A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p.ex. laryngoscopes, bronchoscopes
2.
AUTONOMOUS SURGICAL SENSORS AND COMMUNICATION NETWORK
Surgical systems and methods involve an instrumentation system disposed external to a body of a patient, sensors, which include a first antenna, configured to be placed within the body of the patient, and a surgical instrument including a second antenna disposed at a proximal portion of the surgical instrument. The surgical instrument communicates with the sensors via the first and second antennas. The surgical instrument also communicates messages with the instrumentation system when the surgical instrument is placed in the body of the patient, but the second antenna is disposed external to the body of the patient. The messages include sensor data from the sensors.
H04W 84/18 - Réseaux auto-organisés, p.ex. réseaux ad hoc ou réseaux de détection
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p.ex. laparoscopes
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
The present disclosure describes an implantable channel guide configured to identify and/or a channel created in a patient via an endoscopic navigation procedure. The channel guide includes an elongate body having at least one snare on one end portion thereof and at least one anchor member on a second opposite end portion thereof.
A61F 2/04 - Prothèses implantables dans le corps Éléments ou organes creux ou tubulaires, p.ex. vessies, trachées, bronches ou voies biliaires
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p.ex. laryngoscopes, bronchoscopes
A surgical instrument with a divergent form factor includes an elongated shaft assemblyhaving a proximal end portion and a distal end portion. The surgical instrument defines alongitudinal axis and supports a cassette housing on the proximal end portion of the elongatedshaft assembly. The cassette housing diverges from the longitudinal axis. The distal endportion of the elongated shaft assembly supports an end effector that is operably coupled to anactuator assembly supported by the cassette housing. The surgical instrument removablycouples to a control drive unit of a robotic surgical assembly to enable the actuator assemblyto operate the end effector.
A surgical stapling device for performing anastomoses procedures within a body of a patient includes a handle assembly, an elongate body, and a tool assembly. The handle assembly includes a manually actuated approximation mechanism and a motorized firing mechanism.
An anvil buttress loading system includes an anvil assembly, an anvil buttress loading tool, and an anvil buttress. The anvil buttress is releasably retained on the anvil buttress loading tool with a body of the anvil buttress is positioned on a base of the anvil buttress loading tool, a proximal tab of the anvil buttress positioned over a loading ramp of the anvil buttress loading tool, and a distal tab of the anvil buttress positioned within a flange of the anvil buttress loading tool. The anvil buttress is transferrable from the anvil buttress loading tool to the anvil assembly such that the anvil buttress is releasably secured to the anvil assembly with the body positioned on a tissue facing surface of the anvil assembly, the proximal tab engaged with a pin assembly of the anvil assembly, and the distal tab engaged with an anvil tip of the anvil assembly.
A surgical instrument includes an articulation assembly having a dual threaded rod, a first nut, a second nut, a first articulation rod, and a second articulation rod. The dual threaded rod includes a body, a first thread encircling at least a portion of the body in a first direction, and a second thread encircling at least a portion of the body in a second, opposite direction. Rotation of the dual threaded rod in a first direction relative to the elongated portion causes the first nut to move distally relative to the dual threaded rod. Rotation of the dual threaded rod in the first direction relative to the elongated portion causes the second nut to move proximally relative to the dual threaded rod. The first articulation rod is coupled to the first nut and the end effector, and the second articulation rod is coupled to the second nut and the end effector.
An end effector of a surgical stapling apparatus includes an anvil assembly and a cartridge assembly. The anvil assembly has an anvil body that supports an anvil buttress. The anvil buttress includes a distal alignment band that extends distally beyond the anvil body. The cartridge assembly has a cartridge body that supports a cartridge buttress. The cartridge buttress includes a distal alignment band that extends distally beyond the cartridge body.
An anvil buttress loading system includes an anvil assembly, an anvil buttress loading tool, and an anvil buttress. The anvil buttress is retainable on each of the anvil buttress loading tool and the anvil buttress and is transferable from the anvil buttress loading tool to the anvil assembly.
A humidifier, for a ventilation system, that includes an atomizer configured to deliver water droplets into a flow of breathing gases and a heating element configured to vaporize the water droplets emitted from the atomizer. The humidifier may be configured to set a target inhalation gas temperature based on internal temperature of a patient. Further, based on inspiratory flow and humidity data about breathing gases upstream of the atomizer of the humidifier, the humidifier may calculate and deliver an amount of water in one or more bursts of atomized water. Based on the target inhalation gas temperature, the humidifier may control a temperature of the heating element.
A surgical device includes an elongate body, a tool assembly, a drive assembly, and an articulation mechanism for moving the tool assembly between a non-articulated position and articulated positions. The articulation mechanism includes an articulation link, a first pivot link that is positioned on a first side of a flexible beam, and a second pivot link positioned on a second side of the flexible beam. The first and second pivot links are configured to control the path of movement of the flexible beam of the drive assembly as the flexible beam is moved between its retracted and advanced positions in non-articulated and articulated positions of the tool assembly to maintain a predetermined distance of movement of the clamp member within the tool assembly constant.
A transverse surgical stapling system includes an elongated shaft assembly, a distal tube, an anvil assembly, and a cartridge assembly. The distal tube has a proximal end portion and a distal end portion. The proximal end portion of the distal tube supports the elongated shaft assembly. The anvil assembly is supported on the distal end portion of the distal tube. The cartridge assembly is supported on the distal tube in movable relation to the anvil assembly. The anvil and cartridge assemblies are movable between retracted and extended positions relative to the distal tube.
A reload assembly of a surgical stapling device includes a tool assembly, a drive assembly that is movable from a retracted position to an advanced position to actuate the tool assembly, and a lockout assembly including a lock member and a biasing member that prevents readvancement of the drive assembly. The lock member and the biasing member of the lockout assembly are configured to be securely fastened to each other using different structures and methods of securement.
A surgical stapling device includes a body portion that defines a longitudinal axis and a tool assembly that articulates about an axis transverse to the longitudinal axis. The surgical stapling device includes an articulation member that is supported in the body portion and is movable between retracted and advanced positions to pivot the tool assembly between a non- articulated position and articulated positions. The body portion supports a braking assembly that moves into engagement with the articulation member to stabilize the articulation member when the surgical stapling device is fired.
A surgical stapling device includes a channel member and a staple cartridge that is received within the channel member and is formed from a functional portion and a dummy portion that are coupled together. The functional portion of the staple cartridge defines a knife slot and a plurality of staple receiving pockets. Each of the staple receiving pockets supports a staple and a pusher that is movable within the respective staple receiving pocket to eject the staple from within the staple receiving pocket. The dummy portion of the staple cartridge defines a knife slot and is devoid of staples. A surgical stapling device includes a channel member and a staple cartridge that is received within the channel member and is formed from a functional portion and a dummy portion that are coupled together. The functional portion of the staple cartridge defines a knife slot and a plurality of staple receiving pockets. Each of the staple receiving pockets supports a staple and a pusher that is movable within the respective staple receiving pocket to eject the staple from within the staple receiving pocket. The dummy portion of the staple cartridge defines a knife slot and is devoid of staples.
A stapling end effector includes an anvil assembly having a distal end and defining a plurality of staple forming pockets, and a cartridge assembly pivotal relative to the anvil assembly such that the end effector is movable between open and clamped positions. The anvil assembly supports a plurality of staples corresponding to the plurality of staple forming pockets. The surgical stapling instrument further includes a sensing tip disposed on a distal end of the end effector. The sensing tip is formed of a flexible material and includes at least one sensor for measuring at least one mechanical property. The mechanical property may include force, pressure or torque.
G08B 7/06 - Systèmes de signalisation selon plus d'un des groupes ; Systèmes d'appel de personnes selon plus d'un des groupes utilisant une transmission électrique
18.
CARTRIDGE ALIGNMENT MECHANISM FOR USE WITH SURGICAL DEVICES
A surgical device includes a cartridge alignment mechanism that loads a cartridge onto an engagement portion without having to place the cartridge in proper orientation with the engagement portion.
A surgical stapling device includes tool assembly having an anvil and a cartridge assembly. The cartridge assembly includes a channel member that defines a cavity, a staple cartridge supported within the cavity of the channel member, and a biasing member. The staple cartridge supports staples, each having a back span and a pair of legs depending from the back span. The biasing member is positioned within the channel member and is defomiable to allow the cartridge body to move vertically within the cavity of the channel member. The anvil incudes staple deforming pockets that are configured to deform the legs of the staples from a position within the same plane as the back span to positions laterally offset from the back span.
A cartridge assembly includes a channel member defining a cavity, and a staple cartridge including a cartridge body. A plurality of pushers disposed within the cartridge body, such that each pusher includes a staple supporting surface that defines a first concavity and a second concavity that are separated by a central radiused convexity. Each staple of a plurality of staples is received within one retaining slot of a plurality of retaining slots. Each staple of the plurality of staples includes a back span, wherein the shape of each staple of the plurality staples corresponds to the shape of the staple supporting surface of each of the plurality of pushers. An actuation sled can be moved within the cartridge body, into sequential engagement with the plurality of pushers to urge the plurality of staples through the plurality of retaining slots.
A tool assembly includes first and second jaws, and a clamp assembly having a body portion and first and second beams that are engaged with the first and second jaws. The clamp assembly is movable in relation to the first and second jaws to move the tool assembly from an open position to a clamped position. One of the first or second beams is pivotably coupled to the body portion of the clamp assembly such that the beam can be engaged with the pivotable jaw of the tool assembly when the jaw is in an open position. This allows the clamp assembly to be positioned between the jaws when the tool assembly is in the open position to minimize dead space within the tool assembly.
ABSTRACT Surgical stapling devices have a first buttress attached to an anvil jaw member. The first buttress has a biocompatible contrast agent which elutes into tissue that is stapled, permitting intraoperative identification of cancerous cells in tissue remaining in a patient. In aspects, the surgical stapling device has a second buttress attached to a cartridge jaw member, which may also have a biocompatible contrast agent. 19 Date Recue/Date Received 2021-06-18
A61P 41/00 - Médicaments utilisés en chirurgie, p.ex. adjuvants chirurgicaux pour la prévention des adhérences ou pour le remplacement de l'humeur vitrée
23.
SURGICAL STAPLING DEVICE WITH COMPRESSIBLE STAPLE CARTRIDGE
A surgical instrument includes a tool assembly having an anvil and a cartridge assembly that are movable in relation to each other between an open position and a clamped position to clamp tissue between the anvil and the cartridge assembly. The staple cartridge and/or the anvil includes a tissue contact surface that is formed of or includes a compliant material to allow the tool assembly to adapt to the topography of the tissue being clamped to uniformly compress the tissue along the length of the tool assembly and minimize trauma inflicted on the tissue.
