Ethicon Endo-surgery, Inc.

Ethicon, Gmbh

Cilag International Gmbh

Andrew M Zwolinski

Frederick E Shelton, IV

Galen C Robertson

Jeffrey David Messerly

Steven G Hall

Randall J Tanguay

Mark S Ortiz

Geoffrey C Hueil

Douglas B Hoffman

Patrick A Weizman

Dean B Bruewer

Gregory B Blair

Kyle P Moore

William Bruce Weisenburgh, Ii

Jerome R Morgan

Michael J Stokes

Charles J Scheib

Gary Lee Long

Thomas W Huitema

Bret William Smith

Kevin Ross Doll

Joshua R Uth

Mark H Ransick

William David Kelly

Ronald John Kolata

Jeffrey S Swayze

Kevin L Houser

Richard William Timm

Shailendra Kumar Parihar

James Walden Voegele

Prasanna Malaviya

Donna L Korvick

Tracy D Lopes

Jonathan A Coe

Thomas Edward Albrecht

Glen A Armstrong

Mark S Zeiner

Christopher J Hess

Mark D Overmyer

Daniel W Price

Michael S Cropper

Robert Perrin Gill

Louis T DeLuca

Jason L Harris

Sean P Conlon

Omar J Vakharia

Tamara S Vetro Widenhouse

David C Yates

Foster B Stulen

Jeffrey L Aldridge

Matthew C Miller

John V Hunt

Christopher W Widenhouse

James T Spivey

Daniel F Dlugos, Jr

James A Woodard, Jr

Alessandro Pastorelli

Kurt R Bally

Denzel Z Herrera-Davis

Gregory J Bakos

Surag Mantri

Lauren S Weaner

William D Fox

Michael A Murray

Carl J Shurtleff

Thomas E Adams

David B Griffith

Steven Paul Woodard

Matthew D Holcomb

Binoy K Bordoloi

Daniel H Duke

Douglas Jon Siebenaler

Duane Linenkugel

Glenda C Marsh

William B Weisenburgh

Lawrence E Wells

In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument.

End effector coupling arrangements for a surgical cutting and stapling instrument

A loading unit coupleable to a surgical stapling system is disclosed. The loading unit comprises an end effector, a firing system, and a shaft assembly extending proximally from the end effector. The end effector comprises a first jaw and a second jaw movable relative to the first jaw between an open position and a clamped position. The firing system comprises a firing assembly and an indicator. The firing assembly is movable toward a distal position through the end effector in response to a firing motion from the surgical stapling system. The indicator is configured to visually communicate a position of the firing assembly to a user of the surgical stapling system. The shaft assembly is removably couplable with the surgical stapling system and comprises an open slot region aligned with the firing assembly. The open slot region extends proximally with respect to the second jaw.

Loading unit coupleable to a surgical stapling system

A surgical stapling assembly comprising a firing member, an end effector, a closure member, and a shaft including an attachment interface is disclosed. The surgical stapling assembly is configured to be attached to a surgical instrument interface by way of the attachment interface. The end effector comprises a first jaw, a second jaw, and a staple cartridge comprising staples configured to be ejected by the firing member. The second jaw is movable relative to the first jaw between an open position, a fully-clamped position, and a collapsed position. The end effector further comprises an interconnection between the first jaw and the second jaw defining a rotational axis about which the second iaw is movable relative to the first iaw. The rotational axis is shiftable toward and away from the first iaw as the second iaw is moved between the open position, the fully-clamped position, and the collapsed position.

A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.

Surgical stapling apparatus with interlockable firing system

A surgical instrument is disclosed comprising a housing, a transducer supported within the housing, an end-effector engaged with the transducer, and a clamp including a jaw member movably supported relative to the end-effector between an open position and a closed position. The transducer is configured to produce vibrations. The end-effector defines an axis and a distal tip. The distal tip is movable relative to the axis by vibrations produced by the transducer. The end-effector is configured to be detached from the transducer. The transducer is configured to receive a different end-effector.

Surgical instruments

A surgical stapling assembly comprising a staple cartridge carrier, an anvil, an outer surface, a closure member, a staple cartridge, and a firing system is disclosed. The anvil is rotatable between a first position and a second position. The closure member is slideable along the outer surface to hold the anvil in the second position. The closure member comprises a clearance opening. The staple cartridge is positioned within the staple cartridge carrier. The staple cartridge comprises staples removably stored therein. The staple cartridge and the anvil define a tissue gap therebetween when the anvil is in the second position. The clearance opening is aligned with the tissue gap when the anvil is in the second position. The firing system is configured to eject the staples from the staple cartridge during a staple firing stroke. The firing system engages the staple cartridge carrier and the anvil during the staple firing stroke.

