With Magazine Patents (Class 227/176.1)
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Publication number: 20140291381Abstract: A fastener cartridge assembly. The fastener cartridge assembly can comprise a fastener, a cartridge body, and a tissue thickness compensator. The fastener can comprise a base, a first leg extending from the base, and a second leg extending from the base. The cartridge body can comprise a fastener cavity for receiving the fastener and a trajectory control for controlling the trajectory of the first and second legs of the fastener. The fastener can be removable from the fastener cavity along a fastener axis. The trajectory control can extend inwardly toward the fastener axis and can bias the first leg and the second leg toward alignment with the fastener axis when the fastener is positioned in the fastener cavity.Type: ApplicationFiled: March 27, 2013Publication date: October 2, 2014Applicant: Ethicon Endo-Surgery, Inc.Inventors: Lauren S. Weaner, Taylor W. Aronhalt, Michael J. Vendely, Emily A. Schellin, Frederick E. Shelton, IV
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Publication number: 20140291379Abstract: A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners. In use, the fastener cartridge can be arranged in a jaw of a surgical fastening device. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward an anvil wherein the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened. The cartridge body can further comprise a first knife path configured to receive a cutting member and the tissue thickness compensator can further comprise a second knife path aligned with the first knife path. The second knife path can comprise different portions configured to apply different resistances to the cutting member as the cutting member is advanced through the fastener cartridge.Type: ApplicationFiled: March 27, 2013Publication date: October 2, 2014Applicant: Ethicon Endo-Surgery, Inc.Inventors: Emily A. Schellin, Lauren S. Weaner, Taylor W. Aronhalt, Michael J. Vendely
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Publication number: 20140291382Abstract: A fastener cartridge assembly. The fastener cartridge assembly can comprise a cartridge body, a tissue thickness compensator releasably secured relative to the cartridge body, and a fastener removably positioned in a staple cavity of the cartridge body. The tissue thickness compensator can comprise a first clearance aperture extending along a first predefined trajectory and a second clearance aperture extending along a second predefined trajectory. The fastener can comprise a first leg aligned with the first clearance aperture and moveable along the first predefined trajectory, a second leg aligned with the second clearance aperture and moveable along the second predefined trajectory. The first and second predefined trajectories can be parallel.Type: ApplicationFiled: March 27, 2013Publication date: October 2, 2014Applicant: Ethicon Endo-Surgery, Inc.Inventors: Brandon J. Lloyd, Taylor W. Aronhalt, Michael J. Vendely, Emily A. Schellin, Lauren S. Weaner
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Patent number: 8844789Abstract: A surgical instrument. The surgical instrument includes an end effector that comprises a staple channel and an anvil that is movably translatable relative to the staple channel. A tool mounting portion is configured to interface with a robotic system and operably communicate with the end effector. The instrument further includes a first sensor that has an output that represents a first condition of a portion of the robotic system. A second sensor has an output that represents a position of the anvil. A third sensor has an output that represents a position of a reciprocating knife within the end effector. An externally accessible memory device communicates with the first, second and third sensors.Type: GrantFiled: February 9, 2012Date of Patent: September 30, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventors: Frederick E. Shelton, IV, Jerome R. Morgan
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Patent number: 8844788Abstract: One exemplary surgical apparatus may include an anvil assembly to which a staple holder assembly detachably connected; feeder belts positioned at least partially within the staple holder assembly; staples separably attached to each feeder belt; a wedge assembly slidable within and along the staple holder assembly, the wedge assembly including an engagement feature; and a deployment handle, where, upon closure of the anvil assembly and staple holder assembly relative to one another, the deployment handle engages the engagement feature; where the deployment handle is movable along the anvil assembly to drive the wedge assembly relative to the staple holder assembly, feeder belts and staples in order to deform at least one staple to a closed state and separate at least one closed staple from the corresponding feeder belt.Type: GrantFiled: February 1, 2013Date of Patent: September 30, 2014Assignee: Cardica, Inc.Inventor: Bryan D. Knodel
