Abstract: A surgical instrument including a signal interference detection system.

Abstract: A method for creating a flexible fastener line is disclosed. The fastener line comprises fasteners oriented in directions which are transverse or oblique to a tissue incision created by a cutting member. The fasteners can translate and/or rotate within the tissue when the tissue is stretched thereby creating flexibility within the tissue.

Abstract: A method for controlling a surgical instrument is disclosed. In at least one instance, the surgical instrument comprises a shroud and the operation of the surgical instrument is modified based on input from a sensing circuit configured to sense a parameter of the shroud. In certain instances, the surgical instrument comprises a strain gage circuit and the operation of the surgical instrument is modified based on input from the strain gage circuit.

Abstract: An apparatus includes a housing, an anvil, a backing member, and a concave surface. The housing has a plurality of staples and the anvil is opposed from the housing such that the anvil and the housing are configured to cooperate to clamp tissue. The anvil is configured to form staples ejected from the housing into the clamped tissue. The backing member is coupled with the anvil and the concave surface defines a gap between the backing member and an adjacent component of the apparatus. The anvil is configured to deflect in a direction towards the gap in response to actuation of the apparatus to at least one of clamp tissue or staple tissue.

Abstract: A surgical stapler includes a first stapler half including an anvil surface having a plurality of staple forming pockets, and a second stapler half configured to releasably couple with the first stapler half. The second stapler half is operable to deploy staples toward the anvil surface. The stapler also includes a projection positioned on one of the stapler halves and extending laterally relative to a longitudinal axis of the stapler. The stapler halves are configured to pivot relative to each other about the projection. The stapler further includes a locking member positioned on the other of the stapler halves. The locking member is configured to translate along the longitudinal axis of the stapler between a locked state in which the locking member selectively captures the projection and an unlocked state in which the locking member selectively releases the projection. The locking member is biased proximally toward the locked state.

Abstract: An anvil and delivery system assembly includes an anvil and a delivery system assembly. The delivery system includes a flexible guide member, an adapter, a tie down suture, and a retaining suture. The guide member is coupled to the center rod with the adapter. The tie down suture is secured to the adapter and to the anvil head to retain the anvil head in the tilted position during anvil delivery. The retaining suture is coupled to the anvil head via the tie down suture such that release of the tie down suture automatically releases the retaining suture from the anvil head.

Abstract: A surgical instrument includes a shaft, an end effector, and an articulation mechanism. The end effector is movable between a first position where the end effector is aligned with a longitudinal axis of the shaft, and a second position where the end effector is disposed at an angled relative to the longitudinal axis. The articulation mechanism includes a proximal gear disposed in mechanical cooperation with the shaft, a distal gear disposed in mechanical cooperation with the end effector, a first lateral gear disposed in contact with the proximal gear and the distal gear, and a second lateral gear disposed in contact with the proximal gear and the distal gear.

Abstract: The surgical fastener applying apparatus includes an anvil half-section, a cartridge receiving half-section, a firing assembly including a push plate, and a lockout assembly. The cartridge receiving half-section defines an elongated channel member. The elongated channel member is configured to receive a single use loading unit (SULU). The lockout assembly is supported in the elongated channel member and includes a lockout that is selectively engageable with the push plate to prevent movement of the push plate relative to the lockout when the SULU is not supported in the elongated channel member.

Abstract: A disassembly-free and flushable clip applier includes: a fixing handle and a triggering handle, the fixing handle being hinged with the triggering handle, the fixing handle being provided with a locking key; an end of the cavity tube being provided with a mounting head which is configured for detachably connecting the ligating clip; a turning mechanism sleeved at the other end of the cavity tube and rotatably connected with the fixing handle through a rolling ball, the turning mechanism being provided with a flushing valve which is communicated with the cavity tube for flushing; and a thimble axially infixed into the cavity tube and reciprocating along an axial direction of the cavity tube. The clip applier does not need disassembly and reassembly during cleaning and disinfection and prevent a risk of accidental touching triggering when the ligating clip is being assembled and fails to reach a clipping position.

