ИЗОГНУТЫЙ КОНЦЕВОЙ РАБОЧИЙ ОРГАН ДЛЯ СШИВАЮЩЕГО ИНСТРУМЕНТА

Группа изобретений включает кассету со скобками и концевой рабочий орган хирургического сшивающего инструмента, относится к области медицинской техники и предназначена для использования в области хирургии. Кассета со скобками включает корпус, содержащий пластину, множество первых и вторых полостей для скобок, множество приводных устройств, искривленный продольный проход и сжимаемый компенсатор толщины тканей. Множество первых полостей для скобок расположены вдоль первой кривой, причем указанная первая кривая определяется первым радиусом кривизны, и при этом каждая указанная первая полость для скобок содержит отверстие в указанной пластине. Множество вторых полостей для скобок расположены вдоль второй кривой, причем указанная вторая кривая определяется вторым радиусом кривизны, при этом указанный первый радиус кривизны отличается от второго радиуса кривизны, при этом каждая указанная вторая полость для скобок включает отверстие в указанной пластине. Множество приводных устройств для скобок ...

УСТРОЙСТВО ДЛЯ УДАЛЕНИЯ ТКАНИ

Группа изобретений относится к области медицинских устройств и, в частности, к хирургическим инструментам. Представлено устройство для использования при удалении ткани из органа тела. Устройство содержит переносное зондовое устройство, вращающееся двигательное устройство и соединительный узел, выполненный с возможностью соединения разъединяемым способом переносного зондового устройства с вращающимся двигательным устройством. Переносное зондовое устройство является одноразовым и содержит корпус, имеющий проксимальный и дистальный концы, выполненный с возможностью вращения режущий инструмент, проходящий в дистальном направлении от дистального конца корпуса и выполненный с возможностью резания и удаления ткани во время вращения, и трансмиссионный узел, проходящий в корпусе между проксимальным и дистальным концами и выполненный с возможностью передачи крутящего момента выполненному с возможностью вращения режущему инструменту. Соединительный узел выполнен с возможностью обеспечения взаимодействия ...

ХИРУРГИЧЕСКИЙ ИНСТРУМЕНТ, ПРЕЖДЕ ВСЕГО ЭЛЕКТРОХИРУРГИЧЕСКИЙ ИНСТРУМЕНТ

... 1. Хирургический инструмент, прежде всего электрохирургический инструмент, с элементом (5) управления для приведения в действие по меньшей мере первого (100) и второго функционального узла (200), при этом элемент (5) управления выполнен с возможностью приведения в поступательное и/или вращательное перемещение в пределах диапазона перемещения, при этом посредством перемещения в пределах первого частичного диапазона перемещения является приводимым в действие первый функциональный узел (100), а посредством перемещения в пределах второго частичного диапазона перемещения является приводимым в действие второй функциональный узел (200), при этом предусмотрено пересоединительное устройство таким образом, что вследствие перемещения элемента (5) управления через пересоединительный диапазон между первым и вторым частичным диапазоном может быть прервана кинематическая связь между первым функциональным узлом (100) и элементом (5) управления и установлена кинематическая связь между вторым функциональным ...

ХИРУРГИЧЕСКИЙ АППАРАТ С ВОЗМОЖНОСТЬЮ ЗАПИСИ

... 1. Хирургический аппарат, содержащий: концевой эффектор; рычаг, связанный с концевым эффектором; первый датчик, вырабатывающий выходной сигнал, представляющий первое состояние, по меньшей мере, чего-то одного из группы, состоящей из рычага и концевого эффектора; и запоминающее устройство с внешним доступом, связанное с первым датчиком, при этом запоминающее устройство выполнено с возможностью записи выходного сигнала первого датчика. 2. Хирургический аппарат по п.1, в котором запоминающее устройство содержит выходной порт. 3. Хирургический аппарат по п.1, в котором запоминающее устройство содержит сменный носитель данных. 4. Хирургический аппарат по п.1, в котором хирургический аппарат дополнительно содержит второй датчик, связанный с запоминающим устройством, при этом второй датчик вырабатывает выходной сигнал, представляющий второе состояние, по меньшей мере, чего-то одного из группы, состоящей из рычага и концевого эффектора, причем запоминающее устройство дополнительно выполнено с возможностью ...

Vorrichtung zur Mehrfach-Entnahme von Biopsie-Proben

VORRICHTUNG ZUR WIEDERHOLTEN PROBENENTNAHME MITTELS BEWEGLICHER PROBENRÖHRCHEN

Schere mit Zangenfunktion zum Öffnen von Schraub- und Steckverbindungen (z.B. Luer-Lock)

Arthroskopisches Instrumentarium

Laparoskopie-Zange

Laparoskopie-Zange mit einer Griffanordnung und einem länglichen Schaft (5), wobei der Schaft (5) ein Maulteil (1) aus einer ersten Maulhälfte (2) und einer zweiten Maulhälfte (3) umfasst, welches durch die Griffanordnung betätigbar ist, wobei die erste Maulhälfte (2) und die zweite Maulhälfte (3) über ein gemeinsames Maulgelenk (4) zueinander verstellbar sind, wobei die erste Maulhälfte (2) eine erste Aufrauhung (6) aufweist, welche mit einer zweiten Aufrauhung (7) der zweiten Maulhälfte (3) in Wirkverbindung bringbar ist, wobei ausserdem die erste Maulhälfte (2) eine erste Maulspitze (8) aufweist, welche mit einer zweiten Maulspitze (10) formschlüssig schließbar ist, wobei zwischen der ersten Maulspitze (8) und der ersten Aufrauhung (6) eine erste Verrippung (9) vorhanden ist und zwischen der zweiten Maulspitze (10) und der zweiten Aufrauhung (7) eine zweite Verrippung (11) vorhanden ist, dadurch gekennzeichnet, dass das die erste Maulhälfte (2) eine erste Schneide (12) und die zweite ...

Handgriff für ein medizinisches Instrument

Ein Handgriff (10) für ein medizinisches Instrument (12), das zwei unabhängig voneinander bewegliche Maulteile (14, 16) aufweist, weist einen Handgriffkörper (28) auf, an dem zwei unabhängig voneinander bewegliche Griffteile (30, 32) zum wahlweisen Betätigen der Maulteile (14, 16) angeordnet sind. Am proximalen Ende des Handgriffkörpers (28) ist ein Daumen-Griffteil (34) angeordnet, das einen Daumenring (38) aufweist. Die beweglichen Griffteile (30, 32) sind distal von dem Daumen-Griffteil (34) beabstandet am Handgriffkörper (28) angeordnet und stehen seitlich von diesem ab. Das Daumen-Griffteil (34) ist um eine Handgrifflängsachse (36) relativ zu den beweglichen Griffteilen (30, 32) drehbar, so daß das eine und das andere bewegliche Griffteil (30, 32) abwechselnd in eine mit dem Daumen-Griffteil (34) jeweils eine scherenartig bedienbare Griffanordnung bildende Stellung bewegbar ist.

CHIRURGISCHES WERKZEUG

VORRICHTUNG ZUR ANWENDUNG EINES VERFAHRENS VON ENDOLUMINALER FUNDOPLIKATION

Minimally invasive hip arthroplasty techniques and apparatus

GEWEBEBEFESTIGUNGS AND CUT INSTRUMENT

A DEVICE FOR SEIZING AND/OR SEPARATING

REPAIR OF THE MITRAL OR TRIKUSPIDKLAPPE

EQUIPMENT TO GESAMTRESEKTION AN ORGAN

VERSCHLUSSVORRICHTUNG FOR FABRIC PARTINGS WITH MAGAZINE-FED RAMMING SYSTEM

SURGICAL INSTRUMENT TO ARTERIENINNENHAUTENTFERNUNG

DEVICE FOR THE PRODUCTION OF ENDOCHONDRALEN OR OSTEOCHONDRALEN DRILLINGS

DEVICE FOR THE USE OF A PROCEDURE OF MORE ENDOLUMINALER FUNDOPLIKATION

SURGICAL DEVICE

Surgical Instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures

SURGICAL INSTRUMENTS AND METHODS FOR PERFORMING TONSILLECTOMY, ADENOIDECTOMY, AND OTHER SURGICAL A surgical instrument (10) includes a housing (20), a shaft (80) extending therefrom, an end effector assembly (100) supported by the shaft (80), a movable handle (40), and a drive assembly (140). The drive assembly (140) includes a translatable drive member (142) for actuating the end effector assembly (100), and a torsion spring (160) including first and second legs (161, 162). The first leg (161) is configured to translate through the housing (20) in response to movement of the movable handle (40) relative to the housing (20). The second leg (162) is configured to translate through the housing (20) in cooperation with the first leg (161) to move the drive member (142) longitudinally when a force acting on the drive member (142) is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring (160) and retaining the drive member (142) in fixed position ...

Disposable laparoscopic morcellator

Surgical Instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures

SURGICAL INSTRUMENTS AND METHODS FOR PERFORMING TONSILLECTOMY, ADENOIDECTOMY, AND OTHER SURGICAL A surgical instrument (10) includes a housing (20), a shaft (80) extending therefrom, an end effector assembly (100) supported by the shaft (80), a movable handle (40), and a drive assembly (140). The drive assembly (140) includes a translatable drive member (142) for actuating the end effector assembly (100), and a torsion spring (160) including first and second legs (161, 162). The first leg (161) is configured to translate through the housing (20) in response to movement of the movable handle (40) relative to the housing (20). The second leg (162) is configured to translate through the housing (20) in cooperation with the first leg (161) to move the drive member (142) longitudinally when a force acting on the drive member (142) is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring (160) and retaining the drive member (142) in fixed position ...

Surgical snare

Embodiments of the invention provide a surgical snare structure in which the material used for the snare and the deployment mechanism of the snare are configured to improve the cutting efficacy of the snare. In particular, the surgical snare structure of the invention may omit the kink or nib present in the loop of known surgical snares and/or may provide a reaction surface against which the cutting action of the snare is effective. The surgical snare of the invention may be a cold, i.e. mechanical-only effect, snare, or may be used in conjunction with radiofrequency (RF) and/or microwave energy to enhance a cutting or coagulation effect.

TISSUE PUNCTURE CLOSURE DEVICE WITH MAGAZINE FED TAMPING SYSTEM

The present invention is directed to methods and apparatus for sealing a puncture or incision formed percutaneously in tissue separating two internal portions of the body of a living being with an anchor, a sealing plug and a filament connecting the anchor and sealing plug. The method and apparatus provide a magazine fed tamping system for automatic tamping and/or cinching of the sealing plug when the apparatus is withdrawn from the puncture site. The automatic tamping and/or cinching is facilitated by transducing a motive force generated by the withdrawal of the apparatus into a tamping and/or cinching force.

SYSTEMS, IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, devices and tools for transvaginally accessing a posterior region of pelvic anatomy, devices (including certain types of implants, anchors, and tools) for connecting (e.g., adjustably) a vaginal apex to a region of sacral anatomy to provide support to the vaginal apex, and related methods.

ANASTOMOSIS DEVICE AND METHOD OF USING THE SAME

The present invention provides an anastomosis device which includes an elongate center pin having proximal and distal ends. The proximal end is configured to be graspable using a grasping tool. A grip mechanism is located at the distal end for crimping a suture. The device includes an outer sleeve having a passageway therethrough to receive therein the elongate center pin. A suture having a suture needle is attached to a first end of the center pin and a second end of the suture is formed into a pre-formed knot mounted on the sleeve. The device includes a suture release mechanism having a passageway extending therethrough to receive the outer sleeve therein. The suture release mechanism slides along the sleeve between a first position in which the suture release mechanism is spaced from the distal end and a second position such that movement of the suture release mechanism from the first position to the second position dislodges the pre-formed knot off the sleeve. A free end of the suture ...

FLEXIBLE ENDOSCOPIC CATHETER WITH LIGASURE

An endoscopic forceps is disclosed including an end effector assembly having two jaw members movable from a first position in spaced relation relative to one another to at least a second position closer to one another for grasping tissue therebetween. Each of the jaw members is connectable to an electrosurgical energy source for conducting energy through tissue held therebetween. The jaw members are biased to the first position. The end effector assembly of the endoscopic forceps further includes a wire snare having a proximal end connectable to an electrosurgical energy source and a distal end translatably extending out of one of the jaw members and operatively associated with the other of the jaw members. In use, withdrawal of the proximal end of the wire snare results in movement of the jaw members from the first position to a second position and clamping of the tissue between the jaws.

TISSUE PUNCTURE CLOSURE DEVICE WITH SCROLL GEAR TRANSMISSION TAMPING SYSTEM

Methods and apparatus for sealing a puncture or incision formed percutaneously in tissue separating two internal portions of the body of a living being with an anchor, a sealing plug and a filament connecting the anchor and sealing plug are disclosed. The methods and apparatus provide for automatic tamping of the sealing plug. In addition, a scroll gearset changes gear ratio as it transduces a retraction force into a sealing plug tamping force.

ROBOTIC DEVICES AND SYSTEMS FOR PERFORMING SINGLE INCISION PROCEDURES AND NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGICAL PROCEDURES, AND METHODS OF CONFIGURING ROBOTIC DEVICES AND SYSTEMS

A surgical device or system (200), and a method are provided. The surgical system (200) may include an end-effector assembly (340) and an arm assembly (235, 330, 233, 360). The end-effector assembly (340) may include a first instrument assembly having a first instrument (342) and a first instrument driven portion (342a) configurable to be driven to move the first instrument (342) relative to a first axis (A). The arm assembly (330, 360) may include a first arm assembly body (330') and a second arm assembly body (360'), a first arm assembly joint portion (350) for joining the first and second arm assembly bodies (330', 360'), a first instrument drive assembly, and a first arm assembly drive assembly. The first instrument drive assembly may include a first integrated motor (332) and a first instrument drive portion (332a) controllable by the first integrated motor (332) to drive the first instrument driven portion (342a). The first arm assembly drive assembly may include a second integrated ...

SURGICAL INSTRUMENTS AND METHODS OF USE

Surgical instruments suitable for use during surgical procedures. The surgical instruments include first and second halves coupled together at a pivot so that the halves define a handle and functional portions at proximal and distal ends of the instrument, respectively. The functional portion terminates at a blunt distal end and includes scissors, a base section disposed between the scissors and blunt distal end and having a first clamping feature, a tapering section disposed between the first clamping feature and blunt distal end and having gripping features, and opposing tips disposed between the tapering section and distal end of the instrument and having second clamping features.

INSERTABLE ENDOSCOPIC INSTRUMENT FOR TISSUE REMOVAL WITH RETRACTABLE TOOL AT CUTTING TIP

An endoscopic instrument includes an outer cannula and an inner cannula disposed within the outer cannula, a tool channel, a retractable tool, and a retractable tool actuator. The tool channel is defined within a radial wall of the outer cannula or positioned adjacent to the radial wall of the outer cannula. The retractable tool includes a distal tip and sized to fit within the tool channel. The retractable tool actuator is configured to move, responsive to actuation of the retractable tool actuator, the retractable tool along the tool channel from a first position in which the distal tip of the retractable tool is within the tool channel to a second position in which the distal tip of the retractable tool extends beyond a distal end of the outer cannula.

SURGICAL CLIP APPLIER WITH INTEGRATED CUTTER

A surgical clip applier is provided including a housing, at least one handle pivotably connected to the housing, an outer support channel extending distally from the housing, a drive channel sliadably disposed within the outer support channel, a jaw assembly including a first and second pair of jaws extending from an end of the outer support channel in a parallel configuration, and an integrated cutting mechanism disposed within a gap defined between the first and second pair of jaws. The jaw assembly is capable of effectuating formation of a pair of clips disposed within a respective first and second pair of jaws in response to movement of the at least one handle and the cutting mechanism is independently operable of the at least one handle. At least one jaw member of each of the pair or jaws includes a curved distal end. A method of operating same is also provided.

SUTURE MANIPULATING AND CUTTING IMPLEMENT

An implement for cutting a portion of a length of a suture during a surgical procedure includes an elongated shaft having an elongated shaft with a recess open slot for receiving the suture, the slot including a bend. The implement further includes a tubular cutting member enclosing the elongated shaft. The implement has an open position, in which the shaft projects outwardly of the tubular cutter member to expose the slot for receiving a suture; an intermediate position, in which the tubular cutter member covers the bend of the slot; and a closed position, in which the shaft is drawn into the tubular cutting member such that a portion of ends of the suture arc cut off.

SUTURING LOADING UNIT

A suturing end effector includes a first jaw member, a second jaw member, and a helical needle. The first and second jaw members are moveable relative to one another between open and closed configurations. Each of the first and second jaw members defines a first row of wells that define a helical path when the first and second jaw members are in the closed configuration. The helical needle is rotatable through the helical path between retracted and extended positions. The helical needle is configured to draw a suture through tissue between the first and second jaw members when the helical needle is rotatably advanced through the helical path and configured to be independently moveable relative to the suture when retracted from the advanced position to the retracted position.