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Patent number: 8844791Abstract: A surgical device, comprising a tissue compression device having a pair of opposing compression surfaces, a mechanical binary-output electrical switch having open and closed electrical switching states initiated and changed solely by mechanical movements, and an adjustable biasing device mechanically coupled to the switch and retaining the switch in one of the switching states until a force at least as great as a force imposed by the biasing device is imparted to the switch, wherein the switch is disposed in line with the tissue compression device to cause a proportional amount of force that is placed upon compressed tissue disposed between the opposing compression surfaces to be placed upon the switch, and the biasing device is set to an amount of force that is proportional to an optimal tissue compression force of the compressed tissue when disposed between the opposing compression surfaces.Type: GrantFiled: January 16, 2013Date of Patent: September 30, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventors: Kevin W. Smith, Thomas O. Bales, Jr., Derek Dee DeVille, Carlos Rivera, Matthew A. Palmer
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Patent number: 8844790Abstract: A surgical stapling device including a handle assembly, an endoscopic portion and an end effector is disclosed. The endoscopic portion extends distally from the handle assembly and defines a first longitudinal axis. The end effector defines a second longitudinal axis and includes an anvil assembly and a cartridge assembly. The anvil assembly is supported adjacent a distal end of the endoscopic portion and includes a dissecting tip extending therefrom. The cartridge assembly is pivotably mounted adjacent the distal end of the endoscopic portion. The cartridge assembly is mounted for pivotal movement in relation to the anvil assembly between open and approximated positions.Type: GrantFiled: July 17, 2013Date of Patent: September 30, 2014Assignee: Covidien LPInventors: Todd Demmy, Lee Ann Olson
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Publication number: 20140284372Abstract: A loading unit configured for engagement with a surgical instrument is disclosed. The loading unit comprises a proximal body portion and a tool assembly. The proximal body portion defines a longitudinal axis. The tool assembly is disposed in mechanical cooperation with the proximal body portion and includes a cartridge assembly and an anvil assembly. At least one of the cartridge assembly and the anvil assembly is movable with respect to the other between an open position and an approximated position to engage tissue therebetween. The cartridge assembly is configured to house a plurality of fasteners therein. The diameter of the tool assembly is less than or equal to about 8 mm.Type: ApplicationFiled: March 25, 2013Publication date: September 25, 2014Applicant: Covidien LPInventor: Stanislaw Kostrzewski
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Publication number: 20140284371Abstract: A surgical end effector can comprise a first jaw, a staple cartridge supported by the first jaw, wherein the staple cartridge comprises a plurality of staples removably stored therein, a second jaw comprising an anvil, wherein the second jaw is rotatable relative to the first jaw between an open position and a closed position, and wherein the anvil is configured to deform the staples when the staples are deployed from the staple cartridge. The surgical end effector can further comprise a sensor configured to detect when the anvil is in its closed position. The second jaw can be rotatable relative to the first jaw toward a closed position and the surgical end effector can comprise detection means for detecting if the anvil is in its closed position.Type: ApplicationFiled: June 6, 2014Publication date: September 25, 2014Inventors: Jerome R. Morgan, Frederick E. Shelton, IV
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Patent number: 8840003Abstract: A surgical cutting and stapling instrument with an articulatable elongated shaft. The elongated shaft is operably coupled to a handle assembly and has an articulation joint therein. The distal end of the elongated shaft is couplable to and end effector that supports a staple cartridge therein. The end effector may be articulated relative to the elongated shaft by an articulation control system operably supported in the handle assembly.Type: GrantFiled: September 30, 2010Date of Patent: September 23, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventors: Jerome R. Morgan, Frederick E. Shelton, IV
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Patent number: 8840004Abstract: A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.Type: GrantFiled: November 5, 2013Date of Patent: September 23, 2014Assignee: Covidien LPInventors: Henry E. Holsten, Frank J. Viola, Clifford L. Emmons, John W. Beardsley, Russell Heinrich, Nicola Cullinan
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Publication number: 20140263552Abstract: In various embodiments, a staple cartridge for use in a surgical stapler is disclosed. The staple cartridge comprises a staple body comprising a proximal end and a distal end. A tissue thickness sensing module is positioned adjacent to the distal end of the staple body. The tissue thickness sensing module comprises a controller and a sensor. A power key is located removably adjacent to the staple body. The controller is configured to detect the power key and to maintain the tissue thickness sensing module in a low-power state while the power key is present. When the power key is removed, the controller transitions the tissue thickness sensing module to an active state.Type: ApplicationFiled: March 13, 2013Publication date: September 18, 2014Inventors: Steven G. Hall, Brett E. Swensgard