Abstract: A surgical instrument is disclosed herein. The surgical instrument can include an end effector that includes jaws configured to transition between an opened condition and a closed condition, a plurality of electrodes positioned within the jaws of the end effector, a control circuit, and a memory configured to store an algorithm configured to cause the control circuit to determine an impedance signal based on signals received from the plurality of electrodes, detect a media positioned between the jaws of the end effector based on the determined impedance signal, determine a position of the detected media based on the received signals, and generate an alert associated with the detected media and the determined position.

Abstract: Forceps with improved actuation include a housing and a body that is longitudinally slidable relative to the housing. The body having a peripheral flange extending outward towards the housing. A trigger includes an actuation surface configured to receive a force input from a user. The trigger further including at least one arm configured to transfer the received force input to the body. To inhibit lateral splaying of the at least one arm when the trigger is actuated, the housing includes a first control surface, such as a rib proximate the arm.

Abstract: Disclosed are an articulation mechanism and a surgical stapler. The articulation mechanism includes: a gear assembly including a driving gear and at least one driven gear. The driving gear includes a first teeth portion, and the driven gear includes a second teeth portion engaged with the first teeth portion and a first mating portion; at least one articulation rod including a second mating portion and an articulation piece mating portion cooperated with the first mating portion, so that when the driven gear rotates, the driven gear drives the articulation piece mating portion of the articulation rod to move axially; at least one articulation piece extending axially and connected to the articulation piece mating portion. The mechanism can drive the head assembly to rotate relative to the instrument body of the stapler.

Abstract: A method for synchronizing a data frame and data symbols in a communication system includes generating a training sequence including a serial sequence of data symbols that are conjugate symmetric, inserting the training sequence in a transmitter-side data frame, converting constituent data symbols of the transmitter-side data frame to communication signals, transmitting the communication signals from a transmitter to a receiver, converting the communication signals to a stream of received data symbols, detecting presence of the training sequence in the stream of received data symbols, and identifying a position of a received data frame from the presence of the training sequence.

Abstract: Devices for approximating multiple tissue edges internal to a body are disclosed.

Abstract: A surgical instrument system comprising an adaptive control system is disclosed. The instrument includes a motor control system configured to control the operation of a closure motor and a drive motor. The motor control system is configured to increase the clamping pressure applied by a first jaw during a secondary tissue cutting stroke as compared to the clamping pressure applied by the first jaw during a first tissue cutting stroke.

Abstract: A surgical clip applier having a housing containing a compartment, an elongated member extending distally from the housing, and first and second jaws configured to close a clip. An advancer is positioned within the housing movable between a first retracted position and a second advanced position, wherein in the second position, the advancer effects closing of the jaws to close the clip. A cover on the housing is openable to access the compartment within the housing. A power pack is removably loadable into the compartment and has a motor and an engagement member removably engageable with the advancer within the housing when the power pack is loaded into the compartment to effect movement of the advancer from the first position to the second position. A feed mechanism for feeding a clip into the jaws can be motor actuated.

Abstract: The present disclosure provides a stapler, including a shell, an ejector plate pin, a cartridge pin, an anvil pin, an unlocking pin, an ejector plate ring, a cartridge ring and an anvil ring, where the cartridge pin is between the ejector plate pin and the anvil pin; the ejector plate ring, the cartridge ring and the anvil ring all include a first half ring and a second half ring; hinged ends of the first half rings and the second half rings are rotatably connected, and fixed ends of the second half rings of the ejector plate ring, the cartridge ring and the anvil ring are connected to the front ends of the ejector plate pin, the cartridge pin and the anvil pin, respectively. The present disclosure adopts a brand-new concept of eversion anastomosis, and ensures the smoothness of a lumen after anastomosis.

