Cilag International Gmbh

Ethicon, Gmbh

Jeffery D Bruns

Frederick E Shelton, IV

Gregory G Scott

John E Brady

Scott A Jenkins

Gregory J Bakos

Michael J Stokes

Kevin Michael Fiebig

Nicholas Fanelli

Alexander R Cuti

Matthew Thomas Kuhn

Jason L Harris

Chester O Baxter, Iii

Shannon L Jones

Pierre R Mesnil

Cory G Kimball

Andrew C Deck

John Kevin Bruce

Christopher Q Seow

Andrew Kolpitcke

Alex Cuti

Laura A Schoettmer

Taylor W Aronhalt

Christopher J Hess

Sarah Alexandra Worthington

Robert J Simms

Disha V Labhasetwar

Rafael J Ruiz Ortiz

Amrita Singh Sawhney

Demetrius N Harris

Ellen E Burkart

Bradley A Arnold

Nicholas D Courtwright

Kristin L Jambor

Ryan P Posey

Cameron D McLain

Laura S Downing

Devanathan Raghavan

Guion Y Lucas

Austin J Bridges

Ryan W McGhee

Ravi C Patel

Yvan D Nguetio Tchoumkeu

Nicholas A Wilson

John E Feds

John P May

Troy Q Le

John W Stodghill

Alexander S O'Leary

Jeffrey C Souder

Justin Gasparovich

David C Yates

Kevin L Houser

Anil K Nalagatla

Morgan Robert Hunter

Adam David Hensel

Aaron C Voegele

Matthew S Corbin

Joshua D Young

Joshua P Morgan

Jason M Rector

Austin E Wise

Seth Daniel Holdmeyer

Douglas E Withers

John Scott Kimsey

Nichole Y Kwee

Stephen D Geresy

Nicholas M Morgan

Nina Mastroianni

Maxwell T Rockman

Lauren M Valente

Darryl A Parks

Joseph Thomas Mozloom, Jr

Diana M Harbach

Cameron D Mclain

Timothy P O Moses, Jr

Ryan Mcghee

Alexa Miller

Caleb McGowen

Laura R Corsetto

Iii Chester O Baxter

Jr Joseph T Mozloom

Iv Frederick E Shelton

Frederick E Shelton Iv

Yvan D Nguetio Tchomunkeu

Mathew Kuhn

Caleb Mcgowen

A method of operating a surgical instrument includes clamping tissue with a surgical instrument end effector and actuating the end effector to drive staples into the clamped tissue, including a first longitudinal row having at least one first formed staple with a first formed shape in which the first legs are aligned laterally with each other and with the first crown; a second longitudinal row having at least one second formed staple with a second formed shape in which each second leg is skewed laterally away from the second crown at a first angle; and a third longitudinal row of third formed staples having at least one third formed staple with a third formed shape in which each third leg is skewed laterally away from the third crown at a second angle.

Method of surgical stapling

A surgical instrument comprising a staple cartridge including a cartridge body, staples removably stored in the cartridge body, and staple drivers movable within the cartridge body to eject, or deploy, the staples from the cartridge body is disclosed herein. The staple drivers and the cartridge body comprise control surfaces that promote the efficient deployment of the staples from the cartridge body.

Control surfaces on a staple driver of a surgical staple cartridge

An apparatus includes a jaw body, an anvil surface defined by the jaw body, and an elongate slot extending through the anvil surface and along a longitudinal axis of the jaw body. The apparatus further includes a first longitudinal row of staple forming pockets disposed on the anvil surface and configured to form a plurality of first staples such that first legs of each formed first staple are laterally aligned with each other. The apparatus also includes a second longitudinal row of staple forming pockets disposed on the anvil surface laterally outwardly of the first longitudinal row of staple forming pockets relative to the longitudinal axis, and configured to form a plurality of second staples such that second legs of each formed second staple skew laterally away from a second crown of the respective formed second staple.

Surgical stapler anvil having staple forming pockets with laterally varying orientations

A depth limiter that is configured to couple with first and second trocar cannulas having different diameters. The depth limiter includes first and second body portions. First and second body portions each include first and second gripping surfaces. The first and second body portions are pivotably coupled together and are movable between an open configuration and a closed configuration. In the open configuration, the first and second body portions are configured to allow for axial movement of the depth limiter relative to the first and second trocar cannulas. The first gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the first trocar cannula in the closed configuration. The second gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the second trocar cannula in the closed configuration.

Multi-diameter cannula depth limiter

A stapling assembly for a surgical instrument includes a body extending along a longitudinal axis and having an upper deck, a plurality of pockets extending through the upper deck for receiving respective staples and arranged in at least two longitudinal rows, a plurality of staple drivers, and a staple driver actuator. The stapling assembly also includes a plurality of pocket extenders extending upwardly from the upper deck. Each pocket extender has a respective top surface. The stapling assembly further includes at least one upwardly-facing surface configured to contact an adhesive of an adjunct for securing the adjunct to the stapling assembly. The at least one upwardly-facing surface is disposed at least partially between at least a portion of the upper deck and the top surfaces of the plurality of pocket extenders, and spans laterally at least partially across at least two longitudinal rows of the plurality of pockets.

