Abstract:
A staple cartridge assembly comprising an implantable adjunct or layer assembly is disclosed. The implantable adjunct comprises a plurality of layers, wherein at least one of the layers has been melted to bond with one or more of the other layers of the implantable adjunct.
Abstract:
Aspects of the present disclosure include an attachable power and control system to supply energy to electrodes of a wiping electrode coagulation system of a surgical device. A surgical device includes electrodes at an end of effector to aide in sealing during various surgical procedures. During the procedure, the surgeon may wipe the surgical site with the end effector, causing the electrodes to touch the fractured area. Electrosurgical energy may be applied to the electrodes during the wiping, causing coagulation of smaller vessels. The attachable power and control system may be configured to slide over the shaft of the surgical device. The power and control system also may be configured to supply power to the electrodes and to control when energy is applied to the electrodes, based in part, for example, on measuring a distance or angle of the opening of the jaws at the end effector.
Abstract:
An apparatus includes a buttress body, an adhesive material, and a containment sheet. The buttress body is sized to fit on an anvil or a staple cartridge deck of a surgical stapler. The adhesive material is disposed on the buttress body. The adhesive material is configured to flow across the buttress body in response to a temperature exceeding a melting temperature. The containment sheet is disposed on the adhesive material. The containment sheet is secured relative to the buttress body such that the containment sheet is configured to contain the adhesive material on the buttress body.
Abstract:
An apparatus includes a body assembly, a shaft, an end effector, and a cartridge. The end effector includes a jaw, a pivotable anvil, and a knife member. The cartridge includes a deck, a buttress assembly, and a folding sled. A first portion of the buttress assembly is positioned on top of the deck. A second portion of the buttress assembly is positioned within the longitudinal channel. The folding sled is configured to translate within the longitudinal channel to move the second portion of the buttress assembly to a position that is above the deck in response to actuation of the knife member. The second portion of the buttress assembly is thereby secured against edges of tissue severed by the knife member.
Abstract:
An apparatus includes a body assembly, a shaft, an end effector, and a cartridge. The end effector includes a jaw, a pivotable anvil, and a knife member. The cartridge includes a deck, a buttress assembly, and a folding sled. A first portion of the buttress assembly is positioned on top of the deck. A second portion of the buttress assembly is positioned within the longitudinal channel. The folding sled is configured to translate within the longitudinal channel to move the second portion of the buttress assembly to a position that is above the deck in response to actuation of the knife member. The second portion of the buttress assembly is thereby secured against edges of tissue severed by the knife member.
Abstract:
An apparatus includes a housing, a platform, a buttress assembly, a retainer member, and a release assembly. The housing defines a gap that is configured to receive a portion of an end effector of a surgical stapler. A portion of the platform is exposed in the gap defined by the housing. The buttress assembly is positioned on the platform and is exposed in the gap defined by the housing. The retainer member is configured to selectively retain the first buttress assembly against the platform. The release assembly is in communication with the retainer member. The release assembly is configured to store energy. The release assembly is further configured to release the stored energy to thereby cause the at least one retainer to release the first buttress assembly from the platform in response to a clamping action of an end effector positioned in the gap defined by the housing.
Abstract:
A method of applying a buttress to a surgical stapler end effector comprises positioning a buttress assembly between an anvil and a staple cartridge of the end effector. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material faces either an underside of the anvil or a deck of the staple cartridge. The anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge. The method further comprises moving the anvil toward the staple cartridge then moving the anvil back to the open position. The buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position. The adhesive material comprises a bioabsorbable polymer.
Abstract:
A fastener cartridge assembly for use with a circular surgical fastening device. The fastener cartridge assembly includes a cartridge body that has a circular deck. A plurality of fastener cavities is provided in the circular deck. Each fastener cavity includes two cavity ends wherein one cavity end of each of the fastener cavities is positioned on a first circular axis having a first radius and wherein the other cavity end of each fastener cavity is positioned on a second circular axis that has a second radius that differs from the first radius.
Abstract:
Aspects of the present disclosure include a surgical device comprising electrodes on the sides of an end of an effector to aide in sealing during various surgical procedures, such as a liver resection. During a sealing procedure, the surgeon may wipe the surgical site with the end effector, causing the electrodes to touch the fractured area. Electrosurgical energy may be applied to the electrodes during the wiping, causing coagulation of smaller vessels, such as tiny blood vessels and bile ducts in the parenchyma of the liver. In some cases, due to the nature of some smaller vessels, electrosurgical energy should be delicately applied to cause sealing but to avoid overly damaging the remaining tissue. In some embodiments, the thin design of the electrodes allows for an appropriate amount of electrosurgical energy to be applied to the fractured area.
Abstract:
A staple cartridge is disclosed. The staple cartridge can include a cartridge body having a plurality of staple cavities defined therein. The staple cavities can be obliquely oriented relative to a longitudinal axis of the staple cartridge. The staple cavities can be arranged in a plurality of rows including an inner row, an intermediate row, and an outer row. The lateral and/or longitudinal spacing and/or overlap between the staples in adjacent rows can vary to optimize the flexibility and/or sealing properties of the staple line. The size and orientation of the staples can also vary row-to-row and/or longitudinally.