Abstract: Provided is an anastomosis arrangement for joining two opposite stumps of a tubular organ in a streamlined anastomosis procedure. The arrangement includes a pair of axially symmetric stump-coupling members that accommodate pairs of counterpart suturing needles, linked together by common suturing threads, and manipulable by a needle-manipulation element to extract the needles tips from the stump-coupling members for piercing walls of the stump.

Abstract: A surgical stapling instrument (10) includes anvil and cartridge portions (100, 200) operably coupled together. The anvil and cartridge portions (100, 200) are transitionable between clamped and unclamped configurations. The surgical stapling instrument (10) also includes a clamp detection assembly (300) with a plunger (312) slidably disposed in a chamber (310) of a housing (302), a block (314) with an aperture (316) attached to the plunger (312), a spring (318) disposed in the chamber (310), and a button (340) slidably disposed in a recess (180) of the anvil portion (100).

Abstract: A power pack removably loadable into a compartment of an instrument. The power pack has a first motor and a first engagement member removably engageable with a firing mechanism to effect firing of fasteners and a second motor and second engagement member removably engageable with an articulation mechanism when the power pack is loaded into the compartment to effect movement of the articulation mechanism from a first position to a second position. A display screen indicates one or more of the following a) a specific direction and angle of the first and second jaws with respect to the longitudinal axis; b) a tissue force during firing of fasteners; c) a clamping force by the instrument jaws on tissue prior to firing; and/or d) change in clamping force over time. The display screen can alternatively be on the instrument.

Abstract: A surgical stapling instrument including a staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.

Abstract: A surgical instrument module for powering a plurality of discrete surgical end effectors includes a motor, a planetary gear box, a high-torque/low-speed output operably coupled to the motor, and a high-speed/low-torque output operably coupled to the motor. The high-torque/low-speed output is configured to be operably coupled to a driven member of a first type of surgical end effector, and the high-speed/low-torque output is configured to drive an operation of a second type of surgical end effector.

Abstract: A surgical stapling device includes an anvil section, a cartridge section, a staple cartridge, a clamping lever, and a firing assembly. The staple cartridge is releasably supported on the cartridge section and includes a lockout assembly and a knife assembly. The knife assembly includes a knife bar having a cutting blade for cutting tissue clamped between the anvil and cartridge sections. The lockout assembly includes a lockout member that movable from an unlocked position to a locked position and is positioned to shield the cutting blade in both positions. The lockout member is configured to prevent binding of the lockout member to facilitate movement of the lockout member from the unlocked position to the locked position after the stapling device is fired.

Abstract: A staple cartridge including a cartridge body and a first RFID feature. The cartridge body defines a longitudinal axis extending from a proximal end to a distal end of the cartridge body. The cartridge body is configured to be received within a jaw of a surgical stapler. The cartridge body also defines a plurality of staple apertures that are configured to house staples. The proximal portion of the cartridge body defines a pocket, and the pocket is proximal to a proximal most staple aperture of the plurality of staple apertures. The first RFID feature is fixed within the pocket. The first RFID feature is configured to communicate with a second RFID feature presented by the jaw of the surgical stapler.

Abstract: Provided is a bending structure and a joint function part, capable of ensuring sufficient flexibility and rigidity in an axial direction. The bending structure is provided with an outer coiled part formed of a wire wound in a coiled shape and an inner coiled part formed of a wire wound in a coiled shape and arranged in the outer coiled part, wherein the outer coiled part has a plurality of gaps to distance adjacent coils, and coils of the inner coiled part are provided so as to correspond to the gaps of the outer coiled part and fit between the adjacent coils while being in contact with the adjacent coils of the outer coiled part.

Abstract: A surgical stapling system includes a motor, a gear reducer assembly, a drive train, and a motor controller. A method of controlling the motor includes applying a first signal to the motor, receiving drive train operational data, comparing the drive train data to baseline data, and applying a signal having a different shape than the first signal to the motor. A method of characterizing the motor includes transmitting a perturbation signal, receiving motor function parameters, determining stapler system characteristics, and adjusting a controller function. A method of controlling a stepper motor includes applying a signal to the stepper motor, receiving stepper motor operational data, comparing the data to baseline data, and adjusting the signal. Another method of controlling the motor includes receiving motor rotational data, receiving gear rotation data, calculating a mechanical transfer function, determining non-idealities of the stapling system, and modifying a control signal based on the non-idealities.

