In various embodiments, a staple cartridge for use in a surgical stapler is disclosed. The staple cartridge comprises a staple body comprising a proximal end and a distal end. A tissue thickness sensing module is positioned adjacent to the distal end of the staple body. The tissue thickness sensing module comprises a controller and a sensor. A power key is located removably adjacent to the staple body. The controller is configured to detect the power key and to maintain the tissue thickness sensing module in a low-power state while the power key is present. When the power key is removed, the controller transitions the tissue thickness sensing module to an active state.
A surgical instrument can comprise: a power circuit comprising a power source and a switch, a microcontroller (7004) coupled to the power circuit, a handle comprising an attachment portion (4000), and a control circuit in signal communication with the microcontroller. The attachment portion can comprise a first electrical contact (4001b) in signal communication with the microcontroller. The control circuit can comprise a sensor (4002) configured to detect an attachment state of the attachment portion. The control circuit can communicate the detected attachment state to the microcontroller, and the microcontroller can ignore signals from the first electrical contact when the control circuit communicates a detached state. The attachment portion can comprise a second electrical contact (4001a) coupled to a second power circuit, and the second power circuit can decouple the second electrical contact and the second power source when the sensor detects the detached state.
A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners. In use, the fastener cartridge can be arranged in a jaw of a surgical fastening device. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward an anvil wherein the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened. The cartridge body can further comprise a first knife path configured to receive a cutting member and the tissue thickness compensator can further comprise a second knife path aligned with the first knife path. The second knife path can comprise different portions configured to apply different resistances to the cutting member as the cutting member is advanced through the fastener cartridge.
A fastener cartridge assembly. The fastener cartridge assembly can comprise a fastener, a cartridge body, and a tissue thickness compensator. The fastener can comprise a base, a first leg extending from the base, and a second leg extending from the base. The cartridge body can comprise a fastener cavity for receiving the fastener and a trajectory control for controlling the trajectory of the first and second legs of the fastener. The fastener can be removable from the fastener cavity along a fastener axis. The trajectory control can extend inwardly toward the fastener axis and can bias the first leg and the second leg toward alignment with the fastener axis when the fastener is positioned in the fastener cavity.
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 arranged 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. The fastener cartridge can further comprise a gap setting element (22159a, 22159b) which can be configured to control the distance between the anvil, the support portion, and/or the tissue thickness compensator.
In various embodiments, a surgical end effector is disclosed. The surgical end effector comprises a staple cartridge comprising a proximal end and a distal end. The staple cartridge is configured to be used to staple tissue within an optimal tissue thickness range. An anvil is movably coupled relative to the staple cartridge. A tissue thickness sensing module is located adjacent to the distal end of the staple cartridge. The tissue thickness sensing module comprises a sensor and a controller. The sensor is configured to generate a tissue thickness signal indicative of a thickness of the tissue located between the anvil and the staple cartridge. The controller is in signal communication with the sensor. The controller comprises means for identifying a staple cartridge type. The staple cartridge type and the thickness measurement are used to determine if the thickness of the tissue is within the optimal tissue thickness range.
A surgical instrument is disclosed. The surgical instrument may be operated compensating for the effect of splay in flexible knife bands on transection length of a powered surgical instrument. The surgical instrument includes a processor and a memory. A relationship between articulation angle of an end effector and effective transection length distal of an articulation joint is characterized. The characterization data is accessed by the processor from the memory of the surgical instrument. The articulation angle of the end effector is tracked by the processor during use of the surgical instrument. The target transection length is adjusted by the processor based on the known articulation angle and the stored characterization data.
A surgical instrument is disclosed. The surgical instrument may include an absolute position sensor system (7000). The absolute position sensor system includes a sensor element (7026) operatively coupled to a movable drive member (7104) of the surgical instrument. A position sensor (7012) is operably coupled to the sensor element and is configured to sense the absolute position of the sensor element.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
G01D 5/14 - Moyens mécaniques pour le transfert de la grandeur de sortie d'un organe sensible; Moyens pour convertir la grandeur de sortie d'un organe sensible en une autre variable, lorsque la forme ou la nature de l'organe sensible n'imposent pas un moyen de conversion déterminé; Transducteurs non spécialement adaptés à une variable particulière utilisant des moyens électriques ou magnétiques influençant la valeur d'un courant ou d'une tension
9.
FASTENER CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR INCLUDING OPENINGS THEREIN
A fastener cartridge assembly (20200) can comprise a cartridge body, a tissue thickness compensator (20220) releasably secured relative to the cartridge body, and a fastener (20230) removably positioned in a staple cavity of the cartridge body. The tissue thickness compensator (20220) can comprise a first clearance aperture (20224a) extending along a first predefined trajectory and a second clearance aperture (20224b) extending along a second predefined trajectory. The fastener can comprise a first leg (20232a) aligned with the first clearance aperture and moveable along the first predefined trajectory, a second leg (20232b) aligned with the second clearance aperture and moveable along the second predefined trajectory. The first and second predefined trajectories can be parallel.
An apparatus for operating on tissue comprises an end effector, a shaft assembly, and an interface assembly. The end effector comprises an ultrasonic blade. The shaft assembly includes an articulation section operable to deflect the end effector away from the longitudinal axis. The interface assembly is operable to drive the end effector. The interface assembly comprises a base and a plurality of drive shafts. The base is configured to couple with a dock of a robotic control system. The drive shafts are oriented perpendicular to the longitudinal axis of the shaft assembly. A first drive shaft may be operable to rotate the shaft assembly relative to the base. A second drive shaft may be operable to drive the articulation section. A third drive shaft may be operable to drive a clamping arm to pivot toward the ultrasonic blade.