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Publication number: 20140263557Abstract: A surgical stapling device is configured for use in open and/or laparoscopic surgical procedures. The device includes a staple holder with a first support element and a second support element for supporting a beltless continuous staple chain. Each staple of the staple chain is configured to be frangibly separated from the staple chain to pierce and secure a target tissue when each staple is deployed. The device also includes a plurality of standoff members wherein each of the plurality of standoff members is configured to support one of each staple of the staple chain when the one of each staple is being deployed. The surgical stapling device may be a cartridge-based or a cartridge-less based staple device.Type: ApplicationFiled: March 12, 2014Publication date: September 18, 2014Applicant: Cardica, Inc.Inventor: David T. Schaller
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Publication number: 20140263554Abstract: A multi-function motor. The multi-function motor can operate in different operating states to perform different functions. For example, the motor can advance a firing element during a first operating state, retract the firing element during a second operating state, and generate amplified haptic feedback during a third operating state. The electric motor can rotate in a first direction to advance the firing element, can rotate in a second direction to retract the firing element, and can oscillate between the first direction and the second direction to generate the amplified haptic feedback. A resonator can be secured to the motor. The center of mass of the resonator can be balanced with respect to the axis of rotation of the resonator. Further, the resonator can comprise a natural frequency, and can oscillate within a range of amplifying frequencies inclusive of the natural frequency during the third operating state.Type: ApplicationFiled: March 14, 2013Publication date: September 18, 2014Inventors: Richard L. Leimbach, Mark D. Overmyer
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Publication number: 20140263570Abstract: A surgical stapler includes a jaw assembly at a distal end connected to a handle assembly that is configured to control the stapler and actuate the deployment of staples. The surgical stapler successfully eliminates intermediate caming portions commonly known as pushers that are located between the staples and a translating slider. The staples are located in pockets at an angle such that the base of the staple is parallel to an angled caming surface of the slider. The translating slider comes into direct contact with staples during deployment as the slider moves through each staple pocket where staples are partially supported by recesses along the slider pathway. The staples are deployed at an angle against the anvil surface. Because there are no pushers, a great deal of space is saved resulting in a much smaller diameter surgical stapler that is particularly suitable for laparoscopic stapling applications.Type: ApplicationFiled: March 14, 2014Publication date: September 18, 2014Applicant: Applied Medical Resources CorporationInventors: Timothy Hopkins, Donald L. Gadberry, Matthew M. Becerra, Babak Jasemian, Gary M. Johnson, Steven E. Decker
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Publication number: 20140263555Abstract: A surgical device including an end effector that is configured and adapted to receive an interchangeable tip is disclosed. Also disclosed are several interchangeable tips that are configured and adapted for different surgical procedures. The interchangeable tips facilitate the performance of different surgical procedures while using the same device.Type: ApplicationFiled: January 6, 2014Publication date: September 18, 2014Applicant: Covidien LPInventors: Elizabeth Hufnagel, Gregg Krehel, Jason Iceman, Erik Carlson, Ramiro Cabrera, Kenneth Whitfield
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Publication number: 20140263551Abstract: In various embodiments, a surgical end effector is disclosed. The surgical end effector comprises a staple cartridge comprising a proximal end and a distal end. The staple cartridge is configured to be used to staple tissue within an optimal tissue thickness range. An anvil is movably coupled relative to the staple cartridge. A tissue thickness sensing module is located adjacent to the distal end of the staple cartridge. The tissue thickness sensing module comprises a sensor and a controller. The sensor is configured to generate a tissue thickness signal indicative of a thickness of the tissue located between the anvil and the staple cartridge. The controller is in signal communication with the sensor. The controller comprises means for identifying a staple cartridge type. The staple cartridge type and the thickness measurement are used to determine if the thickness of the tissue is within the optimal tissue thickness range.Type: ApplicationFiled: March 13, 2013Publication date: September 18, 2014Inventors: Steven G. Hall, Brett E. Swensgard
