公开(公告)号：US20240382197A1

公开(公告)日：2024-11-21

申请号：US18588147

申请日：2024-02-27

Applicant: Cilag GmbH International

Inventor： Nicholas Fanelli ,  Gregory G. Scott ,  Anthony Nguyen ,  Kevin M. Fiebig ,  Scott A. Jenkins ,  Frederick E. Shelton, IV ,  Nicholas A. Wilson

IPC: A61B17/072

Abstract: An apparatus includes a cartridge body, a deck, an elongate slot, a plurality of pockets, and a plurality of engagement protrusions. The plurality of pockets include first and second pockets. The plurality of engagement protrusions extend from the deck and are configured to grip tissue or an adjunct material. The plurality of engagement protrusions include first and second engagement protrusions. The first engagement protrusion is associated with the first pocket. The first engagement protrusion includes a lateral portion extending longitudinally along a lateral side of the first pocket. The first engagement protrusion does not extend along a second lateral side of the first pocket such that the second lateral side opens directly to the deck. The second engagement protrusion is associated with the second pocket. The second engagement protrusion includes a lateral portion extending longitudinally along the second lateral side of the second pocket.

公开(公告)号：US12023067B2

公开(公告)日：2024-07-02

申请号：US18077326

申请日：2022-12-08

Applicant: Cilag GmbH International

Inventor： Gregory G. Scott

IPC: A61B17/34 ,  A61M13/00

CPC classification number: A61B17/3423 ,  A61B17/3415 ,  A61B2017/3454 ,  A61B2017/3488 ,  A61M13/003

Abstract: A surgical access device assembly includes a cannula hub and a cannula tube. The cannula tube extends distally from the cannula hub along a longitudinal axis. The cannula tube defines a working channel. The cannula tube includes a tissue engagement feature and a balancing feature. The balancing feature is configured to promote lateral stability of the cannula tube and the cannula hub relative to the body cavity wall of the patient. The balancing feature includes a proximal portion of the cannula tube having a first wall thickness. The balancing feature also includes a distal portion of the cannula tube having a second wall thickness that is greater than the first wall thickness. At least a portion of the proximal portion is proximal relative to the tissue engagement feature. At least a portion of the distal portion is distal relative to the tissue engagement feature.

公开(公告)号：US20230293171A1

公开(公告)日：2023-09-21

申请号：US18200424

申请日：2023-05-22

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Kevin M. Fiebig ,  Nina Mastroianni ,  Timothy P.O. Moses, JR. ,  Diana M. Harbach ,  Nicholas M. Morgan ,  Austin J. Bridges ,  Ravi C. Patel ,  Gregory G. Scott ,  Jeffrey D. Bruns

IPC: A61B17/068 ,  A61B17/072

CPC classification number: A61B17/0686 ,  A61B17/072 ,  A61B2017/00119

Abstract: A loading unit for use with a surgical stapling instrument is disclosed. The loading unit comprises a shaft and an end effector extending from the shaft. The end effector comprises a first jaw that comprising an anvil, and a second jaw. At least one of the first jaw and the second jaw is movable relative to the other to grasp tissue. The second jaw comprises an elongated channel comprising retaining features, and a staple cartridge insertable into the elongated channel for assembly therewith. The staple cartridge comprises a cartridge pan, and a sled translatable relative to the cartridge pan from a first position toward a second position. The retaining features are configured to resist a movement by the sled beyond the first position up to a predetermined force.

公开(公告)号：US11633211B2

公开(公告)日：2023-04-25

申请号：US17213302

申请日：2021-03-26

Applicant: Cilag GmbH International

Inventor： Arunachalam Muthuchidambaram ,  Arunkumar Radhakrishnan ,  Rushikesh Shrikant Suryawanshi ,  Dhivakar A ,  Cameron D. McLain ,  Lauren Valente ,  Matthew S. Corbin ,  Gregory G. Scott ,  Sajayesh Vijayachandran ,  Haribaskaran Nagarathinam ,  Giri Prasannakumar Mathivanan

IPC: A61B17/34

Abstract: A depth limiter that is configured to couple with a cannula of a surgical access device. The depth limiter includes first and second user contact portions and first and second biasing features. The first biasing feature includes a first resilient portion and a first gripping surface. The second biasing feature includes a second resilient portion and a second gripping surface. The first and second resilient portions are configured to move the respective first and second gripping surfaces from a fixed configuration to a movable configuration when the respective first and second user contact portions are actuated. In the fixed configuration, the first and second gripping surfaces collectively restrict axial movement of the depth limiter by directly contacting the cannula. In the movable configuration, the first and second gripping surfaces extend parallel to a longitudinal axis and allow for axial movement of the depth limiter relative to the cannula.

公开(公告)号：US20230051305A1

公开(公告)日：2023-02-16

申请号：US17401391

申请日：2021-08-13

Applicant: Cilag GmbH International

Inventor： Shannon L. Jones ,  Gregory J. Bakos ,  Chad P. Boudreaux ,  John S. Kimsey ,  Yvan D. Nguetio Tchoumkeu ,  John K. Bruce ,  Frederick E. Shelton, IV ,  Jason L. Harris ,  Bradley A. Arnold ,  Gregory G. Scott ,  Cory G. Kimball ,  Nichole Y. Kwee ,  Jeffrey L. Aldridge

IPC: A61B17/115 ,  A61B17/3205

Abstract: A method of creating an anastomosis is provided using a stapling assembly including a body extending distally along a longitudinal axis and a deck member defining a deck surface. The deck surface includes a first array of staple openings comprising a herringbone pattern, and each staple opening of the first array of staple openings has a same size. The method includes positioning an anvil within a first lumen of a patient and positioning the stapling assembly within a second lumen of the patient. The method also includes releasably coupling the anvil with the stapling assembly and compressing tissue of the first and second lumens between the anvil and the deck member. The method further includes actuating a plurality of staple drivers to drive a first plurality of staples distally and parallel to the longitudinal axis from the first array of staple openings into the tissue to define the anastomosis.