MULTIFUNCTIONAL DEVICE FOR EXPLORATION AND/OR INTERVENTION, ESPECIALLY FOR MEDICAL USE

L'invention concerne un dispositif multifonctions d'exploration et/ou d'intervention, notamment à usage médical, comprenant un corps de poignée creux (1) prolongé d'un cathéter principal (6), et un chariot (10) monté coulissant le long du corps de poignée (1), relié à un instrument par un lien mécanique (14) s'étendant dans le cathéter principal (6). Selon l'invention, au moins un chariot intermédiaire (19) est monté coulissant le long du corps de poignée (1), chacun des dits chariots intermédiaires comportant un appendice logé dans le corps de poignée (1) au travers d'une fenêtre longitudinale (17), dans le prolongement duquel est solidarisé un cathéter secondaire s'étendant dans le cathéter principal (6). De plus, un chariot annexe (32) est monté coulissant le long de chaque chariot intermédiaire (19), chacun des dits chariots annexes étant relié à un instrument par un lien mécanique s'étendant dans le cathéter secondaire.

SURGICAL CLIP APPLIER WITH DISSECTOR

A surgical clip applier is provided including a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, the jaw assembly adapted to accommodate a clip of a plurality of clips loaded in the clip applier and being operable to effect formation of the clip in response to movement of the at least one handle; and a dissector bar supported on the housing and the channel assembly, wherein the dissector bar is actuatable from the housing and includes a proximal position wherein a distal end of the dissector bar is disposed proximal of a distal-most end of the jaw assembly, and at least one distal position wherein the distal end of the dissector bar projects beyond the distal-most end of the jaw assembly.

SURGICAL STAPLING INSTRUMENTS

Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple- forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.

MOTOR DRIVEN ELECTROSURGICAL DEVICE WITH MECHANICAL AND ELECTRICAL FEEDBACK

An electrosurgical device comprises an end effector, a cutting member, and en electromechanical driver. The end effector comprises a pair of jaws that clamp tissue. The jaws include electrodes that deliver RF energy to clamped tissue. The cutting member cuts tissue clamped between the jaws. The electromechanical driver drives the cutting member. A control module commands the electromechanical driver, and regulates the delivery of RF energy to the electrodes, based on a combination of user input and feedback signals from the electrodes and from the electromechanical driver. The device may provide tactile feedback to the user through the user input feature, based on a load encountered by the cutting member. The device may alert the user when the exterior of end effector makes incidental contact with tissue, to avoid inadvertently burning the tissue. The device may include a removable battery pack to power the electromechanical driver and the electrodes.

APPARATUSES AND METHODS FOR CUTTING A TISSUE BRIDGE AND/OR REMOVING A HEART VALVE CLIP OR SUTURE

A medical device (1;70) for safely and effectively removing a clip or a suture from a heart valve is operable in association with a guidewire (16; 84) for positioning the device in proximity to the heart valve. The apparatus may include a blade (26) for cutting a tissue bridge (5) including the clip and an arrangement for removing the tissue bridge from the heart valve. The apparatus may include two arms (22, 24) that secure the clip. The blade may be deployed to core out a central portion of a tissue bridge, including the clip or the suture, from the heart valve. The blade may be activated by an actuator (3). A retrieval member may be configured to capture the tissue bridge and the clip or suture after excision by the blade.

MOVEABLE SAMPLE TUBE MULTIPLE BIOPSY SAMPLING DEVICE

An instrument for obtaining tissue samples from a site deep within the body. The instrument has an elongated proximal portion and a distal portion to sever and remove a tissue sample from the body. The instrument includes a retractor and jaws (14) for severing and retracting multiple tissue samples within the instrument.

MULTIFUNCTIONAL INSTRUMENT WITH INTERCHANGEABLE OPERATING UNITS FOR PERFORMING ENDOSCOPIC PROCEDURES

An endoscopie instrument includes a forceps unit (11) for being positioned within an anatomical cavity and a removable operating unit (13). The forceps unit includes a housing (12), an outer tubular member (14), an intermediate member (16), and a handle mechanism (24,26) coupled with at least one of the intermediate and outer tubular members for creating relative movement between the intermediate and outer tubular members. The outer tubular member has a proximal end mounted by the housing and terminates distally at a distal end. The intermediate member has a tubular body disposed telescopically within the outer tubular member, a proximal end mounted by the housing and an integral one-piece distal end defining a pair of opposed jaws (18, 20) resiliently biased apart such that relative movement of the outer tubular member distal end over the jaws causes the jaws to close. The operating unit includes a hub (33) mounting an inner tubular member removably disposed at least partly within the ...

MULTI-FUNCTION SURGICAL INSTRUMENT TOOL ACTUATOR ASSEMBLY

A tool actuating assembly for a mufti-function surgical instrument is disclosed. The tool actuating assembly of the present invention can be utilized in a variety of differently configured multi-function surgical instruments and can be embodied in various physical configurations. The tool actuating assembly of the present invention provides for more efficient use of the tools of the instrument by the surgeon who is utilizing the instrument.

TRANSABDOMINAL DEVICE FOR PERFORMING CLOSED-CHEST CARDIAC SURGERY

Surgical apparatus and devices are provided for performing closed chest cardiac surgery. A multi-lumen substantially tubular channel is inserted transabdominally to gain access to either the pleural or mediastinal space for the purposes of achieving less invasive cardiac surgery, more particularly complete revascularization CABG surgery directly on the beating heart. The said channel includes provisions for setting heart positioning and orienting devices, coronary artery stabilization devices, cannulae, catheters and sensors. The channel also has a provision such as designated multiple lumens and compliant seals for the introduction and preservation of pressurized gases within the accessed cavity. The principles and design features can be utilized in beating heart bypass surgery, valvular surgery, and general cardiac repair surgery by providing a means of introducing desired materials, surgical instruments, instrumentation into the accessed cavities.

ZWEISCHENKLIGES FORMING OF JOINTS INSTRUMENT FOR USE IN THE SURGERY.

Trokarset, in particular for eye surgery rear portion, and protective cap therefor.

Die Erfindung betrifft ein Trokarset (trocar assembly), insbesondere für die Augenhinterabschnittschirurgie, beinhaltend ein Instrument zum Setzen eines Schnitts, das Instrument beinhaltend wenigstens einen Stiel (11) mit einer an einem ersten Ende (15) des Stiels (11) in Verlängerung des Stiels (11) ausgebildeten Nadel (19) mit einer Spitze (25), einen Tubus (21), welcher auf der Nadel (19) aufgesteckt bzw. aufsteckbar ist, eine Schutzkappe (13) aufsetzbar auf das erste Ende (15) des Stiels (11) zum Abdecken von Nadel (19) und Tubus (21), insoweit dieser auf der Nadel (19) aufgesetzt ist, und ein Markierungselement (31) zum Markieren einer Einstichstelle. Im Weiteren betrifft die Erfindung eine Schutzkappe (13) für einen Trokar. Erfindungsgemäss ist vorgesehen, dass das Markierungselement (31) auf der Schutzkappe (13) angeordnet ist und/oder dass die Schutzkappe kappenrandseitig zwei voneinander beabstandete, im Wesentlichen in Längsrichtung der Schutzkappe (13) zueinander parallel ausgerichtete ...

Rotary actuatable closure arrangement for surgical end effector

For the fluid applied to the surgical instrument of the uas characteristic structure

COMBINATIONAL SCISSOR-GRASPER TOOL FOR USE IN LAPAROSCOPY

SEPARABLE HARMFUL GAS INHALATOR FOR LAPAROSCOPIC SURGERY INSTRUMENT

The present invention relates to a separable harmful gas inhalator for laparoscopic surgery instrument. More specifically, the present invention comprises: a head part attached to the front end of a surgery instrument to inhale harmful gas generated from a procedure of cutting and burning a lesion or conducting hemostasis from the affected area; a hose part extended from the rear end of the head part to a predetermined length and connected with an extra inhaling device to continuously collect and move the harmful gas inhaled through the head part; and a flow rate control valve installed in a side of the hose part to enable a user to control a flow rate of the harmful gas. The head part is made of a shape-changeable and shape-recoverable material to be matched with various surgery instruments regardless of size as well as adding a tube type structure including a combination hole penetrating the center in a longitudinal direction to be penetrated by the surgery instrument. COPYRIGHT KIPO ...

FLEXIBLE CIRCUIT ARRANGEMENT FOR SURGICAL FASTENING INSTRUMENTS

DIRECT DRIVE ENDOSCOPY SYSTEMS AND METHODS

Disclosed herein are various systems and methods for facilitating control of a tool or tools. The systems can allow a user to control multiple degrees of freedom. One such system allows a user to control multiple degrees of freedom of two tools simultaneously. Another such system allows a user to control multiple degrees of freedom with a single hand. Frames and rails for supporting and/or constraining movement of a tool or tools are also described herein.

TUBULAR SHAFT INSTRUMENT

The invention relates to a tubular shaft instrument for separating tissue. In conventional tubular shaft instruments the clean separation of tissue poses a problem. In practice, it is often the case that e.g. as a result of wear to the blade, the tissue is severed by the active force rather than by the action of the blade. The cut edges are also deformed accordingly. The invention relates to a tubular shaft instrument that guarantees a significantly more reliable, cleaner separation of tissue. To achieve this, in contrast to conventional cutting devices, the blade is not displaced through the fixed tissue, but glides over the latter until a complete separation is determined.

MINIMALLY INVASIVE SURGICAL END-EFFECTOR COMBINING SCISSORS, HOOK AND GRASPER

The use of single-functional instruments during Minimally Invasive Surgical (MIS) procedures, where each instrument is capable of performing only one particular function, requires the surgeon to make a lot of instrument swaps during one operation to carry out all the required functions. This results in increased operation times and increased danger of hitting the human organs unnecessarily. To overcome this problem, efforts have been made towards combining a number of end-effectors in one instrument to produce a multi-functional instrument. This invention, nicknamed UMMISEF (for University of Malta Minimally Invasive Surgical End-Effector) aims to contribute in this direction through the design of a novel laparoscopic instrument which combines the underlying working principle of three commonly used MIS end-effectors, namely the scissors, hook and grasper in one multi-functional instrument. The novelty of this invention lies mainly in the particular combination that is used, which will help ...

LAPAROSCOPIC STAPLING DEVICE

A surgical stapling instrument (1) for laparoscopic manipulation of tissue in a patients body comprises a support shaft (4), a handle (2) connected to a proximal end (3) of the support shaft (4), a staple fastening assembly (5) connected to a distal end (6) of the support shaft (4) and having a curved cartridge (10) and a curved anvil (11) adapted to cooperate with the cartridge (10) for clamping the tissue and forming the ends of staples exiting from the cartridge (10). The support shaft (4) comprises a curved shaft segment (7) formed between a proximal shaft segment (8) and a distal shaft segment (9) so that a longitudinal axis (D-D) of the distal shaft segment (9) and staple fastening assembly (5) is inclined with respect to a longitudinal axis (P-P) of the proximal shaft segment (8).

ENDOLUMINAL FUNDOPLICATION DEVICE AND RELATED METHOD

A distal assembly of an endoscopic surgical device, and a related method, having a first arm and a second arm pivotal relative to the first arm. Each arm is configured to hold a part of a two-part fastener at a distal end of the arm. A closing mechanism is positioned proximate a proximal end of each of the first and second arms opposite the distal end of each of the first and second arms. The closing mechanism is configured to move in relation to the first and second arms so as to close over at least one of the first and second arms to cause the distal ends of the arms to come together. An actuation member is also attached to the closing mechanism actuable to cause the closing mechanism to move in relation to the first and second arms.

SURGICAL SUTURING AND GRASPING DEVICE

An end effector for a suturing and grasping device includes a stationary jaw member, a suturing jaw member, and a grasping jaw member. The suturing jaw member is selectively movable relative to the stationary jaw member to drive a suturing needle between the suturing jaw member and the stationary jaw member. The grasping jaw member is selectively movable relative to the stationary jaw member to grasp tissue between the stationary jaw member and the grasping jaw member.

Surgical apparatus and method for performing transabdominal cardiac surgery

An intervention is performed on a target anatomic structure of a patient body by first altering the configuration of the diaphragm through displacement or puncturing of the latter, in order to create a passageway leading into the thoracic cavity. An implement is introduced into the thoracic cavity through the passageway. The implement is then used while extending through the passageway to alter a biological tissue of the target structure or manipulate the latter. Optionally, a separating component having a peripheral wall encompassing a component channel is introduced into the passageway for receiving the implement and separating the latter from the non-target anatomic structure.

Medical gripping instrument and method for using this medical gripping instrument

The invention relates to a medical gripping instrument, especially for use in microlaryngoscopy, comprising a longitudinal shaft (2) on whose distal end a pincer part (3) is arranged, which can be moved between a closed and an opened position. A handle consisting of a fixed handle part (6a) and of a handle part (6b) that can pivot in relation to the fixed handle part (6a) is arranged on the proximal end of said shaft (2). The pincer part (3) is moved via a push/pull rod (8), which is mounted in the shaft (2) and which is connected to a pivotal handle part (6b). The gripping instrument also comprises a spreading part (4), which can be tilted from the shaft (2). The aim of the invention is to create a gripping instrument of the aforementioned embodiment, which is not only simple in its structure and easy to be manipulated, but also ensures a protection of the tissue to be preserved. The said medical gripping instrument is characterized in that the spreading part (4), which can be pivoted ...

Mitral and tricuspid valve repair

A novel approach to mitral or tricuspid valve repair involves the performance of an edge-to-edge fastening/securing of opposing heart valve leaflets through a catheter entering the heart. Thus, a device is introduced including a leaflet fastener applicator through a cardiac catheter or other suitable catheter. The leaflet fastener applicator and cardiac catheter can be formed into a kit. A gripper can be used to hold the heart valve leaflets while they are fastened.

Laparoscopic instrument

A laparoscopic instrument includes an elongated member having two pairs of jaws with each pair being movable between open and closed positions. Finger grips are operably connected to each pair of jaws for actuating each pair of jaws between their open and closed positions.

Methods and stabilized instruments for performing medical procedures percutaneously without a trocar

A piercing device for use with an essentially rigid medical instrument having a proximal portion and a distal portion including working means for performing some medical procedure in an internal portion of the body of a living being. The piercing device comprises a guide member having a handle at the proximal end. The guide member comprises an elongated trough shaped, U-shaped, sidewall having an inner surface, and a distal end in the form of a piercing tip. The device is arranged to be held so that the piercing tip can be pierced through the skin and at least a portion of the underlying tissue to form a trough shaped percutaneous puncture. The tissue contiguous with the puncture engages the inner and outer surfaces of the sidewall to form a generally fluid tight interface therebetween. The working means of the instrument can be readily slid along the inner surface of the guide member after the device has formed the percutaneous puncture so that the working means passes through the trough ...

Multi-tool surgical apparatus

A multi-tool surgical apparatus is provided which includes a handle assembly, a body portion extending from the handle assembly and a plurality of different tool assemblies operatively associated with the body portion and actuable independent from one another each for performing a different surgical task during endoscopic or laparoscopic procedures. Preferably, a first surgical tool is operatively associated with a distal end of the body portion and a second surgical tool is operatively associated with a medial section of the body portion.

Device or apparatus for manipulating matter

The present invention accordingly provides a device or apparatus for manipulating matter in a confined or inaccessible space, comprising manipulator means at least partly constructed of one or more bent or twisted elongate shape memory alloy members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the shape memory alloy member(s) in a relatively straightened state, and actuating means for extending the shape memory alloy member(s) from the housing to manipulate matter within the said space and for withdrawing the shape memory alloy member(s) into the housing, the arrangement being such that the shape-memory alloy member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the said manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the said temperature.

Systems and methods for controlling a segmented circuit

A powered surgical instrument is disclosed comprising a housing, an elongate shaft extending from the housing, and an end effector extending from the elongate shaft. The end effector is configured to perform at least one end effector function. The powered surgical instrument further comprises a motor and a segmented circuit. The segmented circuit comprises a plurality of circuit segments configured to control the powered surgical instrument. The powered surgical instrument further comprises a power source configured to supply each one of the plurality of circuit segments with a different voltage. The powered surgical instrument further comprises a boost converter configured to provide an increased voltage to one of the plurality of circuit segments when current draw in another of the plurality of circuit segments exceeds a predetermined value.

Snare for removing tumor

Disclosed herein is a snare (transparent cap) for removing a polyp which includes a stalk and a head connected to the stalk, wherein the snare includes: a body having a hollow tubular shape and an interior of which is partitioned into a plurality of chambers; a ring mounted to at least part of the body using elasticity; a first snare discharged outside the body through a first chamber among the plurality of chambers and hooks the stalk; and a second snare which is discharged outside the body through a second chamber among the plurality of chambers, wherein when the stalk is spread according to pulling the first snare that hooks the stalk, and the second snare pulls a first portion in a lower end of the stalk as spread including the head, the ring is discharged from the body and shrinks through the elasticity and then fixes the first portion.

CONTROL CONSOLE FOR SURGICAL DEVICE WITH MECHANICAL ARMS

A control console for control of a medical surgical device comprising at least one surgical mechanical arm, which control console comprising: a control console base; at least one user support coupled to said control console base; a processor configured to receive data regarding a selected surgical configuration of said at least one surgical mechanical arm and at least one camera; an input arm support coupled to said control console base; at least one input arm comprising a plurality of sections sequentially coupled by joints, coupled to and extending from said input arm support where a direction of extension of said input arm, with respect to said at least one user support is adjustable to match an input arm configuration to said selected surgical configuration, a camera view of said at least one surgical mechanical arm thereby corresponding to a user view of said input arm.

