摘要:
A removable stapling attachment configured to be operably attached to a surgical device is disclosed. The removable stapling attachment comprises a staple cartridge carrier and a staple cartridge body. The removable stapling attachment further comprises a plurality of staples removably stored in the staple cartridge body, an anvil supported relative to the staple cartridge carrier and movable from an open position to a closed position, and a housing. The housing is removably attachable to the surgical device. The removable stapling attachment further comprises an electric motor attached to the housing. The electric motor is configured to produce rotational motion. The electric motor selectively receives power from a power source only when the housing is coupled to the surgical device. The removable stapling attachment further comprises drive means for converting the rotational motion produced by the electric motor to translational motion to eject the staples from the staple cartridge body.
摘要:
A surgical stapling system including a driver and a staple where the driver is connected to the staple. In previous surgical stapling systems, the driver and the staple were not connected. A surgical stapling system in accordance with the present invention may have fewer components, less assembly and manufacturing time, and may accommodate larger staples which are at least partially embedded in the driver. In various embodiments, a surgical stapling system comprises a staple, the staple including a deformable member, and a stapler, the stapler including an anvil, a staple cartridge for removably storing the staple, and a cam movable between a first position and a second position. In these embodiments, the surgical stapling system further comprises a driver attached to the staple, the driver being operatively engaged with the cam to move the staple toward the anvil when the cam is moved between the first position and the second position.
摘要:
A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.
摘要:
A stapling system is disclosed. The stapling system comprises an anvil, a channel, a firing bar, a replaceable staple cartridge, and a locking member. The anvil comprises an anvil ledge. The channel comprises a channel ledge. The firing bar comprises a first projection configured to engage the anvil ledge and a second projection configured to engage the channel ledge. The replaceable staple cartridge comprises staples, a vertical slot configured to receive the firing bar during a staple firing stroke, and a sled movable between a proximal unfired position and a distal fired position. The locking member is movable vertically and spring-biased into a locked configuration which inhibits the firing bar from being advanced through the staple firing stroke. The sled comprises a proximally-extending portion configured to overcome the spring bias of the locking member if the sled is in its proximal unfired position.
摘要:
A two-part tissue thickness compensator assembly can include a first tissue thickness compensator configured to be positioned relative to an anvil of a surgical stapler, a second tissue thickness compensator configured to be positioned relative to a staple cartridge of the surgical stapler, and a hinge connecting the first tissue thickness compensator to the second tissue thickness compensator. The first and/or second tissue thickness compensators may include additional engagement features, such as a raised ridge that engages a slot in the anvil and/or the staple cartridge. In certain embodiments, the first and/or second tissue thickness compensators may include an encasement that contains a suitable biologic agent. An end effector assembly may be provided for attachment to a surgical instrument that includes, for example, a staple cartridge, an anvil, a first tissue thickness compensator positioned on the anvil, and a second tissue thickness compensator positioned on the staple cartridge.
摘要:
An end effector of an instrument is positioned in a patient. An ultrasonic blade of the end effector is positioned against tissue in the patient. The ultrasonic blade is activated to vibrate ultrasonically while the ultrasonic blade is positioned against tissue. At least one electrode of the end effector is positioned against tissue in the patient. The at least one electrode is activated to apply RF electrosurgical energy to tissue against which the at least one electrode is positioned against tissue.
摘要:
A surgical instrument includes a body, an ultrasonic blade, a clamp arm, and a resilient member. The body includes an electrical conductor and defines a longitudinal axis. The clamp arm is pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The clamp arm includes an electrode operable to apply RF energy to tissue, wherein the clamp arm is configured to be loaded onto and removed from the body at the pivot assembly along a path that is transverse to the longitudinal axis defined by the body. The resilient member is located within the pivot assembly. The resilient member is configured to provide electrical continuity between the electrode of the clamp arm and the electrical conductor of the body.
摘要:
A surgical stapling assembly. The surgical stapling assembly comprises a frame, a distal end, a first jaw comprising a channel, and a second jaw extending from the frame. The surgical stapling assembly comprises a channel retainer, wherein the channel is slidably attachable to the channel retainer. The surgical stapling assembly further comprises a plurality of staples and a staple firing member comprising a first cam configured to engage the first jaw and a second cam configured to engage the second jaw when the staple firing member is advanced from an unadvanced position toward the distal end, wherein one of the first jaw and the second jaw comprises a clearanced opening configured to permit the firing member to be unengaged with one of the first jaw and the second jaw when the firing member is in the unadvanced position.
摘要:
A surgical instrument for cutting and coagulating tissue is provided that includes an elongate sheath and an ultrasonic blade. In one embodiment, an ultrasonic blade is positioned within a sheath such that movement of the sheath relative to the blade results in the dissection and/or coagulation of tissue therebetween. In another embodiment, an ultrasonic blade is positioned within a sheath such that movement of the blade relative to the sheath results in the dissection and/or coagulation of tissue therebetween. The size and shape of distal ends of the blade and sheath determine the size and shape of the tissue being cut and/or removed from a body.
摘要:
An apparatus comprises a body assembly and a shaft extending distally therefrom. The shaft defines a longitudinal axis. The apparatus further comprises an acoustic waveguide and an articulation section coupled with the shaft. A portion of the articulation section encompasses a flexible portion of the waveguide. The articulation section further comprises first member and a second member that is longitudinally translatable relative to the first member. The apparatus further comprises an end effector including an ultrasonic blade in acoustic communication with the waveguide. A distal portion the ultrasonic blade is disposed in a first direction away from the longitudinal axis at a bend angle. The end effector also includes a clamp arm that is coupled with the first member and the second member, and an articulation drive assembly operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis in the first direction.