A61B2017/0725

Method for calibrating movements of actuated members of powered surgical stapler

A method is provided for operating a powered surgical stapler having a motor unit, a controller, and a stapling assembly having a plurality of movable members that are actuatable longitudinally by the motor unit to clamp, staple, and cut tissue. The controller determines that a movable member of the stapling assembly is in a first predetermined position, and then executes an actuation algorithm to activate the motor unit to actuate the movable member longitudinally from the first predetermined position toward a second predetermined position. The controller observes an actual longitudinal displacement of the movable member between the first and second predetermined positions. The controller compares the actual longitudinal displacement to an expected longitudinal displacement and determines that the actual longitudinal displacement differs from the expected longitudinal displacement by a difference value. The controller then adjusts the actuation algorithm based on the difference value.

SURGICAL STAPLER WITH SELF-ADJUSTING STAPLE HEIGHT

A surgical stapler is provided that includes a spring loaded lift that automatically adjusts a staple cartridge and/or staple formation between a range of sizes. The lift is automatically released as the staple firing mechanism begins its forward translation of the firing sequence. The automatic one-way adjustment also adjusts the staple cartridge while maintaining the cartridge parallel to the anvil to provide consistent staple formations.

Stapling assembly comprising a shiftable drive

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.

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.

END EFFECTORS, SURGICAL STAPLING DEVICES, AND METHODS OF USING SAME

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.

Surgical Stapler Instrument with Auxiliary Tissue Compression Means
20170367701 · 2017-12-28 ·

A surgical stapler instrument with an auxiliary tissue compression means for stapling a tissue with a plurality of staples comprises; a handle, an elongate shaft having a proximal end and a distal end extending therefrom, operatively coupled to said handle, and an elongate end effector having a proximal end attached to said distal end of said shaft, a distal end extending therefrom; said end effector comprising a first jaw member having an anvil thereon and a second jaw member, opposing said first jaw member, having a staple cartridge housing a plurality of staples therein and a cartridge bay configured to releasably receive said staple cartridge, and a compression bladder disposed between cartridge bay and said staple cartridge or driving at least a portion of said staple cartridge toward said first jaw member; said jaw members movable with respect to each other from an open position, wherein said jaw members are spaced apart, to a closed position wherein said jaw members are in close approximation to one another.

Methods and devices for adjusting a tissue gap of an end effector of a surgical device

Devices and methods are provided for adjusting a tissue gap of an end effector of a surgical device. In general, a surgical device can be configured to have an adjustable gap of space between a cartridge jaw and an anvil of the device's end effector when the end effector is in a closed position. The end effector can be configured to removably seat a cartridge therein. The cartridge can be configured to define the gap of space between the cartridge jaw and the anvil when the end effector is in the closed position.

Stepped assembly having and end-of-life indicator

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.

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.

Powered surgical instrument

A method for deforming a staple comprising a base, a first staple leg, and a second staple leg, wherein the base, the first staple leg, and the second staple leg are positioned within a common plane prior to being deformed, the method comprising positioning the first staple leg within a first cup of a staple pocket, the first cup comprising a first inner surface, applying a first compressive force to the first staple leg to bend the first staple leg toward the base and the second staple leg, contacting the first inner surface with the end of the first staple leg to bend the end of the first staple leg toward a first side of the base, and deforming the first staple leg such that the end of the first staple leg crosses a mid-line of the staple defined between the first staple leg and the second staple leg.