US Pat. No. 9,844,372

RETAINER ASSEMBLY INCLUDING A TISSUE THICKNESS COMPENSATOR

Ethicon LLC, Guaynabo, P...

1. A stapling system for stapling tissue, comprising:
a cartridge, comprising:
a deck;
staple cavities defined in said deck; and
staples removably stored in said staple cavities;
an anvil configured to deform said staples; and
a buttress, comprising:
a first portion comprising a first resiliency, wherein said first portion is comprised of a material;
a lattice comprising a second resiliency, wherein said first resiliency is different than said second resiliency, and wherein
said lattice is comprised of said material;

an array of openings defined in said lattice, wherein said array of openings defines at least one channel; and
a medicament in said openings which induces tissue ingrowth into said channel.

US Pat. No. 10,070,867

REUSABLE CIRCULAR STAPLER HANDLE WITH OPEN ASSEMBLY ARCHITECTURE

Ethicon LLC, Guaynabo, P...

1. A method for assembly of a circular stapling instrument comprising:detachably securing a reciprocating drive shaft within an open-top cavity of a handle such that an open-top of the open-top cavity is configured to receive the reciprocating drive shaft therethrough;
detachably securing a firing bar within the open-top cavity of the handle such that the open-top of the open-top cavity is configured to receive the firing bar therethrough;
covering a portion of the reciprocating drive shaft and a portion of the firing bar within the open-top cavity of the handle with a one-piece carrier cover; and
detachably coupling a shaft assembly with a threaded end of the handle that is configured to be part of the open-top cavity.

US Pat. No. 9,814,491

PLEATED TROCAR SEAL

ETHICON LLC, Guaynabo, P...

1. A seal for endoscopic instruments, comprising an elastomeric membrane having an opening adapted to receive a surgical instrument,
said membrane being configured with a plurality of pleats circumscribing the opening and extending laterally away from the
opening, each of said plurality of pleats comprising a plurality of pleat walls defining a height between a peak and an adjacent
valley, wherein each of the plurality of pleat walls increase in height as the plurality of pleats extend laterally away from
the opening.

US Pat. No. 9,808,247

STAPLING SYSTEM COMPRISING IMPLANTABLE LAYERS

Ethicon LLC, Guaynabo, P...

1. A stapling system for stapling tissue, comprising:
a cartridge, comprising:
a deck;
staple cavities defined in said deck; and
staples removably stored in said staple cavities;
an anvil configured to deform said staples; and
a buttress, comprising:
a first layer comprised of a first absorbable polymer, wherein said first layer comprises a first compactness of first fibers;
a first medicament embedded in said first compactness of said first fibers of said first layer;
a second layer comprised of a second absorbable polymer which is different than said first absorbable polymer, wherein said
second layer comprises a second compactness of second fibers different than said first compactness of said first fibers, and
wherein said second layer co-operates with said first layer; and

a second medicament embedded in said second compactness of second fibers of said second layer which is different than said
first medicament, wherein said second medicament co-operates with said first medicament;

wherein said first medicament is released at a first rate as a result of said first compactness of said first fibers, and
wherein said second medicament is released at a second rate as a result of said second compactness of said second fibers which
is different than said first rate.

US Pat. No. 9,808,308

ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH CAM-ACTUATED JAWS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:
an end effector comprising:
a first jaw member defining a first longitudinal slot;
a second jaw member defining a second longitudinal slot, the second jaw member pivotable towards the first jaw member about
a pivot point; and

a cam pin coupled to the second jaw member and positioned offset from the pivot point; and
a reciprocating member translatable distally and proximally through the first longitudinal slot and the second longitudinal
slot, wherein a distal portion of the reciprocating member defines a blade, wherein the reciprocating member defines a cam
slot for receiving the cam pin, wherein distal motion of the reciprocating member exerts a force on the cam pin to pivot the
second jaw member towards the first jaw member, and wherein proximal motion of the reciprocating member exerts a force on
the cam pin to pivot the second jaw member away from the first jaw member;

wherein the cam slot comprises a distal portion, a proximal portion vertically offset from the distal portion, and a transition
portion connecting the distal portion of the cam slot and the proximal portion, the transition portion angled relative to
a longitudinal axis along which the reciprocating member is translatable.

US Pat. No. 9,808,244

SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. An absolute position sensor system for a surgical instrument, the absolute position sensor system comprising:
a sensor element operatively coupled to a movable drive member of the surgical instrument;
a position sensor operably coupled to the sensor element, the position sensor configured to sense the absolute position of
the sensor element by generating a unique position signal for each position of the movable drive member; and

a gear assembly to couple the sensor element to the movable drive member, wherein the gear assembly is located between the
sensor element and the movable drive member.

US Pat. No. 9,808,248

INSTALLATION FEATURES FOR SURGICAL INSTRUMENT END EFFECTOR CARTRIDGE

Ethicon LLC, Guaynabo, P...

1. An end effector, comprising:
(a) a staple cartridge, wherein the staple cartridge comprises:
i. a cartridge body, and
ii. a lower cartridge tray,
wherein one or both of the cartridge body or the lower cartridge tray comprises at least one proximally presented protrusion
engagement feature;

(b) a jaw, wherein the jaw comprises:
i. a channel comprising first and second spaced apart interior surfaces and a base extending therebetween, wherein the channel
is configured to receive the staple cartridge, and

ii. at least one protrusion, wherein the at least one protrusion laterally extends from one of the interior surfaces into
the channel, wherein the at least one protrusion lies directly over and is spaced apart from the base thereby forming a gap
between the at least one protrusion and the base, wherein the gap extends from a bottom surface of the at least one protrusion
to a top surface of the base in a direction normal to one or both of the bottom surface of the at least one protrusion or
the top surface of the base, wherein the at least one protrusion is positioned to align with the at least one protrusion engagement
feature when the staple cartridge and jaw are coupled together, wherein the at least one protrusion and the at least one protrusion
engagement feature are configured to restrict movement of the staple cartridge; and

(c) an anvil, wherein the anvil is coupled to the jaw, wherein the anvil is movable relative to the jaw.

US Pat. No. 9,808,307

METHODS AND DEVICES FOR CONTROLLING MOTORIZED SURGICAL DEVICES

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:
a proximal handle portion;
a shaft extending distally from the handle portion;
an end effector at a distal end of the shaft, the end effector being configured to engage tissue;
an actuator configured to be actuated so as to cause the end effector to move relative to the shaft;
a generator;
a cord attached to and extending from the proximal handle portion, the cord being configured to operatively couple to the
generator configured to provide power to the surgical device when the cord is coupled thereto;

a controller configured to receive a recognition signal from the generator that indicates that the cord is operatively coupled
thereto, wherein the controller is configured to, in response to receiving the recognition signal, initialize a sensor that
is operatively coupled to a cutting element configured to move longitudinally through the end effector; and

a power source on the cord and external to the proximal handle portion.

US Pat. No. 9,848,873

FASTENER CARTRIDGE ASSEMBLY COMPRISING A DRIVER AND STAPLE CAVITY ARRANGEMENT

Ethicon LLC, Guaynabo, P...

1. A surgical staple cartridge assembly, comprising:
an anvil comprising a plurality of forming pockets;
a staple cartridge jaw comprising a cartridge housing;
a longitudinal knife channel dividing said cartridge housing into a first side and a second side;
a first longitudinal row of staple pockets located on said first side of said cartridge housing, wherein said first longitudinal
row of staple pockets is adjacent said longitudinal knife channel;

a second longitudinal row of staple pockets located on said first side of said cartridge housing, wherein said second longitudinal
row of staple pockets is adjacent to said first longitudinal row of staple pockets, and wherein said staple pockets in said
first longitudinal row are staggered distally with respect to said staple pockets in said second longitudinal row;

a third longitudinal row of staple pockets located on said first side of said cartridge housing;
staples removably positioned within said staple pockets;
a staple driver configured to drive a first staple out of a staple pocket in said first longitudinal row and a second staple
out of a staple pocket in said second longitudinal row and, in cooperation with said anvil, deform said first staple to a
first fired height and said second staple to a second fired height, wherein said first fired height is shorter than said second
fired height to provide a smaller tissue compression space within said first staple than said second staple; and

a firing member comprising a first portion configured to engage said anvil and a second portion configured to engage said
staple cartridge jaw, wherein said first portion comprises a pin extending laterally therefrom, wherein said anvil comprises
a longitudinal slot comprising a T-shaped opening configured to receive said pin of said firing member, and wherein said T-shaped
opening extends behind said forming pockets corresponding to said first longitudinal row of staple pockets.

US Pat. No. 9,808,249

ATTACHMENT PORTIONS FOR SURGICAL INSTRUMENT ASSEMBLIES

Ethicon LLC, Guaynabo, P...

1. A surgical stapler assembly, comprising:
a disposable end effector comprising a distal attachment portion, wherein said distal attachment portion comprises:
a lock notch; and
a longitudinal guide rail; and
a surgical instrument, comprising:
a proximal attachment portion structured to receive said distal attachment portion, wherein said distal attachment portion
is moveable between a non-inserted position and an inserted position relative to said proximal attachment portion, and wherein
said proximal attachment portion comprises a longitudinal guide slot configured to receive said longitudinal guide rail as
said distal attachment portion moves between said non-inserted position and said inserted position; and

a rotatable collar that is rotatable relative to said proximal attachment portion between a locked position and an unlocked
position, wherein said collar is biased toward said locked position and is structured to rotate from said locked position
to said unlocked position, wherein said distal attachment portion causes said rotatable collar to rotate from said locked
position to said unlocked position when said distal attachment portion moves from said non-inserted position toward said inserted
position, and wherein said collar comprises a detent structured to move into said lock notch when said collar rotates from
said unlocked position to said locked position and when said distal attachment portion is in said inserted position.

US Pat. No. 9,943,312

METHODS AND DEVICES FOR LOCKING A SURGICAL DEVICE BASED ON LOADING OF A FASTENER CARTRIDGE IN THE SURGICAL DEVICE

Ethicon LLC, Guaynabo, O...

1. A surgical stapling device, comprising:a cartridge jaw;
an anvil pivotally connected to the cartridge jaw;
a first cartridge configured to be detachably seated within a channel in the cartridge jaw, the first cartridge holding a plurality of staples of a first size and including a first gap-setting feature defined in an exterior of the first cartridge, wherein a first clamp gap between the cartridge jaw and the anvil is set by the gap-setting feature;
at least one cam plate coupled to the cartridge jaw, the cam plate having first and second positions, wherein when the cam plate is in the first position at least one of closure of the anvil and cartridge jaw and firing of the staples into tissue engaged between the anvil and the jaw is prevented, wherein the first cartridge moves the cam plate from the first position to the second position when the first cartridge is fully seated within the anvil, wherein the at least one cam plate includes a central aperture having a height at a proximal end that is greater than a height at a distal end; and
a pivot pin constrained within and movable within the central aperture of the at least one cam plate, wherein the pivot pin interconnects the cartridge jaw and the anvil, wherein the central aperture of the cam plate has an opening extending proximally therefrom in which the pivot pin is movable.

US Pat. No. 9,848,900

ULTRASONIC SURGICAL BLADE

Ethicon LLC, Guaynabo, P...

1. An ultrasonic instrument comprising:
(a) an ultrasonic transducer, wherein the ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations;
(b) an acoustic waveguide in acoustic communication with the ultrasonic transducer, wherein the acoustic waveguide defines
a longitudinal axis; and

(c) an ultrasonic blade in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable
to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide;

wherein the ultrasonic blade includes a pair of obliquely extending edges, wherein the obliquely extending edges diverge away
from the longitudinal axis and away from each other along respective paths extending distally in relation to the acoustic
waveguide;

wherein the obliquely extending edges comprise a first edge and a second edge;
wherein the ultrasonic blade further comprises a concave surface extending from the first edge to the second edge, wherein
the concave surface is concave with respect to a first plane; and

wherein the ultrasonic blade further includes a distal face extending from the first edge to the second edge, wherein the
distal face is convex with respect to the first plane.

US Pat. No. 9,687,230

ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE

Ethicon LLC, Guaynabo, P...

1. A shaft assembly for use with a surgical instrument, said shaft assembly comprising:
a shaft;
an end effector;
an articulation joint connecting said end effector to said shaft;
a firing driver movable relative to said end effector;
an articulation driver configured to articulate said end effector about said articulation joint; and
a clutch collar configured to selectively engage said articulation driver to said firing driver to impart the movement of
said firing driver to said articulation driver.

US Pat. No. 10,022,567

DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE

Ethicon LLC, Guaynabo, P...

1. A method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument, the method comprising:generating, by a generator, at least one time varying electrical signal having a resonant frequency;
monitoring, by the generator, the resonant frequency of the at least one time varying electrical signal;
comparing, by the generator, the resonant frequency to a threshold frequency; and
triggering, by the generator, a first response of the generator when the resonant frequency crosses the threshold frequency.

US Pat. No. 9,980,769

METHODS AND DEVICES FOR CONTROLLING MOTORIZED SURGICAL DEVICES

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:a proximal portion including a first actuator and a second actuator;
an elongate shaft extending distally from the proximal portion;
first and second jaws at a distal end of the elongate shaft, the first and second jaws being configured to clamp tissue therebetween;
an energy applicator configured to apply energy to the tissue clamped between the first and second jaws, the first actuator being configured to be actuated so as to cause the energy applicator to apply the energy to the clamped tissue;
a cutting element configured to translate through the clamped tissue so as to cut the tissue, the second actuator being configured to be actuated so as to simultaneously cause the energy applicator to apply the energy to the clamped tissue and the cutting element to translate through the clamped tissue so as to cut the tissue, the first actuator being configured to be actuated so as to cause the energy applicator to apply the energy to the clamped tissue without causing the cutting element to translate through the clamped tissue so as to cut the tissue; and
a motor configured to provide an output that drives the translation of the cutting element through the clamped tissue;
wherein the actuation of the second actuator is configured to cause the motor to provide the output in response to user-applied force to the second actuator being equal to or greater than a predetermined force, and
the actuation of the second actuator is configured to drive the translation of the cutting element through the clamped tissue using manual power from the user-applied force, without the motor providing the output, in response to the user-applied force being less than the predetermined force.

US Pat. No. 9,943,309

SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:a surgical end effector comprising:
first and second jaw members wherein an application of a closure motion to at least one of said first and second jaw members results in movement of said at least one of said first and second jaw members to a closed position relative to the other of said first and second jaw members; and
a firing member operably supported in one of said first and second jaw members for axial travel therein in response to an application of a firing motion thereto;
a shaft assembly defining a shaft axis;
an articulation joint coupling said surgical end effector to said shaft assembly for selective articulation relative thereto about an articulation axis that is transverse to said shaft axis upon an application of articulation motions to said surgical end effector;
a flexible firing beam extending through said articulation joint to interface with said firing member in said surgical end effector to apply said firing motion thereto; and
a movable firing beam support assembly configured to movably contact said firing beam on each lateral side thereof as said firing beam flexes about said articulation joint, wherein said movable firing beam support assembly comprises:
a first compression plate positioned against a portion of a first lateral side of said flexible firing beam;
a second compression plate positioned against a portion of a second lateral side of said flexible firing beam; and
a support boss assembly rotatably and laterally movable relative to a support axis that is transverse to said shaft axis, said support boss assembly comprising:
a first support boss pin in contact with said first compression plate; and
a second support boss pin in contact with said second compression plate.

US Pat. No. 9,861,381

REMOVABLE BATTERY CASING FOR SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

9. A surgical instrument comprising:
(a) an end effector operable to manipulate tissue;
(b) a body, wherein a distal portion of the body is coupled with the end effector;
(c) a grip, wherein the grip is configured to be grasped by a user's hand; and
(d) a strip assembly transecting the body from the grip, wherein the strip assembly is configured to releasably couple the
grip with the body;

wherein the grip is configured to decouple from at least a portion of the body at the strip assembly when the grip is pulled
away from the body.

US Pat. No. 9,848,872

SURGICAL STAPLING AND CUTTING DEVICE

Ethicon LLC, Guaynabo, P...

1. A medical device, comprising:
a laparoscopic shaft having proximal and distal ends and defining a shaft axis;
a surgical end effector at the distal end of the shaft;
a surgical procedure actuator carrying out a surgical procedure on tissue at the end effector when actuated; and
a rotating knob at the proximal end of the shaft configured to:
rotate the end effector with respect to the shaft about the shaft axis when rotated; and
actuate the procedure actuator when slid in a proximal direction.

US Pat. No. 9,687,232

SURGICAL STAPLES

Ethicon LLC, Guaynabo, P...

1. A system, comprising:
a seamless staple, comprising:
a first leg
a second leg, wherein the first leg and the second leg define a first plane; and
an integral drive surface, wherein the integral drive surface extends along a longitudinal drive axis in a direction parallel
to the first plane, and wherein the longitudinal drive axis is laterally offset from the first plane; and

a sled comprising an inclined driving surface configured to directly contact the integral drive surface of the seamless staple,
wherein the sled is configured to translate along a longitudinal axis to drive the seamless staple along a firing axis, and
wherein the firing axis is transverse to the longitudinal axis.

US Pat. No. 9,943,325

HANDPIECE AND BLADE CONFIGURATIONS FOR ULTRASONIC SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:(a) a handle assembly having a body;
(b) a shaft assembly extending distally from the handle assembly, wherein the shaft assembly defines a longitudinal axis;
(c) an end effector comprising a pivotable clamp arm and an active element; and
(d) a trigger having a first trigger portion projecting from the body and a second trigger portion projecting within the body, wherein the trigger is pivotably coupled with the body such that the trigger is pivotable relative to the body about at least one trigger axis, wherein the at least one trigger axis is fixed relative to the body of the handle assembly, wherein the first trigger portion is configured to move pivotably toward and away from the handle assembly, wherein the first and second trigger portions are pivotable about the at least one trigger axis to cause pivotal movement of the clamp arm relative to the active element, and wherein the second trigger portion comprises at least one compliant feature positioned between the at least one trigger axis and the first trigger portion, wherein the at least one compliant feature is configured to deform about the at least one trigger axis upon experiencing a predetermined amount of force such that at least a portion of the compliant feature is in tension, wherein the at least one compliant feature is configured to restrict transfer of force from the trigger to the clamp arm,
wherein the at least one compliant feature is configured to transition between a substantially straight configuration and a bent configuration, wherein the at least one compliant feature in the substantially straight configuration extends along a linear axis that radially extends from the at least one trigger axis, wherein the at least one compliant feature in the bent configuration is bent about the at least one trigger axis and deforms away from the linear axis, and wherein the at least one compliant feature is configured to maintain the straight configuration until experiencing the predetermined amount of force.

US Pat. No. 9,848,901

DUAL PURPOSE SURGICAL INSTRUMENT FOR CUTTING AND COAGULATING TISSUE

Ethicon LLC, Los Frailes...

1. An ultrasonic surgical instrument, comprising:
a motor;
a cutting blade coupled to said motor, wherein said cutting blade defines a longitudinally extending lumen;
an ultrasonic transducer; and
an ultrasonic blade coupled to said ultrasonic transducer, wherein said ultrasonic blade is disposed within said longitudinally
extending lumen.

US Pat. No. 10,070,861

ARTICULATABLE SURGICAL DEVICE

Ethicon LLC, Guaynabo, P...

1. A surgical device for stapling patient tissue, comprising:a handle;
a rotator operably supported in said handle;
an elongate shaft operably coupled to and extending from said handle, wherein said elongate shaft defines a shaft axis and includes a flexible shaft portion;
an end effector operably coupled to said flexible shaft portion, wherein said end effector comprises a staple cartridge and a firing member which is displaceable distally to staple the patient tissue in response to at least one actuation motion applied at said handle; and
a flexible actuator extending along said shaft axis such that selective actuation of said flexible actuator causes articulation of said end effector, wherein said flexible actuator is operably coupled between said end effector and said rotator, and wherein said firing member extends through said elongate shaft.

US Pat. No. 9,943,310

SURGICAL STAPLING BUTTRESSES AND ADJUNCT MATERIALS

Ethicon LLC, Guaynabo, P...

1. A buttress material for use with a surgical staple cartridge, the buttress material comprising a buttress body sized to be operably received on a deck of the surgical staple cartridge, the buttress body including at least four edges and a central portion, wherein at least two of said edges comprise a plurality of edge notches formed therein, wherein the central portion includes a plurality of cutout openings therein, and wherein said edge notches in a first one of said edges comprises:a first plurality of first edge notches in said first one of said edges extending inward into the central portion a first notch length;
a second plurality of second edge notches in said first one of said edges extending inward into the central portion a second notch length; and
a third plurality of third edge notches in said first one of said edges extending inward into the central portion a third notch length.

US Pat. No. 9,763,688

ULTRASONIC SURGICAL INSTRUMENT WITH FEATURES FOR FORMING BUBBLES TO ENHANCE CAVITATION

Ethicon LLC, Guaynabo, P...

1. An ultrasonic instrument comprising:
(a) an ultrasonic transducer, wherein the ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations;
and

(b) an ultrasonic blade in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer is operable
to drive the ultrasonic blade to vibrate ultrasonically; wherein the ultrasonic blade includes opposing side faces extending
parallel to one another, an upper face extending between the side faces, and a lower face extending between the side faces
and opposing the upper face, wherein the lower face and upper face extend parallel to one another, wherein each of the side
faces terminate at opposing straight edges, wherein the ultrasonic blade has a curved distal face extending between the straight
edges, wherein the curved distal face is curved along a first plane; wherein the curved distal face defines a proximally extending
concave curve, wherein the curved distal face faces distally.

US Pat. No. 9,724,100

CIRCULAR ANVIL INTRODUCTION SYSTEM WITH ALIGNMENT FEATURE

Ethicon LLC, Guaynabo, P...

1. An apparatus for stapling tissue, the apparatus comprising:
(a) an anvil, wherein the anvil comprises:
(i) an annularly arranged array of staple pockets, wherein the staple pockets are positioned along a surface of the anvil,
and

(ii) at least one alignment feature;
wherein the anvil is configured to be inserted through a bodily lumen; and
(b) a trocar defining an axis, wherein the trocar is configured to be selectively coupled with the anvil, wherein the trocar
extends from a stapling head assembly, wherein the trocar comprises:

(i) a shaft, and
(ii) an alignment assembly configured to engage the at least one alignment feature of the anvil, wherein the alignment assembly
is operable to rotationally align the anvil relative to the trocar such that the staple pockets of the anvil are positioned
relative to staples within the stapling head assembly, wherein the at least one alignment feature of the anvil is configured
to move helically about the axis in response to engaging the alignment assembly of the trocar.

