Disclosed is a medical device for use in surgery including at least one structured substrate including a plurality of structures, at least a portion of the plurality of structures being a plurality of ridges having each a length that is at least 5 times greater than their width. The ridges have at least two different cross-sections and have swellable properties, for example in the presence of water. The medical device includes at least a second substrate, including a second plurality of structures, the first and second plurality of structures being arranged to interlock when the first substrate is pressed against the second substrate in presence of water.

A stapling system that comprises a retainer for use with staple cartridges that are configured for use with multiple surgical stapling devices that comprise different lockout arrangements is disclosed. The retainer is configured to be releasably attached to a staple cartridge to form a cartridge assembly. The retainer comprises an authentication key that is configured to defeat a lockout arrangement in any one of the surgical stapling devices in which the cartridge assembly is seated.

Various embodiments of tool assemblies are provided having at least one rotary input coupling and at least one linear input coupling for allowing either a rotary output or a linear output (e.g., from a tool driver on a surgical robot) to activate at least one mechanism of the tool assembly. For example, mechanisms of the tool assembly can include a clamping assembly, a firing assembly, an articulation assembly, and a roll assembly. The clamping assembly can open and close jaws of an end effector, the firing assembly can translate a knife assembly through the end effector to fire staples and cut tissue, the articulation assembly can articulate the end effector, and the roll assembly can rotate the elongate shaft and/or the end effector.

A control device for a surgical power tool. The control device including a housing, an input element located on the housing, and a control unit. The housing configured to couple to a surgical power tool. The input element located proximate the top of the housing and configured to receive a user input. The control unit located within the housing, where the control unit sends user input information received at the input element to the surgical power tool.

An endoscopic tissue resecting system that includes a reciprocating rotary surgical instrument for cutting tissue that includes a planetary gear assembly to vary rotational speed. A method of cutting and detaching tissue includes positioning an outer member such that tissue is located within a window in the outer member, engaging the tissue with an inner member, and simultaneously rotating at an increased speed relative to a rotary driver and translating the inner member to cut the tissue. A tangential cutting force is applied to the tissue with the inner member to mechanically cut and detach the tissue.

An apparatus for controlling the movement of bile and/or gallstones in the biliary duct of a patient, that comprises an implantable constriction device for gently constricting (i.e. without substantially hampering the blood circulation in the tissue wall) at least one portion of the tissue wall to influence the movement of bile and/or gallstones in the biliary duct, and a stimulation device for stimulating the wall portion of the tissue wall. A control device controls the stimulation device to stimulate the wall portion, as the constriction device constricts the wall portion, to cause contraction of the wall portion constricted by the constriction device to further influence the movement of bile and/or gallstones in the biliary duct. The apparatus can be used for actively moving the gallstones in the lumen, with a low risk of injuring the biliary duct.

A coupler is provided that includes a member such as a tube having a passageway and at least one end of the tube is inserted into a vessel. Upon insertion, the tube engages with inner walls of the vessel to inhibit movement of the coupler and/or adjoin tissue or a vessel.

A lumen anastomosis supporting dilator, comprising: a supporting main body, the supporting main body being made of an elastic material or a shape memory material and configured to be at least partially placed in a lumen to stretch a lumen wall; and a connecting rod, the connecting rod being connected to the supporting main body. During anastomosis, a surgeon can grip the supporting main body with an instrument and place the supporting main body in the lumen, and after the instrument is released, the supporting main body made of an elastic material or a shape memory material can restore and appropriately hold open the lumen. Therefore, the lumen anastomosis supporting dilator can quickly dilate the lumen to assist in a surgical operation, thereby reducing damage to the lumen wall and improving the efficiency and success rate of anastomosis for the lumen.

A surgical stapling assembly that comprises a stapling device is disclosed. The stapling device includes an authentication lockout that is movable between a locked position wherein the stapling device is inoperable and an unlocked position wherein the stapling device is operable. The assembly further includes a deactivator tool that includes a deactivation key that is configured to move the authentication lockout into the unlocked position prior to seating a staple cartridge into the device.

The present teachings provide for a hand-held robotic system for use with a saw blade or other surgical tool. The hand-held robotic system also includes an instrument with a hand-held portion, a blade support coupled to the hand-held portion by a plurality of actuators, the actuators configured to move the blade support or tool support in a plurality of degrees of freedom relative to the hand-held portion. The system includes a localizer and a control system coupled to the localizer and the plurality of actuators. The control system is configured to control each of the plurality of actuators and/or the tool drive motor.