US20210353288A1 - Surgical cartridges with surgical instrument unlocking features - Google Patents

Surgical cartridges with surgical instrument unlocking features Download PDF

Info

Publication number
US20210353288A1
US20210353288A1 US17/362,314 US202117362314A US2021353288A1 US 20210353288 A1 US20210353288 A1 US 20210353288A1 US 202117362314 A US202117362314 A US 202117362314A US 2021353288 A1 US2021353288 A1 US 2021353288A1
Authority
US
United States
Prior art keywords
cartridge
surgical
anvil
lock
closure
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US17/362,314
Inventor
Frederick E. Shelton, IV
Jason L. Harris
Gregory J. Bakos
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cilag GmbH International
Original Assignee
Cilag GmbH International
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US16/281,741 external-priority patent/US11278280B2/en
Priority claimed from US16/281,704 external-priority patent/US11259806B2/en
Priority claimed from US16/281,762 external-priority patent/US11219453B2/en
Application filed by Cilag GmbH International filed Critical Cilag GmbH International
Priority to US17/362,314 priority Critical patent/US20210353288A1/en
Assigned to CILAG GMBH INTERNATIONAL reassignment CILAG GMBH INTERNATIONAL ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ETHICON LLC
Assigned to ETHICON LLC reassignment ETHICON LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BAKOS, GREGORY J., HARRIS, JASON L., SHELTON, FREDERICK E., IV
Publication of US20210353288A1 publication Critical patent/US20210353288A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A61B17/105Wound clamp magazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473Distal part, e.g. tip or head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00862Material properties elastic or resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B2017/0688Packages or dispensers for surgical staplers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07221Stapler heads curved
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07228Arrangement of the staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2925Pistol grips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936Pins in guiding slots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2939Details of linkages or pivot points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2946Locking means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0808Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0811Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0814Preventing re-use
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B34/37Master-slave robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags

Definitions

  • the present invention relates to surgical instruments and, in various arrangements, to surgical stapling and cutting instruments and staple cartridges for use therewith that are designed to staple and cut tissue.
  • FIG. 1 is a perspective view of a powered surgical stapling system
  • FIG. 2 is a perspective view of an interchangeable surgical shaft assembly of the powered surgical stapling system of FIG. 1 ;
  • FIG. 3 is an exploded assembly view of portions of a handle assembly of the powered surgical stapling system of FIG. 1 ;
  • FIG. 4 is an exploded assembly view of the interchangeable surgical shaft assembly of FIG. 2 ;
  • FIG. 5 is another partial exploded assembly view of a portion of the interchangeable surgical shaft assembly of FIG. 4 ;
  • FIG. 6 is a perspective view of another powered surgical stapling system
  • FIG. 7 is an exploded assembly view of portion of a shaft assembly of the powered surgical stapling system of FIG. 6 ;
  • FIG. 8 is an exploded assembly view of portions of a handle assembly of the powered surgical stapling system of FIG. 6 ;
  • FIG. 9 is a side elevational view of another surgical end effector that may be employed with a rotary powered surgical stapling system
  • FIG. 10 is an exploded assembly view of the surgical end effector of FIG. 9 ;
  • FIG. 11 is an exploded assembly view of a rotary powered firing member that may be employed with the surgical end effector of FIGS. 9 and 10 ;
  • FIG. 12 is a partial cross-sectional view of the surgical end effector of FIG. 9 illustrating initial insertion of a fresh, unfired surgical staple cartridge therein;
  • FIG. 13 is another partial cross-sectional view of the surgical end effector of FIG. 12 , after the surgical staple cartridge has been operably installed therein;
  • FIG. 14 is an enlarged partial cross-sectional view illustrating a firing member and a camming assembly of the end effector of FIG. 13 ;
  • FIG. 15 is another partial cross-sectional view of the surgical end effector of FIG. 9 , prior to insertion of a fresh surgical staple cartridge therein and with a firing member lockout assembly thereof in a locked position;
  • FIG. 16 is an enlarged partial cross-sectional view illustrating a firing member and lockout lugs of the end effector of FIG. 15 , with a camming assembly and end effector channel omitted for clarity;
  • FIG. 17 is a side elevational view of another surgical end effector with an anvil thereof in an open position
  • FIG. 18 is a partial bottom perspective view of the surgical end effector of FIG. 17 ;
  • FIG. 19 is a perspective view of a channel mount feature and anvil lockout spring of the surgical end effector of FIG. 17 ;
  • FIG. 20 is a partial bottom perspective view of the surgical end effector of FIG. 17 without a surgical staple cartridge installed therein and the anvil thereof in a locked position;
  • FIG. 21 is another partial bottom perspective view of the surgical end effector of FIG. 20 after a compatible surgical staple cartridge has been installed therein and the anvil lockout spring moved to an unlocked position;
  • FIG. 22 is a perspective view of a proximal end portion of the surgical staple cartridge depicted in FIG. 21 ;
  • FIG. 23 is a partial exploded assembly view of a surgical staple cartridge and a corresponding anvil and anvil lockout system of a surgical end effector;
  • FIG. 24 is a partial exploded assembly view of a surgical staple cartridge and a corresponding anvil and anvil lockout system of another surgical end effector;
  • FIG. 25 is a partial bottom view of a channel of another end effector with a compatible surgical staple cartridge loaded therein with portions of the compatible surgical staple cartridge omitted for clarity;
  • FIG. 26 is a side elevational view of a portion of the surgical end effector of FIG. 25 , with portions of a channel, anvil and cartridge omitted for clarity;
  • FIG. 27 is a partial cross-sectional end view of the surgical end effector of FIGS. 25 and 26 with the anvil shown in a closed position on a compatible surgical staple cartridge;
  • FIG. 28 is another partial cross-sectional end view of the surgical end effector of FIGS. 25 and 26 with the anvil thereof shown in a locked open position;
  • FIG. 29 is a side elevational of an anvil lock of the surgical end effector of FIGS. 25 and 26 shown in a locked configuration and an unlocked configuration (in phantom lines);
  • FIG. 30 is a side elevational view of a portion of another surgical end effector, with portions of a channel, anvil and cartridge omitted for clarity;
  • FIG. 31 is a front elevational view of an anvil lock of the surgical end effector of FIG. 30 ;
  • FIG. 32 is a top view of the anvil lock of FIG. 31 ;
  • FIG. 33 is a cross-sectional side view of another surgical end effector with an anvil thereof in an open position and with a compatible surgical staple cartridge installed therein;
  • FIG. 34 is a partial perspective view of a proximal end of a compatible surgical staple cartridge of FIG. 33 in relation to a portion of an anvil lock feature of the surgical end effector of FIG. 33 ;
  • FIG. 35 is a top view of a portion of a channel of the surgical end effector of FIG. 33 and an outline of a compatible surgical staple cartridge of FIG. 33 being inserted therein;
  • FIG. 36 is another cross-sectional side view of the surgical end effector of FIG. 33 , with the anvil thereof in an open position during initial installation of an incompatible surgical staple cartridge therein;
  • FIG. 37 is a cross-sectional side view of another surgical end effector with an anvil thereof in an open position during installation of a compatible surgical staple cartridge therein;
  • FIG. 38 is a cross-sectional side view of portions of another surgical end effector with an anvil thereof in an open position during installation of a compatible surgical staple cartridge therein;
  • FIG. 39 is a cross-sectional side view of portions of another surgical end effector with an anvil thereof in an open position during installation of a compatible surgical staple cartridge therein;
  • FIG. 40 is a cross-sectional side view of the end effector of FIG. 39 during installation of an incompatible cartridge therein;
  • FIG. 41 is a partial perspective view of a proximal end portion of an anvil
  • FIG. 42 is a partial perspective view of a proximal end portion of another anvil
  • FIG. 43 is a partial cross-sectional end view of portions of another surgical end effector
  • FIG. 44 is a partial perspective view of a proximal end portion of the anvil of the surgical end effector of FIG. 43 ;
  • FIG. 45 is a partial cross-sectional perspective view of a portion of a channel and anvil lock of the surgical end effector of FIG. 43 , with the anvil lock in a locked position;
  • FIG. 46 is a partial side elevational view of the surgical end effector of FIG. 43 with the anvil in an open position and the anvil lock thereof shown in a locked position in phantom lines;
  • FIG. 47 is another partial cross-sectional perspective view of a portion of the channel and anvil lock of the surgical end effector of FIG. 43 , with the anvil lock in an unlocked position;
  • FIG. 48 is another partial side elevational view of the surgical end effector of FIG. 43 with the anvil in a closed position and the anvil lock thereof shown in the unlocked position in phantom lines;
  • FIG. 49 is a partial cross-sectional end view of portions of another surgical end effector
  • FIG. 50 is a partial perspective view of a proximal end portion of the anvil of the surgical end effector of FIG. 49 ;
  • FIG. 51 is a partial cross-sectional side view of a portion of a channel and anvil lock of the surgical end effector of FIG. 49 , with the anvil lock in a locked position;
  • FIG. 52 is a partial side elevational view of another surgical end effector with an anvil thereof in an open position and an anvil lock thereof shown in a locked position in phantom lines;
  • FIG. 53 is a side elevational view of a portion of the anvil of the surgical end effector of FIG. 52 ;
  • FIG. 54 is a partial perspective view of a portion of the anvil of FIG. 53 ;
  • FIG. 55 is a partial cross-sectional perspective view of a portion of a channel and anvil lock of the surgical end effector of FIG. 52 with the anvil lock in a locked position;
  • FIG. 56 is another partial cross-sectional perspective view of a portion of the channel and anvil lock of the surgical end effector of FIG. 52 , with the anvil lock in an unlocked position;
  • FIG. 57 is a partial side elevational view of the surgical end effector of FIG. 52 with the anvil in a closed position and the anvil lock thereof shown in the unlocked position in phantom lines;
  • FIG. 58 is a partial perspective view of another anvil
  • FIG. 59 is a partial cross-sectional perspective view of a portion of another channel that may be used in connection with the anvil of FIG. 58 ;
  • FIG. 60 is a side elevational view of a portion of another anvil
  • FIG. 61 is a perspective view of a portion of the anvil of FIG. 60 ;
  • FIG. 62 is a perspective view of a portion of another anvil
  • FIG. 63 is a side elevational view of another surgical end effector with an anvil thereof in an open position prior to installation of a surgical staple cartridge therein;
  • FIG. 64 is another side elevational view of the surgical end effector of FIG. 63 after a compatible surgical staple cartridge has been installed therein;
  • FIG. 65 is an end elevational view of an surgical end effector closure tube of the surgical end effector of FIG. 63 and with a closure lock thereof in a locked position;
  • FIG. 66 is another end elevational view of the surgical end effector closure tube and closure lock of FIG. 65 , with the closure lock shown in an unlocked position;
  • FIG. 67 is a partial perspective view of a portion of a compatible surgical staple cartridge and the closure lock of the surgical end effector of FIG. 63 ;
  • FIG. 68 is a partial side elevational view of the surgical end effector of FIG. 63 with the anvil thereof in an open position and prior to installation of a surgical staple cartridge therein;
  • FIG. 69 is another partial side elevational view of the surgical end effector of FIG. 68 with the anvil thereof in an open position and during installation of a compatible surgical staple cartridge therein;
  • FIG. 70 is a partial side elevational view of the surgical end effector of FIG. 68 with the anvil thereof in an open position and during initial installation of a compatible surgical staple cartridge therein;
  • FIG. 71 is another partial side elevational view of the surgical end effector of FIG. 70 with the anvil thereof in an open position and after the compatible surgical staple cartridge has been operably seated therein;
  • FIG. 72 is a partial cross-sectional perspective view of a portion of the compatible surgical staple cartridge shown in FIGS. 70 and 71 ;
  • FIG. 73 is another partial side elevational view of the surgical end effector of FIG. 70 with the anvil thereof in an open position and during installation thereof of a surgical staple cartridge lacking a compatible camming assembly in a starting position;
  • FIG. 74 is a partial side elevational view of another surgical end effector with an anvil thereof in an open position and during initial installation of a compatible surgical staple cartridge therein;
  • FIG. 75 is another partial side elevational view of the surgical end effector of FIG. 74 with the anvil thereof in an open position and after the compatible surgical staple cartridge has been operably seated therein;
  • FIG. 76 is a perspective view of an anvil lock and channel mounting feature of the surgical end effector of FIGS. 74 and 75 ;
  • FIG. 77 is a perspective view of a portion of a surgical staple cartridge that is compatible with the surgical end effector of FIGS. 74 and 75 ;
  • FIG. 78 is another partial side elevational view of the surgical end effector of FIG. 74 with the anvil thereof in an open position and after an incompatible surgical staple cartridge has been seated therein;
  • FIG. 79 is a side elevational view of another surgical end effector with a compatible surgical staple cartridge loaded therein and an anvil thereof in an open position;
  • FIG. 80 is a top view of a portion of a surgical staple cartridge that is compatible with the surgical end effector of FIG. 79 with portions thereof omitted for clarity;
  • FIG. 81 is a partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 81 - 81 in FIG. 80 showing the cartridge nose assembly in a locked position;
  • FIG. 82 is another partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 82 - 82 in FIG. 80 showing the cartridge nose assembly in an unlocked position;
  • FIG. 83 is another partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 83 - 83 in FIG. 80 showing the cartridge nose assembly in a locked position;
  • FIG. 84 is another partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 84 - 84 in FIG. 80 showing the cartridge nose assembly in an unlocked position;
  • FIG. 85 is a partial cross-sectional view of a portion of a firing member and camming assembly of a surgical staple cartridge wherein the camming assembly is in a starting position and in unlocking engagement with a firing member lock on a firing member;
  • FIG. 86 is another partial cross-sectional view of a portion of a firing member of FIG. 85 , with the firing member lock in a locked position;
  • FIG. 87 is a side elevational view of a portion of an anvil of another surgical end effector with the anvil in an open position in relation to compatible surgical staple cartridge installed within a corresponding channel that has been omitted for clarity;
  • FIG. 88 is another side elevational view of the anvil and surgical staple cartridge of FIG. 87 during initial closure of the anvil;
  • FIG. 89 is another side elevational view of the anvil and surgical staple cartridge of FIG. 87 after the anvil has been moved to a closed position;
  • FIG. 90 is a perspective view of a portion of the compatible surgical staple cartridge depicted in FIGS. 87-89 ;
  • FIG. 91 is a partial bottom view of the anvil of FIGS. 87-89 ;
  • FIG. 92 is a perspective view of a portion of surgical staple cartridge that is incompatible with the anvil of FIGS. 87-89 ;
  • FIG. 93 is a side elevational view of the anvil of FIGS. 87-89 in an open position in relation to an incompatible surgical staple cartridge of FIG. 92 installed within a corresponding channel that has been omitted for clarity;
  • FIG. 94 is another side elevational view of the anvil and surgical staple cartridge of FIG. 93 during initial closure of the anvil;
  • FIG. 95 is another side elevational view of the anvil and surgical staple cartridge of FIG. 93 after the anvil has been moved to a closed position;
  • FIG. 96 is a partial cross-sectional side view of a portion of another surgical end effector with a compatible surgical staple cartridge loaded therein and an anvil thereof omitted for clarity;
  • FIG. 97 is a top view of a portion of the surgical staple cartridge and surgical end effector of FIG. 96 ;
  • FIG. 98 is a perspective view of a portion of proximal end of a compatible surgical staple cartridge depicted in FIG. 97 ;
  • FIG. 99 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of a compatible surgical staple cartridge therein;
  • FIG. 100 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of a compatible surgical staple cartridge therein;
  • FIG. 101 is a top view of the surgical end effector and compatible surgical staple cartridge of FIG. 98 ;
  • FIG. 102 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of an incompatible surgical staple cartridge therein;
  • FIG. 103 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of an incompatible surgical staple cartridge therein;
  • FIG. 104 is a top view of the surgical end effector and incompatible surgical staple cartridge of FIG. 103 ;
  • FIG. 105 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of an incompatible surgical staple cartridge therein;
  • FIG. 106 is a top view of the surgical end effector and incompatible surgical staple cartridge of FIG. 105 ;
  • FIG. 107 is a partial cross-sectional perspective view of portions of another surgical end effector with an incompatible surgical staple cartridge installed therein;
  • FIG. 108 is a partial top view of portions of the surgical end effector an incompatible surgical staple cartridge of FIG. 107 ;
  • FIG. 109 is another partial top view of the surgical end effector of FIG. 105 , with a compatible surgical staple cartridge installed therein;
  • FIG. 110 is a partial cross-sectional perspective view of portions of another surgical end effector with a compatible surgical staple cartridge installed therein;
  • FIG. 111 is a partial exploded assembly view of portions of the surgical end effector of FIG. 110 ;
  • FIG. 112 is a partial cross-sectional end view of the surgical end effector and compatible surgical staple cartridge of FIG. 110 ;
  • FIG. 113 is another partial cross-sectional surgical end view of the end effector of FIG. 110 with an incompatible surgical staple cartridge installed therein;
  • FIG. 114 is another partial cross-sectional perspective view of portions of the surgical end effector of FIG. 110 with an incompatible surgical staple cartridge installed therein;
  • FIG. 115 is a top view of the surgical end effector and surgical staple cartridge of FIG. 114 ;
  • FIG. 116 is a top view of a portion of another surgical staple cartridge
  • FIG. 117 is a partial cross-sectional perspective view of a portion of the surgical staple cartridge of FIG. 116 with a camming assembly thereof in a locked position;
  • FIG. 118 is another top view of the surgical staple cartridge of FIG. 116 interacting with a compatible actuator portion of a surgical end effector;
  • FIG. 119 is another partial cross-sectional perspective view of a portion of the surgical staple cartridge of FIG. 116 with the camming assembly thereof in an unlocked position;
  • FIG. 120 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 121 is a partial elevational view of the stapling instrument of FIG. 120 illustrating the firing member in a locked-out position;
  • FIG. 122 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 123 is a partial elevational view of the stapling instrument of FIG. 122 illustrating the firing member in an unlocked position
  • FIG. 124 is a partial elevational view of the stapling instrument of FIG. 122 illustrating the firing member in a locked-out position;
  • FIG. 125 is a partial bottom view of the stapling instrument of FIG. 122 illustrating the firing member in an unfired position
  • FIG. 126 is a partial perspective view of the staple cartridge of FIG. 122 ;
  • FIG. 127 is a partial perspective view of a staple cartridge in accordance with at least one embodiment
  • FIG. 128 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 129 is a partial elevational view of the stapling instrument of FIG. 128 illustrating the firing member in an unlocked position;
  • FIG. 130 is a partial top view of the stapling instrument of FIG. 128 illustrated in the unfired position of FIG. 128 ;
  • FIG. 131 is a partial top view of the stapling instrument of FIG. 128 illustrated in the unlocked position of FIG. 129 ;
  • FIG. 132 is a partial perspective view of the staple cartridge of FIG. 128 in an unspent configuration
  • FIG. 133 is a partial perspective view of the staple cartridge of FIG. 128 in a spent configuration
  • FIG. 134 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 135 is a partial elevational view of the stapling instrument of FIG. 134 illustrating the firing member in a locked-out position;
  • FIG. 136 is a partial perspective view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, and a firing member lock in accordance with at least one embodiment illustrated with some components removed, wherein the firing member has been unlocked by the staple cartridge;
  • FIG. 137 is a partial elevational view of the stapling instrument of FIG. 136 illustrated with an improper staple cartridge seated in the cartridge channel;
  • FIG. 138 is a partial cross-sectional plan view of the stapling instrument of FIG. 136 illustrated with an improper staple cartridge seated in the cartridge channel;
  • FIG. 139 is a partial cross-sectional plan view of the stapling instrument of FIG. 136 illustrating the firing member lock unlocked by the staple cartridge;
  • FIG. 140 is a partial cross-sectional view of a stapling instrument in accordance with at least one embodiment that has been unlocked by a staple cartridge;
  • FIG. 141 is a partial cross-sectional view of a stapling instrument in accordance with at least one embodiment that has been unlocked by a staple cartridge;
  • FIG. 142 is a partial perspective view of the staple cartridge of FIG. 140 ;
  • FIG. 143 is a partial perspective view of the staple cartridge of FIG. 141 ;
  • FIG. 144 is a partial cross-sectional perspective view of a staple cartridge pan in accordance with at least one embodiment
  • FIG. 145 is a partial perspective view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, and a firing member lock in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is unlocked by the staple cartridge;
  • FIG. 146 is a partial perspective view of the stapling instrument of FIG. 145 illustrating a different staple cartridge positioned in the cartridge channel which does not unlock the firing member;
  • FIG. 147 is a partial perspective view of the stapling instrument of FIG. 145 illustrating the firing member in a locked configuration
  • FIG. 148 is a partial perspective view of a stapling instrument configured to be unlocked by the different staple cartridge of FIG. 146 ;
  • FIG. 149 is a perspective view of a staple cartridge which is similar to the staple cartridge of FIG. 146 and configured to unlock the stapling instrument of FIG. 148 ;
  • FIG. 150 is a perspective view of a staple cartridge which is similar to the staple cartridge of FIG. 145 and configured to unlock the stapling instrument of FIG. 145 ;
  • FIG. 151 is a partial exploded view of a stapling instrument comprising a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, an anvil, and a dual-purpose firing member/anvil lock in accordance with at least one embodiment illustrated with some components removed, wherein the stapling instrument is illustrated in a locked state;
  • FIG. 152 is a partial perspective view of the stapling instrument of FIG. 151 being unlocked by the insertion of the staple cartridge into the cartridge channel;
  • FIG. 153 is a partial cross-sectional view of the stapling instrument of FIG. 151 illustrating the stapling instrument in the locked state of FIG. 151 ;
  • FIG. 154 is a partial cross-sectional view of the stapling instrument of FIG. 151 illustrating the stapling instrument in the unlocked state of FIG. 152 ;
  • FIG. 155 is a perspective view of the firing member/anvil lock of FIG. 151 ;
  • FIG. 155A is a partial perspective view of a staple cartridge in accordance with at least one embodiment
  • FIG. 155B is a partial perspective view of a staple cartridge in accordance with at least one embodiment
  • FIG. 155C is a partial perspective view of a staple cartridge in accordance with at least one embodiment
  • FIG. 155D is a partial perspective view of a staple cartridge in accordance with at least one embodiment
  • FIG. 155E is a partial perspective view of a staple cartridge in accordance with at least one embodiment
  • FIG. 156 is a partial cross-sectional view of a surgical stapling assembly comprising an anvil, a staple cartridge, a firing member, and a firing lockout;
  • FIG. 157 is a partial cross-sectional view of the firing member and the firing lockout of FIG. 156 illustrated in an unlocked configuration
  • FIG. 158 is a partial cross-sectional view of the firing member and the firing lockout of FIG. 156 illustrated in a locked configuration
  • FIG. 159 is a partial cross-sectional view of the surgical stapling assembly of FIG. 156 , wherein the surgical stapling assembly further comprises an exterior access aperture configured to permit a user to artificially move the firing lockout into the unlocked configuration with a separate lockout key;
  • FIG. 160 is a perspective view of a lockout member of the firing lockout of FIG. 156 ;
  • FIG. 161 is a partial cross-sectional view of a surgical stapling assembly comprising a lockout and an exterior access orifice configured to permit a user to artificially move the firing lockout into an unlocked configuration with a separate lockout key;
  • FIG. 162 is a bottom plan view of the surgical stapling assembly of FIG. 161 ;
  • FIG. 163 is a partial cross-sectional view of a surgical stapling assembly comprising a firing member, a cartridge channel, a staple cartridge configured be installed into the cartridge channel, and a lockout, wherein the lockout is illustrated in an unengaged configuration;
  • FIG. 164 is a partial cross-sectional view of the surgical stapling assembly of FIG. 163 , wherein the lockout is illustrated in an engaged configuration;
  • FIG. 165 comprises elevational views of two staple cartridges each comprising a different lockout key
  • FIG. 166 is a graph depicting knife lift timing provided by each lockout key of the staple cartridges of FIG. 165 ;
  • FIG. 167 is a graph depicting knife lift displacement provided by each lockout key of the staple cartridges of FIG. 165 ;
  • FIG. 168 is a perspective view of a first staple cartridge for use with a surgical stapling system, wherein the first staple cartridge comprises a cartridge body, a pan, a sled, and a first lockout key;
  • FIG. 169 is a perspective view of a second staple cartridge for use with the surgical stapling system with which the first staple cartridge of FIG. 168 is to be used, wherein the second staple cartridge comprises a cartridge body, a pan, a sled, and a second lockout key;
  • FIG. 170 is an elevational view of a surgical stapling assembly comprising a firing member, a first jaw comprising a staple cartridge, a second jaw comprising an anvil movable relative to the first jaw, and a lockout;
  • FIG. 171 is partial perspective view of the surgical stapling assembly of FIG. 170 ;
  • FIG. 172 is a partial elevational view of the surgical stapling assembly of FIG. 170 where the staple cartridge is not installed within the first jaw;
  • FIG. 173 is a partial elevational view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw;
  • FIG. 174 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw and the firing member is in an unfired position;
  • FIG. 175 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw and the firing member is in a partially fired position;
  • FIG. 176 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is not installed within the first jaw and the firing member is in the unfired position;
  • FIG. 177 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is not installed within the first jaw and the firing member is in a locked position;
  • FIG. 178 is a partial elevational view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw and the firing member is in the partially fired position, wherein some components are illustrated with hidden lines;
  • FIG. 179 is a perspective view of the staple cartridge of the surgical stapling assembly of FIG. 170 comprising a lockout key extending from a proximal end thereof;
  • FIG. 180 is a partial plan view of the staple cartridge of FIG. 179 ;
  • FIG. 181 is a partial plan view of a second staple cartridge configured for use with a system including the staple cartridge of FIG. 179 , wherein the second staple cartridge comprises a lockout key comprising a different configuration than the lockout key of the staple cartridge of FIG. 179 .
  • proximal and distal are used herein with reference to a clinician manipulating the handle portion of the surgical instrument.
  • proximal refers to the portion closest to the clinician and the term “distal” refers to the portion located away from the clinician.
  • distal refers to the portion located away from the clinician.
  • spatial terms such as “vertical”, “horizontal”, “up”, and “down” may be used herein with respect to the drawings.
  • surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.
  • Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures.
  • the various methods and devices disclosed herein can be used in numerous surgical procedures and applications including, for example, in connection with open surgical procedures.
  • the various instruments disclosed herein can be inserted into a body in any way, such as through a natural orifice, through an incision or puncture hole formed in tissue, etc.
  • the working portions or end effector portions of the instruments can be inserted directly into a patient's body or can be inserted through an access device that has a working channel through which the end effector and elongate shaft of a surgical instrument can be advanced.
  • a surgical stapling system can comprise a shaft and an end effector extending from the shaft.
  • the end effector comprises a first jaw and a second jaw.
  • the first jaw comprises a staple cartridge.
  • the staple cartridge is insertable into and removable from the first jaw; however, other embodiments are envisioned in which a staple cartridge is not removable from, or at least readily replaceable from, the first jaw.
  • the second jaw comprises an anvil configured to deform staples ejected from the staple cartridge.
  • the second jaw is pivotable relative to the first jaw about a closure axis; however, other embodiments are envisioned in which the first jaw is pivotable relative to the second jaw.
  • the surgical stapling system further comprises an articulation joint configured to permit the end effector to be rotated, or articulated, relative to the shaft.
  • the end effector is rotatable about an articulation axis extending through the articulation joint. Other embodiments are envisioned which do not include an articulation joint.
  • the staple cartridge comprises a cartridge body.
  • the cartridge body includes a proximal end, a distal end, and a deck extending between the proximal end and the distal end.
  • the staple cartridge is positioned on a first side of the tissue to be stapled and the anvil is positioned on a second side of the tissue.
  • the anvil is moved toward the staple cartridge to compress and clamp the tissue against the deck.
  • staples removably stored in the cartridge body can be deployed into the tissue.
  • the cartridge body includes staple cavities defined therein wherein staples are removably stored in the staple cavities.
  • the staple cavities are arranged in six longitudinal rows. Three rows of staple cavities are positioned on a first side of a longitudinal slot and three rows of staple cavities are positioned on a second side of the longitudinal slot. Other arrangements of staple cavities and staples may be possible.
  • the staples are supported by staple drivers in the cartridge body.
  • the drivers are movable between a first, or unfired position, and a second, or fired, position to eject the staples from the staple cavities.
  • the drivers are retained in the cartridge body by a retainer which extends around the bottom of the cartridge body and includes resilient members configured to grip the cartridge body and hold the retainer to the cartridge body.
  • the drivers are movable between their unfired positions and their fired positions by a sled.
  • the sled is movable between a proximal position adjacent the proximal end and a distal position adjacent the distal end.
  • the sled comprises a plurality of ramped surfaces configured to slide under the drivers and lift the drivers, and the staples supported thereon, toward the anvil.
  • the sled is moved distally by a firing member.
  • the firing member is configured to contact the sled and push the sled toward the distal end.
  • the longitudinal slot defined in the cartridge body is configured to receive the firing member.
  • the anvil also includes a slot configured to receive the firing member.
  • the firing member further comprises a first cam which engages the first jaw and a second cam which engages the second jaw. As the firing member is advanced distally, the first cam and the second cam can control the distance, or tissue gap, between the deck of the staple cartridge and the anvil.
  • the firing member also comprises a knife configured to incise the tissue captured intermediate the staple cartridge and the anvil. It is desirable for the knife to be positioned at least partially proximal to the ramped surfaces such that the staples are ejected ahead of the knife.
  • FIG. 1 illustrates the surgical instrument 1010 that includes an interchangeable shaft assembly 1200 operably coupled to a housing 1012 .
  • FIG. 2 illustrates the interchangeable shaft assembly 1200 detached from the housing 1012 or handle 1014 .
  • the handle 1014 may comprise a pair of interconnectable handle housing segments 1016 and 1018 that may be interconnected by screws, snap features, adhesive, etc. In the illustrated arrangement, the handle housing segments 1016 , 1018 cooperate to form a pistol grip portion 1019 .
  • FIGS. 1 and 3 depict a motor-driven surgical cutting and fastening instrument 1010 that may or may not be reused.
  • the instrument 1010 includes a previous housing 1012 that comprises a handle 1014 that is configured to be grasped, manipulated and actuated by the clinician.
  • the housing 1012 is configured for operable attachment to an interchangeable shaft assembly 1200 that has a surgical end effector 1300 operably coupled thereto that is configured to perform one or more surgical tasks or procedures.
  • an interchangeable shaft assembly 1200 that has a surgical end effector 1300 operably coupled thereto that is configured to perform one or more surgical tasks or procedures.
  • housing may also encompass a housing or similar portion of a robotic system that houses or otherwise operably supports at least one drive system that is configured to generate and apply at least one control motion which could be used to actuate the interchangeable shaft assemblies disclosed herein and their respective equivalents.
  • various components may be “housed” or contained in the housing or various components may be “associated with” a housing. In such instances, the components may not be contained within the housing or supported directly by the housing.
  • the term “frame” may refer to a portion of a handheld surgical instrument.
  • the term “frame” may also represent a portion of a robotically controlled surgical instrument and/or a portion of the robotic system that may be used to operably control a surgical instrument.
  • interchangeable shaft assemblies disclosed herein may be employed with various robotic systems, instruments, components and methods disclosed in U.S. Pat. No. 9,072,535, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, that is incorporated by reference herein in its entirety.
  • the previous housing 1012 depicted in FIG. 1 is shown in connection with an interchangeable shaft assembly 1200 ( FIGS. 2, 4 and 5 ) that includes an end effector 1300 that comprises a surgical cutting and fastening device that is configured to operably support a surgical staple cartridge 4000 therein.
  • the housing 1012 may be configured for use in connection with interchangeable shaft assemblies that include end effectors that are adapted to support different sizes and types of staple cartridges, have different shaft lengths, sizes, and types, etc.
  • the housing 1012 may also be effectively employed with a variety of other interchangeable shaft assemblies including those assemblies that are configured to apply other motions and forms of energy such as, for example, radio frequency (RF) energy, ultrasonic energy and/or motion to end effector arrangements adapted for use in connection with various surgical applications and procedures.
  • RF radio frequency
  • the end effectors, shaft assemblies, handles, surgical instruments, and/or surgical instrument systems can utilize any suitable fastener, that can be gripped and manipulated by the clinician.
  • the handle 1014 operably supports a plurality of drive systems therein that are configured to generate and apply various control motions to corresponding portions of the interchangeable shaft assembly that is operably attached thereto.
  • the handle 1014 may further include a frame 1020 that operably supports a plurality of drive systems.
  • the frame 1020 can operably support a “first” or closure drive system, generally designated as 1030 , which may be employed to apply closing and opening motions to the interchangeable shaft assembly 1200 that is operably attached or coupled thereto.
  • the closure drive system 1030 may include an actuator in the form of a closure trigger 1032 that is pivotally supported by the frame 1020 . More specifically, as illustrated in FIG. 3 , the closure trigger 1032 is pivotally coupled to the handle 1014 by a pin 1033 .
  • the closure drive system 1030 further includes a closure linkage assembly 1034 that is pivotally coupled to the closure trigger 1032 .
  • the closure linkage assembly 1034 may include a first closure link 1036 and a second closure link 1038 that are pivotally coupled to the closure trigger 1032 by a pin 1035 .
  • the second closure link 1038 may also be referred to herein as an “attachment member” and include a transverse attachment pin 1037 .
  • the first closure link 1036 may have a locking wall or end 1039 thereon that is configured to cooperate with a closure release assembly 1060 that is pivotally coupled to the frame 1020 .
  • the closure release assembly 1060 may comprise a release button assembly 1062 that has a distally protruding locking pawl 1064 formed thereon.
  • the release button assembly 1062 may be pivoted in a counterclockwise direction by a release spring (not shown).
  • the closure release assembly 1060 serves to lock the closure trigger 1032 in the fully actuated position.
  • the clinician simply pivots the release button assembly 1062 such that the locking pawl 1064 is moved out of engagement with the locking wall 1039 on the first closure link 1036 .
  • the closure trigger 1032 may pivot back to the unactuated position.
  • Other closure trigger locking and release arrangements may also be employed.
  • An arm 1061 may extend from the release button assembly 1062 .
  • a magnetic element 1063 such as a permanent magnet, for example, may be mounted to the arm 1061 .
  • the circuit board 1100 can include at least one sensor that is configured to detect the movement of the magnetic element 1063 .
  • a “Hall Effect” sensor (not shown) can be mounted to the bottom surface of the circuit board 1100 .
  • the Hall Effect sensor can be configured to detect changes in a magnetic field surrounding the Hall Effect sensor caused by the movement of the magnetic element 1063 .
  • the Hall Effect sensor can be in signal communication with a microcontroller, for example, which can determine whether the release button assembly 1062 is in its first position, which is associated with the unactuated position of the closure trigger 1032 and the open configuration of the end effector, its second position, which is associated with the actuated position of the closure trigger 1032 and the closed configuration of the end effector, and/or any position between the first position and the second position.
  • a microcontroller for example, which can determine whether the release button assembly 1062 is in its first position, which is associated with the unactuated position of the closure trigger 1032 and the open configuration of the end effector, its second position, which is associated with the actuated position of the closure trigger 1032 and the closed configuration of the end effector, and/or any position between the first position and the second position.
  • the handle 1014 and the frame 1020 may operably support another drive system referred to herein as a firing drive system 1080 that is configured to apply firing motions to corresponding portions of the interchangeable shaft assembly attached thereto.
  • the firing drive system 1080 may also be referred to herein as a “second drive system”.
  • the firing drive system 1080 may employ an electric motor 1082 that is located in the pistol grip portion 1019 of the handle 1014 .
  • the motor 1082 may be a DC brushed driving motor having a maximum rotation of, approximately, 25,000 RPM, for example.
  • the motor may include a brushless motor, a cordless motor, a synchronous motor, a stepper motor, or any other suitable electric motor.
  • the motor 1082 may be powered by a power source 1090 that in one form may comprise a removable power pack 1092 .
  • the power pack 1092 may comprise a proximal housing portion 1094 that is configured for attachment to a distal housing portion 1096 .
  • the proximal housing portion 1094 and the distal housing portion 1096 are configured to operably support a plurality of batteries 1098 therein.
  • Batteries 1098 may each comprise, for example, a Lithium Ion (“LI”) or other suitable battery.
  • the distal housing portion 1096 is configured for removable operable attachment to the circuit board 1100 which is also operably coupled to the motor 1082 .
  • a number of batteries 1098 may be connected in series may be used as the power source for the surgical instrument 1010 .
  • the power source 1090 may be replaceable and/or rechargeable.
  • the electric motor 1082 can include a rotatable shaft (not shown) that operably interfaces with a gear reducer assembly 1084 that is mounted in meshing engagement with a with a set, or rack, of drive teeth 1122 on a longitudinally-movable drive member 1120 .
  • a voltage polarity provided by the power source 1090 can operate the electric motor 1082 in a clockwise direction wherein the voltage polarity applied to the electric motor by the battery can be reversed in order to operate the electric motor 1082 in a counter-clockwise direction.
  • the drive member 1120 will be axially driven in the distal direction “DD”.
  • the handle 1014 can include a switch which can be configured to reverse the polarity applied to the electric motor 1082 by the power source 1090 .
  • the handle 1014 can also include a sensor that is configured to detect the position of the drive member 1120 and/or the direction in which the drive member 1120 is being moved.
  • Actuation of the motor 1082 can be controlled by a firing trigger 1130 that is pivotally supported on the handle 1014 .
  • the firing trigger 1130 may be pivoted between an unactuated position and an actuated position.
  • the firing trigger 1130 may be biased into the unactuated position by a spring 1132 or other biasing arrangement such that when the clinician releases the firing trigger 1130 , it may be pivoted or otherwise returned to the unactuated position by the spring 1132 or biasing arrangement.
  • the firing trigger 1130 can be positioned “outboard” of the closure trigger 1032 as was discussed above.
  • a firing trigger safety button 1134 may be pivotally mounted to the closure trigger 1032 by the pin 1035 .
  • the safety button 1134 may be positioned between the firing trigger 1130 and the closure trigger 1032 and have a pivot arm 1136 protruding therefrom. See FIG. 3 .
  • the safety button 1134 When the closure trigger 1032 is in the unactuated position, the safety button 1134 is contained in the handle 1014 where the clinician cannot readily access it and move it between a safety position preventing actuation of the firing trigger 1130 and a firing position wherein the firing trigger 1130 may be fired. As the clinician depresses the closure trigger 1032 , the safety button 1134 and the firing trigger 1130 pivot down wherein they can then be manipulated by the clinician.
  • the longitudinally movable drive member 1120 has a rack of teeth 1122 formed thereon for meshing engagement with a corresponding drive gear 1086 of the gear reducer assembly 1084 .
  • At least one form also includes a manually-actuatable “bailout” assembly 1140 that is configured to enable the clinician to manually retract the longitudinally movable drive member 1120 should the motor 1082 become disabled.
  • the bailout assembly 1140 may include a lever or bailout handle assembly 1142 that is configured to be manually pivoted into ratcheting engagement with teeth 1124 also provided in the drive member 1120 .
  • the clinician can manually retract the drive member 1120 by using the bailout handle assembly 1142 to ratchet the drive member 1120 in the proximal direction “PD”.
  • U.S. Pat. No. 8,608,045 entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, discloses bailout arrangements and other components, arrangements and systems that may also be employed with the various instruments disclosed herein.
  • U.S. Pat. No. 8,608,045 is hereby incorporated by reference herein in its entirety.
  • the interchangeable shaft assembly 1200 includes a surgical end effector 1300 that comprises an elongate channel 1310 that is configured to operably support a staple cartridge 4000 therein.
  • the end effector 1300 may further include an anvil 2000 that is pivotally supported relative to the elongate channel 1310 .
  • the interchangeable shaft assembly 1200 may further include an articulation joint 3020 and an articulation lock 2140 which can be configured to releasably hold the end effector 1300 in a desired position relative to a shaft axis SA. Examples of various features of at least one form of the end effector 1300 , the articulation joint 3020 and articulation locks may be found in U.S.
  • the interchangeable shaft assembly 1200 can further include a proximal housing or nozzle 1201 comprised of nozzle portions 1202 and 1203 .
  • the interchangeable shaft assembly 1200 can further include a closure system or closure member assembly 3000 which can be utilized to close and/or open the anvil 2000 of the end effector 1300 .
  • the shaft assembly 1200 can include a spine 1210 that is configured to, one, slidably support a firing member therein and, two, slidably support the closure member assembly 3000 which extends around the spine 1210 .
  • a distal end 1212 of spine 1210 terminates in an upper lug mount feature 1270 and in a lower lug mount feature 1280 .
  • the upper lug mount feature 1270 is formed with a lug slot 1272 therein that is adapted to mountingly support an upper mounting link 1274 therein.
  • the lower lug mount feature 1280 is formed with a lug slot 1282 therein that is adapted to mountingly support a lower mounting link 1284 therein.
  • the upper mounting link 1274 includes a pivot socket 1276 therein that is adapted to rotatably receive therein a pivot pin 1292 that is formed on a channel cap or anvil retainer 1290 that is attached to a proximal end portion 1312 of the elongate channel 1310 .
  • the lower mounting link 1284 includes lower pivot pin 1286 that adapted to be received within a pivot hole 1314 formed in the proximal end portion 1312 of the elongate channel 1310 . See FIG. 5 .
  • the lower pivot pin 1286 is vertically aligned with the pivot socket 1276 to define an articulation axis AA about which the surgical end effector 1300 may articulate relative to the shaft axis SA. See FIG. 2 .
  • the surgical end effector 1300 is selectively articulatable about the articulation axis AA by an articulation system 2100 .
  • the articulation system 2100 includes proximal articulation driver 2102 that is pivotally coupled to an articulation link 2120 .
  • an offset attachment lug 2114 is formed on a distal end 2110 of the proximal articulation driver 2102 .
  • a pivot hole 2116 is formed in the offset attachment lug 2114 and is configured to pivotally receive therein a proximal link pin 2124 formed on the proximal end 2122 of the articulation link 2120 .
  • a distal end 2126 of the articulation link 2120 includes a pivot hole 2128 that is configured to pivotally receive therein a channel pin 1317 formed on the proximal end portion 1312 of the elongate channel 1310 .
  • proximal articulation driver 2102 will thereby apply articulation motions to the elongate channel 1310 to thereby cause the surgical end effector 1300 to articulate about the articulation axis AA relative to the spine 1210 .
  • proximal articulation driver 2102 can be held in position by an articulation lock 2140 when the proximal articulation driver 2102 is not being moved in the proximal or distal directions. Additional details regarding an example of an articulation lock 2140 may be found in U.S. patent application Ser. No. 15/635,631, now U.S. Pat. No. 10,639,037, as well as in other references incorporated by reference herein.
  • the spine 1210 can comprise a proximal end 1211 which is rotatably supported in a chassis 1240 .
  • the proximal end 1211 of the spine 1210 has a thread 1214 formed thereon for threaded attachment to a spine bearing 1216 configured to be supported within the chassis 1240 . See FIG. 4 .
  • Such an arrangement facilitates rotatable attachment of the spine 1210 to the chassis 1240 such that the spine 1210 may be selectively rotated about a shaft axis SA relative to the chassis 1240 .
  • the interchangeable shaft assembly 1200 includes a closure shuttle 1250 that is slidably supported within the chassis 1240 such that it may be axially moved relative thereto.
  • the closure shuttle 1250 includes a pair of proximally-protruding hooks 1252 that are configured for attachment to the attachment pin 1037 ( FIG. 3 ) that is attached to the second closure link 1038 as will be discussed in further detail below.
  • the closure member assembly 3000 comprises a proximal closure member segment 3010 that has a proximal end 3012 that is coupled to the closure shuttle 1250 for relative rotation thereto.
  • a U shaped connector 1263 is inserted into an annular slot 3014 in the proximal end 3012 of the proximal closure member segment 3010 and is retained within vertical slots 1253 in the closure shuttle 1250 .
  • Such an arrangement serves to attach the proximal closure member segment 3010 to the closure shuttle 1250 for axial travel therewith while enabling the proximal closure member segment 3010 to rotate relative to the closure shuttle 1250 about the shaft axis SA.
  • a closure spring 1268 is journaled on the proximal closure member segment 3010 and serves to bias the proximal closure member segment 3010 in the proximal direction “PD” which can serve to pivot the closure trigger 1032 into the unactuated position when the shaft assembly is operably coupled to the handle 1014 .
  • the interchangeable shaft assembly 1200 may further include an articulation joint 3020 .
  • Other interchangeable shaft assemblies may not be capable of articulation.
  • a distal closure member or distal closure tube segment 3030 is coupled to the distal end of the proximal closure member segment 3010 .
  • the articulation joint 3020 includes a double pivot closure sleeve assembly 3022 .
  • the double pivot closure sleeve assembly 3022 includes an end effector closure tube 3050 having upper and lower distally projecting tangs 3052 , 3054 .
  • An upper double pivot link 3056 includes upwardly projecting distal and proximal pivot pins that engage respectively an upper distal pin hole in the upper proximally projecting tang 3052 and an upper proximal pin hole in an upper distally projecting tang 3032 on the distal closure tube segment 3030 .
  • a lower double pivot link 3058 includes upwardly projecting distal and proximal pivot pins that engage respectively a lower distal pin hole in the lower proximally projecting tang 3054 and a lower proximal pin hole in the lower distally projecting tang 3034 . See FIGS. 4 and 5 .
  • the closure member assembly 3000 is translated distally (direction “DD”) to close the anvil 2000 , for example, in response to the actuation of the closure trigger 1032 .
  • the anvil 2000 is opened by proximally translating the closure member assembly 3000 which causes the end effector closure tube 3050 to interact with the anvil 2000 and pivot it to an open position.
  • the interchangeable shaft assembly 1200 further includes a firing member 1900 that is supported for axial travel within the spine 1210 .
  • the firing member 1900 includes an intermediate firing shaft portion 1222 that is configured for attachment to a distal cutting portion or knife bar 1910 .
  • the intermediate firing shaft portion 1222 may include a longitudinal slot 1223 in the distal end thereof which can be configured to receive a tab 1912 on the proximal end of the distal knife bar 1910 .
  • the longitudinal slot 1223 and the proximal end tab 1912 can be sized and configured to permit relative movement therebetween and can comprise a slip joint 1914 .
  • the slip joint 1914 can permit the intermediate firing shaft portion 1222 of the firing member 1900 to be moved to articulate the end effector 1300 without moving, or at least substantially moving, the knife bar 1910 .
  • the intermediate firing shaft portion 1222 can be advanced distally until a proximal sidewall of the longitudinal slot 1223 comes into contact with the tab 1912 in order to advance the knife bar 1910 and fire the staple cartridge 4000 positioned within the channel 1310 .
  • the knife bar 1910 includes a knife portion 1920 that includes a blade or tissue cutting edge 1922 and includes an upper anvil engagement tab 1924 and lower channel engagement tabs 1926 .
  • the shaft assembly 1200 further includes a switch drum 1500 that is rotatably received on proximal closure member segment 3010 .
  • the switch drum 1500 comprises a hollow shaft segment 1502 that has a shaft boss formed thereon for receive an outwardly protruding actuation pin therein.
  • the actuation pin extends through a longitudinal slot provided in the lock sleeve to facilitate axial movement of the lock sleeve when it is engaged with the articulation driver.
  • a rotary torsion spring 1420 is configured to engage the boss on the switch drum 1500 and a portion of the nozzle housing 1203 to apply a biasing force to the switch drum 1500 .
  • the switch drum 1500 can further comprise at least partially circumferential openings 1506 defined therein which can be configured to receive circumferential mounts extending from the nozzle portions 1202 , 1203 and permit relative rotation, but not translation, between the switch drum 1500 and the nozzle 1201 .
  • the mounts also extend through openings 3011 in the proximal closure member segment 3010 to be seated in recesses 1219 in the spine 1210 .
  • Rotation of the switch drum 1500 about the shaft axis SA will ultimately result in the rotation of the actuation pin and the lock sleeve between its engaged and disengaged positions.
  • the rotation of the switch drum 1500 may be linked to the axial advancement of the closure tube or closure member.
  • actuation of the closure system may operably engage and disengage the articulation drive system with the firing drive system in the various manners described in further detail in U.S. patent application Ser. No. 13/803,086, now U.S. Patent Application Publication No. 2014/0263541, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK and U.S. Pat. No. 9,913,642, entitled SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM, the entire disclosures of each being hereby incorporated by reference herein.
  • the closure member segment 3010 when the closure member segment 3010 is in its proximal-most position corresponding to a “jaws open” position, the closure member segment 3010 will have positioned the switch drum 1500 so as to link the articulation system with the firing drive system.
  • the closure tube has been moved to its distal position corresponding to a “jaws closed” position, the closure tube has rotated the switch drum 1500 to a position wherein the articulation system is delinked from the firing drive system.
  • the shaft assembly 1200 can comprise a slip ring assembly 1600 which can be configured to conduct electrical power to and/or from the end effector 1300 and/or communicate signals to and/or from the end effector 1300 , for example.
  • the slip ring assembly 1600 can comprise a proximal connector flange 1604 that is mounted to a chassis flange 1242 that extends from the chassis 1240 and a distal connector flange that is positioned within a slot defined in the shaft housings.
  • the proximal connector flange 1604 can comprise a first face and the distal connector flange can comprise a second face which is positioned adjacent to and movable relative to the first face.
  • the distal connector flange can rotate relative to the proximal connector flange 1604 about the shaft axis SA.
  • the proximal connector flange 1604 can comprise a plurality of concentric, or at least substantially concentric, conductors defined in the first face thereof.
  • a connector can be mounted on the proximal side of the connector flange and may have a plurality of contacts wherein each contact corresponds to and is in electrical contact with one of the conductors. Such an arrangement permits relative rotation between the proximal connector flange 1604 and the distal connector flange while maintaining electrical contact therebetween.
  • the proximal connector flange 1604 can include an electrical connector 1606 which can place the conductors in signal communication with a shaft circuit board 1610 mounted to the shaft chassis 1240 , for example.
  • a wiring harness comprising a plurality of conductors can extend between the electrical connector 1606 and the shaft circuit board 1610 .
  • the electrical connector 1606 may extend proximally through a connector opening 1243 defined in the chassis flange 1242 . See FIG. 4 . Further details regarding slip ring assembly 1600 may be found in U.S. patent application Ser. No. 13/803,086, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now U.S. Patent Application Publication No.
  • the shaft assembly 1200 can include a proximal portion which is fixably mounted to the handle 1014 and a distal portion which is rotatable about a longitudinal axis.
  • the rotatable distal shaft portion can be rotated relative to the proximal portion about the slip ring assembly 1600 , as discussed above.
  • the distal connector flange of the slip ring assembly 1600 can be positioned within the rotatable distal shaft portion.
  • the switch drum 1500 can also be positioned within the rotatable distal shaft portion. When the rotatable distal shaft portion is rotated, the distal connector flange and the switch drum 1500 can be rotated synchronously with one another.
  • the switch drum 1500 can be rotated between a first position and a second position relative to the distal connector flange.
  • the articulation drive system When the switch drum 1500 is in its first position, the articulation drive system may be operably disengaged from the firing drive system and, thus, the operation of the firing drive system may not articulate the end effector 1300 of the shaft assembly 1200 .
  • the switch drum 1500 When the switch drum 1500 is in its second position, the articulation drive system may be operably engaged with the firing drive system and, thus, the operation of the firing drive system may articulate the end effector 1300 of the shaft assembly 1200 .
  • the switch drum 1500 When the switch drum 1500 is moved between its first position and its second position, the switch drum 1500 is moved relative to distal connector flange.
  • the shaft assembly 1200 can comprise at least one sensor configured to detect the position of the switch drum 1500 .
  • the chassis 1240 includes at least one, and preferably two, tapered attachment portions 1244 formed thereon that are adapted to be received within corresponding dovetail slots 1702 formed within a distal attachment flange portion 1700 of the frame 1020 . See FIG. 3 .
  • Each dovetail slot 1702 may be tapered or, stated another way, be somewhat V-shaped to seatingly receive the attachment portions 1244 therein.
  • a shaft attachment lug 1226 is formed on the proximal end of the intermediate firing shaft portion 1222 .
  • the shaft attachment lug 1226 is received in a firing shaft attachment cradle 1126 formed in a distal end 1125 of the longitudinal drive member 1120 . See FIG. 3 .
  • the latch system 1710 includes a lock member or lock yoke 1712 that is movably coupled to the chassis 1240 .
  • the lock yoke 1712 has a U-shape with two spaced downwardly extending legs 1714 .
  • the legs 1714 each have a pivot lug 1715 formed thereon that are adapted to be received in corresponding holes 1245 formed in the chassis 1240 .
  • Such arrangement facilitates pivotal attachment of the lock yoke 1712 to the chassis 1240 .
  • the lock yoke 1712 may include two proximally protruding lock lugs 1716 that are configured for releasable engagement with corresponding lock detents or grooves 1704 in the distal attachment flange portion 1700 of the frame 1020 . See FIG. 3 .
  • the lock yoke 1712 is biased in the proximal direction by spring or biasing member (not shown). Actuation of the lock yoke 1712 may be accomplished by a latch button 1722 that is slidably mounted on a latch actuator assembly 1720 that is mounted to the chassis 1240 .
  • the latch button 1722 may be biased in a proximal direction relative to the lock yoke 1712 .
  • the lock yoke 1712 may be moved to an unlocked position by biasing the latch button in the distal direction which also causes the lock yoke 1712 to pivot out of retaining engagement with the distal attachment flange portion 1700 of the frame 1020 .
  • the lock lugs 1716 are retainingly seated within the corresponding lock detents or grooves 1704 in the distal attachment flange portion 1700 .
  • an interchangeable shaft assembly that includes an end effector of the type described herein that is adapted to cut and fasten tissue, as well as other types of end effectors
  • the clinician may actuate the closure trigger 1032 to grasp and manipulate the target tissue into a desired position. Once the target tissue is positioned within the end effector 1300 in a desired orientation, the clinician may then fully actuate the closure trigger 1032 to close the anvil 2000 and clamp the target tissue in position for cutting and stapling. In that instance, the first drive system 1030 has been fully actuated.
  • One form of the latch system 1710 is configured to prevent such inadvertent detachment.
  • the lock yoke 1712 includes at least one and preferably two lock hooks 1718 that are adapted to contact corresponding lock lug portions 1256 that are formed on the closure shuttle 1250 .
  • the lock yoke 1712 may be pivoted in a distal direction to unlock the interchangeable shaft assembly 1200 from the housing 1012 .
  • the lock hooks 1718 do not contact the lock lug portions 1256 on the closure shuttle 1250 .
  • the lock yoke 1712 is prevented from being pivoted to an unlocked position.
  • the clinician were to attempt to pivot the lock yoke 1712 to an unlocked position or, for example, the lock yoke 1712 was inadvertently bumped or contacted in a manner that might otherwise cause it to pivot distally, the lock hooks 1718 on the lock yoke 1712 will contact the lock lug portions 1256 on the closure shuttle 1250 and prevent movement of the lock yoke 1712 to an unlocked position.
  • the clinician may position the chassis 1240 of the interchangeable shaft assembly 1200 above or adjacent to the distal attachment flange portion 1700 of the frame 1020 such that the tapered attachment portions 1244 formed on the chassis 1240 are aligned with the dovetail slots 1702 in the frame 1020 .
  • the clinician may then move the shaft assembly 1200 along an installation axis that is perpendicular to the shaft axis SA to seat the attachment portions 1244 in “operable engagement” with the corresponding dovetail receiving slots 1702 .
  • the shaft attachment lug 1226 on the intermediate firing shaft portion 1222 will also be seated in the cradle 1126 in the longitudinally movable drive member 1120 and the portions of the pin 1037 on the second closure link 1038 will be seated in the corresponding hooks 1252 in the closure shuttle 1250 .
  • operble engagement in the context of two components means that the two components are sufficiently engaged with each other so that upon application of an actuation motion thereto, the components may carry out their intended action, function and/or procedure.
  • At least five systems of the interchangeable shaft assembly 1200 can be operably coupled with at least five corresponding systems of the handle 1014 .
  • a first system can comprise a frame system which couples and/or aligns the frame or spine of the shaft assembly 1200 with the frame 1020 of the handle 1014 .
  • Another system can comprise a closure drive system 1030 which can operably connect the closure trigger 1032 of the handle 1014 and the closure tube 1260 and the anvil 2000 of the shaft assembly 1200 .
  • the closure shuttle 1250 of the shaft assembly 1200 can be engaged with the pin 1037 on the second closure link 1038 .
  • Another system can comprise the firing drive system 1080 which can operably connect the firing trigger 1130 of the handle 1014 with the intermediate firing shaft portion 1222 of the shaft assembly 1200 .
  • the shaft attachment lug 1226 can be operably connected with the cradle 1126 of the longitudinal drive member 1120 .
  • Another system can comprise an electrical system which can signal to a controller in the handle 1014 , such as microcontroller, for example, that a shaft assembly, such as shaft assembly 1200 , for example, has been operably engaged with the handle 1014 and/or, two, conduct power and/or communication signals between the shaft assembly 1200 and the handle 1014 .
  • the shaft assembly 1200 can include an electrical connector 1810 that is operably mounted to the shaft circuit board 1610 .
  • the electrical connector 1810 is configured for mating engagement with a corresponding electrical connector 1800 on the handle control board 1100 .
  • the fifth system may consist of the latching system for releasably locking the shaft assembly 1200 to the handle 1014 .
  • the anvil 2000 in the illustrated example includes an anvil body 2002 that terminates in an anvil mounting portion 2010 .
  • the anvil mounting portion 2010 is movably or pivotably supported on the elongate channel 1310 for selective pivotal travel relative thereto about a fixed anvil pivot axis PA that is transverse to the shaft axis SA.
  • a pivot member or anvil trunnion 2012 extends laterally out of each lateral side of the anvil mounting portion 2010 to be received in a corresponding trunnion cradle 1316 formed in the upstanding walls 1315 of the proximal end portion 1312 of the elongate channel 1310 .
  • the anvil trunnions 2012 are pivotally retained in their corresponding trunnion cradle 1316 by the channel cap or anvil retainer 1290 .
  • the channel cap or anvil retainer 1290 includes a pair of attachment lugs that are configured to be retainingly received within corresponding lug grooves or notches formed in the upstanding walls 1315 of the proximal end portion 1312 of the elongate channel 1310 . See FIG. 5 .
  • the distal closure member or end effector closure tube 3050 employs two axially offset, proximal and distal positive jaw opening features 3060 and 3062 .
  • the positive jaw opening features 3060 , 3062 are configured to interact with corresponding relieved areas and stepped portions formed on the anvil mounting portion 2010 as described in further detail in U.S. patent application Ser. No. 15/635,631, entitled SURGICAL INSTRUMENT WITH AXIALLY MOVABLE CLOSURE MEMBER, now U.S. Pat. No. 10,639,037, the entire disclosure which has been herein incorporated by reference.
  • Other jaw opening arrangements may be employed.
  • FIGS. 6-8 depict a previous surgical cutting and fastening instrument 5010 that is configured to generate rotary drive motions for operating a surgical end effector 5012 .
  • the endoscopic surgical instrument 5010 comprises a handle 5006 , a shaft 5008 , and an articulating surgical end effector 5012 pivotally connected to the shaft 5008 at an articulation pivot 5014 .
  • An articulation control 5016 may be provided adjacent to the handle 5006 to effect rotation of the end effector 5012 about the articulation pivot 5014 . It will be appreciated that various embodiments may include a non-pivoting end effector, and therefore may not have an articulation pivot 5014 or articulation control 5016 .
  • the handle 5006 of the instrument 5010 may include a closure trigger 5018 and a firing trigger 5020 for actuating the end effector 5012 .
  • a clinician or operator of the instrument 5010 may articulate the end effector 5012 relative to the shaft 5008 by utilizing the articulation control 5016 , as described in more detail in pending U.S. Pat. No. 7,670,334, entitled SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR, the entire disclosure of which is incorporated herein by reference.
  • the end effector 5012 includes in this example, among other things, a staple channel 5022 and a pivotally translatable clamping member, such as an anvil 5024 , which are maintained at a spacing that assures effective stapling and severing of tissue clamped in the end effector 5012 .
  • the handle 5006 includes a pistol grip 5026 toward which the closure trigger 5018 is pivotally drawn by the clinician to cause clamping or closing of the anvil 5024 towards the staple channel 5022 of the end effector 5012 to thereby clamp tissue positioned between the anvil 5024 and channel 5022 .
  • the end effector 5012 includes, in addition to the previously-mentioned channel 5022 and anvil 5024 , a cutting instrument 5032 , a sled 5033 , a staple cartridge 5034 that is removably seated in the channel 5022 , and a helical screw shaft 5036 .
  • the cutting instrument 5032 may be, for example, a knife.
  • the anvil 5024 includes pivot pins 5025 that are movably supported in corresponding slots in the channel 5022 .
  • the anvil 5024 includes a tab 5027 at its proximate end that is inserted into a component of the mechanical closure system (described further below) to open and close the anvil 5024 .
  • the shaft 5008 includes a proximal closure tube 5040 and a distal closure tube 5042 pivotably linked by a pivot link 5044 .
  • the distal closure tube 5042 includes an opening 5045 into which the tab 5027 on the anvil 5024 is inserted in order to open and close the anvil 5024 , as further described below.
  • Disposed inside the closure tubes 5040 , 5042 may be a proximate spine tube 5046 .
  • Disposed inside the proximate spine tube 5046 may be a main rotational (or proximate) drive shaft 5048 that communicates with a secondary (or distal) drive shaft 5050 via a bevel gear assembly 5052 a - c .
  • the secondary drive shaft 5050 is connected to a drive gear 5054 that engages a proximate drive gear 5056 of the helical screw shaft 5036 .
  • the vertical bevel gear 5052 b may sit and pivot in an opening 5057 in the distal end of the proximate spine tube 5046 .
  • a distal spine tube 5058 may be used to enclose the secondary drive shaft 5050 and the drive gears 5054 , 5056 .
  • a bearing 5038 positioned at a distal end of the staple channel 5022 , receives the helical screw shaft 5036 , allowing the helical screw shaft 5036 to freely rotate with respect to the channel 5022 .
  • the helical screw shaft 5036 may interface a threaded opening (not shown) of the knife 5032 such that rotation of the helical screw shaft 5036 causes the knife 5032 to translate distally or proximately (depending on the direction of the rotation) through the staple channel 5022 .
  • the handle 5006 includes exterior lower side pieces 5059 , 5060 and nozzle pieces 5061 , 5062 that fit together to form, in general, the exterior of the handle 5006 .
  • a battery 5064 such as a Li ion battery, may be provided in the pistol grip 5026 of the handle 5006 .
  • the battery 5064 powers a motor 5065 disposed in an upper portion of the pistol grip portion 5026 of the handle 5006 .
  • the motor 5065 may drive a 90° bevel gear assembly 5066 comprising a first bevel gear 5068 and a second bevel gear 5070 .
  • the bevel gear assembly 5066 may drive a planetary gear assembly 5072 .
  • the planetary gear assembly 5072 may include a pinion gear 5074 connected to a drive shaft 5076 .
  • the pinion gear 5074 may drive a mating ring gear 5078 that drives a helical gear drum 5080 via a drive shaft.
  • a ring 5084 may be threaded on the helical gear drum 5080 .
  • the handle 5006 may include a middle handle piece 5104 adjacent to the upper portion of the firing trigger 5020 .
  • the handle 5006 also may comprise a bias spring 5112 connected between posts on the middle handle piece 5104 and the firing trigger 5020 .
  • the bias spring 5112 may bias the firing trigger 5020 to its fully open position. In that way, when the operator releases the firing trigger 5020 , the bias spring 5112 will pull the firing trigger 5020 to its open position.
  • the distal end of the helical gear drum 5080 includes a distal drive shaft 5120 that drives a ring gear 5122 , which mates with a pinion gear 5124 .
  • the pinion gear 5124 is connected to the main drive shaft 5048 of the main drive shaft assembly.
  • the ring 5084 threaded on the helical gear drum 5080 may include a post 5086 that is disposed within a slot 5088 of a slotted arm 5090 .
  • the slotted arm 5090 has an opening 5092 in its opposite end 5094 that receives a pivot pin 5096 that is connected between the handle exterior side pieces 5059 , 5060 .
  • the pivot pin 5096 is also disposed through an opening 5100 in the firing trigger 5020 and an opening 5102 in the middle handle piece 5104 .
  • the middle handle piece 5104 includes a backside shoulder 5106 that engages the slotted arm 5090 .
  • the middle handle piece 5104 also has a forward motion stop 5107 that engages the firing trigger 5020 .
  • the movement of the slotted arm 5090 is controlled by rotation of the motor 5065 .
  • the middle handle piece 5104 will be free to rotate counter clockwise.
  • the firing trigger 5020 will engage the forward motion stop 5107 of the middle handle piece 5104 , causing the middle handle piece 5104 to rotate counter clockwise.
  • the middle handle piece 5104 will only be able to rotate counter clockwise as far as the slotted arm 5090 permits. In that way, if the motor 5065 should stop rotating for some reason, the slotted arm 5090 will stop rotating, and the user will not be able to further draw in the firing trigger 5020 because the middle handle piece 5104 will not be free to rotate counter clockwise due to the slotted arm 5090 .
  • the closure system includes a yoke 5250 connected to the closure trigger 5018 .
  • a pivot pin 5252 is inserted through aligned openings in both the closure trigger 5018 and the yoke 5250 such that they both rotate about the same point.
  • the distal end of the yoke 5250 is connected, via a pin 5254 , to a first closure bracket 5256 .
  • the first closure bracket 5256 connects to a second closure bracket 5258 .
  • closure brackets 5256 , 5258 define an opening in which the proximate end of the proximal closure tube 5040 (see FIG. 7 ) is seated and held such that longitudinal movement of the closure brackets 5256 , 5258 causes longitudinal motion by the proximal closure tube 5040 .
  • the instrument 5010 also includes a closure drive shaft 5260 disposed inside the proximal closure tube 5040 .
  • the closure drive shaft 5260 may include a window 5261 into which a post 5263 on one of the handle exterior pieces, such as exterior lower side piece 5059 in the illustrated embodiment, is disposed to fixedly connect the closure drive shaft 5260 to the handle 5006 .
  • proximal closure tube 5040 is capable of moving longitudinally relative to the closure drive shaft 5260 .
  • the closure drive shaft 5260 may also include a distal collar 5267 that fits into a cavity in proximate spine tube 5046 and is retained therein by a cap.
  • the closure brackets 5256 , 5258 cause the proximal closure tube 5040 to move distally (i.e., away from the handle end of the instrument 5010 ), which causes the distal closure tube 5042 to move distally, which causes the anvil 5024 to rotate about the pivot pins 5025 into the clamped or closed position.
  • the proximal closure tube 5040 is caused to slide proximately, which causes the distal closure tube 5042 to slide proximately, which, by virtue of the tab 5027 being inserted in the opening 5045 of the distal closure tube 5042 , causes the anvil 5024 to pivot about the pivot pins 5025 into the open or unclamped position.
  • an operator may clamp tissue between the anvil 5024 and channel 5022 , and may unclamp the tissue following the cutting/stapling operation by unlocking the closure trigger 5018 from the locked position.
  • FIGS. 9-16 depict a surgical end effector 20012 that may be used for example in connection with the powered surgical instrument 5010 described above.
  • the surgical end effector 20012 may also be effective employed with various other rotary powered or robotically powered surgical systems which are disclosed in the various references incorporated herein by reference.
  • Those components shown in FIGS. 9-16 that are identical to the components of the powered surgical instrument 5010 have been labeled with like component numbers.
  • the surgical end effector 20012 comprises an elongate channel 20020 that is configured to operably support a surgical staple cartridge 20040 therein.
  • the elongate channel 20020 is similar to channel 5022 described above, except for the noted differences. Turning to FIG.
  • the elongate channel 20020 comprises a pair of spaced upstanding walls 20022 and a bottom 20024 .
  • a helical screw shaft 5036 is supported in the channel 20020 by a bearing 5038 which enables the helical screw shaft 5036 to freely rotate with respect to the channel 20020 .
  • the surgical end effector 20012 further comprises an anvil 5024 that has pivot pins or trunnions 5025 that are received in corresponding slots 20026 provided in the upstanding channel walls 20022 .
  • the staple cartridge 20040 includes an elongate cartridge body 20042 that is sized to be removably seated in the elongate channel 20020 .
  • the cartridge body 20042 includes a cartridge slot 20050 that extends from a proximal end portion 20046 to a distal end portion 20044 of the cartridge body 20042 .
  • the cartridge body 20042 further comprises a cartridge deck surface 20043 that confronts a staple-forming undersurface 5029 of the anvil 5024 when the cartridge 20040 is seated in the channel 20020 and the anvil 5024 is pivoted to a closed position.
  • three lines of surgical staple pockets 20052 are formed on each side of the cartridge slot 20050 and open through the cartridge deck surface 20043 .
  • Each staple pocket 20052 may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the staple cartridge 20040 further includes a camming assembly 20060 that comprises a camming assembly body 20062 that has a passage 20064 therethrough that is configured to straddle the helical screw shaft 5036 without affecting the rotation thereof.
  • the camming assembly 20060 may have a series of internal threads (not shown) that are configured to threadably engage the helical screw shaft 5036 to be driven thereby.
  • the helical screw shaft 5036 may be provided with an unthreaded portion that corresponds to a starting position of the camming assembly 20060 .
  • Such camming assembly arrangements are further described in various references that have been herein incorporated by reference.
  • the camming assembly 20060 is driven distally through the cartridge body 20042 by a firing member 20120 .
  • the camming assembly body 20062 includes a series of cam members 20066 that are aligned with corresponding staple drivers supported in lines within the staple cartridge body 20042 .
  • the camming assembly 20060 includes an onboard tissue cutting member or blade 20068 .
  • the tissue cutting member 20068 extends above the deck surface 20043 so that as the camming assembly 20060 is driven distally, the tissue cutting member 20068 cuts the tissue that is clamped between the anvil 5024 and the staple cartridge 20040 .
  • the camming assembly 20060 is in a starting position within the cartridge 20040 .
  • the tissue cutting member 20068 When the camming assembly 20060 is in the starting position, the tissue cutting member 20068 is located within a garage portion 20048 formed on the proximal end portion 20046 of the cartridge body 20042 to prevent injury when handling the fresh cartridge 20040 .
  • the cam members 20066 extend distally beyond the tissue cutting member 20068 such that the staples or fasteners are deployed through the tissue before the tissue cutting member 20068 cuts through the tissue.
  • the clamped tissue is stapled and thereafter cut as the firing member 20120 and camming assembly 20060 are driven distally.
  • the firing member 20120 may be retracted back to its starting position by rotating the helical screw shaft 5036 in a reverse rotary direction while the camming assembly 20060 remains in its ending position.
  • the tissue cutting member 20068 is movable from a deployed cutting position to a storage position wherein the tissue cutting member 20068 is stored below the cartridge deck surface 20043 to prevent injury when handling the fired or spent cartridge 20040 .
  • a retraction member may be strategically located in the distal end 20044 of the cartridge body 20042 to contact and move the tissue cutting member 20068 from the deployed position to the storage position when a portion of the tissue cutting member 20068 is brought into contact with the retraction member.
  • FIG. 11 depicts one form of a firing member 20120 .
  • the firing member 20120 comprises a body portion 20122 that includes two downwardly extending hollow mounting portions 20124 that are unthreaded and spaced from each other to receive a threaded drive nut 20130 therebetween.
  • the threaded drive nut 20130 is configured to threadably engage the helical screw shaft 5036 .
  • the drive nut 20130 includes a vertical tab portion 20131 that is sized to extend through an axial slot 20025 ( FIG. 10 ) in the bottom 20024 of the elongate channel 20020 .
  • Two laterally extending retention flanges 20134 are formed on the threaded drive nut 20130 and are configured to engage the bottom 20024 of the elongate channel 20020 .
  • two laterally extending anvil engagement tabs 20126 are formed on the top of the firing member body 20122 and are configured to engage corresponding ledges 20102 formed in the anvil 5024 as the firing member 20120 is axially moved within the surgical end effector 20012 .
  • the firing member 20120 may also be equipped with an onboard firing member lockout assembly 20140 that comprises a lockout member 20142 that is pivotally coupled to the firing member body 20122 .
  • the lockout member 20142 includes a sled latch 20148 that is configured to be engaged by the camming assembly 20060 when the camming assembly 20060 is in an unfired position.
  • the camming assembly 20060 includes a firing member ledge 20061 configured to engage the sled latch 20148 on the lockout member 20142 .
  • a lockout spring 20150 is mounted in the elongate channel 20020 and is configured to bias the lockout member 20142 downward such that if the camming assembly 20060 is not in its unfired starting position, the lockout member 20142 contacts lockout lugs 20028 that are formed on portions of the inside surface of each upstanding sidewall 20022 of the elongate channel 20020 . See FIG. 15 . When in that position, should the user inadvertently attempt to distally advance the firing member 20120 , the lockout member 20142 contacts the lockout lugs 20028 on the channel 20020 to prevent the distal advancement of the firing member 20120 .
  • FIG. 12 illustrates the initial insertion of a fresh unfired surgical staple cartridge 20040 into the channel 20020 .
  • the camming assembly 20060 is in a starting position and the proximal end portion 20046 of the surgical staple cartridge 20040 is inserted at an angle relative to the channel 20020 and then pushed in the proximal direction PD until the firing member ledge 20061 on the camming assembly 20060 unlockingly engages the sled latch portion 20148 of the lockout member 20142 .
  • FIGS. 13 and 14 illustrate the surgical staple cartridge 20040 in a properly installed position. As can be seen in FIG. 13 , the firing member lockout assembly 20140 is in an unlocked position.
  • Rotary actuation of the helical screw shaft 5036 in a first rotary direction will cause the firing member 20120 to move distally in the distal direction DD.
  • the camming assembly 20060 is also driven distally thereby.
  • the cam members 20066 cam the drivers stored in the cartridge 20040 upward in the cartridge body 20042 .
  • the staples or fasteners supported thereon are driven through the tissue that has been clamped between the anvil 5024 and the cartridge 20040 and into forming contact with the staple-forming undersurface 5029 on the anvil 5024 .
  • the stapled tissue is then cut by the tissue cutting member 20068 .
  • the helical screw shaft 5036 may be rotated in a second opposite rotary direction to retract the firing member 20120 back to its beginning position.
  • the camming assembly 20060 remains in the distal end portion 20044 of the cartridge body 20042 .
  • the spent cartridge 20040 may then be removed from the channel 20020 .
  • FIG. 14 illustrates the end effector 20012 after the spent cartridge has been removed from the channel 20020 .
  • the spring 20150 biases the lockout member 20142 of the firing member lockout assembly 20140 into locking engagement with the lockout lugs 20028 in the channel 20020 .
  • the lockout member 20142 will prevent the firing member 20120 from moving distally.
  • the firing member lockout assembly 20140 will prevent the distal advancement of the firing member 20120 .
  • the lockout member 20142 is pivotally coupled to the firing member body 20122 by pivot pins 20143 that are received in a hole 20123 extending through the firing member body 20122 . See FIGS. 14 and 16 .
  • the pivot pins 20143 are sized relative to the holes 20123 in the firing member body 20122 to facilitate free pivotal travel of the lockout member 20142 and to account for tolerance differences of the components.
  • the firing member 20120 includes a proximally-facing, firing surface 20145 that is configured to abut a distal-facing bearing surface 20125 on the firing member body 20122 when the firing member lockout assembly 20140 is in the unlocked position.
  • the proximally-facing angled bearing surface 20145 of the firing member 20120 is configured to abut the distal-facing bearing surface 20125 on the firing member body 20122 when the firing member lockout assembly 20140 is in the locked position.
  • Such arrangement may prevent the transfer of the resistive locking forces resulting from the locking engagement of the lockout member 20142 with the lock lugs 20028 back to the pivot pins 20143 , which might cause the pivot pins 20143 to fail under such load.
  • the loose fit between the pins 20143 and the hole 20123 in the firing member body 20122 facilitate some translation of the lockout member 20142 when under load to facilitate transfer of the loads into the firing member body 20122 and not to the pins 20143 themselves.
  • the amount of current being drawn by the motor used to apply the rotary motions to the helical screw shaft 5036 is monitored. Once the current increases beyond a predetermined threshold, a control circuit for the surgical instrument or robotic system, etc., may stop the motor to prevent any further rotation of the helical screw shaft 5036 and movement of the firing member 20120 to prevent damage to the above-described components.
  • Some previous firing member lockout arrangements that are configured to prevent advancement of a firing member of the end effector unless a fresh unfired staple cartridge has been properly installed in the surgical end effector, require the user to actively retract the firing member back to is proximal-most beginning position before the anvil is permitted to open. If the user attempts to open the anvil before the firing member is moved back to its proximal-most position, the may not understand why the anvil cannot come open. The above-described arrangement may prevent such confusion.
  • FIGS. 17-21 depict a surgical end effector 20300 that may be used for example in connection with the powered surgical instrument 1010 described above.
  • the surgical end effector 20300 may also be effective employed with various other robotically powered surgical systems which are disclosed in the various references incorporated herein by reference.
  • Those components shown in FIGS. 17-21 that are identical to the components of surgical instrument 1010 have been labeled with like component numbers.
  • Those construction and function of those components of surgical instrument 1010 that are not necessary to understand the operation of the surgical end effector 20300 will not be repeated herein for the sake of brevity.
  • the surgical end effector 20300 comprises an elongate channel 20310 that is configured to operably support a surgical staple cartridge 20600 therein.
  • the elongate channel 20310 comprises a channel bottom 20312 and a pair of upstanding sidewalls 20314 .
  • the channel 20310 is coupled to the elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ).
  • the channel mount feature 20340 comprises a body portion 20342 that consists of an upstanding support 20344 that has a slot 20346 extending therethrough to receive the firing member beam 1900 ( FIG.
  • the channel mount feature 20340 may be movably or pivotally mounted to a proximal end 20316 of the channel 20310 by a channel mount feature, or channel pin 20320 .
  • the channel mount feature 20320 further includes a transverse pin opening 20348 that is configured to be coaxially aligned with holes 20318 in the sidewalls 20314 of the channel 20310 to receive the channel pin 20320 therethrough.
  • the shaft assembly 1200 includes a spine 1210 that terminates in an upper lug mount feature 1270 and in a lower lug mount feature 1280 . See FIG. 5 .
  • the upper lug mount feature 1270 is formed with a lug slot 1272 therein that is adapted to mountingly support an upper mounting link 1274 therein.
  • the lower lug mount feature 1280 is formed with a lug slot 1282 therein that is adapted to mountingly support a lower mounting link 1284 therein.
  • the upper mounting link 1274 includes a pivot socket 1276 therein that is adapted to rotatably receive therein a pivot pin 1292 that is formed on a channel cap or anvil retainer 1290 that is attached to the proximal end portion 20316 of the elongate channel 20310 .
  • the channel mount feature 20340 further includes a shaft mount flange 20350 that extends proximally therefrom.
  • the shaft mount flange 20350 has a centrally disposed pivot hole 20352 therethrough that may pivotally receive the lower pivot pin 1286 on the lower mounting link 1284 of the lower lug mount feature 1280 ( FIG. 5 ).
  • the lower pivot pin 1286 is vertically aligned with the pivot socket 1276 to define an articulation axis AA about which the surgical end effector 20300 may articulate relative to the spine 1210 .
  • the proximal articulation driver 2102 ( FIG. 5 ) may be directly coupled to an articulation lug 20354 formed on the shaft mount flange 20350 .
  • the proximal articulation driver 2102 may be attached to one or more articulation links that are attached to the shaft mount flange 20350 . In either case, axial movement of the proximal articulation driver 2102 in the above-described manner will cause the channel mount feature to pivot about the articulation axis relative to the spine 1210 ( FIG. 5 ) to articulate the end effector 20300 about the articulation axis AA.
  • the surgical end effector 20300 further comprises an anvil 20400 that is very similar to anvil 2000 described above, except for the differences discussed below.
  • the anvil 20400 includes an elongate anvil body portion 20402 that has a staple-forming undersurface 20404 and an anvil mounting portion 20410 that is configured to interact with the end effector closure tube 3050 ( FIG. 5 ) in the manner described above.
  • the anvil 20400 is pivotally mounted on the elongate channel 20310 by a pair of laterally extending anvil pins or trunnions 20412 that are received in corresponding elongate trunnion slots 20322 formed in the upstanding channel walls 20314 .
  • Axial movement of the end effector closure tube 3050 in a distal direction will cause the anvil 20400 to pivot to a closed position about a pivot axis defined by the anvil trunnions 20412 and movement of the end effector closure tube 3050 in a proximal direction will cause the anvil to pivot to an open position relative to the elongate channel 20310 .
  • FIG. 22 illustrates one form of a staple cartridge 20600 that may be used in connection with the surgical end effector 20300 .
  • the surgical staple cartridge 20600 comprises an elongate cartridge body 20602 that is sized to be removably seated in the elongate channel 20310 .
  • the cartridge body 20602 includes a cartridge slot 20608 that extends from a proximal end portion 20604 to a distal end portion 20606 ( FIG. 17 ) of the cartridge body 20602 .
  • the cartridge body 20602 further comprises a cartridge deck surface 20610 that confronts the staple-forming undersurface 20404 of the anvil 20400 when the cartridge 20600 is seated in the channel 20310 and the anvil 20400 is pivoted to a closed position.
  • each staple pocket 20612 may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 20602 is molded from a polymer material with the staple pockets 20612 molded or machined therein.
  • the staple pockets 20612 also open through a bottom of the cartridge body 20602 to facilitate installation of the drivers and fasteners into their respective pockets 20612 . Once the drivers and fasteners are inserted into their respective staple pockets 20612 , a cartridge pan 20620 is attached to the bottom of the cartridge body 20602 .
  • the cartridge pan 20620 is fabricated from a metal material and includes a bottom 20622 that spans across the bottom of the cartridge body 20602 and two upstanding sidewalls 20624 that correspond to each side of the cartridge body 20602 .
  • the cartridge pan 20620 may be removably affixed to the cartridge body 20602 by a series of hooks 20626 that are formed on the sidewalls 20624 and configured to hookingly engage corresponding portions of the cartridge body 20602 . See FIG. 22 .
  • the cartridge pan 20620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 20602 during handling and installation of the cartridge 20600 into the elongate channel 20310 .
  • cartridge 20600 operably supports a camming assembly therein.
  • the camming assembly comprises a series of spaced cam members that are configured to move axially within corresponding cam slots 20609 formed on each side of the cartridge slot 20608 in the cartridge body 20602 .
  • the cam slots 20609 are aligned with corresponding lines of drivers in the cartridge body 20602 to facilitate camming contact with a corresponding cam member as the camming assembly is driven through the staple cartridge 20600 from a beginning position within the proximal end portion 20604 of the cartridge body 20602 to an ending position within the distal end portion 20606 .
  • the example illustrated in FIGS. 20 and 21 also employs a firing member 20500 that is attached to a distal end of the firing member beam 1900 and is configured to operably interface with the camming assembly in the staple cartridge 20600 to driven the camming assembly from its starting position to its ending position within the cartridge 20600 .
  • the firing member 20500 is configured to interact with a camming assembly (not shown) in a staple cartridge 20600 that has been properly installed in the elongate channel 20310 .
  • the firing member 20500 includes a firing member body 20502 that has a tissue cutting surface or blade 20504 formed thereon or attached thereto.
  • the firing member body 20502 is sized to axially move within an axial anvil slot (not shown) in the anvil 20400 as well as the cartridge slot 20608 in the cartridge body 20602 and a channel slot (not shown) in the elongate channel 20310 .
  • a lower foot assembly 20506 that comprises a pair of laterally extending lower flanges 20508 extends from a bottom end of the firing member body 20502 to slidably engage corresponding channel ledges (not shown) that are formed on each side of the channel slot.
  • An upper foot that comprises two laterally extending anvil tabs may be formed on an upper end of the firing member body 20502 and is configured to slidably engage anvil ledges (not shown) that are formed on each side of the anvil slot.
  • the firing member 20500 further includes a pair of central tabs 20510 that extend laterally from each side of the firing member body 20502 .
  • the firing member body 20502 is configured with a proximally extending spring tail 20512 that may be configured to operably interface with a firing member lockout spring 20520 that is mounted in the elongate channel 20310 and is configured to bias the firing member 20500 downward (arrow DN) in the elongate channel 20310 into a locked position.
  • a firing member lockout spring 20520 that is mounted in the elongate channel 20310 and is configured to bias the firing member 20500 downward (arrow DN) in the elongate channel 20310 into a locked position.
  • the firing member foot 20506 and/or the central tabs 20510 are misaligned with corresponding passages in the channel 20310 and as such, should the user attempt to distally advance the firing member 20500 when in that locked out state, the firing member 20500 would not move distally due to such misalignment.
  • a sled latch 20514 is formed on the firing member body 20502 and is configured to be engaged by a corresponding portion formed on a camming assembly that is operably supported in the surgical staple cartridge 20600 .
  • a portion of the camming assembly engages the sled latch 20514 on the firing member body 20502 and moves the firing member 20500 upward (arrow UP in FIG.
  • the firing member 20500 As the user distally advances the firing member 20500 into the cartridge 20600 , the firing member 20500 also drives the camming assembly therein which cams the drivers upward to drive the staples or fasteners supported thereon into forming contact with the underside of the anvil. The tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue.
  • the firing member 20500 Once the firing member 20500 has been driven to its distal-most position corresponding to the ending position of the camming assembly, the firing member 20500 is retracted back to its proximal-most position, leaving the camming assembly in the distal end 20606 of the cartridge 20600 .
  • the firing member lockout spring 20520 once again biases the firing member 20500 back into its locked position.
  • the camming assembly is not in its starting position which is required to unlock the firing member 20500 .
  • the surgical end effector 20300 may also employ a closure lockout system 20700 for preventing the anvil 20400 from being moved from an open position to a closed (clamped) position unless a corresponding compatible surgical staple cartridge 20600 has been operably installed in the elongate channel 20310 .
  • the closure lockout system 20700 comprises an anvil lock 20702 that is configured to move between an anvil locked position and an anvil unlocked position in response to installation of a staple cartridge 20600 therein.
  • FIG. 19 illustrates one form of an anvil lock 20702 .
  • the anvil lock 20702 may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 20704 that may be configured to be seated in a transverse spring mounting slot 20343 provided in the body portion 20342 of the channel mount feature 20340 .
  • the anvil lock 20702 further includes a distally extending body portion 20706 that has a downwardly extending mounting tab 20708 and an upwardly extending anvil lockout tab 20710 protruding therefrom. As can be seen in FIGS. 17, 18, and 20 the mounting tab 20708 extends into a clearance window 20319 that is formed in the elongate channel 20310 .
  • FIG. 19 illustrates the surgical end effector 20300 without a surgical staple cartridge installed therein.
  • the proximal biasing arm 20704 has biased the anvil lock 20702 in the distal “anvil locked” position.
  • the anvil lockout tab 20710 is aligned with a portion of an anvil lock lug 20414 that is formed on the anvil mounting portion 20410 of the anvil 20400 .
  • the anvil lock lug 20414 will contact the anvil lockout tab 20710 to thereby prevent any further travel of the anvil 20400 in the closure direction.
  • the staple cartridge 20600 includes an anvil unlocking feature or tab 20630 that protrudes proximally from the cartridge body 20602 and is aligned to unlockingly engage an actuation tab 20712 that is formed on the distal end of the anvil lock 20702 when the cartridge 20600 has been operably installed in the elongate channel 20310 .
  • FIG. 20 depicts the surgical staple cartridge 20600 operably installed in the elongate channel 20310 . As can be seen in FIG.
  • the anvil unlocking tab 20630 on the staple cartridge body 20602 has contacted the actuation tab 20712 of the anvil lockout 20702 and biased the anvil lockout 20702 in the proximal direction PD to an unlocked position, wherein the anvil lockout tab 20710 is no longer aligned with the anvil lock lug 20414 on the anvil 20400 .
  • the user may pivot the anvil 20400 to a closed position. Should the user attempt to install an inappropriate cartridge that lacks the anvil unlocking tab 20630 or similar feature designed to unlocking engage the anvil lockout 20702 , the user will be unable to close the anvil 20400 to complete the surgical stapling procedure.
  • FIG. 23 illustrates an alternative closure lockout system 20700 ′ for preventing an anvil 20400 ′ of a surgical end effector 20300 ′ from being moved from an open position to a closed (clamped) position unless a corresponding proper surgical staple cartridge 20600 ′ has been operably installed in the corresponding elongate channel (not shown).
  • the surgical end effector 20300 ′ is substantially identical to surgical end effector 20300 described above, except for the differences discussed below.
  • the closure lockout system 20700 ′ comprises an anvil lockout 20702 ′ that is substantially identical to anvil lockout 20702 described above, except for the following differences.
  • the anvil lockout 20702 may be fabricated from spring steel or other suitable metal and include a distally extending body portion 20706 ′ that has a spring portion 20707 ′ formed therein.
  • a proximal end of the anvil lockout 20702 ′ has an anchor tab 20703 ′ formed thereon that serves to couple the anvil lockout 20702 ′ to the channel mount feature 20340 ( FIG. 19 ).
  • the body portion 20706 ′ includes a downwardly extending mounting tab 20708 ′ and an upwardly extending anvil lockout tab 20710 ′ that protrudes therefrom.
  • An actuation tab 20712 ′ is formed on the distal end of the body portion 20706 ′.
  • the surgical staple cartridge 20600 ′ is similar to the surgical staple cartridge 20600 described above and includes a cartridge body 20602 ′ that is sized to be removably seated in the elongate channel 20310 .
  • the cartridge body 20602 ′ includes a cartridge slot 20608 ′ that extends from a proximal end portion 20604 ′ to a distal end portion of the cartridge body 20602 ′.
  • the cartridge body 20602 ′ further comprises a cartridge deck surface 20610 ′ and three lines of surgical staple pockets 20612 ′ located on each side of the cartridge slot 20608 ′. As can be seen in FIG.
  • surgical staple cartridge 20600 ′ includes a cartridge pan 20624 ′ and an anvil unlocking feature or tab 20630 ′ that protrudes proximally from the cartridge body 20602 ′.
  • the anvil 20400 ′ is similar to anvil 20400 , except for the differences discussed below.
  • the anvil 20400 ′ includes an elongate anvil body portion 20402 ′ and an anvil mounting portion 20410 ′ that is configured to interact with the end effector closure tube 3050 ( FIG. 5 ) in the manner described above.
  • the anvil body portion 20402 ′ includes a staple-forming undersurface 20404 ′ that is bisected by an anvil slot 20405 ′ that is configured to accommodate passage of the firing member 20500 therethrough. As can be seen in FIG.
  • the staple-forming undersurface 20404 ′ comprises three lines of staple-forming pockets 20407 ′ that are arranged on forming pocket axes FPA that are a parallel with the anvil slot 20405 ′.
  • the anvil 20400 ′ is moved to a closed position, the anvil slot 20405 ′ is vertically aligned with the cartridge slot 20608 ′ to permit passage of the firing member 20500 therethrough.
  • the lines of staple-forming pockets 20407 ′ are aligned with the staple pockets 20612 ′ such that as the staples are driven from the cartridge 20600 ′, they contact a corresponding pair of staple-forming pockets 20407 ′ to be crimped.
  • the array of staple-forming pockets in the anvil 20400 ′ must correspond to the array of staple pockets 20612 ′ in the cartridge 20600 ′ to ensure that the staples are properly formed.
  • the anvil 20400 ′ includes a downwardly extending anvil lock lug 20414 ′ that is formed distal to the anvil mounting portion 20410 ′ but is otherwise configured to contact the anvil lockout tab 20710 ′ when the anvil lockout 20702 ′ is in the locked position (e.g., no cartridge has been inserted into the channel 20310 or an improper cartridge has been seated in the channel 20310 ).
  • the anvil unlocking feature 20630 ′ thereon contacts the actuation tab 20712 ′ on the anvil lockout 20702 ′ to bias the lockout 20702 ′ proximally into the unlocked position wherein the anvil lockout tab 20710 ′ is out of locking alignment with the anvil lock lug 20414 ′ to permit the anvil 20400 ′ to be pivoted to the closed position.
  • FIG. 24 illustrates an alternative closure lockout system 20700 ′′ for preventing an anvil 20400 ′′ of another surgical end effector 20300 ′′ from being moved from an open position to a closed (clamped) position unless a compatible surgical staple cartridge 20600 ′′ has been operably installed in the elongate channel 20310 .
  • the surgical end effector 20300 ′′ is substantially identical to surgical end effector 20300 described above, except for the differences discussed below.
  • the closure lockout system 20700 ′′ comprises an anvil lockout 20702 ′′ that is substantially identical to anvil lockout 20702 described above, except for the following differences.
  • the anvil lockout 20702 ′′ may be fabricated from spring steel or other suitable metal and include a distally extending body portion 20706 ′′ that has a spring portion 20707 ′′ formed therein.
  • a proximal end of the anvil lockout 20702 ′′ has an anchor tab 20703 ′′ formed thereon that serves to couple the anvil lockout 20702 ′′ to the channel mount feature 20340 ( FIG. 19 ).
  • the body portion 20706 ′′ includes a downwardly extending mounting tab 20708 ′′ and an upwardly extending anvil lockout tab 20710 ′′ that protrudes therefrom.
  • An actuation tab 20712 ′′ is formed on the distal end of the body portion 20706 ′′.
  • the surgical staple cartridge 20600 ′′ is similar to the surgical staple cartridge 20600 described above and includes a cartridge body 20602 ′′ that is sized to be removably seated in the elongate channel 20310 .
  • the cartridge body 20602 ′′ includes a cartridge slot 20608 ′′ that extends from a proximal end portion 20604 ′′ to a distal end portion of the cartridge body 20602 ′′.
  • the cartridge body 20602 ′′ further comprises a cartridge deck surface 20610 ′′ and two lines of surgical staple pockets 20612 ′′ located on each side of the cartridge slot 20608 ′′. As can be seen in FIG.
  • the staple pockets 20612 ′′, as well as the staples or fasteners therein (not shown), are aligned on pocket axes PA′′ that are transverse to the cartridge slot 20608 ′′.
  • the staples/fasteners are applied in lines that are approximately transverse to the cartridge slot 20608 ′′ and the tissue cutline.
  • Such arrangements of fasteners create “flexible” or “stretchable” staple lines. Further details regarding cartridges for developing flexible or stretchable lines of staples may be found in U.S. patent application Ser. No. 14/498,121, entitled FASTENER CARTRIDGE FOR CREATING A FLEXIBLE STAPLE LINE, now U.S. Pat. No.
  • surgical staple cartridge 20600 ′′ includes a cartridge pan 20624 ′′ and an anvil unlocking feature or tab 20630 ′′ that protrudes proximally from the cartridge body 20602 ′.
  • the anvil 20400 ′′ is similar to anvil 20400 , except for the differences discussed below.
  • the anvil 20400 ′′ includes an elongate anvil body portion 20402 ′′ and an anvil mounting portion 20410 ′′ that is configured to interact with the end effector closure tube 3050 ( FIG. 5 ) in the manner described above.
  • the anvil body portion 20402 ′′ includes a staple-forming undersurface 20404 ′′ that is bisected by an anvil slot 20405 ′′ that is configured to accommodate passage of the firing member 20500 therethrough. As can be seen in FIG.
  • the staple-forming undersurface 20404 ′′ comprises lines of staple-forming pockets 20407 ′′ that are arranged on forming pocket axes FPA that are transverse to the anvil slot 20405 ′′.
  • the anvil 20400 ′′ is moved to a closed position, the anvil slot 20405 ′′ is vertically aligned with the cartridge slot 20608 ′′ to permit passage of the firing member 20500 therethrough.
  • the lines of staple-forming pockets 20407 ′′ are aligned with the staple pockets 20612 ′′ such that as the staples are driven from the surgical staple cartridge 20600 ′′, they contact a corresponding pair of forming pockets 20407 ′′ to be crimped.
  • the array of staple-forming pockets 20407 ′′ in the anvil 20400 ′′ must correspond to the array of staple pockets 20612 ′′ in the cartridge 20600 ′′ to ensure that the staples are properly formed.
  • the anvil 20400 ′′ includes a downwardly extending anvil lock lug 20414 ′′ that is formed or attached to the anvil mounting portion 20410 ′′ and is configured to contact the anvil lockout tab 20710 ′′ when the anvil lockout 20702 ′′ is in the locked position (e.g., no cartridge has been inserted into the channel 20310 or an improper cartridge is inserted in the channel 20310 ).
  • the anvil unlocking feature 20630 ′′ thereon contacts the actuation tab 20712 ′′ on the anvil lockout 20702 ′′ to bias the anvil lockout 20702 ′′ proximally into the unlocked position wherein the anvil lockout tab 20710 ′′ is out of locking alignment with the anvil lock lug 20414 ′′ to permit the anvil 20400 ′′ to be pivoted close.
  • various surgical staple cartridges may have different arrays of and/or orientations of staples/fasteners therein.
  • the sizes of the staples or fasteners, as well as the number of fasteners may vary from cartridge type to cartridge type depending upon a particular surgical procedure or application.
  • the surgical staple cartridges must be used in connection with corresponding anvils that have the proper array of staple-forming pockets therein. Should a “non-compatible” cartridge be loaded into an end effector that has an anvil that is mismatched to the cartridge, the staples may not be properly formed during the firing process which could lead to catastrophic results.
  • the surgical staple cartridge 20600 ′′ shown in FIG. 24 is matched to or compatible with the anvil 20400 ′′ shown in FIG. 24 .
  • the surgical staple cartridge 20600 ′′ of FIG. 24 is incompatible with the anvil 20400 ′ shown in FIG. 23 , for example.
  • the closure lockout systems employed in the examples described above may avoid the activation of a mismatched cartridge that has otherwise been loaded into the end effector.
  • the anvil unlocking feature or tab 20630 ′ on the staple cartridge 20600 ′ is located on the left side of the cartridge slot 20608 ′ and is positioned to contact the actuator tab 20712 ′ on the anvil lockout spring 20707 ′ when the cartridge 20600 ′ is properly loaded in the channel 20310 of end effector 20300 ′.
  • anvil unlocking feature or tab 20630 ′′ on the cartridge 20600 ′′ is located on the right side of the cartridge slot 20608 ′′ and aligned to contact the actuator tab 20712 ′′ on the anvil lockout 20702 ′′ when the cartridge 20600 ′′ is properly loaded in the channel 20310 .
  • anvil unlocking feature or tab 20630 ′′ on the staple cartridge 20600 ′′ will not contact the the actuator tab 20712 ′ on the anvil lockout 20702 ′ to move it into the unlocked position and the user will be unable to pivot the anvil 20400 ′ closed.
  • anvil unlocking feature or tab 20630 ′ on the staple cartridge 20600 ′ will not contact the the actuator tab 20712 ′′ on the anvil lockout 20702 ′′ to move it into the unlocked position and the user will be unable to pivot the anvil 20400 ′′ closed. If the user unwittingly loads another cartridge that lacks the proper anvil unlocking feature or tab that corresponds to the anvil lockout in the end effector, the user will be unable to close the anvil.
  • anvil unlocking feature(s) or tab(s) on a surgical staple cartridge may vary from cartridge type to cartridge type and be interrelated to the actuator member (size, location, shape, number, etc.) on the correspond anvil lockout located in a corresponding surgical end effector.
  • the anvil unlocking feature or tab may be integrally formed on the cartridge body, be machined or molded into the cartridge body, be attached to the cartridge body, be attached to or integrally formed on the camming assembly of the cartridge or comprise a portion of the cartridge pan, for example. All such variations are contemplated herein and are intended to be encompassed by the appended claims.
  • FIGS. 25-29 illustrate a surgical end effector 21300 that is very similar to the surgical end effectors 20300 , 20300 ′, 20300 ′′ described above, except for the differences discussed below.
  • the end effector 21300 comprises an elongate channel 21310 that is configured to operably support a surgical staple cartridge 21600 therein.
  • the elongate channel 21310 comprises a channel bottom 21312 and a pair of upstanding sidewalls 21314 .
  • the channel 21310 may be coupled to the elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 (described above) which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ).
  • the surgical end effector 21300 further comprises an anvil 21400 that may be very similar to anvil 20400 described above, except for the differences discussed below.
  • the anvil 21400 includes an elongate anvil body portion 21402 that has a staple-forming undersurface and an anvil mounting portion 21410 that is configured to interact with an end effector closure tube 3050 ( FIG. 5 ) in the manner described above.
  • the anvil 21400 is pivotally mounted on the elongate channel 21310 by a pair of laterally extending anvil pins or trunnions 21412 that are received in corresponding elongate trunnion slots 21320 that are formed in the upstanding channel walls 21314 .
  • Axial movement of the end effector closure tube 3050 in a distal direction will cause the anvil 21400 to translate distally until the trunnions 21412 contact the distal ends of their respective trunnion slots 21320 and pivot to a closed position. Conversely, movement of the end effector closure tube 3050 in a proximal direction will cause the anvil 21400 to pivot to an open position relative to the elongate channel 21310 .
  • the end effector 21300 is configured to operably support a surgical staple cartridge 21600 that may be substantially the same as the surgical staple cartridge 20600 , except that the anvil unlocking feature or tab 21630 comprises a portion of the cartridge pan 21620 .
  • the anvil unlocking feature 21630 is configured to operably interact with an axially movable anvil lock 21702 that is supported by the channel 21310 .
  • the anvil lock 21702 is supported for axial movement between a distal locked position and a proximal locked position by a guide block 21720 that is attached to a portion of the channel 21310 .
  • anvil lock 21702 may be formed from metal and the guide block 21720 may be fabricated from 40% carbon filled Nylon 6/6 and be attached to the sidewall of 21314 of the channel 21310 by appropriate adhesive or other fastening means.
  • the guide block 21720 may define a guide channel 21722 that is configured to support a locking tab portion 21710 of the anvil lock 21702 .
  • the anvil lock 21702 additionally comprises a vertical body portion 21706 that has an actuation tab 21712 formed on a distal end thereof.
  • the anvil lock 21702 is biased to a distal locked position by an extension spring 21730 that is attached to the anvil lock 21702 and the channel sidewall 21314 .
  • the extension spring 21730 biases the anvil lock 21702 into a distal locked position wherein the locking tab portion 21710 contacts a portion of the anvil 21400 to prevent the anvil 21400 from pivoting to a closed position.
  • the unlocking feature or tab 21630 of the cartridge pan 21620 contacts the actuation tab 21712 on the anvil lock 21702 to move the anvil lock 21702 proximally into an unlocked position wherein the locking tab portion 21710 of the anvil lock 21702 no longer prevents pivotal motion of the anvil 21400 .
  • the anvil unlocking feature 21630 of the surgical staple cartridge 21600 is “asymmetric” in design. That is, the anvil unlocking feature 21630 is only located on one side of a proximal end of the cartridge 21600 .
  • FIG. 25 illustrates an old relief area 21315 that is present in previous channel arrangements and new relief areas 21317 , 21319 that are provided in the channel 21310 to accommodate cartridge 21600 therein.
  • FIG. 30 illustrates portions of a surgical end effector 21300 ′ that is identical to end effector 21300 , except that the end effector 21300 ′ employs an anvil lock 21702 ′ as depicted in FIGS. 31 and 32 .
  • the anvil lock 21702 ′ may be fabricated from 40% carbon filled Nylon 6/6 and include a vertical body portion 21706 ′ that has a locking portion 21710 ′ formed on the upper end thereof.
  • An actuation tab 21712 ′ is formed on a distal end and a gusset 21714 ′ is also employed to provide additional support to the actuation tab 21712 ′.
  • the unlocking feature or tab 21630 of the cartridge pan 21620 contacts the actuation tab 21712 ′ on the anvil lock 21702 ′ to move the anvil lock 21702 ′ proximally into an unlocked position wherein the locking portion 21710 ′ of the anvil lock 21702 ′ no longer prevents pivotal motion of the anvil 21400 .
  • FIG. 33 illustrates another surgical end effector 22300 that employs an anvil lockout system 22700 .
  • the end effector 22300 is similar to the end effector 20300 described above, except for the noted differences.
  • the end effector 22300 comprises an elongate channel 22310 that is configured to operably support a surgical staple cartridge 22600 therein.
  • the elongate channel 22310 comprises a channel bottom 22312 and a pair of upstanding sidewalls 22314 .
  • the channel 22310 may be coupled to the elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 (described above) which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ).
  • the surgical end effector 22300 further comprises an anvil 22400 that is very similar to anvil 20400 described above, except for the differences discussed below.
  • the anvil 22400 includes an elongate anvil body portion 22402 and an anvil mounting portion 22410 that is configured to interact with an end effector closure tube 3050 ( FIG. 5 ) in the manner described above.
  • the anvil 22400 is pivotally mounted on the elongate channel 22310 by a pair of laterally extending anvil pins or trunnions 22412 that are received in corresponding elongate trunnion slots 22320 formed in the upstanding channel sidewalls 22314 .
  • Axial movement of the end effector closure tube 3050 in a distal direction will cause the anvil trunnions 22412 to translate distally up the trunnion slots 22320 to pivot the anvil 22400 to a closed position. Conversely, movement of the end effector closure tube 3050 in a proximal direction will cause the anvil 22400 to pivot to an open position relative to the elongate channel 22310 .
  • the end effector 22300 is configured to operably support a surgical staple cartridge 22600 that may be substantially the same as the surgical staple cartridge 20600 , except that the anvil unlocking feature or tab 22630 is formed on a right side of a proximal end proximal end portion 22604 of the cartridge body 22602 and has a contoured proximal end surface 22632 .
  • the contoured proximal end surface 22632 has an arcuate shape.
  • the anvil unlocking feature 22630 is configured to operably interact with an axially movable anvil lock 22702 of the anvil lockout system 22700 that is supported by the channel 22310 .
  • the anvil lock 22702 is supported for axial movement between a distal locked position and a proximal unlocked position within a proximal end portion 22316 of the elongate channel 22310 .
  • the anvil lock 22702 comprises an elongate body portion 22706 that has an anvil lock tab 22710 formed on a proximal end thereof and configured to lockingly interact with a lock lug 22413 formed on the anvil mounting portion 22410 of the anvil 22400 . See FIG. 33 .
  • An actuation tab 22712 is formed on a distal end of the body portion 22706 .
  • the actuation tab 22712 has a contoured actuation surface 22714 formed therein that is configured to substantially match or mate with the contoured proximal end surface 22632 on the anvil unlocking feature 22630 . See FIG. 34 .
  • a spring or biasing member 22730 may be attached to or mounted within the channel 22310 and configured to bias the anvil lock 22702 in the distal direction DD to the locked position wherein the anvil lock tab 22710 thereon is in blocking alignment with the lock lug 22413 on the anvil mounting portion 22410 to prevent closing of the anvil 22400 .
  • the anvil unlocking feature or tab 22630 is brought into engagement with the contoured surface 22714 on the actuation tab 22712 of the anvil lock 22702 .
  • the surgical staple cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310 .
  • the anvil unlocking feature 22630 contacts the actuation tab 22712 of the anvil lock 22702 and biases the anvil lock 22702 proximally into the unlocked position wherein the anvil lock tab 22710 thereon is moved out of blocking alignment with the lock lug 22413 on the anvil mounting portion 22410 to permit the anvil 22400 to pivot closed.
  • the spring 22730 biases the anvil lock 22702 distally back to the locked position.
  • FIG. 35 illustrates that the contoured proximal end 22632 of the anvil unlocking feature 22630 formed on a right side of the proximal end portion 22604 of the cartridge body 22602 and the matching contoured surface 22714 on the actuation tab 22712 of the anvil lock 22702 enable the cartridge 22600 to facilitate unlocking interaction between the unlocking feature 22630 and actuation tab 22712 even when the cartridge is installed at an installation angle IA relative to the central axis EA of the end effector 22300 . See FIG. 35 .
  • FIG. 36 illustrates the attempted use of an incompatible cartridge 22600 X that lacks an unlocking feature to move the anvil lock 22702 from the locked position to the unlocked position.
  • the lockout tab 22710 is in blocking alignment with the lock lug 22413 on the anvil 22400 to thereby prevent the anvil 22400 from being closed even after the cartridge 22600 X has been seated in the channel 22310 .
  • FIG. 37 illustrates another surgical end effector 22300 ′ that is substantially identical to surgical end effector 22300 described above, except for the noted differences.
  • the end effector 22300 ′ is configured to operably support a staple cartridge 22600 ′ that is substantially the same as cartridge 20600 and includes an anvil unlocking feature or tab 22630 ′ that has a contoured proximal end surface 22632 ′.
  • the anvil lock 22702 ′ comprises an elongate body portion 22706 ′ that has an anvil lock tab 22710 ′ formed on a proximal end 22711 ′ thereof and configured to lockingly interact with a lock lug 22413 ′ formed on the anvil mounting portion 22410 of the anvil 22400 .
  • a distal end 22712 ′ of the anvil lock 22702 ′ includes a contoured actuation surface 22714 ′ formed therein that is configured to substantially match or mate with the contoured proximal end surface 22632 ′ on the anvil unlocking feature 22630 ′ in the manners described above.
  • a spring or biasing member 22730 ′ (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310 ′ and configured to bias the anvil lock 22702 ′ in the distal direction DD to the locked position wherein the anvil lock tab 22710 ′ thereon is in blocking alignment with the lock lug 22413 ′ on the anvil mounting portion 22410 to prevent closing of the anvil 22400 .
  • the anvil unlocking feature or tab 22630 ′ is brought into engagement with the contoured surface 22714 ′ of the anvil lock 22702 ′.
  • the cartridge 22600 ′ is then moved proximally in a proximal direction PD to seat the cartridge 22600 ′ within the channel 22310 ′.
  • the anvil unlocking feature 22630 ′ contacts the distal end of the anvil lock 22702 ′ and biases the anvil lock 22702 ′ proximally into the unlocked position wherein the anvil lock tab 22710 ′ thereon is moved out of blocking alignment with the lock lug 22413 ′ on the anvil mounting portion 22410 to permit the anvil 22400 to pivot closed.
  • the spring 22730 ′ biases the anvil lock 22702 ′ distally back to the locked position. As can be seen in FIG.
  • the anvil lock 22702 ′ when compared to anvil lock 22702 described above, has a more robust body portion 22706 ′.
  • a clearance notch 22709 ′ is provided in the body portion 22706 ′ to provide sufficient clearance for the lock lug 22413 ′ when the anvil 22400 is pivoted to the closed position.
  • a channel stop 22313 ′ is formed on a bottom 22312 ′ of the channel 22310 ′ and is configured for contact with the proximal end 22711 ′ of the anvil lock 22702 ′ when the anvil lock 22702 ′ is in the unlocked position to prevent the anvil lock 22702 ′ from moving any further proximally to ensure that the lock lug 22413 ′ remains aligned with the clearance notch 22709 ′ in the anvil lock 22702 ′ during closing of the anvil 22400 .
  • FIG. 38 illustrates another surgical end effector 22300 ′′ that is substantially identical to surgical end effector 22300 described above, except for the noted differences.
  • the end effector 22300 ′′ comprises an elongate channel 22310 ′′ that includes an anvil 22400 ′′ that is pivotally supported thereon.
  • the channel 22310 ′′ is configured to operably support a surgical staple cartridge 22600 that is compatible with the staple-forming undersurface of the anvil 22400 ′′ and employs an anvil locking system 22700 ′′ that is configured to prevent closure of the anvil 22400 ′′ unless a surgical staple cartridge 22600 has been operably installed in the end effector 22300 ′′.
  • the anvil locking system 22700 ′′ includes an anvil lock 22702 ′′ that comprises a body portion 22706 ′′ that has a distal end portion 22712 ′′ that is higher than a proximal portion of the body 22706 ′′.
  • anvil lock 22702 ′′ When the anvil lock 22702 ′′ is in its distal-most locked position, a portion of the anvil 22400 ′′ contacts the higher distal end portion 22712 ′′ to prevent the anvil 22400 ′′ from being closed.
  • the distal end portion 22712 ′′ of the anvil lock 22702 ′′ includes a contoured actuation surface 22714 ′′ that is configured to substantially match or mate with the contoured proximal end surface 22632 on the anvil unlocking feature 22630 formed on the cartridge 22600 in the manners described above.
  • a spring or biasing member 22730 ′′ (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310 ′′ and be configured to bias the anvil lock 22702 ′′ in the distal direction DD to the locked position wherein the distal end portion 22712 ′′ is in blocking alignment with corresponding portion of the anvil 22400 ′′ to prevent closing of the anvil 22400 ′′.
  • the anvil unlocking feature 22630 on the cartridge 22600 is brought into engagement with the contoured surface 22714 ′′ on the distal end 22712 ′′ of the anvil lock 22702 ′′.
  • the cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310 ′′.
  • the anvil unlocking feature 22630 contacts the distal end 22712 ′′ of the anvil lock 22702 ′′ and biases the anvil lock 22702 ′′ proximally into the unlocked position wherein the distal end portion 22712 ′′ is moved out of blocking alignment with the corresponding portion of the anvil 22400 ′′ to permit the anvil 22400 ′′ to pivot to a closed position.
  • the spring 22730 ′′ biases the anvil lock 22702 ′′ distally back to the locked position. As can also be seen in FIG.
  • a channel stop 22313 ′′ is formed on a bottom 22312 ′′ of the channel 22310 ′′ and is configured for contact with a proximal end 22711 ′′ of the anvil lock 22702 ′′ to prevent the cartridge 22600 from being inserted too far proximally into the end effector 22300 ′′.
  • FIGS. 39 and 40 illustrate another surgical end effector 23300 that is similar to the other surgical end effectors described herein with the exception of the various differences noted below.
  • the end effector 23300 comprises an elongate channel 23310 that includes an anvil 23400 that is pivotally supported thereon.
  • the channel 23310 is configured to operably support a surgical staple cartridge 22600 that is compatible to the staple-forming undersurface of the anvil 23400 and employs an anvil locking system 23700 that is configured to prevent closure of the anvil 23400 unless a cartridge 22600 has been operably installed in the end effector 23300 .
  • anvil locking system 23700 comprises an anvil lock 23702 comprising a body portion 23706 that has a distal end portion 23712 .
  • the distal end portion 23712 of the anvil lock 23702 includes a contoured actuation surface 23714 that is configured to substantially match or mate with the contoured proximal end surface 22632 on the anvil unlocking feature 22630 that is formed on the cartridge 22600 in the manners described above.
  • a spring or biasing member 23730 is mounted within the channel 23310 and is configured to bias the anvil lock 23702 in the distal direction DD to a “locked” position.
  • the anvil 23400 includes an elongate anvil body 23402 that an anvil mounting portion 23410 that is configured to interact with the end effector closure tube 3050 ( FIG. 5 ) in the manner described above.
  • the anvil 23400 is pivotally mounted on the elongate channel 22310 by a pair of laterally extending trunnion formations 23412 that are received in corresponding trunnion slots 23320 formed in upstanding sidewalls of the channel 23310 .
  • At least one trunnion formation 23412 comprises a laterally protruding actuator lobe 23414 that defines an actuator ledge 23416 .
  • a trunnion pin 23418 protrudes outwardly from the actuator lobe 23414 and is sized to translate and pivot within a corresponding trunnion slot 23320 .
  • At least one trunnion slot 23320 comprises an arcuate actuation portion 23322 and a locking offset portion 23324 that is formed at a proximal end 23321 of the trunnion slot 23320 .
  • FIG. 39 illustrates insertion of a cartridge 22600 into the elongate channel 23310 .
  • the anvil 23400 is first moved to an open position. This may be accomplished by actuating the closure system to move the end effector closure tube 3050 ( FIG. 5 ) in a proximal direction PD.
  • the closure tube 3050 As the closure tube 3050 is moved proximally, it interacts with an opening tab 23411 formed on the anvil mounting portion 23410 . As the closure tube 3050 interacts with the anvil mounting portion 23410 , the anvil 23400 translates proximally and starts to pivot open which results in the trunnion formation 23412 translating down the arcuate actuation portion 23322 of the corresponding trunnion slot 23320 and into the proximal end 23321 of the trunnion slots 23320 when the anvil 23400 reaches its fully open position.
  • the anvil unlocking feature or tab 22630 is brought into engagement with the contoured surface 23714 on the distal end 23712 of the anvil lock 23702 .
  • the cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310 .
  • the anvil unlocking feature 22630 contacts the distal end 23712 of the anvil lock 23702 and biases the anvil lock 23702 proximally an unlocking distance UD to bring a proximal end 23710 of the anvil lock body 23706 into engagement with actuator lobe 23414 on at least one trunnion formation 23412 to move the trunnion formation 23412 into a position wherein the trunnion formation 23412 can translate up the arcuate actuation portion 23322 of the corresponding trunnion slot 23320 when a closing motion is applied to the anvil mounting portion 23410 .
  • the proximal end 23710 of the anvil lock 23702 prevents the trunnion formation 23412 from entering the locking offset portion 23324 formed at the proximal end 23321 of the trunnion slot 23320 to enable the trunnion formation 23412 to progress into the arcuate actuation portion 23322 of the trunnion slot 23320 .
  • FIG. 40 illustrates an attempted insertion of an incompatible cartridge 22600 X that lacks the requisite unlocking feature or tab 22630 to move the anvil lock 23702 out of the distal locked position.
  • the anvil locking system 23700 will prevent closure of the anvil 23400 .
  • the closure system is activated to move the closure tube (or other closure member) distally into operably contact with the anvil mounting portion 23410 of the anvil 23400 to apply closure motions thereto.
  • the initial application of closure motions to the anvil mounting portion 23410 causes the anvil mounting portion 23410 to move downwardly (arrow DL in FIG.
  • FIG. 41 illustrates a portion of an alternative anvil 23400 ′ that comprises an anvil mounting portion 23410 ′ that has trunnion formations 23412 ′ formed thereon.
  • Each trunnion formation 23412 ′ comprises a laterally protruding actuator lobe 23414 ′ that defines an actuator ledge 23416 ′ that is configured to interact with an anvil locking system 23700 in the manner described above.
  • the actuator ledge 23416 ′ is vertically offset (distance OD) from a bottom surface 23415 ′ of the anvil mounting portion 23410 ′.
  • a trunnion pin 23418 ′ protrudes outwardly from the actuator lobe 23414 ′ and is sized to translate and pivot within a corresponding trunnion slot 23320 .
  • the trunnion pin 23418 ′ has a trunnion pin diameter TRD that is approximately equal to the width LW of the actuator lobe 23414 ′.
  • FIG. 42 illustrates a portion of an alternative anvil 23400 ′′ that comprises an anvil mounting portion 23410 ′′ that has trunnion formations 23412 ′′ formed thereon.
  • Each trunnion formation 23412 ′′ comprises a laterally protruding actuator lobe 23414 ′′ that defines an actuator ledge 23416 ′′ that is configured to interact with an anvil locking system 23700 in the manner described above.
  • the actuator ledge 23416 ′′ is coextensive with (e.g., not offset from) a bottom edge 23415 ′′ of the anvil mounting portion 23410 ′′.
  • a trunnion pin 23418 ′′ protrudes outwardly from the actuator lobe 23414 ′′ and is sized to translate and pivot within a corresponding trunnion slot 23320 .
  • the trunnion pin 23418 ′′ has a trunnion pin diameter TRD′ that is approximately equal to the width LW′ of the actuator lobe 23414 ′.
  • FIG. 43 is a partial cross-sectional end elevational view of a surgical end effector 24100 that comprises an anvil 24400 that is pivotally supported on an elongate channel 24310 .
  • the anvil 24400 comprises an anvil mounting portion 24410 that has trunnion formations 24412 formed thereon.
  • Each trunnion formation 24412 comprises a laterally protruding actuator lobe 24414 that defines a bottom lobe surface 24416 that is configured to interact with an anvil locking system 24700 in the manner described above.
  • the bottom lobe surface 24416 is vertically offset (distance OD 1 ) from a bottom surface 24415 of the anvil mounting portion 24410 .
  • a trunnion pin 24418 protrudes outwardly from the actuator lobe 24414 and is sized to translate and pivot within a corresponding trunnion slot 24320 formed in the elongate channel 24310 .
  • the trunnion pin 24418 has a trunnion pin diameter TRD 1 that is approximately equal to the width LW 1 of the actuator lobe 24414 .
  • Channel 20310 comprises a channel bottom 24312 and a pair of upstanding sidewalls 24314 .
  • the channel 24310 may be coupled to an elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ).
  • FIG. 45 illustrates a portion of a proximal end 24316 of the channel 24310 .
  • each channel wall 24314 has a trunnion slot 24320 formed therein.
  • a lobe ledge 24340 is formed in each channel wall 24314 such that a top surface 24342 of the lobe ledge 24340 is coextensive with a bottom surface 24321 of the corresponding trunnion slot 24320 .
  • Each trunnion 24418 is received within a corresponding trunnion slot 24320 and is free to rotate and translate therein.
  • anvil lock 24702 of the anvil locking system 24700 operates in the same manner as the anvil lock 20702 described above and includes a lockout body 24706 that has an actuator tab (not shown) that is formed on a distal end thereof that is configured to be contacted by an unlocking feature that protrudes proximally from a compatible cartridge.
  • the anvil lock 24702 may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 24704 that may be configured to be seated in a transverse spring mounting slot (not shown) that is provided in the body portion of a channel mount feature (not shown).
  • the anvil lock 24702 further includes an upwardly extending anvil lockout tab 24710 that protrudes therefrom that is configured to extend above the corresponding lobe ledge 24340 and contact a corresponding lobe 24414 as will be described below.
  • FIGS. 45 and 46 illustrate the anvil lock 24702 in the locked position wherein the anvil 24400 is pivoted to an open position. This may occur when no cartridge has been inserted into the channel 24310 or a non-compatible cartridge (e.g. a cartridge that lacks, among other things, the proper anvil unlocking feature that is necessary to bias the anvil lock spring proximally) has been inserted into the channel 24310 . Should the user unwittingly attempt to close the anvil 24400 when the anvil lock 24702 is in the distal locked position shown in FIGS. 45 and 46 , the corresponding lobe 24414 will contact the anvil lockout tab 24710 and prevent the anvil 24400 from pivoting to the closed position.
  • FIGS. 45 and 46 illustrate the anvil lock 24702 in the locked position wherein the anvil 24400 is pivoted to an open position. This may occur when no cartridge has been inserted into the channel 24310 or a non-compatible cartridge (e.g. a cartridge that lacks, among other things, the proper
  • 47 and 48 illustrate the position of the anvil lock 24702 in the proximal unlocked position wherein the anvil lockout tab 24710 is positioned proximal to the lobe 24414 to permit the lobe 24414 to pivot to the closed position.
  • FIG. 49 is a partial cross-sectional end elevational view of a surgical end effector 24100 ′ that comprises an anvil 24400 ′ that is pivotally supported on an elongate channel 24310 ′.
  • the anvil 24400 ′ comprises an anvil mounting portion 24410 ′ that has trunnion formations 24412 ′ formed thereon.
  • Each trunnion formation 24412 ′ comprises a laterally protruding actuator lobe 24414 ′ that defines a bottom lobe surface 24416 ′ that is configured to interact with an anvil locking system 24700 ′ in the manner described above.
  • FIG. 49 is a partial cross-sectional end elevational view of a surgical end effector 24100 ′ that comprises an anvil 24400 ′ that is pivotally supported on an elongate channel 24310 ′.
  • the anvil 24400 ′ comprises an anvil mounting portion 24410 ′ that has trunnion formations 24412 ′ formed thereon.
  • the bottom lobe surface 24416 ′ is coextensive with a bottom surface 24415 ′ of the anvil mounting portion 24410 ′.
  • a trunnion pin 24418 ′ protrudes outwardly from the actuator lobe 24414 ′ and is sized to translate and pivot within a corresponding trunnion slot 24320 ′ formed in the elongate channel 24310 ′.
  • the trunnion pin 24418 ′ has a trunnion pin diameter TRD 2 that is smaller than the width LW 2 of the actuator lobe 24414 ′.
  • Channel 20310 ′ comprises a channel bottom 24312 ′ and a pair of upstanding sidewalls 24314 ′.
  • the channel 24310 ′ may be coupled to an elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ).
  • FIG. 51 illustrates a portion of a proximal end 24316 ′ of the channel 24310 ′.
  • each channel wall 24314 ′ has a trunnion slot 24320 ′ formed therein.
  • a lobe ledge 24340 ′ is formed in each channel wall 24314 ′ such that a top surface 24342 ′ of the lobe ledge 24340 ′ is offset vertically from a bottom surface 24321 ′ of the corresponding trunnion slot 24320 ′ an offset distance OSD.
  • Offset distance OSD may be approximately equal to a distance TSD between the trunnion pin 24418 ′ and the bottom lobe surface 24416 ′. See FIG. 50 .
  • Each trunnion pin 24418 ′ is received within a corresponding trunnion slot 24320 ′ and is free to rotate and translate therein.
  • anvil lock 24702 ′ of the anvil locking system 24700 ′ operates in the same manner as the anvil lock 20702 described above and includes a lockout body 24706 ′ that has an actuator tab (not shown) formed on a distal end thereof that is configured to be contacted by an unlocking feature that protrudes proximally from a compatible cartridge.
  • the anvil lock 24702 ′ may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 24704 ′ that may be configured to be seated in a transverse spring mounting slot (not shown) provided in the body portion of a channel mount feature (not shown).
  • the anvil lock 24702 ′ further includes an upwardly extending anvil lockout tab 24710 ′ that protrudes therefrom that is configured to extend above the corresponding lobe ledge 24340 ′ and contact a corresponding lobe 24414 ′ as was described above.
  • FIG. 51 illustrates the anvil lock 24702 ′ in the locked position wherein the anvil 24400 is pivoted to an open position. This may occur when no cartridge has been inserted into the channel or a non-compatible cartridge (e.g. a cartridge that lacks, among other things, the proper anvil unlocking feature that is required to bias the anvil lock spring proximally) has been inserted into the channel 24310 ′. Should the user unwittingly attempt to close the anvil 24400 ′ when the anvil lock 24702 ′ is in the distal locked position shown in FIG. 45 , the corresponding lobe 24414 ′ will contact the anvil lockout tab 24710 ′ and prevent the anvil 24400 ′ from pivoting to the closed position.
  • a non-compatible cartridge e.g. a cartridge that lacks, among other things, the proper anvil unlocking feature that is required to bias the anvil lock spring proximally
  • the anvil lock 24702 ′ will be biased to the unlocked position (see e.g., FIG. 47 ) and the anvil 24400 ′ will be free to pivot to the closed position.
  • FIG. 52 depicts a portion of a surgical end effector 24100 ′′ that comprises an anvil 24400 ′′ that is pivotally supported on an elongate channel 24310 ′′.
  • the anvil 24400 ′′ comprises an anvil mounting portion 24410 ′′ that has trunnion formations 24412 ′′ formed thereon.
  • each trunnion formation 24412 ′′ comprises a laterally protruding actuator lobe 24414 ′′ that defines a bottom lobe surface 24416 ′′ that is configured to interact with an anvil locking system 24700 ′′ in the manner described above.
  • FIG. 53 depicts a portion of a surgical end effector 24100 ′′ that comprises an anvil 24400 ′′ that is pivotally supported on an elongate channel 24310 ′′.
  • the anvil 24400 ′′ comprises an anvil mounting portion 24410 ′′ that has trunnion formations 24412 ′′ formed thereon.
  • each trunnion formation 24412 ′′ comprises a
  • the actuator lobe 24414 ′′, as well as the bottom lobe surface 24416 ′′ of the actuator lobe 24414 ′′, are located at an angle relative to an end effector axis EA as well as a bottom edge 24419 ′′ of the anvil mounting portion 24410 ′′ and/or the bottom 24312 ′′ of the channel 24310 ′′.
  • the bottom lobe surface 24416 ′′ is parallel to a lobe axis LBA that is located at a lobe angle LA relative to the end effector axis EA.
  • a trunnion pin 24418 ′′ protrudes outwardly from the actuator lobe 24414 ′′ and is sized to translate and pivot within a corresponding trunnion slot 24320 ′′ that is formed in the elongate channel 24310 ′′. See FIG. 55 .
  • the trunnion pin 24418 ′′ has a trunnion pin diameter TRD 3 that is equal to the width LW 3 of the actuator lobe 24414 ′′.
  • the channel 24310 ′′ comprises a channel bottom 24312 ′′ and a pair of upstanding sidewalls 24314 ′′.
  • the channel 24310 ′′ may be coupled to an elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ) in the various manners described herein.
  • FIG. 55 illustrates a portion of a proximal end 24316 ′′ of the channel 24310 ′′.
  • each channel wall 24314 ′′ has a trunnion slot 24320 ′′ formed therein.
  • a lobe ledge 24340 ′′ is formed in each channel wall 24314 ′′ such that a proximal surface portion 24344 ′′ of a top surface 24342 ′′ of the lobe ledge 24340 ′′ is coextensive with a bottom surface 24321 ′′ of the corresponding trunnion slot 24320 ′′.
  • the bottom surface 24321 ′′ of the trunnion slot 24320 ′′ is approximately parallel to the end effector axis EA and/or the bottom 24312 ′′ of the channel 24310 ′′.
  • a ramped portion 24346 ′′ of the top surface 24342 ′′ extends distally from the proximal surface portion 24344 ′′ at an angle TSA and terminates in a horizontal distal surface portion 24348 ′′.
  • angle TSA may be different from angle LA in other embodiments.
  • Each trunnion 24418 ′′ is received within a corresponding trunnion slot 24320 ′′ and is free to rotate and translate therein.
  • anvil lock 24702 ′′ of the anvil locking system 24700 ′′ operates in the same manner as the anvil lock 20702 described above and includes a lockout body 24706 ′′ that has an actuator tab (not shown) formed on a distal end thereof that is configured to be contacted by an unlocking feature that protrudes proximally from a compatible surgical staple cartridge.
  • the anvil lock 24702 ′′ may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 24704 ′′ that may be configured to be seated in a transverse spring mounting slot (not shown) that is provided in the body portion of a channel mount feature (not shown).
  • the anvil lock 24702 ′′ further includes an upwardly extending anvil lockout tab 24710 ′′ that protrudes therefrom and is configured to extend above the distal surface portion 24348 ′′ of the corresponding lobe ledge 24340 ′′ and be even or level with the proximal surface portion 24344 ′′ of the lobe ledge 24340 ′′.
  • FIG. 55 illustrates the anvil lock 24702 ′ in the distal, locked position with the anvil 24400 ′′ pivoted to an open position. This may occur when no surgical staple cartridge has been inserted into the channel 24310 ′′ or a non-compatible surgical staple cartridge (e.g., a surgical staple cartridge that lacks, among other things, a proper anvil unlocking feature required to bias the anvil lock 24702 ′′ proximally) has been inserted into the channel 24310 ′′.
  • a non-compatible surgical staple cartridge e.g., a surgical staple cartridge that lacks, among other things, a proper anvil unlocking feature required to bias the anvil lock 24702 ′′ proximally
  • the anvil trunnions 24418 ′′ are located in the proximal end of their respective trunnion slot 24320 ′′ and the bottom lobe surface 24416 ′′ of at least one lobe 24414 ′′ is resting on the proximal surface portion 24344 ′′ of the corresponding lobe ledge 24340 ′′ as well as on the anvil lockout tab 24710 ′′. Should the user unwittingly attempt to close the anvil 24400 ′′ when the anvil lock 24702 ′′ is in the distal, locked position shown in FIGS.
  • the anvil lockout tab 24710 ′′ will prevent the lobe 24414 ′′ from pivoting downward onto the ramp surface portion 24346 ′′ of the lobe ledge 24340 ′′ which prevents the anvil 24400 ′′ from pivoting to the closed position. See FIG. 52 .
  • the anvil lockout feature thereon will bias the anvil lock 24702 ′′ proximally into to the unlocked position. See FIGS. 56 and 57 .
  • the anvil lock 24702 ′′ When the anvil lock 24702 ′′ is in the proximal unlocked position, the anvil lock out tab 24710 ′′ is locked proximal to the ramp surface 24346 ′′ on the lobe ledge 24340 ′′ to thereby permit the lobe 24414 ′′ to pivot downwardly thereon which results in the closure of the anvil 24400 ′′.
  • FIG. 58 depicts a proximal portion of another anvil 24400 ′′′ that is configured to be pivotally supported in an elongate channel 24310 ′′′ that is similar to channel 24310 ′′ except for the differences discussed below.
  • the anvil 24400 ′′′ comprises an anvil mounting portion 24410 ′′′ that has trunnion formations 24412 ′′′ formed thereon.
  • Each trunnion formation 24412 ′′′ comprises a laterally protruding actuator lobe 24414 ′′′ that defines a bottom lobe surface 24416 ′′′ that is configured to interact with an anvil locking system 24700 ′′ in the manner described above.
  • the actuator lobe 24414 ′′′ as well as the bottom lobe surface 24416 ′′′ of the actuator lobe 24414 ′′′ are located at an angle that is the same as the angle LA described above with respect to actuator lobe 24414 ′′.
  • a trunnion pin 24418 ′′′ protrudes outwardly from the actuator lobe 24414 ′′′ and is sized to translate and pivot within a corresponding trunnion slot 24320 ′′′ that is formed in the elongate channel 24310 ′′′. See FIG. 59 .
  • the trunnion pin 24418 ′′′ has a trunnion pin diameter TRD 4 that is equal to the width LW 4 of the actuator lobe 24414 ′′′.
  • the channel 24310 ′′′ comprises a channel bottom 24312 ′′′ and a pair of upstanding sidewalls 24314 ′′′.
  • the channel 24310 ′′′ may be coupled to an elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ).
  • FIG. 59 illustrates a portion of a proximal end 24316 ′′′ of the channel 24310 ′′′.
  • each channel wall 24314 ′′′ has a trunnion slot 24320 ′′′ formed therein.
  • a lobe ledge 24340 ′′′ is formed in each channel wall 24314 ′′′ such that a top surface 24342 ′ of the lobe ledge 24340 ′′′ is offset vertically from a bottom surface 24321 ′′′ of the corresponding trunnion slot 24320 ′′′ an offset distance OSD 1 .
  • Offset distance OSD 1 may be approximately equal to a distance between the trunnion 24418 ′′′ and the bottom lobe surface 24416 ′′′.
  • the top surface 24342 ′ of the lobe ledge 24340 ′′′ is identical to the top surface 24342 ′′ of the lobe ledge 24340 ′′ and includes a proximal portion 24344 ′ that is parallel to the bottom surface 24321 ′′′ of the trunnion slot 24320 ′′′ as well as a ramped surface 24346 ′ and a distal surface 24348 ′.
  • the anvil locking system 24700 ′′ works in the same manner to prevent the anvil 24400 ′′′ from closing.
  • a non-compatible cartridge e.g. a cartridge that lacks the proper anvil unlocking feature to bias the anvil lock spring proximally
  • the anvil lock tab 24710 ′′ is in its distal-most locked position preventing the corresponding actuator lobe 24414 ′′′ from pivoting down onto the ramp surface 24346 ′ thereby retaining the anvil 24400 ′′′ in the open position.
  • the anvil lockout feature thereon will bias the anvil lock 24702 ′′ proximally into to the unlocked position.
  • the anvil lock out tab 24710 ′′ is locked proximal to the ramp surface 24346 ′ on the lobe ledge 24340 ′′′ to thereby permit the lobe 24414 ′′′ to pivot downwardly thereon which results in the closure of the anvil 24400 ′′′.
  • FIGS. 60 and 61 illustrate another anvil 24400 A that is identical in construction and operation to anvil 24400 described above, except that the trunnion formation 24412 A is offset vertically from a bottom edge 24415 A of an anvil mounting portion 24410 A of the anvil 24400 A .
  • FIG. 62 illustrates another anvil 24400 B that is identical in construction and operation to anvil 24400 ′ described above, except that the trunnion formation 24412 B is offset vertically from a bottom edge 24415 B of an anvil mounting portion 24410 B of the anvil 24400 B .
  • FIGS. 41-62 employ trunnion formations that comprise various shapes and configurations of lobe structures that serve to interact with an anvil lock feature such that the interaction between the anvil lock feature and the corresponding lobe structure serves to facilitate positioning of the anvil trunnions within their respective trunnion slots.
  • This positioning of the lob structures permits the anvil to close upon application of closure motions thereto when a compatible surgical staple cartridge has been loaded into the end effector.
  • the anvil lock feature will retain the corresponding trunnion formation in a position wherein the anvil will be unable to close even upon application of a closure motion thereto.
  • the initial positions of the trunnion formations prevent closure, but loading of a proper or compatible surgical staple cartridge into the channel changes positions of the trunnion formations to allow closure to occur.
  • the various lobe features described herein are also generally more robust that previous trunnion arrangements which may lead to improved anvil reliability.
  • FIGS. 63-69 depict a surgical end effector 25300 that may be used for example in connection with the powered surgical instrument 1010 described above.
  • the surgical end effector 25300 comprises an anvil 25400 that is pivotally supported on an elongate channel 25310 that is configured to operably support a surgical staple cartridge 25600 .
  • the anvil 25400 is movable between an open position and a closed position through interaction with an axially movable closure member in the various manners disclosed herein.
  • the anvil 25400 comprises an anvil body 25402 and an anvil mounting portion 25410 .
  • the anvil mounting portion 25410 comprises a pair of laterally extending trunnions 25412 that are operably received within corresponding trunnion slots provided in upstanding sidewalls 25314 of the channel 25310 in the various manners disclosed herein.
  • anvil 25400 may be pivoted between an open and a closed position by interaction with an end effector closure tube 3050 in the various manners described herein.
  • the end effector closure tube 3050 may be axially moved by actuation of a closure trigger 1032 of the surgical instrument 1010 .
  • the end effector 25300 and shaft assembly to which it is attached may operably interface with a robotic system as is described in detail in many of the references which have been incorporated herein by reference.
  • the end effector closure tube 3050 may be axially advanced and retracted through actuation of a closure control system of the robotic system.
  • distal movement of the end effector closure tube 3050 causes a distal end 3051 of the end effector closure tube 3050 to operably interact with a camming surface 25411 that is formed on the anvil mounting portion 25410 to cam the anvil 25400 to a closed position.
  • the end effector closure tube 3050 may be configured to interact with various formations, ledges or tabs to apply an opening motion to the anvil 25400 . Further details may be found in various other references which have been herein incorporated by reference.
  • the elongate channel 25310 may be coupled to an elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ) in the various manners described herein.
  • the illustrated example also includes a firing member 20500 ( FIG. 20 ) that is attached to a distal end of a firing member beam 1900 ( FIG. 5 ) and is configured to operably interface with a camming assembly in a surgical staple cartridge 25600 that has been loaded into the channel 25310 .
  • the end effector employs a closure lockout system 25700 .
  • the closure lockout system 25700 is configured to prevent a distal movement of the end effector closure tube 3050 unless a compatible cartridge 25600 has been properly seated within the channel 25310 .
  • the closure lockout system 25700 comprises a closure lock 25702 that is configured to move between a locked position and an unlocked position in response to installation of a compatible surgical staple cartridge 25600 therein.
  • FIGS. 65-69 illustrate one form of a closure lock 25702 that may be fabricated from spring steel or other suitable metal and include a body portion 25706 that is pivotally pinned to the body portion 20342 of the channel mount feature 20340 by a pivot pin 25709 that extends through a pivot hole 25707 in the body portion 25706 .
  • the closure lock 25702 further includes a proximal biasing arm 25704 that may be configured to be seated in a slot (not shown) that is provided in the body portion 20342 of the channel mount feature 20340 . Such arrangement serves to bias the closure lock 25702 downward within the channel 25310 .
  • the closure lock 25702 further includes a blocking feature 25710 that protrudes from a bottom of the body portion 25706 and extends laterally outward.
  • the blocking feature 25710 is positioned to block the distal advancement of the end effector closure tube 3050 .
  • the blocking feature 25710 is moved away from the blocking position to permit the distal advancement of the end effector closure tube 3050 .
  • the closure lock 25702 further includes an actuator portion 25712 that extends proximally to be engaged by a closure unlocking feature 25630 formed on a proximal end 25604 of a compatible surgical staple cartridge 25600 .
  • the surgical staple cartridge 25600 comprises an elongate cartridge body 25602 that is sized to be removably seated in the elongate channel 25310 .
  • the cartridge body 25602 includes a cartridge slot 25608 that extends from the proximal end portion 25604 to a distal end portion 25606 ( FIG. 64 ) of the cartridge body 25602 .
  • the cartridge body 25602 further comprises a cartridge deck surface 25610 that confronts a staple-forming undersurface 25404 of the anvil 25400 when the cartridge 25600 is seated in the channel 25310 and the anvil 25400 is pivoted to a closed position.
  • the surgical staple cartridge 25600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 25608 that open through the cartridge deck surface 25610 .
  • Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 25602 is molded from a polymer material with the staple pockets molded or machined therein.
  • the staple pockets also open through a bottom of the cartridge body 25602 to facilitate installation of the drivers and fasteners into their respective pockets.
  • a cartridge pan 25620 is attached to the bottom of the cartridge body 25602 .
  • the cartridge pan 25620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 25602 during handling and installation of the cartridge 25600 into the elongate channel 25310 .
  • cartridge 25600 operably supports a camming assembly therein.
  • the camming assembly comprises a series of spaced cam members that are configured to move axially within corresponding cam slots 25609 formed on each side of the cartridge slot 25608 in the cartridge body 25602 .
  • the cam slots 25609 are aligned with corresponding lines of drivers in the cartridge body 25602 to facilitate camming contact with a corresponding cam member as the camming assembly is driven through the staple cartridge 25600 from a beginning position within the proximal end portion 25604 of the cartridge body 25602 to an ending position within the distal end portion 25606 .
  • FIGS. 63 and 68 illustrate the surgical end effector 25300 without a surgical staple cartridge installed therein.
  • the proximal biasing arm 25704 has biased the closure lock 25702 downward in the channel 25310 which results in the blocking feature 25710 moving into blocking alignment with the distal end 3051 of the end effector closure tube 3050 (locked position).
  • the blocking feature 25710 will block the distal advancement of the end effector closure tube 3050 thereby preventing an application of closure motions to the anvil 25400 .
  • the staple cartridge 25600 includes an anvil unlocking feature or tab 25630 that protrudes proximally from the cartridge body 25602 and is aligned to unlockingly engage the actuation tab 25712 that is formed on the distal end of the closure lock 25702 when the cartridge 25600 has been operably installed in the elongate channel 25310 .
  • the unlocking feature 25630 has a somewhat ramped surface 25632 that is configured to operably interact with an angled surface 25713 on the actuation tab 25712 so that the when the ramped surface 25632 and the angled surface 25713 are brought into engagement, the closure lock 25702 is pivoted in an upward direction.
  • the blocking feature 25710 is no longer in blocking alignment with the end effector closure tube 3050 . See FIG. 66 .
  • FIGS. 64 and 69 depict the surgical end effector 25300 with a compatible surgical staple cartridge 25600 operably installed in the elongate channel 25310 .
  • the ramped surface 25632 on the unlocking feature 25630 on the staple cartridge body 25602 has contacted the angled surface 25713 (shown in FIG. 68 ) on the actuation tab 25712 on the closure lock 25702 to bias the closure lock 25702 into the unlocked position.
  • the user may distally advance the end effector closure tube 3050 distally to apply closing motions to the anvil 25400 .
  • FIGS. 70 and 71 illustrate a surgical end effector 25300 ′ that comprises an anvil 25400 ′ that is pivotally supported on a channel 25310 ′ and is substantially identical to end effector 25300 described above except that the closure locking system 25700 ′ employs a different closure lock 25702 ′ that is configured to interact with an unlocking feature provided on a camming assembly 25650 ′ within a surgical staple cartridge 25600 ′.
  • the closure lock 25702 ′ comprises an elongate body 25706 ′ that has a tapered actuator tab portion 25712 ′ on its distal end.
  • the body 25706 ′ is pivotally attached to the channel mount feature 20340 and a proximal biasing arm 25704 ′ biases the closure lock 25702 ′ within the channel 25310 ′.
  • FIG. 72 illustrates a surgical staple cartridge 25600 ′ that comprises an elongate cartridge body 25602 ′ that is sized to be removably seated in the elongate channel 25310 ′.
  • the cartridge body 25602 ′ includes a cartridge slot 25608 ′ that extends from a proximal end portion 25604 ′ to a distal end portion of the cartridge body 25602 ′.
  • the cartridge body 25602 ′ further comprises a cartridge deck surface 25610 ′ that confronts a staple-forming undersurface 25404 ′ of the anvil 25400 ′ when the cartridge 25600 ′ is seated in the channel 25310 ′ and the anvil 25400 ′ is pivoted to a closed position.
  • the surgical staple cartridge 25600 ′ may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 25608 ′ that open through the cartridge deck surface 25610 ′.
  • Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 25602 ′ is molded from a polymer material with the staple pockets molded or machined therein.
  • the staple pockets also open through a bottom of the cartridge body 25602 ′ to facilitate installation of the drivers and fasteners into their respective pockets.
  • a cartridge pan 25620 ′ is attached to the bottom of the cartridge body 25602 ′.
  • the cartridge pan 25620 ′ may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 25602 ′ during handling and installation of the cartridge 25600 ′ into the elongate channel 25310 ′.
  • a camming assembly 25650 ′ is operably supported in the cartridge body 25602 ′.
  • the camming assembly 25650 ′ comprises a series of spaced cam members 25652 ′ that are configured to move axially within corresponding cam slots 25609 ′ that are formed on each side of the cartridge slot 25608 ′ in the cartridge body 25602 ′.
  • the cam slots 25609 ′ are aligned with corresponding lines of drivers in the cartridge body 25602 ′ to facilitate camming contact with a corresponding cam member 25652 ′ as the camming assembly 25650 ′ is driven through the staple cartridge 25600 ′ from a beginning position within the proximal end portion 25604 ′ of the cartridge body 25602 ′ to an ending position within the distal end portion.
  • the camming assembly 25650 ′ includes a closure unlocking feature or tab 25660 ′ that protrudes proximally from the camming assembly 25650 ′ and is aligned to unlockingly engage the actuation tab 25712 ′ that is formed on the distal end of the closure lock 25702 ′ when the cartridge 25600 ′ has been operably installed in the elongate channel 25310 ′ and the camming assembly 25650 ′ is in its unfired beginning position within the cartridge 25600 ′.
  • the unlocking feature 25660 ′ has a tapered nose portion 25662 ′ that is configured to operably interact with the actuation tab 25712 ′ so that the when the tapered nose portion 25662 ′ is brought into engagement with the actuation tab 25712 ′, the closure lock 25702 ′ is pivoted upward.
  • a blocking feature 25710 ′ on the closure lock 25702 ′ is no longer in blocking alignment with the end effector closure tube 3050 .
  • the cartridge body 25602 ′ may further include a locking safety 25670 ′ that protrudes proximally from a proximal end of the cartridge body 25602 ′ and adjacent to the tapered nose portion 25662 ′.
  • An upper surface 25672 ′ of the locking safety 25670 ′ is angled to match the tapered nose portion 25662 ′ but when the camming assembly 25650 ′ is in its proximal-most beginning position, the tapered nose portion 25662 ′ protrudes proximally beyond the end of the locking safety 25670 ′.
  • FIG. 70 illustrates an initial insertion of an unfired compatible surgical staple cartridge 25600 ′ into the channel 25310 ′.
  • the tapered nose portion 25662 ′ has made initial contact with the actuator tab portion 25712 ′ on the closure lock 25702 ′.
  • the closure lock 25702 ′ remains biased downward to a locked position wherein the blocking feature 25710 ′ of the closure lock 25702 ′ is in blocking alignment with the distal end 3051 of the end effector closure tube 3050 .
  • the tapered nose portion 25662 ′ on the camming assembly 25650 ′ lifts the actuation tab 25712 ′ upward above the angled upper surface 25672 ′ of the locking safety 25670 ′ to enable the closure lock 25702 ′ to pivot into the unlocked position wherein the blocking feature 25710 ′ is no longer in blocking alignment with the distal end 3051 of the end effector closure tube 3050 .
  • the user may advance the end effector closure tube 3050 distally to apply closing motions to the anvil 25400 ′.
  • the closure locking system 25700 ′ is actuated by the camming assembly 25650 ′, but only when the camming assembly 25650 ′ is in an unfired beginning position.
