公开(公告)号：US12114859B2

公开(公告)日：2024-10-15

申请号：US17825109

申请日：2022-05-26

Applicant: Cilag GmbH International

Inventor： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Jerome R. Morgan

IPC: A61B17/115 ,  A61B17/072 ,  A61B17/00 ,  A61B17/29 ,  A61B17/32 ,  A61B90/00

CPC classification number: A61B17/115 ,  A61B17/072 ,  A61B17/07207 ,  A61B2017/00473 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B17/1155 ,  A61B2017/2927 ,  A61B2017/2932 ,  A61B2017/320052 ,  A61B2090/034 ,  A61B2090/036

Abstract: An instrument assembly can comprise a shaft comprising a first drive portion of a drive system, an end effector comprising a second drive portion of the drive system, and an articulation joint rotatably connecting the end effector to the shaft. The end effector is rotatable between a first position and a second position about the articulation joint, wherein the first drive portion is not operably engaged with the second drive portion when the end effector is in the first position, and operably engaged with the second drive portion when the end effector is in the second position. The end effector can comprise a first jaw and a second jaw, wherein the first jaw is movable relative to the second jaw between an open position and a closed position within a closure plane, and wherein the end effector is rotatable within an articulation plane which is co-planar with the closure plane.

公开(公告)号：US20240299030A1

公开(公告)日：2024-09-12

申请号：US18619677

申请日：2024-03-28

Applicant: Cilag GmbH International

Inventor： Jason L. Harris ,  Mark S. Zeiner ,  Janna B. Volz ,  Nichole Y. Kwee ,  Frederick E. Shelton, IV

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/064 ,  A61B17/068 ,  A61B17/29 ,  A61B34/30 ,  A61B90/00

CPC classification number: A61B17/07207 ,  A61B17/0644 ,  A61B17/0682 ,  A61B17/072 ,  A61B34/30 ,  A61B90/03 ,  A61B2017/00017 ,  A61B2017/00039 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/00991 ,  A61B2017/0641 ,  A61B17/068 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2090/032 ,  A61B2090/0808 ,  A61B2090/0811 ,  A61B2090/0814

Abstract: A method of stapling tissue is disclosed. The method can include obtaining a staple cartridge including a plurality of staples, wherein each staple has a base and a leg extending from the base. The stapling method can also include firing the staples from the staple cartridge, wherein the staples are fired into tissue in a staple line. The staple line can include a first portion having a first flexibility and a second portion having a second flexibility, wherein the second flexibility is different than the first flexibility. A method of stapling tissue can also include adapting an anvil with an anvil plate having an arrangement of staple-forming pockets that differs from the staple-forming pockets in the anvil.

公开(公告)号：US12029424B2

公开(公告)日：2024-07-09

申请号：US18081128

申请日：2022-12-14

Applicant: Standard Bariatrics, Inc.

Inventor： Adam R. Dunki-Jacobs ,  Jonathan R. Thompson ,  Richard P. Nuchols

IPC: A61B17/072 ,  A61B17/064 ,  A61B17/068 ,  A61B17/115 ,  A61B17/26 ,  A61B17/28 ,  A61B17/32 ,  A61B1/313 ,  A61B17/00 ,  A61B17/29 ,  A61F5/00

CPC classification number: A61B17/07207 ,  A61B17/0644 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1155 ,  A61B17/26 ,  A61B17/28 ,  A61B17/32 ,  A61B1/3132 ,  A61B2017/00017 ,  A61B2017/00115 ,  A61B2017/00199 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/00407 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/00818 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2916 ,  A61F5/0083

Abstract: Embodiments include an end effector including an anvil, the anvil having an anvil face, a cartridge having a cartridge face, the cartridge being configured to retain a plurality of staples, a cord, and a buttress being coupled with the anvil face or the cartridge face and including a planar section of material and a plurality of loops extending laterally from a first side and a second side of the planar section of material, wherein at least one of the anvil or the cartridge includes a plurality of cord supports.

公开(公告)号：US12004745B2

公开(公告)日：2024-06-11

申请号：US17737566

申请日：2022-05-05

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Gregory J. Bakos ,  Jason L Harris

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B17/29 ,  A61B18/14 ,  A61B34/30 ,  A61B90/00 ,  A61B90/92 ,  A61B90/94

CPC classification number: A61B17/07207 ,  A61B17/0682 ,  A61B17/072 ,  A61B17/2816 ,  A61B17/2833 ,  A61B34/30 ,  A61B90/94 ,  A61B2017/00017 ,  A61B2017/00039 ,  A61B17/00234 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00469 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/00818 ,  A61B17/068 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2912 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2933 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2017/2937 ,  A61B2017/2939 ,  A61B2017/2943 ,  A61B2017/2946 ,  A61B2017/2947 ,  A61B18/1445 ,  A61B2090/034 ,  A61B2090/037 ,  A61B2090/0808 ,  A61B2090/0811 ,  A61B2090/0814 ,  A61B90/92

Abstract: Surgical stapling instruments are disclosed comprising a staple cartridge, a firing member, and a cartridge lockout configured to prevent the firing member from being advanced through the staple cartridge if the staple cartridge has been already spent. The stapling instruments further comprise a lockout in the shaft that responds to the cartridge lockout blocking the firing member.

