Ethicon, Gmbh

Ethicon Endo-surgery, Inc.

Cilag International Gmbh

Johnny H Alexander, Iii

Christopher C Miller

John P Measamer

Richard F Schwemberger

Brian F Dinardo

John F Cummings

Richard L Leimbach

Cortney E Henderson

Carl J Shurtleff

Edward G Chekan

Frederick E Shelton, IV

Kevin D Felder

Barry Thomas Jamison

Jerome R Morgan

Adam R Dunki-Jacobs

Joseph E Young

Venkataramanan Mandakolathur Vasudevan

Charles J Scheib

Kevin L Houser

Mark D Overmyer

Emily A Schellin

John V Hunt

Omar J Vakharia

William D Fox

Kevin D Sackett

Jeffrey C Gagel

Jason E Zerkle

Patrick J Swindon

Craig S Smith

Joseph P Schowalter

William R Stager

Rodney V Clingaman

Brian W Bear

Matthew H Bolton

Timothy E Goode

Joseph T Kluener

Kent P Baker

Chester O Baxter, Iii

Cory G Kimball

Patrick A Weizman

Jason M Rector

Julia F Serber

Bret William Smith

Katherine J Schmid

Michael S Cropper

Stephanie A Mutchler

An apparatus includes a body, a shaft, a stapling head assembly, and an anvil. The body includes a motor, a first user input feature, and a second user input feature. The first user input feature is operable to activate the motor. The shaft extends distally from the body. The stapling head assembly is positioned at a distal end of the shaft. The stapling head assembly includes an anvil coupling feature, at least one annular array of staples, and a staple driver. The second user input feature is operable to drive the anvil coupling feature longitudinally. The staple driver is operable to drive the at least one annular array of staples. The motor is operable to drive the staple driver. The anvil is configured to couple with the anvil coupling feature. The anvil is further configured to deform the staples driven by the staple driver.

Methods and systems for performing surgical stapling

Methods and systems for performing circular stapling

A surgical circular stapler has a handle assembly, a shaft, a stapling assembly, a motor, a drive assembly, and a firing assembly. The shaft extends distally from the handle assembly. The stapling assembly is secured to a distal end of the shaft. Longitudinal translation of the firing assembly causes the stapling assembly to drive a plurality of staples in a circular array to secure two lumens of tissue together. The stapling assembly may further drive a blade to sever any excess tissue interior of the circular array of staples. The motor is operable to rotate the drive assembly to thereby translate the firing assembly. A resilient member biases the firing assembly proximally. Through cooperation between the firing assembly and the resilient member, the firing assembly is driven distally and proximally to complete a firing stroke in response to rotation of the drive assembly through a single revolution.

Surgical stapler with rotary cam drive

A surgical circular stapler has a body, shaft, a stapling assembly, a motor, a cam assembly, and a firing assembly. The shaft extends distally from the body. The stapling assembly is secured to a distal end of the shaft. Longitudinal translation of the firing assembly causes the stapling assembly to drive a plurality of staples in a circular array to secure two lumens of tissue together. The stapling assembly may further drive a blade to sever any excess tissue interior of the circular array of staples. The motor is operable to rotate the cam assembly. Rotation of the cam assembly causes longitudinal translation of the firing assembly. A single rotation of the cam assembly is operable to drive the firing assembly from a proximal position to a distal position and back to a proximal position.

Surgical stapler with rotary cam drive and return

A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

Feature to reengage safety switch of tissue stapler

Tissue thickness compensators for use with circular surgical staplers. Various tissue thickness compensators are disclosed for deployment between a stapler head of a surgical circular stapler and an anvil attached thereto to accommodate variances in tissue thickness during stapling. Some tissue thickness compensator arrangements include means and configurations for deploying healing agents for enhancing the healing process.

Tissue thickness compensators for surgical staplers

A surgical instrument includes a handle assembly having a trigger operable to fire a staple driver to staple tissue. The instrument includes a pointed rod to which an anvil may be coupled. An anvil detection feature is included to determine when the anvil is coupled to the rod. In some versions, the anvil detection feature comprises a translatable rod that inhibits a lockout feature from disengaging. In other versions, an anvil sensing tube is disposed about the pointed rod and interferes with actuation of the trigger in a first position. A recess in the tube permits trigger to actuate when the anvil sensing tube is in the second position. Alternatively, a resilient tab is coupled to the pointed rod and resists actuation of the staple driver. A trigger lockout assembly may include a spring-loaded button that 'pops' out when a push rod is actuated, thereby freeing a pivotable lockout feature.

Tissue stapler anvil feature to prevent premature jaw opening

An apparatus includes an end effector, a shaft assembly including a translating drive member, and a drive assembly. The end effector includes a distally advancing cutting member and staple driver. The translating drive member is operable to actuate the end effector. The drive assembly is in communication with the translating drive member and includes a motor, a rotary drive member, a first link, and at least one toggle link. The rotary drive member is in communication with the motor. The first link is in communication with the rotary drive member. The at least one toggle link is in communication with the first link and the translating drive member. The rotary drive member is operable to convey linear motion to the first link. The first link is able to convey linear motion to the translating drive member.

Surgical stapling instrument with drive assembly having toggle features

A surgical stapling instrument for performing a circular anastomosis comprises a stapling head assembly, an actuator handle assembly, a shaft assembly, a safety latch, and a locking member. The stapling head assembly includes an anvil that moves relative to a staple holder and a staple driver to drive staples from the staple holder into tissue and against the anvil. The actuator handle assembly has a first actuator that controls motion of the anvil and a second actuator that controls motion of the staple driver. The shaft assembly couples the stapling head assembly to the actuator handle assembly. The safety latch prevents operation of the second actuator when the gap between the anvil and staple holder is outside a predetermined range. The locking member is configured to prevent adjustment of the anvil gap after the desired staple height has been set inside the predetermined range.

Surgical stapling instrument with locking feature to lock anvil actuator

A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.

Ratcheting feature on tissue staple trigger to prevent premature jaw opening

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West Chester, OH, United States of America

Johnny H Alexander, Iii