US Pat. No. 10,045,781

CLOSURE LOCKOUT SYSTEMS FOR SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A stapling instrument assembly, comprising:a cartridge support portion comprising a pivot slot, wherein said pivot slot comprises a first portion defining a closure path and a second portion comprising a lock;
a staple cartridge insertable into said cartridge support portion, wherein said staple cartridge comprises a plurality of staples stored therein and a sled, and wherein said sled is configured to eject said plurality of staples from said staple cartridge;
an anvil movably mounted to said cartridge support portion, wherein said anvil comprises a staple forming portion configured to deform said staples, wherein said anvil is movable between an open position and a closed position, and wherein said anvil comprises a trunnion movably positioned in said pivot slot;
a slidable member slidably positioned in said cartridge support portion, wherein said anvil is movable relative to said slidable member; and
a biasing member configured to bias said trunnion into said lock to prevent said anvil from moving from said open position to said closed position when said staple cartridge is not positioned in said cartridge support portion, wherein said staple cartridge is configured to engage said slidable member, wherein said slidable member is configured to push said trunnion out of said lock into said first portion of said pivot slot when said staple cartridge is positioned in said cartridge support portion and permit said trunnion to move along said closure path as said anvil is moved from said open position to said closed position.

US Pat. No. 9,877,776

SIMULTANEOUS I-BEAM AND SPRING DRIVEN CAM JAW CLOSURE MECHANISM

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
an end effector comprising:
a movable jaw comprising a first jaw member and a second jaw member, the first jaw member comprising a first track configured
to slidably receive a first pin, the first jaw member comprising a ramp at a proximal end of the first track, the second jaw
member comprising a second track configured to slidably receive a second pin; and

a cutting element slidably movable within the end effector, wherein the first and second pins are fixed to the cutting element,
wherein the cutting element and the first and second pins define an I-beam member; and

a handle assembly comprising:
an energy button configured to deliver energy to at least one electrode located in the end effector;
a trigger plate operably coupled to a spring, the spring configured to move the first jaw member a first predetermined distance
relative to the second jaw member independently of the I-beam member based on the spring generating a predetermined force;

a firing plate operably coupled to the I-beam member, the firing plate configured to drive the I-beam member based on a firing
bar independently of the spring, wherein the I-beam member is configured to move the first jaw member relative to the second
jaw member a second predetermined distance based on moving the I-beam member along the ramp and the first and second tracks
from an initial position at a base of the ramp; and

a trigger operatively coupled to the trigger plate and the firing plate; and
wherein:
the spring and the I-beam member are configured to simultaneously move the first jaw member relative to the second jaw member,
and

the predetermined force is less than a predetermined threshold.

US Pat. No. 9,855,038

SURGICAL STAPLING AND CUTTING DEVICE

Ethicon LLC, Guaynabo, P...

1. A medical device end effector connection assembly, comprising:
a passive articulation joint connecting an end effector to an instrument shaft that is disposed between the end effector and
a control handle.

US Pat. No. 9,848,871

WOVEN AND FIBROUS MATERIALS FOR REINFORCING A STAPLE LINE

Ethicon LLC, Guaynabo, P...

1. A staple cartridge for use with a surgical stapler, comprising:
a cartridge body having a plurality of staple cavities configured to seat staples therein; and
a biocompatible, compressible adjunct material releasably retained on the cartridge body and configured to be delivered to
tissue by deployment of the staples in the cartridge body, the material having a compressible elastic core layer configured
to compress upon application of a compressive force and expand upon removal of the compressive force, the compressible elastic
core layer having woven fibers oriented such that the woven fibers are looser in a direction of the compression than in a
second direction perpendicular to the direction of the compression, and at least one flexible support layer coupled to at
least a first surface of the compressible elastic core layer.

US Pat. No. 9,839,428

SURGICAL CUTTING AND STAPLING INSTRUMENTS WITH INDEPENDENT JAW CONTROL FEATURES

Ethicon LLC, Los Frailes...

1. A surgical cutting and stapling instrument, comprising:
a surgical end effector, comprising:
an elongated channel configured to operably support a surgical staple cartridge therein;
an anvil movably supported relative to the elongated channel such that the anvil and elongated channel may move toward and
away from each other; and

a firing member operably supported for selective operable travel through the surgical staple cartridge upon application of
firing motions to the firing member and wherein the surgical cutting and stapling instrument further comprises:

a first jaw closure system operably interfacing with the elongated channel and configured to selectively move the elongated
channel relative to the anvil;

a second jaw closure system independently operable from the first jaw closure system, wherein the second jaw closure system
operably interfacing interfaces with the anvil and is configured to selectively move the anvil relative to the elongated channel;
and

a firing system operably interfacing with the firing member and configured to apply the firing motions to the firing member
to move the firing member within the surgical staple cartridge.

US Pat. No. 9,743,946

ROTATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:
(a) a body assembly;
(b) a shaft assembly extending distally from the body assembly, wherein the shaft assembly comprises an acoustic waveguide
operable to transmit ultrasonic vibrations, wherein the acoustic waveguide defines a longitudinal axis;

(c) an ultrasonic blade in acoustic communication with the acoustic waveguide;
(d) a clamp assembly, wherein the clamp assembly comprises a clamp arm pivotable toward and away from the ultrasonic blade
about a pivot axis, wherein the clamp assembly further comprises a driving element, wherein the clamp arm is configured to
movably actuate the driving element of the clamp assembly relative to the body assembly as the clamp arm pivots toward and
away from the ultrasonic blade; and

(e) a rotation feature, wherein the driving element of the clamp assembly is configured to engage the rotation feature in
response to pivoting of the clamp arm toward and away from the ultrasonic blade to thereby rotatably drive the rotation feature
based on pivotal positioning of the clamp arm relative to the ultrasonic blade about the pivot axis, wherein the rotation
feature is operable to be rotatably driven by the driving element of the clamp assembly to rotate the ultrasonic blade relative
to the clamp arm about the longitudinal axis.

US Pat. No. 9,737,358

HEAT MANAGEMENT CONFIGURATIONS FOR CONTROLLING HEAT DISSIPATION FROM ELECTROSURGICAL INSTRUMENTS

Ethicon LLC, Los Frailes...

1. A surgical instrument, comprising:
an end effector, comprising:
a first jaw comprising a first channel;
a second jaw operably coupled to the first jaw, wherein the second jaw comprises a second channel; and
an electrode; and
a moveable cutting member moveable between a retracted position and extended position, wherein the moveable cutting member
is moveable through the first channel and the second channel when the first jaw and the second jaw are in a clamped configuration,
and wherein the moveable cutting member comprises:

a distal end comprising a cutting surface; and
an intermediate portion proximal to the distal end, wherein the intermediate portion comprises an outer surface, wherein a
cavity is defined in the intermediate portion, wherein at least one opening extends from the cavity to the outer surface,
wherein the at least one opening is positioned intermediate the first jaw and the second jaw when the moveable cutting member
is in the extended position, and wherein the at least one opening is configured to dissipate heat between the first jaw and
the second jaw when the first jaw and the second jaw are in the clamped configuration.

US Pat. No. 9,717,496

SURGICAL STAPLING INSTRUMENT WITH LOCKING FEATURE TO LOCK ANVIL ACTUATOR

Ethicon LLC, Guaynabo, P...

1. An instrument comprising:
(a) an anvil assembly;
(b) a stapling head assembly, wherein the stapling head assembly is operable to drive a plurality of staples toward the anvil
assembly, and wherein the anvil assembly is movable relative to the stapling head assembly;

(c) an actuator assembly, comprising:
(i) a first actuator operable to control motion of said anvil assembly relative to the stapling head assembly, and
(ii) a second actuator operable to actuate the stapling head assembly to thereby drive the plurality of staples toward the
anvil assembly;

(d) a safety feature responsive to said first actuator, wherein the safety feature comprises a pivoting member, wherein the
safety feature is configured to prevent operation of said second actuator when a gap between the anvil assembly and the stapling
head assembly is outside a predetermined distance, wherein the pivoting member is operable to pivot when the gap is within
the predetermined distance, wherein the pivoting member is not operable to pivot when the gap is outside the predetermined
distance; and

(e) a locking member responsive to said safety feature, wherein the locking member is configured to prevent operation of said
first actuator in response to pivoting of the pivoting member.

US Pat. No. 9,690,362

SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR

Ethicon LLC, Guaynabo, P...

1. A surgical instrument control circuit, comprising:
a primary processor;
a safety processor in signal communication with the primary processor;
a segmented circuit comprising a plurality of circuit segments in signal communication with the primary processor, the plurality
of circuit segments configured to control one or more operations of the surgical instrument, wherein the safety processor
is configured to monitor one or more parameters of the plurality of circuit segments;

a first sensor configured to monitor a first property of the surgical instrument; and
a second sensor configured to monitor a second property of the surgical instrument, wherein the first property and the second
property comprise a predetermined relationship, and wherein the first sensor and the second sensor are in signal communication
with the safety processor;

wherein the safety processor is configured to:
verify the one or more parameters of the plurality of circuit segments;
verify the one or more parameters independently of one or more control signals generated by the primary processor; and
independently verify a velocity of a cutting member.

US Pat. No. 9,901,344

STAPLING ASSEMBLY

Ethicon LLC, Guaynabo, P...

4. A stapling assembly configured to be operably attached to a surgical system, wherein the surgical system is configured
to selectively generate at least one control motion for operating said stapling assembly, and wherein said stapling assembly
comprises:
a carrier operably supporting a cartridge assembly therein;
an anvil supported relative to said carrier, wherein said anvil is movable from an open position toward a closed position;
a housing removably attachable to the surgical system;
an axial drive assembly movable from a start position toward an end position upon the application of a rotary motion thereto;
and

a motor supported within said housing, wherein said motor is operable to selectively transmit said rotary motion to said axial
drive assembly, and wherein said motor can only transmit said rotary motion to said axial drive assembly when said housing
is coupled to the surgical system and a power source is selectively coupled with said motor.

US Pat. No. 9,763,662

FASTENER CARTRIDGE COMPRISING A FIRING MEMBER CONFIGURED TO DIRECTLY ENGAGE AND EJECT FASTENERS FROM THE FASTENER CARTRIDGE

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge assembly for use with a surgical fastening instrument, wherein said fastening instrument comprises
an anvil, and wherein said fastener cartridge assembly comprises:
a cartridge body, comprising:
a deck; and
a plurality of fastener cavities, wherein each said fastener cavity includes an opening in said deck;
a plurality of fasteners removably stored within said fastener cavities; and
a sled movable between an unfired position and a fired position to lift said fasteners toward said anvil, wherein said sled
comprises a ramp configured to lift each said fastener between an unlifted position and a lifted position, and wherein said
ramp comprises an apex which extends above at least a portion of said deck;

wherein said plurality of fastener cavities are arranged in a longitudinal row, wherein said cartridge body further comprises
a longitudinal ramp slot, and wherein said ramp is configured to slide within said longitudinal ramp slot;

wherein said longitudinal ramp slot is in communication with said fastener cavities in said longitudinal row, and wherein
said ramp is configured to slide through said fastener cavities when sliding through said longitudinal ramp slot; and

wherein said cartridge body further comprises a plurality of arches extending over said longitudinal ramp slot, and wherein
said apex is configured to slide under said arches.

US Pat. No. 9,724,094

ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION

Ethicon LLC, Guaynabo, P...

1. A surgical stapling system comprising:
an elongated shaft assembly configured to transmit actuation motions from an actuator;
an end effector for compressing and stapling tissue, the end effector operably coupled to the elongated shaft, the end effector
comprising:

an elongated channel;
an anvil having a staple forming surface thereon, the anvil moveable relative to the elongated channel between an open position
and a closed position; and

a staple cartridge removably positioned within the elongated channel, the staple cartridge comprising:
a cartridge body having a tissue contacting surface in a confronting relationship with the staple forming surface of the anvil;
and

a plurality of staple drivers within the cartridge body each supporting a staple; and
a tissue thickness compensator operable to be positioned between the anvil and the staple cartridge, the tissue thickness
compensator configured to be captured by the staples and assume different compressed heights within the staples, the tissue
compensator comprising first conductive elements, wherein the first conductive elements comprise a wire mesh;

wherein the system is operable to determine a property of tissue compressed between the anvil and the staple cartridge.

US Pat. No. 9,687,231

SURGICAL STAPLING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical stapler, wherein the surgical stapler comprises a cartridge channel, and wherein said surgical stapler comprises:
a staple cartridge body comprising:
a longitudinal channel;
a plurality of staples;
a plurality of staple drivers;
a staple sled; and
a cutting member positioned within said staple cartridge body prior to said staple cartridge body being assembled into the
cartridge channel of the stapler, wherein said cutting member comprises an engagement portion configured to be engaged with
a firing member of the stapler, wherein said cutting member is configured to be slid between a first position and a second
position within said longitudinal channel; and

an anvil assembly comprising:
a tissue-supporting surface; and
a plurality of staple cavities, wherein said staple cavities are positioned along a curve, and wherein each said staple cavity
comprises:

a staple cavity centerline, wherein a said staple cavity centerline of a first staple cavity is neither parallel to nor collinear
with a said staple cavity centerline of a second staple cavity;

a first forming cup, comprising:
a first inside portion;
a first outside portion; and
a first interior sidewall extending between said first outside portion and said first inside portion, wherein said first interior
sidewall comprises a first vertical portion which is substantially perpendicular to said tissue-supporting surface; and

a second forming cup, comprising:
a second inside portion;
a second outside portion, wherein said first inside portion is positioned in close relation to said second inside portion,
wherein said first inside portion and said second inside portion are positioned offset with respect to said staple cavity
centerline, wherein said first outside portion and said second outside portion are positioned on opposite sides of said first
inside portion and said second inside portion, and wherein said first outside portion and said second outside portion are
oriented in a direction which is transverse to said staple cavity centerline; and

a second interior sidewall extending between said second outside portion and said second inside portion, wherein said second
interior sidewall comprises a second vertical portion which is substantially perpendicular to said tissue-supporting surface.

US Pat. No. 10,111,679

CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE

Ethicon LLC, Guaynabo, P...

1. An electronic system for a surgical instrument, the electronic system comprising:a main power supply circuit configured to supply electrical power to a primary circuit;
a supplementary power supply circuit configured to supply electrical power to a secondary circuit; and
a short circuit protection circuit coupled between the main power supply circuit and the supplementary power supply circuit;
wherein the short circuit protection circuit is configured to lockout the firing of the surgical instrument after a short circuit event;
wherein the supplementary power supply circuit is configured to isolate itself from the main power supply circuit after the supplementary power supply circuit detects a short circuit condition at the secondary circuit; and
wherein the supplementary power supply circuit is configured to rejoin the main power supply circuit and supply power to the secondary circuit, after the short circuit condition ends.

US Pat. No. 10,058,310

ELECTROSURGICAL DEVICE WITH DRUM-DRIVEN ARTICULATION

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:(a) an end effector;
(i) a first jaw, and
(ii) a second jaw, wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw;
(b) an elongate shaft, wherein the elongate shaft defines a longitudinal axis, wherein the elongate shaft comprises:
(i) a distal end, wherein the end effector is positioned at the distal end of the elongate shaft,
(ii) a proximal end,
(iii) an articulation section, wherein the articulation section is operable to deflect at least part of the end effector away from the longitudinal axis, and
(iv) a first pulley, wherein the first pulley is rotatable about the longitudinal axis of the elongate shaft; and
(c) an interface assembly associated with the proximal end of the elongate shaft, wherein the interface assembly comprises:
(i) a plurality of drive discs, wherein each of the drive discs of the plurality of drive discs is associated with a respective drive shaft,
(ii) a second pulley, wherein the second pulley is fixedly secured to a first drive shaft,
(iii) a third pulley, wherein the third pulley is rotatably secured with a second drive shaft such that the third pulley is configured to rotate freely relative to the second drive shaft, and
(iv) a cable coupling the first pulley with the second pulley and with the third pulley, wherein each of the first, second, and third pulleys are coupled with the cable such that the first pulley, the second pulley, and the third pulley are operable to drive articulation of the elongate shaft or rotation of one or both of the elongate shaft or the end effector about the longitudinal axis of the elongate shaft
wherein the first pulley is positioned between the second and third pulleys within the interface assembly,
wherein the second drive shaft is operatively connected to the end effector and configured to be selectively rotatably driven to move the first jaw toward the second jaw for clamping tissue therebetween independent of rotation of the third pulley rotatably secured thereon.

US Pat. No. 9,872,682

SURGICAL STAPLING INSTRUMENT HAVING A RELEASABLE BUTTRESS MATERIAL

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical instrument, the end effector comprising:
an anvil including a staple forming portion;
a cutting member; and
a staple cartridge, comprising:
a cartridge body including a proximal end and a distal end;
an elongate slot extending between the proximal end and the distal end, wherein the cutting member is movable distally relative
to the elongate slot between the proximal end and the distal end to cut tissue captured between the anvil and the staple cartridge;

a deck, comprising:
a first deck surface; and
a second deck surface, wherein one of the first deck surface and the second deck surface is stepped up from the other one
of the first deck surface and the second deck surface;

a plurality of first staple cavities arranged in a first row on a lateral side of the elongate slot, wherein the first row
extends along the first deck surface;

a plurality of second staple cavities arranged in a second row on the lateral side of the elongate slot, wherein the second
row is closer to the elongate slot than the first row, and wherein the second row extends along the second deck surface;

a plurality of third staple cavities arranged in a third row on the lateral side of the elongate slot, wherein the third row
is closer to the elongate slot than the second row;

a driven element;
a securement member releasably engaged with the deck, wherein the cutting member is movable toward the distal end of the cartridge
body, and wherein the securement member is released during the distal movement of the cutting member;

an implantable portion, wherein the securement member is configured to resist release of the implantable portion; and
a plurality of staples deployable concurrently into the tissue captured between the anvil and the staple cartridge, the plurality
of staples comprising:

a first staple removably stored in the first row of staple cavities, the first staple comprising:
a first proximal leg; and
a first distal leg, wherein the first distal leg is located distal to the first proximal leg;
a second staple removably stored in the second row of staple cavities, the second staple comprising:
a second proximal leg; and
a second distal leg, wherein the second distal leg is located distal to the second proximal leg; and
a third staple removably stored in the third row of staple cavities, the third staple comprising:
a third proximal leg; and
a third distal leg, wherein the third distal leg is located distal to the third proximal leg, wherein the third proximal leg
is located distal to the second proximal leg, wherein the second proximal leg is located distal to the first proximal leg,
wherein the third distal leg is located distal to the second distal leg, wherein the second distal leg is located distal to
the first distal leg, wherein the third proximal leg is located distal to the first distal leg, and wherein the plurality
of staples are engaged with the driven element.

US Pat. No. 9,861,428

INTEGRATED SYSTEMS FOR ELECTROSURGICAL STEAM OR SMOKE CONTROL

Ethicon LLC, Los Frailes...

1. A medical device, comprising:
an end effector, comprising:
a first jaw comprising an inner surface and an outer surface;
a second jaw comprising an inner surface and an outer surface, wherein at least one of the first jaw or the second jaw is
rotatably movable to capture target tissue between the inner surface of the first jaw and the inner surface of the second
jaw; and

a working portion that extends from a proximal end to a distal end of at least one of the inner surface of the first jaw or
the inner surface of the second jaw, wherein the working portion comprises an electrode to apply energy to the target tissue
in contact with the working portion at a target tissue site;

a fluid control system, comprising:
a fluid path element defining one or more than one fluid path to transport a fluid, wherein at least one of the one or more
than one fluid path is defined by a lumen that defines a plurality of distal fluid ports to at least one of deliver the fluid
to or intake the fluid from the target tissue site, wherein the at least one fluid path is situated on and extends along the
outer surface of the first jaw or the outer surface of the second jaw adjacent to the working portion, and wherein the plurality
of distal fluid ports are positioned along and external to the working portion between the proximal end and the distal end
of the working portion; and

a proximal fluid port fluidically coupled to the one or more than one fluid path;
a transport component coupled to the proximal fluid port, wherein the transport component is configured to cause the fluid
to move through the one or more than one fluid path; and

an activation element to control activation of the transport component based on at least one operation of the end effector,
wherein the activation element is configured to activate the transport component to cause the fluid to move through the plurality
of distal fluid ports of the at least one fluid path sequential to the application of energy to the target tissue by the electrode.

US Pat. No. 9,848,902

ERGONOMIC SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
a handle assembly, the handle assembly comprising:
a housing having a proximal end and a distal end, wherein the housing comprises a proximal opening at the proximal end of
the housing and a distal opening at the distal end of the housing, and wherein a longitudinal axis passes through the distal
opening and the proximal opening;

a handle extending downwardly from the housing away from the longitudinal axis, the handle comprising a proximal contact surface,
and a saddle surface positioned between the proximal contact surface and the housing; and

a stabilization tail extending proximally from the handle and the housing;
at least one distal instrument control;
a yoke to translate an actuating member;
a trigger, comprising:
a first flange including a distally directed end, wherein the distally directed end is coupled to the yoke; and
a second flange including a proximally directed end, wherein the proximally directed end is coupled to the handle assembly
at a pivot point, wherein the pivot point has been positioned such that as the trigger pivots about the pivot point from an
open position away from the handle to a closed position towards the handle a spread angle defined between a control finger
location on one of the at least one distal instrument control and a trigger finger location on the trigger increases slightly,
and wherein a linkage couples the yoke to the pivot point such that as the trigger pivots about the pivot point the yoke translates
along the longitudinal axis; and

a trigger hook fixedly coupled to the trigger to move with the trigger relative to the handle from the open position to the
closed position, wherein the trigger and the trigger hook define an aperture therebetween.

US Pat. No. 9,844,369

SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORING ARRANGEMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical end effector, comprising:
an elongate channel including a bottom including a proximal end and a distal end, the elongate channel being configured to
operably support a staple cartridge therein;

a firing element configured to translate between a starting position adjacent the proximal end of the bottom of the elongate
channel and an ending position adjacent the distal end of the bottom of the elongate channel;

a proximal channel opening through the proximal end of the bottom of the elongate channel to facilitate viewing of the firing
element therethrough when the firing element is in the starting position; and

a distal channel opening through the distal end of the bottom of the elongate channel to facilitate viewing of the firing
element therethrough when the firing element is in the ending position, and wherein a portion of the bottom of the elongate
channel extending between the proximal channel opening and the distal channel opening is closed and has no other openings
therethrough.

US Pat. No. 9,844,376

STAPLE CARTRIDGE COMPRISING A RELEASABLE ADJUNCT MATERIAL

Ethicon LLC, Guaynabo, P...

