Abstract: An anvil for a surgical stapler. In at least one form, the anvil includes an elongate anvil body portion that has an upper portion and a staple forming undersurface. An anvil mounting portion is adjacent to the elongate anvil body and is configured to movably support the anvil on a portion of the surgical stapler. An anvil cap is configured to be mechanically interlocked to the upper portion of the elongate anvil body. At least one weld is provided between the anvil cap and the upper portion of the elongate anvil body portion.

Abstract: A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied without the need to use different sizes of staples.

Abstract: A surgical instrument comprising an end effector, a firing member, an electric motor, a first lockout, and a control system comprising a second lockout is disclosed. The end effector is configured to support a removable staple cartridge. The firing member is movable toward a distal end of the end effector during a firing motion. The electric motor is configured to drive the firing member during the firing motion. The first lockout is mechanically engageable with the firing member. The control system is configured to prevent delivery of electrical power to the electric motor based on respective states of the first and second lockouts.

Abstract: An apparatus includes a body, a shaft assembly, an end effector, and a staple cartridge. The end effector includes an anvil and a lower jaw. The anvil is pivotable toward the lower jaw to capture tissue between the anvil and the lower jaw. The staple cartridge is coupled with the lower jaw. The staple cartridge includes a deck and a plurality of staples. The deck faces the anvil. The anvil or the deck (or both) includes a compressible that extends toward the other of the anvil or the deck. The compressible feature of the anvil of the deck is configured to compress tissue against the other of the anvil or the deck.

Abstract: A surgical apparatus is provided. The surgical apparatus includes a proximal body portion, a distal body portion selectively articulable relative to the proximal body portion at an articulation joint, and a first drive gear disposed within the distal body portion. The distal body portion has a diameter and a length. The length of the distal body portion is substantially the same as the diameter of the distal body portion.

Abstract: Surgical instruments and their methods of use are described. In one embodiment, a surgical instrument includes a power transmission including a trigger and a fastener driver operatively coupled to the trigger. Actuation of the trigger from a first configuration to a second configuration moves the fastener driver between at least a first position and a second position. Additionally, an actuation lockout system operatively associated with the power transmission is moveable between a locked configuration and an unlocked configuration. The actuation lockout system prevents movement of the fastener driver from the first position to the second position when the actuation lockout system is in the locked configuration. Actuation of the trigger from the first configuration towards the second configuration moves the actuation lockout system from the locked configuration to the unlocked configuration.

Abstract: A stapling apparatus includes a cartridge assembly, an anvil assembly, and a buttress material. The cartridge assembly includes pushers configured to eject the respective surgical staples from the cartridge assembly, and an outer wall defining a cavity and having a finger deflectably extending over the cavity. The buttress material includes an annular body and a tab extending proximally from the annular body such that at least a portion of the tab is wrapped around the finger of the outer wall of the staple cartridge assembly. The pushers are movable between a first position in which one of the pushers engages the finger such that the tab is secured against the one of the pushers, and a second position in which the one of the pushers is disengaged from the finger such that a portion of the tab is released from the one of the pushers.

Abstract: A surgical instrument including an end effector that has a selectively reciprocatable implement movably supported therein. The implement is selectively advanceable in a distal direction upon application of a rotary actuation motion thereto and retractable in a proximal direction upon application of a rotary retraction motion thereto. An elongate shaft assembly is coupled to the end effector and is configured to transmit the rotary actuation motion and rotary retraction motion to the reciprocatable implement from a robotic system that is configured to generate the rotary actuation motion and said rotary retraction motion.

Abstract: An end effector assembly for use with a surgical instrument is disclosed. The end effector assembly comprises a first jaw defining a channel therein, a second jaw, and a threaded rod extending within the channel. The end effector assembly further comprises a replaceable staple cartridge comprising a sled, wherein the replaceable staple cartridge is configured to be seated in the channel, and a firing member operably engaged with the threaded rod, wherein the sled and the firing member are configured to move from a proximal position toward a distal position when the threaded rod is rotated in a first direction.