Dual-function medical instrument

A dual-use medical instrument is disclosed. In one embodiment, the instrument has a first handle pivotally attached to a second handle through a mortise and tenon joint to define opposing jaws at the distal end of the surgical instrument, each of the opposing jaws including a distal gripping portion, at least one longitudinally disposed cutting edge situated between the distal gripping portion and said mortise and tenon joint, wherein at least one longitudinal cutting edge is adjacent to said mortise and tenon joint. The instrument can function as a combination needle holder and surgical scissors.

Hydrodynamic suture passer

A hydrodynamic suturing instrument, comprises a elongated cannulated suturing needle having a distal end configured to carry a suture through tissue and a proximal end adapted to connect to a syringe barrel and a lumen extending from said proximal end to an opening at the distal end for having a size for the passage of a suture, and the opening at the distal end configured to receive a suture extending from the lumen along an outer surface of the needle wherein a sharp point extends forward of the suture. A companion instrument includes forceps having a distal end with jaws and a proximal end with a lumen extending from the proximal end to the distal end for passage of the needle, and the jaws having an opening enabling passage of the needle through tissue grasped in the jaws.

STAPLING INSTRUMENT COMPRISING A TISSUE DRIVE

A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, a plurality of staple cartridges, and an end effector comprising a tissue compression surface and an anvil comprising staple forming pockets, wherein the anvil is movable toward the tissue compression surface during a closing motion. The surgical stapler further comprises an anvil closing system configured to move the anvil through the closing motion, a staple firing system configured to deploy the staple cartridges along a path, and means for gripping the patient tissue and creating relative movement between the end effector and the patient tissue to re-position the end effector along the path.

SURGICAL DEVICE

An endoscopic surgical device for an endoscopic surgical procedure includes a slotted clear cannula with a tubular body having a distal end, a proximate end and a slot extending longitudinally therethrough. A pair of wings near the proximal end of the slotted clear cannula extend outward from the tubular body. The tubular body is made from a transparent material. The slotted clear cannula may be part of an endoscopic surgical blade assembly in which the cannula is attached to a housing enclosing a blade slidably oriented in the cannula. A kit comprising the endoscopic surgical device and a method for a performing a uniportal endoscopic surgical procedure using the endoscopic surgical device are also described.

Multi-Pronged Tweezer

A multi-pronged tweezer is an apparatus that provides a variety of tips in order to effectively remove or position small items. The apparatus includes an elongated tweezing body, a first tip pair, a second tip pair, a third tip pair. The elongated tweezing body further includes a first tweezing arm, a second tweezing arm, a stabilizing tweezing arm, first tweezing end, and a second tweezing end. The first tweezing arm and the second tweezing arm position and orient the first tip pair, the second tip pair, and the third tip pair. The first tweezing arm and the second tweezing arm serve function as levers as the stabilizing tweezing arm transversally connects in between the first tweezing arm and the second tweezing arm. The first tip pair is slanted tip pair, the second tip pair is a straight tip pair, and the third tip pair is a pointed tip pair.

Flexible endoscopic catheter with ligasure

An endoscopic forceps is disclosed including an end effector assembly having two jaw members movable from a first position in spaced relation relative to one another to at least a second position closer to one another for grasping tissue therebetween. Each of the jaw members is connectable to an electrosurgical energy source for conducting energy through tissue held therebetween. The jaw members are biased to the first position. The end effector assembly of the endoscopic forceps further includes a wire snare having a proximal end connectable to an electrosurgical energy source and a distal end translatably extending out of one of the jaw members and operatively associated with the other of the jaw members. In use, withdrawal of the proximal end of the wire snare results in movement of the jaw members from the first position to a second position and clamping of the tissue between the jaws.

Incision-less laparoscopic instrument

A laparoscopic instrument is placed into the abdomen without the creation of a skin incision. The laparoscopic instrument includes a shaft that does not exceed 1.6 mm in diameter. The shaft has a beveled end and is inserted into an abdomen similar to the placement of a needle, without use of a scalpel. Operating instruments are introduced into the abdomen through the umbilical port using a docking device, and are then docked to the beveled end of the shaft after the shaft is introduced through the abdomen. Multiple types of operating instruments can be placed on the beveled end of the shaft during the surgical procedure. Each operating instrument is docked with a holster during introduction into and withdrawal from the umbilical port and is removed from the holster only when in use. When removed from the holster it is locked to the shaft and cannot be dropped.

MEDICAL INSTRUMENTS FOR PERFORMING MINIMALLY-INVASIVE PROCEDURES

Apparatus for performing a minimally-invasive procedure, the apparatus comprising: a tool comprising: a shaft having a distal end and a proximal end; a handle attached to the proximal end of the shaft; and an end effector attached to the distal end of the shaft; wherein the shaft comprises a flexible portion extending distally from the proximal end of the shaft, and an articulating portion extending proximally from the distal end of the shaft, and wherein the articulating portion comprises a flexible spine; wherein a plurality of articulation cables extend through the shaft from the handle to the flexible spine, such that when tension is applied to at least one of the plurality of articulation cables, the flexible spine bends; wherein a rotatable element extends through the shaft from the handle to the end effector, such that when the rotatable element is rotated, the end effector rotates; and wherein an actuation element extends through the shaft from the handle to the end effector, such that when the actuation element is moved, the end effector is actuated. 1. Apparatus for performing a minimally-invasive procedure , the apparatus comprising: a shaft having a distal end and a proximal end;', 'a handle attached to the proximal end of the shaft; and', 'an end effector attached to the distal end of the shaft;', 'wherein the shaft comprises a flexible portion extending distally from the proximal end of the shaft, and an articulating portion extending proximally from the distal end of the shaft, and wherein the articulating portion comprises a flexible spine;', 'wherein a plurality of articulation cables extend through the shaft from the handle to the flexible spine, each of the plurality of articulation cables having an articulation cable housing disposed about the articulation cable such that when tension is applied to at least one of the plurality of articulation cables, the flexible spine bends, with the articulation cable housings providing a counterforce to the ...

METHODS AND DEVICES FOR MANIPULATING AND FASTENING TISSUE

Stomach tissue is manipulated and fastened with a tissue grasper and a tissue shaper to form folds in the stomach. The tissue grasper and the tissue shaper rotate and translate relative to one another. The tissue grasper has a plurality of vacuum orifices to adhere the tissue grasper to tissue.

SURGICAL INSTRUMENTS AND METHODS FOR PERFORMING TONSILLECTOMY, ADENOIDECTOMY, AND OTHER SURGICAL PROCEDURES

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force.

Surgical instrument having recording capabilities

CURVED END EFFECTOR FOR A STAPLING INSTRUMENT

TWO-STAGE SNARE-BASKET MEDICAL DEVICE

SINGLE FOLD DEVICE FOR TISSUE FIXATION

Hand-held surgical device and tools for use therewith

The present invention relates to a hand-held endoscopy assembly for use in performing a medical procedure comprising a hand-held endoscopy device (31) having a bore (122) extending therethrough. A surgical tool is removably mounted in the bore (122) and is retained in a fixed longitudinal position within the device (31) while permitting rotation of the tool in the device (31). A valve (136) in the bore (122) establishes a substantially fluid-tight seal between the bore (122) and the tool.

Ultrasonic clamp coagulator apparatus having dual rotational positioning

An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. Rotational positioning of an elongated portion and end-effector is achieved by the provision of a clutch mechanism incorporated into a housing apparatus. The arrangement permits the elongated portion to be rotatably positioned with respect to the apparatus housing and permits rotation of a the end-effector relative to the elongated portion.

SURGICAL STAPLING DEVICE WITH SLEEVE TO IMPROVE GRASPING CAPABILITY

A surgical device includes gripping sleeves that can be secured to jaws of the surgical device to allow the device to function as a grasper. The gripping sleeves include nonslip surfaces which are brought into juxtaposed alignment with each other when the surgical device is moved from an open position to a clamped position to clamp tissue between the nonslip surfaces of the gripping sleeves.

ГИБКИЙ ПРИВОДНОЙ ЭЛЕМЕНТ

Группа изобретений относится к медицинской технике, а именно к гибкому приводному элементу. Хирургический инструмент содержит стержень, концевой эффектор и пусковой привод. Пусковой привод содержит вращающийся первичный вал и гибкий вторичный вал. Вращающийся первичный вал содержит резьбовую передающую часть, причем первичный вал может вращаться в первом направлении и во втором направлении. Гибкий вторичный вал содержит резьбу, функционально зацепленную с резьбовой передающей частью. Гибкий вторичный вал содержит продольную ось, причем гибкий вторичный вал ограничен в повороте вокруг продольной оси. Вращающийся первичный вал выполнен с возможностью поступательного перемещения гибкого вторичного вала к концевому эффектору при повороте вращающегося первичного вала в первом направлении. Вращающийся первичный вал выполнен с возможностью поступательного перемещения гибкого вторичного вала от концевого эффектора при повороте вращающегося первичного вала в втором направлении. Гибкий вторичный ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ АППАРАТ С ШАРНИРНО ЗАКРЕПЛЕННЫМ УПОРОМ

Группа изобретений относится к медицинской технике, а именно к хирургическим инструментам, в частности к хирургическим рассекающим и сшивающим аппаратам и используемым в них скобочным блокам, предназначенным для рассечения ткани и сшивания ее скобками. Хирургический сшивающий аппарат выполнен с возможностью приема скобочного блока, содержащего скобки, причем хирургический сшивающий аппарат содержит рукоять, ствол, опорную браншу и браншу упора. Рукоять содержит спусковой механизм и пусковой узел. При этом спусковой механизм выполнен с возможностью приведения в действие пускового узла. Ствол продолжается из рукояти, при этом ствол содержит ножедержатель, функционально соединенный с пусковым узлом. Ножедержатель содержит кулачок, режущую кромку и концевой зажим. Концевой зажим включает проксимальный конец и дистальный конец. Опорная бранша содержит опорную поверхность, смещающую направляющую. Опорная поверхность выполнена с возможностью поддержки скобочного блока, при этом опорная поверхность ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ АППАРАТ С ШАРНИРНО ЗАКРЕПЛЕННЫМ УПОРОМ

... 1. Хирургический сшивающий аппарат, выполненный с возможностью приема скобочного блока, содержащего скобки, причем упомянутый хирургический сшивающий аппарат содержит:рукоять, содержащую спусковой механизм ии пусковой узел, при этом упомянутый спусковой механизм выполнен с возможностью приведения в действие упомянутого пускового узла;ствол, продолжающийся из упомянутой рукояти, при этом упомянутый ствол содержит ножедержатель, оперативно соединенный с упомянутым пусковым узлом, при этом упомянутый ножедержатель содержит:кулачок;режущую кромку иконцевой зажим, содержащийпроксимальный конец,дистальный конец;опорную браншу, содержащую:опорную поверхность, выполненную с возможностью поддержки скобочного блока, при этом упомянутая опорная поверхность образует опорную плоскость; исмещающую направляющую, образованную вдоль оси поперечной по отношению к упомянутой опорной плоскости; ибраншу упора, содержащую:ведомый механизм, принимаемый с возможностью скольжения в упомянутой смещающей направляющей ...

CHIRURGISCHES ULTRASCHALLWERKZEUG

GEWEBEBEFESTIGUNGS- UND SCHNEIDEINSTRUMENT

STREIFENFÖRMIGES IMPLANTAT

KOAGULATIONS-/SCHNEIDKLEMMENSYSTEM FÜR CHIRURGISCHE ULTRASCHALLINSTRUMENTE

Chirurgisches Instrument bestehend aus einer Nadelhalter-Scheren-Kombination

Implant and delivery system for soft tissue repair

Manufacturing electrosurgical instruments

Handheld surgical device having retractable portion

Surgical stapler with floating anvil

A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.

Endoluminal fold creation

Devices and methods are provided for forming one or more plications in the walls of a body cavity. In particular, endoscopic devices and methods are provided for forming and/or securing endoluminal tissue folds to reduce the volume of the gastric cavity. An end effector that includes a tissue receiving cavity can be delivered to a desired surgical site to allow a tissue fold to be formed within the tissue receiving cavity. A fastener can be used to secure the adjacent layers of tissue that form the tissue fold. The tissue folds can be effective to limit the stomach's capacity and create a feeling of satiety.

Endoluminal fold creation

Devices and methods are provided for forming one or more plications in the walls of a body cavity. In particular, endoscopic devices and methods are provided for forming and/or securing endoluminal tissue folds to reduce the volume of the gastric cavity. An end effector that includes a tissue receiving cavity can be delivered to a desired surgical site to allow a tissue fold to be formed within the tissue receiving cavity. A fastener can be used to secure the adjacent layers of tissue that form the tissue fold. The tissue folds can be effective to limit the stomach's capacity and create a feeling of satiety.

Surgical retrieval device radially deployable from a collapsed position to a snare or cauterization loop

A surgical instrument featuring a combination cauterizing and surgical capture component. The instrument is deployable from a distal end of a lumen to a first position partially exposing a cauterizing loop and having restrained radially deployable members wherein a plurality of cauterizations may be performed with said cauterizing loop in an unobstructed view of a camera or lens. The instrument is deployable to a second position fully translated from the lumen whereafter the plurality of radially positionable members may be released by activation of a release member allowing the biased members to deploy radially around an axis running through the loop.

Robotically-controlled surgical instrument with force-feedback capabilities

A surgical instrument. Various embodiments of the surgical instrument include an end effector that has a moveable cutting implement. A main drive shaft assembly operably interfaces with the end effector for transmitting an actuation motion to the movable cutting implement therein. A gear drive train is connected to the main drive shaft assembly. The gear drive train is actuated by a motor that is configured to receive control signals from a robotic system. Various embodiments include a sensor arrangement that operably interfaces the end effector to communicate forces experienced by the end effector to the robotic system.

Surgical Snare with Electrosurgical Tip and Method of Use

A medical device includes a tissue dissector and a snare loop on a common shaft. At least the distal tip of the snare loop is energizable to function as an electrosurgical element for tissue dissection. In use the snare loop is partially extended from the shaft to expose the electrosurgical element for electrosurgical dissection, and the snare loop is fully extended from the shaft to deploy the snare loop for retrieval and positioning of an implant such as a gastric banding device. The snare loop may be deployed through a pair of jaws also mounted on the shaft for use in tissue dissection.

Cardiac Electrosurgery

Devices and methods are disclosed for providing access to the pericardial cavity while reducing risk of myocardial damage. The methods include maintaining the positions of a puncture device and of a portion of a parietal pericardium relative to one other while delivering energy from the puncture device to create a channel through the pericardium. Additional embodiments disclosed include delivering a pulse or pulses of energy to the parietal pericardium and attempting to advance the puncture device through the parietal pericardium between deliveries of energy pulses.

Surgical instrument having force feedback capabilities.

A surgical instrument. The surgical instrument has a force delivery system which communicates a changing force to a user of the surgical instrument when a limit of a surgical function is reached. A sensor senses position of a moving element to communicate a signal to the force delivery system. In various embodiments, the system generates a vibratory force to signal the user.

Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment

Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

Surgical instrument for grasping and cutting tissue

A surgical instrument for cutting and grasping tissue comprising a handle assembly, an elongated member and first and second jaws. A first movable member moves the second jaw in a first direction about a first pivot axis in a grasping action and a second movable member moves the second jaw in a second direction different than the first direction and about a second pivot axis in a cutting action. A switch is positioned at the proximal portion of the instrument and a selecting member is actuated by movement of the switch, the selecting member movable between a first position to enable movement of the second jaw in the first direction and prohibit movement in the second direction and a second position to enable movement of the second jaw in the second direction and prohibit movement in the first direction.

Circumferential Full Thickness Resectioning Device

An apparatus for performing endoluminal anastomosis of an organ comprises an operative head including an endoscope receiving lumen for slidably receiving a flexible endoscope therein, the operative head including an annular tissue receiving space extending around a circumference of a distal end thereof and a stapling mechanism for firing staples around an entire circumference of the tissue receiving space and a tissue gripping mechanism for drawing into the tissue receiving space a portion of tissue extending around an entire circumference of the organ.

Apparatus and method for endoscopic colectomy

Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned in between the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

Endoscopic Tissue Separator Surgical Device

An endoscopic tissue separator surgical device and method. The device has a multi-lumen shaft having proximal and distal ends, a central lumen for accepting an endoscope, and at least two fluid lumens, with a head coupled to the distal end of the shaft and a handle coupled to the proximal end. The head has an endoscope port and at least two fluid ports whose centers are all disposed along an arcuate line of curvature, while the handle has at least two fluid supply ports. Gas and fluid may be conveyed through the shaft from the handle to the head in the at least two fluid lumens separate from the lumen for accepting an endoscope. At least one lumen of the multi-lumen shaft may house a stainless steel tube with an inside diameter of sufficient size to accept an endoscope. 1. An endoscopic tissue separator surgical instrument comprising:a shaft having proximal and distal ends;a head coupled to the distal end of the shaft, the head having an endoscope port and at least two fluid ports, each of the ports characterized by a center; and a valve link pivotably connected to the linear flow valve; and', 'a piston connected to the valve link, the piston having a cone-shaped portion and including a return mechanism, wherein when the flow valve moves in the direction towards the distal end, the flow valve pivots in the direction towards the distal end with respect to the valve and varies the degree of engagement of the piston., 'a linear flow valve for metering flow of gas between the gas supply port and the at least two fluid ports on the head, the linear flow valve comprising, 'a handle coupled to the proximal end of the shaft, the handle including a gas supply port and a fluid supply port in fluid communication with the at least two fluid ports on the head and wherein the handle further comprising2. The endoscopic tissue separator of claim 1 , further comprising an endoscope for providing coupling between the distal and proximal ends of the shaft.3. The endoscopic tissue ...

