286815 results about "Biomedical engineering" patented technology

A surgical stapling device particularly suited for endoscopic procedures is described. The device includes a handle assembly and an elongated body extending distally from the handle assembly. The distal end of the elongated body is adapted to engage a disposable loading unit. A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body. A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device.

A surgical stapling device is provided for clamping and stapling tissue, and for dispensing a fluid such as an adhesive onto the tissue. The adhesive can be stored within one or more rigid chambers within removable cartridge and dispensed from a plurality of passageways within the cartridge. A plurality of staples and staple drivers are located in the cartridge and may be isolated from the fluid. Both linear and rotary members can be provided to dispense the fluid from the cartridge. Alternately, the fluid can be dispensed from the cartridge at any time with an operator actuatable control. A removable staple cartridge cover can be provided to seal the fluid in the cartridge and prevent fluid loss. Alternately, a fluid cartridge can be provided that can mount within a surgical stapling device and dispense one or more firings of a fluid therefrom.

The present invention includes a surgical stapler having a curved end-effector which is configured to deploy staples in at least one curved staple line. The surgical stapler can include a staple cartridge configured to removably store staples therein, an anvil configured to deform the staples, and a cutting member having a cutting surface. The staple cartridge and / or anvil can include a curved slot configured for receiving and guiding the cutting member wherein at least a portion of the cutting member can be defined by a curvature that substantially matches the curvature of the slot. In these embodiments, the curved cutting member can be easily moved within the curved slot thereby reducing the possibility that the cutting member will become stuck within the slot.

The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, the anvil is movable between an open position and a partially-closed position. When the anvil is in its partially-closed position, the anvil and the staple cartridge can be configured to capture tissue therebetween without fully compressing the tissue. In at least one embodiment, the anvil includes a proximal portion, a distal portion, and a middle portion intermediate the proximal portion and the distal portion. In these embodiments, the tissue can be captured between the proximal and distal portions of the anvil before the middle portion of the anvil is brought into contact with the tissue.

A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.

An electrosurgical medical device and method for creating thermal welds in engaged tissue that carries the electrosurgical components in a disposable cartridge. The instrument also can carry a blade member in a disposable cartridge, thus making the instrument system inexpensive to use. In another embodiment, the electrical leads of the cartridge have a surface coating of a thermochromic material to provide the physician with a visual indicator of operational parameters when applying energy to tissue.

A surgical stapler anvil provides an expanded leg-receiving target area for a staple forming pocket in a compact staggered array by narrowing the lateral width of the leg-clinching portion of a laterally adjacent pocket. Advantageously, the lateral spacing between adjacent rows of staple forming pockets can remain small, while the leg-receiving target area for laterally adjacent rows of pockets is significantly expanded. The staple forming pockets include two mirror image leg-forming cups. The cups are longitudinally aligned with their respective ascending leg clinching portions adjoining in the center of the pocket. Laterally spaced guide surfaces extend upwardly and outwardly from the clinching surface at the bottom of the cup to define an expanded leg-receiving target area at the distal ends of the pocket. Substantially planar laterally outward portions of the guide surface intersect with the guide surface of a laterally adjacent pocket to form a non-linear ridge.

An electrosurgical medical device and method for creating thermal welds in engaged tissue. In one embodiment, at least one jaw of the instrument defines a tissue engagement plane carrying a conductive-resistive matrix of a conductively-doped non-conductive elastomer. The engagement surface portions thus can be described as a positive temperature coefficient material that has a unique selected decreased electrical conductance at each selected increased temperature thereof over a targeted treatment range. The conductive-resistive matrix can be engineered to bracket a targeted thermal treatment range, for example about 60° C. to 80° C., at which tissue welding can be accomplished. In one mode of operation, the engagement plane will automatically modulate and spatially localize ohmic heating within the engaged tissue from Rf energy application—across micron-scale portions of the engagement surface.

A buttress for use with circular surgical staplers that does not require adhesive to securely fasten the buttress to the stapler. Following cutting and stapling by the circular stapler, the buttress has an adaptive opening through its central region with a diameter smaller than the outer diameter of the stapler anvil. Because of relief features built into the buttress, the stapler anvil may be pulled through the buttress material without causing permanent alteration to the buttress. These relief features may be provided regardless of whether the buttress is made of inelastic or elastic materials. The buttress is generally circular in shape with an outer diameter sized to coincide with the outer diameter of the stapler body staple compression surface and the outer diameter of the anvil compression surface of a circular stapler with which it is used. Prior to surgical use, the buttress is attached to the stapler with disruptable portions extending from outer perimetal areas of the buttress.

