A61B2017/07221

SURGICAL STAPLING INSTRUMENTS COMPRISING SHORTENED STAPLE CARTRIDGE NOSES

A surgical stapling instrument is disclosed. An end effector for the surgical stapling instrument comprises a staple cartridge assembly and an anvil. The staple cartridge assembly comprises a proximal end, a distal end, and a cartridge body comprising a shortened nose at the distal end. The staple cartridge assembly further comprises staples removably stored in the cartridge body, a driver configured to support at least one of the staples, and a sled movable toward the distal end. The sled comprises a ramp configured to lift the driver and at least one of the staples and a base, wherein the shortened nose of the cartridge body is shorter than the base of the sled. The anvil comprises a staple forming surface comprising a plurality of staple forming pockets and a blunt distal nose extending downward toward the staple cartridge assembly.

Implantable layer with spacer fibers

A staple cartridge assembly for use with a surgical stapling instrument includes a staple cartridge including a plurality of staples and a cartridge deck. The staple cartridge assembly also includes a compressible adjunct positionable against the cartridge deck, wherein the staples are deployable into tissue captured against the compressible adjunct, and wherein the compressible adjunct comprises a first biocompatible layer comprising a first portion, a second biocompatible layer comprising a second portion, and crossed spacer fibers extending between the first portion and the second portion.

Surgical stapling device with curved tool assembly

A surgical stapling device includes a tool assembly having a U-shaped frame, an anvil assembly, and a cartridge assembly. The U-shaped frame has a proximal transverse portion, a longitudinal portion, and a distal transverse portion. The distal transverse portion and the proximal transverse of the U-shaped frame and the cartridge assembly have a common shape including a first linear portion defining a first axis, a second linear portion defining a second axis, and a third linear portion defining a third axis, the first axis being transverse to the longitudinal axis of the elongate body. In embodiments, a first radius of curvature is defined between the first linear portion and the second linear portion such that the first axis and the second axis define an angle β, and a second radius of curvature is defined between the second linear portion and the third linear portion such that the second axis and the third axis define an angle Ω.

Surgical instrument comprising selectively actuatable rotatable couplers

A surgical instrument is disclosed comprising a shaft, an end effector, an articulation joint rotatably connecting the end effector to the shaft, an axially movable articulation driver, and an articulation lock system. The articulation lock system comprises a lock gear and a lock element. The lock gear comprises a first annular array of first lock teeth in meshing engagement with a longitudinal array of driver lock teeth on the axially movable articulation driver and a second annular array of second lock teeth. The lock element comprises a third annular array of third lock teeth. The lock element is movably supported relative to the lock gear such that the third lock teeth meshingly engage the second lock teeth as a closure element moves through a closure stroke to prevent rotation of the lock gear and prevent the axially movable articulation driver from moving axially.

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.

IMPLANTABLE ADJUNCT WITH DENSITY GRADIENTS

Implantable adjuncts for use with a surgical instrument are disclosed. The implantable adjunct includes a first mesh positioned about a first side of the longitudinal knife slot and a second mesh positioned about a second side of the longitudinal knife slot such that the first and second meshes define a gap substantially aligned with the longitudinal knife slot of the staple cartridge body.

STAPLE CARTRIDGE COMPRISING A VARIABLE THICKNESS COMPRESSIBLE PORTION

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Contoured staple pusher

A cartridge assembly includes a channel member defining a cavity, and a staple cartridge including a cartridge body. A plurality of pushers disposed within the cartridge body, such that each pusher includes a staple supporting surface that defines a first concavity and a second concavity that are separated by a central radiused convexity. Each staple of a plurality of staples is received within one retaining slot of a plurality of retaining slots. Each staple of the plurality of staples includes a back span, wherein the shape of each staple of the plurality staples corresponds to the shape of the staple supporting surface of each of the plurality of pushers. An actuation sled can be moved within the cartridge body, into sequential engagement with the plurality of pushers to urge the plurality of staples through the plurality of retaining slots.

ATRAUMATIC STAPLING HEAD FEATURES FOR CIRCULAR SURGICAL STAPLER
20220354494 · 2022-11-10 ·

An apparatus includes a body, a shaft assembly, a stapling head assembly, and an anvil. The stapling head assembly includes an annular deck member, a plurality of staples, and a driver. The deck member includes a deck surface that has a curved profile defined by a curve extending from the inner diameter of the deck member to the outer diameter of the deck member. The deck member further includes an outer array of staple openings and an inner array of staple openings. The driver is operable to drive the staples through the staple openings. The anvil is operable to compress tissue against the first deck surface.

FEATURES TO ENHANCE STAPLE HEIGHT CONSISTENCY IN CURVED SURGICAL STAPLER
20220330941 · 2022-10-20 ·

An apparatus includes a housing, an anvil, a backing member, and a concave surface. The housing has a plurality of staples and the anvil is opposed from the housing such that the anvil and the housing are configured to cooperate to clamp tissue. The anvil is configured to form staples ejected from the housing into the clamped tissue. The backing member is coupled with the anvil and the concave surface defines a gap between the backing member and an adjacent component of the apparatus. The anvil is configured to deflect in a direction towards the gap in response to actuation of the apparatus to at least one of clamp tissue or staple tissue.