A surgical stapling instrument comprising a tissue cutting knife movable through a staple cartridge to perform a staple firing stroke is disclosed. The stapling instrument further comprises a lockout system configured to prevent the tissue cutting knife from being moved through the staple firing stroke if the staple cartridge is missing from the stapling instrument and/or if the staple cartridge has been previously fired. The lockout system comprises a flexible spring that acts on the bottom of the tissue cutting knife at the initiation of the staple firing stroke to push the tissue cutting knife into a lockout recess if the staple cartridge is missing or has been previously fired.

Surgical instruments are disclosed that are couplable to or have an end effector or a disposable loading unit with an end effector, and at least one micro-electromechanical system (MEMS) device operatively connected to the surgical instrument for at least one of sensing a condition, measuring a parameter and controlling the condition and/or parameter.

A surgical instrument and method of manipulating tissue of a patient includes a body, a shaft assembly extending distally therefrom, and an end effector extending distally from the shaft assembly and configured to receive a cartridge for manipulating tissue. The end effector has a distal end portion, a proximal end portion, a gap between the distal and proximal end portions, and a retaining pin. The retaining pin includes a distal head and is selectively movable from an open position to a locked closed position. In the open position, the retaining pin is proximally positioned such that the gap is configured to receive tissue. In the locked closed position, the retaining pin extends across the gap and is configured to capture tissue within the gap. The distal head of the retaining pin is configured engage and secure the distal end portion relative to the proximal end portion via the retaining pin.

An end effector for use with a surgical fastening instrument is disclosed which comprises a staple cartridge and an anvil. The staple cartridge comprises a cartridge body including a deck and, in addition, fasteners removably stored in the cartridge body, wherein each fastener comprises a base and a leg extending from the base. The anvil comprises a tissue compression surface and forming pockets defined in the tissue compression surface. Each forming pocket comprises a first end configured to receive a staple leg, a second end, a central axis extending between the first end and the second end, a concave turning surface extending between the first end and the second end, and a channel defined in the concave turning surface, wherein the channel is laterally offset from the central axis.

Described herein is an improved device and method for acquiring, and optionally, fastening a tissue fold. The device has an improved configuration for forming a single, two-layer tissue fold.

In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.

A surgical fastener applying apparatus for applying fasteners to body tissue. The apparatus includes an anvil half-section having a distal anvil portion and a proximal handle portion and a cartridge receiving half-section having an elongated channel member. A firing assembly is releasably supported in the cartridge half-section and includes a locking member. A clamping lever having an engagement member engages a latch portion of the locking member to releasably retain the clamping lever in a clamped position.

A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.

A surgical stapling system kit is disclosed which comprises a first module comprising, one, a first display system configured to display a first set of data regarding the operation of the first module and, two, a first attachment portion. The kit further comprises, one, a second module comprising a second display system configured to display a second set of data regarding the operation of the second module and, two, a second attachment portion attachable to the first module. The kit further comprises a third module comprising, one, a third display system configured to display a third set of data regarding the operation of the third module and, two, a third attachment portion attachable to the third module to the first module.

A surgical device is provided that includes a tool assembly having an anvil assembly and a cartridge assembly configured to grasp tissue therebetween, the cartridge assembly including a plurality of surgical fasteners. A motor is configured to fire one or more surgical fasteners. A sensor determines a first parameter of the tool assembly and a control system adjusts a second parameter of the motor used to fire the one or more surgical fasteners based on the first parameter detected by the sensor.