A surgical stapling device includes a tool assembly that has a staple cartridge that includes a perfluorocarbon (hereinafter "PFC") solution that is injected into tissue when the surgical stapling device is fired to improve oxygenation of tissue being treated. In aspects of the disclosure, the tool assembly of the surgical stapling device includes a staple cartridge that has staples that are supported on pushers and an actuation sled that is movable through the staple cartridge into engagement with the pushers to eject staples from the staple cartridge. In certain aspects of the disclosure, the PFC solution is contained within the pushers of a staple cartridge of the tool assembly and the actuation sled includes protrusions that engage the pushers to eject the PFC solution from the pushers when the stapling device is fired. The embodiments of the present invention for which an exclusive property or privilege is claimed are defined as follows: 1. A tool assembly comprising: an anvil; and a cartridge assembly coupled to the anvil such that the tool assembly is movable between open and clamped positions, the cartridge assembly including a channel member defining a cavity and a staple cartridge, the staple cartridge received within the cavity of the channel member and including: a cartridge body defining staple receiving pockets; a plurality of staples received within the staple receiving pockets, each staple of the plurality of staples having a back span and a leg extending from each end of the back span; at least one pusher including a body defining a reservoir, the body having a staple supporting surface and supporting at least one needle, the at least one needle having a first end communicating with the reservoir and a second end projecting above the staple supporting surface and extending towards the anvil; and a PFC solution received within the reservoir. 2. The tool assembly of claim 1, further including an actuation sled having a ramp, the actuation sled being movable through the cartridge body into engagement with the at least one pusher to advance the plurality of staples from the staple receiving pockets into the anvil. 3. The tool assembly of claim 2, wherein the actuation sled includes protrusions that engage the body of the pusher to force the PFC solution from the reservoir through the at least one needle. 4. The tool assembly of claim 3, wherein the at least one needle includes at least one nanoneedle. 5. The tool assembly of claim 4, wherein the at least one nanoneedle includes a plurality of nanoneedles. 12 Date Recue/Date Received 2021-06-23 6. The tool assembly of claim 5, wherein each nanoneedle of the plurality of nanoneedles has a length and the back span of each staple of the plurality of staples has a diameter, the length of each nanoneedle of the plurality of nanoneedles being greater than the diameter of the back span of each staple of the plurality of staples. 7. The tool assembly of any one of claims 1 to 6, wherein the cartridge body defines a central knife slot and the staple receiving pockets are aligned in rows on each side of the central knife slot. 8. The tool assembly of claim 2, wherein the pusher includes a plurality of pushers and the actuation sled is positioned to sequentially engage the plurality of pushers. 9. The tool assembly of any one of claims 1 to 8, wherein the staple supporting surface of the pusher defines a cylindrical concavity that receives the back span of each staple of the plurality of staples. 10. A tool assembly comprising: an anvil; and a cartridge assembly coupled to the anvil such that the tool assembly is movable between open and clamped positions, the cartridge assembly including a channel member defining a cavity and a staple cartridge, the staple cartridge received within the cavity of the channel member and including: a cartridge body defining staple receiving pockets; a plurality of staples received within the staple receiving pockets, each staple of the plurality of staples having a back span and a leg extending from respective ends of the back span; at least one pusher including a body having at least one staple supporting surface, the at least one staple supporting surface supporting the back spans of the plurality of staples; and a reservoir including a PFC solution. 13 Date Recue/Date Received 2021-06-23 11. The tool assembly of claim 10, further including an actuation sled having a ramp, the actuation sled being movable through the cartridge body into engagement with the at least one pusher to advance the plurality of staples from the staple receiving pockets into the anvil. 12. The tool assembly of claim 2, wherein the reservoir is defined within the at least one pusher and the actuation sled includes protrusions that engage the body of the pusher to force the PFC solution from the reservoir. 13. The tool assembly of claim 2, wherein the at least one pusher supports at least one needle, the at least one needle having a first end communicating with the reservoir and a second end projecting above the staple supporting surface and extending towards the anvil. 14. The tool assembly of claim 13, wherein the at least one needle includes a plurality of nanoneedles. 15. The tool assembly of claim 14, wherein each nanoneedle of the plurality of nanoneedles has a length and the back span of each staple of the plurality of staples has a diameter, the length of each nanoneedle of the plurality of nanoneedles being greater than the diameter of the back span of each staple of the plurality of staples. 16. The tool assembly of any one of claims 10 to 15, wherein the cartridge body defines a central knife slot and the staple receiving pockets are aligned in rows on each side of the central knife slot. 17. The tool assembly of claim 12, wherein the at least one pusher includes a plurality of pushers and the actuation sled is positioned to sequentially engage the plurality of pushers. 18. The tool assembly of any one of claims 10 to 17, wherein the staple supporting surface of the at least one pusher defines at least one cylindrical concavity that receives the back span of each staple of the plurality of staples. 14 Date Recue/Date Received 2021-06-23 19. A pusher for a surgical stapling device comprising: a body defining a reservoir, the body having a staple supporting surface and supporting at least one needle, the at least one needle having a first end communicating with the reservoir and a second end projecting above the staple supporting surface of the body, and a PFC solution received within the reservoir. 20. The pusher of claim 19, wherein the at least one needle includes a plurality of nanoneedles. Date Recue/Date Received 2021-06-23 SURGICAL STAPLING DEVICE FIELD [0001] This disclosure is directed to surgical stapling devices and, more particularly, to surgical stapling devices that have a tool assembly including a reservoir having a perfluorocarbon solution for injecting into stapled tissue. BACKGROUND [0002] Surgical stapling devices for ejecting staples to join tissue or tissue segments in a fast and efficient manner in a variety of surgical procedures, e.g., anastomoses procedures, are well known. Typically, a surgical stapling device includes a tool assembly having first and second jaws that support a cartridge assembly and an anvil, respectively. The cartridge assembly includes a staple cartridge that supports a plurality of staples. The first and second jaws are mounted together to allow for movement of the tool assembly between open and clamped positions. [0003] During a variety of different types of surgical procedures for dissecting a vessel or joining two vessel sections, the tissue forming the vessel or vessel sections is/are clamped between the anvil and the cartridge assembly. Subsequently, the vessel or vessel sections is/are cut with a knife and sutured with staples that are ejected from the cartridge assembly through tissue of the vessel and/or vessel sections and formed by the anvil. If there is not adequate oxygenation of tissue in the area of the formed staples, the tissue will necrose and leakage may occur. Leakage may result in several post-operative complications including sepsis and death. [0004] Accordingly, a continuing need exists in the suturing arts for a surgical stapling device that can improve oxygenation of tissue in the area of the anastomosis. SUMMARY [0005] Aspects of this disclosure are directed to a surgical stapling device that includes a tool assembly that has a staple cartridge that includes a perfluorocarbon (hereinafter "PFC") solution 1 Date Recue/Date Received 2021-06-23 that is injected into tissue when the surgical stapling device is fired to improve oxygenation of tissue being treated. [0006] One aspect of the disclosure is directed to a tool assembly an anvil and a cartridge assembly. The cartridge assembly is coupled to the anvil such that the tool assembly is movable between open and clamped positions. The cartridge assembly includes a channel member and a staple cartridge. The channel member defines a cavity and a staple cartridge that is received within the cavity. The staple cartridge includes a cartridge body, a plurality of staples, at least one pusher, and a PFC solution. The cartridge body defines staple receiving pockets. The plurality of staples is received within the staple receiving pockets. Each of the plurality of staples has a back span and a leg extending from each of the back span. The at least one pusher includes a body defining a reservoir. The body has a staple supporting surface and supports at least one needle. The at least one needle has a first end that communicates with the reservoir and a second end that projects above the staple supporting surface and extends towards the anvil. The PFC solution is received within the reservoir. [0007] In aspects of the disclosure, the tool assembly includes an actuation sled having a ramp and is movable through the cartridge body into engagement with the at least one pusher to advance the plurality of staples from the staple receiving pockets into the anvil. [0008] In some aspects of the disclosure, the actuation sled includes protrusions that engage the body of the pusher to force the PFC solution from the reservoir through the at least one needle. [0009] In certain aspects of the disclosure, the at least one needle includes at least one nanoneedle. [0010] In aspects of the disclosure, the at least one nanoneedle includes a plurality of nanoneedles. [0011] In some aspects of the disclosure, each of the plurality of nanoneedles has a length and the back span of each of the plurality of staples has a diameter, and the length of each of the plurality of nanoneedles is greater than the diameter of the back span of each of the plurality of staples. 2 Date Recue/Date Received 2021-06-23 [0012] In certain aspects of the disclosure, the cartridge body defines a central knife slot and the staple receiving pockets are aligned in rows on each side of the central knife slot. [0013] In aspects of the disclosure, the pusher includes a plurality of pushers and the actuation sled is positioned to sequentially engage the plurality of pushers. [0014] In some aspects of the disclosure, the staple supporting surface of the pusher defines a cylindrical concavity that receives the back span of each of the plurality of staples. [0015] Another aspect of the disclosure is directed to a tool assembly including an anvil and a cartridge assembly. The cartridge assembly is coupled to the anvil such that the tool assembly is movable between open and clamped positions. The cartridge assembly includes a channel member defining a cavity and a staple cartridge. The staple cartridge is received within the cavity of the channel member and includes a cartridge body, a plurality of staples, at least one pusher, and a reservoir including a PFC solution. The cartridge body defines staple receiving pockets and the plurality of staples is received within the staple receiving pockets. Each of the plurality of staples has a back span and a leg extending from respective ends of the back span. The at least one pusher includes a body having at least one staple supporting surface that supports the back spans of the plurality of staples. [0016] Another aspect of the disclosure is directed to a pusher for a surgical stapling device that includes, a body defining a reservoir that has a staple supporting surface and supports at least one needle. The at least one needle has a first end communicating with the reservoir and a second end projecting above the staple supporting surface of the body. A PFC solution is received within the reservoir. [0017] In aspects of the disclosure, the at least one needle includes a plurality of nanoneedles. [0018] Other aspects of the disclosure will be appreciated from the following description. 