A surgical stapling apparatus is provided and includes a housing, an elongated member, an end effector, and a staple formation circuit. The elongated member extends from the housing. The end effector is disposed on an end of the elongated member and has first and second jaws. The first jaw includes a staple cartridge having a plurality of staples. Each of the staples has first and second legs. The second jaw has a plurality of staple forming pockets. The staple formation circuit may be disposed on the second jaw. The staple formation circuit communicates a signal to a controller coupled to the staple formation circuit. The signal is representative of one or more of a formation, a malformation, and a nonformation of one or both of the first and second legs of one or more of the staples within one or more of the staple forming pockets.

A surgical instrument includes a body having an actuator and being connectable with a pressurized fluid source. A first member is connected with the body and the fluid source. The first member is configured for connection with an implant disposable between a contracted configuration and an expanded configuration. A second member defines a cavity configured for disposal of the first member and the expandable implant. The second member is connected with the actuator for selective translation relative to the first member to position the implant in the contracted configuration. Systems, implants and methods are disclosed.

An atherectomy device for removing deposits such as plaque from an interior of a vessel including an outer member, an inner member and a rotatable shaft positioned for rotational movement within the inner member. The outer and inner members are fixed axially. A rotatable tip is mounted to the distal region of the rotatable shaft for rotation about its longitudinal axis upon rotation of the shaft to remove deposits from the vessel.

A uterine fibroid tissue removal device includes an inner tube disposed within an outer tube and configured to be translated and rotated relative to the outer tube, and a separately formed unitary distal tip member attached to a distal end of the inner tube, such that the distal tip member translates and rotates relative to the outer tube along with the inner tube, wherein a distal facing open cutting end of the distal tip member in fluid communication with an axial lumen of the distal tip member translates across a tissue resection window in a sidewall of the outer tube so as to sever tissue extending therethrough, the distal tip member axial lumen being in fluid communication with an axial lumen of the inner tube, wherein an outer diameter of the distal tip member is greater than an outer diameter of the inner tube.

An atherectomy device for removing deposits such as plaque from an interior of a vessel including an outer member and a rotatable shaft positioned for rotational movement within the outer member. The outer member is fixed axially. A rotatable tip is mounted to the distal region of the rotatable shaft for rotation about its longitudinal axis upon rotation of the shaft. The rotatable shaft includes a guidewire lumen for receiving a guidewire to enable over the wire insertion of the device.

A surgical instrument navigation system is provided that visually simulates a virtual volumetric scene of a body cavity of a patient from a point of view of a surgical instrument residing in the cavity of the patient, wherein the surgical instrument, as provided, may be a steerable surgical catheter with a biopsy device and/or a surgical catheter with a side-exiting medical instrument, among others. Additionally, systems, methods and devices are provided for forming a respiratory-gated point cloud of a patient's respiratory system and for placing a localization element in an organ of a patient.

A surgical device is provided that includes a jaw portion with a first jaw and a second jaw moveable relative to the first jaw. The surgical device also includes a shaft portion coupled to a proximal end of the jaw portion. A driver is configured to cause relative movement of the jaw portion and the shaft portion. The driver may be configured to cause the jaw portion to pivot relative to the shaft portion about a pivot axis that is perpendicular to first and second longitudinal axes defined by the jaw portion and the shaft portion, respectively. The driver may also be configured to cause at least a portion of the jaw portion to rotate relative to the shaft portion about the first longitudinal axis. Advantageously, the surgical device includes a surgical member, e.g., a cutting element and/or a stapling element, disposed within the first jaw.

In various embodiments, a fastener cartridge is disclosed. The fastener cartridge comprises a cartridge body comprising a plurality of fasteners, a longitudinal knife slot defined in the cartridge body, and a circuit comprising a plurality of frangible resistors extending across the longitudinal knife slot. The plurality of frangible resistors comprises a first resistor and a second resistor, wherein the circuit comprises a first resistance when the first resistor and the second resistor are intact, wherein the circuit comprises a second resistance when the first resistor is split and the second resistor is intact, and wherein the second resistance is different than the first resistance.

A medical device that cuts an object in a body lumen includes: a drive shaft; a shaft portion connected to the drive shaft; a cutting portion connected to the shaft portion; and first and second bearings that rotatably support the shaft portion. The first bearing has a ring shape, the second bearing has a ring shape and is spaced from a proximal side of the first bearing. The shaft portion includes a first sliding portion slidably supported by the first bearing, a second sliding portion slidably supported by the second bearing, and an intermediate portion between the first and second sliding portions. The intermediate portion has a protruding portion protruding radially outward, the protruding portion is disposed between the first bearing (81) and the second bearing in an axial direction, and the shaft portion has a passage that communicates from the first sliding portion to the second sliding portion).

Device and method for comminution or inactivation of circulating tumor cells (CTC) or tumor cell clusters (CTCC) from a tumor-affected organ or organ part, wherein it is proposed that in the venous drain of the tumor-affected organ or organ part a pump (2) with a pressure-increasing section and a pressure-reducing throttle (13) is arranged and is operated at the output side in its design point given by volumetric flow (Q) and pumping pressure (p) according to the volumetric flow and the blood pressure of the venous drain of the tumor-affected organ or organ part. Circulating tumor cells (CTC) and tumor cell clusters (CTCC) are thus comminuted and inactivated to thus reduce the risk of metastasis formation in cancerous diseases.