  • FIG. 73 illustrates insertion of a staple cartridge 25600 X wherein the camming assembly thereof is not in a proximal-most unfired position. This may occur when the user attempts to use the staple cartridge 25600 X that has been previously used, for example. Because the camming assembly is not in its unfired beginning position, the tapered nose portion is absent to begin to bias the closure lock 25702 ′ into an upward position above the closure safety 25670 ′. When the cartridge 25600 X is fully seated in the channel 25310 ′, the action tab 25712 ′ of the closure lock 25702 ′ is positioned under a lower lock surface 25674 ′.
  • the closure lock 25702 ′ remains in the locked position wherein the blocking feature 25710 ′ thereof is in blocking alignment with the distal end 3051 of the end effector closure tube 3050 . Should the user unwittingly attempt to distally advance the end effector closure tube 3050 to close the anvil 25400 ′, the distal end 3051 will contact the blocking feature 25710 ′ and the closure safety 25670 ′ will further prevent the closure lock 25702 ′ from pivoting upwardly to an unlocked position under the closure load.
  • FIGS. 74 and 75 illustrate a surgical end effector 25300 ′′ that comprises an anvil 25400 ′′ that is pivotally supported on a channel 25310 ′′ and is substantially identical to end effector 25300 ′ described above.
  • End effector 25300 ′′ employs a closure locking system 25700 ′′ that comprises a closure lock 25702 ′′.
  • the closure lock 25702 ′′ comprises an elongate body 25706 ′′ that has an actuator tab portion 25712 ′′ on its distal end.
  • the body 25706 ′′ includes a lower spring arm 25720 ′′ that is mounted within the channel 25310 ′′.
  • the lower spring arm 25720 ′′ is mounted so as to apply a downwardly biasing force to the closure lock 25702 ′′ which will be discussed below.
  • the closure lock 25702 ′′ further includes a vertically extending anvil locking tab 25710 ′′ that is configured to lockingly interact with a lock lug 25414 ′′ that is formed on an anvil mounting portion 25410 ′′ of the anvil 25400 ′′.
  • the closure lock 25702 ′′ comprises a proximal biasing spring 25704 ′′ which serves to bias the closure lock 25702 ′′ in the distal direction DD ( FIG. 76 ). As can be seen in FIG.
  • the elongate channel 25310 ′′ may be coupled to an elongate shaft assembly 1200 ( FIG. 5 ) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 ( FIG. 5 ) in the various manners described herein.
  • the proximal biasing spring 25704 ′′ is configured to be seated within the transverse slot 20343 in the body portion 20342 of the channel mount feature 20340 .
  • an end effector closure tube Similar to the closure of anvil 25400 ′ discussed above, distal movement of an end effector closure tube causes a distal end of the end effector closure tube to operably interact with a camming surface 25411 ′′ formed on an anvil mounting portion 25410 ′′ of the anvil 25400 ′′ to cam the anvil 25400 ′′ to a closed position.
  • the end effector closure tube When the end effector closure tube is axially retracted in the proximal direction, the end effector closure tube may be configured to interact with various formations, ledges or tabs to apply an opening motion to the anvil 25400 ′′. Further details may be found in various other references which have been herein incorporated by reference.
  • FIG. 77 illustrates a surgical staple cartridge 25600 ′′ that comprises an elongate cartridge body 25602 ′′ that is sized to be removably seated in the elongate channel 25310 ′′.
  • the cartridge body 25602 ′′ includes a cartridge slot 25608 ′′ that extends from a proximal end portion 25604 ′′ to a distal end portion of the cartridge body 25602 ′′.
  • the cartridge body 25602 ′′ further comprises a cartridge deck surface 25610 ′ that confronts a staple-forming undersurface 25404 ′′ of the anvil 25400 ′′ when the cartridge 25600 ′′ is seated in the channel 25310 ′′ and the anvil 25400 ′′ is pivoted to a closed position.
  • the surgical staple cartridge 25600 ′′ may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 25608 ′′ that open through the cartridge deck surface 25610 ′′.
  • Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 25602 ′ is molded from a polymer material with the staple pockets molded or machined therein.
  • the staple pockets also open through a bottom of the cartridge body 25602 ′′ to facilitate installation of the drivers and fasteners into their respective pockets.
  • a camming assembly 25650 ′′ is operably supported in the cartridge body 25602 ′′.
  • the camming assembly 25650 ′′ comprises a series of spaced cam members 25652 ′′ that are configured to move axially within corresponding cam slots 25609 ′′ that are formed on each side of the cartridge slot 25608 ′′ in the cartridge body 25602 ′′.
  • the cam slots 25609 ′′ are aligned with corresponding lines of drivers in the cartridge body 25602 ′′ to facilitate camming contact with a corresponding cam member 25652 ′′ as the camming assembly 25650 ′′ is driven through the staple cartridge 25600 ′′ from a beginning position within the proximal end portion 25604 ′′ of the cartridge body 25602 ′′ to an ending position within the distal end portion.
  • the camming assembly 25650 ′ includes a closure unlocking feature or tab 25660 ′′ that protrudes proximally from the camming assembly 25650 ′′ and is aligned to unlockingly engage the actuation tab 25712 ′′ that is formed on the distal end of the closure lock 25702 ′′ when the surgical staple cartridge 25600 ′′ has been operably installed in the elongate channel 25310 ′′ and the camming assembly 25650 ′′ is in its unfired beginning position within the cartridge 25600 ′′.
  • the unlocking feature 25660 ′′ has a tapered nose portion 25662 ′′ that is configured to operably interact with the actuation tab 25712 ′′ so that the when the tapered nose portion 25662 ′′ is brought into engagement with the actuation tab 25712 ′′, the closure lock 25702 ′′ is moved upward against a downward biasing force established by the lower spring 25720 ′′.
  • the anvil locking tab 25710 ′′ on the closure lock 25702 ′′ is no longer in blocking alignment with the lock lug 25414 ′′ on the anvil mounting portion 24410 ′′.
  • FIG. 74 illustrates an initial insertion of an unfired compatible surgical staple cartridge 25600 ′′ into the channel 25310 ′′.
  • the tapered nose portion 25662 ′′ of the camming assembly 25650 ′′ has not yet interacted with the actuator tab portion 25712 ′′ on the closure lock 25702 ′′.
  • the closure lock 25702 ′′ remains biased downward to a locked position wherein the anvil locking tab 25710 ′′ of the closure lock 25702 ′′ is in blocking alignment with the lock lug 25414 ′′ on the anvil mounting portion 25410 ′′ of the anvil 25400 ′′.
  • the tapered nose portion 25662 ′′ on the camming assembly 25650 ′′ contacts the actuation tab 25712 ′′ and biases the closure lock 25702 ′′ upward to an unlocked position wherein the anvil locking tab 25710 ′′ is no longer aligned with the anvil lock lug 25414 ′′.
  • the user may close the anvil 25400 ′′ by distally advancing the end effector closure tube to apply closing motions to the anvil 25400 ′′.
  • the closure locking system 25700 ′′ is actuated by the camming assembly 25650 ′′, but only when the camming assembly 25650 ′′ is in an unfired beginning position.
  • the lower spring 25720 ′′ on the closure lock 25702 ′′ will bias the closure lock 25702 ′′ downwardly back into its locked position wherein the anvil locking tab 25710 ′′ is in blocking alignment with the lock lug 25414 ′′ on the anvil 25400 ′′.
  • FIG. 78 illustrates insertion of a staple cartridge 25600 X′′ that has a camming assembly therein that is not in a proximal-most unfired position. Because the camming assembly is not in its unfired, beginning position, the tapered nose portion is absent to bias the closure lock 25702 ′′ upward into the unlocked position. The closure lock 25702 ′ remains in the locked position wherein the anvil locking tab 25710 ′′ thereof is in blocking alignment with the anvil lock lug 25414 ′′ on the anvil 25400 ′′.
  • anvil lock lug 25414 ′′ will contact the anvil locking tab 25710 ′′ on the closure lock 25702 ′′ and prevent the anvil 25400 ′′ from pivoting to the closed position.
  • FIGS. 79-83 illustrate an alternative cartridge nose assembly 25800 that may be employed with any of the cartridges and channel arrangements disclosed herein to provide another mechanism for ensuring that a surgical staple cartridge that is inserted into the end effector channel is compatible with the end effector and to provide the user with another visual indicator that the cartridge has been fired.
  • the cartridge nose assembly 25800 may be employed with the cartridge 25600 and the channel 25310 of the end effector 25300 ( FIG. 64 ).
  • cartridge nose assembly 25800 comprises a nose assembly body 25802 that is movably coupled to a distal end 25606 of the cartridge body 25602 . As can be seen in FIGS.
  • the distal end portion 25606 of the cartridge body 25602 comprises a distally extending tapered portion 25605 that is adapted to be received within complementary shaped nose notch 25804 in the nose assembly body 25802 .
  • the nose assembly body 25802 is configured with axial alignment features (not shown) that may be slidably supported in axial grooves 25607 provided in the distal end portion 25606 of the cartridge body 25602 .
  • a nose retainer latch arm 25810 extends proximally from an upper portion of the nose assembly body 25802 into a latch cavity 25680 formed in the cartridge body 25602 .
  • the nose assembly body 25802 is axially movable from a locked position shown in FIGS. 81 and 83 to an unlocked position shown in FIGS. 82 and 84 .
  • a retention latch 25812 that is formed on a proximal end of the retainer latch arm 25810 engages a retention lug 25682 that is formed on the distal end portion 25606 of the cartridge body 25602 to retain the cartridge nose assembly 25800 on the distal end 25606 of the cartridge body 25602 .
  • the nose assembly body 25802 further comprises proximally extending nose tab portions 25820 that are sized to frictionally engage corresponding distal extending channel ledges 25317 formed on a distal end 25315 of the channel 25310 to retain the nose assembly 25800 in the proximally forward “locked position”.
  • the nose assembly body 25802 may further include an integral spring arm 25830 that is configured to interact with a spring lug 25684 that is formed on the distally extending tapered portion 25605 of the cartridge body 25602 .
  • the spring arm 25830 applies a distal biasing force BF to the cartridge nose assembly 25800 to increase the frictional force between the nose tab portions 25820 and the channel ledges 25317 to retain the cartridge nose assembly 25800 in the locked position.
  • the cartridge nose assembly 25800 is in the locked position when the cartridge 25600 is in its unfired state and is ready to be installed in the channel 25310 .
  • the cartridge body 25602 is placed in the channel 25310 and then advanced proximally therein to engage the channel ledges 25317 with the nose tab portions 25820 as shown in FIGS. 81 and 82 .
  • the camming assembly 25650 is in its proximal-most beginning position.
  • the camming assembly 25650 is driven in the cartridge body 25602 to its distal-most position therein.
  • a central body portion 25651 of the camming assembly 25650 contacts the cartridge nose assembly 25800 with a sufficient amount of force to overcome the frictional forces FF retaining the cartridge nose assembly 25800 in the locked position and moves the cartridge nose assembly 25800 axially into the unlocked position.
  • the user may disengage the cartridge nose assembly 25800 by pulling it distally to the unlocked position.
  • the cartridge 25600 may be removed from the elongate channel 25310 .
  • the distally extending cartridge nose assembly 25800 may provide the user with a visual indication that the cartridge has been fired (spent).
  • FIGS. 85 and 86 illustrate a portion of a surgical end effector 26300 that employs a firing member 26120 that may be configured to be distally advanced by a rotary powered firing system or an axial powered (non-rotary powered) firing system.
  • the firing member 26120 may be employed in connection with any of the various end effector arrangements and firing drive system configurations disclosed herein, as well as in connection with those end effector and firing drive system configurations described in the various references incorporated by reference herein.
  • the firing member 26120 comprises a firing member body 26122 that includes a firing member lockout system 26140 that comprises a firing member lockout 26142 that is pivotally attached to the firing member body 26122 .
  • the firing member lockout 26142 comprises a lockout body 26144 that comprises a pair of legs 26146 that straddle the firing member body 26122 and are pivotally attached thereto.
  • the lockout body 26144 further includes a sled latch 26148 that is configured for contact with a camming sled or camming assembly 26650 that is operably supported in a staple cartridge (not shown).
  • FIG. 85 illustrates the firing member 26120 in a proximal-most starting position. As can be seen in FIGS.
  • a firing lockout hole 26315 is provided through a bottom portion 26312 of an elongate channel 26310 of the end effector 26300 .
  • a lockout spring 26150 is mounted in the elongate channel 26310 and is configured to bias the firing member lockout 26142 downward such that, if a fresh unfired staple cartridge has not been properly loaded into the elongate channel 26310 , a distal edge 26149 of the lockout body 26144 engages an angled distal edge 26317 of the firing lockout hole 26315 .
  • the firing member lockout 26142 prevents the distal advancement of the firing member 26120 as shown in FIG. 86 .
  • a fresh, unfired surgical staple cartridge contains a camming assembly 26650 that is located in a starting or unfired position that is proximal to the lines of staple drivers that are supported in the cartridge body.
  • fresh, unfired means that the staple cartridge has all of its intended staples or fasteners in their respective unfired positions and the camming assembly is in a proximal unfired starting position.
  • FIG. 85 illustrates a camming assembly 26650 in the starting position and the firing member 26120 is free to be advanced distally by actuating the firing drive system.
  • the camming assembly 26650 may remain at the distal end of the staple cartridge (i.e., in a “fired” position”) while the firing member 26120 is retracted back to its starting position wherein the anvil may be opened and the spent cartridge removed from the channel 26310 .
  • the camming assembly 26650 is not returned to its starting position.
  • the firing member lockout system 26140 may also be referred to herein as a “spent cartridge lockout system”.
  • FIGS. 87-90 illustrate an anvil 26400 that is configured to be pivotally supported on the channel 26310 or a similar channel of the various types disclosed herein.
  • the channel has been omitted for clarity.
  • the anvil 26400 includes a cartridge verification system 26440 that may be configured to prevent firing of an incompatible cartridge that has been otherwise seated in the cartridge.
  • the anvil 26400 and cartridge verification system 26440 may be used in connection with a surgical end effector 26300 that employs a firing member 26120 that is equipped with an onboard firing member lockout system 26140 that is configured to prevent the distal advancement of the firing member 26120 unless the firing member lockout 26142 has been moved to an unlocked position through interaction with a corresponding camming assembly located in the surgical staple cartridge.
  • the cartridge verification system 26440 may also be used in connection with surgical end effectors that employ an axially advanced (non-rotary) firing member that is otherwise equipped with a firing member lockout system that is similar to the firing member lockout system 26140 .
  • FIG. 90 illustrates a portion of a surgical staple cartridge 26600 that is compatible with the surgical end effector 26300 .
  • the surgical staple cartridge 26600 comprises an elongate cartridge body 26602 that is sized to be removably seated in the elongate channel of the end effector 26300 .
  • the cartridge body 26602 includes a cartridge slot 26608 that extends from a proximal end portion 26604 to a distal end portion of the cartridge body 26602 .
  • the cartridge body 26602 further comprises a cartridge deck surface 26610 that confronts a staple-forming undersurface 26404 of the anvil 26400 when the cartridge 26600 is seated in the channel and the anvil 26400 is pivoted to a closed position.
  • the surgical staple cartridge 26600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 26608 that open through the cartridge deck surface 26610 .
  • Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 26602 is molded from a polymer material with the staple pockets molded or machined therein.
  • the staple pockets also open through a bottom of the cartridge body 26602 to facilitate installation of the drivers and fasteners into their respective pockets.
  • a cartridge pan 26620 is attached to the bottom of the cartridge body 26602 . When installed, the cartridge pan 26620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 26602 during handling and installation of the cartridge 26600 into the elongate channel 26310 .
  • the cartridge 26600 operably supports a camming assembly 26650 therein.
  • the camming assembly 26650 comprises a central body portion 26652 and a series of spaced cam members 26654 that are configured to move axially within corresponding cam slots 26609 formed on each side of the cartridge slot 26608 in the cartridge body 26602 .
  • the cam slots 26609 are aligned with corresponding lines of drivers in the cartridge body 26602 to facilitate camming contact with a corresponding cam member 26654 as the camming assembly 26650 is driven through the staple cartridge 26600 from a beginning position within the proximal end portion 26604 of the cartridge body 26602 to an ending position within the distal end portion of the cartridge body 26602 .
  • the central body portion 26652 includes the proximally extending unlocking portion 26653 that is configured to engage the sled latch 26148 on the firing member lock 26142 when the cartridge 26600 has been properly loaded into the channel 26310 .
  • each of the cam members 26654 may protrude proximally out of their respective cam slots 26609 .
  • the cartridge verification system 26440 comprises a cartridge verification member or shuttle member 26442 that is attached to an underside of an anvil mounting portion 26410 of the anvil 26400 .
  • the cartridge verification member 26442 may be of one-piece construction and include a pair of downwardly extending shuttle legs 26444 that are bifurcated by a firing member slot 26447 ( FIG. 91 ) to facilitate passage of the firing member 26120 therebetween.
  • the cartridge verification member 26442 may be of two-piece construction which consists of two separate downwardly extending shuttle legs 26444 that are separated from each other by a space 26448 that is configured to accommodate passage of the firing member body 26122 therethrough.
  • the shuttle member 26442 may be fabricated from a compliant polymer or rubber material and be attached to the underside of the anvil mounting portion 26410 by appropriate adhesive of fastener arrangements.
  • each shuttle leg 26444 includes a distally protruding sled actuator arm 26446 .
  • the cartridge body 26602 includes two proximally protruding verification features or cartridge key portions 26630 that are configured to unlockingly engage the sled actuator arm 26446 on a corresponding shuttle leg 26444 when the cartridge 26600 is operably seated in the channel 26310 .
  • the sled actuator arms 26446 would otherwise contact the protruding cam members 26654 and push or urge the camming assembly 26650 distally into a position wherein the unlocking portion 26653 on the camming assembly 26650 is no longer in unlocking engagement with the sled latch 26148 on the firing member lock 26142 .
  • FIG. 87 illustrates initial installation of a compatible surgical staple cartridge 26600 into the end effector 26300 .
  • the anvil 26400 is shown in a fully open position.
  • the anvil 26400 is movably journaled on the channel such that upon application of an initial closure motion thereto from a closure member arrangement of many of the various closure systems described herein, the anvil 26400 pivots to a partially closed position or intermediate position shown in FIG. 88 .
  • each sled actuator arm 26446 is confrontingly aligned with the corresponding verification feature 26630 on the cartridge body 26602 .
  • closure motion to the anvil 26400 may also cause the anvil 26400 to translate distally into a closed position.
  • the verification features 26630 block the distal movement of the corresponding compliant sled actuator arms 26446 to prevent the sled actuator arm 26446 from contacting the proximally protruding cam members 26654 .
  • the camming assembly 26650 remains in its starting position wherein the unlocking portion 26653 on the camming assembly 26650 remains in unlocking engagement with the sled latch 26148 on the firing member lock 26142 .
  • the firing member 26120 is free to move distally through the cartridge 26600 upon actuation of the firing drive system.
  • FIG. 92 illustrates a cartridge 26600 X that may be very similar to cartridge 26600 but is “incompatible” with the surgical end effector 26300 .
  • the cartridge 26600 X lacks the verification features or key portions 26630 of the cartridge 26600 .
  • the cartridge 26600 X may also differ from the cartridge 26600 in the numbers, sizes, locations, etc. of the fasteners contained therein, notwithstanding the fact that the cartridge 26600 X may have a camming assembly 26650 that is identical in construction and use as the camming assembly 26650 employed in cartridges 26600 .
  • FIGS. 93-95 illustrate insertion of an incompatible cartridge 26600 X into the surgical end effector 26300 .
  • FIG. 93 illustrates initial installation of an incompatible surgical staple cartridge 26600 X into the end effector 26300 .
  • the anvil 26400 is shown in a fully open position.
  • FIG. 94 illustrates the anvil 26400 in an intermediate position upon application of an initial closure motion thereto. When in that position, each sled actuator arm 26446 is confrontingly aligned with corresponding cam members 26654 that protrude proximally out of their respective cam slots 26609 . Further application of the closure motion to the anvil 26400 may cause the anvil 26400 to translate distally into a final closed position.
  • the sled actuator arms 26446 contact the proximally protruding cam members 26654 and move the camming assembly 26650 distally to a point wherein the unlocking portion 26653 thereon is no longer in engagement with the sled latch 26148 on the firing member lock 26142 .
  • the firing member lockout 26142 remains in locking engagement with the elongate channel 26310 of the end effector 26300 to prevent the distal advancement of the firing member 26120 upon actuation of the firing drive system.
  • FIGS. 96-98 illustrate another cartridge verification system 26440 ′ that may be employed with an end effector 26300 ′ that employs a firing member 20500 that is axially advanced by a firing member beam 1900 in the various manners discussed herein.
  • the firing member 20500 comprises a firing member body 20502 that is configured to axially pass through vertically aligned slots in the anvil (not shown), a staple cartridge 26600 ′, and the elongate channel 26310 ′.
  • a lower foot assembly 20506 that comprises a pair of laterally extending lower flanges extends from a bottom end of the firing member body 20502 to slidably engage corresponding channel ledges that are formed on each side of the channel slot.
  • An upper foot that comprises two laterally extending anvil tabs 20507 may be formed on an upper end of the firing member body 20502 and is configured to slidably engage anvil ledges (not shown) that are formed on each side of the anvil slot.
  • the firing member 20500 further includes a pair of central tabs (not shown) that extend laterally from each side of the firing member body 20502 .
  • the firing member body 20502 is also configured with a proximally extending spring tail 20512 that may be configured to operably interface with a firing member lockout spring (not shown) that is mounted in the elongate channel 26310 ′ and is configured to bias the firing member 20500 downward in the elongate channel 26310 ′ into a locked position.
  • a firing member lockout spring (not shown) that is mounted in the elongate channel 26310 ′ and is configured to bias the firing member 20500 downward in the elongate channel 26310 ′ into a locked position.
  • the firing member foot 20506 and/or the central tabs are misaligned with corresponding passages in the channel 20310 ′ and as such, should the user attempt to distally advance the firing member 20500 when in that locked out state, the firing member 20500 would not move distally due to such misalignment.
  • a sled latch 20514 is formed on the firing member body 20502 and is configured to be engaged by a proximally extending unlocking portion 26653 ′ on a camming assembly 26650 ′ that is operably supported in a proximal-most unfired or starting position within a compatible cartridge 26600 ′ that has been operably seated in the channel 26310 ′.
  • the unlocking portion 26653 ′ on the camming assembly 26650 ′ engages the sled latch 20514 on the firing member body 20502 and moves the firing member 20500 upward into an unlocked position wherein the lower foot assembly 20506 and/or the central tabs are aligned with their respective passages in the channel 26310 ′ to permit the firing member 20500 to axially advance therein.
  • the firing member 20500 As the user distally advances the firing member 20500 into the cartridge 26600 ′, the firing member 20500 also drives the camming assembly 20650 ′ therein which cams the drivers upward to drive the staples or fasteners supported thereon into forming contact with the underside of the anvil. The tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue. Once the firing member 20500 has been driven to its distal-most position corresponding to the ending position of the camming assembly 26650 ′, the firing member 20500 is retracted back to its proximal-most position, leaving the camming assembly 26650 ′ in the distal end of the cartridge 26600 ′.
  • this firing member lockout arrangement may also be referred to herein as a “spent cartridge lockout arrangement”.
  • the cartridge verification system 26440 ′ comprises an axially movable, cartridge verification member or seating shuttle 26442 ′ that is supported within the channel 26310 ′ for axial movement from a distal-most cartridge engagement position to a proximal verification location within the channel 26310 ′.
  • a shuttle spring 26449 ′ is mounted within the channel 26310 ′ and serves to bias the cartridge verification member or seating shuttle 26442 ′ into the distal-most cartridge engagement position.
  • the cartridge verification member or shuttle 26442 ′ further includes a pair of distally protruding sled actuator arms 26446 ′. The sled actuator arms 26446 ′ are positioned to contact corresponding cam members on a camming assembly of a non-compliant cartridge as will be discussed below.
  • FIG. 98 illustrates a proximal end portion 26604 ′ of the surgical staple cartridge 26600 ′ that is compatible with the surgical end effector 26300 ′.
  • the surgical staple cartridge 26600 ′ comprises an elongate cartridge body 26602 ′ that is sized to be removably seated in the elongate channel 26310 ′.
  • the cartridge body 26602 ′ includes a cartridge slot 26608 ′ that extends from the proximal end portion 26604 ′ to a distal end portion of the cartridge body 26602 ′.
  • the cartridge body 26602 ′ further comprises a cartridge deck surface 26610 ′ that confronts a staple-forming undersurface of the anvil when the cartridge 26600 ′ is seated in the channel 26310 ′ and the anvil is pivoted to a closed position.
  • the surgical staple cartridge 26600 ′ may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 26608 ′ that open through the cartridge deck surface 26610 ′.
  • Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 26602 ′ is molded from a polymer material with the staple pockets molded or machined therein.
  • the staple pockets also open through a bottom of the cartridge body 26602 ′ to facilitate installation of the drivers and fasteners into their respective pockets.
  • a cartridge pan 26620 ′ is attached to the bottom of the cartridge body 26602 ′.
  • the cartridge pan 26620 ′ may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 26602 ′ during handling and installation of the cartridge 26600 ′ into the elongate channel 26310 ′.
  • cartridge 26600 ′ operably supports a camming assembly 26650 ′ therein.
  • the camming assembly 26650 ′ comprises a central body portion 26652 ′ and a series of spaced cam members 26654 ′ that are configured to move axially within corresponding cam slots 26609 ′ formed on each side of the cartridge slot 26608 ′ in the cartridge body 26602 ′.
  • the cam slots 26609 ′ are aligned with corresponding lines of drivers in the cartridge body 26602 ′ to facilitate camming contact with a corresponding cam member 26654 ′ as the camming assembly 26650 ′ is driven through the staple cartridge 26600 ′ from a beginning position within the proximal end portion 26604 ′ of the cartridge body 26602 ′ to an ending position within the distal end portion of the cartridge body 26602 ′.
  • the central body portion 26652 ′ includes the proximally extending unlocking portion 26653 ′ that is configured to engage the sled latch 20514 on the firing member 20500 when the cartridge 26600 ′ has been properly loaded into the channel 26310 ′.
  • the compatible cartridge 26600 ′ further includes proximally protruding verification features or key formations 26630 ′ that are configured to engage the sled actuator arms 26446 ′ when the cartridge 26600 ′ is operably seated in the channel 26310 ′.
  • the cartridge body 26602 ′ additional has two side verification features or cartridge key formations 26632 ′ that are also configured to engage the cartridge verification member or shuttle 26442 ′.
  • the sled actuator arms 26446 ′ would otherwise contact the protruding cam members 26654 ′ and push or urge the camming assembly 26650 ′ distally into a position wherein the unlocking portion 26653 ′ on the camming assembly 26650 ′ is no longer in unlocking engagement with the sled latch 20514 on the firing member 20500 .
  • the verification features or key formations 26630 ′, 26632 ′ each have an angled lower alignment surface 26634 ′ thereon that facilitate initial insertion of the cartridge 26600 ′ into the channel 26310 ′ at a first position angle FPA wherein the angled lower alignment surfaces 26634 ′ avoid abutting contact with the sled actuator arms 26446 ′.
  • the surfaces 26634 ′ may be referred to herein as secondary surfaces.
  • the cartridge 26600 ′ is then pivoted downward into the channel 26310 ′ into position 2 wherein vertical abutment surfaces 26636 ′ (secondary surfaces) on the verification features or cartridge key formations 26630 ′, 26632 ′ abut the corresponding vertical abutment surfaces 26641 ′ and 26647 ′ (primary surfaces) on the cartridge verification member or shuttle 26442 ′.
  • the user may then advance the cartridge 26600 ′ proximally into position 3 within the elongate channel 26310 ′.
  • FIG. 102 illustrates insertion of an incompatible cartridge 26600 X′ into the surgical end effector 26300 ′.
  • the incompatible cartridge 26600 X′ lacks the verification features or cartridge key formations 26630 ′, 26632 ′ that were provided on the compatible cartridge 26600 ′ to engage the cartridge verification member or shuttle 26442 ′.
  • the sled actuator arms 26446 ′ contact the protruding cam members 26654 ′ and push or urge the camming assembly 26650 ′ distally into a position wherein the unlocking portion 26653 ′ on the camming assembly 26650 ′ is not in unlocking engagement with the sled latch 20514 on the firing member 20500 .
  • the firing member 20500 remains locked in position and the user would be unable to distally advance the firing member 20500 into the incompatible cartridge 26600 X′.
  • FIGS. 103 and 104 illustrate insertion of the incompatible cartridge 26600 X′ into the end effector 26300 ′ wherein the incompatible cartridge 26600 X′ has been initially inserted too far proximally into the channel 26310 ′ such that the distal end of the firing member 20500 has contacted and pushed the camming assembly 26650 ′ or “sled” too far distally within the cartridge 26600 X′ so as to be in the appropriate position to unlockingly engage the sled latch 20514 portion of the firing member 20500 after the cartridge 26600 X′ has ultimately been seated in the channel 26310 ′ in a proper position.
  • the firing member 20500 may bump the camming assembly 26650 ′ or sled distally out of the firing member unlocking position such that once properly seated, the camming assembly 26650 ′ would fail to unlock the firing member 20500 . See FIGS. 105 and 106 .
  • FIGS. 107-109 illustrate another cartridge verification system 26440 ′′ that may be employed with an end effector 26300 ′′ that employs a firing member 20500 that is axially advanced by a firing member beam 1900 in the various manners discussed herein.
  • the firing member 20500 comprises a firing member body 20502 that is configured to axially pass through vertically aligned slots in the anvil (not shown), a staple cartridge, and the elongate channel 26310 ′′.
  • a lower foot assembly (not shown) that comprises a pair of laterally extending lower flanges extends from a bottom end of the firing member body 20502 to slidably engage corresponding channel ledges that are formed on each side of the channel slot.
  • An upper foot 20507 that comprises two laterally extending anvil tabs 20509 may be formed on an upper end of the firing member body 20502 and is configured to slidably engage anvil ledges (not shown) that are formed on each side of the anvil slot.
  • the firing member 20500 further includes a pair of central tabs 20510 that extend laterally from each side of the firing member body 20502 .
  • the firing member body 20502 is also configured with a proximally extending spring tail (not shown) that may be configured to operably interface with a firing member lockout spring (not shown) that is mounted in the elongate channel 26310 ′′ and is configured to bias the firing member 20500 downward in the elongate channel 26310 ′ into a locked position.
  • a firing member lockout spring (not shown) that is mounted in the elongate channel 26310 ′′ and is configured to bias the firing member 20500 downward in the elongate channel 26310 ′ into a locked position.
  • the firing member foot and/or the central tabs 20510 are misaligned with corresponding passages in the channel 20310 ′′ and as such, should the user attempt to distally advance the firing member 20500 when in this locked out state, the firing member 20500 would not move distally due to such misalignment.
  • a sled latch 20514 is formed on the firing member body 20502 and is configured to be engaged by a proximally extending unlocking portion on a camming assembly that is operably supported in a proximal-most starting position within a compatible cartridge that has been operably seated in the channel 26310 ′′.
  • an unlocking portion on the camming assembly engages the sled latch 20514 on the firing member body 20502 and moves the firing member 20500 upward into an unlocked position wherein the lower foot assembly and/or the central tabs 20510 are aligned with their respective passages in the channel 26310 ′′ to permit the firing member 20500 to axially advance therein.
  • the firing member 20500 also drives the camming assembly therein which cams the drivers upward to drive the staples or fasteners supported thereon into forming contact with the underside of the anvil.
  • a tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue.
  • the firing member 20500 is retracted back to its proximal-most position, leaving the camming assembly in the distal end (fired position) of the cartridge.
  • the lock spring once again biases the firing member 20500 back into its locked position.
  • the camming assembly is not in its starting position which is required to unlock the firing member 20500 .
  • Such firing member locking system may also be referred to herein as a “spent cartridge lockout system”.
  • the cartridge verification system 26440 ′′ comprises an axially movable, cartridge verification shuttle 26442 ′′ that is supported within the channel 26310 ′′ for axial movement from a distal-most cartridge engagement position to a proximal verification location within the channel 26310 ′′.
  • a shuttle spring 26449 ′′ is mounted within the channel 26310 ′′ and serves to bias the cartridge verification shuttle 26442 ′′ into the distal-most cartridge engagement position.
  • the cartridge verification shuttle 26442 ′′ further includes distally extending shuttle base members 26644 ′′ and pair of laterally movable shuttle drive arms 26450 ′′.
  • Each shuttle drive arm 26450 ′′ has a drive latch feature 26452 ′′ thereon that has an angled proximal drive surface 26454 ′′ and an angled distal drive surface 26456 ′′ that converge together to form a point 26548 ′′.
  • the shuttle drive arms 26450 ′′ are biased laterally inward into a driving position by the shuttle spring 26449 ′′.
  • the angled proximal drive surfaces 26454 ′′ are in driving engagement with the central tabs 20510 on the firing member 20500 as shown in FIGS. 107 and 108 .
  • distal advancement of the firing member 20500 will cause the seating shuttle 26442 ′′ to move distally therewith.
  • FIG. 109 illustrates a proximal end portion 26604 ′′ of a surgical staple cartridge 26600 ′′ that is compatible with the surgical end effector 26300 ′′ and seated within the channel 26310 ′′.
  • the surgical staple cartridge 26600 ′′ comprises an elongate cartridge body 26602 ′′ that is sized to be removably seated in the elongate channel 26310 ′′.
  • the cartridge body 26602 ′′ includes a cartridge slot 26608 ′′ that extends from the proximal end portion 26604 ′′ to a distal end portion of the cartridge body 26602 ′′.
  • the cartridge 26600 ′′ operably supports a camming assembly 26650 ′′ therein.
  • the camming assembly 26650 ′′ comprises a central body portion 26652 ′′ and a series of spaced cam members 26654 ′′ that are configured to move axially within corresponding cam slots 26609 ′′ formed on each side of the cartridge slot 26608 ′′ in the cartridge body 26602 ′′.
  • the cam slots 26609 ′′ are aligned with corresponding lines of drivers in the cartridge body 26602 ′′ to facilitate camming contact with a corresponding cam member 26654 ′′ as the camming assembly 26650 ′′ is driven through the staple cartridge 26600 ′′ from a beginning position within the proximal end portion 26604 ′′ of the cartridge body 26602 ′′ to an ending position within the distal end portion of the cartridge body 26602 ′′.
  • the central body portion 26652 ′′ includes the proximally extending unlocking portion 26653 ′′ that is configured to engage the sled latch 20514 on the firing member 20500 when the cartridge 26600 ′′ has been properly loaded into the channel 26310 ′′.
  • the compatible cartridge 26600 ′′ further includes proximally protruding unlocking features or cartridge key formations 26630 ′′ that are configured to engage the shuttle drive arms 26450 ′′ when the cartridge 26600 ′′ is operably seated in the channel 26310 ′′.
  • the verification shuttle 26442 ′′ is driven distally until each shuttle drive arm 26450 ′′ contacts a corresponding cartridge key formation 26630 ′′ which causes the shuttle drive arms 26450 ′′ to bias laterally outward.
  • the drive latch features 26452 ′′ on the shuttle drive arms 26450 ′′ disengage from the corresponding central tabs 20510 on the firing member body 20502 to permit the firing member 20500 to move distally without driving the verification shuttle 26442 ′′ distally.
  • the verification shuttle 26442 ′′ has not moved sufficiently distally so as to move the camming assembly 26650 ′′ out of unlocking engagement with the sled latch 20514 on the firing member 20500 . Therefore, the firing member 20500 may be driven distally through the compatible cartridge 26600 ′′ to drive the fasteners therefrom and to cut the tissue that has been clamped in the end effector 26300 ′′.
  • each central tab 20510 contacts the angled distal drive surface 26456 ′′ on the corresponding drive latch feature 26452 ′′ to bias the shuttle arms 26450 ′′ laterally to permit the central tabs 20510 to reengage the angled proximal drive surfaces 26454 ′′ so that the verification shuttle 26442 ′′ can once again be driven distally with the firing member 20500 .
  • FIGS. 107 and 108 illustrate an incompatible cartridge 26600 X′′ loaded into the surgical end effector 26300 ′′.
  • the incompatible cartridge 26600 X′′ lacks the proximally protruding unlocking features or cartridge key formations 26630 ′′ that are provided on the compatible cartridge 26600 ′′.
  • the cartridge verification shuttle 26442 ′′ also moves distally with the firing member 20500 .
  • the distal ends 26645 ′′ of the distally extending shuttle base members 26644 ′′ contact the camming assembly 26650 ′′ and move the camming assembly 26650 ′′ out of unlocking engagement with the sled latch 20514 on the firing member 20500 .
  • the unlocking portion 26653 ′′ of the camming assembly 26650 ′′ disengages the sled latch 20514 , the firing member body 20502 will drop into locking engagement with the elongate channel 26310 ′′ thereby preventing further distal advancement of the firing member 20500 .
  • each lateral stiffener member 26470 ′′ protrudes laterally outward from each shuttle arm 26450 ′′.
  • each lateral stiffener member 26470 ′′ is laterally aligned with a corresponding channel notch 26472 ′′ provided in each channel sidewall 26314 ′′ to provide clearance for the shuttle arms 26450 ′′ to move laterally when a compatible cartridge 26600 ′′ has been properly loaded into the end effector 26300 ′′.
  • the lateral stiffener members 26470 ′′ are no longer aligned with the channel notches 26472 ′′ in the channel sidewalls 26314 ′′ as can be seen in FIG. 108 .
  • the lateral stiffener members 26470 ′′ prevent the shuttle arms 26450 ′′ from biasing laterally outward out of engagement with the central tabs 20510 that extend laterally from each side of the firing member body 20502 .
  • the cartridge verification systems described herein may address various problems that may, from time-to-time, be encountered when using an end effector that is capable of initially accepting a variety of cartridges wherein some of the cartridges are not otherwise particularly compatible with the end effector.
  • a cartridge may operably fit into the channel of the end effector, but the cartridge may lack proper fastener configurations that are compatible with the forming pockets on the end effector anvil.
  • the incompatible cartridge may not have the proper numbers and forms of staples, etc.
  • the cartridge may not have a camming assembly that is compatible with the firing member lockout arrangement employed by the end effector.
  • Some cartridges may have an appropriate camming assembly, but the camming assembly may at some point have moved to a marginal unlocking position wherein the camming assembly may or may not unlockingly engage the firing member lockout arrangement.
  • At least some of the cartridge verification systems may address that issue.
  • the cartridge verification systems disclosed herein may also provide the ability to differentiate between an old obsolete cartridge and a newer more appropriate cartridge that has, for example, features that are better paired to the end effector components.
  • the cartridge verification systems may also ensure that a cartridge is properly seated in the end effector channel and minimize any misalignment of the cartridge in the channel wherein the proximal end of the cartridge is positioned relative to the firing member in an undesirable position wherein the central tabs on the firing member may get under the cartridge pan rather than on top of it as desired. Such misalignment may result in the damage and bending of the cartridge pan which could lead to premature locking of the firing member.
  • FIGS. 110-115 illustrate another cartridge verification system 27440 that may be employed with an end effector 27300 that employs a firing member 20500 (described above) that is axially advanced by a firing member beam 1900 in the various manners discussed herein.
  • the cartridge verification system 27440 comprises an axially movable cartridge verification member or shuttle 27442 that is supported within a channel 27310 of the end effector 27300 for axial movement from a distal-most cartridge engagement position to a proximal verification location within the channel 27310 .
  • the cartridge verification member or shuttle 27442 may be fabricated from spring steel and include an elongate body 27444 that has a blocking hook 27446 that is formed on a distal end 27445 of the elongate body 27444 . See FIG. 111 .
  • the cartridge verification member or shuttle 27442 further includes an actuator portion 27448 that is formed on a proximal end 27447 of the elongate body 27444 .
  • the cartridge verification member or shuttle 27442 is configured to axially move within a shuttle track 27360 that is formed in a channel bottom 27312 of the channel 27310 .
  • the shuttle track 27360 comprises a curved transverse portion 27362 that extends transversely relative to a channel slot 27313 that is centrally disposed in the channel bottom 27312 to accommodate axial passage of the firing member 20500 therethrough.
  • the transverse curved portion 27362 of the shuttle track 27360 terminates in a ramped track portion 27364 that is located on another side of the channel slot 27313 .
  • the ramped track portion 27364 has an angled bottom surface 27366 .
  • a proximal end 27370 of the shuttle track 27360 abuts an axial spring cavity 27380 that is configured to support a shuttle spring 27382 that is journaled on a spring retainer pin 27449 that protrudes proximally from the actuator portion 27448 of the cartridge verification member or shuttle 27442 .
  • the shuttle spring 27382 serves to bias the verification shuttle 27442 into a distal-most, locked position wherein the cartridge verification member or shuttle 27442 blocks distal advancement of a camming assembly 27650 and the firing member 20500 .
  • FIG. 110 illustrates a proximal end portion 27604 of a surgical staple cartridge 27600 that is compatible with the surgical end effector 27300 .
  • the surgical staple cartridge 27600 comprises an elongate cartridge body 27602 that is sized to be removably seated in the elongate channel 27310 .
  • the cartridge body 27602 includes a cartridge slot 27608 that extends from the proximal end portion 27604 to a distal end portion of the cartridge body 27602 .
  • the cartridge body 27602 further comprises a cartridge deck surface 27610 that confronts a staple-forming undersurface of the anvil when the cartridge 27600 is seated in the channel 27310 and the anvil is pivoted to a closed position.
  • the surgical staple cartridge 27600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 27608 that open through the cartridge deck surface 27610 .
  • Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 27602 is molded from a polymer material with the staple pockets molded or machined therein.
  • the staple pockets also open through a bottom of the cartridge body 27602 to facilitate installation of the drivers and fasteners into their respective pockets.
  • a cartridge pan 27620 is attached to the bottom of the cartridge body 27602 . When installed, the cartridge pan 27620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 27602 during handling and installation of the cartridge 27600 into the elongate channel 27310 .
  • cartridge 27600 operably supports a camming assembly 27650 therein.
  • the camming assembly 27650 comprises a central body portion 27652 and a series of spaced cam members 27654 that are configured to move axially within corresponding cam slots 27609 formed on each side of the cartridge slot 27608 in the cartridge body 27602 .
  • the cam slots 27609 are aligned with corresponding lines of drivers in the cartridge body 27602 to facilitate camming contact with a corresponding cam member 27654 as the camming assembly 27650 is driven through the staple cartridge 27600 from a beginning position within the proximal end portion 27604 of the cartridge body 27602 to an ending position within the distal end portion of the cartridge body 27602 .
  • the central body portion 27652 includes a proximally extending unlocking portion 27653 that is configured to engage the sled latch 20514 on the firing member 20500 when the cartridge 27600 has been properly loaded into the channel 27310 .
  • the compatible cartridge 27600 further includes a proximally protruding verification feature or cartridge key formation 27630 that is configured to engage the sled actuator 27448 when the cartridge 27600 is operably seated in the channel 27310 .
  • the verification feature 27630 biases the cartridge verification member or shuttle 27442 into the proximal-most, unlocked position wherein the camming assembly 27650 and the firing member 20500 may be distally displaced through the cartridge 27600 .
  • the blocking hook 27446 that is formed on the distal end 27445 of the elongate body 27444 of the cartridge verification member or shuttle 27442 is retracted into the curved transverse portion 27362 of the shuttle track 27360 and does not extend across the channel slot 27313 in the channel bottom 27312 .
  • the blocking hook 27446 is not extending across the channel slot 27313 , the firing member 20500 and the camming assembly 27650 can be advanced into the cartridge 27310 ′′.
  • FIGS. 114 and 115 illustrate the surgical end effector 27300 with an incompatible cartridge 27600 X installed therein.
  • the incompatible cartridge 27600 X lacks the verification feature or cartridge key formation 27630 that was provided on the compatible cartridge 27600 to engage the actuator portion 27448 of the cartridge verification member or shuttle 27442 .
  • the shuttle spring 27382 has biased the cartridge verification member or shuttle 27442 distally into its locked position wherein the blocking hook 27446 that is formed on the distal end 27445 of the elongate body 27444 of the cartridge verification member or shuttle 27442 extends transversely across the channel slot 27313 and into the ramped track portion 27364 .
  • the angled bottom surface 27366 causes the blocking hook 27446 to move upward into a position wherein the blocking hook 27446 blocks the distal advancement of the camming assembly 27650 and the firing member 20500 .
  • the blocking hook 27446 will block the distal advancement of the camming assembly 27650 and the firing member 20500 .
  • the portion of the blocking hook 27446 that transversely spans the channel slot 27313 may be reinforced with an additional reinforcement block portion 27450 that is attached thereto. That is the portion of the blocking hook 27446 that is reinforced has a cross-sectional thickness that is greater than a cross-sectional thickness of the remaining body portions of the cartridge verification member or shuttle 26442 .
  • Alternative arrangements are contemplated for use with those end effectors disclosed herein that employ an axially movable closure member for moving the anvil to a closed position such as, for example, an end effector closure tube.
  • the end effector closure tube may be configured to bias the verification shuttle to the locked, blocking position when the closure member is actuated to close the anvil.
  • the cartridge verification system 27440 may also be effectively employed with surgical end effectors that have rotary powered firing member arrangements with firing member lockout systems of the types disclosed herein.
  • FIGS. 116-119 illustrate an alternative surgical staple cartridge 28600 that may be employed in connection with various end effector arrangements disclosed herein.
  • the surgical staple cartridge 28600 comprises an elongate cartridge body 28602 that is sized to be removably seated in the elongate channel of the end effector.
  • the cartridge body 28602 includes a cartridge slot 28608 that extends from a proximal end portion 28604 of the cartridge body 28602 to a distal end portion of the cartridge body 28602 .
  • the cartridge body 28602 further comprises a cartridge deck surface 28610 that confronts a staple-forming undersurface of the anvil when the cartridge 28600 is seated in the channel and the anvil is pivoted to a closed position.
  • the surgical staple cartridge 28600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 28608 that open through the cartridge deck surface 28610 .
  • Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • the cartridge body 28602 is molded from a polymer material with the staple pockets molded or machined therein.
  • the staple pockets also open through a bottom of the cartridge body 28602 to facilitate installation of the drivers and fasteners into their respective pockets.
  • a cartridge pan 28620 is attached to the bottom of the cartridge body 28602 .
  • the cartridge pan 28620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 28602 during handling and installation of the cartridge 28600 into the elongate channel.
  • cartridge 28600 operably supports a camming assembly 28650 therein.
  • the camming assembly 28650 comprises a central body portion 28652 and a series of spaced cam members 28654 , 28654 ′ that are configured to move axially within corresponding cam slots 28609 formed on each side of the cartridge slot 28608 in the cartridge body 28602 .
  • the cam slots 28609 are aligned with corresponding lines of drivers in the cartridge body 28602 to facilitate camming contact with a corresponding cam member 28654 , 28654 ′ as the camming assembly 28650 is driven through the staple cartridge 28600 from a beginning position within the proximal end portion 28604 of the cartridge body 28602 to an ending position within the distal end portion of the cartridge body 28602 .
  • the cartridge 28600 is equipped with a camming assembly locking system 28440 that is configured to retain the camming assembly 28650 in its starting position unless the cartridge 28600 has been loaded into a compatible end effector.
  • the camming assembly locking system 28440 comprises a laterally displaceable lock feature 28442 that comprises an actuator portion 28444 and a locking tab 28446 .
  • the locking tab 28446 is configured to be received within a lock cavity 28655 provided in a corresponding cam member 28654 ′ when the camming assembly 28650 is in a locked position. See FIGS. 116 and 117 .
  • the actuator portion 28444 is configured to be contacted by an actuator lug or other portion of the end effector anvil when the anvil is moved to a closed position.
  • an actuator lug 28411 may be formed on an anvil mounting portion of any of the various anvils disclosed herein and be configured to laterally bias the actuator portion 28444 laterally into an unlocked position when the anvil is moved to a closed position.
  • the locking tab 28446 is moved laterally out of the lock cavity 28655 in the cam member 28654 ′ and the cam assembly 28650 may then be distally advanced through the cartridge 28600 when the firing drive system is activated as described herein. See FIGS. 118 and 119 .
  • a surgical stapling instrument comprises a cartridge jaw configured to receive a replaceable staple cartridge.
  • the stapling instrument further comprises a staple firing system configured to eject, or fire, staples from the staple cartridge and an anvil comprising forming surfaces, or pockets, configured to deform the staples.
  • the staple firing system comprises a tissue cutting knife which is moved from a proximal end of the staple cartridge toward a distal end during a staple firing stroke. During the staple firing stroke, the tissue cutting knife abuts and pushes a sled in the staple cartridge which drives the staples toward and against the anvil.
  • the staples are implanted in the tissue in longitudinal rows and the tissue cutting knife incises the tissue between two of the longitudinal staple rows.
  • the tissue cutting knife is retracted proximally.
  • the cartridge sled is not retracted proximally with the tissue cutting knife. Instead, the cartridge sled is left behind at the distal-most position in which it was pushed by the tissue cutting knife. After a staple cartridge has been fired, or at least partially fired, it is removed from the cartridge jaw and then replaced with another replaceable staple cartridge, if desired.
  • the stapling instrument can be re-used to continue stapling and incising the patient tissue.
  • a previously-fired staple cartridge can be accidentally loaded into the cartridge jaw. If the tissue cutting knife were to be advanced distally within such a previously-fired staple cartridge, the stapling instrument would cut the patient tissue without stapling it. The stapling instrument would similarly cut the patient tissue without stapling it if the tissue cutting knife were advanced distally through a staple firing stroke without a staple cartridge positioned in the cartridge jaw at all.
  • the stapling instrument comprises one or more lockouts which prevents this from happening, as discussed in greater detail below.
  • 2004/0232197 entitled SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRING MECHANISM, filed on May 20, 2003, which issued on Dec. 27, 2005 as U.S. Pat. No. 6,978,921, U.S. Patent Application Publication No. 2004/0232196, entitled SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, filed on May 20, 2003, U.S. Patent Application Publication No.
  • a surgical stapling instrument 30000 comprises a cartridge jaw, or channel, 30010 and a staple cartridge 30020 seated in the cartridge jaw 30010 .
  • the staple cartridge 30020 comprises a cartridge body 30022 , staple cavities defined in the cartridge body 30022 , and staples removably stored in the staple cavities.
  • the staple cartridge 30020 further comprises a sled 30030 and staple drivers which are driven by the sled 30030 to eject the staples from the staple cavities as the sled 30030 is advanced distally during a staple firing stroke.
  • the stapling instrument 30000 further comprises a firing member 30040 which is configured to engage the sled 30030 and push the sled 30030 distally, as discussed in greater detail below.
  • the firing member 30040 comprises a cutting portion 30042 including a tissue knife 30044 .
  • the cutting portion 30042 further comprises a distal nose 30043 which is configured to sit on a shoulder 30033 defined on the sled 30030 when the sled 30030 is in its unfired position in the staple cartridge 30020 and the firing member 30040 is moved distally from its unfired position illustrated in FIG. 120 .
  • the firing member 30040 can be advanced distally to perform the staple firing stroke.
  • the cutting portion 30042 further comprises a first camming member 30046 configured to engage a cam surface of the channel 30010 and a second camming member 30048 configured to engage a cam surface on the anvil of the stapling instrument 30000 which co-operate to position the anvil and the staple cartridge 30020 relative to one another. That said, embodiments are envisioned without one or both of the camming members 30046 and 30048 .
  • the firing member 30040 is biased toward the channel 30010 by a spring and, if the sled 30030 is not in its unfired position when the firing member 30040 is advanced distally to start the staple firing stroke, the distal nose 30043 of the cutting portion 30042 will miss, or not land on, the shoulder 30033 and the cutting portion 30042 will dive downwardly toward the channel 30010 instead.
  • the cutting portion 30042 comprises lockout pins 30045 extending laterally therefrom which enter a lockout window, or recess, 30012 defined in the channel 30010 when the distal nose 30043 does not land on the shoulder 30033 of the sled 30030 .
  • the firing member 30040 is permitted to travel distally within the lockout window 30012 ; however, the distal end of the lockout window 30012 comprises a lockout shoulder 30015 which is contacted by the lockout pins 30045 to stop the distal advancement of the firing member 30040 .
  • the firing member 30040 is locked out and prevented from performing its staple firing stroke.
  • the interaction between the distal nose 30043 of the cutting portion 30042 and the shoulder 30033 of the sled 30030 would have prevented the firing member 30040 from diving into the lockout window 30012 and the staple firing stroke could have been performed.
  • the firing member 30040 would dive into the lockout window 30012 if the firing member 30040 were advanced distally without a staple cartridge positioned in and/or a staple cartridge properly seated in the cartridge channel 30010 .
  • the surgical instrument 30000 comprises a lockout which prevents the staple firing stroke if the staple cartridge in the surgical instrument 30000 is missing, improperly seated, and/or has been at least partially spent. That said, various instances can arise where a staple cartridge has not been fired, i.e., all of its staples are still positioned in their staple cavities, and, yet, the distal nose 30043 of the cutting portion 30042 can miss the shoulder 30033 of the sled 30030 owing to various manufacturing tolerances, for instance. Such instances would cause the firing member 30040 to be locked out unnecessarily and require a clinician to replace the staple cartridge with another staple cartridge. Such instances may not happen that often, but if they do they are inconvenient to the clinician.
  • a surgical instrument 30100 is illustrated in FIG. 122 and includes an improvement which can reduce the possibility of the distal nose 30043 of the cutting portion 30042 missing the shoulder 30033 of the sled 30030 .
  • the surgical instrument 30100 is similar to the surgical instrument 30000 in many respects but includes a staple cartridge 30120 instead of the staple cartridge 30020 .
  • the staple cartridge 30120 comprises a cartridge body 30122 , staple cavities defined in the cartridge body 30122 , and staples removably stored in the staple cavities. Referring to FIG.
  • the staple cartridge 30120 further comprises a sled 30030 which, similar to the above, is movable distally from an unfired position during a staple firing stroke if the distal nose 30043 of the cutting portion 30042 catches the shoulder 30033 of the sled 30030 . If not, referring to FIG. 124 , the cutting portion 30042 is pushed into the lockout window 30012 defined in the cartridge channel 30010 when the firing member 30040 is advanced distally.
  • the cartridge body 30122 comprises proximal ramps 30126 configured to lift the firing member 30040 upwardly when the firing member 30040 is advanced distally. More specifically, the lockout pins 30045 extending laterally from the firing member 30040 contact ramp surfaces 30127 defined on the proximal ramps 30126 which guide the cutting portion 30042 away from the lockout window 30012 when the firing member 30040 is advanced distally. They do so, further to the above, against the biasing force of the spring pushing the firing member 30040 toward the cartridge channel 30010 .
  • the lifting of the firing member 30040 in this manner increases the probability that the nose 30043 of the firing member 30040 will land on the shoulder 30033 of the sled 30030 —even if the sled 30030 has been accidentally pushed slightly distally from its unfired position. Thus, the possibility of an unfired staple cartridge becoming unintentionally locked out is reduced. If the staple cartridge 30120 has been at least partially fired, however, the nose 30043 will miss the shoulder 30033 and the lockout pins 30045 will fall through a window 30125 defined between the proximal ramps 30126 and into the lockout window 30012 . Thus, as above, the surgical instrument 30100 will be locked out if an at least partially spent staple cartridge 30120 is seated in the cartridge channel 30010 .
  • the surgical instrument 30100 will be locked out if a staple cartridge is missing from the cartridge channel 30010 and the staple firing stroke is initiated as the firing member 30040 will immediately enter the lockout window 30012 owing to the absence of the proximal ramps 30126 .
  • the ramps 30126 are positioned proximally with respect to the shoulder 30033 of the sled 30030 .
  • the firing member 30040 must consecutively pass the missing cartridge/improper cartridge lockout provided by the ramps 30126 and the spent cartridge lockout provided by the sled 30030 as the firing member 30040 is moved distally to perform the staple firing stroke.
  • the ramps 30126 lift the firing member 30040 to a proper height to be supported by the sled 30030 .
  • the ramps 30126 of the cartridge body 30122 and the shoulder 30033 of the sled 30030 work together to defeat the lockouts of the stapling instrument 30100 .
  • a staple cartridge 30220 is illustrated in FIG. 127 in accordance with at least one alternative embodiment.
  • the staple cartridge 30220 comprises a cartridge body 30222 which is similar to the cartridge body 30122 in many respects. That said, the cartridge body 30222 comprises proximal ramps 30226 which extend further proximally than the proximal ramps 30126 . As such, the firing member 30040 will be lifted earlier in its staple firing stroke when a staple cartridge 30220 is used.
  • the staple cartridge 30220 can include a larger drop window 30225 than the drop window 30125 .
  • the proximal ramps 30226 comprise ramp surfaces 30227 which are shorter than the ramp surfaces 30127 .
  • the firing member 30040 will not be lifted as high when a staple cartridge 30220 is used as compared to when a staple cartridge 30120 is used. In any event, such parameters can be used to hone an appropriate lifting motion for the firing member 30040 .
  • the lockout pins 30045 of the firing member 30040 are configured to contact the ramps 30226 which lift the firing member 30040 such that the firing member 30040 can land on the shoulder 30033 of the sled 30030 if the sled 30030 is properly positioned in the staple cartridge 30220 .
  • ramps can lift any suitable portion of a staple firing member onto the shoulder 30033 of the sled 30030 .
  • the firing member 30040 can comprise laminate bars attached to the cutting portion 30042 which contact the ramps 30226 and cause the firing member 30040 to be lifted upwardly when the staple firing stroke is initiated.
  • the staple cartridge 30220 comprises a pan 30024 at least partially extending under the cartridge body 30222 .
  • the pan 30024 is configured to prevent the staple drivers and/or staples within the cartridge body 30222 from falling out of the bottom of the cartridge body 30222 .
  • the pan 30024 comprises latches 30021 engaged with slots defined in the cartridge body 30222 .
  • the pan 30024 further comprises windows 30029 defined therein which, in co-operation with projections extending from the cartridge body 30222 , align the pan 30024 with the cartridge body 30222 .
  • the lifts ramps 30226 can extend from the pan 30024 .
  • a surgical stapling instrument 30300 is illustrated in FIG. 128 .
  • the stapling instrument 30300 is similar to the stapling instrument 30200 in many respects. That said, the stapling instrument 30300 comprises a staple cartridge 30320 instead of the staple cartridge 30220 .
  • the staple cartridge 30320 comprises a cartridge body 30322 , staple cavities defined in the cartridge body 30322 , and staples removably stored in the staple cavities.
  • the cartridge body 30322 further comprises a longitudinal slot 30023 defined therein which is configured to receive the firing member 30040 and, in addition, a proximal ramp 30327 extending in front of the longitudinal slot 30023 which lofts the firing member 30040 onto the sled 30030 if the sled 30030 is in, or at least nearly in, its unfired position, as illustrated in FIG. 129 . If the sled 30030 has been at least partially advanced through its staple firing stroke, the shoulder 30033 will not catch the nose 30043 of the firing member 30040 and the cutting portion 30042 will fall through a window defined between ramp supports 30326 and into the lockout window 30012 . [ 0402 ] Referring to FIGS.
  • the ramp 30327 also comprises a gate configured to pivot out of the way of the firing member 30040 when a sufficient pushing force is applied to the firing member 30040 .
  • the ramp 30327 comprises a first end rotatably mounted to one of the ramp supports 30326 and a second end releasably attached to the other ramp support 30326 . Referring to FIGS.
  • the second end of the ramp 30327 is configured to release from its ramp support 30326 after the firing member 30040 has been lofted upwardly such that, once the ramp 30327 gives way, the nose 30043 of the firing member 30040 falls on the shoulder 30033 of the sled 30030 —if the sled 30030 is in its unfired position, or at least close to its unfired position. At such point, the ramp 30327 no longer impedes the distal movement of the firing member 30040 and the firing member 30040 can be advanced distally through the longitudinal slot 30023 . The ramp 30327 remains displaced to the side throughout the staple firing stroke and after the firing member 30040 has been retracted back into its unfired position.
  • the displaced ramp 30327 cannot lift the firing member 30040 if the firing member 30040 were to be advanced distally once again.
  • the lockout pins 30045 of the cutting portion 30042 would be pushed into the lockout window 30012 by the spring acting against the firing member 30040 if the firing member 30040 were advanced distally before the spent staple cartridge 30320 is replaced.
  • the ramp 30327 acts as a spent cartridge lockout.
  • the ramp 30327 is configured to break away from the cartridge body 30322 to release the firing member 30040 .
  • the lockout arrangement of the stapling instrument 30300 also acts as an improper/incompatible cartridge lockout. If an improper, or incompatible, staple cartridge not having the ramp 30327 , or another suitably configured ramp, were to be seated in the cartridge channel 30010 , the firing member 30040 would not be lofted onto a sled of the improper staple cartridge and, instead, the lockout pins 30045 would be forced into the lockout window 30012 thereby locking out the staple firing system. In such instances, the firing member 30040 can be retracted back into its unfired position and the improper/incompatible staple cartridge can be replaced with a proper/compatible staple cartridge.
  • the accidental swapping of an improper staple cartridge for a proper staple cartridge can happen in an operating room where certain staple cartridges are meant to be only used with certain stapling instruments, among other instances.
  • the ramp 30327 extends behind the sled 30030 .
  • the ramp 30327 can protect the sled 30030 from being bumped distally accidentally.
  • the staple cartridge 30320 is loaded into the stapling instrument 30300 by inserting the proximal end of the staple cartridge 30320 into the cartridge channel 30010 first and then seating the staple cartridge 30320 in the cartridge channel 30010 .
  • the sled 30030 may no longer be positioned to defeat the staple firing lockout of the stapling instrument 30300 when the staple firing stroke is initiated and, thus, the stapling firing lockout will treat this staple cartridge 30320 as being spent and it must be replaced to use the stapling instrument 30300 .
  • the ramp 30327 can prevent this as it extends proximally behind the sled 30030 and can prevent the sled 30030 from being bumped distally within the staple cartridge 30320 when the staple cartridge 30320 is being installed.
  • the firing member 30040 is advanced distally, at least partially, to assess whether or not the sled 30030 is properly positioned and that the staple firing lockout has been defeated. More specifically, the firing member 30040 is advanced distally until the firing member 30040 is supported by the sled 30030 to perform the staple firing stroke—if the sled 30030 is properly positioned in the staple cartridge 30320 —or contact the lockout shoulder 30015 if the sled 30030 is not properly positioned in the staple cartridge 30320 or the staple cartridge 30320 is missing from the cartridge channel 30010 .
  • the firing member 30040 may need to be retracted to be able to insert an unspent staple cartridge 30320 into the cartridge channel 30010 and/or retracted to start another staple firing stroke.
  • the surgical instrument 30400 of FIGS. 134 and 135 is configured to limit the travel of a firing member such that the firing member can be stopped before it reaches the lockout shoulder 30015 if the staple cartridge is missing from the cartridge channel, as discussed in greater detail below.
  • the firing member 30440 of the surgical instrument 30400 is similar to the firing member 30040 in many respects but comprises a cutting member 30442 including secondary lockout pins 30449 extending laterally therefrom. If the staple cartridge 30320 is not positioned in the cartridge channel 30410 of the stapling instrument 30400 , the cutting member 30442 will immediately enter the lockout window 30012 when the firing member 30440 is advanced distally and the secondary lockout pins 30449 will quickly contact a secondary lockout shoulder 30419 in the lockout window 30012 . Thus, if a staple cartridge 30320 is not present in the cartridge channel 30410 , the firing member 30440 will not have to travel distally until it contacts the lockout shoulder 30015 .
  • the distance in which the firing member 30440 needs to be retracted is at least reduced.
  • the secondary lockout shoulder 30419 is positioned such that the cutting member 30442 does not need to be retracted at all. In such instances, as a result, an unspent staple cartridge 30320 can be inserted into the channel 30410 and the staple firing stroke can be completed without having to retract the firing member 30440 .
  • the interaction between the lockout pins 30449 and the lockout shoulder 30419 provides a missing cartridge lockout. If the staple cartridge 30320 is seated in the cartridge channel 30410 , the cutting member 30442 engages the ramp 30327 of the staple cartridge 30320 which lifts the lockout pins 30449 over the lockout shoulder 30419 . Stated another way, the presence of the staple cartridge 30320 in the cartridge channel 30010 defeats the secondary staple firing lockout.
  • the sled 30030 of the staple cartridge 30320 must be properly positioned in the staple cartridge 30320 in order for the staple firing stroke to be completed as the nose 30043 of the cutting member 30442 must still land on the shoulder 30033 of the sled 30030 in order for the lockout pins 30045 to be lifted over the lockout shoulder 30015 , as described above.
  • the presence of the sled 30030 in the staple cartridge 30320 in its unfired position defeats the primary firing lockout and the presence of the staple cartridge 30320 in the cartridge channel 30410 defeats the secondary firing lockout.
  • the stapling instrument 30400 comprises a primary missing cartridge lockout and a secondary missing cartridge lockout, where the primary missing cartridge lockout also serves as a spent cartridge lockout.
  • a surgical stapling instrument 30500 is illustrated in FIG. 136 .
  • the stapling instrument 30500 is similar to the stapling instrument 30000 in many respects.
  • the stapling instrument 30500 comprises a cartridge channel 30510 , a staple cartridge 30520 removably positionable in the cartridge channel 30510 , a firing member 30040 , and a staple firing lockout 30514 .
  • the staple firing lockout 30514 comprises a resilient metal spring, for example, mounted in the cartridge channel 30510 . That said, the staple firing lockout 30514 can be comprised of any suitable material.
  • the staple firing lockout 30514 comprises a base mounted in the cartridge channel 30510 and flexible lock arms 30516 extending from the base.
  • Each flexible lock arm 30516 moves independently of the other and comprises a lock window 30515 defined therein which is configured to receive and releasably capture a lockout pin 30045 extending from the firing member 30040 .
  • the flexible lock arms 30516 are configured such that they extend inwardly toward and/or against the side of the firing member 30040 and are, thus, biased to capture the lockout pins 30045 .
  • the staple firing member 30040 is prevented from being advanced distally through a staple firing stroke.
  • the staple cartridge 30520 comprises a cartridge body 30522 , staple cavities defined in the cartridge body 30522 , and staples removable stored in the staple cavities.
  • the staple cartridge 30520 further comprises a pan 30024 attached to the cartridge body 30522 and a sled configured to travel distally within the staple cartridge 30520 to eject the staples from the staple cavities during a staple firing stroke.
  • the firing member 30040 is configured to push the sled distally to perform the staple firing stroke once the firing member 30040 has been unlocked. To this end, referring to FIGS.
  • the cartridge body 30522 comprises projections, or keys, 30526 extending proximally therefrom which are configured to engage the lock arms 30516 when the staple cartridge 30520 is seated in the cartridge channel 30510 .
  • the ends of the lock arms 30516 flare outwardly such that, when the projections 30526 contact the lock arms 30516 , the lock arms 30516 aren't trapped between the projections 30526 and the firing member 30040 .
  • the projections 30526 flex the lock arms 30516 laterally outwardly such that the lockout pins 30045 extending from the firing member 30040 are no longer positioned in the lockout windows 30515 of the firing lockout 30514 when the staple cartridge 30520 is seated in the cartridge channel 30510 .
  • the act of seating the staple cartridge 30520 in the cartridge channel 30510 unlocks the stapling instrument 30500 .
  • a staple cartridge 30520 is not seated in the cartridge channel 30510 , as discussed above, the firing member 30040 remains locked by the firing lockout 30514 and the stapling instrument 30500 cannot be used to staple the patient's tissue. If a staple cartridge is seated in the cartridge channel 30510 that does not have the projections, or keys, 30526 , such as the staple cartridge 30020 , for example, it will not unlock the firing lockout 30514 , as illustrated in FIGS. 137 and 138 , and, as a result, the stapling instrument 30500 cannot be used to staple the patient's tissue. As depicted in FIGS.
  • the proximal end of the cartridge body 30022 does not engage, and/or sufficiently displace, the lock arms 30516 .
  • the staple cartridge 30020 would be an improper staple cartridge as it does not unlock the staple firing drive of the stapling instrument 30500 and, correspondingly, the staple cartridge 30520 would be a proper staple cartridge as it can unlock the staple firing drive of the stapling instrument 30500 .
  • the firing lockout 30514 is both a missing cartridge lockout and an improper cartridge lockout.
  • the stapling instrument 30500 can further comprise a spent cartridge lockout.
  • the improper staple cartridge can be removed and a proper staple cartridge, i.e., a staple cartridge 30520 , can be seated in the stapling instrument 30500 to unlock the staple firing drive.
  • the lockout pins 30045 of the firing member 30040 engage the lock shoulder 30015 if the sled 30030 is not in its proper position in the staple cartridge 30020 .
  • the firing member 30040 of the stapling instrument 30000 is advanced distally before engaging the lock shoulder 30015 and, thus, has time to accelerate before contacting the lock shoulder 30015 . As such, the firing member 30040 of the stapling instrument 30000 can impact the lock shoulder 30015 with significant speed and energy.
  • the lock shoulder 30015 is robustly designed to absorb this impact; however, there exists a possibility that the firing member 30040 can plow or blow through the lock shoulder 30015 thereby unintentionally defeating the staple firing lockout of the stapling instrument 30000 .
  • the lockout 30514 of FIGS. 136 and 137 can reduce, if not eliminate, these potential problems.
  • the lock windows 30515 of the firing lockout 30514 are sized and configured to prevent little, if any, proximal and distal translation of the staple firing member 30040 while the lock arms 30516 are engaged with the lockout pins 30045 and, thus, the staple firing member 30040 has little, if any, time to accelerate before being stopped by the distal ends of the lock windows 30515 .
  • the lock arms 30516 are placed in tension and, as a result, are capable of handling significant loads before failing, if they fail at all.
  • both lock arms 30516 are disengaged from the firing member 30040 by the cartridge body 30522 when the staple cartridge 30520 is seated in the stapling instrument 30500 . That said, alternative embodiments are envisioned in which a first component of a staple cartridge unlocks a first lock arm 30516 and a second component of the staple cartridge unlocks a second lock arm 30516 when the staple cartridge is seated in the stapling instrument 30500 . For instance, a cartridge body of the staple cartridge can unlock the first lock arm 30516 and a sled of the staple cartridge can unlock the second lock arm 30516 .
  • a surgical stapling instrument 30600 is illustrated in FIG. 140 and a surgical stapling instrument 30700 is illustrated in FIG. 141 .
  • the stapling instruments 30600 and 30700 are similar to the stapling instrument 30500 in many respects.
  • the stapling instrument 30600 comprises a cartridge channel 30610 , a staple cartridge 30620 removably positionable in the cartridge channel 30610 , and a staple firing lockout 30614 mounted to the cartridge channel 30610 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30620 is seated in the cartridge channel 30610 .
  • FIG. 140 the stapling instrument 30600 comprises a cartridge channel 30610 , a staple cartridge 30620 removably positionable in the cartridge channel 30610 , and a staple firing lockout 30614 mounted to the cartridge channel 30610 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30620 is seated in the cartridge channel 30610 .
  • the stapling instrument 30700 comprises a cartridge channel 30710 , a staple cartridge 30720 removably positionable in the cartridge channel 30710 , and a staple firing lockout 30714 mounted to the cartridge channel 30710 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30720 is seated in the cartridge channel 30710 .
  • seating the staple cartridge 30720 in the stapling instrument 30600 does not unlock the staple firing system of the stapling instrument 30600 and, likewise, seating the staple cartridge 30620 in the stapling instrument 30700 does not unlock the staple firing system of the stapling instrument 30700 .
  • the stapling instruments 30600 and 30700 can be used in the same operating room at the same time without the possibility of being used with the wrong staple cartridge, despite the fact that the staple cartridges 30620 and 30720 may be confusingly similar.
  • the staple cartridge 30620 further comprises a cartridge body 30622 including a proximal end 30626 that is angled such that the center of the cartridge body 30622 , i.e., the portion closest to the longitudinal slot 30023 , extends further proximally than the lateral sides of the cartridge body 30622 .
  • the staple cartridge 30620 further comprises a sled 30630 , which is similar to the sled 30030 in many respects, that comprises a proximal end 30636 having a profile that matches, or at least substantially matches, the profile of the proximal end 30626 of the cartridge body 30622 .
  • the firing lockout 30614 is similar to the firing lockout 30514 .
  • the firing lockout 30614 comprises lock arms 30616 which releasingly hold the firing member 30040 in its unfired position until the lock arms 30616 are displaced laterally by the proximal end of the cartridge body 30622 and/or the proximal end of the sled 30630 to release the lockout pins 30045 from lock windows defined in the lock arms 30616 . If the staple cartridge 30620 is removed from the cartridge channel 30610 , the lock arms 30616 resiliently return to their locked position.
  • the staple cartridge 30700 further comprises a cartridge body 30722 including a proximal end 30726 that is angled such that the laterals sides of the cartridge body 30722 , i.e., the portions furthest away from the longitudinal slot 30023 , extend further proximally than the center of the cartridge body 30722 .
  • the staple cartridge 30720 further comprises a sled 30730 , which is similar to the sled 30030 in many respects, that comprises a proximal end 30736 having a profile that matches, or at least substantially matches, the profile of the proximal end 30726 of the cartridge body 30722 .
  • the firing lockout 30714 is similar to the firing lockout 30514 .
  • the firing lockout 30714 comprises lock arms 30716 which releasingly hold the firing member 30040 in its unfired position until the lock arms 30716 are displaced laterally by the proximal end of the cartridge body 30722 and/or the proximal end of the sled 30730 to release the lockout pins 30045 from lock windows defined in the lock arms 30716 . If the staple cartridge 30720 is removed from the cartridge channel 30710 , the lock arms 30716 resiliently return to their locked position.
  • the proximal end of the staple cartridge 30620 would not displace, or at least sufficiently displace, the lock arms 30716 of the firing lockout 30714 to disengage the firing lockout 30714 from the firing member 30040 if the staple cartridge 30620 were to be seated in the stapling instrument 30700 .
  • the proximal end of the staple cartridge 30720 would not displace, or at least sufficiently displace, the lock arms 30616 of the firing lockout 30614 to disengage the firing lockout 30614 from the firing member 30040 if the staple cartridge 30720 were to be seated in the stapling instrument 30600 .
  • the staple cartridges 30620 and 30720 each comprise unique keying features which unlock their respective, or proper, stapling instruments.
  • the cartridge body and/or sled of a staple cartridge, or staple cartridge type can comprise one or more unique keying features which can only unlock its respective stapling instrument.
  • the pan extending under the cartridge body can comprise a proximal feature, or key, configured to unlock the staple firing drive of its stapling instrument.
  • a cartridge pan 30824 which is similar to the pan 30024 in many respects, comprises a proximal projection, or key, 30826 configured to unlock the staple firing drive of a stapling instrument.
  • the projection 30826 is comprised of folded sheet metal to form a tubular structure, for example.
  • the tubular structure is strengthened by a nested interconnection including a tab 30827 and a slot 30828 .
  • a surgical stapling instrument 30900 is illustrated in FIGS. 145 and 147 and a surgical stapling instrument 31000 is illustrated in FIG. 148 .
  • the stapling instruments 30900 and 31000 are similar to the stapling instrument 30500 in many respects.
  • the stapling instrument 30900 comprises a cartridge channel 30910 , a staple cartridge 30920 removably positionable in the cartridge channel 30910 , and a staple firing lockout 30914 mounted to the cartridge channel 30910 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30920 is seated in the cartridge channel 30910 .
  • FIG. 145 the stapling instrument 30900 comprises a cartridge channel 30910 , a staple cartridge 30920 removably positionable in the cartridge channel 30910 , and a staple firing lockout 30914 mounted to the cartridge channel 30910 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30920 is seated
  • the stapling instrument 31000 comprises a cartridge channel, a staple cartridge 31020 removably positionable in the cartridge channel, and a staple firing lockout 31014 mounted to the cartridge channel which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 31020 is seated in the cartridge channel.
  • the staple firing lockout 30914 comprises only one lock arm 30916 which extends alongside the right side of the firing member 30040 . That said, the one lock arm 30916 comprises a lock window defined therein which is configured to capture and suitably hold a lockout pin 30045 of the firing member 30040 to hold the firing member 30040 in its unfired position, as illustrated in FIG. 147 , until the staple cartridge 30920 is seated in the cartridge channel 30910 , as illustrated in FIG. 145 .
  • the cartridge body 30922 of the staple cartridge 30920 comprises a proximal projection, or key, 30926 extending from the right side of the cartridge body 30922 that engages the lock arm 30916 and flexes the lock arm 30916 laterally outwardly when the staple cartridge 30920 is seated in the cartridge channel 30910 .
  • the cartridge body 30922 does not comprise a projection, or key, 30926 extending from the left side of the cartridge body 30922 .
  • the staple firing lockout 31014 comprises only one lock arm 31016 which extends alongside the left side of the firing member 30040 . That said, the one lock arm 31016 comprises a lock window defined therein which is configured to capture and suitably hold a lockout pin 30045 of the firing member 30040 to hold the firing member 30040 in its unfired position, as illustrated in FIG. 148 , until the staple cartridge 31020 is seated in the cartridge channel of the stapling instrument 31000 .
  • the cartridge body 31022 of the staple cartridge 31020 comprises a proximal projection, or key, 31026 extending from the left side of the cartridge body 31022 that engages the lock arm 31016 and flexes the lock arm 31016 laterally outwardly when the staple cartridge 31020 is seated in the stapling instrument 31000 .
  • the cartridge body 31022 does not comprise a projection, or key, 31026 extending from the right side of the cartridge body 31022 .
  • the stapling instruments 30900 and 31000 can be used in the same operating room at the same time without the possibility of being used with the wrong staple cartridge despite the fact that the staple cartridges 30920 and 31020 may be confusingly similar.
  • the staple pattern produced by the staple cartridge 30920 is different than the staple pattern produced by the staple cartridge 30120 and, as a result, the anvil of the stapling instrument 30900 will have a different forming pocket arrangement than the anvil of the stapling instrument 31000 .
  • the asymmetrical key/firing lockout arrangements disclosed herein can prevent a mismatch between the arrangement of the staple cavities and the arrangement of the staple forming pockets.
  • a staple cartridge 31120 comprises a cartridge body 31122 including parallel longitudinal rows of staple cavities while a staple cartridge 31220 comprises a cartridge body 31222 including rows of staple cavities oriented in transverse directions. Similar to the above, referring to FIG. 149 , the proximal end of the cartridge body 31122 comprises keys 31126 extending from the left side of the cartridge body 31122 —but not the right, or opposite, side of the cartridge body 31122 —and the proximal end of the cartridge body 31222 , referring to FIG. 150 , comprises keys 31226 extending from the right side of the cartridge body 31222 —but not the left side of the cartridge body 31222 .
  • the staple cartridge 31120 ( FIG.
  • the staple cartridge 31220 ( FIG. 150 ) is used with a second stapling instrument having longitudinal rows of transverse staple forming pockets and a right-side staple firing lockout, such as the firing lockout 30914 ( FIG. 147 ), for example.
  • the staple cartridge 31220 does not unlock the first stapling instrument and, similarly, the staple cartridge 31120 does not unlock the second stapling instrument.
  • the keys 31126 of the staple cartridge 31120 cannot unlock a stapling instrument having staple forming pockets which extend in transverse directions and, correspondingly, the keys 31226 of the staple cartridge 31220 cannot unlock a stapling instrument having staple forming pockets which extend in parallel longitudinal rows.
  • the staple cartridge 31120 and the staple cartridge 31220 are substantially the same length and have substantially the same shape.
  • the staple cartridges 31120 and 31220 are both configured to produce staple lines in the patient tissue which are approximately 60 mm in length.
  • the staple cartridges 31120 and 31220 could both be configured to produce staple lines which are approximately 30 mm in length or 45 mm in length, for example.
  • the cartridge body 31122 and the cartridge body 31222 have the same color.
  • a commercial supplier may color-code the cartridge bodies of the staple cartridges that they sell to indicate the size of the staples stored therein. For instance, the cartridge bodies containing unformed staples having an approximately 4 mm unformed height are green, for example.
  • the cartridge bodies containing unformed staples having an approximately 2.5 mm unformed height could be white, for example.
  • the staple cartridges 31120 and 31220 have the same color.
  • a clinician could grab one staple cartridge when they intended to grab the other and install the staple cartridge in the wrong stapling instrument.
  • the improvements disclosed herein account for such possibilities and lockout the stapling instrument in such instances.
  • FIGS. 151-155 A surgical instrument 30800 is illustrated in FIGS. 151-155 .
  • the surgical instrument 30800 comprises a cartridge channel 30810 , a staple cartridge 30820 removably positioned in the cartridge channel 30810 , a firing member 30040 , and a lockout 30814 mounted to the cartridge channel 30810 .
  • the lockout 30814 comprises a leaf spring 30816 including a proximal end anchored in an aperture defined in the cartridge channel 30810 and a distal end which is movable relative to the fixed proximal end. Referring primarily to FIGS.
  • the lockout 30814 further comprises a lockout box 30815 configured to capture one of the lockout pins 30045 extending from the cutting portion 30042 of the firing member 30040 and hold the firing member 30040 in an unfired position when the staple cartridge 30820 is not seated in the cartridge channel 30810 .
  • the lockout box 30815 comprises a distal wall configured to prevent the firing member 30040 from being advanced distally, a proximal wall configured to prevent the firing member 30040 from being retracted proximally, and a bottom wall connecting the proximal wall and the distal wall of the lockout box 30815 .
  • the top of the lockout box 30815 is open but could be closed.
  • the staple cartridge 30820 comprises a cartridge body 30822 , a sled, and a pan 30824 attached to and extending under the cartridge body 30822 .
  • the pan 30824 comprises a proximal projection 30826 configured to engage the leaf spring 30816 of the lockout 30814 when the staple cartridge 30820 is seated in the cartridge channel 30810 , as illustrated in FIGS. 152 and 154 .
  • the projection 30826 contacts the leaf spring 30816 , the leaf spring 30816 flexes laterally such that the lockout pin 30045 is no longer captured in the lockout box 30815 of the lockout 30814 .
  • the firing member 30040 has been unlocked and the firing member 30040 can be advanced distally to perform a staple firing stroke.
  • the distal, or free, end of the leaf spring 30816 extends into a window 30819 defined in the cartridge channel 30810 .
  • the window 30819 provides clearance for the leaf spring 30816 when the leaf spring 30816 is flexed by the staple cartridge 30820 .
  • a bottom sidewall of the window 30819 supports the distal end of the leaf spring 30816 such that the distal end is at least simply supported.
  • the lockout 30814 provides a missing cartridge lockout and an improper cartridge lockout for staple cartridges, such as the staple cartridge 30020 , that do not have an appropriate key for unlocking the stapling instrument 30800 .
  • the lockout 30814 is moved from a locked position ( FIGS. 152 and 153 ) to an unlocked position ( FIG. 154 ) when the staple cartridge 30820 is seated in the cartridge channel 30810 of the stapling instrument 30800 .
  • This deflection is seen in FIG. 155 which illustrates the lockout 30814 in its locked position in solid and its unlocked position in phantom.
  • the leaf spring 30816 will not be deflected, or at least suitably deflected, to unlock the firing member 30040 .
  • the lockout 30814 further comprises a tab 30817 extending from the leaf spring 30816 such that the tab 30817 moves laterally with the leaf spring 30816 when the lockout 30814 is deflected.
  • the tab 30817 prevents the anvil of the surgical instrument 30800 , i.e., the anvil 30050 , from being moved into a closed, or fully-clamped, position, as described in greater detail below.
  • the anvil 30050 is rotatably coupled to the cartridge channel 30810 about pivot pins 30051 mounted in apertures defined in the cartridge channel 30810 .
  • a bottom surface 30057 of the anvil 30050 contacts the tab 30817 and the anvil 30050 is blocked from being moved into its closed or fully-clamped position.
  • the lockout 30814 also comprises an anvil closure lockout as the lockout 30814 prevents the anvil 30050 from being closed when the staple cartridge 30820 is not seated in the cartridge channel 30810 .
  • the clinician will become quickly aware that an improper staple cartridge is positioned in the cartridge channel 30810 and/or that a staple cartridge is missing altogether as they won't be able to close the anvil 30050 .
  • the staple firing stroke of the stapling instrument 30800 would also be prevented in such instances.
  • a lockout could be used to prevent the staple cartridge jaw from being rotated into a closed or fully-clamped position if an improper staple cartridge is positioned in the staple cartridge jaw or a staple cartridge is missing from the cartridge jaw altogether.
  • the lockout 30814 is configured to resist the closure of the anvil 30050 .
  • the proximal end of the lockout 30814 is fixedly supported in the cartridge channel 30810 and the distal end of the lockout 30814 is simply supported by the sidewalls of the window 30819 .
  • the lockout 30814 can act as a beam supported at both ends and is well-suited to withstand the clamping load applied by the anvil 30050 .
  • the tab 30817 extending from the lockout 30814 is also supported by the cartridge channel 30810 .
  • the tab 30817 is slidably supported in a slot 30818 defined in the cartridge channel 30810 when the lockout 30814 is in both of its locked ( FIG. 153 ) and unlocked ( FIG. 154 ) configurations.
  • the lockout 30814 can act as a beam supported at both ends and an intermediate position and is well-suited to withstand the clamping load applied by the anvil 30050 . That said, any suitable support arrangement could be used.
  • the lockout 30814 is configured to prevent the anvil 30050 of the stapling instrument 30800 from being moved into a closed, or fully-clamped, position when the staple cartridge 30820 is not seated in the cartridge channel 30810 . That said, the lockout 30814 is configured to prevent the anvil 30050 from being substantially closed at all when the staple cartridge 30820 is not seated in the cartridge channel 30810 . In such instances, the anvil 30050 can be moved slightly toward the cartridge channel 30810 ; however, the anvil 30050 is noticeably open when the anvil 30050 contacts the tab 30817 of the lockout 30814 .
  • the anvil 30050 is prevented from moving at all until the staple cartridge 30820 is seated in the cartridge channel 30810 .
  • the stapling instrument 30800 is not insertable into a patient through a trocar when the anvil 30050 is locked out.
  • a trocar comprises an inner passageway, or cannula, that is sized and configured to closely receive a surgical instrument therein and, when the anvil 30050 is locked out as described above, the distance between the anvil 30050 and the cartridge channel 30810 is too large for the stapling instrument 30800 to fit through the inner passageway.
  • the clinician using the stapling instrument 30800 will become aware that an improper staple cartridge is positioned in the stapling instrument 30800 before the stapling instrument 30800 is inserted into the patient.
  • a staple cartridge 31520 is illustrated in FIG. 155A .
  • the staple cartridge 31520 comprises a cartridge body 31522 and a pan 31524 attached to the cartridge body 31522 .
  • the pan 31524 comprises lock arms 31521 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31524 to the cartridge body 31522 .
  • the pan 31524 is comprised of stamped metal, such as stainless steel, for example.
  • the pan 31524 comprises two lateral sides—one on each side of the longitudinal slot 30023 . Each lateral side of the pan 31524 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522 .
  • Each lateral side of the pan 31524 further comprises a proximal end 31527 that wraps around the proximal end of the cartridge body 31522 .
  • the proximal ends 31527 extend orthogonally, or at least substantially orthogonally, to the lateral sides of the pan 31524 .
  • Each proximal end 31527 comprises a tab which is folded to form a proximally-extending key 31526 .
  • the keys 31526 are configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31520 is seated in the stapling instrument.
  • each key 31526 comprises a rounded proximal end created by folding over the tabs outwardly such that the ends of the tab are brought back into contact with the proximal end 31527 .
  • the keys 31526 are sturdy and deflection of the keys 31526 is prevented, or at least substantially reduced. As such, the keys 31526 will reliably deflect the firing system locks to unlock the firing system when the staple cartridge 31520 is seated in the stapling instrument.
  • Each proximal end 31527 further comprises one or more retention teeth 31529 which extend into slots 31528 defined in the proximal end 31527 .
  • the slots 31528 facilitate the folding of the proximal ends 31527 and also prevent, or at least limit, movement and/or deflection within the keys 31526 .
  • the teeth 31529 bite into the proximal end 31527 and hold the key 31526 in its folded configuration.
  • a staple cartridge 31620 is illustrated in FIG. 155B .
  • the staple cartridge 31620 comprises a cartridge body 31522 and a pan 31624 attached to the cartridge body 31522 .
  • the pan 31624 comprises lock arms 31621 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31624 to the cartridge body 31522 .
  • the pan 31624 is comprised of stamped metal, such as stainless steel, for example.
  • the pan 31624 comprises two lateral sides—one on each side of the longitudinal slot 30023 . Each lateral side of the pan 31624 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522 .
  • Each lateral side of the pan 31624 further comprises a proximal end that wraps downwardly around the proximal end of the cartridge body 31522 .
  • the proximal ends extend orthogonally, or at least substantially orthogonally, to the lateral sides of the pan 31624 .
  • Each proximal end comprises a tab which is folded to form a proximally-extending key 31626 .
  • the keys 31626 are configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31620 is seated in the stapling instrument.
  • each key 31626 comprises a laterally-facing U-shaped channel. More specifically, each key 31626 comprises an inner base 31627 , a laterally-extending top side 31628 extending from the inner base 31627 , and a laterally-extending bottom side 31629 extending from the opposite side of the inner base 31627 .
  • the U-shaped configuration of the keys 31626 prevents the keys 31626 from buckling under a longitudinal load and/or deflecting under a laterally-directed torque.
  • the keys 31626 are folded from tabs extending from the pan 31624 in such a manner so as to create clearance gaps 31625 under the keys 31626 .
  • the clearance gaps 31625 are sized and configured to permit the locking pins of a firing member to pass under the keys 31626 during a staple firing stroke of the firing member.
  • a staple cartridge 31720 is illustrated in FIG. 155C .
  • the staple cartridge 31720 comprises a cartridge body 31522 and a pan 31724 attached to the cartridge body 31522 .
  • the pan 31724 comprises lock arms 31721 and 31721 ′ engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31724 to the cartridge body 31522 .
  • the pan 31724 is comprised of stamped metal, such as stainless steel, for example.
  • the pan 31724 comprises two lateral sides—one on each side of the longitudinal slot 30023 . Each lateral side of the pan 31724 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522 .
  • One lateral side of the pan 31724 further comprises a proximal end 31727 that wraps downwardly around the proximal end of the cartridge body 31522 .
  • the proximal end 31727 extends orthogonally, or at least substantially orthogonally, to the lateral side of the pan 31724 .
  • the proximal end 31727 comprises a tab which is folded to form a proximally-extending key 31726 . Similar to the above, the key 31726 is configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31720 is seated in the stapling instrument.
  • the lateral side of the pan 31724 comprises an arcuate or circular cut-out and the proximal end 31727 comprises an arcuate or circular projection 31723 that is bent around the side of the cartridge body 31522 into the circular cut-out.
  • the projection 31723 is closely received in the cut-out such that the proximal end 31727 of the pan 31724 is greatly stiffened or strengthened by this arrangement.
  • the key 31726 comprises an L-shaped tab bent proximally from the pan 31724 .
  • the key 31726 comprises a shoulder 31728 bent upwardly from the proximal end 31727 to create this L-shaped configuration.
  • the shoulder 31728 comprises at least one notch, or strain relief, 31729 configured to facilitate the bending of the key 31726 .
  • the L-shaped configuration of the key 31726 prevents the key 31726 from buckling under a longitudinal load and/or deflecting under a laterally-directed torque.
  • the key 31726 is folded from a tab extending from the pan 31724 in such a manner so as to create a clearance gap 31725 under the key 31726 .
  • the clearance gap 31725 is sized and configured to permit the locking pin of a firing member to pass under the key 31726 during a staple firing stroke of the firing member.
  • a staple cartridge 31920 is illustrated in FIG. 155E .
  • the staple cartridge 31920 comprises a cartridge body 31522 and a pan 31924 attached to the cartridge body 31522 .
  • the pan 31924 comprises lock arms 31921 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31924 to the cartridge body 31522 .
  • the pan 31924 is comprised of stamped metal, such as stainless steel, for example.
  • the pan 31924 comprises two lateral sides—one on each side of the longitudinal slot 30023 . Each lateral side of the pan 31924 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522 .
  • One lateral side of the pan 31924 further comprises a proximal end 31927 that wraps around the proximal end of the cartridge body 31522 .
  • the proximal end 31927 extends orthogonally, or at least substantially orthogonally, to the lateral side of the pan 31924 .
  • the proximal end 31927 comprises a tab which is folded to form a proximally-extending key 31926 . Similar to the above, the key 31926 is configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31920 is seated in the stapling instrument.
  • the key 31926 comprises an L-shaped tab bent proximally from the pan 31924 .
  • the key 31926 comprises a shoulder 31928 bent upwardly from the proximal end 31927 to create this L-shaped configuration.
  • the L-shaped configuration of the key 31926 prevents the key 31926 from buckling under a longitudinal load and/or deflecting under a laterally-directed torque.
  • a free edge of the shoulder 31928 is welded, soldered, and/or brazed to the proximal end 31927 in order to strengthen the key 31926 . That said, any suitable number of welds 31929 can be used to secure or strengthen the key 31926 .
  • the key 31926 is folded from a tab extending from the pan 31924 in such a manner so as to create a clearance gap 31925 under the key 31926 .
  • the clearance gap 31925 is sized and configured to permit the locking pin of a firing member to pass under the key 31926 during a staple firing stroke of the firing member.
  • a staple cartridge 31820 is illustrated in FIG. 155D .
  • the staple cartridge 31820 comprises a cartridge body 31522 and a pan 31824 attached to the cartridge body 31522 .
  • the pan 31824 comprises lock arms 31821 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31824 to the cartridge body 31522 .
  • the pan 31824 is comprised of stamped metal, such as stainless steel, for example.
  • the pan 31824 comprises two lateral sides—one on each side of the longitudinal slot 30023 . Each lateral side of the pan 31824 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522 .
  • One lateral side of the pan 31824 further comprises a proximal end 31827 that wraps around the proximal end of the cartridge body 31522 .
  • the proximal end 31827 extends orthogonally, or at least substantially orthogonally, to the lateral side of the pan 31824 .
  • the proximal end 31827 comprises a tab which is folded to form a proximally-extending key 31826 . Similar to the above, the key 31826 is configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31820 is seated in the stapling instrument.
  • the key 31826 comprises a rounded proximal end created by folding over the tab outwardly such that the end of the tab is brought back into contact with the proximal end 31827 .
  • the key 31826 is sturdy and deflection of the key 31826 is prevented, or at least substantially reduced. As such, the key 31826 will reliably deflect the firing system locks to unlock the firing system when the staple cartridge 31820 is seated in the stapling instrument.
  • the proximal end 31827 further comprises one or more retention teeth 31829 which extend into slots 31828 defined in the proximal end 31827 .
  • the slots 31828 facilitate the folding of the proximal end 31827 and also prevent, or at least limit, movement and/or deflection within the key 31826 .
  • the teeth 31829 bite into the proximal end 31827 and hold the key 31826 in its folded configuration.
  • the key 31826 is folded from a tab extending from the pan 31824 in such a manner so as to create a clearance gap 31825 under the key 31826 .
  • the clearance gap 31825 is sized and configured to permit the locking pin of a firing member to pass under the key 31826 during a staple firing stroke of the firing member.
  • a surgical stapling assembly comprises a shaft and an end effector extending distally from the shaft including a first jaw and a second jaw rotatable relative to the first jaw.
  • the surgical stapling assembly may comprise a lockout member configured to prevent the inadvertent firing of the surgical stapling assembly and/or the clamping of the surgical stapling assembly until a lockout key unlocks the lockout member.
  • the lockout key may be a part of a staple cartridge configured to be installed in one of the first jaw and the second jaw, for example.
  • the lockout key may be a part of a sled of the staple cartridge such that the staple cartridge can unlock the lockout member when the sled is in its unfired position indicating that the staple cartridge is unspent when the staple cartridge is installed within the surgical stapling assembly.
  • further action may be required to unlock the lockout with the lockout key.
  • an end effector may be required to attain a fully clamped configuration before the lockout key can unlock the lockout member.
  • a lockout can be found in U.S. Patent Application Publication No. 2016/0249921 entitled SURGICAL APPARATUS WITH CONDUCTOR STRAIN RELIEF, now U.S. Pat. No. 10,085,749, the entire disclosure of which is hereby incorporated by reference herein.
  • surgical stapling assemblies such as the one described above, may be used with a surgical robot.
  • the surgical stapling assemblies can be configured to be attached to robotic systems and operated by way of robotic arms of the robotic systems. These robotic systems allow for surgeons to be outside of a sterile field within which the patient is present.
  • a technician and/or another surgeon may be located within the bounds of the sterile field to monitor the interface between the tools and the patient. This technician and/or surgeon may attach and detach instruments to the robotic arms during a surgical procedure.
  • Providing this ability can enable a surgeon or technician to manually defeat a lockout means of a staple cartridge when the lockout means, for whatever reason, cannot be automatically defeated. Providing this ability may also enable a surgeon to test the operability of the lockout member to ensure that the lockout member is functional prior to using the surgical stapling assembly.
  • a surgeon wants to manually override the lockout member to fire a staple cartridge
  • a surgeon or clinician may know that the installed staple cartridge is a proper unfired staple cartridge and may want to fire the staple cartridge regardless of the fact that the lockout member was not actually defeated.
  • the clinician may want remove that lockout member from the firing sequence and prevent it from being a part of the firing stroke.
  • providing direct access to the lockout member within the end effector itself for manual unlocking can provide an advantage with or without a system that automatically defeats the lockout member.
  • Direct access to the lockout member within the end effector can eliminate additional components that otherwise may be present in a system utilizing an unlocking mechanism to unlock the lockout member that is further upstream of the lockout member.
  • Using an unlocking mechanism further upstream to the lockout member within the shaft of the surgical instrument, for example, can introduce additional components that might jam or fail during the application of an unlocking actuation.
  • FIGS. 156-160 depict a surgical stapling assembly 41000 configured to clamp, staple, and cut the tissue of a patient.
  • the surgical stapling assembly 41000 is configured to be attached to, detached from, and operated by a surgical robot and/or a surgical instrument handle.
  • the surgical stapling assembly 41000 comprises a shaft 41100 , a first jaw 41200 pivotably supported within the shaft 41100 , and a second jaw 41300 attached to the shaft 41100 .
  • the first jaw 41200 is movable between an unclamped configuration and a clamped configuration to clamp and unclamp tissue positioned between the first jaw 41200 and the second jaw 41300 .
  • the surgical stapling assembly 41000 further comprises a staple cartridge 41230 comprising a plurality of staples removably stored therein.
  • the staple cartridge 41230 is configured to be installed into the first jaw 41200 and replaced with other staple cartridges.
  • the surgical stapling assembly 41000 further comprises a firing member 41400 extending through the shaft 41100 that is configured to move the first jaw 41200 relative to the second jaw 41300 between the unclamped configuration and the clamped configuration, deploy staples from the staple cartridge 41230 , and cut tissue during a firing stroke with a knife, or blade, 41422 .
  • the firing member 41400 is configured to be actuated by a drive system of a surgical robot and/or a surgical instrument handle.
  • Embodiments are envisioned where the firing member 41400 is driven with a rotary drive shaft. Embodiments are also envisioned where the jaw configured to receive the staple cartridge is fixed to the shaft and the jaw containing the anvil is movable between a clamped configuration and an unclamped configuration.
  • the surgical stapling assembly 41000 further comprises a lockout 41500 ( FIG. 160 ) configured to prevent the firing member 41400 from moving distally past a specific position unless a proper unspent staple cartridge is installed within the first jaw 41200 and the first jaw 41200 is in a fully clamped configuration.
  • the firing member 41400 is permitted to move a first distance between a home position and the specific position regardless of the condition of the lockout 41500 to permit clamping and unclamping of tissue, as discussed in greater detail below.
  • the lockout 41500 is biased toward a locked configuration where the firing member 41400 is prevented from moving distally beyond the specific position.
  • the lockout 41500 is movable into an unlocked configuration where the firing member 41400 is permitted to move distally beyond the specific position to deploy staples from the staple cartridge 41230 .
  • the surgical stapling assembly 41000 further comprises a direct access orifice defined therein configured to allow a clinician to manually, or artificially, unlock the lockout 41500 , i.e., move the lockout 41500 into the unlocked configuration.
  • the first jaw 41200 comprises a channel 41210 configured to receive the staple cartridge 41230 therein.
  • the staple cartridge 41230 is configured to be installed within the channel 41210 and readily replaced with another staple cartridge.
  • the staple cartridge 41230 further comprises a sled 41235 movable between an unfired position and a fired position to eject the staples from the staple cartridge 41230 as the sled 41235 is pushed distally through a cartridge body 41232 of the staple cartridge 41230 by the firing member 41400 .
  • the second jaw 41300 comprises an anvil 41320 comprising a staple-forming surface 41310 configured to form the staples ejected from the staple cartridge 41230 .
  • the first jaw 41200 is movable relative to the second jaw 41300 between an unclamped configuration and a clamped configuration by the firing member 41400 .
  • the second jaw 41300 is movable relative to the first jaw 41200 .
  • the firing member 41400 is moved distally a first distance from a home position to cam the first jaw 41200 into a clamped configuration.
  • the firing member 41400 comprises anvil-camming portions 41423 configured to engage a ramp 41332 of an anvil channel 41330 defined within the second jaw 41300 and channel-camming portions 41424 configured to engage a ramp 41222 of a bottom surface 41220 of the first jaw 41200 .
  • the anvil-camming portions 41423 and the channel-camming portions 41424 extend laterally from a distal portion 41420 of the firing member 41400 and are configured to control the distance between the first jaw 41200 and the second jaw 41300 as the distal portion 41420 of the firing member moves through its firing stroke. During the first distance discussed above, the anvil-camming portions 41423 and the channel-camming portions 41424 engage the first and second jaws 41200 , 41300 and cam the first jaw 41200 into a clamped configuration.
  • the surgical stapling assembly 41000 further comprises a lockout 41500 configured to prevent the firing member from being advanced distally beyond the first distance unless a proper unspent staple cartridge is installed within the first jaw 41200 and the first jaw 41200 is fully clamped.
  • the lockout 41500 comprises a lockout member 41510 pivotably supported within the shaft 41100 and movable between an unlocked configuration ( FIG. 157 ) where the firing member 41400 is permitted to move beyond the first distance to complete the firing stroke and a locked configuration ( FIG. 158 ) where the firing member 41400 is prevented from moving beyond the first distance.
  • the lockout member 41510 is biased into the locked configuration by a spring 41520 .
  • a proper unspent staple cartridge installed within the channel 41210 can overcome the bias provided by the spring 41520 when the first jaw 41200 is moved into the clamped configuration.
  • the first jaw 41200 To unlock the lockout 41500 , the first jaw 41200 must be moved into its clamped configuration to present the sled 41235 to engage and unlock the lockout member 41510 .
  • the sled 41235 cannot defeat the lockout 41500 when the first jaw 41200 is not in its clamped configuration.
  • the cartridge jaw is not pivotable but, rather, the anvil jaw is pivotable. In such embodiments, mere insertion of the staple cartridge presents the sled 41235 to defeat the lockout 41500 . In such embodiments, the lockout 41500 can be defeated prior to the application of any clamping motions to the anvil jaw.
  • the staple cartridge 41230 comprises a sled 41235 comprising a lockout key 41237 extending proximally therefrom.
  • the lockout key 41237 is configured to move the lockout member 41510 into the unlocked configuration when the sled 41235 is in an unfired position and the first jaw 41200 is moved into the clamped configuration.
  • the lockout key 41237 pivots the lockout member 41510 into the unlocked configuration by moving a lockout ledge, or leg, 41511 of the lockout member 41510 away from a lockout notch 41412 defined in a firing shaft, or bar, 41410 of the firing member 41400 which would otherwise prevent distal movement of the firing member 41400 beyond an initial distance used for clamping when the first jaw 41200 is moved into the clamped configuration.
  • the lockout member 41510 comprises a pair of arms 41512 extending distally from the lockout ledge 41511 which are configured to straddle the firing member 41400 as the firing member 41400 moves through its firing stroke.
  • FIG. 157 illustrates the lockout key 41237 engaged with distal ends 41516 of the arms 41512 on a distal end 41515 of the lockout member 41510 .
  • the lockout member 41510 has pivoted relative to the shaft 41100 about nubs 41513 ( FIG. 160 ) of the lockout member 41510 into the unlocked configuration.
  • the lockout notch 41412 of the firing shaft 41410 will clear the lockout ledge 41511 of the lockout member 41510 thereby permitting the firing member 41400 to move distally through the staple cartridge 41230 .
  • the lockout member 41510 remains biased in the locked configuration by way of the spring 41520 ( FIG. 159 ) pushing against the tabs 41514 ( FIG. 160 ) of the lockout member 41510 where the lockout ledge 41511 engages the notch 41412 of the firing shaft 41410 to block distal movement of the firing member 41400 beyond the initial distance used for clamping.
  • the surgical stapling assembly 41000 further comprises a direct access orifice 41425 defined therein configured to allow a clinician to artificially move the lockout member 41510 into the unlocked configuration.
  • the orifice 41425 can be positioned in any suitable component such that a tool 41590 can access the lockout member 41510 through the orifice 41425 to move the lockout member 41510 into the unlocked configuration.
  • the orifice 41425 is defined in the channel-camming portions 41424 of the distal portion 41420 of the firing member 41400 .
  • the orifice 41425 may comprise access slits defined in the channel-camming portions 41424 , for example.
  • the orifice 41425 is defined in the shaft 41100 and/or a component thereof. Nonetheless, the lockout member 41510 is directly accessible through the orifice 41425 .
  • the tool 41590 comprises a hook portion 41591 configured to be inserted through the orifice 41425 and an opening 41517 defined between the arms 41512 of the lockout member 41510 to hook, or latch, onto an upper side of the ledge 41511 to pull the ledge 41511 and thus pivot the lockout member 41510 into the unlocked configuration overcoming the spring bias which encourages the lockout member 41510 into the locked configuration.
  • the orifice 41425 can be configured such that commonly-avoidable tools, such as a screwdriver, for example, do not fit within the orifice, or exterior access aperture, 41425 .
  • Portions of the lockout member 41510 are illustrated in phantom in the unlocked configuration where tool 41590 has positioned the lockout member 41510 into the unlocked configuration.
  • Arms 41512 ′ and ledge 41511 ′ are phantom versions of the arms 41512 and ledge 41511 of the lockout member 41510 illustrated in the unlocked configuration.
  • the firing member 41400 is permitted to move distally past an unfired location and into the staple cartridge 41230 .
  • the unfired location is defined as the position after clamping but before firing.
  • the tool 41590 can be disengaged from the lockout member 41510 and removed from the orifice 41425 to allow the lockout 41500 to resume normal operation.
  • the lockout member 41510 will pivot into the locked configuration when the firing member 41400 returns to the unfired location after having at least partially fired a staple cartridge.
  • the lockout member 41510 is accessible with the tool 41590 through a secondary access aperture 41160 defined between a proximal end of the channel 41210 and a distal end of the shaft 41100 . That said, the lockout member 41510 will remain defeated during the staple firing stroke.
  • the direct access orifice is positioned within the shaft 41100 , for example, and can provide access to the lockout member 41510 during the firing stroke of the firing member 41400 .
  • the secondary access aperture 41160 comprises the primary lockout access aperture.
  • the lockout 41500 can be positioned in any suitable location.
  • the lockout 41500 may be positioned proximal to the distal portion 41420 of the firing member 41400 when the firing member 41400 is in its proximal most position (such as the position illustrated in FIG. 159 ).
  • the access aperture may be defined in a shaft housing, or frame, of the surgical stapling assembly 41000 .
  • the access aperture is defined in the channel 41210 .
  • the tool 41590 can be inserted through the direct access aperture 41425 to unlock the lockout 41500 prior to the insertion of the staple cartridge 41230 into the channel 41210 .
  • Moving the lockout 41500 to its unlocked configuration prior to the insertion of a staple cartridge can aid the staple cartridge installation by preventing the lockout 41500 from engaging the staple cartridge during installation.
  • Some lockouts disable improper staple cartridges by bumping a sled of the staple cartridge from its unfired, firable position to an unfired, unfirable position which can cause the staple cartridge to become instantly spent.
  • lockouts may bump a sled of a proper staple cartridge during installation of the proper staple cartridge. Unlocking the lockout 41500 prior to installation of the staple cartridge can ensure that the proper staple cartridge is not disabled accidentally during installation.
  • FIGS. 161 and 162 depict a surgical stapling assembly 42000 for use in clamping, stapling, and cutting the tissue of a patient.
  • the surgical stapling assembly 42000 is similar to other stapling assemblies described herein in many respects.
  • the surgical stapling assembly 42000 comprises a firing assembly 42100 and a cartridge channel 42200 configured to receive a staple cartridge therein.
  • the firing assembly 42100 is configured to push a sled of a proper unspent staple cartridge installed within the cartridge channel 42200 to deploy the staples of the staple cartridge and cut the stapled tissue.
  • the surgical stapling assembly 42000 further comprises a lockout 42300 configured to prevent the firing assembly 42100 from being advanced through an improper staple cartridge.
  • the lockout 42300 comprises a spring 42310 which biases the lockout 42300 toward a locked configuration.
  • the lockout 42300 is configured to be pushed proximally by a proper unspent staple cartridge to unlock the firing assembly 42100 .
  • the lockout 42300 is configured such that lockout 42300 does not accidentally push the sled of the proper staple cartridge into a position which would induce a lockout condition for the firing assembly 42100 .
  • the lockout 42300 can employ any suitable lockout method.
  • the firing assembly 42100 is similar to other firing assemblies described herein.
  • the surgical stapling assembly 42000 further comprises a direct access cutout, or aperture, 42210 defined in the bottom of the cartridge channel 42200 at a proximal end of a longitudinal slot 42230 defined in the cartridge channel 42200 .
  • the firing assembly 42100 is movable through the slot 42230 of the cartridge channel 42200 during a staple firing stroke.
  • the direct access cutout 42210 allows for a tool to be inserted within the surgical stapling assembly 42000 to access the lockout 42300 directly. The tool can be inserted through the direct access cutout 42210 to move the lockout 42300 into an unlocked configuration ( FIG. 162 ).
  • Unlocking the lockout 42300 in this manner can be referred to as artificially unlocking the lockout 42300 because an unspent staple cartridge has not automatically unlocked the lockout 42300 for whatever reason.
  • the direct access cutout 42210 comprises a proximal end 42211 and a distal end 42213 comprising a wider cutout portion than the proximal end 42211 .
  • the wider cutout portion of the distal end 42213 can aid in the proper insertion of the tool into the channel 42200 .
  • the tool can comprise a lock-engaging portion that fits in the distal end 42213 but not the proximal end 42211 thereby eliminating the possibility of mis-inserting the tool in the proximal end 42211 .
  • lockout 42300 and its position relative to other components of the surgical stapling assembly 42000 , is also directly visible through the direct access cutout 42210 . Nonetheless, a tool can be inserted through the cutout 42210 to pull and/or push the lockout 42300 proximally to overcome the spring bias and move the lockout 42300 into the unlocked configuration. The tool can also be removed and disengaged from the lockout 42300 such that the lockout 42300 can resume normal operation.
  • providing the ability to manually move the lockout 42300 may allow a clinician to move the lockout 42300 away from its locked position before installing a staple cartridge into the cartridge channel 42200 to prevent the lockout 42300 from moving a sled of the staple cartridge that is being installed into the cartridge channel 42200 prematurely.
  • FIGS. 163 and 164 depict a surgical stapling assembly 43000 comprising a firing assembly 43100 , a frame 43400 that supports the firing assembly 43100 therein, a cartridge channel 43300 pivotably attached to the frame 43400 , and a lockout key mechanism 43500 configured to defeat a lockout of the surgical stapling assembly 43000 .
  • the surgical stapling assembly 43000 can comprise any suitable lockout; however, a diving knife lockout where the firing assembly 43100 falls into a locking recess in the absence of a proper unspent staple cartridge being positioned in the cartridge channel 43300 is described below.
  • the firing assembly 43100 comprises a firing shaft 43110 and a firing member 43120 attached to the distal end of the firing shaft 43110 .
  • the firing shaft 43110 is configured to be actuated by a firing driver of a surgical instrument handle and/or a surgical robot, for example. Any suitable drive mechanism may be used.
  • the firing member 43120 comprises anvil-camming pins 43122 and channel camming pins 43123 extending laterally therefrom.
  • the pins 43122 , 43123 are configured to control the clamping pressure on the tissue captured within the surgical stapling assembly 43000 during a firing stroke.
  • the firing member 43120 further comprises a cutting edge 43121 configured to cut the clamped tissue.
  • the firing member 43120 further comprises a ledge, or distal nose, 43124 configured to engage and/or rest on top of a sled of an unfired proper staple cartridge such that the firing member 43120 does not fall into the lockout recess.
  • the firing assembly 43100 further comprises an extension 43111 configured to be biased downwardly toward the channel 43300 by a spring member mounted within the frame 43400 . Discussed in greater detail below, the downward bias of the extension 43111 encourages the firing assembly 43100 toward its locked out condition. The downward bias is overcome when an unspent proper staple cartridge is installed within the cartridge channel 43300 .
  • the lockout key mechanism 43500 comprises a spring 43530 , a wedge 43520 slidably supported within the frame 43400 , and a lifter spring 43510 comprising a proximal end 43511 mounted to the frame 43400 .
  • the wedge 43520 comprises a ramp 43521 on which a distal end 43512 of the lifter spring 43510 rests.
  • the lifter spring 43510 comprises a notch 43513 defined on the distal end 43512 configured to engage lifter pins 43125 extending laterally from the firing member 43120 when the lifter spring 43510 is lifted by the wedge 43520 of the staple cartridge 43200 .
  • the firing assembly 43100 is advanced distally to assess the second stage of the lockout.
  • This second stage of the lockout is defeated when the sled of the staple cartridge 43200 is in its proximal unfired position. Similar to the above, the firing shaft 43110 can be lifted onto the sled by the staple cartridge 43200 as the firing shaft 43110 is advanced distally.
  • a cartridge body key 43211 is provided on a proximal end 43201 of the cartridge body 43210 .
  • the cartridge body key 43211 pushes the wedge 43520 proximally and overcomes the spring bias provided by the spring 43530 .
  • the wedge 43520 lifts the lifter spring 43510 .
  • the notch 43513 can grab the lifter pins 43125 and lift the firing assembly 43100 .
  • Lifting the firing assembly 43100 in this manner can be referred to as defeating the first stage of the lockout.
  • a staple cartridge without the proper cartridge lockout key may be able to be installed in the cartridge channel 43300 but will not be able to lift the firing assembly 43100 .
  • the firing assembly 43100 can be advanced distally such that the notch 43513 can hold the firing assembly 43100 at the proper height and for the proper distance so that the nose 43124 can land on the unfired sled in the staple cartridge 43200 thereby avoiding the lockout recess.
  • Landing the nose 43124 on the unfired sled can be referred to as defeating the second stage of the lockout. If the sled in the staple cartridge 43200 is not in its unfired position, the firing assembly 43100 will fall into the lockout recess and not be able to be advanced distally beyond its locked configuration.
  • the cartridge body key 43211 extends proximally from a cartridge body pan 43220 of the staple cartridge 43200 .
  • FIG. 165 depicts a first staple cartridge 43610 comprising a proximal end 43611 and a lockout key 43613 extending from the proximal end 43611 .
  • the lockout key 43613 comprises a first profile.
  • FIG. 165 depicts a second staple cartridge 43620 comprising a proximal end 43621 and a lockout key 43623 extending from the proximal end 43621 .
  • the lockout key 43623 comprises a second profile that is different than the first profile of the lockout key 43613 .
  • the first staple cartridge 43610 is configured to unlock only the stapling instruments it is compatible with and the second staple cartridge 43620 is configured to unlock only the stapling instruments it is compatible with.
  • FIGS. 166 and 167 contain graphs illustrating the different lift timings 43610 ′, 43620 ′ and displacements 43610 ′′, 43620 ′′ provided by the cartridges 43610 , 43620 .
  • the staple cartridge 43610 is configured to lift the firing member earlier than the staple cartridge 43620 .
  • the first staple cartridge 43610 will cause a wedge, for example, such as the wedge described herein, to lift the firing member at the appropriate time and location such that the firing member will land on an unfired sled of the first staple cartridge 43610 so as to defeat the lockout and enable the firing member to be advanced distally to perform a staple firing stroke.
  • the first staple cartridge 43610 will cause a wedge, for example, to lift the firing member at the incorrect time and location causing the firing member to fall before reaching the sled or causing the firing member to bump the sled distally before being lifted onto the sled.
  • the second staple cartridge 43620 works in a similar manner. That said, the second staple cartridge 43620 cannot unlock an instrument compatible with the first staple cartridge 43610 , and vice versa.
  • FIGS. 168 and 169 depict a system 44000 comprising a first cartridge 44100 ( FIG. 168 ) and a second cartridge 44200 ( FIG. 169 ).
  • the first staple cartridge 44100 comprises a cartridge body 44110 comprising a proximal end 44111 , a distal end 44112 , and a plurality of staple cavities 44114 arranged in rows extending between the proximal end 44111 and the distal end 44112 .
  • the first staple cartridge 44100 further comprises a cartridge pan 44130 configured to hold staples in the cartridge body 44110 , and a sled 44120 configured to deploy the staples from the cartridge body 44110 .
  • the cartridge body 44110 further comprises a longitudinal slot 44113 defined therein configured to receive a firing member of a surgical stapling assembly.
  • the longitudinal slot 44113 defines a first lateral side and a second lateral side labeled “A” and “B” respectively.
  • the cartridge body 44110 further comprises a lockout key 44116 extending from a proximal face 44115 of the first lateral side “A” of the cartridge body 44110 .
  • the second staple cartridge 44200 comprises a cartridge body 44210 comprising a proximal end 44211 , a distal end 44212 , and a plurality of staple cavities 44214 arranged in rows extending between the proximal end 44211 and the distal end 44212 .
  • the second staple cartridge 44200 further comprises a cartridge pan 44230 configured to hold staples in the cartridge body 44210 , and a sled 44220 configured to deploy the staples from the cartridge body 44210 .
  • the cartridge body 44210 further comprises a longitudinal slot 44213 defined therein configured to receive a firing member of a surgical stapling assembly.
  • the longitudinal slot 44213 defines a first lateral side and a second lateral side labeled “A” and “B” respectively.
  • the cartridge body 44210 further comprises a lockout key 44216 extending from a proximal face 44215 of the second lateral side “B” of the cartridge body 44210 .
  • the staple cavities 44114 comprise three rows on each side of the longitudinal slot 44113 . Each row defines a row axis with which each staple cavity in that row is aligned. In other words, the proximal end and the distal end of each cavity in a single row is aligned with the row axis of that row.
  • the staple cavities 44214 comprise three rows on each side of the longitudinal slot 44213 . Each row defines a row axis with which each staple cavity in that row is transversely aligned.
  • Each side of the staple cartridge 44200 comprises an outer row of staple cavities 44214 , an inner row of staple cavities 44214 , and a middle row of staple cavities 44214 positioned between the outer row of staple cavities 44214 and the inner row of staple cavities 44214 .
  • the staple cavities 44214 of the middle row define cavity axes that are transverse to cavity axes defined by the staple cavities 44214 in the inner row and the staple cavities 44214 in the outer row.
  • the system 44000 provides a way to prevent an improper staple cartridge from being used with a surgical stapling assembly by providing the lockout keys of each cartridge on different sides of the staple cartridge. Providing the lockout keys on different sides of the staple cartridge prevents the use of a stapling assembly comprising corresponding staple-forming pockets for the first staple cartridge 44100 with the second staple cartridge 44200 and the use of a stapling assembly comprising corresponding staple-forming pockets for the second staple cartridge 44200 with the first staple cartridge 44100 .
  • first staple cartridge 44100 will not be able to unlock a firing lockout of a surgical stapling assembly meant for the second staple cartridge 44200 and the second staple cartridge 44200 will not be able to unlock a firing lockout of a surgical stapling assembly meant for the first staple cartridge 44100 .
  • FIGS. 170-179 depict a surgical stapling assembly 45000 configured to clamp, staple, and cut the tissue of a patient.
  • the surgical stapling assembly 45000 can be used with a surgical robot and/or a surgical instrument handle.
  • the surgical stapling assembly 45000 comprises a first jaw 45200 , a second jaw 45400 movable relative to the first jaw 45200 between an unclamped configuration and a clamped configuration, and a firing assembly 45500 .
  • the surgical stapling assembly 45000 further comprises a replaceable staple cartridge 45300 comprising a plurality of staples removably stored therein which are configured to be deployed by the firing assembly 45500 .
  • the first jaw 45200 comprises a channel 45210 configured to receive the replaceable staple cartridge 45300 .
  • the second jaw 45400 comprises an anvil 45410 comprising a staple-forming surface 45415 configured to form the staples deployed from the staple cartridge 45300 .
  • the first jaw 45200 further comprises pin apertures 45212 ( FIG. 171 ) in which pivot pins 45413 of the second jaw 45400 are received to permit the second jaw 45400 to pivot relative to the first jaw 45200 .
  • the fixed jaw comprises the anvil and the movable jaw comprises the channel and the staple cartridge.
  • the second jaw 45400 comprises a camming surface 45412 formed on a proximal end 45411 thereof which is configured to be engaged by a closure member.
  • the closure member comprises a closure tube, for example, but can comprise any other suitable configuration.
  • the closure member is configured to cam the second jaw 45400 from the unclamped configuration to the clamped configuration toward the channel 45210 by engaging and sliding along the camming surface 45412 .
  • the closure member is retracted proximally.
  • a spring may be provided to bias the second jaw 45400 into the unclamped configuration as the closure member disengages the camming surface 45412 .
  • a proper unspent staple cartridge must be installed within the surgical stapling assembly 45000 .
  • the firing assembly 45500 can be actuated through the staple cartridge 45300 to push a sled 45340 of the staple cartridge 45300 distally from an unfired position to a fired position to deploy the staples stored within the staple cartridge 45300 during a staple firing stroke.
  • a cutting edge 45523 of the firing assembly cuts the tissue clamped between the first jaw 45200 and the second jaw 45400 . In at least one instance, the cutting edge 45523 trails behind the staple deployment to prevent tissue from being cut before the tissue is stapled.
  • the firing assembly 45500 comprises a firing member 45520 comprising the cutting edge 45523 , anvil-camming portions 45521 and channel-camming portions 45522 configured to control the distance between the first jaw 45200 and the second jaw 45400 during the staple firing stroke, and laterally-extending portions 45525 positioned between the anvil-camming portions 45521 and the channel-camming portions 45522 configured to fall into a lockout as discussed in greater detail below.
  • the firing member 45520 further comprises a tail 45526 extending proximally therefrom which is configured to interface with a spring 45240 mounted in the shaft as discussed in greater detail below.
  • the surgical stapling assembly 45000 further comprises a lockout system.
  • the surgical stapling assembly 45000 comprises a diving-knife lockout such as those disclosed herein where the firing assembly 45500 falls into a lockout pocket if a proper unspent staple cartridge is not installed within the surgical stapling assembly 45000 .
  • a proper unspent staple cartridge such as the staple cartridge 45300 , is configured to prevent the firing assembly 45500 from falling into the lockout pocket by lifting the firing assembly 45500 when the staple cartridge 45300 is unspent. In such instances, a distal end of the firing assembly will land on an unfired sled of the staple cartridge 45300 .
  • the firing assembly 45500 may then be advanced through the staple cartridge 45300 .
  • the staple cartridge 45300 includes a lockout key 45330 to lift the firing assembly 45500 to the proper height and proper distance to get the firing assembly 45500 to land on an unfired sled and defeat the lockout of the surgical stapling assembly 45000 .
  • the staple cartridge 45300 further comprises a cartridge body 45310 comprising a proximal end 45301 comprising a proximal face 45313 and a longitudinal slot 45311 configured to receive the firing assembly 45500 during the staple firing stroke.
  • the lockout key 45330 extends proximally from the proximal face 45313 of the cartridge body 45310 and comprises a pair of protrusions defining a proximal longitudinal slot portion 45333 of the longitudinal slot 45311 .
  • the proximal longitudinal slot portion 45333 is configured to straddle the firing member 45520 when the staple cartridge 45300 is installed in the channel 45210 .
  • Each protrusion of the lockout key 45330 comprises a ramped surface, or portion, 45331 and a non-ramped portion, or surface, 45332 .
  • the staple cartridge 45300 further comprises a pan 45320 configured to hold the staples within the cartridge body 45310 .
  • the pan 45320 is configured to clip onto a deck 45312 of the cartridge body 45310 .
  • the pan 45320 may be removably affixed to the cartridge body 45310 by a series of hooks 45321 that are formed on the sidewalls of the cartridge pan 45320 and configured to hookingly engage corresponding portions of the cartridge body 45310 .
  • the pan can comprise the lockout key.
  • the firing assembly 45500 comprises a firing shaft 45510 configured to transfer firing motions to the firing member 45520 .
  • the firing member 45520 is attached to a distal end 45513 of the firing shaft 45510 .
  • the firing member 45520 is biased downwardly by the spring 45420 mounted in the shaft. More specifically, the spring 45420 pushes the tail 45526 of the firing member 45520 downwardly to bias the firing member 45520 unless the firing member 45520 is lifted upwardly away from the firing lockout.
  • the surgical stapling assembly 45000 comprises a floating pin 45600 positioned behind the firing member 45520 of the firing assembly 45500 .
  • the floating pin 45600 is supported within a slot, or channel, 45213 defined in the sides of the staple cartridge channel 45210 .
  • the floating pin 45600 is configured to move vertically within the slot 45213 by the ramped surfaces 45331 . More specifically, the floating pin 45600 is pushed upwardly by the lockout key 45330 into the staple cartridge channel 45210 which, in turn, contacts the bottom edge of the firing member 45520 and pushes the firing member 45520 upwardly. Thus, the floating pin 45600 keeps the firing member 45520 from diving into the firing lockout when the staple cartridge 45300 is seated in the staple cartridge channel 45210 . As such, the lockout key 45330 overcomes the downward spring bias applied to the firing member 45520 by the spring 45240 .
  • the firing assembly 45500 can then be advanced distally toward the sled 45340 of the staple cartridge 45300 .
  • the first stage of the lockout is defeated. If the sled 45340 is in its unfired position, a distal nose, or shelf, 45524 of the firing member 45520 will land on a corresponding platform 45341 of the sled 45340 and avoid the lockout discussed above. Landing the distal nose 45524 of the firing member 45520 on the platform 45341 of the sled 45340 when the sled 45340 is in its unfired position defeats a second stage of the lockout.
  • the bottom surface 45511 rides over the floating pin 45600 and the height of the firing assembly 45500 is governed by the engagement between the floating pin 45600 , the bottom surface 45511 of the firing shaft 45510 , and the lockout key 45600 .
  • the firing shaft 45510 is configured such that the firing assembly 45500 may still fall into the lockout when the sled 45340 of the staple cartridge 45300 is not in its unfired position.
  • the bottom surface 45511 comprises a notch 45515 defined proximal to the distal end 45513 of the firing shaft 45510 .
  • the notch 45515 is configured such that the firing shaft 45510 will fall into the lockout if the sled 45340 is not present in its unfired position.
  • FIG. 176 illustrates the staple cartridge 45300 installed within the channel 45210 ; however, the sled 45340 is not present in its unfired position.
  • the firing shaft 45510 is not sufficiently lifted upwardly by the floating pin 45600 to lift the firing shaft 45510 out of the lockout. Instead, the firing shaft 45510 is pulled down by the spring 45240 as the firing assembly 45500 is advanced distally owing to the floating pin 45600 fitting in the notch 45515 .
  • the improper cartridge must be removed and replaced with a proper unfired staple cartridge.
  • the floating pin 45600 will remain in its lower most position illustrated in FIG. 172 . If an attempt is made to advance the firing assembly 45500 distally, the firing assembly 45500 will be unable to overcome the first stage of the lockout.
  • FIG. 180 depicts the staple cartridge 45300 discussed above.
  • FIG. 181 depicts a second staple cartridge 45900 comprising a cartridge body 45910 and a pan 45920 configured to hold a plurality of staples in the staple cartridge 45900 .
  • the cartridge body 45910 further comprises a lockout key 45930 extending proximally from a proximal face 45913 of the cartridge body 45910 .
  • the staple cartridge 45300 and the second staple cartridge 45900 comprise similar features; however, they comprise lockout keys having different configurations.
  • the lockout key 45330 of the staple cartridge 45300 comprises a first length 45338 and a first height 45339 while the lockout key 45930 of the second staple cartridge 45900 comprises a second length 45938 and a second height 45939 which are different than the first length 45338 and the first height 45339 , respectively.
  • the staple cartridges 45300 , 45900 are part of a system in which the staple cartridge 45300 can only unlock a first instrument but not a second instrument while the second staple cartridge 45900 can only unlock the second instrument and not the first instrument.
  • the lockout key 45930 comprises a ramped surface 45931 and a flat surface 45932 which have different dimensions than the surfaces 45331 , 45332 of the lockout key 45330 .
  • the lockout key 45330 of the staple cartridge 45300 is shown in phantom lines in FIG. 181 for comparison purposes.
  • Differing lockout key configurations between similar looking cartridges can prevent a clinician from inserting and using an incompatible cartridge in a second instrument.
  • the lockout keys 45330 , 45930 will cause a firing assembly of an instrument to lift to different heights and at different times during the firing stroke of the firing assembly.
  • the floating pin 45600 if the second staple cartridge 45900 is installed in the surgical stapling assembly 45000 , the firing assembly 45500 will be lifted by the floating pin 45600 at a height which is less than a height at which the firing assembly 45500 will be lifted by the floating pin 45600 if the staple cartridge 45300 is installed. This will cause the firing assembly 45500 to not be able to land on the sled platform of the second staple cartridge and, instead, will become locked out. This will prevent the use of an improper staple cartridge within a stapling instrument.
  • the instrument with which the second staple cartridge 45900 may be used can comprise a similar floating pin system as discussed above; however, this floating pin may be located in a different position relative to the second staple cartridge 45900 such that the lockout key 45930 can lift the firing member of this instrument to the appropriate height and at the appropriate time to land on the sled of the second staple cartridge 45900 to bypass the lockout of the instrument.
  • the lockout keys described herein comprise cartridge body fins, for example.
  • Example 1 A surgical stapling instrument configured for use with a surgical staple cartridge containing a plurality of surgical staples configured to be ejected therefrom by a camming assembly supported therein as the camming assembly is moved from an unfired position therein to a fired position.
  • the surgical stapling instrument comprising a first jaw configured to removably support the surgical staple cartridge therein, a second jaw movable relative to the first jaw between an open position and a closed position, a firing member configured to axially move between a starting position and an ending position upon application of a firing motion thereto, a firing member lockout, and a cartridge verification member.
  • the firing member lockout is configured to interface with the camming assembly of the surgical staple cartridge supported in the first jaw.
  • the firing member lockout is further configured to prevent the firing member from moving out of the starting position upon application of the firing motion to the firing member unless the camming assembly is in the unfired position within the surgical staple cartridge.
  • the cartridge verification member is configured to move the camming assembly out of the unfired position to an intermediate position unless the cartridge verification member detects a verification feature on the surgical staple cartridge.
  • Example 2 The surgical stapling instrument of Example 1, wherein the cartridge verification member is coupled to the second jaw.
  • Example 3 The surgical stapling instrument of Examples 1 or 2, wherein the cartridge verification member is configured to detect the verification feature when the second jaw is moved to the closed position.
  • Example 4 The surgical stapling instrument of Examples 1, 2, or 3, wherein the verification feature protrudes from a proximal end of the surgical staple cartridge.
  • Example 5 The surgical stapling instrument of Examples 1, 2, 3, or 4, wherein the cartridge verification member comprises a compliant portion configured to interact with the camming assembly and the verification feature.
  • Example 6 The surgical stapling instrument of Examples 1, 2, 3, 4, or 5, wherein the surgical staple cartridge comprises a cartridge body and wherein the verification feature comprises a cartridge body extension extending proximally from a proximal end of the cartridge body.
  • Example 7 The surgical stapling instrument of Examples 1, 2, 3, 4, 5, or 6, wherein the cartridge verification member is movably supported within the first jaw and is configured to move between an actuated position wherein the cartridge verification member is configured to move the camming assembly from the unfired position to the intermediate position and a cartridge verification position.
  • Example 8 The surgical stapling instrument of Example 7, further comprising a verification biaser for biasing the cartridge verification member into the actuated position unless the cartridge verification member is contacted by the verification feature of the cartridge to move the surgical staple cartridge verification member to the cartridge verification position.
  • Example 9 The surgical stapling instrument of Examples 1, 2, 3, 4, 5, 6, 7, or 8, wherein the camming assembly includes a plurality of cam members and wherein the cartridge verification member comprises a plurality of displacement arms corresponding to at least two of the cam members.
  • Example 10 The surgical stapling instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, or 9, wherein the surgical staple cartridge comprises four verification members.
  • Example 11 The surgical stapling instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10, wherein the cartridge verification member has at least one primary verification surface thereon configured to interface with a corresponding secondary verification surface on the verification feature to facilitate operable seating of the staple cartridge in the first jaw.
  • Example 12 A surgical stapling instrument configured for use with a surgical staple cartridge containing a plurality of surgical staples configured to be ejected therefrom by a camming assembly supported therein as the camming assembly is moved from an unfired position therein to a fired position.
  • the surgical stapling instrument comprising a channel configured to removably support the surgical staple cartridge therein, an anvil movable relative to the channel between an open position and a closed position, a firing member configured to axially move between a starting position and an ending position upon application of a firing motion thereto, a firing member lockout, and a cartridge verification member.
  • the firing member lockout is movable between a locked position wherein the firing member lockout prevents the firing member from moving from the starting position upon application of the firing motion thereto and an unlocked position wherein the firing member is permitted to move from the starting position to the ending position upon the application of the firing motion thereto.
  • the firing member lockout comprising a latch portion configured to unlockingly engage an unlocking portion of the camming assembly when the camming assembly is in the unfired position to move the firing member lockout from the locked position to the unlocked position.
  • the cartridge verification member is movably supported in the channel and configured to move the camming assembly out of the unfired position and out of unlocking engagement with the latch portion of the firing member to an intermediate position unless the cartridge verification member detects a verification feature on the surgical staple cartridge.
  • Example 13 The surgical stapling instrument of Example 12, wherein the surgical staple cartridge comprises a cartridge body and wherein the verification feature comprises a cartridge body extension extending proximally from a proximal end of the cartridge body.
  • Example 14 The surgical stapling instrument of Examples 12 or 13, wherein the cartridge verification member is movable within the channel between an actuated position wherein the cartridge verification member moves the camming assembly from the unfired position to the intermediate position and a cartridge verification position.
  • Example 15 The surgical stapling instrument of Example 14, further comprising a verification biaser for biasing the cartridge verification member into the actuated position unless the cartridge verification member is contacted by the verification feature of the surgical staple cartridge to move the cartridge verification member to the cartridge verification position.
  • Example 16 A surgical staple cartridge configured to be installed in a surgical stapling instrument.
  • the surgical stapling instrument includes a firing member, a firing member lockout, and a cartridge verification member.
  • the surgical staple cartridge comprises a cartridge body, a plurality of staples removably stored within the cartridge body, a camming assembly, and at least one verification feature.
  • the cartridge body is configured to be operably supported in the surgical stapling instrument and comprises a proximal end, a distal end, and a cartridge slot extending from the proximal end to the distal end to accommodate axial passage of the firing member therethrough.
  • the camming assembly is configured to deploy the staples from the cartridge body as the camming assembly moves from an unfired position adjacent the proximal end of the cartridge body to a fired position.
  • the camming assembly is further configured to move the firing member lockout from a locked position wherein the firing member cannot be moved distally through the cartridge body to an unlocked position wherein the firing member may be axially moved through the cartridge body.
  • the at least one verification feature is configured to operably interface with the cartridge verification member such that when the cartridge body is operably supported in the surgical stapling instrument, the verification feature prevents the cartridge verification member from moving the camming assembly from the unfired position to an intermediate position wherein the camming assembly disengages from the firing member lockout to permit the firing member lockout to be biased into the locked position to prevent the firing member from being moved distally through the cartridge body upon application of a firing motion to the firing member.
  • Example 17 The surgical staple cartridge of Example 16, wherein the at least one verification feature comprises at least one cartridge body extension extending proximally from the proximal end of the cartridge body and in actuation alignment with a corresponding portion of the cartridge verification member.
  • Example 18 The surgical staple cartridge of Example 16, wherein the at least one verification feature comprises four cartridge body extensions extending proximally from the proximal end of the cartridge body wherein each cartridge body extension is in actuation alignment with a corresponding portion of the cartridge verification member.
  • Example 19 The surgical staple cartridge of Examples 16, 17, or 18, wherein the camming assembly further comprises a camming assembly body supported in the cartridge slot for axial travel therein and at least one cam member on each lateral side of the camming assembly body and movably supported in a corresponding cam member axial slot in the cartridge body on each side of the cartridge slot and wherein the cartridge verification member comprises an actuator arm corresponding to each cam member axial slot and configured to extend therein.
  • Example 20 The surgical staple cartridge of Examples 16, 17, 18, or 19, wherein the at least one verification feature comprises at least one secondary verification surface thereon configured to interface with a corresponding primary surface on the cartridge verification member to facilitate operable seating of the surgical staple cartridge in the surgical stapling instrument.
  • Example 21 A surgical stapling assembly configured to receive any of the staple cartridges selected from the group of staple cartridges comprising a compatible staple cartridge and an incompatible staple cartridge.
  • the compatible staple cartridge comprises a cartridge body comprising a longitudinal slot, a plurality of staples stored within the cartridge body, a camming assembly configured to eject the staples from the cartridge body, and a cartridge verification feature.
  • the camming assembly is movable between an unfired position and a fired position.
  • the incompatible staple cartridge comprises another cartridge body comprising another longitudinal slot, another plurality of other staples stored within the another cartridge body, and another camming assembly configured to eject the other staples from the another cartridge body.
  • the another camming assembly is movable between an another unfired position and another fired position.
  • the surgical stapling assembly comprises a first jaw configured to operably support any one of the group of staple cartridges therein, a second jaw movable relative to the first jaw, a firing member configured to axially move between a starting position and an ending position upon application of a firing motion thereto, a firing member lockout, and a cartridge verification member.
  • the firing member lockout is movable from a first locked position wherein the firing member lockout prevents the firing member from moving out of the starting position to an unlocked position wherein the firing member is distally movable from the starting position upon application of the firing motion to the firing member.
  • the camming assembly engages the firing member lockout to move the firing member lockout to the unlocked position.
  • the another camming assembly is configured to engage the firing member lockout to move the firing member lockout to the unlocked position.
  • the cartridge verification member moves the another camming assembly out of engagement with the firing member lockout to permit the firing member lockout to be biased into the locked position by a firing member spring.
  • the cartridge verification feature thereon prevents the cartridge verification member from moving the camming assembly thereof out of engagement with the firing member lockout.
  • an end effector in accordance with various embodiments can comprise electrodes configured to heat and seal the tissue.
  • an end effector in accordance with certain embodiments can apply vibrational energy to seal the tissue.
  • the devices disclosed herein can be designed to be disposed of after a single use, or they can be designed to be used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of the steps including, but not limited to, the disassembly of the device, followed by cleaning or replacement of particular pieces of the device, and subsequent reassembly of the device. In particular, a reconditioning facility and/or surgical team can disassemble a device and, after cleaning and/or replacing particular parts of the device, the device can be reassembled for subsequent use.
  • reconditioning of a device can utilize a variety of techniques for disassembly, cleaning/replacement, and reassembly. Use of such techniques, and the resulting reconditioned device, are all within the scope of the present application.
  • the devices disclosed herein may be processed before surgery.
  • a new or used instrument may be obtained and, when necessary, cleaned.
  • the instrument may then be sterilized.
  • the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag.
  • the container and instrument may then be placed in a field of radiation that can penetrate the container, such as gamma radiation, x-rays, and/or high-energy electrons.
  • the radiation may kill bacteria on the instrument and in the container.
  • the sterilized instrument may then be stored in the sterile container.
  • the sealed container may keep the instrument sterile until it is opened in a medical facility.
  • a device may also be sterilized using any other technique known in the art, including but not limited to beta radiation, gamma radiation, ethylene oxide, plasma peroxide, and/or steam.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)