1. A surgical stapling apparatus for stapling tissue, comprising:
a cartridge body, comprising:
a proximal end;
a distal end;
a deck comprising a tissue-supporting surface; and
a plurality of staple cavities;
a plurality of staples removably stored in said staple cavities;
a firing member movable between a proximal position toward a distal position to eject said staples from said staple cavities;
a layer positioned above said deck, wherein said staples are configured to implant said layer against the tissue when said
staples are ejected from said staple cavities; and

a layer retainer configured to releasably hold said layer to said deck, wherein said firing member is configured to engage
said layer retainer and lift said layer retainer relative to said deck.

US Pat. No. 9,649,110

SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
an end effector, comprising:
a fastener cartridge comprising a plurality of fasteners removably stored therein; and
an anvil configured to deform said fasteners;
a closure drive configured to move said anvil relative to said fastener cartridge;
a firing drive configured to deploy said fasteners from said fastener cartridge; and
a rotatable shaft, comprising:
a first thread, wherein said closure drive is engageable with said first thread to move said anvil; and
a second thread, wherein said firing drive is engageable with said second thread to deploy said fasteners, and wherein said
first thread at least partially overlaps said second thread.

US Pat. No. 10,111,661

MATRIX METALLOPROTEINASE INHIBITING ADJUNCTS FOR SURGICAL DEVICES

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for use with a surgical stapler, comprising:a cartridge body having a plurality of staple cavities, each staple cavity having a surgical staple disposed therein;
a biocompatible adjunct material releasably retained on the cartridge body and configured to be delivered to tissue by deployment of the staples in the cartridge body to form a staple line; and
an effective amount of at least first and second medicants disposed within and releasable from the adjunct material along the staple line, the first medicant having a first absorbable coating configured to dissolve according to a first predetermined release profile, and the second medicant having a second absorbable coating configured to dissolve according to a second predetermined time release profile that is different than the first predetermined release profile such that the first and second medicants are configured to be released from the adjunct material at different times from one another, the first and second medicants including a tissue matrix degradation inhibitor and an agent configured to induce proliferation of fibroblasts.

US Pat. No. 10,086,116

ADJUNCT MATERIAL TO PROVIDE CONTROLLED DRUG RELEASE

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for use with a surgical stapler, comprising:a cartridge body having a plurality of staple cavities, each staple cavity having a surgical staple disposed therein;
a bioabsorbable adjunct material releasably retained on the cartridge body and configured to be delivered to tissue by deployment of the staples in the cartridge body; and
a first medicant component associated with a component of the staple cartridge assembly in a manner in which the first medicant component is released as a bolus dose substantially immediately upon delivery of the adjunct material to tissue, such that the first medicant component is released in its entirety from the component of the staple cartridge assembly; and
a second medicant component associated with a component of the staple cartridge assembly in a manner such that release of the second medicant component to tissue is regulated by the release of the first medicant component.

US Pat. No. 9,907,552

CONTROL FEATURES FOR MOTORIZED SURGICAL STAPLING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical apparatus, comprising:
(a) a body;
(b) an end effector extending distally from the body, wherein the end effector comprises a stapling assembly operable to drive
staples into tissue; and

(c) a control system in communication with the end effector, wherein the control system comprises:
(i) a motor operable to drive the stapling assembly,
(ii) a firing trigger,
(iii) a switch assembly comprising a switch in communication with the motor,
(iv) a movable member, wherein the movable member is rotatable about an axis, and
(v) a resilient member engaged with the movable member, wherein the resilient member is configured to urge the movable member
in a direction toward and into engagement with the switch to thereby activate the motor,

wherein the firing trigger is operable to drive the movable member through a first range of angular motion,
wherein the resilient member is operable to drive the movable member through a second range of angular motion,
wherein the first range and the second range are contiguous.

US Pat. No. 9,883,860

INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

8. A surgical system, comprising:
a frame supporting a plurality of drive systems and defining an actuation axis; and
a plurality of interchangeable shaft assemblies wherein each said interchangeable shaft assembly comprises:
an elongate shaft configured to apply first actuation motions to a surgical end effector operably coupled thereto, wherein
a proximal end of the elongate shaft is configured to be operably, releasably, and directly coupled to and decoupled from
an output drive of a first one of the drive systems supported by the frame in a direction that is transverse to the actuation
axis, and wherein, when coupled, the elongate shaft and the output drive of the first drive system share a common drive axis;
and

a control shaft assembly operably supported within the elongate shaft and being configured to apply control motions to the
end effector and wherein a proximal end of the control shaft assembly is configured to be operably, releasably, and directly
coupled to and decoupled from an output drive of a second one of the drive systems supported by the frame in the direction
that is transverse to the actuation axis, wherein, when coupled, the control shaft assembly and the output drive of the second
drive system share a common drive axis, and wherein at least one of the surgical end effectors differs from another one of
the surgical end effectors.

US Pat. No. 9,883,884

ULTRASONIC SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. An apparatus comprising:
an ultrasonic blade extending along a longitudinal axis of an end effector, wherein the ultrasonic blade is configured to
be coupled to a distal end of a waveguide, and wherein the waveguide is coupled to a transducer configured to produce vibrations,
wherein the ultrasonic blade extends distally from the distal end of the waveguide;

a protective sheath, wherein the protective sheath extends at least partially around the ultrasonic blade and defines a chamber,
wherein the protective sheath is disposed adjacent to a bottom surface of the ultrasonic blade to prevent damage to a bone
while cutting tissue;

an outer tube extending at least partially along the longitudinal axis;
an inner tube extending at least partially along the longitudinal axis; and
a plurality of apertures, wherein each of the apertures defines a channel, wherein each of the channels extends at least partially
through the end effector along the longitudinal axis, and wherein each of the apertures defines an opening in the chamber,

wherein each of the apertures comprises an irrigation channel configured to deliver fluid to the chamber to dissipate thermal
energy generated by the ultrasonic blade.

US Pat. No. 9,877,720

CONTROL FEATURES FOR ARTICULATING SURGICAL DEVICE

Ethicon LLC, Guaynabo, P...

1. An electrosurgical device, comprising:
(a) a body comprising:
(i) a housing comprising:
(A) a proximal end, and
(B) a distal end, and
(ii) a controller positioned between the proximal end and the distal end of the housing, wherein the controller comprises:
(A) an articulation knob configured to rotate relative to the housing,
(B) a first translating member comprising a first proximally facing surface, wherein the first translating member is housed
within the articulation knob, and

(C) a second translating member comprising a second proximally facing surface, wherein the second translating member is housed
within the articulation knob proximal to the first translating member, wherein the first translating member and the second
translating member are configured to translate relative to the housing in opposing directions in response to rotation of the
articulation knob relative to the housing;

(b) an end effector comprising:
(i) a first jaw, and
(ii) a second jaw,
wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw,
wherein at least one of the jaws comprises at least one electrode,
wherein the at least one electrode is operable to deliver RF energy to tissue clamped between the first and second jaw;
(c) a cutting member operable to cut tissue clamped between the first jaw and the second jaw;
(d) a shaft extending between the body and the end effector, wherein the shaft defines a longitudinal axis, wherein the shaft
comprises an articulation section, wherein the articulation section is operable to selectively position the end effector at
non-parallel positions relative to the longitudinal axis of the shaft, wherein the controller is operable to selectively actuate
the articulation section,

(e) a first articulation band configured to translate relative to the housing in response to translation of the first translating
member, wherein the first articulation band comprises:

(A) a first elongated member extending longitudinally through the shaft and the first translating member, and
(B) a first drive member unitarily connected to the first elongated member, wherein the first drive member is configured to
abut against the first proximally facing surface of the first translating member in order to proximally drive the first articulation
band in response to proximal translation of the first translating member; and

(f) a second articulation band configured to translate relative to the housing in response to translation of the second translating
member , wherein the second articulation band comprises:

(A) a second elongated member extending longitudinally through the shaft, the first translating member, and the second translating
member, and

(B) a second drive member unitarily connect to the second elongated member. wherein the second drive member is configured
to abut against the second proximally facing surface of the second translating member in order to proximally drive the second
articulation band in response to proximal translation of the second translating member,

wherein first and second articulation bands are further coupled with the articulation section or the end effector to selectively
bend or pivot the articulation section.

US Pat. No. 9,872,684

SURGICAL STAPLING APPARATUS INCLUDING FIRING FORCE REGULATION

Ethicon LLC, Guaynabo, P...

1. A surgical stapling system for treating the tissue of a patient, comprising:
a handle comprising a rotary motion generator;
a shaft extending from said handle;
a disposable loading unit attachable to said shaft, said disposable loading unit comprising:
a cartridge body including a distal end;
staples removably stored in said cartridge body;
a firing system movable toward said distal end, wherein said firing system is configured to fire said staples from said cartridge
body to staple the tissue, and wherein said firing system comprises a cutting portion configured to cut the tissue; and

a lockout configured to block said firing system from moving toward said distal end; and
an actuation system configured to regulate a force applied to said firing system by said rotary motion generator, wherein
said actuation system is configured to modify the application of said force to said firing system when a load transmitted
through said firing system exceeds a predetermined magnitude.

US Pat. No. 9,782,214

SURGICAL INSTRUMENT WITH SENSOR AND POWERED CONTROL

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:
(a) a body portion comprising at least one indicator;
(b) a transmission portion extending distally from the body portion;
(c) an end effector coupled to a distal end of the transmission portion;
(d) a control unit, wherein the at least one indicator is electrically coupled to the control unit;
(e) a toggle switch communicatively coupled to the control unit; and
(f) a plurality of sensors communicatively coupled to the control unit;
wherein at least one sensor of the plurality of sensors is operable to output a signal indicating a temperature to the control
unit, wherein the temperature is associated with the surgical instrument, wherein the control unit is operable to selectively
deactivate at least a portion of the end effector in response to the signal indicating the temperature from the at least one
sensor,

wherein the control unit is operable to generate a control unit output signal to activate the at least one indicator in response
to the signal indicating the temperature from the at least one sensor of the plurality of sensors, wherein the at least one
indicator is operable to indicate a range of values in response to the control unit output signal, wherein the toggle switch
is operable to manipulate the control unit output signal to the at least one indicator.

US Pat. No. 9,743,929

MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
a housing;
an interchangeable shaft assembly removably couplable to the housing, the interchangeable shaft assembly including an end
effector comprising:

a first end effector portion operably responsive to first drive motions applied thereto; and
a second end effector portion operably responsive to second drive motions applied thereto and wherein the surgical instrument
further comprises:

a first drive system operably supported by the housing, the first drive system movable from a first unactuated position to
a second actuated position, the first drive system being configured to apply the first drive motions to the interchangeable
shaft assembly operably coupled to the housing when the first drive system is in the second actuated position;

a second drive system operably supported by the housing, the second drive system movable from an unfired position to a fired
position, the second drive system being configured to apply the second drive motions to the interchangeable shaft assembly
when the second drive system is in the fired position;

a latch system for removably coupling the interchangeable shaft assembly to the housing such that when the first drive system
is in the first unactuated position, the interchangeable shaft assembly is detachable from the housing and when the first
drive system is in the second actuated position, the latch system prevents the interchangeable shaft assembly from being detached
from the housing;

wherein the interchangeable shaft assembly further comprises a chassis member configured for removable engagement with the
housing wherein the latch system comprises a lock member selectively movable between a locked position and an unlocked position
such that when in the locked position, the lock member retainingly couples the chassis member to the housing and when the
lock member is in the unlocked position, the chassis member may be detached from the housing, wherein the housing defines
a longitudinal shaft axis and wherein the chassis member is engageable with the housing along an installation axis that is
perpendicular to the longitudinal shaft axis, and wherein the interchangeable shaft assembly further comprises:

a first shaft assembly configured to operably transmit the first drive motions to the first end effector portion; and
a first shaft yoke operably supporting the first shaft assembly and configured for releasable engagement to a corresponding
portion of the first drive system, said first shaft yoke configured to prevent the lock member from being movable to the unlocked
position when the first drive system is in the second actuated position.

US Pat. No. 9,724,092

MODULAR SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
an elongated shaft assembly defining a longitudinal tool axis, the elongated shaft assembly comprising:
a proximal firing member operably interfacing with a firing system for receiving firing and retraction motions therefrom;
and

a proximal articulation assembly operably interfacing with an articulation system for receiving articulation motions therefrom
wherein the surgical instrument further comprises:

a surgical end effector comprising:
first and second end effector portions wherein the first end effector portion comprises a carrier configured to operably support
a surgical staple cartridge therein, and wherein the second end effector portion comprises an anvil assembly and is selectively
movable relative to the first end effector portion in a first direction upon application of an opening motion to the second
end effector portion, the second end effector portion being further selectively movable in a second direction upon application
of a closing motion to the second end effector portion;

an articulation joint configured to selectively articulate the first end effector portion about an articulation axis in the
first and second directions relative to the longitudinal tool axis;

an articulation link assembly operably interfacing with the articulation joint for applying the articulation motions to the
articulation joint;

a drive assembly supported for operable movement within the surgical end effector upon application of the firing and retraction
motions thereto, the drive assembly configured to apply the opening and closing motions to the second end effector portion,
wherein the drive assembly comprises a cutting head, comprising:

a vertically extending portion including an upper end and a lower end and a tissue cutting portion oriented between the upper
end and the lower end;

a bottom foot protruding from the lower end of the vertically extending portion and configured to movably engage a bottom
portion of the carrier;

an upper tab portion protruding from the upper end of the vertically extending portion and configured to engage a portion
of the anvil assembly; and

a drive beam assembly operably coupled to the cutting head comprising:
an upper firing bar segment coupled to the upper end of the vertically extending portion of the cutting head; and
a lower firing bar segment coupled to the lower end of the vertically extending portion of the cutting head wherein the upper
and lower firing bars are pivotally coupled to a proximal engagement member, and wherein the surgical instrument further comprises:

means for simultaneously coupling:
a proximal end of the first end effector portion to the elongated shaft assembly;
the articulation link assembly to the proximal articulation assembly; and
the drive assembly to the proximal firing member.

US Pat. No. 10,111,698

SURGICAL INSTRUMENT WITH ROTATABLE SHAFT HAVING PLURALITY OF LOCKING POSITIONS

Ethicon LLC, Guaynabo, P...

1. An apparatus comprising:(a) a body assembly;
(b) a shaft comprising a proximal end, and a distal end, wherein the shaft extends distally from the body assembly, wherein the shaft defines a longitudinal axis;
(c) an end effector positioned at the distal end of the shaft;
(d) a rotation input feature comprising a proximal end and a distal end, wherein the rotation input feature is configured to rotate relative to the body about the longitudinal axis, wherein the rotation input feature is configured to rotate one or both of the shaft assembly or the end effector about the longitudinal axis; and
(e) a locking feature configured to transition between a locked state and an unlocked state, where the locking feature is biased toward the locked state,
wherein the locking feature is configured to prevent rotation of the one or both of the shaft or the end effector when the locking feature is in the locked state,
wherein the locking feature is configured to permit rotation of the one or both of the shaft or the end effector when the locking feature is in the unlocked state, wherein the rotational input feature is configured to rotate relative to the body about the longitudinal axis to drive the locking feature between the locked state and the unlocked state.

US Pat. No. 10,052,104

STAPLE CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR

Ethicon LLC, Guaynabo, P...

1. A staple cartridge, comprising:a cartridge body, comprising:
a deck and a bottom surface opposite the deck;
a plurality of staple cavities, wherein each staple cavity extends into the cartridge body from the deck to the bottom surface; and
a plurality of wells, wherein each well comprises sidewalls and a lowermost surface, wherein the sidewalls of each well extend into the cartridge body from the deck to the lowermost surface of the well, and wherein the plurality of wells comprises:
a first well; and
a second well laterally offset with respect to the first well;
a plurality of staples removably positioned in the staple cavities; and
a tissue thickness compensator releasably secured to the cartridge body, wherein the tissue thickness compensator comprises:
a compensator body; and
a plurality of extensions extending from the compensator body into the wells, wherein the plurality of extensions comprises a first extension compressed between the sidewalls of the first well.

US Pat. No. 10,028,761

FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:an end effector;
a drive member movable to effectuate a motion in said end effector;
a motor operable to move said drive member to effectuate said motion in said end effector; and
a bailout assembly operable to perform a mechanical bailout of said surgical instrument in response to a bailout error, said bailout assembly comprising:
a bailout door;
a bailout handle accessible through said bailout door, said bailout handle operable to move said drive member to effectuate a bailout motion in said end effector; and
a controller, comprising:
a memory;
a processor coupled to said memory, said processor configured to detect said bailout error, wherein said processor is programed to stop said motor in response to said detection of said bailout error; and
an override mechanism configured to permit a user to restart said motor when said bailout error remains.

US Pat. No. 9,993,258

ADAPTABLE SURGICAL INSTRUMENT HANDLE

Ethicon LLC, Guaynabo, P...

1. A handle for use with a surgical instrument system, said handle comprising:a first handle housing portion, comprising:
a first output rotatable about a first longitudinal axis; and
a second output rotatable about a second longitudinal axis;
a second handle housing portion, comprising:
a first electric motor comprising a first rotatable motor shaft;
a second electric motor comprising a second rotatable motor shaft;
a first actuator for operating said first electric motor; and
a second actuator for operating said second electric motor;
a hinge, wherein said second handle housing portion is rotatably connected to said first handle housing portion about said hinge, wherein said second handle housing portion is rotatable between a pistol grip position and an in-line grip position;
a first flexible transmission configured to transmit rotational motion between said first rotatable motor shaft and said first output; and
a second flexible transmission configured to transmit rotational motion between said second rotatable motor shaft and said second output.

US Pat. No. 9,918,704

SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A stapling instrument for stapling and cutting tissue, comprising:
a housing;
staples removably stored in said housing;
a blade comprising a perimeter;
a tissue tacking collar, wherein said tissue tacking collar is deployable between a first configuration and a second configuration
to engage said tissue;

a cinching mechanism configured to deploy said tissue tacking collar between said first configuration and said second configuration;
and

an actuator system configured to pull the tissue within said blade perimeter after said tissue tacking collar has been engaged
with the tissue.

US Pat. No. 9,918,716

STAPLE CARTRIDGE COMPRISING IMPLANTABLE LAYERS

Ethicon LLC, Guaynabo, P...

1. A staple cartridge, comprising:
a cartridge body, wherein a plurality of staple cavities are defined in the cartridge body;
a plurality of staples removably positioned in the staple cavities; and
an implantable compressible portion releasably secured adjacent to the cartridge body, wherein the implantable compressible
portion comprises:

an implantable first layer;
an implantable second layer, wherein a space is defined between at least a portion of the implantable first layer and at least
a portion of the implantable second layer; and

an implantable deformable support intermediate the implantable first layer and the implantable second layer.

US Pat. No. 9,901,345

STAPLING ASSEMBLY

Ethicon LLC, Guaynabo, P...

5. A surgical cutting and stapling instrument, comprising:
a housing comprising at least one engagement member for removably coupling said housing to a robotic surgical system;
a carrier;
a surgical staple cartridge operably positioned in said carrier;
an anvil movable relative to said carrier;
a drive member comprising a distal cutting edge configured for axial travel relative to said carrier;
a motor configured to move said drive member between a starting position and an ending position; and
a plurality of battery contacts configured to permit power to be supplied to said motor only when said housing is operably
attached to the robotic surgical system.

US Pat. No. 9,901,358

ULTRASONIC SURGICAL INSTRUMENT WITH INTEGRAL BLADE CLEANING FEATURE

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:
(a) a body;
(b) a shaft assembly extending distally from the body;
(c) an acoustic assembly, wherein the acoustic assembly comprises:
(i) an ultrasonic blade, and
(ii) a waveguide acoustically coupled with the ultrasonic blade, wherein at least a first portion of the waveguide is positioned
in the shaft assembly,

wherein a cavity is defined between a portion of the shaft assembly and corresponding exterior surfaces of the waveguide and
the ultrasonic blade;

(d) a clamp arm assembly comprising a clamp pad, wherein the clamp arm assembly is pivotable relative to the body and shaft
assembly, wherein the clamp pad is configured to pivot relative to the ultrasonic blade from an open position to a closed
position; and

(e) a cleaning feature comprising a cap rotatably coupled with a distal portion of the shaft assembly, wherein the cavity
is further defined between an interior surface of the cap and corresponding exterior surfaces of the waveguide and the ultrasonic
blade, wherein where the clamp arm assembly is configured to drive rotation of the cap by pivoting the clamp pad from the
open position to the closed position, thereby removing surgical debris from the cavity and one or both of:

(i) the exterior surface of one or both of the waveguide or the ultrasonic blade, or
(ii) an interior surface of the shaft assembly,
wherein at least a portion of the cleaning feature is positioned in the cavity.

US Pat. No. 9,901,359

ACTUATION MECHANISM FOR USE WITH AN ULTRASONIC SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An ultrasonic clamp coagulator apparatus comprising:
a housing comprising an actuator;
an outer tube having a proximal end joined to the housing, and a distal end;
an ultrasonic waveguide having a proximal end and a distal end and further positioned within the outer tube;
an ultrasonically actuated blade attached to the distal end of the waveguide;
a clamp member pivotable with respect to the blade for clamping tissue between the clamp member and the blade; and
a force limiting mechanism comprising:
a first compression spring having a first spring constant, positioned between the actuator and the clamp arm wherein the first
compression spring transfers a force at a first rate as a function of the motion of the actuator to pivotably move the clamp
member toward the blade and;

a second compression spring having a second spring constant less than the first spring constant, wherein the second compression
spring transfers a force at a second rate as a function of the motion of the actuator to pivotably move the clamp member toward
the blade, where the second force rate is less than the first force rate, and wherein at least one of the first and second
compression springs is pre-compressed to provide a preload less than the respective spring constant.

US Pat. No. 9,895,147

END EFFECTORS FOR SURGICAL STAPLERS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
a shaft;
an end effector extending from the shaft, wherein the end effector comprises:
an anvil including a staple forming portion;
a cutting member; and
a staple cartridge, comprising:
a cartridge body including a proximal end and a distal end;
an elongate slot extending between the proximal end and the distal end, wherein the cutting member is movable relative to
the elongate slot to cut tissue captured between the anvil and the staple cartridge;

a deck, comprising:
a first deck surface; and
a second deck surface, wherein one of the first deck surface and the second deck surface is stepped up from the other one
of the first deck surface and the second deck surface;

a plurality of first staple cavities arranged in a first row on a lateral side of the elongate slot, wherein the first row
extends along the first deck surface;

a plurality of second staple cavities arranged in a second row on the lateral side of the elongate slot, wherein the second
row is closer to the elongate slot than the first row, and wherein the second row extends along the second deck surface;

a plurality of first staples removably stored in the plurality of first staple cavities, wherein the plurality of first staples
comprises:

a first unformed height;
a distal staple positioned in the first row; and
a proximal staple positioned in the first row, wherein the proximal staple is positioned proximally to the distal staple along
the first row, and wherein the distal staple and the proximal staple are deployed simultaneously into the tissue captured
between the anvil and the staple cartridge; and

a plurality of second staples removably stored in the plurality of second staple cavities, wherein the plurality of second
staples comprises:

a second unformed height different from the first unformed height; and
a second staple positioned in the second row, wherein the second staple is deployed simultaneously with the distal staple
and the proximal staple in the first row; and

a control assembly, comprising:
a control circuit configured to generate a drive signal; and
a drive unit movable in response to the drive signal to deploy the plurality of first staples and the plurality of second
staples.