Surgical stapler cartridge having raised surface to promote buttress adhesion

A surgical instrument including a first jaw that is configured to support a staple cartridge therein. An axially movable firing member is configured to move between a beginning position and an ending position by a first flexible drive member and a second flexible drive member. A firing member lock is configured to prevent the firing member from distally moving from the beginning position to the ending position unless an axially movable camming member in the staple cartridge that is supported in the first jaw is in a starting position.

Lockout arrangements for surgical instruments

A surgical end effector comprising a cartridge jaw is disclosed. The cartridge jaw comprises a proximal channel portion extending along a longitudinal axis, and a distal portion movable relative to the proximal channel portion between an open position and a closed position. The surgical end effector further comprising a staple cartridge removably seated in the cartridge jaw, wherein the staple cartridge is configured to slide along the longitudinal axis into the proximal channel portion of the cartridge jaw when the distal portion is in the open position.

Staple cartridge replacement

A method for adjusting the operation of a clip applier using machine learning in a surgical suite is disclosed. The method comprises gathering data during surgical procedures, wherein the surgical procedures include the use of a clip applier comprising a crimping drive configured to be mechanically advanced through a crimping stroke. The method further comprises analyzing the gathered data to determine an appropriate operational adjustment of the clip applier and adjusting the operation of the clip applier to improve the operation of the clip applier.

Method of hub communication with surgical instrument systems

A surgical instrument includes a body, a shaft assembly, an end effector, a clamp actuator, and a blade cooling system. The end effector has a clamp arm and an ultrasonic blade coupled with an ultrasonic transducer. The clamp arm is configured to selectively move from a first actuator position toward a second actuator position thereby directing movement of the clamp arm from the open position toward the closed position, respectively. The cooling system is operable to deliver fluid coolant to the ultrasonic blade to thereby cool the ultrasonic blade while the clamp actuator remains in the first actuator position.

Blade cooling gas/fluid storage

A surgical stapling instrument includes an anvil defining a plurality of staple forming pockets and a stapling head assembly configured to drive a plurality of staples against the staple forming pockets of the anvil. The stapling head assembly comprises a coupling member configured to actuate the anvil relative to the stapling head assembly, a firing assembly configured to drive the plurality of staples against the staple forming pockets of the anvil, and a deck member. The deck member includes a deck surface extending radially between an inner circular edge and an outer circular edge, and a plurality of staple openings extending through the deck surface. The plurality of staple openings define at least one cross shape.

Circular surgical stapler for forming cross-pattern of staples

A surgical stapling instrument includes an anvil and a stapling head assembly. The anvil defines staple forming pockets. The stapling head assembly includes a body, a coupling member, a firing assembly, and a staple deck. The coupling member is configured to actuate relative to the body to thereby acuate the anvil relative to the body. The firing assembly is configured to drive staples against the staple forming pockets of the anvil. The staple deck is defined by an outer arched perimeter and an inner arched perimeter fixed to the body. The staple deck defines staple openings. At least one non-tangential staple opening in the of staple openings extends along a longitudinal axis in a non-tangential relationship with a closest tangent line of the inner arched perimeter or the outer arched perimeter.

Circular surgical stapler for forming pattern of non-tangential staples

A surgical stapling instrument for use with a staple cartridge including a sled and staples is disclosed. The surgical stapling instrument comprises a firing system. The firing system comprising a motor and a driving member operably coupled to the motor. The motor is configured to cause the driving member to advance the sled to deploy the staples into tissue grasped by the surgical stapling instrument. The driving member is movable by the motor along a predefined firing path. The surgical stapling instrument further comprises a control circuit that is configured to detect a location of the sled along the firing path, and adjust a motor control program based on the location of the sled.

Surgical instruments with sled location detection and adjustment features

A surgical instrument end effector includes a first jaw configured to receive a staple cartridge and a second jaw that includes an anvil having a plurality of staple forming pockets. The first and second jaws are operable to clamp and staple tissue positioned therebetween. A tip member is movably disposed at a distal end of the anvil and is configured to toggle relative to the anvil between a first discrete position and a second discrete position. The tip member in the first discrete position is oriented angularly toward the first jaw, and the tip member in the second discrete position is oriented angularly away from the first discrete position.

Surgical stapler with toggling distal tip

A surgical stapler that includes a body, a shaft extending from the body, and an end effector in communication with the shaft. The end effector is operable to compress, staple, and cut tissue. The end effector includes a first jaw; a second jaw opposed from the first jaw, and a tip member. The first and second jaws are operable to transition from an open state to a closed state to clamp tissue therebetween. The tip member is coupled with a distal end of the first jaw. The tip member is selectively rotatable along a rotation axis to toggle between a first discrete position and a second discrete position. The tip member in the first discrete position is configured to assume a first orientation relative to the second jaw, and the tip member in the second discrete position is configured to assume a second orientation relative to the second jaw.

Surgical stapler with rotatable distal tip

Growing community of inventors

Cincinnati, OH, United States of America

Jeffery D Bruns