3 Date Recue/Date Received 2021-06-23 BRIEF DESCRIPTION OF THE DRAWINGS [0019] Various aspects of the disclosed stapling device are described herein below with reference to the drawings, wherein: [0020] FIG. 1 is a side perspective view of a surgical stapling device including aspects of the disclosure with a tool assembly of the stapling device in an open position; [0021] FIG. 2 is an enlarged view of the indicated area of detail shown in FIG. 1; [0022] FIG. 3 is an exploded view of the cartridge assembly shown in FIG. 2; [0023] FIG. 4 is an enlarged view of the indicated area of detail shown in FIG. 3 illustrating a distal portion of a drive assembly of the surgical stapling device; [0024] FIG. 5 is perspective view from a proximal end of the distal portion of the drive assembly shown in FIG. 4; [0025] FIG. 6 is a side perspective view of staples and pushers of a staple cartridge of the cartridge assembly shown in FIG. 3 with parts separated; [0026] FIG. 7 is an enlarged view of the staples and pushers shown in FIG. 6 with the staples supported on the pushers; [0027] FIG. 8 is a cross-sectional view taken along section line 8-8 of FIG. 6; [0028] FIG. 9 is a side perspective view of the tool assembly of the surgical stapling device shown in FIG. 1 with the tool assembly in the clamped position about tissue; [0029] FIG. 10 is a cross-sectional view taken along section line 10-10 of FIG. 9; [0030] FIG. 11 is a cross-sectional view taken through the tool assembly shown in FIG. 9 with the tool assembly in a fired position; [0031] FIG. 12 is an enlarged view of the indicated area of detail shown in FIG. 11; and [0032] FIG. 13 is a cross-sectional view taken along section line 13-13 of FIG. 12. 4 Date Recue/Date Received 2021-06-23 DETAILED DESCRIPTION [0033] The disclosed surgical stapling device will now be described in detail with reference to the drawings in which like reference numerals designate identical or corresponding elements in each of the several views. However, it is to be understood that the disclosed aspects are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the disclosure in virtually any appropriately detailed structure. [0034] In this description, the term "proximal" is used generally to refer to that portion of the device that is closer to a clinician, while the term "distal" is used generally to refer to that portion of the device that is farther from the clinician. In addition, the term "endoscopic" is used generally used to refer to endoscopic, laparoscopic, arthroscopic, and/or any other procedure conducted through a small diameter incision or cannula. Further, the term "clinician" is used generally to refer to medical personnel including doctors, nurses, and support personnel. Moreover, directional terms such as front, rear, upper, lower, top, bottom, and similar terms are used to assist in understanding the description and are not intended to limit the disclosure. [0035] The disclosed surgical stapling device includes a tool assembly that has a staple cartridge that includes a perfluorocarbon (hereinafter "PFC") solution that is injected into tissue when the surgical stapling device is fired to improve oxygenation of tissue being treated. In aspects of the disclosure, the tool assembly of the surgical stapling device includes a staple cartridge that has staples that are supported on pushers and an actuation sled that is movable through the staple cartridge into engagement with the pushers to eject staples from the staple cartridge. In certain aspects of the disclosure, the PFC solution is contained within the pushers of the staple cartridge of the tool assembly and the actuation sled includes protrusions that engage the pushers to eject the PFC solution from the pushers when the stapling device is fired. [0036] FIG. 1 illustrates a surgical stapling device shown generally as stapling device 10 that includes a handle assembly 12, an elongate body or adapter assembly 14, and a tool assembly 16. As illustrated, the handle assembly 12 is powered and includes a stationary handgrip 18 and actuation buttons 20. The actuation buttons 20 are operable to actuate various functions of the tool assembly 16 via the adapter assembly 14 including approximation, stapling, and cutting. In Date Recue/Date Received 2021-06-23 certain aspects of the disclosure, the handle assembly 12 supports batteries (not shown) that provide power to the handle assembly 12 to operate the stapling device 10. Although the stapling device 10 is illustrated as a powered stapling device, it is envisioned that the disclosed tool assembly 16 is suitable for use with manually powered surgical stapling devices as well as robotically controlled stapling devices. [0037] The adapter assembly 14 includes a proximal portion 14a and a distal portion 14b. The proximal portion 14a is coupled to the handle assembly 12 and the distal portion 14b supports the tool assembly 16. In aspects of the disclosure, the tool assembly 16 forms part of a reload assembly 21 that is removably supported on the distal portion 14b of the adapter assembly 14 and can be replaced after the stapling device 10 is fired to facilitate reuse of the stapling device 10. It is also envisioned that the tool assembly 16 can be fixedly coupled directly to the distal portion 14b of the adapter assembly 14. [0038] The tool assembly 16 of the stapling device 10 includes a cartridge assembly 30 and an anvil 32. The cartridge assembly 30 and the anvil 32 are coupled together such that the tool assembly 16 can pivot between an open position (FIG. 1) and a clamped position (FIG. 9). In the clamped position, the anvil 32 and the cartridge assembly 30 are in juxtaposed alignment with each other. [0039] FIGS. 2 and 3 illustrate the cartridge assembly 30 which includes a channel member 34, and a staple cartridge 40. The channel member 34 includes side walls 36 and a bottom wall 38 that define a cavity 34a (FIG. 3) that receives the staple cartridge 40. In aspects of the disclosure, the staple cartridge 40 is removably received within the cavity 34a of the channel member 34 to allow for replacement of the staple cartridge 40 after each firing of the stapling device 10 to facilitate reuse of the stapling device 10 (FIG. 1). [0040] FIG. 3 illustrates an exploded view of the staple cartridge 40 which includes a cartridge body 42, staples 44, pushers 46, and a staple guard (not shown). The staple guard (not shown) is secured to the cartridge body 42 to retain the staples 44 and pushers 46 within the cartridge body as known in the art and is not described The cartridge body 42 of the staple cartridge 40 is received within the cavity 34a defined by the channel member 34 and includes a tissue engaging surface 52. The cartridge body 42 defines a central knife slot 54 and a plurality of staple receiving pockets 56 that are arranged in rows on each side of the central knife slot 54. In certain aspects of the disclosure, the tissue engaging surface 52 of the staple cartridge 40 has a 6 Date Recue/Date Received 2021-06-23 stepped configuration with a raised surface adjacent the central knife slot 54 and lower surfaces positioned outwardly of the knife slot 54 towards the side walls 36 of the channel member 34. Alternatively, the tissue engaging surface 52 can be planar. Each of the staple receiving pockets 56 receives a staple 44 (FIG. 3) and a pusher 46. In some aspects of the disclosure, the staples 44 in the different rows of staple receiving pockets 56 vary in length. Alternately, the staples 44 can be uniformly sized in all or some of the rows of the staple receiving pockets 56. Although three rows of staple receiving pockets 56 are illustrated, it is envisioned that the cartridge body 42 can include one or more rows of staple receiving pockets 56, e.g., two, four, etc. [0041] The tool assembly 16 also includes a drive assembly 60 which includes a coupling member 62, a flexible drive beam 64, and a working end 66. The drive beam 64 of the drive assembly 60 has a proximal portion 64a and a distal portion 64b. The proximal portion 64a of the drive beam 64 supports the coupling member 62 and the distal potion 64b of the drive beam 64 supports the working end 66 of the drive assembly 60. The coupling member 62 of the drive assembly 60 is adapted to be coupled to a control rod (not shown) of the adapter assembly 14 (FIG. 1) such that longitudinal movement of the control rod (not shown) within the adapter assembly 14 (FIG. 1) causes longitudinal movement of the drive assembly 60 in relation to the cartridge assembly 30 and the anvil 32 between retracted and advanced positions. U.S. Patent No. 6,241,139 (hereinafter "the '139 Patenf') discloses a stapling device and describes the interconnection between a drive assembly and control rod suitable for use herein in detail. [0042] The working end 66 of the drive assembly 60 includes a clamping member 70. In aspects of the disclosure, the clamping member 70 has an I-Beam configuration and includes a first beam 74, a second beam 76, and a vertical strut 78 that interconnects the first beam 74 and the second beam 76. The first beam 74 is engaged with the anvil 32 and the second beam 76 is engaged with the cartridge assembly 30 such that movement of the working member 66 from the retracted position to the advanced position in relation to the cartridge assembly 30 and the anvil 32 moves the tool assembly 16 from its open position to its clamped position to define a maximum tissue gap between the cartridge assembly 30 and the anvil 32. In aspects of the disclosure, the vertical strut 78 of the working end 66 of the drive assembly 60 includes or supports a knife blade 80. The '139 Patent describes operation of the working end of a suitable drive assembly in further detail. 7 Date Recue/Date Received 2021-06-23 [0043] The tool assembly 16 of the stapling device 10 includes an actuation sled 82 that is engaged with the distal portion of the drive beam 64 of the drive assembly 60 and is received within the cartridge body 42. In aspects of the disclosure, the actuation sled 82 is fixedly secured to the working end 66 of the drive assembly 60 such that movement of the drive assembly 64 between its retracted and advanced positions causes movement of the actuation sled 82 within the cartridge assembly 30 between retracted and advanced positions. Alternately, the actuation sled 82 can be in abutting relation to the working end 66 of the drive assembly 60 such that movement of the drive assembly between its retracted and advanced positions causes movement of the actuation sled 82 to its advanced position but does not retract the actuation sled 82 from its advanced position. [0044] When the drive assembly 60 is moved from its retracted position to its advanced position, the actuation sled 82 is moved from its retracted position to its advanced position. As the actuation sled 82 moves towards its advanced position, the actuation sled 82 moves into sequential engagement with the pushers 46 to urge the pushers 46 upwardly as viewed in FIG. 3 to eject the staples 44 from the staple receiving pockets 56 of the cartridge body 42. The '139 Patent describes engagement between the actuation sled 82 and the pushers 46 in detail. [0045] FIGS. 4 and 5 illustrate the distal portion 64b of the drive assembly 60 and the actuation sled 82 in further detail. In aspects of the disclosure, the actuation sled 82 includes spaced ramps 90 that are positioned to engage the pushers 46 as the actuation sled 82 is moved through the staple cartridge 40 to move or lift the pushers 46 within the cartridge body 42 of the staple cartridge 40 when the stapling device 10 (FIG. 1) is fired. The spaced ramps 90 define channels 92 that receive the pushers 46 when the actuation sled 82 moves from its retracted position to its advanced position. Each of the spaced ramps 90 includes one or more protrusions 94 that extend transversely from an upper end of the spaced ramps 90 into the channels 92. The actuation sled 82 also includes a central guide member 96 that centrally locates the actuation sled 82 within the cartridge body 42 as the actuation sled 82 moves longitudinally within the cartridge body 42 of the staple cartridge 40. The central guide member 96 also includes protrusions 94 that extend into the channels 92 through which the pushers 46 move to eject the staples 44 from the cartridge body 42. [0046] FIGS. 6-8 illustrate the