Abstract: A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.

Abstract: A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.

Abstract: A clip cartridge assembly for use with a reposable surgical clip applier includes a clip tray, a plurality of surgical clips, and a cover. The clip tray includes a plurality of distally oriented, deflectable, resilient fingers projecting from a base wall thereof. Each resilient finger terminates in a distal shoulder and a proximal end of the clip tray is configured for selective connection with a clip pusher bar of an endoscopic assembly of the reposable surgical clip applier. The cover includes a plurality of distally oriented, deflectable, resilient fingers projecting within a channel defined through proximal and distal ends thereof. Each resilient finger of the cover terminates in a distal shoulder and the cover includes a pair of opposed slots defined within sidewalls of the channel configured to slidably retain the clip tray and the plurality of surgical clips therein. A reposable surgical clip applier is also provided.

Abstract: A handle assembly for use with a surgical instrument is provided and includes a housing, a movable handle, a plunger, and a linkage. The movable handle is pivotably mounted to the housing. The plunger is disposed at least partially within the housing. Distal translation of the plunger relative to the housing is configured to affect a function of the surgical instrument. The linkage is disposed at least partially within the housing. A first portion of the first linkage is pivotable about the movable handle. A second portion of the first linkage is slidable relative to the plunger. A third portion of the linkage includes a stepped portion configured to selectively engage the plunger.

Abstract: A system for treating tissue includes a capsule including a channel extending therethrough; first and second clip arms each extending from a proximal end to a distal end, the proximal ends being received within the channel of a capsule to be moved between an open tissue receiving configuration; and a closed tissue clipping configuration. The first clip arm includes a first tissue retention feature at a distal portion thereof configured to pierce through a target tissue when in the tissue clipping configuration and subsequently release the target tissue when the clip arms are moved to an at least partially open configuration. The second clip arm includes a second tissue retention feature at a distal portion thereof configured to pierce and retain the target tissue thereon when in both the closed tissue clipping configuration and the open tissue receiving configuration.

Abstract: A reposable surgical clip applier includes a handle assembly, a shaft assembly releasably engagable with the handle assembly, and a clip cartridge assembly releasably engagable within the shaft assembly. The handle assembly includes a proximal drive member and a proximal pusher bar movable through the proximal drive member. When the reposable surgical clip applier is assembled, the proximal drive member of the handle assembly is positioned proximally adjacent an inner drive assembly of the shaft assembly such that movement of handle(s) of the handle assembly towards an approximated position actuates a jaw assembly of the shaft assembly. When the reposable surgical clip applier is assembled, the proximal pusher of the handle assembly is positioned proximally adjacent a distal pusher of the clip cartridge assembly such that movement of the handle(s) towards a spaced-apart position loads a distal-most surgical clip from the clip cartridge assembly into the jaw assembly.

Abstract: The invention relates to a device (12) for treating a body tissue presenting a prolapse. The device comprises: at least two arms (14, 16), each arm having a distal end (40) for gripping the tissue, a proximal maneuvering end (42) opposite the distal gripping end, and an elongate portion (44) comprised between the distal gripping end and the proximal maneuvering end, each elongate portion extending along a main direction (X). Furthermore, each arm is rotatable between an angular catching position (a1, a2) and an angular clamping position (e1, e2) around a rotation axis (A1, A2) substantially parallel to the main direction, and the device comprises a guide member (25) able to limit the transverse movement of the arms relative to one another along a direction perpendicular to the main direction.

Abstract: A reposable surgical clip applier (10) is provided and includes a handle assembly (100), an endoscopic assembly (200) selectively connectable to a housing of the handle assembly (100), and a clip cartridge assembly (300) selectively loadable in and connectable to the endoscopic assembly (200).

Abstract: A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.

