14978results about "Suture equipments" patented technology

A surgical severing and stapling instrument clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar affirmatively maintains a desired spacing while severing and stapling tissue by longitudinally engaging the anvil and elongate channel. Separate closing action and firing (i.e., severing and stapling) action of the end effector allows a clinician to selectively position and clamp tissue. The end effector enables this advantageous separate firing while affirmatively spacing the end effector by having an upper pin of the firing bar reside within an anvil pocket before firing. When the anvil is closed and clamped, the upper pin of the E-beam firing bar may move longitudinally and distally from the anvil pocket to an anvil slot thereby engaging the anvil.

An articulating surgical instrument is shown, which comprises a shaft and an end effector. The shaft has a longitudinal axis, and the end effector is operationally coupled, preferably mechanically coupled, to the shaft at an articulation pivot. The instrument also comprises a first band, and in some embodiments, a second band, each operationally connected to the end effector and extending through at least a portion of the shaft. An articulation control applies a force in a direction substantially transverse to the longitudinal axis, wherein the force, when applied in one direction, is translated through the first band to the end effector to effect rotation of the end effector relative to the shaft about the articulation pivot in a first rotational direction, and when the force is applied in the opposite direction, is translated through the second band to the end effector to effect rotation of the end effector relative to the shaft about the articulation pivot in a second rotational direction.

A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular, a wedge integral to the staple cartridge is driven distally by a middle pin of the firing bar to effect stapling. A single lockout of the elongate channel responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire. Otherwise, the single lockout prevents firing when the staple cartridge is missing or spent.

A surgical instrument can comprise a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the channel. The surgical instrument can further comprise a cutting member configured to incise tissue positioned captured between the staple cartridge and the anvil and, in addition, means for stopping the cutting member prior to a distal end datum, wherein the distal end datum can be defined by the distal-most staple cavity in the staple cartridge. In such embodiments, the incision within the tissue may not extend beyond the portion of the tissue that has been stapled.

A surgical stapler can comprise an anvil comprising a staple pocket formed in a tissue contacting surface. The staple pocket can comprise a midline or centerline, a first forming cup, and a second forming cup. The first forming cup can comprise a first interior sidewall comprising a first vertical portion which is substantially perpendicular to the tissue contacting surface. The second forming cup can comprise a second interior sidewall comprising a second vertical portion which is substantially perpendicular to the tissue contacting surface. The first vertical portion and the second vertical portion can extend through the centerline, wherein the first interior sidewall and the second interior sidewall can comprise a trap for deforming a first staple leg of a staple to a first side of the centerline and for deforming a second staple leg of the staple to a second side of the centerline.

An articulating surgical instrument suited for endoscopic use includes a lateral articulation control into a handle portion that provides an intuitive visual and tactile indication to the clinician as to the amount and direction of articulation of an end effector at a distal end of a shaft. Lateral movement of a lateral control actuator is converted into a longitudinal motion or a rotational motion transferred by the shaft to an articulation mechanism. A version of a lateral articulation control for a rotationally driven articulation mechanism incorporates an articulation backdrive lockout that prevents forces on the end effector from causing the selected amount of articulation from being changed.

A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

A surgical instrument for being endoscopically or laparoscopically inserted to a surgical site for simultaneous stapling and severing of tissue includes electrically actuated deployment of buttress pads held on inner surfaces of upper and lower jaws of a staple applying assembly. Thereby, thick or thin layers may be stapled and severed without improper staple formation nor with nonoptimal deployment of the buttress pads. Electroactive polymer (EAP) actuated latches, an EAP channel, or a rigid channel with an EAP pinch lock reliably hold the buttress pad until deployment is desired with a low force to separate the stapled and severed buttress pad / tissue combination with the respective EAP mechanism activated for deployment.

A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A flexible rack transmits these firing strokes to a firing rod that reciprocates in an elongate shaft to actuate the end effector. The flexible rack advantageously stows into a pistol grip of the handle when retracted to minimize handle length.