HEMOSTATIC CLIP WITH NEEDLE PASSER

A device for treating a tissue opening includes a proximal portion including an elongated flexible member, a capsule releasably coupled to a distal end of the flexible member and including a lumen extending therethrough and a clip including a pair of arms movably housed within the capsule. A suture extending along a first one of the pair of arms and including a loop at a distal end thereof extending across an opening extending through the first one of the pair of arms. A suture grabbing element extending laterally from a second one of the pair of arms and including a hook so that, when the pair of arms are moved toward a closed configuration, the hook extends through the opening to grab the loop and draw the distal end of the suture from the first one of the pair of arms toward the second one of the pair of arms. 1. A device for treating a tissue opening , comprising:a proximal portion including an elongated flexible member;a capsule releasably coupled to a distal end of the flexible member, the capsule extending longitudinally from a proximal end to a distal end and including a lumen extending therethrough;a clip including a pair of arms movably housed within the lumen of the capsule such that the pair of arms are movable between an open configuration and a closed configuration, the pair of arms being biased toward the open configuration such that when the pair of arms are moved distally with respect to the capsule, distal ends of the pair of arms are separated from one another to receive target tissue therebetween;a suture extending along a first one of the pair of arms and including a loop at a distal end thereof, the loop extending across an opening extending laterally through the first one of the pair of arms; anda suture grabbing element extending laterally from a second one of the pair of arms toward the first one of the pair of arms and including a hook so that, when the pair of arms are moved toward the closed configuration, the hook extends through the ...

Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features

The present disclosure provides a surgical cartridge assembly including a proximal end, a distal end, and an elongate channel. The elongate channel includes a base and at least one opening within the base. The surgical cartridge assembly further includes a cartridge body configured to be removably received within the elongate channel and a slot configured to receive a cutting member. In addition, the surgical cartridge assembly includes at least one lockout tab extending from the proximal end of the cartridge body, wherein the at least one lockout tab is configured to cover the at least one opening when the cartridge body is received within the elongate channel, and wherein the at least one lockout tab disables a lockout mechanism to allow the cutting member to advance distally through the slot.

METHOD AND APPARATUS FOR PERCUTANEOUS DELIVERY AND DEPLOYMENT OF A CARDIOVASCULAR PROSTHESIS

Catheter apparatuses and methods are provided for repairing heart valves, particularly mitral valves. The method includes providing a catheter having an elongate, flexible body, with a proximal end and a distal end. The distal end can be transluminally advanced from the left atrium through the mitral valve and along the left ventricular outflow tract into the ascending aorta. A valve repair device is deployed to permanently connect leaflets at a mid-section of a mitral valve while permitting medial and lateral portions of the natural leaflets to open and close. The valve repair device detachably connects the distal and proximal ends of the catheter. 1. A method of performing a procedure in the heart , comprising:providing a catheter having an elongate flexible body, a proximal end, a distal end, and a procedure zone, spaced proximally apart from the distal end, proximal and distal portion of the catheter being separable from the procedure zone;advancing the catheter antegrade through the mitral valve, through the aortic valve and into the aorta, such that the procedure zone is positioned upstream from the aortic valve;performing a procedure from the procedure zone;separating at least one of the proximal portion and the distal portion from the procedure zone; andseparately removing the proximal and distal ends of the catheter from the patient.2. (canceled)3. (canceled)4. A method of performing a procedure in the heart as in claim 1 , wherein the procedure zone comprises a fastening device configured to opening carried by the catheter.5. A method of performing a procedure in the heart as in claim 4 , wherein the fastening device is configured to capture adjacent edges of the valve to create a double orifice in the valve.6. A method of performing a procedure in the heart as in claim 5 , wherein the fastening device comprises a clip having proximal and distal portions detachably coupled to the proximal and distal portions of the catheter.7. A method of performing a ...

SURGICAL INSTRUMENT WITH SEQUENTIAL CLAMPING AND CUTTING

A surgical fastening instrument including a handle portion, an elongated portion, an end effector and a clamp is disclosed. The elongated portion extends distally from the handle portion. The end effector includes a pair of jaws having a tissue contacting surface disposed substantially transverse to the longitudinal axis of the elongated portion. The end effector is disposed adjacent a distal end of the elongated portion, and at least one of the jaw members is movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween. The clamp has a clamping surface extending substantially transversely from an elongated member and has a height exceeding a height of the elongated member to extend adjacent a side surface of the jaw containing the plurality of fasteners. The clamp is movable from a proximal position to a distal position for engaging body tissue. 1. A surgical instrument comprising:an elongated portion defining a longitudinal axis and having a width extending transverse to the longitudinal axis;a first jaw member disposed in mechanical cooperation with the elongated portion;a second jaw member disposed in mechanical cooperation with the elongated portion, wherein the first jaw member is movable between an open position and an approximated position in relation to the second jaw member; anda clamp disposed adjacent the first jaw member and being movable relative to the first jaw member and the second jaw member, the clamp including a clamping surface having a width extending transverse to the longitudinal axis, the width of the clamping surface exceeding the width of the elongated portion.2. The surgical instrument according to claim 1 , wherein the first jaw member is movable in a linear direction relative to the second jaw member.3. The surgical instrument according to claim 1 , wherein the clamp is movable in a linear direction relative to the first jaw member.4. The surgical instrument according to ...

Method and device for the percutaneous release of the a1 pulley in the hand

A method and device for the percutaneous release of the A1 pulley in the hand, as the triggering of the associated tendon can occur at the A1 pulley in the hand. A blade/hook construct is provided to release the A1 pulley and subsequently confirm the release. The blade and hook are disposed about opposite ends of an elongated shaft, allowing the tool to be used for both cutting and confirming the release of the A1 pulley in the hand. The blade assembly is adapted to avoid damage to adjacent structures, such as nerves and arteries. Advantageously, the A1 pulley may be cut in a distal-to-proximal or proximal-to-distal manner and the percutaneous skin incision may be made centered over the mid-portion of the A1 pulley, or it may be made more proximal or distal.

FEATURES TO PROMOTE REMOVAL OF DEBRIS FROM WITHIN ULTRASONIC SURGICAL INSTRUMENT

An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source. 1. An instrument , comprising:(a) an ultrasonic blade, wherein the ultrasonic blade defines a distal opening, wherein the ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade, wherein the ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade;(b) a first fluid port in communication with the distal opening of the ultrasonic blade;(c) an irrigation member positioned adjacent to the distal end of the ultrasonic blade;(d) a second fluid port in communication with the irrigation member; and (i) couple the first fluid port with a fluid source,', '(ii) couple the first fluid port with a suction source, and', '(iii) couple the second fluid port with the fluid source., '(e) a fluid communication assembly, wherein the fluid communication assembly is configured to2. The instrument of claim 1 , further comprising a clamp arm claim 1 , wherein the clamp arm is pivotable toward and away from the ultrasonic ...

Electrosurgical Pericaridial Puncture

Devices and methods for providing access to the pericardial cavity while reducing risk of myocardial damage. One method includes using an apparatus to apply pressure to a parietal pericardium, retracting the apparatus, and puncturing the parietal pericardium by delivering electrical energy using a puncture device. Another method includes moving a portion of parietal pericardium away from a surface of myocardium of the heart and puncturing the parietal pericardium by delivering electrical energy using a puncture device. The methods may include a step of confirming that the puncture device is at least partially within the parietal cavity by injecting or aspirating fluid through a lumen in the puncture device or measuring the pressure or electrical impedance at the distal end of the puncture device. 121.-. (canceled)22. A method of accessing a pericardial cavity of a heart comprising:a. using an apparatus to apply pressure to a parietal pericardium;b. retracting the apparatus; andc. puncturing the parietal pericardium by delivering electrical energy using a puncture device.23. The method of claim 22 , further comprising the step of advancing the puncture device through the apparatus.24. The method of claim 22 , further comprising a step of confirming that the puncture device is at least partially within the pericardial cavity.25. The method of claim 24 , wherein the step of confirming that the puncture device is at least partially within the pericardial cavity comprises injecting a contrast fluid into the pericardial cavity through a lumen of the puncture device.26. The method of claim 24 , wherein the step of confirming that the puncture device is at least partially within the pericardial cavity comprises aspirating fluid from the pericardial cavity through a lumen of the puncture device.27. The method of claim 24 , wherein the step of confirming that the puncture device is at least partially within the pericardial cavity comprises measuring electrical impedance at a ...

METHOD AND APPARATUS FOR PERCUTANEOUS DELIVERY AND DEPLOYMENT OF A CARDIOVASCULAR PROSTHESIS

Catheter apparatuses and methods are provided for repairing heart valves, particularly mitral valves. The method includes providing a catheter having an elongate, flexible body, with a proximal end and a distal end. The distal end can be transluminally advanced from the left atrium through the mitral valve and along the left ventricular outflow tract into the ascending aorta. A valve repair device is deployed to permanently connect leaflets at a mid-section of a mitral valve while permitting medial and lateral portions of the natural leaflets to open and close. The valve repair device detachably connects the distal and proximal ends of the catheter. 119.-. (canceled)20. A mitral valve prosthesis , comprising:an elongate arcuate body having a proximal end and a distal end;a base disposed between the proximal and distal ends of the elongate body;an arcuate anterior leaflet grasping element articulated at the distal end of the elongate body, the arcuate anterior leaflet grasping element being movable between an open position and a closed position; andan arcuate posterior leaflet grasping element articulated at the distal end of the elongate body, the arcuate posterior leaflet grasping element being movable between an open position and a closed position.21. The mitral valve prosthesis of claim 20 , wherein when the posterior leaflet grasping element is in the closed position the posterior leaflet grasping element is received in a space at least partially bounded by the base.22. The mitral valve prosthesis of claim 21 , wherein a flush surface is provided between the base and side surfaces of at least one of the anterior and poster leaflet grasping elements.23. The mitral valve prosthesis of claim 20 , wherein a lumen and a pneumatic actuator are disposed in the base for actuating at least one of the anterior and poster leaflet grasping elements.24. The mitral valve prosthesis of claim 23 , wherein a first lumen and a first pneumatic actuator is disposed in the base for ...

SURGICAL INSTRUMENT HAVING FORCE FEEDBACK CAPABILITIES

A surgical instrument. The surgical instrument has a force delivery system which communicates a changing force to a user of the surgical instrument when a limit of a surgical function is reached. A sensor senses position of a moving element to communicate a signal to the force delivery system. In various embodiments, the system generates a vibratory force to signal the user. 115-. (canceled)16. A surgical instrument system , comprising:a handle assembly;a shaft extending from said handle assembly and defining a shaft axis;an articulation joint; 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; and, '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 comprisinga 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.17. The surgical instrument system of claim 16 , wherein said first position is indicative of an articulation limit of said end effector.18. The surgical instrument system of claim 16 , wherein said vibratory force comprises a variable force.19. The surgical instrument system of claim 16 , wherein articulation of said end effector is actuated by said motor.20. The surgical instrument system of claim 16 , wherein said second jaw comprises said anvil.21. The surgical instrument system of claim 16 , further comprising a sensor configured to:sense a first condition of said end effector when said end effector moves into said first position;sense a ...

TENDON STRIPPER

A tendon stripper according to an exemplary aspect of the present disclosure includes, inter alia, a shaft including a tip tapering to a point at the distal end of the shaft, and a retention structure moveable between an open position and a closed position to capture and retain a tendon relative to the tip. The tip arrangement increases the ease of separating a tendon from adjacent muscle tissue. 1. A tendon stripper , comprising:a shaft including a tip tapering to a point at the distal end of the shaft; anda retention structure moveable between an open position and a closed position to capture and retain a tendon relative to the tip.2. The tendon stripper as recited in claim 1 , wherein the tip tapers to a rounded point.3. The tendon stripper as recited in claim 1 , wherein the tip tapers to a sharp point.4. The tendon stripper as recited in claim 1 , wherein the point is coincident with a centerline of the shaft.5. The tendon stripper as recited in claim 1 , wherein the retention structure is a hook.6. The tendon stripper as recited in claim 5 , wherein the hook is provided entirely in a common plane containing a centerline of the shaft.7. The tendon stripper as recited in claim 6 , further comprising a handle claim 6 , the shaft projecting distally from the handle claim 6 , wherein the handle includes a trigger provided in the common plane claim 6 , and wherein movement of the trigger moves the hook between the open and closed positions.8. The tendon stripper as recited in claim 7 , wherein movement of the trigger in the distal direction moves the hook to the open position.9. A tendon stripper claim 7 , comprising:a shaft including a tip provided at a distal end of the shaft; anda retention structure moveable between an open position and a closed position to capture and retain a tendon relative to the tip, wherein the retention structure is provided entirely in a common plane containing a centerline of the shaft.10. The tendon stripper as recited in claim 9 , ...

APPARATUS FOR HYDRAULIC ASSISTED FRACTURE OF LIVER PARENCHYMA

A surgical instrument and method of operating on a tissue includes a shaft assembly and an end effector. The end effector extends in a longitudinal direction from the shaft assembly and has a first jaw, a second jaw, and a deformable hydraulic member. The second jaw is movably mounted relative to the first jaw and is configured to transition between an open configuration and a closed configuration. The first and second jaws are thus configured to have the tissue positioned therebetween in the closed configuration. The deformable hydraulic is configured to contain a fluid. With the fluid contained in the deformable hydraulic member, the deformable hydraulic member is configured to sever the tissue positioned between the first and second jaws in the closed configuration. 1. A surgical instrument , comprising:(a) a shaft assembly; and (i) a first jaw,', '(ii) a second jaw movably mounted relative to the first jaw and configured to transition between an open configuration and a closed configuration such that the first and second jaws are configured to have tissue positioned therebetween in the closed configuration, and', '(iii) a first deformable hydraulic member extending longitudinally and positioned adjacent to at least one of the first and second jaws, wherein the first deformable hydraulic member is configured to contain a fluid,', 'wherein the first deformable hydraulic member with the fluid contained therein is configured to fracture the tissue positioned between the first and second jaws in the closed configuration., '(b) an end effector extending in a longitudinal direction from the shaft assembly, the end effector comprising2. The surgical instrument of claim 1 , wherein the first deformable hydraulic member extends longitudinally between the first and second jaws in the closed configuration.3. The surgical instrument of claim 1 , wherein the first deformable hydraulic member contains the fluid.4. The surgical instrument of claim 3 , wherein the first ...

ARTHROSCOPIC SURGICAL DEVICE

An arthroscopic bone channel forming and suturing method including forming a first generally straight channel in a bone, forming a second generally straight channel in the bone, the second generally straight channel not intersecting the first generally straight channel, inserting a curved needle into the first generally straight channel, inserting a suture through the second generally straight channel in the bone to a suture pick-up location, manipulating the curved needle to form a curved junction between the first generally straight channel and the second generally straight channel; and pulling the suture by the curved needle from the suture pick-up location through the junction and though the first generally straight channel. 1. An arthroscopic bone channel forming and suturing method comprising:forming a first generally straight channel in a bone;inserting a curved needle into said first generally straight channel;forming a second generally straight channel in said bone, said second generally straight channel not intersecting said first generally straight channel;inserting a suture through said second generally straight channel in said bone to a suture pick-up location;manipulating said curved needle to form a curved junction between said first generally straight channel and said second generally straight channel; andpulling said suture by said curved needle from said suture pick-up location through said junction and though said first generally straight channel.2. An arthroscopic bone channel forming and suturing method according to and wherein said inserting said suture comprises locating a folded over end of said suture at said suture pick-up location.3. An arthroscopic bone channel forming and suturing method according to and wherein free ends of said suture extend outside of said second channel.4. An arthroscopic bone channel forming and suturing method according to and wherein said second generally straight channel is substantially longer than said first ...

SNARE FOR REMOVING TUMOR

Disclosed herein is a snare (transparent cap) for removing a polyp which includes a stalk and a head connected to the stalk, wherein the snare includes: a body having a hollow tubular shape and an interior of which is partitioned into a plurality of chambers; a ring mounted to at least part of the body using elasticity; a first snare discharged outside the body through a first chamber among the plurality of chambers and hooks the stalk; and a second snare which is discharged outside the body through a second chamber among the plurality of chambers, wherein when the stalk is spread according to pulling the first snare that hooks the stalk, and the second snare pulls a first portion in a lower end of the stalk as spread including the head, the ring is discharged from the body and shrinks through the elasticity and then fixes the first portion. 1. A snare (transparent cap) to remove a polyp , the snare comprising:a body having a hollow tubular shape and an interior of which is partitioned into a plurality of chambers;a ring mounted to at least part of the body using elasticity;a first snare discharged outside the body through a first chamber among the plurality of chambers and hooks the stalk; anda second snare discharged outside the body through a second chamber among the plurality of chambers, wherein when the stalk is spread according to pulling the first snare that hooks the stalk, and the second snare pulls a first portion in a lower end of the stalk as spread including the head, the ring is discharged from the body and shrinks through the elasticity and then fixes the first portion.2. The snare to remove a polyp of claim 1 , wherein the ring is mounted on an outer circumference of the second chamber claim 1 , and when the second snare pulls the first portion into the second chamber claim 1 , the ring is discharged to the first portion.3. The snare to remove a polyp of claim 1 , wherein the head is removed by excising an upper portion of the first portion using a ...