Abstract: A method of creating an anastomosis is provided using a stapling assembly including a body extending distally along a longitudinal axis and a deck member defining a deck surface. The deck surface includes a first array of staple openings comprising a herringbone pattern, and each staple opening of the first array of staple openings has a same size. The method includes positioning an anvil within a first lumen of a patient and positioning the stapling assembly within a second lumen of the patient. The method also includes releasably coupling the anvil with the stapling assembly and compressing tissue of the first and second lumens between the anvil and the deck member. The method further includes actuating a plurality of staple drivers to drive a first plurality of staples distally and parallel to the longitudinal axis from the first array of staple openings into the tissue to define the anastomosis.

Abstract: A closure driving mechanism and a surgical stapler are provided. The closure driving mechanism includes a first slider, a locking member, a closure driver and a pushing block, the first slider is connected to the closure driver and includes a first fitting portion, the locking member includes a second fitting portion and a first lifting portion connected to each other, the pushing block includes a second lifting portion located under the first lifting portion. When the head assembly is closed, the closure driver is locked by the locking member fitting with the first slider. After the stapler is fired and the pushing block is lifted, the locking member separates from the first slider. Therefore, the closure driver can move distally to open the head assembly.

Abstract: A tool adapter, consisting of an adapter arm having a proximal end terminating with a connection and a distal end having a circular coupling, the circular coupling having a center and defining an axis orthogonal to the circular coupling and passing through the center. The adapter also has a tool grip rotatingly connected to the circular coupling so as to permit rotation of the tool grip about the axis, the tool grip being configured to fixedly retain a tool along the axis.

Abstract: A method of replacing a consumable of a surgical tool includes securing the surgical tool, which includes a drive housing, a shaft extending from the drive housing, an end effector arranged at a distal end of the shaft and including opposing upper and lower jaws, a wrist interposing the shaft and the end effector, and a knife assembly including a knife arranged at the end effector and first and second drive members extending to the drive housing. The method includes uncoupling the end effector from the wrist, moving the end effector distally from the wrist while the wrist remains intact, removing the knife assembly from the end effector, and thereby entirely separating the end effector from proximal portions of the surgical tool, replacing the consumable of the surgical tool, reconnecting the knife assembly to the surgical tool, and re-coupling the end effector to the wrist.

Abstract: A surgical instrument. The surgical instrument includes an elongated channel configured to support a staple cartridge, an anvil pivotably connected to the elongated channel, a knife mechanically coupled to the staple cartridge, an electric motor and a control circuit electrically connected to the electric motor. The control circuit is configured to change a firing motion of the surgical instrument based on a combination of events.

Abstract: A surgical stapling instrument includes a shaft assembly and an end effector. The end effector includes a first jaw having an anvil, and a second jaw. The instrument also includes a stapling assembly supported by the second jaw and including a plurality of staples, a staple actuator, and a driver assembly. The driver assembly includes a laterally-opposed pair of distal drivers that receive respective staples, a proximal driver that receives a respective staple, and a cam surface. The staple actuator is configured to engage the cam surface during distal translation of the staple actuator to drive the respective staples into contact with the anvil. The staple actuator and the cam surface are configured such that, when the respective staples contact the anvil, the engagement between the staple actuator and the cam surface is centered at a location along the cam surface distal of a centroid of the first driver assembly.

Abstract: A surgical system comprising a surgical instrument and a plurality of power sources is disclosed. The surgical instrument comprises an end effector and a motor to drive a firing motion at the end effector. The end effector comprises a first jaw and a second jaw, the second jaw moveable relative to the first jaw from an open position toward a closed position to capture tissue therebetween. The plurality of power sources comprises a first power source removably couplable with the surgical instrument and a second power source removably couplable with the surgical instrument independent of the first power source. The second power source is to maintain power to the motor in absence of the first power source.