Abstract

A surgical stapling instrument including a first jaw configured to removably support a surgical staple cartridge therein and a second jaw movable relative to the first jaw between an open position and a closed position. A firing member is configured to axially move between a starting and ending position upon application of a firing motion thereto. A firing member lockout interfaces with ae camming assembly in the surgical staple cartridge to lockout the firing member unless the camming assembly is in an unfired position. A cartridge verification member is configured to move the camming assembly out of the unfired position to an intermediate position unless the cartridge verification member detects a verification feature on the surgical staple cartridge.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • The present application claims priority under 35 U.S.C. § 120 to U.S. patent application Ser. No. 16/281,675, entitled SURGICAL STAPLERS WITH ARRANGEMENTS FOR MAINTAINING A FIRING MEMBER THEREOF IN A LOCKED CONFIGURATION UNLESS A COMPATIBLE CARTRIDGE HAS BEEN INSTALLED THEREIN, filed Feb. 21, 2019, now U.S. Patent Application Publication No. 2019/0298354, the disclosure of which is herein incorporated by reference in its entirety.
  • U.S. patent application Ser. No. 16/281,675 claims the benefit of U.S. Provisional Patent Application Ser. No. 62/807,310, entitled METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS, filed Feb. 19, 2019, of U.S. Provisional Patent Application Ser. No. 62/807,319, entitled SURGICAL STAPLING DEVICES WITH IMPROVED LOCKOUT SYSTEMS, filed Feb. 19, 2019, and of U.S. Provisional Patent Application Ser. No. 62/807,309, entitled SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURE SYSTEMS, filed Feb. 19, 2019, the disclosures of which are incorporated by reference herein in their entireties. U.S. patent application Ser. No. 16/281,675 claims the benefit of U.S. Provisional Patent Application Ser. No. 62/650,887, entitled SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES, filed Mar. 30, 2018, the disclosure of which is incorporated by reference herein in its entirety. U.S. patent application Ser. No. 16/281,675 claims the benefit of U.S. Provisional Patent Application Ser. No. 62/649,302, entitled INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,294, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,300, entitled SURGICAL HUB SITUATIONAL AWARENESS, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,309, entitled SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,310, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,291, entitled USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,296, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,333, entitled CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,327, entitled CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,315, entitled DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,313, entitled CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,320, entitled DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS, filed Mar. 28, 2018, of U.S. Provisional Patent Application Ser. No. 62/649,307, entitled AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS, filed Mar. 28, 2018, and of U.S. Provisional Patent Application Ser. No. 62/649,323, entitled SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS, filed Mar. 28, 2018, the disclosures of which are incorporated by reference herein in their entireties.
  • BACKGROUND
  • The present invention relates to surgical instruments and, in various arrangements, to surgical stapling and cutting instruments and staple cartridges for use therewith that are designed to staple and cut tissue.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • Various features of the embodiments described herein, together with advantages thereof, may be understood in accordance with the following description taken in conjunction with the accompanying drawings as follows:
  • FIG. 1 is a perspective view of a powered surgical stapling system;
  • FIG. 2 is a perspective view of an interchangeable surgical shaft assembly of the powered surgical stapling system of FIG. 1;
  • FIG. 3 is an exploded assembly view of portions of a handle assembly of the powered surgical stapling system of FIG. 1;
  • FIG. 4 is an exploded assembly view of the interchangeable surgical shaft assembly of FIG. 2;
  • FIG. 5 is another partial exploded assembly view of a portion of the interchangeable surgical shaft assembly of FIG. 4;
  • FIG. 6 is a perspective view of another powered surgical stapling system;
  • FIG. 7 is an exploded assembly view of portion of a shaft assembly of the powered surgical stapling system of FIG. 6;
  • FIG. 8 is an exploded assembly view of portions of a handle assembly of the powered surgical stapling system of FIG. 6;
  • FIG. 9 is a side elevational view of another surgical end effector that may be employed with a rotary powered surgical stapling system;
  • FIG. 10 is an exploded assembly view of the surgical end effector of FIG. 9;
  • FIG. 11 is an exploded assembly view of a rotary powered firing member that may be employed with the surgical end effector of FIGS. 9 and 10;
  • FIG. 12 is a partial cross-sectional view of the surgical end effector of FIG. 9 illustrating initial insertion of a fresh, unfired surgical staple cartridge therein;
  • FIG. 13 is another partial cross-sectional view of the surgical end effector of FIG. 12, after the surgical staple cartridge has been operably installed therein;
  • FIG. 14 is an enlarged partial cross-sectional view illustrating a firing member and a camming assembly of the end effector of FIG. 13;
  • FIG. 15 is another partial cross-sectional view of the surgical end effector of FIG. 9, prior to insertion of a fresh surgical staple cartridge therein and with a firing member lockout assembly thereof in a locked position;
  • FIG. 16 is an enlarged partial cross-sectional view illustrating a firing member and lockout lugs of the end effector of FIG. 15, with a camming assembly and end effector channel omitted for clarity;
  • FIG. 17 is a side elevational view of another surgical end effector with an anvil thereof in an open position;
  • FIG. 18 is a partial bottom perspective view of the surgical end effector of FIG. 17;
  • FIG. 19 is a perspective view of a channel mount feature and anvil lockout spring of the surgical end effector of FIG. 17;
  • FIG. 20 is a partial bottom perspective view of the surgical end effector of FIG. 17 without a surgical staple cartridge installed therein and the anvil thereof in a locked position;
  • FIG. 21 is another partial bottom perspective view of the surgical end effector of FIG. 20 after a compatible surgical staple cartridge has been installed therein and the anvil lockout spring moved to an unlocked position;
  • FIG. 22 is a perspective view of a proximal end portion of the surgical staple cartridge depicted in FIG. 21;
  • FIG. 23 is a partial exploded assembly view of a surgical staple cartridge and a corresponding anvil and anvil lockout system of a surgical end effector;
  • FIG. 24 is a partial exploded assembly view of a surgical staple cartridge and a corresponding anvil and anvil lockout system of another surgical end effector;
  • FIG. 25 is a partial bottom view of a channel of another end effector with a compatible surgical staple cartridge loaded therein with portions of the compatible surgical staple cartridge omitted for clarity;
  • FIG. 26 is a side elevational view of a portion of the surgical end effector of FIG. 25, with portions of a channel, anvil and cartridge omitted for clarity;
  • FIG. 27 is a partial cross-sectional end view of the surgical end effector of FIGS. 25 and 26 with the anvil shown in a closed position on a compatible surgical staple cartridge;
  • FIG. 28 is another partial cross-sectional end view of the surgical end effector of FIGS. 25 and 26 with the anvil thereof shown in a locked open position;
  • FIG. 29 is a side elevational of an anvil lock of the surgical end effector of FIGS. 25 and 26 shown in a locked configuration and an unlocked configuration (in phantom lines);
  • FIG. 30 is a side elevational view of a portion of another surgical end effector, with portions of a channel, anvil and cartridge omitted for clarity;
  • FIG. 31 is a front elevational view of an anvil lock of the surgical end effector of FIG. 30;
  • FIG. 32 is a top view of the anvil lock of FIG. 31;
  • FIG. 33 is a cross-sectional side view of another surgical end effector with an anvil thereof in an open position and with a compatible surgical staple cartridge installed therein;
  • FIG. 34 is a partial perspective view of a proximal end of a compatible surgical staple cartridge of FIG. 33 in relation to a portion of an anvil lock feature of the surgical end effector of FIG. 33;
  • FIG. 35 is a top view of a portion of a channel of the surgical end effector of FIG. 33 and an outline of a compatible surgical staple cartridge of FIG. 33 being inserted therein;
  • FIG. 36 is another cross-sectional side view of the surgical end effector of FIG. 33, with the anvil thereof in an open position during initial installation of an incompatible surgical staple cartridge therein;
  • FIG. 37 is a cross-sectional side view of another surgical end effector with an anvil thereof in an open position during installation of a compatible surgical staple cartridge therein;
  • FIG. 38 is a cross-sectional side view of portions of another surgical end effector with an anvil thereof in an open position during installation of a compatible surgical staple cartridge therein;
  • FIG. 39 is a cross-sectional side view of portions of another surgical end effector with an anvil thereof in an open position during installation of a compatible surgical staple cartridge therein;
  • FIG. 40 is a cross-sectional side view of the end effector of FIG. 39 during installation of an incompatible cartridge therein;
  • FIG. 41 is a partial perspective view of a proximal end portion of an anvil;
  • FIG. 42 is a partial perspective view of a proximal end portion of another anvil;
  • FIG. 43 is a partial cross-sectional end view of portions of another surgical end effector;
  • FIG. 44 is a partial perspective view of a proximal end portion of the anvil of the surgical end effector of FIG. 43;
  • FIG. 45 is a partial cross-sectional perspective view of a portion of a channel and anvil lock of the surgical end effector of FIG. 43, with the anvil lock in a locked position;
  • FIG. 46 is a partial side elevational view of the surgical end effector of FIG. 43 with the anvil in an open position and the anvil lock thereof shown in a locked position in phantom lines;
  • FIG. 47 is another partial cross-sectional perspective view of a portion of the channel and anvil lock of the surgical end effector of FIG. 43, with the anvil lock in an unlocked position;
  • FIG. 48 is another partial side elevational view of the surgical end effector of FIG. 43 with the anvil in a closed position and the anvil lock thereof shown in the unlocked position in phantom lines;
  • FIG. 49 is a partial cross-sectional end view of portions of another surgical end effector;
  • FIG. 50 is a partial perspective view of a proximal end portion of the anvil of the surgical end effector of FIG. 49;
  • FIG. 51 is a partial cross-sectional side view of a portion of a channel and anvil lock of the surgical end effector of FIG. 49, with the anvil lock in a locked position;
  • FIG. 52 is a partial side elevational view of another surgical end effector with an anvil thereof in an open position and an anvil lock thereof shown in a locked position in phantom lines;
  • FIG. 53 is a side elevational view of a portion of the anvil of the surgical end effector of FIG. 52;
  • FIG. 54 is a partial perspective view of a portion of the anvil of FIG. 53;
  • FIG. 55 is a partial cross-sectional perspective view of a portion of a channel and anvil lock of the surgical end effector of FIG. 52 with the anvil lock in a locked position;
  • FIG. 56 is another partial cross-sectional perspective view of a portion of the channel and anvil lock of the surgical end effector of FIG. 52, with the anvil lock in an unlocked position;
  • FIG. 57 is a partial side elevational view of the surgical end effector of FIG. 52 with the anvil in a closed position and the anvil lock thereof shown in the unlocked position in phantom lines;
  • FIG. 58 is a partial perspective view of another anvil;
  • FIG. 59 is a partial cross-sectional perspective view of a portion of another channel that may be used in connection with the anvil of FIG. 58;
  • FIG. 60 is a side elevational view of a portion of another anvil;
  • FIG. 61 is a perspective view of a portion of the anvil of FIG. 60;
  • FIG. 62 is a perspective view of a portion of another anvil;
  • FIG. 63 is a side elevational view of another surgical end effector with an anvil thereof in an open position prior to installation of a surgical staple cartridge therein;
  • FIG. 64 is another side elevational view of the surgical end effector of FIG. 63 after a compatible surgical staple cartridge has been installed therein;
  • FIG. 65 is an end elevational view of an surgical end effector closure tube of the surgical end effector of FIG. 63 and with a closure lock thereof in a locked position;
  • FIG. 66 is another end elevational view of the surgical end effector closure tube and closure lock of FIG. 65, with the closure lock shown in an unlocked position;
  • FIG. 67 is a partial perspective view of a portion of a compatible surgical staple cartridge and the closure lock of the surgical end effector of FIG. 63;
  • FIG. 68 is a partial side elevational view of the surgical end effector of FIG. 63 with the anvil thereof in an open position and prior to installation of a surgical staple cartridge therein;
  • FIG. 69 is another partial side elevational view of the surgical end effector of FIG. 68 with the anvil thereof in an open position and during installation of a compatible surgical staple cartridge therein;
  • FIG. 70 is a partial side elevational view of the surgical end effector of FIG. 68 with the anvil thereof in an open position and during initial installation of a compatible surgical staple cartridge therein;
  • FIG. 71 is another partial side elevational view of the surgical end effector of FIG. 70 with the anvil thereof in an open position and after the compatible surgical staple cartridge has been operably seated therein;
  • FIG. 72 is a partial cross-sectional perspective view of a portion of the compatible surgical staple cartridge shown in FIGS. 70 and 71;
  • FIG. 73 is another partial side elevational view of the surgical end effector of FIG. 70 with the anvil thereof in an open position and during installation thereof of a surgical staple cartridge lacking a compatible camming assembly in a starting position;
  • FIG. 74 is a partial side elevational view of another surgical end effector with an anvil thereof in an open position and during initial installation of a compatible surgical staple cartridge therein;
  • FIG. 75 is another partial side elevational view of the surgical end effector of FIG. 74 with the anvil thereof in an open position and after the compatible surgical staple cartridge has been operably seated therein;
  • FIG. 76 is a perspective view of an anvil lock and channel mounting feature of the surgical end effector of FIGS. 74 and 75;
  • FIG. 77 is a perspective view of a portion of a surgical staple cartridge that is compatible with the surgical end effector of FIGS. 74 and 75;
  • FIG. 78 is another partial side elevational view of the surgical end effector of FIG. 74 with the anvil thereof in an open position and after an incompatible surgical staple cartridge has been seated therein;
  • FIG. 79 is a side elevational view of another surgical end effector with a compatible surgical staple cartridge loaded therein and an anvil thereof in an open position;
  • FIG. 80 is a top view of a portion of a surgical staple cartridge that is compatible with the surgical end effector of FIG. 79 with portions thereof omitted for clarity;
  • FIG. 81 is a partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 81-81 in FIG. 80 showing the cartridge nose assembly in a locked position;
  • FIG. 82 is another partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 82-82 in FIG. 80 showing the cartridge nose assembly in an unlocked position;
  • FIG. 83 is another partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 83-83 in FIG. 80 showing the cartridge nose assembly in a locked position;
  • FIG. 84 is another partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79 taken along line 84-84 in FIG. 80 showing the cartridge nose assembly in an unlocked position;
  • FIG. 85 is a partial cross-sectional view of a portion of a firing member and camming assembly of a surgical staple cartridge wherein the camming assembly is in a starting position and in unlocking engagement with a firing member lock on a firing member;
  • FIG. 86 is another partial cross-sectional view of a portion of a firing member of FIG. 85, with the firing member lock in a locked position;
  • FIG. 87 is a side elevational view of a portion of an anvil of another surgical end effector with the anvil in an open position in relation to compatible surgical staple cartridge installed within a corresponding channel that has been omitted for clarity;
  • FIG. 88 is another side elevational view of the anvil and surgical staple cartridge of FIG. 87 during initial closure of the anvil;
  • FIG. 89 is another side elevational view of the anvil and surgical staple cartridge of FIG. 87 after the anvil has been moved to a closed position;
  • FIG. 90 is a perspective view of a portion of the compatible surgical staple cartridge depicted in FIGS. 87-89;
  • FIG. 91 is a partial bottom view of the anvil of FIGS. 87-89;
  • FIG. 92 is a perspective view of a portion of surgical staple cartridge that is incompatible with the anvil of FIGS. 87-89;
  • FIG. 93 is a side elevational view of the anvil of FIGS. 87-89 in an open position in relation to an incompatible surgical staple cartridge of FIG. 92 installed within a corresponding channel that has been omitted for clarity;
  • FIG. 94 is another side elevational view of the anvil and surgical staple cartridge of FIG. 93 during initial closure of the anvil;
  • FIG. 95 is another side elevational view of the anvil and surgical staple cartridge of FIG. 93 after the anvil has been moved to a closed position;
  • FIG. 96 is a partial cross-sectional side view of a portion of another surgical end effector with a compatible surgical staple cartridge loaded therein and an anvil thereof omitted for clarity;
  • FIG. 97 is a top view of a portion of the surgical staple cartridge and surgical end effector of FIG. 96;
  • FIG. 98 is a perspective view of a portion of proximal end of a compatible surgical staple cartridge depicted in FIG. 97;
  • FIG. 99 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of a compatible surgical staple cartridge therein;
  • FIG. 100 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of a compatible surgical staple cartridge therein;
  • FIG. 101 is a top view of the surgical end effector and compatible surgical staple cartridge of FIG. 98;
  • FIG. 102 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of an incompatible surgical staple cartridge therein;
  • FIG. 103 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of an incompatible surgical staple cartridge therein;
  • FIG. 104 is a top view of the surgical end effector and incompatible surgical staple cartridge of FIG. 103;
  • FIG. 105 is another partial cross-sectional side view of a portion of the surgical end effector of FIG. 96 illustrating the installation of an incompatible surgical staple cartridge therein;
  • FIG. 106 is a top view of the surgical end effector and incompatible surgical staple cartridge of FIG. 105;
  • FIG. 107 is a partial cross-sectional perspective view of portions of another surgical end effector with an incompatible surgical staple cartridge installed therein;
  • FIG. 108 is a partial top view of portions of the surgical end effector an incompatible surgical staple cartridge of FIG. 107;
  • FIG. 109 is another partial top view of the surgical end effector of FIG. 105, with a compatible surgical staple cartridge installed therein;
  • FIG. 110 is a partial cross-sectional perspective view of portions of another surgical end effector with a compatible surgical staple cartridge installed therein;
  • FIG. 111 is a partial exploded assembly view of portions of the surgical end effector of FIG. 110;
  • FIG. 112 is a partial cross-sectional end view of the surgical end effector and compatible surgical staple cartridge of FIG. 110;
  • FIG. 113 is another partial cross-sectional surgical end view of the end effector of FIG. 110 with an incompatible surgical staple cartridge installed therein;
  • FIG. 114 is another partial cross-sectional perspective view of portions of the surgical end effector of FIG. 110 with an incompatible surgical staple cartridge installed therein;
  • FIG. 115 is a top view of the surgical end effector and surgical staple cartridge of FIG. 114;
  • FIG. 116 is a top view of a portion of another surgical staple cartridge;
  • FIG. 117 is a partial cross-sectional perspective view of a portion of the surgical staple cartridge of FIG. 116 with a camming assembly thereof in a locked position;
  • FIG. 118 is another top view of the surgical staple cartridge of FIG. 116 interacting with a compatible actuator portion of a surgical end effector;
  • FIG. 119 is another partial cross-sectional perspective view of a portion of the surgical staple cartridge of FIG. 116 with the camming assembly thereof in an unlocked position;
  • FIG. 120 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 121 is a partial elevational view of the stapling instrument of FIG. 120 illustrating the firing member in a locked-out position;
  • FIG. 122 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 123 is a partial elevational view of the stapling instrument of FIG. 122 illustrating the firing member in an unlocked position;
  • FIG. 124 is a partial elevational view of the stapling instrument of FIG. 122 illustrating the firing member in a locked-out position;
  • FIG. 125 is a partial bottom view of the stapling instrument of FIG. 122 illustrating the firing member in an unfired position;
  • FIG. 126 is a partial perspective view of the staple cartridge of FIG. 122;
  • FIG. 127 is a partial perspective view of a staple cartridge in accordance with at least one embodiment;
  • FIG. 128 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 129 is a partial elevational view of the stapling instrument of FIG. 128 illustrating the firing member in an unlocked position;
  • FIG. 130 is a partial top view of the stapling instrument of FIG. 128 illustrated in the unfired position of FIG. 128;
  • FIG. 131 is a partial top view of the stapling instrument of FIG. 128 illustrated in the unlocked position of FIG. 129;
  • FIG. 132 is a partial perspective view of the staple cartridge of FIG. 128 in an unspent configuration;
  • FIG. 133 is a partial perspective view of the staple cartridge of FIG. 128 in a spent configuration;
  • FIG. 134 is a partial elevational view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is in an unfired position;
  • FIG. 135 is a partial elevational view of the stapling instrument of FIG. 134 illustrating the firing member in a locked-out position;
  • FIG. 136 is a partial perspective view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, and a firing member lock in accordance with at least one embodiment illustrated with some components removed, wherein the firing member has been unlocked by the staple cartridge;
  • FIG. 137 is a partial elevational view of the stapling instrument of FIG. 136 illustrated with an improper staple cartridge seated in the cartridge channel;
  • FIG. 138 is a partial cross-sectional plan view of the stapling instrument of FIG. 136 illustrated with an improper staple cartridge seated in the cartridge channel;
  • FIG. 139 is a partial cross-sectional plan view of the stapling instrument of FIG. 136 illustrating the firing member lock unlocked by the staple cartridge;
  • FIG. 140 is a partial cross-sectional view of a stapling instrument in accordance with at least one embodiment that has been unlocked by a staple cartridge;
  • FIG. 141 is a partial cross-sectional view of a stapling instrument in accordance with at least one embodiment that has been unlocked by a staple cartridge;
  • FIG. 142 is a partial perspective view of the staple cartridge of FIG. 140;
  • FIG. 143 is a partial perspective view of the staple cartridge of FIG. 141;
  • FIG. 144 is a partial cross-sectional perspective view of a staple cartridge pan in accordance with at least one embodiment;
  • FIG. 145 is a partial perspective view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, and a firing member lock in accordance with at least one embodiment illustrated with some components removed, wherein the firing member is unlocked by the staple cartridge;
  • FIG. 146 is a partial perspective view of the stapling instrument of FIG. 145 illustrating a different staple cartridge positioned in the cartridge channel which does not unlock the firing member;
  • FIG. 147 is a partial perspective view of the stapling instrument of FIG. 145 illustrating the firing member in a locked configuration;
  • FIG. 148 is a partial perspective view of a stapling instrument configured to be unlocked by the different staple cartridge of FIG. 146;
  • FIG. 149 is a perspective view of a staple cartridge which is similar to the staple cartridge of FIG. 146 and configured to unlock the stapling instrument of FIG. 148;
  • FIG. 150 is a perspective view of a staple cartridge which is similar to the staple cartridge of FIG. 145 and configured to unlock the stapling instrument of FIG. 145;
  • FIG. 151 is a partial exploded view of a stapling instrument comprising a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, an anvil, and a dual-purpose firing member/anvil lock in accordance with at least one embodiment illustrated with some components removed, wherein the stapling instrument is illustrated in a locked state;
  • FIG. 152 is a partial perspective view of the stapling instrument of FIG. 151 being unlocked by the insertion of the staple cartridge into the cartridge channel;
  • FIG. 153 is a partial cross-sectional view of the stapling instrument of FIG. 151 illustrating the stapling instrument in the locked state of FIG. 151;
  • FIG. 154 is a partial cross-sectional view of the stapling instrument of FIG. 151 illustrating the stapling instrument in the unlocked state of FIG. 152;
  • FIG. 155 is a perspective view of the firing member/anvil lock of FIG. 151;
  • FIG. 155A is a partial perspective view of a staple cartridge in accordance with at least one embodiment;
  • FIG. 155B is a partial perspective view of a staple cartridge in accordance with at least one embodiment;
  • FIG. 155C is a partial perspective view of a staple cartridge in accordance with at least one embodiment;
  • FIG. 155D is a partial perspective view of a staple cartridge in accordance with at least one embodiment;
  • FIG. 155E is a partial perspective view of a staple cartridge in accordance with at least one embodiment;
  • FIG. 156 is a partial cross-sectional view of a surgical stapling assembly comprising an anvil, a staple cartridge, a firing member, and a firing lockout;
  • FIG. 157 is a partial cross-sectional view of the firing member and the firing lockout of FIG. 156 illustrated in an unlocked configuration;
  • FIG. 158 is a partial cross-sectional view of the firing member and the firing lockout of FIG. 156 illustrated in a locked configuration;
  • FIG. 159 is a partial cross-sectional view of the surgical stapling assembly of FIG. 156, wherein the surgical stapling assembly further comprises an exterior access aperture configured to permit a user to artificially move the firing lockout into the unlocked configuration with a separate lockout key;
  • FIG. 160 is a perspective view of a lockout member of the firing lockout of FIG. 156;
  • FIG. 161 is a partial cross-sectional view of a surgical stapling assembly comprising a lockout and an exterior access orifice configured to permit a user to artificially move the firing lockout into an unlocked configuration with a separate lockout key;
  • FIG. 162 is a bottom plan view of the surgical stapling assembly of FIG. 161;
  • FIG. 163 is a partial cross-sectional view of a surgical stapling assembly comprising a firing member, a cartridge channel, a staple cartridge configured be installed into the cartridge channel, and a lockout, wherein the lockout is illustrated in an unengaged configuration;
  • FIG. 164 is a partial cross-sectional view of the surgical stapling assembly of FIG. 163, wherein the lockout is illustrated in an engaged configuration;
  • FIG. 165 comprises elevational views of two staple cartridges each comprising a different lockout key;
  • FIG. 166 is a graph depicting knife lift timing provided by each lockout key of the staple cartridges of FIG. 165;
  • FIG. 167 is a graph depicting knife lift displacement provided by each lockout key of the staple cartridges of FIG. 165;
  • FIG. 168 is a perspective view of a first staple cartridge for use with a surgical stapling system, wherein the first staple cartridge comprises a cartridge body, a pan, a sled, and a first lockout key;
  • FIG. 169 is a perspective view of a second staple cartridge for use with the surgical stapling system with which the first staple cartridge of FIG. 168 is to be used, wherein the second staple cartridge comprises a cartridge body, a pan, a sled, and a second lockout key;
  • FIG. 170 is an elevational view of a surgical stapling assembly comprising a firing member, a first jaw comprising a staple cartridge, a second jaw comprising an anvil movable relative to the first jaw, and a lockout;
  • FIG. 171 is partial perspective view of the surgical stapling assembly of FIG. 170;
  • FIG. 172 is a partial elevational view of the surgical stapling assembly of FIG. 170 where the staple cartridge is not installed within the first jaw;
  • FIG. 173 is a partial elevational view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw;
  • FIG. 174 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw and the firing member is in an unfired position;
  • FIG. 175 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw and the firing member is in a partially fired position;
  • FIG. 176 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is not installed within the first jaw and the firing member is in the unfired position;
  • FIG. 177 is a partial cross-sectional view of the surgical stapling assembly of FIG. 170 where the staple cartridge is not installed within the first jaw and the firing member is in a locked position;
  • FIG. 178 is a partial elevational view of the surgical stapling assembly of FIG. 170 where the staple cartridge is installed within the first jaw and the firing member is in the partially fired position, wherein some components are illustrated with hidden lines;
  • FIG. 179 is a perspective view of the staple cartridge of the surgical stapling assembly of FIG. 170 comprising a lockout key extending from a proximal end thereof;
  • FIG. 180 is a partial plan view of the staple cartridge of FIG. 179; and
  • FIG. 181 is a partial plan view of a second staple cartridge configured for use with a system including the staple cartridge of FIG. 179, wherein the second staple cartridge comprises a lockout key comprising a different configuration than the lockout key of the staple cartridge of FIG. 179.
  • Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate various embodiments of the invention, in one form, and such exemplifications are not to be construed as limiting the scope of the invention in any manner.
  • DETAILED DESCRIPTION
  • Applicant of the present application owns the following U.S. Patent Applications that were filed on Feb. 21, 2019 and which are each herein incorporated by reference in their respective entireties:
  • U.S. patent application Ser. No. 16/281,658, entitled METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS, now U.S. Patent Application Publication No. 2019/0298350;
      • U.S. patent application Ser. No. 16/281,670, entitled STAPLE CARTRIDGE COMPRISING A LOCKOUT KEY CONFIGURED TO LIFT A FIRING MEMBER, now U.S. Patent Application Publication No. 2019/0298340;
      • U.S. patent application Ser. No. 16/281,685, entitled SURGICAL INSTRUMENT COMPRISING CO-OPERATING LOCKOUT FEATURES, now U.S. Patent Application Publication No. 2019/0298341;
      • U.S. patent application Ser. No. 16/281,693, entitled SURGICAL STAPLING ASSEMBLY COMPRISING A LOCKOUT AND AN EXTERIOR ACCESS ORIFICE TO PERMIT ARTIFICIAL UNLOCKING OF THE LOCKOUT, now U.S. Patent Application Publication No. 2019/0298342;
      • U.S. patent application Ser. No. 16/281,704, entitled SURGICAL STAPLING DEVICES WITH FEATURES FOR BLOCKING ADVANCEMENT OF A CAMMING ASSEMBLY OF AN INCOMPATIBLE CARTRIDGE INSTALLED THEREIN, now U.S. Patent Application Publication No. 2019/0298356;
      • U.S. patent application Ser. No. 16/281,707 entitled STAPLING INSTRUMENT COMPRISING A DEACTIVATABLE LOCKOUT, now U.S. Patent Application Publication No. 2019/0298347;
      • U.S. patent application Ser. No. 16/281,741, entitled SURGICAL INSTRUMENT COMPRISING A JAW CLOSURE LOCKOUT, now U.S. Patent Application Publication No. 2019/0298357;
      • U.S. patent application Ser. No. 16/281,762, entitled SURGICAL STAPLING DEVICES WITH CARTRIDGE COMPATIBLE CLOSURE AND FIRING LOCKOUT ARRANGEMENTS, now U.S. Patent Application Publication No. 2019/0298343;
      • U.S. patent application Ser. No. 16/281,660, entitled SURGICAL STAPLE CARTRIDGE WITH FIRING MEMBER DRIVEN CAMMING ASSEMBLY THAT HAS AN ONBOARD TISSUE CUTTING FEATURE, now U.S. Pat. No. 10,973,520;
      • U.S. patent application Ser. No. 16/281,666 entitled SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURE SYSTEMS, now U.S. Patent Application Publication No. 2019/0298352;
      • U.S. patent application Ser. No. 16/281,672, entitled SURGICAL STAPLING DEVICES WITH ASYMMETRIC CLOSURE FEATURES, now U.S. Patent Application Publication No. 2019/0298353;
      • U.S. patent application Ser. No. 16/281,678, entitled ROTARY DRIVEN FIRING MEMBERS WITH DIFFERENT ANVIL AND CHANNEL ENGAGEMENT FEATURES, now U.S. Patent Application Publication No. 2019/0298355; and
      • U.S. patent application Ser. No. 16/281,682, entitled SURGICAL STAPLING DEVICE WITH SEPARATE ROTARY DRIVEN CLOSURE AND FIRING SYSTEMS AND FIRING MEMBER THAT ENGAGES BOTH JAWS WHILE FIRING, now U.S. Patent Application Publication No. 2019/0298346.
  • Applicant of the present application owns the following U.S. Provisional Patent Applications that were filed on Feb. 19, 2019 and which are each herein incorporated by reference in their respective entireties:
      • U.S. Provisional Patent Application Ser. No. 62/807,310, entitled METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS;
      • U.S. Provisional Patent Application Ser. No. 62/807,319, entitled SURGICAL STAPLING DEVICES WITH IMPROVED LOCKOUT SYSTEMS; and
      • U.S. Provisional Patent Application Ser. No. 62/807,309, entitled SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURE SYSTEMS.
  • Applicant of the present application owns the following U.S. Provisional Patent Applications, filed on Mar. 28, 2018, each of which is herein incorporated by reference in its entirety:
      • U.S. Provisional Patent Application Ser. No. 62/649,302, entitled INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES;
      • U.S. Provisional Patent Application Ser. No. 62/649,294, entitled DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD;
      • U.S. Provisional Patent Application Ser. No. 62/649,300, entitled SURGICAL HUB SITUATIONAL AWARENESS;
      • U.S. Provisional Patent Application Ser. No. 62/649,309, entitled SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER;
      • U.S. Provisional Patent Application Ser. No. 62/649,310, entitled COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS;
      • U.S. Provisional Patent Application Ser. No. 62/649,291, entitled USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT;
      • U.S. Provisional Patent Application Ser. No. 62/649,296, entitled ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES;
      • U.S. Provisional Patent Application Ser. No. 62/649,333, entitled CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER;
      • U.S. Provisional Patent Application Ser. No. 62/649,327, entitled CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES;
      • U.S. Provisional Patent Application Ser. No. 62/649,315, entitled DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK;
      • U.S. Provisional Patent Application Ser. No. 62/649,313, entitled CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES;
      • U.S. Provisional Patent Application Ser. No. 62/649,320, entitled DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS;
      • U.S. Provisional Patent Application Ser. No. 62/649,307, entitled AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS; and
      • U.S. Provisional Patent Application Ser. No. 62/649,323, entitled SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS.
  • Applicant of the present application owns the following U.S. Provisional Patent Application, filed on Mar. 30, 2018, which is herein incorporated by reference in its entirety:
      • U.S. Provisional Patent Application Ser. No. 62/650,887, entitled SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES.
  • Applicant of the present application owns the following U.S. Patent Application, filed on Dec. 4, 2018, which is herein incorporated by reference in its entirety:
      • U.S. patent application Ser. No. 16/209,423, entitled METHOD OF COMPRESSING TISSUE WITHIN A STAPLING DEVICE AND SIMULTANEOUSLY DISPLAYING THE LOCATION OF THE TISSUE WITHIN THE JAWS, now U.S. Patent Application Publication No. 2019/0200981.
  • Applicant of the present application owns the following U.S. Patent Applications that were filed on Aug. 20, 2018 and which are each herein incorporated by reference in their respective entireties:
      • U.S. patent application Ser. No. 16/105,101, entitled METHOD FOR FABRICATING SURGICAL STAPLER ANVILS, now U.S. Patent Application Publication No. 2020/0054323;
      • U.S. patent application Ser. No. 16/105,183, entitled REINFORCED DEFORMABLE ANVIL TIP FOR SURGICAL STAPLER ANVIL, now U.S. Pat. No. 10,912,559;
      • U.S. patent application Ser. No. 16/105,150, entitled SURGICAL STAPLER ANVILS WITH STAPLE DIRECTING PROTRUSIONS AND TISSUE STABILITY FEATURES, now U.S. Patent Application Publication No. 2020/0054326;
      • U.S. patent application Ser. No. 16/105,098, entitled FABRICATING TECHNIQUES FOR SURGICAL STAPLER ANVILS, now U.S. Patent Application Publication No. 2020/0054322;
      • U.S. patent application Ser. No. 16/105,140, entitled SURGICAL STAPLER ANVILS WITH TISSUE STOP FEATURES CONFIGURED TO AVOID TISSUE PINCH, now U.S. Pat. No. 10,779,821;
      • U.S. patent application Ser. No. 16/105,081, entitled METHOD FOR OPERATING A POWERED ARTICULATABLE SURGICAL INSTRUMENT, now U.S. Patent Application Publication No. 2020/0054320;
      • U.S. patent application Ser. No. 16/105,094, entitled SURGICAL INSTRUMENTS WITH PROGRESSIVE JAW CLOSURE ARRANGEMENTS, now U.S. Patent Application Publication No. 2020/0054321;
      • U.S. patent application Ser. No. 16/105,097, entitled POWERED SURGICAL INSTRUMENTS WITH CLUTCHING ARRANGEMENTS TO CONVERT LINEAR DRIVE MOTIONS TO ROTARY DRIVE MOTIONS, now U.S. Patent Application Publication No. 2020/0054328;
      • U.S. patent application Ser. No. 16/105,104, entitled POWERED ARTICULATABLE SURGICAL INSTRUMENTS WITH CLUTCHING AND LOCKING ARRANGEMENTS FOR LINKING AN ARTICULATION DRIVE SYSTEM TO A FIRING DRIVE SYSTEM, now U.S. Pat. No. 10,842,492;
      • U.S. patent application Ser. No. 16/105,119, entitled ARTICULATABLE MOTOR POWERED SURGICAL INSTRUMENTS WITH DEDICATED ARTICULATION MOTOR ARRANGEMENTS, now U.S. Patent Application Publication No. 2020/0054330;
      • U.S. patent application Ser. No. 16/105,160, entitled SWITCHING ARRANGEMENTS FOR MOTOR POWERED ARTICULATABLE SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,856,870; and
      • U.S. Design Patent Application Serial No. 29/660,252, entitled SURGICAL INSTRUMENT ANVIL, now U.S. Design Pat. No. D914,878.
  • Applicant of the present application owns the following U.S. Patent Applications and U.S. Patents that are each herein incorporated by reference in their respective entireties:
      • U.S. patent application Ser. No. 15/386,185, entitled SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIES THEREOF, now U.S. Pat. No. 10,639,035;
      • U.S. patent application Ser. No. 15/386,230, entitled ARTICULATABLE SURGICAL STAPLING INSTRUMENTS, now U.S. Patent Application Publication No. 2018/0168649;
      • U.S. patent application Ser. No. 15/386,221, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS, now U.S. Pat. No. 10,835,247;
      • U.S. patent application Ser. No. 15/386,209, entitled SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF, now U.S. Pat. No. 10,588,632;
      • U.S. patent application Ser. No. 15/386,198, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS AND REPLACEABLE TOOL ASSEMBLIES, now U.S. Pat. No. 10,610,224;
      • U.S. patent application Ser. No. 15/386,240, entitled SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREFOR, now U.S. Pat. No. 10,973,516;
      • U.S. patent application Ser. No. 15/385,939, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN, now U.S. Pat. No. 10,835,246;
      • U.S. patent application Ser. No. 15/385,941, entitled SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FOR SHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES AND ARTICULATION AND FIRING SYSTEMS, now U.S. Pat. No. 10,736,629;
      • U.S. patent application Ser. No. 15/385,943, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS, now U.S. Pat. No. 10,667,811;
      • U.S. patent application Ser. No. 15/385,950, entitled SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTION FEATURES, now U.S. Pat. No. 10,588,630;
      • U.S. patent application Ser. No. 15/385,945, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN, now U.S. Pat. No. 10,893,864;
      • U.S. patent application Ser. No. 15/385,946, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS, now U.S. Patent Application Publication No. 2018/0168633;
      • U.S. patent application Ser. No. 15/385,951, entitled SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASING A JAW OPENING DISTANCE, now U.S. Pat. No. 10,568,626;
      • U.S. patent application Ser. No. 15/385,953, entitled METHODS OF STAPLING TISSUE, now U.S. Pat. No. 10,675,026;
      • U.S. patent application Ser. No. 15/385,954, entitled FIRING MEMBERS WITH NON-PARALLEL JAW ENGAGEMENT FEATURES FOR SURGICAL END EFFECTORS, now U.S. Pat. No. 10,624,635;
      • U.S. patent application Ser. No. 15/385,955, entitled SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOP ARRANGEMENTS, now U.S. Pat. No. 10,813,638;
      • U.S. patent application Ser. No. 15/385,948, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS, now U.S. Patent Application Publication No. 2018/0168584;
      • U.S. patent application Ser. No. 15/385,956, entitled SURGICAL INSTRUMENTS WITH POSITIVE JAW OPENING FEATURES, now U.S. Pat. No. 10,588,631;
      • U.S. patent application Ser. No. 15/385,958, entitled SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTING FIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT, now U.S. Pat. No. 10,639,034;
      • U.S. patent application Ser. No. 15/385,947, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN, now U.S. Pat. No. 10,568,625;
      • U.S. patent application Ser. No. 15/385,896, entitled METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT, now U.S. Patent Application Publication No. 2018/0168597;
      • U.S. patent application Ser. No. 15/385,898, entitled STAPLE-FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENT TYPES OF STAPLES, now U.S. Pat. No. 10,537,325;
      • U.S. patent application Ser. No. 15/385,899, entitled SURGICAL INSTRUMENT COMPRISING IMPROVED JAW CONTROL, now U.S. Pat. No. 10,758,229;
      • U.S. patent application Ser. No. 15/385,901, entitled STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISING WINDOWS DEFINED THEREIN, now U.S. Pat. No. 10,667,809;
      • U.S. patent application Ser. No. 15/385,902, entitled SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER, now U.S. Pat. No. 10,888,322;
      • U.S. patent application Ser. No. 15/385,904, entitled STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND/OR SPENT CARTRIDGE LOCKOUT, now U.S. Pat. No. 10,881,401;
      • U.S. patent application Ser. No. 15/385,905, entitled FIRING ASSEMBLY COMPRISING A LOCKOUT, now U.S. Pat. No. 10,695,055;
      • U.S. patent application Ser. No. 15/385,907, entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUT AND A FIRING ASSEMBLY LOCKOUT, now U.S. Patent Application Publication No. 2018/0168608;
      • U.S. patent application Ser. No. 15/385,908, entitled FIRING ASSEMBLY COMPRISING A FUSE, now U.S. Patent Application Publication No. 2018/0168609;
      • U.S. patent application Ser. No. 15/385,909, entitled FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FUSE, now U.S. Patent Application Publication No. 2018/0168610;
      • U.S. patent application Ser. No. 15/385,920, entitled STAPLE-FORMING POCKET ARRANGEMENTS, now U.S. Pat. No. 10,499,914;
      • U.S. patent application Ser. No. 15/385,913, entitled ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS, now U.S. Patent Application Publication No. 2018/0168614;
      • U.S. patent application Ser. No. 15/385,914, entitled METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OF STAPLE CARTRIDGES WITH THE SAME SURGICAL STAPLING INSTRUMENT, now U.S. Patent Application Publication No. 2018/0168615;
      • U.S. patent application Ser. No. 15/385,893, entitled BILATERALLY ASYMMETRIC STAPLE-FORMING POCKET PAIRS, now U.S. Pat. No. 10,682,138;
      • U.S. patent application Ser. No. 15/385,929, entitled CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICAL INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS, now U.S. Pat. No. 10,667,810;
      • U.S. patent application Ser. No. 15/385,911, entitled SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING AND FIRING SYSTEMS, now U.S. Pat. No. 10,448,950;
      • U.S. patent application Ser. No. 15/385,927, entitled SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CARTRIDGES, now U.S. Patent Application Publication No. 2018/0168625;
      • U.S. patent application Ser. No. 15/385,917, entitled STAPLE CARTRIDGE COMPRISING STAPLES WITH DIFFERENT CLAMPING BREADTHS, now U.S. Pat. No. 10,993,715;
      • U.S. patent application Ser. No. 15/385,900, entitled STAPLE-FORMING POCKET ARRANGEMENTS COMPRISING PRIMARY SIDEWALLS AND POCKET SIDEWALLS, now U.S. Pat. No. 10,898,186;
      • U.S. patent application Ser. No. 15/385,931, entitled NO-CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FOR SURGICAL STAPLERS, now U.S. Pat. No. 10,980,536;
      • U.S. patent application Ser. No. 15/385,915, entitled FIRING MEMBER PIN ANGLE, now U.S. Pat. No. 10,779,823;
      • U.S. patent application Ser. No. 15/385,897, entitled STAPLE-FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMING SURFACE GROOVES, now U.S. Patent Application Publication No. 2018/0168598;
      • U.S. patent application Ser. No. 15/385,922, entitled SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES, now U.S. Pat. No. 10,426,471;
      • U.S. patent application Ser. No. 15/385,924, entitled SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS, now U.S. Pat. No. 10,758,230;
      • U.S. patent application Ser. No. 15/385,910, entitled ANVIL HAVING A KNIFE SLOT WIDTH, now U.S. Pat. No. 10,485,543;
      • U.S. patent application Ser. No. 15/385,903, entitled CLOSURE MEMBER ARRANGEMENTS FOR SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,617,414;
      • U.S. patent application Ser. No. 15/385,906, entitled FIRING MEMBER PIN CONFIGURATIONS, now U.S. Pat. No. 10,856,868;
      • U.S. patent application Ser. No. 15/386,188, entitled STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES, now U.S. Pat. No. 10,537,324;
      • U.S. patent application Ser. No. 15/386,192, entitled STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAP SETTING FEATURES, now U.S. Pat. No. 10,687,810;
      • U.S. patent application Ser. No. 15/386,206, entitled STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES, now U.S. Pat. No. 10,945,727;
      • U.S. patent application Ser. No. 15/386,226, entitled DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIES OF SURGICAL STAPLING INSTRUMENTS, now U.S. Patent Application Publication No. 2018/0168648;
      • U.S. patent application Ser. No. 15/386,222, entitled SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS WITH POSITIVE OPENING FEATURES, now U.S. Patent Application Publication No. 2018/0168647;
      • U.S. patent application Ser. No. 15/386,236, entitled CONNECTION PORTIONS FOR DEPOSABLE LOADING UNITS FOR SURGICAL STAPLING INSTRUMENTS, now U.S. Patent Application Publication No. 2018/0168650;
      • U.S. patent application Ser. No. 15/385,887, entitled METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICAL INSTRUMENT AND, ALTERNATIVELY, TO A SURGICAL ROBOT, now U.S. Pat. No. 10,835,245;
      • U.S. patent application Ser. No. 15/385,889, entitled SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTION SYSTEM FOR USE WITH A MOTORIZED SURGICAL INSTRUMENT SYSTEM, now U.S. Patent Application Publication No. 2018/0168590;
      • U.S. patent application Ser. No. 15/385,890, entitled SHAFT ASSEMBLY COMPRISING SEPARATELY ACTUATABLE AND RETRACTABLE SYSTEMS, now U.S. Pat. No. 10,675,025;
      • U.S. patent application Ser. No. 15/385,891, entitled SHAFT ASSEMBLY COMPRISING A CLUTCH CONFIGURED TO ADAPT THE OUTPUT OF A ROTARY FIRING MEMBER TO TWO DIFFERENT SYSTEMS, now U.S. Patent Application Publication No. 2018/0168592;
      • U.S. patent application Ser. No. 15/385,892, entitled SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO AN ARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM, now U.S. Pat. No. 10,918,385;
      • U.S. patent application Ser. No. 15/385,894, entitled SHAFT ASSEMBLY COMPRISING A LOCKOUT, now U.S. Pat. No. 10,492,785;
      • U.S. patent application Ser. No. 15/385,895, entitled SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATION LOCKOUTS, now U.S. Pat. No. 10,542,982;
      • U.S. patent application Ser. No. 15/385,916, entitled SURGICAL STAPLING SYSTEMS, now U.S. Patent Application Publication No. 2018/0168575;
      • U.S. patent application Ser. No. 15/385,918, entitled SURGICAL STAPLING SYSTEMS, now U.S. Patent Application Publication No. 2018/0168618;
      • U.S. patent application Ser. No. 15/385,919, entitled SURGICAL STAPLING SYSTEMS, now U.S. Patent Application Publication No. 2018/0168619;
      • U.S. patent application Ser. No. 15/385,921, entitled SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBER CONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES, now U.S. Pat. No. 10,687,809;
      • U.S. patent application Ser. No. 15/385,923, entitled SURGICAL STAPLING SYSTEMS, now U.S. Patent Application Publication No. 2018/0168623;
      • U.S. patent application Ser. No. 15/385,925, entitled JAW ACTUATED LOCK ARRANGEMENTS FOR PREVENTING ADVANCEMENT OF A FIRING MEMBER IN A SURGICAL END EFFECTOR UNLESS AN UNFIRED CARTRIDGE IS INSTALLED IN THE END EFFECTOR, now U.S. Pat. No. 10,517,595;
      • U.S. patent application Ser. No. 15/385,926, entitled AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYING CLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS, now U.S. Patent Application Publication No. 2018/0168577;
      • U.S. patent application Ser. No. 15/385,928, entitled PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN A MOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT, now U.S. Patent Application Publication No. 2018/0168578;
      • U.S. patent application Ser. No. 15/385,930, entitled SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENING FEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS, now U.S. Patent Application Publication No. 2018/0168579;
      • U.S. patent application Ser. No. 15/385,932, entitled ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFT ARRANGEMENT, now U.S. Pat. No. 10,959,727;
      • U.S. patent application Ser. No. 15/385,933, entitled ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLE LINKAGE DISTAL OF AN ARTICULATION LOCK, now U.S. Pat. No. 10,603,036;
      • U.S. patent application Ser. No. 15/385,934, entitled ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR IN AN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM, now U.S. Pat. No. 10,582,928;
      • U.S. patent application Ser. No. 15/385,935, entitled LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR OF A SURGICAL INSTRUMENT IN AN ARTICULATED CONFIGURATION, now U.S. Pat. No. 10,524,789;
      • U.S. patent application Ser. No. 15/385,936, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKE AMPLIFICATION FEATURES, now U.S. Pat. No. 10,517,596;
      • U.S. patent application Ser. No. 14/318,996, entitled FASTENER CARTRIDGES INCLUDING EXTENSIONS HAVING DIFFERENT CONFIGURATIONS, now U.S. Patent Application Publication No. 2015/0297228;
      • U.S. patent application Ser. No. 14/319,006, entitled FASTENER CARTRIDGE COMPRISING FASTENER CAVITIES INCLUDING FASTENER CONTROL FEATURES, now U.S. Pat. No. 10,010,324;
      • U.S. patent application Ser. No. 14/318,991, entitled SURGICAL FASTENER CARTRIDGES WITH DRIVER STABILIZING ARRANGEMENTS, now U.S. Pat. No. 9,833,241;
      • U.S. patent application Ser. No. 14/319,004, entitled SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORING ARRANGEMENTS, now U.S. Pat. No. 9,844,369;
      • U.S. patent application Ser. No. 14/319,008, entitled FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS, now U.S. Patent Application Publication No. 2015/0297232;
      • U.S. patent application Ser. No. 14/318,997, entitled FASTENER CARTRIDGE COMPRISING DEPLOYABLE TISSUE ENGAGING MEMBERS, now U.S. Pat. No. 10,561,422;
      • U.S. patent application Ser. No. 14/319,002, entitled FASTENER CARTRIDGE COMPRISING TISSUE CONTROL FEATURES, now U.S. Pat. No. 9,877,721;
      • U.S. patent application Ser. No. 14/319,013, entitled FASTENER CARTRIDGE ASSEMBLIES AND STAPLE RETAINER COVER ARRANGEMENTS, now U.S. Patent Application Publication No. 2015/0297233; and
      • U.S. patent application Ser. No. 14/319,016, entitled FASTENER CARTRIDGE INCLUDING A LAYER ATTACHED THERETO, now U.S. Pat. No. 10,470,768.
  • Applicant of the present application owns the following U.S. Patent Applications that were filed on Jun. 24, 2016 and which are each herein incorporated by reference in their respective entireties:
      • U.S. patent application Ser. No. 15/191,775, entitled STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES, now U.S. Pat. No. 11,000,278;
      • U.S. patent application Ser. No. 15/191,807, entitled STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPED STAPLES, now U.S. Pat. No. 10,702,270;
      • U.S. patent application Ser. No. 15/191,834, entitled STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME, now U.S. Pat. No. 10,542,979;
      • U.S. patent application Ser. No. 15/191,788, entitled STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES, now U.S. Pat. No. 10,675,024; and
      • U.S. patent application Ser. No. 15/191,818, entitled STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS, now U.S. Pat. No. 10,893,863.
  • Applicant of the present application owns the following U.S. Patent Applications that were filed on Jun. 24, 2016 and which are each herein incorporated by reference in their respective entireties:
      • U.S. Design Patent Application Serial No. 29/569,218, entitled SURGICAL FASTENER, now U.S. Design Pat. No. D826,405;
      • U.S. Design Patent Application Serial No. 29/569,227, entitled SURGICAL FASTENER, now U.S. Design Pat. No. D822,206;
      • U.S. Design Patent Application Serial No. 29/569,259, entitled SURGICAL FASTENER CARTRIDGE, now U.S. Design Pat. No. D847,989; and
      • U.S. Design Patent Application Serial No. 29/569,264, entitled SURGICAL FASTENER CARTRIDGE, now U.S. Design Pat. No. D850,617.
  • Applicant of the present application owns the following patent applications that were filed on Apr. 1, 2016 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 15/089,325, entitled METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM, now U.S. Patent Application Publication No. 2017/0281171;
      • U.S. patent application Ser. No. 15/089,321, entitled MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY, now U.S. Pat. No. 10,271,851;
      • U.S. patent application Ser. No. 15/089,326, entitled SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD, now U.S. Pat. No. 10,433,849;
      • U.S. patent application Ser. No. 15/089,263, entitled SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIP PORTION, now U.S. Pat. No. 10,307,159;
      • U.S. patent application Ser. No. 15/089,262, entitled ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLE BAILOUT SYSTEM, now U.S. Pat. No. 10,357,246;
      • U.S. patent application Ser. No. 15/089,277, entitled SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVIL CONCENTRIC DRIVE MEMBER, now U.S. Pat. No. 10,531,874;
      • U.S. patent application Ser. No. 15/089,296, entitled INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL END EFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS, now U.S. Pat. No. 10,413,293;
      • U.S. patent application Ser. No. 15/089,258, entitled SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION, now U.S. Pat. No. 10,342,543;
      • U.S. patent application Ser. No. 15/089,278, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVE CUTTING OF TISSUE, now U.S. Pat. No. 10,420,552;
      • U.S. patent application Ser. No. 15/089,284, entitled SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT, now U.S. Patent Application Publication No. 2017/0281186;
      • U.S. patent application Ser. No. 15/089,295, entitled SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSION LOCKOUT, now U.S. Pat. No. 10,856,867;
      • U.S. patent application Ser. No. 15/089,300, entitled SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT, now U.S. Pat. No. 10,456,140;
      • U.S. patent application Ser. No. 15/089,196, entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT, now U.S. Pat. No. 10,568,632;
      • U.S. patent application Ser. No. 15/089,203, entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT, now U.S. Pat. No. 10,542,991;
      • U.S. patent application Ser. No. 15/089,210, entitled SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGE LOCKOUT, now U.S. Pat. No. 10,478,190;
      • U.S. patent application Ser. No. 15/089,324, entitled SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM, now U.S. Pat. No. 10,314,582;
      • U.S. patent application Ser. No. 15/089,335, entitled SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS, now U.S. Pat. No. 10,485,542;
      • U.S. patent application Ser. No. 15/089,339, entitled SURGICAL STAPLING INSTRUMENT, now U.S. Patent Application Publication No. 2017/0281173;
      • U.S. patent application Ser. No. 15/089,253, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OF STAPLES HAVING DIFFERENT HEIGHTS, now U.S. Pat. No. 10,413,297;
      • U.S. patent application Ser. No. 15/089,304, entitled SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET, now U.S. Pat. No. 10,285,705;
      • U.S. patent application Ser. No. 15/089,331, entitled ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS, now U.S. Pat. No. 10,376,263;
      • U.S. patent application Ser. No. 15/089,336, entitled STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES, now U.S. Pat. No. 10,709,446;
      • U.S. patent application Ser. No. 15/089,312, entitled CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUE SUPPORT, now U.S. Patent Application Publication No. 2017/0281189;
      • U.S. patent application Ser. No. 15/089,309, entitled CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM, now U.S. Pat. No. 10,675,021; and
      • U.S. patent application Ser. No. 15/089,349, entitled CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL, now U.S. Pat. No. 10,682,136.
  • Applicant of the present application also owns the U.S. Patent Applications identified below which were filed on Dec. 31, 2015 which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/984,488, entitled MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE IN POWERED SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,292,704;
      • U.S. patent application Ser. No. 14/984,525, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,368,865; and
      • U.S. patent application Ser. No. 14/984,552, entitled SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROL CIRCUITS, now U.S. Pat. No. 10,265,068.
  • Applicant of the present application also owns the U.S. Patent Applications identified below which were filed on Feb. 9, 2016 which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 15/019,220, entitled SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLY TRANSLATABLE END EFFECTOR, now U.S. Pat. No. 10,245,029;
      • U.S. patent application Ser. No. 15/019,228, entitled SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATION ARRANGEMENTS, now U.S. Pat. No. 10,433,837;
      • U.S. patent application Ser. No. 15/019,196, entitled SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED SECONDARY CONSTRAINT, now U.S. Pat. No. 10,413,291;
      • U.S. patent application Ser. No. 15/019,206, entitled SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLY ARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY, now U.S. Pat. No. 10,653,413;
      • U.S. patent application Ser. No. 15/019,215, entitled SURGICAL INSTRUMENTS WITH NON-SYMMETRICAL ARTICULATION ARRANGEMENTS, now U.S. Patent Application Publication No. 2017/0224332;
      • U.S. patent application Ser. No. 15/019,227, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATION LINK ARRANGEMENTS, now U.S. Patent Application Publication No. 2017/0224334;
      • U.S. patent application Ser. No. 15/019,235, entitled SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLE DRIVEN ARTICULATION SYSTEMS, now U.S. Pat. No. 10,245,030;
      • U.S. patent application Ser. No. 15/019,230, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAM ARRANGEMENTS, now U.S. Pat. No. 10,588,625; and
      • U.S. patent application Ser. No. 15/019,245, entitled SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS, now U.S. Pat. No. 10,470,764.
  • Applicant of the present application also owns the U.S. Patent Applications identified below which were filed on Feb. 12, 2016 which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 15/043,254, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,258,331;
      • U.S. patent application Ser. No. 15/043,259, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,448,948;
      • U.S. patent application Ser. No. 15/043,275, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS, now U.S. Patent Application Publication No. 2017/0231627; and
      • U.S. patent application Ser. No. 15/043,289, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS, now U.S. Patent Application Publication No. 2017/0231628.
  • Applicant of the present application owns the following patent applications that were filed on Jun. 18, 2015 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/742,925, entitled SURGICAL END EFFECTORS WITH POSITIVE JAW OPENING ARRANGEMENTS, now U.S. Pat. No. 10,182,818;
      • U.S. patent application Ser. No. 14/742,941, entitled SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSING FEATURES, now U.S. Pat. No. 10,052,102;
      • U.S. patent application Ser. No. 14/742,914, entitled MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,405,863
      • U.S. patent application Ser. No. 14/742,900, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAM STRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT, now U.S. Pat. No. 10,335,149;
      • U.S. patent application Ser. No. 14/742,885, entitled DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,368,861; and
      • U.S. patent application Ser. No. 14/742,876, entitled PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLE SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,178,992.
  • Applicant of the present application owns the following patent applications that were filed on Mar. 6, 2015 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/640,746, entitled POWERED SURGICAL INSTRUMENT, now U.S. Pat. No. 9,808,246;
      • U.S. patent application Ser. No. 14/640,795, entitled MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWERED SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,441,279;
      • U.S. patent application Ser. No. 14/640,832, entitled ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURE RATES FOR MULTIPLE TISSUE TYPES, now U.S. Pat. No. 10,687,806;
      • U.S. patent application Ser. No. 14/640,935, entitled OVERLAID MULTI SENSOR RADIO FREQUENCY (RF) ELECTRODE SYSTEM TO MEASURE TISSUE COMPRESSION, now U.S. Pat. No. 10,548,504;
      • U.S. patent application Ser. No. 14/640,831, entitled MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTOR FOR POWERED SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,895,148;
      • U.S. patent application Ser. No. 14/640,859, entitled TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINE STABILITY, CREEP, AND VISCOELASTIC ELEMENTS OF MEASURES, now U.S. Pat. No. 10,052,044;
      • U.S. patent application Ser. No. 14/640,817, entitled INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,924,961;
      • U.S. patent application Ser. No. 14/640,844, entitled CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULAR SHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE, now U.S. Pat. No. 10,045,776;
      • U.S. patent application Ser. No. 14/640,837, entitled SMART SENSORS WITH LOCAL SIGNAL PROCESSING, now U.S. Pat. No. 9,993,248;
      • U.S. patent application Ser. No. 14/640,765, entitled SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGE INTO A SURGICAL STAPLER, now U.S. Pat. No. 10,617,412;
      • U.S. patent application Ser. No. 14/640,799, entitled SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON A ROTATABLE SHAFT, now U.S. Pat. No. 9,901,342; and
      • U.S. patent application Ser. No. 14/640,780, entitled SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING, now U.S. Pat. No. 10,245,033.
  • Applicant of the present application owns the following patent applications that were filed on Feb. 27, 2015, and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/633,576, entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION, now U.S. Pat. No. 10,045,779;
      • U.S. patent application Ser. No. 14/633,546, entitled SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND, now U.S. Pat. No. 10,180,463;
      • U.S. patent application Ser. No. 14/633,560, entitled SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONE OR MORE BATTERIES, now U.S. Patent Application Publication No. 2016/0249910;
      • U.S. patent application Ser. No. 14/633,566, entitled CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FOR CHARGING A BATTERY, now U.S. Pat. No. 10,182,816;
      • U.S. patent application Ser. No. 14/633,555, entitled SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TO BE SERVICED, now U.S. Pat. No. 10,321,907;
      • U.S. patent application Ser. No. 14/633,542, entitled REINFORCED BATTERY FOR A SURGICAL INSTRUMENT, now U.S. Pat. No. 9,931,118;
      • U.S. patent application Ser. No. 14/633,548, entitled POWER ADAPTER FOR A SURGICAL INSTRUMENT, now U.S. Pat. No. 10,245,028;
      • U.S. patent application Ser. No. 14/633,526, entitled ADAPTABLE SURGICAL INSTRUMENT HANDLE, now U.S. Pat. No. 9,993,258;
      • U.S. patent application Ser. No. 14/633,541, entitled MODULAR STAPLING ASSEMBLY, now U.S. Pat. No. 9,993,258; and
      • U.S. patent application Ser. No. 14/633,562, entitled SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFE PARAMETER, now U.S. Pat. No. 10,159,483.
  • Applicant of the present application owns the following patent applications that were filed on Dec. 18, 2014 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/574,478, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR
  • ADJUSTING THE FIRING STROKE OF A FIRING MEMBER, now U.S. Pat. No. 9,844,374;
      • U.S. patent application Ser. No. 14/574,483, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS, now U.S. Pat. No. 10,188,385;
      • U.S. patent application Ser. No. 14/575,139, entitled DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,844,375;
      • U.S. patent application Ser. No. 14/575,148, entitled LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS, now U.S. Pat. No. 10,085,748;
      • U.S. patent application Ser. No. 14/575,130, entitled SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLE ABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE, now U.S. Pat. No. 10,245,027;
      • U.S. patent application Ser. No. 14/575,143, entitled SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS, now U.S. Pat. No. 10,004,501;
      • U.S. patent application Ser. No. 14/575,117, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS, now U.S. Pat. No. 9,943,309;
      • U.S. patent application Ser. No. 14/575,154, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS, now U.S. Pat. No. 9,968,355;
      • U.S. patent application Ser. No. 14/574,493, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION SYSTEM, now U.S. Pat. No. 9,987,000; and
      • U.S. patent application Ser. No. 14/574,500, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE ARTICULATION SYSTEM, now U.S. Pat. No. 10,117,649.
  • Applicant of the present application owns the following patent applications that were filed on Mar. 1, 2013 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 13/782,295, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION, now U.S. Pat. No. 9,700,309;
      • U.S. patent application Ser. No. 13/782,323, entitled ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,782,169;
      • U.S. patent application Ser. No. 13/782,338, entitled THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS, now U.S. Patent Application Publication No. 2014/0249557;
      • U.S. patent application Ser. No. 13/782,499, entitled ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT, now U.S. Pat. No. 9,358,003;
      • U.S. patent application Ser. No. 13/782,460, entitled MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,554,794;
      • U.S. patent application Ser. No. 13/782,358, entitled JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,326,767;
      • U.S. patent application Ser. No. 13/782,481, entitled SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR, now U.S. Pat. No. 9,468,438;
      • U.S. patent application Ser. No. 13/782,518, entitled CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE IMPLEMENT PORTIONS, now U.S. Patent Application Publication No. 2014/0246475;
      • U.S. patent application Ser. No. 13/782,375, entitled ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM, now U.S. Pat. No. 9,398,911; and
      • U.S. patent application Ser. No. 13/782,536, entitled SURGICAL INSTRUMENT SOFT STOP, now U.S. Pat. No. 9,307,986.
  • Applicant of the present application also owns the following patent applications that were filed on Mar. 14, 2013 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 13/803,097, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, now U.S. Pat. No. 9,687,230;
      • U.S. patent application Ser. No. 13/803,193, entitled CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT, now U.S. Pat. No. 9,332,987;
      • U.S. patent application Ser. No. 13/803,053, entitled INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT, now U.S. Pat. No. 9,883,860;
      • U.S. patent application Ser. No. 13/803,086, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now U.S. Patent Application Publication No. 2014/0263541;
      • U.S. patent application Ser. No. 13/803,210, entitled SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,808,244;
      • U.S. patent application Ser. No. 13/803,148, entitled MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT, now U.S. Pat. No. 10,470,762;
      • U.S. patent application Ser. No. 13/803,066, entitled DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,629,623;
      • U.S. patent application Ser. No. 13/803,117, entitled ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,351,726;
      • U.S. patent application Ser. No. 13/803,130, entitled DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,351,727; and
      • U.S. patent application Ser. No. 13/803,159, entitled METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT, now U.S. Pat. No. 9,888,919.
  • Applicant of the present application also owns the following patent application that was filed on Mar. 7, 2014 and is herein incorporated by reference in its entirety:
      • U.S. patent application Ser. No. 14/200,111, entitled CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now U.S. Pat. No. 9,629,629.
  • Applicant of the present application also owns the following patent applications that were filed on Mar. 26, 2014 and are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/226,106, entitled POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now U.S. Patent Application Publication No. 2015/0272582;
      • U.S. patent application Ser. No. 14/226,099, entitled STERILIZATION VERIFICATION CIRCUIT, now U.S. Pat. No. 9,826,977;
      • U.S. patent application Ser. No. 14/226,094, entitled VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT, now U.S. Patent Application Publication No. 2015/0272580;
      • U.S. patent application Ser. No. 14/226,117, entitled POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL, now U.S. Pat. No. 10,013,049;
      • U.S. patent application Ser. No. 14/226,075, entitled MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES, now U.S. Pat. No. 9,743,929;
      • U.S. patent application Ser. No. 14/226,093, entitled FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,028,761;
      • U.S. patent application Ser. No. 14/226,116, entitled SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION, now U.S. Patent Application Publication No. 2015/0272571;
      • U.S. patent application Ser. No. 14/226,071, entitled SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR, now U.S. Pat. No. 9,690,362;
      • U.S. patent application Ser. No. 14/226,097, entitled SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS, now U.S. Pat. No. 9,820,738;
      • U.S. patent application Ser. No. 14/226,126, entitled INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS, now U.S. Pat. No. 10,004,497;
      • U.S. patent application Ser. No. 14/226,133, entitled MODULAR SURGICAL INSTRUMENT SYSTEM, now U.S. Patent Application Publication No. 2015/0272557;
      • U.S. patent application Ser. No. 14/226,081, entitled SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT, now U.S. Pat. No. 9,804,618;
      • U.S. patent application Ser. No. 14/226,076, entitled POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION, now U.S. Pat. No. 9,733,663;
      • U.S. patent application Ser. No. 14/226,111, entitled SURGICAL STAPLING INSTRUMENT SYSTEM, now U.S. Pat. No. 9,750,499; and
      • U.S. patent application Ser. No. 14/226,125, entitled SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT, now U.S. Pat. No. 10,201,364.
  • Applicant of the present application also owns the following patent applications that were filed on Sep. 5, 2014 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/479,103, entitled CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE, now U.S. Pat. No. 10,111,679;
      • U.S. patent application Ser. No. 14/479,119, entitled ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION, now U.S. Pat. No. 9,724,094;
      • U.S. patent application Ser. No. 14/478,908, entitled MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION, now U.S. Pat. No. 9,737,301;
      • U.S. patent application Ser. No. 14/478,895, entitled MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'S OUTPUT OR INTERPRETATION, now U.S. Pat. No. 9,757,128;
      • U.S. patent application Ser. No. 14/479,110, entitled POLARITY OF HALL MAGNET TO IDENTIFY CARTRIDGE TYPE, now U.S. Pat. No. 10,016,199;
      • U.S. patent application Ser. No. 14/479,098, entitled SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION, now U.S. Pat. No. 10,135,242;
      • U.S. patent application Ser. No. 14/479,115, entitled MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE, now U.S. Pat. No. 9,788,836; and
      • U.S. patent application Ser. No. 14/479,108, entitled LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION, now U.S. Patent Application Publication No. 2016/0066913.
  • Applicant of the present application also owns the following patent applications that were filed on Apr. 9, 2014 and which are each herein incorporated by reference in their respective entirety:
      • U.S. patent application Ser. No. 14/248,590, entitled MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS, now U.S. Pat. No. 9,826,976;
      • U.S. patent application Ser. No. 14/248,581, entitled SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT, now U.S. Pat. No. 9,649,110;
      • U.S. patent application Ser. No. 14/248,595, entitled SURGICAL SYSTEM COMPRISING FIRST AND SECOND DRIVE SYSTEMS, now U.S. Pat. No. 9,844,368;
      • U.S. patent application Ser. No. 14/248,588, entitled POWERED LINEAR SURGICAL STAPLER, now U.S. Pat. No. 10,405,857;
      • U.S. patent application Ser. No. 14/248,591, entitled SURGICAL INSTRUMENT COMPRISING A GAP SETTING SYSTEM, now U.S. Pat. No. 10,149,680;
      • U.S. patent application Ser. No. 14/248,584, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS, now U.S. Pat. No. 9,801,626;
      • U.S. patent application Ser. No. 14/248,587, entitled POWERED SURGICAL STAPLER, now U.S. Pat. No. 9,867,612;
      • U.S. patent application Ser. No. 14/248,586, entitled DRIVE SYSTEM DECOUPLING ARRANGEMENT FORA SURGICAL INSTRUMENT, now U.S. Pat. No. 10,136,887; and
      • U.S. patent application Ser. No. 14/248,607, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS, now U.S. Pat. No. 9,814,460.
  • Applicant of the present application also owns the following patent applications that were filed on Apr. 16, 2013 and which are each herein incorporated by reference in their respective entirety:
      • U.S. Provisional Patent Application Ser. No. 61/812,365, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR;
      • U.S. Provisional Patent Application Ser. No. 61/812,376, entitled LINEAR CUTTER WITH POWER;
      • U.S. Provisional Patent Application Ser. No. 61/812,382, entitled LINEAR CUTTER WITH MOTOR AND PISTOL GRIP;
      • U.S. Provisional Patent Application Ser. No. 61/812,385, entitled SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL; and
      • U.S. Provisional Patent Application Ser. No. 61/812,372, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR.
  • Numerous specific details are set forth to provide a thorough understanding of the overall structure, function, manufacture, and use of the embodiments as described in the specification and illustrated in the accompanying drawings. Well-known operations, components, and elements have not been described in detail so as not to obscure the embodiments described in the specification. The reader will understand that the embodiments described and illustrated herein are non-limiting examples, and thus it can be appreciated that the specific structural and functional details disclosed herein may be representative and illustrative. Variations and changes thereto may be made without departing from the scope of the claims.
  • The terms “comprise” (and any form of comprise, such as “comprises” and “comprising”), “have” (and any form of have, such as “has” and “having”), “include” (and any form of include, such as “includes” and “including”) and “contain” (and any form of contain, such as “contains” and “containing”) are open-ended linking verbs. As a result, a surgical system, device, or apparatus that “comprises,” “has,” “includes” or “contains” one or more elements possesses those one or more elements, but is not limited to possessing only those one or more elements. Likewise, an element of a system, device, or apparatus that “comprises,” “has,” “includes” or “contains” one or more features possesses those one or more features, but is not limited to possessing only those one or more features.
  • The terms “proximal” and “distal” are used herein with reference to a clinician manipulating the handle portion of the surgical instrument. The term “proximal” refers to the portion closest to the clinician and the term “distal” refers to the portion located away from the clinician. It will be further appreciated that, for convenience and clarity, spatial terms such as “vertical”, “horizontal”, “up”, and “down” may be used herein with respect to the drawings. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.
  • Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily appreciate that the various methods and devices disclosed herein can be used in numerous surgical procedures and applications including, for example, in connection with open surgical procedures. As the present Detailed Description proceeds, the reader will further appreciate that the various instruments disclosed herein can be inserted into a body in any way, such as through a natural orifice, through an incision or puncture hole formed in tissue, etc. The working portions or end effector portions of the instruments can be inserted directly into a patient's body or can be inserted through an access device that has a working channel through which the end effector and elongate shaft of a surgical instrument can be advanced.
  • A surgical stapling system can comprise a shaft and an end effector extending from the shaft. The end effector comprises a first jaw and a second jaw. The first jaw comprises a staple cartridge. The staple cartridge is insertable into and removable from the first jaw; however, other embodiments are envisioned in which a staple cartridge is not removable from, or at least readily replaceable from, the first jaw. The second jaw comprises an anvil configured to deform staples ejected from the staple cartridge. The second jaw is pivotable relative to the first jaw about a closure axis; however, other embodiments are envisioned in which the first jaw is pivotable relative to the second jaw. The surgical stapling system further comprises an articulation joint configured to permit the end effector to be rotated, or articulated, relative to the shaft. The end effector is rotatable about an articulation axis extending through the articulation joint. Other embodiments are envisioned which do not include an articulation joint.
  • The staple cartridge comprises a cartridge body. The cartridge body includes a proximal end, a distal end, and a deck extending between the proximal end and the distal end. In use, the staple cartridge is positioned on a first side of the tissue to be stapled and the anvil is positioned on a second side of the tissue. The anvil is moved toward the staple cartridge to compress and clamp the tissue against the deck. Thereafter, staples removably stored in the cartridge body can be deployed into the tissue. The cartridge body includes staple cavities defined therein wherein staples are removably stored in the staple cavities. The staple cavities are arranged in six longitudinal rows. Three rows of staple cavities are positioned on a first side of a longitudinal slot and three rows of staple cavities are positioned on a second side of the longitudinal slot. Other arrangements of staple cavities and staples may be possible.
  • The staples are supported by staple drivers in the cartridge body. The drivers are movable between a first, or unfired position, and a second, or fired, position to eject the staples from the staple cavities. The drivers are retained in the cartridge body by a retainer which extends around the bottom of the cartridge body and includes resilient members configured to grip the cartridge body and hold the retainer to the cartridge body. The drivers are movable between their unfired positions and their fired positions by a sled. The sled is movable between a proximal position adjacent the proximal end and a distal position adjacent the distal end. The sled comprises a plurality of ramped surfaces configured to slide under the drivers and lift the drivers, and the staples supported thereon, toward the anvil.
  • Further to the above, the sled is moved distally by a firing member. The firing member is configured to contact the sled and push the sled toward the distal end. The longitudinal slot defined in the cartridge body is configured to receive the firing member. The anvil also includes a slot configured to receive the firing member. The firing member further comprises a first cam which engages the first jaw and a second cam which engages the second jaw. As the firing member is advanced distally, the first cam and the second cam can control the distance, or tissue gap, between the deck of the staple cartridge and the anvil. The firing member also comprises a knife configured to incise the tissue captured intermediate the staple cartridge and the anvil. It is desirable for the knife to be positioned at least partially proximal to the ramped surfaces such that the staples are ejected ahead of the knife.
  • FIG. 1 illustrates the surgical instrument 1010 that includes an interchangeable shaft assembly 1200 operably coupled to a housing 1012. FIG. 2 illustrates the interchangeable shaft assembly 1200 detached from the housing 1012 or handle 1014. As can be seen in FIG. 3, the handle 1014 may comprise a pair of interconnectable handle housing segments 1016 and 1018 that may be interconnected by screws, snap features, adhesive, etc. In the illustrated arrangement, the handle housing segments 1016, 1018 cooperate to form a pistol grip portion 1019. FIGS. 1 and 3 depict a motor-driven surgical cutting and fastening instrument 1010 that may or may not be reused. In the illustrated embodiment, the instrument 1010 includes a previous housing 1012 that comprises a handle 1014 that is configured to be grasped, manipulated and actuated by the clinician. The housing 1012 is configured for operable attachment to an interchangeable shaft assembly 1200 that has a surgical end effector 1300 operably coupled thereto that is configured to perform one or more surgical tasks or procedures. As the present Detailed Description proceeds, it will be understood that the various forms of interchangeable shaft assemblies disclosed herein may also be effectively employed in connection with robotically-controlled surgical systems. Thus, the term “housing” may also encompass a housing or similar portion of a robotic system that houses or otherwise operably supports at least one drive system that is configured to generate and apply at least one control motion which could be used to actuate the interchangeable shaft assemblies disclosed herein and their respective equivalents. In addition, various components may be “housed” or contained in the housing or various components may be “associated with” a housing. In such instances, the components may not be contained within the housing or supported directly by the housing. The term “frame” may refer to a portion of a handheld surgical instrument. The term “frame” may also represent a portion of a robotically controlled surgical instrument and/or a portion of the robotic system that may be used to operably control a surgical instrument. For example, the interchangeable shaft assemblies disclosed herein may be employed with various robotic systems, instruments, components and methods disclosed in U.S. Pat. No. 9,072,535, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, that is incorporated by reference herein in its entirety.
  • The previous housing 1012 depicted in FIG. 1 is shown in connection with an interchangeable shaft assembly 1200 (FIGS. 2, 4 and 5) that includes an end effector 1300 that comprises a surgical cutting and fastening device that is configured to operably support a surgical staple cartridge 4000 therein. The housing 1012 may be configured for use in connection with interchangeable shaft assemblies that include end effectors that are adapted to support different sizes and types of staple cartridges, have different shaft lengths, sizes, and types, etc. In addition, the housing 1012 may also be effectively employed with a variety of other interchangeable shaft assemblies including those assemblies that are configured to apply other motions and forms of energy such as, for example, radio frequency (RF) energy, ultrasonic energy and/or motion to end effector arrangements adapted for use in connection with various surgical applications and procedures. Furthermore, the end effectors, shaft assemblies, handles, surgical instruments, and/or surgical instrument systems can utilize any suitable fastener, that can be gripped and manipulated by the clinician. As will be discussed in further detail below, the handle 1014 operably supports a plurality of drive systems therein that are configured to generate and apply various control motions to corresponding portions of the interchangeable shaft assembly that is operably attached thereto.
  • Referring now to FIG. 3, the handle 1014 may further include a frame 1020 that operably supports a plurality of drive systems. For example, the frame 1020 can operably support a “first” or closure drive system, generally designated as 1030, which may be employed to apply closing and opening motions to the interchangeable shaft assembly 1200 that is operably attached or coupled thereto. In at least one form, the closure drive system 1030 may include an actuator in the form of a closure trigger 1032 that is pivotally supported by the frame 1020. More specifically, as illustrated in FIG. 3, the closure trigger 1032 is pivotally coupled to the handle 1014 by a pin 1033. Such arrangement enables the closure trigger 1032 to be manipulated by a clinician such that when the clinician grips the pistol grip portion 1019 of the handle 1014, the closure trigger 1032 may be easily pivoted from a starting or “unactuated” position to an “actuated” position and more particularly to a fully compressed or fully actuated position. The closure trigger 1032 may be biased into the unactuated position by spring or other biasing arrangement (not shown). In various forms, the closure drive system 1030 further includes a closure linkage assembly 1034 that is pivotally coupled to the closure trigger 1032. As can be seen in FIG. 3, the closure linkage assembly 1034 may include a first closure link 1036 and a second closure link 1038 that are pivotally coupled to the closure trigger 1032 by a pin 1035. The second closure link 1038 may also be referred to herein as an “attachment member” and include a transverse attachment pin 1037.
  • Still referring to FIG. 3, it can be observed that the first closure link 1036 may have a locking wall or end 1039 thereon that is configured to cooperate with a closure release assembly 1060 that is pivotally coupled to the frame 1020. In at least one form, the closure release assembly 1060 may comprise a release button assembly 1062 that has a distally protruding locking pawl 1064 formed thereon. The release button assembly 1062 may be pivoted in a counterclockwise direction by a release spring (not shown). As the clinician depresses the closure trigger 1032 from its unactuated position towards the pistol grip portion 1019 of the handle 1014, the first closure link 1036 pivots upward to a point wherein the locking pawl 1064 drops into retaining engagement with the locking wall 1039 on the first closure link 1036 thereby preventing the closure trigger 1032 from returning to the unactuated position. Thus, the closure release assembly 1060 serves to lock the closure trigger 1032 in the fully actuated position. When the clinician desires to unlock the closure trigger 1032 to permit it to be biased to the unactuated position, the clinician simply pivots the release button assembly 1062 such that the locking pawl 1064 is moved out of engagement with the locking wall 1039 on the first closure link 1036. When the locking pawl 1064 has been moved out of engagement with the first closure link 1036, the closure trigger 1032 may pivot back to the unactuated position. Other closure trigger locking and release arrangements may also be employed.
  • An arm 1061 may extend from the release button assembly 1062. A magnetic element 1063, such as a permanent magnet, for example, may be mounted to the arm 1061. When the release button assembly 1062 is rotated from its first position to its second position, the magnetic element 1063 can move toward a circuit board 1100. The circuit board 1100 can include at least one sensor that is configured to detect the movement of the magnetic element 1063. In at least one embodiment, for example, a “Hall Effect” sensor (not shown) can be mounted to the bottom surface of the circuit board 1100. The Hall Effect sensor can be configured to detect changes in a magnetic field surrounding the Hall Effect sensor caused by the movement of the magnetic element 1063. The Hall Effect sensor can be in signal communication with a microcontroller, for example, which can determine whether the release button assembly 1062 is in its first position, which is associated with the unactuated position of the closure trigger 1032 and the open configuration of the end effector, its second position, which is associated with the actuated position of the closure trigger 1032 and the closed configuration of the end effector, and/or any position between the first position and the second position.
  • In at least one form, the handle 1014 and the frame 1020 may operably support another drive system referred to herein as a firing drive system 1080 that is configured to apply firing motions to corresponding portions of the interchangeable shaft assembly attached thereto. The firing drive system 1080 may also be referred to herein as a “second drive system”. The firing drive system 1080 may employ an electric motor 1082 that is located in the pistol grip portion 1019 of the handle 1014. In various forms, the motor 1082 may be a DC brushed driving motor having a maximum rotation of, approximately, 25,000 RPM, for example. In other arrangements, the motor may include a brushless motor, a cordless motor, a synchronous motor, a stepper motor, or any other suitable electric motor. The motor 1082 may be powered by a power source 1090 that in one form may comprise a removable power pack 1092. As can be seen in FIG. 3, for example, the power pack 1092 may comprise a proximal housing portion 1094 that is configured for attachment to a distal housing portion 1096. The proximal housing portion 1094 and the distal housing portion 1096 are configured to operably support a plurality of batteries 1098 therein. Batteries 1098 may each comprise, for example, a Lithium Ion (“LI”) or other suitable battery. The distal housing portion 1096 is configured for removable operable attachment to the circuit board 1100 which is also operably coupled to the motor 1082. A number of batteries 1098 may be connected in series may be used as the power source for the surgical instrument 1010. In addition, the power source 1090 may be replaceable and/or rechargeable.
  • As outlined above with respect to other various forms, the electric motor 1082 can include a rotatable shaft (not shown) that operably interfaces with a gear reducer assembly 1084 that is mounted in meshing engagement with a with a set, or rack, of drive teeth 1122 on a longitudinally-movable drive member 1120. In use, a voltage polarity provided by the power source 1090 can operate the electric motor 1082 in a clockwise direction wherein the voltage polarity applied to the electric motor by the battery can be reversed in order to operate the electric motor 1082 in a counter-clockwise direction. When the electric motor 1082 is rotated in one direction, the drive member 1120 will be axially driven in the distal direction “DD”. When the motor 82 is driven in the opposite rotary direction, the drive member 1120 will be axially driven in a proximal direction “PD”. The handle 1014 can include a switch which can be configured to reverse the polarity applied to the electric motor 1082 by the power source 1090. As with the other forms described herein, the handle 1014 can also include a sensor that is configured to detect the position of the drive member 1120 and/or the direction in which the drive member 1120 is being moved.
  • Actuation of the motor 1082 can be controlled by a firing trigger 1130 that is pivotally supported on the handle 1014. The firing trigger 1130 may be pivoted between an unactuated position and an actuated position. The firing trigger 1130 may be biased into the unactuated position by a spring 1132 or other biasing arrangement such that when the clinician releases the firing trigger 1130, it may be pivoted or otherwise returned to the unactuated position by the spring 1132 or biasing arrangement. In at least one form, the firing trigger 1130 can be positioned “outboard” of the closure trigger 1032 as was discussed above. In at least one form, a firing trigger safety button 1134 may be pivotally mounted to the closure trigger 1032 by the pin 1035. The safety button 1134 may be positioned between the firing trigger 1130 and the closure trigger 1032 and have a pivot arm 1136 protruding therefrom. See FIG. 3. When the closure trigger 1032 is in the unactuated position, the safety button 1134 is contained in the handle 1014 where the clinician cannot readily access it and move it between a safety position preventing actuation of the firing trigger 1130 and a firing position wherein the firing trigger 1130 may be fired. As the clinician depresses the closure trigger 1032, the safety button 1134 and the firing trigger 1130 pivot down wherein they can then be manipulated by the clinician.
  • As indicated above, in at least one form, the longitudinally movable drive member 1120 has a rack of teeth 1122 formed thereon for meshing engagement with a corresponding drive gear 1086 of the gear reducer assembly 1084. At least one form also includes a manually-actuatable “bailout” assembly 1140 that is configured to enable the clinician to manually retract the longitudinally movable drive member 1120 should the motor 1082 become disabled. The bailout assembly 1140 may include a lever or bailout handle assembly 1142 that is configured to be manually pivoted into ratcheting engagement with teeth 1124 also provided in the drive member 1120. Thus, the clinician can manually retract the drive member 1120 by using the bailout handle assembly 1142 to ratchet the drive member 1120 in the proximal direction “PD”. U.S. Pat. No. 8,608,045, entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, discloses bailout arrangements and other components, arrangements and systems that may also be employed with the various instruments disclosed herein. U.S. Pat. No. 8,608,045, is hereby incorporated by reference herein in its entirety.
  • Turning now to FIGS. 2 and 5, the interchangeable shaft assembly 1200 includes a surgical end effector 1300 that comprises an elongate channel 1310 that is configured to operably support a staple cartridge 4000 therein. The end effector 1300 may further include an anvil 2000 that is pivotally supported relative to the elongate channel 1310. The interchangeable shaft assembly 1200 may further include an articulation joint 3020 and an articulation lock 2140 which can be configured to releasably hold the end effector 1300 in a desired position relative to a shaft axis SA. Examples of various features of at least one form of the end effector 1300, the articulation joint 3020 and articulation locks may be found in U.S. patent application Ser. No. 13/803,086, filed Mar. 14, 2013, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now U.S. Patent Application Publication No. 2014/0263541. The entire disclosure of U.S. patent application Ser. No. 13/803,086, filed Mar. 14, 2013, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now U.S. Patent Application Publication No. 2014/0263541, is hereby incorporated by reference herein. As can be seen in FIG. 4, the interchangeable shaft assembly 1200 can further include a proximal housing or nozzle 1201 comprised of nozzle portions 1202 and 1203.
  • The interchangeable shaft assembly 1200 can further include a closure system or closure member assembly 3000 which can be utilized to close and/or open the anvil 2000 of the end effector 1300. The shaft assembly 1200 can include a spine 1210 that is configured to, one, slidably support a firing member therein and, two, slidably support the closure member assembly 3000 which extends around the spine 1210. As can be seen in FIG. 5, a distal end 1212 of spine 1210 terminates in an upper lug mount feature 1270 and in a lower lug mount feature 1280. The upper lug mount feature 1270 is formed with a lug slot 1272 therein that is adapted to mountingly support an upper mounting link 1274 therein. Similarly, the lower lug mount feature 1280 is formed with a lug slot 1282 therein that is adapted to mountingly support a lower mounting link 1284 therein. The upper mounting link 1274 includes a pivot socket 1276 therein that is adapted to rotatably receive therein a pivot pin 1292 that is formed on a channel cap or anvil retainer 1290 that is attached to a proximal end portion 1312 of the elongate channel 1310. The lower mounting link 1284 includes lower pivot pin 1286 that adapted to be received within a pivot hole 1314 formed in the proximal end portion 1312 of the elongate channel 1310. See FIG. 5. The lower pivot pin 1286 is vertically aligned with the pivot socket 1276 to define an articulation axis AA about which the surgical end effector 1300 may articulate relative to the shaft axis SA. See FIG. 2.
  • In the illustrated example, the surgical end effector 1300 is selectively articulatable about the articulation axis AA by an articulation system 2100. In one form, the articulation system 2100 includes proximal articulation driver 2102 that is pivotally coupled to an articulation link 2120. As can be most particularly seen in FIG. 5, an offset attachment lug 2114 is formed on a distal end 2110 of the proximal articulation driver 2102. A pivot hole 2116 is formed in the offset attachment lug 2114 and is configured to pivotally receive therein a proximal link pin 2124 formed on the proximal end 2122 of the articulation link 2120. A distal end 2126 of the articulation link 2120 includes a pivot hole 2128 that is configured to pivotally receive therein a channel pin 1317 formed on the proximal end portion 1312 of the elongate channel 1310. Thus, axial movement of proximal articulation driver 2102 will thereby apply articulation motions to the elongate channel 1310 to thereby cause the surgical end effector 1300 to articulate about the articulation axis AA relative to the spine 1210. Further details concerning the construction and operation of the articulation system 2100 may be found in various references incorporated by reference herein including U.S. patent application Ser. No. 15/635,631, filed Jun. 28, 2017, entitled SURGICAL INSTRUMENT WITH AXIALLY MOVABLE CLOSURE MEMBER, now U.S. Pat. No. 10,639,037, the entire disclosure of which is hereby incorporated by reference herein. In various circumstances, the proximal articulation driver 2102 can be held in position by an articulation lock 2140 when the proximal articulation driver 2102 is not being moved in the proximal or distal directions. Additional details regarding an example of an articulation lock 2140 may be found in U.S. patent application Ser. No. 15/635,631, now U.S. Pat. No. 10,639,037, as well as in other references incorporated by reference herein.
  • In various circumstances, the spine 1210 can comprise a proximal end 1211 which is rotatably supported in a chassis 1240. In one arrangement, for example, the proximal end 1211 of the spine 1210 has a thread 1214 formed thereon for threaded attachment to a spine bearing 1216 configured to be supported within the chassis 1240. See FIG. 4. Such an arrangement facilitates rotatable attachment of the spine 1210 to the chassis 1240 such that the spine 1210 may be selectively rotated about a shaft axis SA relative to the chassis 1240.
  • Referring primarily to FIG. 4, the interchangeable shaft assembly 1200 includes a closure shuttle 1250 that is slidably supported within the chassis 1240 such that it may be axially moved relative thereto. The closure shuttle 1250 includes a pair of proximally-protruding hooks 1252 that are configured for attachment to the attachment pin 1037 (FIG. 3) that is attached to the second closure link 1038 as will be discussed in further detail below. In at least one example, the closure member assembly 3000 comprises a proximal closure member segment 3010 that has a proximal end 3012 that is coupled to the closure shuttle 1250 for relative rotation thereto. For example, a U shaped connector 1263 is inserted into an annular slot 3014 in the proximal end 3012 of the proximal closure member segment 3010 and is retained within vertical slots 1253 in the closure shuttle 1250. Such an arrangement serves to attach the proximal closure member segment 3010 to the closure shuttle 1250 for axial travel therewith while enabling the proximal closure member segment 3010 to rotate relative to the closure shuttle 1250 about the shaft axis SA. A closure spring 1268 is journaled on the proximal closure member segment 3010 and serves to bias the proximal closure member segment 3010 in the proximal direction “PD” which can serve to pivot the closure trigger 1032 into the unactuated position when the shaft assembly is operably coupled to the handle 1014.
  • In at least one form, the interchangeable shaft assembly 1200 may further include an articulation joint 3020. Other interchangeable shaft assemblies, however, may not be capable of articulation. As can be seen in FIG. 5, for example, a distal closure member or distal closure tube segment 3030 is coupled to the distal end of the proximal closure member segment 3010. The articulation joint 3020 includes a double pivot closure sleeve assembly 3022. According to various forms, the double pivot closure sleeve assembly 3022 includes an end effector closure tube 3050 having upper and lower distally projecting tangs 3052, 3054. An upper double pivot link 3056 includes upwardly projecting distal and proximal pivot pins that engage respectively an upper distal pin hole in the upper proximally projecting tang 3052 and an upper proximal pin hole in an upper distally projecting tang 3032 on the distal closure tube segment 3030. A lower double pivot link 3058 includes upwardly projecting distal and proximal pivot pins that engage respectively a lower distal pin hole in the lower proximally projecting tang 3054 and a lower proximal pin hole in the lower distally projecting tang 3034. See FIGS. 4 and 5. As will be discussed in further detail below, the closure member assembly 3000 is translated distally (direction “DD”) to close the anvil 2000, for example, in response to the actuation of the closure trigger 1032. The anvil 2000 is opened by proximally translating the closure member assembly 3000 which causes the end effector closure tube 3050 to interact with the anvil 2000 and pivot it to an open position.
  • As was also indicated above, the interchangeable shaft assembly 1200 further includes a firing member 1900 that is supported for axial travel within the spine 1210. The firing member 1900 includes an intermediate firing shaft portion 1222 that is configured for attachment to a distal cutting portion or knife bar 1910. The intermediate firing shaft portion 1222 may include a longitudinal slot 1223 in the distal end thereof which can be configured to receive a tab 1912 on the proximal end of the distal knife bar 1910. The longitudinal slot 1223 and the proximal end tab 1912 can be sized and configured to permit relative movement therebetween and can comprise a slip joint 1914. The slip joint 1914 can permit the intermediate firing shaft portion 1222 of the firing member 1900 to be moved to articulate the end effector 1300 without moving, or at least substantially moving, the knife bar 1910. Once the end effector 1300 has been suitably oriented, the intermediate firing shaft portion 1222 can be advanced distally until a proximal sidewall of the longitudinal slot 1223 comes into contact with the tab 1912 in order to advance the knife bar 1910 and fire the staple cartridge 4000 positioned within the channel 1310. The knife bar 1910 includes a knife portion 1920 that includes a blade or tissue cutting edge 1922 and includes an upper anvil engagement tab 1924 and lower channel engagement tabs 1926. Various firing member configurations and operations are disclosed in various other references incorporated herein by reference.
  • As can be seen in FIG. 4, the shaft assembly 1200 further includes a switch drum 1500 that is rotatably received on proximal closure member segment 3010. The switch drum 1500 comprises a hollow shaft segment 1502 that has a shaft boss formed thereon for receive an outwardly protruding actuation pin therein. In various circumstances, the actuation pin extends through a longitudinal slot provided in the lock sleeve to facilitate axial movement of the lock sleeve when it is engaged with the articulation driver. A rotary torsion spring 1420 is configured to engage the boss on the switch drum 1500 and a portion of the nozzle housing 1203 to apply a biasing force to the switch drum 1500. The switch drum 1500 can further comprise at least partially circumferential openings 1506 defined therein which can be configured to receive circumferential mounts extending from the nozzle portions 1202, 1203 and permit relative rotation, but not translation, between the switch drum 1500 and the nozzle 1201. The mounts also extend through openings 3011 in the proximal closure member segment 3010 to be seated in recesses 1219 in the spine 1210. Rotation of the switch drum 1500 about the shaft axis SA will ultimately result in the rotation of the actuation pin and the lock sleeve between its engaged and disengaged positions. In one arrangement, the rotation of the switch drum 1500 may be linked to the axial advancement of the closure tube or closure member. Thus, in essence, actuation of the closure system may operably engage and disengage the articulation drive system with the firing drive system in the various manners described in further detail in U.S. patent application Ser. No. 13/803,086, now U.S. Patent Application Publication No. 2014/0263541, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK and U.S. Pat. No. 9,913,642, entitled SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM, the entire disclosures of each being hereby incorporated by reference herein. For example, when the closure member segment 3010 is in its proximal-most position corresponding to a “jaws open” position, the closure member segment 3010 will have positioned the switch drum 1500 so as to link the articulation system with the firing drive system. When, the closure tube has been moved to its distal position corresponding to a “jaws closed” position, the closure tube has rotated the switch drum 1500 to a position wherein the articulation system is delinked from the firing drive system.
  • As also illustrated in FIG. 4, the shaft assembly 1200 can comprise a slip ring assembly 1600 which can be configured to conduct electrical power to and/or from the end effector 1300 and/or communicate signals to and/or from the end effector 1300, for example. The slip ring assembly 1600 can comprise a proximal connector flange 1604 that is mounted to a chassis flange 1242 that extends from the chassis 1240 and a distal connector flange that is positioned within a slot defined in the shaft housings. The proximal connector flange 1604 can comprise a first face and the distal connector flange can comprise a second face which is positioned adjacent to and movable relative to the first face. The distal connector flange can rotate relative to the proximal connector flange 1604 about the shaft axis SA. The proximal connector flange 1604 can comprise a plurality of concentric, or at least substantially concentric, conductors defined in the first face thereof. A connector can be mounted on the proximal side of the connector flange and may have a plurality of contacts wherein each contact corresponds to and is in electrical contact with one of the conductors. Such an arrangement permits relative rotation between the proximal connector flange 1604 and the distal connector flange while maintaining electrical contact therebetween. The proximal connector flange 1604 can include an electrical connector 1606 which can place the conductors in signal communication with a shaft circuit board 1610 mounted to the shaft chassis 1240, for example. In at least one instance, a wiring harness comprising a plurality of conductors can extend between the electrical connector 1606 and the shaft circuit board 1610. The electrical connector 1606 may extend proximally through a connector opening 1243 defined in the chassis flange 1242. See FIG. 4. Further details regarding slip ring assembly 1600 may be found in U.S. patent application Ser. No. 13/803,086, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now U.S. Patent Application Publication No. 2014/0263541, U.S. patent application Ser. No. 13/800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on Mar. 13, 2013, now U.S. Patent Application Publication No. 2014/0263552, and U.S. Pat. No. 9,345,481, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, for example. U.S. patent application Ser. No. 13/803,086, now U.S. Patent Application Publication No. 2014/0263541, U.S. patent application Ser. No. 13/800,067, now U.S. Patent Application Publication No. 2014/0263552, and U.S. Pat. No. 9,345,481 are each hereby incorporated by reference herein in their respective entireties.
  • As discussed above, the shaft assembly 1200 can include a proximal portion which is fixably mounted to the handle 1014 and a distal portion which is rotatable about a longitudinal axis. The rotatable distal shaft portion can be rotated relative to the proximal portion about the slip ring assembly 1600, as discussed above. The distal connector flange of the slip ring assembly 1600 can be positioned within the rotatable distal shaft portion. Moreover, further to the above, the switch drum 1500 can also be positioned within the rotatable distal shaft portion. When the rotatable distal shaft portion is rotated, the distal connector flange and the switch drum 1500 can be rotated synchronously with one another. In addition, the switch drum 1500 can be rotated between a first position and a second position relative to the distal connector flange. When the switch drum 1500 is in its first position, the articulation drive system may be operably disengaged from the firing drive system and, thus, the operation of the firing drive system may not articulate the end effector 1300 of the shaft assembly 1200. When the switch drum 1500 is in its second position, the articulation drive system may be operably engaged with the firing drive system and, thus, the operation of the firing drive system may articulate the end effector 1300 of the shaft assembly 1200. When the switch drum 1500 is moved between its first position and its second position, the switch drum 1500 is moved relative to distal connector flange. In various instances, the shaft assembly 1200 can comprise at least one sensor configured to detect the position of the switch drum 1500.
  • Referring again to FIG. 4, the chassis 1240 includes at least one, and preferably two, tapered attachment portions 1244 formed thereon that are adapted to be received within corresponding dovetail slots 1702 formed within a distal attachment flange portion 1700 of the frame 1020. See FIG. 3. Each dovetail slot 1702 may be tapered or, stated another way, be somewhat V-shaped to seatingly receive the attachment portions 1244 therein. As can be further seen in FIG. 4, a shaft attachment lug 1226 is formed on the proximal end of the intermediate firing shaft portion 1222. As will be discussed in further detail below, when the interchangeable shaft assembly 1200 is coupled to the handle 1014, the shaft attachment lug 1226 is received in a firing shaft attachment cradle 1126 formed in a distal end 1125 of the longitudinal drive member 1120. See FIG. 3.
  • Various shaft assembly embodiments employ a latch system 1710 for removably coupling the shaft assembly 1200 to the housing 1012 and more specifically to the frame 1020. As can be seen in FIG. 4, for example, in at least one form, the latch system 1710 includes a lock member or lock yoke 1712 that is movably coupled to the chassis 1240. In the illustrated embodiment, for example, the lock yoke 1712 has a U-shape with two spaced downwardly extending legs 1714. The legs 1714 each have a pivot lug 1715 formed thereon that are adapted to be received in corresponding holes 1245 formed in the chassis 1240. Such arrangement facilitates pivotal attachment of the lock yoke 1712 to the chassis 1240. The lock yoke 1712 may include two proximally protruding lock lugs 1716 that are configured for releasable engagement with corresponding lock detents or grooves 1704 in the distal attachment flange portion 1700 of the frame 1020. See FIG. 3. In various forms, the lock yoke 1712 is biased in the proximal direction by spring or biasing member (not shown). Actuation of the lock yoke 1712 may be accomplished by a latch button 1722 that is slidably mounted on a latch actuator assembly 1720 that is mounted to the chassis 1240. The latch button 1722 may be biased in a proximal direction relative to the lock yoke 1712. As will be discussed in further detail below, the lock yoke 1712 may be moved to an unlocked position by biasing the latch button in the distal direction which also causes the lock yoke 1712 to pivot out of retaining engagement with the distal attachment flange portion 1700 of the frame 1020. When the lock yoke 1712 is in “retaining engagement” with the distal attachment flange portion 1700 of the frame 1020, the lock lugs 1716 are retainingly seated within the corresponding lock detents or grooves 1704 in the distal attachment flange portion 1700.
  • When employing an interchangeable shaft assembly that includes an end effector of the type described herein that is adapted to cut and fasten tissue, as well as other types of end effectors, it may be desirable to prevent inadvertent detachment of the interchangeable shaft assembly from the housing during actuation of the end effector. For example, in use the clinician may actuate the closure trigger 1032 to grasp and manipulate the target tissue into a desired position. Once the target tissue is positioned within the end effector 1300 in a desired orientation, the clinician may then fully actuate the closure trigger 1032 to close the anvil 2000 and clamp the target tissue in position for cutting and stapling. In that instance, the first drive system 1030 has been fully actuated. After the target tissue has been clamped in the end effector 1300, it may be desirable to prevent the inadvertent detachment of the shaft assembly 1200 from the housing 1012. One form of the latch system 1710 is configured to prevent such inadvertent detachment.
  • As can be most particularly seen in FIG. 4, the lock yoke 1712 includes at least one and preferably two lock hooks 1718 that are adapted to contact corresponding lock lug portions 1256 that are formed on the closure shuttle 1250. When the closure shuttle 1250 is in an unactuated position (i.e., the first drive system 1030 is unactuated and the anvil 2000 is open), the lock yoke 1712 may be pivoted in a distal direction to unlock the interchangeable shaft assembly 1200 from the housing 1012. When in that position, the lock hooks 1718 do not contact the lock lug portions 1256 on the closure shuttle 1250. However, when the closure shuttle 1250 is moved to an actuated position (i.e., the first drive system 1030 is actuated and the anvil 2000 is in the closed position), the lock yoke 1712 is prevented from being pivoted to an unlocked position. Stated another way, if the clinician were to attempt to pivot the lock yoke 1712 to an unlocked position or, for example, the lock yoke 1712 was inadvertently bumped or contacted in a manner that might otherwise cause it to pivot distally, the lock hooks 1718 on the lock yoke 1712 will contact the lock lug portions 1256 on the closure shuttle 1250 and prevent movement of the lock yoke 1712 to an unlocked position.
  • Attachment of the interchangeable shaft assembly 1200 to the handle 1014 will now be described. To commence the coupling process, the clinician may position the chassis 1240 of the interchangeable shaft assembly 1200 above or adjacent to the distal attachment flange portion 1700 of the frame 1020 such that the tapered attachment portions 1244 formed on the chassis 1240 are aligned with the dovetail slots 1702 in the frame 1020. The clinician may then move the shaft assembly 1200 along an installation axis that is perpendicular to the shaft axis SA to seat the attachment portions 1244 in “operable engagement” with the corresponding dovetail receiving slots 1702. In doing so, the shaft attachment lug 1226 on the intermediate firing shaft portion 1222 will also be seated in the cradle 1126 in the longitudinally movable drive member 1120 and the portions of the pin 1037 on the second closure link 1038 will be seated in the corresponding hooks 1252 in the closure shuttle 1250. As used herein, the term “operable engagement” in the context of two components means that the two components are sufficiently engaged with each other so that upon application of an actuation motion thereto, the components may carry out their intended action, function and/or procedure.
  • At least five systems of the interchangeable shaft assembly 1200 can be operably coupled with at least five corresponding systems of the handle 1014. A first system can comprise a frame system which couples and/or aligns the frame or spine of the shaft assembly 1200 with the frame 1020 of the handle 1014. Another system can comprise a closure drive system 1030 which can operably connect the closure trigger 1032 of the handle 1014 and the closure tube 1260 and the anvil 2000 of the shaft assembly 1200. As outlined above, the closure shuttle 1250 of the shaft assembly 1200 can be engaged with the pin 1037 on the second closure link 1038. Another system can comprise the firing drive system 1080 which can operably connect the firing trigger 1130 of the handle 1014 with the intermediate firing shaft portion 1222 of the shaft assembly 1200. As outlined above, the shaft attachment lug 1226 can be operably connected with the cradle 1126 of the longitudinal drive member 1120. Another system can comprise an electrical system which can signal to a controller in the handle 1014, such as microcontroller, for example, that a shaft assembly, such as shaft assembly 1200, for example, has been operably engaged with the handle 1014 and/or, two, conduct power and/or communication signals between the shaft assembly 1200 and the handle 1014. For instance, the shaft assembly 1200 can include an electrical connector 1810 that is operably mounted to the shaft circuit board 1610. The electrical connector 1810 is configured for mating engagement with a corresponding electrical connector 1800 on the handle control board 1100. Further details regaining the circuitry and control systems may be found in U.S. patent application Ser. No. 13/803,086, now U.S. Patent Application Publication No. 2014/0263541, and U.S. patent application Ser. No. 14/226,142, now U.S. Pat. No. 9,913,642, the entire disclosures of each which were previously incorporated by reference herein. The fifth system may consist of the latching system for releasably locking the shaft assembly 1200 to the handle 1014.
  • The anvil 2000 in the illustrated example includes an anvil body 2002 that terminates in an anvil mounting portion 2010. The anvil mounting portion 2010 is movably or pivotably supported on the elongate channel 1310 for selective pivotal travel relative thereto about a fixed anvil pivot axis PA that is transverse to the shaft axis SA. In the illustrated arrangement, a pivot member or anvil trunnion 2012 extends laterally out of each lateral side of the anvil mounting portion 2010 to be received in a corresponding trunnion cradle 1316 formed in the upstanding walls 1315 of the proximal end portion 1312 of the elongate channel 1310. The anvil trunnions 2012 are pivotally retained in their corresponding trunnion cradle 1316 by the channel cap or anvil retainer 1290. The channel cap or anvil retainer 1290 includes a pair of attachment lugs that are configured to be retainingly received within corresponding lug grooves or notches formed in the upstanding walls 1315 of the proximal end portion 1312 of the elongate channel 1310. See FIG. 5.
  • Still referring to FIG. 5, in at least one arrangement, the distal closure member or end effector closure tube 3050 employs two axially offset, proximal and distal positive jaw opening features 3060 and 3062. The positive jaw opening features 3060, 3062 are configured to interact with corresponding relieved areas and stepped portions formed on the anvil mounting portion 2010 as described in further detail in U.S. patent application Ser. No. 15/635,631, entitled SURGICAL INSTRUMENT WITH AXIALLY MOVABLE CLOSURE MEMBER, now U.S. Pat. No. 10,639,037, the entire disclosure which has been herein incorporated by reference. Other jaw opening arrangements may be employed.
  • FIGS. 6-8 depict a previous surgical cutting and fastening instrument 5010 that is configured to generate rotary drive motions for operating a surgical end effector 5012. The endoscopic surgical instrument 5010 comprises a handle 5006, a shaft 5008, and an articulating surgical end effector 5012 pivotally connected to the shaft 5008 at an articulation pivot 5014. An articulation control 5016 may be provided adjacent to the handle 5006 to effect rotation of the end effector 5012 about the articulation pivot 5014. It will be appreciated that various embodiments may include a non-pivoting end effector, and therefore may not have an articulation pivot 5014 or articulation control 5016.
  • The handle 5006 of the instrument 5010 may include a closure trigger 5018 and a firing trigger 5020 for actuating the end effector 5012. It will be appreciated that instruments having end effectors directed to different surgical tasks may have different numbers or types of triggers or other suitable controls for operating the end effector 5012. In one embodiment, a clinician or operator of the instrument 5010 may articulate the end effector 5012 relative to the shaft 5008 by utilizing the articulation control 5016, as described in more detail in pending U.S. Pat. No. 7,670,334, entitled SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR, the entire disclosure of which is incorporated herein by reference. The end effector 5012 includes in this example, among other things, a staple channel 5022 and a pivotally translatable clamping member, such as an anvil 5024, which are maintained at a spacing that assures effective stapling and severing of tissue clamped in the end effector 5012. The handle 5006 includes a pistol grip 5026 toward which the closure trigger 5018 is pivotally drawn by the clinician to cause clamping or closing of the anvil 5024 towards the staple channel 5022 of the end effector 5012 to thereby clamp tissue positioned between the anvil 5024 and channel 5022.
  • In the arrangement depicted in FIG. 7, the end effector 5012 includes, in addition to the previously-mentioned channel 5022 and anvil 5024, a cutting instrument 5032, a sled 5033, a staple cartridge 5034 that is removably seated in the channel 5022, and a helical screw shaft 5036. The cutting instrument 5032 may be, for example, a knife. The anvil 5024 includes pivot pins 5025 that are movably supported in corresponding slots in the channel 5022. In one arrangement, the anvil 5024 includes a tab 5027 at its proximate end that is inserted into a component of the mechanical closure system (described further below) to open and close the anvil 5024.
  • Still referring to FIG. 7, the shaft 5008 includes a proximal closure tube 5040 and a distal closure tube 5042 pivotably linked by a pivot link 5044. The distal closure tube 5042 includes an opening 5045 into which the tab 5027 on the anvil 5024 is inserted in order to open and close the anvil 5024, as further described below. Disposed inside the closure tubes 5040, 5042 may be a proximate spine tube 5046. Disposed inside the proximate spine tube 5046 may be a main rotational (or proximate) drive shaft 5048 that communicates with a secondary (or distal) drive shaft 5050 via a bevel gear assembly 5052 a-c. The secondary drive shaft 5050 is connected to a drive gear 5054 that engages a proximate drive gear 5056 of the helical screw shaft 5036. The vertical bevel gear 5052 b may sit and pivot in an opening 5057 in the distal end of the proximate spine tube 5046. A distal spine tube 5058 may be used to enclose the secondary drive shaft 5050 and the drive gears 5054, 5056. Collectively, the main drive shaft 5048, the secondary drive shaft 5050, and the articulation assembly (e.g., the bevel gear assembly 5052 a-c) are sometimes referred to herein as the “main drive shaft assembly.”
  • A bearing 5038, positioned at a distal end of the staple channel 5022, receives the helical screw shaft 5036, allowing the helical screw shaft 5036 to freely rotate with respect to the channel 5022. The helical screw shaft 5036 may interface a threaded opening (not shown) of the knife 5032 such that rotation of the helical screw shaft 5036 causes the knife 5032 to translate distally or proximately (depending on the direction of the rotation) through the staple channel 5022.
  • Turning next to FIG. 8, the handle 5006 includes exterior lower side pieces 5059, 5060 and nozzle pieces 5061, 5062 that fit together to form, in general, the exterior of the handle 5006. A battery 5064, such as a Li ion battery, may be provided in the pistol grip 5026 of the handle 5006. The battery 5064 powers a motor 5065 disposed in an upper portion of the pistol grip portion 5026 of the handle 5006. The motor 5065 may drive a 90° bevel gear assembly 5066 comprising a first bevel gear 5068 and a second bevel gear 5070. The bevel gear assembly 5066 may drive a planetary gear assembly 5072. The planetary gear assembly 5072 may include a pinion gear 5074 connected to a drive shaft 5076. The pinion gear 5074 may drive a mating ring gear 5078 that drives a helical gear drum 5080 via a drive shaft. A ring 5084 may be threaded on the helical gear drum 5080. Thus, when the motor 5065 rotates, the ring 5084 is caused to travel along the helical gear drum 5080 by means of the interposed bevel gear assembly 5066, planetary gear assembly 5072 and ring gear 5078.
  • The handle 5006 may include a middle handle piece 5104 adjacent to the upper portion of the firing trigger 5020. The handle 5006 also may comprise a bias spring 5112 connected between posts on the middle handle piece 5104 and the firing trigger 5020. The bias spring 5112 may bias the firing trigger 5020 to its fully open position. In that way, when the operator releases the firing trigger 5020, the bias spring 5112 will pull the firing trigger 5020 to its open position. The distal end of the helical gear drum 5080 includes a distal drive shaft 5120 that drives a ring gear 5122, which mates with a pinion gear 5124. The pinion gear 5124 is connected to the main drive shaft 5048 of the main drive shaft assembly. In that way, rotation of the motor 5065 causes the main drive shaft assembly to rotate, which causes actuation of the end effector 5012. The ring 5084 threaded on the helical gear drum 5080 may include a post 5086 that is disposed within a slot 5088 of a slotted arm 5090. The slotted arm 5090 has an opening 5092 in its opposite end 5094 that receives a pivot pin 5096 that is connected between the handle exterior side pieces 5059, 5060. The pivot pin 5096 is also disposed through an opening 5100 in the firing trigger 5020 and an opening 5102 in the middle handle piece 5104.
  • The middle handle piece 5104 includes a backside shoulder 5106 that engages the slotted arm 5090. The middle handle piece 5104 also has a forward motion stop 5107 that engages the firing trigger 5020. The movement of the slotted arm 5090 is controlled by rotation of the motor 5065. When the slotted arm 5090 rotates counter clockwise as the ring 5084 travels from the proximate end of the helical gear drum 5080 to the distal end, the middle handle piece 5104 will be free to rotate counter clockwise. Thus, as the user draws in the firing trigger 5020, the firing trigger 5020 will engage the forward motion stop 5107 of the middle handle piece 5104, causing the middle handle piece 5104 to rotate counter clockwise. Due to the backside shoulder 5106 engaging the slotted arm 5090, however, the middle handle piece 5104 will only be able to rotate counter clockwise as far as the slotted arm 5090 permits. In that way, if the motor 5065 should stop rotating for some reason, the slotted arm 5090 will stop rotating, and the user will not be able to further draw in the firing trigger 5020 because the middle handle piece 5104 will not be free to rotate counter clockwise due to the slotted arm 5090.
  • Components of an exemplary closure system for closing (or clamping) the anvil 5024 of the end effector 5012 by retracting the closure trigger 5018 are also shown in FIG. 8. In the illustrated embodiment, the closure system includes a yoke 5250 connected to the closure trigger 5018. A pivot pin 5252 is inserted through aligned openings in both the closure trigger 5018 and the yoke 5250 such that they both rotate about the same point. The distal end of the yoke 5250 is connected, via a pin 5254, to a first closure bracket 5256. The first closure bracket 5256 connects to a second closure bracket 5258. Collectively, the closure brackets 5256, 5258 define an opening in which the proximate end of the proximal closure tube 5040 (see FIG. 7) is seated and held such that longitudinal movement of the closure brackets 5256, 5258 causes longitudinal motion by the proximal closure tube 5040. The instrument 5010 also includes a closure drive shaft 5260 disposed inside the proximal closure tube 5040. The closure drive shaft 5260 may include a window 5261 into which a post 5263 on one of the handle exterior pieces, such as exterior lower side piece 5059 in the illustrated embodiment, is disposed to fixedly connect the closure drive shaft 5260 to the handle 5006. In that way, the proximal closure tube 5040 is capable of moving longitudinally relative to the closure drive shaft 5260. The closure drive shaft 5260 may also include a distal collar 5267 that fits into a cavity in proximate spine tube 5046 and is retained therein by a cap.
  • In operation, when the yoke 5250 rotates due to retraction of the closure trigger 5018, the closure brackets 5256, 5258 cause the proximal closure tube 5040 to move distally (i.e., away from the handle end of the instrument 5010), which causes the distal closure tube 5042 to move distally, which causes the anvil 5024 to rotate about the pivot pins 5025 into the clamped or closed position. When the closure trigger 5018 is unlocked from the locked position, the proximal closure tube 5040 is caused to slide proximately, which causes the distal closure tube 5042 to slide proximately, which, by virtue of the tab 5027 being inserted in the opening 5045 of the distal closure tube 5042, causes the anvil 5024 to pivot about the pivot pins 5025 into the open or unclamped position. In that way, by retracting and locking the closure trigger 5018, an operator may clamp tissue between the anvil 5024 and channel 5022, and may unclamp the tissue following the cutting/stapling operation by unlocking the closure trigger 5018 from the locked position. Further details concerning the construction and operation of the existing surgical instrument 5010 may be found in U.S. Pat. No. 7,845,537, entitled SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES, the entire disclosure of which is hereby incorporated by reference herein. Other rotary drive arrangements configured for use with various forms of robotic systems are disclosed in U.S. Pat. No. 10,213,201, entitled STAPLING END EFFECTOR CONFIGURED TO COMPENSATE FOR AN UNEVEN GAP BETWEEN A FIRST JAW AND A SECOND JAW, the entire disclosure of which is hereby incorporated by reference herein.
  • FIGS. 9-16 depict a surgical end effector 20012 that may be used for example in connection with the powered surgical instrument 5010 described above. The surgical end effector 20012 may also be effective employed with various other rotary powered or robotically powered surgical systems which are disclosed in the various references incorporated herein by reference. Those components shown in FIGS. 9-16 that are identical to the components of the powered surgical instrument 5010 have been labeled with like component numbers. In the illustrated example, the surgical end effector 20012 comprises an elongate channel 20020 that is configured to operably support a surgical staple cartridge 20040 therein. The elongate channel 20020 is similar to channel 5022 described above, except for the noted differences. Turning to FIG. 10, the elongate channel 20020 comprises a pair of spaced upstanding walls 20022 and a bottom 20024. A helical screw shaft 5036 is supported in the channel 20020 by a bearing 5038 which enables the helical screw shaft 5036 to freely rotate with respect to the channel 20020. The surgical end effector 20012 further comprises an anvil 5024 that has pivot pins or trunnions 5025 that are received in corresponding slots 20026 provided in the upstanding channel walls 20022.
  • In the illustrated arrangement, the staple cartridge 20040 includes an elongate cartridge body 20042 that is sized to be removably seated in the elongate channel 20020. The cartridge body 20042 includes a cartridge slot 20050 that extends from a proximal end portion 20046 to a distal end portion 20044 of the cartridge body 20042. The cartridge body 20042 further comprises a cartridge deck surface 20043 that confronts a staple-forming undersurface 5029 of the anvil 5024 when the cartridge 20040 is seated in the channel 20020 and the anvil 5024 is pivoted to a closed position. Also in the illustrated example, three lines of surgical staple pockets 20052 are formed on each side of the cartridge slot 20050 and open through the cartridge deck surface 20043. Each staple pocket 20052 may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon.
  • Still referring to FIG. 10, the staple cartridge 20040 further includes a camming assembly 20060 that comprises a camming assembly body 20062 that has a passage 20064 therethrough that is configured to straddle the helical screw shaft 5036 without affecting the rotation thereof. In other embodiments, the camming assembly 20060 may have a series of internal threads (not shown) that are configured to threadably engage the helical screw shaft 5036 to be driven thereby. In such arrangements, for example, the helical screw shaft 5036 may be provided with an unthreaded portion that corresponds to a starting position of the camming assembly 20060. Such camming assembly arrangements are further described in various references that have been herein incorporated by reference. In the illustrated example, the camming assembly 20060 is driven distally through the cartridge body 20042 by a firing member 20120.
  • As can further be seen in FIG. 10, the camming assembly body 20062 includes a series of cam members 20066 that are aligned with corresponding staple drivers supported in lines within the staple cartridge body 20042. In the illustrated example, the camming assembly 20060 includes an onboard tissue cutting member or blade 20068. The tissue cutting member 20068 extends above the deck surface 20043 so that as the camming assembly 20060 is driven distally, the tissue cutting member 20068 cuts the tissue that is clamped between the anvil 5024 and the staple cartridge 20040. When the staple cartridge is “fresh” or new (i.e., the cartridge has never been fired and contains staples or fasteners therein ready to be fired), the camming assembly 20060 is in a starting position within the cartridge 20040. When the camming assembly 20060 is in the starting position, the tissue cutting member 20068 is located within a garage portion 20048 formed on the proximal end portion 20046 of the cartridge body 20042 to prevent injury when handling the fresh cartridge 20040. In one aspect, the cam members 20066 extend distally beyond the tissue cutting member 20068 such that the staples or fasteners are deployed through the tissue before the tissue cutting member 20068 cuts through the tissue. Thus, the clamped tissue is stapled and thereafter cut as the firing member 20120 and camming assembly 20060 are driven distally. Once the firing member 20120 and the camming assembly 20060 have been driven into their distal-most ending positions, the firing member 20120 may be retracted back to its starting position by rotating the helical screw shaft 5036 in a reverse rotary direction while the camming assembly 20060 remains in its ending position. In at least one arrangement, the tissue cutting member 20068 is movable from a deployed cutting position to a storage position wherein the tissue cutting member 20068 is stored below the cartridge deck surface 20043 to prevent injury when handling the fired or spent cartridge 20040. For example, a retraction member (not shown) may be strategically located in the distal end 20044 of the cartridge body 20042 to contact and move the tissue cutting member 20068 from the deployed position to the storage position when a portion of the tissue cutting member 20068 is brought into contact with the retraction member.
  • FIG. 11 depicts one form of a firing member 20120. As can be seen in FIG. 11, the firing member 20120 comprises a body portion 20122 that includes two downwardly extending hollow mounting portions 20124 that are unthreaded and spaced from each other to receive a threaded drive nut 20130 therebetween. The threaded drive nut 20130 is configured to threadably engage the helical screw shaft 5036. The drive nut 20130 includes a vertical tab portion 20131 that is sized to extend through an axial slot 20025 (FIG. 10) in the bottom 20024 of the elongate channel 20020. Two laterally extending retention flanges 20134 are formed on the threaded drive nut 20130 and are configured to engage the bottom 20024 of the elongate channel 20020. In addition, two laterally extending anvil engagement tabs 20126 are formed on the top of the firing member body 20122 and are configured to engage corresponding ledges 20102 formed in the anvil 5024 as the firing member 20120 is axially moved within the surgical end effector 20012.
  • As can also be seen in FIG. 11, the firing member 20120 may also be equipped with an onboard firing member lockout assembly 20140 that comprises a lockout member 20142 that is pivotally coupled to the firing member body 20122. The lockout member 20142 includes a sled latch 20148 that is configured to be engaged by the camming assembly 20060 when the camming assembly 20060 is in an unfired position. As can be seen in FIGS. 12 and 13, the camming assembly 20060 includes a firing member ledge 20061 configured to engage the sled latch 20148 on the lockout member 20142. A lockout spring 20150 is mounted in the elongate channel 20020 and is configured to bias the lockout member 20142 downward such that if the camming assembly 20060 is not in its unfired starting position, the lockout member 20142 contacts lockout lugs 20028 that are formed on portions of the inside surface of each upstanding sidewall 20022 of the elongate channel 20020. See FIG. 15. When in that position, should the user inadvertently attempt to distally advance the firing member 20120, the lockout member 20142 contacts the lockout lugs 20028 on the channel 20020 to prevent the distal advancement of the firing member 20120.
  • FIG. 12 illustrates the initial insertion of a fresh unfired surgical staple cartridge 20040 into the channel 20020. As can be seen in FIG. 12, the camming assembly 20060 is in a starting position and the proximal end portion 20046 of the surgical staple cartridge 20040 is inserted at an angle relative to the channel 20020 and then pushed in the proximal direction PD until the firing member ledge 20061 on the camming assembly 20060 unlockingly engages the sled latch portion 20148 of the lockout member 20142. FIGS. 13 and 14 illustrate the surgical staple cartridge 20040 in a properly installed position. As can be seen in FIG. 13, the firing member lockout assembly 20140 is in an unlocked position. Rotary actuation of the helical screw shaft 5036 in a first rotary direction will cause the firing member 20120 to move distally in the distal direction DD. As the firing member 20120 moves distally, the camming assembly 20060 is also driven distally thereby. The cam members 20066 cam the drivers stored in the cartridge 20040 upward in the cartridge body 20042. As the drivers are cammed upwardly, the staples or fasteners supported thereon are driven through the tissue that has been clamped between the anvil 5024 and the cartridge 20040 and into forming contact with the staple-forming undersurface 5029 on the anvil 5024. The stapled tissue is then cut by the tissue cutting member 20068. Once the firing member 20120 has been driven to its distalmost position in the cartridge 20040, the helical screw shaft 5036 may be rotated in a second opposite rotary direction to retract the firing member 20120 back to its beginning position. The camming assembly 20060 remains in the distal end portion 20044 of the cartridge body 20042. The spent cartridge 20040 may then be removed from the channel 20020.
  • FIG. 14 illustrates the end effector 20012 after the spent cartridge has been removed from the channel 20020. As can be seen in FIG. 14, the spring 20150 biases the lockout member 20142 of the firing member lockout assembly 20140 into locking engagement with the lockout lugs 20028 in the channel 20020. Should the user attempt to fire the surgical end effector 20012 (distally advance the firing member 20120), the lockout member 20142 will prevent the firing member 20120 from moving distally. Likewise, should the user attempt to reuse the spent cartridge, because the camming assembly 20060 is not in the starting position, the firing member lockout assembly 20140 will prevent the distal advancement of the firing member 20120.
  • In the illustrated arrangement, the lockout member 20142 is pivotally coupled to the firing member body 20122 by pivot pins 20143 that are received in a hole 20123 extending through the firing member body 20122. See FIGS. 14 and 16. In at least one arrangement, the pivot pins 20143 are sized relative to the holes 20123 in the firing member body 20122 to facilitate free pivotal travel of the lockout member 20142 and to account for tolerance differences of the components. As can be seen in FIG. 14, the firing member 20120 includes a proximally-facing, firing surface 20145 that is configured to abut a distal-facing bearing surface 20125 on the firing member body 20122 when the firing member lockout assembly 20140 is in the unlocked position. Thus, when the firing member 20120 is advanced distally, the resistive forces encountered by the camming assembly 20060 during its distal movement are directly applied to the distal-facing bearing surface 20125 on the firing member body 20122. Such arrangement may prevent the transfer of these resistive forces back to the pivot pins 20143, which might cause the pivot pins 20143 to fail under such load. Similarly, as can be seen in FIG. 16, the proximally-facing angled bearing surface 20145 of the firing member 20120 is configured to abut the distal-facing bearing surface 20125 on the firing member body 20122 when the firing member lockout assembly 20140 is in the locked position. Such arrangement may prevent the transfer of the resistive locking forces resulting from the locking engagement of the lockout member 20142 with the lock lugs 20028 back to the pivot pins 20143, which might cause the pivot pins 20143 to fail under such load. The loose fit between the pins 20143 and the hole 20123 in the firing member body 20122 facilitate some translation of the lockout member 20142 when under load to facilitate transfer of the loads into the firing member body 20122 and not to the pins 20143 themselves.
  • In another arrangement, or in addition to the foregoing described lockout member 20142 arrangement, the amount of current being drawn by the motor used to apply the rotary motions to the helical screw shaft 5036 is monitored. Once the current increases beyond a predetermined threshold, a control circuit for the surgical instrument or robotic system, etc., may stop the motor to prevent any further rotation of the helical screw shaft 5036 and movement of the firing member 20120 to prevent damage to the above-described components.
  • Some previous firing member lockout arrangements that are configured to prevent advancement of a firing member of the end effector unless a fresh unfired staple cartridge has been properly installed in the surgical end effector, require the user to actively retract the firing member back to is proximal-most beginning position before the anvil is permitted to open. If the user attempts to open the anvil before the firing member is moved back to its proximal-most position, the may not understand why the anvil cannot come open. The above-described arrangement may prevent such confusion.
  • FIGS. 17-21 depict a surgical end effector 20300 that may be used for example in connection with the powered surgical instrument 1010 described above. The surgical end effector 20300 may also be effective employed with various other robotically powered surgical systems which are disclosed in the various references incorporated herein by reference. Those components shown in FIGS. 17-21 that are identical to the components of surgical instrument 1010 have been labeled with like component numbers. Those construction and function of those components of surgical instrument 1010 that are not necessary to understand the operation of the surgical end effector 20300 will not be repeated herein for the sake of brevity.
  • Referring to FIGS. 17-21, the surgical end effector 20300 comprises an elongate channel 20310 that is configured to operably support a surgical staple cartridge 20600 therein. In the illustrated example, the elongate channel 20310 comprises a channel bottom 20312 and a pair of upstanding sidewalls 20314. The channel 20310 is coupled to the elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 (FIG. 5). As can be seen in FIG. 19, in one arrangement for example, the channel mount feature 20340 comprises a body portion 20342 that consists of an upstanding support 20344 that has a slot 20346 extending therethrough to receive the firing member beam 1900 (FIG. 5) therethrough. The channel mount feature 20340 may be movably or pivotally mounted to a proximal end 20316 of the channel 20310 by a channel mount feature, or channel pin 20320. In particular, the channel mount feature 20320 further includes a transverse pin opening 20348 that is configured to be coaxially aligned with holes 20318 in the sidewalls 20314 of the channel 20310 to receive the channel pin 20320 therethrough.
  • As described above, the shaft assembly 1200 includes a spine 1210 that terminates in an upper lug mount feature 1270 and in a lower lug mount feature 1280. See FIG. 5. The upper lug mount feature 1270 is formed with a lug slot 1272 therein that is adapted to mountingly support an upper mounting link 1274 therein. Similarly, the lower lug mount feature 1280 is formed with a lug slot 1282 therein that is adapted to mountingly support a lower mounting link 1284 therein. The upper mounting link 1274 includes a pivot socket 1276 therein that is adapted to rotatably receive therein a pivot pin 1292 that is formed on a channel cap or anvil retainer 1290 that is attached to the proximal end portion 20316 of the elongate channel 20310. As can be seen in FIG. 19, the channel mount feature 20340 further includes a shaft mount flange 20350 that extends proximally therefrom. In one arrangement for example, the shaft mount flange 20350 has a centrally disposed pivot hole 20352 therethrough that may pivotally receive the lower pivot pin 1286 on the lower mounting link 1284 of the lower lug mount feature 1280 (FIG. 5). The lower pivot pin 1286 is vertically aligned with the pivot socket 1276 to define an articulation axis AA about which the surgical end effector 20300 may articulate relative to the spine 1210. In one arrangement, the proximal articulation driver 2102 (FIG. 5) may be directly coupled to an articulation lug 20354 formed on the shaft mount flange 20350. In other arrangements, the proximal articulation driver 2102 may be attached to one or more articulation links that are attached to the shaft mount flange 20350. In either case, axial movement of the proximal articulation driver 2102 in the above-described manner will cause the channel mount feature to pivot about the articulation axis relative to the spine 1210 (FIG. 5) to articulate the end effector 20300 about the articulation axis AA.
  • The surgical end effector 20300 further comprises an anvil 20400 that is very similar to anvil 2000 described above, except for the differences discussed below. The anvil 20400 includes an elongate anvil body portion 20402 that has a staple-forming undersurface 20404 and an anvil mounting portion 20410 that is configured to interact with the end effector closure tube 3050 (FIG. 5) in the manner described above. The anvil 20400 is pivotally mounted on the elongate channel 20310 by a pair of laterally extending anvil pins or trunnions 20412 that are received in corresponding elongate trunnion slots 20322 formed in the upstanding channel walls 20314. Axial movement of the end effector closure tube 3050 in a distal direction will cause the anvil 20400 to pivot to a closed position about a pivot axis defined by the anvil trunnions 20412 and movement of the end effector closure tube 3050 in a proximal direction will cause the anvil to pivot to an open position relative to the elongate channel 20310.
  • FIG. 22 illustrates one form of a staple cartridge 20600 that may be used in connection with the surgical end effector 20300. In at least one arrangement, the surgical staple cartridge 20600 comprises an elongate cartridge body 20602 that is sized to be removably seated in the elongate channel 20310. The cartridge body 20602 includes a cartridge slot 20608 that extends from a proximal end portion 20604 to a distal end portion 20606 (FIG. 17) of the cartridge body 20602. The cartridge body 20602 further comprises a cartridge deck surface 20610 that confronts the staple-forming undersurface 20404 of the anvil 20400 when the cartridge 20600 is seated in the channel 20310 and the anvil 20400 is pivoted to a closed position. Also in the illustrated example, three lines of surgical staple pockets 20612 are formed on each side of the cartridge slot 20608 and open through the cartridge deck surface 20610. Each staple pocket 20612 may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 20602 is molded from a polymer material with the staple pockets 20612 molded or machined therein. In one arrangement, the staple pockets 20612 also open through a bottom of the cartridge body 20602 to facilitate installation of the drivers and fasteners into their respective pockets 20612. Once the drivers and fasteners are inserted into their respective staple pockets 20612, a cartridge pan 20620 is attached to the bottom of the cartridge body 20602. In one form, the cartridge pan 20620 is fabricated from a metal material and includes a bottom 20622 that spans across the bottom of the cartridge body 20602 and two upstanding sidewalls 20624 that correspond to each side of the cartridge body 20602. The cartridge pan 20620 may be removably affixed to the cartridge body 20602 by a series of hooks 20626 that are formed on the sidewalls 20624 and configured to hookingly engage corresponding portions of the cartridge body 20602. See FIG. 22. When installed, the cartridge pan 20620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 20602 during handling and installation of the cartridge 20600 into the elongate channel 20310.
  • As was discussed above in connection with cartridge 20040, cartridge 20600 operably supports a camming assembly therein. The camming assembly comprises a series of spaced cam members that are configured to move axially within corresponding cam slots 20609 formed on each side of the cartridge slot 20608 in the cartridge body 20602. The cam slots 20609 are aligned with corresponding lines of drivers in the cartridge body 20602 to facilitate camming contact with a corresponding cam member as the camming assembly is driven through the staple cartridge 20600 from a beginning position within the proximal end portion 20604 of the cartridge body 20602 to an ending position within the distal end portion 20606.
  • The example illustrated in FIGS. 20 and 21 also employs a firing member 20500 that is attached to a distal end of the firing member beam 1900 and is configured to operably interface with the camming assembly in the staple cartridge 20600 to driven the camming assembly from its starting position to its ending position within the cartridge 20600. In at least one arrangement, the firing member 20500 is configured to interact with a camming assembly (not shown) in a staple cartridge 20600 that has been properly installed in the elongate channel 20310. For example, the firing member 20500 includes a firing member body 20502 that has a tissue cutting surface or blade 20504 formed thereon or attached thereto. The firing member body 20502 is sized to axially move within an axial anvil slot (not shown) in the anvil 20400 as well as the cartridge slot 20608 in the cartridge body 20602 and a channel slot (not shown) in the elongate channel 20310. A lower foot assembly 20506 that comprises a pair of laterally extending lower flanges 20508 extends from a bottom end of the firing member body 20502 to slidably engage corresponding channel ledges (not shown) that are formed on each side of the channel slot. An upper foot (not shown) that comprises two laterally extending anvil tabs may be formed on an upper end of the firing member body 20502 and is configured to slidably engage anvil ledges (not shown) that are formed on each side of the anvil slot. In at least one arrangement, the firing member 20500 further includes a pair of central tabs 20510 that extend laterally from each side of the firing member body 20502.
  • Still referring to FIGS. 20 and 21, in one arrangement, the firing member body 20502 is configured with a proximally extending spring tail 20512 that may be configured to operably interface with a firing member lockout spring 20520 that is mounted in the elongate channel 20310 and is configured to bias the firing member 20500 downward (arrow DN) in the elongate channel 20310 into a locked position. When in the locked position, the firing member foot 20506 and/or the central tabs 20510 are misaligned with corresponding passages in the channel 20310 and as such, should the user attempt to distally advance the firing member 20500 when in that locked out state, the firing member 20500 would not move distally due to such misalignment. That is, the foot 20506 and/or central tabs 20510 contact portions of the elongate channel to thereby prevent the distal advancement of the firing member 20500. In one arrangement, a sled latch 20514 is formed on the firing member body 20502 and is configured to be engaged by a corresponding portion formed on a camming assembly that is operably supported in the surgical staple cartridge 20600. When a fresh unfired staple cartridge 20600 with the camming assembly thereof in its starting position has been operably installed in the elongate channel 20310, a portion of the camming assembly engages the sled latch 20514 on the firing member body 20502 and moves the firing member 20500 upward (arrow UP in FIG. 20) into an unlocked position wherein the lower foot assembly 20506 and/or the central tabs 20510 are aligned with their respective passages in the channel 20310 to permit the firing member 20500 to axially advance therein. As the user distally advances the firing member 20500 into the cartridge 20600, the firing member 20500 also drives the camming assembly therein which cams the drivers upward to drive the staples or fasteners supported thereon into forming contact with the underside of the anvil. The tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue. Once the firing member 20500 has been driven to its distal-most position corresponding to the ending position of the camming assembly, the firing member 20500 is retracted back to its proximal-most position, leaving the camming assembly in the distal end 20606 of the cartridge 20600. When the firing member 20500 returns to its proximal-most beginning position, the firing member lockout spring 20520 once again biases the firing member 20500 back into its locked position. Thus, should the user inadvertently try to reuse the spent cartridge 20600, the camming assembly is not in its starting position which is required to unlock the firing member 20500.
  • The surgical end effector 20300 may also employ a closure lockout system 20700 for preventing the anvil 20400 from being moved from an open position to a closed (clamped) position unless a corresponding compatible surgical staple cartridge 20600 has been operably installed in the elongate channel 20310. In the illustrated example, the closure lockout system 20700 comprises an anvil lock 20702 that is configured to move between an anvil locked position and an anvil unlocked position in response to installation of a staple cartridge 20600 therein. FIG. 19 illustrates one form of an anvil lock 20702. The anvil lock 20702 may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 20704 that may be configured to be seated in a transverse spring mounting slot 20343 provided in the body portion 20342 of the channel mount feature 20340. The anvil lock 20702 further includes a distally extending body portion 20706 that has a downwardly extending mounting tab 20708 and an upwardly extending anvil lockout tab 20710 protruding therefrom. As can be seen in FIGS. 17, 18, and 20 the mounting tab 20708 extends into a clearance window 20319 that is formed in the elongate channel 20310.
  • FIG. 19 illustrates the surgical end effector 20300 without a surgical staple cartridge installed therein. As can be seen in FIG. 19, the proximal biasing arm 20704 has biased the anvil lock 20702 in the distal “anvil locked” position. When in this position, the anvil lockout tab 20710 is aligned with a portion of an anvil lock lug 20414 that is formed on the anvil mounting portion 20410 of the anvil 20400. Should the user attempt to close the anvil 20400, the anvil lock lug 20414 will contact the anvil lockout tab 20710 to thereby prevent any further travel of the anvil 20400 in the closure direction.
  • Returning to FIG. 21, in at least one arrangement, the staple cartridge 20600 includes an anvil unlocking feature or tab 20630 that protrudes proximally from the cartridge body 20602 and is aligned to unlockingly engage an actuation tab 20712 that is formed on the distal end of the anvil lock 20702 when the cartridge 20600 has been operably installed in the elongate channel 20310. FIG. 20 depicts the surgical staple cartridge 20600 operably installed in the elongate channel 20310. As can be seen in FIG. 21, the anvil unlocking tab 20630 on the staple cartridge body 20602 has contacted the actuation tab 20712 of the anvil lockout 20702 and biased the anvil lockout 20702 in the proximal direction PD to an unlocked position, wherein the anvil lockout tab 20710 is no longer aligned with the anvil lock lug 20414 on the anvil 20400. When in that position, the user may pivot the anvil 20400 to a closed position. Should the user attempt to install an inappropriate cartridge that lacks the anvil unlocking tab 20630 or similar feature designed to unlocking engage the anvil lockout 20702, the user will be unable to close the anvil 20400 to complete the surgical stapling procedure.
  • FIG. 23 illustrates an alternative closure lockout system 20700′ for preventing an anvil 20400′ of a surgical end effector 20300′ from being moved from an open position to a closed (clamped) position unless a corresponding proper surgical staple cartridge 20600′ has been operably installed in the corresponding elongate channel (not shown). The surgical end effector 20300′ is substantially identical to surgical end effector 20300 described above, except for the differences discussed below. The closure lockout system 20700′ comprises an anvil lockout 20702′ that is substantially identical to anvil lockout 20702 described above, except for the following differences. For example, the anvil lockout 20702 may be fabricated from spring steel or other suitable metal and include a distally extending body portion 20706′ that has a spring portion 20707′ formed therein. A proximal end of the anvil lockout 20702′ has an anchor tab 20703′ formed thereon that serves to couple the anvil lockout 20702′ to the channel mount feature 20340 (FIG. 19). Additionally, the body portion 20706′ includes a downwardly extending mounting tab 20708′ and an upwardly extending anvil lockout tab 20710′ that protrudes therefrom. An actuation tab 20712′ is formed on the distal end of the body portion 20706′.
  • The surgical staple cartridge 20600′ is similar to the surgical staple cartridge 20600 described above and includes a cartridge body 20602′ that is sized to be removably seated in the elongate channel 20310. The cartridge body 20602′ includes a cartridge slot 20608′ that extends from a proximal end portion 20604′ to a distal end portion of the cartridge body 20602′. The cartridge body 20602′ further comprises a cartridge deck surface 20610′ and three lines of surgical staple pockets 20612′ located on each side of the cartridge slot 20608′. As can be seen in FIG. 23, the staple pockets 20612′, as well as the staples or fasteners therein (not shown) are aligned on pocket axes PA′ that are parallel to the cartridge slot 20608′. Thus, the staples/fasteners are applied in lines that are approximately parallel to the cartridge slot 20608′ and the tissue cutline. Like surgical staple cartridge 20600, surgical staple cartridge 20600′ includes a cartridge pan 20624′ and an anvil unlocking feature or tab 20630′ that protrudes proximally from the cartridge body 20602′.
  • Still referring to FIG. 23, the anvil 20400′ is similar to anvil 20400, except for the differences discussed below. The anvil 20400′ includes an elongate anvil body portion 20402′ and an anvil mounting portion 20410′ that is configured to interact with the end effector closure tube 3050 (FIG. 5) in the manner described above. The anvil body portion 20402′ includes a staple-forming undersurface 20404′ that is bisected by an anvil slot 20405′ that is configured to accommodate passage of the firing member 20500 therethrough. As can be seen in FIG. 23, the staple-forming undersurface 20404′ comprises three lines of staple-forming pockets 20407′ that are arranged on forming pocket axes FPA that are a parallel with the anvil slot 20405′. When the anvil 20400′ is moved to a closed position, the anvil slot 20405′ is vertically aligned with the cartridge slot 20608′ to permit passage of the firing member 20500 therethrough. The lines of staple-forming pockets 20407′ are aligned with the staple pockets 20612′ such that as the staples are driven from the cartridge 20600′, they contact a corresponding pair of staple-forming pockets 20407′ to be crimped. Thus, the array of staple-forming pockets in the anvil 20400′ must correspond to the array of staple pockets 20612′ in the cartridge 20600′ to ensure that the staples are properly formed. As can be further seen in FIG. 23, in this arrangement, the anvil 20400′ includes a downwardly extending anvil lock lug 20414′ that is formed distal to the anvil mounting portion 20410′ but is otherwise configured to contact the anvil lockout tab 20710′ when the anvil lockout 20702′ is in the locked position (e.g., no cartridge has been inserted into the channel 20310 or an improper cartridge has been seated in the channel 20310). When the cartridge 20600′ has been properly seated in the elongate channel 20310, the anvil unlocking feature 20630′ thereon contacts the actuation tab 20712′ on the anvil lockout 20702′ to bias the lockout 20702′ proximally into the unlocked position wherein the anvil lockout tab 20710′ is out of locking alignment with the anvil lock lug 20414′ to permit the anvil 20400′ to be pivoted to the closed position.
  • FIG. 24 illustrates an alternative closure lockout system 20700″ for preventing an anvil 20400″ of another surgical end effector 20300″ from being moved from an open position to a closed (clamped) position unless a compatible surgical staple cartridge 20600″ has been operably installed in the elongate channel 20310. The surgical end effector 20300″ is substantially identical to surgical end effector 20300 described above, except for the differences discussed below. The closure lockout system 20700″ comprises an anvil lockout 20702″ that is substantially identical to anvil lockout 20702 described above, except for the following differences. For example, the anvil lockout 20702″ may be fabricated from spring steel or other suitable metal and include a distally extending body portion 20706″ that has a spring portion 20707″ formed therein. A proximal end of the anvil lockout 20702″ has an anchor tab 20703″ formed thereon that serves to couple the anvil lockout 20702″ to the channel mount feature 20340 (FIG. 19). Additionally, the body portion 20706″ includes a downwardly extending mounting tab 20708″ and an upwardly extending anvil lockout tab 20710″ that protrudes therefrom. An actuation tab 20712″ is formed on the distal end of the body portion 20706″.
  • The surgical staple cartridge 20600″ is similar to the surgical staple cartridge 20600 described above and includes a cartridge body 20602″ that is sized to be removably seated in the elongate channel 20310. The cartridge body 20602″ includes a cartridge slot 20608″ that extends from a proximal end portion 20604″ to a distal end portion of the cartridge body 20602″. The cartridge body 20602″ further comprises a cartridge deck surface 20610″ and two lines of surgical staple pockets 20612″ located on each side of the cartridge slot 20608″. As can be seen in FIG. 24, the staple pockets 20612″, as well as the staples or fasteners therein (not shown), are aligned on pocket axes PA″ that are transverse to the cartridge slot 20608″. Thus, the staples/fasteners are applied in lines that are approximately transverse to the cartridge slot 20608″ and the tissue cutline. Such arrangements of fasteners create “flexible” or “stretchable” staple lines. Further details regarding cartridges for developing flexible or stretchable lines of staples may be found in U.S. patent application Ser. No. 14/498,121, entitled FASTENER CARTRIDGE FOR CREATING A FLEXIBLE STAPLE LINE, now U.S. Pat. No. 9,801,627, the entire disclosure of which is hereby incorporated by reference herein. Like surgical staple cartridge 20600, surgical staple cartridge 20600″ includes a cartridge pan 20624″ and an anvil unlocking feature or tab 20630″ that protrudes proximally from the cartridge body 20602′.
  • Still referring to FIG. 24, the anvil 20400″ is similar to anvil 20400, except for the differences discussed below. The anvil 20400″ includes an elongate anvil body portion 20402″ and an anvil mounting portion 20410″ that is configured to interact with the end effector closure tube 3050 (FIG. 5) in the manner described above. The anvil body portion 20402″ includes a staple-forming undersurface 20404″ that is bisected by an anvil slot 20405″ that is configured to accommodate passage of the firing member 20500 therethrough. As can be seen in FIG. 24, the staple-forming undersurface 20404″ comprises lines of staple-forming pockets 20407″ that are arranged on forming pocket axes FPA that are transverse to the anvil slot 20405″. When the anvil 20400″ is moved to a closed position, the anvil slot 20405″ is vertically aligned with the cartridge slot 20608″ to permit passage of the firing member 20500 therethrough. The lines of staple-forming pockets 20407″ are aligned with the staple pockets 20612″ such that as the staples are driven from the surgical staple cartridge 20600″, they contact a corresponding pair of forming pockets 20407″ to be crimped. Thus, the array of staple-forming pockets 20407″ in the anvil 20400″ must correspond to the array of staple pockets 20612″ in the cartridge 20600″ to ensure that the staples are properly formed. As can be further seen in FIG. 24, in this arrangement, the anvil 20400″ includes a downwardly extending anvil lock lug 20414″ that is formed or attached to the anvil mounting portion 20410″ and is configured to contact the anvil lockout tab 20710″ when the anvil lockout 20702″ is in the locked position (e.g., no cartridge has been inserted into the channel 20310 or an improper cartridge is inserted in the channel 20310). When the cartridge 20600″ has been properly seated in the elongate channel 20310, the anvil unlocking feature 20630″ thereon contacts the actuation tab 20712″ on the anvil lockout 20702″ to bias the anvil lockout 20702″ proximally into the unlocked position wherein the anvil lockout tab 20710″ is out of locking alignment with the anvil lock lug 20414″ to permit the anvil 20400″ to be pivoted close.
  • As was discussed above, various surgical staple cartridges may have different arrays of and/or orientations of staples/fasteners therein. The sizes of the staples or fasteners, as well as the number of fasteners may vary from cartridge type to cartridge type depending upon a particular surgical procedure or application. To ensure that the staples are properly crimped or formed, the surgical staple cartridges must be used in connection with corresponding anvils that have the proper array of staple-forming pockets therein. Should a “non-compatible” cartridge be loaded into an end effector that has an anvil that is mismatched to the cartridge, the staples may not be properly formed during the firing process which could lead to catastrophic results. For example, the surgical staple cartridge 20600′ depicted in FIG. 23 is matched to or “compatible with” the anvil 20400′ shown in FIG. 23. The surgical staple cartridge 20600″ shown in FIG. 24 is matched to or compatible with the anvil 20400″ shown in FIG. 24. However, the surgical staple cartridge 20600″ of FIG. 24 is incompatible with the anvil 20400′ shown in FIG. 23, for example.
  • The closure lockout systems employed in the examples described above may avoid the activation of a mismatched cartridge that has otherwise been loaded into the end effector. For example, the anvil unlocking feature or tab 20630′ on the staple cartridge 20600′ is located on the left side of the cartridge slot 20608′ and is positioned to contact the actuator tab 20712′ on the anvil lockout spring 20707′ when the cartridge 20600′ is properly loaded in the channel 20310 of end effector 20300′. Conversely, the anvil unlocking feature or tab 20630″ on the cartridge 20600″ is located on the right side of the cartridge slot 20608″ and aligned to contact the actuator tab 20712″ on the anvil lockout 20702″ when the cartridge 20600″ is properly loaded in the channel 20310. Should the user load cartridge 20600″ into the channel 20310 of the end effector 20300′, anvil unlocking feature or tab 20630″ on the staple cartridge 20600″ will not contact the the actuator tab 20712′ on the anvil lockout 20702′ to move it into the unlocked position and the user will be unable to pivot the anvil 20400′ closed. Likewise, should the user load cartridge 20600′ into the channel of the end effector 20300″, anvil unlocking feature or tab 20630′ on the staple cartridge 20600′ will not contact the the actuator tab 20712″ on the anvil lockout 20702″ to move it into the unlocked position and the user will be unable to pivot the anvil 20400″ closed. If the user unwittingly loads another cartridge that lacks the proper anvil unlocking feature or tab that corresponds to the anvil lockout in the end effector, the user will be unable to close the anvil. The location, shape, length, etc. of the anvil unlocking feature(s) or tab(s) on a surgical staple cartridge may vary from cartridge type to cartridge type and be interrelated to the actuator member (size, location, shape, number, etc.) on the correspond anvil lockout located in a corresponding surgical end effector. For example, the anvil unlocking feature or tab may be integrally formed on the cartridge body, be machined or molded into the cartridge body, be attached to the cartridge body, be attached to or integrally formed on the camming assembly of the cartridge or comprise a portion of the cartridge pan, for example. All such variations are contemplated herein and are intended to be encompassed by the appended claims.
  • FIGS. 25-29 illustrate a surgical end effector 21300 that is very similar to the surgical end effectors 20300, 20300′, 20300″ described above, except for the differences discussed below. In this embodiment, for example, the end effector 21300 comprises an elongate channel 21310 that is configured to operably support a surgical staple cartridge 21600 therein. In the illustrated example, the elongate channel 21310 comprises a channel bottom 21312 and a pair of upstanding sidewalls 21314. Although not shown, the channel 21310 may be coupled to the elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 (described above) which may facilitate articulation thereof about articulation joint 3020 (FIG. 5). The surgical end effector 21300 further comprises an anvil 21400 that may be very similar to anvil 20400 described above, except for the differences discussed below. The anvil 21400 includes an elongate anvil body portion 21402 that has a staple-forming undersurface and an anvil mounting portion 21410 that is configured to interact with an end effector closure tube 3050 (FIG. 5) in the manner described above. The anvil 21400 is pivotally mounted on the elongate channel 21310 by a pair of laterally extending anvil pins or trunnions 21412 that are received in corresponding elongate trunnion slots 21320 that are formed in the upstanding channel walls 21314. Axial movement of the end effector closure tube 3050 in a distal direction will cause the anvil 21400 to translate distally until the trunnions 21412 contact the distal ends of their respective trunnion slots 21320 and pivot to a closed position. Conversely, movement of the end effector closure tube 3050 in a proximal direction will cause the anvil 21400 to pivot to an open position relative to the elongate channel 21310.
  • The end effector 21300 is configured to operably support a surgical staple cartridge 21600 that may be substantially the same as the surgical staple cartridge 20600, except that the anvil unlocking feature or tab 21630 comprises a portion of the cartridge pan 21620. The anvil unlocking feature 21630 is configured to operably interact with an axially movable anvil lock 21702 that is supported by the channel 21310. Turning to FIG. 27, the anvil lock 21702 is supported for axial movement between a distal locked position and a proximal locked position by a guide block 21720 that is attached to a portion of the channel 21310. In one example, anvil lock 21702 may be formed from metal and the guide block 21720 may be fabricated from 40% carbon filled Nylon 6/6 and be attached to the sidewall of 21314 of the channel 21310 by appropriate adhesive or other fastening means. The guide block 21720 may define a guide channel 21722 that is configured to support a locking tab portion 21710 of the anvil lock 21702. The anvil lock 21702 additionally comprises a vertical body portion 21706 that has an actuation tab 21712 formed on a distal end thereof. The anvil lock 21702 is biased to a distal locked position by an extension spring 21730 that is attached to the anvil lock 21702 and the channel sidewall 21314. When no cartridge is present, the extension spring 21730 biases the anvil lock 21702 into a distal locked position wherein the locking tab portion 21710 contacts a portion of the anvil 21400 to prevent the anvil 21400 from pivoting to a closed position. When a proper or compatible cartridge 21600 is loaded into the elongate channel 21310, the unlocking feature or tab 21630 of the cartridge pan 21620 contacts the actuation tab 21712 on the anvil lock 21702 to move the anvil lock 21702 proximally into an unlocked position wherein the locking tab portion 21710 of the anvil lock 21702 no longer prevents pivotal motion of the anvil 21400. As can be seen in FIG. 25, the anvil unlocking feature 21630 of the surgical staple cartridge 21600 is “asymmetric” in design. That is, the anvil unlocking feature 21630 is only located on one side of a proximal end of the cartridge 21600. FIG. 25 illustrates an old relief area 21315 that is present in previous channel arrangements and new relief areas 21317, 21319 that are provided in the channel 21310 to accommodate cartridge 21600 therein.
  • FIG. 30 illustrates portions of a surgical end effector 21300′ that is identical to end effector 21300, except that the end effector 21300′ employs an anvil lock 21702′ as depicted in FIGS. 31 and 32. In one example, the anvil lock 21702′ may be fabricated from 40% carbon filled Nylon 6/6 and include a vertical body portion 21706′ that has a locking portion 21710′ formed on the upper end thereof. An actuation tab 21712′ is formed on a distal end and a gusset 21714′ is also employed to provide additional support to the actuation tab 21712′. As discussed above, when a proper or compatible surgical staple cartridge 21600 is loaded into the elongate channel 21310, the unlocking feature or tab 21630 of the cartridge pan 21620 contacts the actuation tab 21712′ on the anvil lock 21702′ to move the anvil lock 21702′ proximally into an unlocked position wherein the locking portion 21710′ of the anvil lock 21702′ no longer prevents pivotal motion of the anvil 21400.
  • FIG. 33 illustrates another surgical end effector 22300 that employs an anvil lockout system 22700. The end effector 22300 is similar to the end effector 20300 described above, except for the noted differences. In this embodiment, the end effector 22300 comprises an elongate channel 22310 that is configured to operably support a surgical staple cartridge 22600 therein. In the illustrated example, the elongate channel 22310 comprises a channel bottom 22312 and a pair of upstanding sidewalls 22314. Although not shown, the channel 22310 may be coupled to the elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 (described above) which may facilitate articulation thereof about articulation joint 3020 (FIG. 5). The surgical end effector 22300 further comprises an anvil 22400 that is very similar to anvil 20400 described above, except for the differences discussed below. The anvil 22400 includes an elongate anvil body portion 22402 and an anvil mounting portion 22410 that is configured to interact with an end effector closure tube 3050 (FIG. 5) in the manner described above. The anvil 22400 is pivotally mounted on the elongate channel 22310 by a pair of laterally extending anvil pins or trunnions 22412 that are received in corresponding elongate trunnion slots 22320 formed in the upstanding channel sidewalls 22314. Axial movement of the end effector closure tube 3050 in a distal direction will cause the anvil trunnions 22412 to translate distally up the trunnion slots 22320 to pivot the anvil 22400 to a closed position. Conversely, movement of the end effector closure tube 3050 in a proximal direction will cause the anvil 22400 to pivot to an open position relative to the elongate channel 22310.
  • The end effector 22300 is configured to operably support a surgical staple cartridge 22600 that may be substantially the same as the surgical staple cartridge 20600, except that the anvil unlocking feature or tab 22630 is formed on a right side of a proximal end proximal end portion 22604 of the cartridge body 22602 and has a contoured proximal end surface 22632. In the illustrated example, the contoured proximal end surface 22632 has an arcuate shape. The anvil unlocking feature 22630 is configured to operably interact with an axially movable anvil lock 22702 of the anvil lockout system 22700 that is supported by the channel 22310. In the illustrated example, the anvil lock 22702 is supported for axial movement between a distal locked position and a proximal unlocked position within a proximal end portion 22316 of the elongate channel 22310. In the illustrated example, the anvil lock 22702 comprises an elongate body portion 22706 that has an anvil lock tab 22710 formed on a proximal end thereof and configured to lockingly interact with a lock lug 22413 formed on the anvil mounting portion 22410 of the anvil 22400. See FIG. 33. An actuation tab 22712 is formed on a distal end of the body portion 22706. The actuation tab 22712 has a contoured actuation surface 22714 formed therein that is configured to substantially match or mate with the contoured proximal end surface 22632 on the anvil unlocking feature 22630. See FIG. 34.
  • In at least one arrangement, a spring or biasing member 22730 (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310 and configured to bias the anvil lock 22702 in the distal direction DD to the locked position wherein the anvil lock tab 22710 thereon is in blocking alignment with the lock lug 22413 on the anvil mounting portion 22410 to prevent closing of the anvil 22400. When a proper or compatible surgical staple cartridge 22600 is operably loaded into the channel 22310, the anvil unlocking feature or tab 22630 is brought into engagement with the contoured surface 22714 on the actuation tab 22712 of the anvil lock 22702. The surgical staple cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310. As the surgical staple cartridge 22600 is moved proximally, the anvil unlocking feature 22630 contacts the actuation tab 22712 of the anvil lock 22702 and biases the anvil lock 22702 proximally into the unlocked position wherein the anvil lock tab 22710 thereon is moved out of blocking alignment with the lock lug 22413 on the anvil mounting portion 22410 to permit the anvil 22400 to pivot closed. When the surgical staple cartridge 22600 is removed from the channel 22310, the spring 22730 biases the anvil lock 22702 distally back to the locked position. FIG. 35 illustrates that the contoured proximal end 22632 of the anvil unlocking feature 22630 formed on a right side of the proximal end portion 22604 of the cartridge body 22602 and the matching contoured surface 22714 on the actuation tab 22712 of the anvil lock 22702 enable the cartridge 22600 to facilitate unlocking interaction between the unlocking feature 22630 and actuation tab 22712 even when the cartridge is installed at an installation angle IA relative to the central axis EA of the end effector 22300. See FIG. 35.
  • FIG. 36 illustrates the attempted use of an incompatible cartridge 22600X that lacks an unlocking feature to move the anvil lock 22702 from the locked position to the unlocked position. As can be seen in FIG. 36, the lockout tab 22710 is in blocking alignment with the lock lug 22413 on the anvil 22400 to thereby prevent the anvil 22400 from being closed even after the cartridge 22600X has been seated in the channel 22310.
  • FIG. 37 illustrates another surgical end effector 22300′ that is substantially identical to surgical end effector 22300 described above, except for the noted differences. The end effector 22300′ is configured to operably support a staple cartridge 22600′ that is substantially the same as cartridge 20600 and includes an anvil unlocking feature or tab 22630′ that has a contoured proximal end surface 22632′. In the illustrated example, the anvil lock 22702′ comprises an elongate body portion 22706′ that has an anvil lock tab 22710′ formed on a proximal end 22711′ thereof and configured to lockingly interact with a lock lug 22413′ formed on the anvil mounting portion 22410 of the anvil 22400. A distal end 22712′ of the anvil lock 22702′ includes a contoured actuation surface 22714′ formed therein that is configured to substantially match or mate with the contoured proximal end surface 22632′ on the anvil unlocking feature 22630′ in the manners described above. A spring or biasing member 22730′ (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310′ and configured to bias the anvil lock 22702′ in the distal direction DD to the locked position wherein the anvil lock tab 22710′ thereon is in blocking alignment with the lock lug 22413′ on the anvil mounting portion 22410 to prevent closing of the anvil 22400.
  • When a proper or compatible surgical staple cartridge 22600′ is operably loaded into the channel 22310′, the anvil unlocking feature or tab 22630′ is brought into engagement with the contoured surface 22714′ of the anvil lock 22702′. The cartridge 22600′ is then moved proximally in a proximal direction PD to seat the cartridge 22600′ within the channel 22310′. As the cartridge 22600′ is moved proximally, the anvil unlocking feature 22630′ contacts the distal end of the anvil lock 22702′ and biases the anvil lock 22702′ proximally into the unlocked position wherein the anvil lock tab 22710′ thereon is moved out of blocking alignment with the lock lug 22413′ on the anvil mounting portion 22410 to permit the anvil 22400 to pivot closed. When the cartridge 22600′ is removed from the channel 22310′, the spring 22730′ biases the anvil lock 22702′ distally back to the locked position. As can be seen in FIG. 37, when compared to anvil lock 22702 described above, the anvil lock 22702′ has a more robust body portion 22706′. In at least one example, a clearance notch 22709′ is provided in the body portion 22706′ to provide sufficient clearance for the lock lug 22413′ when the anvil 22400 is pivoted to the closed position. In addition, a channel stop 22313′ is formed on a bottom 22312′ of the channel 22310′ and is configured for contact with the proximal end 22711′ of the anvil lock 22702′ when the anvil lock 22702′ is in the unlocked position to prevent the anvil lock 22702′ from moving any further proximally to ensure that the lock lug 22413′ remains aligned with the clearance notch 22709′ in the anvil lock 22702′ during closing of the anvil 22400.
  • FIG. 38 illustrates another surgical end effector 22300″ that is substantially identical to surgical end effector 22300 described above, except for the noted differences. The end effector 22300″ comprises an elongate channel 22310″ that includes an anvil 22400″ that is pivotally supported thereon. The channel 22310″ is configured to operably support a surgical staple cartridge 22600 that is compatible with the staple-forming undersurface of the anvil 22400″ and employs an anvil locking system 22700″ that is configured to prevent closure of the anvil 22400″ unless a surgical staple cartridge 22600 has been operably installed in the end effector 22300″. In the illustrated example, the anvil locking system 22700″ includes an anvil lock 22702″ that comprises a body portion 22706″ that has a distal end portion 22712″ that is higher than a proximal portion of the body 22706″. When the anvil lock 22702″ is in its distal-most locked position, a portion of the anvil 22400″ contacts the higher distal end portion 22712″ to prevent the anvil 22400″ from being closed. The distal end portion 22712″ of the anvil lock 22702″ includes a contoured actuation surface 22714″ that is configured to substantially match or mate with the contoured proximal end surface 22632 on the anvil unlocking feature 22630 formed on the cartridge 22600 in the manners described above. A spring or biasing member 22730″ (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310″ and be configured to bias the anvil lock 22702″ in the distal direction DD to the locked position wherein the distal end portion 22712″ is in blocking alignment with corresponding portion of the anvil 22400″ to prevent closing of the anvil 22400″.
  • When a proper or compatible surgical staple cartridge 22600 is operably loaded into the channel 22310″, the anvil unlocking feature 22630 on the cartridge 22600 is brought into engagement with the contoured surface 22714″ on the distal end 22712″ of the anvil lock 22702″. The cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310″. As the cartridge 22600 is moved proximally, the anvil unlocking feature 22630 contacts the distal end 22712″ of the anvil lock 22702″ and biases the anvil lock 22702″ proximally into the unlocked position wherein the distal end portion 22712″ is moved out of blocking alignment with the corresponding portion of the anvil 22400″ to permit the anvil 22400″ to pivot to a closed position. When the cartridge 22600 is removed from the channel 22310″, the spring 22730″ biases the anvil lock 22702″ distally back to the locked position. As can also be seen in FIG. 38, a channel stop 22313″ is formed on a bottom 22312″ of the channel 22310″ and is configured for contact with a proximal end 22711″ of the anvil lock 22702″ to prevent the cartridge 22600 from being inserted too far proximally into the end effector 22300″.
  • FIGS. 39 and 40 illustrate another surgical end effector 23300 that is similar to the other surgical end effectors described herein with the exception of the various differences noted below. The end effector 23300 comprises an elongate channel 23310 that includes an anvil 23400 that is pivotally supported thereon. The channel 23310 is configured to operably support a surgical staple cartridge 22600 that is compatible to the staple-forming undersurface of the anvil 23400 and employs an anvil locking system 23700 that is configured to prevent closure of the anvil 23400 unless a cartridge 22600 has been operably installed in the end effector 23300. In the illustrated example, anvil locking system 23700 comprises an anvil lock 23702 comprising a body portion 23706 that has a distal end portion 23712. The distal end portion 23712 of the anvil lock 23702 includes a contoured actuation surface 23714 that is configured to substantially match or mate with the contoured proximal end surface 22632 on the anvil unlocking feature 22630 that is formed on the cartridge 22600 in the manners described above. A spring or biasing member 23730 is mounted within the channel 23310 and is configured to bias the anvil lock 23702 in the distal direction DD to a “locked” position.
  • In the illustrated example, the anvil 23400 includes an elongate anvil body 23402 that an anvil mounting portion 23410 that is configured to interact with the end effector closure tube 3050 (FIG. 5) in the manner described above. The anvil 23400 is pivotally mounted on the elongate channel 22310 by a pair of laterally extending trunnion formations 23412 that are received in corresponding trunnion slots 23320 formed in upstanding sidewalls of the channel 23310. At least one trunnion formation 23412 comprises a laterally protruding actuator lobe 23414 that defines an actuator ledge 23416. A trunnion pin 23418 protrudes outwardly from the actuator lobe 23414 and is sized to translate and pivot within a corresponding trunnion slot 23320.
  • As can be seen in FIG. 39, at least one trunnion slot 23320 comprises an arcuate actuation portion 23322 and a locking offset portion 23324 that is formed at a proximal end 23321 of the trunnion slot 23320. FIG. 39 illustrates insertion of a cartridge 22600 into the elongate channel 23310. To install a cartridge 22600 into the elongate channel 23310, the anvil 23400 is first moved to an open position. This may be accomplished by actuating the closure system to move the end effector closure tube 3050 (FIG. 5) in a proximal direction PD. As the closure tube 3050 is moved proximally, it interacts with an opening tab 23411 formed on the anvil mounting portion 23410. As the closure tube 3050 interacts with the anvil mounting portion 23410, the anvil 23400 translates proximally and starts to pivot open which results in the trunnion formation 23412 translating down the arcuate actuation portion 23322 of the corresponding trunnion slot 23320 and into the proximal end 23321 of the trunnion slots 23320 when the anvil 23400 reaches its fully open position.
  • During installation of a proper or compatible surgical staple cartridge 22600 into the channel 23310, the anvil unlocking feature or tab 22630 is brought into engagement with the contoured surface 23714 on the distal end 23712 of the anvil lock 23702. The cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310. As the cartridge 22600 is moved proximally, the anvil unlocking feature 22630 contacts the distal end 23712 of the anvil lock 23702 and biases the anvil lock 23702 proximally an unlocking distance UD to bring a proximal end 23710 of the anvil lock body 23706 into engagement with actuator lobe 23414 on at least one trunnion formation 23412 to move the trunnion formation 23412 into a position wherein the trunnion formation 23412 can translate up the arcuate actuation portion 23322 of the corresponding trunnion slot 23320 when a closing motion is applied to the anvil mounting portion 23410. Stated another way, the proximal end 23710 of the anvil lock 23702 prevents the trunnion formation 23412 from entering the locking offset portion 23324 formed at the proximal end 23321 of the trunnion slot 23320 to enable the trunnion formation 23412 to progress into the arcuate actuation portion 23322 of the trunnion slot 23320.
  • FIG. 40 illustrates an attempted insertion of an incompatible cartridge 22600X that lacks the requisite unlocking feature or tab 22630 to move the anvil lock 23702 out of the distal locked position. If the user nonetheless seats the incompatible cartridge 22600X in the channel 23310 and then attempts to close the anvil 23400, the anvil locking system 23700 will prevent closure of the anvil 23400. For example, to close the anvil 23400, the closure system is activated to move the closure tube (or other closure member) distally into operably contact with the anvil mounting portion 23410 of the anvil 23400 to apply closure motions thereto. The initial application of closure motions to the anvil mounting portion 23410 causes the anvil mounting portion 23410 to move downwardly (arrow DL in FIG. 40) which results in the anvil trunnion formations 23412 entering the locking offset portions 23324 formed in the trunnion slots 23320. Thus, the anvil trunnion formations 23412 cannot translate into the arcuate actuation portion 23322 of the corresponding trunnion slot 23320 during the application of the closure motion to the anvil 23400 and the anvil 23400 is then prevented from closing.
  • FIG. 41 illustrates a portion of an alternative anvil 23400′ that comprises an anvil mounting portion 23410′ that has trunnion formations 23412′ formed thereon. Each trunnion formation 23412′ comprises a laterally protruding actuator lobe 23414′ that defines an actuator ledge 23416′ that is configured to interact with an anvil locking system 23700 in the manner described above. As can be seen in FIG. 41, the actuator ledge 23416′ is vertically offset (distance OD) from a bottom surface 23415′ of the anvil mounting portion 23410′. A trunnion pin 23418′ protrudes outwardly from the actuator lobe 23414′ and is sized to translate and pivot within a corresponding trunnion slot 23320. In this example, the trunnion pin 23418′ has a trunnion pin diameter TRD that is approximately equal to the width LW of the actuator lobe 23414′.
  • FIG. 42 illustrates a portion of an alternative anvil 23400″ that comprises an anvil mounting portion 23410″ that has trunnion formations 23412″ formed thereon. Each trunnion formation 23412″ comprises a laterally protruding actuator lobe 23414″ that defines an actuator ledge 23416″ that is configured to interact with an anvil locking system 23700 in the manner described above. As can be seen in FIG. 42, the actuator ledge 23416″ is coextensive with (e.g., not offset from) a bottom edge 23415″ of the anvil mounting portion 23410″. A trunnion pin 23418″ protrudes outwardly from the actuator lobe 23414″ and is sized to translate and pivot within a corresponding trunnion slot 23320. In this example, the trunnion pin 23418″ has a trunnion pin diameter TRD′ that is approximately equal to the width LW′ of the actuator lobe 23414′.
  • FIG. 43 is a partial cross-sectional end elevational view of a surgical end effector 24100 that comprises an anvil 24400 that is pivotally supported on an elongate channel 24310. The anvil 24400 comprises an anvil mounting portion 24410 that has trunnion formations 24412 formed thereon. Each trunnion formation 24412 comprises a laterally protruding actuator lobe 24414 that defines a bottom lobe surface 24416 that is configured to interact with an anvil locking system 24700 in the manner described above. As can be seen in FIG. 44, the bottom lobe surface 24416 is vertically offset (distance OD1) from a bottom surface 24415 of the anvil mounting portion 24410. A trunnion pin 24418 protrudes outwardly from the actuator lobe 24414 and is sized to translate and pivot within a corresponding trunnion slot 24320 formed in the elongate channel 24310. In this example, the trunnion pin 24418 has a trunnion pin diameter TRD1 that is approximately equal to the width LW1 of the actuator lobe 24414.
  • Channel 20310 comprises a channel bottom 24312 and a pair of upstanding sidewalls 24314. The channel 24310 may be coupled to an elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 (FIG. 5). FIG. 45 illustrates a portion of a proximal end 24316 of the channel 24310. In one example, each channel wall 24314 has a trunnion slot 24320 formed therein. In the illustrated arrangement, a lobe ledge 24340 is formed in each channel wall 24314 such that a top surface 24342 of the lobe ledge 24340 is coextensive with a bottom surface 24321 of the corresponding trunnion slot 24320. Each trunnion 24418 is received within a corresponding trunnion slot 24320 and is free to rotate and translate therein.
  • Still referring to FIG. 45, a portion of an anvil lock 24702 of the anvil locking system 24700 is shown. The anvil lock 24702 operates in the same manner as the anvil lock 20702 described above and includes a lockout body 24706 that has an actuator tab (not shown) that is formed on a distal end thereof that is configured to be contacted by an unlocking feature that protrudes proximally from a compatible cartridge. The anvil lock 24702 may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 24704 that may be configured to be seated in a transverse spring mounting slot (not shown) that is provided in the body portion of a channel mount feature (not shown). The anvil lock 24702 further includes an upwardly extending anvil lockout tab 24710 that protrudes therefrom that is configured to extend above the corresponding lobe ledge 24340 and contact a corresponding lobe 24414 as will be described below.
  • FIGS. 45 and 46 illustrate the anvil lock 24702 in the locked position wherein the anvil 24400 is pivoted to an open position. This may occur when no cartridge has been inserted into the channel 24310 or a non-compatible cartridge (e.g. a cartridge that lacks, among other things, the proper anvil unlocking feature that is necessary to bias the anvil lock spring proximally) has been inserted into the channel 24310. Should the user unwittingly attempt to close the anvil 24400 when the anvil lock 24702 is in the distal locked position shown in FIGS. 45 and 46, the corresponding lobe 24414 will contact the anvil lockout tab 24710 and prevent the anvil 24400 from pivoting to the closed position. FIGS. 47 and 48 illustrate the position of the anvil lock 24702 in the proximal unlocked position wherein the anvil lockout tab 24710 is positioned proximal to the lobe 24414 to permit the lobe 24414 to pivot to the closed position.
  • FIG. 49 is a partial cross-sectional end elevational view of a surgical end effector 24100′ that comprises an anvil 24400′ that is pivotally supported on an elongate channel 24310′. The anvil 24400′ comprises an anvil mounting portion 24410′ that has trunnion formations 24412′ formed thereon. Each trunnion formation 24412′ comprises a laterally protruding actuator lobe 24414′ that defines a bottom lobe surface 24416′ that is configured to interact with an anvil locking system 24700′ in the manner described above. As can be seen in FIG. 50, the bottom lobe surface 24416′ is coextensive with a bottom surface 24415′ of the anvil mounting portion 24410′. A trunnion pin 24418′ protrudes outwardly from the actuator lobe 24414′ and is sized to translate and pivot within a corresponding trunnion slot 24320′ formed in the elongate channel 24310′. In this example, the trunnion pin 24418′ has a trunnion pin diameter TRD2 that is smaller than the width LW2 of the actuator lobe 24414′.
  • Channel 20310′ comprises a channel bottom 24312′ and a pair of upstanding sidewalls 24314′. The channel 24310′ may be coupled to an elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 (FIG. 5). FIG. 51 illustrates a portion of a proximal end 24316′ of the channel 24310′. In one example, each channel wall 24314′ has a trunnion slot 24320′ formed therein. In the illustrated arrangement, a lobe ledge 24340′ is formed in each channel wall 24314′ such that a top surface 24342′ of the lobe ledge 24340′ is offset vertically from a bottom surface 24321′ of the corresponding trunnion slot 24320′ an offset distance OSD. Offset distance OSD may be approximately equal to a distance TSD between the trunnion pin 24418′ and the bottom lobe surface 24416′. See FIG. 50. Each trunnion pin 24418′ is received within a corresponding trunnion slot 24320′ and is free to rotate and translate therein.
  • Still referring to FIG. 51, a portion of an anvil lock 24702′ of the anvil locking system 24700′ is shown. The anvil lock 24702′ operates in the same manner as the anvil lock 20702 described above and includes a lockout body 24706′ that has an actuator tab (not shown) formed on a distal end thereof that is configured to be contacted by an unlocking feature that protrudes proximally from a compatible cartridge. The anvil lock 24702′ may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 24704′ that may be configured to be seated in a transverse spring mounting slot (not shown) provided in the body portion of a channel mount feature (not shown). The anvil lock 24702′ further includes an upwardly extending anvil lockout tab 24710′ that protrudes therefrom that is configured to extend above the corresponding lobe ledge 24340′ and contact a corresponding lobe 24414′ as was described above.
  • FIG. 51 illustrates the anvil lock 24702′ in the locked position wherein the anvil 24400 is pivoted to an open position. This may occur when no cartridge has been inserted into the channel or a non-compatible cartridge (e.g. a cartridge that lacks, among other things, the proper anvil unlocking feature that is required to bias the anvil lock spring proximally) has been inserted into the channel 24310′. Should the user unwittingly attempt to close the anvil 24400′ when the anvil lock 24702′ is in the distal locked position shown in FIG. 45, the corresponding lobe 24414′ will contact the anvil lockout tab 24710′ and prevent the anvil 24400′ from pivoting to the closed position. Once a compatible surgical staple cartridge has been loaded into the end effector 24100′, the anvil lock 24702′ will be biased to the unlocked position (see e.g., FIG. 47) and the anvil 24400′ will be free to pivot to the closed position.
  • FIG. 52 depicts a portion of a surgical end effector 24100″ that comprises an anvil 24400″ that is pivotally supported on an elongate channel 24310″. The anvil 24400″ comprises an anvil mounting portion 24410″ that has trunnion formations 24412″ formed thereon. As can be seen in FIGS. 53 and 54, each trunnion formation 24412″ comprises a laterally protruding actuator lobe 24414″ that defines a bottom lobe surface 24416″ that is configured to interact with an anvil locking system 24700″ in the manner described above. As can be seen in FIG. 53, the actuator lobe 24414″, as well as the bottom lobe surface 24416″ of the actuator lobe 24414″, are located at an angle relative to an end effector axis EA as well as a bottom edge 24419″ of the anvil mounting portion 24410″ and/or the bottom 24312″ of the channel 24310″. As further illustrated in FIG. 53, the bottom lobe surface 24416″ is parallel to a lobe axis LBA that is located at a lobe angle LA relative to the end effector axis EA. A trunnion pin 24418″ protrudes outwardly from the actuator lobe 24414″ and is sized to translate and pivot within a corresponding trunnion slot 24320″ that is formed in the elongate channel 24310″. See FIG. 55. In this example, the trunnion pin 24418″ has a trunnion pin diameter TRD3 that is equal to the width LW3 of the actuator lobe 24414″.
  • Referring to FIG. 55, the channel 24310″ comprises a channel bottom 24312″ and a pair of upstanding sidewalls 24314″. The channel 24310″ may be coupled to an elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 (FIG. 5) in the various manners described herein. FIG. 55 illustrates a portion of a proximal end 24316″ of the channel 24310″. In one example, each channel wall 24314″ has a trunnion slot 24320″ formed therein. In the illustrated arrangement, a lobe ledge 24340″ is formed in each channel wall 24314″ such that a proximal surface portion 24344″ of a top surface 24342″ of the lobe ledge 24340″ is coextensive with a bottom surface 24321″ of the corresponding trunnion slot 24320″. In the illustrated arrangement, the bottom surface 24321″ of the trunnion slot 24320″ is approximately parallel to the end effector axis EA and/or the bottom 24312″ of the channel 24310″. As can be seen in FIG. 56, a ramped portion 24346″ of the top surface 24342″ extends distally from the proximal surface portion 24344″ at an angle TSA and terminates in a horizontal distal surface portion 24348″. In one arrangement, for example, the distal surface portion 24348″ is approximately parallel with the end effector axis EA and/or the bottom 24312″ of the channel 24310″ and the angle TSA=angle LA. However, angle TSA may be different from angle LA in other embodiments. Each trunnion 24418″ is received within a corresponding trunnion slot 24320″ and is free to rotate and translate therein.
