A surgical clip applier is provided and includes a handle assembly and an endoscopic assembly selectively connectable to a housing of the handle assembly. The handle assembly includes a housing, a trigger pivotally supported on and extending from the housing, and a drive assembly supported within the housing and operatively actuatable by the trigger. The endoscopic assembly includes a shaft assembly extending from the housing, the shaft assembly including an outer tube and a pair of jaws supported in and extending from a distal end of the outer tube.

A system for treating tissue includes a clip assembly including a pair of clip arms, a proximal end of the clip arms connected to a yoke, the clip assembly movable between a biased tissue receiving configuration and a tissue gripping configuration, the clip arms including a locking mechanism for locking the clip arms in the tissue gripping configuration, and an applicator including a sleeve and a control member extending therethrough, the sleeve extending from a proximal end to a distal end and including a lumen extending therethrough, the control member extending from a proximal end to a distal end configured to be releasably coupled to the yoke to move the clip assembly between the tissue receiving configuration and the tissue gripping configuration, the clip arms being constrained toward the tissue gripping configuration via a surface of the lumen when the clip arms are drawn proximally thereinto.

Methods and apparatus are provided for fastening or clamping tissue to tissue or non-tissue layers and for occluding tubular body structures. Tissue fasteners having separate proximal and distal implants, each with self-expanding, radially extending legs are connected together on opposite sides of tissue and non-tissue layers. The legs of the proximal and distal implants are interdigitated in the absence of such layers.

Apparatus and methods for occluding hollow body structures, such as blood vessels, and for attaching tissue layers and/or non-tissue layers together by providing implantable elements on opposite sides of the structure or layers and drawing the implants together to occlude the body structure and/or bring the layers together. The implants are deliverable in a low-profile configuration and self-expand to an enlarged configuration. The implantable elements are delivered by transfixing the body structure, then releasing the implants on opposite sides of the body structure and drawing the implants together to effect an occlusion or attachment. The implants are configured to apply oppositely directed forces to opposite surfaces of the tissue layers at alternate, circumferentially spaced locations and may constrain the tissue in a serpentine pattern or in a direct clamping pattern. The implants grip the tissue in a manner that defines a pressure zone about the transfixion aperture that prevents leakage from the aperture.

A surgical clip applier includes an actuation mechanism, a body portion, a jaw blade, and a clip cartridge, the jaw blade and clip cartridge removeably disposed within the body portion. The jaw blade including first and second opposed jaws operably connected to the actuation mechanism to effectuate closure of a surgical clip, the first and second opposed jaws connected to each other at a proximal end by a shank section. The clip cartridge disposed within the body portion adjacent to the jaw blade and configured to store at least one surgical clip therein. The clip cartridge having a first nub which abuts a first end of the shank section of the jaw blade, and a second nub which abuts a second end of the shank section of the jaw blade, such that longitudinal and vertical movement of the jaw blade is arrested.

A system for treating tissue includes a clip assembly including a pair of clip arms, proximal ends of the clip arms slidably received within a channel of a capsule to be moved between a tissue receiving configuration and a tissue clipping configuration, and an applicator releasably coupleable to the clip assembly to move the clip assembly between the tissue receiving configuration and the tissue clipping configuration, the applicator including a control member having a plurality of nodes extending therealong, each node having a cross-sectional are larger than a cross-sectional area of a remaining portion of the control member and configured to be coupled to the proximal end of the clip arms, a distal-most one of the nodes severable from a next immediately proximal one of the nodes, when a force exerted thereon exceeds a predetermined threshold value, to release the clip assembly from the applicator.

A surgical instrument for use with a robotic system comprising a first rotatable driver and a second rotatable driver is disclosed. The surgical instrument comprises an end effector, a shaft assembly, and a control system. The an end effector comprises a staple cartridge. The shaft assembly comprises a longitudinal axis and a cutting instrument movable along the longitudinal axis between a starting position and an ending position. The control system comprises a cutting drive configured to displace the cutting instrument toward the ending position in response to the first rotatable driver of the robotic system, and a shaft rotation arrangement configured to rotate the shaft assembly about the longitudinal axis in response to the second rotatable driver on the robotic system. The rotation of the shaft assembly does not displace the cutting instrument within the shaft assembly. The cutting drive and the shaft rotation arrangement are separate and distinct.

A staple cartridge is disclosed including a cartridge body including a longitudinal slot. A plurality of staple cavities are arranged in a plurality of rows. The plurality of rows includes a first row, a second row, and a third row positioned on a first side of the longitudinal slot. The first row includes a first staple obliquely-oriented relative to the longitudinal slot and is configured to rotate a first amount when stapled into tissue. The second row includes a second staple obliquely-oriented relative to the longitudinal slot and is configured to rotate a second amount when stapled into tissue. The third row includes a third staple obliquely-oriented relative to said longitudinal slot and is configured to rotate a third amount when stapled into tissue. The third amount is different than the first amount.

A system for treating tissue includes a clip assembly including clip arms movable relative to a channel of a capsule so that the clip arms are movable between a tissue receiving configuration and a tissue clipping configuration. Also, the system includes an applicator releasably coupleable to the clip assembly. The applicator includes a bushing and a control member extending therethrough. The bushing includes deflectable fingers, each of the fingers including an engaging feature at a distal end thereof to engage a corresponding engaging feature of the capsule of the clip assembly and assembled with a pusher element configured to push the fingers to a radially outward position. The pusher element includes a U-shaped portion curving into a channel of the bushing and a longitudinal portion extending distally therefrom. A cam washer is slidable over a length of the control member and positioned distally of the U-shaped portion.

A medical instrument has a capsule; an arm member disposed to protrude from the capsule; an operation wire connected to the arm member; a sheath configured to accommodate the operation wire; and a link configured to connect the sheath with the capsule, wherein the link has an engaging portion including a first surface intersecting with the longitudinal axis; and an engaged portion movable to an opposite position opposite to the first surface and a position spaced away from the first surface in spite of a relative position of the capsule with respect to the sheath, and configured to restrict a separation of the capsule with respect to the sheath when the engaged portion is disposed at the opposition position to contact the first surface, and wherein the capsule is rotatable in response to a rotation force from the sheath when the engaged portion is disposed at the opposition position.