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Publication number: 20140263573Abstract: A surgical stapling apparatus having a vacuum device associated therewith is disclosed. The vacuum device may be removable, fixedly secured thereto, or incorporated into the surgical stapling apparatus. The vacuum device may include a resilient band and vacuum tube secured to the shell assembly or body portion of the surgical stapling apparatus. Alternately, a vacuum chamber may be secured about the shell assembly and/or body portion of the stapling apparatus. In addition, one or more vacuum tubes may be positioned in the vacuum chamber. The vacuum tubes, preferably, extend into the shell assembly and are movable between nondeployed and deployed positions such that a distal end of each tube can be selectively positioned at multiple positions 122 between the shell assembly and an anvil. The vacuum tubes can be formed of a shape-memory material such that the tubes point radially outwardly of the shell assembly when the tubes are in the deployed position.Type: ApplicationFiled: June 3, 2014Publication date: September 18, 2014Applicant: Covidien LPInventors: Bruce Jankowski, Joseph Richard Wittman
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Publication number: 20140263562Abstract: A handle assembly for a surgical stapler can comprise a rotatable actuation shaft. The actuation shaft can have a first rotational orientation in which it can actuate a jaw assembly in a repeatable open and close mode, a second rotational orientation in which it can actuate a jaw assembly in a staple firing mode, and a third rotational orientation in which it can actuate a jaw assembly in a reversing mode. The handle assembly can include a rotational mechanism arranged to discretely position the rotatable actuation shaft in one of the rotational orientations. The rotational mechanism can be arranged for single handed operation such as by including a slideable switch or selector to rotate the actuation shaft.Type: ApplicationFiled: March 14, 2014Publication date: September 18, 2014Applicant: Applied Medical Resources CorporationInventors: Atal Patel, Jonathan Covach, Christina N. Reed
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Publication number: 20140263553Abstract: A surgical instrument comprises an end effector, a shaft, and a housing extending proximally from the shaft. The end effector is movable relative to the shaft between an articulation home state position and an articulated position and comprises a surgical stapler including a plurality of staples and a firing member that fires the plurality of staples. The firing member is movable between a firing home state position and a fired position. The housing includes a motor operably supported by the housing, a controller in communication with the motor, and a home state input configured to transmit a home state input signal to the controller which is configured to activate the motor in response to the home state input signal to effectuate a return of the end effector to the articulation home state position and a return of the firing member to the firing home state position.Type: ApplicationFiled: March 14, 2013Publication date: September 18, 2014Inventors: Richard L. Leimbach, Mark D. Overmyer, Shane R. Adams
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Publication number: 20140263558Abstract: A surgical instrument is implemented with an extended curved tip to facilitate maneuvering and manipulating around small spaces and tissues at a surgical site in the body of a patient. The surgical instrument comprises of an end-effector and an extended curved tip that is coupled to the end-effector. A proximal portion of the extended curved tip is coupled to a distal portion of the extended curved tip, and a distal portion of the extended curved tip is configured to be a substantially tapered end or a tapered free-end.Type: ApplicationFiled: March 12, 2014Publication date: September 18, 2014Applicant: Cardica, Inc.Inventors: Bernard A. Hausen, Bryan D. Knodel
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Publication number: 20140263556Abstract: A stapler is provided. The stapler includes a handle assembly and a shaft extending distally from the handle assembly. A tool assembly is configured to selectively couple to the shaft and includes a cartridge assembly and an anvil assembly. The cartridge assembly includes a staple guide defining a tissue contacting surface. A resilient member operably positioned within the cartridge assembly is configured to bias the staple guide distally to provide a predetermined compressive force against tissue when the cartridge assembly and anvil are approximated toward one another.Type: ApplicationFiled: March 5, 2014Publication date: September 18, 2014Applicant: Covidien LPInventors: Patrick Mozdzierz, Christopher Penna
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Patent number: 8833631Abstract: A staple delivery applicator for delivering radioactive staples during brachytherapy medical treatment has an actuating device for attaching source staples located distally thereform. The actuating device is removably attachable to an actuator arm on a proximal end. A staple applicator cartridge holder is attached to the actuator arm on a distal end. The staple applicator cartridge is mountable in the holder and has slots for mounting of radioactive source staples therein. An anvil therein crimps the staples. The staple applicator cartridge holder is removably mountable in a connector and the connector is also removably mounted to a surgical staple holder. A trigger device has a control for closing the anvil of the cartridge holder and for firing of the source staples in the cartridge therein to cause the staples to crimp, and a control for opening the anvil and releasing the trigger device from the actuator arm.Type: GrantFiled: May 16, 2011Date of Patent: September 16, 2014Inventors: John J. Munro, III, Kevin Schehr, Krissie K. Zambrano, Matthew Hollows