A surgical instrument (4010) configured to relay a low-power signal from an end effector (4002) to a remote device (4014) is disclosed. The surgical instrument may comprise a handle, a shaft extending distally from the handle, and an end effector attached to the distal end of the shaft. A sensor (4116) may be disposed in the end effector. The sensor may generate a signal (4006) indicative of a condition at the end effector. A transmitter (4124) may be located in the end effector. The transmitter may transmit the signal from the sensor at a first power level. The signal may be received by a relay station (4008) located proximally to the shaft. The relay station is configured to retransmit the signal (4012) at a second power level, wherein the second power level is higher than the first power level.
An end effector (12) for a surgical instrument comprises a first jaw (16) and a second jaw (18). The first jaw is configured to receive a staple cartridge. The second jaw is movable relative to the first jaw and is configured to provide an anvil (18) for forming staples (350). The anvil has staple forming pockets (310). Each staple forming pocket comprises first (320) and second (340) staple forming surface regions configured to receive respective first and second staple legs. The first and second staple forming surface regions each have a respective length that is greater than half of the length of the staple forming pocket. The staple forming surface regions may include convex surfaces that drive staple legs laterally. The pocket minimizes re-entry of staple leg tips into tissue.
A surgical instrument comprises a body, a shaft, and an end effector. The end effector has a staple cartridge, a lower jaw, an anvil, and a firing beam. The staple cartridge comprises a cartridge body and a lower cartridge tray. One or both of the cartridge body or the lower cartridge tray comprises at least one notch. The lower jaw is configured to be coupled with the cartridge body and comprises protrusions. The protrusions of the lower jaw align with the notches of the cartridge body and/or lower cartridge tray when the lower jaw and staple cartridge are coupled. The body comprises a handle portion and a series of actuators capable of closing the anvil on the staple cartridge and driving the firing beam to vertically drive a plurality of staples.
An apparatus comprises a body and a shaft assembly. The shaft assembly is in communication with the body and comprises an end effector, first cam gear, second cam gear, and a lock bar. The end effector has an articulation joint. The first cam gear is rotatably positioned within the shaft assembly. The second cam gear is in communication with the end effector at the articulation joint. The lock bar is distally biased to lock against the second cam gear. The first cam gear is rotatable through a first range of motion to unlock the lock bar relative to the second cam gear. The first cam gear is rotatable through a second range of motion to rotate the end effector at the articulation joint.
An end effector (212) for use with a surgical instrument includes a first jaw (216), a second jaw (218), a blade assembly (250), and a lockout assembly. The first jaw removably couples with a staple cartridge (237). The second jaw is movably coupled with the first jaw. The blade assembly translates relative to the first jaw and includes a first tab (268). The lockout assembly includes a resilient member (280) that biases the blade assembly to a lockout position. The lockout assembly engages the first tab of the blade assembly in the lockout position to prevent the blade assembly from translating distally relative to the first jaw when a staple cartridge is absent from the first jaw or when a spent staple cartridge is disposed in the first jaw.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 17/295 - Pinces pour la chirurgie faiblement invasive combinées à des instruments coupants
16.
SURGICAL INSTRUMENT WITH ARTICULATION LOCK HAVING A DETENTING BINARY SPRING
A apparatus includes a shaft, an end effector, an articulation joint, and a locking feature. The end effector is pivotable from a first position to a second position. The end effector is aligned with a longitudinal axis of the shaft in the first position and angled relative to the longitudinal axis of the shaft in the second position. The articulation joint couples the shaft with the end effector and pivots the end effector from the first position to the second position. The locking feature is coupled with the articulation joint and translates from a proximal position to a distal position. The locking feature locks the articulation joint when the locking feature is in the distal position.
An apparatus comprises a body, a shaft, and an end effector that is operable to compress, staple, and cut tissue. The end effector comprises and anvil and a cartridge. A longitudinal axis intersects the distal tip of the anvil when the anvil is in a closed position. The cartridge defines a sight line extending along a distal surface of the cartridge from a first side of the cartridge toward the anvil. The first side of the cartridge is opposite to the anvil. The distal surface of the cartridge is neither parallel to nor perpendicular to the longitudinal axis. The sight line intersects the longitudinal axis near the distal tip when the anvil is in the closed position. A segment of the sight line and a segment the longitudinal axis define an angle .theta.. The angle .theta. is larger than 90°.
In various forms, a sensor-straightened end effector 5802 is disclosed. The sensor-straightened end effector may comprise an end effector coupled to a shaft 5831 at an articulation point. The end effector may be articulable at an angle with respect to the shaft. A sensor 5826 may be disposed on the sensor-straightened end effector, such as on the shaft or on the end effector. The sensor is configured to detect a gross proximal movement. When detecting a gross proximal movement, the sensor may generate a signal to control a motor 402 to begin a straightening process to straighten the end effector with respect to the shaft.
An articulation joint for a surgical instrument. In at least one form, the articulation joint includes a proximal joint portion that is coupled to an elongate shaft assembly of the surgical instrument. A distal joint portion is movably coupled to the proximal joint portion and is configured to interface with a surgical end effector. A first gear train operably interfaces with a proximal firing shaft segment within the elongate shaft assembly and a distal firing shaft segment that is configured to operably interface with the surgical end effector for transmitting a rotary firing motion thereto from the proximal firing shaft segment to the surgical end effector. A second gear train operably interfaces with a proximal rotation shaft portion of the elongate shaft assembly for transmitting a distal rotational control motion to the surgical end effector to cause the surgical end effector to rotate relative to the elongate shaft assembly while facilitating articulation of the distal joint portion relative to the proximal joint portion.
