Patent application number | Description | Published |
20100261972 | Surgical Access Device with One Time Seal - Various methods and devices are provided for sealing a working channel of a surgical access device using a non-resealable membrane. The non-resealable membrane seals the working channel of the device before use and is punctured when a surgical instrument is inserted into the device such that it will no longer provide a seal in the working channel. | 10-14-2010 |
20100312061 | METHODS AND DEVICES FOR PROVIDING ACCESS THROUGH TISSUE TO A SURGICAL SITE - Methods and devices are provided for providing access through tissue to a surgical site. A surgical access device can be configured to be positioned in tissue to provide access through a working channel of the access device to a body cavity underlying the tissue. The access device can include a sealing element positioned at least partially within the working channel. The sealing element can be formed of a puncturable self-sealing material such as a gel and/or a foam configured to provide a channel seal that seals the working channel when no instrument is inserted through the sealing element and configured to provide an instrument seal that provides a seal around one or more surgical instruments inserted through the sealing element. | 12-09-2010 |
20100312063 | METHODS AND DEVICES FOR ACCESSING A BODY CAVITY USING A SURGICAL ACCESS DEVICE WITH MODULAR SEAL COMPONENTS - Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location. | 12-09-2010 |
20120074200 | SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR - A surgical instrument that has an articulatable end effector. The instrument includes an articulation system that has a rotatable actuator member that interfaces with an articulation transmission. Rotation of the actuator member in a first rotary direction about an actuation axis causes at least one articulation member to articulate the surgical end effector in a first articulation direction and rotation of the actuator member in a second rotary direction causes at least one articulation member to articulate the surgical end effector in a second articulation direction. | 03-29-2012 |
20120123471 | NEEDLE FOR LAPAROSCOPIC SUTURING INSTRUMENT - A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges. | 05-17-2012 |
20120238824 | SURGICAL BOWEL RETRACTOR DEVICES - Bowel retractor devices. In various forms, the bowel retractor devices are configurable from a collapsed position wherein the retractor may be inserted through a trocar cannula or other opening in a patient's body to a second expanded position wherein at least a portion of the patient's bowel may be advantageously supported in a desired position. | 09-20-2012 |
20120239010 | MODULAR SURGICAL TOOL SYSTEMS - Modular surgical instruments are disclosed. In various embodiments, a modular surgical instrument t is disclosed for use with a plurality of interchangeable surgical tool heads that are configured to perform different surgical actions. The instrument is configured to apply a plurality of different rotary drive motions and axial drive motions depending upon the type of surgical tool head attached thereto. | 09-20-2012 |
20120241492 | TISSUE THICKNESS COMPENSATOR COMPRISING AT LEAST ONE MEDICAMENT - In various embodiments, a tissue thickness compensator can comprise one or more capsules and/or pockets comprising at least one medicament therein. In at least one embodiment, staples can be fired through the tissue thickness compensator to rupture the capsules. In certain embodiments, a firing member, or knife, can be advanced through the tissue thickness compensator to rupture the capsules. | 09-27-2012 |
20120241499 | RETAINER ASSEMBLY INCLUDING A TISSUE THICKNESS COMPENSATOR - A retainer for assembling tissue thickness compensators to a surgical stapler can comprise a grip, a first surface for supporting a first tissue thickness compensator, a second surface for supporting a second tissue thickness compensator, and clips for aligning and attaching the retainer to the surgical stapler. The clips may align and attach the retainer to a staple cartridge of the surgical instrument. The clips may align the retainer with an anvil of the surgical instrument. An insertion tool may be used in combination with the retainer to insert the retainer into the surgical stapler and to push the tissue thickness compensators against the anvil and/or the staple cartridge of the surgical instrument. | 09-27-2012 |
20120241500 | TISSUE THICKNESS COMPENSATOR COMPRISING FIBERS TO PRODUCE A RESILIENT LOAD - A nonwoven compensator for an end effector of a surgical instrument can comprise a plurality of spring fibers dispersed throughout the nonwoven compensator. The nonwoven compensator can be positioned in the end effector such as adjacent to a deck surface of a fastener cartridge that is positioned in the end effector. When a fastener from the fastener cartridge is moved from an initial position to a fired position, the fastener can be configured to engage the nonwoven compensator. The fastener can compress a portion of the nonwoven compensator in a staple entrapment area defined by the fired staple. The spring fibers in the nonwoven compensator can comprise a resilient material and can be deformed when the fastener compresses a portion of the nonwoven compensator. Further, the nonwoven compensator can comprise non-spring fibers, a haemostatic material, and/or a homogenous absorbable polymer matrix. | 09-27-2012 |
