The hand-held instrument includes a drive motor, a firing rod controlled by the drive motor and having at least one indicator, and a sensor configured to detect the at least one indicator. A microcontroller includes a pulse modulation algorithm stored therein to control the drive motor. The microcontroller executes a calibration algorithm to adjust at least one program coefficient in the pulse modulation algorithm.

Abstract: An end effector for use with a surgical instrument. The end effector includes first and second jaws that are pivotally interconnected and moved between open and closed positions by a firing member. One or both of the jaws are configured with jaw stiffener features that are adapted to permit a user to monitor movement of the firing member during use.

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 stapling device for forming multiple tissue plications without needing to reload the device between plications is described. The device includes staple and anvil housings that move toward and away from a tissue-capture position. A cartridge holder in the staple housing supports a cartridge with multiple groups of offset staple slots, where the slots in each group are circularly arrayed about a cartridge center axis. A staple driver in the staple housing carries a plurality of arms for engaging and ejecting the staples in a first group of staples in the cartridge, when a tissue fold is captured between the cartridge assembly and anvil in the anvil housing. When the staple driver is retracted, after a tissue plication is formed, the cartridge assembly and tissue drive are indexed to eject the next-up group of staples.

Abstract: A stapling system comprising an end effector, a staple cartridge, a rigid shaft, an articulation joint, an articulation system, a clamping member, and a firing system comprising a sled movable within the staple cartridge to eject staples from the staple cartridge during a staple firing stroke, an electric motor, and a firing actuator is disclosed. The end effector comprises a first jaw and a second jaw rotatable relative to the first jaw between an unclamped position and a clamped position. The clamping member is configured to rotate the second iaw into the clamped position. The stapling system further comprises a system responsive to the clamping of the second iaw which enables the staple firing stroke to be performed after the second jaw has been rotated into the clamped position, and a system configured to maintain an orientation of the end effector about the articulation joint during the staple firing stroke.

Abstract: A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.

Abstract: An instrument assembly can comprise a shaft comprising a first drive portion of a drive system, an end effector comprising a second drive portion of the drive system, and an articulation joint rotatably connecting the end effector to the shaft. The end effector is rotatable between a first position and a second position about the articulation joint, wherein the first drive portion is not operably engaged with the second drive portion when the end effector is in the first position, and operably engaged with the second drive portion when the end effector is in the second position. The end effector can comprise a first jaw and a second jaw, wherein the first jaw is movable relative to the second jaw between an open position and a closed position within a closure plane, and wherein the end effector is rotatable within an articulation plane which is co-planar with the closure plane.

Abstract: An adapter assembly includes an elongated body, a switch, a sensor link, and an annular member. The elongated body includes a distal portion configured to couple to a surgical loading unit. The distal portion defines a slot therein. The sensor link has a proximal end disposed adjacent the switch and a distal end disposed adjacent the distal portion of the elongated body. The sensor link is longitudinally movable between a proximal position and a distal position. The annular member has a protrusion movably disposed within the slot. The annular member is rotatable between a first orientation, in which the annular member prevents movement of the sensor link to the distal position, and a second orientation, in which the sensor link moves distally to toggle the switch. The annular member is resiliently biased toward the first orientation.

Abstract: A surgical assembly for operably connecting an end effector to an electrosurgical instrument includes an adapter assembly and an extension assembly. The adapter assembly includes a drive coupling assembly, a drive transfer assembly operably received through the drive coupling assembly and including a first rotatable shaft, and a first pusher assembly operably connected to the first rotatable shaft for converting rotational motion from the first rotatable shaft to longitudinal movement to perform a first function. The first pusher assembly includes a first pusher member having an outer housing formed of a first material, and a threaded insert formed of a second material and disposed within the outer housing. The extension assembly is operably connected to a distal end of the adapter assembly, and includes a flexible band assembly operably connectable to the first pusher member of the first pusher assembly.