A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

The invention is directed to an apparatus for use in a transluminal procedure. The apparatus, comprising, for example, a housing having a guide lumen and a seal proximal to a distal end of the housing that extends across and completely seals the guide lumen; a fixation element in the housing and adapted to secure the distal end of the housing to tissue; and a channel extending through the side wall of the housing having an outlet in communication with the lumen distal of the seal. Methods are also provided. For example, a method includes, performing a transluminal procedure by: securing a datum and position indicator to a wall of a target lumen; forming an opening in the wall; advancing an instrument through the opening; and tracking the advancement of the instrument using the datum and position indicator.

A stapling device for use as an attachment to an electromechanical device driver comprises an upper jaw and a lower jaw, the upper jaw having staple guides corresponding to one or more staples in a removable staple tray disposed within a lower jaw, whereby a wedge having a threaded bore travels upon a matching threaded shaft in a channel disposed in the lower jaw behind the staple tray, such that rotation of the threaded shaft causes movement of the wedge through the channel while a sloped surface of the wedge contacts the staples to push the staples against the staples guides, closing the staples.

A surgical instrument particularly suited to endoscopic articulates an end effector by including an end effector having a geared articulation mechanism that converts rotational motion from a handle portion. A hollow articulation drive tube transfers the rotation motion in some versions to a spear gear, bevel gear or snaggle tooth gear articulation mechanism. Alternatively, one or more threaded drive rod offset from a longitudinal axis engages a worm gear or flex-neck articulation mechanism.

A surgical instrument (e.g., endocutter, grasper, cutter, staplers, clip applier, access device, drug / gene therapy delivery device, and energy device using ultrasound, RF, laser, etc.) may benefit from having a plurality of hydraulically actuated subsystems (e.g., severing, stapling, articulation, locking / unlocking, lockout enabling / disabling, grasping, etc.) supplied with hydraulic power from a trigger actuated rotary pump (e.g., lobe pump, rotary gear pump, internal rotating gear pump, flexible vane rotor pump, rotary vane pump). Thereby, an available amount of mechanical advantage available at a firing trigger may be optimally distributed to various end effector components, perhaps sequenced by an electroactive polymer or piezoelelectrically actuated function switch block.

A surgical device is disclosed which includes a handle portion, a central body portion and a Simple Use Loading Unit (“SULU”) [SULU]. The SULU includes a proximal body portion, an intermediate pivot member and a tool assembly. The intermediate pivot member is pivotally secured to the proximal body portion about a first pivot axis and the tool assembly is pivotally secured to the intermediate pivot member about a second pivot axis which is orthogonal to the first pivot axis. The SULU includes a plurality of articulation links which are operably connected to the tool assembly by non-rigid links. The articulation links are adapted to releasably engage articulation links positioned in the central body portion. The body portion articulation links are connected to an articulation actuator which is supported for omni-directional movement to effect articulation of the tool assembly about the first and second axes. The handle portion includes a spindle and barrel assembly drive mechanism for advancing and retracting a drive member positioned in the tool assembly. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly.

Various forms of surgical instruments are disclosed. In various embodiments, the instrument includes a cartridge supporting assembly for operably supporting a staple cartridge therein. The cartridge supporting assembly may be responsive to firing and retraction motions applied thereto from a firing assembly. An anvil may be operably coupled to an anvil closure assembly. The anvil closure assembly may be constructed to selectively move the anvil in a proximal direction toward the cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by the cartridge supporting assembly and the anvil under a predetermined amount of compression. The device may further include a compression limiting assembly that interacts with the anvil closure assembly to prevent further travel of the anvil in the proximal direction toward the cartridge supporting assembly when the predetermined amount of compression has been attained.

A surgical instrument is disclosed. The surgical instrument includes a handle portion, a channel, an anvil, and staple cartridge, a wedge member, a reciprocating firing device, and a lockout arm. The handle portion is operably configured to produce a firing motion and is coupled to the channel portion. The staple cartridge is engaged by the channel and includes a plurality of staple drivers to cam the staples toward the anvil, which is pivotally attached to the channel. The wedge member is proximal to and longitudinally aligned with the staple drivers, and the reciprocating firing device is responsive to the firing motion to progressively drive the wedge member from an unfired to a fired position. The lockout arm is pivotally attached to the channel and operably configured to pivot between a locked position and an unlocked position with respect to the firing device based upon a position of the wedge member.