Surgical Devices Having Controlled Tissue Cutting and Sealing

Various surgical devices and methods are provided for monitoring and regulating tissue compression and cutting to improve tissue effect. In general, these devices include a handle portion, an elongate shaft, and an effector disposed at a distal end of the shaft and configured to engage tissue. In one embodiment, one or more sensors can be positioned at various locations on the device and can determine a force applied to tissue engaged by the end effector. When the force exceeds a threshold, a notification signal can be issued to a user. In another embodiment, a sensor can determine an amount of current moving between jaws of the end effector and a controller can slow a speed of the cutting element when the sensed current exceeds a threshold amount. 1. A surgical device , comprising:a proximal handle portion;an elongate shaft extending distally from the proximal handle portion;an end effector having first and second jaws coupled to a distal end of the elongate shaft, the first jaw including a first electrode element, and the second jaw including a second electrode element;an actuator configured to be actuated by a user and thereby cause a motor to provide power to move a cutting element at a speed along the end effector to cut tissue engaged between the first and second jaws;a sensor configured to sense current moving between the first and second electrode elements during the movement of the cutting element; anda controller configured to decrease the speed of the cutting element when the sensed current exceeds a threshold amount such that the cutting element continues moving along the end effector at a slower speed.2. The device of claim 1 , wherein the controller is configured to decrease the speed of the cutting element by causing a speed of the motor to decrease.3. The device of claim 1 , wherein the actuator is configured to control opening and closing of the first and second jaws.4. The device of claim 1 , wherein the first and second electrodes are configured ...

COLLAPSIBLE ANVIL PLATE ASSEMBLIES FOR CIRCULAR SURGICAL STAPLING DEVICES

Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed. 1. An anvil plate for a surgical stapling instrument , said anvil plate comprising a plurality of anvil plate segments movably interconnected and reconfigurable from a first orientation wherein said anvil plate segments may be inserted through a cannula opening as a unit and then reconfigured into a second orientation in the form of a substantially planar anvil plate assembly that has a diameter that is larger than said cannula opening.220-. (canceled)21. An anvil for a circular surgical stapling instrument that includes a circular staple cartridge that includes a plurality of surgical staples stored in spaced staple pockets that are arranged in a circular array therein , said anvil comprising:an anvil support structure removably attachable to the circular surgical stapling instrument;a plurality of anvil plate segments movably interconnected and reconfigurable from a first orientation wherein said anvil plate segments may be inserted through the cannula opening as a unit and then reconfigured into a second orientation in the form of a substantially planar anvil plate assembly that has a diameter that is larger than the cannula opening, each said anvil plate segment comprising an arcuate array of spaced, staple forming pockets therein that cooperate to form a circular array of said staple forming pockets in said planar anvil plate assembly that ...

SURGICAL INSTRUMENTS AND METHODS FOR PERFORMING TONSILLECTOMY, ADENOIDECTOMY, AND OTHER SURGICAL PROCEDURES

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force. 120-. (canceled)21. A surgical instrument , comprising:a housing having an elongated shaft extending therefrom, the elongated shaft including a drive member extending therethrough;an end effector assembly operably disposed at a distal end of the elongated shaft, the end effector assembly including first and second jaw members operably coupled to a first end of the drive member, the first and second jaw members movable relative to one another via actuation of the drive member, at least one of the first or second jaw members defining a knife channel extending longitudinally therethrough; anda torsion spring operably disposed within the housing, the torsion spring including a body rotatably disposed about a post and first and second legs extending oppositely from opposite ends of the body, the first leg biasable against the housing and the second leg operably associated with a second end of the drive member, wherein the first leg of the torsion spring is movable upon actuation of the drive member to move the jaw members relative to one another and wherein, upon further actuation of the drive member, the first leg moves into ...

SURGICAL INSTRUMENTS AND METHODS FOR PERFORMING TONSILLECTOMY, ADENOIDECTOMY, AND OTHER SURGICAL PROCEDURES

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force. 120-. (canceled)21. A surgical instrument , comprising:a housing;a shaft extending distally from the housing;an end effector assembly coupled to a distal end portion of the shaft;a drive plate slidably disposed within the shaft and operably coupled to the end effector assembly such that translation of the drive plate through the shaft and relative to the end effector assembly transitions the end effector assembly between an opened state and a closed state;a movable handle coupled to the housing and operably coupled to the drive plate such that movement of the movable handle relative to the housing translates the drive plate through the shaft and relative to the end effector assembly;a knife slidably disposed within the shaft and configured to translate longitudinally through the shaft and relative to the end effector assembly between a retracted position and an extended position; anda trigger coupled to the housing and configured to pivot relative to the housing through an arc between an un-actuated position and an actuated position to move the knife between the retracted and extended positions.22. The surgical instrument ...

FASCIAL HARVESTER DEVICE

This document provides devices and methods for harvesting tissue. For example, this document provides devices and methods for harvesting abdominal wall fascial tissue in a minimally invasive manner. 1. A device for harvesting a rectus fascia strip from a patient in a minimally invasive manner , the device comprising:a dilator including a working end, a grip end, and a shaft extending between the working end and the grip end, the working end being configured to dissect the rectus fascia;a cutter-stapler, the cutter-stapler including a first arm and a second arm, distal ends of at least one of the first arm and second arm configured to cut and staple the rectus fascia in response to being actuated; anda connection hub, the dilator being pivotably coupled to the connection hub, the first arm and the second arm being pivotably coupled to the connection hub.2. The device of claim 1 , wherein the working end is generally cylindrical.3. The device of claim 1 , wherein the dilator is pivotably coupled to the connection hub about a first pin.4. The device of claim 1 , wherein the dilator is comprised of stainless steel.5. The device of claim 1 , wherein a proximal portion of the dilator includes a grip end configured for manual manipulation by a clinician.6. The device of claim 1 , wherein the first arm and the second arm are pivotably coupled to the connection hub about a second pin.7. The device of claim 1 , wherein the dilator is pivotably coupled to the connection hub about a first pin claim 1 , wherein the first arm and the second arm are pivotably coupled to the connection hub about a second pin claim 1 , and wherein the first pin is perpendicular to the second pin.8. The device of claim 1 , wherein the distal ends of the first arm and the second arm define a plane claim 1 , wherein the device has a first configuration wherein the working end of the dilator is disposed on a first side of the plane claim 1 , and wherein the device has a second configuration wherein the ...

PROBE FOR TISSUE TREATMENT WITH A TANDEM SNARE

A device for cutting polyps via an endoscope lumen, including an over tube arranged to pass through an endoscope, the over tube including (1) a grasping tool arranged to be controlled from a proximal end of the endoscope and to controllably extend from a distal end of the endoscope, and (2) a cutting tool arranged to pass through the endoscope, the cutting tool arranged to be controlled from the proximal end of the endoscope and to controllably extend from the distal end of the endoscope, in which at least one of the grasping tool and the cutting tool is configured to bend away from the other one by including a pre-bent element configured to bend away when extended from the endoscope, and biased to a flat configuration when inside the endoscope, and the cutting tool is coupled to the grasping tool. Related apparatus and methods are also described. 1. A device for cutting polyps via an endoscope lumen , comprising:an over tube arranged to pass through an endoscope, the over tube comprising:(1) a grasping tool arranged to be controlled from a proximal end of said endoscope and to controllably extend from a distal end of said endoscope; and(2) a cutting tool arranged to pass through said endoscope, said cutting tool arranged to be controlled from said proximal end of said endoscope and to controllably extend from said distal end of said endoscope,in which:at least one of said grasping tool and said cutting tool is configured to bend away from the other one by comprising a pre-bent element configured to bend away when extended from said endoscope, and biased to a flat configuration when inside said endoscope; andsaid cutting tool is coupled to said grasping tool.2. A device according to claim 1 , in which said cutting tool is coupled to said grasping tool while said grasping tool and said cutting tool are inside said over tube claim 1 , and said cutting tool is arranged to slide along said grasping tool when pushed toward a distal end of said grasping tool.3. A device ...

Surgical bowel retractor devices

Bowel retractor devices. In various forms, the bowel retractor devices are configurable from a collapsed position wherein the retractor may be inserted through a trocar cannula or other opening in a patient's body to a second expanded position wherein at least a portion of the patient's bowel may be advantageously supported in a desired position.

APPARATUS FOR TISSUE REMOVAL

An apparatus for use in tissue removal from a body organ is presented. The apparatus comprises a hand-held probe device, a rotating motor device and a connection assembly configured for removably interconnecting between the hand-held probe device and the rotating motor device. The hand-held probe device is disposable and comprises a housing having proximal and distal ends, a rotatable cutting tool extending distally from the distal end of the housing and being configured for cutting and removing tissue during rotation, and a transmission assembly passing inside the housing between the proximal and distal ends and being configured for transmitting rotational power to the rotatable cutting tool. The connection assembly is configured for engaging between the rotating motor device and the transmission assembly to thereby controllably rotate the cutting tool and remove tissue. In some embodiments, the apparatus includes a control unit for controlling operation of the apparatus, the control unit comprises an activation mechanism for activating the rotatable cutting tool, and a controller configured for operating the activation mechanism to generate a single fixed activation signal of a known intensity and duration during a predetermined time interval, thereby restricting operation of the cutting tool during the time interval to the single activation signal only. 1. An apparatus for use in tissue removal from a body organ , the apparatus comprising a hand-held probe device , a rotating motor device; a connection assembly configured for removably interconnecting between said hand-held probe device and said rotating motor device;said hand-held probe device being disposable for using once and comprising a housing having proximal and distal ends, a rotatable cutting tool extending distally from said distal end of the housing and being configured for cutting and removing tissue during rotation, and a transmission assembly passing inside said housing between said proximal and ...

APPARATUS AND METHOD FOR HEART VALVE REPAIR

A device for gathering tissue of a heart valve leaflet may include an outer tube extending in an elongation direction, a capture tool moveable in the outer tube between a contained position and a use position, and a tissue securing component disposed at a distal end of the outer tube and adapted to be applied to tissue captured by the capture tool to hold the captured tissue in a gathered configuration. The capture tool may include a first element and a second element that are moveable relative to one another in the elongation direction. The first and second elements may be operable to capture tissue of the heart valve leaflet therebetween and to draw the captured tissue into the outer tube in the gathered configuration. 1. A device for gathering tissue of a heart valve leaflet , the device comprising:an outer tube extending in an elongation direction;a capture tool moveable in the outer tube between a contained position and a use position, the capture tool including a first element and a second element that are moveable relative to one another in the elongation direction, the first and second elements being operable to capture tissue of the heart valve leaflet therebetween and to draw the captured tissue into the outer tube in a gathered configuration; anda tissue securing component disposed at a distal end of the outer tube and adapted to be applied to the captured tissue to hold the captured tissue in the gathered configuration.2. The device as claimed in claim 1 , wherein the first element includes a containment tube having a proximal portion and a distal portion claim 1 , the containment tube being moveable between a containment tube retracted position in which the distal portion of the containment tube lies within the outer tube claim 1 , and a containment tube deployed position in which the proximal portion of the containment tube extends substantially in a linear direction and the distal portion of the containment tube lies outside of the outer tube and ...

TOOL FOR NEUROMA TREATMENT AND NERVE REGENERATION PROCEDURES

The present disclosure provides a mechanically-actuated tool for cutting a tissue graft having a hollow core and methods for use thereof. A portion of a biological structure, such as a nerve, is attached to the hollow core to form an implantable neural graft assembly. The tool has a cutter mechanism and a grasper mechanism. The grasper mechanism has one or more component(s) that open and close via an actuation mechanism, like a handle, and rotate via a controller component, like a rotatable wheel. The cutter mechanism may be a cutting tube component that harvests the tissue graft. The tool may also have an ejector mechanism to remove the tissue graft as part of the implantable neural graft assembly. Such devices and methods are particularly suitable for treating neuromas and other neural regeneration procedures. 1. A device for creating an implantable neural graft assembly in a subject , comprising:a cutter mechanism for cutting and removing a tissue graft having a hollow central region from a source of tissue in the subject;a grasper mechanism capable of retaining a nerve end of the subject in a first position and releasing the nerve end in a second position; andan actuation mechanism configured to dispose the tissue graft over the nerve end, wherein the device creates the implantable neural graft assembly comprising the nerve end disposed within the tissue graft.2. The device of claim 1 , wherein the grasper mechanism comprises a grasper component selected from the group consisting of: a plurality of grasper component members that cooperate to retain the nerve end in the first position claim 1 , a suction tube claim 1 , a compliant grasper component claim 1 , and a loop grasper.3. The device of claim 1 , wherein the cutter mechanism comprises a cutting tube having an internal bore that cuts the tissue graft from the source of tissue in the subject claim 1 , wherein the grasper mechanism is seated within the internal bore of the cutting tube.4. The device of claim ...

COMBINED TUNNELING TOOLS

A surgical device includes a handle body extending along a handle axis. The handle body is releasably engaged to a tunneling shaft extending along a shaft axis transverse to the handle axis. At least one tool is mounted to the handle body. Each tool includes a working end adapted to actuate an element of an implantable device. 1. A surgical method comprising:releasably securing a tunneling shaft to a handle body;moving the handle body and the tunneling shaft to create a tunnel within a living body and advance an elongated implantable element through the tunnel;removing the tunneling shaft from the handle body; andusing a working end of at least one tool mounted on the handle body to operate a feature of an implanted device.2. The method of claim 1 , wherein the tunneling shaft has a shaft axis and at least one hole transverse to the shaft axis claim 1 , further comprising the step of attaching the elongated implantable element to the at least one hole prior to advancing the elongated implantable element through the tunnel.3. The method of claim 2 , further comprising the step of mounting the at least one tool on the handle body prior to using the working end.4. The method of claim 3 , further comprising the step of removing the at least one tool from the handle body.5. The method of claim 1 , wherein the handle body includes a tooling end and an actuator end and defines a handle axis extending between the tooling end and the actuator end claim 1 , and the at least one tool is rotated about the handle axis.6. The method of claim 5 , wherein the at least one tool is rotated about the handle axis until a torque applied by the working end exceeds a predetermined maximum value.7. The method of claim 5 , wherein the handle body includes a connection end opposite the working end claim 5 , and the at least one tool is rotated about the handle axis in a first working direction including the working end being fixed relative to the connection end.8. The method of claim 7 , ...

Cystoscopy needle holder and clip cutter

A cystoscopic needle holder and clip cutter is provided herein with jaws including a cutting tool and a grasping tool. The upper and lower jaws feature opposing proximal and distal surface portions that meet when the jaws close. The proximal surface portion of the upper jaw may include a blade, and the proximal surface portion of the lower jaw may include a groove that receives the blade. The distal surface portions of the upper and lower jaw each feature flat surfaces that meet together as a grasp. A shaft extending axially from a handle to the jaws houses a camera channel and laser fiber channel. A laser fiber may extend through an opening in the mouth of the jaw region to provide an additional cutting option. Surgical defects may be closed primarily with the needle holder, and migrated polymer ligation clips may be resected more efficiently with the clip cutting options.

MINIMALLY INVASIVE SURGICAL ASSEMBLY AND METHODS

A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of 3.0 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extended out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient. 1. A surgical assembly , comprising:a hollow needle having an outer diameter of 3 mm or smaller and a sharp distal end;a surgical instrument having a shaft which extends through said hollow needle, said surgical instrument being movable relative to said hollow needle and including end effectors at an end of said shaft which are biased to an open position such that when said end effectors extend out of said needle said end effectors automatically open relative to each other, and when said hollow needle extends over said end effectors, said end effectors are automatically forced into a closed position; anda first fixing means coupled to said surgical instrument and said needle for fixing a relative location of said surgical instrument and said needle, wherein said fixing means comprises at least one of notches, grooves, or screw elements.2. A surgical assembly according to claim 1 , wherein said hollow needle has an inner surface and said shaft has an outer surface claim 1 , and said outer surface and said inner surface are sized so that at least a portion of said shaft closely slides against said inner surface of said needle ...

MINIMALLY INVASIVE SURGICAL ASSEMBLY AND METHODS

A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of 3.0 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extended out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient. 1. A surgical assembly , comprising: a) a hollow needle having an outer diameter of substantially 2 mm or smaller and a sharp distal end for creating a puncture incision in the human body; and b) a surgical instrument having a shaft which extends through said hollow needle , said surgical instrument being movable relative to said hollow needle and including end effectors at an end of said shaft which are biased to a first position such that when said end effectors extend out of said needle said end effectors automatically open relative to each other , and when said hollow needle extends over said end effectors , said end effectors are automatically forced into a second position , wherein said end effectors have opposed distal tips that are substantially separated from one from one another in the first position and that are disposed in proximate contact to one another in the second position and wherein the end effectors are movable relative to the outer hollow needle to a retracted position wherein the distal tips of the end effectors are positioned proximal relative to the sharp distal end of the outer hollow needle to ...

