PROCESS FOR THE PURIFICATION OF LACTIDE

PROCESS OF FORMING COLLAGEN ARTICLES AND DISPERSIONS

ABSORBABLE PROSTHESIS

NESTED PACKAGE

SURGICAL CLIP ASSEMBLY

REINFORCED COLLAGEN PROSTHESES

LIMIT CONTROL APPARATUS

METHOD OF PRODUCING SOLUBLE COLLAGEN

COLLAGEN ARTICLE AND THE PREPARATION THEREOF

PROCESS FOR PREPARING SUTURES AND LIGATURES

SURFACE COATING OF NONABSORBABLE SUTURES

SURGICAL PACKAGE

PREPARATION OF HIGH MOLECULAR WEIGHT POLYLACTIDES

COILED SUTURE PACKAGE

SURGICAL PROSTHESIS

TWISTED COLLAGEN RIBBON

SUTURES

SURGICAL DISPENSER

STERILIZATION OF SURGICAL CATGUT SUTURES AND LIGATURES

System and method for producing folded articles

A system (10) for producing folded articles includes a cutting station (58) operable to segment a fabric web (42) into a continuous stream of individual web segments (86). The system also includes a rotary folder (96) comprising a plurality of folding rollers (104, 106). The rotary folder (96) rotates about an axis spaced apart from axes of the folding rollers (104, 106). The rotary folder (96) is operable to receive the web segments (86) at a first location and fold the web segments one or more times while rotating from the first location to a second location about the rotary folder (96) axis. The system further includes a transfer station (62) operable to receive the folded web segments (86) from the rotary folder (96) at the second location and deliver the folded web segments (86) to a third location.

SURGICAL CREAM

SUTURE PACKAGE

SPORICIDAL COMPOSITION

ESOPHAGEAL GRAFT REINFORCEMENT (PROSTHETIC IMPLANT)

PURIFICATION OF COLLAGEN

NON-SLIP SURGICAL PACKAGE

PYRROLIDINE DERIVATIVES

SILK SUTURE

SURGICAL GLOVE PACKAGE

STYRENATED OILS

OXIDATION OF 9,12-DIKETO-10,11-OCTADECENOIC ACID

SURGICAL CLIP APPLICATOR

ABSORBABLE SUTURE

TUBING FLUID FOR STORING SUTURES

STERILE PACKAGE

METHOD OF INCREASING THE IN VIVO RATE OF ABSORPTION OF COLLAGEN

COLLAGEN ARTICLE AND THE MANUFACTURE THEREOF

PROCESS AND APPARATUS FOR SEPARATING THE MEMBRANES OF ANIMAL INTESTINES

SUTURE PACKAGE

METHODS AND APPARATUS FOR MAKING THIN PLASTIC GLOVES

SURGICAL STAPLE APPLICATOR

SUTURE PACKAGE

COLLAGEN FIBRILS DISPERSIONS

SURGICAL NEEDLE

PURIFICATION OF PLANT PROTEASES

UREIDOMETHYL AND THIOUREIDOMETHYL MONO- AND BICYCLO ALKANES AND ALKENES

BODIED OILS

OXIDATION OF CASTOR OIL

FILAMENT-HANDLING DEVICE AND METHOD

SPINNERETTES

STERILE SURGICAL PACKAGE

ARTICLE AND MANUFACTURE THEREOF

COLLAGENOUS SHEET

PROCESS FOR THE PREPARATION OF PURIFIED COLLAGEN FIBRILS

PREPARATION OF COLLAGENOUS MATERIALS

OXIDATION OF 12-KETOOLEIC ACID

ENZYME PRODUCTION

SURGICAL PACKAGE

SUTURE AND HOLDER

SURGICAL SUPPLY PACKAGE

SUTURE PREPARATION

ARTIFICIAL IMPLANT

DYED SURGICAL GUT AND PROCESS

AMIDES OF 9,12-OCTADECADIENOIC ACID AND 9,12,15-OCTADECATRIENOIC ACID

PROCESS FOR PREPARING POLYMERS OF ESTERS

COILED SUTURE PACKAGE

DEVICE OF WINDING OF WIRE OF JOINING HAS EFFECTIVENESS AMELIORIEE

Chirurgisches Nähinstrument

METHOD OF FORMING A ROUND COLLAGEN STRAND

TREATMENT OF COLLAGEN

PROCESS

ANTI-CONTAMINATION PACKAGE ASSEMBLY FOR SURGICAL SUPPLIES

SPORICIDAL COMPOSITIONS

TREATMENT OF COLLAGEN

TREATMENT OF COLLAGEN

METHOD OF MAKING COLLAGEN PROSTHESIS

Material for a fixation of a tendon to a bone

Endoskopische Befestigungseinrichtung für Prothese aus Weichgewebe

DISPENSING PACKAGE

SORTING APPARATUS

SURGICAL NEEDLE

REVERSE CUTTING EDGE NEEDLE

PROCESS FOR PREPARING SOLUBLE, SPORICIDALLY, ACTIVE SOLID POLYGLYOXALS

SPORICIDAL COMPOSITION

RADIATION POLYVINYL CHLORIDE INDICATOR FOR STERILIZATION

SILK SUTURES AND LIGATURES

PROCESS FOR THE PREPARATION OF POLYHYDROXYACETOPHENONES

METHOD AND APPARATUS FOR TREATING SMALL PARTICLES, PARTICULARLY FINELY DISTRIBUTED COLLAGEN, WITH A TREATING LIQUID

TREATMENT OF COLLAGEN

HALOACYLAMINO BICYCLO HEPTANES AND OCTANES

COTTON SUTURES AND LIGATURES

AMIDES OF 12-KETOELEAIDIC ACID AND 12-KETOOLEIC ACID

Vorrichtung zur Befestigung eines Fadens an einer chirurgischen Nadel

Vorrichtung zum Befestigen eines Fadens (25) an einer chirurgischen Nadel (22) mit einem hohlen Ende, umfassend: zwei Stanzstempel; und ein Tragteil (2), wobei ein erster der Stanzstempel in Richtung des Tragteils bewegbar ist, das Tragteil ein Gehäuse (10) hat, welches zur Aufnahme der Nadel (22) dient, um sie zu immobilisieren, wenn der erste Stanzstempel (16) mit der Nadel in Berührung steht, dadurch gekennzeichnet, daß die zwei Stanzstempel bewegbar sind, um zwei unterschiedliche Bereiche eines gleichen Querschnitts einer Nadel zu stanzen, und daß das Tragteil (2) weiter einen Fadenführer (26) halbzylindrischer Form umfasst, der so gestaltet ist, daß, wenn die Nadel in dem Gehäuse angeordnet wird, die Nadel (22) und der Fadenführer (26) koaxial sind, wobei ein Ende des Fadenführers (26) an das hohle Ende der Nadel (22) angrenzt.

POROUS COLLAGEN ANASTOMOTIC CUFF

SUTURE PACKAGE

INDIVIDUAL STAPLER

CABINET ASSEMBLY UNIT

DISPENSING APPARATUS AND PACKAGE

METHOD FOR SWELLING AND DISPERSING COLLAGEN

ALKALI METAL BISULFITE DIALDEHYDES

SURGICAL INSTRUMENT COMPRISING AN ARTICULATABLE END EFFECTOR

A surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. The surgical instrument can further comprise a shaft extending between the handle and the effector and means for articulating the end effector relative to the shaft. The articulating means can comprise a portion of the shaft which is rotatable about a first axis in order to articulate the end effector about a second axis. In at least one embodiment, the shaft can comprise a first portion including a cam and a second portion including a cam follower, wherein the rotation of the second portion and the interaction of the cam and cam follower can cause the second portion to pivot relative to the first portion. 1. A surgical instrument , comprising:a handle;a trigger;an articulation actuator; a first jaw member;', 'a second jaw member, wherein one of said first jaw member and said second jaw member is movable relative to the other of said first jaw member and said second jaw member; and', 'an electrode;, 'an end effector, comprisinga power switch selectively actuatable to operably couple said electrode with a power source; [ a first portion comprising a proximal end mounted to said handle and a distal end comprising a first angled surface;', 'a second portion comprising a distal end mounted to said end effector and a proximal end comprising a second angled surface, wherein said second portion is rotatable relative to said first portion; and', 'an inner cavity extending through said first portion and said second portion;, 'an outer tube, comprising, 'a drive member extending through said inner cavity, wherein said drive member is operably coupled to said trigger, wherein an actuation of said trigger is configured to move said drive member from a proximal position to a distal position; and', 'an articulation member extending through said inner cavity, wherein said articulation ...

SURGICAL INSTRUMENT COMPRISING AN ARTICULATABLE END EFFECTOR

An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector. 1. A surgical instrument , comprising:a handle comprising a trigger;a shaft comprising a proximal shaft portion coupled to said handle and a distal shaft portion;an articulation joint connected to said distal shaft portion; a proximal end coupled to said articulation joint;', 'a distal end;', 'a first jaw member;', 'a second jaw member, wherein one of said first jaw member and said second jaw member is movable relative to the other of said first jaw member and said second jaw member; and', 'an electrode;, 'an end effector, comprisinga drive member extending through said articulation joint, wherein said drive member is operably coupled with said trigger, wherein an actuation of said trigger is configured to move said drive member toward said distal end of said end effector, wherein said drive member comprises a first flexible layer and a second flexible layer, wherein said first flexible layer is comprised of an electrically conductive material, and wherein said second flexible layer is comprised of an electrically insulative material.2. The surgical instrument of ...

Surgical instruments with electrodes

A surgical stapling assembly is configured to be used to form a tissue seal having an arcuate portion. The surgical stapling assembly comprises an end-effector extending from the distal end of the shaft. The end-effector comprises a first portion and a second portion. The first portion comprises a first face at least partially surrounding the aperture, a staple cavity defined in the first face, a staple removably positioned within the staple cavity, and a first electrode positioned one of on and proximate to the first face. The second portion comprises a second face, an anvil pocket defined in the second face, and a second electrode positioned one of on and proximate to the second face, and a second electrode. The first electrode and the second electrode each comprise an arcuate portion. The first electrode has a different polarity than the second electrode.

SURGICAL INSTRUMENTS WITH ELECTRODES

An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode. 1. An end-effector assembly configured to be attached to a surgical instrument , the end-effector assembly comprising:a first jaw;a second jaw comprising a staple cavity, wherein at least one of the first jaw and the second jaw is movable relative to the other jaw;a staple removably positioned within the staple cavity, wherein the staple comprises an electrode; andan electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw.2. The end-effector assembly of claim 1 , wherein the electrode comprises a first electrode claim 1 , and wherein one of the first jaw and the second jaw comprises a second electrode.3. The end-effector assembly of claim 2 , wherein the second electrode is positioned adjacent to a positive temperature coefficient material.4. The end-effector assembly of claim 2 , wherein the first electrode is configured to have a different polarity than the second electrode.5. The end-effector assembly of claim 1 , wherein the electrode comprises a first electrode claim 1 , ...

INSTRUMENTATION AND METHOD FOR PERFORMING A MULTISTAGE GASTRIC BYPASS

1. Instrumentation for carrying out a gastrointestinal bypass comprising: 1. Instrumentation for carrying out a gastrointestinal bypass comprising:{'b': 4', '6', '12', '21', '22', '13', '1, 'means (, , ) for creating a gastric sleeve (, ) from the lesser curvature () of the stomach (),'}{'b': 21', '22, 'means for creating a gastrointestinal bypass involving said gastric sleeve (, ), in which said means for creating a gastrointestinal bypass include{'b': 24', '25', '21', '22', '1', '21', '22, 'means for closely approximating a first tissue portion () of the intestine to a second tissue portion () of the gastric sleeve (, ) of stomach (), creating a first loop (A) of the intestine between the gastric sleeve , of stomach and the first tissue portion,'}{'b': '26', 'means for creating a gastroenteroanastomosis () between the two close tissue portions, maintaining the continuity of the intestinal duct after the creation of the gastroenteroanastomosis,'}{'b': 27', '26', '28', '26', '26', '28', '26', '26, 'means for closely approximating an additional first tissue portion () of the intestine arranged distally or downstream with respect to the gastroenteroanastomosis () with reference to the natural flow along the intestinal duct, and an additional second tissue portion () of the intestine arranged proximally, or upstream, with respect to the gastroenteroanastomosis () with reference to the natural flow along the intestinal duct, creating a second loop (B) of the intestine which is distal with respect to the gastroenteroanastomosis (), wherein said additional second tissue portion () of the intestine, proximal with respect to the gastroenteroanastomosis (), is brought close to the gastroenteroanastomosis (),'}{'b': 29', '27', '28', '29, 'means for creating an enteroenteroanastomosis () between the two close tissue portions (, ) of the intestine, maintaining the continuity of the intestinal duct after the creation of the enteroenteroanastomosis (),'}{'b': 20', '26', '29, ' ...

Surgical fastening devices comprising rivets

An end-effector assembly is configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw comprising an electrode, a second jaw comprising a rivet cavity, and a rivet. At least one of the first jaw and the second jaw is movable relative to the other jaw. At least a portion of the rivet is removably positioned within the rivet cavity. The rivet comprises a tissue-engaging portion, an elongate portion extending from the tissue-engaging portion, and a meltable portion. The end-effector assembly comprises a driver configured to move the rivet between a first position in which the rivet is stored at least partially within the rivet cavity and a second position in which the rivet is at least partially deployed from the rivet cavity. The meltable portion of the rivet is positioned against or adjacent to the electrode when the rivet is in the second position.

SURGICAL CUTTING AND SEALING INSTRUMENT WITH CONTROLLED ENERGY DELIVERY

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. A control unit is configured to regulate the amount of energy delivered to the tissue through the monitoring of the current flowing through the tissue and the rate of change of the current flowing through the tissue. Through the monitoring of the current, the impedance of the tissue and the rate of change of impedance of the tissue may be determined to monitor the state of the captured tissue and reduce excess tissue heating. 1. An electrosurgical system , comprising: a current flowing through the tissue; and', 'a rate of change of the current flowing through the tissue., 'a control unit comprising a processor and memory in communication with the processor, wherein the control unit is configured to deliver a variable level of energy to a circuit comprising an electrode and tissue in electrical communication with the electrode, wherein the control unit is configured to vary the level of energy delivered to the tissue based on2. The electrosurgical system of claim 1 , wherein the energy is radio frequency (Rf) energy.3. The electrosurgical system of claim 1 , wherein the control unit is configured to deliver pulses of energy to the circuit and vary the level of energy by varying a duty cycle of the pulses of energy.4. The electrosurgical system of claim 3 , wherein the control unit is configured to vary the level of energy by varying an amplitude of a pulse of energy.5. The electrosurgical system of claim 1 , wherein the control unit is configured to reduce the level of energy delivered to the circuit when the current flowing through the tissue reaches a predetermined current level and the rate of change of the current flowing through the tissue reaches a predetermined rate of change.6. The electrosurgical system of claim 1 , wherein the control unit configured to deliver ...

ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a linear actuator, for example. 1. An electrosurgical instrument , comprising:a handle;an elongate shaft extending distally from the handle; a first jaw member;', 'a second jaw member, wherein the first jaw member is movable relative to the second jaw member between an open and a closed position;', 'a tissue-cutting element configured to translate with respect to the first jaw and the second jaw; and', 'an electrode;, 'an end effector coupled to the distal end of the elongate shaft, comprisingan axially moveable cutting member configured to open and close the jaws, the tissue-cutting element positioned at a distal end of the axially movable member;a trigger coupled to the axially moveable cutting member; anda linear actuator coupled to the axially moveable cutting member.2. The electrosurgical instrument of claim 1 , wherein the linear actuator comprises a motor and a lead screw.3. The electrosurgical instrument of claim 2 , comprising a nut assembly in threaded engagement with the lead screw.4. The electrosurgical instrument of claim 1 , wherein the trigger is movable between a first position claim 1 , a second position claim 1 , and a third position claim 1 , and wherein the linear actuator distally drives the axially moveable cutting member when the trigger is moved from the second position to the third position.5. The electrosurgical instrument of claim 4 , wherein the first jaw member moves from the open position to the closed position when the trigger is moved from the first position to the second position.6. The electrosurgical instrument of claim 1 , further ...

ELECTROSURGICAL INSTRUMENT WITH SEPARATE CLOSURE AND CUTTING MEMBERS

In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise a pair of jaws, a closure beam, and a cutting member. The closure beam and the cutting member may be releasably coupled together by an interlocking member such that movement of the cutting member may cause the closure beam to also move relative to the jaws and cause the jaws to close and grip tissue, for example. The interlocking member may then unlock, allowing the cutting member to move through the gripped tissue and relative to the closure beam. Additionally, the cutting member and closure beam may be operated by a single trigger, which may be configured to provide haptic feedback to a user at various stages. Further, the jaws may be electrically energized to deliver energy and/or seal the gripped tissue. 1. A surgical instrument , comprising: a first jaw defining a channel;', 'a second jaw, wherein the first jaw and the second jaw are operably coupled together such that the first jaw may move between an open position and a closed position with respect to the second jaw;', 'a closure beam sized and configured to fit at least partially within the channel, wherein the closure beam is configured to translate along the channel between a first position and a second position, wherein the first jaw is at the closed position when the closure beam is at the second position; and', 'a cutting member sized and configured to fit at least partially within the channel, wherein the cutting member is configured to translate along the channel and with respect to the closure beam., 'an end effector comprising2. The surgical instrument of claim 1 , further comprising an interlocking member configured to selectively hold the cutting member and the closure beam together such that the cutting member and the closure beam translate synchronously with each other in at least one direction with respect to the ...

ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke is regulated by at least one biasing member, such as a spring, for example. 1. An electrosurgical instrument , comprising:a handle;an elongate shaft extending distally from the handle, wherein the elongate shaft defines a longitudinal axis;a trigger coupled to the elongate shaft; a first jaw member;', 'a second jaw member, wherein the first jaw member is movable relative to the second jaw member between an open and a closed position;', 'a tissue-cutting element configured to translate with respect to the first jaw and the second jaw; and', 'an electrode;, 'an end effector coupled to the distal end of the elongate shaft, comprisingan axially moveable member configured to open and close the jaws, the tissue-cutting element positioned at a distal end of the axially movable member; anda spring operably coupled to the trigger, the spring to release energy and distally translate the axially moveable member.2. The electrosurgical instrument of claim 1 , further comprising an internal shaft claim 1 , wherein the internal shaft defines a longitudinal axis that is substantially perpendicular to the longitudinal axis of the elongate shaft.3. The electrosurgical instrument of claim 2 , wherein the internal shaft comprises a drive gear and the moveable cutting member comprises a rack in operable engagement with the drive gear.4. The electrosurgical instrument of claim 3 , wherein the internal shaft is coupled to the trigger claim 3 , and wherein the spring is a torsional spring.5. The electrosurgical instrument of claim 1 , wherein the spring is an advance spring.6. The electrosurgical instrument of claim ...

ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a damper. The damper may have barrel and a plunger. 1. An electrosurgical instrument , comprising:a handle;an elongate shaft extending distally from the handle;a trigger moveable between a first position and a second position; a first jaw member;', 'a second jaw member, wherein the first jaw member is movable relative to the second jaw member between an open and a closed position;', 'a tissue-cutting element configured to translate with respect to the first jaw and the second jaw; and', 'an electrode;, 'an end effector coupled to the distal end of the elongate shaft, comprisingan axially moveable cutting member configured to open and close the jaws, the tissue-cutting element positioned at a distal end of the axially movable member; anda damper coupled to the trigger and the axially moveable cutting member.2. The electrosurgical instrument of claim 1 , wherein the axially moveable cutting member is configured to move distally when the trigger is moved between the first and second position.3. The electrosurgical instrument of claim 1 , wherein the damper comprises a barrel and a plunger claim 1 , wherein an outer diameter of the plunger is in sealing engagement with an inner diameter of the barrel claim 1 , wherein the plunger is movable between a first and second position.4. The electrosurgical instrument of claim 3 , wherein the barrel defines at least one inlet orifice and at least one outlet orifice.5. The electrosurgical instrument of claim 4 , further comprises a check valve positioned proximate the inlet orifice.6. The electrosurgical instrument of claim 4 , wherein a ...

ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by an electromagnetic brake. 1. An electrosurgical instrument , comprising:a handle;an elongate shaft extending distally from the handle;a trigger moveable between a first position and a second position;an electromagnetic brake; and a first jaw member;', 'a second jaw member, wherein the first jaw member is movable relative to the second jaw member between an open and a closed position; and', 'a tissue-cutting element configured to translate with respect to the first jaw and the second jaw;, 'an end effector coupled to the distal end of the elongate shaft, comprisingan axially moveable cutting member configured to open and close the jaws, the tissue-cutting element positioned at a distal end of the axially movable member; andan electrode.2. The electrosurgical instrument of claim 1 , wherein the electromagnetic brake is configured to selectably engage the trigger.3. The electrosurgical instrument of claim 2 , wherein the electromagnetic comprises a brake pad.4. The electrosurgical instrument of claim 3 , wherein electromagnetic brake comprises a solenoid coupled to the brake pad.5. The electrosurgical instrument of claim 3 , wherein the brake pad comprises at least one pad ridge claim 3 , and wherein at least one of the trigger and the axially moveable cutting member comprises a brake pad engagement portion.6. The electrosurgical instrument of claim 5 , wherein the brake pad engagement portion comprises a plurality of troughs.7. The electrosurgical instrument of claim 6 , wherein the at least one pad ridge is configured to engage at least one trough.8. The electrosurgical ...

ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by at least one electromagnet and at least one electromagnetic engagement surface. 1. An electrosurgical instrument , comprising:a handle;an elongate shaft extending distally from the handle;a trigger; a first jaw member;', 'a second jaw member, wherein the first jaw member is movable relative to the second jaw member between an open and a closed position;', 'a tissue-cutting element configured to translate with respect to the first jaw and the second jaw; and', 'an electrode,, 'an end effector coupled to the distal end of the elongate shaft, comprisingan axially moveable cutting member configured to open and close the jaws, the tissue-cutting element positioned at a distal end of the axially movable member;an electromagnet positioned proximate to the trigger; andan electromagnet engaging surface positioned proximate to the trigger.2. The electrosurgical instrument of claim 1 , wherein the electromagnet is coupled to the trigger and the electromagnet engaging surface is coupled to the handle.3. The electrosurgical instrument of claim 2 , wherein the electromagnet comprises a first electromagnet and a second electromagnet.4. The electrosurgical instrument of claim 3 , wherein the electromagnet engaging surface is to sequentially engage the first electromagnet and a second electromagnet claim 3 , wherein the trigger is in a first position when the engaging surface is engaged to the first electromagnet claim 3 , and wherein the trigger is in a second position when the electromagnet engaging surface is engaged to the second electromagnet.5. The electrosurgical instrument of claim ...

ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The surgical instrument may have a indicator to provide feedback signals during the operational stroke. The feedback signals assist in regulating the rate of distal translation of the tissue-cutting element. 1. An electrosurgical instrument , comprising:a handle comprising an indicator, the indicator configured to provide a serial series of feedback signals during an operational stroke;an elongate shaft extending distally from the handle; a first jaw member;', 'a second jaw member, wherein the first jaw member is movable relative to the second jaw member between an open and a closed position;', 'a tissue-cutting element configured to translate with respect to the first jaw and the second jaw;', 'an electrode; and', 'a sensor;, 'an end effector coupled to the distal end of the elongate shaft, comprisingan axially moveable cutting member configured to open and close the jaws, the tissue-cutting element positioned at a distal end of the axially movable member; anda trigger coupled to the axially moveable cutting member.2. The electrosurgical instrument of claim 1 , wherein the feedback signal is a visual feedback signal.3. The electrosurgical instrument of claim 1 , wherein the feedback signal is an audio feedback signal.4. The electrosurgical instrument of claim 1 , wherein the feedback signal is a vibrating feedback signal.5. The electrosurgical instrument of claim 1 , further comprising:a feedback controller, wherein the sensor is a tissue impedance sensor configured to supply a signal to the feedback controller, and wherein the feedback controller is electrically coupled to the indicator.6. The electrosurgical instrument of claim 5 , wherein the serial series of feedback signals is ...

METHODS AND DEVICES FOR PLACEMENT OF AN INTRA-ABDOMINAL OR INTRA-THORACIC APPLIANCE THROUGH A NATURAL BODY ORIFICE

Natural orifice transenteric surgical methods and devices for placing a semi-circumferential appliance around a hollow bodily organ such as the stomach. In one alternative embodiment, such an appliance is placed in order to reduce the inner volume of the stomach. 17-. (canceled)8. An apparatus for placing a semi-circumferential appliance on a wall surface of a hollow bodily organ , comprising:an elongate shaft member having proximal and distal ends;a transmission disposed at the distal end of the shaft member;a user manipulable handle disposed at the proximal end of the shaft member and cooperatively linked to said transmission for operation thereof; anda semi-circular member having two opposed ends to define an opening therebetween, said semi-circular member mounted on and cooperating with said transmission for opening and closing of said opposed ends.9. The apparatus of claim 8 , wherein the transmission opens and closes the opposed ends of the semi-circular member in response to rotation of the handle.10. The apparatus of claim 9 , wherein said transmission releases the semi-circular member in response to further rotation of the handle.11. The apparatus of claim 8 , wherein the opposed ends of the semi-circular member include elements for piercing tissue. This application claims the benefit of Provisional Patent Application No. 60/931,243, filed May 21, 2007, which is incorporated by reference herein in its entirety.Generally, the present invention is related to trans-luminal surgical devices and methods. More particularly, the devices and methods herein described provide for gastric restriction and volume reduction by the placement of an appliance on the outer surface of the stomach from access obtained via the inside of the stomach. These devices may also be used to place an appliance on other hollow bodily conduits or organs.Laparoscopic surgery has greatly reduced the size and scope of incisions made in a patient and resulted in reduced morbidity and ...

TRANSWALL VISUALIZATION ARRANGEMENTS AND METHODS FOR SURGICAL CIRCULAR STAPLERS

A surgical instrument is disclosed. Various embodiments include an elongated shaft that defines a central axis and has a distal end portion that is configured to operably support a circular staple cartridge therein. At least one detection member may be operably supported within the elongated shaft. Each detection member may have a distal portion that is radially deployable away from the central axis upon application of a deployment motion thereto. The distal end portions may have a bumper or light mounted thereto. 1. A surgical instrument comprising:an elongated shaft defining a central axis and having a distal end portion configured to operably support a circular staple cartridge therein;at least one detection member operably supported within said elongated shaft, each detection member having a distal portion that is radially deployable away from said central axis upon application of a deployment motion thereto; anda light on said distal portion of said detection member.2. The surgical instrument of wherein each said detection member is movably supported in a detection and acquisition housing that is movably supported within said elongated shaft.3. The surgical instrument of wherein said distal portion of each said detection member naturally bends radially away from said central axis when said distal portion is axially advanced out of a distal end of said detection and acquisition housing.4. The surgical instrument of further comprising:at least one acquisition member operably supported within said elongated shaft, each said acquisition member having a tissue-piercing distal portion that is radially deployable away from said central axis upon application of a deployment motion to said acquisition member; andat least one flexible knife member movably supported in said elongated shaft, each said knife member having a distal cutting portion that is axially advanceable out of said distal end portion of said elongated shaft upon application of an axial actuation motion ...

TISSUE ACQUISITION ARRANGEMENTS AND METHODS FOR SURGICAL STAPLING DEVICES

A surgical instrument that includes an elongated shaft that defines defining a central axis. The elongated shaft may have a distal end portion that is configured to operably support a circular staple cartridge therein. A tissue acquisition shaft may be axially movable within the elongated shaft such that a distal end portion of the tissue acquisition shaft may be distally advanced beyond the distal end portion of the elongated shaft. At least one tissue acquisition member may be pivotally attached to the distal end portion of the tissue acquisition shaft such that at least one tissue acquisition member is selectively pivotable about a corresponding acquisition axis that is substantially parallel to the central axis from a retracted position to deployed positions upon application of a deployment motion thereto. Various embodiments include an annular cutting member that is supported by the distal end of the elongated shaft for selective axial travel relative thereto. 1. A surgical instrument comprising:an elongated shaft defining a central axis and having a distal end portion configured to operably support a circular staple cartridge therein;a tissue acquisition shaft rotatably supported within said elongated shaft and having a distal portion that protrudes distally beyond the distal end portion of the elongated shaft; andat least one tissue acquisition member pivotally attached to said distal portion of the tissue acquisition shaft such that said at least one tissue acquisition member is selectively pivotable about a corresponding acquisition axis that is substantially parallel to said central axis from a retracted position to deployed positions upon application of a deployment motion thereto.2. The surgical instrument of further comprising an annular cutting member that operably supported by said distal end portion of said elongated shaft for selective axial travel relative thereto.3. The surgical instrument of further comprising a deployment member operably ...

