A61B17/0686

Adapter for securing loading units to handle assemblies of surgical stapling instruments
11660092 · 2023-05-30 · ·

An adapter for releasably connecting a loading unit to a handle assembly includes a proximal drive shaft, a distal drive shaft, and a shear pin connecting the proximal drive shaft to the distal drive shaft. The proximal drive shaft includes proximal and distal portions. The proximal portion of the proximal drive shaft is configured for releasable connection to the handle assembly. The distal drive shaft includes proximal and distal portions. The distal portion of the distal drive shaft being configured for releasable connection to the loading unit. The shear pin is configured to rotationally fix the proximal drive shaft to the distal drive shaft and is configured to fracture to permit rotation of the proximal drive shaft independent of rotation of the distal drive shaft when a predetermined torque is applied to the distal drive shaft.

METHODS AND SYSTEMS FOR CONTROLLING STAPLE FIRING

Systems and methods for controlling staple firing include a manipulator, a drive system, and a processor. The manipulator is configured to be releasably coupled to an instrument. The instrument has an end effector comprising a first jaw and a second jaw. The drive system is configured to apply a force or torque to the instrument to cause staple firing to occur using the end effector. The processor is configured to monitor a force or torque applied by the drive system to cause staple firing to occur and in response to determining that the applied force or torque is outside of an acceptable range of force or torque, 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 to occur.

Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector

A motorized surgical instrument is disclosed. The surgical instrument includes a displacement member, a motor, a control circuit, and a position sensor. The displacement member is configured to translate. The motor is coupled to the displacement member to translate the displacement member. The control circuit is coupled to the motor. A position sensor is coupled to the control circuit. The position sensor is configured to measure the position of the displacement member and to measure an articulation angle of an end effector relative to a longitudinally extending shaft. The control circuit is configured to determine the articulation angle between the end effector and the longitudinally extending shaft and set motor velocity based on the articulation angle.

STAPLING SYSTEMS AND METHODS FOR SURGICAL DEVICES AND END EFFECTORS

Embodiments include an end effector including an anvil, the anvil having an anvil face, an anvil blade channel defined by the anvil face, a first pocket row of first row staple pockets, a second pocket row of second row staple pockets, a third pocket row of third row staple pockets, a fourth pocket row of fourth row staple pockets, a fifth pocket row of fifth row staple pockets, a sixth pocket row of sixth row staple pockets, a cartridge having a cartridge face defining a cartridge blade channel, the cartridge being configured to retain a plurality of staples, and a blade, the blade having a cutting edge, where the blade is movable from a first position at a distal end of the cartridge to a second position at a proximal end of the cartridge.

SURGICAL STAPLER END EFFECTOR SLED HAVING CARTRIDGE WALL SUPPORT FEATURE

A staple driver actuator for a surgical stapler includes a base having at least one bottom surface. The bottom surface defines a plane and is configured to slide longitudinally relative to a jaw of the surgical stapler. The staple driver actuator also includes a plurality of rails extending upwardly from the base. Each of the plurality of rails includes at least one cam surface, and each of the cam surfaces is inclined relative to the plane. The plurality of rails includes a laterally-opposed pair of outer rails and a laterally-opposed pair of inner rails. The staple driver actuator further includes a distal nose extending distally from at least a portion of the base and having at least one ledge surface. The ledge surface faces upwardly, is parallel to the plane, and is at least partially positioned distally relative to each of the outer and inner rails.

SURGICAL STAPLING DEVICE WITH FIRING LOCKOUT MECHANISM
20230113219 · 2023-04-13 · ·

A surgical stapling device includes a tool assembly and a drive assembly for actuating the tool assembly. The tool assembly includes an anvil assembly that defines a notch and a cartridge assembly that includes a staple cartridge having a cartridge body that supports staples and pushers and an actuation sled that supports a knife. The drive assembly supports a lockout mechanism that is movable between unlocked position and locked positions. The knife includes a protrusion that engages the lockout mechanism to move the lockout mechanism to the unlocked position as the drive assembly is moved from a retracted position towards an advanced position. When a knife is not present within the staple cartridge, the lockout mechanism remains in the unlocked position to prevent advancement of the drive assembly.

Reload assembly with knife carrier lockout

A surgical stapling device includes a reload assembly that includes a locking member to retain a knife carrier of the reload assembly in a retracted position after the stapling device is fired. The locking member may be supported on an inner housing portion of the shell housing or on a staple pusher assembly of the reload assembly.

Surgical stapling device with laser probe

A tool assembly includes a cartridge assembly or a heating assembly along with an anvil assembly, and a drive assembly. The drive assembly includes a working member and a laser probe that is pivotally supported on the working member and emits a laser beam. The laser probe is positioned between the cartridge and anvil assemblies such that the laser beam extends across a tissue gap of the tool assembly when the tool assembly is in the clamped position.

Compressible adjuncts with drug release features

Compressible adjuncts for use with a staple cartridge are provided. In one exemplary embodiment, a compressible adjunct includes a non-fibrous adjunct material formed of at least one fused bioabsorbable polymer and configured to be releasably retained on a cartridge and configured to be delivered to tissue by deployment of staples in the cartridge. The adjunct material includes a lattice macrostructure having a plurality of drug delivery microstructures formed in the lattice macrostructure, in which each drug delivery microstructure has drug disposed therein. The plurality of drug delivery microstructures are configured to encapsulate the drug to thereby prevent drug release until the plurality of drug delivery microstructures are at least one of thermally ruptured while the adjunct material is stapled to tissue and mechanically ruptured in response to at least one of clamping, stapling, and cutting of the adjunct material. Stapling assemblies for use with a surgical stapler are also provided.

Stapling assembly comprising a shiftable drive

A surgical instrument can comprise a handle, a motor, and a shaft extending from the handle. The handle and/or the shaft can define a longitudinal axis. The surgical instrument can further comprise a fastener cartridge comprising a plurality of fasteners removably stored therein, an anvil configured to deform the fasteners, a closure drive configured to move the anvil toward and away from the fastener cartridge which is rotatable about the longitudinal axis, and a firing drive configured to deploy the fasteners from the fastener cartridge which is rotatable about the longitudinal axis. The surgical instrument can further comprise a transmission comprising a first operating configuration which connects the motor to the closure drive and a second operating configuration which connects the motor to the firing drive.