SURGICAL FORCEPS

A surgical instrument includes a housing, an elongated shaft extending distally from the housing, an end effector assembly, and a trigger assembly. The trigger assembly is disposed in mechanical cooperation with the housing and is configured to longitudinally translate a drive member. The trigger assembly includes a trigger, a gear assembly, a spool, a slider, and a flexible drive member. The trigger is disposed in mechanical cooperation with the gear assembly. The flexible drive member is configured to engage the gear assembly, the spool, and the slider. Movement of the trigger with respect to the housing results in movement of the flexible drive member with respect to the housing and longitudinal movement of the slider with respect to the housing. 1. A surgical instrument , comprising:a housing;an elongated shaft extending distally from the housing and defining a longitudinal axis;an end effector assembly disposed adjacent a distal end of the elongated shaft, the end effector assembly including a first jaw member and a second jaw member, at least one of the jaw members movable with respect to the other jaw member from a spaced-apart position to a position closer to the other jaw member for grasping tissue; anda trigger assembly disposed in mechanical cooperation with the housing and configured to longitudinally translate a drive member, the trigger assembly including a trigger, a gear assembly, a spool, a slider, and a flexible drive member, the trigger disposed in mechanical cooperation with the gear assembly, the flexible drive member configured to engage the gear assembly, the spool, and the slider, wherein movement of the trigger with respect to the housing results in movement of the flexible drive member with respect to the housing and longitudinal movement of the slider with respect to the housing.2. The surgical instrument according to claim 1 , further comprising a drive assembly disposed at least partially within the housing claim 1 , the drive assembly ...

Retaining polypectomy device

A medical device may include a snare loop and an elastic member that connects at least two sides of the snare loop. The elastic member is configured to transition from an unexpanded state where the elastic member is in a plane of the snare loop to an expanded state where the elastic member is outside the plane of the snare loop. The snare loop has a same shape when the elastic member is in the unexpanded shape and the expanded shape.

Surgical Instrument

The present invention addresses the problem of providing a surgical instrument that reduces the variety of surgical instruments used during surgery and that makes it possible to reduce the burden on patients and health care professionals who are involved in surgery. This surgical instrument comprises a pair of working sections that are connected so as to be capable of opening and closing around an axis of rotation. The surgical instrument is characterized in that the working sections comprise a cutting section that cuts a target object by sliding a pair of blades against each other, a pair of gripping surfaces that grip the target object when the pair of working sections is closed, and a pair of detaching sections that are formed so as to be capable of detaching living tissue when the pair of working sections is opened. 1. A surgical instrument having a pair of working sections openably and closably coupled to each other on a pivot shaft ,the pair of working sections comprising:a cutting section configured to cut an object by sliding a pair of cutting edges against each other;a pair of grasping surfaces configured to grasp the object by closing the pair of working sections; anda pair of separating sections configured to be able to separate living tissues when opening the pair of working sections,wherein an axial length in a longitudinal direction of the working section is from 1 to 5 mm on the grasping surface.2. The surgical instrument according to claim 1 , comprising a step section without a blade between the grasping surface and the cutting edge.3. The surgical instrument according to or claim 1 , wherein claim 1 , on a pair of rod-like members configured to cross each other on the pivot shaft as an intersection claim 1 , the pair of working sections is provided on a tip side with respect to the pivot shaft claim 1 , a pair of operating sections is provided on a rear end side with respect to the pivot shaft claim 1 , and the pair of working sections is ...

Electrosurgical Pericardial Puncture

Devices and methods for providing access to the pericardial cavity while reducing risk of myocardial damage. One method includes advancing a distal end of a puncture device towards the heart from a subxiphoid region of a patient wherein the distal end of the puncture device is atraumatic and comprises an energy delivery device; positioning the energy delivery device at a target site on a pericardium of the heart using ultrasound for imaging; and delivering energy from the energy delivery device to a tissue of the target site to create a channel to the pericardial cavity. The method may include repeating one or more of the above steps until the energy delivery device is located within the pericardial cavity. Some embodiments of the method include using supplemental means of monitoring, including medical imaging and using contrast fluid.

Instruments, systems, and methods for medical procedures

Systems and instruments for medical procedures and methods relating thereto, such as, for example, those that can be used in minimally invasive medical procedures, among other procedures.

Membrane removing forceps

A membrane removing forceps may include a first forceps jaw having a first forceps jaw distal end and a first forceps jaw proximal end and a second forceps jaw having a second forceps jaw distal end and a second forceps jaw proximal end. The membrane removing forceps may include one or more abrasive surfaces configured to raise a portion of a membrane. A surgeon may raise a portion of a membrane by grazing the portion of the membrane with one or more abrasive surfaces of a membrane removing forceps. The surgeon may grasp the raised portion of the membrane with the first forceps jaw distal end and the second forceps jaw distal end. The surgeon may then remove the membrane by peeling the membrane apart from an underlying tissue.

APPARATUS AND METHOD FOR HEART VALVE REPAIR

A device for gathering tissue of a heart valve leaflet may include an outer tube extending in an elongation direction, a capture tool moveable in the outer tube between a contained position and a use position, and a tissue securing component disposed at a distal end of the outer tube and adapted to be applied to tissue captured by the capture tool to hold the captured tissue in a gathered configuration. The capture tool may include a first element and a second element that are moveable relative to one another in the elongation direction. The first and second elements may be operable to capture tissue of the heart valve leaflet therebetween and to draw the captured tissue into the outer tube in the gathered configuration. 1. A device for gathering tissue of a heart valve leaflet , the device comprising:an outer tube extending in an elongation direction;a capture tool moveable in the outer tube between a contained position and a use position, the capture tool including a needle element and a securing element, the needle element being operable to penetrate tissue of the heart valve leaflet, the securing element having a proximal surface adapted to capture tissue of the heart valve leaflet, the capture tool being operable to draw the captured tissue into the outer tube in a gathered configuration; anda tissue securing component disposed at a distal end of the outer tube and adapted to be applied to the captured tissue to hold the captured tissue in the gathered configuration.2. The device as claimed in claim 1 , wherein the securing element includes a resorbable anchor and a suture extending from the proximal surface through the needle element.3. The device as claimed in claim 1 , wherein the securing element includes a barb on a distal portion of the needle element.4. The device as claimed in claim 1 , wherein the securing element includes an expandable element and an actuation member extending from a distal tip of the expandable element through the needle element ...

SURGICAL INSTRUMENTS AND METHODS FOR PERFORMING TONSILLECTOMY, ADENOIDECTOMY, AND OTHER SURGICAL PROCEDURES

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force. 120-. (canceled)21. A surgical instrument , comprising:an end effector assembly including first and second jaw members, at least one of the first or second jaw members pivotable relative to the other between a spaced-apart position and an approximated position, at least one of the first or second jaw members defining a knife channel extending longitudinally therethrough, at least one of the first or second jaw members including an outer housing supporting an electrically-conductive tissue-contacting plate thereon, the outer housing having a proximal portion and a distal portion, wherein the distal portion of the outer housing tapers in a proximal to distal direction such that the distal portion defines a first thickness towards a proximal end of the distal portion and a second, smaller thickness towards a distal end of the distal portion; anda knife configured for reciprocation through the at least one knife channel, the knife including a proximal portion and a distal portion, wherein the distal portion of the knife tapers in a proximal to distal direction such that the distal portion defines a first thickness towards a ...

Multi-utility surgical instrument

A multi-utility surgical instrument may include a nosecone, a handle, a housing sleeve, an actuation facilitating sleeve, a piston tube, a hypodermic tube, and an end plug. The hypodermic tube may be disposed within the piston tube; the piston tube may be disposed within the actuation facilitating sleeve; the actuation facilitating sleeve may be disposed within the housing sleeve; the end plug may be disposed within a portion of the housing sleeve; the housing sleeve and the end plug may be disposed within the handle; the nose cone may be fixed to a distal end of the handle; and the hypodermic tube may be fixed to the nosecone.

Instrument For Use In Laparoscopy

An instrument 10 for use in laparoscopic surgery comprises a circular cutting arrangement 12 for making a circular cut to fascia; wherein the circular cutting arrangement 12 is circularly rotatable, to facilitate cutting through fascia.

Surgical device

An endoscopic surgical device for an endoscopic surgical procedure includes a slotted clear cannula with a tubular body having a distal end, a proximate end and a slot extending longitudinally therethrough. A pair of wings near the proximal end of the slotted clear cannula extend outward from the tubular body. The tubular body is made from a transparent material. The slotted clear cannula may be part of an endoscopic surgical blade assembly in which the cannula is attached to a housing enclosing a blade slidably oriented in the cannula. A kit comprising the endoscopic surgical device and a method for a performing a uniportal endoscopic surgical procedure using the endoscopic surgical device are also described.

Surgical device using energy

A surgical device configured to apply energy to a biological tissue as a treatment target, and treat the biological tissue, includes: first and second jaws relatively openable/closable to each other to enable holding the biological tissue including the treatment target and its surrounding tissue; a pair of first holding sections provided respectively on inner sides of outer edges of the first and second jaws, and configured to hold the biological tissue; an energy discharge section provided on at least one of the pair of first holding sections, and configured to give energy for a treatment to the biological tissue; and a pair of second holding sections which are provided respectively between the first holding sections and the outer edges of the first and second jaws, and configured to hold the surrounding tissue of the biological tissue while bending the surrounding tissue with respect to the biological tissue.

SURGICAL MULTI-TOOL AND METHOD OF USE

Surgical tools are disclosed that include a first handle having a first recess, a second handle having a second recess, a first tip disposed in the first recess and extending distally, and a second tip disposed in the second recess and extending distally. The first tip has a first external surface and a first internal surface. The second tip has a second external surface and a second internal surface. The surgical tool has a first configuration wherein the surgical tool operates as forceps. The surgical tool has a second configuration wherein the surgical tool operates as scissors. The first internal surface can be moved adjacent to the second internal surface to permit rotation of the first tip relative to the first recess and permit rotation of the second tip relative to the second recess. The rotation of the first tip and the second tip transitions the surgical tool between the first configuration and the second configuration. 1. A surgical tool comprising:a first handle comprising a proximal portion and a distal portion and a first recess in the distal portion;a second handle comprising a proximal portion and a distal portion and a second recess in the distal portion;a first tip disposed in the first recess and extending distally therefrom, the first tip having a first external surface and a first internal surface; anda second tip disposed in the second recess and extending distally therefrom, the second tip having a second external surface and a second internal surface;wherein the surgical tool has a first configuration wherein the first and second tips operate as forceps;wherein the surgical tool has a second configuration wherein the first and second tips operate as scissors;wherein rotation of the first tip and the second tip within their respective recesses transitions the surgical tool between the first configuration and the second configuration.2. The surgical tool of claim 1 , wherein the first inner surface and the second inner surface are configured to ...

Multi-lumen-catheter system for a minimally-invasive treatment

A system for performing minimally invasive procedures in a body lumen of a patient including a flexible catheter having a first lumen configured and dimensioned to receive an endoscope therethrough and a second lumen configured and dimensioned to receive a first flexible tube therethrough. The first flexible tube is movable through the second lumen and has a distal portion including a first curve extending in a first direction with respect to the longitudinal axis and a second curve extending in a second different direction with respect to the longitudinal axis. A retractor system is positioned at a distal portion of the catheter and is movable from a non-expanded insertion position to an expanded position forming an expanded cage to form a larger working space. The distal portion of the first flexible tube is movable within the expanded cage.

SURGICAL MULTI-TOOL AND METHOD OF USE

Surgical tool are disclosed that include a first tip and a second tip. The first tip and the second tip can have a first configuration, an intermediate configuration, and a second configuration. In the first configuration the tool operates as forceps and in the second configuration the tool operates as scissors. In the intermediate configuration the tool operates as a probe. The tips can be brought together to transition between the first configuration and the intermediate configuration. The tips can be rotated to transition between the intermediate configuration and the second configuration. Method are disclosed that include the step of providing a tool having a first tip extending distally and a second tip extending distally, moving at least one of the first tip and the second tip toward the other of the first tip and the second tip, and rotating the first tip and the second tip. 1. A surgical tool comprising:a first tip extending distally; anda second tip extending distally;wherein the surgical tool has a first configuration wherein the first and second tips operate as forceps;wherein the surgical tool has a second configuration wherein the first and second tips operate as scissors;wherein the surgical tool has a third configuration wherein the first and second tips operate as a probe.2. The surgical tool of claim 1 , wherein the third configuration is an intermediate configuration between the first configuration and the second configuration.3. The surgical tool of claim 1 , wherein bringing the first tip and the second tip together allows transition of the surgical tool between the first configuration and the third configuration.4. The surgical tool of claim 1 , wherein rotation of the first tip and the second tip transitions the surgical tool between the third configuration and the second configuration.5. (canceled)6. (canceled)7. (canceled)8. (canceled)9. (canceled)10. (canceled)11. (canceled)12. (canceled)13. (canceled)14. (canceled)15. The surgical tool of ...

SURGICAL INSTRUMENT FOR GRASPING AND CUTTING TISSUE

A surgical instrument for cutting and grasping tissue comprising a handle assembly, an elongated member and first and second jaws. A first movable member moves the second jaw in a first direction about a first pivot axis in a grasping action and a second movable member moves the second jaw in a second direction different than the first direction and about a second pivot axis in a cutting action. A switch is positioned at the proximal portion of the instrument and a selecting member is actuated by movement of the switch, the selecting member movable between a first position to enable movement of the second jaw in the first direction and prohibit movement in the second direction and a second position to enable movement of the second jaw in the second direction and prohibit movement in the first direction. 130-. (canceled)31. A surgical instrument for grasping and cutting tissue comprising:an elongated member having a proximal portion and a distal portion;a first jaw and a second jaw adjacent the distal portion of the elongated member, the first jaw having a first projecting member extending outwardly from the first jaw in a first direction and a second projecting member extending outwardly from the first jaw in a second direction transverse to the first direction, the first projecting member operably connected to a first movable member and the second projecting member operably connected to a second movable member, the first and second movable members being independently movable; andan actuating mechanism for moving the first movable member in a first direction to move at least the first or second jaw in a grasping direction in a grasping action and for further moving the second movable member in a single direction to move at least the first or second jaw in a cutting direction in a cutting action different than the grasping direction, the second movable member itself effecting movement of at least the first jaw or the second jaw in the cutting direction.32. The ...

Surgical multi-tool and method of use

Surgical tool are disclosed that include a first tip and a second tip. The first tip and the second tip can have a first configuration, an intermediate configuration, and a second configuration. In the first configuration the tool operates as forceps and in the second configuration the tool operates as scissors. In the intermediate configuration the tool operates as a probe. The tips can be brought together to transition between the first configuration and the intermediate configuration. The tips can be rotated to transition between the intermediate configuration and the second configuration. Method are disclosed that include the step of providing a tool having a first tip extending distally and a second tip extending distally, moving at least one of the first tip and the second tip toward the other of the first tip and the second tip, and rotating the first tip and the second tip.

Minimally invasive hip arthroplasty techniques and apparatus

A minimally invasive hip arthroplasty technique involves intramedullary insertion of an elongate femoral broach into a femur. The broach has a superior lateromedial transverse bore. A reaming rod is then located through the transverse bore and the neck of the femur. A cutting head is coupled to a distal end of the reaming rod via an incision. An orthogonal drive arm of an arthroplasty jig may also be inserted behind the cutting head to press the cutting head to ream the acetabulum while the reaming rod rotates the cutting head.

Pediatric Combination Surgical Device

A combination surgical device is provided and includes a dissection blade moveably mounted in a first jaw of the surgical device. The surgical device includes a second jaw movably mounted relative to the first jaw and a handle assembly. The handle assembly includes an advancement mechanism for incrementally advancing the blade out of the first jaw and a lever to open and close the first and second jaws. A lock member is provided to maintain the blade in an extended condition and a release lever is provided to disable the lock member. The surgical device additionally includes a safety or lock out mechanism which prevents the jaws from moving while the blade is in the extended condition.

HEMOSTATIC CLIP WITH NEEDLE PASSER

A device for treating a tissue opening includes a proximal portion including an elongated flexible member, a capsule releasably coupled to a distal end of the flexible member and including a lumen extending therethrough and a clip including a pair of arms movably housed within the capsule. A suture extending along a first one of the pair of arms and including a loop at a distal end thereof extending across an opening extending through the first one of the pair of arms. A suture grabbing element extending laterally from a second one of the pair of arms and including a hook so that, when the pair of arms are moved toward a closed configuration, the hook extends through the opening to grab the loop and draw the distal end of the suture from the first one of the pair of arms toward the second one of the pair of arms. 120-. (canceled)21. A clip device for treating a tissue opening , comprising:a first arm and a second arm movable relative to one another between an open configuration, in which distal ends of the first and second arms are separated from one another to receive a target tissue therebetween, and a closed configuration, in which the distal ends of the first and second arms are moved toward one another to grip the target tissue;a needle pivotally coupled to the first arm via a releasable connection; anda suture connected to the needle to extend along at least a portion of the first arm, the second arm including an engaging feature for engaging the needle such that, when the first and second arms are moved toward the closed configuration and a tip of the needle contacts the second arm, the needle pivots relative to the first arm to engage the engaging feature, the releasable connection releasing when the first and second arms are moved toward the open configuration after the needle has engaged the engaging feature.22. The device of claim 21 , wherein the engaging feature is configured as a longitudinal recess extending along a portion of a length of the second ...