Abstract: A handle assembly for use with a surgical instrument is provided and includes a housing, a movable handle, a plunger, a first linkage, and a second linkage. The movable handle is pivotably mounted to the housing. The plunger is disposed at least partially within the housing. Distal translation of the plunger relative to the housing is configured to affect a function of the surgical instrument. The first linkage is disposed at least partially within the housing. A first portion of the first linkage is pivotable about the movable handle. A second portion of the first linkage is slidable relative to the plunger. The second linkage is disposed at least partially within the housing. A first portion of the second linkage is pivotable about the movable handle, and a second portion of the second linkage is slidable relative to the plunger.

Abstract: A system for treating tissue includes a clip assembly including a pair of clip arms, proximal ends of the clip arms slidably received within a channel of a capsule to be moved between a tissue receiving configuration and a tissue clipping configuration, an applicator including a catheter and a control member extending therethrough, a distal end of the control member configured to be connected to the clip arms to move the clip assembly between the tissue receiving and tissue clipping configurations, and a coupler releasably coupled to proximal ends of the clip arms and configured to be coupled to the distal end of the control member, the coupler configured to yield when a proximal force exerted on the coupler via the control member exceeds a first predetermined threshold value to disengage the clip arms to deploy the clip assembly.

Abstract: A surgical clip applier includes a drive housing, an elongate shaft that extends distally from the drive housing, an end effector arranged at a distal end of the elongate shaft and including first and second jaw members, and an articulation joint interposing the end effector and the elongate shaft. The articulation joint includes a flexible shaft length articulable in a plane of motion and having a first end and a second end, a lumen defined within the flexible shaft length and extending between the first and second ends, and a clip track provided within the lumen and extending at least partially between the first and second ends to guide surgical clips through the articulation joint.

Abstract: An end effector for a surgical clip applier includes a body having a proximal end and a distal end, a clip cartridge coupled to the body and containing one or more surgical clips, and a head rotatably coupled to the distal end. First and second jaw members are mounted to the head such that rotation of the head correspondingly moves the first and second jaw members. The head is rotatable between a loading position, where the first and second jaw members are aligned to receive a distal-most surgical clip of the one or more surgical clips, and a clamping position, where the first and second jaw members are positioned to crimp a surgical clip interposing the first and second jaw members.

Abstract: A surgical clip applier is provided including a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly adapted to accommodate a clip of a plurality of clips loaded in the clip applier and being operable to effect formation of the clip in response to movement of the at least one handle; and a dissector bar supported on the housing and the channel assembly, wherein the dissector bar is actuatable from the housing and includes a proximal position wherein a distal end of the dissector bar is disposed proximal of a distal-most end of the jaw assembly, and at least one distal position wherein the distal end of the dissector bar projects beyond the distal-most end of the jaw assembly.

Abstract: A ligation clip module including a module housing that is compressible from an uncompressed condition to a compressed condition. The module housing includes a proximal portion, a distal portion, and a lumen extending therethrough. The ligation clip module further includes a pusher slidably disposed in the lumen of the module housing and a ligation clip disposed in the proximal portion of the module housing at a location distal of the pusher.

Abstract: A surgical instrument that includes an end effector and a trigger that is actuatable between a first position and a second position. An actuation drive is movable between an unactuated position and an actuated position in response to actuation of the trigger. A toggle assembly is transitionable between a folded configuration and an expanded configuration, wherein the toggle assembly is configured to motivate the actuation drive to effectuate a movement in the end effector in the folded configuration. The toggle assembly being configured to bypass the actuation drive when in the expanded configuration. A resetting member is operable to return the toggle assembly to the folded configuration.

Abstract: Systems and methods introduce and deploy prosthesis into a blood vessel or hollow body organ by intra-vascular access. The prosthesis is secured in place by fasteners which are implanted by an applier that is also deployed by intra-vascular access. The applier is configured to permit controlled, selective release of the fastener in a step that is independent of the step of implantation.