Abstract: Stapler cartridges and surgical apparatus that include a stapler cartridge can include a knife that retracts into the stapler cartridge after cutting stapled tissue to prevent an operator being cut by the knife during replacement of the used stapler cartridge with a new stapler cartridge. A stapler cartridge includes a staple pushing shuttle, a knife member slidably coupled with the staple pushing shuttle, and a cartridge body. The staple pushing shuttle is slidably coupled to the cartridge body. The cartridge body includes a guide track engaged by the knife member and configured so that a cutting blade of the knife member protrudes from the cartridge body during a first portion of a distal movement of the staple pushing shuttle and the cutting blade is retracted into the cartridge body during a second portion of the distal movement of the staple pushing shuttle.

Abstract: Staple cartridge assemblies are disclosed herein which are an improvement over previous staple cartridge assemblies. Certain embodiments utilize tri-staple drivers which simultaneously eject three staples from a staple cartridge.

Abstract: A surgical tool for use with a robotic system that includes a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to robotically-generate output motions. A drive system is configured to interface with a corresponding portion of the tool drive assembly for receiving the robotically-generated output motions and applying the output motions to a drive shaft assembly which is configured to apply control motions to a surgical end effector operably coupled thereto. A manually-actuatable control system operably interfaces with the drive shaft assembly to facilitate the selective application of manually-generated control motions to the drive shaft assembly.

Abstract: An apparatus includes a body assembly with a handle and a shaft portion, an end effector with a staple deck fixed to the shaft portion, an anvil, and a firing assembly. The end effector further includes a trocar and a staple driver both configured to actuate relative to the staple deck. The staple driver can actuate a distance between an unfired position and a fired position. The trocar can couple with the anvil to define a gap distance. The firing assembly includes a trigger pivotably coupled with the body assembly via a first pivot, a driver actuator configured to actuate the staple driver, and a linkage assembly pivotably coupled with the trigger via a second pivot and the driver actuator. Where the second pivot is proximal relative to the first pivot. The linkage assembly can drive the driver actuator is response to the trigger pivoting about the first pivot.

Abstract: An anvil for a surgical end effector is disclosed. The anvil can include a staple-forming surface, wherein pockets are defined in the staple-forming surface. The pockets can be aligned with staples in a staple cartridge. Moreover, the pockets can define a perimeter in the staple-forming surface, and the perimeter of at least one pocket can be nested with the perimeter of at least one other adjacent pocket. For example, an extended landing zone of a first pocket can extend into a receiving peninsula of a second, adjacent pocket.

Abstract: A method is used to manufacture a lower jaw of an end effector of a surgical instrument. The method includes providing a lower jaw that includes a U-shaped body portion. The U-shaped body portion includes a bottom wall interposed between first and second opposing side walls. The method also includes forming at least one feature into at least one of the first and second side walls, wherein the at least one feature has a near net shape. The method also includes subsequently machining the at least one feature to have a machined shape.

Abstract: A surgical stapling device that comprises an end effector that is configured to receive various control motions from a robotic system.

Abstract: A surgical system is disclosed including a motor cartridge and a drive assembly. The motor cartridge is removably positionable in an enclosure and removably couplable with the surgical system. The motor cartridge includes a first motor including a first drive shaft, a first motor control circuit in electrical communication with the first motor, a second motor including a second drive shaft, and a second motor control circuit in electrical communication with the second motor. The drive assembly is removably couplable with the motor cartridge. The drive assembly includes a first rotatable input configured to be driven by the first drive shaft, a second rotatable input configured to be driven by the second drive shaft, a first rotatable output configured to provide a first control motion, a second rotatable output configured to provide a second control motion, and a third rotatable output configured to provide a third control motion.

Abstract: A buttressed anvil assembly is provided for use with a surgical stapling instrument. The buttressed anvil assembly generally includes an anvil member having a strip of buttress material attached thereto by a pair of sutures. A tensioning mechanism is provided to secure or tension the buttress material to the anvil member prior to use and allow for release of the buttress material after stapling of tissue. The tensioning mechanism includes a cinch track engageable with one of the pair of sutures.