公开(公告)号：US11944307B2

公开(公告)日：2024-04-02

申请号：US17719492

申请日：2022-04-13

Applicant: Cilag GmbH International

Inventor： Thomas W. Huitema ,  Frederick E. Shelton, IV ,  Jason L. Harris ,  Charles J. Scheib ,  Cortney E. Henderson

IPC: A61B17/10 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  A61B90/00 ,  G06F11/14 ,  A61B17/00 ,  A61B90/30

CPC classification number: A61B17/105 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/072 ,  A61B17/07207 ,  A61B90/03 ,  G06F11/1425 ,  A61B2017/00057 ,  A61B2017/00115 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B17/07292 ,  A61B2090/034 ,  A61B2090/038 ,  A61B2090/0801 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/306 ,  A61B2090/309

Abstract: A fastener cartridge can include, one, a cartridge body comprising a deck and a plurality of fastener cavities and, two, a plurality of fasteners positioned in the fastener cavities. The cartridge body can further comprise extensions extending from the deck having different sizes and/or configurations. The extensions can control the flow of tissue relative to the deck and/or support the fasteners as they are ejected from the fastener cavities.

公开(公告)号：US11925354B2

公开(公告)日：2024-03-12

申请号：US17532018

申请日：2021-11-22

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Jerome R. Morgan ,  Charles J. Scheib

IPC: A61B17/072 ,  A61B17/068 ,  A61B17/10 ,  A61B17/3209 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00

CPC classification number: A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/3209 ,  A61B2017/00115 ,  A61B2017/07235 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/2933 ,  A61B2090/0807

Abstract: A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

公开(公告)号：US11911027B2

公开(公告)日：2024-02-27

申请号：US16684819

申请日：2019-11-15

Applicant: Cilag GmbH International

Inventor： Taylor W. Aronhalt ,  Michael J. Vendely ,  Lauren S. Weaner ,  Brandon J. Lloyd ,  Frederick E. Shelton, IV ,  Michael J. Miller ,  Michael T. Isaacs ,  Emily Ann Schellin ,  John V. Hunt ,  John E. Feds

IPC: A61B17/072 ,  A61B17/064 ,  A61B17/00 ,  A61B17/115 ,  B25C5/16 ,  A61B17/068 ,  A61B17/10 ,  A61B90/00 ,  A61B17/29 ,  A61B17/32

CPC classification number: A61B17/0643 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/0644 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/1155 ,  B25C5/1686 ,  A61B17/2909 ,  A61B2017/00004 ,  A61B2017/0053 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0641 ,  A61B2017/0725 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2908 ,  A61B2017/2916 ,  A61B2017/2919 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2946 ,  A61B2017/320052 ,  A61B2090/037

Abstract: A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described.

公开(公告)号：US11883026B2

公开(公告)日：2024-01-30

申请号：US17532390

申请日：2021-11-22

Applicant: Cilag GmbH International

Inventor： Thomas W. Huitema ,  Michael E. Setser ,  Geoffrey C Hueil

IPC: A61B17/10 ,  A61B90/00 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  G06F11/14 ,  A61B90/30 ,  A61B17/00

CPC classification number: A61B17/105 ,  A61B17/068 ,  A61B17/0644 ,  A61B17/0682 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B90/03 ,  G06F11/1425 ,  A61B2017/0046 ,  A61B2017/00057 ,  A61B2017/00115 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2090/034 ,  A61B2090/038 ,  A61B2090/0801 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/306 ,  A61B2090/309

Abstract: A cover member for a surgical staple cartridge. The cover member is configured to retain a wedge sled within the staple cartridge in a starting position when the cover member is attached to the body of the staple cartridge. The cover member includes a top portion that covers all of the fastener openings in the deck of the staple cartridge when the cover is attached to the cartridge.

公开(公告)号：US11883025B2

公开(公告)日：2024-01-30

申请号：US17191999

申请日：2021-03-04

Applicant: Cilag GmbH International

Inventor： Hamilton E. González ,  Jeffrey S. Swayze ,  Michael S. Cropper ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Gregory W. Johnson

IPC: A61B17/068 ,  A61B17/072 ,  A61B17/00

CPC classification number: A61B17/07207 ,  A61B17/07292 ,  A61B2017/00526 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/07235 ,  A61B2017/07271 ,  A61B2017/07278

Abstract: A tissue thickness compensator comprising a first compensation layer, a second compensation layer, and a pocket situated between the compensation layers can be positioned in the end effector of a surgical instrument. A fastener cartridge positioned in the end effector can comprise a fastener moveable between an initial position and a fired position. When the fastener is moved from the initial position to the fired position, the fastener can move through the pocket and can compress a portion of the tissue thickness compensator. A support can be positioned between the first and second compensation layers. When the fastener compresses the tissue thickness compensator, at least one of the support, first compensation layer and second compensation layer can be deformed. The tissue thickness compensator can also comprise a tab and/or a limiting plate to control deformation of the compensation layers and/or the support.

公开(公告)号：US11864760B2

公开(公告)日：2024-01-09

申请号：US17582137

申请日：2022-01-24

Applicant: Cilag GmbH International

Inventor： Frederick E. Shelton, IV ,  Jerome R. Morgan

IPC: A61B17/064 ,  A61B17/072

CPC classification number: A61B17/07207 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07271 ,  A61B2017/07278

Abstract: Staple cartridge assemblies are disclosed herein which are an improvement over previous staple cartridge assemblies. Certain embodiments utilize tri-staple drivers which simultaneously eject three staples from a staple cartridge.