公开(公告)号：US20220151621A1

公开(公告)日：2022-05-19

申请号：US17530567

申请日：2021-11-19

Applicant: Cilag GmbH International

Inventor： Gregory J. Bakos ,  Michael J. Stokes ,  Michael A. Jacobs ,  Disha V. Labhasetwar ,  Gregory G. Scott ,  Anthony Nguyen

IPC: A61B17/115 ,  A61B90/00

Abstract: An apparatus includes a handle assembly having a body, a shaft assembly having an outer tube member, an end effector, an anvil, a first trocar closure system, and a second trocar closure system. The end effector has having a staple deck fixed relative to the body, a staple driver operable to actuate relative to the staple deck between an unfired position and a fired position, and the trocar configured to selectively couple with the anvil and actuate relative to the staple dreck. The first trocar closure assembly can actuate in a first motion to drive the trocar between a distal position and a first closed position. The second trocar closure assembly can actuate in a second motion between the first closed position and a second closed position. The staple drive is inoperable at least until the first trocar closure assembly actuates the trocar to the first closed position

公开(公告)号：US12213699B2

公开(公告)日：2025-02-04

申请号：US17213415

申请日：2021-03-26

Applicant: Cilag GmbH International

Inventor： Gregory G. Scott ,  Jonathan M. Cepress ,  David L. Collins ,  Matthew S. Corbin ,  Jeffrey L Savage

IPC: A61B17/34

Abstract: A surgical access device assembly. The assembly includes a cannula having a working channel and a helical tissue engagement feature disposed along an outer surface of the cannula and configured to stabilize the cannula relative to a body cavity wall of a patient. The assembly also includes a depth limiter movably coupled with the cannula. The depth limiter includes a body portion extending about a central axis of the depth limiter and including a protrusion extending radially inwardly relative to the central axis. The body portion is movable angularly relative to the cannula between a fine adjustment configuration and a coarse adjustment configuration. In the fine adjustment configuration the protrusion is configured to selectively threadably engage the helical tissue engagement feature. In the coarse adjustment configuration the protrusion is configured to selectively threadably disengage the helical tissue engagement feature such that the depth limiter is translatable axially along the cannula.

公开(公告)号：US20240350137A1

公开(公告)日：2024-10-24

申请号：US18588684

申请日：2024-02-27

Applicant: Cilag GmbH International

Inventor： Nicholas Fanelli ,  Kevin M. Fiebig ,  Jeffery D. Bruns ,  John K. Bruce ,  Pierre R. Mesnil ,  Shannon L. Jones ,  John W. Stodghill ,  Gregory G. Scott ,  Devanathan Raghavan ,  John P. May ,  Nicholas A. Wilson ,  Cory G. Kimball ,  Kristin L. Jambor ,  Scott A. Jenkins

IPC: A61B17/064 ,  A61B17/072

CPC classification number: A61B17/0644 ,  A61B17/07207 ,  A61B2017/07271

Abstract: A method of operating a surgical instrument includes clamping tissue with a surgical instrument end effector and actuating the end effector to drive staples into the clamped tissue, including a first longitudinal row having at least one first formed staple with a first formed shape in which the first legs are aligned laterally with each other and with the first crown; a second longitudinal row having at least one second formed staple with a second formed shape in which each second leg is skewed laterally away from the second crown at a first angle; and a third longitudinal row of third formed staples having at least one third formed staple with a third formed shape in which each third leg is skewed laterally away from the third crown at a second angle.

公开(公告)号：US20240299037A1

公开(公告)日：2024-09-12

申请号：US18667760

申请日：2024-05-17

Applicant: Cilag GmbH International

Inventor： Disha V. Labhasetwar ,  Michael J. Stokes ,  Gregory G. Scott ,  Chester O. Baxter, III ,  Michael A. Murray ,  Kevin A. Larson ,  Ryan J. Laurent

IPC: A61B17/128 ,  A61B17/00 ,  A61B90/00

CPC classification number: A61B17/128 ,  A61B17/1285 ,  A61B2017/00367 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2090/034 ,  A61B2090/038

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to prevent misalignment of the jaws and clip therebetween, features to protect the jaws, and features to ensure proper closure of the jaws and clip therebetween.

公开(公告)号：US20230225759A1

公开(公告)日：2023-07-20

申请号：US18077326

申请日：2022-12-08

Applicant: Cilag GmbH International

Inventor： Gregory G. Scott

IPC: A61B17/34

CPC classification number: A61B17/3423 ,  A61B17/3415 ,  A61B2017/3488 ,  A61M13/003

Abstract: A surgical access device assembly includes a cannula hub and a cannula tube. The cannula tube extends distally from the cannula hub along a longitudinal axis. The cannula tube defines a working channel. The cannula tube includes a tissue engagement feature and a balancing feature. The balancing feature is configured to promote lateral stability of the cannula tube and the cannula hub relative to the body cavity wall of the patient. The balancing feature includes a proximal portion of the cannula tube having a first wall thickness. The balancing feature also includes a distal portion of the cannula tube having a second wall thickness that is greater than the first wall thickness. At least a portion of the proximal portion is proximal relative to the tissue engagement feature. At least a portion of the distal portion is distal relative to the tissue engagement feature.