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A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

An articulation joint for use in connection with a surgical instrument that has a portion that must be passed through a trocar or similar structure and then articulated relative to another portion of the instrument received within the trocar. Various embodiments of the articulation joint provide structures for increasing the moment arm between the actuator and the pivot point between the proximal and distal tube segments interconnecting a handle assembly of the surgical instrument to a surgical implement such as an end effector of an endocutter.

A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

A surgical stapling device for applying an array of surgical staples to tissue is provided. The stapling device includes an approximation mechanism for moving a cartridge assembly and an anvil assembly between spaced and approximated positions and a firing mechanism for ejecting the array of staples from the cartridge assembly. A single trigger is operable to effect approximation and firing of the device. The device also includes an alignment pin assembly which can be selectively manually or automatically advanced. The anvil assembly includes a stiffener plate which allows the device to have a reduced head portion profile.

A medical film that is excellent in biocompatibility and bioabsorbability and has an excellent strength in suturing and bonding is provided. A reinforcing material 12 made of a biodegradable polymer is placed in a gelatin solution so as to allow the solution to infiltrate in the reinforcing material 12 and then the gelatin is dried. This allows the gelatin that has infiltrated entirely in an internal part of the reinforcing material 12 to gel, thereby forming a gelatin film 11. Thus, a medical film 1 in which the reinforcing material 12 and the gelatin film 11 are integrated is obtained. The gelatin film 11 preferably is a cross-linked gelatin film.

Systems and methods are provided for detecting failure in clamping of a material and / or firing of a staple into a clamped material and indicating such failure to a user on a user interface. The system and methods are particularly suited for use with end effectors having closing and / or firing mechanisms coupled to an actuator. By monitoring a driving parameter of an actuator that effects the clamping and / or firing, the systems and methods provide an indication of failure in response to the monitored drive parameter. In some embodiments, an indication of failure is output when the monitored drive parameter is outside an acceptable range of desired driving parameters during clamping and / or firing. The disclosed systems and methods are particularly beneficial when used for minimally invasive surgery.

The present invention is a device and method of using a variety of laparoscopic or NOTES surgical tools at a confined or inaccessible space, e.g., an intra-abdominal surgical and NOTES tool inserted through a single incision through the skin or hollow viscus. Generally, the laparoscopic or NOTES surgical devices include a device body having a first side and a second side, wherein the first side includes a positioning mechanism and the second side includes one or more of a variety of laparoscopic or NOTES tools.

A method of deploying a surgical fastener into a patient by introducing the fastener into a body of a patient while the fastener is in a first shape having a first loop with a back span and an original size and shape. The method then involves moving end segments of the fastener away from each other substantially along an entire length thereof while keeping the back span in substantially its original size and shape. The method then involves forming the fastener into a second loop having a width greater than a width of the first loop.

The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.

The present invention disclosed a surgical staple (50) and staple pocket (57) for forming kidney-shaped staple therefor, with the staple pocket (57) being recessed inward on the tissue contacting surface of the staple anvil (58), and with M-shaped staple (50) being used, wherein the degree of projection of the middle portion of the back span (51) of the M-shaped staple (50) arranged at the inner circle or arranged at a proximal side of a cutter slot (121) is larger than that of the back span (51) of the M-shaped staple (50) arranged at the outer circle or arranged at a distal side of the cutter slot (121), so that when the staple (50) of the same height are adapted to staple tissues to be stapled of different thickness, staple driver (68) bends the M-shaped staple (50) on the staple pocket (57) to form kidney-shaped staple (50) so as to achieve the operational effect of being able to seal the stapled tissue, to stop bleeding and to heal the tissue therearound.

The invention relates to an arc-shaped cutting anastomat comprising an anastomosis nail shaping mechanism, a nail pushing assembly, a trigger handle, a nail supporting seat, a base of the nail supporting seat, a knife cushioning ring and two splints, wherein the nail pushing assembly comprises a cutting knife, a nail pushing sheet, a nail bin and a guide post; the end of the nail pushing sheet and both sides of the cutting knife are respectively provided with a plurality of inner nail pushing dental sheets which are near the cutting knife and a plurality of outer nail pushing dental sheets which are far away from the cutting knife; the cutting knife and the nail pushing sheet are injected and molded at a time to be fixed together; the outer side of the each outer nail pushing dental sheeton the nail pushing sheet is provided with a reinforcing rib; the inner side of each nail pushing dental sheet on the nail pushing sheet is provided with a reinforcing rib; both ends of the first guide surfaces of the nail pushing dental sheets are respectively connected with the first contact surfaces and the second contact surfaces of the nail pushing dental sheets through concave arc-shaped connecting surfaces, and both ends of the second guide surfaces thereof are respectively connected with the first contact surfaces and the second contact surfaces through the concave arc-shaped connecting surfaces; and the first contact surfaces and the second contact surfaces are respectively in contact with the inner walls of the nail pushing dental sheet holes of the nail bin. The invention has the advantages of good trigger anastomosis shaping effect and high safety.

An ear sensor provides a sensor body having a base, legs extending from the base and an optical housing disposed at ends of the legs opposite the base. An optical assembly is disposed in the housing. The sensor body is flexed so as to position the housing over a concha site. The sensor body is unflexed so as to attach the housing to the concha site and position the optical assembly to illuminate the concha site. The optical assembly is configured to transmit optical radiation into concha site tissue and receive the optical radiation after attenuation by pulsatile blood flow within the tissue.

An expandable spacer, comprising: an axial tube having a surface, a proximal end and a distal end and a length, wherein, said surface defines a plurality of slits, said plurality of slits defining at least two axially displaced extensions, such that when said tube is axially compressed, said extensions extend out of said surface and define a geometry of an expanded spacer. Preferably the spacer is adapted to be inserted between two spinal vertebrae of a human.