  • Referring to FIGS. 55 and 56, a portion of an anvil lock 24702″ of the anvil locking system 24700″ is shown. The anvil lock 24702″ operates in the same manner as the anvil lock 20702 described above and includes a lockout body 24706″ that has an actuator tab (not shown) formed on a distal end thereof that is configured to be contacted by an unlocking feature that protrudes proximally from a compatible surgical staple cartridge. The anvil lock 24702″ may be fabricated from spring steel or other suitable metal and include a proximal biasing arm 24704″ that may be configured to be seated in a transverse spring mounting slot (not shown) that is provided in the body portion of a channel mount feature (not shown). The anvil lock 24702″ further includes an upwardly extending anvil lockout tab 24710″ that protrudes therefrom and is configured to extend above the distal surface portion 24348″ of the corresponding lobe ledge 24340″ and be even or level with the proximal surface portion 24344″ of the lobe ledge 24340″.
  • FIG. 55 illustrates the anvil lock 24702′ in the distal, locked position with the anvil 24400″ pivoted to an open position. This may occur when no surgical staple cartridge has been inserted into the channel 24310″ or a non-compatible surgical staple cartridge (e.g., a surgical staple cartridge that lacks, among other things, a proper anvil unlocking feature required to bias the anvil lock 24702″ proximally) has been inserted into the channel 24310″. When the anvil lock 24702″ is in that position, the anvil trunnions 24418″ are located in the proximal end of their respective trunnion slot 24320″ and the bottom lobe surface 24416″ of at least one lobe 24414″ is resting on the proximal surface portion 24344″ of the corresponding lobe ledge 24340″ as well as on the anvil lockout tab 24710″. Should the user unwittingly attempt to close the anvil 24400″ when the anvil lock 24702″ is in the distal, locked position shown in FIGS. 52 and 55, the anvil lockout tab 24710″ will prevent the lobe 24414″ from pivoting downward onto the ramp surface portion 24346″ of the lobe ledge 24340″ which prevents the anvil 24400″ from pivoting to the closed position. See FIG. 52. Once a compatible surgical staple cartridge has been loaded into the end effector 24100″, the anvil lockout feature thereon will bias the anvil lock 24702″ proximally into to the unlocked position. See FIGS. 56 and 57. When the anvil lock 24702″ is in the proximal unlocked position, the anvil lock out tab 24710″ is locked proximal to the ramp surface 24346″ on the lobe ledge 24340″ to thereby permit the lobe 24414″ to pivot downwardly thereon which results in the closure of the anvil 24400″.
  • FIG. 58 depicts a proximal portion of another anvil 24400′″ that is configured to be pivotally supported in an elongate channel 24310′″ that is similar to channel 24310″ except for the differences discussed below. The anvil 24400′″ comprises an anvil mounting portion 24410′″ that has trunnion formations 24412′″ formed thereon. Each trunnion formation 24412′″ comprises a laterally protruding actuator lobe 24414′″ that defines a bottom lobe surface 24416′″ that is configured to interact with an anvil locking system 24700″ in the manner described above. The actuator lobe 24414′″ as well as the bottom lobe surface 24416′″ of the actuator lobe 24414′″ are located at an angle that is the same as the angle LA described above with respect to actuator lobe 24414″. A trunnion pin 24418′″ protrudes outwardly from the actuator lobe 24414′″ and is sized to translate and pivot within a corresponding trunnion slot 24320′″ that is formed in the elongate channel 24310′″. See FIG. 59. In this example, the trunnion pin 24418′″ has a trunnion pin diameter TRD4 that is equal to the width LW4 of the actuator lobe 24414′″.
  • As can be seen in FIG. 59, the channel 24310′″ comprises a channel bottom 24312′″ and a pair of upstanding sidewalls 24314′″. The channel 24310′″ may be coupled to an elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 (FIG. 5). FIG. 59 illustrates a portion of a proximal end 24316′″ of the channel 24310′″. In one example, each channel wall 24314′″ has a trunnion slot 24320′″ formed therein. In the illustrated arrangement, a lobe ledge 24340′″ is formed in each channel wall 24314′″ such that a top surface 24342′ of the lobe ledge 24340′″ is offset vertically from a bottom surface 24321′″ of the corresponding trunnion slot 24320′″ an offset distance OSD1. Offset distance OSD1 may be approximately equal to a distance between the trunnion 24418′″ and the bottom lobe surface 24416′″. In the illustrated arrangement, the top surface 24342′ of the lobe ledge 24340′″ is identical to the top surface 24342″ of the lobe ledge 24340″ and includes a proximal portion 24344′ that is parallel to the bottom surface 24321′″ of the trunnion slot 24320′″ as well as a ramped surface 24346′ and a distal surface 24348′.
  • The anvil locking system 24700″ works in the same manner to prevent the anvil 24400′″ from closing. When no cartridge is present in the channel 24310′″ or a non-compatible cartridge (e.g. a cartridge that lacks the proper anvil unlocking feature to bias the anvil lock spring proximally) has been inserted into the channel 24310′″ the anvil lock tab 24710″ is in its distal-most locked position preventing the corresponding actuator lobe 24414′″ from pivoting down onto the ramp surface 24346′ thereby retaining the anvil 24400′″ in the open position. Once a compatible surgical staple cartridge has been loaded into the end effector 24100′″, the anvil lockout feature thereon will bias the anvil lock 24702″ proximally into to the unlocked position. When the anvil lock 24702″ is in the proximal, unlocked position, the anvil lock out tab 24710″ is locked proximal to the ramp surface 24346′ on the lobe ledge 24340′″ to thereby permit the lobe 24414′″ to pivot downwardly thereon which results in the closure of the anvil 24400′″.
  • FIGS. 60 and 61 illustrate another anvil 24400 A that is identical in construction and operation to anvil 24400 described above, except that the trunnion formation 24412 A is offset vertically from a bottom edge 24415 A of an anvil mounting portion 24410 A of the anvil 24400 A. FIG. 62 illustrates another anvil 24400 B that is identical in construction and operation to anvil 24400′ described above, except that the trunnion formation 24412 B is offset vertically from a bottom edge 24415 B of an anvil mounting portion 24410 B of the anvil 24400 B.
  • The examples depicted in FIGS. 41-62 employ trunnion formations that comprise various shapes and configurations of lobe structures that serve to interact with an anvil lock feature such that the interaction between the anvil lock feature and the corresponding lobe structure serves to facilitate positioning of the anvil trunnions within their respective trunnion slots. This positioning of the lob structures permits the anvil to close upon application of closure motions thereto when a compatible surgical staple cartridge has been loaded into the end effector. In instances wherein an incompatible surgical staple cartridge has been loaded into the end effector, the anvil lock feature will retain the corresponding trunnion formation in a position wherein the anvil will be unable to close even upon application of a closure motion thereto. Thus, the initial positions of the trunnion formations prevent closure, but loading of a proper or compatible surgical staple cartridge into the channel changes positions of the trunnion formations to allow closure to occur. The various lobe features described herein are also generally more robust that previous trunnion arrangements which may lead to improved anvil reliability.
  • FIGS. 63-69 depict a surgical end effector 25300 that may be used for example in connection with the powered surgical instrument 1010 described above. The surgical end effector 25300 comprises an anvil 25400 that is pivotally supported on an elongate channel 25310 that is configured to operably support a surgical staple cartridge 25600. The anvil 25400 is movable between an open position and a closed position through interaction with an axially movable closure member in the various manners disclosed herein. In the illustrated example, the anvil 25400 comprises an anvil body 25402 and an anvil mounting portion 25410. The anvil mounting portion 25410 comprises a pair of laterally extending trunnions 25412 that are operably received within corresponding trunnion slots provided in upstanding sidewalls 25314 of the channel 25310 in the various manners disclosed herein. As was discussed above with respect to end effector 1300, anvil 25400 may be pivoted between an open and a closed position by interaction with an end effector closure tube 3050 in the various manners described herein. For example, the end effector closure tube 3050 may be axially moved by actuation of a closure trigger 1032 of the surgical instrument 1010. In other arrangements, the end effector 25300 and shaft assembly to which it is attached may operably interface with a robotic system as is described in detail in many of the references which have been incorporated herein by reference. In such applications, the end effector closure tube 3050 may be axially advanced and retracted through actuation of a closure control system of the robotic system.
  • In the illustrated arrangement, distal movement of the end effector closure tube 3050 causes a distal end 3051 of the end effector closure tube 3050 to operably interact with a camming surface 25411 that is formed on the anvil mounting portion 25410 to cam the anvil 25400 to a closed position. When the end effector closure tube 3050 is axially retracted in the proximal direction, the end effector closure tube 3050 may be configured to interact with various formations, ledges or tabs to apply an opening motion to the anvil 25400. Further details may be found in various other references which have been herein incorporated by reference.
  • The elongate channel 25310 may be coupled to an elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 (FIG. 5) in the various manners described herein. The illustrated example also includes a firing member 20500 (FIG. 20) that is attached to a distal end of a firing member beam 1900 (FIG. 5) and is configured to operably interface with a camming assembly in a surgical staple cartridge 25600 that has been loaded into the channel 25310. To ensure that a compatible surgical staple cartridge 25600 has been loaded into the end effector 25300 prior to closure of the anvil 25400, the end effector employs a closure lockout system 25700. In the illustrated example, the closure lockout system 25700 is configured to prevent a distal movement of the end effector closure tube 3050 unless a compatible cartridge 25600 has been properly seated within the channel 25310. In one example, the closure lockout system 25700 comprises a closure lock 25702 that is configured to move between a locked position and an unlocked position in response to installation of a compatible surgical staple cartridge 25600 therein. FIGS. 65-69 illustrate one form of a closure lock 25702 that may be fabricated from spring steel or other suitable metal and include a body portion 25706 that is pivotally pinned to the body portion 20342 of the channel mount feature 20340 by a pivot pin 25709 that extends through a pivot hole 25707 in the body portion 25706. The closure lock 25702 further includes a proximal biasing arm 25704 that may be configured to be seated in a slot (not shown) that is provided in the body portion 20342 of the channel mount feature 20340. Such arrangement serves to bias the closure lock 25702 downward within the channel 25310.
  • As can be most particularly seen in FIGS. 65 and 66, in the illustrated example, the closure lock 25702 further includes a blocking feature 25710 that protrudes from a bottom of the body portion 25706 and extends laterally outward. As illustrated in FIG. 65, when the closure lock 25702 is in the locked position, the blocking feature 25710 is positioned to block the distal advancement of the end effector closure tube 3050. When the closure lock 25702 is in the unlocked position as shown in FIG. 66, the blocking feature 25710 is moved away from the blocking position to permit the distal advancement of the end effector closure tube 3050.
  • Turning to FIG. 67, the closure lock 25702 further includes an actuator portion 25712 that extends proximally to be engaged by a closure unlocking feature 25630 formed on a proximal end 25604 of a compatible surgical staple cartridge 25600. In at least one arrangement, the surgical staple cartridge 25600 comprises an elongate cartridge body 25602 that is sized to be removably seated in the elongate channel 25310. The cartridge body 25602 includes a cartridge slot 25608 that extends from the proximal end portion 25604 to a distal end portion 25606 (FIG. 64) of the cartridge body 25602. The cartridge body 25602 further comprises a cartridge deck surface 25610 that confronts a staple-forming undersurface 25404 of the anvil 25400 when the cartridge 25600 is seated in the channel 25310 and the anvil 25400 is pivoted to a closed position. Although not shown in FIG. 67, the surgical staple cartridge 25600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 25608 that open through the cartridge deck surface 25610. Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 25602 is molded from a polymer material with the staple pockets molded or machined therein. In one arrangement, the staple pockets also open through a bottom of the cartridge body 25602 to facilitate installation of the drivers and fasteners into their respective pockets. Once the drivers and fasteners are inserted into their respective staple pockets, a cartridge pan 25620 is attached to the bottom of the cartridge body 25602. When installed, the cartridge pan 25620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 25602 during handling and installation of the cartridge 25600 into the elongate channel 25310. As was discussed above in connection with cartridge 20040, cartridge 25600 operably supports a camming assembly therein. The camming assembly comprises a series of spaced cam members that are configured to move axially within corresponding cam slots 25609 formed on each side of the cartridge slot 25608 in the cartridge body 25602. The cam slots 25609 are aligned with corresponding lines of drivers in the cartridge body 25602 to facilitate camming contact with a corresponding cam member as the camming assembly is driven through the staple cartridge 25600 from a beginning position within the proximal end portion 25604 of the cartridge body 25602 to an ending position within the distal end portion 25606.
  • FIGS. 63 and 68 illustrate the surgical end effector 25300 without a surgical staple cartridge installed therein. As can be seen in FIG. 68, the proximal biasing arm 25704 has biased the closure lock 25702 downward in the channel 25310 which results in the blocking feature 25710 moving into blocking alignment with the distal end 3051 of the end effector closure tube 3050 (locked position). Should the user activate the closure system to move the end effector closure tube 3050 distally, the blocking feature 25710 will block the distal advancement of the end effector closure tube 3050 thereby preventing an application of closure motions to the anvil 25400. Returning to FIG. 67, in at least one arrangement, the staple cartridge 25600 includes an anvil unlocking feature or tab 25630 that protrudes proximally from the cartridge body 25602 and is aligned to unlockingly engage the actuation tab 25712 that is formed on the distal end of the closure lock 25702 when the cartridge 25600 has been operably installed in the elongate channel 25310. In one example, the unlocking feature 25630 has a somewhat ramped surface 25632 that is configured to operably interact with an angled surface 25713 on the actuation tab 25712 so that the when the ramped surface 25632 and the angled surface 25713 are brought into engagement, the closure lock 25702 is pivoted in an upward direction. When the closure lock 25702 is pivoted upward into the unlocked position, the blocking feature 25710 is no longer in blocking alignment with the end effector closure tube 3050. See FIG. 66.
  • FIGS. 64 and 69 depict the surgical end effector 25300 with a compatible surgical staple cartridge 25600 operably installed in the elongate channel 25310. As can be seen in FIG. 69, the ramped surface 25632 on the unlocking feature 25630 on the staple cartridge body 25602 has contacted the angled surface 25713 (shown in FIG. 68) on the actuation tab 25712 on the closure lock 25702 to bias the closure lock 25702 into the unlocked position. When in that position, the user may distally advance the end effector closure tube 3050 distally to apply closing motions to the anvil 25400. Should the user attempt to install an inappropriate cartridge that lacks the unlocking feature 25630 in an appropriate position or similar feature designed to unlocking engage the closure lock 25702, the user will be unable to distally advance the end effector closure tube 3050 to close the anvil 25400.
  • FIGS. 70 and 71 illustrate a surgical end effector 25300′ that comprises an anvil 25400′ that is pivotally supported on a channel 25310′ and is substantially identical to end effector 25300 described above except that the closure locking system 25700′ employs a different closure lock 25702′ that is configured to interact with an unlocking feature provided on a camming assembly 25650′ within a surgical staple cartridge 25600′. As can be seen in FIGS. 70 and 71, the closure lock 25702′ comprises an elongate body 25706′ that has a tapered actuator tab portion 25712′ on its distal end. The body 25706′ is pivotally attached to the channel mount feature 20340 and a proximal biasing arm 25704′ biases the closure lock 25702′ within the channel 25310′.
  • FIG. 72 illustrates a surgical staple cartridge 25600′ that comprises an elongate cartridge body 25602′ that is sized to be removably seated in the elongate channel 25310′. The cartridge body 25602′ includes a cartridge slot 25608′ that extends from a proximal end portion 25604′ to a distal end portion of the cartridge body 25602′. The cartridge body 25602′ further comprises a cartridge deck surface 25610′ that confronts a staple-forming undersurface 25404′ of the anvil 25400′ when the cartridge 25600′ is seated in the channel 25310′ and the anvil 25400′ is pivoted to a closed position. Although not shown in FIG. 72, the surgical staple cartridge 25600′ may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 25608′ that open through the cartridge deck surface 25610′. Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 25602′ is molded from a polymer material with the staple pockets molded or machined therein. In one arrangement, the staple pockets also open through a bottom of the cartridge body 25602′ to facilitate installation of the drivers and fasteners into their respective pockets. Once the drivers and fasteners are inserted into their respective staple pockets, a cartridge pan 25620′ is attached to the bottom of the cartridge body 25602′. When installed, the cartridge pan 25620′ may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 25602′ during handling and installation of the cartridge 25600′ into the elongate channel 25310′. A camming assembly 25650′ is operably supported in the cartridge body 25602′. In at least one arrangement, the camming assembly 25650′ comprises a series of spaced cam members 25652′ that are configured to move axially within corresponding cam slots 25609′ that are formed on each side of the cartridge slot 25608′ in the cartridge body 25602′. The cam slots 25609′ are aligned with corresponding lines of drivers in the cartridge body 25602′ to facilitate camming contact with a corresponding cam member 25652′ as the camming assembly 25650′ is driven through the staple cartridge 25600′ from a beginning position within the proximal end portion 25604′ of the cartridge body 25602′ to an ending position within the distal end portion. In at least one example, the camming assembly 25650′ includes a closure unlocking feature or tab 25660′ that protrudes proximally from the camming assembly 25650′ and is aligned to unlockingly engage the actuation tab 25712′ that is formed on the distal end of the closure lock 25702′ when the cartridge 25600′ has been operably installed in the elongate channel 25310′ and the camming assembly 25650′ is in its unfired beginning position within the cartridge 25600′.
  • Returning to FIG. 71, in one example, the unlocking feature 25660′ has a tapered nose portion 25662′ that is configured to operably interact with the actuation tab 25712′ so that the when the tapered nose portion 25662′ is brought into engagement with the actuation tab 25712′, the closure lock 25702′ is pivoted upward. When the closure lock 25702′ is pivoted upward into the unlocked position, a blocking feature 25710′ on the closure lock 25702′ is no longer in blocking alignment with the end effector closure tube 3050.
  • As can be seen in FIG. 72, the cartridge body 25602′ may further include a locking safety 25670′ that protrudes proximally from a proximal end of the cartridge body 25602′ and adjacent to the tapered nose portion 25662′. An upper surface 25672′ of the locking safety 25670′ is angled to match the tapered nose portion 25662′ but when the camming assembly 25650′ is in its proximal-most beginning position, the tapered nose portion 25662′ protrudes proximally beyond the end of the locking safety 25670′.
  • FIG. 70 illustrates an initial insertion of an unfired compatible surgical staple cartridge 25600′ into the channel 25310′. As can be seen in FIG. 70 the tapered nose portion 25662′ has made initial contact with the actuator tab portion 25712′ on the closure lock 25702′. The closure lock 25702′ remains biased downward to a locked position wherein the blocking feature 25710′ of the closure lock 25702′ is in blocking alignment with the distal end 3051 of the end effector closure tube 3050. As the cartridge 25600′ is further advanced proximally into a seated position within the channel 25310′, the tapered nose portion 25662′ on the camming assembly 25650′ lifts the actuation tab 25712′ upward above the angled upper surface 25672′ of the locking safety 25670′ to enable the closure lock 25702′ to pivot into the unlocked position wherein the blocking feature 25710′ is no longer in blocking alignment with the distal end 3051 of the end effector closure tube 3050. When in that position, the user may advance the end effector closure tube 3050 distally to apply closing motions to the anvil 25400′. Thus, in this embodiment, the closure locking system 25700′ is actuated by the camming assembly 25650′, but only when the camming assembly 25650′ is in an unfired beginning position.
  • FIG. 73 illustrates insertion of a staple cartridge 25600X wherein the camming assembly thereof is not in a proximal-most unfired position. This may occur when the user attempts to use the staple cartridge 25600X that has been previously used, for example. Because the camming assembly is not in its unfired beginning position, the tapered nose portion is absent to begin to bias the closure lock 25702′ into an upward position above the closure safety 25670′. When the cartridge 25600X is fully seated in the channel 25310′, the action tab 25712′ of the closure lock 25702′ is positioned under a lower lock surface 25674′. The closure lock 25702′ remains in the locked position wherein the blocking feature 25710′ thereof is in blocking alignment with the distal end 3051 of the end effector closure tube 3050. Should the user unwittingly attempt to distally advance the end effector closure tube 3050 to close the anvil 25400′, the distal end 3051 will contact the blocking feature 25710′ and the closure safety 25670′ will further prevent the closure lock 25702′ from pivoting upwardly to an unlocked position under the closure load.
  • FIGS. 74 and 75 illustrate a surgical end effector 25300″ that comprises an anvil 25400″ that is pivotally supported on a channel 25310″ and is substantially identical to end effector 25300′ described above. End effector 25300″ employs a closure locking system 25700″ that comprises a closure lock 25702″. As can be seen in FIG. 76, the closure lock 25702″ comprises an elongate body 25706″ that has an actuator tab portion 25712″ on its distal end. The body 25706″ includes a lower spring arm 25720″ that is mounted within the channel 25310″. The lower spring arm 25720″ is mounted so as to apply a downwardly biasing force to the closure lock 25702″ which will be discussed below. As will also be discussed in further detail below, the closure lock 25702″ further includes a vertically extending anvil locking tab 25710″ that is configured to lockingly interact with a lock lug 25414″ that is formed on an anvil mounting portion 25410″ of the anvil 25400″. In addition, the closure lock 25702″ comprises a proximal biasing spring 25704″ which serves to bias the closure lock 25702″ in the distal direction DD (FIG. 76). As can be seen in FIG. 74, the elongate channel 25310″ may be coupled to an elongate shaft assembly 1200 (FIG. 5) by a channel mount feature 20340 which may facilitate articulation thereof about articulation joint 3020 (FIG. 5) in the various manners described herein. As can be seen in FIG. 76, the proximal biasing spring 25704″ is configured to be seated within the transverse slot 20343 in the body portion 20342 of the channel mount feature 20340.
  • Similar to the closure of anvil 25400′ discussed above, distal movement of an end effector closure tube causes a distal end of the end effector closure tube to operably interact with a camming surface 25411″ formed on an anvil mounting portion 25410″ of the anvil 25400″ to cam the anvil 25400″ to a closed position. When the end effector closure tube is axially retracted in the proximal direction, the end effector closure tube may be configured to interact with various formations, ledges or tabs to apply an opening motion to the anvil 25400″. Further details may be found in various other references which have been herein incorporated by reference.
  • FIG. 77 illustrates a surgical staple cartridge 25600″ that comprises an elongate cartridge body 25602″ that is sized to be removably seated in the elongate channel 25310″. The cartridge body 25602″ includes a cartridge slot 25608″ that extends from a proximal end portion 25604″ to a distal end portion of the cartridge body 25602″. The cartridge body 25602″ further comprises a cartridge deck surface 25610′ that confronts a staple-forming undersurface 25404″ of the anvil 25400″ when the cartridge 25600″ is seated in the channel 25310″ and the anvil 25400″ is pivoted to a closed position. Although not shown in FIG. 77, the surgical staple cartridge 25600″ may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 25608″ that open through the cartridge deck surface 25610″. Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 25602′ is molded from a polymer material with the staple pockets molded or machined therein. In one arrangement, the staple pockets also open through a bottom of the cartridge body 25602″ to facilitate installation of the drivers and fasteners into their respective pockets. A camming assembly 25650″ is operably supported in the cartridge body 25602″. In at least one arrangement, the camming assembly 25650″ comprises a series of spaced cam members 25652″ that are configured to move axially within corresponding cam slots 25609″ that are formed on each side of the cartridge slot 25608″ in the cartridge body 25602″. The cam slots 25609″ are aligned with corresponding lines of drivers in the cartridge body 25602″ to facilitate camming contact with a corresponding cam member 25652″ as the camming assembly 25650″ is driven through the staple cartridge 25600″ from a beginning position within the proximal end portion 25604″ of the cartridge body 25602″ to an ending position within the distal end portion. In at least one example, the camming assembly 25650′ includes a closure unlocking feature or tab 25660″ that protrudes proximally from the camming assembly 25650″ and is aligned to unlockingly engage the actuation tab 25712″ that is formed on the distal end of the closure lock 25702″ when the surgical staple cartridge 25600″ has been operably installed in the elongate channel 25310″ and the camming assembly 25650″ is in its unfired beginning position within the cartridge 25600″.
  • Returning to FIG. 77, in one example, the unlocking feature 25660″ has a tapered nose portion 25662″ that is configured to operably interact with the actuation tab 25712″ so that the when the tapered nose portion 25662″ is brought into engagement with the actuation tab 25712″, the closure lock 25702″ is moved upward against a downward biasing force established by the lower spring 25720″. When the closure lock 25702″ is pivoted upward into the unlocked position, the anvil locking tab 25710″ on the closure lock 25702″ is no longer in blocking alignment with the lock lug 25414″ on the anvil mounting portion 24410″.
  • FIG. 74 illustrates an initial insertion of an unfired compatible surgical staple cartridge 25600″ into the channel 25310″. As can be seen in FIG. 74, the tapered nose portion 25662″ of the camming assembly 25650″ has not yet interacted with the actuator tab portion 25712″ on the closure lock 25702″. The closure lock 25702″ remains biased downward to a locked position wherein the anvil locking tab 25710″ of the closure lock 25702″ is in blocking alignment with the lock lug 25414″ on the anvil mounting portion 25410″ of the anvil 25400″. As the surgical staple cartridge 25600″ is further advanced proximally into a seated position within the channel 25310″, the tapered nose portion 25662″ on the camming assembly 25650″ contacts the actuation tab 25712″ and biases the closure lock 25702″ upward to an unlocked position wherein the anvil locking tab 25710″ is no longer aligned with the anvil lock lug 25414″. When in that position, the user may close the anvil 25400″ by distally advancing the end effector closure tube to apply closing motions to the anvil 25400″. Thus, in this embodiment, the closure locking system 25700″ is actuated by the camming assembly 25650″, but only when the camming assembly 25650″ is in an unfired beginning position. Once the surgical staple cartridge 25600″ has been removed from the channel 25310″, the lower spring 25720″ on the closure lock 25702″ will bias the closure lock 25702″ downwardly back into its locked position wherein the anvil locking tab 25710″ is in blocking alignment with the lock lug 25414″ on the anvil 25400″.
  • FIG. 78 illustrates insertion of a staple cartridge 25600X″ that has a camming assembly therein that is not in a proximal-most unfired position. Because the camming assembly is not in its unfired, beginning position, the tapered nose portion is absent to bias the closure lock 25702″ upward into the unlocked position. The closure lock 25702′ remains in the locked position wherein the anvil locking tab 25710″ thereof is in blocking alignment with the anvil lock lug 25414″ on the anvil 25400″. Should the user unwittingly attempt to close the anvil 25400″, the anvil lock lug 25414″ will contact the anvil locking tab 25710″ on the closure lock 25702″ and prevent the anvil 25400″ from pivoting to the closed position.
  • FIGS. 79-83 illustrate an alternative cartridge nose assembly 25800 that may be employed with any of the cartridges and channel arrangements disclosed herein to provide another mechanism for ensuring that a surgical staple cartridge that is inserted into the end effector channel is compatible with the end effector and to provide the user with another visual indicator that the cartridge has been fired. For example, the cartridge nose assembly 25800 may be employed with the cartridge 25600 and the channel 25310 of the end effector 25300 (FIG. 64). In the illustrated arrangement, cartridge nose assembly 25800 comprises a nose assembly body 25802 that is movably coupled to a distal end 25606 of the cartridge body 25602. As can be seen in FIGS. 81 and 82, the distal end portion 25606 of the cartridge body 25602 comprises a distally extending tapered portion 25605 that is adapted to be received within complementary shaped nose notch 25804 in the nose assembly body 25802. In addition, the nose assembly body 25802 is configured with axial alignment features (not shown) that may be slidably supported in axial grooves 25607 provided in the distal end portion 25606 of the cartridge body 25602.
  • As can be seen in FIGS. 83 and 84, a nose retainer latch arm 25810 extends proximally from an upper portion of the nose assembly body 25802 into a latch cavity 25680 formed in the cartridge body 25602. The nose assembly body 25802 is axially movable from a locked position shown in FIGS. 81 and 83 to an unlocked position shown in FIGS. 82 and 84. When the nose assembly body 25802 is in the unlocked position, a retention latch 25812 that is formed on a proximal end of the retainer latch arm 25810 engages a retention lug 25682 that is formed on the distal end portion 25606 of the cartridge body 25602 to retain the cartridge nose assembly 25800 on the distal end 25606 of the cartridge body 25602.
  • Referring now to FIGS. 81 and 82, the nose assembly body 25802 further comprises proximally extending nose tab portions 25820 that are sized to frictionally engage corresponding distal extending channel ledges 25317 formed on a distal end 25315 of the channel 25310 to retain the nose assembly 25800 in the proximally forward “locked position”. As can be seen in FIGS. 83 and 84, the nose assembly body 25802 may further include an integral spring arm 25830 that is configured to interact with a spring lug 25684 that is formed on the distally extending tapered portion 25605 of the cartridge body 25602. The spring arm 25830 applies a distal biasing force BF to the cartridge nose assembly 25800 to increase the frictional force between the nose tab portions 25820 and the channel ledges 25317 to retain the cartridge nose assembly 25800 in the locked position.
  • In operation, the cartridge nose assembly 25800 is in the locked position when the cartridge 25600 is in its unfired state and is ready to be installed in the channel 25310. To install the unfired cartridge 25600 into the end effector 25300, the cartridge body 25602 is placed in the channel 25310 and then advanced proximally therein to engage the channel ledges 25317 with the nose tab portions 25820 as shown in FIGS. 81 and 82. As discussed above, when the cartridge 25600 is unfired, the camming assembly 25650 is in its proximal-most beginning position. During the firing process, the camming assembly 25650 is driven in the cartridge body 25602 to its distal-most position therein. When the camming assembly 25650 reaches its distal-most position, a central body portion 25651 of the camming assembly 25650 contacts the cartridge nose assembly 25800 with a sufficient amount of force to overcome the frictional forces FF retaining the cartridge nose assembly 25800 in the locked position and moves the cartridge nose assembly 25800 axially into the unlocked position. In the alternative, the user may disengage the cartridge nose assembly 25800 by pulling it distally to the unlocked position. Once the cartridge nose assembly 25800 is moved to the unlocked position, the cartridge 25600 may be removed from the elongate channel 25310. In addition, the distally extending cartridge nose assembly 25800 may provide the user with a visual indication that the cartridge has been fired (spent).
  • FIGS. 85 and 86 illustrate a portion of a surgical end effector 26300 that employs a firing member 26120 that may be configured to be distally advanced by a rotary powered firing system or an axial powered (non-rotary powered) firing system. In particular, the firing member 26120 may be employed in connection with any of the various end effector arrangements and firing drive system configurations disclosed herein, as well as in connection with those end effector and firing drive system configurations described in the various references incorporated by reference herein.
  • As can be seen in FIGS. 85 and 86, the firing member 26120 comprises a firing member body 26122 that includes a firing member lockout system 26140 that comprises a firing member lockout 26142 that is pivotally attached to the firing member body 26122. The firing member lockout 26142 comprises a lockout body 26144 that comprises a pair of legs 26146 that straddle the firing member body 26122 and are pivotally attached thereto. The lockout body 26144 further includes a sled latch 26148 that is configured for contact with a camming sled or camming assembly 26650 that is operably supported in a staple cartridge (not shown). FIG. 85 illustrates the firing member 26120 in a proximal-most starting position. As can be seen in FIGS. 85 and 86, a firing lockout hole 26315 is provided through a bottom portion 26312 of an elongate channel 26310 of the end effector 26300. A lockout spring 26150 is mounted in the elongate channel 26310 and is configured to bias the firing member lockout 26142 downward such that, if a fresh unfired staple cartridge has not been properly loaded into the elongate channel 26310, a distal edge 26149 of the lockout body 26144 engages an angled distal edge 26317 of the firing lockout hole 26315. When in that position, should the user inadvertently attempt to distally advance the firing member 26120, the firing member lockout 26142 prevents the distal advancement of the firing member 26120 as shown in FIG. 86.
  • A fresh, unfired surgical staple cartridge contains a camming assembly 26650 that is located in a starting or unfired position that is proximal to the lines of staple drivers that are supported in the cartridge body. As used herein, the terms “fresh, unfired” means that the staple cartridge has all of its intended staples or fasteners in their respective unfired positions and the camming assembly is in a proximal unfired starting position. When a fresh, unfired surgical staple cartridge has been properly seated within the elongate channel 26310, a proximally extending unlocking portion 26653 on the camming assembly 26650 engages the sled latch 26148 on the firing member lockout 26142 to pivot the firing member lockout 26142 into an unlocked position wherein the firing member lockout 26142 does not extend into the firing lockout hole 26315 in the elongate channel 26310. FIG. 85 illustrates a camming assembly 26650 in the starting position and the firing member 26120 is free to be advanced distally by actuating the firing drive system.
  • At the completion of the firing process, the camming assembly 26650 may remain at the distal end of the staple cartridge (i.e., in a “fired” position”) while the firing member 26120 is retracted back to its starting position wherein the anvil may be opened and the spent cartridge removed from the channel 26310. Thus, once a surgical staple cartridge has been spent (e.g., completely fired) the camming assembly 26650 is not returned to its starting position. As such, if the spent cartridge were to be inadvertently re-installed in the end effector 26300, the camming assembly 26650 is not in a starting position wherein the camming assembly 26650 can unlock the firing member lockout 26142. Thus, the firing member lockout system 26140 may also be referred to herein as a “spent cartridge lockout system”.
  • FIGS. 87-90 illustrate an anvil 26400 that is configured to be pivotally supported on the channel 26310 or a similar channel of the various types disclosed herein. In FIGS. 87-89, the channel has been omitted for clarity. In the illustrated arrangement, the anvil 26400 includes a cartridge verification system 26440 that may be configured to prevent firing of an incompatible cartridge that has been otherwise seated in the cartridge. The anvil 26400 and cartridge verification system 26440 may be used in connection with a surgical end effector 26300 that employs a firing member 26120 that is equipped with an onboard firing member lockout system 26140 that is configured to prevent the distal advancement of the firing member 26120 unless the firing member lockout 26142 has been moved to an unlocked position through interaction with a corresponding camming assembly located in the surgical staple cartridge. The cartridge verification system 26440 may also be used in connection with surgical end effectors that employ an axially advanced (non-rotary) firing member that is otherwise equipped with a firing member lockout system that is similar to the firing member lockout system 26140.
  • FIG. 90 illustrates a portion of a surgical staple cartridge 26600 that is compatible with the surgical end effector 26300. In at least one arrangement, the surgical staple cartridge 26600 comprises an elongate cartridge body 26602 that is sized to be removably seated in the elongate channel of the end effector 26300. The cartridge body 26602 includes a cartridge slot 26608 that extends from a proximal end portion 26604 to a distal end portion of the cartridge body 26602. The cartridge body 26602 further comprises a cartridge deck surface 26610 that confronts a staple-forming undersurface 26404 of the anvil 26400 when the cartridge 26600 is seated in the channel and the anvil 26400 is pivoted to a closed position. Although not shown in FIG. 90, the surgical staple cartridge 26600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 26608 that open through the cartridge deck surface 26610. Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 26602 is molded from a polymer material with the staple pockets molded or machined therein. In one arrangement, the staple pockets also open through a bottom of the cartridge body 26602 to facilitate installation of the drivers and fasteners into their respective pockets. Once the drivers and fasteners are inserted into their respective staple pockets, a cartridge pan 26620 is attached to the bottom of the cartridge body 26602. When installed, the cartridge pan 26620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 26602 during handling and installation of the cartridge 26600 into the elongate channel 26310.
  • In the illustrated arrangement, the cartridge 26600 operably supports a camming assembly 26650 therein. The camming assembly 26650 comprises a central body portion 26652 and a series of spaced cam members 26654 that are configured to move axially within corresponding cam slots 26609 formed on each side of the cartridge slot 26608 in the cartridge body 26602. The cam slots 26609 are aligned with corresponding lines of drivers in the cartridge body 26602 to facilitate camming contact with a corresponding cam member 26654 as the camming assembly 26650 is driven through the staple cartridge 26600 from a beginning position within the proximal end portion 26604 of the cartridge body 26602 to an ending position within the distal end portion of the cartridge body 26602. The central body portion 26652 includes the proximally extending unlocking portion 26653 that is configured to engage the sled latch 26148 on the firing member lock 26142 when the cartridge 26600 has been properly loaded into the channel 26310. As can be seen in FIG. 90, when the camming assembly 26650 is in its proximal-most starting position wherein the unlocking portion 26653 can move the firing member lockout 26142 to the unlocked position, each of the cam members 26654 may protrude proximally out of their respective cam slots 26609.
  • Referring now to FIGS. 87 and 91, in the illustrated arrangement, the cartridge verification system 26440 comprises a cartridge verification member or shuttle member 26442 that is attached to an underside of an anvil mounting portion 26410 of the anvil 26400. The cartridge verification member 26442 may be of one-piece construction and include a pair of downwardly extending shuttle legs 26444 that are bifurcated by a firing member slot 26447 (FIG. 91) to facilitate passage of the firing member 26120 therebetween. In other arrangements, the cartridge verification member 26442 may be of two-piece construction which consists of two separate downwardly extending shuttle legs 26444 that are separated from each other by a space 26448 that is configured to accommodate passage of the firing member body 26122 therethrough. In either case, the shuttle member 26442 may be fabricated from a compliant polymer or rubber material and be attached to the underside of the anvil mounting portion 26410 by appropriate adhesive of fastener arrangements.
  • In the illustrated example, each shuttle leg 26444 includes a distally protruding sled actuator arm 26446. Returning to FIG. 90, the cartridge body 26602 includes two proximally protruding verification features or cartridge key portions 26630 that are configured to unlockingly engage the sled actuator arm 26446 on a corresponding shuttle leg 26444 when the cartridge 26600 is operably seated in the channel 26310. As will be discussed further below, if the verification features 26630 are not present to contact the corresponding sled actuator arm 26446, the sled actuator arms 26446 would otherwise contact the protruding cam members 26654 and push or urge the camming assembly 26650 distally into a position wherein the unlocking portion 26653 on the camming assembly 26650 is no longer in unlocking engagement with the sled latch 26148 on the firing member lock 26142.
  • Interaction between the cartridge verification system 26440 and cartridge 26600 may be understood from reference to FIGS. 87-92. FIG. 87 illustrates initial installation of a compatible surgical staple cartridge 26600 into the end effector 26300. Although the channel has been omitted from the drawings, the anvil 26400 is shown in a fully open position. In the illustrated example, the anvil 26400 is movably journaled on the channel such that upon application of an initial closure motion thereto from a closure member arrangement of many of the various closure systems described herein, the anvil 26400 pivots to a partially closed position or intermediate position shown in FIG. 88. When in that position, each sled actuator arm 26446 is confrontingly aligned with the corresponding verification feature 26630 on the cartridge body 26602. Further application of the closure motion to the anvil 26400 may also cause the anvil 26400 to translate distally into a closed position. When the anvil 26400 moves distally, the verification features 26630 block the distal movement of the corresponding compliant sled actuator arms 26446 to prevent the sled actuator arm 26446 from contacting the proximally protruding cam members 26654. Thus, the camming assembly 26650 remains in its starting position wherein the unlocking portion 26653 on the camming assembly 26650 remains in unlocking engagement with the sled latch 26148 on the firing member lock 26142. Thus, the firing member 26120 is free to move distally through the cartridge 26600 upon actuation of the firing drive system.
  • FIG. 92 illustrates a cartridge 26600X that may be very similar to cartridge 26600 but is “incompatible” with the surgical end effector 26300. For example, the cartridge 26600X lacks the verification features or key portions 26630 of the cartridge 26600. In addition, to lacking the verification features or keys 26630, the cartridge 26600X may also differ from the cartridge 26600 in the numbers, sizes, locations, etc. of the fasteners contained therein, notwithstanding the fact that the cartridge 26600X may have a camming assembly 26650 that is identical in construction and use as the camming assembly 26650 employed in cartridges 26600.
  • FIGS. 93-95 illustrate insertion of an incompatible cartridge 26600X into the surgical end effector 26300. FIG. 93 illustrates initial installation of an incompatible surgical staple cartridge 26600X into the end effector 26300. Although the channel has been omitted from the drawings, the anvil 26400 is shown in a fully open position. FIG. 94 illustrates the anvil 26400 in an intermediate position upon application of an initial closure motion thereto. When in that position, each sled actuator arm 26446 is confrontingly aligned with corresponding cam members 26654 that protrude proximally out of their respective cam slots 26609. Further application of the closure motion to the anvil 26400 may cause the anvil 26400 to translate distally into a final closed position. When the anvil 26400 moves distally, the sled actuator arms 26446 contact the proximally protruding cam members 26654 and move the camming assembly 26650 distally to a point wherein the unlocking portion 26653 thereon is no longer in engagement with the sled latch 26148 on the firing member lock 26142. Thus, the firing member lockout 26142 remains in locking engagement with the elongate channel 26310 of the end effector 26300 to prevent the distal advancement of the firing member 26120 upon actuation of the firing drive system.
  • FIGS. 96-98 illustrate another cartridge verification system 26440′ that may be employed with an end effector 26300′ that employs a firing member 20500 that is axially advanced by a firing member beam 1900 in the various manners discussed herein. As was discussed above, the firing member 20500 comprises a firing member body 20502 that is configured to axially pass through vertically aligned slots in the anvil (not shown), a staple cartridge 26600′, and the elongate channel 26310′. A lower foot assembly 20506 that comprises a pair of laterally extending lower flanges extends from a bottom end of the firing member body 20502 to slidably engage corresponding channel ledges that are formed on each side of the channel slot. An upper foot that comprises two laterally extending anvil tabs 20507 may be formed on an upper end of the firing member body 20502 and is configured to slidably engage anvil ledges (not shown) that are formed on each side of the anvil slot. In at least one arrangement, the firing member 20500 further includes a pair of central tabs (not shown) that extend laterally from each side of the firing member body 20502.
  • The firing member body 20502 is also configured with a proximally extending spring tail 20512 that may be configured to operably interface with a firing member lockout spring (not shown) that is mounted in the elongate channel 26310′ and is configured to bias the firing member 20500 downward in the elongate channel 26310′ into a locked position. When in the locked position, the firing member foot 20506 and/or the central tabs are misaligned with corresponding passages in the channel 20310′ and as such, should the user attempt to distally advance the firing member 20500 when in that locked out state, the firing member 20500 would not move distally due to such misalignment. That is, the foot 20506 and/or central tabs contact portions of the elongate channel 20310′ to thereby prevent the distal advancement of the firing member 20500. In one arrangement, a sled latch 20514 is formed on the firing member body 20502 and is configured to be engaged by a proximally extending unlocking portion 26653′ on a camming assembly 26650′ that is operably supported in a proximal-most unfired or starting position within a compatible cartridge 26600′ that has been operably seated in the channel 26310′. When a fresh, unfired staple cartridge 26600′ with the camming assembly 26650′ thereof in its unfired position has been operably installed in the elongate channel 26310′, the unlocking portion 26653′ on the camming assembly 26650′ engages the sled latch 20514 on the firing member body 20502 and moves the firing member 20500 upward into an unlocked position wherein the lower foot assembly 20506 and/or the central tabs are aligned with their respective passages in the channel 26310′ to permit the firing member 20500 to axially advance therein. As the user distally advances the firing member 20500 into the cartridge 26600′, the firing member 20500 also drives the camming assembly 20650′ therein which cams the drivers upward to drive the staples or fasteners supported thereon into forming contact with the underside of the anvil. The tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue. Once the firing member 20500 has been driven to its distal-most position corresponding to the ending position of the camming assembly 26650′, the firing member 20500 is retracted back to its proximal-most position, leaving the camming assembly 26650′ in the distal end of the cartridge 26600′. When the firing member 20500 returns to its proximal-most beginning position, the lock spring once again biases the firing member 20500 back into its locked position. Thus, should the user inadvertently try to reuse the spent cartridge, the camming assembly 26650′ is not in its starting position which is required to unlock the firing member 20500. Thus, this firing member lockout arrangement may also be referred to herein as a “spent cartridge lockout arrangement”.
  • In the arrangement depicted in FIGS. 96 and 97, the cartridge verification system 26440′ comprises an axially movable, cartridge verification member or seating shuttle 26442′ that is supported within the channel 26310′ for axial movement from a distal-most cartridge engagement position to a proximal verification location within the channel 26310′. A shuttle spring 26449′ is mounted within the channel 26310′ and serves to bias the cartridge verification member or seating shuttle 26442′ into the distal-most cartridge engagement position. As can be seen in FIGS. 96 and 97, the cartridge verification member or shuttle 26442′ further includes a pair of distally protruding sled actuator arms 26446′. The sled actuator arms 26446′ are positioned to contact corresponding cam members on a camming assembly of a non-compliant cartridge as will be discussed below.
  • FIG. 98 illustrates a proximal end portion 26604′ of the surgical staple cartridge 26600′ that is compatible with the surgical end effector 26300′. In at least one arrangement, the surgical staple cartridge 26600′ comprises an elongate cartridge body 26602′ that is sized to be removably seated in the elongate channel 26310′. The cartridge body 26602′ includes a cartridge slot 26608′ that extends from the proximal end portion 26604′ to a distal end portion of the cartridge body 26602′. The cartridge body 26602′ further comprises a cartridge deck surface 26610′ that confronts a staple-forming undersurface of the anvil when the cartridge 26600′ is seated in the channel 26310′ and the anvil is pivoted to a closed position. Although not shown in FIG. 98, the surgical staple cartridge 26600′ may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 26608′ that open through the cartridge deck surface 26610′. Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 26602′ is molded from a polymer material with the staple pockets molded or machined therein. In one arrangement, the staple pockets also open through a bottom of the cartridge body 26602′ to facilitate installation of the drivers and fasteners into their respective pockets. Once the drivers and fasteners are inserted into their respective staple pockets, a cartridge pan 26620′ is attached to the bottom of the cartridge body 26602′. When installed, the cartridge pan 26620′ may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 26602′ during handling and installation of the cartridge 26600′ into the elongate channel 26310′.
  • In the illustrated arrangement, cartridge 26600′ operably supports a camming assembly 26650′ therein. The camming assembly 26650′ comprises a central body portion 26652′ and a series of spaced cam members 26654′ that are configured to move axially within corresponding cam slots 26609′ formed on each side of the cartridge slot 26608′ in the cartridge body 26602′. The cam slots 26609′ are aligned with corresponding lines of drivers in the cartridge body 26602′ to facilitate camming contact with a corresponding cam member 26654′ as the camming assembly 26650′ is driven through the staple cartridge 26600′ from a beginning position within the proximal end portion 26604′ of the cartridge body 26602′ to an ending position within the distal end portion of the cartridge body 26602′. The central body portion 26652′ includes the proximally extending unlocking portion 26653′ that is configured to engage the sled latch 20514 on the firing member 20500 when the cartridge 26600′ has been properly loaded into the channel 26310′.
  • The compatible cartridge 26600′ further includes proximally protruding verification features or key formations 26630′ that are configured to engage the sled actuator arms 26446′ when the cartridge 26600′ is operably seated in the channel 26310′. In the illustrated arrangement, the cartridge body 26602′ additional has two side verification features or cartridge key formations 26632′ that are also configured to engage the cartridge verification member or shuttle 26442′. As will be discussed further below, if the verification formations 26630′, 26632′ are not present to contact the corresponding sled actuator arm 26446′ and the cartridge verification member or shuttle 26442′, the sled actuator arms 26446′ would otherwise contact the protruding cam members 26654′ and push or urge the camming assembly 26650′ distally into a position wherein the unlocking portion 26653′ on the camming assembly 26650′ is no longer in unlocking engagement with the sled latch 20514 on the firing member 20500.
  • Turning now to FIGS. 99-101, in the illustrated arrangement, the verification features or key formations 26630′, 26632′ each have an angled lower alignment surface 26634′ thereon that facilitate initial insertion of the cartridge 26600′ into the channel 26310′ at a first position angle FPA wherein the angled lower alignment surfaces 26634′ avoid abutting contact with the sled actuator arms 26446′. The surfaces 26634′ may be referred to herein as secondary surfaces. Once the user has positioned the surgical staple cartridge 26600′ in the first installation position, the cartridge 26600′ is then pivoted downward into the channel 26310′ into position 2 wherein vertical abutment surfaces 26636′ (secondary surfaces) on the verification features or cartridge key formations 26630′, 26632′ abut the corresponding vertical abutment surfaces 26641′ and 26647′ (primary surfaces) on the cartridge verification member or shuttle 26442′. The user may then advance the cartridge 26600′ proximally into position 3 within the elongate channel 26310′.
  • FIG. 102 illustrates insertion of an incompatible cartridge 26600X′ into the surgical end effector 26300′. In this example, the incompatible cartridge 26600X′ lacks the verification features or cartridge key formations 26630′, 26632′ that were provided on the compatible cartridge 26600′ to engage the cartridge verification member or shuttle 26442′. Thus, as the cartridge 26600X′ is seated in the channel 26310′, the sled actuator arms 26446′ contact the protruding cam members 26654′ and push or urge the camming assembly 26650′ distally into a position wherein the unlocking portion 26653′ on the camming assembly 26650′ is not in unlocking engagement with the sled latch 20514 on the firing member 20500. Thus, the firing member 20500 remains locked in position and the user would be unable to distally advance the firing member 20500 into the incompatible cartridge 26600X′.
  • FIGS. 103 and 104 illustrate insertion of the incompatible cartridge 26600X′ into the end effector 26300′ wherein the incompatible cartridge 26600X′ has been initially inserted too far proximally into the channel 26310′ such that the distal end of the firing member 20500 has contacted and pushed the camming assembly 26650′ or “sled” too far distally within the cartridge 26600X′ so as to be in the appropriate position to unlockingly engage the sled latch 20514 portion of the firing member 20500 after the cartridge 26600X′ has ultimately been seated in the channel 26310′ in a proper position. Likewise, when the incompatible cartridge 26600X′ is initially inserted in a diagonal position 1 as was described above an then moved to positions 2 and 3, the firing member 20500 may bump the camming assembly 26650′ or sled distally out of the firing member unlocking position such that once properly seated, the camming assembly 26650′ would fail to unlock the firing member 20500. See FIGS. 105 and 106.
  • FIGS. 107-109 illustrate another cartridge verification system 26440″ that may be employed with an end effector 26300″ that employs a firing member 20500 that is axially advanced by a firing member beam 1900 in the various manners discussed herein. As was discussed above, the firing member 20500 comprises a firing member body 20502 that is configured to axially pass through vertically aligned slots in the anvil (not shown), a staple cartridge, and the elongate channel 26310″. A lower foot assembly (not shown) that comprises a pair of laterally extending lower flanges extends from a bottom end of the firing member body 20502 to slidably engage corresponding channel ledges that are formed on each side of the channel slot. An upper foot 20507 that comprises two laterally extending anvil tabs 20509 may be formed on an upper end of the firing member body 20502 and is configured to slidably engage anvil ledges (not shown) that are formed on each side of the anvil slot. In at least one arrangement, the firing member 20500 further includes a pair of central tabs 20510 that extend laterally from each side of the firing member body 20502.
  • The firing member body 20502 is also configured with a proximally extending spring tail (not shown) that may be configured to operably interface with a firing member lockout spring (not shown) that is mounted in the elongate channel 26310″ and is configured to bias the firing member 20500 downward in the elongate channel 26310′ into a locked position. When in the locked position, the firing member foot and/or the central tabs 20510 are misaligned with corresponding passages in the channel 20310″ and as such, should the user attempt to distally advance the firing member 20500 when in this locked out state, the firing member 20500 would not move distally due to such misalignment. That is, the foot and/or central tabs 20510 contact portions of the elongate channel 26310″ to thereby prevent the distal advancement of the firing member 20500. In one arrangement, a sled latch 20514 is formed on the firing member body 20502 and is configured to be engaged by a proximally extending unlocking portion on a camming assembly that is operably supported in a proximal-most starting position within a compatible cartridge that has been operably seated in the channel 26310″.
  • When a fresh, unfired compatible staple cartridge with the camming assembly thereof in its starting (unfired) position has been operably installed in the elongate channel 26310″, an unlocking portion on the camming assembly engages the sled latch 20514 on the firing member body 20502 and moves the firing member 20500 upward into an unlocked position wherein the lower foot assembly and/or the central tabs 20510 are aligned with their respective passages in the channel 26310″ to permit the firing member 20500 to axially advance therein. As the user distally advances the firing member 20500 into the cartridge, the firing member 20500 also drives the camming assembly therein which cams the drivers upward to drive the staples or fasteners supported thereon into forming contact with the underside of the anvil. A tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue. Once the firing member 20500 has been driven to its distal-most position corresponding to the ending position of the camming assembly, the firing member 20500 is retracted back to its proximal-most position, leaving the camming assembly in the distal end (fired position) of the cartridge. When the firing member 20500 returns to its proximal-most beginning position, the lock spring once again biases the firing member 20500 back into its locked position. Thus, should the user inadvertently try to reuse the spent cartridge, the camming assembly is not in its starting position which is required to unlock the firing member 20500. Such firing member locking system may also be referred to herein as a “spent cartridge lockout system”.
  • In the arrangement depicted in FIGS. 107-109, the cartridge verification system 26440″ comprises an axially movable, cartridge verification shuttle 26442″ that is supported within the channel 26310″ for axial movement from a distal-most cartridge engagement position to a proximal verification location within the channel 26310″. A shuttle spring 26449″ is mounted within the channel 26310″ and serves to bias the cartridge verification shuttle 26442″ into the distal-most cartridge engagement position. As can be seen in FIGS. 107 and 108, the cartridge verification shuttle 26442″ further includes distally extending shuttle base members 26644″ and pair of laterally movable shuttle drive arms 26450″. Each shuttle drive arm 26450″ has a drive latch feature 26452″ thereon that has an angled proximal drive surface 26454″ and an angled distal drive surface 26456″ that converge together to form a point 26548″. The shuttle drive arms 26450″ are biased laterally inward into a driving position by the shuttle spring 26449″. When the shuttle drive arms 26450″ are in the driving position, the angled proximal drive surfaces 26454″ are in driving engagement with the central tabs 20510 on the firing member 20500 as shown in FIGS. 107 and 108. When the shuttle drive arms 26450″ are in that position, distal advancement of the firing member 20500 will cause the seating shuttle 26442″ to move distally therewith.
  • FIG. 109 illustrates a proximal end portion 26604″ of a surgical staple cartridge 26600″ that is compatible with the surgical end effector 26300″ and seated within the channel 26310″. In at least one arrangement, the surgical staple cartridge 26600″ comprises an elongate cartridge body 26602″ that is sized to be removably seated in the elongate channel 26310″. The cartridge body 26602″ includes a cartridge slot 26608″ that extends from the proximal end portion 26604″ to a distal end portion of the cartridge body 26602″. The cartridge 26600″ operably supports a camming assembly 26650″ therein. The camming assembly 26650″ comprises a central body portion 26652″ and a series of spaced cam members 26654″ that are configured to move axially within corresponding cam slots 26609″ formed on each side of the cartridge slot 26608″ in the cartridge body 26602″. The cam slots 26609″ are aligned with corresponding lines of drivers in the cartridge body 26602″ to facilitate camming contact with a corresponding cam member 26654″ as the camming assembly 26650″ is driven through the staple cartridge 26600″ from a beginning position within the proximal end portion 26604″ of the cartridge body 26602″ to an ending position within the distal end portion of the cartridge body 26602″. The central body portion 26652″ includes the proximally extending unlocking portion 26653″ that is configured to engage the sled latch 20514 on the firing member 20500 when the cartridge 26600″ has been properly loaded into the channel 26310″.
  • The compatible cartridge 26600″ further includes proximally protruding unlocking features or cartridge key formations 26630″ that are configured to engage the shuttle drive arms 26450″ when the cartridge 26600″ is operably seated in the channel 26310″. As can be seen in FIG. 109, during the distal advancement of the firing member 20500, the verification shuttle 26442″ is driven distally until each shuttle drive arm 26450″ contacts a corresponding cartridge key formation 26630″ which causes the shuttle drive arms 26450″ to bias laterally outward. As the firing member 20500 continues to move distally, the drive latch features 26452″ on the shuttle drive arms 26450″ disengage from the corresponding central tabs 20510 on the firing member body 20502 to permit the firing member 20500 to move distally without driving the verification shuttle 26442″ distally. Thus, in such case, the verification shuttle 26442″ has not moved sufficiently distally so as to move the camming assembly 26650″ out of unlocking engagement with the sled latch 20514 on the firing member 20500. Therefore, the firing member 20500 may be driven distally through the compatible cartridge 26600″ to drive the fasteners therefrom and to cut the tissue that has been clamped in the end effector 26300″. When the firing member 20500 is retracted back into its starting position, a tapered surface 20511 on each central tab 20510 contacts the angled distal drive surface 26456″ on the corresponding drive latch feature 26452″ to bias the shuttle arms 26450″ laterally to permit the central tabs 20510 to reengage the angled proximal drive surfaces 26454″ so that the verification shuttle 26442″ can once again be driven distally with the firing member 20500.
  • FIGS. 107 and 108 illustrate an incompatible cartridge 26600X″ loaded into the surgical end effector 26300″. As can be seen in those Figures, the incompatible cartridge 26600X″ lacks the proximally protruding unlocking features or cartridge key formations 26630″ that are provided on the compatible cartridge 26600″. Thus, when the firing member 20500 is distally advanced, the cartridge verification shuttle 26442″ also moves distally with the firing member 20500. As the cartridge verification shuttle 26442″ moves distally, the distal ends 26645″ of the distally extending shuttle base members 26644″ contact the camming assembly 26650″ and move the camming assembly 26650″ out of unlocking engagement with the sled latch 20514 on the firing member 20500. When the unlocking portion 26653″ of the camming assembly 26650″ disengages the sled latch 20514, the firing member body 20502 will drop into locking engagement with the elongate channel 26310″ thereby preventing further distal advancement of the firing member 20500.
  • As can be further seen in FIGS. 108 and 109, in the illustrated arrangement, a lateral stiffener member 26470″ protrudes laterally outward from each shuttle arm 26450″. When the firing member 20500 and the verification shuttle 26442″ are located in their respective proximal-most starting positions, each lateral stiffener member 26470″ is laterally aligned with a corresponding channel notch 26472″ provided in each channel sidewall 26314″ to provide clearance for the shuttle arms 26450″ to move laterally when a compatible cartridge 26600″ has been properly loaded into the end effector 26300″. However, when an incompatible cartridge 26600X″ has been loaded into the end effector 26300″ and the user begins to advance the firing member 20500 as well as the verification shuttle 26442″ distally, the lateral stiffener members 26470″ are no longer aligned with the channel notches 26472″ in the channel sidewalls 26314″ as can be seen in FIG. 108. In such instance, the lateral stiffener members 26470″ prevent the shuttle arms 26450″ from biasing laterally outward out of engagement with the central tabs 20510 that extend laterally from each side of the firing member body 20502.
  • The cartridge verification systems described herein may address various problems that may, from time-to-time, be encountered when using an end effector that is capable of initially accepting a variety of cartridges wherein some of the cartridges are not otherwise particularly compatible with the end effector. For example, a cartridge may operably fit into the channel of the end effector, but the cartridge may lack proper fastener configurations that are compatible with the forming pockets on the end effector anvil. The incompatible cartridge may not have the proper numbers and forms of staples, etc. The cartridge may not have a camming assembly that is compatible with the firing member lockout arrangement employed by the end effector. Some cartridges may have an appropriate camming assembly, but the camming assembly may at some point have moved to a marginal unlocking position wherein the camming assembly may or may not unlockingly engage the firing member lockout arrangement. At least some of the cartridge verification systems may address that issue. The cartridge verification systems disclosed herein may also provide the ability to differentiate between an old obsolete cartridge and a newer more appropriate cartridge that has, for example, features that are better paired to the end effector components. The cartridge verification systems may also ensure that a cartridge is properly seated in the end effector channel and minimize any misalignment of the cartridge in the channel wherein the proximal end of the cartridge is positioned relative to the firing member in an undesirable position wherein the central tabs on the firing member may get under the cartridge pan rather than on top of it as desired. Such misalignment may result in the damage and bending of the cartridge pan which could lead to premature locking of the firing member.
  • FIGS. 110-115 illustrate another cartridge verification system 27440 that may be employed with an end effector 27300 that employs a firing member 20500 (described above) that is axially advanced by a firing member beam 1900 in the various manners discussed herein. In the illustrated arrangement, the cartridge verification system 27440 comprises an axially movable cartridge verification member or shuttle 27442 that is supported within a channel 27310 of the end effector 27300 for axial movement from a distal-most cartridge engagement position to a proximal verification location within the channel 27310. The cartridge verification member or shuttle 27442 may be fabricated from spring steel and include an elongate body 27444 that has a blocking hook 27446 that is formed on a distal end 27445 of the elongate body 27444. See FIG. 111. The cartridge verification member or shuttle 27442 further includes an actuator portion 27448 that is formed on a proximal end 27447 of the elongate body 27444.
  • Still referring to FIG. 111, the cartridge verification member or shuttle 27442 is configured to axially move within a shuttle track 27360 that is formed in a channel bottom 27312 of the channel 27310. As can be seen in FIG. 111, the shuttle track 27360 comprises a curved transverse portion 27362 that extends transversely relative to a channel slot 27313 that is centrally disposed in the channel bottom 27312 to accommodate axial passage of the firing member 20500 therethrough. The transverse curved portion 27362 of the shuttle track 27360 terminates in a ramped track portion 27364 that is located on another side of the channel slot 27313. As can be seen in FIG. 111, the ramped track portion 27364 has an angled bottom surface 27366. A proximal end 27370 of the shuttle track 27360 abuts an axial spring cavity 27380 that is configured to support a shuttle spring 27382 that is journaled on a spring retainer pin 27449 that protrudes proximally from the actuator portion 27448 of the cartridge verification member or shuttle 27442. The shuttle spring 27382 serves to bias the verification shuttle 27442 into a distal-most, locked position wherein the cartridge verification member or shuttle 27442 blocks distal advancement of a camming assembly 27650 and the firing member 20500.
  • FIG. 110 illustrates a proximal end portion 27604 of a surgical staple cartridge 27600 that is compatible with the surgical end effector 27300. In at least one arrangement, the surgical staple cartridge 27600 comprises an elongate cartridge body 27602 that is sized to be removably seated in the elongate channel 27310. The cartridge body 27602 includes a cartridge slot 27608 that extends from the proximal end portion 27604 to a distal end portion of the cartridge body 27602. The cartridge body 27602 further comprises a cartridge deck surface 27610 that confronts a staple-forming undersurface of the anvil when the cartridge 27600 is seated in the channel 27310 and the anvil is pivoted to a closed position. Although not shown in FIG. 110, the surgical staple cartridge 27600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 27608 that open through the cartridge deck surface 27610. Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 27602 is molded from a polymer material with the staple pockets molded or machined therein. In one arrangement, the staple pockets also open through a bottom of the cartridge body 27602 to facilitate installation of the drivers and fasteners into their respective pockets. Once the drivers and fasteners are inserted into their respective staple pockets, a cartridge pan 27620 is attached to the bottom of the cartridge body 27602. When installed, the cartridge pan 27620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 27602 during handling and installation of the cartridge 27600 into the elongate channel 27310.
  • In the illustrated arrangement, cartridge 27600 operably supports a camming assembly 27650 therein. The camming assembly 27650 comprises a central body portion 27652 and a series of spaced cam members 27654 that are configured to move axially within corresponding cam slots 27609 formed on each side of the cartridge slot 27608 in the cartridge body 27602. The cam slots 27609 are aligned with corresponding lines of drivers in the cartridge body 27602 to facilitate camming contact with a corresponding cam member 27654 as the camming assembly 27650 is driven through the staple cartridge 27600 from a beginning position within the proximal end portion 27604 of the cartridge body 27602 to an ending position within the distal end portion of the cartridge body 27602. The central body portion 27652 includes a proximally extending unlocking portion 27653 that is configured to engage the sled latch 20514 on the firing member 20500 when the cartridge 27600 has been properly loaded into the channel 27310.
  • The compatible cartridge 27600 further includes a proximally protruding verification feature or cartridge key formation 27630 that is configured to engage the sled actuator 27448 when the cartridge 27600 is operably seated in the channel 27310. The verification feature 27630 biases the cartridge verification member or shuttle 27442 into the proximal-most, unlocked position wherein the camming assembly 27650 and the firing member 20500 may be distally displaced through the cartridge 27600. When the cartridge verification member or shuttle 27442 is in the unlocked position, the blocking hook 27446 that is formed on the distal end 27445 of the elongate body 27444 of the cartridge verification member or shuttle 27442 is retracted into the curved transverse portion 27362 of the shuttle track 27360 and does not extend across the channel slot 27313 in the channel bottom 27312. When the blocking hook 27446 is not extending across the channel slot 27313, the firing member 20500 and the camming assembly 27650 can be advanced into the cartridge 27310″.
  • FIGS. 114 and 115 illustrate the surgical end effector 27300 with an incompatible cartridge 27600X installed therein. In this example, the incompatible cartridge 27600X lacks the verification feature or cartridge key formation 27630 that was provided on the compatible cartridge 27600 to engage the actuator portion 27448 of the cartridge verification member or shuttle 27442. Thus, the shuttle spring 27382 has biased the cartridge verification member or shuttle 27442 distally into its locked position wherein the blocking hook 27446 that is formed on the distal end 27445 of the elongate body 27444 of the cartridge verification member or shuttle 27442 extends transversely across the channel slot 27313 and into the ramped track portion 27364. As the blocking hook 27446 enters the ramped track portion 27364, the angled bottom surface 27366 causes the blocking hook 27446 to move upward into a position wherein the blocking hook 27446 blocks the distal advancement of the camming assembly 27650 and the firing member 20500. Thus, when in that position, should the user unwittingly attempt to distally advance the firing member 20500, the blocking hook 27446 will block the distal advancement of the camming assembly 27650 and the firing member 20500.
  • In at least one arrangement as shown in FIG. 115, the portion of the blocking hook 27446 that transversely spans the channel slot 27313 may be reinforced with an additional reinforcement block portion 27450 that is attached thereto. That is the portion of the blocking hook 27446 that is reinforced has a cross-sectional thickness that is greater than a cross-sectional thickness of the remaining body portions of the cartridge verification member or shuttle 26442. Alternative arrangements are contemplated for use with those end effectors disclosed herein that employ an axially movable closure member for moving the anvil to a closed position such as, for example, an end effector closure tube. In such end effector arrangements, for example, the end effector closure tube may be configured to bias the verification shuttle to the locked, blocking position when the closure member is actuated to close the anvil. The cartridge verification system 27440 may also be effectively employed with surgical end effectors that have rotary powered firing member arrangements with firing member lockout systems of the types disclosed herein.
  • FIGS. 116-119 illustrate an alternative surgical staple cartridge 28600 that may be employed in connection with various end effector arrangements disclosed herein. In the illustrated arrangement, the surgical staple cartridge 28600 comprises an elongate cartridge body 28602 that is sized to be removably seated in the elongate channel of the end effector. As can be seen in FIG. 117, the cartridge body 28602 includes a cartridge slot 28608 that extends from a proximal end portion 28604 of the cartridge body 28602 to a distal end portion of the cartridge body 28602. The cartridge body 28602 further comprises a cartridge deck surface 28610 that confronts a staple-forming undersurface of the anvil when the cartridge 28600 is seated in the channel and the anvil is pivoted to a closed position. Although not shown in FIG. 117, the surgical staple cartridge 28600 may have a plurality of (usually three) lines of surgical staple pockets on each side of the cartridge slot 28608 that open through the cartridge deck surface 28610. Each staple pocket may have a staple driver (not shown) associated therewith that supports a surgical staple or fastener (not shown) thereon. In at least one example, the cartridge body 28602 is molded from a polymer material with the staple pockets molded or machined therein. In one arrangement, the staple pockets also open through a bottom of the cartridge body 28602 to facilitate installation of the drivers and fasteners into their respective pockets. Once the drivers and fasteners are inserted into their respective staple pockets, a cartridge pan 28620 is attached to the bottom of the cartridge body 28602. When installed, the cartridge pan 28620 may, among other things, prevent the drivers and fasteners from falling out of the bottom of the cartridge body 28602 during handling and installation of the cartridge 28600 into the elongate channel.
  • In the illustrated arrangement, cartridge 28600 operably supports a camming assembly 28650 therein. The camming assembly 28650 comprises a central body portion 28652 and a series of spaced cam members 28654, 28654′ that are configured to move axially within corresponding cam slots 28609 formed on each side of the cartridge slot 28608 in the cartridge body 28602. The cam slots 28609 are aligned with corresponding lines of drivers in the cartridge body 28602 to facilitate camming contact with a corresponding cam member 28654, 28654′ as the camming assembly 28650 is driven through the staple cartridge 28600 from a beginning position within the proximal end portion 28604 of the cartridge body 28602 to an ending position within the distal end portion of the cartridge body 28602.
  • Still referring to FIG. 117, the cartridge 28600 is equipped with a camming assembly locking system 28440 that is configured to retain the camming assembly 28650 in its starting position unless the cartridge 28600 has been loaded into a compatible end effector. In the illustrated arrangement for example, the camming assembly locking system 28440 comprises a laterally displaceable lock feature 28442 that comprises an actuator portion 28444 and a locking tab 28446. As can be seen in FIG. 117, the locking tab 28446 is configured to be received within a lock cavity 28655 provided in a corresponding cam member 28654′ when the camming assembly 28650 is in a locked position. See FIGS. 116 and 117. The actuator portion 28444 is configured to be contacted by an actuator lug or other portion of the end effector anvil when the anvil is moved to a closed position. For example, an actuator lug 28411 may be formed on an anvil mounting portion of any of the various anvils disclosed herein and be configured to laterally bias the actuator portion 28444 laterally into an unlocked position when the anvil is moved to a closed position. When the actuator portion 28444 is in an unlocked position, the locking tab 28446 is moved laterally out of the lock cavity 28655 in the cam member 28654′ and the cam assembly 28650 may then be distally advanced through the cartridge 28600 when the firing drive system is activated as described herein. See FIGS. 118 and 119.
  • In various instances, a surgical stapling instrument comprises a cartridge jaw configured to receive a replaceable staple cartridge. The stapling instrument further comprises a staple firing system configured to eject, or fire, staples from the staple cartridge and an anvil comprising forming surfaces, or pockets, configured to deform the staples. The staple firing system comprises a tissue cutting knife which is moved from a proximal end of the staple cartridge toward a distal end during a staple firing stroke. During the staple firing stroke, the tissue cutting knife abuts and pushes a sled in the staple cartridge which drives the staples toward and against the anvil. As the staples are deformed against the anvil, the staples are implanted in the tissue in longitudinal rows and the tissue cutting knife incises the tissue between two of the longitudinal staple rows. After the staple firing stroke has been completed, and/or after a sufficient length of the staple firing stroke has been completed, the tissue cutting knife is retracted proximally. However, the cartridge sled is not retracted proximally with the tissue cutting knife. Instead, the cartridge sled is left behind at the distal-most position in which it was pushed by the tissue cutting knife. After a staple cartridge has been fired, or at least partially fired, it is removed from the cartridge jaw and then replaced with another replaceable staple cartridge, if desired. At such point, the stapling instrument can be re-used to continue stapling and incising the patient tissue. In some instances, however, a previously-fired staple cartridge can be accidentally loaded into the cartridge jaw. If the tissue cutting knife were to be advanced distally within such a previously-fired staple cartridge, the stapling instrument would cut the patient tissue without stapling it. The stapling instrument would similarly cut the patient tissue without stapling it if the tissue cutting knife were advanced distally through a staple firing stroke without a staple cartridge positioned in the cartridge jaw at all. To this end, the stapling instrument comprises one or more lockouts which prevents this from happening, as discussed in greater detail below.
  • The disclosures of U.S. Patent Application Publication No. 2004/0232200, entitled SURGICAL STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT, filed on May 20, 2003, which issued on Jan. 24, 2006 as U.S. Pat. No. 6,988,649, U.S. Patent Application Publication No. 2004/0232199, entitled SURGICAL STAPLING INSTRUMENT HAVING A FIRING LOCKOUT FOR AN UNCLOSED ANVIL, which issued on Dec. 5, 2006 as U.S. Pat. No. 7,143,923, U.S. Patent Application Publication No. 2004/0232197, entitled SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRING MECHANISM, filed on May 20, 2003, which issued on Dec. 27, 2005 as U.S. Pat. No. 6,978,921, U.S. Patent Application Publication No. 2004/0232196, entitled SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, filed on May 20, 2003, U.S. Patent Application Publication No. 2004/0232195, entitled SURGICAL STAPLING INSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRING, filed on May 20, 3003, which issued on May 16, 2006 as U.S. Pat. No. 7,044,352, and U.S. Patent Application Publication No. 2018/0085123, entitled ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM, filed on Aug. 17, 2017, which issued on May 21, 2019 as U.S. Pat. No. 10,292,707, are incorporated by reference in their entireties.
  • Referring to FIG. 120, a surgical stapling instrument 30000 comprises a cartridge jaw, or channel, 30010 and a staple cartridge 30020 seated in the cartridge jaw 30010. The staple cartridge 30020 comprises a cartridge body 30022, staple cavities defined in the cartridge body 30022, and staples removably stored in the staple cavities. The staple cartridge 30020 further comprises a sled 30030 and staple drivers which are driven by the sled 30030 to eject the staples from the staple cavities as the sled 30030 is advanced distally during a staple firing stroke. The stapling instrument 30000 further comprises a firing member 30040 which is configured to engage the sled 30030 and push the sled 30030 distally, as discussed in greater detail below.
  • Further to the above, the firing member 30040 comprises a cutting portion 30042 including a tissue knife 30044. The cutting portion 30042 further comprises a distal nose 30043 which is configured to sit on a shoulder 30033 defined on the sled 30030 when the sled 30030 is in its unfired position in the staple cartridge 30020 and the firing member 30040 is moved distally from its unfired position illustrated in FIG. 120. Once the distal nose 30043 is on the sled shoulder 30033, the firing member 30040 can be advanced distally to perform the staple firing stroke. Notably, the cutting portion 30042 further comprises a first camming member 30046 configured to engage a cam surface of the channel 30010 and a second camming member 30048 configured to engage a cam surface on the anvil of the stapling instrument 30000 which co-operate to position the anvil and the staple cartridge 30020 relative to one another. That said, embodiments are envisioned without one or both of the camming members 30046 and 30048.
  • Referring to FIG. 121, the firing member 30040 is biased toward the channel 30010 by a spring and, if the sled 30030 is not in its unfired position when the firing member 30040 is advanced distally to start the staple firing stroke, the distal nose 30043 of the cutting portion 30042 will miss, or not land on, the shoulder 30033 and the cutting portion 30042 will dive downwardly toward the channel 30010 instead. The cutting portion 30042 comprises lockout pins 30045 extending laterally therefrom which enter a lockout window, or recess, 30012 defined in the channel 30010 when the distal nose 30043 does not land on the shoulder 30033 of the sled 30030. In such instances, the firing member 30040 is permitted to travel distally within the lockout window 30012; however, the distal end of the lockout window 30012 comprises a lockout shoulder 30015 which is contacted by the lockout pins 30045 to stop the distal advancement of the firing member 30040. In such instances, as a result, the firing member 30040 is locked out and prevented from performing its staple firing stroke. Had the sled 30030 been its unfired position, however, the interaction between the distal nose 30043 of the cutting portion 30042 and the shoulder 30033 of the sled 30030 would have prevented the firing member 30040 from diving into the lockout window 30012 and the staple firing stroke could have been performed.
  • Further to the above, the firing member 30040 would dive into the lockout window 30012 if the firing member 30040 were advanced distally without a staple cartridge positioned in and/or a staple cartridge properly seated in the cartridge channel 30010. In view of the above, the surgical instrument 30000 comprises a lockout which prevents the staple firing stroke if the staple cartridge in the surgical instrument 30000 is missing, improperly seated, and/or has been at least partially spent. That said, various instances can arise where a staple cartridge has not been fired, i.e., all of its staples are still positioned in their staple cavities, and, yet, the distal nose 30043 of the cutting portion 30042 can miss the shoulder 30033 of the sled 30030 owing to various manufacturing tolerances, for instance. Such instances would cause the firing member 30040 to be locked out unnecessarily and require a clinician to replace the staple cartridge with another staple cartridge. Such instances may not happen that often, but if they do they are inconvenient to the clinician.
  • A surgical instrument 30100 is illustrated in FIG. 122 and includes an improvement which can reduce the possibility of the distal nose 30043 of the cutting portion 30042 missing the shoulder 30033 of the sled 30030. The surgical instrument 30100 is similar to the surgical instrument 30000 in many respects but includes a staple cartridge 30120 instead of the staple cartridge 30020. The staple cartridge 30120 comprises a cartridge body 30122, staple cavities defined in the cartridge body 30122, and staples removably stored in the staple cavities. Referring to FIG. 123, the staple cartridge 30120 further comprises a sled 30030 which, similar to the above, is movable distally from an unfired position during a staple firing stroke if the distal nose 30043 of the cutting portion 30042 catches the shoulder 30033 of the sled 30030. If not, referring to FIG. 124, the cutting portion 30042 is pushed into the lockout window 30012 defined in the cartridge channel 30010 when the firing member 30040 is advanced distally.
  • Referring to FIGS. 125 and 126, the cartridge body 30122 comprises proximal ramps 30126 configured to lift the firing member 30040 upwardly when the firing member 30040 is advanced distally. More specifically, the lockout pins 30045 extending laterally from the firing member 30040 contact ramp surfaces 30127 defined on the proximal ramps 30126 which guide the cutting portion 30042 away from the lockout window 30012 when the firing member 30040 is advanced distally. They do so, further to the above, against the biasing force of the spring pushing the firing member 30040 toward the cartridge channel 30010. The lifting of the firing member 30040 in this manner increases the probability that the nose 30043 of the firing member 30040 will land on the shoulder 30033 of the sled 30030—even if the sled 30030 has been accidentally pushed slightly distally from its unfired position. Thus, the possibility of an unfired staple cartridge becoming unintentionally locked out is reduced. If the staple cartridge 30120 has been at least partially fired, however, the nose 30043 will miss the shoulder 30033 and the lockout pins 30045 will fall through a window 30125 defined between the proximal ramps 30126 and into the lockout window 30012. Thus, as above, the surgical instrument 30100 will be locked out if an at least partially spent staple cartridge 30120 is seated in the cartridge channel 30010. Moreover, as above, the surgical instrument 30100 will be locked out if a staple cartridge is missing from the cartridge channel 30010 and the staple firing stroke is initiated as the firing member 30040 will immediately enter the lockout window 30012 owing to the absence of the proximal ramps 30126.
  • Notably, further to the above, the ramps 30126 are positioned proximally with respect to the shoulder 30033 of the sled 30030. As such, the firing member 30040 must consecutively pass the missing cartridge/improper cartridge lockout provided by the ramps 30126 and the spent cartridge lockout provided by the sled 30030 as the firing member 30040 is moved distally to perform the staple firing stroke. Moreover, the ramps 30126 lift the firing member 30040 to a proper height to be supported by the sled 30030. Ultimately, the ramps 30126 of the cartridge body 30122 and the shoulder 30033 of the sled 30030 work together to defeat the lockouts of the stapling instrument 30100.
  • A staple cartridge 30220 is illustrated in FIG. 127 in accordance with at least one alternative embodiment. The staple cartridge 30220 comprises a cartridge body 30222 which is similar to the cartridge body 30122 in many respects. That said, the cartridge body 30222 comprises proximal ramps 30226 which extend further proximally than the proximal ramps 30126. As such, the firing member 30040 will be lifted earlier in its staple firing stroke when a staple cartridge 30220 is used. In various instances, the staple cartridge 30220 can include a larger drop window 30225 than the drop window 30125. Moreover, the proximal ramps 30226 comprise ramp surfaces 30227 which are shorter than the ramp surfaces 30127. In such instances, the firing member 30040 will not be lifted as high when a staple cartridge 30220 is used as compared to when a staple cartridge 30120 is used. In any event, such parameters can be used to hone an appropriate lifting motion for the firing member 30040.
  • As discussed above, the lockout pins 30045 of the firing member 30040 are configured to contact the ramps 30226 which lift the firing member 30040 such that the firing member 30040 can land on the shoulder 30033 of the sled 30030 if the sled 30030 is properly positioned in the staple cartridge 30220. That said, alternative embodiments are envisioned in which ramps can lift any suitable portion of a staple firing member onto the shoulder 30033 of the sled 30030. For instance, the firing member 30040 can comprise laminate bars attached to the cutting portion 30042 which contact the ramps 30226 and cause the firing member 30040 to be lifted upwardly when the staple firing stroke is initiated.
  • Referring again to FIG. 127, the staple cartridge 30220 comprises a pan 30024 at least partially extending under the cartridge body 30222. The pan 30024 is configured to prevent the staple drivers and/or staples within the cartridge body 30222 from falling out of the bottom of the cartridge body 30222. The pan 30024 comprises latches 30021 engaged with slots defined in the cartridge body 30222. The pan 30024 further comprises windows 30029 defined therein which, in co-operation with projections extending from the cartridge body 30222, align the pan 30024 with the cartridge body 30222. In addition to or in lieu of the above, the lifts ramps 30226, for example, can extend from the pan 30024.
  • A surgical stapling instrument 30300 is illustrated in FIG. 128. The stapling instrument 30300 is similar to the stapling instrument 30200 in many respects. That said, the stapling instrument 30300 comprises a staple cartridge 30320 instead of the staple cartridge 30220. The staple cartridge 30320 comprises a cartridge body 30322, staple cavities defined in the cartridge body 30322, and staples removably stored in the staple cavities. The cartridge body 30322 further comprises a longitudinal slot 30023 defined therein which is configured to receive the firing member 30040 and, in addition, a proximal ramp 30327 extending in front of the longitudinal slot 30023 which lofts the firing member 30040 onto the sled 30030 if the sled 30030 is in, or at least nearly in, its unfired position, as illustrated in FIG. 129. If the sled 30030 has been at least partially advanced through its staple firing stroke, the shoulder 30033 will not catch the nose 30043 of the firing member 30040 and the cutting portion 30042 will fall through a window defined between ramp supports 30326 and into the lockout window 30012. [0402] Referring to FIGS. 130 and 132, the ramp 30327 also comprises a gate configured to pivot out of the way of the firing member 30040 when a sufficient pushing force is applied to the firing member 30040. The ramp 30327 comprises a first end rotatably mounted to one of the ramp supports 30326 and a second end releasably attached to the other ramp support 30326. Referring to FIGS. 131 and 133, the second end of the ramp 30327 is configured to release from its ramp support 30326 after the firing member 30040 has been lofted upwardly such that, once the ramp 30327 gives way, the nose 30043 of the firing member 30040 falls on the shoulder 30033 of the sled 30030—if the sled 30030 is in its unfired position, or at least close to its unfired position. At such point, the ramp 30327 no longer impedes the distal movement of the firing member 30040 and the firing member 30040 can be advanced distally through the longitudinal slot 30023. The ramp 30327 remains displaced to the side throughout the staple firing stroke and after the firing member 30040 has been retracted back into its unfired position. As such, the displaced ramp 30327 cannot lift the firing member 30040 if the firing member 30040 were to be advanced distally once again. In such instances, the lockout pins 30045 of the cutting portion 30042 would be pushed into the lockout window 30012 by the spring acting against the firing member 30040 if the firing member 30040 were advanced distally before the spent staple cartridge 30320 is replaced. Thus, the ramp 30327 acts as a spent cartridge lockout. In at least one alternative embodiment, the ramp 30327 is configured to break away from the cartridge body 30322 to release the firing member 30040.
  • Moreover, further to the above, the lockout arrangement of the stapling instrument 30300 also acts as an improper/incompatible cartridge lockout. If an improper, or incompatible, staple cartridge not having the ramp 30327, or another suitably configured ramp, were to be seated in the cartridge channel 30010, the firing member 30040 would not be lofted onto a sled of the improper staple cartridge and, instead, the lockout pins 30045 would be forced into the lockout window 30012 thereby locking out the staple firing system. In such instances, the firing member 30040 can be retracted back into its unfired position and the improper/incompatible staple cartridge can be replaced with a proper/compatible staple cartridge. The accidental swapping of an improper staple cartridge for a proper staple cartridge can happen in an operating room where certain staple cartridges are meant to be only used with certain stapling instruments, among other instances.
  • As discussed above, the ramp 30327 extends behind the sled 30030. As a result, the ramp 30327 can protect the sled 30030 from being bumped distally accidentally. In various instances, the staple cartridge 30320 is loaded into the stapling instrument 30300 by inserting the proximal end of the staple cartridge 30320 into the cartridge channel 30010 first and then seating the staple cartridge 30320 in the cartridge channel 30010. As such, the possibility exits that the sled 30030 will contact the cartridge channel 30010, for example, and be pushed distally within the staple cartridge 30320 from its proximal unfired position. In such instances, the sled 30030 may no longer be positioned to defeat the staple firing lockout of the stapling instrument 30300 when the staple firing stroke is initiated and, thus, the stapling firing lockout will treat this staple cartridge 30320 as being spent and it must be replaced to use the stapling instrument 30300. The ramp 30327 can prevent this as it extends proximally behind the sled 30030 and can prevent the sled 30030 from being bumped distally within the staple cartridge 30320 when the staple cartridge 30320 is being installed.
  • As discussed above, the sled 30030, when properly positioned in the staple cartridge, defeats the staple firing lockout of the stapling instrument such that the staple firing stroke can be completed. In use, the firing member 30040 is advanced distally, at least partially, to assess whether or not the sled 30030 is properly positioned and that the staple firing lockout has been defeated. More specifically, the firing member 30040 is advanced distally until the firing member 30040 is supported by the sled 30030 to perform the staple firing stroke—if the sled 30030 is properly positioned in the staple cartridge 30320—or contact the lockout shoulder 30015 if the sled 30030 is not properly positioned in the staple cartridge 30320 or the staple cartridge 30320 is missing from the cartridge channel 30010. If the firing member 30040 contacts the lockout shoulder 30015, the firing member 30040 may need to be retracted to be able to insert an unspent staple cartridge 30320 into the cartridge channel 30010 and/or retracted to start another staple firing stroke. With this in mind, the surgical instrument 30400 of FIGS. 134 and 135 is configured to limit the travel of a firing member such that the firing member can be stopped before it reaches the lockout shoulder 30015 if the staple cartridge is missing from the cartridge channel, as discussed in greater detail below.
  • The firing member 30440 of the surgical instrument 30400, further to the above, is similar to the firing member 30040 in many respects but comprises a cutting member 30442 including secondary lockout pins 30449 extending laterally therefrom. If the staple cartridge 30320 is not positioned in the cartridge channel 30410 of the stapling instrument 30400, the cutting member 30442 will immediately enter the lockout window 30012 when the firing member 30440 is advanced distally and the secondary lockout pins 30449 will quickly contact a secondary lockout shoulder 30419 in the lockout window 30012. Thus, if a staple cartridge 30320 is not present in the cartridge channel 30410, the firing member 30440 will not have to travel distally until it contacts the lockout shoulder 30015. In such instances, the distance in which the firing member 30440 needs to be retracted is at least reduced. In certain instances, the secondary lockout shoulder 30419 is positioned such that the cutting member 30442 does not need to be retracted at all. In such instances, as a result, an unspent staple cartridge 30320 can be inserted into the channel 30410 and the staple firing stroke can be completed without having to retract the firing member 30440.
  • Further to the above, the interaction between the lockout pins 30449 and the lockout shoulder 30419 provides a missing cartridge lockout. If the staple cartridge 30320 is seated in the cartridge channel 30410, the cutting member 30442 engages the ramp 30327 of the staple cartridge 30320 which lifts the lockout pins 30449 over the lockout shoulder 30419. Stated another way, the presence of the staple cartridge 30320 in the cartridge channel 30010 defeats the secondary staple firing lockout. That said, the sled 30030 of the staple cartridge 30320 must be properly positioned in the staple cartridge 30320 in order for the staple firing stroke to be completed as the nose 30043 of the cutting member 30442 must still land on the shoulder 30033 of the sled 30030 in order for the lockout pins 30045 to be lifted over the lockout shoulder 30015, as described above. Stated another way, the presence of the sled 30030 in the staple cartridge 30320 in its unfired position defeats the primary firing lockout and the presence of the staple cartridge 30320 in the cartridge channel 30410 defeats the secondary firing lockout. Thus, the stapling instrument 30400 comprises a primary missing cartridge lockout and a secondary missing cartridge lockout, where the primary missing cartridge lockout also serves as a spent cartridge lockout.
  • A surgical stapling instrument 30500 is illustrated in FIG. 136. The stapling instrument 30500 is similar to the stapling instrument 30000 in many respects. Among other things, the stapling instrument 30500 comprises a cartridge channel 30510, a staple cartridge 30520 removably positionable in the cartridge channel 30510, a firing member 30040, and a staple firing lockout 30514. The staple firing lockout 30514 comprises a resilient metal spring, for example, mounted in the cartridge channel 30510. That said, the staple firing lockout 30514 can be comprised of any suitable material. The staple firing lockout 30514 comprises a base mounted in the cartridge channel 30510 and flexible lock arms 30516 extending from the base. Each flexible lock arm 30516 moves independently of the other and comprises a lock window 30515 defined therein which is configured to receive and releasably capture a lockout pin 30045 extending from the firing member 30040. The flexible lock arms 30516 are configured such that they extend inwardly toward and/or against the side of the firing member 30040 and are, thus, biased to capture the lockout pins 30045. When one or both of the lockout pins 30045 are captured in a lock window 30515, the staple firing member 30040 is prevented from being advanced distally through a staple firing stroke.
  • Further to the above, the staple cartridge 30520 comprises a cartridge body 30522, staple cavities defined in the cartridge body 30522, and staples removable stored in the staple cavities. The staple cartridge 30520 further comprises a pan 30024 attached to the cartridge body 30522 and a sled configured to travel distally within the staple cartridge 30520 to eject the staples from the staple cavities during a staple firing stroke. Similar to the above, the firing member 30040 is configured to push the sled distally to perform the staple firing stroke once the firing member 30040 has been unlocked. To this end, referring to FIGS. 136 and 139, the cartridge body 30522 comprises projections, or keys, 30526 extending proximally therefrom which are configured to engage the lock arms 30516 when the staple cartridge 30520 is seated in the cartridge channel 30510. Notably, the ends of the lock arms 30516 flare outwardly such that, when the projections 30526 contact the lock arms 30516, the lock arms 30516 aren't trapped between the projections 30526 and the firing member 30040. As a result, the projections 30526 flex the lock arms 30516 laterally outwardly such that the lockout pins 30045 extending from the firing member 30040 are no longer positioned in the lockout windows 30515 of the firing lockout 30514 when the staple cartridge 30520 is seated in the cartridge channel 30510. Thus, the act of seating the staple cartridge 30520 in the cartridge channel 30510 unlocks the stapling instrument 30500.
  • If a staple cartridge 30520 is not seated in the cartridge channel 30510, as discussed above, the firing member 30040 remains locked by the firing lockout 30514 and the stapling instrument 30500 cannot be used to staple the patient's tissue. If a staple cartridge is seated in the cartridge channel 30510 that does not have the projections, or keys, 30526, such as the staple cartridge 30020, for example, it will not unlock the firing lockout 30514, as illustrated in FIGS. 137 and 138, and, as a result, the stapling instrument 30500 cannot be used to staple the patient's tissue. As depicted in FIGS. 137 and 138, the proximal end of the cartridge body 30022 does not engage, and/or sufficiently displace, the lock arms 30516. Thus, in this instance, the staple cartridge 30020 would be an improper staple cartridge as it does not unlock the staple firing drive of the stapling instrument 30500 and, correspondingly, the staple cartridge 30520 would be a proper staple cartridge as it can unlock the staple firing drive of the stapling instrument 30500. As such, the firing lockout 30514 is both a missing cartridge lockout and an improper cartridge lockout. The stapling instrument 30500 can further comprise a spent cartridge lockout. In the event that an improper staple cartridge is seated in the stapling instrument 30500 and the stapling instrument 30500 cannot be fired, the improper staple cartridge can be removed and a proper staple cartridge, i.e., a staple cartridge 30520, can be seated in the stapling instrument 30500 to unlock the staple firing drive.
  • As discussed above in connection with the stapling instrument 30000, referring again to FIG. 121, the lockout pins 30045 of the firing member 30040 engage the lock shoulder 30015 if the sled 30030 is not in its proper position in the staple cartridge 30020. As also discussed above, the firing member 30040 of the stapling instrument 30000 is advanced distally before engaging the lock shoulder 30015 and, thus, has time to accelerate before contacting the lock shoulder 30015. As such, the firing member 30040 of the stapling instrument 30000 can impact the lock shoulder 30015 with significant speed and energy. As such, the lock shoulder 30015 is robustly designed to absorb this impact; however, there exists a possibility that the firing member 30040 can plow or blow through the lock shoulder 30015 thereby unintentionally defeating the staple firing lockout of the stapling instrument 30000. The lockout 30514 of FIGS. 136 and 137 can reduce, if not eliminate, these potential problems. For instance, the lock windows 30515 of the firing lockout 30514 are sized and configured to prevent little, if any, proximal and distal translation of the staple firing member 30040 while the lock arms 30516 are engaged with the lockout pins 30045 and, thus, the staple firing member 30040 has little, if any, time to accelerate before being stopped by the distal ends of the lock windows 30515. Moreover, once the lockout pins 30045 engage the distal ends of the lock windows 30515, the lock arms 30516 are placed in tension and, as a result, are capable of handling significant loads before failing, if they fail at all.
  • As discussed above, both lock arms 30516 are disengaged from the firing member 30040 by the cartridge body 30522 when the staple cartridge 30520 is seated in the stapling instrument 30500. That said, alternative embodiments are envisioned in which a first component of a staple cartridge unlocks a first lock arm 30516 and a second component of the staple cartridge unlocks a second lock arm 30516 when the staple cartridge is seated in the stapling instrument 30500. For instance, a cartridge body of the staple cartridge can unlock the first lock arm 30516 and a sled of the staple cartridge can unlock the second lock arm 30516.
  • A surgical stapling instrument 30600 is illustrated in FIG. 140 and a surgical stapling instrument 30700 is illustrated in FIG. 141. The stapling instruments 30600 and 30700 are similar to the stapling instrument 30500 in many respects. Referring to FIG. 140, the stapling instrument 30600 comprises a cartridge channel 30610, a staple cartridge 30620 removably positionable in the cartridge channel 30610, and a staple firing lockout 30614 mounted to the cartridge channel 30610 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30620 is seated in the cartridge channel 30610. Similarly, referring to FIG. 141, the stapling instrument 30700 comprises a cartridge channel 30710, a staple cartridge 30720 removably positionable in the cartridge channel 30710, and a staple firing lockout 30714 mounted to the cartridge channel 30710 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30720 is seated in the cartridge channel 30710. Notably, however, seating the staple cartridge 30720 in the stapling instrument 30600 does not unlock the staple firing system of the stapling instrument 30600 and, likewise, seating the staple cartridge 30620 in the stapling instrument 30700 does not unlock the staple firing system of the stapling instrument 30700. Thus, the stapling instruments 30600 and 30700 can be used in the same operating room at the same time without the possibility of being used with the wrong staple cartridge, despite the fact that the staple cartridges 30620 and 30720 may be confusingly similar.
  • Referring to FIG. 142, further to the above, the staple cartridge 30620 further comprises a cartridge body 30622 including a proximal end 30626 that is angled such that the center of the cartridge body 30622, i.e., the portion closest to the longitudinal slot 30023, extends further proximally than the lateral sides of the cartridge body 30622. The staple cartridge 30620 further comprises a sled 30630, which is similar to the sled 30030 in many respects, that comprises a proximal end 30636 having a profile that matches, or at least substantially matches, the profile of the proximal end 30626 of the cartridge body 30622. Referring again to FIG. 140, the firing lockout 30614 is similar to the firing lockout 30514. Among other things, the firing lockout 30614 comprises lock arms 30616 which releasingly hold the firing member 30040 in its unfired position until the lock arms 30616 are displaced laterally by the proximal end of the cartridge body 30622 and/or the proximal end of the sled 30630 to release the lockout pins 30045 from lock windows defined in the lock arms 30616. If the staple cartridge 30620 is removed from the cartridge channel 30610, the lock arms 30616 resiliently return to their locked position.
  • Referring to FIG. 143, further to the above, the staple cartridge 30700 further comprises a cartridge body 30722 including a proximal end 30726 that is angled such that the laterals sides of the cartridge body 30722, i.e., the portions furthest away from the longitudinal slot 30023, extend further proximally than the center of the cartridge body 30722. The staple cartridge 30720 further comprises a sled 30730, which is similar to the sled 30030 in many respects, that comprises a proximal end 30736 having a profile that matches, or at least substantially matches, the profile of the proximal end 30726 of the cartridge body 30722. Referring again to FIG. 141, the firing lockout 30714 is similar to the firing lockout 30514. Among other things, the firing lockout 30714 comprises lock arms 30716 which releasingly hold the firing member 30040 in its unfired position until the lock arms 30716 are displaced laterally by the proximal end of the cartridge body 30722 and/or the proximal end of the sled 30730 to release the lockout pins 30045 from lock windows defined in the lock arms 30716. If the staple cartridge 30720 is removed from the cartridge channel 30710, the lock arms 30716 resiliently return to their locked position.
  • Notably, further to the above, the proximal end of the staple cartridge 30620 would not displace, or at least sufficiently displace, the lock arms 30716 of the firing lockout 30714 to disengage the firing lockout 30714 from the firing member 30040 if the staple cartridge 30620 were to be seated in the stapling instrument 30700. Moreover, the proximal end of the staple cartridge 30720 would not displace, or at least sufficiently displace, the lock arms 30616 of the firing lockout 30614 to disengage the firing lockout 30614 from the firing member 30040 if the staple cartridge 30720 were to be seated in the stapling instrument 30600. Thus, the staple cartridges 30620 and 30720 each comprise unique keying features which unlock their respective, or proper, stapling instruments.
  • In various instances, further to the above, the cartridge body and/or sled of a staple cartridge, or staple cartridge type, can comprise one or more unique keying features which can only unlock its respective stapling instrument. In certain instances, the pan extending under the cartridge body can comprise a proximal feature, or key, configured to unlock the staple firing drive of its stapling instrument. Referring to FIG. 144, a cartridge pan 30824, which is similar to the pan 30024 in many respects, comprises a proximal projection, or key, 30826 configured to unlock the staple firing drive of a stapling instrument. The projection 30826 is comprised of folded sheet metal to form a tubular structure, for example. The tubular structure is strengthened by a nested interconnection including a tab 30827 and a slot 30828.
  • A surgical stapling instrument 30900 is illustrated in FIGS. 145 and 147 and a surgical stapling instrument 31000 is illustrated in FIG. 148. The stapling instruments 30900 and 31000 are similar to the stapling instrument 30500 in many respects. Referring to FIG. 145, the stapling instrument 30900 comprises a cartridge channel 30910, a staple cartridge 30920 removably positionable in the cartridge channel 30910, and a staple firing lockout 30914 mounted to the cartridge channel 30910 which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 30920 is seated in the cartridge channel 30910. Similarly, referring to FIG. 148, the stapling instrument 31000 comprises a cartridge channel, a staple cartridge 31020 removably positionable in the cartridge channel, and a staple firing lockout 31014 mounted to the cartridge channel which prevents the firing member 30040 from being advanced through a staple firing stroke unless the staple cartridge 31020 is seated in the cartridge channel.
  • Notably, the staple firing lockout 30914 comprises only one lock arm 30916 which extends alongside the right side of the firing member 30040. That said, the one lock arm 30916 comprises a lock window defined therein which is configured to capture and suitably hold a lockout pin 30045 of the firing member 30040 to hold the firing member 30040 in its unfired position, as illustrated in FIG. 147, until the staple cartridge 30920 is seated in the cartridge channel 30910, as illustrated in FIG. 145. More specifically, the cartridge body 30922 of the staple cartridge 30920 comprises a proximal projection, or key, 30926 extending from the right side of the cartridge body 30922 that engages the lock arm 30916 and flexes the lock arm 30916 laterally outwardly when the staple cartridge 30920 is seated in the cartridge channel 30910. Notably, the cartridge body 30922 does not comprise a projection, or key, 30926 extending from the left side of the cartridge body 30922.
  • Also, notably, the staple firing lockout 31014 comprises only one lock arm 31016 which extends alongside the left side of the firing member 30040. That said, the one lock arm 31016 comprises a lock window defined therein which is configured to capture and suitably hold a lockout pin 30045 of the firing member 30040 to hold the firing member 30040 in its unfired position, as illustrated in FIG. 148, until the staple cartridge 31020 is seated in the cartridge channel of the stapling instrument 31000. More specifically, the cartridge body 31022 of the staple cartridge 31020 comprises a proximal projection, or key, 31026 extending from the left side of the cartridge body 31022 that engages the lock arm 31016 and flexes the lock arm 31016 laterally outwardly when the staple cartridge 31020 is seated in the stapling instrument 31000. Notably, the cartridge body 31022 does not comprise a projection, or key, 31026 extending from the right side of the cartridge body 31022.
  • Owing to the asymmetry of the cartridge bodies 30922 and 31022 and the corresponding asymmetry of the staple firing lockouts 30914 and 31014, seating the staple cartridge 31020 in the stapling instrument 30900 does not unlock the staple firing system of the stapling instrument 30900 and, likewise, seating the staple cartridge 30920 in the stapling instrument 31000 does not unlock the staple firing system of the stapling instrument 31000. Thus, the stapling instruments 30900 and 31000 can be used in the same operating room at the same time without the possibility of being used with the wrong staple cartridge despite the fact that the staple cartridges 30920 and 31020 may be confusingly similar. In some instances, the staple pattern produced by the staple cartridge 30920 is different than the staple pattern produced by the staple cartridge 30120 and, as a result, the anvil of the stapling instrument 30900 will have a different forming pocket arrangement than the anvil of the stapling instrument 31000. In such instances, the asymmetrical key/firing lockout arrangements disclosed herein can prevent a mismatch between the arrangement of the staple cavities and the arrangement of the staple forming pockets.
  • Referring to FIGS. 149 and 150, a staple cartridge 31120 comprises a cartridge body 31122 including parallel longitudinal rows of staple cavities while a staple cartridge 31220 comprises a cartridge body 31222 including rows of staple cavities oriented in transverse directions. Similar to the above, referring to FIG. 149, the proximal end of the cartridge body 31122 comprises keys 31126 extending from the left side of the cartridge body 31122—but not the right, or opposite, side of the cartridge body 31122—and the proximal end of the cartridge body 31222, referring to FIG. 150, comprises keys 31226 extending from the right side of the cartridge body 31222—but not the left side of the cartridge body 31222. The staple cartridge 31120 (FIG. 149) is used with a first stapling instrument having parallel longitudinal rows of anvil staple forming pockets and a left-side staple firing lockout, such as the firing lockout 31014 (FIG. 148), for example. The staple cartridge 31220 (FIG. 150) is used with a second stapling instrument having longitudinal rows of transverse staple forming pockets and a right-side staple firing lockout, such as the firing lockout 30914 (FIG. 147), for example. The staple cartridge 31220 does not unlock the first stapling instrument and, similarly, the staple cartridge 31120 does not unlock the second stapling instrument. As such, the keys 31126 of the staple cartridge 31120 cannot unlock a stapling instrument having staple forming pockets which extend in transverse directions and, correspondingly, the keys 31226 of the staple cartridge 31220 cannot unlock a stapling instrument having staple forming pockets which extend in parallel longitudinal rows.
  • Notably, the staple cartridge 31120 and the staple cartridge 31220 are substantially the same length and have substantially the same shape. Moreover, the staple cartridges 31120 and 31220 are both configured to produce staple lines in the patient tissue which are approximately 60 mm in length. However, the staple cartridges 31120 and 31220 could both be configured to produce staple lines which are approximately 30 mm in length or 45 mm in length, for example. Moreover, it is entirely possible that the cartridge body 31122 and the cartridge body 31222 have the same color. In various instances, a commercial supplier may color-code the cartridge bodies of the staple cartridges that they sell to indicate the size of the staples stored therein. For instance, the cartridge bodies containing unformed staples having an approximately 4 mm unformed height are green, for example. The cartridge bodies containing unformed staples having an approximately 2.5 mm unformed height could be white, for example. Thus, it is entirely possible that the staple cartridges 31120 and 31220 have the same color. As such, it is possible that a clinician could grab one staple cartridge when they intended to grab the other and install the staple cartridge in the wrong stapling instrument. The improvements disclosed herein account for such possibilities and lockout the stapling instrument in such instances.
  • A surgical instrument 30800 is illustrated in FIGS. 151-155. Referring primarily to FIGS. 153 and 154, the surgical instrument 30800 comprises a cartridge channel 30810, a staple cartridge 30820 removably positioned in the cartridge channel 30810, a firing member 30040, and a lockout 30814 mounted to the cartridge channel 30810. The lockout 30814 comprises a leaf spring 30816 including a proximal end anchored in an aperture defined in the cartridge channel 30810 and a distal end which is movable relative to the fixed proximal end. Referring primarily to FIGS. 153 and 155, the lockout 30814 further comprises a lockout box 30815 configured to capture one of the lockout pins 30045 extending from the cutting portion 30042 of the firing member 30040 and hold the firing member 30040 in an unfired position when the staple cartridge 30820 is not seated in the cartridge channel 30810. The lockout box 30815 comprises a distal wall configured to prevent the firing member 30040 from being advanced distally, a proximal wall configured to prevent the firing member 30040 from being retracted proximally, and a bottom wall connecting the proximal wall and the distal wall of the lockout box 30815. The top of the lockout box 30815, however, is open but could be closed.
  • The staple cartridge 30820 comprises a cartridge body 30822, a sled, and a pan 30824 attached to and extending under the cartridge body 30822. Further to the above, the pan 30824 comprises a proximal projection 30826 configured to engage the leaf spring 30816 of the lockout 30814 when the staple cartridge 30820 is seated in the cartridge channel 30810, as illustrated in FIGS. 152 and 154. When the projection 30826 contacts the leaf spring 30816, the leaf spring 30816 flexes laterally such that the lockout pin 30045 is no longer captured in the lockout box 30815 of the lockout 30814. At such point, the firing member 30040 has been unlocked and the firing member 30040 can be advanced distally to perform a staple firing stroke. Referring primarily to FIG. 154, the distal, or free, end of the leaf spring 30816 extends into a window 30819 defined in the cartridge channel 30810. The window 30819 provides clearance for the leaf spring 30816 when the leaf spring 30816 is flexed by the staple cartridge 30820. Also, a bottom sidewall of the window 30819 supports the distal end of the leaf spring 30816 such that the distal end is at least simply supported. In any event, the lockout 30814 provides a missing cartridge lockout and an improper cartridge lockout for staple cartridges, such as the staple cartridge 30020, that do not have an appropriate key for unlocking the stapling instrument 30800.
  • As discussed above, the lockout 30814 is moved from a locked position (FIGS. 152 and 153) to an unlocked position (FIG. 154) when the staple cartridge 30820 is seated in the cartridge channel 30810 of the stapling instrument 30800. This deflection is seen in FIG. 155 which illustrates the lockout 30814 in its locked position in solid and its unlocked position in phantom. In instances where an improper or incompatible staple cartridge, i.e., a staple cartridge not having a suitable key, is seated in the cartridge channel 30810, the leaf spring 30816 will not be deflected, or at least suitably deflected, to unlock the firing member 30040. Notably, the lockout 30814 further comprises a tab 30817 extending from the leaf spring 30816 such that the tab 30817 moves laterally with the leaf spring 30816 when the lockout 30814 is deflected. When the lockout 30814 is in its locked position, as illustrated in FIG. 153, the tab 30817 prevents the anvil of the surgical instrument 30800, i.e., the anvil 30050, from being moved into a closed, or fully-clamped, position, as described in greater detail below.
  • The anvil 30050 is rotatably coupled to the cartridge channel 30810 about pivot pins 30051 mounted in apertures defined in the cartridge channel 30810. When the anvil 30050 is rotated toward the cartridge channel 30810 by a closure system of the surgical instrument 30800, and the staple cartridge 30820 is not seated in the cartridge channel 30810, a bottom surface 30057 of the anvil 30050 contacts the tab 30817 and the anvil 30050 is blocked from being moved into its closed or fully-clamped position. When the staple cartridge 30820 is seated in the cartridge channel 30810, however, the tab 30817 is displaced laterally such that, when the anvil 30050 is closed, the anvil 30050 does not contact the tab 30817 and the anvil 30050 can be moved into its closed or fully-clamped position. Thus, the lockout 30814 also comprises an anvil closure lockout as the lockout 30814 prevents the anvil 30050 from being closed when the staple cartridge 30820 is not seated in the cartridge channel 30810. In such instances, the clinician will become quickly aware that an improper staple cartridge is positioned in the cartridge channel 30810 and/or that a staple cartridge is missing altogether as they won't be able to close the anvil 30050. Because the anvil 30050 can't be closed onto the tissue, the staple firing stroke of the stapling instrument 30800 would also be prevented in such instances. In alternative embodiments where the staple cartridge jaw is rotatable instead of the anvil, such a lockout could be used to prevent the staple cartridge jaw from being rotated into a closed or fully-clamped position if an improper staple cartridge is positioned in the staple cartridge jaw or a staple cartridge is missing from the cartridge jaw altogether.
  • As discussed above, the lockout 30814 is configured to resist the closure of the anvil 30050. To this end, further to the above, the proximal end of the lockout 30814 is fixedly supported in the cartridge channel 30810 and the distal end of the lockout 30814 is simply supported by the sidewalls of the window 30819. This is the case when the lockout 30814 is in both of its locked (FIG. 153) and unlocked (FIG. 154) configurations. As such, the lockout 30814 can act as a beam supported at both ends and is well-suited to withstand the clamping load applied by the anvil 30050. Similarly, the tab 30817 extending from the lockout 30814 is also supported by the cartridge channel 30810. More specifically, the tab 30817 is slidably supported in a slot 30818 defined in the cartridge channel 30810 when the lockout 30814 is in both of its locked (FIG. 153) and unlocked (FIG. 154) configurations. As such, the lockout 30814 can act as a beam supported at both ends and an intermediate position and is well-suited to withstand the clamping load applied by the anvil 30050. That said, any suitable support arrangement could be used.
  • As discussed above, the lockout 30814 is configured to prevent the anvil 30050 of the stapling instrument 30800 from being moved into a closed, or fully-clamped, position when the staple cartridge 30820 is not seated in the cartridge channel 30810. That said, the lockout 30814 is configured to prevent the anvil 30050 from being substantially closed at all when the staple cartridge 30820 is not seated in the cartridge channel 30810. In such instances, the anvil 30050 can be moved slightly toward the cartridge channel 30810; however, the anvil 30050 is noticeably open when the anvil 30050 contacts the tab 30817 of the lockout 30814. In various alternative embodiments, the anvil 30050 is prevented from moving at all until the staple cartridge 30820 is seated in the cartridge channel 30810. In either event, the stapling instrument 30800 is not insertable into a patient through a trocar when the anvil 30050 is locked out. More specifically, a trocar comprises an inner passageway, or cannula, that is sized and configured to closely receive a surgical instrument therein and, when the anvil 30050 is locked out as described above, the distance between the anvil 30050 and the cartridge channel 30810 is too large for the stapling instrument 30800 to fit through the inner passageway. As a result, in such instances, the clinician using the stapling instrument 30800 will become aware that an improper staple cartridge is positioned in the stapling instrument 30800 before the stapling instrument 30800 is inserted into the patient.
  • A staple cartridge 31520 is illustrated in FIG. 155A. The staple cartridge 31520 comprises a cartridge body 31522 and a pan 31524 attached to the cartridge body 31522. The pan 31524 comprises lock arms 31521 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31524 to the cartridge body 31522. The pan 31524 is comprised of stamped metal, such as stainless steel, for example. The pan 31524 comprises two lateral sides—one on each side of the longitudinal slot 30023. Each lateral side of the pan 31524 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. Each lateral side of the pan 31524 further comprises a proximal end 31527 that wraps around the proximal end of the cartridge body 31522. The proximal ends 31527 extend orthogonally, or at least substantially orthogonally, to the lateral sides of the pan 31524. Each proximal end 31527 comprises a tab which is folded to form a proximally-extending key 31526. Similar to the above, the keys 31526 are configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31520 is seated in the stapling instrument.
  • Further to the above, each key 31526 comprises a rounded proximal end created by folding over the tabs outwardly such that the ends of the tab are brought back into contact with the proximal end 31527. As a result, the keys 31526 are sturdy and deflection of the keys 31526 is prevented, or at least substantially reduced. As such, the keys 31526 will reliably deflect the firing system locks to unlock the firing system when the staple cartridge 31520 is seated in the stapling instrument. Each proximal end 31527 further comprises one or more retention teeth 31529 which extend into slots 31528 defined in the proximal end 31527. The slots 31528 facilitate the folding of the proximal ends 31527 and also prevent, or at least limit, movement and/or deflection within the keys 31526. The teeth 31529 bite into the proximal end 31527 and hold the key 31526 in its folded configuration.
  • A staple cartridge 31620 is illustrated in FIG. 155B. The staple cartridge 31620 comprises a cartridge body 31522 and a pan 31624 attached to the cartridge body 31522. The pan 31624 comprises lock arms 31621 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31624 to the cartridge body 31522. The pan 31624 is comprised of stamped metal, such as stainless steel, for example. The pan 31624 comprises two lateral sides—one on each side of the longitudinal slot 30023. Each lateral side of the pan 31624 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. Each lateral side of the pan 31624 further comprises a proximal end that wraps downwardly around the proximal end of the cartridge body 31522. The proximal ends extend orthogonally, or at least substantially orthogonally, to the lateral sides of the pan 31624. Each proximal end comprises a tab which is folded to form a proximally-extending key 31626. Similar to the above, the keys 31626 are configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31620 is seated in the stapling instrument.
  • Further to the above, each key 31626 comprises a laterally-facing U-shaped channel. More specifically, each key 31626 comprises an inner base 31627, a laterally-extending top side 31628 extending from the inner base 31627, and a laterally-extending bottom side 31629 extending from the opposite side of the inner base 31627. The U-shaped configuration of the keys 31626 prevents the keys 31626 from buckling under a longitudinal load and/or deflecting under a laterally-directed torque. Notably, the keys 31626 are folded from tabs extending from the pan 31624 in such a manner so as to create clearance gaps 31625 under the keys 31626. The clearance gaps 31625 are sized and configured to permit the locking pins of a firing member to pass under the keys 31626 during a staple firing stroke of the firing member.
  • A staple cartridge 31720 is illustrated in FIG. 155C. The staple cartridge 31720 comprises a cartridge body 31522 and a pan 31724 attached to the cartridge body 31522. The pan 31724 comprises lock arms 31721 and 31721′ engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31724 to the cartridge body 31522. The pan 31724 is comprised of stamped metal, such as stainless steel, for example. The pan 31724 comprises two lateral sides—one on each side of the longitudinal slot 30023. Each lateral side of the pan 31724 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. One lateral side of the pan 31724 further comprises a proximal end 31727 that wraps downwardly around the proximal end of the cartridge body 31522. The proximal end 31727 extends orthogonally, or at least substantially orthogonally, to the lateral side of the pan 31724. The proximal end 31727 comprises a tab which is folded to form a proximally-extending key 31726. Similar to the above, the key 31726 is configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31720 is seated in the stapling instrument.
  • Further to the above, the lateral side of the pan 31724 comprises an arcuate or circular cut-out and the proximal end 31727 comprises an arcuate or circular projection 31723 that is bent around the side of the cartridge body 31522 into the circular cut-out. The projection 31723 is closely received in the cut-out such that the proximal end 31727 of the pan 31724 is greatly stiffened or strengthened by this arrangement. The key 31726 comprises an L-shaped tab bent proximally from the pan 31724. The key 31726 comprises a shoulder 31728 bent upwardly from the proximal end 31727 to create this L-shaped configuration. The shoulder 31728 comprises at least one notch, or strain relief, 31729 configured to facilitate the bending of the key 31726. The L-shaped configuration of the key 31726 prevents the key 31726 from buckling under a longitudinal load and/or deflecting under a laterally-directed torque. Notably, the key 31726 is folded from a tab extending from the pan 31724 in such a manner so as to create a clearance gap 31725 under the key 31726. The clearance gap 31725 is sized and configured to permit the locking pin of a firing member to pass under the key 31726 during a staple firing stroke of the firing member.
  • A staple cartridge 31920 is illustrated in FIG. 155E. The staple cartridge 31920 comprises a cartridge body 31522 and a pan 31924 attached to the cartridge body 31522. The pan 31924 comprises lock arms 31921 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31924 to the cartridge body 31522. The pan 31924 is comprised of stamped metal, such as stainless steel, for example. The pan 31924 comprises two lateral sides—one on each side of the longitudinal slot 30023. Each lateral side of the pan 31924 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. One lateral side of the pan 31924 further comprises a proximal end 31927 that wraps around the proximal end of the cartridge body 31522. The proximal end 31927 extends orthogonally, or at least substantially orthogonally, to the lateral side of the pan 31924. The proximal end 31927 comprises a tab which is folded to form a proximally-extending key 31926. Similar to the above, the key 31926 is configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31920 is seated in the stapling instrument.
  • Further to the above, the key 31926 comprises an L-shaped tab bent proximally from the pan 31924. The key 31926 comprises a shoulder 31928 bent upwardly from the proximal end 31927 to create this L-shaped configuration. The L-shaped configuration of the key 31926 prevents the key 31926 from buckling under a longitudinal load and/or deflecting under a laterally-directed torque. Moreover, a free edge of the shoulder 31928 is welded, soldered, and/or brazed to the proximal end 31927 in order to strengthen the key 31926. That said, any suitable number of welds 31929 can be used to secure or strengthen the key 31926. Notably, the key 31926 is folded from a tab extending from the pan 31924 in such a manner so as to create a clearance gap 31925 under the key 31926. The clearance gap 31925 is sized and configured to permit the locking pin of a firing member to pass under the key 31926 during a staple firing stroke of the firing member.
  • A staple cartridge 31820 is illustrated in FIG. 155D. The staple cartridge 31820 comprises a cartridge body 31522 and a pan 31824 attached to the cartridge body 31522. The pan 31824 comprises lock arms 31821 engaged with lateral channels defined in the cartridge body 31522 which hold the pan 31824 to the cartridge body 31522. The pan 31824 is comprised of stamped metal, such as stainless steel, for example. The pan 31824 comprises two lateral sides—one on each side of the longitudinal slot 30023. Each lateral side of the pan 31824 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. One lateral side of the pan 31824 further comprises a proximal end 31827 that wraps around the proximal end of the cartridge body 31522. The proximal end 31827 extends orthogonally, or at least substantially orthogonally, to the lateral side of the pan 31824. The proximal end 31827 comprises a tab which is folded to form a proximally-extending key 31826. Similar to the above, the key 31826 is configured to unlock a staple firing system of a stapling instrument when the staple cartridge 31820 is seated in the stapling instrument.
  • Further to the above, the key 31826 comprises a rounded proximal end created by folding over the tab outwardly such that the end of the tab is brought back into contact with the proximal end 31827. As a result, the key 31826 is sturdy and deflection of the key 31826 is prevented, or at least substantially reduced. As such, the key 31826 will reliably deflect the firing system locks to unlock the firing system when the staple cartridge 31820 is seated in the stapling instrument. The proximal end 31827 further comprises one or more retention teeth 31829 which extend into slots 31828 defined in the proximal end 31827. The slots 31828 facilitate the folding of the proximal end 31827 and also prevent, or at least limit, movement and/or deflection within the key 31826. The teeth 31829 bite into the proximal end 31827 and hold the key 31826 in its folded configuration. Notably, the key 31826 is folded from a tab extending from the pan 31824 in such a manner so as to create a clearance gap 31825 under the key 31826. The clearance gap 31825 is sized and configured to permit the locking pin of a firing member to pass under the key 31826 during a staple firing stroke of the firing member.
  • Many of the lockouts disclosed herein are defeated when a compatible or proper staple cartridge is seated in the stapling instrument. When seated, a staple cartridge is locked into position within the stapling instrument. In such instances, there is little, if any, relative movement possible between the staple cartridge and the stapling instrument until the staple cartridge is uninstalled from the stapling instrument.
  • In various instances, a surgical stapling assembly comprises a shaft and an end effector extending distally from the shaft including a first jaw and a second jaw rotatable relative to the first jaw. The surgical stapling assembly may comprise a lockout member configured to prevent the inadvertent firing of the surgical stapling assembly and/or the clamping of the surgical stapling assembly until a lockout key unlocks the lockout member. The lockout key may be a part of a staple cartridge configured to be installed in one of the first jaw and the second jaw, for example. Particularly, the lockout key may be a part of a sled of the staple cartridge such that the staple cartridge can unlock the lockout member when the sled is in its unfired position indicating that the staple cartridge is unspent when the staple cartridge is installed within the surgical stapling assembly. In at least one instance, further action may be required to unlock the lockout with the lockout key. For example, an end effector may be required to attain a fully clamped configuration before the lockout key can unlock the lockout member. One example of a lockout can be found in U.S. Patent Application Publication No. 2016/0249921 entitled SURGICAL APPARATUS WITH CONDUCTOR STRAIN RELIEF, now U.S. Pat. No. 10,085,749, the entire disclosure of which is hereby incorporated by reference herein.
  • In at least one instance, surgical stapling assemblies, such as the one described above, may be used with a surgical robot. The surgical stapling assemblies can be configured to be attached to robotic systems and operated by way of robotic arms of the robotic systems. These robotic systems allow for surgeons to be outside of a sterile field within which the patient is present. In at least one instance, a technician and/or another surgeon, for example, may be located within the bounds of the sterile field to monitor the interface between the tools and the patient. This technician and/or surgeon may attach and detach instruments to the robotic arms during a surgical procedure. In some instances, it may be advantageous to be able to actively bypass the lockout member of a surgical stapling assembly. Providing this ability can enable a surgeon or technician to manually defeat a lockout means of a staple cartridge when the lockout means, for whatever reason, cannot be automatically defeated. Providing this ability may also enable a surgeon to test the operability of the lockout member to ensure that the lockout member is functional prior to using the surgical stapling assembly. In an instance where a surgeon wants to manually override the lockout member to fire a staple cartridge, a surgeon or clinician may know that the installed staple cartridge is a proper unfired staple cartridge and may want to fire the staple cartridge regardless of the fact that the lockout member was not actually defeated. In at least one instance, the clinician may want remove that lockout member from the firing sequence and prevent it from being a part of the firing stroke. Moreover, providing direct access to the lockout member within the end effector itself for manual unlocking can provide an advantage with or without a system that automatically defeats the lockout member. Direct access to the lockout member within the end effector can eliminate additional components that otherwise may be present in a system utilizing an unlocking mechanism to unlock the lockout member that is further upstream of the lockout member. Using an unlocking mechanism further upstream to the lockout member within the shaft of the surgical instrument, for example, can introduce additional components that might jam or fail during the application of an unlocking actuation.
  • FIGS. 156-160 depict a surgical stapling assembly 41000 configured to clamp, staple, and cut the tissue of a patient. The surgical stapling assembly 41000 is configured to be attached to, detached from, and operated by a surgical robot and/or a surgical instrument handle. The surgical stapling assembly 41000 comprises a shaft 41100, a first jaw 41200 pivotably supported within the shaft 41100, and a second jaw 41300 attached to the shaft 41100. The first jaw 41200 is movable between an unclamped configuration and a clamped configuration to clamp and unclamp tissue positioned between the first jaw 41200 and the second jaw 41300. The surgical stapling assembly 41000 further comprises a staple cartridge 41230 comprising a plurality of staples removably stored therein. The staple cartridge 41230 is configured to be installed into the first jaw 41200 and replaced with other staple cartridges. The surgical stapling assembly 41000 further comprises a firing member 41400 extending through the shaft 41100 that is configured to move the first jaw 41200 relative to the second jaw 41300 between the unclamped configuration and the clamped configuration, deploy staples from the staple cartridge 41230, and cut tissue during a firing stroke with a knife, or blade, 41422. The firing member 41400 is configured to be actuated by a drive system of a surgical robot and/or a surgical instrument handle. Embodiments are envisioned where the firing member 41400 is driven with a rotary drive shaft. Embodiments are also envisioned where the jaw configured to receive the staple cartridge is fixed to the shaft and the jaw containing the anvil is movable between a clamped configuration and an unclamped configuration.
  • The surgical stapling assembly 41000 further comprises a lockout 41500 (FIG. 160) configured to prevent the firing member 41400 from moving distally past a specific position unless a proper unspent staple cartridge is installed within the first jaw 41200 and the first jaw 41200 is in a fully clamped configuration. In at least one instance, the firing member 41400 is permitted to move a first distance between a home position and the specific position regardless of the condition of the lockout 41500 to permit clamping and unclamping of tissue, as discussed in greater detail below. The lockout 41500 is biased toward a locked configuration where the firing member 41400 is prevented from moving distally beyond the specific position. The lockout 41500 is movable into an unlocked configuration where the firing member 41400 is permitted to move distally beyond the specific position to deploy staples from the staple cartridge 41230. Discussed in greater detail below, the surgical stapling assembly 41000 further comprises a direct access orifice defined therein configured to allow a clinician to manually, or artificially, unlock the lockout 41500, i.e., move the lockout 41500 into the unlocked configuration.
  • The first jaw 41200 comprises a channel 41210 configured to receive the staple cartridge 41230 therein. The staple cartridge 41230 is configured to be installed within the channel 41210 and readily replaced with another staple cartridge. The staple cartridge 41230 further comprises a sled 41235 movable between an unfired position and a fired position to eject the staples from the staple cartridge 41230 as the sled 41235 is pushed distally through a cartridge body 41232 of the staple cartridge 41230 by the firing member 41400. The second jaw 41300 comprises an anvil 41320 comprising a staple-forming surface 41310 configured to form the staples ejected from the staple cartridge 41230.
  • The first jaw 41200 is movable relative to the second jaw 41300 between an unclamped configuration and a clamped configuration by the firing member 41400. Embodiments are envisioned where the second jaw 41300 is movable relative to the first jaw 41200. To clamp tissue, the firing member 41400 is moved distally a first distance from a home position to cam the first jaw 41200 into a clamped configuration. Referring to FIG. 159, the firing member 41400 comprises anvil-camming portions 41423 configured to engage a ramp 41332 of an anvil channel 41330 defined within the second jaw 41300 and channel-camming portions 41424 configured to engage a ramp 41222 of a bottom surface 41220 of the first jaw 41200. The anvil-camming portions 41423 and the channel-camming portions 41424 extend laterally from a distal portion 41420 of the firing member 41400 and are configured to control the distance between the first jaw 41200 and the second jaw 41300 as the distal portion 41420 of the firing member moves through its firing stroke. During the first distance discussed above, the anvil-camming portions 41423 and the channel-camming portions 41424 engage the first and second jaws 41200, 41300 and cam the first jaw 41200 into a clamped configuration. Further distal movement of the distal portion 41420 of the firing member 41400 holds the first and second jaws 41200, 41300 relative to each other during the firing stroke and pushes the sled 41235 distally to eject staples stored within the staple cartridge 41230.
  • The surgical stapling assembly 41000 further comprises a lockout 41500 configured to prevent the firing member from being advanced distally beyond the first distance unless a proper unspent staple cartridge is installed within the first jaw 41200 and the first jaw 41200 is fully clamped. The lockout 41500 comprises a lockout member 41510 pivotably supported within the shaft 41100 and movable between an unlocked configuration (FIG. 157) where the firing member 41400 is permitted to move beyond the first distance to complete the firing stroke and a locked configuration (FIG. 158) where the firing member 41400 is prevented from moving beyond the first distance. The lockout member 41510 is biased into the locked configuration by a spring 41520. A proper unspent staple cartridge installed within the channel 41210 can overcome the bias provided by the spring 41520 when the first jaw 41200 is moved into the clamped configuration.
  • To unlock the lockout 41500, the first jaw 41200 must be moved into its clamped configuration to present the sled 41235 to engage and unlock the lockout member 41510. The sled 41235 cannot defeat the lockout 41500 when the first jaw 41200 is not in its clamped configuration. Embodiments are envisioned where the cartridge jaw is not pivotable but, rather, the anvil jaw is pivotable. In such embodiments, mere insertion of the staple cartridge presents the sled 41235 to defeat the lockout 41500. In such embodiments, the lockout 41500 can be defeated prior to the application of any clamping motions to the anvil jaw.
  • To unlock the lockout 41500, as discussed above, a proper unspent staple cartridge must be installed in the first jaw 41200 of the surgical stapling assembly 41000. The staple cartridge 41230 comprises a sled 41235 comprising a lockout key 41237 extending proximally therefrom. The lockout key 41237 is configured to move the lockout member 41510 into the unlocked configuration when the sled 41235 is in an unfired position and the first jaw 41200 is moved into the clamped configuration. To unlock the lockout, the lockout key 41237 pivots the lockout member 41510 into the unlocked configuration by moving a lockout ledge, or leg, 41511 of the lockout member 41510 away from a lockout notch 41412 defined in a firing shaft, or bar, 41410 of the firing member 41400 which would otherwise prevent distal movement of the firing member 41400 beyond an initial distance used for clamping when the first jaw 41200 is moved into the clamped configuration. The lockout member 41510 comprises a pair of arms 41512 extending distally from the lockout ledge 41511 which are configured to straddle the firing member 41400 as the firing member 41400 moves through its firing stroke.
  • FIG. 157 illustrates the lockout key 41237 engaged with distal ends 41516 of the arms 41512 on a distal end 41515 of the lockout member 41510. As illustrated in FIG. 157, the lockout member 41510 has pivoted relative to the shaft 41100 about nubs 41513 (FIG. 160) of the lockout member 41510 into the unlocked configuration. When the lockout member 41510 is in the unlocked configuration, the lockout notch 41412 of the firing shaft 41410 will clear the lockout ledge 41511 of the lockout member 41510 thereby permitting the firing member 41400 to move distally through the staple cartridge 41230. Referring to FIG. 158, if the lockout key 41237 is not present upon clamping the first jaw 41200 into the clamped configuration, the lockout member 41510 remains biased in the locked configuration by way of the spring 41520 (FIG. 159) pushing against the tabs 41514 (FIG. 160) of the lockout member 41510 where the lockout ledge 41511 engages the notch 41412 of the firing shaft 41410 to block distal movement of the firing member 41400 beyond the initial distance used for clamping.
  • As discussed above, the surgical stapling assembly 41000 further comprises a direct access orifice 41425 defined therein configured to allow a clinician to artificially move the lockout member 41510 into the unlocked configuration. The orifice 41425 can be positioned in any suitable component such that a tool 41590 can access the lockout member 41510 through the orifice 41425 to move the lockout member 41510 into the unlocked configuration. The orifice 41425 is defined in the channel-camming portions 41424 of the distal portion 41420 of the firing member 41400. The orifice 41425 may comprise access slits defined in the channel-camming portions 41424, for example. In at least one instance, the orifice 41425 is defined in the shaft 41100 and/or a component thereof. Nonetheless, the lockout member 41510 is directly accessible through the orifice 41425. The tool 41590 comprises a hook portion 41591 configured to be inserted through the orifice 41425 and an opening 41517 defined between the arms 41512 of the lockout member 41510 to hook, or latch, onto an upper side of the ledge 41511 to pull the ledge 41511 and thus pivot the lockout member 41510 into the unlocked configuration overcoming the spring bias which encourages the lockout member 41510 into the locked configuration. The orifice 41425 can be configured such that commonly-avoidable tools, such as a screwdriver, for example, do not fit within the orifice, or exterior access aperture, 41425. Portions of the lockout member 41510 are illustrated in phantom in the unlocked configuration where tool 41590 has positioned the lockout member 41510 into the unlocked configuration. Arms 41512′ and ledge 41511′ are phantom versions of the arms 41512 and ledge 41511 of the lockout member 41510 illustrated in the unlocked configuration.
  • Once the lockout member 41510 is manually, or artificially, defeated to move the lockout 41500 into the unlocked configuration, the firing member 41400 is permitted to move distally past an unfired location and into the staple cartridge 41230. The unfired location is defined as the position after clamping but before firing. Once the firing member 41400 is advanced distally past its unfired position, the tool 41590 can be disengaged from the lockout member 41510 and removed from the orifice 41425 to allow the lockout 41500 to resume normal operation. For instance, the lockout member 41510 will pivot into the locked configuration when the firing member 41400 returns to the unfired location after having at least partially fired a staple cartridge. During the firing stroke, the lockout member 41510 is accessible with the tool 41590 through a secondary access aperture 41160 defined between a proximal end of the channel 41210 and a distal end of the shaft 41100. That said, the lockout member 41510 will remain defeated during the staple firing stroke. In at least one instance, the direct access orifice is positioned within the shaft 41100, for example, and can provide access to the lockout member 41510 during the firing stroke of the firing member 41400. In at least one instance, the secondary access aperture 41160 comprises the primary lockout access aperture.
  • The lockout 41500 can be positioned in any suitable location. In at least one instance, the lockout 41500 may be positioned proximal to the distal portion 41420 of the firing member 41400 when the firing member 41400 is in its proximal most position (such as the position illustrated in FIG. 159). In such an instance, the access aperture may be defined in a shaft housing, or frame, of the surgical stapling assembly 41000. In at least one instance, the access aperture is defined in the channel 41210.
  • In at least one instance, the tool 41590 can be inserted through the direct access aperture 41425 to unlock the lockout 41500 prior to the insertion of the staple cartridge 41230 into the channel 41210. Moving the lockout 41500 to its unlocked configuration prior to the insertion of a staple cartridge can aid the staple cartridge installation by preventing the lockout 41500 from engaging the staple cartridge during installation. Some lockouts disable improper staple cartridges by bumping a sled of the staple cartridge from its unfired, firable position to an unfired, unfirable position which can cause the staple cartridge to become instantly spent. Moreover, such lockouts may bump a sled of a proper staple cartridge during installation of the proper staple cartridge. Unlocking the lockout 41500 prior to installation of the staple cartridge can ensure that the proper staple cartridge is not disabled accidentally during installation.
  • FIGS. 161 and 162 depict a surgical stapling assembly 42000 for use in clamping, stapling, and cutting the tissue of a patient. The surgical stapling assembly 42000 is similar to other stapling assemblies described herein in many respects. The surgical stapling assembly 42000 comprises a firing assembly 42100 and a cartridge channel 42200 configured to receive a staple cartridge therein. The firing assembly 42100 is configured to push a sled of a proper unspent staple cartridge installed within the cartridge channel 42200 to deploy the staples of the staple cartridge and cut the stapled tissue. The surgical stapling assembly 42000 further comprises a lockout 42300 configured to prevent the firing assembly 42100 from being advanced through an improper staple cartridge. The lockout 42300 comprises a spring 42310 which biases the lockout 42300 toward a locked configuration. The lockout 42300 is configured to be pushed proximally by a proper unspent staple cartridge to unlock the firing assembly 42100. Notably, the lockout 42300 is configured such that lockout 42300 does not accidentally push the sled of the proper staple cartridge into a position which would induce a lockout condition for the firing assembly 42100. The lockout 42300 can employ any suitable lockout method. The firing assembly 42100 is similar to other firing assemblies described herein.
  • The surgical stapling assembly 42000 further comprises a direct access cutout, or aperture, 42210 defined in the bottom of the cartridge channel 42200 at a proximal end of a longitudinal slot 42230 defined in the cartridge channel 42200. The firing assembly 42100 is movable through the slot 42230 of the cartridge channel 42200 during a staple firing stroke. The direct access cutout 42210 allows for a tool to be inserted within the surgical stapling assembly 42000 to access the lockout 42300 directly. The tool can be inserted through the direct access cutout 42210 to move the lockout 42300 into an unlocked configuration (FIG. 162). Unlocking the lockout 42300 in this manner can be referred to as artificially unlocking the lockout 42300 because an unspent staple cartridge has not automatically unlocked the lockout 42300 for whatever reason. The direct access cutout 42210 comprises a proximal end 42211 and a distal end 42213 comprising a wider cutout portion than the proximal end 42211. The wider cutout portion of the distal end 42213 can aid in the proper insertion of the tool into the channel 42200. For example, the tool can comprise a lock-engaging portion that fits in the distal end 42213 but not the proximal end 42211 thereby eliminating the possibility of mis-inserting the tool in the proximal end 42211. Moreover, the lockout 42300, and its position relative to other components of the surgical stapling assembly 42000, is also directly visible through the direct access cutout 42210. Nonetheless, a tool can be inserted through the cutout 42210 to pull and/or push the lockout 42300 proximally to overcome the spring bias and move the lockout 42300 into the unlocked configuration. The tool can also be removed and disengaged from the lockout 42300 such that the lockout 42300 can resume normal operation. Moreover, providing the ability to manually move the lockout 42300 may allow a clinician to move the lockout 42300 away from its locked position before installing a staple cartridge into the cartridge channel 42200 to prevent the lockout 42300 from moving a sled of the staple cartridge that is being installed into the cartridge channel 42200 prematurely.
  • FIGS. 163 and 164 depict a surgical stapling assembly 43000 comprising a firing assembly 43100, a frame 43400 that supports the firing assembly 43100 therein, a cartridge channel 43300 pivotably attached to the frame 43400, and a lockout key mechanism 43500 configured to defeat a lockout of the surgical stapling assembly 43000. The surgical stapling assembly 43000 can comprise any suitable lockout; however, a diving knife lockout where the firing assembly 43100 falls into a locking recess in the absence of a proper unspent staple cartridge being positioned in the cartridge channel 43300 is described below.
  • The firing assembly 43100 comprises a firing shaft 43110 and a firing member 43120 attached to the distal end of the firing shaft 43110. Although a linear firing shaft is illustrated, the firing assembly 43100 may be configured with a rotary drive shaft. The firing shaft 43110 is configured to be actuated by a firing driver of a surgical instrument handle and/or a surgical robot, for example. Any suitable drive mechanism may be used. The firing member 43120 comprises anvil-camming pins 43122 and channel camming pins 43123 extending laterally therefrom. The pins 43122, 43123 are configured to control the clamping pressure on the tissue captured within the surgical stapling assembly 43000 during a firing stroke. The firing member 43120 further comprises a cutting edge 43121 configured to cut the clamped tissue. The firing member 43120 further comprises a ledge, or distal nose, 43124 configured to engage and/or rest on top of a sled of an unfired proper staple cartridge such that the firing member 43120 does not fall into the lockout recess.
  • The firing assembly 43100 further comprises an extension 43111 configured to be biased downwardly toward the channel 43300 by a spring member mounted within the frame 43400. Discussed in greater detail below, the downward bias of the extension 43111 encourages the firing assembly 43100 toward its locked out condition. The downward bias is overcome when an unspent proper staple cartridge is installed within the cartridge channel 43300.
  • The lockout key mechanism 43500 comprises a spring 43530, a wedge 43520 slidably supported within the frame 43400, and a lifter spring 43510 comprising a proximal end 43511 mounted to the frame 43400. The wedge 43520 comprises a ramp 43521 on which a distal end 43512 of the lifter spring 43510 rests. When a staple cartridge is inserted into the cartridge channel 43300, the staple cartridge 43200 pushes the wedge 43520 proximally. Proximal movement of the wedge 43520 causes the lifter spring 43510 to lift the firing member 43120 to defeat a first stage of the lockout. The lifter spring 43510 comprises a notch 43513 defined on the distal end 43512 configured to engage lifter pins 43125 extending laterally from the firing member 43120 when the lifter spring 43510 is lifted by the wedge 43520 of the staple cartridge 43200.
  • Once the first stage of the lockout has been overcome, the firing assembly 43100 is advanced distally to assess the second stage of the lockout. This second stage of the lockout is defeated when the sled of the staple cartridge 43200 is in its proximal unfired position. Similar to the above, the firing shaft 43110 can be lifted onto the sled by the staple cartridge 43200 as the firing shaft 43110 is advanced distally.
  • To cause the nose 43124 of the firing member 43120 to land on an unfired sled of the staple cartridge 43200 to defeat the second stage of the lockout and prevent the firing member 43120 from falling into the lockout recess, a cartridge body key 43211 is provided on a proximal end 43201 of the cartridge body 43210. Referring now to FIG. 164, as the staple cartridge 43200 is installed in the cartridge channel 43300, the cartridge body key 43211 pushes the wedge 43520 proximally and overcomes the spring bias provided by the spring 43530. As the wedge 43520 is pushed proximally, the wedge 43520 lifts the lifter spring 43510. At this point, the notch 43513 can grab the lifter pins 43125 and lift the firing assembly 43100. Lifting the firing assembly 43100 in this manner can be referred to as defeating the first stage of the lockout. Notably, a staple cartridge without the proper cartridge lockout key may be able to be installed in the cartridge channel 43300 but will not be able to lift the firing assembly 43100. Once the staple cartridge 43200 is installed in the cartridge channel 43300 and the firing assembly 43100 is lifted, the firing assembly 43100 can be advanced distally such that the notch 43513 can hold the firing assembly 43100 at the proper height and for the proper distance so that the nose 43124 can land on the unfired sled in the staple cartridge 43200 thereby avoiding the lockout recess. Landing the nose 43124 on the unfired sled can be referred to as defeating the second stage of the lockout. If the sled in the staple cartridge 43200 is not in its unfired position, the firing assembly 43100 will fall into the lockout recess and not be able to be advanced distally beyond its locked configuration. In at least one instance, the cartridge body key 43211 extends proximally from a cartridge body pan 43220 of the staple cartridge 43200.
  • FIG. 165 depicts a first staple cartridge 43610 comprising a proximal end 43611 and a lockout key 43613 extending from the proximal end 43611. The lockout key 43613 comprises a first profile. FIG. 165 depicts a second staple cartridge 43620 comprising a proximal end 43621 and a lockout key 43623 extending from the proximal end 43621. The lockout key 43623 comprises a second profile that is different than the first profile of the lockout key 43613. The first staple cartridge 43610 is configured to unlock only the stapling instruments it is compatible with and the second staple cartridge 43620 is configured to unlock only the stapling instruments it is compatible with.
  • Referring back to the lockout key mechanism 43500 in FIGS. 163 and 164, cartridges using different key profiles can be used to ensure that the firing member is lifted at the appropriate location and with the appropriate height. Lifting the firing member at different locations, referring to FIG. 165, causes different lift timings of the firing member. This can be used to ensure that an improper staple cartridge can not unlock a non-compatible instrument. FIGS. 166 and 167 contain graphs illustrating the different lift timings 43610′, 43620′ and displacements 43610″, 43620″ provided by the cartridges 43610, 43620. The staple cartridge 43610 is configured to lift the firing member earlier than the staple cartridge 43620. In a compatible surgical instrument, the first staple cartridge 43610 will cause a wedge, for example, such as the wedge described herein, to lift the firing member at the appropriate time and location such that the firing member will land on an unfired sled of the first staple cartridge 43610 so as to defeat the lockout and enable the firing member to be advanced distally to perform a staple firing stroke. In an incompatible surgical instrument, the first staple cartridge 43610 will cause a wedge, for example, to lift the firing member at the incorrect time and location causing the firing member to fall before reaching the sled or causing the firing member to bump the sled distally before being lifted onto the sled. Both situations involving installing an incompatible cartridge and instrument will cause the firing member to enter a locked out condition upon an attempt to move the firing member through a firing stroke. The second staple cartridge 43620 works in a similar manner. That said, the second staple cartridge 43620 cannot unlock an instrument compatible with the first staple cartridge 43610, and vice versa.
  • FIGS. 168 and 169 depict a system 44000 comprising a first cartridge 44100 (FIG. 168) and a second cartridge 44200 (FIG. 169). The first staple cartridge 44100 comprises a cartridge body 44110 comprising a proximal end 44111, a distal end 44112, and a plurality of staple cavities 44114 arranged in rows extending between the proximal end 44111 and the distal end 44112. The first staple cartridge 44100 further comprises a cartridge pan 44130 configured to hold staples in the cartridge body 44110, and a sled 44120 configured to deploy the staples from the cartridge body 44110. The cartridge body 44110 further comprises a longitudinal slot 44113 defined therein configured to receive a firing member of a surgical stapling assembly. The longitudinal slot 44113 defines a first lateral side and a second lateral side labeled “A” and “B” respectively. The cartridge body 44110 further comprises a lockout key 44116 extending from a proximal face 44115 of the first lateral side “A” of the cartridge body 44110.
  • The second staple cartridge 44200 comprises a cartridge body 44210 comprising a proximal end 44211, a distal end 44212, and a plurality of staple cavities 44214 arranged in rows extending between the proximal end 44211 and the distal end 44212. The second staple cartridge 44200 further comprises a cartridge pan 44230 configured to hold staples in the cartridge body 44210, and a sled 44220 configured to deploy the staples from the cartridge body 44210. The cartridge body 44210 further comprises a longitudinal slot 44213 defined therein configured to receive a firing member of a surgical stapling assembly. The longitudinal slot 44213 defines a first lateral side and a second lateral side labeled “A” and “B” respectively. The cartridge body 44210 further comprises a lockout key 44216 extending from a proximal face 44215 of the second lateral side “B” of the cartridge body 44210.
  • The staple cavities 44114 comprise three rows on each side of the longitudinal slot 44113. Each row defines a row axis with which each staple cavity in that row is aligned. In other words, the proximal end and the distal end of each cavity in a single row is aligned with the row axis of that row. The staple cavities 44214 comprise three rows on each side of the longitudinal slot 44213. Each row defines a row axis with which each staple cavity in that row is transversely aligned. Each side of the staple cartridge 44200 comprises an outer row of staple cavities 44214, an inner row of staple cavities 44214, and a middle row of staple cavities 44214 positioned between the outer row of staple cavities 44214 and the inner row of staple cavities 44214. The staple cavities 44214 of the middle row define cavity axes that are transverse to cavity axes defined by the staple cavities 44214 in the inner row and the staple cavities 44214 in the outer row.
  • The system 44000 provides a way to prevent an improper staple cartridge from being used with a surgical stapling assembly by providing the lockout keys of each cartridge on different sides of the staple cartridge. Providing the lockout keys on different sides of the staple cartridge prevents the use of a stapling assembly comprising corresponding staple-forming pockets for the first staple cartridge 44100 with the second staple cartridge 44200 and the use of a stapling assembly comprising corresponding staple-forming pockets for the second staple cartridge 44200 with the first staple cartridge 44100. Thus, the first staple cartridge 44100 will not be able to unlock a firing lockout of a surgical stapling assembly meant for the second staple cartridge 44200 and the second staple cartridge 44200 will not be able to unlock a firing lockout of a surgical stapling assembly meant for the first staple cartridge 44100. This prevents improper cartridge installation which may result in deploying staples against an anvil with non-corresponding staple-forming pockets.
  • FIGS. 170-179 depict a surgical stapling assembly 45000 configured to clamp, staple, and cut the tissue of a patient. The surgical stapling assembly 45000 can be used with a surgical robot and/or a surgical instrument handle. The surgical stapling assembly 45000 comprises a first jaw 45200, a second jaw 45400 movable relative to the first jaw 45200 between an unclamped configuration and a clamped configuration, and a firing assembly 45500. The surgical stapling assembly 45000 further comprises a replaceable staple cartridge 45300 comprising a plurality of staples removably stored therein which are configured to be deployed by the firing assembly 45500. The first jaw 45200 comprises a channel 45210 configured to receive the replaceable staple cartridge 45300. The second jaw 45400 comprises an anvil 45410 comprising a staple-forming surface 45415 configured to form the staples deployed from the staple cartridge 45300. The first jaw 45200 further comprises pin apertures 45212 (FIG. 171) in which pivot pins 45413 of the second jaw 45400 are received to permit the second jaw 45400 to pivot relative to the first jaw 45200. Embodiments are envisioned where the fixed jaw comprises the anvil and the movable jaw comprises the channel and the staple cartridge.
  • To clamp tissue with the surgical stapling assembly 45000, the second jaw 45400 comprises a camming surface 45412 formed on a proximal end 45411 thereof which is configured to be engaged by a closure member. The closure member comprises a closure tube, for example, but can comprise any other suitable configuration. The closure member is configured to cam the second jaw 45400 from the unclamped configuration to the clamped configuration toward the channel 45210 by engaging and sliding along the camming surface 45412. To unclamp the surgical stapling assembly 45000, the closure member is retracted proximally. A spring may be provided to bias the second jaw 45400 into the unclamped configuration as the closure member disengages the camming surface 45412.
  • To staple and cut tissue with the surgical stapling assembly 45000, a proper unspent staple cartridge must be installed within the surgical stapling assembly 45000. When a proper unspent staple cartridge is installed within the channel 45210, the firing assembly 45500 can be actuated through the staple cartridge 45300 to push a sled 45340 of the staple cartridge 45300 distally from an unfired position to a fired position to deploy the staples stored within the staple cartridge 45300 during a staple firing stroke. As the firing assembly 45500 is moved through the staple firing stroke, a cutting edge 45523 of the firing assembly cuts the tissue clamped between the first jaw 45200 and the second jaw 45400. In at least one instance, the cutting edge 45523 trails behind the staple deployment to prevent tissue from being cut before the tissue is stapled.
  • Referring primarily to FIGS. 172-175, the firing assembly 45500 comprises a firing member 45520 comprising the cutting edge 45523, anvil-camming portions 45521 and channel-camming portions 45522 configured to control the distance between the first jaw 45200 and the second jaw 45400 during the staple firing stroke, and laterally-extending portions 45525 positioned between the anvil-camming portions 45521 and the channel-camming portions 45522 configured to fall into a lockout as discussed in greater detail below. The firing member 45520 further comprises a tail 45526 extending proximally therefrom which is configured to interface with a spring 45240 mounted in the shaft as discussed in greater detail below.
  • To prevent the firing assembly 45500 from being advanced through an improper and/or spent staple cartridge, the surgical stapling assembly 45000 further comprises a lockout system. The surgical stapling assembly 45000 comprises a diving-knife lockout such as those disclosed herein where the firing assembly 45500 falls into a lockout pocket if a proper unspent staple cartridge is not installed within the surgical stapling assembly 45000. A proper unspent staple cartridge, such as the staple cartridge 45300, is configured to prevent the firing assembly 45500 from falling into the lockout pocket by lifting the firing assembly 45500 when the staple cartridge 45300 is unspent. In such instances, a distal end of the firing assembly will land on an unfired sled of the staple cartridge 45300. The firing assembly 45500 may then be advanced through the staple cartridge 45300.
  • The staple cartridge 45300 includes a lockout key 45330 to lift the firing assembly 45500 to the proper height and proper distance to get the firing assembly 45500 to land on an unfired sled and defeat the lockout of the surgical stapling assembly 45000. The staple cartridge 45300 further comprises a cartridge body 45310 comprising a proximal end 45301 comprising a proximal face 45313 and a longitudinal slot 45311 configured to receive the firing assembly 45500 during the staple firing stroke. The lockout key 45330 extends proximally from the proximal face 45313 of the cartridge body 45310 and comprises a pair of protrusions defining a proximal longitudinal slot portion 45333 of the longitudinal slot 45311. The proximal longitudinal slot portion 45333 is configured to straddle the firing member 45520 when the staple cartridge 45300 is installed in the channel 45210. Each protrusion of the lockout key 45330 comprises a ramped surface, or portion, 45331 and a non-ramped portion, or surface, 45332. The staple cartridge 45300 further comprises a pan 45320 configured to hold the staples within the cartridge body 45310. The pan 45320 is configured to clip onto a deck 45312 of the cartridge body 45310. The pan 45320 may be removably affixed to the cartridge body 45310 by a series of hooks 45321 that are formed on the sidewalls of the cartridge pan 45320 and configured to hookingly engage corresponding portions of the cartridge body 45310. In at least one instance, the pan can comprise the lockout key.
  • The firing assembly 45500 comprises a firing shaft 45510 configured to transfer firing motions to the firing member 45520. The firing member 45520 is attached to a distal end 45513 of the firing shaft 45510. The firing member 45520 is biased downwardly by the spring 45420 mounted in the shaft. More specifically, the spring 45420 pushes the tail 45526 of the firing member 45520 downwardly to bias the firing member 45520 unless the firing member 45520 is lifted upwardly away from the firing lockout. To lift the firing assembly 45500, the surgical stapling assembly 45000 comprises a floating pin 45600 positioned behind the firing member 45520 of the firing assembly 45500. The floating pin 45600 is supported within a slot, or channel, 45213 defined in the sides of the staple cartridge channel 45210. The floating pin 45600 is configured to move vertically within the slot 45213 by the ramped surfaces 45331. More specifically, the floating pin 45600 is pushed upwardly by the lockout key 45330 into the staple cartridge channel 45210 which, in turn, contacts the bottom edge of the firing member 45520 and pushes the firing member 45520 upwardly. Thus, the floating pin 45600 keeps the firing member 45520 from diving into the firing lockout when the staple cartridge 45300 is seated in the staple cartridge channel 45210. As such, the lockout key 45330 overcomes the downward spring bias applied to the firing member 45520 by the spring 45240.
  • Once the staple cartridge 45300 is fully installed and the firing assembly 45500 is lifted to the position illustrated in FIG. 174, the firing assembly 45500 can then be advanced distally toward the sled 45340 of the staple cartridge 45300. Thus, with the proper lockout key, the first stage of the lockout is defeated. If the sled 45340 is in its unfired position, a distal nose, or shelf, 45524 of the firing member 45520 will land on a corresponding platform 45341 of the sled 45340 and avoid the lockout discussed above. Landing the distal nose 45524 of the firing member 45520 on the platform 45341 of the sled 45340 when the sled 45340 is in its unfired position defeats a second stage of the lockout. As the firing assembly 45500 is advanced distally, the bottom surface 45511 rides over the floating pin 45600 and the height of the firing assembly 45500 is governed by the engagement between the floating pin 45600, the bottom surface 45511 of the firing shaft 45510, and the lockout key 45600.
  • Because the height of the firing assembly 45500 is governed by the engagement between the floating pin 45600, the bottom surface 45511 of the firing shaft 45510, and the lockout key 45600, the firing shaft 45510 is configured such that the firing assembly 45500 may still fall into the lockout when the sled 45340 of the staple cartridge 45300 is not in its unfired position. Referring to FIGS. 176 and 177, the bottom surface 45511 comprises a notch 45515 defined proximal to the distal end 45513 of the firing shaft 45510. The notch 45515 is configured such that the firing shaft 45510 will fall into the lockout if the sled 45340 is not present in its unfired position. FIG. 176 illustrates the staple cartridge 45300 installed within the channel 45210; however, the sled 45340 is not present in its unfired position. Thus, turning to FIG. 177, the firing shaft 45510 is not sufficiently lifted upwardly by the floating pin 45600 to lift the firing shaft 45510 out of the lockout. Instead, the firing shaft 45510 is pulled down by the spring 45240 as the firing assembly 45500 is advanced distally owing to the floating pin 45600 fitting in the notch 45515. To perform a staple firing stroke, the improper cartridge must be removed and replaced with a proper unfired staple cartridge.
  • If a staple cartridge is installed in the surgical stapling assembly that does not have a proper lockout key, the floating pin 45600 will remain in its lower most position illustrated in FIG. 172. If an attempt is made to advance the firing assembly 45500 distally, the firing assembly 45500 will be unable to overcome the first stage of the lockout.
  • FIG. 180 depicts the staple cartridge 45300 discussed above. FIG. 181 depicts a second staple cartridge 45900 comprising a cartridge body 45910 and a pan 45920 configured to hold a plurality of staples in the staple cartridge 45900. The cartridge body 45910 further comprises a lockout key 45930 extending proximally from a proximal face 45913 of the cartridge body 45910. As can be seen from FIGS. 180 and 181, the staple cartridge 45300 and the second staple cartridge 45900 comprise similar features; however, they comprise lockout keys having different configurations. The lockout key 45330 of the staple cartridge 45300 comprises a first length 45338 and a first height 45339 while the lockout key 45930 of the second staple cartridge 45900 comprises a second length 45938 and a second height 45939 which are different than the first length 45338 and the first height 45339, respectively. The staple cartridges 45300, 45900 are part of a system in which the staple cartridge 45300 can only unlock a first instrument but not a second instrument while the second staple cartridge 45900 can only unlock the second instrument and not the first instrument. The lockout key 45930 comprises a ramped surface 45931 and a flat surface 45932 which have different dimensions than the surfaces 45331, 45332 of the lockout key 45330. The lockout key 45330 of the staple cartridge 45300 is shown in phantom lines in FIG. 181 for comparison purposes.
  • Differing lockout key configurations between similar looking cartridges, for example, can prevent a clinician from inserting and using an incompatible cartridge in a second instrument. In this instance, the lockout keys 45330, 45930 will cause a firing assembly of an instrument to lift to different heights and at different times during the firing stroke of the firing assembly. Referring back to the floating pin 45600, if the second staple cartridge 45900 is installed in the surgical stapling assembly 45000, the firing assembly 45500 will be lifted by the floating pin 45600 at a height which is less than a height at which the firing assembly 45500 will be lifted by the floating pin 45600 if the staple cartridge 45300 is installed. This will cause the firing assembly 45500 to not be able to land on the sled platform of the second staple cartridge and, instead, will become locked out. This will prevent the use of an improper staple cartridge within a stapling instrument.
  • The instrument with which the second staple cartridge 45900 may be used can comprise a similar floating pin system as discussed above; however, this floating pin may be located in a different position relative to the second staple cartridge 45900 such that the lockout key 45930 can lift the firing member of this instrument to the appropriate height and at the appropriate time to land on the sled of the second staple cartridge 45900 to bypass the lockout of the instrument. In at least one instance, the lockout keys described herein comprise cartridge body fins, for example.
  • Various aspects of the subject matter described herein are set out in the following examples.
  • Example 1—A surgical stapling instrument configured for use with a surgical staple cartridge containing a plurality of surgical staples configured to be ejected therefrom by a camming assembly supported therein as the camming assembly is moved from an unfired position therein to a fired position. The surgical stapling instrument comprising a first jaw configured to removably support the surgical staple cartridge therein, a second jaw movable relative to the first jaw between an open position and a closed position, a firing member configured to axially move between a starting position and an ending position upon application of a firing motion thereto, a firing member lockout, and a cartridge verification member. The firing member lockout is configured to interface with the camming assembly of the surgical staple cartridge supported in the first jaw. The firing member lockout is further configured to prevent the firing member from moving out of the starting position upon application of the firing motion to the firing member unless the camming assembly is in the unfired position within the surgical staple cartridge. The cartridge verification member is configured to move the camming assembly out of the unfired position to an intermediate position unless the cartridge verification member detects a verification feature on the surgical staple cartridge.
  • Example 2—The surgical stapling instrument of Example 1, wherein the cartridge verification member is coupled to the second jaw.
  • Example 3—The surgical stapling instrument of Examples 1 or 2, wherein the cartridge verification member is configured to detect the verification feature when the second jaw is moved to the closed position.
  • Example 4—The surgical stapling instrument of Examples 1, 2, or 3, wherein the verification feature protrudes from a proximal end of the surgical staple cartridge.
  • Example 5—The surgical stapling instrument of Examples 1, 2, 3, or 4, wherein the cartridge verification member comprises a compliant portion configured to interact with the camming assembly and the verification feature.
  • Example 6—The surgical stapling instrument of Examples 1, 2, 3, 4, or 5, wherein the surgical staple cartridge comprises a cartridge body and wherein the verification feature comprises a cartridge body extension extending proximally from a proximal end of the cartridge body.
  • Example 7—The surgical stapling instrument of Examples 1, 2, 3, 4, 5, or 6, wherein the cartridge verification member is movably supported within the first jaw and is configured to move between an actuated position wherein the cartridge verification member is configured to move the camming assembly from the unfired position to the intermediate position and a cartridge verification position.
  • Example 8—The surgical stapling instrument of Example 7, further comprising a verification biaser for biasing the cartridge verification member into the actuated position unless the cartridge verification member is contacted by the verification feature of the cartridge to move the surgical staple cartridge verification member to the cartridge verification position.
  • Example 9—The surgical stapling instrument of Examples 1, 2, 3, 4, 5, 6, 7, or 8, wherein the camming assembly includes a plurality of cam members and wherein the cartridge verification member comprises a plurality of displacement arms corresponding to at least two of the cam members.
  • Example 10—The surgical stapling instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, or 9, wherein the surgical staple cartridge comprises four verification members.
  • Example 11—The surgical stapling instrument of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10, wherein the cartridge verification member has at least one primary verification surface thereon configured to interface with a corresponding secondary verification surface on the verification feature to facilitate operable seating of the staple cartridge in the first jaw.
  • Example 12—A surgical stapling instrument configured for use with a surgical staple cartridge containing a plurality of surgical staples configured to be ejected therefrom by a camming assembly supported therein as the camming assembly is moved from an unfired position therein to a fired position. The surgical stapling instrument comprising a channel configured to removably support the surgical staple cartridge therein, an anvil movable relative to the channel between an open position and a closed position, a firing member configured to axially move between a starting position and an ending position upon application of a firing motion thereto, a firing member lockout, and a cartridge verification member. The firing member lockout is movable between a locked position wherein the firing member lockout prevents the firing member from moving from the starting position upon application of the firing motion thereto and an unlocked position wherein the firing member is permitted to move from the starting position to the ending position upon the application of the firing motion thereto. The firing member lockout comprising a latch portion configured to unlockingly engage an unlocking portion of the camming assembly when the camming assembly is in the unfired position to move the firing member lockout from the locked position to the unlocked position. The cartridge verification member is movably supported in the channel and configured to move the camming assembly out of the unfired position and out of unlocking engagement with the latch portion of the firing member to an intermediate position unless the cartridge verification member detects a verification feature on the surgical staple cartridge.
  • Example 13—The surgical stapling instrument of Example 12, wherein the surgical staple cartridge comprises a cartridge body and wherein the verification feature comprises a cartridge body extension extending proximally from a proximal end of the cartridge body.
  • Example 14—The surgical stapling instrument of Examples 12 or 13, wherein the cartridge verification member is movable within the channel between an actuated position wherein the cartridge verification member moves the camming assembly from the unfired position to the intermediate position and a cartridge verification position.
  • Example 15—The surgical stapling instrument of Example 14, further comprising a verification biaser for biasing the cartridge verification member into the actuated position unless the cartridge verification member is contacted by the verification feature of the surgical staple cartridge to move the cartridge verification member to the cartridge verification position.
  • Example 16—A surgical staple cartridge configured to be installed in a surgical stapling instrument. The surgical stapling instrument includes a firing member, a firing member lockout, and a cartridge verification member. The surgical staple cartridge comprises a cartridge body, a plurality of staples removably stored within the cartridge body, a camming assembly, and at least one verification feature. The cartridge body is configured to be operably supported in the surgical stapling instrument and comprises a proximal end, a distal end, and a cartridge slot extending from the proximal end to the distal end to accommodate axial passage of the firing member therethrough. The camming assembly is configured to deploy the staples from the cartridge body as the camming assembly moves from an unfired position adjacent the proximal end of the cartridge body to a fired position. The camming assembly is further configured to move the firing member lockout from a locked position wherein the firing member cannot be moved distally through the cartridge body to an unlocked position wherein the firing member may be axially moved through the cartridge body. The at least one verification feature is configured to operably interface with the cartridge verification member such that when the cartridge body is operably supported in the surgical stapling instrument, the verification feature prevents the cartridge verification member from moving the camming assembly from the unfired position to an intermediate position wherein the camming assembly disengages from the firing member lockout to permit the firing member lockout to be biased into the locked position to prevent the firing member from being moved distally through the cartridge body upon application of a firing motion to the firing member.
  • Example 17—The surgical staple cartridge of Example 16, wherein the at least one verification feature comprises at least one cartridge body extension extending proximally from the proximal end of the cartridge body and in actuation alignment with a corresponding portion of the cartridge verification member.
  • Example 18—The surgical staple cartridge of Example 16, wherein the at least one verification feature comprises four cartridge body extensions extending proximally from the proximal end of the cartridge body wherein each cartridge body extension is in actuation alignment with a corresponding portion of the cartridge verification member.
  • Example 19—The surgical staple cartridge of Examples 16, 17, or 18, wherein the camming assembly further comprises a camming assembly body supported in the cartridge slot for axial travel therein and at least one cam member on each lateral side of the camming assembly body and movably supported in a corresponding cam member axial slot in the cartridge body on each side of the cartridge slot and wherein the cartridge verification member comprises an actuator arm corresponding to each cam member axial slot and configured to extend therein.
  • Example 20—The surgical staple cartridge of Examples 16, 17, 18, or 19, wherein the at least one verification feature comprises at least one secondary verification surface thereon configured to interface with a corresponding primary surface on the cartridge verification member to facilitate operable seating of the surgical staple cartridge in the surgical stapling instrument.
  • Example 21—A surgical stapling assembly configured to receive any of the staple cartridges selected from the group of staple cartridges comprising a compatible staple cartridge and an incompatible staple cartridge. The compatible staple cartridge comprises a cartridge body comprising a longitudinal slot, a plurality of staples stored within the cartridge body, a camming assembly configured to eject the staples from the cartridge body, and a cartridge verification feature. The camming assembly is movable between an unfired position and a fired position. The incompatible staple cartridge comprises another cartridge body comprising another longitudinal slot, another plurality of other staples stored within the another cartridge body, and another camming assembly configured to eject the other staples from the another cartridge body. The another camming assembly is movable between an another unfired position and another fired position. The surgical stapling assembly comprises a first jaw configured to operably support any one of the group of staple cartridges therein, a second jaw movable relative to the first jaw, a firing member configured to axially move between a starting position and an ending position upon application of a firing motion thereto, a firing member lockout, and a cartridge verification member. The firing member lockout is movable from a first locked position wherein the firing member lockout prevents the firing member from moving out of the starting position to an unlocked position wherein the firing member is distally movable from the starting position upon application of the firing motion to the firing member. Upon installation of the compatible cartridge into the first jaw with the camming assembly thereof in the unfired position, the camming assembly engages the firing member lockout to move the firing member lockout to the unlocked position. Upon installation of the incompatible staple cartridge in the first jaw with the another camming assembly thereof in the another unfired position, the another camming assembly is configured to engage the firing member lockout to move the firing member lockout to the unlocked position. When the incompatible staple cartridge is installed in the first jaw, the cartridge verification member moves the another camming assembly out of engagement with the firing member lockout to permit the firing member lockout to be biased into the locked position by a firing member spring. When the compatible cartridge is installed in the first jaw, the cartridge verification feature thereon prevents the cartridge verification member from moving the camming assembly thereof out of engagement with the firing member lockout.
  • Many of the surgical instrument systems described herein are motivated by an electric motor; however, the surgical instrument systems described herein can be motivated in any suitable manner. In various instances, the surgical instrument systems described herein can be motivated by a manually-operated trigger, for example. In certain instances, the motors disclosed herein may comprise a portion or portions of a robotically controlled system. Moreover, any of the end effectors and/or tool assemblies disclosed herein can be utilized with a robotic surgical instrument system. U.S. patent application Ser. No. 13/118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now U.S. Pat. No. 9,072,535, for example, discloses several examples of a robotic surgical instrument system in greater detail.
  • The surgical instrument systems described herein have been described in connection with the deployment and deformation of staples; however, the embodiments described herein are not so limited. Various embodiments are envisioned which deploy fasteners other than staples, such as clamps or tacks, for example. Moreover, various embodiments are envisioned which utilize any suitable means for sealing tissue. For instance, an end effector in accordance with various embodiments can comprise electrodes configured to heat and seal the tissue. Also, for instance, an end effector in accordance with certain embodiments can apply vibrational energy to seal the tissue.
  • The entire disclosures of:
      • U.S. Pat. No. 5,403,312, entitled ELECTROSURGICAL HEMOSTATIC DEVICE, which issued on Apr. 4, 1995;
      • U.S. Pat. No. 7,000,818, entitled SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, which issued on Feb. 21, 2006;
      • U.S. Pat. No. 7,422,139, entitled MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK, which issued on Sep. 9, 2008;
      • U.S. Pat. No. 7,464,849, entitled ELECTRO-MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS, which issued on Dec. 16, 2008;
      • U.S. Pat. No. 7,670,334, entitled SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR, which issued on Mar. 2, 2010;
      • U.S. Pat. No. 7,753,245, entitled SURGICAL STAPLING INSTRUMENTS, which issued on Jul. 13, 2010;
      • U.S. Pat. No. 8,393,514, entitled SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE, which issued on Mar. 12, 2013;
      • U.S. patent application Ser. No. 11/343,803, entitled SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES, now U.S. Pat. No. 7,845,537;
      • U.S. patent application Ser. No. 12/031,573, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES, filed Feb. 14, 2008;
      • U.S. patent application Ser. No. 12/031,873, entitled END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT, filed Feb. 15, 2008, now U.S. Pat. No. 7,980,443;
      • U.S. patent application Ser. No. 12/235,782, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, now U.S. Pat. No. 8,210,411;
      • U.S. patent application Ser. No. 12/235,972, entitled MOTORIZED SURGICAL INSTRUMENT, now U.S. Pat. No. 9,050,083.
      • U.S. patent application Ser. No. 12/249,117, entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, now U.S. Pat. No. 8,608,045;
      • U.S. patent application Ser. No. 12/647,100, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY, filed Dec. 24, 2009, now U.S. Pat. No. 8,220,688;
      • U.S. patent application Ser. No. 12/893,461, entitled STAPLE CARTRIDGE, filed Sep. 29, 2012, now U.S. Pat. No. 8,733,613;
      • U.S. patent application Ser. No. 13/036,647, entitled SURGICAL STAPLING INSTRUMENT, filed Feb. 28, 2011, now U.S. Pat. No. 8,561,870;
      • U.S. patent application Ser. No. 13/118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now U.S. Pat. No. 9,072,535;
      • U.S. patent application Ser. No. 13/524,049, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, filed on Jun. 15, 2012, now U.S. Pat. No. 9,101,358;
      • U.S. patent application Ser. No. 13/800,025, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on Mar. 13, 2013, now U.S. Pat. No. 9,345,481;
      • U.S. patent application Ser. No. 13/800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on Mar. 13, 2013, now U.S. Patent Application Publication No. 2014/0263552;
      • U.S. Patent Application Publication No. 2007/0175955, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM, filed Jan. 31, 2006; and
      • U.S. Patent Application Publication No. 2010/0264194, entitled SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR, filed Apr. 22, 2010, now U.S. Pat. No. 8,308,040, are hereby incorporated by reference herein.
  • Although various devices have been described herein in connection with certain embodiments, modifications and variations to those embodiments may be implemented. Particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. Thus, the particular features, structures, or characteristics illustrated or described in connection with one embodiment may be combined in whole or in part, with the features, structures or characteristics of one ore more other embodiments without limitation. Also, where materials are disclosed for certain components, other materials may be used. Furthermore, according to various embodiments, a single component may be replaced by multiple components, and multiple components may be replaced by a single component, to perform a given function or functions. The foregoing description and following claims are intended to cover all such modification and variations.
  • The devices disclosed herein can be designed to be disposed of after a single use, or they can be designed to be used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of the steps including, but not limited to, the disassembly of the device, followed by cleaning or replacement of particular pieces of the device, and subsequent reassembly of the device. In particular, a reconditioning facility and/or surgical team can disassemble a device and, after cleaning and/or replacing particular parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will appreciate that reconditioning of a device can utilize a variety of techniques for disassembly, cleaning/replacement, and reassembly. Use of such techniques, and the resulting reconditioned device, are all within the scope of the present application.
  • The devices disclosed herein may be processed before surgery. First, a new or used instrument may be obtained and, when necessary, cleaned. The instrument may then be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and instrument may then be placed in a field of radiation that can penetrate the container, such as gamma radiation, x-rays, and/or high-energy electrons. The radiation may kill bacteria on the instrument and in the container. The sterilized instrument may then be stored in the sterile container. The sealed container may keep the instrument sterile until it is opened in a medical facility. A device may also be sterilized using any other technique known in the art, including but not limited to beta radiation, gamma radiation, ethylene oxide, plasma peroxide, and/or steam.
  • While this invention has been described as having exemplary designs, the present invention may be further modified within the spirit and scope of the disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles.