LINEAR CUTTING AND STAPLING DEVICE WITH SELECTIVELY DISENGAGEABLE CUTTING MEMBER

A surgical stapling instrument including a selectively actuatable cutting member. The stapling instrument may be used as a surgical stapler without cutting tissue or, if desired, the surgeon may selectively actuate the cutting member to cut tissue as the staples are being deployed and formed. A stapling instrument can include an actuator knob that has at least one pusher bar attached thereto. Advancement of the actuator knob in a distal direction causes the pusher bars to apply a firing motion to the staples contained within a staple cartridge supported within the stapling instrument. A knife bar may be selectively coupleable to the actuator knob by a selector switch that is movable from an actuated position wherein movement of the actuator knob in the distal direction advances the knife bar which has a cutting blade portion to advance between rows of staples in the staple cartridge to an unactuated position wherein movement of the actuator knob advances the pusher bars without advancing the knife bar. 1. A surgical instrument , comprising:a first jaw member configured to operably support a staple cartridge that has a plurality of staples therein;a second jaw member removably couplable to said first jaw member to enable tissue to be clamped therebetween;at least one pusher bar assembly operably supported relative to said first jaw member and being configured to selectively apply a firing motion to the staples supported in the staple cartridge as said at least one pusher bar assembly is distally advanced through the staple cartridge;a knife bar operably supported relative to said first jaw member and said at least one pusher bar assembly, said knife bar being configured to cut tissue clamped between said first and second jaw members; anda selector switch operably interfacing with said knife bar and being movable between an activated position wherein an application of an activation motion to said at least one pusher bar assembly causes said knife bar and said at least ...

CIRCULAR STAPLING INSTRUMENTS WITH SECONDARY CUTTING ARRANGEMENTS AND METHODS OF USING SAME

Surgical instruments are disclosed. Various non-limiting embodiments may include an elongated shaft that has a distal end portion that is configured to operably support a circular staple cartridge therein. A tissue acquisition shaft may be rotatably supported within said elongated shaft and have a distal portion that protrudes distally beyond the distal end portion of the elongated shaft. At least one tissue acquisition member may be pivotally attached to the distal end portion of the tissue acquisition shaft such that the tissue acquisition members are selectively pivotable from a retracted position to deployed positions upon application of a deployment motion thereto. A rotatable cutting member may be operably supported adjacent to the tissue acquisition member and being selectively rotatable about the central axis upon application of a cutting actuation motion thereto. 1. A surgical instrument comprising:an elongated shaft defining a central axis and having a distal end portion configured to operably support a circular staple cartridge therein;a tissue acquisition shaft rotatably supported within said elongated shaft and having a distal portion that protrudes distally beyond the distal end portion of the elongated shaft;at least one tissue acquisition member pivotally attached to said distal end portion of the tissue acquisition shaft such that said at least one tissue acquisition member is selectively pivotable from a retracted position to deployed positions upon application of a deployment motion thereto; anda rotatable cutting member operably supported adjacent to said at least one tissue acquisition member and being selectively rotatable about the central axis upon application of a cutting actuation motion thereto.2. The surgical instrument of further comprising a deployment member operably supported within said elongated shaft and operably interfacing with each said at least one tissue acquisition member claim 1 , said deployment member configured to receive ...

ULTRASONIC SURGICAL INSTRUMENT BLADES

An ultrasonic surgical instrument including an ultrasonically actuated blade or end effector having a treatment portion. The blade can define a central axis and at least one axis which is transverse to the central axis, wherein the transverse axis can lie within a plane which is perpendicular, or normal, to the longitudinal axis and can define a cross-section of the treatment portion. Such a cross-section can include a central portion and a step extending from the central portion, wherein the central portion can comprise a width, and wherein the step can comprise a cutting edge. In at least one embodiment, the cutting edge can be defined by first and second surfaces which define an angle therebetween. In various embodiments, the position of the cutting edge and/or the angle between the cutting edge surfaces can be selected in order to balance the blade with respect to the transverse axis. 2. The method of claim 1 , wherein said configuring step comprises the steps of:selecting values for w, s, and α such that the blade is configured to transect tissue; andsolving said relationship for x.3. The method of claim 1 , wherein said configuring step comprises the steps of:selecting values for w, x, and α such that the blade is configured to transect tissue; andsolving said relationship for s.4. The method of claim 1 , wherein said relationship is equal to zero.6. The surgical blade of claim 5 , wherein said body portion includes a centerline claim 5 , wherein said first cutting edge is positioned on a first side of said centerline claim 5 , and wherein said second cutting edge is positioned on a second side of said centerline.7. The surgical blade of claim 5 , wherein said body portion further comprises:a first lateral side extending between said first side and said second side; anda second lateral side extending between said first side and said second side, wherein said step portion extends along said first lateral side, and wherein said surgical blade further comprises a ...

Surgical circular stapler with tissue retention arrangements

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.

Adjustable Compression Staple and Method for Stapling with Adjustable Compression

A method for applying and maintaining optimal tissue compression with a staple includes piercing tissue with deformable distal ends of staple legs, each distal end defining a stapling point shaped to pierce material, the two staple legs coupled to each other at base ends thereof by a bridge and together forming a substantially U-shaped staple body. The two staple legs enter the tissue until the tissue applies a compressive force to a compression device disposed at least partly between the two staple legs. The compression device has a compression surface movably disposed between the two staple legs and a compression resistor that is connected to the bridge and to the compression surface and operable to resist movement of the compression surface towards the bridge with a force. The two staple legs are deformed to maintain the compressive force between the tissue and the compression device.

COUPLING ARRANGEMENTS AND METHODS FOR ATTACHING TOOLS TO ULTRASONIC SURGICAL INSTRUMENTS

An ultrasonic surgical instrument that has a waveguide that protrudes distally from the handpiece and a surgical tool that is configured to be coupled to the waveguide upon application of thermal energy to the waveguide or the surgical tool. 1. An ultrasonic surgical instrument having a handpiece operably supporting at least one ultrasonic transducer therein , said ultrasonic surgical instrument comprising:a waveguide protruding distally from the handpiece and operably interacting with the at least one ultrasonic transducer; and a proximal end portion configured to mate with a distal end portion of said waveguide; and', 'at least one selectively expandable latch member on said surgical tool configured to retainingly engage a corresponding portion of said handpiece to retain said proximal end portion of said surgical tool in mating engagement with said distal end portion of said waveguide upon application of an actuation signal to said at least one selectively expandable latch member., 'a surgical tool comprising2. The ultrasonic surgical instrument of wherein said corresponding portion of said handpiece comprises a tapered surface configured to interact with said at least one selectively expandable latch member such that claim 1 , when said at least one selectively expandable latch member expands into contact with said tapered surface upon application of said actuation signal thereto claim 1 , said proximal end of said surgical tool is urged into mating engagement with said distal end portion of said waveguide.3. The ultrasonic surgical instrument of wherein said at least one selectively expandable latch member is mounted to a proximally extending shroud portion coupled to said surgical tool.4. The ultrasonic surgical instrument of further comprising:at least one electrical contact supported in said proximally extending shroud portion and electrically coupled to said at least one expandable latch member; andat least one activation contact supported on said handpiece ...

Packages for medical devices and methods therefor

A package for a medical device having a handle and an elongated shaft. The package includes a holster for holding the medical device, the holster having a tubular member for receiving the elongated shaft and a handle cover located at a proximal end thereof. The handle cover has a holster opening for accessing the handle to draw the medical device from the holster. The package includes a pouch having a sealed area bounded by a top sealed edge, a bottom sealed edge, a pair of side sealed edges extending between the top and bottom sealed edges, and at least one opening tab spaced from the bottom sealed edge. The medical device and the holster are disposed within the sealed area of the pouch with the elongated shaft of the medical device extending along the bottom sealed edge and the holster opening being located adjacent the at least one opening tab.

SURGICAL STAPLING HEAD ASSEMBLY WITH FIRING LOCKOUT FOR A SURGICAL STAPLER

In various embodiments, a surgical stapling head is provided that may comprise a staple cartridge for supporting one or more staples, a core movable relative to the staple cartridge, at least one staple driver extending from the core, and a casing configured to at least partially hold the staple cartridge and movably receive the core and the staple driver(s). The casing may further comprise at least one retention member that is configured to move from a first position to a second position when sufficient external force is applied to the retention member, such as that provided by a shaft of a surgical stapler during insertion of the stapling head assembly into the shaft. When the retention member(s) are at the second position, the staple driver(s) may be prevented from driving staples from the staple cartridge, thereby providing a firing lockout feature to the stapling head assembly during insertion into at least a portion of a surgical stapler. 1. A surgical stapling head assembly , comprising a casing configured to at least partially operably support one or more surgical staples therein , said casing further configured to movably receive a core and at least one staple driver therein , said casing further having at least one retention member that is configured to move from a first position to a second position when sufficient external force is applied to the retention member , and wherein when the at least one retention member is at the second position , the at least one staple driver is prevented from driving the staples from the casing.2. The surgical stapling head assembly of claim 1 , wherein the core further comprises a recess sized and configured to receive the at least one retention member when the at least one retention member is at the second position.3. The surgical stapling head assembly of claim 1 , wherein the retention member is resiliently deflectable.4. The surgical stapling head assembly of claim 3 , wherein the retention member comprises a ...

INTRA-GASTRIC FASTENING DEVICES

Intra-gastric fastening devices are disclosed herein. Expandable devices that are inserted into the stomach of the patient are maintained within by anchoring or otherwise fixing the expandable devices to the stomach walls. Such expandable devices, like inflatable balloons, have tethering regions for attachment to the one or more fasteners which can be configured to extend at least partially through one or several folds of the patient's stomach wall. The fasteners are thus affixed to the stomach walls by deploying the fasteners and manipulating the tissue walls entirely from the inside of the organ. Such fasteners can be formed in a variety of configurations, e.g., helical, elongate, ring, clamp, and they can be configured to be non-piercing. Alternatively, sutures can be used to wrap around or through a tissue fold for tethering the expandable devices. Non-piercing biased clamps can also be used to tether the device within the stomach. 1. A method of anchoring an object to a region of tissue within a hollow body organ , comprising:grasping the region of tissue from an interior surface of the hollow body organ;configuring the region of tissue to create at least one fold of tissue; andsecuring a fastener to the fold of tissue such that the object fixedly depends from the fastener and is affixed to the fold of tissue within the hollow body organ.2. The method of further comprising advancing an endoscope transorally to the region of tissue.3. The method of wherein the hollow body organ comprises a stomach.4. The method of wherein grasping the region of tissue comprises holding the tissue with a vacuum force.5. The method of wherein grasping the region of tissue comprises holding the tissue mechanically.6. The method of wherein the anchor is helically-shaped.7. The method of wherein the anchor comprises at least one rounded end to facilitate placement within the tissue.8. The method of wherein the anchor is biased to form a curved member within the tissue.9. The method ...

SURGICAL INSTRUMENTS AND BATTERIES FOR SURGICAL INSTRUMENTS

Various embodiments are directed to battery packs for use with surgical instruments. The battery packs may comprise a plurality of cells and at least a portion of the plurality of cells may not be electrically connected to one another. The battery packs may comprise a switch or other mechanism for interconnecting the plurality of cells and may also comprise, or be used in conjunction with, a discharge switch or plug configured to electrically connect an anode of the battery pack to a cathode of the battery pack, for example, via a resistive element. 1. A surgical instrument comprising:an end effector;a handle operatively coupled to the end effector, wherein the handle comprises a trigger to actuate the end effector, wherein the handle defines a first cavity and a second cavity, wherein the first cavity has a first asymmetrical cross-sectional shape, and wherein the second cavity has a second asymmetrical cross-sectional shape; a first casing having a cross-sectional shape corresponding to the first asymmetrical cross-sectional shape; and', 'a first plurality of cells electrically coupled to one another and positioned within the first casing; and, 'a first battery pack positioned within the first cavity, wherein the first battery pack is in electrical contact with at least one of the handle and the end effector, and wherein the first battery pack comprises a second casing having a cross-sectional shape corresponding to the second asymmetrical cross-sectional shape; and', 'a second plurality of cells electrically coupled to one another and positioned within the second casing., 'a second battery pack positioned within the second cavity, wherein the second battery pack is in electrical contact with at least one of the handle and the end effector, and wherein the second battery pack comprises;'}2. The surgical instrument of claim 1 , wherein the end effector comprises at least one implement selected from the group consisting of: a cutter claim 1 , a clasper claim 1 , a ...

POWER CONTROL ARRANGEMENTS FOR SURGICAL INSTRUMENTS AND BATTERIES

Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit. 1. A surgical instrument comprising:an end effector;a handle operatively coupled to the end effector, wherein the handle comprises a trigger to actuate the end effector, the handle comprising a battery dock;the battery dock comprising a protruding member; a casing; and', 'a first anode and a first cathode positioned within the casing; and', 'a translatable discharge drain, wherein, upon attachment of the battery unit to the battery dock, the protruding member contacts the discharge drain and the discharge drain translates with respect to casing to electrically couple the first anode of the battery unit to the first cathode of the battery., 'a battery unit attachable to the battery dock, wherein the battery unit is in electrical contact with at least one of the handle and the end effector when attached to the battery dock, and wherein the battery unit comprises2. The surgical instrument of claim 1 , wherein the discharge drain comprises a first contact and a second contact claim 1 , and at least one resistive element electrically coupled to the first and second contact claim 1 , wherein claim 1 , upon attachment of the battery unit to the battery dock claim 1 , the discharge drain electrically couples the first anode to the first cathode through the at least one resistive element.3. The surgical system of claim 2 , wherein the at least one resistive element has a resistance in the range of about 90 ohms to about 110 ohms.4. The surgical instrument of claim 1 , wherein battery unit comprises a second anode and a second cathode positioned within the casing and wherein claim ...

ACCESSING DATA STORED IN A MEMORY OF A SURGICAL INSTRUMENT

A process and system are disclosed for downloading sensor data, stored in a memory device of a surgical cutting and fastening instrument, to an external or remote computer device. The process may involve storing data from one or more sensors of a surgical cutting and fastening instrument in a memory device of a control unit of the surgical cutting and fastening instrument during a surgical procedure involving the surgical cutting and fastening instrument. Next, after the surgical procedure, a data link between the control unit and the remote computer device is established. Then, the sensor data can be downloaded from the control unit to the remote computer device. 117-. (canceled)18. The system of claim 32 , wherein the data link comprises a wired data link.19. The system of claim 32 , wherein the data link comprises a wireless data link.20. The system of claim 32 , wherein the surgical cutting and fastening instrument comprises:a handle;a shaft connected to the handle; andan end effector connected to the shaft, wherein the end effector comprises first and second pivotably connected, opposing jaw members.21. The system of claim 20 , wherein:the handle comprises a firing trigger; andthe end effector comprises a cutting instrument that traverses longitudinally the end effector when the firing trigger is actuated.22. The system of claim 21 , wherein the handle further comprises a closure trigger claim 21 , separate from the firing trigger claim 21 , for causing the first and second jaw members to clamp tissue between the first and second jaw members when the closure trigger is actuated.23. The system of claim 22 , wherein:the at least one sensor comprises an anvil closure sensor in communication with the control unit, wherein the anvil closure sensor senses closure of the second jaw member; andthe memory device of the control unit stores data from the anvil closure sensor.24. The system of claim 22 , wherein:the at least one sensor comprises a closure trigger sensor in ...

