Nipple areolar grafting methods and apparatus are described herein where one variation of a tissue transfer apparatus may generally comprise a first support structure having an elliptical or circular configuration sized to encircle a region of tissue and defining a first opening through the first support structure, a first plurality of piercing features projecting from a first side of the first support structure, a second support structure having an elliptical or circular configuration sized to encircle the region of tissue and defining a second opening which is further configured to encircle the first support structure, and a second plurality of piercing features projecting from a first side of the second support structure such that the first and second piercing features are adjacent to one another.

A surgical stapling apparatus includes a housing assembly and an adapter assembly. The adapter assembly defines a longitudinal axis and is selectively attachable to the housing assembly. The adapter assembly includes an end effector and an articulation assembly. The articulation assembly includes an articulation drive screw, an articulation nut threadedly mounted to the articulation drive screw, an articulation yolk coupled to the articulation nut, and an articulation tube that is positioned to move in response to movement of the articulation nut. Movement of the articulation tube causes the end effector to articulate relative to the longitudinal axis.

A surgical instrument comprising a first jaw, a second jaw rotatable relative to said first jaw, and jaw drive system is disclosed. The jaw drive system comprises a drive screw and a closure member threadably engaged with the drive screw configured to close the second jaw. The jaw drive system further comprises an opening link connecting the closure member to the second jaw which acts to open the second jaw when the closure member is driven in an opposite direction. In the event that the second jaw is not opened by the closure link, the jaw drive system further comprises a pull member which is pushed by the closure member to dislodge the second jaw into its open position.

A surgical instrument comprising a first jaw, a second jaw rotatable relative to said first jaw, and jaw drive system is disclosed. The jaw drive system comprises a drive screw and a closure member threadably engaged with the drive screw configured to close the second jaw. The jaw drive system further comprises an opening link connecting the closure member to the second jaw which acts to open the second jaw when the closure member is driven in an opposite direction. In the event that the second jaw is not opened by the closure link, the jaw drive system further comprises a pull member which is pushed by the closure member to dislodge the second jaw into its open position.

A surgical stapling system for stapling the tissue of a patient is disclosed. The stapling system comprises a housing, a shaft extending from the housing, and an end effector extending from the shaft. The end effector comprises a plurality of staples removably stored therein and, also, an anvil configured to deform the staples. The stapling system further comprises a firing mechanism configured to deploy the staples along a staple firing path longer than 60 mm, a camera configured to capture an image of the patient tissue, a display, and a controller configured to generate an image of the staple firing path, wherein the images are displayed on the display.

A surgical stapling system for stapling the tissue of a patient is disclosed. The stapling system comprises a housing, a shaft extending from the housing, and an end effector extending from the shaft. The end effector comprises a plurality of staples removably stored therein and, also, an anvil configured to deform the staples. The stapling system further comprises a firing mechanism configured to deploy the staples along a staple firing path longer than 60 mm, a camera configured to capture an image of the patient tissue, a display, and a controller configured to generate an image of the staple firing path, wherein the images are displayed on the display.

A surgical stapling device includes cartridge assembly having a replaceable staple cartridge. The replaceable staple cartridge includes a knife having a cutting blade that is movable between a shielded position and an exposed position in response to advancement of a drive assembly of the stapling device. In aspects of the disclosure, the knife is pivotably coupled to an actuation sled of the cartridge assembly and is biased by a resilient finger on the actuation sled to move the cutting blade to the shielded position.

A method of displaying an operational parameter of a surgical system is disclosed. The method includes receiving, by a cloud computing system of the surgical system, first usage data, from a first subset of surgical hubs of the surgical system; receiving, by the cloud computing system, second usage data, from a second subset of surgical hubs of the surgical system; analyzing, by the cloud computing system, the first and the second usage data to correlate the first and the second usage data with surgical outcome data; determining, by the cloud computing system, based on the correlation, a recommended medical resource usage configuration; and displaying, on respective displays on the first and the second subset of surgical hubs, indications of the recommended medical resource usage configuration.

A stapling assembly comprising an anvil, a staple cartridge, and a tissue cutting knife is disclosed. The staple cartridge comprises a longitudinal slot, a first group of staple cavities, a second group of staple cavities, staple drivers, and staples. The staples comprise a first group of staples positioned in the first group of staple cavities, and a second group of staples positioned in the second group of staple cavities. The first group of staples are deformed against the anvil to a first formed height by the staple drivers during a staple firing stroke. The second group of staples are deformed against the anvil to a second formed height by the staple drivers during the staple firing stroke. The second formed height is different than the first formed height. The tissue cutting knife is movable longitudinally within the longitudinal slot to drive the staple drivers during the staple firing stroke.

A stapling assembly comprising an anvil, a staple cartridge, and a tissue cutting knife is disclosed. The staple cartridge comprises a longitudinal slot, a first group of staple cavities, a second group of staple cavities, staple drivers, and staples. The staples comprise a first group of staples positioned in the first group of staple cavities, and a second group of staples positioned in the second group of staple cavities. The first group of staples are deformed against the anvil to a first formed height by the staple drivers during a staple firing stroke. The second group of staples are deformed against the anvil to a second formed height by the staple drivers during the staple firing stroke. The second formed height is different than the first formed height. The tissue cutting knife is movable longitudinally within the longitudinal slot to drive the staple drivers during the staple firing stroke.