US Pat. No. 9,877,723

SURGICAL STAPLING ASSEMBLY COMPRISING A SELECTOR ARRANGEMENT

Ethicon LLC, Guaynabo, P...

1. A surgical stapling assembly, comprising:
an end effector including a staple cartridge comprising a plurality of staples deployable from said staple cartridge into
tissue;

a shaft assembly extending proximally from said end effector;
a housing;
a rotary motion generator supported by said housing;
an articulation system configured to articulate said end effector with respect to said shaft assembly;
a firing system comprising a firing bar movable distally to deploy said plurality of staples from said staple cartridge into
the tissue; and

a selector arrangement interfacing with said housing, wherein said selector arrangement is transitionable between a first
operational mode and a second operational mode to switch said rotary motion generator between operably interfacing with said
articulation system in said first operational mode and operably interfacing with said firing system in said second operational
mode.

US Pat. No. 9,877,782

ELECTROSURGICAL INSTRUMENT END EFFECTOR WITH COMPLIANT ELECTRODE

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:
(a) an upper jaw;
(b) a lower jaw, wherein the upper jaw and the lower jaw are configured to receive tissue when in an open position, and wherein
the upper jaw is movable toward the lower jaw from the open position to a closed position;

(c) a flexible member comprising a first face and a second face, wherein the first face of the flexible member is coupled
to one of either the upper jaw or the lower jaw, wherein the first face and the second face define an oblique angle while
the upper jaw and the lower jaw are in the open position, wherein the first face and the second face are deformable to be
parallel with each other when the upper jaw and the lower jaw are in the closed position; and

(d) a pair of conductive members, wherein a first conductive member of the pair of conductive members is associated with the
upper jaw, wherein a second conductive member of the pair of conductive members is associated with the lower jaw, wherein
the flexible member is configured to deform in response to compression of tissue between the pair of conductive members, and
wherein the conductive members are configured to communicate energy to tissue;

wherein one or both of the first conductive member or the second conductive member comprises a plurality of segments.

US Pat. No. 9,867,600

METHOD OF FITTING POUCH IN TISSUE RETRIEVAL DEVICE

Ethicon LLC, Guaynabo, P...

1. A method of loading a retrieval bag within a specimen retrieval instrument, wherein the specimen retrieval instrument comprises
a tubular member, a rod positioned within the tubular member, an expandable member, and a retrieval bag, wherein the tubular
member has a distal end and a proximal end, wherein the tubular member defines a central longitudinal axis, wherein the retrieval
bag is secured to the expandable member, wherein the tubular member is configured to contain the expandable member and the
retrieval bag, wherein the tubular member is configured to hold the expandable member in a compressed state to contain the
expandable member, wherein the expandable member is configured to open the retrieval bag when the expandable member is expanded
to an expanded state, wherein the rod comprises a distal end and a proximal end, wherein the expandable member is located
at the distal end of the rod, the method comprising:
(a) reducing the size of the retrieval bag to create a packed retrieval bag, wherein the act of reducing the size of the retrieval
bag comprises bending the expandable member about a second axis to position a distal portion of the expandable member proximally
in relation to the distal end of the rod and wrapping the retrieval bag about one or both of the rod and the expandable member;
and

(b) positioning the packed retrieval bag and the expandable member within the tubular member, wherein the expandable member
is in a compressed state within the tubular member, wherein the expandable member extends along the central longitudinal axis
of the tubular member.

US Pat. No. 9,867,612

POWERED SURGICAL STAPLER

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
a handle comprising an electric motor, wherein said electric motor comprises a rotatable output;
a shaft extending from said handle, wherein said shaft defines a longitudinal axis;
a fastener cartridge comprising a plurality of fasteners removably stored therein;
an anvil configured to deform said fasteners;
a closure drive configured to move said anvil toward and away from said fastener cartridge, wherein said closure drive comprises
a rotatable closure drive portion which is rotatable about said longitudinal axis;

a firing drive configured to deploy said fasteners from said fastener cartridge, wherein said firing drive comprises a rotatable
firing drive portion which is rotatable about said longitudinal axis; and

a transmission, comprising:
a first operating configuration in which said transmission operably connects said rotatable output to said closure drive;
a second operating configuration in which said transmission operably connects said rotatable output to said firing drive;
and

a switch configured to switch said transmission between said first operating configuration and said second operating configuration.

US Pat. No. 9,848,876

DEVICES AND METHODS FOR FACILITATING EJECTION OF SURGICAL FASTENERS FROM CARTRIDGES

Ethicon LLC, Guaynabo, P...

1. A surgical fastening device for treating tissue, comprising:
an elongate shaft; an end effector coupled to a distal end of the elongate shaft, the end effector including a jaw and an
anvil pivotally connected to the jaw, the jaw and the anvil being configured to engage tissue therebetween;

a plurality of fasteners disposed within the jaw and frangibly coupled to a carrier;
a sled configured to advance distally through the jaw to cause each of the plurality of fasteners to rotate into tissue engaged
between the jaw and the anvil; and

a shearing element slidably moveable within the jaw to shear each fastener from the carrier, the shearing element being configured
to shear the fasteners from the carrier after the fasteners are driven into tissue by the sled, the shearing element being
pivotable between a first inactive position and a second active position, and the shearing element shearing the fasteners
during the second active position.

US Pat. No. 9,848,937

END EFFECTOR WITH DETECTABLE CONFIGURATIONS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
an end effector, comprising:
a first jaw comprising a first electrode;
a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other one of the first jaw
and the second jaw to transition the end effector between an open configuration, an approximated configuration, and a fully
approximated configuration, and wherein the second jaw comprises:

a second electrode, wherein tissue is captured between the first electrode and the second electrode in the approximated configuration;
and

at least one spacer extending from the second electrode, wherein the at least one spacer is configured to maintain a minimum
predetermined distance between the first electrode and the second electrode when the end effector is in the fully approximated
configuration, and wherein the at least one spacer is simultaneously in contact with the first electrode and the second electrode
in the fully approximated configuration;

a switch configured to control energy transmission between the first electrode and the second electrode, wherein the switch
is activatable to permit energy transmission between the first electrode and the second electrode; and

a circuit configured to:
detect activation of the switch;
detect an impedance between the first electrode and the second electrode in response to the activation of the switch;
generate a first response corresponding to the open configuration of the end effector when the impedance is greater than or
equal to a predetermined threshold;

generate a second response corresponding to the approximated configuration of the end effector when the impedance is in a
first range of impedance; and

generate a third response corresponding to the fully approximated configuration when the impedance is in a second range of
impedance different from the first range of impedance.

US Pat. No. 9,844,368

SURGICAL SYSTEM COMPRISING FIRST AND SECOND DRIVE SYSTEMS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument system, comprising:
a handle, comprising:
an electric motor; and
an actuator configured to operate said electric motor;
a first shaft attachable to said handle, comprising:
a first end effector; and
a first drive system configured to perform a first end effector function, wherein said first drive system is operably engageable
with said electric motor, and wherein said electric motor is operated in a first direction to perform said first end effector
function; and

a second shaft attachable to said handle in lieu of said first shaft, said second shaft comprising:
a second end effector; and
a second drive system configured to perform a second end effector function, wherein said second drive system is operably engageable
with said electric motor, wherein said electric motor is operated in a second direction to perform said second end effector
function, and wherein said second direction is opposite said first direction.

US Pat. No. 9,833,239

SURGICAL INSTRUMENT BATTERY PACK WITH POWER PROFILE EMULATION

Ethicon LLC, Guaynabo, P...

1. A method of operating a medical device, comprising:
(a) connecting a secondary battery pack to the medical device, wherein the secondary battery pack includes a processor configured
to emulate at least one electrical characteristic of a primary battery pack with at least one different electrical characteristic
than the secondary battery pack;

(b) receiving an interrogation input from the medical device with the processor of the secondary battery pack;
(c) determining, based at least in part on the interrogation input, whether the processor is programmed to send a response
output; and

(d) in response to determining the processor is programmed to send the response output:
(i) sending the response output from the processor to the medical device, wherein the response output emulates an expected
response output associated with the at least one different electrical characteristic of the primary battery pack, and

(ii) initiating an operational profile associated with the medical device.

US Pat. No. 9,826,978

END EFFECTORS WITH SAME SIDE CLOSURE AND FIRING MOTIONS

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical stapler for stapling tissue, the end effector comprising:
a frame portion;
a staple cartridge, comprising:
a cartridge body including a proximal end and a distal end;
an elongate slot defining a longitudinal axis and extending between the proximal end and the distal end;
a tissue contacting portion, comprising:
a first tissue contacting surface; and
a second tissue contacting surface, wherein the first tissue contacting surface is stepped up from the second tissue contacting
surface;

a plurality of first staples arranged in a first longitudinal row on a lateral side of the elongate slot, wherein the first
longitudinal row extends along the first tissue contacting surface, and wherein each of the plurality of first staples is
defined by a first unformed height; and

a plurality of second staples arranged in a second longitudinal row on the lateral side of the elongate slot, wherein the
first longitudinal row is closer to the elongate slot than the second longitudinal row, wherein the second longitudinal row
extends along the second tissue contacting surface, and wherein each of the plurality of second staples is defined by a second
unformed height greater than the first unformed height;

a first jaw member positionable on a first side of the tissue, wherein the first jaw member extends fixedly from the frame
portion;

a second jaw member positionable on a second side of the tissue;
a firing member translatable distally along the longitudinal axis between the proximal end and the distal end, wherein the
firing member comprises:

a body portion;
a cutting member extending distally from the body portion;
a first camming member coupled to the body portion, wherein the first camming member is configured to engage the first jaw
member; and

a second camming member coupled to the body portion, wherein the second camming member is configured to engage the second
jaw member; and

a rotation joint, wherein the second jaw member is pivotably movable relative to the first jaw member about the rotation joint
in response to at least one camming motion applied to the second jaw member by the second camming member, wherein the second
jaw member is configured to apply a closing motion against the tissue and a firing motion to deform the staples, and wherein
both the closing motion and the firing motion are applied to the tissue from the same side of the tissue.

US Pat. No. 9,820,738

SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS

Ethicon LLC, Guaynabo, P...

1. A surgical system, comprising:
a handle, comprising:
a trigger; and
an electric motor;
an end effector comprising a plurality of deployable fasteners;
a shaft intermediate said handle and said end effector;
a microcontroller configured to record data during a surgical procedure; and
a data security system, comprising:
a data exchange port on said handle, wherein said data exchange port is in signal communication with said microcontroller,
and wherein said data exchange port comprises a mechanical lock; and

a data exchange input comprising a key, wherein said key is configured to unlock said mechanical lock when said data exchange
input engages said data exchange port.

US Pat. No. 9,820,768

ULTRASONIC SURGICAL INSTRUMENTS WITH CONTROL MECHANISMS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument for use with a robotic surgical system, the surgical instrument comprising:
an end effector to treat tissue;
a shaft extending proximally from the end effector along a longitudinal axis;
a housing, wherein the shaft is coupled to a distal end of the housing;
a first magnetic element positioned within the housing, wherein the first magnetic element comprises a switch;
a first cable coupled to the first magnetic element and extending distally from the first magnetic element and distally through
the shaft such that actuation of the first magnetic element causes the first cable to translate along the longitudinal axis;

a rotatable body positioned within the housing and rotatable between a first angular position and a second angular position;
a first actuation member extending from the rotatable body to the switch of the first magnetic element such that, at the first
angular position of the rotatable body, the first actuation member causes the switch of the first magnetic element to assume
a first position where the first magnetic element is actuated, and, at the second angular position of the rotatable body,
the first actuation member causes the switch of the first magnetic element to assume a second position where the first magnetic
element is not actuated;

a second magnetic element positioned within the housing, wherein the second magnetic element comprises a switch;
a second cable coupled to the second magnetic element and extending distally from the second magnetic element and distally
through the shaft such that actuation of the second magnetic element causes the second cable to translate along the longitudinal
axis; and

a second actuation member extending from the rotatable body to the switch of the second magnetic element such that, at the
first angular position of the rotatable body, the second actuation member causes the switch of the second magnetic element
to assume a first position where the second magnetic element is actuated, and, at the second angular position of the rotatable
body, the second actuation member causes the switch of the second magnetic element to assume a second position where the second
magnetic element is not actuated.

US Pat. No. 9,804,618

SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT

Ethicon LLC, Guaynabo, P...

1. A method for controlling a surgical instrument, the method comprising:
connecting a power assembly to a control circuit, wherein the power assembly is configured to provide a source voltage;
energizing, by the power assembly, a voltage boost convertor configured to provide a set voltage greater than the source voltage,
wherein a motor is coupled to the voltage boost convertor;

energizing, by the voltage boost convertor, a first regulator configured to receive the set voltage and provide a first operating
voltage to a first subset of one or more circuit components, wherein a switch is coupled between the first regulator and the
first subset of one or more circuit components, wherein a primary processor is coupled to the switch and the primary processor
is configured to open the switch to deactivate the first subset of one or more circuit components to maximize power available
for power intense functions requiring additional voltage delivered to the motor;

energizing, by the first regulator, a second regulator configured to provide a second operating voltage to a second subset
of the one or more circuit components, wherein the voltage boost convertor, the first regulator, and the second regulator
are coupled in a daisy chain configuration;

energizing, by the power assembly, an independent voltage regulator;
generating, by the independent voltage regulator, a constant voltage for a safety processor, wherein the safety processor
is configured to provide a shutdown signal when it detects an unsafe condition; and

verifying, by the safety processor, a voltage provided by each of the voltage boost convertor, the first regulator, and the
second regulator,

wherein the primary processor and the safety processor are configured to operate a surgical instrument.

US Pat. No. 9,782,167

BUTTON ACTUATED NEEDLE LOADER

Ethicon LLC, Guaynabo, P...

1. An apparatus, the apparatus comprising:
(a) a body defining a first channel extending along a first longitudinal axis and a second channel extending along a second
longitudinal axis, wherein the first longitudinal axis is parallel to and offset from the second longitudinal axis, wherein
the first channel and the second channel are in communication via a passageway extending transversely between the first channel
and the second channel;

(b) a drive member, wherein the drive member is configured to drive movement of a cover of a surgical instrument;
(c) a button positioned within the second channel of the body and configured to move along the second longitudinal axis from
a first position to a second position; and

(d) a needle releasably secured within the second channel, wherein the button in the second position is configured to release
the needle from the second channel thereby transversely directing the needle from the second channel to the first channel
via the passageway for delivery into the surgical instrument.

US Pat. No. 9,737,355

CONTROLLING IMPEDANCE RISE IN ELECTROSURGICAL MEDICAL DEVICES

Ethicon LLC, Guaynabo, P...

1. An electrosurgical system for providing an electrosurgical signal to a patient, the system comprising:
a control circuit programmed to:
for a first application period during a coagulation cycle, apply the electrosurgical signal to first and second electrodes
according to a first mode, wherein in the first mode, the control circuit is configured to:

limit the electrosurgical signal to a first first-mode maximum power when an impedance between the first and second electrodes
is less than a first mode threshold; and

limit the electrosurgical signal to a second first-mode maximum power when the impedance between the first and second electrodes
exceeds the first mode threshold, wherein the first first-mode maximum power is greater than the second first-mode maximum
power; and

for a second application period after the first application period during the coagulation cycle, apply the electrosurgical
signal according to a second mode, wherein in the second mode, the control circuit is configured to:

limit the electrosurgical signal to a first second-mode maximum power when the impedance between the first and second electrodes
is less than a second mode threshold; and

limit the electrosurgical signal to a second second-mode maximum power when the impedance between the first and second electrodes
exceeds the second mode threshold, wherein the first second-mode maximum power is greater than the second second-mode maximum
power,

wherein the second second-mode maximum power is greater than the second first-mode maximum power.

US Pat. No. 9,750,499

SURGICAL STAPLING INSTRUMENT SYSTEM

Ethicon LLC, Guaynabo, P...

1. A surgical instrument assembly, comprising:
a first modular component comprising a plurality of tissue thickness sensors;
a second modular component comprising a jaw defining a channel;
a fastener cartridge removably positionable in said channel, wherein said fastener cartridge comprises:
a plurality of fasteners; and
a drivable element configured to translate relative to said channel, wherein said drivable element comprises a magnetic element
configured to move along a path opposing said plurality of tissue thickness sensors; and

a microcontroller in signal communication with said plurality of tissue thickness sensors, wherein said plurality of tissue
thickness sensors is configured to detect variations to the thickness of tissue along the path of said magnetic element.

US Pat. No. 9,717,504

CLIP APPLIER WITH MIGRATIONAL RESISTANCE FEATURES

Ethicon LLC, Guaynabo, P...

1. A surgical method, comprising:
advancing opposed jaws on a distal end of an elongate shaft of a surgical device into a body;
positioning tissue between the opposed jaws such that the tissue is received within a recess formed in a distal end of a tissue
stop disposed between the opposed jaws; and

actuating the surgical device so as to distally advance an advancer along an alignment mechanism on the tissue stop that is
proximal to the recess, the distal advancement of the advancer causing a clip to be distally advanced along the alignment
mechanism and into the opposed jaws, the advancer and the alignment mechanism each contacting and maintaining the clip in
alignment with the opposed jaws as opposed legs of the clip are clipping the tissue between the opposed jaws and until the
clip is fully closed.

US Pat. No. 9,707,029

SHIELD MECHANISMS FOR SURGICAL DEVICES

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:
a shaft having an end effector in contact with a distal end thereof, the end effector being configured to treat tissue, at
least in part, by delivering energy thereto when the end effector is in contact with the distal end of the shaft, the end
effector further comprising a cutting member configured to advance distally with respect to the end effector to transect tissue
treated by the end effector; and

an atraumatic shield member such that the shield member is not configured to cut tissue, the atraumatic shield member having
a connector element at a proximal end thereof that is configured to detachably couple the shield member to the shaft and a
shield body extending distally from the connector element, the shield body being configured, in an operative position, to
be spaced apart from the end effector.

US Pat. No. 9,700,306

ADJUSTABLE COMPRESSION STAPLE AND METHOD FOR STAPLING WITH ADJUSTABLE COMPRESSION

Ethicon LLC, Guaynabo, P...

1. A compression-self-adjusting staple, comprising:
a substantially U-shaped staple that imparts a compressive force on material to which the staple is applied, and having:
a bridge;
legs; and:
an internally disposed compression device having a bias portion with:
a compression surface movably disposed between the legs; and
a compression resistor:
connected to the bridge and to the compression surface; and
being formed to resist movement of the compression surface towards the bridge with a pre-defined force that opposes the compressive
force, wherein the compression resistor absorbs compressive forces that are greater than the pre-defined opposing force, thereby
regulating an amount of compressive force being imparted on the material.

US Pat. No. 9,700,320

DEVICES AND METHODS FOR REMOVABLY COUPLING A CARTRIDGE TO AN END EFFECTOR OF A SURGICAL DEVICE

Ethicon LLC, Guaynabo, P...

1. A surgical fastening device, comprising:
an elongate shaft;
an end effector coupled to a distal end of the elongate shaft, the end effector including a cartridge jaw and an anvil pivotally
coupled to one another and configured to engage tissue therebetween;

a staple cartridge configured to be removably disposed within a channel formed in the cartridge jaw, the staple cartridge
including a plurality of staples disposed therein; and

a latch formed on one of the cartridge jaw and the staple cartridge, the latch being configured to extend into a corresponding
engagement feature formed in the other one of the cartridge jaw and the staple cartridge when the staple cartridge is fully
seated within the cartridge jaw, wherein the latch protrudes radially outward beyond an outer diameter of the elongate shaft
and end effector when the latch is not engaged with the corresponding engagement feature; wherein the plurality of staples
in the cartridge are configured to rotate about a pivot point into tissue engaged between the cartridge jaw and the anvil.

US Pat. No. 9,700,333

SURGICAL INSTRUMENT WITH VARIABLE TISSUE COMPRESSION

Ethicon LLC, Guaynabo, P...

1. A surgical end effector, comprising:
first and second jaw members movable relative to one another between an open position and a closed position to clamp tissue
therebetween;

a first closure track formed in the first jaw member and extending along a length thereof;
a second closure track formed in the second jaw member and extending along a length thereof; and
a compression member configured such that a first portion of the compression member contacts the first closure track at a
proximal-most end of the first closure track when the compression member is at a proximal-most position and a second portion
of the compression member contacts the second closure track, the compression member being further configured to translate
longitudinally along a length of the end effector to move the first jaw member and the second jaw member so as to apply compression
to tissue disposed between the first and second jaw members as the compression member advances from the proximal-most position
towards a distal end of the end effector;

wherein, when the first and second jaw members are in the closed position, a distance between the first closure track and
the second closure track increases continuously from the proximal-most end of the first closure track to a location adjacent
to a distal end of the first closure track.

US Pat. No. 9,655,624

SURGICAL STAPLING DEVICE WITH A CURVED END EFFECTOR

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical instrument, the end effector comprising:
a first jaw, comprising:
a first lateral side comprising an outside radius of curvature; and
a second lateral side comprising an inside radius of curvature;
a second jaw, wherein one of said first jaw and said second jaw comprises a plurality of staple cavities arranged in a plurality
of curved staple cavity rows, wherein said second jaw is moveable relative to said first jaw between an open orientation,
a partially-closed orientation, and a closed orientation, and wherein said second jaw comprises:

a first lateral side comprising an outside radius of curvature, wherein an outside partially-closed distance is defined between
said first lateral sides when said second jaw is in said partially-closed orientation; and

a second lateral side comprising an inside radius of curvature, wherein an inside partially-closed distance is defined between
said second lateral sides when said second jaw is in said partially-closed orientation, and wherein said inside partially-closed
distance is less than said outside partially-closed distance; and

a cutting element structured to travel along a curved path between two curved staple cavity rows of said plurality of curved
staple cavity rows.