Abstract: An exemplary surgical method includes possessing a loader that holds a curved-tip cartridge, and a surgical stapler that includes an anvil and channel at a distal end thereof; causing at least one of the loader and the channel to move toward the other; as a result of the causing, engaging the loader and the curved-tip cartridge with the channel; and causing at least one of the loader and the channel to move away from the other, such that the curved-tip cartridge remains engaged with the channel. That method further may include actuating the surgical stapler; grasping the unloader; sliding the unloader toward the channel; disengaging the curved-tip cartridge from the channel with the unloader; and withdrawing the unloader away from said channel, wherein the withdrawing causes the curved-tip cartridge to disengage from the channel.

Abstract: A surgical instrument is disclosed including an end effector, a firing drive, and a mechanical closure system. The end effector includes a first jaw including a proximal end and a distal end, a second jaw rotatable relative to the first jaw between an open position and a closed position, a staple cartridge including staples removably stored therein, and a cutting member movable toward the distal end during a staple firing stroke. The firing drive includes a drive shaft operable to move the cutting member through the staple firing stroke, a gear drive train operably coupled to the drive shaft, an electric motor configured to actuate the gear drive train, and a firing trigger actuatable to actuate the electric motor. The mechanical closure system includes a closure member movable distally to close the second jaw during a closure stroke and a closure trigger rotatable between an unactuated position and an actuated position to advance the closure member through the closure stroke.

Abstract: A rotation adapter for a minimally invasive surgical apparatus is disclosed. The rotation adapter has a proximal journal and a distal journal. The rotation adapter also has a rotation index coupled between the proximal and distal journals. The rotation adapter further has an actuator input and an effector output. A rotation adapter receiver for a minimally invasive surgical apparatus is also disclosed. The rotation adapter receiver has opposing beams and a proximal bushing coupled between the opposing beams. The rotation adapter receiver also has a distal bushing coupled between the opposing beams. The rotation adapter receiver further has a rotation constraint coupled between the opposing beams and positioned between the proximal and distal bushings.

Abstract: A cartridge assembly includes a cartridge channel, a support plate, a staple cartridge supported within the support plate and the cartridge channel, and compression members. The compression members are supported on support flanges of the support plate between the staple cartridge and the cartridge channel to facilitate movement of the staple cartridge in relation to the cartridge channel to accommodate tissue of different thicknesses.

Abstract: A motorized surgical instrument is disclosed. The surgical instrument includes a displacement member configured to translate within the surgical instrument, a motor coupled to the displacement member to translate the displacement member, a sensor configured to sense a thickness of a tissue grasped by an end effector, and a control circuit coupled to the motor and the sensor. The control circuit is configured to retrieve an expected thickness of the tissue, determine the thickness of the tissue via the sensor, and set a duty cycle for driving the motor. The duty cycle corresponds to the thickness of the tissue relative to the expected thickness of the tissue.

Abstract: A surgical instrument includes an articulation joint and end effector extending distally from the articulation joint, wherein the end effector comprises a drive pin movable between a first position and a second position. Furthermore, the surgical instrument includes a shaft extending proximally from the articulation joint, and an articulation driver configured to move the drive pin from the first position to the second position to transition the end effector from an unarticulated configuration to an articulated configuration. Also, the surgical instrument includes a pin slot extending from the articulation driver, wherein the pin slot is configured to movably accommodate the drive pin in the unarticulated configuration, and wherein the pin slot is configured to tightly accommodate the drive pin in the articulated configuration.

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

Abstract: A surgical instrument includes an end effector, a drivetrain configured to transmit at least one motion to the end effector, and an electric motor operably coupled to the firing drivetrain, wherein the electric motor is configured to generate a mechanical output to motivate the drivetrain to transmit the at least one motion to the end effector. The surgical instrument further includes a controller that has a processor and a memory storing program instructions, which when executed by the processor, cause the processor to activate a safe mode in response to an acute failure of the drivetrain and activate a bailout mode in response to a catastrophic failure of the drivetrain.

