A surgical instrument includes a shaft assembly, a stapling assembly disposed at a distal end of the shaft assembly and extending along a central axis, and an anvil configured to selectively couple with the stapling assembly to compress a tissue and form staples in the tissue. The stapling assembly includes a housing assembly that includes a proximal housing and a distal housing. The proximal housing is secured to the shaft assembly and is separable from the distal housing to thereby releasably couple the distal housing with the shaft assembly. The stapling assembly further includes a deck member having an annular array of staple openings configured to receive a plurality of staples, and a knife member at least partially disposed within the housing assembly.

A surgical stapling instrument includes an anvil defining a plurality of staple forming pockets and a stapling head assembly. The stapling head assembly includes a body, a coupling member capable of actuating the anvil relative to the body, a staple deck defining a plurality of staple openings, and a firing assembly capable of driving a plurality of staples against the staple forming pockets of the anvil. The firing assembly includes a proximal driving body and an array of discrete staple driving segments positioned distal to the proximal driving body. The proximal driving body is slidably housed within the body. The staple driving segments each have a free proximal end. The proximal driving body is capable of simultaneously actuating the array of staple driving segments to drive the plurality of staples against the staple forming pockets of the anvil.

A circular stapling device for performing anastomosis procedures includes an end effector that includes or is adapted to deliver probiotics to an anastomotic site during formation of the anastomosis.

Systems, devices, and methods for controlling cooperative surgical instruments with variable surgical site access trajectories are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common surgical site from different approach and/or separate body cavities to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with one another, to effect a desired surgical treatment.

A handle assembly and a stapler including the same are provided. The handle assembly includes a first handle and a second handle having an un-linked state and a linked state. When the first handle and the second handle are in the un-linked state, and the first handle is rotated in a first direction, the second handle is not rotated, thereby to fire the stapler. When the first handle is in the linked state, and the first handle is rotated in the first direction, the second handle is actuated to rotate in the first direction to fire the stapler. During operation, no matter the stapler is ready to be fired or not, the first handle can be pressed to move by the doctor. However, when the stapler is not ready to be fired, the second handle is not actuated by the first handle, thereby will not fire the stapler.

A staple cartridge comprising a cartridge body, staples, a first staple driver, a second staple driver, and a third staple driver is disclosed. The cartridge body comprises a knife slot and staple cavities defined in the cartridge body and arranged in an inner longitudinal row of staple cavities, a middle longitudinal row of staple cavities, and an outer longitudinal row of staple cavities on one side of the knife slot. The staples are removably stored within the staple cavities. The first staple driver is configured to eject a first quantity of staples from the staple cavities. The second staple driver is configured to eject a second quantity of staples from the staple cavities which is different than the first quantity of staples. The third staple driver is configured to eject a third quantity of staples that is the same as the first quantity of staples.

A surgical stapler includes a first elongate member, a second elongate member, a clamp member, and a firing assembly. The first elongate member includes a distal portion that supports an anvil surface that includes a plurality of staple forming pockets. The second elongate member includes a distal portion that is configured to receive a staple cartridge. The clamp member is operable to releasably clamp the first elongate member against the second elongate member. The firing assembly is translatable from a first longitudinal position to a second longitudinal position to fire the staple cartridge. The firing assembly includes a slider and an actuator. The slider includes a first coupling feature. The actuator is configured to be selectively actuated by a user. The actuator includes a second coupling feature that is configured to generally surround the first coupling feature of the slider when the actuator moves relative to the slider.

A surgical stapler includes a first elongate member, a second elongate member, a clamp member, and a firing assembly. The first elongate member includes a distal portion that supports an anvil surface that includes a plurality of staple forming pockets. The second elongate member includes a distal portion that is configured to receive a staple cartridge. The clamp member is operable to releasably clamp the first elongate member against the second elongate member. The firing assembly is translatable from a first longitudinal position to a second longitudinal position to fire the staple cartridge. The firing assembly includes a slider and an actuator. The slider includes a first coupling feature. The actuator is configured to be selectively actuated by a user. The actuator includes a second coupling feature that is configured to generally surround the first coupling feature of the slider when the actuator moves relative to the slider.

A retaining mechanism for releasably securing a trocar assembly within an outer sleeve of an adapter assembly includes a retaining block, a cam wire moveably positioned relative to the retaining block between a lock position and a release position, a retaining block extension maintaining the cam wire relative to the retaining block, a button member in operable engagement with the cam wire, and a pair of retaining members moveable from a first position received within first and second openings of the trocar assembly when the cam wire is in the lock position and a second position spaced from the trocar assembly when the cam wire is in the release position. The retaining members each define a cutout having first and second stepped cutout portions and a smooth transition between the first and second stepped cutouts for receiving the cam wire.

A surgical stapling device includes a reload assembly that includes a locking member to retain a knife carrier of the reload assembly in a retracted position after the stapling device is fired. The locking member may be supported on an inner housing portion of the shell housing or on a staple pusher assembly of the reload assembly.