Abstract: A surgical system comprising a surgical instrument, a first handle assembly and a second handle assembly is disclosed. The surgical instrument comprises a shaft assembly defining a longitudinal axis, an end effector disposed adjacent a distal portion of the shaft assembly, and a control rod disposed at least partially within the shaft assembly and being disposed in mechanical cooperation with the end effector. Actuation of the control rod effects a function of the end effector. The first handle assembly is configured for selective mechanical engagement with the control rod. The first handle assembly includes a power source associated therewith. The second handle assembly is configured for selective mechanical engagement with the control rod. The second handle assembly is manually operable and is free from association with a power source.

Abstract: A stapling cartridge having an elongated rail that provides support to a moveable clamping element and resists pulling or spreading forces caused by compressing and cutting tissue. The elongated rail can directly connect the stapling cartridge to the lower jaw and completely carry the moveable clamping element, which can couple and decouple to an anvil of an upper jaw.

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.

Abstract: A surgical stapling assembly comprising a staple cartridge carrier, an anvil, an outer surface, a closure member, a staple cartridge, and a firing system is disclosed. The anvil is rotatable between a first position and a second position. The closure member is slideable along the outer surface to hold the anvil in the second position. The closure member comprises a clearance opening. The staple cartridge is positioned within the staple cartridge carrier. The staple cartridge comprises staples removably stored therein. The staple cartridge and the anvil define a tissue gap therebetween when the anvil is in the second position. The clearance opening is aligned with the tissue gap when the anvil is in the second position. The firing system is configured to eject the staples from the staple cartridge during a staple firing stroke. The firing system engages the staple cartridge carrier and the anvil during the staple firing stroke.

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.

Abstract: A power pack removably loadable into a housing of a surgical instrument having a motor having a motor shaft, a rotatable disc operably connected to the motor shaft, a drive mechanism operably connected to the rotatable disc, and an engagement member linearly movable by the drive mechanism. The engagement member is configured to removably engage an axially movable member in the housing of the surgical instrument, wherein actuation of the motor causes linear movement of the engagement member to effect movement of the axially movable member in an axial direction.

Abstract: A stapling device comprising a shaft having a locked state and an unlocked state, an anvil, and a replaceable staple cartridge attachable to the shaft is disclosed. The staple cartridge comprises a cartridge body, staples removably stored in the cartridge body, a metal pan attached to the cartridge body, and a sled. The stapling device further comprises a firing member movable longitudinally through a staple firing stroke when the shaft is in the unlocked state. The firing member comprises an anvil cam configured to engage the anvil and a cartridge cam configured to engage the staple cartridge. The stapling device further comprises a lock. The anvil cam is positioned vertically above the lock and the cartridge cam is positioned vertically below the lock. The lock is movable vertically relative to the metal pan when the shaft is placed in its unlocked state.

Abstract: A staple cartridge includes a stepped cartridge deck. The staple cartridge further includes tissue retention features configured to resist tissue slippage while tissue is captured between the staple cartridge and an anvil.

Abstract: A compression gauge cartridge for use mounted in a cartridge bay of a cartridge jaw member comprising an end effector of a surgical stapler instrument to compress a tissue consistently to a predetermined thickness and measure a reactionary load therefrom comprises: a cartridge body having a proximal end and a distal end, and a tissue supporting surface, wherein the cartridge body is configured to be releasably mounted in the cartridge bay; a force gauge assembly comprising a force transducer and a compression head having a tissue compression face, wherein the force gauge assembly is supported by the cartridge body positioned between the proximal end and the distal end thereof, and wherein the compression head is configured and disposed so that the tissue compression face thereof lies substantially closer to the tissue contacting surface of the anvil jaw member than the tissue supporting surface of the cartridge body; and a spacer member extending from the tissue supporting surface of the cartridge body, where

Abstract: A staple cartridge assembly is disclosed which comprises staples formed from one or more sheets of material. The staples are removably stored in a cartridge body comprising a deck configured to support the tissue of a patient. The staple cartridge assembly further comprises a sled configured to sequentially engage the staples and lift the staples between unfired and fired positions. The staples comprise a tissue engaging surface which is deployed above the deck when the staples are moved into their fired positions.