A surgical fastener applying apparatus comprising a first jaw containing a first row of first surgical fasteners and a second row of second surgical fasteners and a second jaw containing a first row of first anvil pockets and a second row of second anvil pockets deforming the respective first and second rows of fasteners. At least one of the first fasteners has a first unformed length and a first formed length forming a single loop configuration to form a first compressive space when deformed by the anvil pocket. At least one of the second fasteners has a second unformed length and a second formed length forming a single loop configuration having a second compressive space. The first unformed length and first formed length of the at least one first fastener is less than the second unformed length and second formed length of the at least one second fastener.

An endoscope with guiding apparatus is provided. The endoscope has an elongate body with a steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable guiding apparatus. The guiding apparatus may be positioned within the endoscope or may be positioned adjacent to the endoscope. An interlocking device is provided to slidably interlock the guiding apparatus and the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once rigidized, the endoscope can be advanced along the guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

A surgical fastening and cutting assembly having a housing defines a passage and a pusher, with a cam surface, slides in the passage. An arm couples to the housing and an anvil base is located on the arm. A body slides on the arm between the housing and the base. The body defines a bore and a staple passage having a staple therein. A cam follower extends from the cartridge body to the housing. In an open position, tissue can be placed between the anvil base and the body. In an intermediate position, the cam surface of the pusher can move the cam follower into a locked position and, thereby, the tissue can be clamped. In a fastened and cut position, the pusher can move such that the staple can be been driven and formed in the tissue and a knife, coupled to the pusher, can cut the tissue.

A buttressed anvil assembly is provided for use with a surgical stapling instrument. The buttressed anvil assembly generally includes an anvil member having a strip of buttress material attached thereto by a pair of sutures. A tensioning mechanism is provided to secure or tension the buttress material to the anvil member prior to use and allow for release of the buttress material after stapling of tissue. The tensioning mechanism includes a cinch track engageable with one of the pair of sutures.

An apparatus for use with a surgical stapler to provide a reinforced surgical staple line. The apparatus includes an applicator that carries a first and second bioimplantable material connected by a hinge. An applicator clip may be provided to releasably secure the first and second bioimplantable material onto the applicator.

An electrosurgical instrument for scoring, welding and transecting tissue is provided. The electrosurgical instrument comprises first and second openable-closeable jaws and at least one scoring electrode extending from a distal end of at least one of the first and second openable-closeable jaws. The first and second openable-closeable jaws comprises first and second conductive tissue engaging surfaces, respectively, and first and second insulating members, respectively. The scoring electrode is coupled with at least one of the first and second insulating members. The at least one scoring electrode can be activated independently from the first and second openable-closeable jaws so that the electrosurgical instrument can independent score tissue and weld tissue.

An electrosurgical bipolar forceps for sealing is disclosed. The forceps includes one or more shaft members having an end effector assembly disposed at the distal end. The end effector assembly includes two jaw members movable from a first position to a closed position wherein the jaw members cooperate to grasp tissue at constant pressure. Each of the jaw members includes an electrically conductive sealing plate connected to a first energy source which communicates electrosurgical energy through the tissue held therebetween. The electrosurgical energy is communicated at constant voltage. The electrically conductive sealing plates are operably connected to sensor circuitry which is configured to measure initial tissue impedance and transmit an initial impedance value to a controller. The controller determines the constant pressure and the constant voltage to be applied to the tissue based on the initial impedance value.

A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.

A surgical stapling device particularly suited for endoscopic procedures is described. The device includes a handle assembly and an elongated body extending distally from the handle assembly. The distal end of the elongated body is adapted to engage a disposable loading unit. A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body. A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device.

A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.

Surgical tissue fasteners and related deployment systems and methods are disclosed. A tissue fastener used to join multiple tissue layers includes a first member, a second member, and a connecting member connecting the first and second members. In some embodiments, the first and second members are configured to expand from a delivered state to a deployed state in which the fastener secures the tissue layers together. Other tissue fastener embodiments include means for applying a substantially constant force on the tissue layers and / or means for adjusting a length of the connecting member between the first and second members.