A thumbwheel control assembly operably supported on the handle assembly of a motor powered surgical instrument. The thumbwheel control assembly communicates with a motor in the handle such that when an actuator portion of the thumbwheel control assembly is pivoted in a first direction, the motor applies a rotary motion to one of an elongate shaft assembly and an end effector coupled thereto in the first direction and when the actuator portion is pivoted in a second direction, the motor applies the rotary motion to one of the elongate shaft assembly and end effector in the second direction.
In various forms, the modular motor control system may comprise one or more motor controllers (6314a, 6314b) each having an associated motor (6318a, 6318b). The one or more motor controllers may be in communication with a master controller (6306). The master controller is configured to provide control signals to the motor controllers to control the associated motors. In some forms, the one or more motor controllers and the associated motors may be located within a surgical module. The surgical module may provide a communications interface between the master controller and the one or more motor controllers.
A joy stick control assembly for operating a motor driven surgical instrument. In at least one form, the joystick control assembly comprises a first switch assembly that is movably supported by a housing. The first switch assembly may include a joystick that is movably mounted thereto such that pivotal movement of the joystick relative to the first switch assembly causes at least one corresponding control signal to be sent to at least one motor communicating therewith. The joystick control assembly may further include a second switch assembly that comprises a first sensor and a second sensor that is movable with the first switch assembly such that movement of the second sensor relative to the first sensor causes at least one other control signal to be sent to another one of the surgical instrument motors.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération
G05G 9/04 - Mécanismes de commande manuelle équipés d'un seul organe de commande travaillant avec plusieurs organes commandés, p.ex. en sélection ou simultanément l'organe de commande étant manœuvré de différentes manières indépendantes, chacune de ces manœuvres individuelles entraînant un seul organe commandé dans lesquels la manœuvre de l'organe de commande peut être effectuée de plusieurs manières simultanément
23.
ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM
A surgical instrument may comprise a drive system that is configured to electrically generate a plurality of discrete rotary control motions. In at least one form, the surgical instrument may include an elongate shaft assembly that is operably couplable to the drive system for receiving a first rotary control motion therefrom for rotating the elongate shaft assembly about a shaft axis. The elongate shaft assembly may be further configured to receive and transmit a second rotary control motion from the drive system to a surgical end effector that is operably coupled to the elongate shaft assembly to cause the surgical end effector to rotate about the shaft axis relative to the elongate shaft assembly. The elongate shaft assembly may be further configured to receive and transmit a third rotary control motion from the drive system to an articulation joint that communicates with the elongate shaft assembly and the surgical end effector to articulate the surgical end effector about an articulation axis that is substantially transverse to the shaft axis.
A surgical instrument includes a drive member movable by a drive motor between a home position and an end of stroke. A mechanical stop is disposed at or near the end of stroke and is structured to increase resistance to movement of the drive member from a first position to a second position. A control system detects a current spike associated with the increased resistance and interrupts power to the drive motor.
An apparatus (210) includes an end effector (212) and a shaft (222) having a longitudinal axis. The end effector includes a first jaw (218) and second jaw (216). The first jaw is pivotable relative to the second jaw. The distal end of the shaft has an articulation joint (211) that pivots the end effector from a first position aligned with the longitudinal axis of the shaft to a second position angled from the longitudinal axis of the shaft. The articulation joint includes at least one articulation band (242,244) that bends outwardly within the shaft when the end effector is in the first position. The articulation band then bends inwardly when the end effector is pivoted from the first position to the second position. The shaft includes an outer closure tube (232) having a neckdown region (235) that promotes a greater range of pivotal movement within a surgical passageway.
A surgical instrument (10) for acting on tissue. The surgical instrument comprises at least one processor (3706), at least one motor (530) in communication with the processor and at least one actuation device (840). The processor is programmed to receive from a removable implement portion (3554, 3556, 3558) a first variable (3801) describing the removable implement. The processor is also programmed to apply the first variable to an instrument control algorithm (3802). Further, the processor is programmed to receive an input control signal (3818) from the actuation device and control the at least one motor to operate the surgical instrument in conjunction with the removable implement in accordance with the instrument control algorithm considering the input control signal.
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p.ex. étiquettes utilisant des moyens électromagnétiques, p.ex. transpondeurs
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération
27.
INTEGRATED TISSUE POSITIONING AND JAW ALIGNMENT FEATURES FOR SURGICAL STAPLER
An apparatus includes a body, a shaft in communication with the body, and an end effector in communication with the shaft. The end effector is operable to drive staples through tissue. The end effector comprises an anvil and a cartridge. The anvil is operable to move pivotally relative to the cartridge. The cartridge is positioned to drive staples upwardly toward the anvil. The cartridge comprises a plurality of protrusions operable to prevent lateral rocking of the anvil. The plurality of protrusions is pointed toward the anvil. In some versions, an alignment member and/or a lateral stabilization member may be used between the anvil and the cartridge.
An end effector (212) for use with a surgical instrument includes a first jaw (216), a second jaw (218), and a closure ring (233). The second jaw is pivotable relative to the first jaw. The second jaw has a proximal end with a first ramped surface (224) and a second ramped surface (226) distal of the first ramped surface. The closure ring is coupled with the second jaw to engage the first and second ramped surfaces of the second jaw. The closure ring translates from a proximal position to a distal position to engage the first ramped surface of the second jaw and then the second ramped surface of the second jaw. The camming engagement of the closure ring with the first and second ramped surfaces of the second jaw pivots the second jaw toward the first jaw. The closure ring may also provide camming engagement to pivot the second jaw away from the first jaw.