Abstract: A surgical stapler is provided having a pair of jaws including a staple containing cartridge and an anvil. Buttress material is releasable affixed to the staple containing cartridge and the anvil. One of the jaws includes a pair of longitudinal projections at a first end of the jaw and configured to frictionally engage corresponding slots in a first end the buttress material. One of the jaws includes a post at a second end of the jaw. The buttress material includes a hole in a second end of the buttress material for receipt of the post.

Abstract: A system for stapling tissue comprises a flexible endoscope and an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.

Abstract: A method of stapling tissue is disclosed. The method can include obtaining a staple cartridge including a plurality of staples, wherein each staple has a base and a leg extending from the base. The stapling method can also include firing the staples from the staple cartridge, wherein the staples are fired into tissue in a staple line. The staple line can include a first portion having a first flexibility and a second portion having a second flexibility, wherein the second flexibility is different than the first flexibility. A method of stapling tissue can also include adapting an anvil with an anvil plate having an arrangement of staple-forming pockets that differs from the staple-forming pockets in the anvil.

Abstract: A shaft assembly is disclosed which comprises an end effector configurable in an open configuration and a closed configuration, a closure system configured to transition the end effector toward the closed configuration during a closure stroke, a firing member movable through a firing stroke, and a frame. In various instances, the shaft assembly comprises a first bailout configured to shift the frame in order to open the end effector and a second, independent, bailout configured to retract the firing member during and/or after the firing stroke. In certain instances, the closure system is expandable to perform the closure stroke. In at least one such instance, the closure system comprises a proximal portion mounted to the frame and a distal portion movable relative to the proximal portion. In at least one instance, the firing member engages the closure member to expand the closure system.

Abstract: A surgical instrument with separate closure and firing systems for applying closure and firing motions. In one form, the surgical instrument includes a hollow closure member and a firing member. The hollow closure member is configured to move axially between an unactuated position and closure positions. The firing member is supported for axial travel between a starting position in the hollow closure member and an ending position in the surgical end effector. The closure system is configured to apply closure actuation motions to the hollow closure member. The firing system is configured to apply a firing motion to the firing member in order to move the firing member from the starting position to the ending position.

Abstract: An applicator instrument having a reconfigurable handle for dispensing surgical fasteners includes a housing having a proximal end and a distal end, an elongated shaft extending from the housing, a handle coupled with the proximal end of the housing, and a trigger coupled with the handle. The applicator instrument has a firing system including an energy storing assembly that is disposed within the housing, and a gear train disposed within the handle and coupled with the trigger. The trigger is squeezed for commencing a firing cycle and storing energy in the energy storing assembly. The applicator instrument includes a handle reconfiguration actuator having a first position for locking the handle in place relative to the housing and a second position for enabling the handle to rotate relative to the housing between a pistol configuration and an in-line configuration.

Abstract: An apparatus includes a body assembly, a modular shaft assembly, and a coupling detection assembly. The body assembly includes a control circuit, a battery pack operable to power the control circuit, and a first electrical contact assembly. The modular shaft assembly includes a second electrical contact assembly that is configured to operatively engage the first electrical contact assembly when the modular shaft assembly selectively couples with the body assembly. A detection trigger member is configured to activate a detection activation member such that the detection activation member communicates a first detection signal to the control circuit when the modular shaft assembly selectively couples with the body assembly. The control circuit is configured to verify operative engagement between the first electrical contact and the second electrical contact in response to the control circuit receiving the first detection signal.

Abstract: An anvil assembly is provided. The anvil assembly includes an anvil center rod, a head assembly pivotally secured to the anvil center rod assembly from an operative position to a tilted position, and a sleeve slidably disposed about the anvil center rod. The sleeve is associated with the head assembly such that movement of the head assembly from the operative position towards the tilted position effects proximal movement of the sleeve about the anvil center rod.