Abstract: A medical shaft instrument includes an instrument head with at least one jaw member for applying clamps with two jaw member branches. The instrument head is connectable over an instrument shaft having an outer tube with a handle for actuation of the jaw member. A clip magazine includes a retaining rail for supporting clamps in a predetermined storage position distance from each other. All the clamps are advanceable by a forth and back movable conveying and advancing rail. The clamp closest to the instrument head is conveyable by a tongue into the jaw member between the jaw member branches. The retaining rail has a distally extending support plate or bridge, which covers a jaw member region of a jaw member branch on the other jaw member branch facing side such that a tipping of an advanced or advanceable clamp on the jaw member branch is prevented.

Abstract: A surgical device is disclosed which includes a handle assembly, an elongated member and a disposable loading unit. The handle assembly includes a mode selection mechanism configured to alternate the surgical device between a first grasping mode of operation and a second clamping mode of operation. The handle assembly includes a rotation control member and an articulation lever. The rotation control member is configured to facilitate rotation of the elongated member with respect to the handle assembly. The articulation lever is configured to facilitate articulation of the tool assembly about an axis substantially perpendicular to the longitudinal axis of elongated member. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly configured to clamp and staple tissue in the second clamping mode of operation of the device.

Abstract: The present disclosure relates to endoscopic reposable surgical clip appliers having a reusable handle assembly, at least one reusable shaft assembly, and at least one disposable clip cartridge assembly.

Abstract: A clip applying apparatus is described for applying clips seriatim to tissue. The apparatus includes a lockout member for limiting distal movement of the camming member after the proximal-most clip has been applied to tissue. In one embodiment, the apparatus includes a jaw locking member for preventing approximation of the jaw members of the apparatus. In one embodiment, a latch assembly is provided to releasably engage a clip pusher of the apparatus to the camming member of the apparatus.

Abstract: A surgical clip applier is provided including a housing, at least one handle pivotably connected to the housing, an outer support channel extending distally from the housing, a drive channel slidably disposed within the outer support channel, a jaw assembly including a first and second pair of jaws extending from an end of the outer support channel in a parallel configuration, and an integrated cutting mechanism disposed within a gap defined between the first and second pair of jaws. The jaw assembly is capable of effectuating formation of a pair of clips disposed within a respective first and second pair of jaws in response to movement of the at least one handle and the cutting mechanism is independently operable of the at least one handle. At least one jaw member of each of the pair or jaws includes a curved distal end. A method of operating same is also provided.

Abstract: The medical instrument includes: a first rod; a second rod which extends along the first rod; a longitudinal center line defined by the rods; and a manipulator. The manipulator includes a plurality of fingers, each with a first finger end and a second finger end. The second finger ends are free ends. The first finger ends are supported on the second rod in such a way that the fingers are operable, by moving the second rod in relation to the first rod, in order to be displaced from a first position to a second position. The distance from the free ends of the fingers to the longitudinal center line in the first position is different compared with the second position. A stent, a ring prosthesis and a prosthesis device are also described.

Abstract: An instrument (10) according to the invention comprises a cam mechanism drive comprising a locking cam mechanism (31) and a cam mechanism (40), which serves power-transfer and control purposes, so as to initially create a tractive movement at traction elements (20, 21) and then a sliding movement at a sliding element (23). The concept allows for a tolerance-insensitive, functionally reliable design.

Abstract: A fastener delivery tool configured to deliver a fastener into tissue of a patient including a shaft, a handle assembly connected to a proximal end of the shaft, one or more prongs connected to a distal end of the shaft, and a fastener push rod received at least partially within the shaft, wherein the fastener push rod is connected to the handle assembly, wherein the fastener push rod is moveable relative to the shaft, and wherein the fastener push rod includes one or more detents configured to be received within a passageway of a fastener and secure the fastener to the fastener push rod with friction.