staples 44 and the pushers 46 in further detail. Each of the pushers 46 includes a body 100 that includes a staple supporting surface 102 and tubular needles 8 Date Recue/Date Received 2021-06-23 104 that project from the body 100 towards the tissue engaging surface 52 of the cartridge body 42. In aspects of the disclosure, the needles 104 are in the form of nanoneedles or microneedles. Nanoneedles are small scale devices that overcome resistance during drug diffusion by creating conduits of small dimension through bio membranes. The needles 104 extend through the body 42 of the pushers 46 and communicate with a reservoir 106 that is defined by the body 100 of the respective pusher 46. The reservoir 106 is filled with PFC solution 108. [0047] Each of the staples 44 includes a back span 110 and legs 112 that extend from each end of the of the back span 110. Each of the legs 112 includes a tapered tip 112a for piercing tissue "T" (FIG. 9). The back span 110 of each of the staples 44 is supported on the staple supporting surface 102 of a respective pusher 46. In aspects of the disclosure, the back span 110 of each of the staples 44 is cylindrical and the staple supporting surface 102 of each of the pushers 44 defines a cylindrical concavity. Alternately, other configurations are envisioned. In some aspects of the disclosure, when the back spans 110 of the staples 44 are received on the staple supporting surfaces 102 of the pushers 46, the needles 104 have a height that is greater than the diameter of the back spans 110 and extend above the back spans 110 as viewed in FIG. 7. [0048] As illustrated, the pushers 46 are coupled together with cam members 120. Each of the cam members 120 includes a tapered bottom surface 120a as viewed in FIG. 6 that is aligned with one of the spaced ramps 90 (FIG. 5) of the actuation sled 82 when the staple cartridge 40 is assembled. As such, the pushers 44 are aligned with the channels 92 of the actuation sled 82. Although it is illustrated that three pushers 44 are coupled together with two cam members 120 and move in unison, it is envisioned that the pushers 44 need not be coupled to each other, and that any number of pushers 46 can be coupled together and move in unison, e.g., two, three, four, etc. [0049] FIGS. 9-13 illustrate the tool assembly 16 with the tool assembly 16 clamped about tissue "T". FIGS. 9 and 10 illustrate the tool assembly 16 in a clamped position about tissue prior to firing the stapling device 10 (FIG. 1). In this position, the pushers 46 have not been engaged by the actuation sled 82 (FIG. 3) and are in their lowest or retracted position within the cartridge body 42 of the staple cartridge 40. As illustrated, the staples 44 are recessed within the staple receiving pockets 56 (FIG. 3) of the cartridge body 42 beneath the tissue "T" and the needles 104 extend towards the anvil 32 to a position above the back span 110. 9 Date Recue/Date Received 2021-06-23 [0050] FIGS. 11-13 illustrate the tool assembly 16 as the stapling device 10 (FIG. 1) is fired. When the stapling device 10 (FIG. 1) is fired, the actuation sled 82 is moved through the cartridge body 42 of the staple cartridge 40 in response to movement of the drive assembly 60 from its retracted position to its advanced position. As the actuation sled 82 is advanced within the cartridge body 42, the ramps 90 (FIG. 4) of the actuation sled 82 sequentially engage the cam members 120 (FIG. 11) of the pushers 46 to lift the pushers 46 within the staple receiving pockets 56 (FIG. 3) of the cartridge body 42 of the staple cartridge 40 in the direction of arrows "A" in FIG. 11 to eject the staples 44 from the staple receiving pockets 56 into the anvil 32 (FIG. 11). Because the height of the needles 104 is greater than the diameter of the back span 110 of the staples 44, the needles 104 pierce the tissue "T" as the staples 44 are formed against the anvil 32. As the actuation sled 82 passes by the pushers 46, the protrusions 94 (FIG. 5) on the upper ends of the ramps 90 and central guide member 96 of the actuation sled 82 (which extend laterally into the channels 92 defined between the spaced ramps 90 of the actuation sled 82) engage side walls of the body 100 of the pushers 46. Engagement of the protrusions 94 with the side walls of the body 100 of the pushers 46 forces the PFC solution 108 from the reservoir 106 through the needles 104 into the tissue "T" adjacent a staple line formed by the rows of staples 44 (FIG. 13). It is noted that where the actuation sled 82 is fixedly coupled to the working end 66 of the drive assembly 60, the protrusions on the actuation sled 82 will engage each of the pushers 46 a second time to force more PFC solution 108 from the reservoir 106 through the needles 104 into the tissue "T" as the actuation sled 82 is returned from its advanced position to its retracted position. [0051] When the PFC solution 108 is injected into the tissue, the PFC solution 108 delivers oxygen to ischemic regions of the staple line that may have been compromised during the surgical procedure to minimize any likelihood of tissue necrosis. The delivery of the PFC solution is particularly beneficial in surgical procedures where there is a limited amount of tissue for stapling. [0052] Although this disclosure illustrates the use of PFC solution in a linear type stapler, it is envisioned that the use of PFC could be incorporated into any stapling device for stapling tissue including circular stapling devices. In a circular stapling device, there may only be a single pusher and the protrusions could be formed on a stationary portion of a shell assembly of the circular stapling device. It is also envisioned that the reservoir for storing the PFC solution need Date Recue/Date Received 2021-06-23 not be in the pushers but could be in any portion of the cartridge assembly including the cartridge body. Further, although the PFC solution is disclosed as being delivered via interaction of the actuation sled and the pushers, it is envisioned that the PFC solution could be delivered via a number of different devices that function in response to firing of the stapling device or independently thereof. Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary aspects of the disclosure. It is envisioned that the elements and features illustrated or described in connection with one exemplary aspects of the disclosure may be combined with the elements and features of another without departing from the scope of the disclosure. As well, one skilled in the art will appreciate further features and advantages of the disclosure based on the above-described aspects of the disclosure. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims. 1 1 Date Recue/Date Received 2021-06-23 _õõ.....õ ilk c.. _ \ \ \ \ \ 4tt c., ¨ = cb ¨ w _ c7. ----- , cq \\ I \ , , i 1 " i \ 'N / / 7 ¨ _____ - - Date Recue/Date Received 2021-06-23 (1* 16 \ le* 01 32 , -7, /-4=- 4al .v I" ,=,--- .,-- 34 ,------, ,- ( 0 - , v O$ 11 iv 30 FIG. 2 LCC, Date Recue/Date Received 2021-06-23 IL VD CV CJO CCI = µ - T.. , i..... , \ t \ CO 4 \ =cl- \ \ , ' \ 1 \ 1 \ \ ¨ I - 1.1 \ ____________________ Awir= 4 I \ co 0, _ .... _______________________________________ .4- \ \ '' 1 i a - ¨ I. n co ..... .,õ iiii õ , 1 ___ J. 1 \ , _ ______________________ _-=11,1,1% 1 , , , c..., , ___________________________ . ---..-1-1 ' t 1 -iii i - , , cc, cr, õ 1 - --as a ,y,,,,,, Ai., __ . ., it Vi E 1 _______________________ . __ : _____________________________ .. i_ _ii., *..-. _..õ,..1 \ 5 t ,,i I 1 , \ \ iõ , t - ___________________________________ t 1 ________________________________ 3 . _____________________________ ....,... ,.... __,Ii-- .....õ, 1) , , ___________________ ,= ___ , .9 CO -lillµ =Cl- C.," i t; i 1 - --Z-'= = CO oe i t 1 li.. - _______________________________ r ......\ _ . ,.... . ..... , CV \ rt, \ t ¨....... \ µi -4- = 89,7 .."".........______, Date Recue/Date Received 2021-06-23 74 78 94 t-------- AP1-_,...0%-%- ------------ 96 **** / = 3,,-=,-,4111-1.1 1 78 64h wfr.5 --------- 92 76 92 r 82 90 FIG. 4 74 78 94 96 )111µ Li as. MI - -- ...- -, 94 r..i- 82 k-----11.1 .."-IMINir 64h 76 FIG. 5 66 Date Recue/Date Received 2021-06-23 %- 112a 112a 44 112 112 110 0 / ________________________________________________ 112 112a 112 , 8 112 102 -_, I. io.ila 110 W 'i 46 _106 102 1 ¨.. A00,t 120 104 i Jr- AO.-- 100 120a 102 i,t0- vie-- 46 V 1002 120,/,0-4-iiwilwas106 411111ri, õ0,-.-- 0 104 102 46 ) ,-' 120 l 100 411, ,õ,,-- ) . 1 FIG. 6 106' I - Date Recue/Date Received 2021-06-23 110 .----- Z- A 4 4 , 4i4L N lowialA- --- = ,______.õ 44 , 112 / 102 ' \ % AAA" Ai'*-- -----"\ i- k .---- ; 1 1...- ...-------- --- 1 : \ ,--- 120 % ---, i 46 i \ 100 / / . , , , , - , FIG. 7 _ _,______ ---- 104 104 v r 102 r r / i46 100 -,A.-.õ, I, 106 e A % 108 , FIG. 8 Date Recue/Date Received 2021-06-23 21 T 32 õ---: --;-.. \ 1400 ormi , 42 d,PPIP -_,---. 40 30 34 FIG. 9 Date Recue/Date Received 2021-06-23 o x 32 ,g g 6 a 'D ' o 02 a o" r . 3 6 I T -._ -- , ...... -- , N -- _ -- ¨... .. ,- ss ,/ / ,_ , ,, .= . ,, 1 1 42 11 __ 1 __ 1 44-'1 104 =,--- _1 i i - __________ . I. i ____________ . ---------------------------------------------------------------------------- ----- dll- 104 v -- ' .< ------------ - e , i -'\ 1 102 . - t . _ , i _ 1 ______________________________________________________________________________ 46 1 ___ i 100 / i _______________________________________________________________________________ __________ 120 1 1 1 _________ 1 1 FIG. 10 µ 120 34 30 120 110 il il = (- - cii -40 cb 0 .4- -4- ,¨ i c-4 11 -4- i I , i 1 ,¨ i 1 1 / Tm1 I¨ , , , , , , , 1 :=_ õ _ .4 R c., 441 -:Pl'i_ ce> ., ri I 0 .r1 I -...... .p., I, ------P, i , , : 7 .< 1114 i ---7 %/: ¨ft":1'172-7 ,,Z \ 1 Z i ...41 C:1 C') I/ ...p. / 1 411111.; I \ \ I I .4 -13 = i..... , 61111= \ / afq-.Xl ________________________________ c) ,- co -4- / -4- -4- / / eq ii Date Recue/Date Received 2021-06-23 .........________, , ...., , 32 , / /I/ ... ... , , , _ , / ArAr Air . ,..--;----- ..,. . , ,:...,. .......,..;õ,..- '-': \--......, \ , .µ \ \ = 1 / T i \ . \ / / . 13 , = i . i % ., = , , = .. . = i = = = \ 1 . /. .,.,. . = 1 = µ , . , g. 104 1 I, = i. = .. = v . = i I I I A A A = A = A A 14% A A A A' 1 = I / , = I.µ `111----11-,4 V-4 1.--1.1--/ %.7-1,111---11---1=17.-1 I---1 V / . . 1 \ ' \=I ' = \ r ---------------------- 1 /\ 1 1 . . = ..1, A / 110 , ___________________________________________ - FIG. 12 ....,...... , T = , , .. = . , =, . , . , . . = . _________ , .. 108 . 46 . i . A . . _________________________________________________________ 110 . ./ r lr '7 = / \ , /./., 2 4/ ./P10-8 102 !/ !.. FIG. 13 _________________________________________ ___-j-----/' Date Recue/Date Received 2021-06-23 UNITED STATES PATENT AND TRADEMARK OFFIGE UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Addtea COMMISSIONER FOR PATENTS 4.