A tissue fastening device includes a body including a plurality of sidewalls defining a channel, an anvil having a proximal end and a distal end and pivotally coupled to the body and the anvil moves between an open position and a closed position, and a locking mechanism to lock the anvil in the closed position.

A surgical stapling apparatus includes an end effector and an electronics assembly, the end effector having an anvil assembly and a cartridge assembly. The anvil and cartridge assemblies are positionable between an open position and a closed position to selectively grasp tissue therebetween. The electronics assembly is supported in the end effector and configured to determine a condition of the grasped tissue based on an amount of current in an electrical circuit defined by the anvil and cartridge assemblies.

Compressible adjuncts for use with a surgical cartridge are provided. In one exemplary embodiment, a compressible adjunct includes a biocompatible adjunct material that is configured to be releasably retained on a staple cartridge and that is configured to be delivered to tissue by deployment of staples in the cartridge. The adjunct material includes a hollow lattice macrostructure having at least one drug contained therein. The hollow lattice macrostructure is formed of a plurality of unit cells having at least one absorbable sub-structure that is formed in the plurality of unit cells. The at least one absorbable sub-structure is configured to control a rate of fluid movement through the respective unit cell so as to control the release of the at least one drug from the adjunct material when the adjunct material is in a tissue deployed state. Stapling assemblies for use with a surgical stapler are also provided.

The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can define a path having linear and/or curved portions. In various embodiments, the path can include a curved portion having a first portion that extends away from the shaft axis and a second portion that extends toward the axis. In one embodiment, the path can include a curved portion defined by an arc corresponding to an angle greater than 90 degrees.

A handle assembly includes a trigger assembly, a motor, and a drive assembly. The trigger assembly includes a trigger, a head portion, and a deflection member interconnecting the trigger and the head portion such that a load applied to the trigger causes the deflection member to flex to define a gap between the trigger and the head portion. The motor is configured to be activated based on a size of gap defined by the trigger and the head portion. The drive assembly includes a clamping gear, a firing gear assembly, a drive gear, and a rack. When a button of the trigger assembly engages the clamping gear, actuation of the trigger advances the rack by a first distance, and when the button engages the firing gear assembly, actuation of the trigger advances the rack by a second distance greater than the first distance.

A loading unit includes a staple cartridge assembly, an anvil assembly, and an anvil buttress. The anvil assembly includes an anvil plate including a tissue facing surface having apertures defined therethrough and an anvil cover disposed over an outwardly facing surface of the anvil plate. The anvil buttress includes a body portion positioned against the tissue facing surface of the anvil plate and arms extending into the apertures of the anvil plate. The arms releasably secure the anvil buttress to the anvil plate.

An endoscopic tissue fastening device may include a body having a first portion and a second portion arranged alongside the first portion. The second portion may extend distally of the first portion and may terminate in a distal end face of the body. The device may further include a tissue fastening assembly having a fastening head with a proximal end and a distal end. The fastening head may be deflectable at a location between the proximal end and the distal end of the fastening head. The tissue fastening assembly may be received within a lumen of the body. Further, the body may be moveable between an unarticulated configuration and an articulated configuration. In the articulated configuration, a central longitudinal axis of the second portion of the body may be substantially parallel with a central longitudinal axis of the tissue fastening assembly.

A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.

A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.

A surgical instrument and a linear surgical stapler are provided. The instrument includes: a transmission assembly provided with a mounting part for mounting a suturing mechanism, in which the suturing mechanism includes an anvil assembly and a staple cartridge assembly, the staple cartridge assembly includes a staple cartridge for accommodating staples, the transmission assembly is connected to the anvil assembly and drives the anvil assembly to move relative to the staple cartridge assembly; a staple pushing assembly configured for pushing the staples to move toward the anvil assembly, and comprising a first threaded rod and a firing nut sleeved on the first threaded rod; and a drive assembly, connected to the transmission assembly to drive the transmission assembly to move; a firing assembly connected to the first threaded rod and driving the first threaded rod to rotate, so that the firing nut moves relative to the first threaded rod.