Abstract: A medical manipulator includes: a manipulator body that has a handle; a drive unit that can be detachably attached to the handle and has a drive source; a guide mechanism that guides the movement of the drive unit when the drive unit is attached to or detached from the handle; a motive force-transmitting coupling that has a driving member and a driven member, and transmits the drive force from the drive source to the handle side; and an electrical connection mechanism that electrically connects the handle and the drive unit when the drive unit is mounted to the handle.

Abstract: In various embodiments, a stent member is provided. The stent member may include a self-expanding stent frame defining in its expanded position a central annular opening along a longitudinal axis, the opening extending from a first end to a second end of the stent frame. The stent member may include at least one anchoring structure extending radially outwards from the second end of the stent frame. The stent member may further include a biocompatible coating on the stent frame.

Abstract: A jaw closure mechanism for use in a surgical clip applier having first and second jaws movable relative to one another between a spaced-apart position and an approximated position to form a surgical clip about tissue. The jaw closure mechanism includes first and second eccentric wheels rotatably coupled to the respective first and second jaws. Each of the wheels includes a center and a pivot point that is offset relative to the center. A cable is disposed about each of the wheels. The cable is engaged to the first wheel at a first engagement point and to the second wheel at a second engagement point such that, upon application of a drive force to the cable, the wheels are rotated and displaced relative to the respective jaws from a first position to a second position to urge the jaws from the spaced-apart position to the approximated position.

Abstract: A surgical end effector including an elongate channel configured to operably support a staple cartridge therein and a firing element configured to move within the elongate channel between a starting and an ending position. Various arrangements include openings through the bottom of the elongate channel to permit viewing of the firing element as it moves between the starting and ending positions. An anvil may be supported for movable travel relative to the elongate channel and include a plurality of openings therethrough to permit viewing of the cutting element as it moves between the starting and ending positions. Various arrangements include a firing bar attached to the firing element that serves to move the firing element between the starting and ending position. The firing bar may be movably supported with a hollow shaft that has a plurality of openings therethrough for monitoring the position of the firing bar.

Abstract: A hemostatic clip comprises a clamping assembly and a clip base. The clamping assembly comprises a clip body and a steel wire buckle sequentially connected; a fixed hinge pin is arranged at the front end of the clip base, the clip body consists of two clamping arms, the tail ends of the two clamping arms are connected through a movable hinge pin, the middle part of each of the two clamping arms is provided with a chute, the fixed hinge pin penetrates through the chutes, and the two clamping arms reciprocate along the chutes so that the clip body can be opened and closed; a bent structure is arranged at the tail end of each chute; and when the clamping arms move to make the fixed hinge pin be located in the bent structures, the two clamping arms are located in the locked and closed position.

Abstract: An absorbable screw fastener and a method of firing with an applicator capable of applying a surgical fastener to tissue in order to form tissue connection to secure objects to tissue, the fastener including a body portion having a helical thread, a head portion disposed at the proximal end of the body portion. The head portion includes a driver receiving configuration on its outer surface. The screw fastener further includes a cannulated center lumen with an opening extending from the head portion through the longitudinal length of the body portion.

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation.

Abstract: A clip applier of handle and cartridge for applying clips in surgical procedures with handle preferably a scissors type defined by a housing of shell members containing a cam operated linear translator actuated by handle levers, an anti-backup mechanism limiting handle lever movement to full pull and release strokes while preventing partial pull or release handle strokes, and with cartridge fitted with lockout mechanism to disable applier after last clip is used in surgery, with a puller bar lock to hold puller bar position in cartridge prior to assembly with handle, a detent spring mounted in cartridge cover member as part of clip handling mechanism, and a rapid-fire pawl as part of clip handling mechanism to prevent cartridge jamming when clips are applied in rapid succession.