Claims (45)

1-21. (canceled)
22. A surgical cartridge for use with a surgical instrument including a shaft defining a shaft axis, and an end effector attached to the shaft, wherein the end effector includes a first jaw, a second jaw supported relative to the first jaw for movement about a jaw axis that is transverse to the shaft axis between an open position and a closed position, and a firing member movable from a locked position in which the firing member is unable to move distally therefrom through the end effector to an ending position within the end effector, wherein said surgical cartridge comprises:
a cartridge body configured to be removably seated in the first jaw, wherein said cartridge body comprises a proximal end and a distal end;
a first unlocking feature protruding from said proximal end of said cartridge body, wherein said first unlocking feature is configured to laterally move a closure lock in the surgical instrument in a first lateral direction that is parallel to the jaw axis from a blocking position in which the closure lock prevents the second jaw from being movable from the open position to an unblocking position in which the second jaw is movable to the closed position when said cartridge body is seated in the first jaw; and
a second unlocking feature configured to move the firing member from the locked position to an unlocked position in which the firing member is movable to the ending position.
23. The surgical cartridge of claim 22, wherein said second unlocking feature is movable between an unactuated position within said cartridge body and an actuated position within said cartridge body, wherein said second unlocking feature moves the firing member to the unlocked position when said second unlocking feature is in said unactuated position and said cartridge body is seated in the first jaw.
24. The surgical cartridge of claim 23, further comprising a plurality of surgical staples stored in said cartridge body, and wherein said second unlocking feature comprises a camming member configured to eject said surgical staples from said cartridge body when said camming member is moved from said unactuated position to said actuated position.
25. The surgical cartridge of claim 24, wherein the firing member includes a lock latch that is movable relative to the firing member about a latch axis that is transverse to the shaft axis between a latched position wherein the lock latch retains the firing member in the locked position and an unlatched position corresponding to the unlocked position in which the firing member is movable to the ending position, and wherein said camming member is configured to move the lock latch from the latched positon to the unlatched position when said camming member is in said unactuated position and said cartridge body is seated in said first jaw.
26. The surgical cartridge of claim 22, wherein said cartridge body further comprises an elongate slot defining a cartridge axis, wherein said elongate slot is configured to accommodate the firing member when the firing member moves between the locked position and the ending position, and wherein said first unlocking feature protrudes from said proximal end on one lateral side of said cartridge axis.
27. The surgical cartridge of claim 26, further comprising a cartridge pan attached to said cartridge body, wherein said first unlocking feature is formed in said cartridge pan.
28. The surgical cartridge of claim 27, wherein said cartridge body is fabricated from a first material and said cartridge pan is fabricated from a second material that differs from said first material.
29. The surgical cartridge of claim 22, wherein the surgical instrument includes a firing member lock that is movable in a second lateral direction that is opposite to the first lateral direction between a latched position in which the firing member lock retains the firing member in the locked position and an unlatched position corresponding to the unlocked position in which the firing member is movable to the ending position, and wherein said second unlocking feature is configured to move the firing member lock from the latched positon to the unlatched position when said cartridge body is seated in the first jaw.
30. The surgical cartridge of claim 29, wherein said second unlocking feature protrudes from said proximal end of said cartridge body.
31. The surgical cartridge of claim 30, wherein said cartridge body further comprises an elongate slot defining a cartridge axis, wherein said elongate slot is configured to accommodate the firing member when the firing member moves between the locked position and the ending position, wherein said first unlocking feature protrudes from said proximal end on one lateral side of said cartridge axis, and wherein said second unlocking feature protrudes from said proximal end on another lateral side of said cartridge axis.
32. The surgical cartridge of claim 30, further comprising a cartridge pan attached to said cartridge body, and wherein said first unlocking feature is formed in said cartridge pan and said second unlocking feature is formed in said cartridge pan.
33. The surgical cartridge of claim 32, wherein said cartridge body is fabricated from a first material and said cartridge pan is fabricated from a second material that differs from said first material.
34. The surgical cartridge of claim 29, further comprising:
a plurality of surgical staples stored in said cartridge body; and
a camming member configured to eject said surgical staples from said cartridge body when said camming member is moved from an unactuated position to an actuated position, wherein said camming member is configured to move the firing member from the locked position to the unlocked position when said camming member is in said unactuated position and said cartridge body is seated in the first jaw.
35. A surgical cartridge for use with a surgical instrument including a shaft defining a shaft axis, and an end effector attached to the shaft, wherein the end effector includes a first jaw, a second jaw movably supported relative to the first jaw for movement between an open position and a closed position, and a firing member movable between a locked position and an ending position within the end effector, wherein said surgical cartridge comprises:
a cartridge body configured to be removably seated in the first jaw, wherein said cartridge body comprises a proximal end and a distal end; and
a first unlocking feature protruding from said proximal end of said cartridge body, wherein said first unlocking feature is configured to move a lock member in the surgical instrument from a first closure position in which the lock member prevents the second jaw from being movable from the open position to the closed position and the firing member from being movable from the locked position to the ending position to a second closure position in which the second jaw is movable from the open position to the closed position and the firing member is movable from the locked position to the ending position.
36. The surgical cartridge of claim 35, further comprising a second unlocking feature configured to move the firing member in the surgical instrument from the locked position to an unlocked position in which the firing member is movable to the ending position when said cartridge body is seated in the first jaw.
37. The surgical cartridge of claim 36, wherein said second unlocking feature is movable between an unactuated position within said cartridge body and an actuated position within said cartridge body, wherein said second unlocking feature moves the firing member to the unlocked position when said second unlocking feature is in said unactuated position and said cartridge body is seated in the first jaw.
38. The surgical cartridge of claim 37, further comprising a plurality of surgical staples stored in said cartridge body, wherein said second unlocking feature comprises a camming member configured to eject said surgical staples from said cartridge body when said camming member is moved from said unactuated position to said actuated position.
39. The surgical cartridge of claim 35, further comprising a second unlocking feature configured to move a firing lock in the surgical instrument from a locked position in which the firing member lock retains the firing member in the beginning position and an unlocked position.
40. The surgical cartridge of claim 39, wherein the firing member lock comprises a lock latch movably coupled to the firing member for pivotal movement relative thereto about a latch axis that is transverse to the shaft axis, and wherein said second unlocking feature to pivot the lock latch from the locked position to the unlocked position when the cartridge body is seated in the first jaw.
41. The surgical cartridge of claim 40, wherein said second unlocking feature is movable between an unactuated position within said cartridge body and an actuated position within said cartridge body, wherein said second unlocking feature moves the firing member lock to the unlocked position when said second unlocking feature is in said unactuated position and said cartridge body is seated in the first jaw.
42. The surgical cartridge of claim 41, further comprising a plurality of surgical staples stored in said cartridge body, wherein said second unlocking feature comprises a camming member configured to eject said surgical staples from said cartridge body when said camming member is moved from said unactuated position to said actuated position.
43. The surgical cartridge of claim 35, wherein said cartridge body further comprises an elongate slot defining a cartridge axis, wherein said elongate slot is configured to accommodate the firing member when the firing member moves between the beginning position and the ending position, and wherein said first unlocking feature protrudes from said proximal end on one lateral side of said cartridge axis.
44. The surgical cartridge of claim 43, further comprising a cartridge pan attached to said cartridge body, wherein said first unlocking feature is formed in said cartridge pan.
45. The surgical cartridge of claim 44, wherein said cartridge body is fabricated from a first material and said cartridge pan is fabricated from a second material that differs from said first material.
46. The surgical cartridge of claim 35, wherein said first unlocking feature is configured to laterally move the lock member in the surgical instrument from the first closure position to the second closure position.
47. A surgical cartridge for use with a surgical instrument including a shaft defining a shaft axis, and an end effector attached to the shaft, wherein the end effector includes a first jaw, a second jaw supported relative to the first jaw for movement between an open position and a closed position by an axially movable closure member that is movable between a first position in which a distal end of the closure member is proximal to the second jaw and a second position in which the distal end applies a closure motion to the second jaw to move the second jaw from the open position to the closed position, and a firing member movable between a locked position and an ending position within the end effector, wherein said surgical cartridge comprises:
a cartridge body configured to be removably seated in the first jaw, wherein said cartridge body comprises a proximal end and a distal end;
a first unlocking feature protruding from said proximal end of said cartridge body, wherein said first unlocking feature is configured to pivot a closure lock in the surgical instrument from a blocking position in which a portion of the closure lock confronts the distal end of the closure member to prevent the closure member from distally moving from the first position to an unblocking position in which the closure member is distally movable from the first position to the second position to apply the closure motion to the second jaw; and
a second unlocking feature configured to move the firing member lock in the surgical instrument from a locked position to an unlocked position in which the firing member is movable to the ending position.
48. The surgical cartridge of claim 47, wherein the closure lock is configured to pivot about a closure axis that is transverse to the shaft axis between the blocking position and the unblocking position.
49. The surgical cartridge of claim 47, wherein said second unlocking feature is movable between an unactuated position within said cartridge body and an actuated position within said cartridge body, wherein said second unlocking feature moves the firing member the unlocked position when said second unlocking feature is in said unactuated position and said cartridge body is seated in the first jaw.
50. The surgical cartridge of claim 49, further comprising a plurality of surgical staples stored in said cartridge body, and wherein said second unlocking feature comprises a camming member configured to eject said surgical staples from said cartridge body when said camming member is moved from said unactuated position to said actuated position.
51. The surgical cartridge of claim 47, wherein a lock latch is movably coupled to the firing member for pivotal movement relative thereto about a latch axis that is transverse to the shaft axis, and wherein said second unlocking feature is configured to pivot the lock latch from a latched position in which the lock latch retains the firing member in the locked position to an unlatched position in which the firing member is movable to the ending position when said cartridge body is seated in the first jaw.
52. The surgical cartridge of claim 51, wherein said second unlocking feature is movable between an unactuated position within said cartridge body and an actuated position within said cartridge body, wherein said second unlocking feature moves the lock latch to the unlatched position when said second unlocking feature is in said unactuated position and said cartridge body is seated in the first jaw.
53. The surgical cartridge of claim 52, further comprising a plurality of surgical staples stored in said cartridge body, wherein said second unlocking feature comprises a camming member configured to eject said surgical staples from said cartridge body when said camming member is moved from said unactuated position to said actuated position.
54. The surgical cartridge of claim 47, wherein said cartridge body further comprises an elongate slot defining a cartridge axis, wherein said elongate slot is configured to accommodate the firing member when the firing member moves between the locked position and the ending position, and wherein said first unlocking feature protrudes from said proximal end on one lateral side of said cartridge axis.
55. The surgical cartridge of claim 54, further comprising a cartridge pan attached to said cartridge body, wherein said first unlocking feature is formed in said cartridge pan.
56. The surgical cartridge of claim 55, wherein said cartridge body is fabricated from a first material and said cartridge pan is fabricated from a second material that differs from said first material.
57. The surgical cartridge of claim 47, wherein the surgical instrument further includes a firing member lock that is laterally movable between a latched position in which the firing member lock retains the firing member in the locked position to an unlatched position in which the firing member is movable to the ending position, and wherein said second unlocking feature is configured to laterally move the firing member lock from the latched position to the unlatched position when said surgical cartridge is seated in the first jaw.
58. A surgical cartridge configured for use with a surgical end effector that includes a first jaw, a second jaw supported relative to the first jaw for movement between an open position and a closed position, a closure lock configured to move between a closure locked position in which the second jaw is prevented from moving from the open position and a closure unlocked position in which the second jaw is movable from the open position, a firing member movable between a beginning position and an ending position within the surgical end effector, a first firing lock movable between a first locked position in which the first firing lock retains the firing member in the beginning position and a first unlocked position in which the first firing lock permits the firing member to move from the beginning position, and a second firing lock movable between a second locked position in which the second firing lock prevents the firing member from moving from the beginning position and a second unlocked position in which the second firing lock permits the firing member to move from the beginning position, wherein said surgical cartridge comprises:
a cartridge body configured to be seated in the first jaw;
a closure unlocking feature configured to move the closure lock from the closure locked position to the closure unlocked position when said cartridge body is seated in the first jaw;
a first firing unlocking feature configured to move the first firing lock from the first locked position to the first unlocked position when said cartridge body is seated in the first jaw; and
a second firing unlocking feature configured to move the second firing lock from the second locked position to the second unlocked position when said cartridge body is seated in the first jaw.
59. The surgical cartridge of claim 58, wherein said closure unlocking feature is configured to laterally move the closure lock from the closure locked position to the closure unlocked position when said cartridge body is seated in the first jaw.
60. The surgical cartridge of claim 59, wherein said closure unlocking feature is configured to laterally move the closure lock from the closure locked position to the closure unlocked position in a first lateral direction, and wherein said first firing unlocking feature is configured to laterally move the first firing lock from the first locked position to the first unlocked position in a second lateral direction that is opposite to the first lateral direction when said cartridge body is seated in the first jaw.
61. The surgical cartridge of claim 58, wherein said second firing unlocking feature is movably supported in said cartridge body, and wherein said first firing unlocking feature rigidly protrudes from a portion of said cartridge body.
62. The surgical cartridge of claim 61, wherein said closure unlocking feature rigidly protrudes from said cartridge body.
63. The surgical cartridge of claim 58, further comprising a cartridge pan attached to said cartridge body.
64. The surgical cartridge of claim 63, wherein at least one of said closure unlocking feature and said first firing unlocking feature is formed in said cartridge pan.
65. The surgical cartridge of claim 58, further comprising a plurality of surgical staples stored in said cartridge body, and wherein said second firing unlocking feature comprises a camming member configured to eject said surgical staples from said cartridge body when said camming member is moved from an unactuated position to an actuated position within said cartridge body, wherein said camming member is configured to move the second firing lock to the second unlocked position when said camming member is in said unactuated position and said surgical cartridge is seated in the first jaw.
US17/362,314 2018-03-28 2021-06-29 Surgical cartridges with surgical instrument unlocking features Abandoned US20210353288A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US17/362,314 US20210353288A1 (en) 2018-03-28 2021-06-29 Surgical cartridges with surgical instrument unlocking features