According to the invention, a finger-operated switch for activating and operating an ultrasonic surgical handpiece is provided. The power output of the surgical handpiece is responsive and proportional to the pressure applied to the finger-operated switch. The finger-operated switch includes, but not limited to, force sensitive resistors whose resistance is proportional to the force applied by the finger of the human operator of the surgical handpiece, force sensitive capacitors whose capacitance is proportional to the pressure, deflection or compression of the insulation layer between two electrodes or is proportional to the spacing between the two conductive layers, strain gauges mounted underneath or integral to the housing of the surgical handpiece such that the pressure applied thereto results in an output change in the strain gauges, magnets or ferromagnets encased or embedded in an elastomer with a sensor inside the surgical handpiece that detects the field strength of the magnet and monitors changes relative to the force applied to the handpiece housing, and piezo film or piezo ceramic whose charge or voltage is proportional to the force applied.

The present disclosure relates to surgical fastener applying apparatus, and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus act to limit the flow of blood through tissue immediately adjacent a cut-line formed therein to effectuate hemostasis, while maximizing the flow of blood through tissue more removed from the cut-line to limit unnecessary necrosis. In one embodiment, a surgical fastener applying apparatus is disclosed having a tool assembly coupled to a distal end thereof with first and second jaws respectively including an anvil and a surgical fastener cartridge. The surgical fastener cartridge includes, among other things, a hemostasis member that is configured to apply at least two different compressive forces to tissue clamped between the first and second jaws of the tool assembly.

A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.

A surgical tool system includes a surgical tool for cutting and stapling tissue and a tactile feedback system integrated onto a handle of the tool that generates relevant feedback in at least the form of haptic effects to the user. The tactile feedback alerts the user of tissue properties, i.e., the type of tissue or other structures located within the jaws of the stapler, whether the quantity or thickness of tissue located within the jaws of the stapler is appropriate for the selected stapler cartridge, whether the proper length of staples has been fired based on the length of tissue located in the jaws, whether a blood vessel is located within the jaws of the stapler, whether the stapling process has successfully sealed the tissue located within the jaws of the stapler, the position of the cutting element, and / or when the stapling procedure or firing cycle is completed.

An apparatus for use with a surgical stapler to provide a reinforced surgical staple line. The apparatus includes an applicator that carries a first and second bioimplantable material connected by a hinge. An applicator clip may be provided to releasably secure the first and second bioimplantable material onto the applicator.

An endoscopic device for the partial fundoplication for the treatment of GERD, comprises: a) a distal bending portion and a flexible portion suitable to be positioned in extended shape within the esophagus of a subject; b) a positioning assembly comprising two separate elements, one of which is located on said distal bending portion, and the other on said flexible portion; c) a stapling assembly comprising a staple ejecting device, wherein said staple ejecting device is located on either said bending portion or on said flexible portion, said staple ejecting devices being in working positioned relationship when said two separate elements of said positioning assembly are aligned; and d) circuitry for determining when said two separate elements of said positioning assembly are aligned.

A surgical stapler which includes a tool assembly having a pair of opposing tissue engaging surfaces for deforming a plurality of surgical fasteners through and fastening tissue is disclosed. The surgical stapler includes a housing having a fixed handle and a movable handle mounted to the housing and selectively movable relative to the fixed handle from a first position to a second position to actuate the clamping of tissue. The stapler further includes a drive assembly including a motor, a power source and a coupling member. The motor engages the coupling member, wherein movement of the movable handle to the second position activates the motor, which advances a firing shaft and forces a firing piston into the tool assembly to deform the surgical fasteners through and fasten tissue.

Provided is a two-piece anastomosis fastener that can be used to join two tissue sections together in accordance with Natural Orifice Transendoscopic Surgery (NOTES). The fastener may be releasably attached to a fastener applying instrument for delivery in accordance with such procedures. The fastener includes a first member and a second member, where the clamp members are operably configured to fasten together to clamp and hold tissue, such as gastric tissue, in juxtaposition to establish an anastomosis. The first clamp member and the second clamp member are coupled with an adhesive.

In various embodiments, a disposable loading unit for a surgical stapling instrument can include an anvil, a staple cartridge, a staple cartridge channel for operably supporting the staple cartridge, and a connector for removably attaching the disposable loading unit to the surgical instrument. In at least one embodiment, a first staple cartridge can be replaced with another staple cartridge after the first staple cartridge has been at least partially expended. In various embodiments, a staple cartridge can include a staple driver for deploying staples from the staple cartridge and a cutting member for incising tissue, wherein a new staple driver and a new cutting member can be provided with each new staple cartridge. The anvil can be removably attachable to the disposable loading unit such that a new anvil can be utilized with a new staple cartridge.