Abstract: According to an aspect of the present disclosure, an endoscopic surgical device is provided. The surgical device includes a handle assembly including a drive mechanism actuatable by a trigger; and an endoscopic assembly including a proximal end portion extending from the handle assembly; a distal end portion pivotably connected to the proximal end portion of the endoscopic assembly; and a rotatable inner actuation shaft extending from the handle assembly and into the distal end portion of the endoscopic assembly, the inner actuation shaft including a flexible portion extending across the pivot connection. The surgical device includes an end effector selectively connectable to the distal end portion of the endoscopic assembly and to a distal portion of the rotatable inner actuation shaft. The end effector includes a splined inner tube rotatably supported in an outer tube; and a plurality of surgical anchors loaded in the inner tube of the end effector.

Abstract: A surgical apparatus is provided. The surgical apparatus includes an actuator device including a body portion defining a longitudinal axis and a first articulating link. The first articulating link includes a mechanical interface and is movable between a non-articulated position and at least one articulated position. A reload is releasably coupled to a distal end of the body portion. The reload including a second articulating link configured to engage the first articulating link when the reload is coupled to the actuator device. The reload including a tool assembly which is pivotable from a first a position aligned with the longitudinal axis of the body portion to at least one position misaligned with the longitudinal axis of the body portion. The first articulation link and the mechanical interface prevent the reload from being disengaged from the actuator device when the first articulating link is in the at least one articulated position.

Abstract: An exemplary surgical method of treating tissue within the body of a patient may include having an endocutter having an end effector; inserting the end effector into the body of a patient through an opening; engaging tissue with the end effector; stapling tissue along two staple lines with the end effector; cutting tissue between the staple lines with the end effector; releasing the tissue from the end effector; and repeating the engaging, stapling, cutting and releasing within the body of the patient on tissue at a different location within the body of the patient while maintaining the end effector within the body of the patient.

Abstract: A surgical cutting tool including a first jaw and a second jaw operably associate with the first jaw such that the first jaw and the second jaw are movable relative to one another between an opened position and a closed position. A cutting member is movably attached to the first jaw so that the cutting member extends from the first jaw towards the second jaw, and an actuating mechanism is operably associated with the cutting member so as to cause the cutting member to move relative to the first jaw.

Abstract: Tissue manipulation and securement systems are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member and has a lower jaw member and an upper jaw member pivotably coupled to the lower jaw member. A reconfigurable launch tube is also pivotably coupled to the upper jaw member and is used to urge the jaw members from a low-profile configuration to an open configuration for receiving tissue. The tissue manipulation assembly may be advanced through a shape-lockable endoscopic device, a conventional endoscope, or directly by itself into a patient. A second tool can be used in combination with the tissue manipulation assembly to engage tissue and manipulate the tissue in conjunction with the tissue manipulation assembly.

Abstract: A surgical hand grip for a surgical tubular shaft instrument is provided. The hand grip includes a coupling device for coupling to a tubular shaft tool having a tubular shaft and a force transmission element movable back and forth relative thereto. The coupling device has a coupling element for coupling to the force transmission element and a connecting element for connecting to the tubular shaft. A gripping device is connected to the coupling element and is transferable from a non-actuating disposition into at least one actuating disposition and vice versa thereby changing the mutual relative spacing between the coupling element and the connecting element. The hand grip has a guiding device with a guiding body for guiding the coupling element during the transfer from the non-actuating position into the at least one actuating position along a grip axis independently of the disposition of the gripping device during the transfer.

Abstract: A tool for driving a helical anchor into a target location, the tool including a proximal portion and a distal portion, the proximal portion having a handle and an actuator, and a shaft extending distally from the proximal portion, the shaft comprising an outer shaft and an inner rotating shaft that is at least partially concentrically positioned within the outer shaft, the shaft having a length that facilitates accessing a location of a posterior pelvic region, wherein the inner rotating shaft is actuated by movement of the actuator in a predetermined motion.

Abstract: An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack.