STAPLE CARTRIDGE

A staple cartridge can comprise a plurality of staples positioned within a cartridge body, wherein the cartridge body can comprise a tissue-contacting deck and a plurality of ridges extending from the tissue-contacting deck. The ridges can be configured to prevent, or reduce the possibility of, tissue from moving relative to the staple cartridge during use. The staple cartridge can further comprise a plurality of staple cavities, wherein each staple cavity can comprise an opening in the deck which is at least partially surrounded by a ridge. The ridges can comprise a uniform height or a height which varies along the length thereof. The height can vary relative to a proximal end and a distal end of the cartridge body and/or between the center of the cartridge body and the side. 1. A staple cartridge , comprising:a plurality of staples; and a tissue-contacting deck;', 'a plurality of staple cavities, wherein each said staple cavity comprises an opening in said deck, and wherein a said staple is positioned in each said staple cavity; and', 'a plurality of ridges extending from said tissue-contacting deck, wherein each said opening is at least partially surrounded by a said ridge., 'a cartridge body, comprising2. The staple cartridge of claim 1 , wherein each said opening is entirely encompassed by a said ridge.3. The staple cartridge of claim 1 , further comprising a plurality of staple drivers configured to eject said staples from said staple cavities claim 1 , wherein each said staple is supported by a staple driver claim 1 , wherein each said staple comprises at least one tip claim 1 , and wherein said tips of said staples are positioned above said tissue-contacting deck.4. The staple cartridge of claim 3 , wherein each said ridge comprises a top surface claim 3 , and wherein said tips are positioned below said top surfaces.5. The staple cartridge of claim 1 , wherein each said opening comprises a proximal end and a distal end claim 1 , and wherein said ridges ...

SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR

A surgical instrument that has an articulatable end effector. The instrument includes an articulation system that has a rotatable actuator member that interfaces with an articulation transmission. Rotation of the actuator member in a first rotary direction about an actuation axis causes at least one articulation member to articulate the surgical end effector in a first articulation direction and rotation of the actuator member in a second rotary direction causes at least one articulation member to articulate the surgical end effector in a second articulation direction. 1. A surgical instrument comprising:a handle assembly;an elongated shaft assembly operably interfacing with said handle assembly and defining a longitudinal axis;a surgical end effector operably coupled to the elongated shaft assembly and configured to cut and staple tissue upon application of actuation motions thereto;at least one articulation member operably supported by said elongated shaft assembly; and an articulation transmission operably supported by said handle assembly and operably interfacing with said at least one articulation member; and', 'an actuator member rotatably supported on said handle member for selective rotation about an actuation axis that does not transversely intersect said longitudinal axis, said actuator member interfacing with said articulation transmission such that rotation of said actuator member in a first rotary direction about said actuation axis causes said at least one articulation member to articulate said surgical end effector relative to said longitudinal axis in a first articulation direction and rotation of said actuator member in a second rotary direction about said actuation axis causes said at least one articulation member to articulate said surgical end effector relative to said longitudinal axis in a second articulation direction relative to said longitudinal axis., 'an articulation system comprising2. The surgical instrument of wherein said elongated ...

SURGICAL INSTRUMENT WITH TRIGGER ASSEMBLY FOR GENERATING MULTIPLE ACTUATION MOTIONS

A surgical instrument that has an actuation system that is configured to generate at least two separate actuation motions. A clutch assembly is movable between an engaged position wherein the clutch assembly is in operable engagement with the actuation system and an unengaged position. In various forms, the surgical instrument includes a manually actuatable trigger assembly that interfaces with the clutch assembly and the actuation system such that a first stroke of the trigger assembly causes the actuation system to generate a first one of the actuation motions and moves the clutch assembly from the unengaged position to the engaged position whereupon a second stroke of the trigger assembly causes the actuation system to generate another one of the actuation motions. 1. A surgical instrument comprising:a handle assembly;an actuation system operably supported by said handle assembly and configured to generate at least two separate actuation motions;a clutch assembly movable between an engaged position wherein said clutch assembly is in operable engagement with said actuation system and an unengaged position; anda trigger assembly operably supported on said handle assembly and configured to operably interface with said clutch assembly and said actuation system such that a first stroke of said trigger assembly causes said actuation system to generate a first one of said actuation motions and moves said clutch assembly from said unengaged position to said engaged position whereupon a second stroke of said trigger assembly causes said actuation system to generate another one of said actuation motions.2. The surgical instrument of wherein one of said actuation motions comprises a first axial motion and wherein another one of said actuation motions comprises a second axial motion.3. The surgical instrument of wherein said trigger assembly comprises:a primary trigger movably supported on said handle assembly; anda secondary trigger movably supported relative to said ...

SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES

A generator is disclosed to generate a drive signal to a surgical device. The generator includes an ultrasonic generator module to generate a first drive signal to drive an ultrasonic device, an electrosurgery/radio frequency (RF) generator module to generate a second drive signal to drive an electrosurgical device, and a foot switch coupled to each of the ultrasonic generator module and the electrosurgery/RF generator module. The foot switch is configured to operate in a first mode when the ultrasonic device is coupled to the ultrasonic generator module and the foot switch is configured to operate in a second mode when the electrosurgical device is coupled to the electrosurgery/RF generator module. The generator further includes a user interface to provide feedback in accordance with the operation of any one of the ultrasonic device and the electrosurgical device in accordance with a predetermined algorithm. 1. A generator to generate a drive signal to a surgical device , the generator comprising:an ultrasonic generator module to generate a first drive signal to drive an ultrasonic device;an electrosurgery/radio frequency (RF) generator module to generate a second drive signal to drive an electrosurgical device; anda foot switch coupled to each of the ultrasonic generator module and the electrosurgery/RF generator module, wherein the foot switch is configured to operate in a first mode when the ultrasonic device is coupled to the ultrasonic generator module and the foot switch is configured to operate in a second mode when the electrosurgical device is coupled to the electrosurgery/RF generator module.2. The generator of claim 1 , wherein the foot switch comprises at least two pedals claim 1 , a first pedal and a second pedal claim 1 , wherein each of the first and second pedal causes either the ultrasonic generator module or the electrosurgery/RF generator module to activate in a predetermined manner.3. The generator of claim 2 , wherein the first pedal is located ...

Control features for articulating surgical device

An electrosurgical device includes a body, an end effector, a cutting member, and a shaft. The end effector comprises a pair of jaws and at least one electrode that is operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively articulate the end effector relative to the shaft. The body includes a controller operable to selectively actuate the articulation section. The controller may include a trigger that also drives the cutting member, a rotator that also rotates the shaft and end effector, a wedge-shaped pivoting member, a pivotally coupled pair of housing portions, or a pivoting cam member, etc. A release member may selectively release the articulation section from the controller, allowing a resilient bias to return the end effector into alignment with the shaft.

Articulation joint features for articulating surgical device

An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft. The end effector includes a pair of jaws that are operable to deliver RF energy to tissue that is clamped between the jaws. The cutting member is operable to sever tissue that is clamped between the jaws. The shaft extends between the body and the end effector. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. Some versions include a rotation section that is distal to the articulation section. The rotation section is operable to rotate the end effector relative to the articulation section.

Columellar strut for nasal tip support

Novel bioabsorbable, columellar strut implants are disclosed. The struts are useful in rhinoplasty and nasal reconstruction surgical procedures. The devices have opposed lateral sides connected to a spine member to form a tissue-receiving channel.

COLLAPSIBLE FASTENER CARTRIDGE

A fastener cartridge can comprise a crushable cartridge body and fasteners embedded within the crushable cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. A fastener cartridge can comprise a compressible cartridge body having a thickness which can be reduced by the compressive pressure applied by the anvil. In certain embodiments, a fastener cartridge can comprise a cartridge body which can collapse from the compressive pressure. 1. A staple cartridge , comprising:a crushable staple cartridge body; anda plurality of staples embedded within said crushable staple cartridge body.2. The staple cartridge of claim 1 , wherein said crushable staple cartridge body is wrapped in a layer comprised of a water impermeable material.3. The staple cartridge of claim 2 , wherein said layer is comprised of a bioabsorbable material and said crushable staple cartridge body is comprised of a hemostatic material.4. The staple cartridge of claim 2 , wherein said crushable staple cartridge body is comprised of oxidized regenerated cellulose and said layer is comprised of PDS film.5. The staple cartridge of claim 2 , wherein said layer comprises a tissue-contacting surface and a support surface claim 2 , and wherein said support surface is configured to engage a staple cartridge channel of a stapler.6. The staple cartridge of claim 1 , wherein each said staple comprises a base claim 1 , a first staple leg extending from said base claim 1 , and a second staple leg extending from said base claim 1 , ...

Fastener system comprising a retention matrix

A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the fastener cartridge and/or the first jaw can comprise retention features which can allow the fastener cartridge to be selectively inserted into the first jaw in a first orientation or a second orientation. 1. A staple cartridge , comprising:a plurality of staples; a first end, wherein said compressible material comprises a first thickness at said first end; and', 'a second end, wherein said compressible material comprises a second thickness at said second end, and wherein said first thickness is different than said second thickness; and, 'an implantable cartridge body, wherein said implantable cartridge body is comprised of a compressible material, wherein said plurality of staples are positioned within said compressible material, and wherein said implantable cartridge body comprisesretention features configured to retain said implantable cartridge body in a staple cartridge channel in a first orientation in which said first end of said staple cartridge is positioned in a distal end of the staple cartridge channel and a second orientation in which said second end of said staple cartridge is positioned in the distal end of the staple cartridge channel.2. The staple cartridge of claim 1 , wherein said second thickness is thicker than said first ...

Compressible fastener cartridge

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of layers wherein at least one of the layers can be detached from the other layers and removed from the surgical site.

STAPLE CARTRIDGE COMPRISING STAPLES POSITIONED WITHIN A COMPRESSIBLE PORTION THEREOF

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. 1. A staple cartridge , comprising: [ a support surface;', 'a plurality of staple cavities, wherein each said staple cavity comprises an opening in said support surface;, 'a rigid support portion, comprising, 'a compressible implantable portion positioned relative to said support surface, wherein said implantable portion comprises a tissue-contacting surface; and, 'a cartridge body, comprising a base; and', 'at least one staple leg extending from said base, wherein each said staple leg extends above said support surface and is at least partially embedded in said implantable portion when said staples are in their unfired positions., 'a plurality of staples, wherein each said staple is movable between an unfired position and a fired position, and wherein each said staple comprises2. The staple cartridge of claim 1 , further comprising a plurality of staple drivers positioned within said cartridge body claim 1 , wherein said staple drivers are configured to move said staples between their unfired positions and their fired positions.3. The staple cartridge of claim 2 , wherein said cartridge body further comprises a proximal end claim 2 , a distal end claim 2 , and a longitudinal cavity extending between said proximal end and ...

Tissue thickness compensator comprising portions having different properties

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.

Compressible staple cartridge assembly

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.

TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER

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. 1. A staple cartridge , comprising: a deck; and', 'a plurality of staple cavities defined within said deck, wherein each said staple cavity comprises an opening in said deck;, 'an annular cartridge body, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, and wherein each said staple is movable between an unfired position and a fired position; and an annular support ring; and', 'a plurality of tags extending from said annular support ring, wherein each said tag is positioned over a said staple cavity., 'an annular compressible portion, wherein said compressible portion is configured to be captured within said staples and assume different compressed heights within different said staples, and wherein said compressible portion comprises2. The staple cartridge of claim 1 , wherein each said tag comprises a head positioned over a said staple cavity and a neck connecting said head to said annular support ring.3. The staple cartridge of claim 2 , wherein said head is circular.4. The staple cartridge of claim 2 , wherein said annular support ring comprises an outer diameter and an inner diameter claim 2 , and wherein said tags extend from said inner ...

STAPLE CARTRIDGE COMPRISING A VARIABLE THICKNESS COMPRESSIBLE PORTION

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. 1. A staple cartridge for use with a surgical stapler comprising an anvil , wherein the anvil comprises a row of first forming pockets and a row of second forming pockets , and wherein said staple cartridge comprises: a deck;', 'a row of first staple cavities, wherein the first forming pockets are positioned relative to said first staple cavities when the anvil is in a closed position; and', 'a row of second staple cavities, wherein the second forming pockets are positioned relative to said second staple cavities when the anvil is in its closed position, and wherein each said first staple cavity and said second staple cavity comprises an opening in said deck;, 'a cartridge body, comprisinga plurality of first staple drivers movable between an unfired position and a fired position, wherein each said first staple driver comprises a first support cradle, and wherein a first distance is defined between each said first support cradle and a first forming pocket when said first staple drivers are in said unfired position;a plurality of second staple drivers movable between an unfired position and a fired position, wherein each said second staple driver comprises a second staple support cradle, wherein a second distance is ...

IMPLANTABLE FASTENER CARTRIDGE COMPRISING A SUPPORT RETAINER

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. The staple cartridge can further comprise a support retainer. The support retainer can be detachably connected to the cartridge body such that the cartridge body can be implanted and the support retainer can remain with the first jaw. 1. A staple cartridge , comprising:a plurality of staples;a compressible cartridge body, wherein said staples are positioned within said compressible cartridge body; anda support pan detachably affixed to said compressible cartridge body.2. The staple cartridge of claim 1 , wherein said support pan comprises a plurality of grooves claim 1 , and wherein said staples are at least partially positioned within said grooves.3. The staple cartridge of claim 1 , wherein said plurality of staples are arranged in a first row of staples and a second row of staples claim 1 , and wherein said support pan comprises a wall at least partially extending between said first row of staples and said second row of staples.4. The staple cartridge of claim 3 , wherein said staples are embedded within said compressible cartridge body claim 3 , and wherein said compressible cartridge body comprises a channel claim 3 , and wherein said support pan wall is positioned within said channel.5. The staple cartridge of claim 1 , wherein said compressible cartridge body ...

