A surgical stapling device particularly suited for endoscopic procedures is described The device includes a handle assembly and an elongated body extending distally from the handle assembly The distal end of the elongated body is adapted to engage a disposable loading unit A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device

Surgical Stapling Apparatus

A surgical stapling instrument (1) comprises a body portion (2, 3), a handle (4) and a staple fastening assembly (8). The staple fastening assembly (8) includes a curved cartridge (10), which comprises at least one curved open row of staples, and a curved anvil (22), which is adapted to cooperate with the cartridge (10) for forming the ends of the staples exiting from the cartridge (10). The staple fastening assembly (8) is adapted to allow unobstructed access towards the concave inner faces of the cartridge (10) and the anvil (22). The cartridge (10) can be moved towards the anvil (22) from a spaced position for positioning tissue therebetween to a closed position for clamping the tissue. Preferably, a knife is contained within the cartridge (10) and is positioned such that there is at least one row of staples on at least one side of the knife.

Surgical stapling instrument

Newness and distinctiveness is claimed in the features of ornamentation as shown inside the broken line circle in the accompanying representation.

Display screen or portion thereof with graphical user interface

A surgical instrument can comprise a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the channel. The surgical instrument can further comprise a cutting member configured to incise tissue positioned captured between the staple cartridge and the anvil and, in addition, means for stopping the cutting member prior to a distal end datum, wherein the distal end datum can be defined by the distal-most staple cavity in the staple cartridge. In such embodiments, the incision within the tissue may not extend beyond the portion of the tissue that has been stapled.

Surgical stapling instrument with an articulatable end effector

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.

Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism

Apparatus monitors RF return current to maximize the AC signal of impedance at two return electrodes. A transformer with driving and driven windings isolates ESU and patient. At ends of the driving winding are signal and ground terminals joined to the return electrodes with capacitors returning current. An AC coupling capacitor at the signal terminal has a timing circuit in sync to the voltage wave and relative to impedance of the return electrodes. Microprocessing the voltage at the signal terminal of the driving winding watches impedance and determines if the RF return current path is adequate. Voltage detection within the timing circuit has a voltage shaping circuit. A voltage comparator after the voltage detection forms a square wave. A current detection circuit and a coupling capacitor allow AC flow to the driving winding. Current shaping circuit in the current detection circuit has a voltage comparator at the output to form a square wave. Phase detection at the voltage and current detection circuits outputs filters the phase difference that is sampled and held as DC input to a switch, with an output and a few inputs to DC voltages. Phase locking an oscillating voltage source directly and/or through the sample and hold or DC switch tunes oscillation frequency and maximizes the voltage detection circuit output. Monitoring the return current with a signal from the voltage detection circuit connected to an oscillating voltage that is phase locked to the current phase therein shows that no phase difference and maximum signal voltage occur simultaneously.

Laser surgical unit

A laser treatment device provided with a laser light source, a laser-light transmitting optical fiber for transmitting laser light output from the laser light source and a probe for guiding the laser light transmitted by the laser-light transmitting optical fiber to an object to be irradiated. Further, the probe is constituted by a laser-light guiding optical fiber separated from the laser-light transmitting optical fiber. Moreover, a cooling chamber for cooling the optical fibers is provided in the neighborhood of an output end of the laser-light transmitting optical fiber, from which the transmitted laser light is output, and an input end of the laser-light guiding optical fiber, from which the laser light output by the laser-light transmitting optical fiber is input to the laser-light guiding optical fiber. Thereby, a medical treatment of a deep part of an affected or diseased region can be achieved without worsening the state of the exit of the laser-light transmitting optical-fiber. Moreover, the output end of the laser-light transmitting optical-fiber can be kept in a favorable condition even after the medical treatment of the deep part of the affected region. Thus there is no obstacle to the next treatment thereof.

Laser treatment device

(A) in a tool with a contact laser probe (1) for laser beam emission, (i) the probe (1) has a working section (12) with a hydroxyl gp. contg. material (13) content such that the probe is heated sufficiently to perform the surgical operation; and (ii) the laser beam is emitted from the probe (1) to effect tissue evapn. and incision. (B) also claimed is a surgical laser tool with a contact laser probe (1) having a working section (12) contg. 0.5-10 ppm of hydroxyl gp contg. material (13). (C) the object treatment process involves (a) preparing a contact laser probe with a hydroxyl gp. material content of 0.5-10 ppm; (b) producing contact between the probe and the object; (c) generating a laser beam with the probe; and (d) irradiating the object with the laser beam to effect evapn. and incision, the probe being heated by absorbed laser radiation to effect haemostasis. ADVANTAGE - The tool has good manipulation characteristics, allows steady and uniform tissue incision and effects haemostasis with excellent reliability.

Surgical laser tool with easy manipulation, to effect haemostasis - has heated probe which emits laser beam and has working section with hydroxyl gp.-contg. material

Naoshi Endoh

Papers

Laser surgical unit

Laser treatment device

Surgical laser tool with easy manipulation, to effect haemostasis - has heated probe which emits laser beam and has working section with hydroxyl gp.-contg. material