<1 co" PO Box 1450 Akxandna, Vugma 22313-1450 Nvvv,N uspto gov APPLICATION I ___ FILING or I GRP ART I NUMBER I 371(c) DATE I UNIT I FIL FEE REC'D I ATTY.DOCKET.NO ITOT CLAIMS I IND CLAIMS 16/916,241 06/30/2020 3731 1720 A0003913US01 (203-13376) 20 3 CONFIRMATION NO. 8504 50855 FILING RECEIPT Covidien LP 60 Middletown Avenue MI IIIIAL4INIIIItillEmmEu Mailstop 54, Legal Dept. North Haven, CT 06473 Date Mailed: 07/13/2020 Receipt is acknowledged of this non-provisional utility patent application. The application will be taken up for examination in due course. Applicant will be notified as to the results of the examination. Any correspondence concerning the application must include the following identification information: the U.S. APPLICATION NUMBER, FILING DATE, NAME OF FIRST INVENTOR, and TITLE OF INVENTION. Fees transmitted by check or draft are subject to collection. Please verify the accuracy of the data presented on this receipt. If an error is noted on this Filing Receipt, please submit a written request for a corrected Filing Receipt, including a properly marked-up ADS showing the changes with strike-through for deletions and underlining for additions. If you received a "Notice to File Missing Parts" or other Notice requiring a response for this application, please submit any request for correction to this Filing Receipt with your reply to the Notice. When the USPTO processes the reply to the Notice, the USPTO will generate another Filing Receipt incorporating the requested corrections provided that the request is grantable. I nventor(s) Olesea Diaz-Chiosa, Naugatuck, CT; Appl icant(s) Covidien LP, Mansfield, MA; Power of Attorney: The patent practitioners associated with Customer Number 50855 Domestic Applications for which benefit is claimed - None. A proper domestic benefit claim must be provided in an Application Data Sheet in order to constitute a claim for domestic benefit. See 37 CFR 1.76 and 1.78. Foreign Applications for which priority is claimed (You may be eligible to benefit from the Patent Prosecution Highway program at the USPTO. Please see http://www.uspto.gov for more information.) - None. Foreign application information must be provided in an Application Data Sheet in order to constitute a claim to foreign priority. See 37 CFR 1.55 and 1.76. Permission to Access Application via Priority Document Exchange: Yes Permission to Access Search Results: Yes Applicant may provide or rescind an authorization for access using Form PTO/SB/39 or Form PTO/SB/69 as appropriate. page 1 of 3 Date Recue/Date Received 2021-06-23 If Required, Foreign Filing License Granted: 07/10/2020 The country code and number of your priority application, to be used for filing abroad under the Paris Convention, is US 16/916,241 Projected Publication Date: 12/30/2021 Non-Publication Request: No Early Publication Request: No Title SURGICAL STAPLING DEVICE Preliminary Class 227 Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File) Transition Applications: No PROTECTING YOUR INVENTION OUTSIDE THE UNITED STATES Since the rights granted by a U.S. patent extend only throughout the territory of the United States and have no effect in a foreign country, an inventor who wishes patent protection in another country must apply for a patent in a specific country or in regional patent offices. Applicants may wish to consider the filing of an international application under the Patent Cooperation Treaty (PCT). An international (PCT) application generally has the same effect as a regular national patent application in each PCT-member country. The PCT process simplifies the filing of patent applications on the same invention in member countries, but does not result in a grant of "an international patent" and does not eliminate the need of applicants to file additional documents and fees in countries where patent protection is desired. Almost every country has its own patent law, and a person desiring a patent in a particular country must make an application for patent in that country in accordance with its particular laws. Since the laws of many countries differ in various respects from the patent law of the United States, applicants are advised to seek guidance from specific foreign countries to ensure that patent rights are not lost prematurely. Applicants also are advised that in the case of inventions made in the United States, the Director of the USPTO must issue a license before applicants can apply for a patent in a foreign country. The filing of a U.S. patent application serves as a request for a foreign filing license. The application's filing receipt contains further information and guidance as to the status of applicant's license for foreign filing. Applicants may wish to consult the USPTO booklet, "General Information Concerning Patents" (specifically, the section entitled "Treaties and Foreign Patents") for more information on timeframes and deadlines for filing foreign patent applications. The guide is available either by contacting the USPTO Contact Center at 800-786-9199, or it can be viewed on the USPTO website at http://www.uspto.gov/web/offices/pac/doc/general/index.html. For information on preventing theft of your intellectual property (patents, trademarks and copyrights), you may wish to consult the U.S. Government website, http://www.stopfakes.gov. Part of a Department of Commerce initiative, this website includes self-help "toolkits" giving innovators guidance on how to protect intellectual property in specific countries such as China, Korea and Mexico. For questions regarding patent enforcement issues, applicants may call the U.S. Government hotline at 1-866-999-HALT (1-866-999-4258). page 2 of 3 Date Recue/Date Received 2021-06-23
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération
A61M 37/00 - Autres appareils pour introduire des agents dans le corps; Percutanisation, c. à d. introduction de médicaments dans le corps par diffusion à travers la peau
25.
LINEAR STAPLING DEVICE WITH CONTINUOUSLY PARALLEL JAWS
A tool assembly for a surgical stapling device includes a first jaw supporting an anvil. A second jaw supports a staple cal _________________________ tiidge. A drive member is movable from a retracted positon towards an advanced position to move the second jaw in relation to the first jaw from an open position to a clamped position. At least two first pivoting links are operably coupled to a first side of the first and second jaws. At least two second pivoting links are operably coupled to a second side of the first and second jaws. The pivoting links each pivot in response to longitudinal advancement of the I-beam to move the second jaw between the open position and the clamped position. The second surface of the cathidge assembly is maintained in substantially parallel alignment with the first surface of the anvil as the second jaw is moved between the open positon and the clamped position.
An endoscope and lens cleaning device assembly includes a tubular body, a visualization device including a lens, and a lens cleaning device. The visualization device is supported on a distal portion of the tubular body. The lens cleaning device is supported on the distal portion of the tubular body and includes an iris mechanism having a plurality of vanes. The vanes are movable between a first position in which the vanes are positioned radially outwardly of the lens of the visualization device and a second position in which the vanes cover the lens of the visualization device. Each of the vanes has a cleaning surface that is positioned to contact the lens of the visualization device as the vanes move between the first and second positions to clean the lens of the visualization device.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 90/70 - Dispositifs de nettoyage spécialement adaptés aux instruments chirurgicaux
A61B 1/012 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires
27.
SEALED ELECTRICAL CONNECTION BETWEEN SURGICAL LOADING UNIT AND ADAPTER
AB S TRACT A surgical stapling apparatus includes a housing assembly and an elongated shaft assembly. The elongated shaft assembly is selectively attachable to the housing assembly. The elongated shaft assembly includes an adapter assembly and a loading unit. The adapter assembly extends distally to a distal tip housing. The distal tip housing supports an adapter electrical connector assembly therein. The loading unit is selectively attachable to the adapter assembly and extends distally to an end effector supporting one or more sensors therein. The loading unit supports a loading unit electrical connector assembly therein. The loading unit electrical connector assembly is positioned to contact the adapter electrical connector assembly when the adapter assembly and the loading unit are coupled together to electrically couple the one or more sensors to the housing assembly. Date Recue/Date Received 2021-06-03
A surgical access assembly includes a surgical access device having a cannula tube, an expandable balloon positioned in a distal region of the cannula tube, and an inflation assembly positioned in a proximal region of the cannula tube. The inflation assembly has a port and a check valve. The port is in fluid communication with the expandable balloon and the check valve is transitionable between rest and actuated configurations. A syringe includes a barrel with a chamber and a plunger slidably disposed in the chamber. An extension of the barrel is configured for releasably engaging the check valve. The plunger also includes a release feature that is engageable with the check valve to transition the check valve from the rest configuration to the actuated configuration.
Surgical stapling devices have a metal coating on an anvil jaw member of the surgical stapling device, on a surface of staple pockets of a staple cartridge of the surgical stapling device, or any combination thereof When the surgical stapling device is fired, the metal is transferred from the metal coating on the anvil jaw member, the staple pockets of the staple cartridge, etc., onto the staple. The resulting metal coating on the staple enhances healing of the tissue to which the staple is applied.
A surgical stapling device includes a tool assembly having an anvil assembly and a cartridge assembly. The anvil assembly includes a staple deforming surface and defines an elongate channel that supports a roller. The staple deforming surface defines a transverse slot. The roller supports a buttress material that can be pulled through the transverse slot to position the buttress material atop the staple forming surface.
A surgical stapler is described herein which includes a drive assembly. The drive assembly includes: a rotatable drive member defining a transverse axis; a linkage operably coupled to the rotatable drive member defining a longitudinal axis; and an I- beam operably coupled to the linkage, configured to be advanced along the longitudinal axis in response to a rotational motion of the rotatable drive member.
A system for detecting and treating an anastomotic leak includes a microcatheter implanted at an anastomosis site; a source of a perfusion fluid coupled to the microcatheter and configured to dispense the perfusion fluid to the microcatheter; and an analyzer coupled to the microcatheter configured to receive an extracellular fluid from the microcatheter and to analyze the extracellular fluid to determine status of the anastomosis site.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 10/00 - Autres méthodes ou instruments pour le diagnostic, p.ex. pour le diagnostic de vaccination; Détermination du sexe; Détermination de la période d'ovulation; Instruments pour gratter la gorge
A61M 31/00 - Dispositifs pour l'introduction ou la rétention d'agents, p.ex. de remèdes, dans les cavités du corps
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour réaliser l'anastomose; Boutons pour anastomose
A surgical access assembly includes a surgical access device and a cleaning cap. The surgical access device includes an elongated shaft defining an access lumen therethrough and having a distal portion terminating at a distal tip. The cleaning cap is disposed over the distal portion of the elongated shaft. The cleaning cap includes an instrument channel aligned with the access lumen and wipers disposed within the instrument channel.
The present disclosure relates generally to medical devices and, more particularly, to a gas mixing system for a medical ventilator. A gas mixer is provided to adjust the oxygen concentration of environmental air for a blower-based ventilator, by adjusting the mix of air upstream of the ventilator and providing the mixed air to the ventilator's environmental air inlet.
A curved cartridge assembly (160) of a surgical stapler includes a staple cartridge (172), an alignment pin (136,236) received in the staple cartridge (172) and configured to engage an opening (168) in an anvil assembly (170), and a shipping cap (180) configured to detachably couple to the staple cartridge (172). The shipping cap (180) is engaged with the distal end portion (136b,236b) of the alignment pin (136,236) to resist translation of the alignment pin (136,236). With the cartridge assembly (160) loaded into the surgical stapler, upon releasing the shipping cap (180) from the staple cartridge (172), the alignment pin (136,236) translates into engagement with the opening (168) in the anvil assembly (170).
A surgical stapling instrument (10) includes an elongate body portion (18) defining a longitudinal axis, and an end effector (20, 320, 620, 720, 820, 920, 1020) supported on a distal portion of the elongated body portion (18). The end effector (20, 320, 620, 720, 820, 920, 1020) includes a housing (50, 350, 650, 750, 850, 950, 1050) having a base portion (52, 752, 852) and a jaw portion (54, 354), an anvil assembly (60, 160, 260, 360, 460, 560, 660, 760, 860, 1060) supported on the jaw portion (54, 354), and a cartridge assembly (80, 180, 280, 380, 480, 580, 680, 780, 880, 980, 1080) releasably supported on the base portion (52, 752, 852). A tissue guide member (84, 184, 284, 384, 484, 584, 684, 784, 884, 984, 1084) is operably secured relative to the cartridge assembly (80, 180, 280, 380, 480, 580, 680, 780, 880, 980, 1080) to facilitate alignment of the cartridge assembly (80, 180, 280, 380, 480, 580, 680, 780, 880, 980, 1080) through a firing stroke.
