A61B2017/0688

SYSTEMS AND METHODS FOR MESH AUGMENTATION AND PREVENTION OF INCISIONAL HERNIA

Techniques for mesh augmentation and prevention of incisional hernia, including systems and methods for affixing mesh to a fascial incision. A mesh strip can be integrated with one or more uni-directional fasteners. Each fastener can include an anchoring mechanism adapted for affixation to anterior abdominal wall fascia and a mating interface. An applicator can include tension arms adapted to interface with the mating interfaces of the fasteners to maintain a vertical tension of the mesh strip and a handle coupled with the tension arms adapted to spread the tension arms and thereby control a horizontal tension of the mesh strip. The mesh strip can be configured to be aligned over a fascial incision using the applicator and affixed under tension to anterior abdominal wall fascia by tissue penetration of the anchoring mechanisms of the one or more fasteners.

Surgical stapling system having a frangible RFID tag

A surgical system is disclosed including a surgical instrument, a replaceable staple cartridge, and an RFID tag including stored information. The replaceable staple cartridge includes a sled configured to translate along an elongate slot and drive staples out of a cartridge body during a staple firing stroke. The RFID tag is inoperable after a predefined action of said surgical instrument. An RFID scanner is configured to transmit a first signal to said RFID tag and receive a second signal from said RFID tag in response to said first signal. A controller prevents at least one operation of said surgical instrument when said RFID scanner does not receive said second signal from said RFID tag.

ROBOTICALLY-DRIVEN SURGICAL INSTRUMENT WITH E-BEAM DRIVER

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. Various embodiments are configured to be operably attached to a robotic system to receive actuation/control motions therefrom.

Powered surgical instrument having a transmission system

A powered surgical apparatus for engaging tissue includes a housing assembly and a movable portion operatively connected to the housing assembly. The movable portion is movable with respect to the housing assembly. In addition, the surgical apparatus includes a power source configured to supply electrical power, and a transmission system configured to transfer at least one of a signal and electrical power between the handle assembly and the movable portion, the transmission system including a first electronic board disposed in the handle assembly and a second electronic board positioned in the movable portion, the second electronic board including a primary control circuit and a secondary control circuit wherein the movable portion is configured and adapted to rotate about a longitudinal axis defined by the powered surgical apparatus.

Powered surgical stapler

A surgical instrument can comprise a handle, a motor, and a shaft extending from the handle. The handle and/or the shaft can define a longitudinal axis. The surgical instrument can further comprise a fastener cartridge comprising a plurality of fasteners removably stored therein, an anvil configured to deform the fasteners, a closure drive configured to move the anvil toward and away from the fastener cartridge which is rotatable about the longitudinal axis, and a firing drive configured to deploy the fasteners from the fastener cartridge which is rotatable about the longitudinal axis. The surgical instrument can further comprise a transmission comprising a first operating configuration which connects the motor to the closure drive and a second operating configuration which connects the motor to the firing drive.

REAL-TIME ANALYSIS OF COMPREHENSIVE COST OF ALL INSTRUMENTATION USED IN SURGERY UTILIZING DATA FLUIDITY TO TRACK INSTRUMENTS THROUGH STOCKING AND IN-HOUSE PROCESSES

Various systems and methods for tracking surgical procedure costs are disclosed. A computer system, such as surgical hub, is configured to be communicably coupled to a plurality of surgical devices. The computer system can be programmed to identify the surgical devices that are being utilized during a surgical procedure via perioperative data received from the surgical devices and then calculate the total cost associated with the surgical devices used in the surgical procedure. The total cost can include an aggregation of the maintenance costs of each of the reusable surgical devices and the replacement costs of the nonreusable surgical devices consumed during the surgical procedure.

Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing

A surgical instrument including a channel that is configured to support a replaceable surgical staple cartridge therein. An anvil is movably supported on the channel and is configured to selectively move between an open position and a closed position. A rotary driven closure system operably interfaces with the anvil and is configured to move the anvil between the open position and the closed position upon application of rotary opening and closing motions thereto. The instrument also includes a rotary driven firing drive shaft and an axially movable firing member that is in driving engagement with the rotary driven firing drive shaft and is configured for sliding engagement with the channel and the anvil upon application of rotary firing motions to the rotary driven firing drive shaft.

Automated end effector component reloading system for use with a robotic system

A stapling instrument for use with a robotic surgical system comprising a drive system including at least three motor-driven drivers is disclosed. The stapling instrument comprises a housing, a shaft, an articulation joint, and a loading unit. The housing comprises a drive interface defined on an exterior surface of the housing. The drive interface is operably engageable with the drive system of the robotic system. The drive interface comprises at least three rotatable inputs positioned thereon. Each input is operably engaged with one of the motor-driven drivers. The loading unit comprises a first jaw, a second jaw, a staple cartridge, and a drive member. The first jaw and the second jaw are rotatable about the articulation joint by a longitudinally-displaceable articulation actuator. The housing comprises means for converting the rotation of one of the rotatable inputs to the longitudinal motion of the articulation actuator.

METHOD OF USING MULTIPLE RFID CHIPS WITH A SURGICAL ASSEMBLY

A method of operating a surgical assembly is disclosed. The method includes receiving a first input from a first RFID scanner indicative of a first information stored in a first RFID chip of a first modular component of the surgical assembly, receiving a second input from a second RFID scanner indicative of a second information stored in a second RFID chip of a second modular component of the surgical assembly, determining an operational parameter of a motor of the surgical assembly based on the first input and the second input, and causing the motor to effect a tissue treatment motion of the first modular component.

Surgical stapling buttresses and adjunct materials

A buttress material for use with a surgical staple cartridge. In various forms, the buttress material comprises a buttress body that is sized to be operably received on a deck of the surgical staple cartridge. The buttress body includes at least four edges and a central portion. At least two of the edges have a plurality of edge notches formed therein. The central portion may include a plurality of cutout openings therein.