Abstract: A surgical instrument that comprises an elongate shaft assembly that defines a shaft axis. A surgical end effector is pivotally coupled to the elongate shaft assembly for selective pivotal travel about an articulation axis that extends transversely relative to the shaft axis. An articulation driver is supported for selective longitudinal travel relative to the elongate shaft assembly in a distal direction and a proximal direction. A central articulation link is movably coupled to a distal end of the elongate shaft assembly. The central articulation link is operably coupled to the articulation driver and an end effector driver link. The end effector driver link is operably coupled to the surgical end effector for selective pivotal and axial travel relative thereto.

Abstract: A universal surgical handle (10) includes a body (12) having a moveable handle (18), and elongate member (13) extending distally from the body (12), an actuation shaft (20), and a fire lock mechanism (60). The actuation shaft (20) defines first and second lock slots (24, 25) spaced axially apart. The moveable handle (18) is operatively associated with the actuation shaft (20) to effect longitudinal movement of the actuation shaft (20). The fire lock mechanism (60) has a lock pawl (62) that is received within the first lock slot (24) during a first mode of operation of the handle (10) to lock the actuation shaft (20) in first longitudinal position and is received within the second lock slot (25) during a second mode of operation of the handle (10) to lock the actuation shaft (20) in a second longitudinal position. The handle (10) is adapted to transition from a home position to the first or second mode of operation in response to a loading unit (110, 210) being coupled to the elongate member (13).

Abstract: An instrument adapter includes a housing, a drive member, a nut, and a shaft assembly. The nut is threadedly coupled to the drive member and axially movable relative thereto. The shaft assembly includes a shaft and a link. The shaft extends distally from the housing and is configured to be operably coupled to an end effector. The link has a proximal end movably coupled to the nut and a distal end configured to selectively lock the end effector to the shaft assembly. The link is movable between a proximal non-locking position, and a distal locking position. The nut is movable between a first position along the drive member, in which the nut resists proximal movement of the link from the distal position to the proximal position, and a second position, in which the nut does not resist proximal movement of the link from the distal position to the proximal position.

Abstract: A surgical end effector that includes a first jaw that is configured to operably support a surgical staple cartridge therein and a second jaw. The first and second jaws are supported for selective movement between an open position and a closed position relative to each other. A lock member is movable between an unlocked configuration that corresponds to an open position of the jaws and a locked configuration wherein the lock member prevents a firing member from being moved from a starting position within the end effector unless a surgical staple cartridge that has cam assembly located in an unfired position is supported within the first jaw.

Abstract: A cable conduit end for securing a cable to a cable abutment of a latch is provided. The cable conduit end including: a housing; an alignment feature incorporated into a surface of the housing; a pair of flexible retention features integrally formed with the housing of the conduit end, wherein the flexible retention features are spring biased into a first position.

Abstract: A surgical tool is provided comprising: a jaw assembly that includes a first and second elongated jaws each having a proximal end and a distal end, wherein the proximal end of the first jaw is mounted to be rotatable about a pivot axis between an open position and a closed position; first parallel side edges secured to the first jaw that extend parallel to a longitudinal first axis of the first jaw; second parallel side edges secured to the second jaw that extend parallel to a longitudinal second axis of second jaw; a slider beam that includes a cross-beam portion sized to slidably fit between the first parallel side edges and between the second parallel side edges, a first transverse beam configured to slidably engage surfaces of the first parallel side edges facing away from the second jaw, and a second transverse beam configured to slidably engage surfaces of the second parallel side edges facing away from the first jaw; a pulley rotatably mounted to the distal end of the first jaw; and a first slider cabl

Abstract: A surgical tool assembly is disclosed. The surgical tool assembly can include an end effector comprising an elongate channel configured to receive a fastener cartridge, and the elongate channel can comprise a brace. The surgical tool assembly can also include a shaft comprising an articulation drive assembly, wherein the articulation drive assembly comprises an articulation link pivotably coupled to the elongate channel. The articulation link comprises a pocket configured to receive the brace when the end effector is in a fully articulated configuration. The brace and the pocket can define complementary planar surfaces for resisting rotation of the brace within the pocket to resist de-articulation of the end effector when it is in its fully articulated configuration.