ABSTRACT Systems and methods of automatic orientation detection in fluoroscopic images using deep learning enable local registration for correction of initial CT-to-body registration in Electromagnetic Navigation Bronchoscopy (ENB) systems. Date Recue/Date Received 2020-12-16
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p.ex. l’édition
A61B 6/00 - Appareils pour diagnostic par radiations, p.ex. combinés avec un équipement de thérapie par radiations
ABSTRACT A system and method of image processing including a processor in communication with a display and a computer readable recording medium having instructions executed by the processor to read an image data set from the memory, segment the image data set, and skeletonize the segmented image data set. The instructions cause the processor to graph the skeletonized image data set, assign a branch identification (ID) for each branch in the graph, and associate each voxel of the segmented image data set with a branch ID. The instructions cause the processor to generate a three-dimensional (3D) mesh model from the graphed skeletonized image data set, associate each vertex of the 3D mesh model with a branch ID; and display in a user interface the 3D mesh model, and an image of the image data set. Date Recue/Date Received 2021-01-08
An ultrasound device includes a frame and an ultrasound sensor assembly. The frame includes first and second rails spaced-apart relative to one another and a longitudinal section defining a longitudinal axis. The longitudinal section has a distal end portion. The ultrasound sensor assembly configured to enable ultrasound imaging of a field of view and is attached to the distal end portion of the longitudinal section of the frame and oriented such that the field of view is disposed at an oblique angle relative to the longitudinal axis. A surgical system including the ultrasound device and a surgical instrument insertable therethrough is also provided.
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
A61B 1/303 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments pour le vagin, c.à d. vaginoscopes
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
A61B 17/42 - Instruments ou procédés de gynécologie ou d'obstétrique
ABSTRACT A tissue-resecting end effector assembly includes an outer shaft having a hub housing disposed about a proximal end portion thereof, an inner shaft rotatably disposed within the outer shaft and having a distal driver disposed about a proximal end portion thereof, a proximal driver, a retainer cap, and an RFID chip. The proximal driver is slidably coupled to the distal driver in fixed rotational orientation. The retainer cap is fixedly engaged with the hub housing, thereby fixing the retainer cap relative to the hub housing and the outer shaft. The retainer cap is configured to selectively lock the proximal driver in fixed rotational orientation, thereby selectively locking the inner shaft relative to the outer shaft. The RFID chip is disposed within a pocket of the retainer cap that is closed upon engagement of the retainer cap with the hub housing, thereby retaining the RFID chip therein. Date Recue/Date Received 2020-12-03
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p.ex. étiquettes utilisant des moyens électromagnétiques, p.ex. transpondeurs
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 17/42 - Instruments ou procédés de gynécologie ou d'obstétrique
ABSTRACT A tissue-resecting end effector includes an outer shaft having a hub housing, an inner shaft including a sun gear, and a drive assembly disposed within the hub housing. The drive assembly includes a first and second drivers disposed about the inner shaft distally and proximally of the sun gear, respectively. The drive assembly further includes a plurality of planetary gears radially disposed about and in meshed engagement with the sun gear between the drivers, and a locking clip proximal of the planetary gears and the sun gear, rotationally keyed to the second driver, and engaged with the first driver via at least one snap-fit engagement. The locking clip retains the drivers and the planetary gears in operable engagement with one another and the sun gear such that a rotational input provided to the second driver drives rotation of the inner shaft. Date Recue/Date Received 2020-12-03
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p.ex. étiquettes utilisant des moyens électromagnétiques, p.ex. transpondeurs
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 17/42 - Instruments ou procédés de gynécologie ou d'obstétrique
42.
SURGICAL INSTRUMENT INCLUDING AN ADAPTER ASSEMBLY AND AN ARTICULATING SURGICAL LOADING UNIT
ABSTRACT An adapter assembly of a surgical instrument includes a cam member defining a proximal cam slot and a distal cam slot, a first articulation shaft, and a second articulation shaft. The first articulation shaft has a proximal end portion received in the proximal cam slot, and a distal end portion configured to be coupled to a surgical loading unit. The second articulation shaft has a proximal end portion received in the distal cam slot, and a distal end portion configured to be coupled to the surgical loading unit. The first and second articulation shafts are configured to move in opposing longitudinal directions in response to a rotation of the cam member to articulate the surgical loading unit. Date Recue/Date Received 2020-1 0-2 1
ABSTRACT A cartridge assembly of a surgical stapling instrument includes a housing having an arcuate configuration, a knife disposed within the housing, and a staple actuator configured to eject staples. A longitudinally-extending cutting edge of the knife is configured to advance through tissue after the staple actuator ejects all of the staples from the cal tiidge assembly. Date Recue/Date Received 2020-10-14
ABSTRACT A staple cartridge is adapted to enhance cell migration towards a wound site when staples are placed in tissue. In order to enhance cell migration, the staple cartridge is adapted to create an electrical potential within the tissue in the area of a wound or cut line. In embodiments, the electrical potential is created within the tissue by using staples in spaced rows formed of dissimilar metals having different anodic indexes to create a voltage gradient in the tissue to enhance cell migration toward the cut line. Date Recue/Date Received 2020-10-14
ABSTRACT A staple cartridge includes a cartridge body and a plurality of staples. The cartridge body defines a plurality of rows of staple pockets and a central knife slot. One of the staples is received in each of the staple pockets. Each of the staples defines a burr or facet that faces the central knife slot and defines a plane that is substantially parallel to the longitudinal axis of the cartridge body. Date Recue/Date Received 2020-09-24
AB STRACT A method of hermetically sealing electronic components of a wiring harness and integrating the wiring harness into a surgical device includes: positioning a tube around a printed circuit board and a first end section of a first flex cable of a wiring harness that is electrically coupled to a first end portion of the printed circuit board at a first connection area such that a first end portion of the tube extends axially beyond the first end section of the first flex cable and a second end portion of the tube extends axially beyond a second end portion of the printed circuit board; and filling at least a portion of the tube with an encapsulate to form a hermetic seal within the tube. CA 3060478 2019-10-28
ABSTRACT A surgical stapling device includes a reload assembly that include at least one locking tab to retain a knife carrier of the reload assembly in a retracted position after the stapling device is fired. The at least one locking tab is disposed on the knife carrier and is configured to engage a stop surface of a staple actuator to prevent readvacement of the knife carrier relative to the staple actuator. Date Recue/Date Received 2020-09-23
A stapling apparatus includes a cartridge assembly, an anvil assembly, and a buttress material. The cartridge assembly includes pushers configured to eject the respective surgical staples from the cartridge assembly, and an outer wall defining a cavity and having a finger deflectably extending over the cavity. The buttress material includes an annular body and a tab extending proximally from the annular body such that at least a portion of the tab is wrapped around the finger of the outer wall of the staple cartridge assembly. The pushers are movable between a first position in which one of the pushers engages the finger such that the tab is secured against the one of the pushers, and a second position in which the one of the pushers is disengaged from the finger such that a portion of the tab is released from the one of the pushers.
Access assemblies include an instrument valve housing and a valve assembly disposed within the instrument valve housing. The valve assembly includes a guard assembly, and a seal assembly disposed adjacent the guard assembly. The seal assembly includes a plurality of seal segments defining a substantially hexagonal body. Each seal segment of the plurality of seal segments includes a base portion and a seal portion extending from the base portion. Each base portion including an outer edge formed of three segments. Each seal segment of the plurality of seal segments is disposed relative to an adjacent seal segment of the plurality of seal segments such that two of the three segments of the outer edge of the respective seal segments align with each other. The valve assembly also includes a centering mechanism for biasing the seal assembly and guard assembly towards a center of the cavity of the instrument valve.
An access assembly includes an instrument valve housing and a valve assembly disposed within the instrument valve housing. The instrument valve housing includes upper and lower housing sections. The valve assembly includes a centering mechanism, a seal assembly, and a guard assembly. The centering mechanism is configured to bias the valve assembly towards a generally centered position within the instrument valve housing. The centering mechanism includes a base seal member having an annular base and a flange portion. The flange portion includes an arcuate portion configured to adjustably engage first and second surfaces of the instrument valve housing in a sealing relation. The seal assembly is attachable to the centering mechanism. The seal assembly is configured to engage a surgical instrument inserted into the access assembly in a sealing relation. The guard assembly is attachable to the centering mechanism.
A surgical buttress loading assembly includes a surgical buttress applicator, an anvil buttress, and a cartridge buttress. The surgical buttress applicator includes an anvil buttress loading unit defining a buttress cavity and a strap cavity therein, and a cartridge buttress loading unit defining a buttress cavity and a strap cavity therein. The anvil buttress includes a tubular body disposed within the buttress cavity of the anvil buttress loading unit and a strap extending from the tubular body and positioned within the strap cavity of the anvil buttress loading unit. The cartridge buttress includes a tubular body disposed within the buttress cavity of the cartridge buttress loading unit and a strap extending from the tubular body and positioned within the strap cavity of the cartridge buttress loading unit.
A tool assembly includes an anvil and a cartridge assembly pivotally coupled to one another. A locking member is rotatably supported on a distal portion of the cartridge assembly and positioned for receipt in a bore defined in a distal portion of the anvil. The locking member is operably coupled to a sled for advancing staples from the cal tiidge assembly. Advancement of the sled rotates the locking member relative to the bore to approximate the distal portions of the anvil and cal tfidge assembly.
A computer-implemented method for controlling delivery of electrosurgical energy to seal a vessel, includes collecting data from an electrosurgical system including an instrument and energy source while the instrument is delivering electrosurgical energy from the energy source to a vessel, predicting by using a machine learning algorithm a burst pressure probability of the vessel based on the data, and determining if the vessel is adequately sealed based on the prediction. The data includes an electrical parameter associated with delivery of the electrosurgical energy. Where it is determined that the vessel is not adequately sealed: determining an output by a second machine learning algorithm, communicating the determined output to a computing device associated with the energy source for use in formulating an energy-delivery algorithm, and delivering, using the instrument, additional electrosurgical from the energy source to the vessel to seal the vessel according to the energy- delivery algorithm.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A surgical stapling device (10) includes a clamp slide assembly (30) and a tool assembly (16). The tool assembly (16) includes an anvil assembly (22) and a cartridge assembly (20). The cartridge assembly (20) is releasably supported on the clamp slide assembly (30) and the clamp slide assembly (30) is movable in relation to the anvil assembly (22) to move the surgical stapling device (10) between spaced and clamped positions. The cartridge assembly (20) and the clamp slide assembly (30) each include retention structure that are movable into engagement with each other when the cartridge assembly (20) is loaded onto the clamp slide assembly (30) to retain the cartridge assembly (20) on the clamp slide assembly (30).
Systems and methods for image-guided medical procedures use fluoroscopic 3D reconstructions to plan and navigate a percutaneously-inserted device such as a biopsy tool from an entry point to a target.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 6/00 - Appareils pour diagnostic par radiations, p.ex. combinés avec un équipement de thérapie par radiations
Systems and methods for image-guided medical procedures use fluoroscopic 3D reconstructions to plan and navigate a percutaneously-inserted device such as a biopsy tool from an entry point to a target.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 6/00 - Appareils pour diagnostic par radiations, p.ex. combinés avec un équipement de thérapie par radiations
A surgical stapling system includes a surgical stapling apparatus and a buttress loading unit. The surgical stapling apparatus includes a first jaw member and a second jaw member configured to fasten tissue grasped between the first and second jaw members. The buttress loading unit includes a loader and a clip supported in the loader. The loader and the clip support a release strap and a buttress. The clip is configured to selectively attach the release strap and the buttress to the first jaw member when the loader is positioned on the first jaw member.