US Pat. No. 10,070,863

FASTENER CARTRIDGE ASSEMBLY COMPRISING A FIXED ANVIL

Ethicon LLC, Guaynabo, P...

1. A surgical stapling system, comprising:an elongated shaft assembly; and
an end effector comprising an open configuration and a closed configuration, wherein said end effector is operably coupled to said elongated shaft assembly, said end effector comprising:
an anvil; and
a staple cartridge, comprising:
a cartridge body, wherein said cartridge body and said anvil are in a confronting relationship when said end effector is in said closed configuration;
a plurality of first staple drivers movably supported within said cartridge body and being movable from an unactuated position to an actuated position upon application of a firing motion thereto that is transmitted by said elongated shaft assembly, each said first staple driver defining a first staple support cradle therein for supporting a staple thereon, each said first staple support cradle located a first staple forming distance from a corresponding portion of said anvil when said end effector is in said closed configuration; and
a plurality of second staple drivers movably supported within said cartridge body and being laterally positioned with respect to said first staple drivers, each said second staple driver defining a second staple support cradle therein for supporting a staple thereon, each said second staple support cradle located a second staple forming distance from another portion of said anvil that corresponds to said second staple support cradle when said end effector is in said closed configuration, and wherein said second staple forming distance differs in magnitude from said first staple forming distance.

US Pat. No. 9,962,182

ULTRASONIC SURGICAL INSTRUMENTS WITH MOVING CUTTING IMPLEMENT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a hollow sheath including at least one opening therein and at least one tooth positioned in the at least one opening, wherein the at least one tooth is configured to grip tissue positioned within the at least one opening;
a blade disposed at least partially within the hollow sheath, wherein the blade comprises a tip, and wherein the tip is configured to cut tissue;
at least one ultrasonic transducer coupled to the blade;
a drive system communicating with the at least one ultrasonic transducer to deliver rotational motions to the blade such that the blade rotates with respect to the hollow sheath when the drive system is activated; and
wherein the hollow sheath comprises a hollow projection that projects away from the blade and the at least one tooth is defined in the hollow projection.

US Pat. No. 9,955,914

MEAL DETECTION DEVICES AND METHODS

Ethicon LLC, Guaynabo, P...

1. A meal detection system, comprising:an impedance sensor configured to measure impedance across one or more portions of a user;
an accelerometer configured to sense movement of one or more portions of the user; and
a processor in communication with the impedance sensor and the accelerometer and configured to analyze outputs of the impedance sensor and the accelerometer to detect meal intake by the user, the processor being further configured to trigger a controlled device to deliver a therapy to the user in response to meal intake detected by the processor and to calculate an impedance sensor index, an impedance sensor threshold value, an accelerometer index, and an accelerometer threshold value.

US Pat. No. 9,901,360

ULTRASONIC SURGICAL INSTRUMENT WITH RETRACTABLE INTEGRAL CLAMP ARM

Ethicon LLC, Guaynabo, P...

1. An ultrasonic instrument comprising:
(a) a shaft assembly, wherein the shaft assembly defines a longitudinal axis, wherein the shaft assembly comprises an acoustic
waveguide, wherein the acoustic waveguide is configured to communicate acoustically with an ultrasonic transducer;

(b) an ultrasonic blade, wherein the ultrasonic blade is in acoustic communication with the acoustic waveguide such that the
ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide; and

(c) a clamp arm, wherein the clamp arm comprises a proximal portion and a distal portion separated by a pivot axis positioned
therebetween, wherein the distal portion includes a clamp pad, wherein the proximal and distal portions are configured to
pivot about the pivot axis such that the clamp pad is configured to pivot toward and away from the ultrasonic blade wherein
the proximal portion of the clamp arm is pivotable about the pivot axis toward a proximal portion of the shaft assembly as
the clamp pad pivots toward the ultrasonic blade, wherein the clamp arm is moveable between an inoperative position and an
operative position, wherein the proximal and distal portions of the clamp arm and the pivot axis are configured to translate
along a straight path parallel to the longitudinal axis as the clamp arm moves between the inoperative position and the operative
position, wherein the clamp pad in the inoperative position is positioned proximally of the ultrasonic blade, wherein the
clamp pad in the operative position is positioned lateral to the ultrasonic blade.

US Pat. No. 9,884,456

IMPLANTABLE LAYERS AND METHODS FOR ALTERING ONE OR MORE PROPERTIES OF IMPLANTABLE LAYERS FOR USE WITH FASTENING INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A method for changing the spring rate of a tissue thickness compensator for use with a surgical instrument, said method
comprising the steps of:
obtaining a tissue thickness compensator comprising a first spring rate, wherein said tissue thickness compensator is at least
partially comprised of a material having a glass transition temperature and a melting temperature;

heating said tissue thickness compensator to a temperature higher than said glass transition temperature and lower than said
melting temperature;

deforming said tissue thickness compensator to induce a localized change in a tissue-facing portion of said tissue thickness
compensator from said first spring rate to a second spring rate, wherein said second spring rate is different than said first
spring rate;

allowing said tissue thickness compensator to cool below said glass transition temperature; and
releasing said tissue thickness compensator.

US Pat. No. 9,877,722

DEVICES AND METHODS FOR GUIDING SURGICAL FASTENERS

Ethicon LLC, Guaynabo, P...

1. A surgical stapling device, comprising:
an elongate shaft having an end effector coupled to a distal end thereof and including a cartridge-receiving jaw and an anvil
pivotally coupled to the cartridge-receiving jaw;

a staple cartridge disposed within the cartridge-receiving jaw, the staple cartridge having a carrier disposed therein with
a plurality of plastically deformable staples formed on the carrier, and the staple cartridge having a deck with a plurality
of openings formed therein, each opening being configured to receive one of the plurality of staples therethrough, and each
opening having a guide member extending outwardly from the deck and configured to guide a staple being advanced through the
opening along an arcuate path.

US Pat. No. 9,872,699

ULTRASONIC SURGICAL INSTRUMENT WITH MODULAR END EFFECTOR

Ethicon LLC, Guaynabo, P...

17. A surgical instrument comprising:
(a) a transmission assembly having a proximal end, the transmission assembly extending along a longitudinal axis and comprising:
(i) a waveguide having a proximal end and a distal end, and
(ii) an end effector coupled to the distal end of the waveguide;
(b) a transducer; and
(c) a body assembly comprising:
(i) a transmission aperture formed in a distal surface of the body assembly and configured to receive a portion of the transmission
assembly, and

(ii) at least one friction member configured to selectively frictionally engage the transducer to prevent movement of the
transducer.

US Pat. No. 9,872,725

RF TISSUE SEALER WITH MODE SELECTION

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
an end effector comprising:
a movable jaw;
at least one electrode; and
a cutting element slidably movable within the end effector;
a handle assembly comprising:
an energy button configured to deliver energy to the at least one electrode;
a trigger plate operably coupled to a jaw closure mechanism, the trigger plate configured to close the movable jaw;
a firing plate operably coupled to a cutting element drive mechanism, the firing plate configured to drive the cutting element
independently of the jaw closure mechanism;

a lockout mechanism coupled to the cutting element drive mechanism and, in a locked state, is configured to disable movement
of the cutting element; and

a mode selection assembly coupled to the energy button and the lockout mechanism, the mode selection assembly configured to
select between different modes.

US Pat. No. 9,861,361

RELEASABLE TISSUE THICKNESS COMPENSATOR AND FASTENER CARTRIDGE HAVING THE SAME

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge assembly, comprising:
a cartridge body comprising a plurality of cavities, wherein said plurality of cavities defines a fastener region;
a plurality of fasteners, wherein each said fastener is removably positioned in a said cavity within said fastener region,
and wherein said plurality of fasteners comprises a proximal most fastener and a distal most fastener;

a lock moveably positioned in a said cavity within said fastener region, wherein said lock is longitudinally positioned between
said proximal most fastener and said distal most fastener;

a tissue thickness compensator releasably secured to said cartridge body;
a connector extending from said tissue thickness compensator, wherein said lock holds said connector within said fastener
region when said tissue thickness compensator is secured to said cartridge body, wherein said lock releases said connector
when said tissue thickness compensator is released from said cartridge body, wherein said lock is moveable from a locked positioned
to an unlocked position, wherein said lock holds said connector when in said locked position and releases said connector when
moved to said unlocked position; and

a key configured to move along at least a portion of said cartridge body within said fastener region during a firing stroke,
and wherein said key moves said lock from said locked position to said unlocked position during the firing stroke.

US Pat. No. 9,848,875

ANVIL LAYER ATTACHED TO A PROXIMAL END OF AN END EFFECTOR

Ethicon LLC, Los Frailes...

1. A staple cartridge for use with an end effector of a surgical stapler, wherein the end effector includes a staple cartridge
channel configured to receive said staple cartridge, and an anvil arranged relative to the staple cartridge channel, and a
cutting blade that is movable along a longitudinal axis from a proximal end of the end effector toward a distal end of the
end effector, wherein at least one of the staple cartridge channel and the anvil is moveable relative to the other, and wherein
the anvil includes a staple forming surface facing the staple cartridge channel, said staple cartridge comprising:
a cartridge body comprising a plurality of staple cavities, wherein said cartridge body defines a proximal end portion, and
wherein said cartridge body further comprises a staple deck;

a plurality of staples positioned within said staple cavities;
a layer configured to be attached to a surface of the anvil of the end effector upon placement of a new staple cartridge within
said end effector, said layer comprising a proximal end portion, wherein said layer is a first layer, wherein said staple
cartridge further comprises a second layer arranged relative to said staple deck, wherein said staple deck is configured to
face the anvil when said staple cartridge is installed in the end effector, wherein said first layer comprises a first lateral
side and a second lateral side opposing said first lateral side, wherein said first layer comprises a midline between said
first lateral side and said second lateral side, wherein said first layer comprises a first lateral slit arranged distally
relative to said proximal end portion of said first layer and extending from said first lateral side past said midline and
toward said second lateral side, wherein said first layer comprises a second lateral slit arranged distally relative to said
first lateral slit and extending from said second lateral side past said midline and toward said first lateral side, and wherein
said first lateral slit and said second lateral slit define a connector portion of said first layer connected to said proximal
end portion of said first layer and a remaining portion of said first layer; and

attachment means for attaching said proximal end portion of said layer to said staple cartridge.

US Pat. No. 9,848,877

METHODS AND DEVICES FOR ADJUSTING A TISSUE GAP OF AN END EFFECTOR OF A SURGICAL DEVICE

Ethicon LLC, Guaynabo, P...

1. A surgical fastening device, comprising:
an elongate shaft;
an end effector coupled to a distal end of the elongate shaft, the end effector including a cartridge jaw and an anvil pivotally
coupled to one another and movable between an open position and a closed position in which tissue can be engaged therebetween,
wherein a distance between a proximal end of each of the cartridge jaw and the anvil is adjustable; and

a cartridge removably seated within a channel in the cartridge jaw of the end effector, the cartridge including an anvil coupling
member slidably disposed therein and configured to couple to a drive shaft extending through the elongate shaft for advancing
the anvil coupling member distally through the end effector, wherein the anvil coupling member is configured to pivot away
from the anvil when the anvil coupling member is positioned at a distal-most end of the anvil.

US Pat. No. 9,844,374

SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER

Ethicon LLC, Guaynabo, P...

1. A surgical instrument system, comprising:
an end effector, comprising:
an anvil;
a staple cartridge, comprising:
a proximal end;
a distal end;
a plurality of staple cavities; and
a plurality of staples removably stored in the staple cavities; and
a sled slidable within the staple cartridge to move the staples toward the anvil;
a firing member movable relative to the staple cartridge to move the sled from the proximal end toward the distal end of the
staple cartridge during a firing stroke;

a shaft defining a longitudinal axis;
an articulation joint, wherein the end effector is rotatably connected to the shaft about the articulation joint between an
unarticulated position and an articulated position; and

adjusting means for adjusting the length of the firing stroke as a function of the degree in which the end effector is articulated
relative to the longitudinal axis.

US Pat. No. 9,833,236

TISSUE THICKNESS COMPENSATOR FOR SURGICAL STAPLERS

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge, comprising:
a cartridge body comprising a deck and a plurality of fastener cavities;
a plurality of fasteners removably stored within said fastener cavities, wherein said fasteners are deployable from said fastener
cavities to fasten tissue; and

a tissue thickness compensator positioned over said fastener cavities, wherein said tissue thickness compensator defines a
single layer, wherein said tissue thickness compensator is configured to be captured within said fasteners, wherein said tissue
thickness compensator is configured to adapt to the thickness of the tissue captured within said fasteners, and wherein said
single layer of said tissue thickness compensator comprises:

a first compression zone having a first set of material properties; and
a second compression zone having a second set of material properties, wherein a property in said first set of material properties
is different than a corresponding property in said second set of material properties, and wherein said first compression zone
is spaced apart from said second compression zone.

US Pat. No. 9,833,241

SURGICAL FASTENER CARTRIDGES WITH DRIVER STABILIZING ARRANGEMENTS

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge for use with a surgical instrument, wherein the fastener cartridge comprises:
a cartridge body comprising a deck and at least one staple pocket, wherein each said staple pocket comprises an opening in
said deck and defines an inner pocket surface; and

a driver movably positioned in at least one said staple pocket and supporting a surgical fastener thereon, said driver comprising:
a driver body including an outer surface portion that confronts said inner pocket surface of said staple pocket in which said
driver body is movably positioned; and

at least one feature extending laterally from said outer surface portion and being movably positioned against said inner pocket
surface;

wherein said driver body further comprises a first driver portion comprising:
a first proximal driver portion including a first proximal outer surface portion; and
a first distal driver portion including a first distal outer surface portion and wherein said at least one laterally extending
feature comprises a first proximal support column extending laterally from said first proximal outer surface portion and a
first distal support column extending laterally from said first distal outer surface portion.

US Pat. No. 9,814,457

CONTROL INTERFACE FOR LAPAROSCOPIC SUTURING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An apparatus comprising:
(a) an end effector, comprising:
(i) a first needle receiving arm, wherein the first needle receiving arm is operable to selectively engage and disengage a
needle, wherein at least part of the first needle receiving arm extends along a first arm axis, wherein the first needle receiving
arm is operable to rotate about the first arm axis, and

(ii) a second needle receiving arm, wherein the second needle receiving arm is operable to selectively engage and disengage
a needle, wherein at least part of the second needle receiving arm extends along a second arm axis;

(b) a shaft assembly, wherein the shaft assembly has a distal end and a proximal end, wherein the end effector is located
at the distal end of the shaft assembly, wherein the shaft assembly defines a shaft axis, wherein the first arm axis and the
second arm axis extend parallel to the shaft axis, wherein the shaft assembly comprises:

(i) a first shaft associated with the first needle receiving arm, wherein the first shaft is rotatable about the first arm
axis to cause the first needle receiving arm to selectively engage and disengage a needle, and

(ii) a second shaft associated with the second needle receiving arm, wherein the second shaft is rotatable about the second
arm axis to cause the second needle receiving arm to selectively engage and disengage a needle; and

(c) a drive assembly, wherein the drive assembly is located at the proximal end of the shaft assembly, wherein the drive assembly
comprises:

(i) a first rotary drive shaft operable to drive the first needle receiving arm to selectively engage and disengage a needle,
wherein the first rotary drive shaft is rotatable about a first drive axis that is perpendicular to the shaft axis,

(ii) a second rotary drive shaft operable to drive the second needle receiving arm to selectively engage and disengage a needle,
wherein the second rotary drive shaft is rotatable about a second drive axis that is perpendicular to the shaft axis,

(iii) a third rotary drive shaft operable to rotate the first needle receiving arm about the first arm axis, wherein the third
rotary drive shaft is rotatable about a third drive axis,

(iv) a base, wherein the first drive axis, the second drive axis, and the third drive axis extend through the base at respective
fixed positions relative to the base,

(v) a first ring gear operable to rotate in response to rotation of the first rotary drive shaft about the first drive axis,
wherein the first ring gear encompasses a proximal portion of the first shaft and engages the first shaft to drive the first
shaft, wherein the first ring gear is rotatable about the shaft axis, and

(vi) a second ring gear operable to rotate in response to rotation of the second rotary drive shaft about the second drive
axis, wherein the second ring gear encompasses a proximal portion of the first shaft and the second shaft, wherein the second
ring gear engages the second shaft to drive the second shaft, wherein the first shaft is freely rotatable relative to the
second ring gear.

US Pat. No. 9,814,462

ASSEMBLY FOR FASTENING TISSUE COMPRISING A COMPRESSIBLE LAYER

Ethicon LLC, Guaynabo, P...

1. An assembly for fastening tissue, wherein the assembly comprises:
a first jaw comprising a cartridge, wherein the cartridge comprises a plurality of fasteners, and wherein the plurality of
fasteners comprises:

a first fastener comprising a first height; and
a second fastener comprising a second height, wherein the second height is different than the first height;
a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other of the first jaw and
the second jaw, wherein the second jaw comprises a plurality of fastener-engaging portions, and wherein the plurality of fastener-engaging
portions comprises:

a first fastener-engaging portion configured to engage the first fastener to form a first fastener assembly with the first
fastener; and

a second fastener-engaging portion configured to engage the second fastener to form a second fastener assembly with the second
fastener; and

a compressible layer intermediate the first jaw and the second jaw.

US Pat. No. 9,802,033

SURGICAL DEVICES HAVING CONTROLLED TISSUE CUTTING AND SEALING

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:
a proximal handle portion that includes a motor;
an elongate shaft extending distally from the proximal handle portion;
an end effector having first and second jaws pivotably coupled to a distal end of the elongate shaft, the first and second
jaws including first and second electrodes configured to apply energy to a tissue disposed therebetween;

an actuator configured to receive an input of pressure from a user that causes the motor to provide power to advance a cutting
element;

a sensor configured to sense current moving between the first and second electrodes; and
a controller configured to slow a speed of the cutting element in response to the sensed current exceeding a threshold amount,
and the controller is configured to increase the speed of the cutting element in response to the sensed current being less
than the threshold amount.

US Pat. No. 9,801,630

METHODS AND DEVICES FOR REINFORCING A STAPLE LINE

Ethicon LLC, Guaynabo, P...

14. A staple cartridge assembly for use with a surgical stapler, comprising:
a cartridge body having a plurality of staple cavities configured to seat staples therein; and an adjunct material releasably
retained on the cartridge body and configured to be delivered to tissue by deployment of the staples in the cartridge body,
the adjunct material comprising a first material encompassing a second material, wherein:

the adjunct material is configured to be penetrated by the staples being delivered to the tissue such that the first material
is penetrated so as to expose the second material to moisture; and

the second material is configured to expand to form a seal around at least one staple of the staples inserted therethrough
upon the exposure to moisture, wherein the seal is formed such that a peripheral portion of the second material transitions
to a large radius than a remainder of the second material.

US Pat. No. 9,795,379

SURGICAL INSTRUMENT WITH MULTI-DIAMETER SHAFT

Ethicon LLC, Guaynabo, P...

1. An apparatus comprising:
(a) an end effector, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw is movable relative
to the second jaw; and

(b) a shaft having a longitudinal axis, wherein a distal end of the shaft comprises:
(i) an articulation joint coupled with the end effector, wherein the articulation joint is operable to pivot the end effector
from a first position where the end effector is aligned with the longitudinal axis of the shaft to a second position where
the end effector is angled relative to the longitudinal axis of the shaft, and

(ii) at least one articulation band, wherein a distal end of the articulation band is configured to bend outwardly to a flared
position within the shaft when the end effector is in the first position, wherein a portion of the distal end of the articulation
band is connected to the articulation joint, wherein the distal end of the articulation band is configured to form an oblique
angle with the longitudinal axis when the distal end of the articulation band is in the flared position, wherein the distal
end of the articulation band is configured to bend inwardly from the flared position within the shaft during a transition
of end effector between the first position and the second position.

US Pat. No. 9,795,380

DEVICES AND METHODS FOR FACILITATING CLOSING AND CLAMPING OF AN END EFFECTOR OF A SURGICAL DEVICE

Ethicon LLC, Guaynabo, P...

1. A surgical fastening device, comprising:
an elongate shaft; and
an end effector coupled to a distal end of the elongate shaft, the end effector including
a cartridge jaw and an anvil pivotally coupled to one another at a pivot point,
a cam pin disposed within a cam slot formed in each of the cartridge jaw and the anvil, the cam pin being slidable within
the cam slots to move the anvil and cartridge jaw between a spaced-apart position and a closed position in which the cartridge
jaw and the anvil are configured to engage tissue therebetween, and

a closure mechanism proximal to the pivot point, the closure mechanism being in the form of a lobe cam and being positioned
adjacent to a proximal-most end of the anvil and being configured to apply a force to the proximal-most end of the anvil to
compress tissue engaged between the anvil and the cartridge jaw.

US Pat. No. 9,782,169

ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

6. An articulation joint for a surgical instrument that includes an elongate shaft assembly and a drive system that is configured
to generate and apply a plurality of rotary control motions to the elongate shaft assembly, the articulation joint comprising:
a proximal joint portion coupled to the elongate shaft assembly, wherein the elongate shaft assembly defines a shaft axis;
a distal joint portion movably coupled to the proximal joint portion and configured to interface with a surgical end effector;
a first gear train operably interfacing with a proximal firing shaft portion of the elongate shaft assembly and a distal firing
shaft portion operably interfacing with the surgical end effector for transmitting a rotary firing motion from the proximal
firing shaft portion to the surgical end effector while facilitating articulation of the distal joint portion relative to
the proximal joint portion, the first gear train comprising:

a first input gear rotatable about the shaft axis;
a first idler gear operably meshed with the first input gear, wherein the first idler gear defines an intermediate axis, and
wherein the first idler gear is rotatable about the intermediate axis; and

a first output gear operably meshed with the first idler gear, wherein the first output gear is rotatable about the shaft
axis; and

a second gear train operably interfacing with a proximal rotation shaft portion of the elongate shaft assembly for transmitting
a distal rotational control motion to the surgical end effector to cause the surgical end effector to rotate relative to the
elongate shaft assembly while facilitating articulation of the distal joint portion relative to the proximal joint portion,
the second gear train comprising:

a second input gear rotatable about the shaft axis;
a second idler gear operably meshed with the second input gear, wherein the second idler gear is rotatable about the intermediate
axis; and

a second output gear operably meshed with the second idler gear, wherein the second output gear is rotatable about the shaft
axis, and wherein the first output gear and the second output gear are concentric; and

an articulation drive link operably coupled to the distal joint portion and interfacing with an articulation shaft portion
of the elongate shaft assembly, wherein the articulation drive link is constrained to move axially relative to the articulation
joint in response to application of rotary articulation motions to the articulation shaft portion,

wherein said articulation drive link threadably engages the articulation shaft portion.