Apparatus and method for endoscopic colectomy

Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures

A powered surgical cutting and stapling instrument is disclosed. The instrument includes at least one sensor to measure at least one parameter associated with the instrument, at least one processor, and a memory operatively associated with the processor. The memory includes machine executable instructions that when executed by the processor cause the processor to monitor the at least one sensor over a predetermined time period and determine a rate of change of the measured parameter.

Surgical tools for spinal facet therapy to alleviate pain and related methods

Methods and surgical tools for treating back pain use a spinal facet debridement tool with cautery and denuding action and minimally invasive protocol that can denude and cauterize soft tissue associated with a synovial capsule of the spinal facet joint.

System and method of deploying an elongate unit in a body cavity

A system and method are disclosed for deploying an elongated unit in a body cavity, for introducing an interchangeable tool reversibly connected to a distal end of a slender shaft. The method comprising: maneuvering a distal end of said elongated unit in a 3D coordinate system to a determined depth and orientation in said body cavity adjacent to an entry location wherein said distal end of said slender shaft emerges into said body cavity, and introducing said interchangeable tool through the lumen of said elongated unit for connecting said interchangeable tool to said distal end of said slender shaft.

Anvil assemblies with collapsible frames for circular staplers

Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.

Membrane removing forceps

A membrane removing forceps may include a first forceps jaw having a first forceps jaw distal end and a first forceps jaw proximal end and a second forceps jaw having a second forceps jaw distal end and a second forceps jaw proximal end. The membrane removing forceps may include one or more abrasive surfaces configured to raise a portion of a membrane. A surgeon may raise a portion of a membrane by grazing the portion of the membrane with one or more abrasive surfaces of a membrane removing forceps. The surgeon may grasp the raised portion of the membrane with the first forceps jaw distal end and the second forceps jaw distal end. The surgeon may then remove the membrane by peeling the membrane apart from an underlying tissue.

HEMOSTATIC CLIP WITH NEEDLE PASSER

A device for treating a tissue opening includes a capsule extending longitudinally from a proximal end to a distal end and including a lumen extending therethrough; a pair of arms movably housed within the lumen of the capsule such that the pair of arms are movable between an open configuration and a closed configuration, the pair of arms being biased toward the open configuration such that when the pair of arms are moved distally with respect to the capsule, distal ends of the pair of arms are separated from one another to receive target tissue therebetween; a needle releasably connected to a first one of the pair of aims, the needle extending laterally inward toward a second one of the pair of arms and including a connecting structure extending along a portion thereof, the second one of the pair of arms including an opening located so that, when the pair of arms are moved to the closed configuration, the connecting structure of the needle engages the opening; and a suture extending from a portion of the needle proximally through the capsule. 135-. (canceled)36. A device for treating a tissue opening , comprising:a capsule extending longitudinally from a proximal end to a distal end and including a channel extending longitudinally therethrough;a clip including a first arm and a second arm, proximal ends of which are connected to one another and slidably received within the channel of the capsule to move the clip between an open configuration, in which distal ends of the first and second arms are separated from one another to receive target tissue therebetween, and a closed configuration, in which the distal ends of the first and second arms are moved toward one another to grip the target tissue, therebetween; anda needle extending from a first end connected to the first arm via a releasable coupling configured to release when a force exerted thereon exceeds a predetermined threshold to a second end extending toward the second arm, the second end configured to ...

SURGICAL MULTI-TOOL AND METHOD OF USE

Surgical tools are disclosed that include a first handle having a first recess, a second handle having a second recess, a first tip disposed in the first recess and extending distally, and a second tip disposed in the second recess and extending distally. The first tip has a first external surface and a first internal surface. The second tip has a second external surface and a second internal surface. The surgical tool has a first configuration wherein the surgical tool operates as forceps. The surgical tool has a second configuration wherein the surgical tool operates as scissors. The first internal surface can be moved adjacent to the second internal surface to permit rotation of the first tip relative to the first recess and permit rotation of the second tip relative to the second recess. The rotation of the first tip and the second tip transitions the surgical tool between the first configuration and the second configuration. 121-. (canceled)22. A surgical tool comprising:a first tip; anda second tip;wherein the surgical tool has a first configuration wherein the first and second tips operate as forceps;wherein the surgical tool has a second configuration wherein the first and second tips operate as scissors;wherein the surgical tool is configured to transition between the first configuration and the second configuration.23. The surgical tool of claim 22 , wherein the surgical tool is configured to rotate to transition between the first configuration and the second configuration.24. The surgical tool of claim 22 , wherein the first tip is coupled to a first handle.25. The surgical tool of claim 22 , wherein the first tip is coupled to a first handle and the second tip is coupled to a second handle.26. The surgical tool of claim 22 , wherein the first and second tips operate as bipolar forceps in the first configuration.27. The surgical tool of claim 22 , wherein the surgical tool is configured to transmit or conduct electricity.28. The surgical tool of claim 22 ...

COMPACT ENDOSCOPIC SURGICAL BLADE ASSEMBLY AND METHOD OF USE THEREOF

An endoscopic surgical device having a slotted clear cannula, a blade and a housing, wherein the cannula is attached to the housing, and wherein the blade is enclosed in the housing and is slidable into the cannula is disclosed. The blade is enclosed within the housing and cannula, and has a horizontally-oriented pushing component and a vertically-oriented cutting component that protrudes through the slot of the cannula. The device further has a device for locking a viewing device in place relative to other components of the device. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic surgical device is also described. 1. An endoscopic surgical device , comprising:(a) a housing having a proximate end and a distal end;(b) a slotted clear cannula attached to said distal end of said housing, said slotted clear cannula comprises a cannula body having a proximate end and a distal end, and a slot extending from said proximate end of said cannula to the proximity of said distal end of said cannula; a slide lock having a proximate end, a distal end and two notches at said distal end;', 'a scraper;', 'a blade assembly; and', 'a circular revolver body comprising a selector switch;, '(c) a revolver assembly located within said housing, comprisingwherein said scraper and said blade reside at said two notches of said slide lock in a pre-deployment position and wherein said selector switch allows selection of said scraper or said blade for deployment;(d) a tube assembly having a proximate end and a distal end, said distal end of said tube assembly is located within said housing and extends through said revolver, said distal end of the tube assembly is capable of entering said slotted clear cannula from said proximate end of said clear cannula; and(e) a scope lock assembly for holding a viewing device in a stationary position relative to the tube assembly.2. The endoscopic surgical device of claim 1 , wherein the scope lock assembly ...

SURGICAL INSTRUMENT INCLUDING SIDE-ACTIVATION MECHANISM, LAYERED SPECIMEN RETRIEVAL BAG, METHOD OF USE AND KIT

A surgical instrument assembly including a housing containing a specimen retrieval bag and pliable spring, a distal end including a non-blunt tip and a deployment mechanism. The specimen retrieval bag is moved from the stowed position within a hollow housing to a deployed position by sliding a rod from a retracted position within the hollow housing to an extended position that projects at least partially out of the hollow housing. Two portions of a flexible support ring unfold under spring bias from a folding position as the rod enters the extended position to open a mouth of the specimen retrieval bag. The distal end of the assembly has a non-blunt tip which is shaped to puncture human skin. The deployment mechanism may include a rod, slide, grip or handle. The specimen retrieval bag may be comprised of more than one material. 1. A surgical specimen retrieval assembly , comprising:a hollow housing having an partial aperture located on a horizontal plane of the hollow housing on a proximal end of the hollow housing;a deployment rod that has a proximal end located within the aperture of the proximal end of the hollow housing and a distal end within a distal end of the hollow housing, which rod slides from a retracted position within the hollow of the hollow housing to an extended position to at least partially project out of the hollow housing;a deployment mechanism located within a proximal end of the aperture and connected to a proximal end of the deployment rod configured to move in a direction toward the distal end of the hollowing housing to deploy the deployment rod and move in a direction toward the proximal end of the hollow housing to retract the deployment rod back within the hollow housing after deployment;a flexible support ring having two portions movable between a folded position that fits within the hollow of the housing at the distal end of the hollow housing and an unfolded position clear of the hollow of the housing, the flexible support ring being ...

Electronic Bailout for Motorized RF Device

Methods and devices are provided for retracting a cutting assembly in the event of a failure on a motorized electrosurgical device. For instance, a surgical device is provided that includes a handle portion with an elongated shaft having first and second jaws. The device includes a cutting assembly configured to cut tissue engaged between the first and second jaws. A motor is included to drive the cutting assembly, and a processor is coupled to the motor. An actuator on the device is configured to receive an input from a user that causes power to be supplied to the motor. The device has a normal mode in which the processor controls the motor, and the device has a bailout mode in which the processor is bypassed and power is delivered directly to the motor. 1. A surgical device , comprising:a handle portion having an elongated shaft extending distally therefrom, the elongated shaft having first and second jaws at a distal end thereof, the jaws being configured to engage tissue therebetween;a cutting assembly configured to move relative to the first and second jaws so as to cut tissue engaged between the first and second jaws;a motor configured to drive the cutting assembly relative to the first and second jaws;a processor coupled to the motor and configured to control the motor; andan actuator configured to receive an input from a user that causes power to be supplied to the motor through the processor to move the cutting assembly relative to the first and second jaws;wherein the device has a normal mode in which the processor controls the motor to move the cutting assembly; and the device has a bailout mode in which the processor is bypassed and power is delivered directly to the motor to cause the cutting assembly to move proximally relative to the first and second jaws.2. The device of claim 1 , further comprising a switch on the handle for moving the device from the normal mode to the bailout mode.3. The device of claim 1 , wherein claim 1 , when the device is in ...

Kit and dosage regimen for non-surgical treatment of skin lesions

The current invention concerns a kit suitable for the non-surgical treatment of skin lesions including warts, verrucae, corns, and skin tags said kit comprising a cryogenic body comprising a housing hosting a coolant container and further comprising a cryogenic applicator head, whereby the housing and the cryogenic applicator head extend axially; said cryogenic applicator head is provided with a cryogenic tip for performing a cryogenic treatment to a skin lesion, whereby said coolant container contains a coolant suitable for cooling said tip; the kit further comprises an acid body comprising an acid container containing an acidic composition and having an acid outlet, and an acid dispenser head that axially extends from said acid container, is in fluid communication with said acid outlet, and is suitable for applying a dose of said acidic composition to a skin lesion. The invention also concerns a dosage regimen.

MEDICAL MANIPULATOR

A medical manipulator includes: a longitudinal member; a pair of arms which are provided in a distal end of the longitudinal member; a bending portion which is provided in at least one of the pair of arms; a first connecting rod which is connected to the bending portion; a second connecting rod which is connected to the pair of arms; an operating lever which is fixed to a proximal end of the first connecting rod and a proximal end of the second connecting rod; a first guide portion which is configure to guide movement of the operating lever from a first position to a second position; a second guide portion which is configured to guide movement of the operating lever from the second position to a third position; and a guide member which is configured to switch between a first state and a second state. 1. A medical manipulator comprising:a longitudinal member which extends in a longitudinal axis direction;a pair of arms which are provided in a distal end of the longitudinal member and capable of moving in a direction that the pair of arms separate from each other;a bending portion which is provided in at least one of the pair of arms;a first connecting rod which is connected to the bending portion and disposed so as to be capable of moving along the longitudinal axis direction with respect to the longitudinal member, the first connecting rod being configured to change a bending state of the bending portion in accordance with movement of the first connecting rod along the longitudinal axis direction;a second connecting rod which is connected to the pair of arms and disposed so as to be capable of moving along the longitudinal axis direction with respect to the longitudinal member, the second connecting rod being configured to cause the pair of arms to separate from each other in accordance with movement of the second connecting rod along the longitudinal axis direction;an operating lever which is fixed to a proximal end of the first connecting rod and a proximal end of ...

SLEEVE FEATURES FOR ULTRASONIC BLADE OF A SURGICAL INSTRUMENT

An apparatus comprises a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade, a clamp arm, and a sleeve. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is configured to move toward the ultrasonic blade. The sleeve extends along at least part of the length of an outer portion of the ultrasonic blade or the clamp arm. The sleeve is configured to prevent tissue from contacting a portion of the ultrasonic blade or clamp arm covered by the sleeve. 1. An apparatus comprising:(a) a body;(b) a shaft assembly extending distally from the body; and (i) an ultrasonic blade, wherein the ultrasonic blade is configured to vibrate at an ultrasonic frequency,', '(ii) a clamp arm, wherein the clamp arm is configured to move toward and away from the ultrasonic blade, and', '(iii) a sleeve, wherein the sleeve extends along at least part of the length of an outer portion of the ultrasonic blade or the clamp arm, wherein the sleeve is configured to prevent tissue from contacting the portion of the ultrasonic blade or clamp arm covered by the sleeve., '(c) an end effector located at a distal end of the shaft assembly, wherein the end effector comprises2. The apparatus of claim 1 , wherein the sleeve extends distally from the distal end of the shaft assembly and covers at least a portion of the ultrasonic blade.3. The apparatus of claim 1 , wherein the sleeve comprises at least two layers claim 1 , wherein the at least two layers comprises a first layer and a second layer claim 1 , wherein the first layer is softer than the second layer claim 1 , wherein the second layer is configured to stiffen the sleeve.4. The apparatus of claim 1 , wherein the end effector further includes a tissue locating feature configured to provide visual indication of a proximal end of a tissue contact region claim 1 ...

Surgical Device with Biased Knife

Surgical devices and methods for cutting tissue are provided having a cutting element that is biased to facilitate tissue cutting. For example, a surgical device is provided with a handle that has an elongate shaft assembly with first and second jaws for engaging tissue. The surgical device includes a cutting element that is moveable through a slot formed in at least the second jaw for cutting tissue engaged between the first and second jaws. In an exemplary embodiment, the cutting element is biased toward the second jaw such that the cutting element remains within the slot in the second jaw when thick tissue is engaged.

Methods and systems for performing a medical procedure

Method and system for treating a patient using a compressible, pressure-attenuating device. According to one embodiment, the system is used to treat urinary tract disorders and can include one or more of an access device, a delivery device, a pressure-attenuating device, and a removal device. The access device may be used to create a passageway to an anatomical structure, such as the patient's bladder. The delivery device may be inserted through the passageway created by the access device and may be used to deliver the pressure-attenuating device to the anatomical structure. The removal device may be inserted through the passageway created by the access device and may be used to view the bladder and/or to capture, to deflate and to remove the pressure-attenuating device.

DEVICES, SYSTEMS, AND METHODS FOR MINIMALLY INVASIVE SURGERY IN A BODY LUMEN

Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be selectively asymmetric to maximize space for a tool and an endoscope to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner. 1. A system for performing minimally invasive procedures in a body lumen of a patient , the system comprising:a flexible tubular member having a first lumen for receiving an endoscope;an adjustable cage disposed at a distal end of the flexible tubular member, the adjustable cage comprising a plurality of flexible elements that are independently and selectively movable laterally outwardly to move a side wall of the body lumen outwardly to increase visualization and a working space within the body lumen; anda handle having a plurality of actuators movably disposed with respect to a body portion of the handle, each of the plurality of actuators coupled to a selected one of the plurality of flexible elements such that moving one of the plurality of actuators extends or retracts the coupled flexible element to adjust the shape of the adjustable cage.2. The system of claim 1 , wherein the plurality of flexible elements are fixedly coupled between the plurality of actuators and a cap member disposed at a distal end of the system.3. The system of claim 1 , wherein the plurality of flexible elements comprise first claim 1 , second claim 1 , third and fourth flexible elements.4. The system of claim 1 , wherein the plurality of flexible elements comprise wires.5. The system of claim 1 , wherein the adjustable cage forms a working ...

Sliding suture grasper

A device to assist in securing a holding a portion of a suture during an intra-abdominal suturing procedure, the device including an elongated tubular body, a handle, an inner member element, and a push button. The inner member element may include at least one grasping element that expands as the at least one grasping element is extended beyond a distal end of the elongated tubular. The device may include a proximal spring disposed within the push button and abutting against a proximal end of the inner member element to allow the at least one grasping element to retract into the elongated tubular body in a proximal direction.

Methods and devices for manipulating and fastening tissue

Stomach tissue is manipulated and fastened with a tissue grasper and a tissue shaper to form folds in the stomach. The tissue grasper and the tissue shaper rotate and translate relative to one another. The tissue grasper has a plurality of vacuum orifices to adhere the tissue grasper to tissue.

Selectively Bendable Remote Gripping Tool

A hand-held gripping device that allows a surgeon to reach interior portions of a person's anatomy, includes a gripping portion having a pair of jaws and/or nets movable relative to each other between fully clamped and fully opened positions thereof, a handle portion spaced apart from the jaw portion by a bendable central portion that is hollow and corrugated, with a cord extending therethrough.