A surgical stapling device includes a tool assembly having a U-shaped frame (60), an anvil assembly (62), and a cartridge assembly (64). The U-shaped frame (60) has a proximal transverse portion (66), a longitudinal portion (70), and a distal transverse portion (68). The distal transverse portion (68) and the proximal transverse portion (66) of the U-shaped frame (60) and the cartridge assembly (64) have a common shape including a first linear portion (69a) defining a first axis, a second linear portion (69b) defining a second axis, and a third linear portion (69c) defining a third axis, the first axis being transverse to the longitudinal axis (X) of the elongate body. A first radius of curvature is defined between the first linear portion (69a) and the second linear portion (69b) such that the first axis and the second axis define an angle ß, and a second radius of curvature is defined between the second linear portion (69a) and the third linear portion (69c) such that the second axis and the third axis define an angle O.
A handle assembly (12) of a hand-held surgical instrument (10) includes a handle housing (26), a motor (36), and a dual thread lead screw (46) operably coupled to the motor (36) and configured to move proximally and/or distally in response to an actuation of the motor(36). A first thread pitch of the lead screw (46) is suitable for effecting a closing of jaw members (20a, 20b) of an end effector (20), and a second thread pitch of the lead screw (46) is suitable for effecting a stapling function of the end effector (20).
A surgical stapling device includes a tool assembly having an actuation sled assembly that includes an actuation sled and a knife movably supported on the actuation sled. The tool assembly includes structure for moving the knife in relation to the actuation sled between extended and retracted positions in response to movement of the actuation sled through a staple cartridge of the tool assembly. Movement of the knife moves a cutting edge of the knife in relation to the actuation sled within a tissue gap defined by the tool assembly to impart a degree of vertical motion to the cutting edge of the knife. This enables the tool assembly to leverage micro-serrations on the cutting edge of the knife to enhance cutting efficiency of the knife.
A surgical system includes an adapter assembly and a tip protector. The adapter assembly includes a tubular housing, and a trocar assembly selectively receivable in the tubular housing. The tip protector includes a housing defining a channel therethrough configured for receipt of the trocar member, a first locking member movably coupled to the housing and configured to selectively engage the trocar member to lock the tip protector to the trocar member, and a second locking member movably coupled to the housing and configured to selectively engage a distal end portion of the tubular housing to lock the tip protector to the tubular housing.
An adapter assembly includes a sleeve, a trocar assembly releasably securable within the sleeve, and a retaining mechanism configured to releasably secure the trocar assembly within the sleeve. The retaining mechanism includes a retaining block, a cam wire moveably positioned relative to the retaining block between a lock position and a release position, a retaining block extension for maintaining the cam wire relative to the retaining block, a button member in operable engagement with the cam wire, and a pair of retaining members. The button member includes a center beam moveable from an unflexed position in engagement with a stop tab of the retaining block extension to prevent movement of the button member to a flexed position out of alignment with the stop tab to permit movement of the button member.
A trocar coupling assembly includes a housing disposable in a tubular shaft of a surgical stapler. The housing has opposed openings defining a passage through the housing that is capable of receiving a trocar assembly therein. A release button is accessible through the tubular shaft for transitioning the trocar coupling assembly between a locked configuration and an unlocked configuration.
A surgical stapling instrument includes a handle assembly, a surgical loading unit, and an adapter assembly interconnecting the handle assembly and the surgical loading unit. The surgical loading unit includes a memory having stored therein instructions, which when executed by a processor of the handle assembly, override instructions stored in a memory of the handle assembly and implement an operating parameter of the surgical loading unit that is unique to a tissue type or a specific surgical procedure to be performed by the surgical loading unit.
An adapter assembly of a circular stapling instrument includes a load sensing assembly configured to measure a load exerted on a tubular housing of the adapter assembly. The load sensor assembly has a sensor body, electrical components supported by the sensor body, and a hermetic seal assembly enclosing the electrical components. The hermetic seal assembly includes a stamped base portion and an overmolded upper portion.
A surgical stapling device includes a reload assembly that includes a shell housing, a staple cartridge, a plurality of staples received within the staple cartridge, a staple pushing member for ejecting the plurality of staples from the staple cartridge, and a knife for cutting tissue. The shell housing supports a strain gauge which can be molded into the shell housing.
A surgical instrument apparatus for performing a surgical procedure within a body cavity of a patient is disclosed and includes an elongate manipulator having a distal end for receiving an end effector and including a plurality of control links extending through the manipulator operable to cause movement of the distal end in response to movement of the control links in a longitudinal direction. An actuator chassis is disposed at a proximal end of the manipulator and includes a plurality of actuators slidingly mounted within the actuator chassis for linear movement in the longitudinal direction. Each actuator is coupled to a control link and adjacently disposed about a curved periphery of the actuator chassis. An outwardly oriented portion couples a drive force to the actuator to cause movement of the control link. A proximate end of the manipulator may be laterally offset to facilitate location of the surgical instrument apparatus closely adjacent to another surgical instrument apparatus. The manipulator may include an unactuated articulated portion disposed between the rigid portion and the chassis.
A circular stapling device includes a manually operated trigger (24) that is adapted to allow staple formation to occur prior to cutting of tissue during a single actuation of the firing trigger (24). The stapling device (10) minimizes stretching and movement of tissue during staple formation to improve staple formation. The stapling device (10) also reduces the amount of force required to move the firing trigger (24) through a firing stroke by separating the staple formation and tissue cutting functions of the stapling device (10) to reduce stress on a clinician's hand during actuation of the stapling device (10).
Surgical stapling devices have a surgical buttress attached to an anvil jaw member, a cartridge jaw member, or both. The surgical buttress possesses a therapeutic layer of a therapeutic agent in a pattern thereon. The pattern may reflect various concentrations of a therapeutic agent, different therapeutic agents, or both.
Surgical stapling apparatuses have a buttress attached thereto. The buttress includes an elongate rectangular body having a proximal portion, a distal portion, and opposing lateral sides running along the elongate rectangular body from the proximal portion to the distal portion. The buttress possesses a layer of a therapeutic agent on at least the proximal portion. In embodiments the buttress possesses the therapeutic agent at both the proximal portion and the distal portion.
Surgical stapling devices have a first buttress attached to an anvil jaw member and a second buttress attached to a cartridge jaw member. In use, the first buttress and the second buttress sandwich tissue being stapled by the surgical stapling device.
A medical system includes a robotic arm, a surgical cart, a setup arm, and an alignment unit. The setup arm is mounted to the surgical cart and is configured to operatively couple to the robotic arm. The alignment unit is operatively coupled to the setup arm and configured to determine the orientation of the robotic arm relative to a representative coordinate system. A method of aligning a robotic arm with a representative coordinate system includes projecting an alignment pattern from an alignment unit onto a horizontal surface such as the floor, patient, or representative coordinate system, wherein the alignment unit is operatively coupled to a setup arm mounted to a surgical cart. A user is then prompted to manipulate the alignment pattern by adjusting the alignment unit. An input indicating that adjustments to the alignment unit are complete is then received. The method further includes determining an orientation of the alignment pattern relative to representative coordinate system a representative coordinate system, and determining an orientation of a robotic arm, operatively coupled to the setup arm, based on the determined orientation of the alignment pattern.
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/92 - Moyens d’identification pour les patients ou les instruments, p.ex. étiquettes utilisant des codes de couleurs
A surgical robotic system includes a robotic arm having at least one surgical instrument and a control device coupled to the robotic arm and configured to control the robotic arm, the control device including one or more components. The surgical robotic system also includes a power supply having: a tower power supply chassis configured to supply first direct current to the robotic arm; a power distribution unit configured to supply second direct current to the one or more components; a first uninterruptable power supply device coupled to the tower power supply chassis and configured to receive a first alternating current from a first alternating current input; and a second uninterruptable power supply device coupled to the power distribution unit and configured to receive a second alternating current from a second alternating current input.
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
B25J 19/00 - Accessoires adaptés aux manipulateurs, p.ex. pour contrôler, pour observer; Dispositifs de sécurité combinés avec les manipulateurs ou spécialement conçus pour être utilisés en association avec ces manipulateurs
74.
LOADING UNIT AND ADAPTER WITH MODIFIED COUPLING ASSEMBLY
A surgical stapling device includes a body portion and a tool assembly. The body portion includes a base member that defines a longitudinal slot and spaced keyways. The tool assembly includes a mounting member that defines a channel having an open end that is dimensioned to receive the base member of the body portion. The mounting member includes locking tabs that are positioned within the channel. Each of the locking tabs is configured to be received within one of the spaced keyways of the base member to releasably secure the tool assembly to the body portion.
A robotic surgical system includes an electrosurgical energy source, a sterile interface module, and a surgical instrument. The surgical instrument has a housing and an elongated shaft that extends distally from the housing to an end effector. The housing supports a switch. The energy source is coupled to the surgical instrument to transmit electrical energy from the electrosurgical energy source to the switch. The switch is positioned to enable the electrical energy to be transmitted to the end effector of the surgical instrument when the sterile interface module is engaged with the switch. The switch is positioned to prevent the electrical energy from being transmitted to the end effector when the sterile interface module is disengaged from the switch.
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 46/10 - Draps de chirurgie spécialement adaptés aux instruments
A61B 90/50 - Supports pour instruments chirurgicaux, p.ex. bras articulés
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A balloon dissector assembly includes a balloon dissector having an elongate shaft, a handle disposed on a proximal portion of the elongate shaft, and a dissection balloon supported on a distal portion of the elongate shaft. The dissection balloon includes a substantially cylindrical shape having a deflated condition in which the dissection balloon includes a first diameter between the proximal and distal ends, an inflated condition in which the dissection balloon includes a second diameter between the proximal and distal ends, and a plurality of intermediate conditions in which the balloon transitions from the deflated condition to the inflated condition progressively from the proximal end to the distal end.
A tool assembly includes an anvil and a cartridge assembly movable from an open position to a closed position, and a locking member movably supported on a distal portion of the cartridge assembly. The locking member is configured to move into a slot of the anvil as the anvil and cartridge assembly move toward the closed position to set a gap distance between the anvil and cartridge assembly.
A surgical stapler including a shipping lock configured to obstruct movement of a drive member is provided. The surgical stapler includes an elongate body, a tool assembly pivotally secured to the elongate body, a drive member movable within the tool assembly between retracted and advanced positions, and a shipping lock releasably secured to the elongate body. The shipping lock includes a projection. When the shipping lock is secured to the elongate body, the projection obstructs movement of the drive member to its advanced position.
Input shapers for control inputs to the robotic surgical system and their method of controlling a linkage of a robot with a controller includes receiving a desired joint angle of a joint of the robot; and transmitting a first control signal to a motor to actuate the joint in response to a desired joint velocity, the desired joint velocity being a function of the desired joint angle and a current joint angle of the joint.
A tissue resecting instrument includes an end effector assembly having a proximal hub housing, outer and inner shafts extending therefrom, and an inner core drive assembly to rotate and reciprocate the inner shaft relative to the outer shaft. The inner core drive assembly includes a proximal receiver that receives a rotational input and rotates in response and includes a seal member disposed thereon. The rotation of the proximal receiver effects rotation of a connector and reciprocation of the connector between a proximal position and a distal position. The connector is operably coupled to the inner shaft such that the rotation and reciprocation of the connector effects the rotation and reciprocation of the inner shaft. In the proximal position, the connector and the seal member establish a seal that blocks outflow. In the distal position, the connector is displaced from the seal member to permit outflow.