Abstract: A surgical stapler for creating an anastomosis includes a stapling head assembly having a deck member that incorporates an alignment feature. The alignment feature aligns with a transection staple line prior to creating the anastomosis. In some versions the alignment feature is a groove formed in a surface of the deck member. The surgical stapler may include an anvil with a complementary stepped feature to the alignment feature of the deck member. Various surgical staplers with an alignment feature can be oval shaped, circular shaped, or dog-bone shaped. In some versions different staple geometries are used along the deck member incorporating the alignment feature.

Abstract: A surgical stapler includes a first half having a first elongate member and a surface with staple forming pockets. The stapler also includes a second half for releasably coupling with the first half and including a second elongate member having a distal portion for deploying staples. The elongate members are pivotable relative to each other about a pivot axis when the halves are releasably coupled. The stapler further includes a latching member for selectively clamping the halves in a clamped state. The stapler also includes a detent member extending laterally from one of the halves toward the other. The stapler further includes a shoulder member positioned on the other of the halves and configured to selectively engage the detent member in response to rotation of the first elongate member away from the second elongate member to an open state in which the elongate members assume a maximum angular orientation.

Abstract: A method for driving an ultrasonic device for bone cement removal and/or osteotomy operations includes the steps of establishing at least a data connection between a control unit and a handset of the ultrasonic device, sending a signal to the handset, receiving from the handset a response to the sent signal, and checking an operating condition of the ultrasonic device based on said response.

Abstract: A loading unit for use with a surgical stapling apparatus is provided and includes a tool assembly having a cartridge assembly and an anvil assembly that are movable in relation to one another; a surgical buttress releasably secured to a tissue contacting surface of the anvil assembly and/or the cartridge assembly, wherein each surgical buttress is secured to the anvil assembly and/or the cartridge assembly by at least one anchor; a release assembly associated with the anvil assembly and/or the cartridge assembly; and a drive assembly slidably translatable through the tool assembly between proximal and distal positions, wherein the drive assembly actuates the release assembly to thereby release the anchor to free the surgical buttress from the anvil assembly and/or the cartridge assembly.

Abstract: A surgical instrument includes a body, a shaft, a motor, a firing assembly, an end effector, and a control circuit. The motor is activatable to actuate the firing assembly through a firing stroke to staple and sever tissue with the end effector. The control circuit is configured to monitor one or more use metrics of the surgical instrument. Responsive to at least one of the one or more use metrics exceeding a predetermined threshold, the control circuit is further configured to initiate at least one of providing a notification to a user or disabling the firing assembly.

Abstract: A device for compressing body tissue includes a clip having a connection portion with first and second clip arms extending therefrom, the clip includes a recess formed on an inner surface of the connection portion, the recess being shaped and sized to slidably receive a mounting bar coupled to an outer surface of an endoscope on which the mounting bar is mounted with inner surfaces of the first and second clip arms maintained in an open position by contact between an endoscope on which the mounting bar is mounted and the inner surfaces of the first and second clip arms. The clip is slidable over the outer surface of an endoscope on which the mounting bar is mounted until the clip moves distally beyond the distal end of the endoscope so that the first and second clip arms spring closed to grip tissue therebetween.

Abstract: A surgical stapling instrument comprising a modular end effector and a housing assembly is disclosed. The modular end effector comprises a closure beam to receive a staple cartridge therein, a rotatable closure driver, a firing bar comprising a knife, and a rotatable firing driver. The closure beam is translatable through a closure stroke based on rotation of the rotatable closure driver, and the firing bar is translatable through a firing stroke based on rotation of the rotatable firing driver. The modular end effector is selectively coupleable to the housing assembly between a coupled configuration and an uncoupled configuration, and the modular end effector comprises a closure actuator and a firing actuator. The rotatable closure driver and the rotatable firing driver are to rotate based on the modular end effector being coupled to the housing assembly and actuation of the closure actuator and the firing actuator, respectively.