IMPLANTABLE FASTENER CARTRIDGE COMPRISING BIOABSORBABLE LAYERS

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of bioabsorbable layers. These bioabsorbable layers can be comprised of materials which can be bioabsorbed at different rates. 1. A staple cartridge , comprising:a plurality of staples; and a first layer comprised of a first material, wherein said staples are embedded in said first layer; and', 'a second layer comprised of a second material, wherein said first material is bioabsorbable at a first rate and said second material is bioabsorbable at a second rate, and wherein said first rate is different than said second rate., 'an implantable staple cartridge body, comprising;'}2. The staple cartridge of claim 1 , wherein said first layer is encapsulated in said second layer.3. The staple cartridge of claim 1 , wherein said first layer of said implantable staple cartridge body comprises a plurality of voids claim 1 , and wherein a medicament is positioned within said voids.4. The staple cartridge of claim 1 , wherein said implantable staple cartridge body further comprises a third layer comprised of a third material claim 1 , and wherein said third material is bioabsorbable at a third rate which is different than said first rate and said second rate.5. The staple cartridge of claim 1 , wherein said first ...

SURGICAL INSTRUMENT HAVING A POWER CONTROL CIRCUIT

Various embodiments are directed to a powered surgical instrument for cutting and fastening tissue. The instrument may comprise an end effector comprising a first jaw member and a second jaw member. The second jaw member may be coupled to move relative to the first jaw member from an open position, where the jaw members are apart from one another, to a closed position. The end effector may also comprise a firing bar positioned to fire by translating within the end effector when the first and second jaw members are in the closed position. Additionally, the surgical instrument may comprise a drive device, a clamping trigger and a control circuit. The drive device may be mechanically coupled to the firing bar. The clamping trigger may be mechanically coupled to the end effector such that actuation of the clamping trigger causes the second jaw member to pivot towards the first jaw member. The control circuit may comprise a firing switch, a clamp switch, a latching device and an end-of-stroke sensor. The firing switch may be configured to be in electrical communication with a power supply for powering the drive device and in electrical communication with the drive device. The clamp switch may be in mechanical communication with the clamping trigger. The latching device may be in electrical communication with the clamp switch, the power supply and the drive device. The end-of-stroke switch may be in electrical communication with the latching device. Additionally, the firing switch may be electrically connected to, upon actuation, connect the power supply to the drive device via a first connection comprising the latching device and the firing switch. Further, the end-of-stroke switch may be electrically connected to, upon sensing an end of a stroke of the firing bar, cause a change in a state of the latching device to break the first connection between the power supply and the drive device. 1. A powered surgical instrument for cutting and fastening tissue , the instrument ...

SURGICAL STAPLE CARTRIDGES WITH DETACHABLE SUPPORT STRUCTURES AND SURGICAL STAPLING INSTRUMENTS WITH SYSTEMS FOR PREVENTING ACTUATION MOTIONS WHEN A CARTRIDGE IS NOT PRESENT

Surgical staple cartridges and end effectors for surgical stapling instruments. In various embodiments, a cartridge support member is coupled to a portion of an implantable staple cartridge body. The cartridge support member is configured to be removably coupled to an elongated channel portion of a surgical instrument. When the stapling process has been completed, the implantable cartridge body remains stapled to the tissue and is separated from the cartridge support member which remains affixed to the elongated channel to provide the surgeon with an indication that no cartridge is present within the elongated channel. In other embodiments, a closure lockout arrangement is provided to prevent the advancement of a closure member to a fully fired position when a staple cartridge is not present within the end effector. 1. A surgical staple cartridge comprising:a compressible cartridge body supporting a plurality of unformed staples therein; anda cartridge support member coupled to said compressible cartridge body, said cartridge support member configured for removable attachment to a portion of an end effector of a surgical staple instrument such that after said unformed staples in said cartridge body are formed, said cartridge body and staples are removable from the end effector without detaching the cartridge support member therefrom.2. The surgical staple cartridge of wherein at least a portion of said cartridge support member is implanted within said cartridge body.3. The surgical staple cartridge of wherein said unformed staples in said cartridge body are arranged in at least one elongated staple line within said cartridge body and wherein said cartridge support member has at least one support ridge thereon that is substantially coextensive with said at least one elongated staple line.4. The surgical staple cartridge of wherein said unformed staples in said cartridge body are arranged in at least two elongated staple lines within said cartridge body and wherein ...

IMPLANTABLE FASTENER CARTRIDGE COMPRISING MULTIPLE LAYERS

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of layers comprised of different materials which can apply pressure to the tissue. These different materials can have different stiffnesses and/or spring rates. 1. A staple cartridge , comprising:a plurality of staples; and a first compressible layer comprised of a first material, wherein said staples are embedded in said first compressible layer; and', 'a second compressible layer comprised of a second material, wherein said first compressible layer comprises a first stiffness, wherein said second compressible layer comprises a second stiffness, and wherein said first stiffness is different than said second stiffness., 'an implantable staple cartridge body, comprising;'}2. The staple cartridge of claim 1 , wherein said staples are embedded in said second compressible layer.3. The staple cartridge of claim 1 , wherein each said staple comprises a base and a deformable member extending from said base claim 1 , wherein each said deformable member comprises a tip claim 1 , wherein said bases are embedded in said first compressible layer claim 1 , and wherein said tips are embedded in said second compressible layer.4. The staple cartridge of claim 3 , further comprising a wrap surrounding said first compressible ...

FASTENER SYSTEM COMPRISING A PLURALITY OF CONNECTED RETENTION MATRIX ELEMENTS

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. 1. A surgical stapling system , comprising: a first base; and', 'a first leg extending from said first base;, 'a first staple comprised of a wire, wherein said first staple comprises a second base; and', 'a second leg extending from said second base; and, 'a second staple comprised of a wire, wherein said second staple comprises [ a first aperture configured to receive said first leg; and', 'a first retention member configured to engage said first leg;, 'a first matrix element, comprising, a second aperture configured to receive said second leg; and', 'a second retention member configured to engage said second leg;, 'a second matrix element, comprising, 'a connecting link connecting said first matrix element and said second matrix element., 'a retention matrix, comprising2. The surgical stapling system of claim 1 , wherein said first matrix element and said second matrix element are comprised of a metal material claim 1 , and wherein said connecting link is comprised of a plastic material.3. The surgical stapling system of claim 2 , wherein said plastic material of said connecting link at least partially surrounds first matrix element and said second matrix element.4. The surgical stapling system of claim 2 , wherein said connecting link comprises a first aperture and a second aperture claim 2 , wherein said first matrix element is positioned within said first aperture claim 2 , and wherein said second matrix element is positioned within said second aperture.5. The surgical stapling system of claim 4 , wherein said connecting link is molded around said ...

Implantable fastener cartridge having a non-uniform arrangement

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a thickness which is not uniform thereacross. In at least one embodiment, the fasteners can comprise different unformed heights and/or different formed heights.

SURGICAL STAPLE CARTRIDGES SUPPORTING NON-LINEARLY ARRANGED STAPLES AND SURGICAL STAPLING INSTRUMENTS WITH COMMON STAPLE-FORMING POCKETS

A surgical staple cartridge and surgical stapling instruments. In various embodiments, the surgical staple cartridge comprises a cartridge body fabricated from compressible material that supports at least one line of unformed staples therein. The staples may be oriented in linear and/or non-linear arrangements in staple lines. Various forms of staples may be used including staples that have base support members molded or otherwise attached to the base portions of the staples. The surgical stapling instrument has an anvil that is responsive to closing motions to selectively bring the anvil into forming contact with the non-moving staples in the compressible staple cartridge body. The anvil may have a common staple pocket that serves to form all of the staples in a single line of staples. 1. A surgical staple cartridge , comprising:a cartridge body; andat least one line of staples supported in said cartridge body, each said staple having a base and two staple legs protruding therefrom and wherein said base of at least one said staple overlaps said base of at least one other adjacent said staple.2. The surgical staple cartridge of wherein said base of at least one said staple overlaps said bases of two adjacent said staples.3. The surgical staple cartridge of wherein said at least one line of said staples are oriented in said cartridge body in a substantially zigzag pattern.4. The surgical staple cartridge of wherein said cartridge body comprises an implantable material.5. The surgical staple cartridge of wherein said cartridge body comprises a substantially-compressible hemostat material.6. The surgical staple cartridge of wherein said cartridge body has an elongated slot therein and where said at least one line of staples comprises:a first line of first staples on one lateral side of said elongated slot, each said first staple having a first staple base and two first staple legs protruding therefrom and wherein said first base of at least one said first staple ...

FASTENERS SUPPORTED BY A FASTENER CARTRIDGE SUPPORT

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, at least portions of the fasteners can extend outside of the cartridge body. The first jaw can comprise support features, such as slots, for example, which can directly support such external portions of the fasteners. 1. A surgical stapling system , comprising: a bottom support surface comprising a plurality of staple supports;', 'a first lateral cartridge support surface extending from said bottom support surface; and', 'a second lateral cartridge support surface extending from said bottom surface; and, 'a staple cartridge channel, comprising a compressible staple cartridge body positioned intermediate said first lateral cartridge support and said second lateral cartridge support; and', 'a plurality of staples embedded within said staple cartridge body, wherein each said staple is aligned with a said staple support., 'a staple cartridge removably positioned within said staple cartridge channel, said staple cartridge comprising2. The surgical stapling system of claim 1 , wherein said compressible staple cartridge body comprises a bottom surface claim 1 , wherein each said staple comprises a base and a deformable leg extending from said base claim 1 , and wherein said bases of said staples are positioned below said bottom surface.3. The surgical ...

SURGICAL STAPLING INSTRUMENT WITH A VARIABLE STAPLE FORMING SYSTEM

A surgical stapling instrument for use with an end effector that has an anvil that is movable relative to a staple cartridge supported in the end effector. The end effector is supported by an elongated shaft that extends from a handle assembly. The staple cartridge has a plurality of unformed staples therein that are formed when the anvil is moved into forming contact therewith. Movement of the anvil is controlled by a firing trigger on a handle assembly. The amount of staple formation achieved is dependent upon the degree to which the firing trigger has been actuated. 1. A surgical instrument , comprising:a handle assembly; andan elongated shaft assembly operably coupled to said handle assembly, said elongated shaft assembly having a distal end couplable to an end effector that supports a staple cartridge that has a plurality of unformed staples therein and an anvil that is movable from an open position wherein a staple forming surface of the anvil is spaced from the staple cartridge into forming engagement with the staples therein wherein a distance that the staple forming surface of the anvil travels into forming contact with the staples in the staple cartridge is dependent upon a magnitude of firing force applied thereto by a firing system that is at least partially supported in said elongated shaft assembly and said handle assembly and operated by a firing trigger movably supported on the handle assembly such that said magnitude of firing force applied to said movable anvil is dependent upon a degree in which the firing trigger has been actuated on the handle assembly.2. The surgical instrument of wherein said elongated shaft assembly further comprises an elongated spine member operably attached to said handle assembly and protruding therefrom claim 1 , said elongated spine member having a distal end that is removably couplable to the end effector and wherein said firing system comprises a firing tube movably supported on said spine member and interfacing with ...

FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX

A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs. 1. A surgical stapling instrument , comprising:a handle comprising an actuator;a shaft extending from said handle; a proximal end attached to said shaft;', 'a distal end opposite said proximal end; and', 'a longitudinal axis extending between said proximal end and said distal end;', 'a first jaw configured to support staples comprising staple legs;', 'a second jaw comprising a retainer configured to support a matrix element opposite the staples, wherein said second jaw is movable toward said first jaw to engage the matrix element with the staple legs; and, 'an end effector extending from said shaft, said end effector comprisinga cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis to deform the staple legs.2. The surgical stapling instrument of claim 1 , further comprising a cam slot configured to guide said cam along a predetermined path.3. The surgical stapling instrument of claim 2 , wherein said cam slot comprises dwell portions and driver portions claim 2 , wherein said dwell portions are arranged within said second jaw such that said cam can contact the staple legs when said cam is in said dwell portions claim 2 , and wherein said driver portions are arranged within said second jaw such that the cam deform the staple legs when said cam ...

FASTENER SYSTEM COMPRISING A PLURALITY OF FASTENER CARTRIDGES

A surgical fastening instrument can comprise a handle and an end effector, wherein the end effector can comprise a first jaw comprising a first cartridge attachment portion and a second jaw comprising a second cartridge attachment portion, and wherein one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw. The surgical fastening instrument can further comprise a first cartridge that is insertable into the first jaw and attachable to the first cartridge attachment portion and, in addition, a second cartridge that is insertable into the second jaw and attachable to the second cartridge attachment portion. In various embodiments, the first cartridge can comprise first fastener portions which are engageable with second fastener portions in the second cartridge. 1. A surgical stapling instrument , comprising:a handle comprising an actuator;a shaft extending from said handle; a first jaw comprising a first cartridge attachment portion;', 'a second jaw comprising a second cartridge attachment portion, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw;', 'a first cartridge insertable into said first jaw, wherein said first cartridge is attachable to said first cartridge attachment portion, and wherein said first cartridge includes a plurality of staples; and', 'a second cartridge insertable into said second jaw, wherein said second cartridge is attachable to said second cartridge attachment portion, wherein said second cartridge includes a retention fastener configured to engage said staples., 'an end effector extending from said shaft, wherein said end effector comprises2. The surgical stapling instrument of claim 1 , wherein said first jaw comprises a first distal end and a first proximal end claim 1 , wherein said first cartridge is slidable into said first jaw through said first distal end claim 1 , wherein said second jaw comprises a second ...

FASTENER SYSTEM COMPRISING A RETENTION MATRIX AND A COVER

A surgical fastening system can comprise a plurality of fasteners, wherein each fastener can comprise, one, a base and, two, a leg extending from the base, wherein each leg can comprise a tip. The fastener system can further comprise a retention matrix comprising a first side facing toward the bases of the fasteners, a second side facing away from the bases of the fasteners, and a plurality of retention members configured to engage the legs. The fastener system can further comprise a cover configured to cover the staple tips, wherein the cover can comprise a sheet of material and/or a plurality of caps. 1. A surgical stapling system , comprising: a first base; and', 'a first leg extending from said first base, the first leg comprising a first tip;, 'a first staple, comprising a second base; and', 'a second leg extending from said second base, the second leg comprising a second tip; and, 'a second staple, comprising [ a first side facing toward said first base and said second base;', 'a second side facing away from said first base and said second base;', 'a first retention member configured to engage said first leg;', 'a second retention member configured to engage said second leg; and, 'a first layer, comprising, 'a cover extending along said second side of said first layer, wherein said cover is configured to receive said first tip and said second tip., 'a retention matrix, comprising2. The surgical stapling system of claim 1 , wherein said cover comprises a top surface claim 1 , a bottom surface claim 1 , and a thickness defined between said top surface and said bottom surface claim 1 , wherein said bottom surface is penetrable by said first tip and said second tip claim 1 , and wherein said thickness is configured such that said first tip and said second tip do not extend through said top surface when said retention matrix is engaged with said first staple and said second staple.3. The surgical stapling system of claim 1 , wherein said cover comprises a second ...

