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

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

In recent years, there has been an increasing interest in the adoption of emerging sensing technologies for instrumentation within a variety of structural systems. Wireless sensors and sensor networks are emerging as sensing paradigms that the structural engineering field has begun to consider as substitutes for traditional tethered monitoring systems. A benefit of wireless structural monitoring systems is that they are inexpensive to install because extensive wiring is no longer required between sensors and the data acquisition system. Researchers are discovering that wireless sensors are an exciting technology that should not be viewed as simply a substitute for traditional tethered monitoring systems. Rather, wireless sensors can play greater roles in the processing of structural response data; this feature can be utilized to screen data for signs of structural damage. Also, wireless sensors have limitations that require novel system architectures and modes of operation. This paper is intended to serve as a summary review of the collective experience the structural engineering community has gained from the use of wireless sensors and sensor networks for monitoring structural performance and health.

http://www-personal.umich.edu/~jerlynch/papers/SVDReview.pdf

A summary review of wireless sensors and sensor networks for structural health monitoring

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

Robotic medical instrument systems and associated methods utilizing an optical fiber sensors such as Bragg sensor optical fibers. In one configuration, an optical fiber is coupled to an elongate instrument body and includes a fiber core having one or more Bragg gratings. A controller is configured to initiate various actions in response thereto. For example, a controller may generate and display a graphical representation of the instrument body and depict one or more position and/or orientation variables thereof, or adjust motors of an instrument driver to reposition the catheter or another instrument. Optical fibers having Bragg gratings may also be utilized with other system components including a plurality of working instruments that are positioned within a sheath lumen, an instrument driver, localization sensors, and/or an image capture device, and may also be coupled to a patient's body or associated structure that stabilizes the body.

Robotic instrument systems and methods utilizing optical fiber sensors

Configurations are described for conducting minimally invasive medical interventions utilizing elongate robotically controlled instruments and assemblies thereof. In one embodiment, a junction sheath may be utilized to facilitate surgical triangulation of two interventional instrument assemblies, while also directing them to the surgical theater through a minimal single wound or surgical port. One or more instrument drivers, and one or more master input devices comprising an operator workstation, may be utilized to independently and simultaneously control multiple degrees of freedom pertinent to each instrument comprising one or more instrument assembly.

Multiple flexible and steerable elongate instruments for minimally invasive operations

A medical instrument system (6) includes an elongate flexible instrument body (33) with an optical fiber (12) substantially encapsulated in a wall of the instrument body, the optical fiber including one or more fiber gratings (35A, 35B). A detector is operatively coupled to the optical fiber and configured to detect respective light signals reflected by the one or more fiber gratings. A controller is operatively coupled to the detector, and configured to determine a twist of at least a portion of the instrument body based on detected reflected light signals. The instrument may be a guide catheter and may be robotically or manually controlled.

Optical fiber shape sensing systems

System and methods for interfacing user in the control of elongated flexible members for use inside a patient's body is described herein. In one embodiment, a system includes a processor configured for generating a virtual representation of a catheter on a viewing screen, a first control for allowing a user to rotate the virtual representation of the catheter about a first axis, until a heading direction of the virtual representation of the catheter aligns with a heading direction of the catheter as it appears in a first fluoroscopic image, and a second control for allowing the user to rotate the virtual representation of the catheter about a second axis, until a tilt angle of the virtual representation of the catheter aligns with a tilt angle of the catheter as it appears in the first fluoroscopic image or in a second fluoroscopic image.

User interface and method for operating a robotic medical system

System integration of an online structural health monitoring module was accomplished by coupling commercially available microelectro-mechanical system sensors and a wireless telemetry unit with damage detection firmware. To showcase the capabilities of the integrated monitoring module, a bolted frame structure was constructed, and the preload in one of the bolted joints was controlled by a piezoelectric stack actuator to simulate gradual deterioration of a bolted connection. Two separate damage detection algorithms were used to classify a joint as damaged or undamaged. First, a statistical process control algorithm was used to monitor the correlation of vibration data from two accelerometers mounted across a joint. Changes in correlation were used to detect damage to the joint. For each joint, data were processed locally on a microprocessor integrated with the wireless module, and the diagnosis result was remotely transmitted to the base monitoring station. Second, a more sophisticated damage detection al...

Neal A. Tanner

Papers

Robotic instrument systems and methods utilizing optical fiber sensors

Multiple flexible and steerable elongate instruments for minimally invasive operations

Optical fiber shape sensing systems

User interface and method for operating a robotic medical system

Structural Health Monitoring Using Modular Wireless Sensors