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Publication number: 20140252065Abstract: An end effector usable with a surgical instrument includes a first jaw pivotably coupled to a second jaw. The first jaw includes staple forming depressions. A staple cartridge is releasably attachable to a channel of the second jaw. A plurality of staples is disposed in the staple cartridge. A shipping wedge is releasably attached to the staple cartridge. The shipping wedge maintains the staples in their respective retention slots and is usable to separate the staple cartridge from the channel of the second jaw.Type: ApplicationFiled: January 20, 2014Publication date: September 11, 2014Applicant: Covidien LPInventors: Thomas Hessler, Stanislaw Kostrzewski, Ernest Aranyi
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Publication number: 20140252064Abstract: An end effector includes an anvil member, a cartridge member, and a pivot plate connected to the anvil member and the cartridge member. The anvil member defines fastener forming pockets. The cartridge member defines fastener retaining slots. The cartridge member supports fasteners in the fastener retaining slots. The pivot plate is movable relative to the anvil member and the cartridge member to adjust a formation height of the fasteners upon a firing of the end effector. The pivot plate defines a channel within a body portion of the pivot plate. At least one of the anvil member and the cartridge member includes a pin extending therefrom. The channel is dimensioned to receive the pin. A movement of the pivot plate enables the pin to move along the channel and move at least one of the anvil member and the cartridge member relative to the other.Type: ApplicationFiled: March 5, 2013Publication date: September 11, 2014Applicant: Covidien LPInventors: Patrick Mozdzierz, Kevin Slisz
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Publication number: 20140252066Abstract: A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.Type: ApplicationFiled: May 21, 2014Publication date: September 11, 2014Applicant: Ethicon Endo-Surgery, Inc.Inventors: Frederick E. Shelton, IV, Chester O. Baxter, III
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Publication number: 20140252069Abstract: A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement.Type: ApplicationFiled: May 19, 2014Publication date: September 11, 2014Applicant: Ethicon Endo-Surgery, Inc.Inventors: Kyle P. Moore, Frederick E. Shelton, IV, William B. Weisenburgh, II, Jerome R. Morgan, Mark H. Ransick, Eugene L. Timperman
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Publication number: 20140252070Abstract: A surgical instrument for surgically joining tissue is provided. The surgical instrument includes a handle assembly that includes an actuator member. An end effector is operatively disposed adjacent a distal portion of an elongated shaft of the surgical instrument. The end effector includes a first jaw member pivotably disposed with respect to a second jaw member. The end effector is movable between a first position where the jaw members are spaced from one another, and a second position where the jaw members are in an approximated position. Each of the first and second jaw members includes a respective longitudinal track. An actuation assembly is disposed in mechanical cooperation with the end effector, wherein actuation of the actuation member causes the actuation assembly to translate from a distal portion of the end effector towards a proximal portion of the end effector through the tracks in the first and second jaw members.Type: ApplicationFiled: May 20, 2014Publication date: September 11, 2014Applicant: Covidien LPInventor: Dino Kasvikis
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Patent number: 8827136Abstract: An endoscopic surgical stapler for applying a suture to tissue including an elongated tubular member, a first jaw positioned at the distal end portion of the tubular member and having a longitudinal axis, and a second jaw disposed in substantially parallel relation to the first jaw at the distal end portion of the tubular member. The second jaw is movable in a direction substantially perpendicular to its longitudinal axis toward the first jaw, while maintaining the substantially parallel relation between the first and second jaws. A stapling assembly is disposed in each of the first and second jaws and configured to apply surgical staples to the tissue such that a suture, in combination with the surgical staples, forms a purse string with the tissue when the surgical stapler is activated.Type: GrantFiled: June 22, 2011Date of Patent: September 9, 2014Assignee: Covidien LPInventor: Thomas R. Hessler
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Patent number: 8827134Abstract: A surgical stapler having a remote motorized staple head is provided and generally includes a handle having a control button and a highly flexible cable extending distally from the handle. A housing incorporating a staple assembly is affixed to a distal end of the flexible cable. The housing may incorporate articulating structure to position the staple assembly relative to the remainder of the housing.Type: GrantFiled: June 14, 2010Date of Patent: September 9, 2014Assignee: Covidien LPInventors: Frank Viola, John W. Beardsley, Teddy R. Bryant
