A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described.

An end effector includes an anvil and a cartridge. The anvil can include a plurality of staple pockets positioned on an anvil face. The cartridge can be configured to retain a plurality of staples. Each of the plurality of staples includes a first staple leg, a second staple leg, and a crown connecting the first staple leg and the second staple leg, and each has an open staple configuration where the first staple leg and the second staple leg are generally perpendicular to a longitudinal axis of the crown and a closed staple configuration where a first tip of the first staple leg is bent in a first direction away from the longitudinal axis of the crown, and a second tip of the second staple leg is bent in a second direction away from the longitudinal axis of the crown, the first direction being different than the second direction.

A surgical stapling device includes an adaptor assembly and a reload assembly supported on a distal end portion of the adaptor assembly. The reload assembly includes a shell housing, a staple cartridge supporting staples, a staple pusher, a staple actuator, a knife carrier, and a locking member. The staple pusher is movable from a retracted position to an advanced position to eject the staples from the staple cartridge. The staple actuator is movable from a retracted position to an advanced position to move the staple pusher from its retracted position to its advanced position. The knife carrier is movable between a retracted position and an advanced position. The locking member is supported on the knife carrier. The locking member is configured to engage the staple actuator in its advanced position while engaging the knife carrier in its retracted position such that the locking member inhibits re-advancement of the knife carrier.

An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer.

Disclosed is an electrosurgical instrument including an end effector with a cartridge having an asymmetric cartridge body.

Devices, systems and/or methods for repairing soft tissue adjacent a soft tissue repair site. In one embodiment, a repair device configured to couple to soft tissue is provided. The repair device includes a capture portion and an anchor portion. The capture portion configured to extend with radial portions. The anchor portion includes a base with multiple legs extending therefrom. The multiple legs are configured to move from a linear position to a formed position such that, in the formed position, the multiple legs couple to structure of the capture portion.

A modular surgical instrument system, comprising a handle assembly, comprising a disposable outer housing configured to define a sterile barrier. The disposable outer housing comprises a first housing-portion and a second housing-portion movable relative to the first housing-portion between an open configuration and a closed configuration. The handle assembly further comprises a control inner core receivable inside the disposable outer housing in the open configuration. The disposable outer housing is configured to isolate the control inner core in the closed configuration. The modular surgical instrument system further comprises a primary wired interface configured to transmit data and power between the control inner core and at least one of modular components of the modular surgical instrument system, a secondary interface comprising a sensor located within the outer housing, and a control circuit configured to confirm a primary connection through the primary wired interface based on at least one sensor reading.

A surgical stapling assembly is disclosed. The surgical stapling assembly can include a first jaw, a second jaw, an articulation joint, a closure drive comprising a first flexible rotary drive extending through the articulation joint, and a firing drive comprising a second flexible rotary drive extending through the articulation joint and rotatable independent of the first flexible rotary drive. The surgical stapling assembly can further include a 3D-printed component.

A surgical instrument comprising a shaft, an end effector rotatably connected to the shaft about an articulation joint, and an articulation drive is disclosed. The articulation drive comprises a lock configured to hold the end effector in position when the articulation drive is not being operated. The articulation lock self-unlocks when the articulation drive is actuated.

A surgical device having at least one rotary input screw in the end effector is provided. A rotary input screw can extend through a central longitudinal portion of the end effector. The end effector can include an improved closure system, firing systems, leveraging and alignment features between the staple cartridge and the surgical device, staple cartridges having multi-staple drivers, single-firing knifes and lockout/safety features for the same, and/or modified staple patterns, for example. Certain components can be 3D-printed components.