A cover for an articulation joint that is supported in an elongate shaft assembly of a surgical instrument that is operably coupled to a surgical end effector that includes at least one end effector conductor therein. The cover includes at least one electrically conductive pathway that extends from the distal end of the cover to form an electrically conductive pathway from the end effector conductor to a shaft conductor on the elongate shaft assembly while facilitating operation of the articulation joint. Various conductor arrangements facilitating the passage of electrical current between an end effector to a control system across the articulation joint are also disclosed.
A fastener cartridge can comprise, one, a cartridge body configured to at least partially store a plurality of fasteners therein and, two, a layer of material attached to the cartridge body by a retention member. The retention member can be deactivated to release the layer from the cartridge body when a firing member is moved through the cartridge body to eject the fasteners from the cartridge body. The retention member can be deactivated at the beginning, the end, and/or at any suitable time during a firing stroke of the firing member. Certain fastener cartridges can comprise a plurality of retention members configured to releasably hold the layer to the cartridge body. In certain circumstances, the retention members can be sequentially released in order to progressively release the layer.
A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described.
A fastener cartridge (9020) can comprise a cartridge body (9222) and a layer, such as a tissue thickness compensator (10020, 17050), for example, releasably attached to the cartridge body (9222). The tissue thickness compensator can comprise a compressible first portion(17052) and a second support portion (17054). The second portion can be rigid and can support the first portion when mounted thereto. The properties of the first portion and/or the second portion can be selected so as to prevent the premature deflection and release from the cartridge body. The fastener cartridge can further comprise one or more attachment portions (24070) configured to releasably hold the tissue thickness compensator to the cartridge body. The attachment portions can be configured to permit a firing member (12043) to pass therethrough. In some circumstances, the tissue thickness compensator can be configured to hold the firing member in an unfired position until a sufficient firing force has been applied to the firing member.
A fastener cartridge can comprise a cartridge body comprising fastener cavities, fasteners at least partially stored within the cartridge body, and a layer (11150) positioned over the cartridge body. The cartridge body can include a proximal end and a distal end. Similarly, the layer can include a proximal end and a distal end. The distal end of the layer can extend distally with respect to the distal end of the cartridge body. Furthermore, the layer can include a distal portion (11156) which extends distally with respect to the fastener cavities defined in the cartridge body. This distal portion can be positioned against the tissue being fastened and can flexibly support the tissue after the layer has been implanted against the tissue. The layer may include a proximal portion (11158) which extends proximally with respect to the fastener cavities which can flexibly support the tissue after the layer has been implanted.
A fastener cartridge can comprise a cartridge body comprising a deck, fasteners removably stored within the cartridge body, and a layer covering the deck. The cartridge body can comprise a longitudinal slot which can be configured to receive a cutting member therein. The layer can comprise a first portion extending over the slot and a second portion located laterally with respect to the first portion and the slot. The first portion can comprise different properties than the second portion. For instance, the first portion can be thicker than the second portion. The first portion could also be stiffer than the second portion, for example. The first portion can rigidly support the tissue which is adjacent to a longitudinal cut extending through the tissue which is created by the cutting member. The second portion, positioned further away from the longitudinal cut in the tissue, can flexibly support such tissue.
A staple cartridge assembly includes, one, a plurality of staples movable between unfired positions and fired positions and, two, a layer, such as a tissue thickness compensator and/or a buttress material, for example, wherein the staples are configured to at least partially capture the layer when the staples are moved between the unfired positions and the fired positions. The layer can include a cushioning member at least partially extending around a peripheral portion of the tissue thickness compensator. The layer can include features which create a flexible transition between the tissue supported by the layer and the staples and the unsupported tissue.
A layer such as, for example, a tissue thickness compensator (80020) for an end effector (80005) of a surgical instrument (10) can comprise compressible (80022) and non-compressible (80024, 80025) portions. The tissue thickness compensator can be positioned in the end effector such as adjacent to a deck surface (80011) of a fastener cartridge (80000) that is positioned in the end effector. The tissue thickness compensator can be maintained in a compressed state and can be released from the compressed state by a cutting member (80080) of the end effector.
A staple cartridge assembly for use with a surgical stapler is provided. The staple cartridge assembly comprises a cartridge body having a plurality of staple cavities; and a plurality of staples positioned within said staple cavities. The cartridge assembly also comprises a layer and a retainer releasably engaged with the cartridge body. When the staple cartridge assembly is arranged in the surgical stapler, facing the surface of an anvil; a deployment member; and at least one holder aligns an attachment member of the layer with the deployment member. When the staple cartridge assembly is arranged in the surgical stapler and the anvil is closed on the surgical stapler, the deployment member pushes the attachment member into a slot of the anvil and deforms the attachment member into an interference fit within the slot of the anvil, and the at least one holder releases the layer.
A fastener cartridge is provided. The fastener cartridge comprises a cartridge body comprising a deck, fasteners, and a layer covering the deck. The cartridge body comprises a longitudinal slot which is configured to receive a cutting member therein. A first set of fastener cavities is positioned on a first side of said longitudinal slot and a second set of fastener cavities is positioned on a second side of the longitudinal slot. The layer comprises a first portion extending over the slot and a second portion located laterally with respect to the first portion and the slot. The first portion and the second portion have different thicknesses. The first portion is also adjacent to the longitudinal slot, and the second portion is positioned is positioned laterally with respect to said first portion.
