Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device is delivered with a delivery device system configured to move a cartridge with the repair device disposed therein toward an anvil with soft tissue positioned thereon. The delivery device linearly moves the cartridge toward the anvil with a worm drive positioned within a housing by rotating a thumb wheel disposed around the worm drive. Such linear movement is provided with a finger element extending from the worm drive that is configured to cooperate with an internal surface of the thumb wheel. With this arrangement, upon rotating the thumb wheel, the worm drive rotates with the finger element engaged with the internal surface of the thumb wheel to linearly move the cartridge toward the anvil.

Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s).

A surgical end effector comprising a first jaw and a second jaw is disclosed. The first jaw comprises a staple cartridge including a plurality of staples. The second jaw comprises an anvil comprising an anvil surface and a plurality of staple-forming pockets defined in the anvil surface. The second jaw is movable relative to the first jaw. The second jaw comprises an unclamped position, a first clamped position, and a second clamped position. The first clamped position is different than the second clamped position. The anvil surface is in contact with the staple cartridge when the second jaw is in the first clamped position. The staples are configured to be formed against the staple-forming pockets when the second jaw is in the second clamped position. The anvil surface and the staple cartridge are not in contact with each other when the second jaw is in the second clamped position.

A tissue thickness compensator can comprise a compensator body and at least one vessel contained in the compensator body. The vessel can define an inner cavity which can comprise an inner atmosphere having a pressure which is lower than the atmospheric pressure of the atmosphere surrounding the tissue thickness compensator. In at least one embodiment, the vessel and the compensator body can be maintained in a collapsed state until staples are fired through the vessel. At such point, the vessel can re-expand and apply a biasing force to tissue captured within the staples.

A device for attaching a sheet-like implant to a target tissue includes a pilot member and a staple push rod. In some embodiments, the pilot member has a distal end and at least a pair of prongs extending from the distal end. The prongs are configured to form pilot holes when the distal end of the pilot member is pressed against the target tissue. The staple push rod is disposed within at least a portion of the pilot member and slidable relative thereto. The staple push rod includes at least a pair of stakes. Each stake is dimensioned to engage a surface of a staple to apply pushing forces thereto. Each stake is positioned relative to a prong along an inner surface of the pilot member so that the stakes advance into the pilot holes when the stakes are moved in a distal direction. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

A surgical instrument assembly comprising a shaft assembly and an end effector is disclosed. The shaft assembly comprises a firing system and a closure system comprising a closing cam. The firing system comprises a first camming member and a second camming member. The closure system is separate and distinct from the firing system. The end effector comprises a first jaw, a second jaw, a cartridge body, and a metal staple matrix. The second jaw is movable relative to the first jaw when a closing motion is applied to the second jaw by the closure cam during a closing stroke. The first jaw is configured to be engaged by the first camming member and the second jaw is configured to be engaged by the second camming member during a staple firing stroke. The metal staple matrix comprises a plurality of staples and a metal staple-connecting member interconnecting the staples.

A bariatric device includes an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus and an anchoring technique anchoring the esophageal member to the portion of the esophagus. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach and a connector connected with the esophageal member and the cardiac member to cause strain to be applied by the cardiac member to the cardiac portion of the stomach. The strain applied by the cardiac member to the cardiac portion of the stomach causes satiety in the absence of food. The connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained.

A fastening system includes first and second fastening members and a penetrating member. The first fastening member includes a backspan and a set of lobes that extend from the backspan. The second fastening member includes a backspan and a set of lobes that extend from the backspan. The penetrating member includes a first body which is substantially planar, a set of teeth, and a first trailing wall that extends from the first body orthogonal to a plane that is defined by the first body. The set of teeth extend from a leading edge of the first body which is opposite a trailing edge of the first body and are configured to pierce and spread tissue over the set of lobes of the first fastening member. The first trailing wall is configured to support the backspan of the first fastening member.

A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.

An assisted lifting device includes an adjustable sleeve configured to be worn on an arm of a subject and an array of inflatable actuators connected to the adjustable sleeve. Each of the actuators defines an axis. The axes of the two outermost actuators in the array are each configured to be oriented perpendicular to the arm of the subject. The assisted lifting device also includes a retainer coupled to the sleeve and one of the outermost actuators to maintain the perpendicular orientation of the outermost actuator upon inflation of the plurality of actuators.