Abstract: A surgical stapling device includes reload assembly that is supported on a distal portion of an elongate shaft of the surgical stapling device. The reload includes a housing, a pusher assembly movably supported within the housing, a knife carrier movably supported within the pusher assembly, and an annular knife supported on the knife carrier. The elongate body includes a pusher drive member and a knife carrier pusher. The knife carrier includes first engagement structure that is configured to releasably engage second engagement structure formed on the knife carrier pusher to releasably couple the knife carrier pusher to the knife carrier. The knife carrier supports at least one detent that is movable into contact with a distal portion of the pusher drive member as the knife carrier is retracted to urge the first engagement structure out of engagement with the second engagement structure to uncouple the knife carrier from the knife carrier pusher.

Abstract: Methods and devices are provided for preventing binding between components of a drive assembly of a surgical device. In an exemplary embodiment, a surgical device is provided having a ball-and-socket joint that allows bending of various drive shafts relative to the handle without causing movement of a drive rack disposed within the handle. Since the drive rack does not move in response to bending of the shaft, the drive gear and rack will remain aligned thus preventing jamming of the device.

Abstract: An implantable adjunct for use with a surgical stapling instrument is provided. The implantable adjunct comprises means for allowing a clinician to determine the degree of skew, if any, that the adjunct may experience when implanted into a subject with a surgical stapling instrument. The implantable adjunct comprises one or more reference systems configured to be compared to the staples, the edges of the adjunct, and/or any other adjunct elements by a clinician once the adjunct has been implanted into the subject. The one or more reference systems comprise references that define one or more zones of the adjunct. A clinician can visually determine what zone, or zones, of the adjunct the staples have satisfactorily, and/or unsatisfactorily, purchased the adjunct.

Abstract: A surgical instrument has an interlocking function and includes an end effector, an elongated portion and a handle portion. Two ends of the elongated portion are respectively connected to the end effector and the handle portion. The handle portion includes a handle housing, a rotatable knob arranged on a distal portion of the handle portion and operatively to be reciprocated along the longitudinal direction of the elongated portion, and a locking assembly including at least one slide member and a lockout gear. The slide member is arranged between the rotatable knob and the handle housing, and axially fixed with the rotatable knob so as to be reciprocated with the rotatable head for being operatively engaged with the slide member. The slide member is circumferentially fixed with the handle portion, and the lockout gear is rigidly mounted at a proximal portion of the elongated portion. The safety of the surgical instrument may be improved due to high structural stability and high stability between components.

Abstract: A reload assembly includes a shell housing, a knife carrier, and at least one engagement member. The shell housing includes an inner housing portion and an outer housing portion that is spaced from the inner housing portion to define an annular cavity. A catch is supported within the annular cavity. The knife carrier defines a longitudinal axis and supports a knife. The knife carrier also supports a resilient locking member that is positioned to engage the catch when the knife carrier is in its retracted position after the reload assembly has been fired to retain the knife carrier in the retracted position.

Abstract: A flexible assembly of a motor driven surgical system may include a flexible shaft circuit strip and a knife bar having a first laminated plate disposed along a first side of the circuit strip and a second laminated plate disposed along a second side of the circuit strip. The knife bar may reciprocate along a longitudinal axis of the circuit strip. Each laminated plate may be composed of a pair of laminated plates. The flexible assembly may include a first leaf spring disposed between the first side of the circuit strip and the first laminated plate, and a second leaf spring disposed between the second side of the circuit strip and the second laminated plate. The flexible assembly may be disposed within at least a portion of a distal portion of an articulating shaft and at least a portion of an articulation connector of the surgical device.