A staple cartridge, or fastener cartridge, for a surgical stapler, or fastening instrument, wherein the staple cartridge includes a distally-located cutting blade arranged to cut a distal end portion of a layer, such as a tissue thickness compensator and/or a buttress material, for example, attached to the staple cartridge. The distally-located cutting blade can extend out of a distal cavity of the staple cartridge. The distally-located cutting blade can move in a direction that is perpendicular to a staple deck of the staple cartridge. The distally-located cutting blade can also move in any suitable direction relative to the staple deck.
An end effector assembly (5400) for use with a surgical instrument. The end effector assembly can include a fastener cartridge (5402), a plurality of fasteners, a first connector (5480a), a second connector (5480b), and a layer of material (5468) releasably secured to the fastener cartridge by the first connector and by the second connector. The layer of material can have a mount (5460) that extends into a slot or notch (5456) in the fastener cartridge between the first connector and the second connector when the layer of material is secured to the fastener cartridge. The layer of material can be a buttress material and/or a tissue thickness compensator. Further, the layer of material can have a reinforcement feature and/or a scalloped edge around at least a portion of the perimeter thereof.
An end effector assembly (5000) for use with a surgical instrument. The end effector assembly can comprise an anvil, a fastener cartridge (5050) including fastener cavities (5054), fasteners removably positioned in the fastener cavities, a piece of buttress material (5058) releasably secured intermediate the anvil and the fastener cartridge, a connector (5080), and an actuator (5010) configured to overcome the connector when actuated. The connector can secure the piece of buttress material relative to the anvil or the fastener cartridge at a location that is distal to at least one fastener cavity. The actuator can overcome the connector prior to the removal of the fasteners from the fastener cavities. Further, the actuator can extend past the fasteners in the fastener cavities, and can be actuated proximal to the fastener cavities.
A fastener cartridge assembly includes a plurality of fasteners (1002) and a layer (1000) configured to be captured by the fasteners. In addition, the layer includes a tissue contacting surface which includes a plurality of cleats (1030), and/or any other suitable structures, configured to reduce slippage between the layer and the patient tissue. In various embodiments, the layer can include traction features extending therefrom.
An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer.
A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector.
A staple cartridge assembly (2000) includes a stepped staple cartridge deck (2014) and an implantable layer (2020), such as a tissue thickness compensator and/or a buttress material, for example, positioned thereon. The layer can include a first portion (2020a) positioned over a first deck surface (2018a) of the multi-step staple cartridge and a second portion (2020b) positioned over a second deck surface (2018b) of the multi-step staple cartridge. The first portion includes a first tissue-contacting surface (2034a) and the second portion includes a second tissue-contacting surface (2034b), wherein the first tissue-contacting surface is vertically offset from the second tissue-contacting surface.
A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body (5650), fasteners, and a layer of material releasably secured to the cartridge body. The layer of material can be a tissue thickness compensator (5658). The cartridge body, the fasteners, the tissue thickness compensator and/or the end effector can comprise various features to releasably secure the tissue thickness compensator relative to the cartridge body. For example, the cartridge body can comprise slots (5656), projections (6048), cavities (5948), drivers (5920), locks (6320), and/or keys (6353), the fasteners can comprise barbs (6296), and/or the tissue thickness compensator can comprise mounts ((5660), (5760), (5860), (5960)) and/or connectors (6480).
A staple cartridge for use with an end effector of a surgical stapler, the staple cartridge comprising: a cartridge body having a staple cavities; a plurality of staples within said staple cavities; a layer arranged relative to said cartridge body; and a retainer comprising a cover portion with an attachment portion, wherein said at least one attachment portion is releasably engaged with said cartridge body, the structure arranged so that the attachment portion disengages from said cartridge body.
An anvil-attachable layer (2484) and a retainer (2000) for aligning and attaching the layer to an anvil of a surgical stapler. Embodiments of the anvil-attachable layer can include one or more attachment features extending from the layer. A retainer can push the attachment features into a knife slot in the anvil so that the fit between the attachment features and the slot hold the anvil- attachable layer in place. Other embodiments of the anvil-attachable layer can include deployable attachment (2088) features formed in the layer. The deployable attachment features can be deployed from an undeployed position substantially in a plane defined by the layer to a deployed position extending out of the plane. In the deployed position, the deployable attachment features can extend into a slot in an anvil. A retainer can include features to push the deployable attachment features into the deployed position.
A surgical instrument includes a body, a shaft, and an end effector. The shaft extends distally from the body. The end effector is located at a distal end of the shaft. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is operable to selectively couple with a variety of power sources such that the drive feature may receive electrical power form a battery or from a corded power source, based on a user's preference. The body may include a handpiece that has a socket configured to receive a battery or cable adapter. The body may removably receive various kinds of shaft assemblies to provide various operating modalities. The shaft assemblies may include user interface features.
An ultrasonic instrument comprises an ultrasonic transducer, an acoustic waveguide, and an ultrasonic blade. The blade includes a pair of obliquely extending edges. The obliquely extending edges diverge away from the longitudinal axis of the waveguide and away from each other along respective paths extending distally in relation to the waveguide. A distal portion of the blade is wider than a proximal portion of the blade along a plane. The blade further includes a curved distal edge and several laterally presented surfaces. The laterally presented surfaces may provide combinations of concave and convex curvatures. The laterally presented surfaces may be angled and/or curved along one or more orthogonal planes associated with the longitudinal axis of the waveguide.
Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include ultrasonic blades comprising various grasping features, devices configured to prevent ingress of surgical matter, e.g., fluid and tissue, in the space between an ultrasonic blade and an inner or outer tube distal of the distal seal, alternate closure mechanisms for ultrasonic devices, ultrasonic transducer rotation limiters to limit the rotation of an ultrasonic transducer, ultrasonic transducer rotation systems to provide unlimited continuous rotation of an ultrasonic device, integrated ultrasonic instrument electrically connected to provide RF spot coagulation with an ultrasonic (RF) generator, and coated ultrasonic/RF blades.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
In one embodiment, a surgical instrument comprises an articulable harmonic waveguide. The articulable harmonic waveguide comprises a first drive section comprising a proximal end and a distal end. The proximal end of the first drive section may be configured to connect to an ultrasonic transducer. The articulable harmonic waveguide further comprises a first flexible waveguide coupled to the distal end of the first drive section. An end effector extends distally from the first flexible waveguide. The surgical instrument further comprises an articulation actuator to flex the first flexible waveguide.
Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.
A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade includes a recess region having a plurality of recesses. The recess region is tapered such that the cross-sectional area of the recess region decreases along the length of the recess region. The ultrasonic blade is also curved such that a central longitudinal axis of the ultrasonic blade extends along a curved path. A reference circuit is used to account for voltage drops of unknown values during operation of the surgical apparatus.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p.ex. les vaisseaux sanguins ou le cordon ombilical
An apparatus comprises an end effector, a body assembly, a power source, and a control module. The end effector is operable for use in a surgical procedure and can deliver energy to a surgical site. The end effector comprises at least one sensor. The sensor is able to measure at least one physical characteristic associated with the surgical site. The body assembly is in communication with the end effector. The power source is in communication with the body assembly and is operable to deliver power to the end effector. The control module is in communication with the sensor and is operable to change delivery of power to the end effector based on data from the sensor indicating a change in tissue density.
A surgical apparatus comprises an instrument body, an end effector, and a control module. The end effector is in communication with the handle assembly. The end effector is operable for use in a surgical procedure. The control module is in communication with the end effector. The end effector with the control module is able to deliver surgical energy as well as nerve excitation energy to a surgical site. A surgeon may detect stimulation of nervous tissue by visually observing the tissue twitch, and may adjust surgical technique accordingly. A sensor may be used to detect excitation of nervous tissue based on excitation caused by the nerve excitation energy.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p.ex. stimulateurs cardiaques
57.
DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE
Various forms are directed to systems and methods for driving an end effector coupled to an ultrasonic drive system of a surgical instrument. A generator may generate at least one electrical signal. The at least one electrical signal may be monitored against a first set of logic conditions. When an ultrasonic impedance of the surgical instrument exceeds a threshold impedance, a resonant frequency of the at least one electrical signal may be stored as a baseline frequency. A first response of the generator may be triggered upon the occurrence of either the first set of logic conditions being met or the resonant frequency of the at least one electrical signal differing from the baseline frequency by a baseline deviation threshold.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing configured to couple with the transmission assembly. An information transmission system transmits instrument information received from a sensor, for example, to a secure server via a secure gateway connected to the instrument. The instrument may be previously tested on a calibration kit to pre-determine and load surgeon-specific settings onto the instrument prior to use.
An exemplary surgical instrument comprises a handpiece, an end effector, and an activation and control feature that is operable to selectively activate an end effector and select an energy level for the end effector. One version of the activation and control feature includes a "floating" button feature where activation and control is accomplished based on the displacement of the button from a home position. In some versions the activation and control feature is sealed within the handpiece, but controllable by the user's touch with the handpiece. The sealed configuration can allow the handpiece to be sterilizable, e.g., using steam sterilization. The activation and control feature may comprise capacitive switches, resistive sensors, resonant cavity switching technology, infrared sensing technology, technology that uses a resonant standing wave on a surface that is perturbed by the presence of a finger, and/or any other suitable type of technology.
A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling mechanism portions cooperatively couple the end effector assembly to the body assembly for use. A cartridge positionable between the instrument and a generator includes information regarding operating parameters unique to the selectively coupleable end effector assembly and/or the desired surgical procedure, such as information regarding setting a maximum current set point within an ultrasonic transducer. The instrument is programmable with operating parameter information while within a sealed and sterilized packaging unit.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p.ex. étiquettes
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A61B 18/04 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage
61.
COUPLING FOR SLIP RING ASSEMBLY AND ULTRASONIC TRANSDUCER IN SURGICAL INSTRUMENT
An ultrasonic surgical instrument includes a body such as a handle assembly and an acoustic transmission assembly. The acoustic transmission assembly includes an ultrasonic transducer and an end effector. A mounting ring is positioned on a horn of the transducer. A rotatable drum is positioned distal to the mounting ring. Piezoelectric components of the transducer are positioned proximal to the mounting ring. Electrical conduits extend from the drum to the piezoelectric components and are routed over or through the mounting ring. The drum is coupled with a power source through a slip ring assembly to selectively activate the transducer.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
62.
ULTRASONIC SURGICAL INSTRUMENT WITH MODULAR END EFFECTOR
A surgical instrument having a transmission assembly, a transducer, and a handle assembly is configured for coupling the transmission assembly to the handle assembly using a locking mechanism. The locking mechanism is operable to restrict the rotational movement of an actuator coupling member and the transducer relative to the handle assembly. The locking mechanism may also be operable to lock a trigger of the handle assembly in a first position. An inner tubular actuating member of the transmission assembly may be threadably attachable to the actuator coupling member or the actuator coupling member may include a latching mechanism to couple to a flared portion of the inner tubular actuating member. A waveguide of the transmission assembly may also be threadably attachable to the transducer. In one alternative, the trigger may be configured to operate the locking mechanism, either in the first position or when pivoted distally to a third position.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/04 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
63.