Abstract: Provided is a surgical stapler (100), said surgical stapler (100) comprising an end effector (1), a closure mechanism (2), a first drive mechanism (10), and a cutting apparatus.

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

Abstract: A surgical fastener applier having a housing containing a compartment therein, an elongated member extending distally from the housing and first and second jaws. A firing mechanism is positioned within the housing movable to a second position to effect firing of fasteners. A power pack is removably loadable into the compartment, the power pack having one or both of a) a first motor and a first engagement member removably engageable with the firing mechanism when the power pack is loaded into the compartment to effect movement of the firing mechanism; and b) a second motor and a second engagement member removably engageable with an articulating mechanism in the housing of the surgical fastener applier to effect movement of an articulation mechanism to effect articulation. One or both of a firing position and an articulation position are tracked during the surgical procedure. Sensors are provided to detect select parameters and instrument functions.

Abstract: Systems and methods for controlling staple firing include a manipulator, a drive system, and a processor. The manipulator is configured to be releasably coupled to an instrument. The instrument has an end effector comprising a first jaw and a second jaw. The drive system is configured to apply a force or torque to the instrument to cause staple firing to occur using the end effector. The processor is configured to monitor a force or torque applied by the drive system to cause staple firing to occur and in response to determining that the applied force or torque is outside of an acceptable range of force or torque, maintain application of clamping by the first jaw and the second jaw while suspending application of the force or torque that causes the staple firing to occur.

Abstract: A fastening mechanism that comprises an actuator, a fastening device attached to a distal end of the actuator, and a device coupler, wherein the fastening device is pivotally attached to the device coupler.

Abstract: A surgical system is disclosed including an end effector and a drive system configured to effect at least one function of the end effector. The end effector includes a first jaw, a second jaw rotatable relative to said first jaw between an open configuration and a closed configuration, and a staple cartridge comprising staples removably stored therein. The drive system includes a motor and an impact mechanism including a rotary input drivable by the motor and a rotary output drivable by the rotary input. Rotation of the rotary output is configured to effect the at least one function of the end effector. The impact mechanism is configurable between a coupled state, wherein rotation of the rotary input causes corresponding rotation of the rotary output, and a slipped state, wherein the rotary input rotates relative to the rotary output.

Abstract: A surgical stapling apparatus includes a loading unit, a surgical buttress, and a buttress retention band. The loading unit includes an anvil assembly and a staple cartridge assembly. The staple cartridge assembly includes a staple cartridge having a tissue facing surface including staple pockets and a central longitudinal slot defined therethrough, and a protrusion extending outwardly therefrom. The surgical buttress includes a proximal end portion and a distal end portion. The proximal end portion is positioned over the protrusion of the staple cartridge. The buttress retention band is disposed around the proximal end portion of the surgical buttress and the protrusion of the staple cartridge to releasably secure the proximal end portion of the surgical buttress to the staple cartridge assembly.

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: A surgical stapling apparatus is provided and includes a housing having an actuator; an elongated member extending from the housing; an end effector disposed on an end of the elongated member, the end effector having a first jaw and a second jaw, the first jaw having a staple cartridge and the second jaw having a plurality of staple forming recesses; the staple cartridge having at least a first segment and a second segment, the first segment and the second segment each having a tissue contacting surface and staple receiving slots defined in the tissue contacting surface, the first segment and the second segment being biased toward the second jaw and movable; a biasing members for each of the first segment and the second segment; and a pressure sensor for each of the first segment and the second segment.

Abstract: An end effector that can have an upper jaw and a lower jaw. A wrist can connect the end effector to an elongated shaft. A beam member can be arranged to translate within the upper and lower jaw. An actuation assembly can have a pushing assembly configured to transfer compressive force to the beam member and a pulling assembly configured to transfer tensile force to the beam member.