Ethicon Endo-surgery, Inc.

Depuy Synthes Products, Inc.

Ethicon, Gmbh

Cilag International Gmbh

Medos International S&#xe0;rl

Karl Storz Endovision, Inc.

James T Spivey

David Stefanchik

Omar J Vakharia

Frederick E Shelton, IV

Mark S Ortiz

Michael J Stokes

Brian Henri Otrando

Kevin John Zylka

Rick D Applegate

Sean P Conlon

Rudolph Henry Nobis

Jonathan Bellas

Peter Colby

Jason L Harris

Gregory J Bakos

Christopher J Hess

Kevin M Huey

Ami S Joshi

Jerome R Morgan

Michael J Vendely

James Walden Voegele

Michael E Setser

William D Fox

Andrew M Zwolinski

David N Plescia

John Mott Goodman

Justin M Piccirillo

Jesse J Kuhns

Robert Mason Trusty

Christopher Paul Swain

Michael J Trezza, Ii

Douglas Hester

Duane Linenkugel

Andrew C Yoo

Ragae M Ghabrial

Kempton K Carroll, Ii

Frederick E Shelton

Douglas O Faigel

Richard William Timm

Gary Lee Long

Eugene L Timperman

Surag Mantri

Michael A Murray

Hoang Viet Nguyen

Leslie M Fugikawa

David B Griffith

Steven Paul Woodard

Matthew D Holcomb

Peter K Shires

Dashiell A Birnkrant

Daniel H Duke

Charles Alexander Mosse

Alex W Kiturkes

Kurt R Bally

Frederick Quincy Johnson

Thomas T Washburn

Micheal Kelly

John J Elliott, Jr

Bernard C McDermott

Michelle M Guinan

Christie M Cunningham

Gary T Long

Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting.

Robotically-controlled surgical instrument with selectively articulatable end effector

A dispensing device to deliver a multiple component material to a location in vivo. The device includes a manifold having proximal and distal ends and multiple separate lumens within it, connectable on its proximal end to multiple syringes for containing the multiple component material, a distal tip assembly comprising a tip connector having separate side-by-side lumens within the tip connector and optionally a dispensing tip, and multiple flexible side-by-side cannulae. Each cannulae has a proximal end and a distal end, the proximal ends of the cannulae are connected to a separate lumen at the distal end of the manifold, and the distal ends of the cannulae are connected to one of the side-by-side lumens of the tip connector, establishing a fluid communication between the manifold and the distal tip assembly, wherein the side-by-side cannulae are optionally partially connected along their length and are split at their proximal and distal ends.

Rigid and flexible laparoscopic multiple component material dispensing devices and methods

Various exemplary methods, systems, and devices for surgical suturing are provided. In general, a loading element can be configured to facilitate loading of a plate into a surgical instrument configured to facilitate passage of a suture through tissue. The surgical instrument can be configured to advance the suture through a tissue of a patient, to capture a free end or looped end of the suture after the suture's advancement through the tissue, and to pull the captured suture out of the patient's body with a portion of the suture remaining passed through the tissue within the patient's body.

Methods, systems, and devices for surgical suturing

Devices and methods are provided for forming a hole in bone and implanting a suture anchor in the bone hole. The devices and methods disclosed herein allow a suture coupled to tissue to be passed through a shaft that is also configured to receive a drill bit. Exemplary guide devices are provided having a shaft with a cross-sectional shape that allows the suture to be seated in a secondary region that is offset from a primary region that receives the drill bit therethrough. A drill bit can be passed through the shaft without causing any damage to the suture extending through the shaft, and subsequently an anchor can be advanced along the suture through the shaft and guided into the bone hole.

Knotless suture anchor guide

Surgical methods for closing a gastrotomy. The surgical method for closing an opening in an organ wall comprises positioning a distal end portion of a steerable overtube adjacent a portion of the organ wall through which the opening extends. The surgical method further comprises inserting a flexible clip magazine into the steerable overtube. The surgical method comprises grasping tissue through which the opening extends and drawing a portion of the grasped tissue into a clamping position between upper and lower clip arms of a distal-most tissue apposition clip supported within a distal end of the clip magazine. The surgical method further comprises advancing the distal-most tissue apposition clip onto the portion of grasped tissue.

Tissue apposition clip application methods

A dispensing device to deliver a multiple component material to a location in vivo, the device including a manifold having proximal and distal ends and multiple separate lumens within it, connectable on its proximal end to multiple syringes for containing the multiple component material, a distal tip assembly including a tip connector having separate side-by-side lumens within the tip connector and optionally a dispensing tip, and multiple flexible side-by-side cannulae, each having a proximal end and a distal end, the proximal ends of the cannulae each connected to a separate lumen at the distal end of the manifold, and the distal ends of the cannulae each connected to one of the side-by-side lumens of the tip connector, establishing a fluid communication between the manifold and the distal tip assembly, wherein the side-by-side cannulae are optionally partially connected along their length and are split at their proximal and distal ends.

Devices, systems, and methods are provided for managing suture filaments when performing soft tissue repair. One exemplary embodiment of a surgical suture management device is in the form of a suture loop management card. The card can generally be configured to hold open a collapsible loop of suture until a force applied to the loop is greater than a threshold tension. The card can include a number of different features that help to keep the loop open until the threshold tension is achieved, including features designed to prevent the filament from being mistakenly offloaded. The card can be configured to be removably inserted into a handle of an inserter tool for use as a surgical tissue repair system. Other devices, systems, and methods for performing soft tissue repair are also provided.

Suture storage devices, systems, and methods

A surgical retraction system includes a sternal retractor having a first retractor arm and a second retractor arm. An insert is coupled with the sternal retractor. The insert includes a first section having a first rigid backing, a second section having a second rigid backing that is spaced from the first rigid backing, and a connector section including resilient material interconnecting proximal ends of the first and second sections. The first section of the insert is coupled with the first retractor arm, the second section of the insert is coupled with the second retractor arm, and the connector section extends laterally between the proximal ends of the first and second sections. When the insert is bent, the resilient connector section normally urges the first and second sections of the insert away from one another for returning the insert to a flat configuration.

Surgical retraction systems including sternal retractors and hemostatic inserts

A surgical device for use in combination with a percutaneous elongate shaft defining a longitudinal axis. The shaft comprises a distal end and a proximal end, the distal end comprising an attachment mechanism. A surgical end effector is selectively attachable in vivo and detachable in vivo to the attachment mechanism of the percutaneous elongate shaft. A percutaneous elongate loader comprises an articulating distal end. The distal end comprises a tube with an opening at the distal tip, the tube being dimensioned to receive the surgical end effector. The distal end further comprises an engagement feature capable of frictionally holding the surgical end effector in the tube during in vivo attachment to and in vivo detachment from the percutaneous elongate shaft.

Loader for exchanging end effectors in vivo

Growing community of inventors

Cincinnati, OH, United States of America

James T Spivey