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.
A61B 18/04 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage
An anvil assembly for a circular stapling instrument is provided. The anvil assembly includes a one-piece, polymer anvil and a staple-forming surface. The one-piece, polymer anvil comprises an anvil base surface and an anvil shaft extending from the anvil base surface. The staple-forming surface is attached to the anvil base surface.
A circular stapling instrument is provided which includes a reciprocating drive shaft and a firing bar. The reciprocating drive shaft has a first engagement member at a tip of the reciprocating drive shaft and a threaded adjustment member at a base of the reciprocating drive shaft. The firing bar is movably connected at a first end with a firing trigger and movably connected at a second end with a stapling head assembly through a second engagement member. The firing bar forms a first engagement surface which faces a respective second engagement surface formed on the reciprocating drive shaft. The circular stapling instrument also includes a frictional reducing member located in between the first and second engagement surfaces in order to reduce friction between the reciprocating drive shaft and the firing bar.
A circular stapling instrument is provided. The circular stapling instrument includes a handle forming a cavity, a reciprocating drive shaft, a carrier cover, and a shaft assembly. The reciprocating drive shaft is detachably secured within the cavity of the handle. The carrier cover covers a portion of the reciprocating drive shaft within the cavity of the handle. The shaft assembly is detachably coupled with the handle.
A stapling reload assembly for a circular stapling instrument includes a casing, a staple holder, a staple driver, and an anvil assembly. The staple holder is attached to the casing. The staple driver includes a driver alignment surface. The staple driver is receivable within the casing and is configured to move within the casing from a pre-fired position to a fired position. The anvil assembly includes an anvil base surface, an anvil alignment surface, and a staple forming surface. The anvil base surface is configured to move from an open position away from the casing to a closed position adjacent the casing. The anvil alignment surface is configured to mate with the driver alignment surface, to rotationally align the staple forming surface with the staple holder, when the anvil base surface is in the closed position.
A circular stapling instrument includes a casing, an anvil assembly, a staple driver, and a locking mechanism. The anvil assembly is configured to move back and forth between an open position away from the casing and a closed position adjacent the casing. The staple driver is configured to move within the casing from a pre-fired position to a fired position. The locking mechanism is configured to, whenever the anvil assembly is in the open position, automatically lock the staple driver in the pre-fired position preventing the staple driver from being moved to the fired position. The locking mechanism is also configured to, whenever the anvil assembly is in the closed position, automatically unlock the staple driver from the pre-fired position to allow the staple driver to be moved to the fired position.
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.
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.
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.
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.
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.
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.
Surgical staple cartridges and end effectors for assessing a size of tissue stapled by the staple cartridge or otherwise manipulated by the end effector. In various forms, the staple cartridge has at least one series of measurement indicia on the deck base that may be viewed from above the deck surface when the anvil is clamping the tissue onto the staple cartridge. Other embodiments include structure for forming a mark on the cartridge deck that corresponds to a size of the tissue supported thereon. Methods for severing and stapling tissue are also disclosed.
Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple- forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.
A process and system are disclosed for downloading sensor data, stored in a memory device of a surgical cutting and fastening instrument (10), to an external or remote computer device (2420). The process may involve storing data from one or more sensors of a surgical cutting and fastening instrument in a memory device (2406) of a control unit (2400) 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 (2422) 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.
A surgical stapler, comprising a curved anvil assembly, comprising staple pockets formed in a tissue contacting surface. Said staple pockets are positioned along a curved path, wherein each said staple pocket comprises a staple pocket midline, wherein a said staple pocket midline of a first staple pocket is neither parallel to nor collinear with a said staple pocket midline of a second staple pocket. The staple pockets further comprise a first forming cup, and a second forming cup.
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.
Various embodiments are directed to a powered surgical instrument for cutting and fastening tissue. The instrument may comprise an end effector (104) comprising a first jaw member and a second jaw member (112). 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 (108) 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 (130), a clamping trigger (120) 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 (1200) may comprise a firing switch (220), a clamp switch (1206), a latching device (1208) and an end- of - stroke sensor (1204). The firing switch may be configured to be in electrical communication with a power supply (506) 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.
Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions.
B06B 1/02 - Procédés ou appareils pour produire des vibrations mécaniques de fréquence infrasonore, sonore ou ultrasonore utilisant l'énergie électrique
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. 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.
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.
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.
A fastener cartridge comprises 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 fastener cartridge and/or the first jaw can comprise retention features which allow the fastener cartridge to be selectively inserted into the first jaw in a first orientation or a second orientation.
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.
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.
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.
An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft extending between the body and the end effector. The end effector includes a pair of jaws and at least one electrode 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 position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. The articulation section may include beads, segments, asymmetric features, preformedly bent features, an integral hinge, a helical cutout or spring, clevis features, an angled joint, a beaded actuation linkage, and/or an offset pivot, among other things. The device may also include a crimped cutting member, a retroacting cutting member, dual pivoting jaws, and/or a wire tensioning assembly.
