Patent classifications
A61B2017/2934
Surgical apparatus
A surgical apparatus includes a housing that supports a shaft assembly. The shaft assembly defines a longitudinal axis therethrough and includes coaxially aligned outer and inner shaft members. The inner shaft member is movable within the outer shaft member. An end effector includes a pair of jaw members disposed at a distal end of the outer shaft. At least one of the jaw members is pivotably coupled to the outer shaft and is movable between open and clamping configurations for grasping tissue. The inner shaft contacts a proximal end of the moveable jaw member to maintain the movable jaw member in the open configuration and is slidable against the movable jaw member to move the moveable jaw member between the open configuration and clamping configuration.
Surgical stapling systems
A system is disclosed. The system can comprise an end effector configured to receive a compatible replaceable staple cartridge, wherein the end effector comprises a first outer surface, and wherein a classifying identification of the end effector is inscribed on the first outer surface. The system can also comprise the compatible replaceable staple cartridge comprising a second outer surface, wherein a classifying identification of the compatible replaceable staple cartridge is inscribed on the second outer surface. The classifying identification of the compatible replaceable staple cartridge can correspond to the classifying identification of the end effector.
Grasper with magnetically-controlled positioning
Devices, systems, and methods for providing remote traction to tissue may include a grasper and a control element. The grasper may have a first jaw, a second jaw, a main body, and a first magnetic element. The control element may include a second magnetic element. The first and second magnetic elements may attract the grasper to the control element such that the grasper is oriented parallel, perpendicularly, or at an angle between parallel and perpendicular with respect to the control element and/or a body. In some instances, the grasper may include first and second magnetic elements and the control element may include third and fourth magnetic elements.
Surgical stapling systems
A system for stapling tissue is disclosed. The system can include a channel and a compatible staple cartridge comprising a plurality of staples. The channel and the compatible staple cartridge comprise mating or cooperating alignment features for permitting complete insertion of the compatible staple cartridge and for preventing an incompatible staple cartridge from being completely inserted in the channel.
SURGICAL TOOL END EFFECTORS WITH DISTAL WEDGE SLOT CONSTRAINT
A robotic surgical tool an elongate shaft, an end effector arranged at a distal end of the shaft and including opposing first and second jaws, and an articulable wrist interposing the end effector and the distal end of the shaft. The wrist includes a linkage mounted to the first and second jaws and defining a slot, a distal wedge positioned within a central portion of the wrist and providing a channel, and an alignment arm interposing the linkage and the distal wedge and providing an alignment head receivable within the slot and a projection receivable within the channel. The alignment head is translatable within the slot and the projection is translatable within the channel during operation of the end effector.
SURGICAL TOOL END EFFECTORS WITH ALIGNMENT ARMS
An end effector for a robotic surgical tool includes a first jaw providing a first jaw extension, a second jaw providing a second jaw extension, and an articulable wrist operatively coupled to the first and second jaws. The wrist includes a distal clevis, first and second pulleys rotatably mounted to the distal clevis at a pivot axis, the first jaw extension being pinned to the first pulley and the second jaw extension being pinned to the second pulley, and a linkage mounted to the first and second jaws and defining a slot. An alignment arm is rotatably mounted to the first pulley at the pivot axis and providing an alignment bar translatable within the slot.
GRASPER WITH MAGNETICALLY-CONTROLLED POSITIONING
Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.
SURGICAL ANVIL MANUFACTURING METHODS
A method for manufacturing a surgical stapling anvil is disclosed. The method comprises the steps of manufacturing a first anvil member and a second anvil member. The first anvil member comprises a tissue-facing surface comprising a plurality of staple forming pockets defined therein and a longitudinal cavity comprising anvil ledges configured to be engaged by anvil-camming portions of a firing member of a surgical stapling instrument. The method further comprises the steps of polishing the ledges of the first anvil member and welding the first anvil member and the second anvil member together.
Surgical instrument lockout arrangement
A stapling assembly is disclosed including a staple cartridge jaw comprising a lockout surface, a firing member, and a lockout member. The lockout member is pivotally coupled to the firing member by at least one pivot member. The lockout member is configured to engage the lockout surface of said staple cartridge jaw to block advancement of the firing member when a staple cartridge is not installed within the staple cartridge jaw and when a partially-spent staple cartridge is installed within the staple cartridge jaw and a firing motion is applied to the firing member. The firing member and the lockout member are configured to prevent an unlocking load from being applied to the at least one pivot member when the lockout member is in engagement with the lockout surface and the firing motion is applied to said firing member.
PULSED CLOSURE CONTROL METHODS FOR SURGICAL TOOLS
A surgical tool includes a drive housing, a closure tube extending from the drive housing, and an end effector arranged at an end of the closure tube and having opposing jaws. A method of operating the surgical tool includes operating one or more motors in a first direction at a constant velocity and thereby urging the closure tube to move and actuate the opposing jaws to engage and clamp onto tissue, stopping operation of the motor(s) in the first direction when a torque on the motor(s) exceeds a predetermined torque, storing an angular position of the motor(s) when the torque exceeds the predetermined torque, operating the motor(s) in a second direction opposite the first direction over a preset angular magnitude, and upon reaching the preset angular magnitude, operating the motor(s) in the first direction at the constant velocity.