Abstract: According to an aspect of the present disclosure, an endoscopic surgical device is provided. The surgical device includes a handle assembly including a drive mechanism actuatable by a trigger; and an endoscopic assembly including a proximal end portion extending from the handle assembly; a distal end portion pivotably connected to the proximal end portion of the endoscopic assembly; and a rotatable inner actuation shaft extending from the handle assembly and into the distal end portion of the endoscopic assembly, the inner actuation shaft including a flexible portion extending across the pivot connection. The surgical device includes an end effector selectively connectable to the distal end portion of the endoscopic assembly and to a distal portion of the rotatable inner actuation shaft. The end effector includes a splined inner tube rotatably supported in an outer tube; and a plurality of surgical anchors loaded in the inner tube of the end effector.

Abstract: According to an aspect of the present disclosure, an endoscopic surgical device is provided. The surgical device includes a handle assembly including a drive mechanism actuatable by a trigger; and an endoscopic assembly including a proximal end portion extending from the handle assembly; a distal end portion pivotably connected to the proximal end portion of the endoscopic assembly; and a rotatable inner actuation shaft extending from the handle assembly and into the distal end portion of the endoscopic assembly, the inner actuation shaft including a flexible portion extending across the pivot connection. The surgical device includes an end effector selectively connectable to the distal end portion of the endoscopic assembly and to a distal portion of the rotatable inner actuation shaft. The end effector includes a splined inner tube rotatably supported in an outer tube; and a plurality of surgical anchors loaded in the inner tube of the end effector.

Abstract: A surgical apparatus for applying tissue fasteners is provided. The surgical apparatus includes a handle assembly, an elongated body that extends from the handle assembly, and a tool assembly mounted on the end of the elongate body. The tool assembly includes a cartridge assembly for receiving the tissue fasteners and a housing assembly for receiving a looped member. The tool assembly is configured to advance the tissue fasteners into the looped member to secure tissue between the fasteners and the looped member.

Abstract: A stapling element is provided, operative to pierce and penetrate a tissue by a first end, and close around the tissue. Three factors help prevent local necrosis: 1. The self-closing feature of the staple does not lead to tissue crushing. 2. Edge seams are applied generally perpendicular to the tissue edge, allowing for blood supply to the tissue edge. 3. Excess tissue is cut off at the seam, minimizing the amount of tissue that may undergo local necrosis. A physical feature prevents the staple from rotating, when in an application shaft, to maintain a predetermined closing direction. The stapling element may be formed of an alloy, a pure metal, a polymer, or a composite of at least two materials. Additionally, staplers, anastomosis devices, and methods for their applications are described.

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation.

Abstract: A surgical fastener applying apparatus having a first jaw and a second jaw. The first jaw includes a cartridge body having plurality of surgical fasteners disposed therein. The plurality of surgical fasteners include a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second, different configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation.

Abstract: A surgical fastener applying apparatus having a first jaw and a second jaw. The first jaw includes a cartridge body having plurality of surgical fasteners disposed therein. The plurality of surgical fasteners include a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second, different configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation.

Abstract: An end effector is provided and includes a distal housing portion and a proximal housing portion interconnected to one another by a knuckle portion, wherein the knuckle portion permits rotation of the distal housing portion relative thereto and articulation of the distal housing portion relative to the proximal housing portion; a jaw assembly supported in the distal end of the distal housing portion, the jaw assembly including a first jaw and a second jaw movable between a spaced apart and an approximated position; and a plurality of fasteners loaded within the distal housing portion, each of the plurality of fasteners defining a fastener axis extending in a direction substantially parallel to a pair of legs thereof, each of the plurality of fasteners being arranged within the base portion such that the fastener axis is disposed at an angle with respect to a longitudinal axis of the distal housing portion.

Abstract: A surgical apparatus for applying tissue fasteners is provided. The surgical apparatus includes a handle assembly, an elongated body that extends from the handle assembly, and a tool assembly mounted on the end of the elongate body. The tool assembly includes a cartridge assembly for receiving the tissue fasteners and a housing assembly for receiving a looped member. The tool assembly is configured to advance the tissue fasteners into the looped member to secure tissue between the fasteners and the looped member.