Surgical stapling apparatus with control features operable with one hand

A method for suture lacing includes providing a suture with a needle attached thereto, inserting the needle and suture into an organ through a passageway, throwing a single stitch through a first tissue member, throwing a single stitch through an opposed and spaced apart second tissue member, repeating the preceding step at least once, bringing the first and second tissue members in contact by tensioning the suture, whereby suture drag is minimized during the tensioning and even tissue compression substantially achieved, and securing the suture.

Method for suture lacing

Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.

Intestinal brake inducing intraluminal therapeutic substance eluting devices and methods

Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft.

Detachable end effectors

A staple cartridge assembly for use with a surgical stapling instrument is disclosed. The staple cartridge assembly comprises a plurality of staples and a cartridge body. The cartridge body comprises an elongate slot extending along a first longitudinal axis between a proximal end and a distal end of the cartridge body. The cartridge body further comprises a plurality of first staple cavities arranged in a first row. Each first staple cavity defines a first axis and comprises a first proximal end portion and a first distal end portion. The cartridge body further comprises a plurality of second staple cavities arranged in a second row. Each second staple cavity defines a second axis and comprises a second proximal end portion and a second distal end portion. Each first axis and each second axis are transverse to the first longitudinal axis. Each first axis is transverse to each second axis.

Surgical staple cartridge

A surgical instrument that comprises a housing, an elongate shaft configured for operable attachment to a surgical end effector, and a selectively lockable rotation system is disclosed. The selectively lockable rotation system comprises a mounting member coupled to the elongate shaft and being rotatably supported on the housing for selective rotation relative to the housing about a longitudinal axis defined by the elongate shaft. The selectively lockable rotation system further comprises a switch member supported for selective longitudinal movement relative to the housing and the mounting member between an unlocked position wherein the mounting member is freely rotatable relative to the housing and a locked position wherein a locking formation on a distal end of the switch member is in retaining engagement with the mounting member to prevent the mounting member and the elongate shaft from rotating relative to the housing.

Surgical stapling apparatuses with lockable end effector positioning systems

A disposable loading unit for use with a surgical stapling instrument is disclosed. The disposable loading unit comprises a cutting member, an anvil, and a first replaceable stapling jaw assembly. The first replaceable stapling jaw assembly comprises a first cartridge body and first staples. The disposable loading unit further comprises a second replaceable stapling jaw assembly comprising a second cartridge body and second staples. The disposable loading unit further comprises a lockout that prevents the first replaceable stapling jaw assembly from being fired after the first replaceable stapling jaw assembly has been at least partially fired. The surgical stapling instrument and the disposable loading unit are configured to deploy the second staples from the second replaceable stapling jaw assembly with which the first replaceable stapling jaw assembly is replaced.

Disposable loading unit for use with a surgical instrument

A surgical stapling assembly that comprises an end effector, a staple cartridge, a plurality of staples, a shaft assembly, a housing, a rotary motion actuator, a first actuation system configured to cause the end effector to perform a first function, and a second actuation system configured to cause the end effector to perform a second function is disclosed. The surgical stapling assembly further comprises a selector arrangement transitionable between a first orientation and a second orientation. The rotary motion actuator is configured to operably interface with the first actuation system in the first orientation to cause the end effector to perform the first function. The rotary motion actuator is configured to operably interface with the second actuation system to cause the end effector to perform the second function in the second orientation.

Surgical stapling assembly comprising a selector arrangement

A surgical stapling system for treating the tissue of a patient is provided. Various embodiments of the surgical stapling system include a handle including a rotary motion generator, a shaft extending from the handle, and a disposable loading unit attachable to the shaft. The disposable loading unit includes a cartridge body including a distal end, staples removably stored in the cartridge body, and a firing system. The firing system includes a cutting portion configured to cut the tissue. The disposable loading unit includes a lockout configured to block the firing system from moving toward the distal end. The surgical stapling system includes an actuation system configured to regulate a force applied to the firing system.

Surgical stapling apparatus including firing force regulation

A surgical stapling system for treating the tissue of a patient is provided. Various embodiments of the surgical stapling system include a handle including a rotary motion generator, a shaft extending from the handle, and a disposable loading unit attachable to the shaft. The disposable loading unit includes a cartridge body including a distal end, staples removably stored in the cartridge body, and a firing system, wherein the firing system includes a cutting portion configured to cut the tissue. The surgical stapling system includes an actuation system configured to regulate a firing force applied to the firing system by the rotary motion generator.

Growing community of inventors

Cincinnati, OH, United States of America

Andrew M Zwolinski