An end effector for use to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. The anvil has an anvil face and a first staple pocket defined by the anvil face, where the first staple pocket comprises a first cup and a second cup for staple formation. The cartridge has a first staple and a first driver. The first staple, once deployed by the first driver and deformed by the first staple pocket, has a formed configuration in which a first portion of a first staple leg and a second portion of a second staple leg are bent relative to a crown and cross the midpoint of the crown and one of the first portion and the second portion overlaps the other of the first portion and the second portion.

A staple cartridge assembly is disclosed which comprises staples including a crown, a cam surface extending from the crown, one or more staple legs, and one or more connectors which connect the staple legs to the crown. The staple cartridge assembly further comprises a sled configured to engage the cam surfaces of the staples but not the connectors.

An apparatus and a method are provided for a surgical bending instrument for bending surgical implants. The surgical bending instrument comprises a body including a longitudinally extending threaded hole. A shaft comprising a threaded portion is rotatably engaged within the threaded hole. A handle is coupled to a proximal end of the shaft, and a distal extension of the shaft comprises a driver. A distal force applicator comprises the driver centered between a first grip and a second grip. In some embodiments, the distal force applicator is configured to retain a surgical staple, such that the surgical staple may be changed to a distracted configuration suitable for implantation at a bone fixation or fusion site of a patient. In some embodiments, the distal force applicator is configured to bend a bone fusion plate so as to tailor the plate to specific anatomy of the patient's bone.

A surgical assembly comprising a distal connector portion, a stapling assembly, and a sensor is disclosed. The stapling assembly comprises an end effector and a proximal connector portion configured to releasably connect to the distal connector portion. The end effector comprises an anvil and an elongate channel adapted to receive a staple cartridge. At least one of the anvil and the elongate channel is movable to a clamped configuration. The proximal connector portion comprises first bayonet-mount lugs and second bayonet-mount lugs. The sensor is configured to detect connections by the proximal connector portion. The surgical assembly further comprises an end-of-life indicator for the stapling assembly based on connections by the proximal connector 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.

The present disclosure relates to surgical fastener applying apparatus and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus act to limit the flow of blood through tissue immediately adjacent a cut-line formed therein to effectuate hemostasis, while maximizing the flow of blood through tissue more removed from the cut-line to limit unnecessary necrosis. In one embodiment, a surgical fastener applying apparatus is disclosed having a tool assembly coupled to a distal end thereof with first and second jaws respectively including an anvil and a surgical fastener cartridge. The surgical fastener cartridge includes, among other things, angled pushers that engage surgical fasteners of varying lengths.

An end effector comprising a first jaw, a plurality of staple cavities, a first slot, a first longitudinal row of first staples, a second longitudinal row of second staples, a second jaw, an anvil comprising forming pockets, a staple driver, and a firing member is disclosed. The staple driver supports a first staple removably stored in said first longitudinal row and a second staple removably stored in said second longitudinal row. The staple driver and said anvil are configured to co-operate to deform said first staple to a first fired height and to deform said second staple to a second fired height. The firing member comprises a first portion configured to extend through said first slot and a second portion configured to engage said anvil. The anvil further comprises a second slot including a lateral portion extending behind a longitudinal row of said forming pockets.

A jaw restraint is provided to temporarily secure an anvil assembly relative to a cartridge assembly during shipping. The jaw restraint generally includes a body portion having an upper arm for releasably securing the anvil assembly and a lower arm for releasably securing the cartridge assembly. An inwardly projection is provided between the upper and lower arms. The anvil assembly is secured between the upper arm and the inwardly directed projection and the cartridge assembly is secured between the lower arm of the inwardly directed projection. One or more finger members extending proximally from the body portion may be provided to facilitate biasing the upper arm away from the lower arm to release the anvil and cartridge assemblies from the jaw restraint. The jaw restraint may be provided with structure for engagement with shipping packaging.

A stapling assembly comprising a tissue thickness compensator is disclosed. The tissue thickness compensator comprises a body portion comprising a porous material and a plurality of cavities defined in the body portion, wherein the cavities are aligned with forming surfaces of an anvil such that fasteners of a fastener cartridge are configured to at least one of the cavities when the fasteners are ejected from the fastener cartridge or capture the cavities and compress the cavities within the tissue thickness compensator when the fasteners are ejected from the fastener cartridge and formed by forming surfaces of the anvil. The stapling assembly further comprises at least one medicament positioned within each cavity prior to firing the stapler, wherein the medicament is different than the porous material.

A tiered multi-display control scheme may provide various communication control options for a surgeon-controlled secondary display and primary operating room display. A powered surgical tool may be in operative communication with a local display and at least one main monitor within the operating room outside the sterile field for displaying multiple data and/or imaging sources. The local display may be interactable by the surgeon within the sterile field. The display outside the sterile field may show an image of an aspect of the laparoscopic scope and may contain superimposed other data streams from other devices besides the scope. The secondary display could be used to direct from its displayed content up onto the primary display or remove it from the display. The added or removed data streams may be originated from the secondary display, passed through the secondary display, or be networked with the secondary display.