Applications Claiming Priority (27)

Application Number Priority Date Filing Date Title
US201862649310P 2018-03-28 2018-03-28
US201862649294P 2018-03-28 2018-03-28
US201862649327P 2018-03-28 2018-03-28
US201862649315P 2018-03-28 2018-03-28
US201862649296P 2018-03-28 2018-03-28
US201862649323P 2018-03-28 2018-03-28
US201862649291P 2018-03-28 2018-03-28
US201862649307P 2018-03-28 2018-03-28
US201862649300P 2018-03-28 2018-03-28
US201862649333P 2018-03-28 2018-03-28
US201862649320P 2018-03-28 2018-03-28
US201862649309P 2018-03-28 2018-03-28
US201862649313P 2018-03-28 2018-03-28
US201862649302P 2018-03-28 2018-03-28
US201862650887P 2018-03-30 2018-03-30
US201962807310P 2019-02-19 2019-02-19
US201962807319P 2019-02-19 2019-02-19
US201962807309P 2019-02-19 2019-02-19
US16/281,685 US11213294B2 (en) 2018-03-28 2019-02-21 Surgical instrument comprising co-operating lockout features
US16/281,741 US11278280B2 (en) 2018-03-28 2019-02-21 Surgical instrument comprising a jaw closure lockout
US16/281,704 US11259806B2 (en) 2018-03-28 2019-02-21 Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US16/281,707 US11166716B2 (en) 2018-03-28 2019-02-21 Stapling instrument comprising a deactivatable lockout
US16/281,670 US11406382B2 (en) 2018-03-28 2019-02-21 Staple cartridge comprising a lockout key configured to lift a firing member
US16/281,693 US11197668B2 (en) 2018-03-28 2019-02-21 Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout
US16/281,762 US11219453B2 (en) 2018-03-28 2019-02-21 Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US16/281,675 US11129611B2 (en) 2018-03-28 2019-02-21 Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein
US17/362,314 US20210353288A1 (en) 2018-03-28 2021-06-29 Surgical cartridges with surgical instrument unlocking features

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US16/281,675 Continuation US11129611B2 (en) 2018-03-28 2019-02-21 Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein

Publications (1)

Publication Number Publication Date
US20210353288A1 true US20210353288A1 (en) 2021-11-18

Family

ID=81291993

Family Applications (8)

Application Number Title Priority Date Filing Date
US16/281,693 Active 2039-04-17 US11197668B2 (en) 2018-03-28 2019-02-21 Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout
US16/281,675 Active 2039-07-30 US11129611B2 (en) 2018-03-28 2019-02-21 Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein
US16/281,707 Active 2039-06-25 US11166716B2 (en) 2018-03-28 2019-02-21 Stapling instrument comprising a deactivatable lockout
US16/281,670 Active 2039-10-28 US11406382B2 (en) 2018-03-28 2019-02-21 Staple cartridge comprising a lockout key configured to lift a firing member
US16/281,685 Active 2039-07-02 US11213294B2 (en) 2018-03-28 2019-02-21 Surgical instrument comprising co-operating lockout features
US17/362,314 Abandoned US20210353288A1 (en) 2018-03-28 2021-06-29 Surgical cartridges with surgical instrument unlocking features
US17/362,326 Abandoned US20210361284A1 (en) 2018-03-28 2021-06-29 Surgical end effectors with firing member and closure locking features
US17/362,302 Abandoned US20210353287A1 (en) 2018-03-28 2021-06-29 Surgical instrument assemblies with instrument locking features

Family Applications Before (5)

Application Number Title Priority Date Filing Date
US16/281,693 Active 2039-04-17 US11197668B2 (en) 2018-03-28 2019-02-21 Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout
US16/281,675 Active 2039-07-30 US11129611B2 (en) 2018-03-28 2019-02-21 Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein
US16/281,707 Active 2039-06-25 US11166716B2 (en) 2018-03-28 2019-02-21 Stapling instrument comprising a deactivatable lockout
US16/281,670 Active 2039-10-28 US11406382B2 (en) 2018-03-28 2019-02-21 Staple cartridge comprising a lockout key configured to lift a firing member
US16/281,685 Active 2039-07-02 US11213294B2 (en) 2018-03-28 2019-02-21 Surgical instrument comprising co-operating lockout features

Family Applications After (2)

Application Number Title Priority Date Filing Date
US17/362,326 Abandoned US20210361284A1 (en) 2018-03-28 2021-06-29 Surgical end effectors with firing member and closure locking features
US17/362,302 Abandoned US20210353287A1 (en) 2018-03-28 2021-06-29 Surgical instrument assemblies with instrument locking features

Country Status (6)

Country Link
US (8) US11197668B2 (en)
EP (10) EP3912565A1 (en)
JP (3) JP7317853B2 (en)
CN (3) CN112165909A (en)
BR (3) BR112020019493A2 (en)
WO (7) WO2019186434A1 (en)

Cited By (74)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11344326B2 (en) 2018-03-08 2022-05-31 Cilag Gmbh International Smart blade technology to control blade instability
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11382697B2 (en) 2017-12-28 2022-07-12 Cilag Gmbh International Surgical instruments comprising button circuits
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11406390B2 (en) 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11517309B2 (en) 2019-02-19 2022-12-06 Cilag Gmbh International Staple cartridge retainer with retractable authentication key
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11564703B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Surgical suturing instrument comprising a capture width which is larger than trocar diameter
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11589932B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
US11589915B2 (en) 2018-03-08 2023-02-28 Cilag Gmbh International In-the-jaw classifier based on a model
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11596291B2 (en) 2017-12-28 2023-03-07 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws
US11601371B2 (en) 2017-12-28 2023-03-07 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11696760B2 (en) 2017-12-28 2023-07-11 Cilag Gmbh International Safety systems for smart powered surgical stapling
US11701139B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11701185B2 (en) 2017-12-28 2023-07-18 Cilag Gmbh International Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11737668B2 (en) 2017-12-28 2023-08-29 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11751958B2 (en) 2017-12-28 2023-09-12 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
US11775682B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US11890065B2 (en) 2017-12-28 2024-02-06 Cilag Gmbh International Surgical system to limit displacement
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11903587B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Adjustment to the surgical stapling control based on situational awareness
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11931027B2 (en) 2018-03-28 2024-03-19 Cilag Gmbh Interntional Surgical instrument comprising an adaptive control system
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US12009095B2 (en) 2017-12-28 2024-06-11 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US12029506B2 (en) 2017-12-28 2024-07-09 Cilag Gmbh International Method of cloud based data analytics for use with the hub
US12035890B2 (en) 2017-12-28 2024-07-16 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US12048496B2 (en) 2017-12-28 2024-07-30 Cilag Gmbh International Adaptive control program updates for surgical hubs
US12062442B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Method for operating surgical instrument systems
US12076010B2 (en) 2017-12-28 2024-09-03 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US12121256B2 (en) 2023-04-06 2024-10-22 Cilag Gmbh International Methods for controlling temperature in ultrasonic device

Families Citing this family (449)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US20080169333A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapler end effector with tapered distal end
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7669747B2 (en) 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
RU2493788C2 (en) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Surgical cutting and fixing instrument, which has radio-frequency electrodes
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
BRPI1008667A2 (en) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc improvement of the operated surgical stapler
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
BR112013027794B1 (en) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc CLAMP CARTRIDGE SET
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
RU2014143258A (en) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. FABRIC THICKNESS COMPENSATOR CONTAINING MANY LAYERS
CN104334098B (en) 2012-03-28 2017-03-22 伊西康内外科公司 Tissue thickness compensator comprising capsules defining a low pressure environment
BR112014024194B1 (en) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc STAPLER CARTRIDGE SET FOR A SURGICAL STAPLER
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
BR112014032776B1 (en) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
RU2636861C2 (en) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Blocking of empty cassette with clips
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
RU2672520C2 (en) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Hingedly turnable surgical instruments with conducting ways for signal transfer
RU2669463C2 (en) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Surgical instrument with soft stop
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
BR112015026109B1 (en) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc surgical instrument
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
JP6416260B2 (en) 2013-08-23 2018-10-31 エシコン エルエルシー Firing member retractor for a powered surgical instrument
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
BR112016021943B1 (en) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
JP6612256B2 (en) 2014-04-16 2019-11-27 エシコン エルエルシー Fastener cartridge with non-uniform fastener
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
CN106456176B (en) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 Fastener cartridge including the extension with various configuration
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
JP6532889B2 (en) 2014-04-16 2019-06-19 エシコン エルエルシーEthicon LLC Fastener cartridge assembly and staple holder cover arrangement
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (en) 2014-09-05 2023-04-11 Ethicon Llc ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
MX2017003960A (en) 2014-09-26 2017-12-04 Ethicon Llc Surgical stapling buttresses and adjunct materials.
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
MX2017008108A (en) 2014-12-18 2018-03-06 Ethicon Llc Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge.
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
JP2020121162A (en) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US11229450B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with motor drive
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
BR112018016098B1 (en) 2016-02-09 2023-02-23 Ethicon Llc SURGICAL INSTRUMENT
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
JP7010956B2 (en) 2016-12-21 2022-01-26 エシコン エルエルシー How to staple tissue
JP6983893B2 (en) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC Lockout configuration for surgical end effectors and replaceable tool assemblies
US10835247B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Lockout arrangements for surgical end effectors
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
CN110114014B (en) 2016-12-21 2022-08-09 爱惜康有限责任公司 Surgical instrument system including end effector and firing assembly lockout
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
MX2019007311A (en) 2016-12-21 2019-11-18 Ethicon Llc Surgical stapling systems.
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11298128B2 (en) 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10863988B2 (en) 2017-11-29 2020-12-15 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US10898622B2 (en) 2017-12-28 2021-01-26 Ethicon Llc Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US10755813B2 (en) 2017-12-28 2020-08-25 Ethicon Llc Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11058498B2 (en) 2017-12-28 2021-07-13 Cilag Gmbh International Cooperative surgical actions for robot-assisted surgical platforms
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11197668B2 (en) * 2018-03-28 2021-12-14 Cilag Gmbh International Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US12029473B2 (en) 2018-05-31 2024-07-09 Intuitive Surgical Operations, Inc. Surgical instruments having a jaw locking mechanism
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
CN112867447B (en) 2018-10-19 2024-08-30 直观外科手术操作公司 Endoscopic Qian Baoxian suture surgical device
WO2020131298A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments having a reinforced staple cartridge
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
WO2020214397A1 (en) 2019-04-17 2020-10-22 Intuitive Surgical Operations, Inc. Surgical stapling instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11432816B2 (en) * 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11717301B2 (en) * 2019-09-25 2023-08-08 Lsi Solutions, Inc. Minimally invasive occlusion device and methods thereof
US12035913B2 (en) * 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US20210196363A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US11589916B2 (en) 2019-12-30 2023-02-28 Cilag Gmbh International Electrosurgical instruments with electrodes having variable energy densities
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
EP4103070A4 (en) 2020-02-14 2023-11-08 Covidien LP Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue
JP7490802B2 (en) 2020-03-24 2024-05-27 コヴィディエン リミテッド パートナーシップ Surgical stapling device with replaceable staple cartridge - Patents.com
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
CN111588429B (en) * 2020-06-11 2020-12-22 苏州贝诺医疗器械有限公司 Protection mechanism for preventing anastomat from being fired for two times, anastomat and nail bin
US11672559B2 (en) * 2020-06-17 2023-06-13 Cilag Gmbh International Surgical stapler with cartridge pan retention features
US12089838B2 (en) 2020-07-21 2024-09-17 Covidien Lp Shipping cover for staple cartridge
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US20220031312A1 (en) * 2020-08-03 2022-02-03 Covidien Lp Surgical stapling device with staple cartridge having dummy portion
US20220047261A1 (en) * 2020-08-17 2022-02-17 Covidien Lp Surgical stapling device with reload assembly having a lockout
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US20240065690A1 (en) * 2021-01-08 2024-02-29 Intuitive Surgical Operations, Inc. Surgical stapling instruments
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US20220346781A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Staple cartridge comprising staple drivers and stability supports
US20220346773A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical staple for use with combination electrosurgical instruments
US20220346861A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical systems configured to cooperatively control end effector function and application of therapeutic energy
US20220346853A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Electrosurgical techniques for sealing, short circuit detection, and system determination of power level
US20220346859A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising independently activatable segmented electrodes
US11944295B2 (en) 2021-04-30 2024-04-02 Cilag Gmbh International Surgical instrument comprising end effector with longitudinal sealing step
US11931035B2 (en) 2021-04-30 2024-03-19 Cilag Gmbh International Articulation system for surgical instrument
US20220346785A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising end effector with energy sensitive resistance elements
US11918275B2 (en) 2021-04-30 2024-03-05 Cilag Gmbh International Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity
US11857184B2 (en) 2021-04-30 2024-01-02 Cilag Gmbh International Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife
US20220346787A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Interchangeable end effector reloads
US20220346786A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Shaft system for surgical instrument
US20220346784A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising a closure bar and a firing bar
US11826043B2 (en) 2021-04-30 2023-11-28 Cilag Gmbh International Staple cartridge comprising formation support features
US20220346860A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical systems configured to control therapeutic energy application to tissue based on cartridge and tissue parameters
WO2022238840A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International System of surgical staple cartridges comprising absorbable staples
US11998192B2 (en) 2021-05-10 2024-06-04 Cilag Gmbh International Adaptive control of surgical stapling instrument based on staple cartridge type
WO2022238836A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International Bioabsorbable staple comprising mechanisms for slowing the absorption of the staple
US20220370065A1 (en) 2021-05-10 2022-11-24 Cilag Gmbh International Dissimilar staple cartridges with different bioabsorbable components
WO2022238847A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International Adaptive control of surgical stapling instrument based on staple cartridge type
BR112023023389A2 (en) 2021-05-10 2024-01-23 Cilag Gmbh Int ABSORBABLE SURGICAL CLIP COMPRISING A COATING
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
WO2022249088A1 (en) * 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a staple cartridge insertion stop
BR112023022500A2 (en) * 2021-05-28 2024-01-16 Cilag Gmbh Int CLIPPING INSTRUMENT COMPRISING A SHOT LOCK
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US20230119119A1 (en) 2021-10-18 2023-04-20 Cilag Gmbh International Cable-driven actuation system for robotic surgical tool attachment
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
EP4249428A1 (en) 2022-03-21 2023-09-27 Linde GmbH Method and installation for producing a product gas containing at least hydrogen by steam reforming
US20240221924A1 (en) * 2022-12-30 2024-07-04 Cilag Gmbh International Detection of knock-off or counterfeit surgical devices
WO2024194752A1 (en) * 2023-03-21 2024-09-26 Covidien Lp Stapling device with firing lockout assembly

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040232200A1 (en) * 2003-05-20 2004-11-25 Shelton Frederick E. Surgical stapling instrument having a spent cartridge lockout
US20140263567A1 (en) * 2013-03-13 2014-09-18 Covidien Lp Surgical stapling apparatus