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Patent number: 8827135Abstract: A surgical stapler for use during an open hernia repair comprises an elongated shaft having a handle 120 at its proximal end and a downwardly disposed staple discharge head 130 at its distal end. A squeeze trigger 122 on the handle 120 is operable to cause a supply of staples 160 to be selectively discharged from the port. One or more mesh manipulators 150 are provided on the head 130 and serve to assist in positioning or otherwise manipulating surgical mesh prior to fixation with the staples.Type: GrantFiled: September 13, 2010Date of Patent: September 9, 2014Assignee: TransEnterix, Inc.Inventors: Parviz K. Amid, Christian Martin, Scott Arp
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Patent number: 8820605Abstract: A surgical instrument. Various embodiments of the surgical instrument include an end effector that has a moveable cutting implement. A main drive shaft assembly operably interfaces with the end effector for transmitting an actuation motion to the movable cutting implement therein. A gear drive train is connected to the main drive shaft assembly. The gear drive train is actuated by a motor that is configured to receive control signals from a robotic system. Various embodiments include a sensor arrangement that operably interfaces the end effector to communicate forces experienced by the end effector to the robotic system.Type: GrantFiled: February 9, 2012Date of Patent: September 2, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventor: Frederick E. Shelton, IV
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Patent number: 8820606Abstract: An end effector for use with a surgical stapler comprising a staple cartridge having a tissue contacting surface, a first side surface, and a second side surface opposite the first side surface, an anvil plate having a tissue contacting surface, a first side surface, and a second side surface opposite the first side surface, wherein the first and second side surfaces of each of the staple cartridge and anvil plate have overmolded zones, a buttress releasably disposed on the tissue contacting surfaces of each of the staple cartridge and the anvil plate, and a pair of sutures wherein each suture is bonded to the respective overmolded zones of the first and second side surfaces configured to retain the respective buttress atop the respective tissue contacting surfaces.Type: GrantFiled: February 24, 2012Date of Patent: September 2, 2014Assignee: Covidien LPInventor: Gerald Hodgkinson
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Patent number: 8820608Abstract: A medical instrument includes a first grasping member and a second grasping member that approach and separate from each other, a rotating body that is rotatably installed on a rotation shaft fixed to the first grasping member, an open-close link whose first end is rotatably connected to a first rotation shaft provided on the second grasping member and whose second end is rotatably connected to a second rotation shaft provided on the rotating body at a distance from the rotation shaft, and a manipulating member rotating the rotating body. When the rotating body is rotated in a predetermined direction, the first grasping member and the second grasping member approach each other while the second rotation shaft approaches an imaginary straight line connecting axes of the rotation shaft and the first rotation shaft.Type: GrantFiled: June 12, 2013Date of Patent: September 2, 2014Assignee: Olympus Medical Systems Corp.Inventor: Manabu Miyamoto
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Patent number: 8821517Abstract: A mechanical system for bilaterally securing skin tissue preferably utilizes a tissue manipulator apparatus to approximate a portion of an interior surface of each of two pieces of living dermis tissue along a vertical interface below an exterior surface without overlapping either interior surface across the vertical interface. An applicator apparatus includes a driving head portion positioned in the vertical interface and at least partially below the exterior surface and a handle portion positioned at least partially above the exterior surface. The applicator apparatus bilaterally drives at least one portion of the fastener through each piece of the living dermis tissue behind the interior surface of that piece of tissue such that the fastener is positioned below the exterior surface and a portion of the fastener is positioned generally transverse to the vertical interface.Type: GrantFiled: March 12, 2013Date of Patent: September 2, 2014Assignee: Incisive Surgical, Inc.Inventors: James A. Peterson, Christopher J. Sperry, Joseph M. Gryskiewicz, Delmer L. Smith, David B. Herridge
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Publication number: 20140239042Abstract: An apparatus includes a body, a shaft in communication with the body, and an end effector in communication with the shaft. The end effector is operable to drive staples through tissue. The end effector comprises an anvil and a cartridge. The anvil is operable to move pivotally relative to the cartridge. The cartridge is positioned to drive staples upwardly toward the anvil. The cartridge comprises a plurality of protrusions operable to prevent lateral rocking of the anvil. The plurality of protrusions is pointed toward the anvil. In some versions, an alignment member and/or a lateral stabilization member may be used between the anvil and the cartridge.Type: ApplicationFiled: February 28, 2013Publication date: August 28, 2014Applicant: Ethicon Endo-Surgery, Inc.Inventors: Robert J. Simms, Douglas B. Hoffman, Jason E. Zerkle, Charles J. Scheib, Janna B. Volz