Abstract: A surgical stapler comprising a first jaw comprising a first bioabsorbable matrix and a second jaw comprising a second bioabsorbable matrix is disclosed. At least one of the first jaw and the second jaw is moveable between an open position and a closed position to clamp tissue between the first bioabsorbable matrix and the second bioabsorbable matrix. At least one of the first bioabsorbable matrix and the second bioabsorbable matrix comprises a plurality of layers including a fibrous layer. The fibrous layer comprises a plurality of deformable structures each having an equilibrium configuration. The deformable structures are expandable and compressible from the equilibrium configurations to reshape the fibrous layer and accommodate for variations in tissue thickness when tissue is clamped between the first bioabsorbable matrix and the second bioabsorbable matrix.

Abstract: A surgical stapling apparatus is disclosed which comprises cartridge body and a layer. The layer is implantable against tissue by staples deployed from the cartridge body and deformed by an anvil. The cartridge and the layer comprise co-operating features which reduce relative movement between the cartridge and the layer. Such co-operating features can also releasably retain the layer to the cartridge body. In addition to or in lieu of the above, the anvil and the layer comprise co-operating features which reduce relative movement between the anvil and the layer. Such co-operating features can also releasably retain the layer to the anvil. In certain instances, the layer can be positioned against the anvil, but releasably attached to the cartridge. The layer can comprise buttress material and/or a tissue thickness compensator, for example.

Abstract: A system for stapling tissue comprises a flexible endoscope and an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.

Abstract: Surgical end effectors are disclosed. The surgical end effectors can include a first jaw, a second jaw rotatably coupled to the first jaw, and a lockout arrangement configured to prevent rotational movement of the second jaw toward the first jaw unless an unfired staple cartridge is positioned in the first jaw. The lockout arrangement can comprise a pivotable lock configured to pivot between a locked orientation and an unlocked orientation, a shiftable lock bar, and/or a spring-loaded lockout lever.

Abstract: A surgical instrument and method of manipulating colon tissue of a patient includes a body having a firing mechanism, a shaft assembly, and an end effector operatively connected to the firing mechanism via the shaft assembly. The end effector is configured to receive a cartridge selectively actuated by the selective manipulation of the firing mechanism. A distal end portion of the end effector includes a first end, a second end laterally opposite the first end, and a distal crest laterally positioned between the first and second ends that projects distally beyond the first and second ends. The distal end portion also includes an arcuate distal surface extending along the distal with a radius of curvature configured to be received against the pelvic bowl of the patient to position the end effector relative to colon tissue for manipulating the colon tissue with the cartridge.

Abstract: A powered handle for a surgical stapler can have a drive system including an electric motor. The powered handle can include a manual articulation mechanism to articulate a jaw assembly coupled to a reload shaft connected to the handle. The manual articulation mechanism can include a ball screw mechanism that translates an articulation member responsive to rotation of an articulation knob. The articulation mechanism includes a release function that allows the jaw assembly to return to a longitudinally centered orientation. The powered handle includes a battery pack serving as a power supply for the drive system. A control system can control actuation of the motor based on user inputs and operating parameters of the stapler. The powered handle can include a manual return mechanism.

Abstract: An end effector includes an anvil and a cartridge assembly having a plurality of surgical staples disposed in a cavity defined therein. The cartridge assembly may include a movable driver or sled configured to deploy the surgical staple from the cavity into tissue. The surgical staple may include a linear leg and an arcuate leg extending therefrom. The linear leg may include a protruding portion to provide pressure to tissue captured by the surgical staple. A three-dimensional and/or self-supporting surgical staple may interlock its two legs upon deployment thereof.

Abstract: A suturing and cutting apparatus for endoscopic surgery includes a body, a head portion, and a transmission mechanism, the head portion, is connected rotatably to a distal end of the body relative to the axial direction of the body by the transmission mechanism. The transmission mechanism includes an operating rod, a connecting assembly and a gear transmission mechanism. The connecting assembly includes a first conversion component which is set between the body and the head portion and can rotate relative to the axial direction of the body. The aspects disclosed herein allow and facilitate in the performance of the endoscopic surgery.