Access assemblies includes an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, a seal assembly disposed adjacent to the guard assembly, and a centering mechanism for maintaining the seal assembly and guard assembly centered within a cavity of the instrument valve. In embodiments, the seal assembly includes a plurality of seal sections that are movable from an unfolded configuration to folded configuration in which the seal assembly forms a hexagonal member defining an opening to facilitate sealed passage of a surgical instrument. The seal sections may include a tapered inner edge for engaging a surgical instrument inserted through the instrument valve housing.
A surgical access device includes a cannula and a sleeve stop. The sleeve stop is configured for selective engagement with an elongated portion of the cannula, and configured to limit distal advancement of the cannula with respect to tissue. The sleeve stop is a unitary structure and includes a body portion having a first section and a second section. The first section and the second section are interconnected by a living hinge. The first section is configured to selectively engage the second section.
A surgical stapling device includes tool assembly having a cartridge assembly, an anvil assembly, and a stabilization member that is supported on a distal portion of one of the cartridge and anvil assemblies. The cartridge assembly and the anvil assembly are coupled to each other by a pivot member such that the tool assembly is movable between open and clamped positions. The stabilizing member is movable when the tool assembly is in the clamped position from a first position disengaged with the other of the cartridge and anvil assemblies to a second position engaged with the other of the cartridge and anvil assemblies to define a predetermined tissue gap between the cartridge assembly and the anvil assembly.
A method of controlling an end effector of a surgical robot includes receiving a desired pose, generating motor torques, transmitting the motor torques, generating null torques, generating desired torques, and transmitting the desired torques to an IDU such that the IDU moves the end effector to the desired pose. A primary controller receives the desired pose of the end effector in three DOF. The primary controller generates the motor torques in response to receiving the desired pose. The primary controller transmits the motor torques which are received in a secondary controller. The secondary controller generates null torques to maintain tension in cables of a differential drive mechanism of the IDU. The desired torques are generated for each motor of the IDU to include a sum of the motor torques and the null torques.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
85.
BINDING AND NON-BINDING ARTICULATION LIMITS FOR ROBOTIC SURGICAL SYSTEMS
A robotic surgical system and method of selectively binding articulation limits to a surgical instrument includes detecting a proximal or a distal linear movement of the surgical instrument, calculating a distance between a tool center point of the surgical instrument after the proximal or the distal linear movement and a remote center of motion, assigning and binding an articulation limit to the surgical instrument based on the calculated distance when the detected linear movement is distal linear movement, and assigning a non-binding articulation limit to the surgical instrument based on the calculated distance when the detected linear movement is proximal linear movement.
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A cartridge assembly includes a cartridge channel, a support plate, a staple cartridge supported within the support plate and the cartridge channel, and compression members. The compression members are supported on support flanges of the support plate between the staple cartridge and the cartridge channel to facilitate movement of the staple cartridge in relation to the cartridge channel to accommodate tissue of different thicknesses.
A cannula assembly configured to receive a surgical instrument therethrough includes an elongated body portion, a housing coupled to a proximal end portion of the elongated body portion, and an annular-shaped light member. The housing defines a longitudinally-extending channel therethrough dimensioned for passage of the surgical instrument. The light member is disposed within the housing and about the channel.
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
88.
CAMERA AND INSTRUMENT POSITIONING SYSTEM, METHOD, AND APPARATUS FOR PERFORMING MEDICAL PROCEDURES
A visualization device for a robotic surgery apparatus can include a housing configured to be removably attached to a mounting interface of the apparatus and be positioned adjacent an insertion device of the apparatus. The housing can include first and second openings positioned on an exterior of the housing. The housing can include a substantially flexible camera tube with a first end attached to the housing and a second end including at least one camera. The second end can be inserted through the first opening in the housing, pass through interior of the housing, and exit the housing through the second opening in the housing. The second end can extend away from the housing toward a region of interest outside the housing or retract away from the region of interest and back toward the housing. The camera tube can form a loop around a portion of the housing.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
A surgical access device including a cannula, a seal, and a seal guard is disclosed. The cannula includes a housing and an elongated portion extending distally from the housing. The seal is disposed at least partially within the housing of the cannula and includes an aperture for sealed reception of a surgical instrument therethrough. The seal guard is disposed at least partially within the housing of the cannula and proximally of the seal. The seal guard is formed from a flat sheet of material and folded into a funnel-like shape.
A surgical device includes a jaw assembly, an articulating assembly and a drive shaft. The jaw assembly includes first and second jaws. The articulating assembly is removably coupled to a proximal end of the jaw assembly and includes a distal joint member, a proximal joint member, and a pivot pin. The pivot pin is fixedly coupled to the distal joint member and is rotatably coupled to the proximal joint member. The jaw assembly and the distal joint member together define a first longitudinal axis. The proximal joint member defines a second longitudinal axis. The drive shaft includes a gear element that is meshingly engaged with a pivoting gear element that is fixedly coupled to the pivot pin. Longitudinal movement of the first drive shaft pivots the jaw assembly relative to the proximal joint member about a pivot axis defined by the pivot pin.
Methods and apparatus are disclosed for detecting a wirelessly detectable object. The wirelessly detectable object may include an antenna and a passive variable-frequency transponder circuit that is communicatively coupled to the antenna. The passive variable-frequency transponder circuit is powered by an interrogation signal received from an external source, and returns via the antenna a wireless response signal having a frequency that varies over a single interrogation cycle. Such variation may be based upon a decaying control voltage that controls the value(s) of one or more components in the passive variable-frequency transponder circuit and/or a switch that selectively couples and decouples components in the passive variable-frequency transponder circuit. The variable frequency may provide a characteristic signature for the wireless response signal that may be used to identify the wirelessly detectable object.
A surgical stapling apparatus includes a buttress retention assembly. The buttress retention assembly includes a sleeve configured to be detachably coupled with a first jaw member of a tool assembly of the surgical stapling apparatus, and a buttress material. The sleeve includes a proximal hook extending transversely outward from a lateral side of the sleeve, and a mouth including a hook configured to be received in a knife slot of the first jaw member. The mouth includes an inner surface having an inwardly extending boss. The buttress material includes a tab extending transversely outward from a lateral side thereof The tab defines a proximal slot configured to receive the proximal hook of the sleeve. At least a portion of the distal end portion extends through the mouth of the sleeve. The distal end portion defines a distal slot dimensioned to receive the boss of the sleeve.
A surgical access device includes a housing, a tubular member extending from the housing, a valve disposed on the housing, and a tip member at a distal end of the tubular member. The housing includes a seal and the tubular member includes a plurality of lumens extending therethrough. The valve is fluidly coupled with a first lumen of the plurality of lumens and the tip member includes a first port that is aligned and fluidly coupled with the first lumen of the plurality of lumens. The first port is configured to direct a fluid towards a predetermined location.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 1/313 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p.ex. laparoscopes
94.
SURGICAL ACCESS DEVICE WITH FASCIAL CLOSURE SYSTEM
A surgical access device is disclosed and includes a housing, a cannula, a guide, and an expandable member. The cannula extends distally from the housing and defines a longitudinal axis. A wall of the cannula includes a first slot defined therein. The guide is engagable with the housing and defines a first channel. The first channel is disposed at a non-parallel angle relative to the longitudinal axis. The expandable member is disposed adjacent a distal portion of the cannula and is transitionable between a collapsed configuration and an expanded configuration. A first surgical instrument is insertable through the first channel of the guide and through the first slot of the cannula.
An adapter assembly for connecting a loading unit to a handle assembly is provided. The adapter assembly includes a sleeve, a trocar assembly releasably securable with the sleeve, and a retaining mechanism configured to releasably secure the trocar assembly within the sleeve and to facilitate cleaning and sterilizing of the adapter assembly.
A method of automatically assigning foot pedals of a robotic surgical system to surgical instruments of a surgical robot of the robotic surgical system includes: receiving a signal that a first electrosurgical pedal is actuated; determining a number of electrosurgical instruments connected to the surgical robot in response to actuation of the first electrosurgical foot pedal; assigning the first electrosurgical foot pedal to a first electrosurgical instrument connected to the surgical robot after the first electrosurgical foot pedal is actuated; and delivering electrosurgical energy to the first electrosurgical instrument in response to actuation of the first electrosurgical foot pedal after assigning the first electrosurgical foot pedal to the first electrosurgical instrument.
A biodegradable triblock copolymer comprising: an A-B-A' structure wherein the A and A blocks each include polylactide, the B block includes from about 55 to about 100 mole percent of polytrimethylene carbonate and 0 to about 45 mole percent polylactide, and the biodegradable triblock copolymer overall includes from about 15 to about 25 mole percent of the polytrimethylene carbonate and from about 75 to about 85 mole percent of the polylactide. Also provided are compositions and implantable medical devices made therefrom.
A robotic electromechanical surgical instrument includes a housing, an elongated shaft that extends distally from the housing, a wrist assembly supported on the elongated shaft, an end effector coupled to the wrist assembly, cables coupled to the wrist assembly, and an electrical cable coupled to the end effector. The wrist assembly includes a first joint coupled to a second joint. The first joint includes a proximal segment defining an arcuate surface and a distal segment defining an arcuate surface. The electrical cable is positioned relative to the proximal arcuate surface and the distal arcuate surface such that during articulation of the wrist assembly the electrical cable rolls off of the distal arcuate surface as the electrical cable rolls on to the proximal arcuate surface and the electrical cable rolls off of the proximal arcuate surface as the electrical cable rolls on to the distal arcuate surface.
An apparatus for joining two hollow organ sections includes a staple cartridge assembly including an annular wall, an anvil assembly, a buttress member, and a fastening member. The annular wall of the staple cartridge assembly defines an inner aperture in an inner surface thereof and an outer aperture in an outer surface thereof The buttress member is configured to be positioned on a distal surface of the staple cartridge assembly. The buttress member defines a cutout on a peripheral portion thereof The fastening member has a first end securely affixed to the inner aperture of the annular wall of the staple cartridge assembly and a second end securely affixed to the outer aperture of the annular wall of the staple cartridge assembly to secure the buttress member on the staple cartridge assembly. The cutout of the buttress member is in registration with the outer aperture of the annular wall.
An electrosurgical smoke evacuation pencil includes a handle housing having a proximal end portion and a distal end portion, the handle housing defining a first lumen therethrough. The electrosurgical pencil also includes a nozzle disposed within the first lumen and defining a second lumen, the nozzle being movable relative to and within the handle housing and extending proximally past the proximal end portion of the handle housing. The electrosurgical pencil may further include a swivel connector coupled to the distal end portion of the handle housing, the swivel connector configured to couple to a suction source. The electrosurgical pencil includes a hub assembly securedly disposed within the second lumen, the hub assembly including a conductive tube configured to couple to a source of electrosurgical energy, and an electrode slidably disposed within the conductive tube, the electrode being movable relative to and within the conductive tube.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médical; Dispositifs pour retirer, traiter ou transporter les liquides du corps; Systèmes de drainage
brevets