Abstract: A surgical instrument comprising an end effector, a shaft, and an articulation joint is disclosed. The shaft comprises a frame defining a longitudinal shaft axis and, in addition, a closure actuator translatable relative to the frame. The closure actuator comprises a proximal portion, a distal portion, and a link rotatably connected to the proximal and distal portions about proximal and distal link axes, wherein the proximal and distal link axes define a longitudinal link axis therebetween. The end effector is rotatably connected to the shaft about an articulation axis defined by the articulation joint, wherein the end effector is articulable between an unarticulated position and an articulated position, wherein the articulation axis is offset from the longitudinal shaft axis, and wherein the longitudinal link axis is not collinear with the longitudinal shaft axis when the end effector is in either the unarticulated position or the articulated position.

Abstract: A buttress is applied to an end effector of a surgical stapler. The buttress is loaded on a platform of a buttress applier cartridge. The end effector is closed upon the platform. An adhesive layer of the buttress secures the buttress to the end effector. The buttress is thus adhered to the end effector when the end effector is opened. The end effector is then actuated on tissue of a patient, thereby stapling the buttress to the tissue.

Abstract: Various examples are directed to systems and methods for operating and controlling a modular surgical instrument comprising an operating mode. A controller may receive electrical signal associated with an activation of at least one user-actuated input device electrically coupled to the controller and override the operating mode of the surgical instrument upon receiving the electrical signal.

Abstract: The present disclosure is directed to a testing systems and methods for testing a powered surgical instrument. The powered surgical instrument includes a processor configured to control operation of the powered surgical instrument, a memory configured to store a tissue compression program, a reload configured to clamp tissue, a motor configured to control the reload to apply a compressive force to the tissue by the reload, and at least one sensor configured to measure a current draw on the motor. The processor executes the simulation program to measure the current draw on the motor through a nominal thickness firing and the measured current draw is used to adjust the tissue compression program.

Abstract: An end effector for use with a surgical instrument is disclosed. The end effector comprises a first jaw, a second jaw moveable relative to the first jaw between an open position and a closed position, a staple cartridge, a wedge sled, and a coupling member. The staple cartridge comprises a cartridge body, a channel pan, and a cartridge channel. The cartridge body comprises staples, staple drivers, and a cartridge body slot. The channel pan comprises a channel pan slot and a proximal cutout section. The wedge sled is configured to engage the staple drivers and eject the staples from the cartridge body. The coupling member is configured to translate within the cartridge body slot and the channel pan slot. The coupling member is configured to move the second jaw toward the closed position. The coupling member comprises a laterally projecting portion configured to pass through the proximal cutout section.

Abstract: A buttress is applied to an end effector of a surgical stapler. The buttress is loaded on a platform of a buttress applier cartridge. The end effector is closed upon the platform. An adhesive layer of the buttress secures the buttress to the end effector. The buttress is thus adhered to the end effector when the end effector is opened. The end effector is then actuated on tissue of a patient, thereby stapling the buttress to the tissue.

Abstract: A method is used to manufacture an end effector of a surgical instrument. The end effector includes first and second opposing jaws. The first jaw includes a body and an elongate cap. The method includes providing the elongate cap and the body of the first jaw of the end effector. The body includes an elongate channel and at least one alignment feature. The method also includes aligning the elongate cap with the elongate channel that extends completely through the body using the at least one alignment feature of the body that is disposed adjacent the elongate channel. The method also includes welding the elongate cap onto the body to at least partially enclose the elongate channel.

Abstract: A surgical tool configured for operation in connection with a robotic system. The surgical tool includes a shaft and an end effector extending distally from the shaft. The end effector comprises a first jaw member and a second jaw member movable relative to the first jaw member from a closed position to an open position in response to at least one axial motion. In addition, the surgical tool includes a motor configured to generate at least one rotational motion and a motion conversion assembly operably coupled to the motor and the second jaw member, wherein the motion conversion assembly is configured to convert the at least one rotational motion to the at least one axial motion.

Abstract: Surgical end effectors and fastener cartridges having firing lockout arrangements for preventing or limit a firing stroke when a cartridge has not been operably installed in the end effector or a spent cartridge has not been replaced.