US Pat. No. 9,782,219

ELECTROSURGICAL DEVICE WITH DISPOSABLE SHAFT HAVING CLAMSHELL COUPLING

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:
(a) an end effector, wherein the end effector comprises:
(i) a first jaw, and
(ii) a second jaw, and wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second
jaw;

(b) a shaft assembly, wherein the shaft assembly defines a longitudinal axis, wherein the shaft assembly comprises a distal
end and a proximal end, and wherein the end effector is positioned at the distal end of the shaft assembly; and

(c) an interface assembly associated with the proximal end of the shaft assembly, wherein the interface assembly comprises:
(i) a first base section, wherein the first base section comprises a first drive component, wherein the first drive component
is operable to drive the first jaw of the end effector toward the second jaw of the end effector, and

(ii) a second base section, wherein the second base section comprises a second drive component, wherein the second drive component
is operable to actuate at least a portion of the shaft assembly;

wherein the first and second base sections are operable to pivot toward each other to reach a closed position,
wherein the first and second base sections are further operable to pivot away from each other to reach an open position,
wherein at least one of the first base section or the second base section are configured to disengage the shaft assembly when
the first and second base sections are in the open position.

US Pat. No. 9,750,522

SURGICAL INSTRUMENT WITH CLIPS HAVING TRANSECTING BLADES

Ethicon LLC, Guaynabo, P...

1. An apparatus operable to cut and secure tissue comprising a transecting fastener wherein the transecting fastener comprises:
(a) a plurality of legs configured to grip tissue, each of the plurality of legs having an inner longitudinal edge and an
outer longitudinal edge;

(b) a crown portion joining the plurality of legs, wherein the crown portion is deformable; and
(c) at least one blade positioned on each of the plurality of legs, wherein the at least one blade is spaced in from the inner
longitudinal edge and in from the outer longitudinal edge, and wherein the at least one blade is operable to cut tissue.

US Pat. No. 9,717,497

LOCKOUT FEATURE FOR MOVABLE CUTTING MEMBER OF SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

18. A stapling apparatus, comprising:
(a) a staple cartridge, wherein the staple cartridge comprises:
(i) a plurality of staples, and
(ii) a sliding member operable to drive the staples from the staple cartridge, wherein the sliding member includes a lockout
bypass feature;

(b) a first jaw;
(c) a second jaw;
(d) a blade assembly, wherein the blade assembly includes:
(i) a bypass engagement feature configured to engage the lockout bypass feature, wherein the lockout bypass feature is configured
to permit a portion of the blade assembly to translate through the staple cartridge when the bypass engagement feature of
the blade assembly is engaged with the lockout bypass feature of the staple cartridge, and

(ii) an upper extension having a downwardly extending tab; and
(e) a lockout feature, wherein a portion of the lockout feature is configured to engage the downwardly extending tab and thereby
prevent the portion of the blade assembly from translating through the staple cartridge when the bypass engagement feature
of the blade assembly is disengaged from the lockout bypass feature of the staple cartridge, wherein the portion of the lockout
feature is located between the first jaw and the second jaw and is not part of either the first jaw or the second jaw.

US Pat. No. 9,700,341

LOADING FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:
(a) a body;
(b) a shaft assembly extending distally from the body;
(c) an end effector coupled with a distal end of the shaft assembly, wherein the end effector is operable to manipulate tissue;
(d) a transducer assembly, wherein the transducer assembly is operable to convert electrical power into ultrasonic vibrations,
wherein a distal end of the transducer assembly is configured to removably couple with a proximal end of the shaft assembly;
and

(e) a loading assembly, wherein the loading assembly comprises an actuator configured to selectively move from a first position
to a second position to thereby couple the distal end of the transducer assembly with the proximal end of the shaft assembly,
wherein the loading assembly is configured to rotatably drive the transducer assembly successively through a first stage of
rotation and a second stage of rotation when moving the actuator from the first position to the second position, wherein the
loading assembly during the first stage of rotation is configured to rotatably drive the transducer assembly with a first
rotational speed and a first rotational torque, wherein the loading assembly during the second stage of rotation is configured
to rotatably drive the transducer assembly with a second rotational speed and a second rotational torque, wherein the second
rotational speed is less than the first rotational speed, and wherein the second rotational torque is greater than the first
rotational torque for coupling the distal end of the transducer assembly with the proximal end of the shaft assembly.

US Pat. No. 10,058,327

END EFFECTOR COUPLING ARRANGEMENTS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A disposable loading unit for use with a surgical stapling instrument, said disposable loading unit comprising:a shaft portion comprising a proximal end, wherein said proximal end comprises a bayonet connection which is rotated to operably connect said disposable loading unit with the surgical stapling instrument;
a selectively replaceable first jaw, comprising:
a cartridge body comprising a plurality of staple cavities;
a plurality of staples removably stored in said staple cavities;
staple drivers configured to eject said staples from said staple cavities; and
a retainer extending around a bottom portion of said cartridge body configured to prevent said staple drivers from falling out of said cartridge body through said bottom portion, wherein said replaceable first jaw extends around a bottom portion of said retainer such that said retainer is positioned intermediate said cartridge body and said replaceable first jaw;
a second jaw comprising an anvil configured to deform said staples;
a firing member configured to eject said staples from said staple cavities during a firing stroke of said firing member, wherein said selectively replaceable first jaw can be replaced after said firing stroke without having to replace the entirety of said disposable loading unit, and wherein said firing member is further configured to deploy staples from another selectively replaceable first jaw with which said selectively replaceable first jaw is replaced; and
a lockout configured to selectively prevent said firing member from being advanced through said firing stroke when said disposable loading unit is in a clamped configuration.

US Pat. No. 9,974,529

SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:an actuation system;
a drive system coupled to the actuation system, wherein the drive system comprises:
a rotatable shaft which defines a longitudinal axis; and
an outer casing surrounding the rotatable shaft; and
a tool head coupled to the drive system, wherein the tool head comprises:
an annular cartridge comprising a plurality of staples; and
a pliable bunchable ring surrounding the annular cartridge, wherein the surgical instrument is configured to drive the staples through the pliable bunchable ring in a direction which is transverse to the longitudinal axis, and wherein the outer casing is configured to deform the staples driven through the pliable bunchable ring.

US Pat. No. 9,974,538

STAPLE CARTRIDGE COMPRISING A COMPRESSIBLE LAYER

Ethicon LLC, Guaynabo, P...

1. A staple cartridge, comprising:a cartridge body, wherein a plurality of staple cavities are defined in the cartridge body;
a plurality of staples removably positioned in the staple cavities; and
a compressible layer releasably positioned adjacent to the cartridge body, wherein the compressible layer comprises a plurality of compression springs.

US Pat. No. 9,955,962

SUTURE DELIVERY TOOLS FOR ENDOSCOPIC AND ROBOT-ASSISTED SURGERY AND METHODS

Ethicon, Inc., Somervill...

1. A suture dispenser, comprising:a self-retaining suture having an elongated suture body with a first segment having a first plurality of retainers disposed proximally to a first end, and a second segment having a second plurality of retainers disposed proximally to a second end and first and second needles disposed at the first and second ends respectively;
an elongated shaft;
a spool positioned at a distal end of the elongated shaft, the spool comprising first and second needle docks adjacent to each other at a distal end thereof, the self-retaining suture being releasably secured to the spool and the first and second needles being releasably secured to one of the first and second needle docks respectively; and
an actuator attached to a proximal end of the elongated shaft by which the dispenser is manipulated to introduce the spool and distal end of the elongated shaft through an access port into a surgical site within a patient.

US Pat. No. 9,936,949

SURGICAL STAPLING INSTRUMENT WITH DRIVE ASSEMBLY HAVING TOGGLE FEATURES

Ethicon LLC, Guaynabo, P...

17. An apparatus, comprising:(a) a body;
(b) an end effector comprising a staple driver, wherein the staple driver is operable to distally advance along the end effector;
(c) a shaft assembly extending between the body and the end effector, wherein the shaft assembly includes a translatable drive member in communication with the staple driver; and
(d) a drive assembly in communication with the translatable drive member, wherein the drive assembly comprises:
(i) a motor,
(ii) a rotary drive member in communication with the motor,
(iii) a first link in communication with the rotary drive member, and
(iv) a plurality of toggle links, wherein the plurality of toggle links comprises:
(A) a first toggle link in communication with the first link, wherein the first toggle link is also in communication with the translatable drive member, and
(B) a second toggle link, wherein the second toggle link is pivotally coupled to the first toggle link, wherein the second toggle link is pivotally affixed to an anchor point, wherein the anchor point is fixed relative to the body;
wherein the rotary drive member is configured to induce linear motion in the first link, wherein the first link is configured to convent rotational motion to the second toggle link, wherein the first link is configured to convey linear motion to the first toggle link that is non-parallel to the linear motion of the first link, wherein the at least one toggle link is configured to convey linear motion to the translatable drive member.

US Pat. No. 9,924,947

STAPLE CARTRIDGE COMPRISING A COMPRESSIBLE PORTION

Ethicon LLC, Guaynabo, P...

1. A staple cartridge, comprising:a cartridge body;
a plurality of staples removably positioned in the cartridge body; and
a compressible portion, comprising:
a first portion;
a second portion; and
a structurally-deficient portion supporting the second portion, wherein the structurally-deficient portion is configured to permit a collapsing motion of the second portion relative to the first portion, wherein the structurally-deficient portion comprises a plurality of cell walls, and wherein at least one of the cell walls comprises a section that is thinner than an adjacent section.

US Pat. No. 9,907,554

DEVICES AND METHODS FOR STABILIZING FASTENERS POST-DEPLOYMENT

Ethicon LLC, Guaynabo, P...

1. A surgical fastening device, comprising:
an elongate shaft having an end effector coupled to a distal end thereof, the end effector including
first and second opposed jaws coupled to one another and configured to engage tissue therebetween, and
a staple cartridge disposed within the first jaw, the staple cartridge including a plurality of D-shaped, plastically deformable
staples, each staple being configured to rotate in a first direction into tissue engaged between the first and second jaws,
and each staple having an anti-rotation mechanism configured to prevent rotation in a second direction opposite to the first
direction when the staples are deployed in tissue, wherein each D-shaped staple includes a first leg that is substantially
straight and a second leg that is curved, and the anti-rotation mechanism on each staple comprises a hoop formed adjacent
to an intersection between the first and second legs and configured to receive a tip of the first leg when the staples are
deployed in tissue.

US Pat. No. 9,901,346

STAPLING ASSEMBLY

Ethicon LLC, Guaynabo, P...

6. A stapling assembly for use with a stapling system, wherein said stapling assembly comprises:
a mounting portion;
an elongate shaft extending from said mounting portion;
a cartridge body comprising staples removably stored therein;
a firing member movable relative to said cartridge body during a staple firing stroke;
a motor drive configured to move said firing member through said staple firing stroke;
a power input configured to supply power to said motor drive, wherein said stapling assembly is inoperable to perform said
staple firing stroke until said stapling assembly is operably attached to the stapling system;

a first powered state prior to said staple firing stroke in which said power input supplies power to said stapling assembly,
wherein said stapling assembly cannot perform said staple firing stroke during said first powered state; and

a second powered state in which said power input supplies power to said motor drive to perform said staple firing stroke.

US Pat. No. 9,877,721

FASTENER CARTRIDGE COMPRISING TISSUE CONTROL FEATURES

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge for use with a surgical instrument, wherein said fastener cartridge comprises:
a proximal end;
a distal end;
a cartridge body comprising a deck, wherein a plurality of cavities are defined into said cartridge body in a plurality of
longitudinal rows, wherein each longitudinal row comprises a proximal-most cavity and a distal-most cavity, wherein said proximal-most
cavity is adjacent to said proximal end and said distal-most cavity is adjacent to said distal end, wherein each said cavity
comprises an opening in said deck, and wherein said deck comprises a perimeter;

a knife slot positioned intermediate said longitudinal rows, wherein said knife slot is configured to receive a longitudinally-progressing
tissue cutting knife;

a plurality of staples, wherein each said staple is removably positioned in a said cavity; and
a rail positioned intermediate said plurality of cavities and said perimeter, wherein said rail spans between said proximal-most
cavity and said distal-most cavity.

US Pat. No. 9,867,615

SURGICAL INSTRUMENT WITH ARTICULATION LOCK HAVING A DETENTING BINARY SPRING

Ethicon LLC, Guaynabo, P...

1. An apparatus comprising:
(a) a shaft having a longitudinal axis;
(b) an end effector, wherein the end effector is pivotable from a first position to a second position, wherein the end effector
is aligned with the longitudinal axis of the shaft in the first position, wherein the end effector is angled relative to the
longitudinal axis of the shaft in the second position;

(c) an articulation joint coupling the shaft with the end effector, wherein the articulation joint is operable to pivot the
end effector from the first position to the second position; and

(d) a locking feature coupled with the articulation joint, wherein the locking feature is movable from a proximal position
to a distal position, wherein the locking feature is operable to lock the articulation joint in the distal position, wherein
the locking feature includes:

(i) a first locking member selectively movable between an unlock position and a lock position, and
(ii) a second locking member movable between the proximal position and the distal position and operatively connected to the
first locking member, wherein the second locking member is biased toward the distal position against the end effector, wherein
the second locking member with the first locking member in the lock position inhibits proximal movement of the second locking
member to thereby lock pivoting of the end effector,

(iii) at least one resilient member configured to flex inwardly toward a longitudinal axis of the locking feature when the
first locking member is in the unlock position and the second locking member moves proximally,
wherein the first locking member is selectively movable between the unlock and lock positions selectively moves relative to
the second locking member while the second locking member remains stationary.

US Pat. No. 9,867,618

SURGICAL STAPLING APPARATUS INCLUDING FIRING FORCE REGULATION

Ethicon LLC, Guaynabo, P...

1. A surgical stapling system for treating the tissue of a patient, comprising:
a handle comprising a rotary motion generator;
a shaft extending from said handle;
a disposable loading unit attachable to said shaft, said disposable loading unit comprising:
a cartridge body including a distal end;
staples removably stored in said cartridge body; and
a firing system movable toward said distal end, wherein said firing system is configured to fire said staples from said cartridge
body to staple the tissue, and wherein said firing system comprises a cutting portion configured to cut the tissue; and

an actuation system configured to regulate a firing force applied to said firing system by said rotary motion generator, wherein
said actuation system is configured to modify the application of said firing force to said firing system when a load resulting
from firing said staples and cutting the tissue exceeds a predetermined magnitude.

US Pat. No. 9,861,359

POWERED SURGICAL INSTRUMENTS WITH FIRING SYSTEM LOCKOUT ARRANGEMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:
a handle;
an end effector, the end effector comprising a pair of jaws having an open position and a closed position, wherein at least
one of the jaws comprises a channel for receiving a cartridge containing a plurality of surgical fasteners;

an electrically powered actuator for deploying the surgical fasteners, the actuator comprising a power source and a motor;
an activation mechanism attached to the handle to move the pair of jaws from the open to the closed position and to activate
the actuator, wherein the activation mechanism comprises:

a first trigger attached to the handle and communicating with the end effector such that when the first trigger is in a fully
actuated position, the end effector is moved from the open to the closed position;

a second trigger attached to the handle for activating the actuator;
a latch operably mounted to one of the handle and the first trigger for releasably retaining the first trigger in the fully
actuated position; and

a lockout mechanism configured to permit current to flow from the power source to the motor when the pair of jaws is in the
closed position and to prevent current from flowing from the power source to the motor when the pair of jaws is in the open
position, wherein the lockout mechanism comprises a closure lock switch associated with the latch, the closure lock switch
connected to the power source and the motor such that when the latch retains the first trigger in the fully actuated position,
the closure lock switch permits current to flow from the power source to the motor and when the first trigger is not latched
in the fully actuated position, the closure lock switch prevents current from flowing from the power source to the motor.

US Pat. No. 9,844,373

FASTENER CARTRIDGE ASSEMBLY COMPRISING A DRIVER ROW ARRANGEMENT

Ethicon LLC, Guaynabo, P...

1. An end effector for a surgical fastening instrument, said end effector comprising:
a frame;
a proximal portion;
a distal portion;
a first jaw, comprising:
a plurality of fastener cavities;
a first longitudinal slot configured to receive a cutting member;
a first longitudinal row of first fasteners removably stored in said first jaw, wherein said first longitudinal row of first
fasteners extends between said proximal portion and said distal portion alongside said first longitudinal slot, and wherein
each said first fastener comprises:

a base;
a first leg extending from said base in a first direction; and
a second leg extending from said base in a second direction, wherein said first direction is not parallel to said second direction;
and

a second longitudinal row of second fasteners removably stored in said first jaw, wherein said second longitudinal row of
second fasteners extends between said proximal portion and said distal portion alongside said first longitudinal row of first
fasteners;

a second jaw extending fixedly from said frame, wherein said second jaw comprises an anvil configured to deform said fasteners,
and wherein said anvil comprises a plurality of forming pockets;

a firing member movable longitudinally toward said distal portion, wherein said firing member comprises a first portion configured
to engage said first jaw and a second portion configured to engage said second jaw, wherein said second portion comprises
a pin extending laterally therefrom, wherein said second jaw comprises a second longitudinal slot comprising a T-shaped opening
configured to receive said pin of said firing member, and wherein said T-shaped opening extends behind said forming pockets
corresponding to said first longitudinal row of first fasteners; and

a fastener driver, wherein said fastener driver supports a first fastener from said first longitudinal row and a second fastener
from said second longitudinal row, wherein said first fastener is positioned distally with respect to said second fastener,
wherein said firing member is configured to lift said fastener driver toward said anvil, wherein said fastener driver and
said anvil are configured to co-operate to deform said first fastener to a first fired height and to deform said second fastener
to a second fired height, and wherein said first fired height is shorter than said second fired height to provide a smaller
tissue compression space within said first fastener than said second fastener.

US Pat. No. 9,844,375

DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A shaft assembly for a surgical instrument comprising a movable drive member, said shaft assembly comprising:
a spine assembly operably couplable to the surgical instrument;
a surgical end effector coupled to said spine assembly by an articulation joint;
a proximal firing member interfacing with the movable drive member and supported for movable travel relative to said spine
assembly;

an intermediate firing member supported for movable travel relative to said spine assembly;
a distal firing member interfacing with said intermediate firing member and supported for selective axial travel through at
least a portion of said surgical end effector;

an articulation driver interfacing with said end effector to apply articulation motions thereto; and
a clutch system selectively movable between an articulation orientation and a firing orientation such that when said clutch
system is in said articulation orientation, movement of said movable drive member is transmitted to said articulation driver
through said proximal firing member and when said clutch system is in said firing orientation, movement of said movable drive
member is transmitted to said distal firing member through said proximal firing member and said intermediate firing member.

US Pat. No. 9,839,420

TISSUE THICKNESS COMPENSATOR COMPRISING AT LEAST ONE MEDICAMENT

Ethicon LLC, Los Frailes...

1. A stapling assembly for use with a stapler, said stapling assembly comprising:
an anvil comprising a plurality of forming surfaces;
a fastener cartridge comprising a plurality of fasteners stored therein, wherein said fasteners are formable against said
forming surfaces;

a tissue thickness compensator attached to said anvil, wherein said tissue thickness compensator comprises:
a body portion comprising a porous material; and
a plurality of cavities defined in said body portion, wherein said cavities are aligned with said forming surfaces such that
said fasteners are configured to at least one of puncture said cavities when said fasteners are ejected from said fastener
cartridge or capture said cavities and compress said cavities within said tissue thickness compensator when said fasteners
are ejected from said fastener cartridge and formed by said forming surfaces; and

at least one medicament positioned within each said cavity prior to firing the stapler, wherein said medicament is different
than said porous material,

wherein said plurality of cavities comprises a plurality of bubbles,
wherein said tissue thickness compensator comprises a first layer and a second layer, and wherein said bubbles are defined
between said first layer and said second layer.

US Pat. No. 9,839,422

IMPLANTABLE LAYERS AND METHODS FOR ALTERING IMPLANTABLE LAYERS FOR USE WITH SURGICAL FASTENING INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A method for producing a biocompatible foam for use with a surgical stapler, said method comprising the steps of:
obtaining a biocompatible polymer comprising a glass transition temperature and a melting temperature;
dissolving said biocompatible polymer in a solvent to produce a solution;
lyophilizing said solution to produce a biocompatible foam;
heating said biocompatible foam to a temperature higher than said glass transition temperature and lower than said melting
temperature;

inserting a space creator into said biocompatible foam in order to define a space in said biocompatible foam;
allowing said biocompatible foam to cool below said glass transition temperature; and
removing said space creator, wherein said biocompatible foam retains said space after removing said space creator.

US Pat. No. 9,839,423

IMPLANTABLE LAYERS AND METHODS FOR MODIFYING THE SHAPE OF THE IMPLANTABLE LAYERS FOR USE WITH A SURGICAL FASTENING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A method for altering a tissue thickness compensator for use with a surgical instrument, said method comprising the steps
of:
obtaining a tissue thickness compensator comprised at least partially from a material including a glass transition temperature
and a melting temperature, wherein said tissue thickness compensator comprises a first shape;

heating said material to a temperature higher than said glass transition temperature and lower than said melting temperature;
applying a modifying member to a tissue-facing side of said tissue thickness compensator;
manipulating said tissue thickness compensator with said modifying member to a second shape different than said first shape
by inducing a localized change in a portion of said tissue thickness compensator in contact with said modifying member;

allowing said material to cool below said glass transition temperature; and
releasing said modifying member from said portion of said tissue thickness compensator.

US Pat. No. 9,839,427

FASTENER CARTRIDGE ASSEMBLY COMPRISING A FIXED ANVIL AND A STAPLE DRIVER ARRANGEMENT

Ethicon LLC, Guaynabo, P...