SURGICAL STAPLER ANVIL COMPRISING A PLURALITY OF FORMING POCKETS

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. 1. An anvil for use with a surgical stapling instrument , said anvil comprising:a plurality of primary staple pockets, wherein each said primary staple pocket is configured and intended to receive a staple leg of a staple; anda plurality of secondary staple pockets surrounding each said primary staple pocket, wherein each said secondary staple pocket is configured to receive a said staple leg.2. The anvil of claim 1 , further comprising a proximal end and a distal end claim 1 , wherein said primary staple pockets are arranged along one or more lines.3. The anvil of claim 1 , wherein said primary staple pockets are arranged in a first circle comprising a first circumference claim 1 , and wherein said secondary staple pockets are arranged in a second circle comprising a second circumference.4. The anvil of claim 3 , wherein said second circumference is larger than said first circumference.5. The anvil of claim 3 , wherein said first circumference is concentric with said second circumference.6. The anvil of claim 1 , wherein said primary staple pockets are arranged in a primary circle comprising a primary circumference claim 1 , and wherein said secondary staple pockets are arranged in an inner circle defined within said ...

TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER COMPRISING AN ADJUSTABLE ANVIL

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. 1. A surgical stapler , comprising: a cartridge body comprising a plurality of staple cavities; and', 'a plurality of staples positioned within said staple cavities;, 'a staple cartridge, comprising an anvil frame;', 'an anvil comprising a positioning surface and at least one staple forming surface, wherein said anvil is movably retained to said anvil frame; and', 'an adjustment member movably positionable intermediate said anvil frame and said anvil, wherein said adjustment member comprises a first step comprising a first height and a second step comprising a second height, wherein said second height is different than said first height, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first step and said second step intermediate said anvil frame and said positioning surface,', 'wherein said anvil frame comprises a first guide portion, wherein said anvil comprises a second guide portion operably engaged with said first guide portion, and wherein said first guide portion and said second guide portion are configured to permit relative sliding movement between said anvil and said anvil frame; and, 'an anvil assembly, comprisinga tissue thickness ...

TISSUE THICKNESS COMPENSATOR COMPRISING DETACHABLE PORTIONS

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. 1. A staple cartridge for use with a surgical stapler , said staple cartridge comprising: a deck; and', 'a plurality of staple cavities defined within said deck, wherein each said staple cavity comprises an opening in said deck;, 'a cartridge body, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is movable between an unfired position and a fired position, and wherein said plurality of staples comprises a first group of staples and a second group of staples; andan implantable compressible portion comprising a first portion and a second portion, wherein said first portion is removably attached to said second portion, and wherein said first portion is configured to be captured within said first group of staples and said second portion is configured to be captured within said second group of staples.2. The staple cartridge of claim 1 , wherein said compressible portion comprises at least one perforation between said first portion and said second portion.3. The staple cartridge of claim 1 , further comprising a first fastener releasably holding said first portion to said deck and a second fastener releasably holding said ...

STAPLE CARTRIDGE COMPRISING COMPRESSIBLE DISTORTION RESISTANT COMPONENTS

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. 1. An assembly for use with a surgical stapler , said assembly comprising:a cartridge channel; a support portion;', 'a plurality of staple cavities defined within said support portion, wherein each said staple cavity comprises an opening in said support portion;', 'at least one distortion minimizing member extending from at least one of said cartridge channel and said support portion; and', a first surface positioned adjacent to said support portion;', 'a tissue-contacting surface; and', 'a porous body extending between said first surface and said tissue-contacting surface, wherein said porous body is sufficiently deflectable to permit said tissue-contacting surface to move laterally relative to said first surface, wherein said at least one distortion minimizing member is configured to inhibit the lateral deflection of said porous body; and, 'an implantable compressible portion, wherein said distortion minimizing member is engaged with said compressible portion, wherein said compressible portion comprises], 'a cartridge body positioned within said cartridge channel, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is ...

Surgical stapler with floating anvil

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

SURGICAL INSTRUMENTS WITH RECONFIGURABLE SHAFT SEGMENTS

A surgical instrument having a handle assembly and an elongated shaft assembly protruding therefrom. Various embodiments of the elongated shaft assemblies include reconfigurable shaft segments that have portions that may be selectively arranged in coaxial alignment with each other and in other configurations wherein at least some portions thereof are not in coaxial alignment with each other. Various locking arrangements are disclosed for releasably locking the reconfigurable shaft segments in desired orientations. A movable closure tube is supported on the elongated shaft segment and is oriented to provide actuation motions to an end effector coupled to the distal end of the elongated shaft. 1. A surgical instrument comprising:a handle assembly;a flexible spine assembly operably coupled to said handle assembly and protruding therefrom;an elongated shaft assembly received on said flexible spine assembly and having a reconfigurable shaft segment that is selectively reconfigurable between a linear configuration wherein all portions of said reconfigurable shaft segment are substantially coaxially aligned with each other and configurations wherein at least one said portion of said reconfigurable shaft segment is orientated in a non-linear orientation relative to at least one other said portion of said reconfigurable shaft segment, said elongated shaft assembly further having a closure tube segment that is axially movable relative to said reconfigurable shaft segment in response to firing motions applied thereto from a firing system operably supported in said handle assembly; andan end effector coupled to said flexible spine assembly and having first and second jaw members movable relative to each other from an open position to closed positions in response to axial movement of said closure tube segment.2. The surgical instrument of wherein said reconfigurable shaft segment of said elongated shaft assembly comprises a hollow flexible member that has a plurality of ...

CURVED END EFFECTOR FOR A STAPLING INSTRUMENT

A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In various embodiments, the staples can be supported by a support jaw of the surgical stapler and can comprise legs which can extend upwardly through apertures defined in the cartridge deck. The support jaw can comprise stationary staple drivers which can support the staples in curved rows as the staples are deformed by an anvil of the surgical stapler. In certain embodiments, the staple cartridge can further comprise a plurality of staple drivers which can be configured to support and eject the staples along curved staple rows. 1. A staple cartridge , comprising: a deck;', 'a plurality of first staple cavities arranged along a first curve, wherein said first curve is defined by a first radius of curvature, and wherein each said first staple cavity comprises an opening in said deck;', 'a plurality of second staple cavities arranged along a second curve, wherein said second curve is defined by a second radius of curvature, wherein said first radius of curvature is different that second radius of curvature, and wherein each said second staple cavity comprises an opening in said deck;', 'a plurality of staple drivers positioned within said first staple cavities and said second staple cavities, wherein each said staple driver is movable between an unfired position and a fired position;', 'a curved longitudinal passage configured to receive a driver for lifting said staple drivers between said unfired position and said fired position;, 'a cartridge body, comprisinga plurality of staples positioned within said plurality of first staple cavities and said plurality of second staple cavities, wherein said staples are supported by said staple drivers, wherein each said staple comprises a base and at least one leg extending from said base, and wherein said legs of said staples are configured to extend above said ...

JAW CLOSURE ARRANGEMENTS FOR SURGICAL INSTRUMENTS

A surgical instrument having a handle assembly and an elongated shaft configured for use with end effectors that support a staple cartridge therein. The end effectors have an anvil portion that is movable relative to the staple cartridge upon application of firing motions thereto. Various embodiments of the surgical instrument include movable closure tube arrangements that are configured to apply firing motions to the anvil upon application of a pulling motion to the closure tube from a firing system operably supported in the handle assembly. 1. A surgical instrument comprising:a handle assembly;a spine assembly operably coupled to said handle assembly and protruding therefrom to define a longitudinal axis;a closure tube assembly movably received on said spine assembly for selective axial travel thereon in a distal direction away from said handle assembly and in a proximal direction towards said handle assembly;a firing system operably supported by said handle assembly and interfacing with said closure tube assembly to selectively cause said closure tube assembly to move in said distal and proximal directions; andan end effector coupled to said spine assembly and having first and second jaw members movable relative to each other from an open position to closed positions, said first jaw member configured to support a staple cartridge therein, said first and second jaw members configured for actuatable engagement with said closure tube assembly such that said first and second jaw members are moved to said closed positions when said closure tube assembly moves in said proximal direction.2. The surgical instrument of wherein said first and second jaw members are pivotally coupled to said spine assembly.3. The surgical instrument of wherein said first jaw member has an upwardly curved first actuator tip configured for engagement with said closure tube assembly when said closure tube assembly is moved in said proximal direction and wherein said second jaw member has a ...

SURGICAL STAPLING INSTRUMENT WITH COMPACT ARTICULATION CONTROL ARRANGEMENT

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. 1. A surgical instrument comprising:a handle assembly;an articulatable shaft assembly defining an longitudinal axis and having a proximal portion protruding from said handle assembly, said proximal portion being pivotally coupled to a distal portion that is selectively pivotable relative to said proximal portion about a first axis that is substantially transverse to said longitudinal axis;a first articulation member coupled to said distal portion of said articulatable shaft assembly;a second articulation member coupled to said distal portion of said articulatable shaft assembly; andan articulation control member movably supported by said handle assembly and coupled to said first and second articulation members and configured to selectively apply pushing and pulling motions thereto such that when said articulation control member is moved to at least one first articulation control position, the articulation control member applies a first pulling motion to said first articulation member and a first pushing motion to said second articulation member to cause said distal spine portion to pivot about said first axis in a first direction and when said articulation control member is moved to at least one second articulation control position, the articulation control member applies a second pulling motion to said second articulation member and a second pushing motion to said first articulation member to cause said distal portion to pivot about said first axis in a second direction.2. The surgical instrument of wherein said articulation control ...

SURGICAL STAPLING INSTRUMENT WITH INTERCHANGEABLE STAPLE CARTRIDGE ARRANGEMENTS

A surgical stapling instrument that is configured to be used in connection with different sizes of interchangeable end effectors. The end effectors are removably couplable to an elongated shaft assembly that protrudes from a handle assembly. The end effectors are configured to support different sizes of implantable staple cartridges therein. The staples within the staple cartridge are formed as an anvil portion of the end effector is compressed into the staple cartridge. The surgical stapling instrument further includes removable adapters that facilitate attachment of different sizes of end effectors to the elongated shaft assembly. 1. A surgical instrument comprising:a handle assembly; an elongated spine member having a distal end configured to be removably coupled to an end effector; and', 'a firing tube axially movable on said elongated spine member and interfacing with a firing system supported by said handle assembly to cause said firing tube to selectively move on said spine member such that said firing tube is selectively axially movable from an un-actuated position wherein the distal end of the spine member is removably couplable to a portion of the end effector to a coupled position wherein a distal portion of said firing tube retains said portion of said end effector in coupled engagement with said distal end of said spine member, said firing tube being further selectively axially movable to actuated positions to selectively apply at least one actuation motion to the end effector coupled to said distal end of said spine member., 'an elongated shaft assembly mounted to said handle assembly and protruding therefrom, said elongated shaft assembly comprising2. The surgical instrument of wherein said distal end of said elongated spine member is selectively couplable to either one of a first end effector and a second end effector wherein said first end effector differs from said second end effector.3. The surgical instrument of wherein said first end effector ...

SURGICAL CUTTING AND FASTENING INSTRUMENTS WITH SEPARATE AND DISTINCT FASTENER DEPLOYMENT AND TISSUE CUTTING SYSTEMS

A surgical instrument capable for use with an end effector supporting a staple cartridge therein. In various embodiments, the surgical instrument includes a firing system for applying firing motions to the end effector to form the unformed the staples supported in the staple cartridge. The surgical instrument further includes a tissue cutting system that may be optionally actuated after the staples have been formed. 1. A surgical instrument comprising:a handle assembly;an elongated spine member operably coupled to said handle assembly and protruding therefrom;an end effector having a proximal end operably couplable to said elongated spine member, said end effector having a first jaw that is selectively movable relative to a second jaw upon application of firing motions thereto;a firing member movably supported relative to said elongated spine member and configured to selectively apply said firing motions to said second jaw of said end effector to move said second jaw from an open position to closed positions; a selectively actuatable cutting system comprising:', 'a knife member movably supported relative to said elongated spine member and movable from an un-actuated position adjacent said proximal end of said end effector to an actuated position at a distal end of said end effector upon application of a cutting motion thereto that is independent from said firing motion; and', 'a knife advancement trigger supported by said handle assembly and operably interfacing with said knife member to optionally apply said cutting motion thereto., 'a firing trigger supported by said handle assembly and operably interfacing with said firing member to cause said firing member to apply said firing motions to said second jaw; and'}2. The surgical instrument of wherein said first jaw is configured to operably support a staple cartridge therein.3. The surgical instrument of wherein said closed positions at least comprise a maximum clamping position wherein said second jaw is positioned ...

FASTENER SYSTEM COMPRISING A RETENTION MATRIX AND AN ALIGNMENT MATRIX

A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by, one, a retention matrix which is assembled to the fasteners in order to capture tissue within the fasteners and, two, an alignment matrix configured to hold the fasteners together before the retention matrix is assembled thereto. In various embodiments, the retention matrix and the alignment matrix can each comprise a tissue-contacting surface configured to compress tissue therebetween. 1. A surgical stapling system , comprising: a first base; and', 'a first leg extending from said first base;, 'a first staple comprised of a wire, wherein said first staple comprises a second base; and', 'a second leg extending from said second base;, 'a second staple comprised of a wire, wherein said second staple comprises [ a first aperture configured to receive said first leg;', 'a first alignment pocket at least partially surrounding said first aperture, wherein said first alignment pocket is configured to guide said first leg into said first aperture; and', 'a first retention member configured to engage said first leg;, 'a first matrix element, comprising, a second aperture configured to receive said second leg;', 'a second alignment pocket at least partially surrounding said second aperture, wherein said second alignment pocket is configured to guide said second leg into said second aperture; and', 'a second retention member configured to engage said second leg;, 'a second matrix element, comprising, 'a connecting link connecting said first matrix element and said second matrix element; and, 'a retention matrix, comprisingan alignment matrix comprising a first alignment guide operably engaged with said first leg and a second alignment guide operably engaged with said second leg, wherein said alignment matrix is configured to align said first leg with said second leg.2. The surgical stapling system of claim 1 , wherein said first matrix element claim 1 , said second matrix ...