20120241502 | TISSUE THICKNESS COMPENSATOR COMPRISING RESILIENT MEMBERS - A tissue thickness compensator comprising at least one woven lattice can be positioned in the end effector of a surgical instrument. A fastener cartridge that is positioned in the end effector can comprise at least one cavity configured to receive a fastener. The fastener can be moveable between an initial position, wherein the fastener is at least partially position in a cavity, and a fired position, wherein the fastener is configured to compress a woven lattice of the tissue thickness compensator. The woven lattice can comprise a resilient material such that compression of the woven lattice generates a restoring force. The woven lattice can also comprise an axis that can laterally traverse the fastener cartridge, diagonally traverse the fastener cartridge, or intersect a deck surface of the fastener cartridge. The woven lattice can comprise a hydrophilic substance, which can expand when the woven lattice is severed by a cutting element. | 09-27-2012 |
20120241503 | TISSUE THICKNESS COMPENSATORS - A two-part tissue thickness compensator assembly can include a first tissue thickness compensator configured to be positioned relative to an anvil of a surgical stapler, a second tissue thickness compensator configured to be positioned relative to a staple cartridge of the surgical stapler, and a hinge connecting the first tissue thickness compensator to the second tissue thickness compensator. The first and/or second tissue thickness compensators may include additional engagement features, such as a raised ridge that engages a slot in the anvil and/or the staple cartridge. In certain embodiments, the first and/or second tissue thickness compensators may include an encasement that contains a suitable biologic agent. An end effector assembly may be provided for attachment to a surgical instrument that includes, for example, a staple cartridge, an anvil, a first tissue thickness compensator positioned on the anvil, and a second tissue thickness compensator positioned on the staple cartridge. | 09-27-2012 |
20120241505 | TISSUE THICKNESS COMPENSATORS FOR CIRCULAR SURGICAL STAPLERS - Tissue thickness compensators for use with circular surgical staplers. Various tissue thickness compensators are disclosed for deployment between a stapler head of a surgical circular stapler and an anvil attached thereto to accommodate variances in tissue thickness during stapling. Some tissue thickness compensator arrangements include means and configurations for deploying healing agents for enhancing the healing process. | 09-27-2012 |
20130062393 | RESISTIVE HEATED SURGICAL STAPLE CARTRIDGE WITH PHASE CHANGE SEALANT - An apparatus for endosurgical use includes an instrument having an end effector and a staple cartridge insertable into the end effector. The staple cartridge includes staples, staple apertures, a resistive member, and a medical fluid. When coupled to a power source, the medical fluid is vaporized by the resistive member and expelled out the staple apertures onto the stapled tissue. The power source may be contained within the instrument. In one configuration, a resistive strip with strip contacts may electrically couple to a conductor in the end effector. The medical fluid may also be divided into a plurality of sealant pads corresponding to the staple apertures, and the medical fluid may be a depolymerizable cyanoacrylate, a sprayable thermoplastic urethane, or any vaporizable medicament or pharmaceutical. The staple drivers may include one or more apertures to permit the medical fluid to pass through or around the staple drivers. | 03-14-2013 |
20130068815 | SURGICAL INSTRUMENT WITH FILLED STAPLE - An apparatus comprises a surgical instrument having a proximal end and a distal end. The proximal end may comprise a handle. The distal end may comprise a cutter and a stapler. The apparatus may further comprise a staple for use with the stapler. The staple may comprise an inner channel extending along at least a portion of the length of the staple. The apparatus may further comprise an agent contained in the inner channel, which may be used to coagulate a surgical site where surgical instrument is used. The agent may facilitate coagulation of the fluids at a surgical site once the staples are anchored to the surgical site. | 03-21-2013 |