Family Cites Families (1934)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1853416A (en) 1931-01-24 1932-04-12 Ada P Hall Tattoo marker
US2222125A (en) 1940-03-19 1940-11-19 Rudolph J Stehlik Nail driver
US3082426A (en) 1960-06-17 1963-03-26 George Oliver Halsted Surgical stapling device
US3187308A (en) 1961-07-03 1965-06-01 Gen Electric Information storage system for microwave computer
US3157308A (en) 1961-09-05 1964-11-17 Clark Mfg Co J L Canister type container and method of making the same
US3157305A (en) 1961-10-05 1964-11-17 Huck Mfg Co Nose assembly
US3503396A (en) 1967-09-21 1970-03-31 American Hospital Supply Corp Atraumatic surgical clamp
US3584628A (en) 1968-10-11 1971-06-15 United States Surgical Corp Wire suture wrapping instrument
US3633584A (en) 1969-06-10 1972-01-11 Research Corp Method and means for marking animals for identification
US4041362A (en) 1970-01-23 1977-08-09 Canon Kabushiki Kaisha Motor control system
US3626457A (en) 1970-03-05 1971-12-07 Koppers Co Inc Sentinel control for cutoff apparatus
DE2037167A1 (en) 1970-07-27 1972-02-03 Kretschmer H
US3759017A (en) 1971-10-22 1973-09-18 American Air Filter Co Latch for a filter apparatus
US3863118A (en) 1973-01-26 1975-01-28 Warner Electric Brake & Clutch Closed-loop speed control for step motors
US3898545A (en) 1973-05-25 1975-08-05 Mohawk Data Sciences Corp Motor control circuit
US3932812A (en) 1974-03-20 1976-01-13 Peripheral Equipment Corporation Motor speed indicator
US3912121A (en) 1974-08-14 1975-10-14 Dickey John Corp Controlled population monitor
US3915271A (en) 1974-09-25 1975-10-28 Koppers Co Inc Method and apparatus for electronically controlling the engagement of coacting propulsion systems
US4052649A (en) 1975-06-18 1977-10-04 Lear Motors Corporation Hand held variable speed drill motor and control system therefor
AT340039B (en) 1975-09-18 1977-11-25 Viennatone Gmbh MYOELECTRIC CONTROL CIRCUIT
US4096006A (en) 1976-09-22 1978-06-20 Spectra-Strip Corporation Method and apparatus for making twisted pair multi-conductor ribbon cable with intermittent straight sections
US4412539A (en) 1976-10-08 1983-11-01 United States Surgical Corporation Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
US4171700A (en) 1976-10-13 1979-10-23 Erbe Elektromedizin Gmbh & Co. Kg High-frequency surgical apparatus
JPS6056394B2 (en) 1976-12-10 1985-12-10 ソニー株式会社 Motor control device
US4157859A (en) 1977-05-26 1979-06-12 Clifford Terry Surgical microscope system
CA1124605A (en) 1977-08-05 1982-06-01 Charles H. Klieman Surgical stapler
DE2944730A1 (en) 1978-11-16 1980-05-29 Corning Glass Works SURGICAL INSTRUMENT
DE3016131A1 (en) 1980-04-23 1981-10-29 Siemens AG, 1000 Berlin und 8000 München Telecommunications cable with humidity detector - comprising one bare conductor and one conductor insulated with water-soluble material
DE3204522A1 (en) 1982-02-10 1983-08-25 B. Braun Melsungen Ag, 3508 Melsungen SURGICAL SKIN CLIP DEVICE
US4448193A (en) 1982-02-26 1984-05-15 Ethicon, Inc. Surgical clip applier with circular clip magazine
US4614366A (en) 1983-11-18 1986-09-30 Exactident, Inc. Nail identification wafer
US4633874A (en) 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4608160A (en) 1984-11-05 1986-08-26 Nelson Industries, Inc. System for separating liquids
DE3523871C3 (en) 1985-07-04 1994-07-28 Erbe Elektromedizin High frequency surgical device
US4701193A (en) 1985-09-11 1987-10-20 Xanar, Inc. Smoke evacuator system for use in laser surgery
GB2180972A (en) 1985-09-27 1987-04-08 Philips Electronic Associated Generating addresses for circuit units
US5047043A (en) 1986-03-11 1991-09-10 Olympus Optical Co., Ltd. Resecting device for living organism tissue utilizing ultrasonic vibrations
US4735603A (en) 1986-09-10 1988-04-05 James H. Goodson Laser smoke evacuation system and method
USD303787S (en) 1986-10-31 1989-10-03 Messenger Ronald L Connector strain relieving back shell
US5084057A (en) 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5158585A (en) 1988-04-13 1992-10-27 Hitachi, Ltd. Compressor unit and separator therefor
DE3824913A1 (en) 1988-07-22 1990-02-01 Thomas Hill Device for monitoring high-frequency (radio-frequency) electric leakage currents
JPH071130Y2 (en) 1988-10-25 1995-01-18 オリンパス光学工業株式会社 Ultrasonic treatment device
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
FR2647683B1 (en) 1989-05-31 1993-02-12 Kyocera Corp BLOOD WATERPROOFING / COAGULATION DEVICE OUTSIDE BLOOD VESSELS
JPH0341943A (en) 1989-07-10 1991-02-22 Topcon Corp Laser surgical operation device
US5010341A (en) 1989-10-04 1991-04-23 The United States Of America As Represented By The Secretary Of The Navy High pulse repetition frequency radar early warning receiver
DE4002843C1 (en) 1990-02-01 1991-04-18 Gesellschaft Fuer Geraetebau Mbh, 4600 Dortmund, De Protective breathing mask with filter - having gas sensors in-front and behind with difference in their signals providing signal for change of filter
US5035692A (en) 1990-02-13 1991-07-30 Nicholas Herbert Hemostasis clip applicator
US5026387A (en) 1990-03-12 1991-06-25 Ultracision Inc. Method and apparatus for ultrasonic surgical cutting and hemostatis
US5318516A (en) 1990-05-23 1994-06-07 Ioan Cosmescu Radio frequency sensor for automatic smoke evacuator system for a surgical laser and/or electrical apparatus and method therefor
DE4026452C2 (en) 1990-08-21 1993-12-02 Schott Glaswerke Device for recognizing and distinguishing medical disposable applicators that can be connected to a laser under a plug connection
US5204669A (en) 1990-08-30 1993-04-20 Datacard Corporation Automatic station identification where function modules automatically initialize
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5100402A (en) 1990-10-05 1992-03-31 Megadyne Medical Products, Inc. Electrosurgical laparoscopic cauterization electrode
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
EP0563101B1 (en) 1990-12-18 1996-05-15 United States Surgical Corporation Safety device for a surgical stapler
USD399561S (en) 1991-01-24 1998-10-13 Megadyne Medical Products, Inc. Electrical surgical forceps handle
US5423192A (en) 1993-08-18 1995-06-13 General Electric Company Electronically commutated motor for driving a compressor
US5396900A (en) 1991-04-04 1995-03-14 Symbiosis Corporation Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5189277A (en) 1991-04-08 1993-02-23 Thermal Dynamics Corporation Modular, stackable plasma cutting apparatus
DE69229792T2 (en) * 1991-05-14 2000-02-10 United States Surgical Corp., Norwalk Surgical stapler with used cartridge detection device and locking device
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5197962A (en) 1991-06-05 1993-03-30 Megadyne Medical Products, Inc. Composite electrosurgical medical instrument
US5417210A (en) 1992-05-27 1995-05-23 International Business Machines Corporation System and method for augmentation of endoscopic surgery
USD327061S (en) 1991-07-29 1992-06-16 Motorola, Inc. Radio telephone controller or similar article
US5397046A (en) * 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5307976A (en) * 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
WO1993008897A1 (en) 1991-11-01 1993-05-13 Sorenson Laboratories, Inc. Dual mode laser smoke evacuation system with sequential filter monitor and vacuum compensation
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5906625A (en) 1992-06-04 1999-05-25 Olympus Optical Co., Ltd. Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue
US5318563A (en) 1992-06-04 1994-06-07 Valley Forge Scientific Corporation Bipolar RF generator
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5772597A (en) 1992-09-14 1998-06-30 Sextant Medical Corporation Surgical tool end effector
FR2696089B1 (en) 1992-09-25 1994-11-25 Gen Electric Cgr Device for handling a radiology device.
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
DE4304353A1 (en) 1992-10-24 1994-04-28 Helmut Dipl Ing Wurster Suturing device used in endoscopic surgical operations - has helical needle with fixed non-traumatic thread held and rotated by rollers attached to instrument head extended into patients body.
US5610811A (en) 1992-11-09 1997-03-11 Niti-On Medical Supply Co., Ltd. Surgical instrument file system
US5417699A (en) 1992-12-10 1995-05-23 Perclose Incorporated Device and method for the percutaneous suturing of a vascular puncture site
US5697926A (en) 1992-12-17 1997-12-16 Megadyne Medical Products, Inc. Cautery medical instrument
US5403312A (en) 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5403327A (en) 1992-12-31 1995-04-04 Pilling Weck Incorporated Surgical clip applier
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5987346A (en) 1993-02-26 1999-11-16 Benaron; David A. Device and method for classification of tissue
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
DE69414244T2 (en) 1993-04-30 1999-04-22 United States Surgical Corp., Norwalk, Conn. SURGICAL INSTRUMENT WITH A SWIVELING JAW STRUCTURE
US5364003A (en) 1993-05-05 1994-11-15 Ethicon Endo-Surgery Staple cartridge for a surgical stapler
US5439468A (en) 1993-05-07 1995-08-08 Ethicon Endo-Surgery Surgical clip applier
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
GR940100335A (en) 1993-07-22 1996-05-22 Ethicon Inc. Electrosurgical device for placing staples.
US5342349A (en) 1993-08-18 1994-08-30 Sorenson Laboratories, Inc. Apparatus and system for coordinating a surgical plume evacuator and power generator
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
ZA948393B (en) 1993-11-01 1995-06-26 Polartechnics Ltd Method and apparatus for tissue type recognition
US5462545A (en) 1994-01-31 1995-10-31 New England Medical Center Hospitals, Inc. Catheter electrodes
US5560372A (en) 1994-02-02 1996-10-01 Cory; Philip C. Non-invasive, peripheral nerve mapping device and method of use
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5415335A (en) 1994-04-07 1995-05-16 Ethicon Endo-Surgery Surgical stapler cartridge containing lockout mechanism
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
DE69530642T2 (en) 1994-07-29 2004-04-01 Olympus Optical Co., Ltd. Medical instrument for use in combination with endoscopes
US5496315A (en) 1994-08-26 1996-03-05 Megadyne Medical Products, Inc. Medical electrode insulating system
US6646541B1 (en) 1996-06-24 2003-11-11 Computer Motion, Inc. General purpose distributed operating room control system
US7053752B2 (en) 1996-08-06 2006-05-30 Intuitive Surgical General purpose distributed operating room control system
DE4434864C2 (en) 1994-09-29 1997-06-19 United States Surgical Corp Surgical staple applicator with interchangeable staple magazine
US6678552B2 (en) 1994-10-24 2004-01-13 Transscan Medical Ltd. Tissue characterization based on impedance images and on impedance measurements
US5531743A (en) 1994-11-18 1996-07-02 Megadyne Medical Products, Inc. Resposable electrode
US5846237A (en) 1994-11-18 1998-12-08 Megadyne Medical Products, Inc. Insulated implement
US5836869A (en) 1994-12-13 1998-11-17 Olympus Optical Co., Ltd. Image tracking endoscope system
JPH08164148A (en) 1994-12-13 1996-06-25 Olympus Optical Co Ltd Surgical operation device under endoscope
US5988479A (en) * 1994-12-13 1999-11-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5613966A (en) 1994-12-21 1997-03-25 Valleylab Inc System and method for accessory rate control
DE19503702B4 (en) 1995-02-04 2005-10-27 Nicolay Verwaltungs-Gmbh Liquid and gas-tight encapsulated switch, in particular for electrosurgical instruments
US5654750A (en) 1995-02-23 1997-08-05 Videorec Technologies, Inc. Automatic recording system
US5735445A (en) * 1995-03-07 1998-04-07 United States Surgical Corporation Surgical stapler
US5695505A (en) 1995-03-09 1997-12-09 Yoon; Inbae Multifunctional spring clips and cartridges and applicators therefor
US5942333A (en) 1995-03-27 1999-08-24 Texas Research Institute Non-conductive coatings for underwater connector backshells
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
US5775331A (en) 1995-06-07 1998-07-07 Uromed Corporation Apparatus and method for locating a nerve
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
US5706998A (en) * 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
US5718359A (en) 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5693052A (en) 1995-09-01 1997-12-02 Megadyne Medical Products, Inc. Coated bipolar electrocautery
USD379346S (en) 1995-09-05 1997-05-20 International Business Machines Corporation Battery charger
GB9521772D0 (en) 1995-10-24 1996-01-03 Gyrus Medical Ltd An electrosurgical instrument
DE19546707A1 (en) 1995-12-14 1997-06-19 Bayerische Motoren Werke Ag Drive device for a motor vehicle
US5746209A (en) 1996-01-26 1998-05-05 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Method of and apparatus for histological human tissue characterizationusing ultrasound
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US6099537A (en) 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
US5673842A (en) 1996-03-05 1997-10-07 Ethicon Endo-Surgery Surgical stapler with locking mechanism
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
WO1997038634A1 (en) 1996-04-18 1997-10-23 Applied Medical Resources Corporation Malleable clip applier and method
US6911916B1 (en) 1996-06-24 2005-06-28 The Cleveland Clinic Foundation Method and apparatus for accessing medical data over a network
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
CA2264663C (en) 1996-08-29 2004-11-09 Bausch & Lomb Surgical, Inc. Dual loop frequency and power control
US5997528A (en) 1996-08-29 1999-12-07 Bausch & Lomb Surgical, Inc. Surgical system providing automatic reconfiguration
US5724468A (en) 1996-09-09 1998-03-03 Lucent Technologies Inc. Electronic backplane device for a fiber distribution shelf in an optical fiber administration system
US7030146B2 (en) 1996-09-10 2006-04-18 University Of South Carolina Methods for treating diabetic neuropathy
US5836909A (en) 1996-09-13 1998-11-17 Cosmescu; Ioan Automatic fluid control system for use in open and laparoscopic laser surgery and electrosurgery and method therefor
US6109500A (en) 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
US5843080A (en) 1996-10-16 1998-12-01 Megadyne Medical Products, Inc. Bipolar instrument with multi-coated electrodes
US6582424B2 (en) 1996-10-30 2003-06-24 Megadyne Medical Products, Inc. Capacitive reusable electrosurgical return electrode
US6053910A (en) 1996-10-30 2000-04-25 Megadyne Medical Products, Inc. Capacitive reusable electrosurgical return electrode
US5766186A (en) 1996-12-03 1998-06-16 Simon Fraser University Suturing device
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US8183998B2 (en) 1996-12-16 2012-05-22 Ip Holdings, Inc. System for seamless and secure networking of implantable medical devices, electronic patch devices and wearable devices
EP0864348A1 (en) 1997-03-11 1998-09-16 Philips Electronics N.V. Gas purifier
US6699187B2 (en) 1997-03-27 2004-03-02 Medtronic, Inc. System and method for providing remote expert communications and video capabilities for use during a medical procedure
US7041941B2 (en) 1997-04-07 2006-05-09 Patented Medical Solutions, Llc Medical item thermal treatment systems and method of monitoring medical items for compliance with prescribed requirements
US5947996A (en) 1997-06-23 1999-09-07 Medicor Corporation Yoke for surgical instrument
DE19731894C1 (en) 1997-07-24 1999-05-12 Storz Karl Gmbh & Co Endoscopic instrument for performing endoscopic interventions or examinations and endoscopic instruments containing such an endoscopic instrument
US5878938A (en) 1997-08-11 1999-03-09 Ethicon Endo-Surgery, Inc. Surgical stapler with improved locking mechanism
US6102907A (en) 1997-08-15 2000-08-15 Somnus Medical Technologies, Inc. Apparatus and device for use therein and method for ablation of tissue
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6039735A (en) 1997-10-03 2000-03-21 Megadyne Medical Products, Inc. Electric field concentrated electrosurgical electrode
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US6068627A (en) 1997-12-10 2000-05-30 Valleylab, Inc. Smart recognition apparatus and method
US6273887B1 (en) 1998-01-23 2001-08-14 Olympus Optical Co., Ltd. High-frequency treatment tool
AU2769399A (en) 1998-02-17 1999-08-30 James A. Baker Jr. Radiofrequency medical instrument for vessel welding
US6457625B1 (en) 1998-02-17 2002-10-01 Bionx Implants, Oy Device for installing a tissue fastener
US6126658A (en) 1998-02-19 2000-10-03 Baker; James A. Radiofrequency medical instrument and methods for vessel welding
JPH11267133A (en) 1998-03-25 1999-10-05 Olympus Optical Co Ltd Therapeutic apparatus
US5968032A (en) 1998-03-30 1999-10-19 Sleister; Dennis R. Smoke evacuator for a surgical laser or cautery plume
US8688188B2 (en) 1998-04-30 2014-04-01 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US6059799A (en) 1998-06-25 2000-05-09 United States Surgical Corporation Apparatus for applying surgical clips
US6341164B1 (en) 1998-07-22 2002-01-22 Entrust Technologies Limited Method and apparatus for correcting improper encryption and/or for reducing memory storage
US6126592A (en) 1998-09-12 2000-10-03 Smith & Nephew, Inc. Endoscope cleaning and irrigation sheath
US6090107A (en) 1998-10-20 2000-07-18 Megadyne Medical Products, Inc. Resposable electrosurgical instrument
US20100042093A9 (en) 1998-10-23 2010-02-18 Wham Robert H System and method for terminating treatment in impedance feedback algorithm
CA2347286A1 (en) 1998-10-23 2000-05-04 Applied Medical Resources Corporation Surgical grasper with inserts and method of using same
US7137980B2 (en) 1998-10-23 2006-11-21 Sherwood Services Ag Method and system for controlling output of RF medical generator
US7901400B2 (en) 1998-10-23 2011-03-08 Covidien Ag Method and system for controlling output of RF medical generator
JP4101951B2 (en) 1998-11-10 2008-06-18 オリンパス株式会社 Surgical microscope
US6451015B1 (en) 1998-11-18 2002-09-17 Sherwood Services Ag Method and system for menu-driven two-dimensional display lesion generator
US6659939B2 (en) 1998-11-20 2003-12-09 Intuitive Surgical, Inc. Cooperative minimally invasive telesurgical system
US6325808B1 (en) 1998-12-08 2001-12-04 Advanced Realtime Control Systems, Inc. Robotic system, docking station, and surgical tool for collaborative control in minimally invasive surgery
DE19860689C2 (en) 1998-12-29 2001-07-05 Erbe Elektromedizin Method for controlling a device for removing smoke and device for carrying out the method
AU5924099A (en) 1998-12-31 2000-07-24 Jeffrey E. Yeung Tissue fastening devices and delivery means
GB2351884B (en) 1999-04-10 2002-07-31 Peter Strong Data transmission method
US6308089B1 (en) 1999-04-14 2001-10-23 O.B. Scientific, Inc. Limited use medical probe
US6301495B1 (en) 1999-04-27 2001-10-09 International Business Machines Corporation System and method for intra-operative, image-based, interactive verification of a pre-operative surgical plan
US6461352B2 (en) 1999-05-11 2002-10-08 Stryker Corporation Surgical handpiece with self-sealing switch assembly
US6454781B1 (en) 1999-05-26 2002-09-24 Ethicon Endo-Surgery, Inc. Feedback control in an ultrasonic surgical instrument for improved tissue effects
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US8229549B2 (en) 2004-07-09 2012-07-24 Tyco Healthcare Group Lp Surgical imaging device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6619406B1 (en) 1999-07-14 2003-09-16 Cyra Technologies, Inc. Advanced applications for 3-D autoscanning LIDAR system
JP2001029353A (en) 1999-07-21 2001-02-06 Olympus Optical Co Ltd Ultrasonic treating device
DE19935904C1 (en) 1999-07-30 2001-07-12 Karlsruhe Forschzent Applicator tip of a surgical applicator for placing clips / clips for the connection of tissue
WO2001008578A1 (en) 1999-07-30 2001-02-08 Vivant Medical, Inc. Device and method for safe location and marking of a cavity and sentinel lymph nodes
AU7880600A (en) 1999-08-12 2001-03-13 Somnus Medical Technologies, Inc. Nerve stimulation and tissue ablation apparatus and method
US6269411B1 (en) 1999-08-12 2001-07-31 Hewlett-Packard Company System for enabling stacking of autochanger modules
US6611793B1 (en) 1999-09-07 2003-08-26 Scimed Life Systems, Inc. Systems and methods to identify and disable re-use single use devices based on detecting environmental changes
AU7036100A (en) 1999-09-13 2001-04-17 Fernway Limited A method for transmitting data between respective first and second modems in a telecommunications system, and telecommunications system
US8004229B2 (en) 2005-05-19 2011-08-23 Intuitive Surgical Operations, Inc. Software center and highly configurable robotic systems for surgery and other uses
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US20040078236A1 (en) 1999-10-30 2004-04-22 Medtamic Holdings Storage and access of aggregate patient data for analysis
US6466817B1 (en) 1999-11-24 2002-10-15 Nuvasive, Inc. Nerve proximity and status detection system and method
ATE302634T1 (en) 2000-01-07 2005-09-15 Biowave Corp DEVICE FOR ELECTROTHERAPY
US6569109B2 (en) 2000-02-04 2003-05-27 Olympus Optical Co., Ltd. Ultrasonic operation apparatus for performing follow-up control of resonance frequency drive of ultrasonic oscillator by digital PLL system using DDS (direct digital synthesizer)
US6911033B2 (en) 2001-08-21 2005-06-28 Microline Pentax Inc. Medical clip applying device
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
AUPQ600100A0 (en) 2000-03-03 2000-03-23 Macropace Products Pty. Ltd. Animation technology
US6689131B2 (en) 2001-03-08 2004-02-10 Tissuelink Medical, Inc. Electrosurgical device having a tissue reduction sensor
US6391102B1 (en) 2000-03-21 2002-05-21 Stackhouse, Inc. Air filtration system with filter efficiency management
US6778846B1 (en) 2000-03-30 2004-08-17 Medtronic, Inc. Method of guiding a medical device and system regarding same
US6869430B2 (en) 2000-03-31 2005-03-22 Rita Medical Systems, Inc. Tissue biopsy and treatment apparatus and method
US6905498B2 (en) 2000-04-27 2005-06-14 Atricure Inc. Transmural ablation device with EKG sensor and pacing electrode
US7252664B2 (en) 2000-05-12 2007-08-07 Cardima, Inc. System and method for multi-channel RF energy delivery with coagulum reduction
WO2001087154A1 (en) 2000-05-18 2001-11-22 Nuvasive, Inc. Tissue discrimination and applications in medical procedures
US6742895B2 (en) 2000-07-06 2004-06-01 Alan L. Robin Internet-based glaucoma diagnostic system
US7419487B2 (en) 2000-07-25 2008-09-02 Angiodynamics, Inc. Apparatus for detecting and treating tumors using localized impedance measurement
DE60129997T2 (en) 2000-09-24 2008-05-08 Medtronic, Inc., Minneapolis MOTOR CONTROL SYSTEM FOR A SURGICAL HANDPIECE
WO2003079909A2 (en) 2002-03-19 2003-10-02 Tyco Healthcare Group, Lp Surgical fastener applying apparatus
CA2664942C (en) * 2000-10-13 2011-12-13 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US7077853B2 (en) 2000-10-20 2006-07-18 Ethicon Endo-Surgery, Inc. Method for calculating transducer capacitance to determine transducer temperature
US6945981B2 (en) 2000-10-20 2005-09-20 Ethicon-Endo Surgery, Inc. Finger operated switch for controlling a surgical handpiece
CA2359281C (en) 2000-10-20 2010-12-14 Ethicon Endo-Surgery, Inc. Detection circuitry for surgical handpiece system
US6679899B2 (en) 2000-10-20 2004-01-20 Ethicon Endo-Surgery, Inc. Method for detecting transverse vibrations in an ultrasonic hand piece
US20020049551A1 (en) 2000-10-20 2002-04-25 Ethicon Endo-Surgery, Inc. Method for differentiating between burdened and cracked ultrasonically tuned blades
US6480796B2 (en) 2000-10-20 2002-11-12 Ethicon Endo-Surgery, Inc. Method for improving the start up of an ultrasonic system under zero load conditions
US6633234B2 (en) 2000-10-20 2003-10-14 Ethicon Endo-Surgery, Inc. Method for detecting blade breakage using rate and/or impedance information
ATE326802T1 (en) 2000-11-28 2006-06-15 Flash Networks Ltd SYSTEM AND METHOD FOR TRANSMISSION RATE CONTROL
US7232445B2 (en) 2000-12-06 2007-06-19 Id, Llc Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD)
US6558380B2 (en) 2000-12-08 2003-05-06 Gfd Gesellschaft Fur Diamantprodukte Mbh Instrument for surgical purposes and method of cleaning same
EP1216651A1 (en) 2000-12-21 2002-06-26 BrainLAB AG Wireless medical acquisition and treatment system
US20050004559A1 (en) 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
US6618626B2 (en) 2001-01-16 2003-09-09 Hs West Investments, Llc Apparatus and methods for protecting the axillary nerve during thermal capsullorhaphy
US6551243B2 (en) 2001-01-24 2003-04-22 Siemens Medical Solutions Health Services Corporation System and user interface for use in providing medical information and health care delivery support
WO2002067798A1 (en) 2001-02-26 2002-09-06 Ntero Surgical, Inc. System and method for reducing post-surgical complications
ATE431111T1 (en) 2001-02-27 2009-05-15 Smith & Nephew Inc DEVICE FOR TOTAL KNEE CONSTRUCTION
EP1235471A1 (en) 2001-02-27 2002-08-28 STMicroelectronics Limited A stackable module
JP2002288105A (en) 2001-03-26 2002-10-04 Hitachi Ltd Storage area network system, method for its operation, storage, and data transferring quantity monitoring device
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
JP4617059B2 (en) 2001-04-20 2011-01-19 パワー メディカル インターベンションズ, エルエルシー Imaging device
ATE551955T1 (en) 2001-04-20 2012-04-15 Tyco Healthcare SURGICAL DEVICE HAVING BIPOLAR OR ULTRASONIC FEATURES
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
US20030009111A1 (en) 2001-06-13 2003-01-09 Cory Philip C. Non-invasive method and apparatus for tissue detection
US7044911B2 (en) 2001-06-29 2006-05-16 Philometron, Inc. Gateway platform for biological monitoring and delivery of therapeutic compounds
US7208005B2 (en) 2001-08-06 2007-04-24 The Penn State Research Foundation Multifunctional tool and method for minimally invasive surgery
EP2308395A1 (en) 2001-08-08 2011-04-13 Stryker Corporation Surgical tool system including a navigation unit that receives information about the implant the system is to implant and that responds to the received information
US7344532B2 (en) 2001-08-27 2008-03-18 Gyrus Medical Limited Electrosurgical generator and system
US7104949B2 (en) 2001-08-31 2006-09-12 Ams Research Corporation Surgical articles for placing an implant about a tubular tissue structure and methods
US20030093503A1 (en) 2001-09-05 2003-05-15 Olympus Optical Co., Ltd. System for controling medical instruments
AU2002327779B2 (en) 2001-09-28 2008-06-26 Angiodynamics, Inc. Impedance controlled tissue ablation apparatus and method
JP2005503871A (en) 2001-09-28 2005-02-10 メーガン メディカル、インク. Method and apparatus for securing and / or identifying a link to a transcutaneous probe
US6524307B1 (en) 2001-10-05 2003-02-25 Medtek Devices, Inc. Smoke evacuation apparatus
US6635056B2 (en) 2001-10-09 2003-10-21 Cardiac Pacemakers, Inc. RF ablation apparatus and method using amplitude control
DE10151269B4 (en) 2001-10-17 2005-08-25 Sartorius Ag Method for monitoring the integrity of filtration plants
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US6770072B1 (en) 2001-10-22 2004-08-03 Surgrx, Inc. Electrosurgical jaw structure for controlled energy delivery
CN100563547C (en) 2001-11-01 2009-12-02 斯科特实验室公司 The user interface that is used for tranquilizer and analgesics induction system and method
US7383088B2 (en) 2001-11-07 2008-06-03 Cardiac Pacemakers, Inc. Centralized management system for programmable medical devices
US7409354B2 (en) 2001-11-29 2008-08-05 Medison Online Inc. Method and apparatus for operative event documentation and related data management
EP1453432B1 (en) 2001-12-04 2012-08-01 Tyco Healthcare Group LP System and method for calibrating a surgical instrument
US6783525B2 (en) 2001-12-12 2004-08-31 Megadyne Medical Products, Inc. Application and utilization of a water-soluble polymer on a surface
US20030114851A1 (en) 2001-12-13 2003-06-19 Csaba Truckai Electrosurgical jaws for controlled application of clamping pressure
US6869435B2 (en) 2002-01-17 2005-03-22 Blake, Iii John W Repeating multi-clip applier
US6585791B1 (en) 2002-01-29 2003-07-01 Jon C. Garito Smoke plume evacuation filtration system
US8775196B2 (en) 2002-01-29 2014-07-08 Baxter International Inc. System and method for notification and escalation of medical data
EP1334699A1 (en) 2002-02-11 2003-08-13 Led S.p.A. Apparatus for electrosurgery
US6685704B2 (en) 2002-02-26 2004-02-03 Megadyne Medical Products, Inc. Utilization of an active catalyst in a surface coating of an electrosurgical instrument
US20030210812A1 (en) 2002-02-26 2003-11-13 Ali Khamene Apparatus and method for surgical navigation
US8010180B2 (en) 2002-03-06 2011-08-30 Mako Surgical Corp. Haptic guidance system and method
US7527590B2 (en) 2002-03-19 2009-05-05 Olympus Corporation Anastomosis system
US7343565B2 (en) 2002-03-20 2008-03-11 Mercurymd, Inc. Handheld device graphical user interfaces for displaying patient medical records
US6641039B2 (en) 2002-03-21 2003-11-04 Alcon, Inc. Surgical procedure identification system
FR2838234A1 (en) 2002-04-03 2003-10-10 Sylea Flat electric cable, uses two layers with alternating wave layout for flattened conductors to provide electromagnetic cancellation
US7258688B1 (en) 2002-04-16 2007-08-21 Baylis Medical Company Inc. Computerized electrical signal generator
EP1496805B1 (en) 2002-04-25 2012-01-11 Tyco Healthcare Group LP Surgical instruments including micro-electromechanical systems (mems)
US7457804B2 (en) 2002-05-10 2008-11-25 Medrad, Inc. System and method for automated benchmarking for the recognition of best medical practices and products and for establishing standards for medical procedures
AU2003228979A1 (en) 2002-05-10 2003-11-11 Tyco Healthcare Group, Lp Surgical stapling apparatus having a wound closure material applicator assembly
US20030223877A1 (en) 2002-06-04 2003-12-04 Ametek, Inc. Blower assembly with closed-loop feedback
US7232447B2 (en) 2002-06-12 2007-06-19 Boston Scientific Scimed, Inc. Suturing instrument with deflectable head
CN101803938B (en) 2002-06-14 2012-06-20 Tyco医疗健康集团 Device for clamping cutting and stapling tissue
US6849074B2 (en) 2002-06-17 2005-02-01 Medconx, Inc. Disposable surgical devices
US6951559B1 (en) 2002-06-21 2005-10-04 Megadyne Medical Products, Inc. Utilization of a hybrid material in a surface coating of an electrosurgical instrument
AU2003245758A1 (en) 2002-06-21 2004-01-06 Cedara Software Corp. Computer assisted system and method for minimal invasive hip, uni knee and total knee replacement
US7121460B1 (en) 2002-07-16 2006-10-17 Diebold Self-Service Systems Division Of Diebold, Incorporated Automated banking machine component authentication system and method
US6852219B2 (en) 2002-07-22 2005-02-08 John M. Hammond Fluid separation and delivery apparatus and method
US20060116908A1 (en) 2002-07-30 2006-06-01 Dew Douglas K Web-based data entry system and method for generating medical records
US6824539B2 (en) 2002-08-02 2004-11-30 Storz Endoskop Produktions Gmbh Touchscreen controlling medical equipment from multiple manufacturers
US9271753B2 (en) 2002-08-08 2016-03-01 Atropos Limited Surgical device
EP1531749A2 (en) 2002-08-13 2005-05-25 Microbotics Corporation Microsurgical robot system
ATE416707T1 (en) 2002-10-02 2008-12-15 Olympus Corp OPERATIONAL SYSTEM WITH MULTIPLE MEDICAL DEVICES AND MULTIPLE REMOTE CONTROLS
ES2274284T3 (en) 2002-10-04 2007-05-16 Tyco Healthcare Group Lp SURGICAL STAPLER WITH UNIVERSAL ARTICULATION AND DEVICE FOR PREVIOUS SUPPORT OF THE FABRIC.
JP4668619B2 (en) 2002-10-28 2011-04-13 ノキア コーポレイション Device key
US6913471B2 (en) 2002-11-12 2005-07-05 Gateway Inc. Offset stackable pass-through signal connector
US7073765B2 (en) 2002-11-13 2006-07-11 Hill-Rom Services, Inc. Apparatus for carrying medical equipment
US7009511B2 (en) 2002-12-17 2006-03-07 Cardiac Pacemakers, Inc. Repeater device for communications with an implantable medical device
JP3769752B2 (en) 2002-12-24 2006-04-26 ソニー株式会社 Information processing apparatus and information processing method, data communication system, and program
US7081096B2 (en) 2003-01-24 2006-07-25 Medtronic Vascular, Inc. Temperature mapping balloon
US7230529B2 (en) 2003-02-07 2007-06-12 Theradoc, Inc. System, method, and computer program for interfacing an expert system to a clinical information system
US7182775B2 (en) 2003-02-27 2007-02-27 Microline Pentax, Inc. Super atraumatic grasper apparatus
US20080114212A1 (en) 2006-10-10 2008-05-15 General Electric Company Detecting surgical phases and/or interventions
US8882657B2 (en) 2003-03-07 2014-11-11 Intuitive Surgical Operations, Inc. Instrument having radio frequency identification systems and methods for use
US20040206365A1 (en) 2003-03-31 2004-10-21 Knowlton Edward Wells Method for treatment of tissue
US9149322B2 (en) 2003-03-31 2015-10-06 Edward Wells Knowlton Method for treatment of tissue
US20040199180A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Method of using surgical device for anastomosis
US20040243148A1 (en) 2003-04-08 2004-12-02 Wasielewski Ray C. Use of micro- and miniature position sensing devices for use in TKA and THA
US7147638B2 (en) 2003-05-01 2006-12-12 Sherwood Services Ag Electrosurgical instrument which reduces thermal damage to adjacent tissue
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US20070010838A1 (en) 2003-05-20 2007-01-11 Shelton Frederick E Iv Surgical stapling instrument having a firing lockout for an unclosed anvil
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20040243435A1 (en) 2003-05-29 2004-12-02 Med-Sched, Inc. Medical information management system
US9035741B2 (en) 2003-06-27 2015-05-19 Stryker Corporation Foot-operated control console for wirelessly controlling medical devices
US9002518B2 (en) 2003-06-30 2015-04-07 Intuitive Surgical Operations, Inc. Maximum torque driving of robotic surgical tools in robotic surgical systems
US20050020909A1 (en) 2003-07-10 2005-01-27 Moctezuma De La Barrera Jose Luis Display device for surgery and method for using the same
US8200775B2 (en) 2005-02-01 2012-06-12 Newsilike Media Group, Inc Enhanced syndication
JP2005058616A (en) 2003-08-19 2005-03-10 Olympus Corp Control device for medical system and method of control for medical system
KR100724837B1 (en) 2003-08-25 2007-06-04 엘지전자 주식회사 Method for managing audio level information and method for controlling audio output level in digital audio device
US20050065438A1 (en) 2003-09-08 2005-03-24 Miller Landon C.G. System and method of capturing and managing information during a medical diagnostic imaging procedure
US7597731B2 (en) 2003-09-15 2009-10-06 Medtek Devices, Inc. Operating room smoke evacuator with integrated vacuum motor and filter
US20050063575A1 (en) 2003-09-22 2005-03-24 Ge Medical Systems Global Technology, Llc System and method for enabling a software developer to introduce informational attributes for selective inclusion within image headers for medical imaging apparatus applications
EP1517117A1 (en) 2003-09-22 2005-03-23 Leica Geosystems AG Method and system for the determination of the actual position of a positioning apparatus
US8147486B2 (en) 2003-09-22 2012-04-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical device with flexible printed circuit
JP2005111085A (en) 2003-10-09 2005-04-28 Olympus Corp Operation supporting system
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
US10588629B2 (en) 2009-11-20 2020-03-17 Covidien Lp Surgical console and hand-held surgical device
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US7217269B2 (en) 2003-10-28 2007-05-15 Uab Research Foundation Electrosurgical control system
US7169145B2 (en) 2003-11-21 2007-01-30 Megadyne Medical Products, Inc. Tuned return electrode with matching inductor
US7118564B2 (en) 2003-11-26 2006-10-10 Ethicon Endo-Surgery, Inc. Medical treatment system with energy delivery device for limiting reuse
US7317955B2 (en) 2003-12-12 2008-01-08 Conmed Corporation Virtual operating room integration
US7147139B2 (en) 2003-12-30 2006-12-12 Ethicon Endo-Surgery, Inc Closure plate lockout for a curved cutter stapler
US7766207B2 (en) 2003-12-30 2010-08-03 Ethicon Endo-Surgery, Inc. Articulating curved cutter stapler
US7207472B2 (en) 2003-12-30 2007-04-24 Ethicon Endo-Surgery, Inc. Cartridge with locking knife for a curved cutter stapler
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US20050149356A1 (en) 2004-01-02 2005-07-07 Cyr Keneth K. System and method for management of clinical supply operations
WO2005072626A1 (en) 2004-01-23 2005-08-11 Ams Research Corporation Tissue fastening and cutting tool, and methods
US7766905B2 (en) 2004-02-12 2010-08-03 Covidien Ag Method and system for continuity testing of medical electrodes
ES2285586T3 (en) 2004-02-17 2007-11-16 Tyco Healthcare Group Lp SURGICAL ENGRAVING DEVICE WITH LOCKING MECHANISM.
US20050192610A1 (en) 2004-02-27 2005-09-01 Houser Kevin L. Ultrasonic surgical shears and tissue pad for same
US7625388B2 (en) 2004-03-22 2009-12-01 Alcon, Inc. Method of controlling a surgical system based on a load on the cutting tip of a handpiece
WO2005098736A2 (en) 2004-03-26 2005-10-20 Convergence Ct System and method for controlling access and use of patient medical data records
US20050222631A1 (en) 2004-04-06 2005-10-06 Nirav Dalal Hierarchical data storage and analysis system for implantable medical devices
US7379790B2 (en) 2004-05-04 2008-05-27 Intuitive Surgical, Inc. Tool memory-based software upgrades for robotic surgery
US20070179482A1 (en) 2004-05-07 2007-08-02 Anderson Robert S Apparatuses and methods to treat biological external tissue
US7945065B2 (en) 2004-05-07 2011-05-17 Phonak Ag Method for deploying hearing instrument fitting software, and hearing instrument adapted therefor
US20050251233A1 (en) 2004-05-07 2005-11-10 John Kanzius System and method for RF-induced hyperthermia
WO2005110263A2 (en) 2004-05-11 2005-11-24 Wisconsin Alumni Research Foundation Radiofrequency ablation with independently controllable ground pad conductors
US20050277913A1 (en) 2004-06-09 2005-12-15 Mccary Brian D Heads-up display for displaying surgical parameters in a surgical microscope
US20050283148A1 (en) 2004-06-17 2005-12-22 Janssen William M Ablation apparatus and system to limit nerve conduction
RU2007102585A (en) 2004-06-24 2008-07-27 Филлип Л. ДЖИЛДЕНБЕРГ (US) SEMI-BOTTED BINDING MACHINE
US7818041B2 (en) 2004-07-07 2010-10-19 Young Kim System and method for efficient diagnostic analysis of ophthalmic examinations
US7979157B2 (en) 2004-07-23 2011-07-12 Mcmaster University Multi-purpose robotic operating system and method
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US7862579B2 (en) 2004-07-28 2011-01-04 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for grasper
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7407074B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for multi-fire surgical fastening instrument
US8905977B2 (en) * 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
JP4873384B2 (en) 2004-09-16 2012-02-08 オリンパス株式会社 Medical practice management method, management server and medical practice management system using the same
US8123764B2 (en) 2004-09-20 2012-02-28 Endoevolution, Llc Apparatus and method for minimally invasive suturing
US7782789B2 (en) 2004-09-23 2010-08-24 Harris Corporation Adaptive bandwidth utilization for telemetered data
US20080015664A1 (en) 2004-10-06 2008-01-17 Podhajsky Ronald J Systems and methods for thermally profiling radiofrequency electrodes
ES2598134T3 (en) 2004-10-08 2017-01-25 Ethicon Endo-Surgery, Llc Ultrasonic surgical instrument
US7865236B2 (en) 2004-10-20 2011-01-04 Nervonix, Inc. Active electrode, bio-impedance based, tissue discrimination system and methods of use
US8641738B1 (en) 2004-10-28 2014-02-04 James W. Ogilvie Method of treating scoliosis using a biological implant
JP2006158525A (en) 2004-12-03 2006-06-22 Olympus Medical Systems Corp Ultrasonic surgical apparatus, and method of driving ultrasonic treatment instrument
US7371227B2 (en) 2004-12-17 2008-05-13 Ethicon Endo-Surgery, Inc. Trocar seal assembly
US20060136622A1 (en) 2004-12-21 2006-06-22 Spx Corporation Modular controller apparatus and method
US7294116B1 (en) 2005-01-03 2007-11-13 Ellman Alan G Surgical smoke plume evacuation system
USD521936S1 (en) 2005-01-07 2006-05-30 Apple Computer, Inc. Connector system
US8027710B1 (en) 2005-01-28 2011-09-27 Patrick Dannan Imaging system for endoscopic surgery
US20080040151A1 (en) 2005-02-01 2008-02-14 Moore James F Uses of managed health care data
US20070168461A1 (en) 2005-02-01 2007-07-19 Moore James F Syndicating surgical data in a healthcare environment
US7993140B2 (en) 2005-02-03 2011-08-09 Christopher Sakezles Models and methods of using same for testing medical devices
US20060241399A1 (en) 2005-02-10 2006-10-26 Fabian Carl E Multiplex system for the detection of surgical implements within the wound cavity
US7884735B2 (en) 2005-02-11 2011-02-08 Hill-Rom Services, Inc. Transferable patient care equipment support
JP4681908B2 (en) 2005-02-14 2011-05-11 オリンパス株式会社 Surgical device controller and surgical system using the same
JP2006223375A (en) 2005-02-15 2006-08-31 Olympus Corp Surgery data recorder, surgery data display device and surgery data recording and displaying method
EP1872290A4 (en) 2005-02-28 2009-08-26 Michael Rothman A system and method for improving hospital patient care by providing a continual measurement of health
US8206345B2 (en) 2005-03-07 2012-06-26 Medtronic Cryocath Lp Fluid control system for a medical device
US7784663B2 (en) 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
US8945095B2 (en) 2005-03-30 2015-02-03 Intuitive Surgical Operations, Inc. Force and torque sensing for surgical instruments
US8038686B2 (en) 2005-04-14 2011-10-18 Ethicon Endo-Surgery, Inc. Clip applier configured to prevent clip fallout
US7297149B2 (en) 2005-04-14 2007-11-20 Ethicon Endo-Surgery, Inc. Surgical clip applier methods
US7699860B2 (en) 2005-04-14 2010-04-20 Ethicon Endo-Surgery, Inc. Surgical clip
EP1868485B1 (en) 2005-04-15 2016-06-08 Surgisense Corporation Surgical instruments with sensors for detecting tissue properties, and systems using such instruments
US7362228B2 (en) 2005-04-28 2008-04-22 Warsaw Orthepedic, Inc. Smart instrument tray RFID reader
US7515961B2 (en) 2005-04-29 2009-04-07 Medtronic, Inc. Method and apparatus for dynamically monitoring, detecting and diagnosing lead conditions
US9526587B2 (en) 2008-12-31 2016-12-27 Intuitive Surgical Operations, Inc. Fiducial marker design and detection for locating surgical instrument in images
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US8398541B2 (en) 2006-06-06 2013-03-19 Intuitive Surgical Operations, Inc. Interactive user interfaces for robotic minimally invasive surgical systems
US7887554B2 (en) 2005-06-13 2011-02-15 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus with needle position indicator
US8468030B2 (en) 2005-06-27 2013-06-18 Children's Mercy Hospital System and method for collecting, organizing, and presenting date-oriented medical information
US8603083B2 (en) 2005-07-15 2013-12-10 Atricure, Inc. Matrix router for surgical ablation
US20160374747A9 (en) 2005-07-15 2016-12-29 Atricure, Inc. Ablation Device with Sensor
US8627993B2 (en) 2007-02-12 2014-01-14 Ethicon Endo-Surgery, Inc. Active braking electrical surgical instrument and method for braking such an instrument
US8573462B2 (en) 2006-05-19 2013-11-05 Ethicon Endo-Surgery, Inc. Electrical surgical instrument with optimized power supply and drive
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US9662116B2 (en) 2006-05-19 2017-05-30 Ethicon, Llc Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
EP2799014B1 (en) 2005-07-27 2018-09-05 Covidien LP Surgical stapler with a drive shaft with optical rotation encoding
RU2008107767A (en) 2005-07-29 2009-09-10 Алькон, Инк. (Ch) METHOD AND SYSTEM FOR CONFIGURING AND FILLING IN DATA OF SURGICAL DEVICE
US7621192B2 (en) 2005-07-29 2009-11-24 Dynatek Laboratories, Inc. Medical device durability test apparatus having an integrated particle counter and method of use
US7641092B2 (en) 2005-08-05 2010-01-05 Ethicon Endo - Surgery, Inc. Swing gate for device lockout in a curved cutter stapler
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US20070049947A1 (en) 2005-08-25 2007-03-01 Microline Pentax Inc. Cinch control device
US7720306B2 (en) 2005-08-29 2010-05-18 Photomed Technologies, Inc. Systems and methods for displaying changes in biological responses to therapy
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US20070078678A1 (en) 2005-09-30 2007-04-05 Disilvestro Mark R System and method for performing a computer assisted orthopaedic surgical procedure
US8096459B2 (en) 2005-10-11 2012-01-17 Ethicon Endo-Surgery, Inc. Surgical stapler with an end effector support
EP1948112A4 (en) 2005-10-11 2011-04-13 Podaima Blake Smart medical compliance method and system
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7966269B2 (en) 2005-10-20 2011-06-21 Bauer James D Intelligent human-machine interface
DE202005021068U1 (en) 2005-10-25 2007-02-15 Olympus Winter & Ibe Gmbh Surgical gripping or cutting tool, comprises gripping or cutting elements and joint area separately made of different material
JP4676864B2 (en) 2005-10-26 2011-04-27 株式会社フジクラ Circuit structure using flexible wiring board
US7328828B2 (en) * 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
CN1964187B (en) 2005-11-11 2011-09-28 鸿富锦精密工业(深圳)有限公司 A system, device and method to manage sound volume
US8411034B2 (en) 2009-03-12 2013-04-02 Marc Boillot Sterile networked interface for medical systems
US7761164B2 (en) 2005-11-30 2010-07-20 Medtronic, Inc. Communication system for medical devices
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
DK1960014T3 (en) 2005-12-14 2017-01-09 Stryker Corp Medical / surgical waste collection and disposal system
WO2007075844A1 (en) 2005-12-20 2007-07-05 Intuitive Surgical, Inc. Telescoping insertion axis of a robotic surgical system
US8054752B2 (en) 2005-12-22 2011-11-08 Intuitive Surgical Operations, Inc. Synchronous data communication
US7757028B2 (en) 2005-12-22 2010-07-13 Intuitive Surgical Operations, Inc. Multi-priority messaging
JP2007175231A (en) 2005-12-27 2007-07-12 Olympus Medical Systems Corp Medical system
WO2007075091A2 (en) 2005-12-29 2007-07-05 Rikshospitalet - Radiumhospitalet Hf Method and apparatus for determining local tissue impedance for positioning of a needle
US8628518B2 (en) 2005-12-30 2014-01-14 Intuitive Surgical Operations, Inc. Wireless force sensor on a distal portion of a surgical instrument and method
US7907166B2 (en) 2005-12-30 2011-03-15 Intuitive Surgical Operations, Inc. Stereo telestration for robotic surgery
US20070167702A1 (en) 2005-12-30 2007-07-19 Intuitive Surgical Inc. Medical robotic system providing three-dimensional telestration
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
CA2574935A1 (en) 2006-01-24 2007-07-24 Sherwood Services Ag A method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm
CA2854625C (en) 2006-01-27 2017-01-24 Suturtek Incorporated Apparatus and method for tissue closure
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US10357184B2 (en) 2012-06-21 2019-07-23 Globus Medical, Inc. Surgical tool systems and method
US20070203744A1 (en) 2006-02-28 2007-08-30 Stefan Scholl Clinical workflow simulation tool and method
CA2644983C (en) 2006-03-16 2015-09-29 Boston Scientific Limited System and method for treating tissue wall prolapse
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225556A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Disposable endoscope devices
US9636188B2 (en) 2006-03-24 2017-05-02 Stryker Corporation System and method for 3-D tracking of surgical instrument in relation to patient body
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
US20070270660A1 (en) 2006-03-29 2007-11-22 Caylor Edward J Iii System and method for determining a location of an orthopaedic medical device
US20080015912A1 (en) 2006-03-30 2008-01-17 Meryl Rosenthal Systems and methods for workforce management
US7667839B2 (en) 2006-03-30 2010-02-23 Particle Measuring Systems, Inc. Aerosol particle sensor with axial fan
FR2899932A1 (en) 2006-04-14 2007-10-19 Renault Sas METHOD AND DEVICE FOR CONTROLLING THE REGENERATION OF A DEPOLLUTION SYSTEM
US20070244478A1 (en) 2006-04-18 2007-10-18 Sherwood Services Ag System and method for reducing patient return electrode current concentrations
US20070249990A1 (en) 2006-04-20 2007-10-25 Ioan Cosmescu Automatic smoke evacuator and insufflation system for surgical procedures
CN101060315B (en) 2006-04-21 2010-09-29 鸿富锦精密工业(深圳)有限公司 Sound volume management system and method
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
US8007494B1 (en) 2006-04-27 2011-08-30 Encision, Inc. Device and method to prevent surgical burns
US8574229B2 (en) 2006-05-02 2013-11-05 Aesculap Ag Surgical tool
US7841980B2 (en) 2006-05-11 2010-11-30 Olympus Medical Systems Corp. Treatment system, trocar, treatment method and calibration method
US7920162B2 (en) 2006-05-16 2011-04-05 Stryker Leibinger Gmbh & Co. Kg Display method and system for surgical procedures
CA2651784C (en) 2006-05-19 2015-01-27 Mako Surgical Corp. Method and apparatus for controlling a haptic device
EP2529671B1 (en) 2006-05-19 2016-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument
US20070293218A1 (en) 2006-05-22 2007-12-20 Qualcomm Incorporated Collision avoidance for traffic in a wireless network
US8366727B2 (en) 2006-06-01 2013-02-05 Ethicon Endo-Surgery, Inc. Tissue pad ultrasonic surgical instrument
JP4504332B2 (en) 2006-06-12 2010-07-14 オリンパスメディカルシステムズ株式会社 Surgical system and system operation information notification method
US9561045B2 (en) 2006-06-13 2017-02-07 Intuitive Surgical Operations, Inc. Tool with rotation lock
US8560047B2 (en) 2006-06-16 2013-10-15 Board Of Regents Of The University Of Nebraska Method and apparatus for computer aided surgery
CA3068216C (en) 2006-06-22 2023-03-07 Board Of Regents Of The University Of Nebraska Magnetically coupleable robotic devices and related methods
ES2928065T3 (en) 2006-06-28 2022-11-15 Medtronic Ardian Luxembourg Thermally induced renal neuromodulation systems
US10258425B2 (en) 2008-06-27 2019-04-16 Intuitive Surgical Operations, Inc. Medical robotic system providing an auxiliary view of articulatable instruments extending out of a distal end of an entry guide
US20080059658A1 (en) 2006-06-29 2008-03-06 Nokia Corporation Controlling the feeding of data from a feed buffer
US8292639B2 (en) 2006-06-30 2012-10-23 Molex Incorporated Compliant pin control module and method for making the same
US7391173B2 (en) 2006-06-30 2008-06-24 Intuitive Surgical, Inc Mechanically decoupled capstan drive
CA2692368C (en) 2006-07-03 2016-09-20 Beth Israel Deaconess Medical Center Multi-channel medical imaging systems
US7776037B2 (en) 2006-07-07 2010-08-17 Covidien Ag System and method for controlling electrode gap during tissue sealing
US20080013460A1 (en) 2006-07-17 2008-01-17 Geoffrey Benjamin Allen Coordinated upload of content from multimedia capture devices based on a transmission rule
JP2008026051A (en) 2006-07-19 2008-02-07 Furuno Electric Co Ltd Biochemical autoanalyzer
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080033404A1 (en) 2006-08-03 2008-02-07 Romoda Laszlo O Surgical machine with removable display
US9757142B2 (en) 2006-08-09 2017-09-12 Olympus Corporation Relay device and ultrasonic-surgical and electrosurgical system
US7771429B2 (en) 2006-08-25 2010-08-10 Warsaw Orthopedic, Inc. Surgical tool for holding and inserting fasteners
US8652086B2 (en) 2006-09-08 2014-02-18 Abbott Medical Optics Inc. Systems and methods for power and flow rate control
US7637907B2 (en) 2006-09-19 2009-12-29 Covidien Ag System and method for return electrode monitoring
USD584688S1 (en) 2006-09-26 2009-01-13 Hosiden Corporation Photoelectric-transfer connector for optical fiber
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US8733614B2 (en) 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
US7637410B2 (en) 2006-10-06 2009-12-29 Tyco Healthcare Group Lp Surgical instrument including a locking assembly
EP2314232B1 (en) 2006-10-17 2015-03-25 Covidien LP Apparatus for applying surgical clips
US8229767B2 (en) 2006-10-18 2012-07-24 Hartford Fire Insurance Company System and method for salvage calculation, fraud prevention and insurance adjustment
EP2076193A4 (en) 2006-10-18 2010-02-03 Minnow Medical Inc Tuned rf energy and electrical tissue characterization for selective treatment of target tissues
US8126728B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for processing and transmittal of medical data through an intermediary device
JP5085996B2 (en) 2006-10-25 2012-11-28 テルモ株式会社 Manipulator system
US8214007B2 (en) 2006-11-01 2012-07-03 Welch Allyn, Inc. Body worn physiological sensor device having a disposable electrode module
IL179051A0 (en) 2006-11-05 2007-03-08 Gyrus Group Plc Modular surgical workstation
WO2008056618A2 (en) 2006-11-06 2008-05-15 Johnson & Johnson Kabushiki Kaisha Stapling instrument
WO2008069816A1 (en) 2006-12-06 2008-06-12 Ryan Timothy J Apparatus and methods for delivering sutures
US8062306B2 (en) 2006-12-14 2011-11-22 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8571598B2 (en) 2006-12-18 2013-10-29 Intel Corporation Method and apparatus for location-based wireless connection and pairing
US20100168561A1 (en) 2006-12-18 2010-07-01 Trillium Precision Surgical, Inc. Intraoperative Tissue Mapping and Dissection Systems, Devices, Methods, and Kits
US7617137B2 (en) 2006-12-19 2009-11-10 At&T Intellectual Property I, L.P. Surgical suite radio frequency identification methods and systems
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
JP5165696B2 (en) 2007-01-16 2013-03-21 エシコン・エンド−サージェリィ・インコーポレイテッド Ultrasonic device for cutting and coagulation
US20080177258A1 (en) 2007-01-18 2008-07-24 Assaf Govari Catheter with microphone
US20080177362A1 (en) 2007-01-18 2008-07-24 Medtronic, Inc. Screening device and lead delivery system
US7836085B2 (en) 2007-02-05 2010-11-16 Google Inc. Searching structured geographical data
WO2008098085A2 (en) 2007-02-06 2008-08-14 The Uab Research Foundation Universal surgical function control system
US20080306759A1 (en) 2007-02-09 2008-12-11 Hakan Mehmel Ilkin Patient workflow process messaging notification apparatus, system, and method
US8930203B2 (en) 2007-02-18 2015-01-06 Abbott Diabetes Care Inc. Multi-function analyte test device and methods therefor
CA2679832C (en) 2007-03-01 2015-05-26 Medtek Devices, Inc. Dba Buffalo Filter Wick and relief valve for disposable laparscopic smoke evacuation system
AU2008223389B2 (en) 2007-03-06 2013-07-11 Covidien Lp Surgical stapling apparatus
US8690864B2 (en) 2007-03-09 2014-04-08 Covidien Lp System and method for controlling tissue treatment
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7669747B2 (en) 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US7862560B2 (en) 2007-03-23 2011-01-04 Arthrocare Corporation Ablation apparatus having reduced nerve stimulation and related methods
US20100120266A1 (en) 2007-04-03 2010-05-13 Mats Rimborg Backplane To Mate Boards With Different Widths
AU2008236665B2 (en) 2007-04-03 2013-08-22 Nuvasive, Inc. Neurophysiologic monitoring system
CN102327136B (en) 2007-04-11 2014-04-23 柯惠Lp公司 Surgical clip applier
US7995045B2 (en) 2007-04-13 2011-08-09 Ethicon Endo-Surgery, Inc. Combined SBI and conventional image processor
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US8170396B2 (en) 2007-04-16 2012-05-01 Adobe Systems Incorporated Changing video playback rate
EP2211749B1 (en) 2007-04-16 2018-10-10 NeuroArm Surgical, Ltd. Methods, devices, and systems useful in registration
WO2008131362A2 (en) 2007-04-20 2008-10-30 Doheny Eye Institute Personal surgical center
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
DE102007021185B4 (en) 2007-05-05 2012-09-20 Ziehm Imaging Gmbh X-ray diagnostic device with a plurality of coded marks and a method for determining the position of device parts of the X-ray diagnostic device
US8083685B2 (en) 2007-05-08 2011-12-27 Propep, Llc System and method for laparoscopic nerve detection
US20080281678A1 (en) 2007-05-09 2008-11-13 Mclagan Partners, Inc. Practice management analysis tool for financial advisors
US9042978B2 (en) 2007-05-11 2015-05-26 Neurometrix, Inc. Method and apparatus for quantitative nerve localization
US8768251B2 (en) 2007-05-17 2014-07-01 Abbott Medical Optics Inc. Exclusive pairing technique for Bluetooth compliant medical devices
US7518502B2 (en) 2007-05-24 2009-04-14 Smith & Nephew, Inc. System and method for tracking surgical assets
CA2687621C (en) 2007-05-24 2016-01-05 Suturtek Incorporated Apparatus and method for minimally invasive suturing
US20090036750A1 (en) 2007-05-25 2009-02-05 The Charles Stark Draper Laboratory, Inc. Integration and control of medical devices in a clinical environment
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US20080296346A1 (en) 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US9138129B2 (en) 2007-06-13 2015-09-22 Intuitive Surgical Operations, Inc. Method and system for moving a plurality of articulated instruments in tandem back towards an entry guide
US8620473B2 (en) 2007-06-13 2013-12-31 Intuitive Surgical Operations, Inc. Medical robotic system with coupled control modes
US8160690B2 (en) 2007-06-14 2012-04-17 Hansen Medical, Inc. System and method for determining electrode-tissue contact based on amplitude modulation of sensed signal
US20080312953A1 (en) 2007-06-14 2008-12-18 Advanced Medical Optics, Inc. Database design for collection of medical instrument parameters
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
GB0715211D0 (en) 2007-08-06 2007-09-12 Smith & Nephew Apparatus
US9861354B2 (en) 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US20160184054A1 (en) 2007-07-05 2016-06-30 Orthoaccel Technologies, Inc. Pulsatile orthodontic device and methods
US7982776B2 (en) 2007-07-13 2011-07-19 Ethicon Endo-Surgery, Inc. SBI motion artifact removal apparatus and method
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8035685B2 (en) 2007-07-30 2011-10-11 General Electric Company Systems and methods for communicating video data between a mobile imaging system and a fixed monitor system
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8604709B2 (en) 2007-07-31 2013-12-10 Lsi Industries, Inc. Methods and systems for controlling electrical power to DC loads
US8801703B2 (en) 2007-08-01 2014-08-12 Covidien Lp System and method for return electrode monitoring
US9020240B2 (en) 2007-08-10 2015-04-28 Leica Geosystems Ag Method and surveying system for noncontact coordinate measurement on an object surface
US9483615B2 (en) 2007-08-10 2016-11-01 Smiths Medical Asd, Inc. Communication of original and updated pump parameters for a medical infusion pump
US20090046146A1 (en) 2007-08-13 2009-02-19 Jonathan Hoyt Surgical communication and control system
US20090048589A1 (en) 2007-08-14 2009-02-19 Tomoyuki Takashino Treatment device and treatment method for living tissue
FR2920086A1 (en) 2007-08-24 2009-02-27 Univ Grenoble 1 ANALYSIS SYSTEM AND METHOD FOR ENDOSCOPY SURGICAL OPERATION
US9848058B2 (en) 2007-08-31 2017-12-19 Cardiac Pacemakers, Inc. Medical data transport over wireless life critical network employing dynamic communication link mapping
GB0718291D0 (en) 2007-09-19 2007-10-31 King S College London Imaging apparatus and method
CN101801283B (en) 2007-09-21 2012-07-18 Tyco医疗健康集团 Surgical device
EP2233081B2 (en) 2007-09-21 2018-03-28 Covidien LP Surgical device
US8224484B2 (en) 2007-09-30 2012-07-17 Intuitive Surgical Operations, Inc. Methods of user interface with alternate tool mode for robotic surgical tools
US20090112618A1 (en) 2007-10-01 2009-04-30 Johnson Christopher D Systems and methods for viewing biometrical information and dynamically adapting schedule and process interdependencies with clinical process decisioning
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
US20110022032A1 (en) 2007-10-05 2011-01-27 Tyco Healthcare Group Lp Battery ejection design for a surgical device
US20130214025A1 (en) 2007-10-05 2013-08-22 Covidien Lp Powered surgical stapling device
US8012170B2 (en) 2009-04-27 2011-09-06 Tyco Healthcare Group Lp Device and method for controlling compression of tissue
US10271844B2 (en) 2009-04-27 2019-04-30 Covidien Lp Surgical stapling apparatus employing a predictive stapling algorithm
WO2009046234A2 (en) 2007-10-05 2009-04-09 Ethicon Endo-Surgery, Inc Ergonomic surgical instruments
US10498269B2 (en) 2007-10-05 2019-12-03 Covidien Lp Powered surgical stapling device
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8343065B2 (en) 2007-10-18 2013-01-01 Innovative Surgical Solutions, Llc Neural event detection
US8321581B2 (en) 2007-10-19 2012-11-27 Voxer Ip Llc Telecommunication and multimedia management method and apparatus
DE102007050232B4 (en) 2007-10-20 2024-05-02 Deutsches Zentrum für Luft- und Raumfahrt e.V. Handling robot and method for controlling a handling robot
EP2053353A1 (en) 2007-10-26 2009-04-29 Leica Geosystems AG Distance measuring method and corresponding device
EP2060986B1 (en) 2007-11-13 2019-01-02 Karl Storz SE & Co. KG System and method for management of processes in a hospital and/or in an operating room
JP5278854B2 (en) 2007-12-10 2013-09-04 富士フイルム株式会社 Image processing system and program
DE102008061418A1 (en) 2007-12-12 2009-06-18 Erbe Elektromedizin Gmbh Apparatus for contactless communication and use of a memory device
FR2924917B1 (en) 2007-12-13 2011-02-11 Microval APPARATUS FOR INSTALLING SUTURE SPIERS RESULTING FROM A SHAPE MEMORY METAL WIRE.
EP2075096A1 (en) 2007-12-27 2009-07-01 Leica Geosystems AG Method and system for extremely precise positioning of at least one object in the end position of a space
US20110264000A1 (en) 2007-12-28 2011-10-27 Saurav Paul System and method for determining tissue type and mapping tissue morphology
US20090182577A1 (en) 2008-01-15 2009-07-16 Carestream Health, Inc. Automated information management process
US8740840B2 (en) 2008-01-16 2014-06-03 Catheter Robotics Inc. Remotely controlled catheter insertion system
JP5154961B2 (en) 2008-01-29 2013-02-27 テルモ株式会社 Surgery system
US8544900B2 (en) 2008-01-31 2013-10-01 Hartwell Corporation Tool operated channel latch
US9336385B1 (en) 2008-02-11 2016-05-10 Adaptive Cyber Security Instruments, Inc. System for real-time threat detection and management
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US10390823B2 (en) * 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090217932A1 (en) 2008-03-03 2009-09-03 Ethicon Endo-Surgery, Inc. Intraluminal tissue markers
US8118206B2 (en) 2008-03-15 2012-02-21 Surgisense Corporation Sensing adjunct for surgical staplers
US20090234352A1 (en) 2008-03-17 2009-09-17 Tyco Healthcare Group Lp Variable Capacitive Electrode Pad
US9987072B2 (en) 2008-03-17 2018-06-05 Covidien Lp System and method for detecting a fault in a capacitive return electrode for use in electrosurgery
US8343096B2 (en) 2008-03-27 2013-01-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system
US8155479B2 (en) 2008-03-28 2012-04-10 Intuitive Surgical Operations Inc. Automated panning and digital zooming for robotic surgical systems
CA3022982C (en) 2008-03-31 2022-07-26 Applied Medical Resources Corporation Electrosurgical system
USD583328S1 (en) 2008-04-01 2008-12-23 Cheng Uei Precision Industry Co., Ltd. Receptacle connector
US20090254376A1 (en) 2008-04-08 2009-10-08 The Quantum Group, Inc. Dynamic integration of disparate health-related processes and data
US20090259221A1 (en) 2008-04-15 2009-10-15 Naoko Tahara Power supply apparatus for operation
US20090259149A1 (en) 2008-04-15 2009-10-15 Naoko Tahara Power supply apparatus for operation
US9526407B2 (en) 2008-04-25 2016-12-27 Karl Storz Imaging, Inc. Wirelessly powered medical devices and instruments
WO2009140092A1 (en) 2008-05-13 2009-11-19 The Medicines Company Maintenance of platelet inhibition during antiplatelet therapy
CA2723301C (en) 2008-05-27 2016-12-06 Stryker Corporation Wireless medical room control arrangement for control of a plurality of medical devices
EP2130484B1 (en) 2008-06-04 2011-04-20 FUJIFILM Corporation Illumination device for use in endoscope
WO2009149244A2 (en) 2008-06-05 2009-12-10 Alcon Research, Ltd. Wireless network and methods of wireless communication for ophthalmic surgical consoles
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US7789283B2 (en) 2008-06-06 2010-09-07 Tyco Healthcare Group Lp Knife/firing rod connection for surgical instrument
US8007513B2 (en) * 2008-06-12 2011-08-30 Ethicon Endo-Surgery, Inc. Partially reusable surgical stapler
US7932826B2 (en) 2008-06-12 2011-04-26 Abbott Laboratories Inc. System for tracking the location of components, assemblies, and subassemblies in an automated diagnostic analyzer
JP5216429B2 (en) 2008-06-13 2013-06-19 富士フイルム株式会社 Light source device and endoscope device
US8628545B2 (en) 2008-06-13 2014-01-14 Covidien Lp Endoscopic stitching devices
WO2009155432A2 (en) 2008-06-18 2009-12-23 Sterling Lc Miniaturized imaging device multiple grin lenses optically coupled to multiple ssids
WO2010008846A2 (en) 2008-06-23 2010-01-21 John Richard Dein Intra-operative system for identifying and tracking surgical sharp objects, instruments, and sponges
US20090326336A1 (en) 2008-06-25 2009-12-31 Heinz Ulrich Lemke Process for comprehensive surgical assist system by means of a therapy imaging and model management system (TIMMS)
CN101617950A (en) 2008-07-01 2010-01-06 王爱娣 Repeating titanium clamp pincers
US8771270B2 (en) 2008-07-16 2014-07-08 Intuitive Surgical Operations, Inc. Bipolar cautery instrument
US8054184B2 (en) 2008-07-31 2011-11-08 Intuitive Surgical Operations, Inc. Identification of surgical instrument attached to surgical robot
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US8058771B2 (en) 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
WO2010019515A2 (en) 2008-08-10 2010-02-18 Board Of Regents, The University Of Texas System Digital light processing hyperspectral imaging apparatus
US8172836B2 (en) 2008-08-11 2012-05-08 Tyco Healthcare Group Lp Electrosurgical system having a sensor for monitoring smoke or aerosols
WO2010018907A1 (en) 2008-08-14 2010-02-18 (주)미래컴퍼니 Robot system for performing surgery using a client server method
US8257387B2 (en) 2008-08-15 2012-09-04 Tyco Healthcare Group Lp Method of transferring pressure in an articulating surgical instrument
US8500728B2 (en) 2008-08-18 2013-08-06 Encision, Inc. Enhanced control systems including flexible shielding and support systems for electrosurgical applications
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US8208707B2 (en) 2008-09-02 2012-06-26 General Electric Company Tissue classification in medical images
US20100070417A1 (en) 2008-09-12 2010-03-18 At&T Mobility Ii Llc Network registration for content transactions
AU2009291688A1 (en) 2008-09-12 2010-03-18 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
CN101672648A (en) 2008-09-12 2010-03-17 富士通天株式会社 Information processing device and image processing device
US9107688B2 (en) 2008-09-12 2015-08-18 Ethicon Endo-Surgery, Inc. Activation feature for surgical instrument with pencil grip
US20100069939A1 (en) 2008-09-15 2010-03-18 Olympus Medical Systems Corp. Operation system
EP2163209A1 (en) 2008-09-15 2010-03-17 Zhiqiang Weng Lockout mechanism for a surgical stapler
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
US8005947B2 (en) 2008-09-22 2011-08-23 Abbott Medical Optics Inc. Systems and methods for providing remote diagnostics and support for surgical systems
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
MY160563A (en) 2008-10-01 2017-03-15 Chevron Usa Inc A 170 neutral base oil with improved properties
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8239066B2 (en) 2008-10-27 2012-08-07 Lennox Industries Inc. System and method of use for a user interface dashboard of a heating, ventilation and air conditioning network
US8021890B2 (en) 2008-11-03 2011-09-20 Petty Jon A Colorimetric test for brake system corrosion
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US8295902B2 (en) 2008-11-11 2012-10-23 Shifamed Holdings, Llc Low profile electrode assembly
US20100137845A1 (en) 2008-12-03 2010-06-03 Immersion Corporation Tool Having Multiple Feedback Devices
US8515520B2 (en) 2008-12-08 2013-08-20 Medtronic Xomed, Inc. Nerve electrode
US10080578B2 (en) 2008-12-16 2018-09-25 Nico Corporation Tissue removal device with adjustable delivery sleeve for neurosurgical and spinal surgery applications
US8627483B2 (en) 2008-12-18 2014-01-07 Accenture Global Services Limited Data anonymization based on guessing anonymity
US8335590B2 (en) 2008-12-23 2012-12-18 Intuitive Surgical Operations, Inc. System and method for adjusting an image capturing device attribute using an unused degree-of-freedom of a master control device
US8160098B1 (en) 2009-01-14 2012-04-17 Cisco Technology, Inc. Dynamically allocating channel bandwidth between interfaces
US11075754B2 (en) 2009-01-15 2021-07-27 International Business Machines Corporation Universal personal medical database access control
US20100191100A1 (en) 2009-01-23 2010-07-29 Warsaw Orthopedic, Inc. Methods and systems for diagnosing, treating, or tracking spinal disorders
US20110278343A1 (en) 2009-01-29 2011-11-17 Cardica, Inc. Clamping of Hybrid Surgical Instrument
WO2010088481A1 (en) 2009-01-30 2010-08-05 The Trustees Of Columbia University In The City Of New York Controllable magnetic source to fixture intracorporeal apparatus
US20100198200A1 (en) 2009-01-30 2010-08-05 Christopher Horvath Smart Illumination for Surgical Devices
US9107694B2 (en) 2009-01-30 2015-08-18 Koninklijke Philips N.V. Examination apparatus
US20100198248A1 (en) 2009-02-02 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical dissector
US8799009B2 (en) 2009-02-02 2014-08-05 Mckesson Financial Holdings Systems, methods and apparatuses for predicting capacity of resources in an institution
ES2398006T3 (en) 2009-02-04 2013-03-13 Stryker Leibinger Gmbh & Co. Kg Electric surgical tool and drive assembly for it
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8641621B2 (en) 2009-02-17 2014-02-04 Inneroptic Technology, Inc. Systems, methods, apparatuses, and computer-readable media for image management in image-guided medical procedures
US8858547B2 (en) 2009-03-05 2014-10-14 Intuitive Surgical Operations, Inc. Cut and seal instrument
KR20120034755A (en) 2009-03-06 2012-04-12 인터디지탈 패튼 홀딩스, 인크 Platform validation and management of wireless devices
US9848904B2 (en) 2009-03-06 2017-12-26 Procept Biorobotics Corporation Tissue resection and treatment with shedding pulses
US8903476B2 (en) 2009-03-08 2014-12-02 Oprobe, Llc Multi-function optical probe system for medical and veterinary applications
US8918207B2 (en) 2009-03-09 2014-12-23 Intuitive Surgical Operations, Inc. Operator input device for a robotic surgical system
US8120301B2 (en) 2009-03-09 2012-02-21 Intuitive Surgical Operations, Inc. Ergonomic surgeon control console in robotic surgical systems
US8418073B2 (en) 2009-03-09 2013-04-09 Intuitive Surgical Operations, Inc. User interfaces for electrosurgical tools in robotic surgical systems
US8423182B2 (en) 2009-03-09 2013-04-16 Intuitive Surgical Operations, Inc. Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems
US9226689B2 (en) 2009-03-10 2016-01-05 Medtronic Xomed, Inc. Flexible circuit sheet
US20100235689A1 (en) 2009-03-16 2010-09-16 Qualcomm Incorporated Apparatus and method for employing codes for telecommunications
US20100249535A1 (en) 2009-03-26 2010-09-30 Jay Pierce System and method for an orthopedic dynamic data repository and registry for recall
US9277969B2 (en) 2009-04-01 2016-03-08 Covidien Lp Microwave ablation system with user-controlled ablation size and method of use
US8945163B2 (en) 2009-04-01 2015-02-03 Ethicon Endo-Surgery, Inc. Methods and devices for cutting and fastening tissue
US8277446B2 (en) 2009-04-24 2012-10-02 Tyco Healthcare Group Lp Electrosurgical tissue sealer and cutter
US8365975B1 (en) 2009-05-05 2013-02-05 Cardica, Inc. Cam-controlled knife for surgical instrument
EP2427842B1 (en) 2009-05-08 2020-03-18 Johnson & Johnson Surgical Vision, Inc. Self-learning engine for the refinement and optimization of surgical settings
GB2470189B (en) 2009-05-11 2013-10-16 Gyrus Medical Ltd Electrosurgical generator
US9656092B2 (en) 2009-05-12 2017-05-23 Chronicmobile, Inc. Methods and systems for managing, controlling and monitoring medical devices via one or more software applications functioning in a secure environment
US20100292684A1 (en) 2009-05-15 2010-11-18 Cybulski James S Tissue modification devices and methods of the same
GB0908368D0 (en) 2009-05-15 2009-06-24 Univ Leuven Kath Adjustable remote center of motion positioner
US20100292535A1 (en) 2009-05-18 2010-11-18 Larry Paskar Endoscope with multiple fields of view
WO2010141922A1 (en) 2009-06-04 2010-12-09 Abbott Diabetes Care Inc. Method and system for updating a medical device
US9277961B2 (en) 2009-06-12 2016-03-08 Advanced Cardiac Therapeutics, Inc. Systems and methods of radiometrically determining a hot-spot temperature of tissue being treated
US9226791B2 (en) 2012-03-12 2016-01-05 Advanced Cardiac Therapeutics, Inc. Systems for temperature-controlled ablation using radiometric feedback
US20110077512A1 (en) 2009-06-16 2011-03-31 Dept. Of Veterans Affairs Biopsy marker composition and method of use
US9532827B2 (en) 2009-06-17 2017-01-03 Nuortho Surgical Inc. Connection of a bipolar electrosurgical hand piece to a monopolar output of an electrosurgical generator
US9872609B2 (en) 2009-06-18 2018-01-23 Endochoice Innovation Center Ltd. Multi-camera endoscope
US9554692B2 (en) 2009-06-18 2017-01-31 EndoChoice Innovation Ctr. Ltd. Multi-camera endoscope
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
BR112012000778A8 (en) 2009-07-15 2018-02-20 Koninklijke Philips Electronics Nv METHOD FOR PROVIDING A TIME VARIED PHYSIOLOGICAL PARAMETER ALERT, COMPUTER READING MEDIA, AND SYSTEM PROVIDING A TIME VARIED PHYSIOLOGICAL PARAMETER ALERT TO A USER
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US9017326B2 (en) 2009-07-15 2015-04-28 Ethicon Endo-Surgery, Inc. Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
US9439736B2 (en) 2009-07-22 2016-09-13 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for controlling a remote medical device guidance system in three-dimensions using gestures
FR2948594B1 (en) 2009-07-31 2012-07-20 Dexterite Surgical ERGONOMIC AND SEMI-AUTOMATIC MANIPULATOR AND INSTRUMENT APPLICATIONS FOR MINI-INVASIVE SURGERY
US8968358B2 (en) 2009-08-05 2015-03-03 Covidien Lp Blunt tissue dissection surgical instrument jaw designs
GB0913930D0 (en) 2009-08-07 2009-09-16 Ucl Business Plc Apparatus and method for registering two medical images
US8955732B2 (en) 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US7956620B2 (en) 2009-08-12 2011-06-07 Tyco Healthcare Group Lp System and method for augmented impedance sensing
US20140148729A1 (en) 2012-11-29 2014-05-29 Gregory P. Schmitz Micro-mechanical devices and methods for brain tumor removal
US8886790B2 (en) 2009-08-19 2014-11-11 Opanga Networks, Inc. Systems and methods for optimizing channel resources by coordinating data transfers based on data type and traffic
US9636239B2 (en) 2009-08-20 2017-05-02 Case Western Reserve University System and method for mapping activity in peripheral nerves
US20110166883A1 (en) 2009-09-01 2011-07-07 Palmer Robert D Systems and Methods for Modeling Healthcare Costs, Predicting Same, and Targeting Improved Healthcare Quality and Profitability
SE0901166A1 (en) 2009-09-10 2011-03-11 Cathprint Ab Flexible catheter lead carrier provided with such lead carrier
US9265429B2 (en) 2009-09-18 2016-02-23 Welch Allyn, Inc. Physiological parameter measuring platform device supporting multiple workflows
US10386990B2 (en) 2009-09-22 2019-08-20 Mederi Rf, Llc Systems and methods for treating tissue with radiofrequency energy
US9750563B2 (en) 2009-09-22 2017-09-05 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
US9474565B2 (en) 2009-09-22 2016-10-25 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
EP2483818A1 (en) 2009-09-28 2012-08-08 Johnson & Johnson Medical S.p.A. Method and system for monitoring the flow and usage of medical devices
US20120265555A1 (en) 2009-09-28 2012-10-18 Sandro Cappuzzo Method and system for monitoring the flow and usage of medical devices
US20110105895A1 (en) 2009-10-01 2011-05-05 Giora Kornblau Guided surgery
US20110125521A1 (en) 2009-10-02 2011-05-26 Rabin Chandra Kemp Dhoble Apparatuses, methods and systems for a mobile healthcare manager-based healthcare consultation manager
US9050093B2 (en) 2009-10-09 2015-06-09 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US20140074076A1 (en) 2009-10-12 2014-03-13 Kona Medical, Inc. Non-invasive autonomic nervous system modulation
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
WO2011047295A2 (en) 2009-10-16 2011-04-21 Nanomedapps Llc Item and user tracking
US8038693B2 (en) 2009-10-21 2011-10-18 Tyco Healthcare Group Ip Methods for ultrasonic tissue sensing and feedback
WO2011052390A1 (en) 2009-10-28 2011-05-05 オリンパスメディカルシステムズ株式会社 Medical device
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8225979B2 (en) 2009-10-30 2012-07-24 Tyco Healthcare Group Lp Locking shipping wedge
US8398633B2 (en) 2009-10-30 2013-03-19 Covidien Lp Jaw roll joint
DK2320621T3 (en) 2009-11-06 2016-12-19 Hoffmann La Roche A method of establishing a cryptographic communication between a remote device and a medical device and system for carrying out this method
KR102077004B1 (en) 2009-11-13 2020-02-13 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 End effector with redundant closing mechanisms
US8521331B2 (en) 2009-11-13 2013-08-27 Intuitive Surgical Operations, Inc. Patient-side surgeon interface for a minimally invasive, teleoperated surgical instrument
US9259275B2 (en) 2009-11-13 2016-02-16 Intuitive Surgical Operations, Inc. Wrist articulation by linked tension members
CN104958106B (en) 2009-11-13 2018-06-01 直观外科手术操作公司 Operation tool with compact wrist
US8682489B2 (en) 2009-11-13 2014-03-25 Intuitive Sugical Operations, Inc. Method and system for hand control of a teleoperated minimally invasive slave surgical instrument
US9241730B2 (en) 2009-11-25 2016-01-26 Eliaz Babaev Ultrasound surgical saw
US8540709B2 (en) 2009-12-07 2013-09-24 Covidien Lp Removable ink for surgical instrument
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US20110152712A1 (en) 2009-12-21 2011-06-23 Hong Cao Impedance Measurement Tissue Identification in Blood Vessels
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
USD657368S1 (en) 2009-12-31 2012-04-10 Welch Allyn, Inc. Patient monitoring device with graphical user interface
US20110162048A1 (en) 2009-12-31 2011-06-30 Apple Inc. Local device awareness
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US20120319859A1 (en) 2010-01-20 2012-12-20 Creative Team Instruments Ltd. Orientation detector for use with a hand-held surgical or dental tool
US11881307B2 (en) 2012-05-24 2024-01-23 Deka Products Limited Partnership System, method, and apparatus for electronic patient care
US8439910B2 (en) 2010-01-22 2013-05-14 Megadyne Medical Products Inc. Electrosurgical electrode with electric field concentrating flash edge
US8476227B2 (en) 2010-01-22 2013-07-02 Ethicon Endo-Surgery, Inc. Methods of activating a melanocortin-4 receptor pathway in obese subjects
US10044791B2 (en) 2010-01-22 2018-08-07 Deka Products Limited Partnership System, method, and apparatus for communicating data
GB2477515B (en) 2010-02-03 2012-09-26 Orbital Multi Media Holdings Corp Data flow control method and apparatus
KR20120139661A (en) 2010-02-04 2012-12-27 아에스쿨랍 아게 Laparoscopic radiofrequency surgical device
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US8512325B2 (en) 2010-02-26 2013-08-20 Covidien Lp Frequency shifting multi mode ultrasonic dissector
US9107684B2 (en) 2010-03-05 2015-08-18 Covidien Lp System and method for transferring power to intrabody instruments
USD673117S1 (en) 2010-03-09 2012-12-25 Wago Verwaltungsgesellschaft Mbh Electrical connectors
EP2544590B1 (en) 2010-03-12 2018-02-14 Inspire Medical Systems, Inc. System for identifying a location for nerve stimulation
EP2544598B1 (en) 2010-03-12 2020-05-06 The Board of Trustees of the University of Illionis Waterproof stretchable optoelectronics
WO2011119840A1 (en) 2010-03-25 2011-09-29 The Research Foundation Of State University Of New York Method and system for guided, efficient treatment
US9023032B2 (en) 2010-03-25 2015-05-05 Covidien Lp Shaped circuit boards suitable for use in electrosurgical devices and rotatable assemblies including same
JP5405373B2 (en) 2010-03-26 2014-02-05 富士フイルム株式会社 Electronic endoscope system
JP5606120B2 (en) 2010-03-29 2014-10-15 富士フイルム株式会社 Endoscope device
USD678304S1 (en) 2010-03-31 2013-03-19 Spintso International Ab Display screen or portion thereof with graphical user interface
WO2011128766A2 (en) 2010-04-13 2011-10-20 Picard Frederic Methods and systems for object tracking
JP5815671B2 (en) 2010-04-13 2015-11-17 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. Medical Body Area Network (MBAN) with spectrum-based key-based control
US10631912B2 (en) 2010-04-30 2020-04-28 Medtronic Xomed, Inc. Interface module for use with nerve monitoring and electrosurgery
US9052809B2 (en) 2010-05-26 2015-06-09 General Electric Company Systems and methods for situational application development and deployment with patient event monitoring
USD631252S1 (en) 2010-05-26 2011-01-25 Leslie Henry E Glove holder for engaging a garment
US9091588B2 (en) 2010-05-28 2015-07-28 Prognost Systems Gmbh System and method of mechanical fault detection based on signature detection
AU2015201140B2 (en) 2010-06-11 2017-02-09 Ethicon, Llc Suture delivery tools for endoscopic and robot-assisted surgery and methods
US20120130217A1 (en) 2010-11-23 2012-05-24 Kauphusman James V Medical devices having electrodes mounted thereon and methods of manufacturing therefor
US8596515B2 (en) 2010-06-18 2013-12-03 Covidien Lp Staple position sensor system
RU2579737C2 (en) 2010-06-24 2016-04-10 Конинклейке Филипс Электроникс Н.В. Real-time hifu therapy monitoring and control in set of measurements
US8429153B2 (en) 2010-06-25 2013-04-23 The United States Of America As Represented By The Secretary Of The Army Method and apparatus for classifying known specimens and media using spectral properties and identifying unknown specimens and media
US20120022519A1 (en) 2010-07-22 2012-01-26 Ethicon Endo-Surgery, Inc. Surgical cutting and sealing instrument with controlled energy delivery
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
WO2012024106A2 (en) 2010-08-17 2012-02-23 University Of Florida Research Foundation, Inc. Central site photoplethysmography, medication administration, and safety
US8814864B2 (en) 2010-08-23 2014-08-26 Covidien Lp Method of manufacturing tissue sealing electrodes
US20120059684A1 (en) 2010-09-02 2012-03-08 International Business Machines Corporation Spatial-Temporal Optimization of Physical Asset Maintenance
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
EP2618909A4 (en) 2010-09-20 2014-06-18 Surgiquest Inc Multi-flow filtration system
US9402682B2 (en) 2010-09-24 2016-08-02 Ethicon Endo-Surgery, Llc Articulation joint features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
EP3120781B1 (en) 2010-09-30 2018-03-21 Ethicon LLC Surgical stapling instrument with interchangeable staple cartridge arrangements
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US8752699B2 (en) 2010-09-30 2014-06-17 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising bioabsorbable layers
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
BR112013007717B1 (en) 2010-09-30 2020-09-24 Ethicon Endo-Surgery, Inc. SURGICAL CLAMPING SYSTEM
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
ES2912092T3 (en) 2010-10-01 2022-05-24 Applied Med Resources Electrosurgical instruments and connections thereto
US9655672B2 (en) 2010-10-04 2017-05-23 Covidien Lp Vessel sealing instrument
SI2627268T1 (en) 2010-10-11 2017-10-30 Cook Medical Technologies Llc Medical devices with detachable pivotable jaws
US9155503B2 (en) 2010-10-27 2015-10-13 Cadwell Labs Apparatus, system, and method for mapping the location of a nerve
US9072523B2 (en) 2010-11-05 2015-07-07 Ethicon Endo-Surgery, Inc. Medical device with feature for sterile acceptance of non-sterile reusable component
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
US9011471B2 (en) 2010-11-05 2015-04-21 Ethicon Endo-Surgery, Inc. Surgical instrument with pivoting coupling to modular shaft and end effector
US9161803B2 (en) 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US10959769B2 (en) 2010-11-05 2021-03-30 Ethicon Llc Surgical instrument with slip ring assembly to power ultrasonic transducer
US20120116381A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging station and wireless communication
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
CA140107S (en) 2010-11-11 2011-11-30 Hosiden Corp Electrical connector
KR101993815B1 (en) 2010-11-15 2019-06-27 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Decoupling instrument shaft roll and end effector actuation in a surgical instrument
EP2458328B1 (en) 2010-11-24 2016-01-27 Leica Geosystems AG Construction measuring device with an automatic plumbing point finding function
US8814996B2 (en) 2010-12-01 2014-08-26 University Of South Carolina Methods and sensors for the detection of active carbon filters degradation with EMIS-ECIS PWAS
US8523043B2 (en) 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
US9044244B2 (en) 2010-12-10 2015-06-02 Biosense Webster (Israel), Ltd. System and method for detection of metal disturbance based on mutual inductance measurement
US8714352B2 (en) 2010-12-10 2014-05-06 Covidien Lp Cartridge shipping aid
CN101991452B (en) * 2010-12-10 2012-07-04 苏州天臣国际医疗科技有限公司 Linear type surgical stapling apparatus
DE112011104539T5 (en) 2010-12-22 2013-09-26 Cooper Technologies Company Pre-filtering and maintenance detection for explosion-proof enclosures
US9364171B2 (en) 2010-12-22 2016-06-14 Veebot Systems, Inc. Systems and methods for autonomous intravenous needle insertion
US9119655B2 (en) 2012-08-03 2015-09-01 Stryker Corporation Surgical manipulator capable of controlling a surgical instrument in multiple modes
US8936614B2 (en) 2010-12-30 2015-01-20 Covidien Lp Combined unilateral/bilateral jaws on a surgical instrument
USD678196S1 (en) 2011-01-07 2013-03-19 Seiko Epson Corporation Input signal selector for projector
WO2015134768A1 (en) 2011-01-11 2015-09-11 Amsel Medical Corporation Method and apparatus for occluding a blood vessel and/or other tubular structures
US8818556B2 (en) 2011-01-13 2014-08-26 Microsoft Corporation Multi-state model for robot and user interaction
US8798527B2 (en) 2011-01-14 2014-08-05 Covidien Lp Wireless relay module for remote monitoring systems
US20120191162A1 (en) 2011-01-20 2012-07-26 Cristiano Villa System of Remote Controlling a Medical Laser Generator Unit with a Portable Computing Device
US20120191091A1 (en) 2011-01-24 2012-07-26 Tyco Healthcare Group Lp Reusable Medical Device with Advanced Counting Capability
US9875339B2 (en) 2011-01-27 2018-01-23 Simbionix Ltd. System and method for generating a patient-specific digital image-based model of an anatomical structure
US9990856B2 (en) 2011-02-08 2018-06-05 The Trustees Of The University Of Pennsylvania Systems and methods for providing vibration feedback in robotic systems
AU2012214166A1 (en) 2011-02-10 2013-09-12 Actuated Medical, Inc. Medical tool with electromechanical control and feedback
US9393017B2 (en) 2011-02-15 2016-07-19 Intuitive Surgical Operations, Inc. Methods and systems for detecting staple cartridge misfire or failure
JP6293486B2 (en) 2011-02-15 2018-03-14 インテュイティブ サージカル オペレーションズ, インコーポレイテッド System for detecting unsuccessful clamping or firing
EP3308723B1 (en) 2011-02-15 2021-03-10 Intuitive Surgical Operations Inc. Systems for indicating a clamping prediction
KR101964642B1 (en) 2011-02-15 2019-04-02 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Seals and sealing methods for a surgical instrument having an articulated end effector actuated by a drive shaft
US20120211542A1 (en) 2011-02-23 2012-08-23 Tyco Healthcare Group I.P Controlled tissue compression systems and methods
USD687146S1 (en) 2011-03-02 2013-07-30 Baylis Medical Company Inc. Electrosurgical generator
AU2012225668A1 (en) 2011-03-07 2013-10-10 Passer Stitch, Llc Suture passing devices and methods
US8397972B2 (en) 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
US20120245958A1 (en) 2011-03-25 2012-09-27 Surgichart, Llc Case-Centric Medical Records System with Social Networking
US10729458B2 (en) 2011-03-30 2020-08-04 Covidien Lp Ultrasonic surgical instruments
EP2509276B1 (en) 2011-04-05 2013-11-20 F. Hoffmann-La Roche AG Method for secure transmission of electronic data over a data communication connection between one device and another
WO2012142462A1 (en) 2011-04-15 2012-10-18 Mrn Partners Llp Remote data monitoring and collection system with multi-tiered analysis
US20150051452A1 (en) 2011-04-26 2015-02-19 The Trustees Of Columbia University In The City Of New York Apparatus, method and computer-accessible medium for transform analysis of biomedical data
US9649113B2 (en) 2011-04-27 2017-05-16 Covidien Lp Device for monitoring physiological parameters in vivo
US8951219B2 (en) 2011-04-29 2015-02-10 Medtronic, Inc. Fluid volume monitoring for patients with renal disease
BR112013027794B1 (en) * 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc CLAMP CARTRIDGE SET
US9820741B2 (en) 2011-05-12 2017-11-21 Covidien Lp Replaceable staple cartridge
JP5816457B2 (en) 2011-05-12 2015-11-18 オリンパス株式会社 Surgical device
US9202078B2 (en) 2011-05-27 2015-12-01 International Business Machines Corporation Data perturbation and anonymization using one way hash
JP5865606B2 (en) 2011-05-27 2016-02-17 オリンパス株式会社 Endoscope apparatus and method for operating endoscope apparatus
US10542978B2 (en) 2011-05-27 2020-01-28 Covidien Lp Method of internally potting or sealing a handheld medical device
JP6309447B2 (en) 2011-05-31 2018-04-11 インテュイティブ サージカル オペレーションズ, インコーポレイテッド Active control of end effectors of surgical instruments by robots
US8930214B2 (en) 2011-06-17 2015-01-06 Parallax Enterprises, Llc Consolidated healthcare and resource management system
US9498231B2 (en) 2011-06-27 2016-11-22 Board Of Regents Of The University Of Nebraska On-board tool tracking system and methods of computer assisted surgery
US8897523B2 (en) 2011-07-09 2014-11-25 Gauss Surgical System and method for counting surgical samples
JP6021353B2 (en) 2011-08-04 2016-11-09 オリンパス株式会社 Surgery support device
JP5936914B2 (en) 2011-08-04 2016-06-22 オリンパス株式会社 Operation input device and manipulator system including the same
US20130112618A1 (en) 2011-08-08 2013-05-09 Mamadou S. Diallo Filtration membranes, related nano and/or micro fibers, composites methods and systems
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
US9312618B2 (en) 2011-08-08 2016-04-12 Molex, Llc Connector with tuned channel
US9123155B2 (en) 2011-08-09 2015-09-01 Covidien Lp Apparatus and method for using augmented reality vision system in surgical procedures
CA2844771C (en) 2011-08-14 2020-06-30 SafePath Medical, Inc. Apparatus and method for suturing tissue
US20130046182A1 (en) 2011-08-16 2013-02-21 Elwha LLC, a limited liability company of the State of Delaware Devices and Methods for Recording Information on a Subject's Body
US20130046279A1 (en) 2011-08-16 2013-02-21 Paul J. Niklewski User interface feature for drug delivery system
US8685056B2 (en) 2011-08-18 2014-04-01 Covidien Lp Surgical forceps
US9099863B2 (en) 2011-09-09 2015-08-04 Covidien Lp Surgical generator and related method for mitigating overcurrent conditions
WO2013036496A1 (en) 2011-09-09 2013-03-14 Depuy Spine, Inc. Systems and methods for surgical support and management
US9101359B2 (en) 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US9414940B2 (en) 2011-09-23 2016-08-16 Orthosensor Inc. Sensored head for a measurement tool for the muscular-skeletal system
US20130093829A1 (en) 2011-09-27 2013-04-18 Allied Minds Devices Llc Instruct-or
US11154559B2 (en) 2011-09-29 2021-10-26 Ethicon Endo-Surgery, Inc. Methods and compositions of bile acids
US9579503B2 (en) 2011-10-05 2017-02-28 Medtronic Xomed, Inc. Interface module allowing delivery of tissue stimulation and electrosurgery through a common surgical instrument
US9463646B2 (en) 2011-10-07 2016-10-11 Transact Technologies Incorporated Tilting touch screen for printer and printer with tilting touch screen
US8856936B2 (en) 2011-10-14 2014-10-07 Albeado Inc. Pervasive, domain and situational-aware, adaptive, automated, and coordinated analysis and control of enterprise-wide computers, networks, and applications for mitigation of business and operational risks and enhancement of cyber security
US8931679B2 (en) 2011-10-17 2015-01-13 Covidien Lp Surgical stapling apparatus
EP2768418B1 (en) 2011-10-19 2017-07-19 Ethicon Endo-Surgery, Inc. Clip applier adapted for use with a surgical robot
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
EP3513746B1 (en) 2011-10-26 2023-01-11 Intuitive Surgical Operations, Inc. Surgical instrument with integral knife blade
WO2013063522A2 (en) 2011-10-26 2013-05-02 Reid Robert Cyrus Surgical instrument motor pack latch
EP3488793B1 (en) 2011-10-26 2023-08-23 Intuitive Surgical Operations, Inc. Cartridge status and presence detection
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US10404801B2 (en) 2011-11-08 2019-09-03 DISH Technologies L.L.C. Reconfiguring remote controls for different devices in a network
US9277956B2 (en) 2011-11-09 2016-03-08 Siemens Medical Solutions Usa, Inc. System for automatic medical ablation control
US8968309B2 (en) 2011-11-10 2015-03-03 Covidien Lp Surgical forceps
CN103945783B (en) 2011-11-15 2016-10-26 直观外科手术操作公司 There is the operating theater instruments of the blade packed up
EP2781195B1 (en) 2011-11-16 2016-10-26 Olympus Corporation Medical instrument
US8968312B2 (en) 2011-11-16 2015-03-03 Covidien Lp Surgical device with powered articulation wrist rotation
JP6078550B2 (en) 2011-11-24 2017-02-08 シネロン メディカル リミテッド Device for personal skin treatment with skin heating energy
IN2014CN04333A (en) 2011-12-05 2015-09-04 Qualcomm Inc
US9259268B2 (en) 2011-12-06 2016-02-16 Covidien Lp Vessel sealing using microwave energy
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US20130165776A1 (en) 2011-12-22 2013-06-27 Andreas Blomqvist Contraction status assessment
US9220502B2 (en) 2011-12-28 2015-12-29 Covidien Lp Staple formation recognition for a surgical device
JP5859849B2 (en) 2011-12-28 2016-02-16 タイコエレクトロニクスジャパン合同会社 Electrical connector
US20130178853A1 (en) 2012-01-05 2013-07-11 International Business Machines Corporation Surgical tool management
US9867914B2 (en) 2012-01-10 2018-01-16 Buffalo Filter Llc Fluid filtration device and system
US8962062B2 (en) 2012-01-10 2015-02-24 Covidien Lp Methods of manufacturing end effectors for energy-based surgical instruments
CN103841910B (en) 2012-01-19 2017-02-15 奥林巴斯株式会社 Medical system
US20130191154A1 (en) 2012-01-22 2013-07-25 Dobkin William R. Medical data system generating automated surgical reports
JP6048838B2 (en) 2012-01-25 2016-12-21 パナソニックIpマネジメント株式会社 Home appliance information management device, home appliance information sharing method, and home appliance information sharing system
JP5815426B2 (en) 2012-01-25 2015-11-17 富士フイルム株式会社 Endoscope system, processor device for endoscope system, and image processing method
US9649064B2 (en) 2012-01-26 2017-05-16 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US9183723B2 (en) 2012-01-31 2015-11-10 Cleanalert, Llc Filter clog detection and notification system
US9710644B2 (en) 2012-02-01 2017-07-18 Servicenow, Inc. Techniques for sharing network security event information
US9038882B2 (en) 2012-02-03 2015-05-26 Covidien Lp Circular stapling instrument
US20140066700A1 (en) 2012-02-06 2014-03-06 Vantage Surgical Systems Inc. Stereoscopic System for Minimally Invasive Surgery Visualization
WO2013122792A2 (en) 2012-02-14 2013-08-22 Ethicon-Endo Surgery, Inc. Linear stapler
US8682049B2 (en) 2012-02-14 2014-03-25 Terarecon, Inc. Cloud-based medical image processing system with access control
US9572566B2 (en) 2012-02-29 2017-02-21 Marker Medical, Llc Surgical suturing apparatus and method
US9486271B2 (en) 2012-03-05 2016-11-08 Covidien Lp Method and apparatus for identification using capacitive elements
US20150066000A1 (en) 2012-03-06 2015-03-05 Briteseed Llc Surgical Tool With Integrated Sensor
US11399898B2 (en) 2012-03-06 2022-08-02 Briteseed, Llc User interface for a system used to determine tissue or artifact characteristics
US9864839B2 (en) 2012-03-14 2018-01-09 El Wha Llc. Systems, devices, and method for determining treatment compliance including tracking, registering, etc. of medical staff, patients, instrumentation, events, etc. according to a treatment staging plan
US9119617B2 (en) 2012-03-16 2015-09-01 Ethicon, Inc. Clamping devices for dispensing surgical fasteners into soft media
US9198711B2 (en) 2012-03-22 2015-12-01 Covidien Lp Electrosurgical system for communicating information embedded in an audio tone
US9364249B2 (en) 2012-03-22 2016-06-14 Ethicon Endo-Surgery, Llc Method and apparatus for programming modular surgical instrument
US20130253480A1 (en) 2012-03-22 2013-09-26 Cory G. Kimball Surgical instrument usage data management
US9381003B2 (en) 2012-03-23 2016-07-05 Integrated Medical Systems International, Inc. Digital controller for surgical handpiece
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US9375282B2 (en) 2012-03-26 2016-06-28 Covidien Lp Light energy sealing, cutting and sensing surgical device
WO2013143573A1 (en) 2012-03-26 2013-10-03 Brainlab Ag Pairing medical devices within a working environment
US20130256373A1 (en) 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments
RU2014143258A (en) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. FABRIC THICKNESS COMPENSATOR CONTAINING MANY LAYERS
JP2013202313A (en) 2012-03-29 2013-10-07 Panasonic Corp Surgery support device and surgery support program
US9050063B2 (en) 2012-03-30 2015-06-09 Sandance Technology Llc Systems and methods for determining suitability of a mechanical implant for a medical procedure
KR101365357B1 (en) 2012-04-02 2014-02-20 주식회사 모바수 Instrument for Minimally Invasive Surgery Having Articulation Fixing Structure
USD772252S1 (en) 2012-04-05 2016-11-22 Welch Allyn, Inc. Patient monitoring device with a graphical user interface
US20130268283A1 (en) 2012-04-05 2013-10-10 Welch Allyn, Inc. Process to Streamline Workflow for Continuous Monitoring of a Patient
US9055870B2 (en) 2012-04-05 2015-06-16 Welch Allyn, Inc. Physiological parameter measuring platform device supporting multiple workflows
US9226766B2 (en) 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US20130267874A1 (en) 2012-04-09 2013-10-10 Amy L. Marcotte Surgical instrument with nerve detection feature
US9241731B2 (en) 2012-04-09 2016-01-26 Ethicon Endo-Surgery, Inc. Rotatable electrical connection for ultrasonic surgical instruments
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9814457B2 (en) 2012-04-10 2017-11-14 Ethicon Llc Control interface for laparoscopic suturing instrument
JP5940864B2 (en) 2012-04-12 2016-06-29 カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト Medical manipulator
US9186141B2 (en) 2012-04-12 2015-11-17 Covidien Lp Circular anastomosis stapling apparatus utilizing a two stroke firing sequence
EP2838439A4 (en) 2012-04-18 2015-11-25 Cardica Inc Safety lockout for surgical stapler
US9788851B2 (en) 2012-04-18 2017-10-17 Ethicon Llc Surgical instrument with tissue density sensing
US20150133945A1 (en) 2012-05-02 2015-05-14 Stryker Global Technology Center Handheld tracking system and devices for aligning implant systems during surgery
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9498182B2 (en) 2012-05-22 2016-11-22 Covidien Lp Systems and methods for planning and navigation
US9439622B2 (en) 2012-05-22 2016-09-13 Covidien Lp Surgical navigation system
US9493807B2 (en) 2012-05-25 2016-11-15 Medtronic Minimed, Inc. Foldover sensors and methods for making and using them
US9572592B2 (en) 2012-05-31 2017-02-21 Ethicon Endo-Surgery, Llc Surgical instrument with orientation sensing
US9084606B2 (en) 2012-06-01 2015-07-21 Megadyne Medical Products, Inc. Electrosurgical scissors
KR20130136184A (en) 2012-06-04 2013-12-12 삼성전자주식회사 Method for contents backup and an electronic device thereof
US20130321425A1 (en) 2012-06-05 2013-12-05 Dexcom, Inc. Reporting modules
US11076880B2 (en) 2012-06-11 2021-08-03 Covidien Lp Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring
US10677764B2 (en) 2012-06-11 2020-06-09 Covidien Lp Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring
US20130331875A1 (en) 2012-06-11 2013-12-12 Covidien Lp Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US10136954B2 (en) 2012-06-21 2018-11-27 Globus Medical, Inc. Surgical tool systems and method
US20190000569A1 (en) 2012-06-21 2019-01-03 Globus Medical, Inc. Controlling a surgical robot to avoid robotic arm collision
US10799298B2 (en) 2012-06-21 2020-10-13 Globus Medical Inc. Robotic fluoroscopic navigation
US20140107697A1 (en) 2012-06-25 2014-04-17 Castle Surgical, Inc. Clamping Forceps and Associated Methods
US8968296B2 (en) 2012-06-26 2015-03-03 Covidien Lp Energy-harvesting system, apparatus and methods
US9642606B2 (en) 2012-06-27 2017-05-09 Camplex, Inc. Surgical visualization system
US9216068B2 (en) 2012-06-27 2015-12-22 Camplex, Inc. Optics for video cameras on a surgical visualization system
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
BR112014032776B1 (en) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM
US10930400B2 (en) 2012-06-28 2021-02-23 LiveData, Inc. Operating room checklist system
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US20140006132A1 (en) 2012-06-28 2014-01-02 Jason W. Barker Systems and methods for managing promotional offers
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
RU2636861C2 (en) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Blocking of empty cassette with clips
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9283045B2 (en) 2012-06-29 2016-03-15 Ethicon Endo-Surgery, Llc Surgical instruments with fluid management system
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
TWM444669U (en) 2012-07-03 2013-01-01 Sercomm Corp Communication device having multi-module assembly
US20140013565A1 (en) 2012-07-10 2014-01-16 Eileen B. MacDonald Customized process for facilitating successful total knee arthroplasty with outcomes analysis
US10194907B2 (en) 2012-07-18 2019-02-05 Covidien Lp Multi-fire stapler with electronic counter, lockout, and visual indicator
IN2015MN00022A (en) 2012-07-26 2015-10-16 Olive Medical Corp
US20140029411A1 (en) 2012-07-27 2014-01-30 Samsung Electronics Co., Ltd. Method and system to provide seamless data transmission
US8917513B1 (en) 2012-07-30 2014-12-23 Methode Electronics, Inc. Data center equipment cabinet information center and updateable asset tracking system
KR20150037987A (en) 2012-08-03 2015-04-08 어플라이드 메디컬 리소시스 코포레이션 Simulated stapling and energy based ligation for surgical training
US20140033926A1 (en) 2012-08-03 2014-02-06 Robert Scott Fassel Filtration System
JP6257930B2 (en) 2012-08-07 2018-01-10 東芝メディカルシステムズ株式会社 Ultrasonic diagnostic apparatus and ultrasonic probe
US9101374B1 (en) 2012-08-07 2015-08-11 David Harris Hoch Method for guiding an ablation catheter based on real time intracardiac electrical signals and apparatus for performing the method
US8761717B1 (en) 2012-08-07 2014-06-24 Brian K. Buchheit Safety feature to disable an electronic device when a wireless implantable medical device (IMD) is proximate
JP5542246B1 (en) 2012-08-07 2014-07-09 オリンパスメディカルシステムズ株式会社 Medical control system
EP4218647A1 (en) 2012-08-08 2023-08-02 Ortoma AB System for computer assisted surgery
US8795001B1 (en) 2012-08-10 2014-08-05 Cisco Technology, Inc. Connector for providing pass-through power
EP2698602A1 (en) 2012-08-16 2014-02-19 Leica Geosystems AG Hand-held distance measuring device with angle calculation unit
WO2014031800A1 (en) 2012-08-22 2014-02-27 Energize Medical Llc Therapeutic energy systems
CA2883231C (en) 2012-08-28 2022-12-06 Instruventional Inc. Adjustable electrosurgical pencil
USD729267S1 (en) 2012-08-28 2015-05-12 Samsung Electronics Co., Ltd. Oven display screen with a graphical user interface
US20140073893A1 (en) 2012-09-12 2014-03-13 Boston Scientific Scimed Inc. Open irrigated-mapping linear ablation catheter
US10496788B2 (en) 2012-09-13 2019-12-03 Parkland Center For Clinical Innovation Holistic hospital patient care and management system and method for automated patient monitoring
CN103654896B (en) 2012-09-14 2015-12-02 苏州天臣国际医疗科技有限公司 The nail bin of Linear seam cutting device
US20140081659A1 (en) 2012-09-17 2014-03-20 Depuy Orthopaedics, Inc. Systems and methods for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking
US20140087999A1 (en) 2012-09-21 2014-03-27 The General Hospital Corporation D/B/A Massachusetts General Hospital Clinical predictors of weight loss
WO2014047388A1 (en) 2012-09-21 2014-03-27 Ethicon Endo-Surgery, Inc. Systems and methods for predicting metabolic and bariatric surgery outcomes
US20140084949A1 (en) 2012-09-24 2014-03-27 Access Business Group International Llc Surface impedance systems and methods
JP5719819B2 (en) 2012-09-28 2015-05-20 日本光電工業株式会社 Surgery support system
US9106270B2 (en) 2012-10-02 2015-08-11 Covidien Lp Transmitting data across a patient isolation barrier using an electric-field capacitive coupler module
DE102012109459A1 (en) 2012-10-04 2014-04-10 Aesculap Ag Adjustable blade for transapical aortic valve resection
US20140108035A1 (en) 2012-10-11 2014-04-17 Kunter Seref Akbay System and method to automatically assign resources in a network of healthcare enterprises
US9107573B2 (en) 2012-10-17 2015-08-18 Karl Storz Endovision, Inc. Detachable shaft flexible endoscope
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US10201365B2 (en) 2012-10-22 2019-02-12 Ethicon Llc Surgeon feedback sensing and display methods
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US9265585B2 (en) 2012-10-23 2016-02-23 Covidien Lp Surgical instrument with rapid post event detection
ES2744717T3 (en) 2012-10-24 2020-02-26 Stryker Corp Waste collection system for medical / surgical waste having a mobile cart with a vacuum source and a mobile cart with a waste container that is coupled to the cart with the suction pump
US9918788B2 (en) 2012-10-31 2018-03-20 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrogram-based ablation control
US9572529B2 (en) 2012-10-31 2017-02-21 Covidien Lp Surgical devices and methods utilizing optical coherence tomography (OCT) to monitor and control tissue sealing
US10631939B2 (en) 2012-11-02 2020-04-28 Intuitive Surgical Operations, Inc. Systems and methods for mapping flux supply paths
EP3711701A1 (en) 2012-11-02 2020-09-23 Intuitive Surgical Operations, Inc. Flux transmission connectors and systems, flux disambiguation, and systems and methods for mapping flux supply paths
WO2014116314A2 (en) 2012-11-02 2014-07-31 University Of Washington Through Its Center For Commercialization Using supplemental encrypted signals to mitigate man-in-the-middle attacks on teleoperated systems
US10004557B2 (en) 2012-11-05 2018-06-26 Pythagoras Medical Ltd. Controlled tissue ablation
CA3050650C (en) 2012-11-09 2021-10-19 Covidien Lp Multi-use loading unit
EP2732772B1 (en) 2012-11-14 2019-06-12 Covidien LP Multi-use loading unit
US9546662B2 (en) 2012-11-20 2017-01-17 Smith & Nephew, Inc. Medical pump
CN110338910B (en) 2012-11-20 2022-11-29 瑟吉奎斯特公司 System and method for smoke evacuation during laparoscopic surgical procedures
US9724100B2 (en) 2012-12-04 2017-08-08 Ethicon Llc Circular anvil introduction system with alignment feature
US9743016B2 (en) 2012-12-10 2017-08-22 Intel Corporation Techniques for improved focusing of camera arrays
US9486209B2 (en) 2012-12-13 2016-11-08 Ethicon Endo-Surgery, Llc Transmission for driving circular needle
US9320534B2 (en) 2012-12-13 2016-04-26 Alcon Research, Ltd. Fine membrane forceps with integral scraping feature
FR2999757A1 (en) 2012-12-13 2014-06-20 Patrick Coudert METHOD FOR SECURE ACCESS TO CONFIDENTIAL MEDICAL DATA, AND STORAGE MEDIUM FOR SAID METHOD
CN202953237U (en) 2012-12-14 2013-05-29 纬创资通股份有限公司 Carton box structure
US10722222B2 (en) 2012-12-14 2020-07-28 Covidien Lp Surgical system including a plurality of handle assemblies
US9463022B2 (en) 2012-12-17 2016-10-11 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with lockable flexible shaft
US9597081B2 (en) 2012-12-17 2017-03-21 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with modular end effector
DE102012025102A1 (en) 2012-12-20 2014-06-26 avateramedical GmBH Endoscope with a multi-camera system for minimally invasive surgery
US20140187856A1 (en) 2012-12-31 2014-07-03 Lee D. Holoien Control System For Modular Imaging Device
US10028788B2 (en) 2012-12-31 2018-07-24 Mako Surgical Corp. System for image-based robotic surgery
US10588597B2 (en) 2012-12-31 2020-03-17 Intuitive Surgical Operations, Inc. Systems and methods for interventional procedure planning
JP6297060B2 (en) 2012-12-31 2018-03-20 インテュイティブ サージカル オペレーションズ, インコーポレイテッド Surgical staple cartridge with enhanced knife clearance
US9717141B1 (en) 2013-01-03 2017-07-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible printed circuit with removable testing portion
GB2509523A (en) 2013-01-07 2014-07-09 Anish Kumar Mampetta Surgical instrument with flexible members and a motor
US9522003B2 (en) 2013-01-14 2016-12-20 Intuitive Surgical Operations, Inc. Clamping instrument
US9675354B2 (en) 2013-01-14 2017-06-13 Intuitive Surgical Operations, Inc. Torque compensation
US10265090B2 (en) 2013-01-16 2019-04-23 Covidien Lp Hand held electromechanical surgical system including battery compartment diagnostic display
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
USD716333S1 (en) 2013-01-24 2014-10-28 Broadbandtv, Corp. Display screen or portion thereof with a graphical user interface
US9610114B2 (en) 2013-01-29 2017-04-04 Ethicon Endo-Surgery, Llc Bipolar electrosurgical hand shears
US9370248B2 (en) 2013-01-31 2016-06-21 Enrique Ramirez Magaña Theater seating system with reclining seats and comfort divider
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
CA2899311C (en) 2013-02-08 2021-05-11 Acutus Medical, Inc. Expandable catheter assembly with flexible printed circuit board (pcb) electrical pathways
US20140226572A1 (en) 2013-02-13 2014-08-14 Qualcomm Incorporated Smart WiFi Access Point That Selects The Best Channel For WiFi Clients Having Multi-Radio Co-Existence Problems
KR101451970B1 (en) 2013-02-19 2014-10-23 주식회사 루트로닉 An ophthalmic surgical apparatus and an method for controlling that
WO2014130954A1 (en) 2013-02-22 2014-08-28 Cibiem, Inc. Endovascular catheters for trans-superficial temporal artery transmural carotid body modulation
WO2014134196A1 (en) 2013-02-26 2014-09-04 Eastern Virginia Medical School Augmented shared situational awareness system
US20140243799A1 (en) 2013-02-27 2014-08-28 Ethicon Endo-Surgery, Inc. Percutaneous Instrument with Tapered Shaft
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US9808248B2 (en) 2013-02-28 2017-11-07 Ethicon Llc Installation features for surgical instrument end effector cartridge
US9717497B2 (en) 2013-02-28 2017-08-01 Ethicon Llc Lockout feature for movable cutting member of surgical instrument
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
RU2672520C2 (en) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Hingedly turnable surgical instruments with conducting ways for signal transfer
RU2669463C2 (en) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Surgical instrument with soft stop
US20140252064A1 (en) 2013-03-05 2014-09-11 Covidien Lp Surgical stapling device including adjustable fastener crimping
US9414776B2 (en) 2013-03-06 2016-08-16 Navigated Technologies, LLC Patient permission-based mobile health-linked information collection and exchange systems and methods
KR102117270B1 (en) 2013-03-06 2020-06-01 삼성전자주식회사 Surgical robot system and method for controlling the same
US9706993B2 (en) 2013-03-08 2017-07-18 Covidien Lp Staple cartridge with shipping wedge
US9204995B2 (en) 2013-03-12 2015-12-08 Katalyst Surgical, Llc Membrane removing forceps
US9717498B2 (en) * 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9668729B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
EP3135225B1 (en) 2013-03-13 2019-08-14 Covidien LP Surgical stapling apparatus
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9314308B2 (en) 2013-03-13 2016-04-19 Ethicon Endo-Surgery, Llc Robotic ultrasonic surgical device with articulating end effector
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
AU2014236486B2 (en) 2013-03-14 2019-02-07 Applied Medical Resources Corporation Surgical stapler with partial pockets
US9114494B1 (en) 2013-03-14 2015-08-25 Kenneth Jack Mah Electronic drill guide
WO2014142926A1 (en) 2013-03-14 2014-09-18 Empire Technology Development Llc Identification of surgical smoke
WO2014142925A1 (en) 2013-03-14 2014-09-18 Empire Technology Development Llc Identification of surgical smoke
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
WO2014145661A1 (en) 2013-03-15 2014-09-18 Pentair Water Pool And Spa, Inc. Dissolved oxygen control system for aquaculture
EP2967521B1 (en) 2013-03-15 2019-12-25 SRI International Electromechanical surgical system
US9283028B2 (en) 2013-03-15 2016-03-15 Covidien Lp Crest-factor control of phase-shifted inverter
MY177299A (en) 2013-03-15 2020-09-11 Synaptive Medical Inc Surgical imaging systems
CA2899359C (en) 2013-03-15 2017-01-17 Synaptive Medical (Barbados) Inc. Planning, navigation and simulation systems and methods for minimally invasive therapy
US9241728B2 (en) 2013-03-15 2016-01-26 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms
CN105163684B (en) 2013-03-15 2018-02-02 圣纳普医疗(巴巴多斯)公司 The through transport of surgical data is synchronous
AU2014227602B9 (en) 2013-03-15 2019-10-24 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
CA2904766C (en) 2013-03-15 2022-02-08 Synaptive Medical (Barbados) Inc. Method, system and apparatus for controlling a surgical navigation system
WO2014139023A1 (en) 2013-03-15 2014-09-18 Synaptive Medical (Barbados) Inc. Intelligent positioning system and methods therefore
US11278353B2 (en) 2016-03-16 2022-03-22 Synaptive Medical Inc. Trajectory alignment system and methods
US9116597B1 (en) 2013-03-15 2015-08-25 Ca, Inc. Information management software
US9827054B2 (en) 2014-03-14 2017-11-28 Synaptive Medical (Barbados) Inc. Intelligent positioning system and methods therefore
EP2967300A4 (en) 2013-03-15 2016-11-23 Olive Medical Corp Controlling the integral light energy of a laser pulse
EP2994799B1 (en) 2013-03-15 2018-11-21 John Alberti Force responsive power tool
US9788906B2 (en) 2013-03-15 2017-10-17 Synaptive Medical (Barbados) Inc. Context aware surgical systems for intraoperatively configuring imaging devices
US9668765B2 (en) 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
US9485475B2 (en) 2013-03-15 2016-11-01 Arthrex, Inc. Surgical imaging system and method for processing surgical images
JP2016519591A (en) 2013-03-15 2016-07-07 オリーブ・メディカル・コーポレイションOlive Medical Corporation Super-resolution and color motion artifact correction in pulse color imaging system
US9675264B2 (en) 2013-03-15 2017-06-13 Peerbridge Health, Inc. System and method for monitoring and diagnosing patient condition based on wireless sensor monitoring data
JP6554089B2 (en) 2013-03-19 2019-07-31 サージセンス コーポレイション Instruments, systems and methods for measuring tissue oxygenation
US20140364691A1 (en) 2013-03-28 2014-12-11 Endochoice, Inc. Circuit Board Assembly of A Multiple Viewing Elements Endoscope
US20140303660A1 (en) 2013-04-04 2014-10-09 Elwha Llc Active tremor control in surgical instruments
US20140303990A1 (en) 2013-04-05 2014-10-09 Biomet Manufacturing Corp. Integrated orthopedic planning and management process
US10349824B2 (en) 2013-04-08 2019-07-16 Apama Medical, Inc. Tissue mapping and visualization systems
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US9561982B2 (en) 2013-04-30 2017-02-07 Corning Incorporated Method of cleaning glass substrates
US9592095B2 (en) 2013-05-16 2017-03-14 Intuitive Surgical Operations, Inc. Systems and methods for robotic medical system integration with external imaging
US9111548B2 (en) 2013-05-23 2015-08-18 Knowles Electronics, Llc Synchronization of buffered data in multiple microphones
US10722292B2 (en) 2013-05-31 2020-07-28 Covidien Lp Surgical device with an end-effector assembly and system for monitoring of tissue during a surgical procedure
EP3003120A4 (en) 2013-06-05 2017-01-18 The Arizona Board of Regents on behalf of the University of Arizona Dual-view probe for illumination and imaging, and use thereof
BR112015031502A2 (en) 2013-06-17 2017-07-25 Mashiach Adi implant unit supply instrument
US9820699B2 (en) 2013-06-18 2017-11-21 Koninklijke Philips N.V. Processing status information of a medical device
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
ES2647815T3 (en) 2013-06-20 2017-12-26 Siemens Schweiz Ag Functional control of an electrolytic gas sensor with three electrodes, as well as danger alarm and gas meter
WO2014205254A2 (en) 2013-06-21 2014-12-24 Virtual Radiologic Corporation Radiology data processing and standardization techniques
US11195598B2 (en) 2013-06-28 2021-12-07 Carefusion 303, Inc. System for providing aggregated patient data
EP2827099A1 (en) 2013-07-16 2015-01-21 Leica Geosystems AG Laser tracker with target searching functionality
US10097578B2 (en) 2013-07-23 2018-10-09 Oasis Technology, Inc. Anti-cyber hacking defense system
WO2015019695A1 (en) 2013-08-06 2015-02-12 オリンパスメディカルシステムズ株式会社 Pneumoperitoneum apparatus
WO2015021333A1 (en) 2013-08-07 2015-02-12 Cornell Universty Semiconductor tweezers and instrumentation for tissue detection and characterization
US9750522B2 (en) 2013-08-15 2017-09-05 Ethicon Llc Surgical instrument with clips having transecting blades
US9636112B2 (en) 2013-08-16 2017-05-02 Covidien Lp Chip assembly for reusable surgical instruments
KR102299245B1 (en) 2013-08-16 2021-09-08 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 System and method for coordinated motion among heterogeneous devices
GB201314774D0 (en) 2013-08-19 2013-10-02 Fish Engineering Ltd Distributor apparatus
US9675419B2 (en) 2013-08-21 2017-06-13 Brachium, Inc. System and method for automating medical procedures
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
US9539006B2 (en) 2013-08-27 2017-01-10 Covidien Lp Hand held electromechanical surgical handle assembly for use with surgical end effectors, and methods of use
US9295514B2 (en) 2013-08-30 2016-03-29 Ethicon Endo-Surgery, Llc Surgical devices with close quarter articulation features
US11246666B2 (en) 2013-09-06 2022-02-15 The Brigham And Women's Hospital, Inc. System and method for a tissue resection margin measurement device
US9916942B2 (en) 2013-09-10 2018-03-13 Apple Inc. Sealed button for an electronic device
US9861428B2 (en) 2013-09-16 2018-01-09 Ethicon Llc Integrated systems for electrosurgical steam or smoke control
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9830424B2 (en) 2013-09-18 2017-11-28 Hill-Rom Services, Inc. Bed/room/patient association systems and methods
US9622684B2 (en) 2013-09-20 2017-04-18 Innovative Surgical Solutions, Llc Neural locating system
US10478189B2 (en) 2015-06-26 2019-11-19 Ethicon Llc Method of applying an annular array of staples to tissue
US9717548B2 (en) 2013-09-24 2017-08-01 Covidien Lp Electrode for use in a bipolar electrosurgical instrument
WO2015047216A1 (en) 2013-09-24 2015-04-02 Intel Corporation Systems and methods for wireless display discovery
US9867651B2 (en) 2013-09-26 2018-01-16 Covidien Lp Systems and methods for estimating tissue parameters using surgical devices
US9936942B2 (en) 2013-09-26 2018-04-10 Surgimatix, Inc. Laparoscopic suture device with release mechanism
DE102013016063A1 (en) 2013-09-27 2015-04-02 W. O. M. World of Medicine GmbH Pressure-retaining smoke evacuation in an insufflator
US20140035762A1 (en) 2013-10-01 2014-02-06 Ethicon Endo-Surgery, Inc. Providing Near Real Time Feedback To A User Of A Surgical Instrument
US20160235303A1 (en) 2013-10-11 2016-08-18 The Trustees Of Columbia University In The City Of New York System, method and computer-accessible medium for characterization of tissue
US10037715B2 (en) 2013-10-16 2018-07-31 Simulab Corporation Detecting insertion of needle into simulated vessel using a conductive fluid
US20150108198A1 (en) * 2013-10-17 2015-04-23 Covidien Lp Surgical instrument, loading unit and fasteners for use therewith
US10463365B2 (en) 2013-10-17 2019-11-05 Covidien Lp Chip assembly for surgical instruments
US10022090B2 (en) 2013-10-18 2018-07-17 Atlantic Health System, Inc. Nerve protecting dissection device
CN105939647B (en) 2013-10-24 2020-01-21 奥瑞斯健康公司 Robotically-assisted endoluminal surgical systems and related methods
AU2014342160A1 (en) 2013-11-04 2016-06-09 Guided Interventions, Inc. Method and apparatus for performance of thermal bronchiplasty with unfocused ultrasound
US9922304B2 (en) 2013-11-05 2018-03-20 Deroyal Industries, Inc. System for sensing and recording consumption of medical items during medical procedure
US9544744B2 (en) 2013-11-15 2017-01-10 Richard Postrel Method and system for pre and post processing of beacon ID signals
USD783675S1 (en) 2013-11-18 2017-04-11 Mitsubishi Electric Corporation Information display for an automotive vehicle with a computer generated icon
US9949785B2 (en) 2013-11-21 2018-04-24 Ethicon Llc Ultrasonic surgical instrument with electrosurgical feature
EP2876885A1 (en) 2013-11-21 2015-05-27 Axis AB Method and apparatus in a motion video capturing system
US10368892B2 (en) 2013-11-22 2019-08-06 Ethicon Llc Features for coupling surgical instrument shaft assembly with instrument body
US10552574B2 (en) 2013-11-22 2020-02-04 Spinal Generations, Llc System and method for identifying a medical device
US9105174B2 (en) 2013-11-25 2015-08-11 Mark Matthew Harris System and methods for nonverbally communicating patient comfort data
US9943325B2 (en) 2013-11-26 2018-04-17 Ethicon Llc Handpiece and blade configurations for ultrasonic surgical instrument
BR112016011680B1 (en) 2013-11-26 2022-02-15 Ethicon Endo-Surgery, Llc DEVICE
US10872684B2 (en) 2013-11-27 2020-12-22 The Johns Hopkins University System and method for medical data analysis and sharing
US9713503B2 (en) 2013-12-04 2017-07-25 Novartis Ag Surgical utility connector
FR3014636A1 (en) 2013-12-05 2015-06-12 Sagemcom Broadband Sas ELECTRIC MODULE
KR101527176B1 (en) 2013-12-09 2015-06-09 (주)미래컴퍼니 Surgical Robot Apparatus and Method for Controlling Surgical Robot Apparatus
US10159044B2 (en) 2013-12-09 2018-12-18 GM Global Technology Operations LLC Method and apparatus for controlling operating states of bluetooth interfaces of a bluetooth module
EP3079608B8 (en) 2013-12-11 2020-04-01 Covidien LP Wrist and jaw assemblies for robotic surgical systems
WO2015088655A1 (en) 2013-12-12 2015-06-18 Covidien Lp Gear train assemblies for robotic surgical systems
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9743946B2 (en) 2013-12-17 2017-08-29 Ethicon Llc Rotation features for ultrasonic surgical instrument
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US10039546B2 (en) 2013-12-23 2018-08-07 Covidien Lp Loading unit including shipping member
US9642620B2 (en) * 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173756A1 (en) * 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
JP2017507680A (en) 2013-12-23 2017-03-23 キャンプレックス インコーポレイテッド Surgical visualization system
US9539020B2 (en) 2013-12-27 2017-01-10 Ethicon Endo-Surgery, Llc Coupling features for ultrasonic surgical instrument
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
KR20150085251A (en) 2014-01-15 2015-07-23 엘지전자 주식회사 Display device and method for controlling the same
US9839424B2 (en) 2014-01-17 2017-12-12 Covidien Lp Electromechanical surgical assembly
US9655616B2 (en) 2014-01-22 2017-05-23 Covidien Lp Apparatus for endoscopic procedures
US20150208934A1 (en) 2014-01-24 2015-07-30 Genevieve Sztrubel Method And Apparatus For The Detection Of Neural Tissue
US9907550B2 (en) 2014-01-27 2018-03-06 Covidien Lp Stitching device with long needle delivery
US9801679B2 (en) 2014-01-28 2017-10-31 Ethicon Llc Methods and devices for controlling motorized surgical devices
US9468454B2 (en) 2014-01-28 2016-10-18 Ethicon Endo-Surgery, Inc. Motor control and feedback in powered surgical devices
US9700312B2 (en) 2014-01-28 2017-07-11 Covidien Lp Surgical apparatus
WO2015116687A1 (en) 2014-01-28 2015-08-06 St. Jude Medical, Cardiology Division, Inc. Elongate medical devices incorporating a flexible substrate, a sensor, and electrically-conductive traces
US9802033B2 (en) 2014-01-28 2017-10-31 Ethicon Llc Surgical devices having controlled tissue cutting and sealing
US9358685B2 (en) 2014-02-03 2016-06-07 Brain Corporation Apparatus and methods for control of robot actions based on corrective user inputs
US9706674B2 (en) 2014-02-04 2017-07-11 Covidien Lp Authentication system for reusable surgical instruments
US10213266B2 (en) 2014-02-07 2019-02-26 Covidien Lp Robotic surgical assemblies and adapter assemblies thereof
US9974541B2 (en) * 2014-02-14 2018-05-22 Covidien Lp End stop detection
WO2015122306A1 (en) 2014-02-17 2015-08-20 オリンパス株式会社 Ultrasonic treatment device
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
US10973682B2 (en) 2014-02-24 2021-04-13 Alcon Inc. Surgical instrument with adhesion optimized edge condition
JP6462004B2 (en) 2014-02-24 2019-01-30 エシコン エルエルシー Fastening system with launcher lockout
US9693777B2 (en) * 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
CA2940814C (en) 2014-02-27 2019-09-03 University Surgical Associates, Inc. Interactive display for surgery
JP2015163172A (en) 2014-02-28 2015-09-10 オリンパス株式会社 Exclusion device and robot system
US9603277B2 (en) 2014-03-06 2017-03-21 Adtran, Inc. Field-reconfigurable backplane system
WO2015134749A2 (en) 2014-03-06 2015-09-11 Stryker Corporation Medical/surgical waste collection unit with a light assembly separate from the primary display, the light assembly presenting informatin about the operation of the system by selectively outputting light
GB2523224C2 (en) 2014-03-07 2021-06-02 Cambridge Medical Robotics Ltd Surgical arm
WO2015138708A1 (en) 2014-03-12 2015-09-17 Proximed, Llc Surgical guidance systems, devices, and methods
US9839487B2 (en) 2014-03-17 2017-12-12 Intuitive Surgical Operations, Inc. Backup latch release for surgical instrument
US10166061B2 (en) 2014-03-17 2019-01-01 Intuitive Surgical Operations, Inc. Teleoperated surgical system equipment with user interface
KR102456408B1 (en) 2014-03-17 2022-10-20 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Surgical cannula mounts and related systems and methods
JP6619748B2 (en) 2014-03-17 2019-12-11 インテュイティブ サージカル オペレーションズ, インコーポレイテッド Method and apparatus for telesurgical table alignment
KR102397300B1 (en) 2014-03-17 2022-05-13 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Surgical cannulas and related systems and methods of identifying surgical cannulas
EP3119323B1 (en) 2014-03-17 2019-08-28 Intuitive Surgical Operations, Inc. System and machine readable medium executing a method for recentering imaging devices and input controls
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
US20150272580A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Verification of number of battery exchanges/procedure count
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
EP3123826B1 (en) 2014-03-27 2018-02-21 Fagerhults Belysning AB Lighting system for providing light in a room
US10197803B2 (en) 2014-03-28 2019-02-05 Alma Mater Studiorum—Universita' di Bologna Augmented reality glasses for medical applications and corresponding augmented reality system
CN106163445B (en) 2014-03-31 2019-11-29 直观外科手术操作公司 Surgical operating instrument with changeable transmission device
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
EP3492036B1 (en) 2014-04-01 2024-05-01 Intuitive Surgical Operations, Inc. Control input accuracy for teleoperated surgical instrument
US9987068B2 (en) 2014-04-04 2018-06-05 Covidien Lp Systems and methods for optimizing emissions from simultaneous activation of electrosurgery generators
US9974595B2 (en) 2014-04-04 2018-05-22 Covidien Lp Systems and methods for optimizing emissions from simultaneous activation of electrosurgery generators
US20170027603A1 (en) 2014-04-08 2017-02-02 Ams Research Corporation Flexible devices for blunt dissection and related methods
US9980769B2 (en) 2014-04-08 2018-05-29 Ethicon Llc Methods and devices for controlling motorized surgical devices
US9918730B2 (en) 2014-04-08 2018-03-20 Ethicon Llc Methods and devices for controlling motorized surgical devices
EP3797729A1 (en) 2014-04-09 2021-03-31 Gyrus ACMI, Inc. d/b/a Olympus Surgical Technologies America Enforcement device for limited usage product
US10765376B2 (en) 2014-04-09 2020-09-08 University Of Rochester Method and apparatus to diagnose the metastatic or progressive potential of cancer, fibrosis and other diseases
US10583232B2 (en) * 2014-04-15 2020-03-10 Tc1 Llc Catheter pump with off-set motor position
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6612256B2 (en) 2014-04-16 2019-11-27 エシコン エルエルシー Fastener cartridge with non-uniform fastener
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US20150302157A1 (en) 2014-04-17 2015-10-22 Ryan Mitchell Collar Apparatus, Method, and System for Counting Packaged, Consumable, Medical Items Such as Surgical Suture Cartridges
US20150297200A1 (en) 2014-04-17 2015-10-22 Covidien Lp End of life transmission system for surgical instruments
US10258363B2 (en) 2014-04-22 2019-04-16 Ethicon Llc Method of operating an articulating ultrasonic surgical instrument
WO2015164814A2 (en) 2014-04-25 2015-10-29 The Trustees Of Columbia University In The City Of New York Spinal treatment devices, methods, and systems
CA2946872A1 (en) 2014-04-25 2015-10-29 Sharp Fluidics Llc Systems and methods for increased operating room efficiency
US10133248B2 (en) 2014-04-28 2018-11-20 Covidien Lp Systems and methods for determining an end of life state for surgical devices
US20150317899A1 (en) 2014-05-01 2015-11-05 Covidien Lp System and method for using rfid tags to determine sterilization of devices
US10175127B2 (en) 2014-05-05 2019-01-08 Covidien Lp End-effector force measurement drive circuit
US10111703B2 (en) 2014-05-06 2018-10-30 Cosman Instruments, Llc Electrosurgical generator
US20150324114A1 (en) 2014-05-06 2015-11-12 Conceptualiz Inc. System and method for interactive 3d surgical planning and modelling of surgical implants
CN112807074A (en) 2014-05-12 2021-05-18 弗吉尼亚暨州立大学知识产权公司 Electroporation system
WO2015175218A1 (en) 2014-05-13 2015-11-19 Covidien Lp Surgical robotic arm support systems and methods of use
US11977998B2 (en) 2014-05-15 2024-05-07 Storz Endoskop Produktions Gmbh Surgical workflow support system
US9770541B2 (en) 2014-05-15 2017-09-26 Thermedx, Llc Fluid management system with pass-through fluid volume measurement
US9753568B2 (en) 2014-05-15 2017-09-05 Bebop Sensors, Inc. Flexible sensors and applications
US10512461B2 (en) 2014-05-15 2019-12-24 Covidien Lp Surgical fastener applying apparatus
WO2016007224A2 (en) 2014-05-16 2016-01-14 Powdermet, Inc. Heterogeneous composite bodies with isolated cermet regions formed by high temperature, rapid consolidation
US20150332003A1 (en) 2014-05-19 2015-11-19 Unitedhealth Group Incorporated Computer readable storage media for utilizing derived medical records and methods and systems for same
WO2015181997A1 (en) 2014-05-30 2015-12-03 Semiconductor Energy Laboratory Co., Ltd. Semiconductor device and method for manufacturing the same
US9549781B2 (en) 2014-05-30 2017-01-24 The Johns Hopkins University Multi-force sensing surgical instrument and method of use for robotic surgical systems
WO2015184146A1 (en) 2014-05-30 2015-12-03 Sameh Mesallum Systems for automated biomechanical computerized surgery
EP3369392B1 (en) 2014-05-30 2024-05-22 Applied Medical Resources Corporation Electrosurgical seal and dissection systems
US9325732B1 (en) 2014-06-02 2016-04-26 Amazon Technologies, Inc. Computer security threat sharing
WO2015191562A1 (en) 2014-06-09 2015-12-17 Revon Systems, Llc Systems and methods for health tracking and management
US10251725B2 (en) 2014-06-09 2019-04-09 Covidien Lp Authentication and information system for reusable surgical instruments
US9331422B2 (en) 2014-06-09 2016-05-03 Apple Inc. Electronic device with hidden connector
EP3785644B1 (en) 2014-06-11 2023-11-01 Applied Medical Resources Corporation Surgical stapler with circumferential firing
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
KR101587721B1 (en) 2014-06-17 2016-01-22 에스엔유 프리시젼 주식회사 Apparatus and method for controlling surgical burr cutter
US10292701B2 (en) 2014-06-25 2019-05-21 Ethicon Llc Articulation drive features for surgical stapler
US10335147B2 (en) 2014-06-25 2019-07-02 Ethicon Llc Method of using lockout features for surgical stapler cartridge
BR112016030332B1 (en) * 2014-06-25 2022-11-01 Ethicon Endo-Surgery, Llc LOCKING DEVICE FOR SURGICAL STAPLER
US9636825B2 (en) 2014-06-26 2017-05-02 Robotex Inc. Robotic logistics system
CN106663318B (en) 2014-07-25 2021-03-16 柯惠Lp公司 Augmenting surgical reality environment
US20160034648A1 (en) 2014-07-30 2016-02-04 Verras Healthcare International, LLC System and method for reducing clinical variation
CA2956660A1 (en) 2014-08-01 2016-02-04 Smith & Nephew, Inc. Providing implants for surgical procedures
US10422727B2 (en) 2014-08-10 2019-09-24 Harry Leon Pliskin Contaminant monitoring and air filtration system
US10258359B2 (en) 2014-08-13 2019-04-16 Covidien Lp Robotically controlling mechanical advantage gripping
CN105449719B (en) 2014-08-26 2019-01-04 珠海格力电器股份有限公司 distributed energy power supply control method, device and system
US10194972B2 (en) 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
US10004500B2 (en) 2014-09-02 2018-06-26 Ethicon Llc Devices and methods for manually retracting a drive shaft, drive beam, and associated components of a surgical fastening device
US9700320B2 (en) 2014-09-02 2017-07-11 Ethicon Llc Devices and methods for removably coupling a cartridge to an end effector of a surgical device
US9943312B2 (en) * 2014-09-02 2018-04-17 Ethicon Llc Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device
US9848877B2 (en) 2014-09-02 2017-12-26 Ethicon Llc Methods and devices for adjusting a tissue gap of an end effector of a surgical device
US9788835B2 (en) 2014-09-02 2017-10-17 Ethicon Llc Devices and methods for facilitating ejection of surgical fasteners from cartridges
US9280884B1 (en) 2014-09-03 2016-03-08 Oberon, Inc. Environmental sensor device with alarms
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
ES2902606T3 (en) 2014-09-15 2022-03-29 Applied Med Resources Surgical Stapler with Self-Adjusting Staple Height
GB2547355A (en) 2014-09-15 2017-08-16 Synaptive Medical Barbados Inc System and method for collection, storage and management of medical data
CN107072722B (en) 2014-09-15 2020-05-12 柯惠Lp公司 Robot-controlled surgical assembly
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
WO2016149794A1 (en) 2015-03-26 2016-09-29 Surgical Safety Technologies Inc. Operating room black-box device, system, method and computer readable medium
US20170249432A1 (en) 2014-09-23 2017-08-31 Surgical Safety Technologies Inc. Operating room black-box device, system, method and computer readable medium
EP3560532B1 (en) 2014-09-25 2023-04-19 NxStage Medical Inc. Medicament preparation and treatment devices and systems
US9936961B2 (en) 2014-09-26 2018-04-10 DePuy Synthes Products, Inc. Surgical tool with feedback
US20170224428A1 (en) 2014-09-29 2017-08-10 Covidien Lp Dynamic input scaling for controls of robotic surgical system
US10039564B2 (en) 2014-09-30 2018-08-07 Ethicon Llc Surgical devices having power-assisted jaw closure and methods for compressing and sensing tissue
US9901406B2 (en) 2014-10-02 2018-02-27 Inneroptic Technology, Inc. Affected region display associated with a medical device
US9630318B2 (en) 2014-10-02 2017-04-25 Brain Corporation Feature detection apparatus and methods for training of robotic navigation
US9833254B1 (en) 2014-10-03 2017-12-05 Verily Life Sciences Llc Controlled dissection of biological tissue
WO2016057225A1 (en) 2014-10-07 2016-04-14 Covidien Lp Handheld electromechanical surgical system
US10292758B2 (en) 2014-10-10 2019-05-21 Ethicon Llc Methods and devices for articulating laparoscopic energy device
GB201417963D0 (en) 2014-10-10 2014-11-26 Univ Oslo Hf Measurement of impedance of body tissue
US10102926B1 (en) 2014-10-14 2018-10-16 Sentry Data Systems, Inc. Detecting, analyzing and impacting improvement opportunities related to total cost of care, clinical quality and revenue integrity
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
CN107072700A (en) 2014-10-31 2017-08-18 奥林巴斯株式会社 Medical intervention device
CN104436911A (en) 2014-11-03 2015-03-25 佛山市顺德区阿波罗环保器材有限公司 Air purifier capable of preventing faking based on filter element recognition
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10792422B2 (en) 2014-11-10 2020-10-06 White Bear Medical LLC Dynamically controlled treatment protocols for autonomous treatment systems
JP6614456B2 (en) 2014-11-19 2019-12-04 国立大学法人九州大学 High frequency forceps
US10092355B1 (en) 2014-11-21 2018-10-09 Verily Life Sciences Llc Biophotonic surgical probe
US9782212B2 (en) 2014-12-02 2017-10-10 Covidien Lp High level algorithms
US20190069949A1 (en) 2014-12-03 2019-03-07 Metavention, Inc. Systems and methods for modulatng nerves or other tissue
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9247996B1 (en) 2014-12-10 2016-02-02 F21, Llc System, method, and apparatus for refurbishment of robotic surgical arms
US10095942B2 (en) 2014-12-15 2018-10-09 Reflex Robotics, Inc Vision based real-time object tracking system for robotic gimbal control
KR102476063B1 (en) 2014-12-16 2022-12-12 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Ureter detection using waveband-selective imaging
CN104490448B (en) 2014-12-17 2017-03-15 徐保利 Surgical ligation clip applier
WO2016100719A1 (en) 2014-12-17 2016-06-23 Maquet Cardiovascular Llc Surgical device
US9160853B1 (en) 2014-12-17 2015-10-13 Noble Systems Corporation Dynamic display of real time speech analytics agent alert indications in a contact center
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US20160180045A1 (en) 2014-12-19 2016-06-23 Ebay Inc. Wireless beacon devices used to track medical information at a hospital
US20160224760A1 (en) 2014-12-24 2016-08-04 Oncompass Gmbh System and method for adaptive medical decision support
BR112017014210B1 (en) 2014-12-30 2022-02-22 Touchstone International Medical Science Co., Ltd Endoscopic surgery stapling head and suturing and cutting apparatus set
WO2016109726A1 (en) 2014-12-31 2016-07-07 Vector Medical, Llc Process and apparatus for managing medical device selection and implantation
US9775611B2 (en) 2015-01-06 2017-10-03 Covidien Lp Clam shell surgical stapling loading unit
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
US10362179B2 (en) 2015-01-09 2019-07-23 Tracfone Wireless, Inc. Peel and stick activation code for activating service for a wireless device
GB2535627B (en) 2015-01-14 2017-06-28 Gyrus Medical Ltd Electrosurgical system
US9931040B2 (en) 2015-01-14 2018-04-03 Verily Life Sciences Llc Applications of hyperspectral laser speckle imaging
US10404521B2 (en) 2015-01-14 2019-09-03 Datto, Inc. Remotely configurable routers with failover features, and methods and apparatus for reliable web-based administration of same
JP6498303B2 (en) 2015-01-15 2019-04-10 コヴィディエン リミテッド パートナーシップ Endoscopic reposable surgical clip applier
AU2016200084B2 (en) 2015-01-16 2020-01-16 Covidien Lp Powered surgical stapling device
US10656720B1 (en) 2015-01-16 2020-05-19 Ultrahaptics IP Two Limited Mode switching for integrated gestural interaction and multi-user collaboration in immersive virtual reality environments
GB2534558B (en) 2015-01-21 2020-12-30 Cmr Surgical Ltd Robot tool retraction
US9387295B1 (en) 2015-01-30 2016-07-12 SurgiQues, Inc. Filter cartridge with internal gaseous seal for multimodal surgical gas delivery system having a smoke evacuation mode
US10159809B2 (en) 2015-01-30 2018-12-25 Surgiquest, Inc. Multipath filter assembly with integrated gaseous seal for multimodal surgical gas delivery system
KR20170109567A (en) 2015-02-02 2017-09-29 씽크 써지컬, 인크. Method and system for managing medical data
WO2016125574A1 (en) 2015-02-05 2016-08-11 オリンパス株式会社 Manipulator
US9713424B2 (en) 2015-02-06 2017-07-25 Richard F. Spaide Volume analysis and display of information in optical coherence tomography angiography
JP6389774B2 (en) 2015-02-10 2018-09-12 東芝テック株式会社 Product sales data processing device
US10111658B2 (en) 2015-02-12 2018-10-30 Covidien Lp Display screens for medical devices
ES2878455T3 (en) 2015-02-13 2021-11-18 Zoller & Froehlich Gmbh Scan layout and procedure for scanning an object
US9805472B2 (en) 2015-02-18 2017-10-31 Sony Corporation System and method for smoke detection during anatomical surgery
US9905000B2 (en) 2015-02-19 2018-02-27 Sony Corporation Method and system for surgical tool localization during anatomical surgery
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10130367B2 (en) * 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
WO2016135977A1 (en) 2015-02-27 2016-09-01 オリンパス株式会社 Medical treatment device, method for operating medical treatment device, and therapeutic method
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10733267B2 (en) 2015-02-27 2020-08-04 Surgical Black Box Llc Surgical data control system
US20160302210A1 (en) 2015-04-10 2016-10-13 Enovate Medical, Llc Communication hub and repeaters
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9808246B2 (en) * 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
ES2897505T3 (en) 2015-03-10 2022-03-01 Covidien Lp Robotic surgical systems, instrument drive units, and drive assemblies
JP6360803B2 (en) 2015-03-10 2018-07-18 富士フイルム株式会社 Medical data management apparatus, its operating method and operating program
US10716639B2 (en) 2015-03-10 2020-07-21 Covidien Lp Measuring health of a connector member of a robotic surgical system
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
US10653476B2 (en) 2015-03-12 2020-05-19 Covidien Lp Mapping vessels for resecting body tissue
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
WO2016149563A1 (en) 2015-03-17 2016-09-22 Ahluwalia Prabhat Uterine manipulator
US10390718B2 (en) 2015-03-20 2019-08-27 East Carolina University Multi-spectral physiologic visualization (MSPV) using laser imaging methods and systems for blood flow and perfusion imaging and quantification in an endoscopic design
US10863984B2 (en) 2015-03-25 2020-12-15 Ethicon Llc Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10136891B2 (en) 2015-03-25 2018-11-27 Ethicon Llc Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
US10349939B2 (en) 2015-03-25 2019-07-16 Ethicon Llc Method of applying a buttress to a surgical stapler
US10172618B2 (en) 2015-03-25 2019-01-08 Ethicon Llc Low glass transition temperature bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10568621B2 (en) 2015-03-25 2020-02-25 Ethicon Llc Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler
WO2016160841A1 (en) 2015-03-30 2016-10-06 Zoll Medical Corporation Clinical data handoff in device management and data sharing
US10383518B2 (en) 2015-03-31 2019-08-20 Midmark Corporation Electronic ecosystem for medical examination room
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
EP3209236B1 (en) 2015-03-31 2020-06-10 St. Jude Medical, Cardiology Division, Inc. Device for delivering pulsed rf energy during catheter ablation
US10413200B2 (en) 2015-04-06 2019-09-17 Thomas Jefferson University Implantable vital sign sensor
US10117702B2 (en) 2015-04-10 2018-11-06 Ethicon Llc Surgical generator systems and related methods
CN107427330B (en) 2015-04-10 2020-10-16 马科外科公司 System and method for controlling a surgical tool during autonomous movement of the surgical tool
US20160296246A1 (en) 2015-04-13 2016-10-13 Novartis Ag Forceps with metal and polymeric arms
EP3285634A4 (en) 2015-04-20 2019-01-09 Medrobotics Corporation Articulated robotic probes
US10806506B2 (en) 2015-04-21 2020-10-20 Smith & Nephew, Inc. Vessel sealing algorithm and modes
ES2950459T3 (en) 2015-04-22 2023-10-10 Covidien Lp Portable electromechanical surgical system
KR20170139655A (en) 2015-04-23 2017-12-19 에스알아이 인터내셔널 Super Orthopedic Surgical System User Interface Device
US20160342753A1 (en) 2015-04-24 2016-11-24 Starslide Method and apparatus for healthcare predictive decision technology platform
US20160314717A1 (en) 2015-04-27 2016-10-27 KindHeart, Inc. Telerobotic surgery system for remote surgeon training using robotic surgery station coupled to remote surgeon trainee and instructor stations and associated methods
US20160314711A1 (en) 2015-04-27 2016-10-27 KindHeart, Inc. Telerobotic surgery system for remote surgeon training using robotic surgery station and remote surgeon station with display of actual animal tissue images and associated methods
US20160323283A1 (en) 2015-04-30 2016-11-03 Samsung Electronics Co., Ltd. Semiconductor device for controlling access right to resource based on pairing technique and method thereof
US10169862B2 (en) 2015-05-07 2019-01-01 Novadaq Technologies ULC Methods and systems for laser speckle imaging of tissue using a color image sensor
US10235737B2 (en) 2015-05-11 2019-03-19 Elwha Llc Interactive surgical drape, system, and related methods
EP3294184B1 (en) 2015-05-11 2023-07-12 Covidien LP Coupling instrument drive unit and robotic surgical instrument
JP6930062B2 (en) 2015-05-12 2021-09-01 レビー、エイブラハム Dynamic field endoscope
GB2538497B (en) 2015-05-14 2020-10-28 Cmr Surgical Ltd Torque sensing in a surgical robotic wrist
US9566708B2 (en) 2015-05-14 2017-02-14 Daniel Kurnianto Control mechanism for end-effector maneuver
AU2016263106B2 (en) 2015-05-15 2020-01-16 Mako Surgical Corp. Systems and methods for providing guidance for a robotic medical procedure
WO2016187070A1 (en) 2015-05-15 2016-11-24 Gauss Surgical, Inc. Method for projecting blood loss of a patient during a surgery
US20160342916A1 (en) 2015-05-20 2016-11-24 Schlumberger Technology Corporation Downhole tool management system
CA2930309C (en) 2015-05-22 2019-02-26 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US10022120B2 (en) 2015-05-26 2018-07-17 Ethicon Llc Surgical needle with recessed features
US9519753B1 (en) 2015-05-26 2016-12-13 Virtual Radiologic Corporation Radiology workflow coordination techniques
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US10959788B2 (en) 2015-06-03 2021-03-30 Covidien Lp Offset instrument drive unit
US10118119B2 (en) 2015-06-08 2018-11-06 Cts Corporation Radio frequency process sensing, control, and diagnostics network and system
EP4179997A3 (en) 2015-06-08 2023-08-30 Covidien LP Mounting device for surgical systems and method of use
CN114376733A (en) 2015-06-09 2022-04-22 直观外科手术操作公司 Configuring a surgical system using a surgical procedure atlas
US20160361070A1 (en) 2015-06-10 2016-12-15 OrthoDrill Medical Ltd. Sensor technologies with alignment to body movements
EP4331522A3 (en) 2015-06-10 2024-05-22 Intuitive Surgical Operations, Inc. System and method for patient-side instrument control
US10004491B2 (en) 2015-06-15 2018-06-26 Ethicon Llc Suturing instrument with needle motion indicator
EP3307490A4 (en) 2015-06-15 2018-10-31 Milwaukee Electric Tool Corporation Power tool communication system
US9888914B2 (en) 2015-06-16 2018-02-13 Ethicon Endo-Surgery, Llc Suturing instrument with motorized needle drive
US9782164B2 (en) 2015-06-16 2017-10-10 Ethicon Endo-Surgery, Llc Suturing instrument with multi-mode cartridges
AU2016279993B2 (en) 2015-06-16 2021-09-09 Covidien Lp Robotic surgical system torque transduction sensing
US9839419B2 (en) 2015-06-16 2017-12-12 Ethicon Endo-Surgery, Llc Suturing instrument with jaw having integral cartridge component
US9861422B2 (en) 2015-06-17 2018-01-09 Medtronic, Inc. Catheter breach loop feedback fault detection with active and inactive driver system
US10335149B2 (en) 2015-06-18 2019-07-02 Ethicon Llc Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
US10512499B2 (en) 2015-06-19 2019-12-24 Covidien Lp Systems and methods for detecting opening of the jaws of a vessel sealer mid-seal
WO2016205288A1 (en) 2015-06-19 2016-12-22 Covidien Lp Robotic surgical assemblies
US10667877B2 (en) 2015-06-19 2020-06-02 Covidien Lp Controlling robotic surgical instruments with bidirectional coupling
AU2016284040B2 (en) 2015-06-23 2020-04-30 Covidien Lp Robotic surgical assemblies
US10792118B2 (en) 2015-06-23 2020-10-06 Matrix It Medical Tracking Systems, Inc. Sterile implant tracking device, system and method of use
US10528840B2 (en) 2015-06-24 2020-01-07 Stryker Corporation Method and system for surgical instrumentation setup and user preferences
WO2016206015A1 (en) 2015-06-24 2016-12-29 Covidien Lp Surgical clip applier with multiple clip feeding mechanism
US10905415B2 (en) 2015-06-26 2021-02-02 Ethicon Llc Surgical stapler with electromechanical lockout
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10765470B2 (en) 2015-06-30 2020-09-08 Ethicon Llc Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US9839470B2 (en) 2015-06-30 2017-12-12 Covidien Lp Electrosurgical generator for minimizing neuromuscular stimulation
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
KR101726054B1 (en) 2015-07-08 2017-04-12 성균관대학교산학협력단 Apparatus and method for discriminating biological tissue, surgical apparatus using the apparatus
WO2017011382A1 (en) 2015-07-13 2017-01-19 Surgimatix, Inc. Laparoscopic suture device with release mechanism
WO2017011576A2 (en) 2015-07-13 2017-01-19 Mako Surgical Corp. Lower extremities leg length calculation method
WO2017011646A1 (en) 2015-07-14 2017-01-19 Smith & Nephew, Inc. Instrumentation identification and re-ordering system
GB2540756B (en) 2015-07-22 2021-03-31 Cmr Surgical Ltd Gear packaging for robot arms
GB2541369B (en) 2015-07-22 2021-03-31 Cmr Surgical Ltd Drive mechanisms for robot arms
US10420558B2 (en) 2015-07-30 2019-09-24 Ethicon Llc Surgical instrument comprising a system for bypassing an operational step of the surgical instrument
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10679758B2 (en) 2015-08-07 2020-06-09 Abbott Cardiovascular Systems Inc. System and method for supporting decisions during a catheterization procedure
US9532845B1 (en) 2015-08-11 2017-01-03 ITKR Software LLC Methods for facilitating individualized kinematically aligned total knee replacements and devices thereof
CN107921339B (en) 2015-08-14 2019-04-16 3M创新有限公司 The identification of filtration system inner filter media
US11351001B2 (en) 2015-08-17 2022-06-07 Intuitive Surgical Operations, Inc. Ungrounded master control devices and methods of use
US10136949B2 (en) 2015-08-17 2018-11-27 Ethicon Llc Gathering and analyzing data for robotic surgical systems
US10205708B1 (en) 2015-08-21 2019-02-12 Teletracking Technologies, Inc. Systems and methods for digital content protection and security in multi-computer networks
US10639039B2 (en) 2015-08-24 2020-05-05 Ethicon Llc Surgical stapler buttress applicator with multi-zone platform for pressure focused release
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
WO2017037705A1 (en) 2015-08-30 2017-03-09 M.S.T. Medical Surgery Technologies Ltd An intelligent surgical tool control system for laparoscopic surgeries
EP3344179B1 (en) 2015-08-31 2021-06-30 KB Medical SA Robotic surgical systems
US20170068792A1 (en) 2015-09-03 2017-03-09 Bruce Reiner System and method for medical device security, data tracking and outcomes analysis
CN107920864B (en) 2015-09-11 2021-07-16 柯惠Lp公司 Robotic surgical system control scheme for manipulating robotic end effectors
EP3141181B1 (en) 2015-09-11 2018-06-20 Bernard Boon Chye Lim Ablation catheter apparatus with a basket comprising electrodes, an optical emitting element and an optical receiving element
DE102015115559A1 (en) 2015-09-15 2017-03-16 Karl Storz Gmbh & Co. Kg Manipulation system and handling device for surgical instruments
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
CN108024835B (en) 2015-09-25 2021-08-31 柯惠Lp公司 Robotic surgical assembly and instrument drive connector therefor
AU2016327595B2 (en) 2015-09-25 2020-07-23 Covidien Lp Robotic surgical assemblies and electromechanical instruments thereof
CN108024834A (en) 2015-09-25 2018-05-11 柯惠Lp公司 The elastic surgical interface of robotic surgical system
US11076909B2 (en) 2015-09-25 2021-08-03 Gyrus Acmi, Inc. Multifunctional medical device
US10639111B2 (en) 2015-09-25 2020-05-05 Covidien Lp Surgical robotic assemblies and instrument adapters thereof
US9900787B2 (en) 2015-09-30 2018-02-20 George Ou Multicomputer data transferring system with a base station
BR112018006376B1 (en) 2015-09-30 2023-01-24 Ethicon Llc GENERATOR FOR DELIVERING A COMBINED SIGNAL COMPRISING A RADIO FREQUENCY (RF) COMPONENT AND AN ULTRASONIC COMPONENT TO A SURGICAL INSTRUMENT, SYSTEM COMPRISING SUCH GENERATOR AND METHOD FOR PERFORMING SETTING ON A CIRCUIT COMPONENT
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
EP3355819A1 (en) 2015-09-30 2018-08-08 Ethicon LLC Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
EP3361979A4 (en) 2015-10-14 2019-06-26 Surgical Theater LLC Augmented reality surgical navigation
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US11045275B2 (en) 2015-10-19 2021-06-29 Cilag Gmbh International Surgical instrument with dual mode end effector and side-loaded clamp arm assembly
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
EP3364904A4 (en) 2015-10-22 2019-06-19 Covidien LP Variable sweeping for input devices
US20170116873A1 (en) 2015-10-26 2017-04-27 C-SATS, Inc. Crowd-sourced assessment of performance of an activity
US10639027B2 (en) 2015-10-27 2020-05-05 Ethicon Llc Suturing instrument cartridge with torque limiting features
AU2016343813A1 (en) 2015-10-29 2018-05-10 Sharp Fluidics Llc Systems and methods for data capture in an operating room
CN108352196A (en) 2015-10-30 2018-07-31 皇家飞利浦有限公司 There is no hospital's matching in the health care data library for going mark of apparent standard identifier
WO2017075176A1 (en) 2015-10-30 2017-05-04 Cedars-Sinai Medical Center Methods and systems for performing tissue classification using multi-channel tr-lifs and multivariate analysis
CN108135659B (en) 2015-10-30 2021-09-10 柯惠Lp公司 Haptic feedback control device for robotic surgical system interface
US10772688B2 (en) 2015-10-30 2020-09-15 Covidien Lp Input handles for robotic surgical systems having visual feedback
US10084833B2 (en) 2015-11-09 2018-09-25 Cisco Technology, Inc. Initiating a collaboration session between devices using an audible message
US20170132785A1 (en) 2015-11-09 2017-05-11 Xerox Corporation Method and system for evaluating the quality of a surgical procedure from in-vivo video
EP3373811A4 (en) 2015-11-10 2019-09-04 Novanta Inc. Cordless and wireless surgical display system
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
US20170132374A1 (en) 2015-11-11 2017-05-11 Zyno Medical, Llc System for Collecting Medical Data Using Proxy Inputs
CN108472084B (en) 2015-11-12 2021-08-27 直观外科手术操作公司 Surgical system with training or assisting function
US10772630B2 (en) 2015-11-13 2020-09-15 Intuitive Surgical Operations, Inc. Staple pusher with lost motion between ramps
US10973517B2 (en) 2015-11-13 2021-04-13 Intuitive Surgical Operations, Inc. Stapler with composite cardan and screw drive
US10898189B2 (en) 2015-11-13 2021-01-26 Intuitive Surgical Operations, Inc. Push-pull stapler with two degree of freedom wrist
WO2017091704A1 (en) 2015-11-25 2017-06-01 Camplex, Inc. Surgical visualization systems and displays
US20170143284A1 (en) 2015-11-25 2017-05-25 Carestream Health, Inc. Method to detect a retained surgical object
KR102374677B1 (en) 2015-11-27 2022-03-15 삼성전자 주식회사 Method and apparatus for managing terminal using wireless communication
US10143526B2 (en) 2015-11-30 2018-12-04 Auris Health, Inc. Robot-assisted driving systems and methods
US9888975B2 (en) 2015-12-04 2018-02-13 Ethicon Endo-Surgery, Llc Methods, systems, and devices for control of surgical tools in a robotic surgical system
KR102535081B1 (en) 2015-12-09 2023-05-22 삼성전자주식회사 Watch-type wearable device
US10311036B1 (en) 2015-12-09 2019-06-04 Universal Research Solutions, Llc Database management for a logical registry
GB201521804D0 (en) 2015-12-10 2016-01-27 Cambridge Medical Robotics Ltd Pulley arrangement for articulating a surgical instrument
US20170164997A1 (en) 2015-12-10 2017-06-15 Ethicon Endo-Surgery, Llc Method of treating tissue using end effector with ultrasonic and electrosurgical features
GB201521805D0 (en) 2015-12-10 2016-01-27 Cambridge Medical Robotics Ltd Guiding engagement of a robot arm and surgical instrument
AU2016367922B2 (en) 2015-12-11 2019-08-08 Servicenow, Inc. Computer network threat assessment
US10265130B2 (en) 2015-12-11 2019-04-23 Ethicon Llc Systems, devices, and methods for coupling end effectors to surgical devices and loading devices
CN108848667B (en) 2015-12-11 2019-06-14 天津瑞奇外科器械股份有限公司 Modular signal interface system and energy puncture outfit
CA3005094C (en) 2015-12-14 2021-05-25 Buffalo Filter Llc Method and apparatus for attachment and evacuation
US10238413B2 (en) 2015-12-16 2019-03-26 Ethicon Llc Surgical instrument with multi-function button
US20170172614A1 (en) 2015-12-17 2017-06-22 Ethicon Endo-Surgery, Llc Surgical instrument with multi-functioning trigger
US20170177806A1 (en) 2015-12-21 2017-06-22 Gavin Fabian System and method for optimizing surgical team composition and surgical team procedure resource management
EP3380029A1 (en) 2015-12-21 2018-10-03 Gyrus ACMI, Inc. (D.B.A. Olympus Surgical Technologies America) High surface energy portion on a medical instrument
US10368894B2 (en) 2015-12-21 2019-08-06 Ethicon Llc Surgical instrument with variable clamping force
JP6657933B2 (en) 2015-12-25 2020-03-04 ソニー株式会社 Medical imaging device and surgical navigation system
US10779900B2 (en) 2015-12-29 2020-09-22 Covidien Lp Robotic surgical systems and instrument drive assemblies
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10470791B2 (en) 2015-12-30 2019-11-12 Ethicon Llc Surgical instrument with staged application of electrosurgical and ultrasonic energy
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US20170202595A1 (en) 2016-01-15 2017-07-20 Ethicon Endo-Surgery, Llc Modular battery powered handheld surgical instrument with a plurality of control programs
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11229450B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with motor drive
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US11022421B2 (en) 2016-01-20 2021-06-01 Lucent Medical Systems, Inc. Low-frequency electromagnetic tracking
US10258415B2 (en) 2016-01-29 2019-04-16 Boston Scientific Scimed, Inc. Medical user interfaces and related methods of use
US11273006B2 (en) 2016-01-29 2022-03-15 Millennium Healthcare Technologies, Inc. Laser-assisted periodontics
WO2017132611A1 (en) 2016-01-29 2017-08-03 Intuitive Surgical Operations, Inc. System and method for variable velocity surgical instrument
KR20180101597A (en) 2016-02-02 2018-09-12 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Instrument force sensor using strain gage of Faraday cage
USD784270S1 (en) 2016-02-08 2017-04-18 Vivint, Inc. Control panel
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US9980140B1 (en) 2016-02-11 2018-05-22 Bigfoot Biomedical, Inc. Secure communication architecture for medical devices
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US20170231628A1 (en) 2016-02-12 2017-08-17 Ethicon Endo-Surgery, Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
WO2017147353A1 (en) 2016-02-26 2017-08-31 Covidien Lp Robotic surgical systems and robotic arms thereof
WO2017147596A1 (en) 2016-02-26 2017-08-31 Think Surgical, Inc. Method and system for guiding user positioning of a robot
KR20180109855A (en) 2016-02-26 2018-10-08 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Collision avoidance system and method using virtual boundary
US10786298B2 (en) 2016-03-01 2020-09-29 Covidien Lp Surgical instruments and systems incorporating machine learning based tissue identification and methods thereof
US10561753B2 (en) 2016-03-02 2020-02-18 Asp Global Manufacturing Gmbh Method of sterilizing medical devices, analyzing biological indicators, and linking medical device sterilization equipment
EP3422990A4 (en) 2016-03-04 2019-11-13 Covidien LP Inverse kinematic control systems for robotic surgical system
US10893884B2 (en) 2016-03-04 2021-01-19 Covidien Lp Ultrasonic instruments for robotic surgical systems
WO2017151993A1 (en) 2016-03-04 2017-09-08 Covidien Lp Electromechanical surgical systems and robotic surgical instruments thereof
WO2017155999A1 (en) 2016-03-07 2017-09-14 Hansa Medical Products, Inc. Apparatus and method for forming an opening in patient's tissue
JP6488249B2 (en) 2016-03-08 2019-03-20 富士フイルム株式会社 Blood vessel information acquisition apparatus, endoscope system, and blood vessel information acquisition method
CA2960531C (en) 2016-03-11 2019-06-25 The Toronto-Dominion Bank Application platform security enforcement in cross device and ownership structures
WO2017160808A1 (en) 2016-03-15 2017-09-21 Advanced Cardiac Therapeutics, Inc. Improved devices, systems and methods for irrigated ablation
US10350016B2 (en) 2016-03-17 2019-07-16 Intuitive Surgical Operations, Inc. Stapler with cable-driven advanceable clamping element and dual distal pulleys
US10631858B2 (en) 2016-03-17 2020-04-28 Intuitive Surgical Operations, Inc. Stapler with cable-driven advanceable clamping element and distal pulley
JPWO2017169823A1 (en) 2016-03-30 2019-02-07 ソニー株式会社 Image processing apparatus and method, surgical system, and surgical member
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US11284890B2 (en) * 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10285705B2 (en) * 2016-04-01 2019-05-14 Ethicon Llc Surgical stapling system comprising a grooved forming pocket
US10175096B2 (en) 2016-04-01 2019-01-08 Ethicon Llc System and method to enable re-use of surgical instrument
US10456140B2 (en) 2016-04-01 2019-10-29 Ethicon Llc Surgical stapling system comprising an unclamping lockout
US10722233B2 (en) 2016-04-07 2020-07-28 Intuitive Surgical Operations, Inc. Stapling cartridge
KR102713366B1 (en) 2016-04-12 2024-10-04 어플라이드 메디컬 리소시스 코포레이션 Reload shaft assembly for surgical stapler
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
WO2017184651A1 (en) 2016-04-19 2017-10-26 ClearMotion, Inc. Active hydraulec ripple cancellation methods and systems
US20170304020A1 (en) 2016-04-20 2017-10-26 Samson Ng Navigation arm system and methods
US10363032B2 (en) 2016-04-20 2019-07-30 Ethicon Llc Surgical stapler with hydraulic deck control
US10285700B2 (en) 2016-04-20 2019-05-14 Ethicon Llc Surgical staple cartridge with hydraulic staple deployment
WO2017189317A1 (en) 2016-04-26 2017-11-02 KindHeart, Inc. Telerobotic surgery system for remote surgeon training using robotic surgery station and remote surgeon station and an animating device
US20170312456A1 (en) 2016-04-27 2017-11-02 David Bruce PHILLIPS Skin Desensitizing Device
US10772673B2 (en) 2016-05-02 2020-09-15 Covidien Lp Surgical energy system with universal connection features
DE102016207666B4 (en) 2016-05-03 2023-03-02 Olympus Winter & Ibe Gmbh Medical smoke evacuation apparatus and method of operating the same
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
CN105785611A (en) 2016-05-04 2016-07-20 深圳市华星光电技术有限公司 Backboard and mould used for manufacturing backboard brackets
US20170325878A1 (en) 2016-05-11 2017-11-16 Ethicon Llc Suction and irrigation sealing grasper
US10751136B2 (en) 2016-05-18 2020-08-25 Virtual Incision Corporation Robotic surgical devices, systems and related methods
US10624667B2 (en) 2016-05-20 2020-04-21 Ethicon Llc System and method to track usage of surgical instrument
US10555748B2 (en) 2016-05-25 2020-02-11 Ethicon Llc Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument
AU2017269271B2 (en) 2016-05-26 2021-07-08 Covidien Lp Robotic surgical assemblies
AU2017269350A1 (en) 2016-05-26 2018-10-25 Covidien Lp Robotic surgical assemblies and instrument drive units thereof
WO2017205576A1 (en) 2016-05-26 2017-11-30 Covidien Lp Instrument drive units
WO2017205467A1 (en) 2016-05-26 2017-11-30 Covidien Lp Cannula assemblies for use with robotic surgical systems
GB201609467D0 (en) 2016-05-30 2016-07-13 Givaudan Sa Improvements in or relating to organic compounds
DE102016209576B4 (en) 2016-06-01 2024-06-13 Siemens Healthineers Ag Motion control for a mobile medical device
CA3023272A1 (en) 2016-06-03 2017-12-07 Covidien Lp Control arm assemblies for robotic surgical systems
CN107735040B (en) 2016-06-03 2021-06-18 柯惠Lp公司 Control arm for robotic surgical system
US11272992B2 (en) 2016-06-03 2022-03-15 Covidien Lp Robotic surgical assemblies and instrument drive units thereof
EP3463148B1 (en) 2016-06-03 2024-07-31 Covidien LP Passive axis system for robotic surgical systems
CA3023266A1 (en) 2016-06-03 2017-12-07 Covidien Lp Systems, methods, and computer-readable storage media for controlling aspects of a robotic surgical device and viewer adaptive stereoscopic display
US11617611B2 (en) 2016-06-17 2023-04-04 Megadayne Medical Products, Inc. Hand-held instrument with dual zone fluid removal
US11515030B2 (en) 2016-06-23 2022-11-29 Siemens Healthcare Gmbh System and method for artificial agent based cognitive operating rooms
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
US11125553B2 (en) 2016-06-24 2021-09-21 Syracuse University Motion sensor assisted room shape reconstruction and self-localization using first-order acoustic echoes
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
CN109069206B (en) 2016-06-30 2021-08-17 直观外科手术操作公司 System and method for fault reaction mechanism for medical robotic system
US10313137B2 (en) 2016-07-05 2019-06-04 General Electric Company Method for authenticating devices in a medical network
CN206097107U (en) 2016-07-08 2017-04-12 山东威瑞外科医用制品有限公司 Ultrasonic knife frequency tracking device
US10258362B2 (en) 2016-07-12 2019-04-16 Ethicon Llc Ultrasonic surgical instrument with AD HOC formed blade
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
JP6643482B2 (en) 2016-07-25 2020-02-12 オリンパス株式会社 Energy control device and treatment system
WO2018020577A1 (en) 2016-07-26 2018-02-01 オリンパス株式会社 Energy control device and treatment system
US10378893B2 (en) 2016-07-29 2019-08-13 Ca, Inc. Location detection sensors for physical devices
US9844321B1 (en) 2016-08-04 2017-12-19 Novartis Ag Enhanced ophthalmic surgical experience using a virtual reality head-mounted display
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11006997B2 (en) 2016-08-09 2021-05-18 Covidien Lp Ultrasonic and radiofrequency energy production and control from a single power converter
US10037641B2 (en) 2016-08-10 2018-07-31 Elwha Llc Systems and methods for individual identification and authorization utilizing conformable electronics
EP3497544B1 (en) 2016-08-12 2021-09-22 Boston Scientific Scimed, Inc. Distributed interactive medical visualization system with primary/secondary interaction features
US10531929B2 (en) 2016-08-16 2020-01-14 Ethicon Llc Control of robotic arm motion based on sensed load on cutting tool
US10231775B2 (en) 2016-08-16 2019-03-19 Ethicon Llc Robotic surgical system with tool lift control
US10390895B2 (en) 2016-08-16 2019-08-27 Ethicon Llc Control of advancement rate and application force based on measured forces
US10813703B2 (en) 2016-08-16 2020-10-27 Ethicon Llc Robotic surgical system with energy application controls
US10548673B2 (en) 2016-08-16 2020-02-04 Ethicon Llc Surgical tool with a display
US9943377B2 (en) 2016-08-16 2018-04-17 Ethicon Endo-Surgery, Llc Methods, systems, and devices for causing end effector motion with a robotic surgical system
US10398517B2 (en) 2016-08-16 2019-09-03 Ethicon Llc Surgical tool positioning based on sensed parameters
US11285314B2 (en) 2016-08-19 2022-03-29 Cochlear Limited Advanced electrode array insertion
US10736649B2 (en) 2016-08-25 2020-08-11 Ethicon Llc Electrical and thermal connections for ultrasonic transducer
US10555750B2 (en) 2016-08-25 2020-02-11 Ethicon Llc Ultrasonic surgical instrument with replaceable blade having identification feature
US10695134B2 (en) 2016-08-25 2020-06-30 Verily Life Sciences Llc Motion execution of a robotic system
CA3034071A1 (en) 2016-08-30 2018-03-08 Mako Surgical Corp. Systems and methods for intra-operative pelvic registration
US11370113B2 (en) 2016-09-06 2022-06-28 Verily Life Sciences Llc Systems and methods for prevention of surgical mistakes
US10568703B2 (en) 2016-09-21 2020-02-25 Verb Surgical Inc. User arm support for use in a robotic surgical system
US10069633B2 (en) 2016-09-30 2018-09-04 Data I/O Corporation Unified programming environment for programmable devices
CA3035258C (en) 2016-10-03 2022-03-22 Verb Surgical Inc. Immersive three-dimensional display for robotic surgery
US20180098816A1 (en) 2016-10-06 2018-04-12 Biosense Webster (Israel) Ltd. Pre-Operative Registration of Anatomical Images with a Position-Tracking System Using Ultrasound
US10278778B2 (en) 2016-10-27 2019-05-07 Inneroptic Technology, Inc. Medical device navigation using a virtual 3D space
CN117717411A (en) 2016-11-04 2024-03-19 直观外科手术操作公司 Reconfigurable display in computer-assisted teleoperated surgery
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
KR20230003653A (en) 2016-11-11 2023-01-06 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Teleoperated system with patient health records based instrument control
AU2017357115B2 (en) 2016-11-14 2020-07-16 Conmed Corporation Multimodal surgical gas delivery system having continuous pressure monitoring of a continuous flow of gas to a body cavity
US11147935B2 (en) 2016-11-14 2021-10-19 Conmed Corporation Smoke evacuation system for continuously removing gas from a body cavity
US11003988B2 (en) 2016-11-23 2021-05-11 General Electric Company Hardware system design improvement using deep learning algorithms
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
DE112017006128T5 (en) 2016-12-01 2019-08-14 Kinze Manufacturing, Inc. A system, method and / or apparatus for providing a display unit and an interface for use with an agricultural implement
US11813560B2 (en) 2016-12-06 2023-11-14 Fellowes, Inc. Air purifier with intelligent sensors and airflow
US10881446B2 (en) 2016-12-19 2021-01-05 Ethicon Llc Visual displays of electrical pathways
US10905513B2 (en) 2016-12-20 2021-02-02 Verb Surgical Inc. Sensors for detecting sterile adapter and tool attachment for use in a robotic surgical system
US10318763B2 (en) 2016-12-20 2019-06-11 Privacy Analytics Inc. Smart de-identification using date jittering
US10499914B2 (en) 2016-12-21 2019-12-10 Ethicon Llc Staple forming pocket arrangements
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10835247B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Lockout arrangements for surgical end effectors
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US20180168650A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Connection portions for disposable loading units for surgical stapling instruments
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US11523857B2 (en) 2016-12-22 2022-12-13 Medtronic, Inc. Multiplexing algorithm with power allocation
US10244926B2 (en) 2016-12-28 2019-04-02 Auris Health, Inc. Detecting endolumenal buckling of flexible instruments
US10842897B2 (en) 2017-01-20 2020-11-24 Éclair Medical Systems, Inc. Disinfecting articles with ozone
AU2018221456A1 (en) 2017-02-15 2019-07-11 Covidien Lp System and apparatus for crush prevention for medical robot applications
US11158415B2 (en) 2017-02-16 2021-10-26 Mako Surgical Corporation Surgical procedure planning system with multiple feedback loops
CA3052869A1 (en) 2017-02-17 2018-08-23 Nz Technologies Inc. Methods and systems for touchless control of surgical environment
US20180242967A1 (en) 2017-02-26 2018-08-30 Endoevolution, Llc Apparatus and method for minimally invasive suturing
US9922172B1 (en) 2017-02-28 2018-03-20 Digital Surgery Limited Surgical guidance system based on a pre-coded surgical procedural map
US10675100B2 (en) 2017-03-06 2020-06-09 Covidien Lp Systems and methods for improving medical instruments and devices
US10497472B1 (en) 2017-03-08 2019-12-03 Deborah T. Bullington Directional signal fencing for medical appointment progress tracking
WO2018167878A1 (en) 2017-03-15 2018-09-20 オリンパス株式会社 Energy source device
WO2018165980A1 (en) 2017-03-17 2018-09-20 Covidien Lp Anvil plate for a surgical stapling instrument
US11017906B2 (en) 2017-03-20 2021-05-25 Amino, Inc. Machine learning models in location based episode prediction
US10028402B1 (en) 2017-03-22 2018-07-17 Seagate Technology Llc Planar expansion card assembly
WO2018176414A1 (en) 2017-03-31 2018-10-04 Fengh Medical Co., Ltd. Staple cartridge assembly and surgical instrument with the same
CN108652695B (en) 2017-03-31 2020-02-14 江苏风和医疗器材股份有限公司 Surgical instrument
US11071590B2 (en) 2017-04-14 2021-07-27 Stryker Corporation Surgical systems and methods for facilitating ad-hoc intraoperative planning of surgical procedures
JP2018176387A (en) 2017-04-19 2018-11-15 富士ゼロックス株式会社 Robot device and program
JP7165668B2 (en) 2017-04-21 2022-11-04 メディクレア インターナショナル System for developing one or more patient-specific spinal implants
US20180315492A1 (en) 2017-04-26 2018-11-01 Darroch Medical Solutions, Inc. Communication devices and systems and methods of analyzing, authenticating, and transmitting medical information
US10932705B2 (en) 2017-05-08 2021-03-02 Masimo Corporation System for displaying and controlling medical monitoring data
USD834541S1 (en) 2017-05-19 2018-11-27 Universal Remote Control, Inc. Remote control
CA3060873A1 (en) 2017-05-22 2018-11-29 Becton, Dickinson And Company Systems, apparatuses and methods for secure wireless pairing between two devices using embedded out-of-band (oob) key generation
US10806532B2 (en) 2017-05-24 2020-10-20 KindHeart, Inc. Surgical simulation system using force sensing and optical tracking and robotic surgery system
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
US10992698B2 (en) 2017-06-05 2021-04-27 Meditechsafe, Inc. Device vulnerability management
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US20180360456A1 (en) 2017-06-20 2018-12-20 Ethicon Llc Surgical instrument having controllable articulation velocity
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US11229496B2 (en) 2017-06-22 2022-01-25 Navlab Holdings Ii, Llc Systems and methods of providing assistance to a surgeon for minimizing errors during a surgical procedure
KR102341451B1 (en) 2017-06-28 2021-12-23 아우리스 헬스, 인코포레이티드 Robot system, method and non-trnasitory computer readable storage medium for instrument insertion compensation
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11298128B2 (en) 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
USD893717S1 (en) 2017-06-28 2020-08-18 Ethicon Llc Staple cartridge for surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11153076B2 (en) 2017-07-17 2021-10-19 Thirdwayv, Inc. Secure communication for medical devices
JP6901342B2 (en) 2017-07-21 2021-07-14 東芝テック株式会社 Information processing device
US10959732B2 (en) 2017-08-10 2021-03-30 Ethicon Llc Jaw for clip applier
US10751052B2 (en) 2017-08-10 2020-08-25 Ethicon Llc Surgical device with overload mechanism
EP3662810A4 (en) 2017-08-31 2020-07-08 Sony Corporation Medical image processing device, medical image processing system, and driving method of medical image processing device
US11027432B2 (en) 2017-09-06 2021-06-08 Stryker Corporation Techniques for controlling position of an end effector of a robotic device relative to a virtual constraint
USD831209S1 (en) 2017-09-14 2018-10-16 Ethicon Llc Surgical stapler cartridge
US10624707B2 (en) 2017-09-18 2020-04-21 Verb Surgical Inc. Robotic surgical system and method for communicating synchronous and asynchronous information to and from nodes of a robotic arm
US20190087544A1 (en) 2017-09-21 2019-03-21 General Electric Company Surgery Digital Twin
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11284929B2 (en) 2017-10-16 2022-03-29 Cryterion Medical, Inc. Fluid detection assembly for a medical device
WO2019079126A1 (en) 2017-10-17 2019-04-25 Verily Life Sciences Llc Display of preoperative and intraoperative images
CA3073009A1 (en) 2017-10-17 2019-04-25 Alcon Inc. Customized ophthalmic surgical profiles
US10398348B2 (en) 2017-10-19 2019-09-03 Biosense Webster (Israel) Ltd. Baseline impedance maps for tissue proximity indications
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10736616B2 (en) 2017-10-30 2020-08-11 Ethicon Llc Surgical instrument with remote release
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10932804B2 (en) 2017-10-30 2021-03-02 Ethicon Llc Surgical instrument with sensor and/or control systems
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11129634B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instrument with rotary drive selectively actuating multiple end effector functions
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
US10959744B2 (en) 2017-10-30 2021-03-30 Ethicon Llc Surgical dissectors and manufacturing techniques
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10783634B2 (en) 2017-11-22 2020-09-22 General Electric Company Systems and methods to deliver point of care alerts for radiological findings
US10631916B2 (en) 2017-11-29 2020-04-28 Megadyne Medical Products, Inc. Filter connection for a smoke evacuation device
US10786317B2 (en) 2017-12-11 2020-09-29 Verb Surgical Inc. Active backdriving for a robotic arm
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US20190206569A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of cloud based data analytics for use with the hub
US12096916B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US20190201034A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Powered stapling device configured to adjust force, advancement speed, and overall stroke of cutting member based on sensed parameter of firing or clamping
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US20190201140A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Surgical hub situational awareness
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US20190205567A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Data pairing to interconnect a device measured parameter with an outcome
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US20190200997A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Stapling device with both compulsory and discretionary lockouts based on sensed parameters
US20190200906A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Dual cmos array imaging
US20190200987A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Variable output cartridge sensor assembly
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US20190201112A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Computer implemented interactive surgical systems
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US20190201130A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication of data where a surgical network is using context of the data and requirements of a receiving system / user to influence inclusion or linkage of data and metadata to establish continuity
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
WO2019133144A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US20190200980A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Surgical system for presenting information interpreted from external data
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US10755813B2 (en) 2017-12-28 2020-08-25 Ethicon Llc Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US20190201027A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Surgical instrument with acoustic-based motor control
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US20190206564A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method for facility data collection and interpretation
US20190206561A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Data handling and prioritization in a cloud analytics network
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US10898622B2 (en) 2017-12-28 2021-01-26 Ethicon Llc Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device
US20190206555A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Cloud-based medical analytics for customization and recommendations to a user
US20190201090A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Capacitive coupled return path pad with separable array elements
US20190201115A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Aggregation and reporting of surgical hub data
US11058498B2 (en) 2017-12-28 2021-07-13 Cilag Gmbh International Cooperative surgical actions for robot-assisted surgical platforms
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
EP3740269B1 (en) 2018-01-17 2024-04-10 ZOLL Medical Corporation System to assist a rescuer with an intubation procedure for a patient
US10856768B2 (en) 2018-01-25 2020-12-08 Biosense Webster (Israel) Ltd. Intra-cardiac scar tissue identification using impedance sensing and contact measurement
WO2019152898A1 (en) 2018-02-03 2019-08-08 Caze Technologies Surgical systems with sensing and machine learning capabilities and methods thereof
US10682139B2 (en) 2018-02-11 2020-06-16 Chul Hi Park Device and method for assisting selection of surgical staple height
KR20240108551A (en) 2018-02-27 2024-07-09 어플라이드 메디컬 리소시스 코포레이션 Surgical stapler having a powered handle
US11967422B2 (en) 2018-03-05 2024-04-23 Medtech S.A. Robotically-assisted surgical procedure feedback techniques
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11399858B2 (en) 2018-03-08 2022-08-02 Cilag Gmbh International Application of smart blade technology
US11337746B2 (en) 2018-03-08 2022-05-24 Cilag Gmbh International Smart blade and power pulsing
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11259806B2 (en) * 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11197668B2 (en) 2018-03-28 2021-12-14 Cilag Gmbh International Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US20190298353A1 (en) 2018-03-28 2019-10-03 Ethicon Llc Surgical stapling devices with asymmetric closure features
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
USD876466S1 (en) 2018-03-29 2020-02-25 Mitsubishi Electric Corporation Display screen with graphical user interface
US11141232B2 (en) 2018-03-29 2021-10-12 Intuitive Surgical Operations, Inc. Teleoperated surgical instruments
JP7108449B2 (en) 2018-04-10 2022-07-28 Dgshape株式会社 Surgical instrument management system
US11278274B2 (en) 2018-05-04 2022-03-22 Arch Day Design, Llc Suture passing device
US11278220B2 (en) 2018-06-08 2022-03-22 East Carolina University Determining peripheral oxygen saturation (SpO2) and hemoglobin concentration using multi-spectral laser imaging (MSLI) methods and systems
US11278285B2 (en) 2018-08-13 2022-03-22 Cilag GbmH International Clamping assembly for linear surgical stapler
USD904612S1 (en) 2018-08-13 2020-12-08 Ethicon Llc Cartridge for linear surgical stapler
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US20200054321A1 (en) 2018-08-20 2020-02-20 Ethicon Llc Surgical instruments with progressive jaw closure arrangements
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11806062B2 (en) 2018-09-07 2023-11-07 Cilag Gmbh International Surgical modular energy system with a segmented backplane
US11923084B2 (en) 2018-09-07 2024-03-05 Cilag Gmbh International First and second communication protocol arrangement for driving primary and secondary devices through a single port
US20200078120A1 (en) 2018-09-07 2020-03-12 Ethicon Llc Modular surgical energy system with module positional awareness with digital logic
US11804679B2 (en) 2018-09-07 2023-10-31 Cilag Gmbh International Flexible hand-switch circuit
US20200078113A1 (en) 2018-09-07 2020-03-12 Ethicon Llc Port presence detection system for modular energy system
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11298129B2 (en) 2019-02-19 2022-04-12 Cilag Gmbh International Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US20200305924A1 (en) 2019-03-29 2020-10-01 Ethicon Llc Automatic ultrasonic energy activation circuit design for modular surgical systems
US11743665B2 (en) 2019-03-29 2023-08-29 Cilag Gmbh International Modular surgical energy system with module positional awareness sensing with time counter
US11547468B2 (en) 2019-06-27 2023-01-10 Cilag Gmbh International Robotic surgical system with safety and cooperative sensing control
US11253255B2 (en) 2019-07-26 2022-02-22 Covidien Lp Knife lockout wedge
US20210128149A1 (en) 2019-11-01 2021-05-06 Covidien Lp Surgical staple cartridge
US10902944B1 (en) 2020-01-06 2021-01-26 Carlsmed, Inc. Patient-specific medical procedures and devices, and associated systems and methods

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040232200A1 (en) * 2003-05-20 2004-11-25 Shelton Frederick E. Surgical stapling instrument having a spent cartridge lockout
US20140263567A1 (en) * 2013-03-13 2014-09-18 Covidien Lp Surgical stapling apparatus

Cited By (116)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11925373B2 (en) 2017-10-30 2024-03-12 Cilag Gmbh International Surgical suturing instrument comprising a non-circular needle
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US12035983B2 (en) 2017-10-30 2024-07-16 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11819231B2 (en) 2017-10-30 2023-11-21 Cilag Gmbh International Adaptive control programs for a surgical system comprising more than one type of cartridge
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11759224B2 (en) 2017-10-30 2023-09-19 Cilag Gmbh International Surgical instrument systems comprising handle arrangements
US11406390B2 (en) 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US12059218B2 (en) 2017-10-30 2024-08-13 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11696778B2 (en) 2017-10-30 2023-07-11 Cilag Gmbh International Surgical dissectors configured to apply mechanical and electrical energy
US11648022B2 (en) 2017-10-30 2023-05-16 Cilag Gmbh International Surgical instrument systems comprising battery arrangements
US11602366B2 (en) 2017-10-30 2023-03-14 Cilag Gmbh International Surgical suturing instrument configured to manipulate tissue using mechanical and electrical power
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11564703B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Surgical suturing instrument comprising a capture width which is larger than trocar diameter
US11737668B2 (en) 2017-12-28 2023-08-29 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
US12096916B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US12096985B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US12076010B2 (en) 2017-12-28 2024-09-03 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11775682B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US12059124B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US12062442B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Method for operating surgical instrument systems
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11589932B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US12059169B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11596291B2 (en) 2017-12-28 2023-03-07 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws
US11601371B2 (en) 2017-12-28 2023-03-07 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
US12053159B2 (en) 2017-12-28 2024-08-06 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US12048496B2 (en) 2017-12-28 2024-07-30 Cilag Gmbh International Adaptive control program updates for surgical hubs
US12042207B2 (en) 2017-12-28 2024-07-23 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11696760B2 (en) 2017-12-28 2023-07-11 Cilag Gmbh International Safety systems for smart powered surgical stapling
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US12035890B2 (en) 2017-12-28 2024-07-16 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11701185B2 (en) 2017-12-28 2023-07-18 Cilag Gmbh International Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11712303B2 (en) 2017-12-28 2023-08-01 Cilag Gmbh International Surgical instrument comprising a control circuit
US12029506B2 (en) 2017-12-28 2024-07-09 Cilag Gmbh International Method of cloud based data analytics for use with the hub
US12009095B2 (en) 2017-12-28 2024-06-11 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11751958B2 (en) 2017-12-28 2023-09-12 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11382697B2 (en) 2017-12-28 2022-07-12 Cilag Gmbh International Surgical instruments comprising button circuits
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11931110B2 (en) 2017-12-28 2024-03-19 Cilag Gmbh International Surgical instrument comprising a control system that uses input from a strain gage circuit
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11918302B2 (en) 2017-12-28 2024-03-05 Cilag Gmbh International Sterile field interactive control displays
US11779337B2 (en) 2017-12-28 2023-10-10 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11864845B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Sterile field interactive control displays
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11890065B2 (en) 2017-12-28 2024-02-06 Cilag Gmbh International Surgical system to limit displacement
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11903587B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Adjustment to the surgical stapling control based on situational awareness
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
US11457944B2 (en) 2018-03-08 2022-10-04 Cilag Gmbh International Adaptive advanced tissue treatment pad saver mode
US11534196B2 (en) 2018-03-08 2022-12-27 Cilag Gmbh International Using spectroscopy to determine device use state in combo instrument
US11839396B2 (en) 2018-03-08 2023-12-12 Cilag Gmbh International Fine dissection mode for tissue classification
US11389188B2 (en) 2018-03-08 2022-07-19 Cilag Gmbh International Start temperature of blade
US11701162B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11464532B2 (en) 2018-03-08 2022-10-11 Cilag Gmbh International Methods for estimating and controlling state of ultrasonic end effector
US11707293B2 (en) 2018-03-08 2023-07-25 Cilag Gmbh International Ultrasonic sealing algorithm with temperature control
US11344326B2 (en) 2018-03-08 2022-05-31 Cilag Gmbh International Smart blade technology to control blade instability
US11399858B2 (en) 2018-03-08 2022-08-02 Cilag Gmbh International Application of smart blade technology
US11701139B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11986233B2 (en) 2018-03-08 2024-05-21 Cilag Gmbh International Adjustment of complex impedance to compensate for lost power in an articulating ultrasonic device
US11678901B2 (en) 2018-03-08 2023-06-20 Cilag Gmbh International Vessel sensing for adaptive advanced hemostasis
US11844545B2 (en) 2018-03-08 2023-12-19 Cilag Gmbh International Calcified vessel identification
US11589915B2 (en) 2018-03-08 2023-02-28 Cilag Gmbh International In-the-jaw classifier based on a model
US11617597B2 (en) 2018-03-08 2023-04-04 Cilag Gmbh International Application of smart ultrasonic blade technology
US11678927B2 (en) 2018-03-08 2023-06-20 Cilag Gmbh International Detection of large vessels during parenchymal dissection using a smart blade
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11931027B2 (en) 2018-03-28 2024-03-19 Cilag Gmbh Interntional Surgical instrument comprising an adaptive control system
US11937817B2 (en) 2018-03-28 2024-03-26 Cilag Gmbh International Surgical instruments with asymmetric jaw arrangements and separate closure and firing systems
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
US11986185B2 (en) 2018-03-28 2024-05-21 Cilag Gmbh International Methods for controlling a surgical stapler
US12121255B2 (en) 2018-08-24 2024-10-22 Cilag Gmbh International Electrical power output control based on mechanical forces
US12127729B2 (en) 2018-12-04 2024-10-29 Cilag Gmbh International Method for smoke evacuation for surgical hub
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
US11517309B2 (en) 2019-02-19 2022-12-06 Cilag Gmbh International Staple cartridge retainer with retractable authentication key
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11925350B2 (en) 2019-02-19 2024-03-12 Cilag Gmbh International Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge
US12121256B2 (en) 2023-04-06 2024-10-22 Cilag Gmbh International Methods for controlling temperature in ultrasonic device

Also Published As

Publication number Publication date
US20190298347A1 (en) 2019-10-03
US20190298341A1 (en) 2019-10-03
US11213294B2 (en) 2022-01-04
WO2019186432A1 (en) 2019-10-03
CN112165908A (en) 2021-01-01
WO2019186436A3 (en) 2019-11-14
EP3547328A1 (en) 2019-10-02
US20190298342A1 (en) 2019-10-03
WO2019186437A3 (en) 2019-11-14
EP3547325C0 (en) 2024-01-03
US11129611B2 (en) 2021-09-28
US11166716B2 (en) 2021-11-09
US20190298340A1 (en) 2019-10-03
EP3545865A3 (en) 2019-11-13
JP2021519155A (en) 2021-08-10
EP3545868A1 (en) 2019-10-02
EP3545858A1 (en) 2019-10-02
JP2021519137A (en) 2021-08-10
EP3545863B1 (en) 2024-03-13
CN112165907A (en) 2021-01-01
WO2019186436A2 (en) 2019-10-03
EP3545868B1 (en) 2023-09-06
WO2019186437A2 (en) 2019-10-03
US11197668B2 (en) 2021-12-14
EP3547325B1 (en) 2024-01-03
EP3547328B1 (en) 2024-01-03
EP3912565A1 (en) 2021-11-24
WO2019186433A3 (en) 2020-02-27
CN112165909A (en) 2021-01-01
EP3547325A1 (en) 2019-10-02
US20190298354A1 (en) 2019-10-03
EP3545866A1 (en) 2019-10-02
EP3545867A1 (en) 2019-10-02
EP3545868C0 (en) 2023-09-06
EP3545865A2 (en) 2019-10-02
BR112020019573A2 (en) 2021-01-05
JP2021519149A (en) 2021-08-10
US11406382B2 (en) 2022-08-09
WO2019186433A2 (en) 2019-10-03
US20210353287A1 (en) 2021-11-18
WO2019186438A1 (en) 2019-10-03
JP7317853B2 (en) 2023-07-31
US20210361284A1 (en) 2021-11-25
EP3547328C0 (en) 2024-01-03
EP3545863A1 (en) 2019-10-02
JP7326315B2 (en) 2023-08-15
EP3895627A1 (en) 2021-10-20
BR112020019546A2 (en) 2021-01-05
WO2019186434A1 (en) 2019-10-03
WO2019186431A1 (en) 2019-10-03
BR112020019493A2 (en) 2020-12-29

Similar Documents

Publication Publication Date Title
US20210353288A1 (en) Surgical cartridges with surgical instrument unlocking features
US11259806B2 (en) Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11219453B2 (en) Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11278280B2 (en) Surgical instrument comprising a jaw closure lockout
CN112236087B (en) Suturing apparatus including a deactivatable closure

Legal Events

Date Code Title Description
STPP Information on status: patent application and granting procedure in general

Free format text: DOCKETED NEW CASE - READY FOR EXAMINATION

AS Assignment

Owner name: CILAG GMBH INTERNATIONAL, SWITZERLAND

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:ETHICON LLC;REEL/FRAME:057922/0945

Effective date: 20210405

Owner name: ETHICON LLC, PUERTO RICO

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:SHELTON, FREDERICK E., IV;HARRIS, JASON L.;BAKOS, GREGORY J.;REEL/FRAME:057918/0183

Effective date: 20190305

STPP Information on status: patent application and granting procedure in general

Free format text: NON FINAL ACTION MAILED

STPP Information on status: patent application and granting procedure in general

Free format text: RESPONSE TO NON-FINAL OFFICE ACTION ENTERED AND FORWARDED TO EXAMINER

STPP Information on status: patent application and granting procedure in general

Free format text: NON FINAL ACTION MAILED

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION