An endoscopic stapling device for tissue resection has an asymmetrical tool assembly that delivers a greater number of staples, or rows of staples, to healthy tissue that remains in a patient, and fewer number of staples, or rows of staples, to diseased or damaged tissue to be resected and removed from the patient. The tool assembly includes an asymmetric cartridge assembly and an asymmetric anvil assembly for applying the staples to the resected and healthy tissues. The endoscopic stapling device also includes an asymmetric drive assembly for actuating the tool assembly.

A surgical stapler, a cartridge for a surgical stapler, a cutting mechanism for a surgical stapler, and a method of applying surgical staples in a patient are disclosed herein. The stapler may have an anvil movably coupled to a support jaw between a clamped configuration and a closed configuration. The cartridge may be configured to fit within an envelope diameter and to removably house a plurality of B-form staples, at least one of the plurality of B-form staples having a base length and a leg length, the leg length at least 53% of the envelope diameter. The cartridge may have slots shaped to house at least a second one of the plurality of staples at an angle oblique to the first one of the plurality of staples.

A surgical stapling device includes a handle assembly, an elongate body extending distally from the handle assembly, and a tool assembly. The tool assembly is mounted onto the distal portion of the elongate body for articulation and includes a staple cartridge that supports a plurality of staples and pushers. An actuation sled is movable through the staple cartridge to eject staples from the staple cartridge and a clamp member is movable through the tool assembly to move the tool assembly from an open position to an approximated position and to advance the actuation sled through the staple cartridge to eject staples and transect tissue. In order to minimize the space for the firing assembly in the proximal portion of the tool assembly, the actuation sled and clamp member are supported in a nested relationship in a pre-actuated state of the tool assembly. The clamp member is subsequently moved to a position proximal of the actuation sled during a firing stroke of the stapling device.

A surgical tool for use with a robotic system that includes a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to robotically-generate output motions. A drive system is configured to interface with a corresponding portion of the tool drive assembly for receiving the robotically-generated output motions and applying the output motions to a drive shaft assembly which is configured to apply control motions to a surgical end effector operably coupled thereto. A manually-actuatable control system operably interfaces with the drive shaft assembly to facilitate the selective application of manually-generated control motions to the drive shaft assembly.

Certain aspects relate to systems and techniques for articulating medical instruments. In one aspect, the instrument includes a wrist having at least two degrees of freedom of movement, and an end effector coupled to the wrist. The end effector can include an upper jaw, a lower jaw, and a firing mechanism configured to form staples in tissue. Actuation of the firing mechanism can be decoupled from the movement of the wrist in the at least two degrees of freedom.

A cartridge assembly of a surgical stapling instrument includes a housing having an arcuate configuration, a knife disposed within the housing, and a staple actuator configured to eject staples. A longitudinally-extending cutting edge of the knife is configured to advance through tissue after the staple actuator ejects all of the staples from the cartridge assembly.

Surgical stapling devices have a metal coating on an anvil jaw member of the surgical stapling device, on a surface of staple pockets of a staple cartridge of the surgical stapling device, or any combination thereof. When the surgical stapling device is fired, the metal is transferred from the metal coating on the anvil jaw member, the staple pockets of the staple cartridge, etc., onto the staple. The resulting metal coating on the staple enhances healing of the tissue to which the staple is applied.

A purse-string applicator for use in an anastomosis procedure includes an introducer sleeve, a handle assembly, and a support ring. The introducer sleeve includes a tubular body portion having proximal and distal portions. A handle portion is disposed on the proximal portion of the tubular body, and an introducer portion is disposed on the distal portion of the tubular body. The handle assembly includes an elongate shaft portion and a release mechanism. The release mechanism is positionable distal of the distal portion of the introducer sleeve. The support ring is releasably engageable by the release mechanism of the handle assembly and includes an annular body portion and first and second rim portions. The release mechanism releasably retains the support ring adjacent the distal portion of the introducer sleeve. The purse-string applicator may be included in a kit along with an anvil assembly, an adapter assembly, and/or a circular stapling instrument.

A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed.

Surgical systems can include evacuation systems for evacuating smoke, fluid, and/or particulates from a surgical site. A surgical evacuation system can be intelligent and may include one or more sensors for detecting one or more properties of the surgical system, evacuation system, surgical procedure, surgical site, and/or patient tissue, for example.