20130075448 | STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECK ARRANGEMENT - A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In various embodiments, the staples can comprise legs which extend upwardly from the deck wherein the deck can further include supports, or guides, which are configured to hold the staple legs in a particular alignment. In at least one such embodiment, the staple legs can extend upwardly from the supports into a tissue thickness compensator. | 03-28-2013 |
20130075449 | SURGICAL STAPLER WITH STATIONARY STAPLE DRIVERS - A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In various embodiments, the staples can be supported by a support jaw of the surgical stapler and can comprise legs which can extend upwardly through apertures defined in the cartridge deck. In use, the cartridge deck can be pushed downwardly relative to the staples into a well defined in the support jaw. | 03-28-2013 |
20130075450 | STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECK - A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In use, the staples can be supported by a first jaw of the surgical stapler and deformed by a second jaw. As the staples are being deformed, the cartridge deck can be pushed, or slid, downwardly relative to the staples. | 03-28-2013 |
20130146643 | ADHESIVE FILM LAMINATE - A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described. | 06-13-2013 |
20130153641 | RELEASABLE LAYER OF MATERIAL AND SURGICAL END EFFECTOR HAVING THE SAME - An end effector assembly for use with a surgical instrument. The end effector assembly can include a fastener cartridge, a plurality of fasteners, a first connector, a second connector, and a layer of material releasably secured to the fastener cartridge by the first connector and by the second connector. The layer of material can have a mount that extends into a slot or notch in the fastener cartridge between the first connector and the second connector when the layer of material is secured to the fastener cartridge. The layer of material can be a buttress material and/or a tissue thickness compensator. Further, the layer of material can have a reinforcement feature and/or a scalloped edge around at least a portion of the perimeter thereof. | 06-20-2013 |
20130161374 | LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES - A staple cartridge assembly includes, one, a plurality of staples movable between unfired positions and fired positions and, two, a layer, such as a tissue thickness compensator and/or a buttress material, for example, wherein the staples are configured to at least partially capture the layer when the staples are moved between the unfired positions and the fired positions. The layer can include a cushioning member at least partially extending around a peripheral portion of the tissue thickness compensator. The layer can include features which create a flexible transition between the tissue supported by the layer and the staples and the unsupported tissue. | 06-27-2013 |
20130256365 | TISSUE THICKNESS COMPENSATOR COMPRISED OF A PLURALITY OF MATERIALS - In various embodiments, a tissue thickness compensator can comprise a plurality of fibers. In at least one embodiment, such fibers can include a plurality of first fibers comprised of a first material and a plurality of second fibers comprised of a second material. A tissue thickness compensator can comprise a plurality of layers wherein each layer can be comprised of one or more medicaments. Certain embodiments are disclosed herein for manufacturing a tissue thickness compensator comprising fibers, for example. | 10-03-2013 |
20130256368 | TISSUE THICKNESS COMPENSATOR AND METHOD FOR MAKING THE SAME - In various embodiments, a tissue thickness compensator can comprise a film body formed from a continuous extruded shape and, in addition, a fibrous medicament core. | 10-03-2013 |
20130256369 | TISSUE THICKNESS COMPENSATOR COMPRISING CHANNELS - A tissue thickness compensator can comprise a tissue contacting surface and a network of channels defined in the tissue contacting surface. In at least one embodiment, the channels can be configured to store at least one medicament therein. In certain embodiments, the channels can define gripping surfaces configured to grip tissue. In various embodiments, the tissue contacting surface can further comprise ridges extending therefrom. | 10-03-2013 |
20130256372 | TISSUE THICKNESS COMPENSATOR COMPRISING CAPSULES DEFINING A LOW PRESSURE ENVIRONMENT - A tissue thickness compensator can comprise a compensator body and at least one vessel contained in the compensator body. The vessel can define an inner cavity which can comprise an inner atmosphere having a pressure which is lower than the atmospheric pressure of the atmosphere surrounding the tissue thickness compensator. In at least one embodiment, the vessel and the compensator body can be maintained in a collapsed state until staples are fired through the vessel. At such point, the vessel can re-expand and apply a biasing force to tissue captured within the staples. | 10-03-2013 |