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Publication number: 20140239043Abstract: An apparatus comprises a body, a shaft, and an end effector that is operable to compress, staple, and cut tissue. The end effector comprises and anvil and a cartridge. A longitudinal axis intersects the distal tip of the anvil when the anvil is in a closed position. The cartridge defines a sight line extending along a distal surface of the cartridge from a first side of the cartridge toward the anvil. The first side of the cartridge is opposite to the anvil. The distal surface of the cartridge is neither parallel to nor perpendicular to the longitudinal axis. The sight line intersects the longitudinal axis near the distal tip when the anvil is in the closed position. A segment of the sight line and a segment the longitudinal axis define an angle ?. The angle ? is larger than 90°.Type: ApplicationFiled: February 28, 2013Publication date: August 28, 2014Applicant: Ethicon Endo-Surgery, Inc.Inventors: Robert J. Simms, Douglas B. Hoffman, Rebecca J. Gettinger, Timothy S. Bedard, Dean L. Garner, Glen A. Armstrong, Janna B. Volz
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Publication number: 20140239044Abstract: A surgical instrument comprises a body, a shaft, and an end effector. The end effector has a staple cartridge, a lower jaw, an anvil, and a firing beam. The staple cartridge comprises a cartridge body and a lower cartridge tray. One or both of the cartridge body or the lower cartridge tray comprises at least one notch. The lower jaw is configured to be coupled with the cartridge body and comprises protrusions. The protrusions of the lower jaw align with the notches of the cartridge body and/or lower cartridge tray when the lower jaw and staple cartridge are coupled. The body comprises a handle portion and a series of actuators capable of closing the anvil on the staple cartridge and driving the firing beam to vertically drive a plurality of staples.Type: ApplicationFiled: February 28, 2013Publication date: August 28, 2014Inventor: Douglas B. Hoffman
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Publication number: 20140239045Abstract: Surgical stapler delivery systems and methods of using the delivery systems to deliver and assemble surgical staplers are described herein.Type: ApplicationFiled: April 3, 2014Publication date: August 28, 2014Applicant: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCHInventors: Heidi NELSON, David W LARSON
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Publication number: 20140239046Abstract: The cartridge assembly includes a housing, a pusher member, a fastener cartridge body, a circular cartridge buttress member, and a retaining ring member. The pusher member is supported within the housing and movable between a first position and a second position. The fastener cartridge body is supported on the housing and has a tissue engaging surface that extends to an annular edge. One or both of the housing and the fastener cartridge body define an annular containment groove. The circular cartridge buttress member has a body portion and an extension portion. The body portion is supported on the tissue engaging surface of the fastener cartridge body. The extension portion extends from the body portion and over the annular edge of the tissue engaging surface. The retaining ring member is secured within the containment groove to releasably secure the extension portion of the circular cartridge buttress member to the cartridge assembly.Type: ApplicationFiled: January 16, 2014Publication date: August 28, 2014Applicant: Covidien LPInventor: Keith L. Milliman
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Publication number: 20140239041Abstract: An end effector for use with a surgical instrument includes a first jaw, a second jaw, a blade assembly, and a lockout assembly. The first jaw removably couples with a staple cartridge. The second jaw is movably coupled with the first jaw. The blade assembly translates relative to the first jaw and includes a first tab. The lockout assembly includes a resilient member that biases the blade assembly to a lockout position. The lockout assembly engages the first tab of the blade assembly in the lockout position to prevent the blade assembly from translating distally relative to the first jaw when a staple cartridge is absent from the first jaw or when a spent staple cartridge is disposed in the first jaw.Type: ApplicationFiled: February 28, 2013Publication date: August 28, 2014Applicant: ETHICON ENDO-SURGERY, INC.Inventors: Jason E. Zerkle, Douglas B. Hoffman, William J. White, Robert J. Simms
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Patent number: 8814024Abstract: A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by a flexible retention matrix which is assembled to the fasteners in order to capture tissue therebetween. The flexible retention matrix can comprise, one, a plurality of retention matrix elements configured to engage the fasteners and, two, a lattice of connectors which connect one or more retention matrix elements.Type: GrantFiled: September 30, 2010Date of Patent: August 26, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventors: James A. Woodard, Jr., Charles J. Scheib, Chad P. Boudreaux, Dean B. Bruewer, Richard F. Schwemberger, Christopher J. Schall, Jeffrey S. Swayze, Jerome R. Morgan, Robert J. Simms, John N. Ouwerkerk
