Surgical stapling apparatus with load-sensitive firing mechanism

A surgical stapling apparatus having an end effector capable of performing a surgical procedure. The surgical stapling apparatus may include a driving pawl that interfaces with a manually actuatable handle. The driving pawl may have a pawl body with a driving tooth thereon that is configured to interact with an actuation shaft such that, as the manually actuatable handle is actuated, the driving tooth interacts with the actuation shaft to cause the actuation shaft to apply the actuation motions to an elongated body operably coupled to the end effector. When the end effector experiences a firing load that exceeds a predetermined magnitude of firing load, the driving tooth moves relative to the pawl body to disengage from the actuation shaft to prevent further transfer of the actuation motions to the elongated body even though the manually actuatable handle continues to be actuated.

Replaceable staple cartridge

A stapling device including a replaceable loading unit is provided. The loading unit includes an elongated body and a stapling assembly having a first jaw and a second jaw. The first jaw of the stapling assembly includes an anvil assembly. The second jaw of the stapling assembly includes a releasably mounted cartridge assembly having a detent connection with the stapling assembly. Also provided is a tool for removing facilitating the separation of a replaceable cartridge assembly from a loading unit.

Apparatus for Supplying Surgical Staple Line Reinforcement

An apparatus for supplying surgical buttress material to a surgical stapler is provided. The apparatus has a pivotable area for attaching surgical buttress material. The apparatus may also have an adhesive and a release liner disposed over the buttress material.

Social-topical adaptive networking (STAN) system allowing for group based contextual transaction offers and acceptances and hot topic watchdogging

Disclosed is a Social-Topical Adaptive Networking (STAN) system that can inform users of cross-correlations between currently focused-upon topic or other nodes in a corresponding topic or other data-objects organizing space maintained by the system and various social entities monitored by the system. More specifically, one of the cross-correlations may be as between the top N now-hottest topics being focused-upon by a first social entity and the amounts of focus ‘heat’ that other social entities (e.g., friends and family) are casting on the same topics (or other subregions of other cognitive attention receiving spaces) in a relevant time period.

Selection of keyword phrases for providing contextually relevant content to users

A process is described for assessing the suitability of particular keyword phrases for use in serving contextually relevant content for display on pages of network-accessible sites. In one embodiment, the process involves scoring the key phrases based in part on collected user behavioral data, such as view counts of associated social media content items. A process is also disclosed in which selected keyword phrases on a page are transformed into links that can be selected by a user to view bundled content that is related to such keyword phrases.

MASK ON MONITOR HERNIA LOCATOR

A method of tracking the location of a hernia defect is disclosed, the method including providing a display device, a camera adapted to transmit an image to the display device, a marking surface disposed on the display device and a marker adapted to alter the marking surface when applied to the marking surface. The method includes receiving an image of a hernia defect from the camera and displaying the received image on the display device and marking the shape and position of the hernia defect on the marking surface by applying the marker to the marking surface. Alternatively the display device may be marked by executing by the processor a computer program to mark the shape and position of the hernia defect on the display device.

Expandable fusion device and method of installation thereof

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

System for generating alarms based on alarm patterns

An alarm system can include one or more processors. Such processors can receive physiological parameter data associated with a patient. The one or more processors can also select an alarm pattern based at least in part on an indicator of an attribute of the patient. The alarm pattern can include a plurality of different thresholds and corresponding periods of time. Further, the one or more processors can generate an alarm when a value associated with the physiological parameter data satisfies at least one threshold of the plurality of thresholds for the period of time corresponding to the at least one threshold.

Instrument interface

A mechanical interface for a robotic medical instrument permits engagement of the instrument and a drive system without causing movement of an actuated portion of the instrument. An instrument interface can include a symmetrical, tapered or cylindrical projection on one of a medical instrument or a drive system and a complementary bore in the other of the drive system or the medical instrument. Symmetry of the projection and the bore allows the projection to be compression fit to the bore regardless of the rotation angle of the drive system relative to the medical instrument.

Physiological trend monitor

A physiological trend monitor has a sensor signal responsive to multiple wavelengths of light transmitted into a tissue site. The transmitted light is detected after attenuation by pulsatile blood flow within the tissue site. A processor has an input responsive to the sensor signal and a physiological parameter output. Features are extracted from the physiological parameter output. Criteria are applied to the features. An alarm output is generated when the criteria are satisfied.