Abstract: A clamping mechanism for a surgical instrument and related methods are disclosed. Upper and lower elongated members are configured to engage each other at a first interlock and a second interlock, the first interlock distal of the second interlock. The clamping mechanism is movable between a first configuration, a second configuration, and a third configuration. In the first configuration, the elongated members are approximated towards each other and the first and second interlocks are not engaged. In the second configuration, the distal portion of the elongated members are moved away from each other, the first interlock is engaged, and the second interlock is not engaged. In the third configuration, the distal portions of the elongated members are moved away from each other relatively, the proximal portions of the elongated members are moved away from each other relatively, the first interlock is engaged, and the second interlock is engaged.

Abstract: A surgical stapler includes a first elongate member having a distal portion that supports a plurality of staple forming pockets, a second elongate member having a distal portion that receives a staple cartridge, and a clamp member operable to releasably clamp the first and second elongate members together. A retaining member is provided on one of the first elongate member or the second elongate member and is configured to releasably couple proximal ends of the first and second elongate members together with a resilient bias such that the first and second elongate members are pivotable relative to one another at the proximal ends. A decoupling mechanism is configured to overcome the resilient bias of the retaining member and thereby decouple the proximal ends from one another in response to the first and second elongate members being pivoted away from one another.

Abstract: A fastener applying apparatus (20) includes an anvil half-section (100) and a cartridge receiving half-section (200) having a distal portion dimensioned to releasably receive a single use loading unit (“SULU”) (400) and a proximal portion configured to support a firing assembly (500). The firing assembly includes a stationary housing (502) and a firing lever (516) having one or more lever guide projections (522). The firing lever is slidable from a proximal end of the stationary housing to a distal end of the stationary housing to define a firing stroke. A clamping lever (300) is movable from an undamped position to a clamped position to releasably secure the distal anvil portion in close approximation with the SULU. The clamping lever defines one or more lever guide slots (316). The lever guide projection(s) is positioned to enter the lever guide slot(s) upon initiation of the firing stroke to inhibit movement of the clamping lever to the undamped position during the firing stroke.

Abstract: An adapter assembly selectively interconnects a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector. The end effector includes a first axially translatable drive member and a second axially translatable drive member. The surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.

Abstract: An end effector of a surgical stapler includes first and second jaw members and a buttress releasably secured to the first jaw member. The first jaw member defines a first projection and a second projection distal of the first projection. The buttress defines a first slot and a first aperture distal of the first slot. The first slot is dimensioned to receive the first projection of the first jaw member, and the first aperture is dimensioned to receive the second projection of the first jaw member.

Abstract: A medical device system can include a surgical tool, and a one-way input, and a drive system operatively coupled to the surgical tool and the oneway input device. The drive system can be rotatable in a first direction to effectuate a first operation of the surgical tool, and rotatable in a second direction to effectuate a second the operation of the surgical tool. The one-way input device can be operable to rotate the rotatable drive system in the second direction but not the first direction.

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 device includes a jaw assembly, an articulating assembly and a drive shaft. The jaw assembly includes first and second jaws. The articulating assembly is removably coupled to a proximal end of the jaw assembly and includes a distal joint member, a proximal joint member, and a pivot pin. The pivot pin is fixedly coupled to the distal joint member and is rotatably coupled to the proximal joint member. The jaw assembly and the distal joint member together define a first longitudinal axis. The proximal joint member defines a second longitudinal axis. The drive shaft includes a gear element that is meshingly engaged with a pivoting gear element that is fixedly coupled to the pivot pin. Longitudinal movement of the first drive shaft pivots the jaw assembly relative to the proximal joint member about a pivot axis defined by the pivot pin.

Abstract: A surgical apparatus including an electrical conductor with a strain relief is provided. A tool assembly is supported on a body portion and is articulable relative to the body portion. The tool assembly includes an identification assembly in electrical communication with a powered handle assembly. An electrical conductor extends from a connection assembly in the body portion to the identification assembly. The electrical conductor includes a strain relief portion for accommodating the articulation of the tool assembly relative to the body portion.