1. An end effector for a surgical fastening instrument, said end effector comprising:
a frame;
a proximal portion;
a distal end portion;
a first jaw, comprising:
a plurality of fastener cavities;
a first longitudinal slot configured to receive a cutting member;
a first longitudinal row of first fasteners removably stored in said first jaw, wherein said first longitudinal row of first
fasteners extends between said proximal portion and said distal end portion alongside said first longitudinal slot; and

a second longitudinal row of second fasteners removably stored in said first jaw, wherein said second longitudinal row of
second fasteners extends between said proximal portion and said distal end portion alongside said first longitudinal row of
first fasteners;

a second jaw extending fixedly from said frame, wherein said second jaw comprises an anvil configured to deform said fasteners,
wherein said first jaw is movable toward said second jaw, and wherein said anvil comprises a plurality of forming pockets;

a firing member movable toward said distal end portion, wherein said firing member comprises a first portion configured to
engage said first jaw and a second portion configured to engage said second jaw, wherein said second portion comprises a pin
extending laterally from said second portion, wherein said second jaw comprises a second longitudinal slot comprising a T-shaped
opening configured to receive said pin of said firing member, and wherein said T-shaped opening extends behind said forming
pockets corresponding to said first longitudinal row of first fasteners; and

a fastener driver, wherein said fastener driver supports a first fastener from said first longitudinal row and a second fastener
from said second longitudinal row, wherein said first fastener is positioned distally with respect to said second fastener,
wherein said firing member is configured to lift said fastener driver toward said anvil, wherein said fastener driver and
said anvil are configured to co-operate to deform said first fastener to a first fired height and to deform said second fastener
to a second fired height, and wherein said first fired height is shorter than said second fired height to provide a smaller
tissue compression space within said first fastener than said second fastener.

US Pat. No. 9,833,232

LAPAROSCOPIC SUTURING INSTRUMENT WITH PERPENDICULAR ECCENTRIC NEEDLE MOTION

Ethicon LLC, Guaynabo, P...

1. An apparatus, comprising:
(a) a shaft, wherein the shaft has a distal end, wherein the shaft defines a central longitudinal axis; and
(b) an end effector located at the distal end of the shaft, wherein the end effector comprises:
(i) a first needle grasping arm, wherein the first needle grasping arm is operable to selectively grasp and release a suture
needle, and

(ii) a second needle grasping arm, wherein the second needle grasping arm is operable to selectively grasp and release a suture
needle;

wherein the first needle grasping arm is operable to drive the suture needle along a first rotational path having a first
radius, and wherein the second needle grasping arm is operable to drive the suture needle along a second rotational path having
a second radius different than the first radius;

wherein the first radius is greater than the second radius.

US Pat. No. 9,826,965

DEVICES FOR SEALING A BODY LUMEN

Ethicon LLC, Guaynabo, P...

1. A surgical kit, comprising:
a liquid sealant configured to cure into a solidified state;
a sealing cuff having a sidewall with first and second ends removably mated to one another to form an enclosed loop, the sidewall
defining an interior chamber, the sealing cuff having a plurality of openings formed therein, and the sealing cuff being configured
to be disposed around a body lumen such that the interior chamber is sealed between the sidewall and the body lumen to allow
the liquid sealant to be received therein and to directly contact the body lumen; and

a suture extending along an inner surface of the sealing cuff and passing through each of the plurality of openings, the suture
being configured to be detached from the sealing cuff after the sealant has cured into the solidified state and thereby release
the sealant in the solidified state from the sealing cuff.

US Pat. No. 9,826,977

STERILIZATION VERIFICATION CIRCUIT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument control circuit, comprising:
a primary processor;
a safety processor in signal communication with the primary processor; and
a segmented circuit located within a surgical instrument, the segmented circuit comprising a plurality of circuit segments
in signal communication with the primary processor, the plurality of circuit segments comprising a storage and sterilization
verification segment configured to determine that the surgical instrument has been properly stored and sterilized,

wherein the safety processor is configured to prevent operation of at least one of the plurality of circuit segments after
the storage and sterilization verification segment determines that the surgical instrument has been improperly sterilized,

wherein the storage and sterilization verification segment comprises at least one sensor configured to detect one or more
improper storage or sterilization parameters,

wherein the at least one sensor comprises a drop protection sensor, and the safety processor is configured to prevent operation
of at least one of the plurality of circuit segments when the drop protection sensor detects that the surgical instrument
has been dropped,

wherein the segmented circuit comprises an accelerometer, and at least one of the primary processor or the safety processor
is configured to monitor the accelerometer and to transition the segmented circuit to a sleep mode when no movement of the
accelerometer is detected within a predetermined time period.

US Pat. No. 9,827,383

SURGICAL ACCESS DEVICE

Ethicon LLC, Guaynabo, P...

1. A surgical access device, comprising:
a proximal housing, a distal cannula, and a working channel extending through the proximal housing and the distal cannula
that is sized and configured to receive a surgical instrument;

a seal disposed within the proximal housing configured to seal the working channel when no surgical instrument is disposed
therethrough, the seal having an opening extending therethrough and positioned to receive a surgical instrument passed through
the working channel; and

a fluid remover positioned distal of the seal, the fluid remover having an opening extending therethrough and positioned to
receive a surgical instrument passed through the working channel, and the fluid remover being configured such that, when an
instrument occludes the opening in the fluid remover, the fluid remover allows insufflation gas to pass between a proximal
side of the fluid remover and the distal cannula to thereby equalize a pressure on proximal and distal sides of the fluid
remover.

US Pat. No. 9,814,460

MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS

Ethicon LLC, Guaynabo, P...

15. A surgical instrument, comprising:
a handle;
a housing extending from said handle;
a first jaw;
a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a clamped position;
a cartridge body comprising fasteners removably stored therein;
a closure system comprising a closure driver configured to move said first jaw into said clamped position during a closure
stroke;

a closure indicator configured to indicate the position of said closure driver;
a firing system comprising a firing driver configured to perform a firing stroke to eject said fasteners from said cartridge
body; and

a firing indicator configured to indicate the position of said firing driver, wherein said firing indicator and said closure
indicator are viewable via first and second openings on said housing, and wherein said firing indicator is positioned adjacent
to said closure indicator such that the state of said closure stroke and the state of said firing stroke are viewable at the
same time.

US Pat. No. 9,814,514

ELECTROSURGICAL (RF) MEDICAL INSTRUMENTS FOR CUTTING AND COAGULATING TISSUE

Ethicon LLC, Guaynabo, P...

1. An electrosurgical device, comprising:
an end effector comprising:
a first electrode;
a second electrode movable from a first position to a second position when a force is applied to the end effector; and
a channel within which a moveable member is configured to slide to open and close an upper jaw and a lower jaw,
wherein the first electrode and the second electrode define a treatment area when the second electrode is in the second position;
and

a base cap configured to interface with the end effector, the base cap comprising:
an electrode layer configured to provide electrosurgical signals to a tissue section in contact with the base cap, the electrode
layer comprising a direct contact metal electrode configured for direct application of electrosurgical energy to the tissue
section;

a heat sink layer configured to prevent heat transfer between the base cap and the end effector;
a sealing layer configured to seal the base cap;
at least one molded hook configured to interface with at least one overhang formed on the lower jaw of the end effector; and
a flex circuit deposited on the sealing layer,
wherein the electrode layer is connected to a source and return path through the flex circuit,
wherein the heat sink layer is arranged between the electrode layer and the end effector when the base cap interfaces with
the end effector,

wherein the base cap is configured to cover an entire portion of the channel to protect the channel from debris and fouling
during the direct application of electrosurgical energy to the tissue section.

US Pat. No. 9,801,626

MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument system, comprising:
a surgical instrument, comprising:
a first rotary drive system including a first rotary drive shaft including a first drive shaft axis; and
a second rotary drive system independently operable from the first rotary drive system and including a second rotary drive
shaft including a second drive shaft axis that is offset from and parallel with the first drive shaft axis wherein said surgical
instrument system further comprises:

at least one surgical end effector, comprising:
a first end effector drive system including a first end effector driven shaft; and
a second end effector drive system including a second end effector driven shaft
wherein the surgical instrument system further comprises:
means for simultaneously removably and operably coupling the first rotary drive shaft to the first end effector driven shaft
and the second rotary drive shaft to the second end effector driven shaft such that rotation of the first rotary drive shaft
rotates the first end effector driven shaft and rotation of the second rotary drive shaft rotates the second end effector
driven shaft, wherein the means for simultaneously removably and operably coupling the first rotary drive shaft to the first
end effector driven shaft and the second rotary drive shaft to the second end effector driven shaft comprises:

a male coupler on each of the first and second rotary drive shafts; and
a female socket coupler on each of the first and second end effector driven shafts such that when the first drive shaft axis
of the first rotary drive shaft is coaxially aligned with a first driven shaft axis of the first end effector driven shaft
and when the second drive shaft axis of the second rotary drive shaft is coaxially aligned with a second driven shaft axis
of the second end effector driven shaft, the male couplers on the first and second rotary drive shafts are simultaneously
operably insertable into the female socket couplers on the first and second end effector driven shafts, wherein the male couplers
are attached to the first and second rotary drive shafts such that at least one male coupler is angularly movable for a first
predetermined amount of angular travel.

US Pat. No. 9,801,627

FASTENER CARTRIDGE FOR CREATING A FLEXIBLE STAPLE LINE

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge for creating a staple line within tissue, said fastener cartridge comprising:
a cartridge body, comprising:
a proximal end;
a distal end;
a longitudinal slot configured to receive a cutting member; and
a plurality of fastener cavities; and
a plurality of fasteners, wherein said fasteners are removably stored in said fastener cavities, wherein said fasteners and
said fastener cavities are arranged in a pattern which provides flexibility within the staple line, and wherein said pattern
comprises:

a first longitudinal row comprising fasteners oriented in a first direction, wherein said first longitudinal row is adjacent
said longitudinal slot;

a second longitudinal row comprising fasteners oriented in a second direction, wherein said second direction is different
than said first direction, and wherein said second longitudinal row is adjacent said first longitudinal row; and

a third longitudinal row comprising fasteners oriented in a third direction, wherein said third longitudinal row is adjacent
said second longitudinal row.

US Pat. No. 9,795,383

TISSUE THICKNESS COMPENSATOR COMPRISING RESILIENT MEMBERS

Ethicon LLC, Guaynabo, P...

15. An end effector assembly for use with a surgical instrument, the end effector assembly comprising:
a fastener cartridge assembly, the fastener cartridge assembly comprising:
a cartridge body comprising a first longitudinal portion and a second longitudinal portion;
a tissue thickness compensator comprising a plurality of discrete severable tubular lattices, wherein said plurality of discrete
severable tubular lattices are laterally arranged intermediate said first longitudinal portion and said second longitudinal
portion; and

a fastener moveable between an initial position and a fired position, wherein said fastener is configured to engage a portion
of said tissue thickness compensator when said fastener is moved between said initial position and said fired position; and

an anvil.

US Pat. No. 9,788,830

NEEDLE CARTRIDGE WITH CAGE

ETHICON LLC, Guaynabo, P...

1. A needle cartridge adapted to be attached to a receiver on a surgical suturing device, the cartridge comprising:
an arced needle having a leading end, a trailing end, and a length of suture;
a body having a track receiving the needle and defining a circular path;
a needle driver operable to rotate the needle along the circular path;
a cover capturing the needle in the track, the cover having a pair of distally projecting arms; and
a cage that engages and retains the distally projecting arms of the needle cover against the body;
wherein the cage slides relative the body to disengage with the distally projecting arms of the needle cover allowing the
arms to deflect and release the needle from the track.

US Pat. No. 9,788,835

DEVICES AND METHODS FOR FACILITATING EJECTION OF SURGICAL FASTENERS FROM CARTRIDGES

Ethicon LLC, Guaynabo, P...

1. A method for fastening tissue, comprising:
engaging tissue between opposed jaws of an end effector; and
advancing a sled and a shearing element through one of the jaws,
wherein the sled causes a plurality of fasteners frangibly coupled to a carrier to rotate about a pivot point and into the
tissue between the jaws, the fasteners at least partially shearing at the pivot point, and

wherein the shearing element pivots from a first position to a second position relative to one of the jaws and thereby subsequently
shears the fasteners at the pivot point to separate the fasteners from the carrier.

US Pat. No. 9,782,181

SURGICAL CLIP APPLIER METHODS

Ethicon LLC, Guaynabo, P...

1. A method for applying a surgical clip, comprising:
moving a trigger coupled to a housing a first distance toward a closed position to actuate a clip advancing assembly disposed
within the housing, thereby advancing a clip into a jaw assembly formed on a distal end of the elongate shaft; and

further moving the trigger a second distance toward the closed position to actuate a clip forming assembly disposed within
the housing, thereby forming the clip disposed within the jaw assembly, wherein a pliant monolithic feed link coupled between
the trigger the clip advancing assembly flexes during actuation of the trigger such that the trigger moves toward the closed
position without causing distal movement of a feed bar of the clip advancing assembly.

US Pat. No. 9,775,608

FASTENING SYSTEM COMPRISING A FIRING MEMBER LOCKOUT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument system, comprising:
an anvil including a distal end;
a firing member movable toward said distal end;
a firing lockout configured to prevent the movement of said firing member toward said distal end;
a biasing member configured to bias said firing member into engagement with said firing lockout; and
a fastener cartridge assembly, comprising:
a cartridge body comprising a deck and a plurality of fastener cavities;
a plurality of fasteners at least partially positioned within said fastener cavities;
a plurality of fastener drivers, wherein said fastener drivers are configured to eject said fasteners from said cartridge
body;

a tissue thickness compensator positioned relative to said deck; and
a sled movable between a proximal unfired position and a distal fired position during a firing stroke of said firing member,
wherein said sled is configured to lift said fastener drivers and said fasteners toward said anvil when said sled is moved
between said proximal unfired position and said distal fired position, wherein said sled is configured to hold said firing
member out of engagement with said firing lockout when said sled is in said proximal unfired position, wherein said sled is
releasably engaged with said tissue thickness compensator when said sled is in said proximal unfired position, and wherein
said tissue thickness compensator is configured to pull said sled from said proximal unfired position toward said distal fired
position if said tissue thickness compensator is pulled away from said deck prior to said firing stroke.

US Pat. No. 9,737,735

ULTRASONIC SURGICAL APPARATUS WITH SILICON WAVEGUIDE

ETHICON LLC, Guaynabo, P...

1. An ultrasonic core for an ultrasonic surgical apparatus, the core comprising:
a longitudinally elongated, generally planar waveguide constructed from a single crystal or polycrystalline material, the
waveguide including a transduction portion and a distal resonator, the transduction portion and the distal resonator having
the same thickness; and

a transducer structure affixed to the transduction portion of the waveguide;
wherein the distal resonator is configured to vary the magnitude of a mode of ultrasonic vibration created in the transduction
portion and includes a proximal end having first transverse extent, a distal end having a second, lesser transverse extent,
and a body generally narrowing between the first and second transverse extents; and

wherein the edges of the body of the distal resonator are asymmetric with respect to the central longitudinal axis of the
wave guide.

US Pat. No. 9,737,301

MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
a first jaw;
a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other one of the first jaw
and the second jaw between an open configuration and an approximated configuration to capture tissue therebetween;

a cutting member movable during a firing stroke to cut the tissue captured between the first jaw and the second jaw in the
approximated configuration, the cutting member comprising a cutting surface at a distal portion thereof;

a sensing module operable to measure a characteristic of the cutting surface, wherein the sensing module comprises:
an optical sensor that defines an optical sensing region; and
a light source operable to emit a light; and
a cleaning mechanism;
wherein the cutting surface reflects the light emitted by the light source, and wherein the optical sensor is operable to
measure at least one intensity of the reflected light while the cutting surface is advanced through the optical sensing region,
and wherein the cleaning mechanism is configured to clean the cutting surface before the cutting surface enters the optical
sensing region.

US Pat. No. 9,737,302

SURGICAL STAPLING INSTRUMENT HAVING A RESTRAINING MEMBER

Ethicon LLC, Guaynabo, P...

1. A stapling assembly, comprising:
a staple cartridge, comprising:
a channel;
a cartridge body positioned in said channel; and
a plurality of staples removably stored in said cartridge body;
a sled stored in an unfired position, wherein said sled is configured to slide under said staples and eject said staples from
said cartridge body during a staple firing stroke;

an anvil configured to deform said staples;
a firing member configured to advance said sled through said staple firing stroke, wherein said firing member is configured
to engage said anvil and said staple cartridge and hold said anvil and said staple cartridge relative to one another during
said staple firing stroke; and

a restraining member,
wherein said stapling assembly is in an unlocked condition when said sled is in said unfired position, and wherein said restraining
member does not stop said staple firing stroke when said stapling assembly is in said unlocked condition, and

wherein said stapling assembly is in a locked out condition when said sled is not in said unfired position and said staple
firing stroke is initiated, and wherein said restraining member stops said staple firing stroke when said stapling assembly
is in said locked out condition.

US Pat. No. 9,737,303

ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising an implement portion, the implement portion comprising:
a shaft;
an elongate channel coupled to the shaft;
a cartridge body positioned in the elongate channel;
staples removably stored in the cartridge body;
an anvil configured to deform the staples;
a firing device, including:
a distally presented cutting edge;
a lower portion positioned to slidingly engage the elongate channel during a staple firing stroke, comprising:
a lower pin comprising an upper surface configured to abut the elongate channel; and
a middle pin comprising a lower surface configured to opposingly abut the elongate channel; and
an upper portion positioned to slidingly engage the anvil during the staple firing stroke, wherein the lower portion and the
upper portion co-operate to maintain a minimum spacing between the anvil and the elongate channel during the staple firing
stroke; and

a lockout configured to prevent the firing stroke of the firing device if the cartridge body is at least partially spent of
its staples.

US Pat. No. 9,724,089

RECIPROCATING NEEDLE DRIVE WITHOUT CABLES

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:
(a) a housing defining a channel, wherein the channel is configured to receive a needle such that the needle is movable within
the channel, wherein the channel is arcuate;

(b) a drive gear assembly positioned proximate to the needle, wherein the drive gear assembly comprises:
(i) a first gear, and
(ii) a rack, wherein the rack is translatable relative to the housing, wherein the rack comprises a first rack arm, wherein
the first rack arm comprises a longitudinal row of teeth on an interior wall of the first rack arm, wherein the longitudinal
row of teeth are configured to engage the first gear such that the rack is operable to translate to thereby rotate the first
gear; and

(c) a needle driver coupled with the drive gear assembly, wherein the needle driver is configured to engage the needle to
thereby cause orbital movement of an entire length of the needle within the channel of the housing.

US Pat. No. 9,724,091

SURGICAL STAPLING DEVICE

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical instrument, the end effector comprising:
a linear portion;
a first jaw;
a second jaw moveable relative to said first jaw, wherein one of said first jaw and said second jaw comprises a plurality
of staple cavities arranged in a plurality of curved staple cavity rows, and wherein said curved staple cavity rows curve
in a first direction;

a curved path extending between two curved staple cavity rows of said plurality of curved staple cavity rows, wherein said
curved path curves in the first direction; and

a drive assembly extending along at least a portion of said linear portion, wherein said drive assembly comprises a cutting
element structured to travel along said curved path, wherein said cutting element comprises a distal pre-biased cutting edge
structured to lead said cutting element in the first direction.

US Pat. No. 9,750,521

ULTRASONIC BLADE OVERMOLD

Ethicon LLC, Guaynabo, P...

1. An ultrasonic instrument comprising:
(a) an ultrasonic transducer;
(b) an acoustic waveguide in acoustic communication with the ultrasonic transducer, wherein the acoustic waveguide defines
a longitudinal axis, wherein the acoustic waveguide comprises:

(i) a bore extending transversely through the waveguide, wherein the bore defines a bore opening diameter,
(ii) an anchor pin, wherein the anchor pin is insertable through the bore and is operable to secure the acoustic waveguide
relative to the ultrasonic instrument, and

(iii) an acoustic isolator, wherein the acoustic isolator is disposed about the acoustic waveguide and is operable to acoustically
isolate the acoustic waveguide, wherein the acoustic isolator comprises a first opening extending through the isolator, wherein
the opening is configured to receive the anchor pin, wherein the first opening defines a first opening diameter, wherein the
first opening diameter is greater than the bore opening diameter; and

(c) an ultrasonic blade in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable
to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide.

US Pat. No. 9,707,004

SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical device comprising:
an end effector comprising an ultrasonic blade to treat tissue;
a transducer coupled to the end effector and configured to energize the end effector;
a trigger actuatable to cause the end effector to be energized; and
a circuit in communication with the trigger, wherein the circuit is configured to:
determine that a first force is applied to the trigger;
after determining that the first force is applied to the trigger, energize the end effector at a first level;
determine that a second force is applied to the trigger, wherein the second force is greater than the first force; and
after determining that the second force is applied to the trigger, energize the end effector at a second level, wherein, at
the second level, a value for at least one characteristic selected from an amplitude of the end effector or a power delivered
to the end effector is higher than a value for the at least one characteristic at the first level,

wherein the circuit is configured to delay by a first period of time between indicating a change in the force applied to the
trigger from the first force to the second force and a change from driving the end effector at the first level to driving
the end effector at the second level, wherein the first period of time is sufficient to give a user a warning about the change
in the force.

US Pat. No. 9,707,005

LOCKOUT MECHANISMS FOR SURGICAL DEVICES

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:
an end effector having first and second jaws configured to move relative to one another between an open position in which
the first and second jaws are spaced a distance apart from one another and a closed position in which the first and second
jaws are configured to grasp tissue therebetween; and

a handle portion having
a first actuator operatively associated with the first and second jaws and movable between a first position and a second position,
movement of the first actuator from the first position to the second position being effective to move the first and second
jaws from the open position to the closed position, and

a second actuator configured to advance a cutting element distally along the first and second jaws to cut the tissue grasped
therebetween, the second actuator having an opening configured to receive a user's finger; and

at least one blocking member configured to move relative to the second actuator, movement of the first actuator from the first
position to the second position being effective to move the at least one blocking member from an obstruction position in which
the at least one blocking member obstructs the opening of the second actuator so that a user is hindered from actuating the
second actuator, to a firing position in which the at least one blocking member is displaced away from the opening of the
second actuator.

US Pat. No. 9,700,310

FIRING MEMBER RETRACTION DEVICES FOR POWERED SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
a firing member assembly including a portion supported for selective axial movement in a distal direction and a proximal direction;
a drive unit, comprising:
a motor including a motor shaft; and
a gear assembly drivingly coupled to the motor shaft and including an output shaft assembly configured to interface with the
firing member assembly such that upon rotation of the motor shaft in a first rotary direction, the portion of the firing member
assembly is axially driven in the distal direction and upon rotation of the motor shaft in a second rotary direction, the
portion of the firing member assembly is axially driven in the proximal direction;

a retraction assembly interfacing with the firing member assembly for manually applying other rotary motions to the firing
member assembly in the second rotary direction when the motor is deactivated; and

locking means interfacing with the retraction assembly and the drive unit for preventing transfer of the other rotary motions
to the motor shaft during operation of the retraction assembly and while the gear assembly remains drivingly coupled to the
motor shaft;

wherein the surgical instrument further comprises a housing and wherein the motor includes a motor housing and wherein the
gear assembly includes a gear box housing non-movably coupled to the motor housing, the motor housing and the gear box housing
being supported within the housing for rotation relative thereto as a unit upon application of the other rotary motions to
the firing member assembly.

