A surgical instrument assembly comprising a shaft assembly and an end effector is disclosed. The shaft assembly comprises a firing system and a closure system comprising a closing cam. The firing system comprises a first camming member and a second camming member. The closure system is separate and distinct from the firing system. The end effector comprises a first jaw, a second jaw, a cartridge body, and a metal staple matrix. The second jaw is movable relative to the first jaw when a closing motion is applied to the second jaw by the closure cam during a closing stroke. The first jaw is configured to be engaged by the first camming member and the second jaw is configured to be engaged by the second camming member during a staple firing stroke. The metal staple matrix comprises a plurality of staples and a metal staple-connecting member interconnecting the staples.

A medical stapler according to the present invention is provided with: a staple housing provided with a gripping surface from which a staple for suturing tissue is ejected, and a cutter that cuts the tissue by being made to protrude from the gripping surface; an anvil that is disposed facing a direction in which the staple is ejected, and that is configured so that the tissue can be gripped between the gripping surface and the anvil; and a receiving member that is provided in the anvil, and that has a receiving surface that receives a cutting edge of the cutter, wherein the receiving surface of the receiving member has a shape in which only a portion thereof comes into contact with the cutting edge of the cutter at individual time points during a cutting step over the entire length of a cut length of the tissue.

A surgical instrument comprising a closure drive, a firing drive, and a lockout is disclosed. The lockout prevents the firing drive from being actuated until the closure drive has been sufficiently actuated.

According to one embodiment, an apparatus comprising a portable monitoring device to be affixed to a user. The portable monitoring device including: 1) a set of one or more sensors to generate sensor data indicative of physical activity of a user when the portable monitoring device is affixed to the user; and 2) processing circuitry coupled with the set of sensors, to detect that the user has been sedentary for a period of time, and cause the portable monitoring device to alert the user responsive to the detection to encourage the user to move.

Embodiments include a method of stapling an anatomical structure of a patient during a minimally invasive procedure, the anatomical structure having a first side and a second side, the method comprising the steps of providing an end effector, the end effector comprising a first jaw having an anvil, a second jaw having a cartridge housing a plurality of staples, providing a buttress, the buttress comprising a first buttress member and a second buttress member, attaching the first buttress member to the anvil, attaching the second buttress member to the cartridge, deploying the plurality of staples, and cutting the first buttress member and the second buttress member.

A surgical stapling apparatus includes a staple anvil and a staple cartridge having a working surface, one or more rows of individual staple slots formed in the working surface, a knife track formed along a length of the working surface, and a plurality of surgical staples individually disposed within the individual staple slots. The apparatus further includes an actuation sled having a knife and being configured and adapted to movably position the knife axially within the knife track. The apparatus also includes a wound closure material applicator assembly having a needle secured to the knife to dispense a quantity of wound closure material along a length of the knife track as the actuation sled and knife are moved therealong.

The present invention discloses a tissue closure device, a tissue closure assembly and a medical instrument. The tissue closure device comprises a base, a pressure plate cooperating with the base, and a staple pushing sheet. The pressure plate is rotatable relatively to the base. The tissue closure device further comprises a staple accommodating portion which is arranged at the distal end of the base and configured to accommodate a closure staple. The staple pushing sheet and the staple accommodating portion are configured to cooperatively drive the closure staple in the staple accommodating portion to deform. In the present invention, a bundled pouch with a gathered center is formed through the tissue closure device, so that risks of stoma fistula arising from subsequent anastomosis through a circular stapler are reduced; and the surgery cost is reduced.

A surgical instrument assembly comprising a handle, a shaft, and an end effector is disclosed. The end effector comprises a first iaw comprising a tissue-supporting surface defining a plurality of staple cavities defined therein, a second iaw movable relative to the first jaw, a proximal pin coupling the first and second jaws, a first slot configured to receive the proximal pin, a distal pin coupling the jaw and second jaws, and a second slot configured to receive the distal pin. The proximal pin is movable vertically within the first slot. The distal pin is actuatable within the second slot between a first position where the second jaw is in an open position, a second position where the second jaw is in a clamped position, and a third position where the second jaw is in a fully closed position and the second iaw is in contact with the tissue-supporting surface.

Systems and methods for controlling staple firing include an end effector, a drive system configured to apply a force or torque to cause staple firing to occur, and a processor. The end effector includes a first jaw and a second jaw holding staples. The processor is configured to monitor the applied force or torque to cause staple firing to occur and maintain application of clamping by the first jaw and the second jaw while suspending application of the force or torque that causes the staple firing, when the applied force or torque is outside an acceptable range of force or torque.

Surgical stapling devices have a first buttress attached to an anvil jaw member and a second buttress attached to a cartridge jaw member. In use, the first buttress and the second buttress sandwich tissue being stapled by the surgical stapling device.