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Patent number: 8814025Abstract: A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a cartridge when in an open position. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further receives a matrix including glue beads suspended in the matrix. The staples are driven through the matrix to secure the matrix to tissue. The glue beads are activated when the matrix is secured to the tissue, such that the activated adhesive further secures the staple line in the tissue.Type: GrantFiled: September 15, 2011Date of Patent: August 26, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventors: Matthew C. Miller, Yi-Lan Wang, Israel Nur, Aron O. Zingman
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Publication number: 20140231488Abstract: A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.Type: ApplicationFiled: April 10, 2014Publication date: August 21, 2014Applicant: COVIDIEN LPInventors: Henry E. Holsten, Frank J. Viola, Clifford L. Emmons, John W. Beardsley, Russell Heinrich, Nicola Cullinan
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Patent number: 8808311Abstract: Surgical instruments are disclosed that are couplable to or have an end effector or a disposable loading unit with an end effector, and at least one micro-electromechanical system (MEMS) device operatively connected to the surgical instrument for at least one of sensing a condition, measuring a parameter and controlling the condition and/or parameter.Type: GrantFiled: February 18, 2011Date of Patent: August 19, 2014Assignee: Covidien LPInventors: Russell Heinrich, Douglas J. Cuny
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Patent number: 8807415Abstract: A stapling device for a surgical endoscopic device provided with at least one flexible portion, comprising a staple-firing portion and an anvil portion, wherein one of the staple firing portions and one of the anvil portions are located longitudinally displaced from one another along the longitudinal axis of the endoscopic device, with at least a part of said flexible portion between them. The parts of the stapling device are in correct working relationship when one or more alignment and/or locking pins or screws that are stored in one of the staple firing portions or one of the anvil portions are extended and engage and lock or screw into receptacles that have been provided on the other of the staple firing portion or of the anvil portion.Type: GrantFiled: June 26, 2007Date of Patent: August 19, 2014Assignee: Medigus Ltd.Inventors: Elazar Sonnenschein, Minelu Sonnenschein, Lawrence Crainich
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Publication number: 20140224857Abstract: A layer such as, for example, a tissue thickness compensator for an end effector of a surgical instrument can comprise compressible and non-compressible portions. The tissue thickness compensator can be positioned in the end effector such as adjacent to a deck surface of a fastener cartridge that is positioned in the end effector. The tissue thickness compensator can be maintained in a compressed state and can be released from the compressed state by a cutting member of the end effector.Type: ApplicationFiled: February 8, 2013Publication date: August 14, 2014Applicant: ETHICON ENDO-SURGERY, INC.Inventor: Katherine J. Schmid
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Patent number: 8801735Abstract: Surgical instruments and procedures for performing a circular anastomosis of a tubular organ. The surgical instruments may include selectively deployable tissue acquisition members configured to puncture through a portion of the tubular organ and position the portion of the organ adjacent to a fastener face of a staple cartridge supported in the instrument. At least one cutting member may be radially deployed and rotated to sever the positioned portion of organ from a distal portion of the organ. An anvil may be employed to draw another portion of the organ adjacent to the portion of organ positioned adjacent to the fastener face of the staple cartridge. The staples may then be deployed through the adjacent portions of organ and an annular knife may be advanced through the adjacent organ portions to complete the anastomosis.Type: GrantFiled: July 30, 2010Date of Patent: August 12, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventors: Frederick E. Shelton, IV, John W. Willis
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Patent number: 8800838Abstract: A cable-driven surgical tool configured to receive various control motions from a robotic system.Type: GrantFiled: February 9, 2012Date of Patent: August 12, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventor: Frederick E. Shelton, IV
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Patent number: 8800841Abstract: Surgical staple cartridge and channel assemblies for attachment to a surgical cutting and stapling instrument.Type: GrantFiled: March 15, 2011Date of Patent: August 12, 2014Assignee: Ethicon Endo-Surgery, Inc.Inventors: Claire E. Ellerhorst, Jeffrey S. Swayze, Karen K. Isaacs, Robert P. Kruth, Patrick J. Swindon