An improved ligation device adaptable for surgical intervention comprising a shaped body with an outer casing (16), the body comprises a handle portion, and a body portion; a rotatable wheel (4) attached to a crank shaft (5) disposed inside the body portion, the wheel is integrally connected to a trigger (1) interposed adjacent the handle portion; a pair of jaws (12) frontally disposed on the body portion, and having a pair of crest (7) at the proximal end which is further connected to the wheel at the distal end; a sleeve (6) connected to the crest and movable along the crest on application of a pulling force on the trigger, a heater switch (2) provided on the handle portion which on further application of force on the trigger (10) gets activated causing at least one heater (13); and a pair of self - expanding grippers being enabled to accommodate at least two precut materials (9) which on thermal application by the heaters form a ligator, getting fused around the vessel/duct.
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p.ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A61B 17/10 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour poser ou retirer les clamps pour blessures; Chargeurs de clamps pour blessures
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p.ex. les vaisseaux sanguins ou le cordon ombilical
An indicator device (1) for indicating properties of body tissue subjected to surgical stapling as a function of tissue compression time comprises a housing (2), an actuating device (7) received in the housing (2) and having an adjustable compression time setting member (8) and a display device (4) supported by the housing (2) and co-operating with the compression time setting member (8) such that the display device (4) visualizes a tissue property corresponding to a compression time set by the compression time setting member (8), wherein the display device (4) is configured to visualize a reduced thickness feature of the clamped tissue corresponding to the set compression time.
A surgical device (1) for hollow organ resection and closure, including an instrument head (2) with a first stump closure plug (4) configured such that the wall of a lumen (6) can be tied up against it, a second stump closure plug (7) configured such that the wall of the lumen (6) to be resected can be tied up against it, defining two adjacent tie up planes (P5, P8), wherein at least one (4) of said first and second stump closure plugs (4, 7) comprises a staple forming surface (10) adapted to cooperate with a circular stapler (51) staple fastening device (11) for forming the ends of staples exiting from the staple fastening device (11) so that said stump closure plug (4) can act as an anvil of said circular stapler (51).
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour réaliser l'anastomose; Boutons pour anastomose
A61B 1/31 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments pour le rectum, p.ex. proctoscopes, sigmoïdoscopes
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p.ex. les vaisseaux sanguins ou le cordon ombilical
The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. In one embodiment, a seal assembly is provided and can include a seal having an opening configured to receive a surgical instrument therethrough and a fluid remover in the form of an absorbent element, a scraper element, a wicking element, or any combination thereof can be associated with the seal and configured to remove fluid from the opening and/or a surgical instrument.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
94.
ELECTRICALLY SELF-POWERED SURGICAL INSTRUMENT WITH MANUAL RELEASE
An electrically operated surgical instalment includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self- contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération
A61B 17/10 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour poser ou retirer les clamps pour blessures; Chargeurs de clamps pour blessures
An electrically operated surgical instalment includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.
An electrically operated surgical instalment includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.
A surgical instrument includes a surgical end effector having a receiving portion for removably receiving therein an interchangeable part. The receiving portion has a communication connection. A handle connected to the end effector actuates the end effector. The handle has a controller electrically connected to the communication connection for authenticating the interchangeable part when placed at the end effector. An interchangeable part is removably connected to the receiving portion and has an encryption device electrically removably connected to the communication connection when placed at the receiving portion. The encryption device authenticates the interchangeable part when queried by the electric controller.
A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with die bridge and a deformabie distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
B21D 53/46 - Fabrication d'autres objets particuliers d'attaches à pointes, p.ex. agrafes, crampons
B21F 45/24 - Travail du fil métallique pour la fabrication d'autres objets particuliers de dispositifs d'attache ou de fixation d'éléments pour réunir les extrémités d'une courroie
B21G 7/00 - Fabrication d'épingles en forme d'U ou d'épingles fendues
F16B 43/00 - Rondelles ou dispositifs équivalents; Autres dispositifs de support pour têtes de boulons ou d'écrous
99.
A SURGICAL DEVICE FOR TRANSANALLY ACCESSING THE RECTUM OF A PATIENT
A surgical device (1) for transanally accessing the rectum of a patient comprises a circular anal dilator (2) having a cylindrical ring wall (6) adapted to be transanally inserted into the rectum in order to provide a transanal access opening therethrough and a connecting portion (8) arranged at a proximal end of the ring wall (6) and adapted to hold the ring wall (6) inside the rectum, an anoscope (3) comprising a first retaining wall (13) defining at least partially a working channel (14) and a window aperture (15) providing an access area (16) to the surrounding tissue from inside the working channel (14), said anoscope (3) being received by the ring wall (6) of the anal dilator (2) and having a length such that it protrudes distally from the ring wall (6), a shield member (4) comprising a second retaining wall (26) which can be arranged in a manner to partially overlap the window aperture (15) of the anoscope (3) in order to vary the tissue access area (16) thereof.
A61B 1/31 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments pour le rectum, p.ex. proctoscopes, sigmoïdoscopes
A61M 29/00 - Dilatateurs avec ou sans moyens pour introduire des agents, p.ex. des remèdes
100.
A TISSUE CLAMP FOR TRANSANAL HEMORRHOIDOPEXY OR HEMORRHOIDECTOMY
A surgical tissue clamp (1) for holding prolapsed tissue (10, 10') during a hemorrhoidopexy or hemorrhoidectomy, comprises an elongate insertion shaft (4), a handle (3) and a clamping head (2) including a proximal jaw (5) and a distal jaw (6) configured to cooperate with the proximal jaw (5) for clamping the prolapsed tissue (10), as well as an actuating device (8) operatively connected with the proximal and distal jaws (5, 6) and adapted to approximate the jaws and to hold the jaws in a tissue clamping configuration. The clamping head (2) defines at least one proximal access aperture (11) configured to expose the clamped tissue proximally.
A61B 17/22 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
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