AVULSION FORCEPS

A device for obtaining a tissue sample includes a spring sheath, an outer sheath, a base, a pair of jaws, and an actuator assembly. The outer sheath has a wall extending along a longitudinal axis. The base is connected to at least one of the spring sheath and the outer sheath. The pair of jaws is operatively connected to the base such that the pair of jaws can be moved between an open position and a closed position. Each jaw has a proximal portion and a distal portion. The actuator assembly includes a driver that extends through the base and engages the pair of jaws to move the pair of jaws between the open and closed positions. When the pair of jaws are in a fully opened position, the proximal portion of each jaw does not extend beyond the longitudinal axis of the wall of the outer sheath. 1. A device for obtaining a tissue sample , comprising:a spring sheath;an outer sheath having a wall extending along a longitudinal axis;a base connected to at least one of the spring sheath and the outer sheath;a pair of jaws operatively connected to the base such that the pair of jaws can be moved between an open position and a closed position, each jaw comprising a proximal portion and a distal portion, the proximal portion comprising at least one arm, wherein the arm comprises an internally extending piece, an externally extending projection, and a curved external surface, wherein the proximal portion of each jaw is connected to the base such that the curved external surface pivots about the base to move the pair of jaws between the open and closed positions;an actuator assembly comprising a driver, wherein the driver extends through the base and is configured to engage the internally extended piece of each jaw to move the pair of jaws between the open and closed positions;wherein the proximal portion each jaw does not extend beyond the longitudinal axis when the pair of jaws are in a fully opened position.2. The device according to claim 1 , wherein the distal portion of ...

Actuation mechanism for use with an ultrasonic surgical instrument

An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a force-limiting mechanism that effectively smooths out abusive tissue forces.

MORCELLATOR WITH AUGER TISSUE FEEDER

A morcellator include a housing, a knife, and a first auger. The housing defies a longitudinal axis and has an inner wall that defines a passage along the longitudinal axis. The knife is disposed about an inner wall of the housing and is secured to a distal portion of the housing. The knife extends distally from the distal portion of the housing. The first auger is disposed within the housing and has a first auger shaft and a first auger blade. The first auger shaft extends in a direction parallel to the longitudinal axis of the housing. The first auger is configured to rotate relative to the housing such that the first auger blade moves tissue proximally through the passage. 1. A morecellator comprising:a housing defining a longitudinal axis and having an inner wall defining a passage along the longitudinal axis;a knife disposed about an inner wall of the housing and secured to a distal portion of the housing, the knife extending distally from the distal portion of the housing;a first auger disposed within the housing having a first auger shaft and a first auger blade, the first auger shaft extending in a direction parallel to the longitudinal axis of the housing, the first auger configured to rotate relative to the housing such that the first auger blade moves tissue proximally through the passage.2. The morcellator according to claim 1 , wherein a distal end of the first auger is positioned proximal of a distal end of the knife.3. The morcellator according to claim 1 , wherein the housing includes a shield that extends distally beyond the knife.4. The morcellator according to claim 3 , wherein the shield is configured to guide tissue into the passage.5. The morcellator according to claim 1 , further comprising a second auger disposed within the housing and having a second auger shaft and a second auger blade claim 1 , the second auger shaft parallel to the first auger shaft.6. The morcellator according to claim 5 , wherein the passage of the housing has an ovular ...

LOADING FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT

A surgical instrument includes a body, a shaft assembly, an end effector, a transducer assembly, and a loading assembly. The end effector is coupled with a distal end of the shaft assembly. The transducer assembly is removably coupled with the proximal end of the shaft assembly. The loading assembly comprises an actuator that is operable to couple the distal end of the transducer assembly with the proximal end of the shaft assembly. The loading assembly is operable to drive the transducer assembly through at least two stages of rotation to couple the distal end of the transducer assembly with the proximal end of the shaft assembly. 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 that is operable to couple the distal end of the transducer assembly with the proximal end of the shaft assembly, wherein the loading assembly is operable to drive the transducer assembly through at least two stages of rotation to couple the distal end of the transducer assembly with the proximal end of the shaft assembly.2. The instrument of claim 1 , wherein the loading assembly comprises a first spur gear and a second spur gear claim 1 , wherein the second spur gear has a larger diameter than the first spur gear.3. The instrument of claim 2 , wherein the loading assembly comprises a first rack and a second rack claim 2 , wherein the first rack is configured to engage the first spur gear and the second rack is configured to engage the second spur gear.4. The instrument of claim 3 , wherein ...

Medical systems comprising tool members

Described herein are various method of using a direct drive system to perform procedures at a distance. One exemplary method include tying a knot or suturing at a distance with a first and second end effector. The direct drive system can enable sufficient end effector dexterity, including the ability to control various degrees of freedom of end effector movement, and allow a user to perform complicated task at a distance. In one aspect the direct drive system includes flexible tools that permit access to surgical site via a natural orifice.

Compact endoscopic surgical device and method of use thereof

A uniportal surgical device having a slotted clear cannula, a blade and a housing, wherein the cannula is attached to the housing, and wherein the blade is enclosed in the housing and is slidable into the cannula is disclosed. The device further has a device for locking a viewing device in place relative to other components of the device. A method for a performing an operative procedure on a target tissue in a subject using the uniportal surgical device is also described.

ACTUATION MECHANISM FOR USE WITH AN ULTRASONIC SURGICAL INSTRUMENT

An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a force-limiting mechanism that effectively smoothes out abusive tissue forces. 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 multiple tissue types of varying thickness between the clamp member and the blade; and 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 as a function of the tissue thickness positioned between the clamp member and the blade, 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., 'a force limiting mechanism comprising2. The ultrasonic clamp coagulator apparatus in accordance with claim 1 , wherein the first compression spring has a ...

MODULAR DEVICE COMPRISING MECHANICAL ARMS

A surgical system comprising: at least two modular units, the modular units each comprising: a surgical arm; and a motor unit configured for actuating movement of the surgical arm, the motor unit configured to be operably attached to the surgical arm, where a first face of a motor unit housing generally defines a plane which is at an angle of 60-120° to a long axis of the surgical arm; wherein the motor unit is configured to be aligned adjacent a motor unit of at least one second modular unit; wherein a second face of a housing of the motor unit generally defines a plane which is at an angle to the first face and which comprises a connection geometry suitable for connecting the housing of the motor unit to a housing of the motor unit of the second modular unit. 1. A system comprising:at least one elongate surgical arm comprising at least two surgical arm gears, said gears being coaxial with a long axis of said surgical arm and effective to move at least a portion of said surgical arm when rotated;a motor unit comprising at least two motor gears which actuate movement of said at least two surgical arms gears; said motor unit comprising a housing shaped and sized to receive at least a segment of said surgical arm therein to position said motor unit gears and said surgical arm gears in operable contact with each other.2. The system according to claim 1 , wherein said motor unit housing comprises at least one elongate recess shaped and sized for receiving said segment of said elongate surgical arm which includes said surgical arm gears claim 1 , said elongate recess extending along a longitudinal face of said housing.3. The system according to claim 2 , wherein said motor gear is positioned alongside said elongate recess to contact said surgical arm gear when said surgical arm segment is fully received within said elongate recess.4. The system according to claim 1 , wherein said motor unit housing comprises four longitudinal faces defining a rectangular cross section.5. ...

GEARING SELECTOR FOR A POWERED SURGICAL CUTTING AND FASTENING INSTRUMENT

A powered surgical cutting and fastening instrument includes a drive shaft; a motor; and a gear shifting assembly connected to the drive shaft and the motor. The gear shifting assembly may include at least a first stage gear assembly coupled to the motor and to the drive shaft for operating the gear shifting assembly in a first gear setting; and a gear coupling assembly for selectively coupling at least one additional gear to the drive shaft for operating the gear shifting assembly in a second gear setting. 1. A surgical cutting and fastening instrument comprising:(a) a drive shaft;(b) a motor; and at least a first stage gear assembly coupled to the motor and to the drive shaft for operating the gear shifting assembly in a first gear setting; and', 'a gear coupling assembly for selectively coupling at least one additional gear to the drive shaft for operating the gear shifting assembly in a second gear setting., '(c) a gear shifting assembly connected to the drive shaft and the motor, the gear shifting assembly comprising2. The instrument of claim 1 , wherein the first stage gear assembly comprises a sun gear intermeshed at least partially with one or more planet gears to provide a planetary gear arrangement for the first stage gear assembly.3. The instrument of claim 1 , further comprising a second stage gear assembly connected to the first stage gear assembly.4. The instrument of claim 3 , wherein at least one of the first stage gear assembly or the second stage gear assembly comprises a sun gear intermeshed at least partially with one or more planet gears to provide a planetary gear arrangement for the first stage gear assembly or the second stage gear assembly.5. The instrument of claim 1 , wherein the gear coupling assembly further comprises a sun gear at least partially intermeshed with one or more planet gears to provide a planetary gear arrangement which can be selectively coupled to the first stage gear assembly.6. The instrument of claim 5 , wherein the ...

Fine membrane forceps with integral scraping feature

Membrane forceps for performing an ILM or ERM peel procedure include a handle, a tube extending from the handle, and forceps jaws extending from the tube. The forceps jaws may be configured to grasp an ILM or ERM, and may include an outer surface having a roughened surface. The roughened surface may be structurally configured to aid in gaining an edge of the ILM or ERM.

MEDICAL DEVICE HANDLES AND RELATED METHODS OF USE

A device may include a sheath including a lumen, a distal end, and a proximal end. The device may further include an end-effector unit and an elongate member connected to the end-effector unit. The end-effector unit and the sheath may be movable relative to each other to achieve a first state of the end-effector unit and a second state of the end-effector unit. Moreover, the medical device may include a handle having a first handle portion connected to the proximal end of the sheath, a second handle portion connected to the proximal end of the elongate member, and a compliant member longitudinally aligned with the sheath between the first handle portion and the second handle portion. The first and second handle portions may be configured such that relative movement of the first and second handle portions causes the end-effector to move between the first and second states. 120-. (canceled)21. A device comprising:a sheath including a distal end, a proximal end, and a first lumen and a second lumen extending therebetween;a first elongate member in the first lumen, the first elongate member including a distal end with an end-effector unit and a proximal end;a second elongate member in the second lumen, the second elongate member including a distal end that directs energy out of the second lumen; anda handle including a first handle portion connected to the proximal end of the sheath and a second handle portion connected to the proximal end of the first elongate member, the first and second handle portions being biased away from one another to contain the end-effector unit in the first lumen and moveable towards one another to extend the end-effector out of the first lumen.22. The device of claim 21 , wherein the end-effector expands when extended out of the first lumen.23. The device of claim 22 , wherein the end-effector is self-expandable.24. The device of claim 22 , wherein the second elongate member is a laser fiber claim 22 , and the energy is a laser energy.25. ...

MULTIFUNCTION SURGICAL INSTRUMENT FOR USE IN LAPAROSCOPIC SURGERY

The present invention is directed toward devices and methods for use in minimally invasive needlescopic procedures whereby an improved bowel grasper incorporates a means for measuring the pressure applied to a body part is translated to a visual representation. In addition, in an embodiment a rubberized bowel grasper device having a chevron style surface which is used to facilitate grabbing and manipulating body parts is provided. In another embodiment of the present invention and system a device and method for measuring distances inside the abdomen is provided. Further embodiments include bowel graspers with a combination of the above features and functions. 1. A multifunction surgical instrument comprising a laparoscopic grasper jaw and at least one of:a laparoscopic length measuring tool;a tissue grasper having rubberized jaws; ora gauge which provides visual indication of the pressure being applied by the tissue grasper upon tissue clamped between the rubberized jaws.2. The multifunction surgical instrument claim 1 , wherein:the gauge includes an element which, when the jaws are in a maximally closed but spaced and locked position with tissue grasped therebetween, the gauge is activated to visually indicate whether pressure applied to the tissue is within a predetermined acceptable range, allowing for adjustment of the pressure.3. The multifunction surgical instrument claim 1 , further comprising:an inner grasper movement controller shaft and an outer shaft for securing the tissue grasper in position, wherein the pressure readings provided by the gauge are translated to linear movements of the inner grasper movement controller shaft relative to the outer shaft.4. The multifunction surgical instrument claim 3 , wherein:pressure produced by an outer movable finger holder of the surgical instrument, which engages and controls a housing of the surgical instrument in a manner wherein a spring within the housing seated about the outer shaft and against a spring ...

Methods and systems for performing a medical procedure

Method and system for treating a patient using a compressible, pressure-attenuating device. According to one embodiment, the system is used to treat urinary tract disorders and comprises an access device, a delivery device, a pressure-attenuating device, and a removal device. The access device may be used to create a passageway to an anatomical structure, such as the patient's bladder. The delivery device may be inserted through the passageway created by the access device and may be used to deliver the pressure-attenuating device to the anatomical structure. The removal device may be inserted through the passageway created by the access device and may be used to view the bladder and/or to capture, to deflate and to remove the pressure-attenuating device.

Surgical Suturing Instrument

A surgical suturing instrument includes a handle assembly, an elongate member extending distally from the handle assembly, and an end effector attached to the distal end of the elongate member. The end effector may include a first jaw member movable relative to a second jaw member between an open position and an approximated position for grasping tissue. Each of the jaw members defines a knife slot, a first needle slot, and a second needle slot extending along a longitudinal axis of the end effector. The end effector also includes a knife assembly and an upper assembly pivotably coupled to an upper knife flange of the knife assembly. The upper assembly includes an upper bellcrank, a first needle, a first suture passing through a first aperture defined by the first needle, a second needle, and a second suture passing through a second aperture defined by the second needle. 1. A surgical suturing instrument comprising:a handle assembly;an elongate member extending distally from the handle assembly, the elongate member defining a longitudinal axis; a first jaw member movable relative to a second jaw member between an open position and an approximated position for grasping tissue, each of the first jaw member and the second jaw member defining a knife slot extending along a longitudinal axis of the end effector;', 'a knife assembly configured to advance through the knife slot, the knife assembly including an upper knife flange, a lower knife flange, and a cutting element between the upper knife flange and the lower knife flange;', 'an upper bellcrank pivotably coupled to the upper knife flange; and', 'a first needle pivotably coupled to a first end of the upper bellcrank, the first needle defining a first aperture for supporting a first suture therethrough., 'an end effector attached to a distal end of the elongate member, the end effector including2. The surgical instrument according to claim 1 , wherein the handle assembly includes a fixed handle and a movable handle ...

Multi-functional powered surgical device with external dissection features

A surgical end effector can comprise a first jaw member and a second jaw member. The first jaw member may define an exterior surface on a distal portion thereof. The second jaw member may define an exterior surface on a distal portion thereof. The first jaw member may be moveable relative to the second jaw member between a first position and a second position. At least one of the exterior surfaces of the first and second jaw members may include a tissue gripping portion.

Self-guiding stapling instrument

A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, and an end effector extending from the shaft, wherein the end effector comprises a plurality of staples and an anvil configured to deform the staples. The surgical stapler further comprises a firing mechanism configured to deploy the staples, a sensor configured to detect a target, a controller configured to calculate the firing path based on the target, and a motorized drive system configured to move the end effector toward the target along the firing path.

Surgical instrument having a display comprising image layers

A surgical stapler for stapling the tissue of a patient, comprising: is disclosed. The surgical stapler comprises a handle comprising a display, a shaft extending from the handle, and an end effector extending from the shaft, wherein the end effector comprises a group of staples and an anvil configured to deform the staples. The surgical stapler further comprises a firing system configured to deploy the staples along a firing path, a vision system configured to capture a tissue image of the patient tissue, and a controller configured to generate an image overlay representing the firing path and to display the image overlay over the tissue image on the display.

SURGICAL INSTRUMENT COMPRISING A TISSUE GRASPING SYSTEM

A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, and an end effector. The end effector comprises a tissue compression surface, a plurality of staples, and an anvil comprising staple forming pockets, wherein the anvil is movable toward the tissue compression surface during a closing stroke to clamp the patient tissue against and tissue compression surface. The surgical stapler further comprises an anvil closing system configured to move the anvil through the closing stroke, a staple firing system configured to deploy the staples during a staple firing stroke, and means for clamping and holding the patient tissue during the staple firing stroke and moving the end effector relative to the patient tissue after the staple firing stroke. 1. A surgical stapler for stapling the tissue of a patient , comprising:a handle;a shaft extending from said handle; a tissue compression surface;', 'a plurality of staples; and', 'an anvil comprising staple forming pockets, wherein said anvil is movable toward said tissue compression surface during a closing stroke to clamp the patient tissue against said tissue compression surface;, 'an end effector, comprisingan anvil closing system configured to move said anvil through said closing stroke;a staple firing system configured to deploy said staples during a staple firing stroke; and clamp and hold the patient tissue during said staple firing stroke; and', 'move said end effector relative to the patient tissue after said staple firing stroke., 'a tissue advancement system configured to2. The surgical stapler of claim 1 , wherein said anvil closing system is further configured to move said anvil through an opening stroke after said staple firing stroke and before moving said end effector relative to the patient tissue.3. The surgical stapler of claim 1 , wherein said tissue advancement system comprises a first grasper and a second grasper ...

Stapling instrument comprising a staple feeding system

A surgical stapler comprising an end effector and a system configured to feed staples into the end effector is disclosed.