US Pat. No. 9,700,321

SURGICAL STAPLING DEVICE HAVING SUPPORTS FOR A FLEXIBLE DRIVE MECHANISM

Ethicon LLC, Guaynabo, P...

1. A surgical stapler, comprising:
a staple cartridge, comprising:
a curved deck configured to support tissue comprising:
an inner radius of curvature;
an outer radius of curvature;
a first step; and
a second step, wherein said first step is taller than said second step, and wherein said second step is positioned laterally
and inwardly with respect to said first step;

a first longitudinal row of staple cavities defined in said first step;
a second longitudinal row of staple cavities defined in said second step; and
staples removably stored in said first and second longitudinal rows of staple cavities;
an anvil configured to deform said staples;
a first camming member;
a second camming member, wherein said first camming member and said second camming member are configured to control the relative
position of said staple cartridge and said anvil;

a cutting member having a cutting surface, wherein said cutting member is relatively movable with respect to said anvil and
said staple cartridge;

a driver operably engaged with said cutting member to move said cutting member relative to said anvil and said staple cartridge;
and

support means for supporting said driver when said driver moves said cutting member relative to said anvil and said staple
cartridge.

US Pat. No. 9,681,870

ARTICULATABLE SURGICAL INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSING AND FIRING SYSTEMS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
a surgical end effector comprising first and second end effector portions, wherein the second end effector portion is selectively
movable relative to the first end effector portion in a first direction upon application of an opening motion to said second
end effector portion, said second end effector portion being further selectively movable in a second direction upon application
of a closing motion to said second end effector portion;

an elongated shaft assembly defining a longitudinal tool axis and operably coupled to said surgical end effector, said elongated
shaft assembly including an articulation portion for facilitating selective articulation of said surgical end effector relative
to said longitudinal tool axis in said first and second directions upon application of articulation motions to said surgical
end effector;

a firing member operably supported for operable movement within said surgical end effector upon application of firing and
retraction motions thereto;

a firing system configured to selectively apply said firing and retraction motions to said firing member, said firing system
comprising:

a source of said firing and retraction motions;
a first firing bar operably interfacing with said source of said firing and retraction motions and operably attached to said
firing member; and

a second firing bar operably interfacing with said source of said firing and retraction motions and operably attached to said
firing member, said first and second firing bars configured to move axially together and laterally relative to each other
upon application of said firing and retraction motions to said first and second firing bars and wherein said surgical instrument
further comprises:

a closure system configured to selectively apply said opening and closing motions to said first and second end effector portions;
and

an articulation control system for applying said articulation motions to said surgical end effector.

US Pat. No. 9,681,873

ELECTRICAL SURGICAL STAPLING INSTRUMENT WITH TISSUE COMPRESSIVE FORCE CONTROL

Ethicon LLC, Guaynabo, P...

1. A surgical stapling instrument, comprising:
a handle having a stapler-closing device;
a surgical stapling end effector connected to the handle and having a pair of opposing stapling surfaces, at least one of
the stapling surfaces operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing
device to apply a compressive force to tissue therebetween;

a mechanical force switch operable to receive the compressive force applied to the tissue and to switch from a the first electrical
switching state to a second electrical switching state, the first and second electrical switching states being initiated and
changed solely by mechanical movements associated with the received compressive force, the change in electrical switching
states influencing a surgical procedure on the compressed tissue; and

the change in electrical switching states being dependent upon the received compressive force being at least equal to a pre-determined
compressive force, wherein the pre-determined compressive force is a biasing force that retains the mechanical force switch
in the first electrical switching state until the opposing compressive force received upon the mechanical force switch overcomes
the biasing force to change the mechanical force switch to the second electrical switching state.

US Pat. No. 10,098,636

SURGICAL INSTRUMENT HAVING FORCE FEEDBACK CAPABILITIES

Ethicon LLC, Guaynabo, P...

1. A surgical instrument system, comprising:a handle assembly;
a shaft extending from said handle assembly and defining a shaft axis;
an articulation joint;
an end effector attached to said shaft by way of said articulation joint, wherein said end effector is configured to be articulated relative to said shaft axis between a first position and a second position, said end effector comprising:
a first jaw;
a second jaw movable relative to said first jaw;
a staple cartridge comprising a plurality of staples removably stored within said staple cartridge, wherein said staples are configured to be ejected from said staple cartridge; and
an anvil configured to deform said staples;
a motor configured to provide a vibratory force to a user of said surgical instrument system through said handle assembly to signal the user when said end effector moves into said first position and when said end effector moves into said second position; and
a sensor configured to:
sense a first condition of said end effector when said end effector moves into said first position;
sense a second condition of said end effector when said end effector moves into said second position; and
send a signal to said motor indicative of said first condition and said second condition when one of said first condition and said second condition is sensed, wherein said signal comprises one of the group consisting of a square wave signal and a sine wave signal.

US Pat. No. 10,052,102

SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSING FEATURES

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:an elongate shaft assembly defining a shaft axis;
an end effector mounting assembly movably coupled to said elongate shaft assembly for selective articulation between an unarticulated position and articulated positions about an articulation axis that is transverse to said shaft axis;
first and second jaws movably coupled to said end effector mounting assembly such that said first and second jaws are each movable relative to each other and said shaft axis about a common pivot axis between an open position and closed positions, said first jaw comprising a first point and said second jaw comprising a second point wherein said first and second points lie along a common axis that is perpendicular to said shaft axis and wherein said first point is a first distance from said shaft axis when said first jaw is in said open position and wherein said second point is a second distance from said shaft axis when said second jaw is in said open position and wherein said second distance is different from said first distance at least when said end effector is in said unarticulated position;
means for biasing said first and second jaws away from each other to said open position; and
means for applying closure motions to said first and second jaws to move said first and second jaws toward each other to said closed positions, said means for applying closure motions comprising an axially movable end effector closure sleeve configured to simultaneously engage portions of said first and second jaws when said end effector closure sleeve is axially moved in a first direction.

US Pat. No. 9,980,713

ANVIL ASSEMBLIES WITH COLLAPSIBLE FRAMES FOR CIRCULAR STAPLERS

Ethicon LLC, Guaynabo, P...

1. A collapsible anvil assembly for a circular stapling instrument, said collapsible anvil assembly comprising:an anvil plate assembly comprising a plurality of anvil plates movably coupled together for selective movement between a collapsed orientation and an expanded orientation wherein said plurality of anvil plates form an annular staple forming surface when in said expanded orientation;
an anvil shaft including a shaft body and a distal end and a proximal end, said proximal end configured for removable operable attachment to the circular stapling instrument; and
a plurality of anvil support arms, each said anvil support arm comprising a support arm body and a first end that is movably attached to said distal end of said anvil shaft, each said support arm body terminating in a second end, each said anvil support arm movable from an insertion position wherein said second end thereof is adjacent to a portion of said shaft body and an expanded support position wherein said support arm bodies are substantially coplanar with each other, each said second end configured for removable attachment to said anvil plate assembly when said plurality of anvil support arms are in said expanded support position and said anvil plates are in said expanded orientation.

US Pat. No. 9,980,716

METHODS AND DEVICES FOR CREATING TISSUE PLICATIONS

Ethicon LLC, Guaynabo, P...

1. A method of acquiring and fixating tissue, comprising:inserting into a body lumen a tissue grasper, an elongate shaft, and an end effector coupled to the elongate shaft, wherein the end effector has a first jaw that pivots relative to a second jaw in a first plane and about an axis that extends through a proximal end of the first jaw and a portion of the second jaw;
pivoting the first and second jaws in a direction transverse to the first plane such that the first and second jaws move from a first configuration, in which a longitudinal axis of the elongate shaft lies in the first plane, to a second configuration, in which the longitudinal axis of the elongate shaft is transverse to the first plane;
positioning the tissue grasper to engage tissue;
drawing the tissue through the first and second jaws by moving the tissue grasper transversely with respect to the first plane when the first and second jaws are in the second configuration; and
delivering a fastener through the tissue disposed between the first and second jaws from a fastener delivery member coupled to the second jaw;
wherein the first plane is defined by proximal and distal ends of each of the first and second jaws in both the first configuration and the second configuration.

US Pat. No. 9,895,161

ULTRASONIC SURGICAL SHEARS WITH CLAMPING FEATURE

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:
(a) an acoustic waveguide configured to transmit ultrasonic vibration, wherein the waveguide defines a longitudinal axis;
and

(b) an end effector defining a pivot axis, wherein the pivot axis is perpendicular to the longitudinal axis, wherein the end
effector comprises:

(i) an ultrasonic blade in acoustic communication with the acoustic waveguide, wherein the ultrasonic blade comprises:
(A) a first blade region centered about a first vertical axis, wherein the first vertical axis is normal relative to both
the pivot axis and the longitudinal axis, and

(B) a second blade region centered about a second vertical axis, wherein the second vertical axis is parallel with the first
vertical axis, and

(ii) a clamp arm pivotable toward the ultrasonic blade about the pivot axis from an open configuration to a closed configuration,
wherein the clamp arm comprises:

(A) a first clamp arm region corresponding with the first blade region in the closed configuration, wherein the first clamp
arm region is centered about the first vertical axis, and

(B) a second clamp arm region corresponding with the second blade region in the closed configuration, wherein the second clamp
arm region is centered about a third vertical axis, wherein the third vertical axis is parallel to the second vertical axis,
wherein the second vertical axis and the third vertical axis define a lateral distance along a path parallel to the pivot
axis in the closed configuration.

US Pat. No. 9,883,861

RETAINER ASSEMBLY INCLUDING A TISSUE THICKNESS COMPENSATOR

Ethicon LLC, Los Frailes...

1. A stapling system for stapling tissue, comprising:
a cartridge, comprising:
a deck;
staple cavities defined in said deck; and
staples removably stored in said staple cavities;
an anvil configured to deform said staples, wherein said anvil comprises a longitudinal slot configured to receive a firing
member of a surgical instrument; and

an applicator, comprising:
a handle attachable to said cartridge;
a laminate scaffold, comprising:
a film mesh layer;
a fibrous polyglactin layer; and
a polyethylene glycol absorbable polymer adhesive for releasably holding said film mesh layer to said anvil; and
a centrally-disposed alignment feature configured to align said laminate scaffold relative to said anvil,
wherein said applicator is configured to apply said laminate scaffold to the surgical instrument, and wherein said alignment
feature is configured to be received in said longitudinal slot when said laminate scaffold is applied to the surgical instrument.

US Pat. No. 9,844,379

SURGICAL STAPLING INSTRUMENT HAVING A CLEARANCED OPENING

Ethicon LLC, Guaynabo, P...

1. A stapling assembly, comprising:
a frame;
a distal end;
a first jaw comprising a channel;
a channel retainer, wherein said channel is slidably attachable to said channel retainer;
a second jaw extending from said frame;
a plurality of staples;
a staple firing member comprising a first cam configured to engage said first jaw and a second cam configured to engage said
second jaw when said staple firing member is advanced from an unadvanced position toward said distal end, wherein one of said
first jaw and said second jaw comprises a clearanced opening configured to permit said firing member to be unengaged with
one of said first jaw and said second jaw when said firing member is in said unadvanced position; and

a lockout configured to block the advancement of said staple firing member when said channel is not attached to said channel
retainer.

US Pat. No. 9,839,421

JAW CLOSURE FEATURE FOR END EFFECTOR OF SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical instrument, the end effector comprising:
(a) a first jaw;
(b) a second jaw pivotable relative to the first jaw, wherein the second jaw comprises a proximal end, wherein the proximal
end comprises:

(i) a first engagement feature having a first ramped surface on a central portion of the proximal end of the second jaw,
(ii) a second engagement feature having a second ramped surface on at least one side portion of the proximal end of the second
jaw, wherein the second engagement feature is distal to the first engagement feature, and

(iii) a third engagement feature, wherein the third engagement feature comprises a wall extending upwardly from a distal end
of the first ramped surface; and

(c) a closure ring coupled with the second jaw, wherein the closure ring is translatable relative to the first jaw, wherein
the closure ring is configured to first engage the first engagement feature and then engage the second engagement feature
of the second jaw as the closure ring translates distally relative to the first jaw to thereby pivot the second jaw relative
to the first jaw.

US Pat. No. 9,826,976

MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS

Ethicon LLC, Los Frailes...

18. A surgical instrument, comprising:
a motor including a motor output;
a first drive system;
a second drive system;
a transmission assembly in operable engagement with the motor output and being selectively shiftable between a first drive
position wherein the motor output is imparted to the first drive system and a second drive position wherein the motor output
is imparted to the second drive system; and

a locking assembly configured to stop the second drive system when the transmission assembly is in the first drive position,
said locking assembly further configured to stop the first drive system when the transmission assembly is in the second drive
position.

US Pat. No. 9,801,628

SURGICAL STAPLE AND DRIVER ARRANGEMENTS FOR STAPLE CARTRIDGES

Ethicon LLC, Guaynabo, P...

35. A staple cartridge, comprising:
a cartridge body comprising a deck, wherein a plurality of staple cavities are defined into the cartridge body, wherein each
of the staple cavities comprises an opening in the deck;

a plurality of staples removably positioned in the staple cavities, wherein each of the staples comprises:
a base comprising a first end and a second end;
a first leg extending from the first end; and
a second leg extending from the second end; and
a plurality of drivers, wherein at least one of the drivers comprises uneven forming means for purposefully forming the first
leg and the second leg of one of the staples to different formed heights relative to the base.

US Pat. No. 9,801,634

TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER

Ethicon LLC, Guaynabo, P...

1. A staple cartridge, comprising:
a cartridge body, wherein a plurality of staple cavities are defined in the cartridge body;
a plurality of staples removably positioned in the staple cavities;
a firing element configured to traverse at least a portion of the cartridge body during a firing stroke;
a compressible portion releasably secured relative to the cartridge body; and
a plurality of frangible retainers configured to secure the compressible portion relative to the cartridge body, wherein each
frangible retainer extends from a discrete location along the compressible portion to the cartridge body, wherein the frangible
retainers are configured to progressively release the compressible portion from the cartridge body as the firing element traverses
the cartridge body, wherein a first portion of the compressible portion is released from the cartridge body during an initial
portion of the firing stroke, and wherein a second portion of the compressible portion is released from the cartridge body
during a subsequent portion of the firing stroke.

US Pat. No. 9,795,382

FASTENER CARTRIDGE ASSEMBLY COMPRISING A CAM AND DRIVER ARRANGEMENT

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge assembly, comprising:
a cartridge body;
a proximal end;
a distal end;
a plurality of fastener cavities;
a slot configured to receive a cutting member;
a row of first fasteners removably stored in said cartridge body, wherein said row of first fasteners extends between said
proximal end and said distal end along a first side of said slot;

a row of second fasteners removably stored in said cartridge body, wherein said row of second fasteners extends between said
proximal end and said distal end;

a first fastener driver configured to support a first fastener;
a second fastener driver configured to support a second fastener; and
a sled movable toward said distal end, wherein said sled comprises:
a first ramp configured to lift said first fastener driver and said first fastener toward an anvil, wherein the anvil and
said first fastener driver are configured to cooperatively deform said first fastener to a first fired height; and

a second ramp configured to lift said second fastener driver and said second fastener toward the anvil, wherein the anvil
and said second fastener driver are configured to cooperatively deform said second fastener to a second fired height, wherein
said second fired height is different than said first fired height, and wherein said first ramp is positioned distally with
respect to said second ramp.

US Pat. No. 9,795,384

FASTENER CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR AND A GAP SETTING ELEMENT

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge for use with a fastening instrument including an anvil and a longitudinally movable firing member,
said fastener cartridge comprising:
a cartridge body, comprising:
a deck; and
fastener cavities;
fasteners removably stored in said cartridge body in an unfired position, wherein said fasteners are movable into a fired
position;

a compressible tissue thickness compensator positioned on said deck, wherein said fasteners are configured to capture a portion
of said tissue thickness compensator therein when said fasteners are moved from said unfired position to said fired position;
and

a flexible gap-setting element extending from said cartridge body, wherein said gap-setting element establishes a relative
position between the anvil and said tissue thickness compensator, and wherein the firing member contacts said gap-setting
element to cause said gap-setting element to flex toward said deck of said cartridge body when the firing member approaches
a distal end of said cartridge body.

US Pat. No. 9,795,405

SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:
an articulable waveguide configured to transmit ultrasonic energy therealong, the articulable waveguide comprising:
a proximal drive section configured to couple to an ultrasonic transducer;
a distal drive section, wherein the proximal drive section and distal drive section are stiff drive sections;
an end effector positioned at a distal portion of the articulable waveguide;
a first flexible section comprising a flex bias, wherein the first flexible section is positioned between the proximal drive
section and the distal drive section; and

a second flexible section comprising a flex bias, wherein the second flexible section is positioned between the distal drive
section and the end effector; and

a first tine extending longitudinally relative to the articulable waveguide.

US Pat. No. 9,788,834

LAYER COMPRISING DEPLOYABLE ATTACHMENT MEMBERS

Ethicon LLC, Guaynabo, P...

11. A layer for use with a surgical stapler, wherein the surgical stapler includes an anvil configured for a facing relationship
with a staple cartridge, wherein the anvil includes a slot, said layer comprising:
a body configured to be arranged relative to a surface of the anvil of the surgical stapler; and
a deployable attachment member formed in said body, wherein said deployable attachment member is movable between an undeployed
configuration and a deployed configuration, wherein when said deployable attachment member is in the undeployed configuration,
said deployable attachment member is substantially in a plane defined by said body, wherein said deployable attachment member
does not substantially extend from said body of said layer when said deployable attachment member is in the undeployed configuration,
wherein when said deployable attachment member is in the deployed configuration said deployable attachment member extends
from the plane of said body, and wherein in the deployed configuration said deployable attachment member is configured to
engage the slot of the anvil of the surgical stapler.

US Pat. No. 9,775,613

SURGICAL STAPLING DEVICE WITH A CURVED END EFFECTOR

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical instrument, the end effector comprising:
a shaft portion extending along a longitudinal axis;
a first jaw, comprising:
a first intermediate portion; and
a first distal portion; and
a second jaw, wherein one of said first jaw and said second jaw comprises a plurality of staple cavities arranged in a plurality
of curved staple cavity rows, wherein said second jaw is moveable relative to said first jaw between an open orientation,
a partially-closed orientation, and a closed orientation, wherein said second jaw is configured to tilt laterally about the
longitudinal axis, and wherein said second jaw comprises:

a second intermediate portion, wherein said second intermediate portion is brought into facing opposition with said first
intermediate portion when said second jaw is moved to said closed orientation from said partially-closed orientation, and
wherein said second intermediate portion is positioned a range of partially-closed intermediate distances from said first
intermediate portion when said second jaw is in said partially-closed orientation; and

a second distal portion, wherein said second distal portion is positioned a partially-closed distal distance from said first
distal portion when said second jaw is in said partially-closed orientation, and wherein said partially-closed distal distance
is less than said distances in said range of partially-closed intermediate distances.

US Pat. No. 9,730,692

SURGICAL STAPLING DEVICE WITH A CURVED STAPLE CARTRIDGE

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical instrument, the end effector comprising:
a curved staple cartridge, comprising:
a first curved row of staple cavities;
a second curved row of staple cavities;
a plurality of staples, wherein a first quantity of said staples are ejectably stored in the staple cavities of said first
curved row of staple cavities, and wherein a second quantity of said staples are ejectably stored in the staple cavities of
said second curved row of staple cavities; and

a curved slot positioned intermediate said first curved row of staple cavities and said second curved row of staple cavities,
wherein said curved slot extends along a curved path between a proximal portion of said curved staple cartridge and a distal
portion of said curved staple cartridge; and

a sled configured to translate along said slot and eject said staples from said staple cavities during a firing stroke, wherein
said sled comprises:

a first permanently curved camming wedge; and
a second permanently curved camming wedge; and
a permanently curved connector extending between said first permanently curved camming wedge and said second permanently curved
camming wedge, wherein said permanently curved connector connects said first permanently curved camming wedge and said second
permanently curved camming wedge within said curved staple cartridge, wherein said permanently curved connector comprises
a permanent curvature that corresponds to said curved path of said curved slot.

US Pat. No. 9,757,124

IMPLANTABLE LAYER ASSEMBLIES

Ethicon LLC, Guaynabo, P...

1. An end effector for use with a surgical instrument, said end effector comprising:
a staple cartridge, comprising:
a cartridge body;
a plurality of staples;
a longitudinal slot extending longitudinally along a length of said cartridge body, said longitudinal slot comprising a first
side and a second side opposite said first side; and

a cutting member slidably movable along said longitudinal slot; and
an implantable assembly, comprising:
a first layer; and
a second layer, comprising:
a first portion; and
a second portion spaced apart from said first portion, wherein said first layer is attached to said first portion and said
second portion, and wherein said first layer is partially embedded in at least one of said first portion and said second portion.

US Pat. No. 9,713,469

SURGICAL STAPLER WITH ROTARY CAM DRIVE

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:
(a) a body assembly;
(b) a shaft extending distally from the body assembly, wherein the shaft comprises a proximal end and a distal end;
(c) a stapling assembly, wherein the stapling assembly is disposed at the distal end of the shaft, wherein the stapling assembly
selectively moves from an open position to a closed position, and wherein the stapling assembly is operable to drive a plurality
of staples into tissue;

(d) a motor;
(e) a cam assembly coupled with the motor and including a first cam portion and a second cam portion, wherein the motor rotates
the first and second cam portions, wherein the cam assembly further comprises a first cam and a second cam, wherein the first
cam includes the first cam portion, wherein the second cam includes the second cam portion; and

(f) a thing assembly having a distal portion operatively coupled with the stapling assembly, wherein the distal portion of
the firing assembly moves distally from a proximal position to a distal position and thereby drives movement of the stapling
assembly,

wherein the first and second cam portions of the cam assembly engage the firing assembly during rotation of the cam assembly,
wherein the first portion of the cam assembly drives the distal portion of the firing assembly distally toward the distal
position with a first force of a varying longitudinal force profile, and wherein the second portion of the cam assembly drives
the distal portion of the firing assembly further distally toward the distal position with a second force of the varying longitudinal
force profile such that the cam assembly provides the first and second forces to the distal portion of the firing assembly
through the range of distal travel from the proximal position to the distal position, wherein the second portion of the cam
assembly drives the distal portion of the firing assembly after the first portion of the cam assembly drives the distal portion
of the firing assembly, and wherein second force is greater than the first force.