20130256373 | DEVICES AND METHODS FOR ATTACHING TISSUE THICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLING INSTRUMENTS - Surgical stapling instruments are disclosed. At least one embodiment includes a first jaw that supports a plurality of surgical staples and a second jaw that is movable relative to the first jaw. Various arrangements include a tissue thickness compensator that is configured to be captured within the surgical staples and assume different compressed heights within different surgical staples upon application of a firing motion to the surgical staples. Various attachment protrusion arrangements are disclosed to mechanically removably attach the tissue thickness compensator to the first or second jaw. | 10-03-2013 |
20130256377 | LAYER COMPRISING DEPLOYABLE ATTACHMENT MEMBERS - An anvil-attachable layer and a retainer for aligning and attaching the layer to an anvil of a surgical stapler. Embodiments of the anvil-attachable layer can include one or more attachment features extending from the layer. A retainer can push the attachment features into a knife slot in the anvil so that the fit between the attachment features and the slot hold the anvil-attachable layer in place. Other embodiments of the anvil-attachable layer can include deployable attachment features formed in the layer. The deployable attachment features can be deployed from an undeployed position substantially in a plane defined by the layer to a deployed position extending out of the plane. In the deployed position, the deployable attachment features can extend into a slot in an anvil. A retainer can include features to push the deployable attachment features into the deployed position. | 10-03-2013 |
20130256378 | END EFFECTOR COMPRISING A DISTAL TISSUE ABUTMENT MEMBER - A fastener cartridge can comprise a cartridge body comprising fastener cavities, fasteners at least partially stored within the cartridge body, and a layer positioned over the cartridge body. The cartridge body can include a proximal end and a distal end. Similarly, the layer can include a proximal end and a distal end. The distal end of the layer can extend distally with respect to the distal end of the cartridge body. Furthermore, the layer can include a distal portion which extends distally with respect to the fastener cavities defined in the cartridge body. This distal portion can be positioned against the tissue being fastened and can flexibly support the tissue after the layer has been implanted against the tissue. The layer may include a proximal portion which extends proximally with respect to the fastener cavities which can flexibly support the tissue after the layer has been implanted. | 10-03-2013 |
20130256379 | SURGICAL STAPLING CARTRIDGE WITH LAYER RETENTION FEATURES - A fastener cartridge assembly includes a plurality of fasteners and a layer configured to be captured by the fasteners. In addition, the layer includes a tissue contacting surface which includes a plurality of cleats, and/or any other suitable structures, configured to reduce slippage between the layer and the patient tissue. In various embodiments, the layer can include traction features extending therefrom. | 10-03-2013 |
20130256380 | LAYER OF MATERIAL FOR A SURGICAL END EFFECTOR - In various embodiments, a layer of material can comprise a body, a proximal end portion, and a distal end portion. The proximal end portion can be releasably secured to a staple cartridge of a surgical end effector, and the distal end portion can be releasably secured to an anvil of the surgical end effector. The layer of material can comprise a tissue thickness compensator. | 10-03-2013 |
20130256383 | ANVIL LAYER ATTACHED TO A PROXIMAL END OF AN END EFFECTOR - An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer. | 10-03-2013 |
20140205637 | TISSUE THICKNESS COMPENSATOR CONFIGURED TO REDISTRIBUTE COMPRESSIVE FORCES - A tissue thickness compensator may generally comprise a compressible core comprising a plurality of movable particles, and a wrap surrounding the compressible core. The plurality of movable particles may comprise at least one medicament. A tissue thickness compensator may generally comprise a compressible core comprising a plurality of crushable particles, and a wrap surrounding the compressible core. The plurality of crushable particles may comprise at least one medicament. The compressible core may comprise a material selected from a group consisting of a biocompatible material. The wrap may comprise a material selected from a group consisting of a biocompatible material. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described. | 07-24-2014 |
20140214019 | BIPOLAR ELECTROSURGICAL HAND SHEARS - An apparatus comprises a first jaw, a second jaw, a first handle, and a second handle. The second jaw is pivotally coupled with the first jaw. The first jaw and the second jaw are configured to grasp tissue. The jaws provide offset electrode surfaces that are operable to deliver bipolar RF energy to tissue grasped between the jaws. The apparatus is further operable to sever tissue. A lockout feature selectively prevents tissue severing, based on an energization state of the jaws. | 07-31-2014 |