Remote Tissue Retraction Device

A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately. 1. A device for managing tissue in an organ , comprising:an elongated body having a proximal end and a distal end;a working element disposed at the distal end of the elongated body; anda retractor section formed of elastomeric material connected to the working element, with the working element disposed between the elongated body and the retractor section, the retractor section adapted to be moveable from an insertion position to a retraction position to manage tissue of the organ relative to the working element.2. The device of claim 1 , further comprising an activation wire connected to refractor section for actuating the retractor section into the refraction position.3. The device of claim 1 , wherein the refractor section includes spring elements disposed within the elastomeric material to bias the retractor section into the insertion position.4. The device of claim 1 , wherein the refractor section includes a tubular body.5. The device of claim 1 , wherein the refractor section includes a plurality of tubes.6. The device of claim 1 , wherein the retractor section includes a D-shaped body.7. A device for managing ...

SURGICAL INSTRUMENT WITH JAW MEMBER

A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member. 1. A surgical instrument for supplying energy to tissue , comprising:a handle;a trigger;an electrical input;a shaft extending from the handle, wherein the shaft comprises a conductor, and wherein the trigger is selectively actuatable to electrically couple the electrical input and the conductor; and a first jaw member comprising a cammed compression surface along the longitudinal axis;', 'a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member between an open and a closed position to clamp tissue intermediate the first jaw member and the second jaw member in the closed position;', 'the first and second jaw members defining a channel;', 'a cutting member including a distal end, wherein the cutting member is sized and configured to fit at least partially within the channel, the cutting member configured to translate along the channel between a retracted position and a fully advanced position; and', 'at least one compression element extending from the cutting member and contacting the cammed compression surface, wherein the at least one compression element engages the cammed compression surface to move the first and second jaws from the open position to the closed position when the cutting member translates with respect to the first and second jaw members beyond the retracted position., 'an end effector defining a longitudinal axis, comprising2. The surgical instrument of claim 1 , wherein at least one of the at least one compression element and the ...

Surgical instrument with jaw member

A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise and end effector first and second tissue engaging surfaces that are slanted with respect to a transection plane. The end effector may, for example, have an electrode defining a V-shaped cross sectional profile. The end effector may comprise a plurality of raised surfaces that are received by a plurality of indentions when the end effector is in the closed position. The end effector may comprise a cutting member having a plurality of bands.

Staple cartridge comprising a releasable portion

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.

COMPRESSIBLE STAPLE CARTRIDGE COMPRISING ALIGNMENT MEMBERS

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. 1. A staple cartridge for use with a surgical stapler , said staple cartridge comprising: a deck; and', 'a plurality of staple cavities defined within said deck, wherein each said staple cavity comprises an opening in said deck;, 'a cartridge body, comprisingan implantable compressible portion positioned above said deck;a plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is movable between an unfired position and a fired position, wherein each said staple extends above said deck and is at least partially positioned within said compressible portion when each said staple is positioned in said unfired position, wherein each said staple is deformable between an unfired configuration and a fired configuration when each said staple is moved between said unfired position and said fired position, and wherein said compressible portion is configured to be captured within said staples and assume different compressed heights within different said staples when said staples are deformed between said unfired configuration and said fired configuration; andan array of retainers positioned above said implantable compressible portion, wherein each ...

STAPLE CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR

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. 1. A staple cartridge assembly for use with a surgical stapler , wherein said staple cartridge assembly is adapted to be used with tissue having a thickness , said staple cartridge assembly comprising:a cartridge body comprising a support portion, wherein said support portion comprises a plurality of staple cavities, and wherein each said staple cavity comprises an opening;a plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is movable between an unfired position and a fired position, and wherein each said staple is deformable between an unfired configuration and a fired configuration when each said staple is moved between a said unfired position and a said fired position; anda compressible tissue thickness compensator configured to be captured within said staples, wherein said compressible tissue thickness compensator at least partially covers said staple cavity openings, and wherein said compressed tissue thickness compensator is configured to assume different compressed heights within different said staples.2. The staple cartridge assembly of claim 1 , wherein said compressible tissue thickness compensator comprises an ...

STAPLE CARTRIDGE COMPRISING AN ADJUSTABLE DISTAL PORTION

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. 1. A staple cartridge for use with a surgical stapler , wherein the surgical stapler comprises an anvil , and wherein said staple cartridge comprises: a proximal end;', 'a distal end;', 'a deck; and', 'a plurality of staple cavities defined within said deck, wherein each said staple cavity comprises an opening in said deck;, 'a cartridge body, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, and wherein each said staple is movable between an unfired position and a fired position;a tissue thickness compensator, wherein said tissue thickness compensator is configured to be captured within said staples and assume different compressed heights within different said staples; anda contact member positioned at said distal end of said cartridge body, wherein the anvil of the surgical stapler is configured to abut said contact member, wherein said contact member is configured to deflect when subjected to a force less than a collapse threshold, and wherein said contact member is configured to collapse when subjected to a force exceeding said collapse threshold.2. The staple cartridge of claim 1 , wherein said contact member comprises a distal tip.3. The ...

MAGNETICALLY MANIPULATABLE SURGICAL CAMERA WITH REMOVABLE ADHESION REMOVAL SYSTEM

A surgical or diagnostic camera system is disclosed that has a disposable cap-like device that is structured for removal of adhesions while under direct visualization with the camera. The adhesion removal device may have an electrode on the tip that can be activated to enhance separation of tissues and may be configured to securely snap on to the housing of the camera system. 1. An adhesion removal device comprising:an engagement surface for releasable attachment to a housing; anda tip portion structured when attached to the housing to extend outwardly from a leading end of the housing, the tip portion having an edge for prying bound tissue of an adhesion apart under direct view of a camera.2. The adhesion removal device recited in having a first end and a second end claim 1 , the tip portion being positioned on the first end of the removal device claim 1 , and further comprising an electrode on the first end and an energy tether extending from the second end for operative connection to a source of energy.3. The adhesion removal device of having a channel along the perimeter thereof for carrying a wire for the transfer of energy from the energy tether to the electrode.4. The adhesion removal device of having engagement surfaces for releasable attachment to the camera.5. The adhesion removal device of wherein the engagement surfaces of the removal device comprise a pair of prongs for grasping the housing.6. An adhesion removal system comprising:a housing having a first end and at least one camera positioned on the first end; andan adhesion removal device releasably mounted on the housing and having a tip portion that extends outwardly from the first end of the housing structured for prying bound tissue of an adhesion apart.7. The adhesion removal system of wherein the removal device has a first end and a second end claim 6 , the tip portion being positioned on the first end of the removal device claim 6 , and further comprising an electrode on the first end and an ...

Methods and Devices for Placement of an Intra-Abdominal or Intra-Thoracic Appliance Through a Natural Body Orifice

Natural orifice transenteric surgical methods and devices for placing a band or other appliance around a hollow bodily organ such as the stomach. In one alternative embodiment, such a band is placed in order to reduce the inner volume of the stomach. 1. A method of placing an appliance on a wall surface of a hollow bodily organ , comprising:entering the organ through a naturally occurring orifice;placing a guide element through the organ wall to access the other surface of the wall of the organ;guiding the appliance with the guide element to a position on the outer wall surface of the organ; andremoving the guide element and leaving the appliance on the outer wall surface,2. The method as in claim 1 , wherein the hollow bodily organ is one of stomach claim 1 , intestine claim 1 , or esophagus.3. The method as in claim 1 , wherein said placing through the organ wall comprises piercing claim 1 , cutting claim 1 , injecting and/or burning through the wall to create on opening passage to the other surface of the wall claim 1 ,4. The method as in where the appliance is circumferential about the hollow bodily organ claim 1 ,5. The method as in where the appliance is initially deployed in its final placed configuration.6. The method as in claim 1 , wherein the an appliance is reconfigured after placement.7. The method as in claim 1 , wherein the appliance is affixed to the wall surface after guiding into position.8. The method as in claim 7 , wherein said affixing includes at least one of suturing claim 7 , stapling claim 7 , gluing claim 7 , tissue-welding claim 7 , encapsulating claim 7 , marcupializing claim 7 , engulfing with tissue claim 7 , tacking claim 7 , tethering.9. A method of placing an appliance on the outer wall surface of a hollow bodily organ claim 7 , comprising:entering the hollow bodily organ;making a passageway through the wall of the hollow bodily organ;placing a guide element through the passageway to the outside of the hollow bodily organ;placing a ...

METHODS OF MAGNETICALLY GUIDING AND AXIALLY ALIGNING DISTAL ENDS OF SURGICAL DEVICES

A magnetic alignment and guidance system is described for use during a surgical or diagnostic procedure within a patient to align and magnetically join the free ends of catheters to form a continuous channel. The system includes two magnetic couplers mounted on the ends of the catheters. One or both of the catheters may be attached to a surgical or diagnostic device, such as a trocar or an endoscope. 1. An alignment and guidance system comprising:a first coupler having a free magnetic end defining a first magnetic field around the free end of the first coupler, the first coupler having an attachable end and defining a channel therethrough, the attachable end being structured for attachment to an open end of a first catheter; and,a second coupler having a free magnetic end defining a second magnetic field around the free end of the second coupler, the second coupler having an attachable end and defining a channel therethrough, the attachable end being structured for attachment to an open end of a second catheter and the free magnetic end of the second coupler being magnetically attracted to the free magnetic end of the first coupler such that upon contact between the first and second magnetic fields, the first and second free ends align to align the first and second channels and the open ends of the first and second catheters.2. The alignment and guidance system recited in wherein the attachable end of the first coupler is releasably attached to the first catheter and the attachable end of the second coupler is releasably attached to the second catheter.3. The alignment and guidance system recited in wherein the first catheter is operatively connected to a surgical instrument.4. The alignment and guidance system recited in wherein the second catheter is operatively connected to a surgical instrument.5. The alignment and guidance system recited in wherein each of the first and second catheters defines a channel and upon the contact in use between the first and second ...

SEAL ARRANGEMENT FOR MINIMALLY INVASIVE DIAGNOSTIC OR SURGICAL INSTRUMENTS

A sealing device is disclosed which is intended for use with an access device, such as a trocar, canula or the like, that passes from the outside to the inside of a patient, through an incision in the patient during a minimally invasive diagnostic or surgical procedure to secure one or more tethers, tubes, or the like to the exterior surface of the access device. The sealing device secures one or more tethers in position between the access device and an incision by creating a smooth profile for the access device and tethers and substantially seals against insufflation leakage. 1. A sealing device for use with an access device and one or more tethers passed , in use , through an incision in a patient during a minimally invasive diagnostic or surgical procedure , the sealing device comprising:a flexible panel having a first surface for conforming to at least a portion of an exterior surface of the instrument and a second surface for contact, in use, with an incision in a patient, the panel being structured to secure at least one tether between the panel and one of the exterior surface of the instrument or the incision.2. The sealing device recited in wherein there is at least one tether secured between the first surface of the panel and the exterior surface of the instrument and at least one tether secured between the second surface and the incision.3. The sealing device recited in wherein the at least one tether is positioned between the first surface of the panel and the exterior surface of the instrument and the flexible panel is overmolded onto the at least one tether and the instrument.4. The sealing device recited in further comprising at least one slot formed on at least one of the first or the second surfaces of the flexible panel for receiving a section of a tether.5. The sealing device recited in further comprising at least one slot in the panel for receiving a section of a tether.6. The sealing device recited in wherein the at least one slot is positioned ...

LAPAROSCOPIC DEVICE WITH DISTAL HANDLE

Methods and devices are provided for controlling movement of an end effector assembly, and in particular for causing mimicking motion between a handle and an end effector assembly. In an exemplary embodiment, a surgical device is provided having a handle or actuator, an elongate shaft, and an end effector assembly coupled to a distal end of the elongate shaft. The handle or actuator is configured such that movement of the handle is mimicked, not mirrored, by the end effector assembly. The mimicking motion can be achieved using various techniques, but in an exemplary embodiment the handle is located distal to an input joint, and motion is transferred to the end effector assembly through an output joint at a distal end of the elongate shaft. The motion is preferably transferred using a mechanical transmission coupled between the input and output joints. 1. A surgical device , comprising:a frame having proximal and distal ends;an elongate shaft extending distally from the distal end of the frame;a mechanical transmission extending through the frame and elongate shaft, the transmission extending between an input joint at the proximal end of the frame and an output joint at a distal end of the elongate shaft;an actuator extending distally from the proximal end of the frame, the actuator being coupled to the input joint; andan end effector assembly positioned distal of the distal end of the elongate shaft, the end effector assembly being coupled to the output joint;wherein motion of the input joint is effective to cause correlating motion of the output joint such that movement of the actuator is mimicked by movement of the end effector assembly.2. The surgical device of claim 1 , wherein the transmission includes at least one transmission plate disposed in the frame and slidably movable along a fixed longitudinal axis.3. The surgical device of claim 1 , wherein the output joint comprises a ball-and-socket connection formed between the mechanical transmission and the end ...

METHODS AND DEVICES FOR GUIDING AND SUPPORTING SURGICAL INSTRUMENTS

Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system. 1. A surgical method , comprising:positioning a surgical support system on an exterior tissue surface of a patient such that an instrument guide port of the surgical support system is positioned a distance remote from the tissue surface, the instrument guide port defining a pivot point at the distance remote from the tissue surface;advancing a surgical instrument through the instrument guide port such that a shaft of the surgical instrument extends through a tissue opening formed in the tissue surface to position a distal end of the instrument at a first position within a body cavity underlying the tissue surface; andmanipulating the instrument such that the instrument pivots at the pivot point to move the distal end of the instrument from the first position within the body cavity to a second, different position within the body cavity.2. The method of claim 1 , wherein the second position is offset from the first position in at least two dimensions.3. The method of claim 1 , further comprising claim 1 , while the surgical support system remains in contact with the tissue surface claim 1 , ...

METHODS AND DEVICES FOR MECHANICAL SPACE CREATION AT A SURGICAL SITE

Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system. 1. A surgical device , comprising:an elongate member having at least one lumen between proximal and distal ends thereof, and having a hub formed at the distal end;a plurality of arms, each having a proximal end coupled to the hub;wherein the arms are each configured to move between an unexpanded configuration in which the arm is substantially straight such that the arms are substantially parallel to one another, and an expanded configuration in which the arm is articulated such that the arms define a working space therebetween; andwherein the arms are configured to be locked in the expanded configuration.2. The device of claim 1 , further comprising a flexible cover disposed around the plurality of arms claim 1 , the cover configured to move between a relaxed configuration corresponding to the arms being in the unexpanded configuration claim 1 , and a flexed configuration corresponding to the arms being in the expanded configuration.3. The device of claim 1 , wherein when the arms are in the unexpanded configuration claim 1 , the arms are substantially parallel to one another claim 1 , and ...

Surgical instrument with magnetic clamping force

A surgical instrument comprising an end effector, the end effector comprising first and second opposing jaw members, wherein at least one of the first and second jaw members are moveable such that the first and second jaw members are transitionable between open and closed positions. The first jaw member may comprise a permanent magnet. The second jaw member may also comprise a magnet (e.g., permanent or soft). The magnetic motive force between the magnets of the first and second jaw members may attract each other to thereby reduce the external force required to transition the first and second jaw members to the closed position. In addition, the magnets may be configured to repeal each other to thereby aid in opening the jaw members.

VIBRATORY MOTOR USE

Devices and methods are provided for reducing the effect of frictional forces on the operation of a surgical instrument, particularly when inserted within a tortuous body lumen. A vibratory mechanism coupled to the surgical instrument can be activated to vibrate the shaft and/or the actuator of the surgical instrument to reduce the effect of frictional forces generated between the shaft and the actuator of the surgical instrument, thereby reducing the force necessary to actuate the end effector. 1. A surgical instrument , comprising:a flexible elongate shaft having a proximal end coupled to a handle and a distal end configured to be inserted into a patient;an end effector coupled to the distal end of the shaft and configured to effect tissue;a flexible elongate actuator extending between the handle and the end effector, the actuator being configured to actuate the end effector; anda vibratory mechanism coupled to the surgical instrument and configured to vibrate at least one of the shaft and the actuator to reduce a frictional force generated between the shaft and the actuator when the shaft is inserted through a tortuous body lumen, thereby reducing a force necessary to actuate the end effector.2. The apparatus of claim 1 , wherein the vibratory mechanism is disposed within the elongate shaft.3. The apparatus of claim 1 , wherein the vibratory mechanism comprises an ultrasonic transducer.4. The apparatus of claim 1 , wherein the vibratory mechanism comprises a mechanical vibrator.5. The apparatus of claim 1 , wherein the handle includes a dampener to reduce vibration transmitted to the handle.6. The apparatus of claim 1 , wherein the actuator comprises a flexible elongate cable.7. The apparatus of claim 1 , wherein the actuator is rotatable relative to the shaft such that the actuator is configured to apply a rotational force to the end effector to rotate the end effector.8. The apparatus of claim 1 , wherein the actuator is configured to translate longitudinally ...

Light-based, transcutaneous video signal transmission

A surgical device is disclosed which includes an optical source for wirelessly transmitting a light based signal transcutaneously and a receiver for receiving the light based signals. The wireless coupling of signals between the optical source and the receiver wirelessly transmits video images from an internal site in a patient to a video monitor or other viewer outside the patient, and may wirelessly transmit control signals from a controller outside of the patient to an instrument inside the patient during a therapeutic or diagnostic surgical procedure.

Surgical instrument with modular end effector and detection feature

An apparatus comprises a handle assembly, a first transmission assembly, and a second transmission assembly. The first transmission assembly is in selective communication with the handle assembly and is operable to deliver energy to a surgical site. The second transmission assembly is in selective communication with the handle assembly and is operable to deliver energy to a surgical site. The first transmission assembly and the second transmission assembly are operable in different modalities, such as ultrasonic and RF electrosurgical modalities, using the same handle assembly.

DUCKBILL SEAL WITH FLUID DRAINAGE FEATURE

Seal assemblies, generally for use in trocar assemblies, are provided for selectively promoting movement of fluid away from a central portion of the seal assemblies. In one exemplary embodiment, an inner surface of a seal body of the seal assembly is configured to selectively promote such movement of fluid away from the central portion of the seal body toward a peripheral portion of the seal body. While various configurations, geometries, and dimensions are discussed, one example of such a configuration includes locating a central portion of the seal body at a more proximal position than a peripheral portion of the seal body. 1. A seal assembly for use in a trocar assembly , comprising:a seal body having proximal and distal ends with a longitudinal axis extending therethrough and a transverse plane substantially perpendicular to the longitudinal axis, the seal body having a plurality of opposed seal elements, each having inner and outer surfaces and meeting at a seal face at the distal end of the seal body such that the seal face has a central portion substantially aligned with the longitudinal axis of the seal body and a peripheral portion that is outwardly disposed from the central portion, the seal elements being configured to selectively open and substantially close the seal face; anda raised rib disposed on the inner surface of each of the plurality of opposed seal elements, the raised ribs being substantially aligned with the central portion of the seal face,wherein the inner surfaces of the seal elements are configured to promote movement of fluid away from the central portion of the seal face toward a peripheral portion of the seal face.2. The seal assembly of claim 1 , wherein the central portion of each of the inner surfaces of the seal elements is at a more proximal position than the peripheral portion of the seal elements at the seal face.3. The seal assembly of claim 2 , wherein the inner surfaces of each of the seal elements extend in a substantially ...

Medical device usage data processing

A surgical instrument includes a handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.

Surgical instrument with charging station and wireless communication

An apparatus comprises an electrically power surgical instrument having a handle assembly. The apparatus also comprises a communication device positioned within the handle assembly. The communication device is operable to communicate with at least a portion of the electrically powered surgical instrument. The apparatus further comprises an external device in wireless communication with the communication device. The external device is operable to receive information from the communication device and the external device is operable to provide an output viewable to the user.

METHOD OF ENLARGING AN ANASTOMOSIS FISTULA INTO A LARGER ANASTOMOSIS

Methods and devices are provided for enlarging an anastomosis fistula. In general, a surgical clip is applied to tissue surrounding a strictured anastomosis. The clip will exert a pressure on the engaged tissue that causes ischemic necrosis, and as a result the necrotic tissue and the clip will slough off, leaving an anastomosis with a larger diameter fistula. 1. A method of enlarging an anastomosis fistula , comprising:advancing an endoscope through a first lumen to a site of a strictured anastomosis formed between the first lumen and a second lumen; andpositioning a first leg of a clip in the second lumen and positioning a second leg of the clip in the first lumen;wherein the first and second legs of the clip are closed to apply a pressure to tissue surrounding the strictured anastomosis, the pressure being sufficient to induce ischemic necrosis in the compressed tissue.2. The method of claim 1 , further comprising claim 1 , prior to positioning claim 1 , advancing the clip along at least one guidewire.3. The method of claim 1 , further comprising claim 1 , prior to positioning claim 1 , advancing the first leg of the clip along a first guidewire extending through the endoscope claim 1 , and advancing the second leg of the clip along a second guidewire extending through the endoscope.4. The method of claim 1 , further comprising claim 1 , prior to positioning claim 1 , passing a first guidewire through the endoscope and the strictured anastomosis to position a distal end of the first guidewire in the second lumen claim 1 , passing a second guidewire through the endoscope to position a distal end of the second guidewire in the first lumen claim 1 , and advancing the first leg of the clip along the first guidewire and advancing the second leg of the clip along the second guidewire.5. The method of claim 1 , wherein the first and second legs of the clip are biased to a closed position claim 1 , and wherein the first and second legs of the clip are closed by releasing ...

ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT

An apparatus, system, and method for driving an end effector in a surgical instrument are disclosed. The method comprises generating a first ultrasonic drive signal by a generator, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal second drive signal are different over the first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument comprising an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector. The ultrasonic drive system resonates at a resonate frequency. 1. A method for driving an end effector coupled to an ultrasonic drive system of a surgical instrument , the method comprising:generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, wherein the ultrasonic drive system comprises an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system is configured to resonate at a resonant frequency;actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period;generating a second ultrasonic drive signal by the generator; andactuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period;wherein the first drive signal is different from the second drive signal over the respective first and second periods; andwherein the first and second drive signals define a step function waveform over the first and second periods.2. An apparatus for driving an end ...

Needle for laparoscopic suturing instrument

A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.

DECONTAMINATION APPARATUSES AND METHODS

A decontamination apparatus is disclosed. The decontamination apparatus comprises a mist generator configured to generate a mist, a first conduit in fluid communication with the mist generator and configured to receive the mist, a stream movement device configured to move a stream, and a heating device configured to heat the stream moved by the stream movement device. The decontamination apparatus comprises a second conduit in fluid communication with the stream movement device and configured to receive the heated stream. The first conduit comprises a first outlet configured to pass the mist therethrough and the second conduit comprises a second outlet configured to pass the heated stream therethrough. The second outlet is positioned proximate to the first outlet. A portion of the mist evaporates into a vapor for decontamination of an environment when mixed with the heated stream outside of the first outlet, the second outlet, and the decontamination apparatus. 1. A decontamination apparatus comprising:a first conduit in fluid communication with a mist generator and configured to receive a mist;a second conduit in fluid communication with a heated stream movement device and configured to receive a heated stream;wherein the first conduit comprises a first outlet configured to pass the mist therethrough, wherein the second conduit comprises a second outlet configured to pass the heated stream therethrough, wherein the first outlet is positioned proximate to the second outlet, and wherein at least a portion of the mist evaporates into a vapor for decontamination of an environment when mixed with the heated stream outside of the first outlet, the second outlet, and the decontamination apparatus.2. The decontamination apparatus of claim 1 , wherein the first conduit and the second conduit both comprise annular portions.3. The decontamination apparatus of claim 1 , comprising a mist diverter positioned at least partially within the first conduit proximate to the first ...

Non-Invasive Measurement Of Fluid Pressure In An Adjustable Gastric Band

A food intake restriction device for forming a restriction in a patient's gastro-intestinal tract and non-invasively communicating pressure data regarding the restriction to an external monitor. The device includes a food intake restriction device implanted substantially about a patient's gastro-intestinal tract to form a restricted opening in the tract. A port is connected to the restriction device. The port contains a working fluid for affecting the size of the restricted opening. A pressure sensing system communicates with the working fluid to measure the pressure of the working fluid. A transmitter communicates the measured fluid pressure to the external monitor.

Antimicrobial Dressing Providing Percutaneous Device Securement and Cover

The present invention is related to a polymeric vehicle for delivery of bioactive agents, and preferably, for the delivery of one or more bioactive agents. The invention is also directed to a percutaneous device securing and drug delivery device comprising, as a component thereof, a material which delivers antimicrobial and/or other wound-healing factors at the site of the insertion of the catheter into the body. The device, when applied as described herein, provides complete anti-microbial coverage around the entry point of a percutaneous device and, preferably for a length greater than the diameter of the device. The present invention is also directed to methods for using such devices in combination with percutaneous devices primarily to reduce site infections.

SHIFTABLE DRIVE INTERFACE FOR ROBOTICALLY-CONTROLLED SURGICAL TOOL

A surgical instrument including an end effector that has a selectively reciprocatable implement movably supported therein. The implement is selectively advanceable in a distal direction upon application of a rotary actuation motion thereto and retractable in a proximal direction upon application of a rotary retraction motion thereto. An elongate shaft assembly is coupled to the end effector and is configured to transmit the rotary actuation motion and rotary retraction motion to the reciprocatable implement from a robotic system that is configured to generate the rotary actuation motion and said rotary retraction motion. 1. A tool mounting device for coupling a surgical end effector configured to selectively perform at least two actions in response to control motions applied thereto to a tool drive assembly of a robotic system that is operatively coupled to a control unit of the robotic system , said tool mounting device comprising:a tool mounting portion configured for operable attachment to the tool drive assembly of the robotic system;an elongated shaft assembly having a proximal end portion operably supported on said tool mounting portion and a distal end portion operably interfacing with said surgical end effector to apply said control motions thereto; anda transmission arrangement operably supported on said tool mounting portion such that when said tool mounting portion is attached to the tool drive assembly, said transmission arrangement is configured to operably receive a rotary output motion therefrom, said transmission arrangement communicating with the control unit of the robotic system and being responsive to actuation motions therefrom to move between first and second positions such that when said transmission arrangement is in said first position, an application of said rotary output motion thereto by said tool drive assembly causes a first one of said control motions to be applied to said surgical end effector through said elongated shaft assembly and ...

ROBOTICALLY-CONTROLLED CABLE-BASED SURGICAL END EFFECTORS

A cable-driven surgical tool configured to receive various control motions from a robotic system. 1. A surgical tool for use with a robotic system that has a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to provide at least one rotary output motion to at least one rotatable body portion supported on the tool drive assembly , said surgical tool comprising:a surgical end effector comprising at least one movable component portion that is selectively movable between first and second positions relative to at least one other component portion thereof;a cable drive assembly configured to apply at least one control motion to said at least one movable component portion of said surgical end effector; anda tool mounting portion operably interfacing with said cable drive assembly and the at least one rotary body portion of the tool drive assembly of the robotic system such that application of at least one of the rotary output motions to the rotatable body portion causes said cable drive assembly to apply at least one of said control motions to said at least one movable component portion.2. The surgical tool of wherein said another component portion of said surgical end effector comprises a surgical staple cartridge and wherein one of said at least one movable component portions comprises an anvil that is selectively movable between a first open position and a second closed position relative to said surgical staple cartridge.3. The surgical tool of wherein said cable drive assembly comprises:a closure cable operably interfacing with said anvil to apply a closing motion and an opening motion thereto; anda cable drive transmission configured to operably interface with at least one of the rotary body portions of the tool drive assembly such that an application of a first one of said rotary output motions to the rotatable body portion in a first rotary direction causes said ...

SYSTEMS AND METHODS FOR GRINDING REFRACTORY METALS AND REFRACTORY METAL ALLOYS

A system for grinding surgical needles made of refractory metal alloys such as tungsten-rhenium alloys includes a rotatable grinding wheel having a grinding surface, a layer of a binding material, such as a nickel binding material layer, overlying the grinding surface, and a plurality of abrasive particles, such as ABN600 abrasive particles, embedded within the binding material layer. The abrasive particles are similarly sized and the binding material layer has a thickness that is about 65% of the size of the similarly sized abrasive particles. The system includes a lubricating device adapted to apply a lubricant to an interface between the grinding surface and distal ends of needle blanks and a rotating element coupled with the rotatable wheel for rotating the grinding surface at about 10,000 surface feet per minute. 1. A grinding tool for grinding surgical needles made of refractory metal alloys comprising:a substrate having a surface;a layer of a binding material overlying said surface;a plurality of abrasive particles embedded within said binding material layer for projecting from said surface, wherein said abrasive particles are similarly sized and said binding material layer has a thickness that is about 65% of the size of said similarly sized abrasive particles.2. The rotatable grinding wheel as claimed in claim 1 , wherein said substrate comprises a grinding wheel having an outer edge including said surface.3. The rotatable grinding wheel as claimed in claim 1 , wherein said substrate comprises metal.4. The rotatable grinding wheel as claimed in claim 2 , wherein said outer edge comprises a groove adapted to receive ends of surgical needle blanks.5. The rotatable grinding wheel as claimed in claim 1 , wherein said similarly sized abrasive particles have an average size of between about 20-44 microns.6. The rotatable grinding wheel as claimed in claim 5 , wherein said similarly sized abrasive particles have a size of about 44 microns.7. The rotatable grinding ...