ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ ИНСТРУМЕНТ (ВАРИАНТЫ)

Группа изобретений относится к медицинской технике, а именно к хирургическим рассекающим и сшивающим скобками инструментам с электропитанием и используемым в них кассетам со скобками, которые выполнены с возможностью разрезания и сшивания ткани скобками. Хирургический сшивающий инструмент содержит концевой эффектор, двигатель и систему управления. Концевой эффектор содержит множество устанавливаемых скобок и пусковой элемент. Двигатель выполнен с возможностью приведения в действие пускового элемента. Двигатель содержит первичный комплект катушек и вторичный комплект катушек. Система управления находится в соединении посредством сигналов с двигателем. Система управления содержит аккумулятор, схему широтно-импульсной модуляции и переключатель. Схема широтно-импульсной модуляции выполнена с возможностью управлять продолжительностью импульсов тока, подаваемых от аккумулятора на двигатель. Переключатель выполнен с возможностью переключать электрический двигатель между множеством рабочих состояний ...

СИСТЕМЫ ОБНАРУЖЕНИЯ КОНЦЕВОГО ЭФФЕКТОРА ДЛЯ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

Изобретение относится к медицинской технике, а именно к системе обнаружения концевого эффектора для хирургических инструментов. Хирургическая инструментальная система для сшивания ткани содержит хирургический инструмент и первый концевой эффектор. Хирургический инструмент включает пусковой элемент, двигатель и аккумулятор. Двигатель выполнен с возможностью приведения в движение пускового элемента. Аккумулятор выполнен с возможностью подавать электропитание на двигатель. Первый концевой эффектор выполнен с возможностью прикрепления к хирургическому инструменту. Первый концевой эффектор содержит первый набор сохраненных данных первого набора параметров концевого эффектора, имеющих отношение к первому концевому эффектору. Хирургический инструмент выполнен с возможностью определять первый набор сохраненных данных и вводить рабочее состояние после того, как определен первый набор сохраненных данных. Рабочее состояние содержит ограничение мощности, подаваемой аккумулятором на двигатель, до первой ...

УСТРОЙСТВО ДЛЯ МАНИПУЛЯЦИЙ С ЯЗЫКОМ, КОСТНЫЙ ФИКСАТОР ДЛЯ ИСПОЛЬЗОВАНИЯ В ТАКИХ УСТРОЙСТВАХ И СПОСОБ РЕГУЛИРОВКИ

Группа изобретений относится к медицине. Костный фиксатор для устройства для манипуляций с языком для лечения расстройства дыхания содержит фиксатор ткани для присоединения к языку, костный фиксатор и ограничительную нить, которая прикрепляет фиксатор ткани к костному фиксатору. Костный фиксатор содержит конструкцию катушки ограничительной нити. Конструкция катушки содержит часть пошагового перемещения и катушечную часть. В первой конфигурации катушечная часть может использоваться для намотки ограничительной нити без срабатывания части пошагового перемещения. Во второй конфигурации катушечная часть может использоваться для намотки ограничительной нити со срабатыванием части пошагового перемещения. Система для манипуляций с языком содержит упомянутый костный фиксатор. Способ регулировки устройства для манипуляций с языком, которое содержит фиксатор ткани для присоединения к языку, костный фиксатор и ограничительную нить, которая прикрепляет фиксатор ткани к костному фиксатору, предусматривает ...

ХРАПОВОЙ ЭЛЕМЕНТ НА СПУСКОВОМ МЕХАНИЗМЕ ДЛЯ СШИВАНИЯ ТКАНИ ДЛЯ ПРЕДОТВРАЩЕНИЯ ПРЕЖДЕВРЕМЕННОГО ОТКРЫТИЯ БРАНШИ

Изобретение относится к медицине. Хирургический инструмент включает в себя корпус, шарнирный спусковой механизм и храповой узел. Храповой узел может включать в себя поворотный храповик, соединенный со спусковым механизмом, и предохранитель, соединенный с корпусом. Поворотный храповик включает наклонную поверхность, которая отцепляет храповик от предохранителя. Высвобождающий элемент предназначен для избирательного отцепления второго элемента храпового узла от первого элемента и включает поворотную ручку или рукоятку, выполненную с возможностью скольжения. Храповой узел имеет первый элемент, соединенный с приводом, и второй элемент, соединенный с корпусом. Узел включает элемент блокировки, соединенный с корпусом, который избирательно зацепляет множество зубцов, размещенных на приводе. Альтернативно узел может включать в себя шарнирный предохранитель, соединенный с приводом, который зацепляет одну или более бороздок, образованных в корпусе. 3 н. и 17 з.п. ф-лы, 18 ил.

ЗАКРЫВАЮЩИЙ ПРИВОДНОЙ МЕХАНИЗМ И ХИРУРГИЧЕСКИЙ СШИВАТЕЛЬ

Группа изобретений относится к медицинской технике, а именно к закрывающему приводному механизму и хирургическому сшивателю. Закрывающий приводной механизм, который используется для хирургического сшивателя, имеющего узел головки, и который содержит первый ползунок, фиксирующий элемент, закрывающий привод и толкающий блок. Первый ползунок соединен с закрывающим приводом и содержит первую посадочную часть. Закрывающий привод соединен с тяговой пластиной для открывания и закрывания узла головки. Узел головки открыт, когда закрывающий привод находится в открытом положении, и узел головки закрыт, когда закрывающий привод находится в закрытом положении. Фиксирующий элемент содержит соединенные друг с другом вторую посадочную часть и первую подъемную часть, а толкающий блок содержит вторую подъемную часть, расположенную под первой подъемной частью. Когда узел головки закрыт, первая посадочная часть находится под второй посадочной частью и совмещена с ней, а закрывающий привод удерживается в закрытом ...

КОНСТРУКЦИИ ДЛЯ ОБНАРУЖЕНИЯ ОШИБОК ДЛЯ УЗЛОВ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

ХИРУРГИЧЕСКОЕ УСТРОЙСТВО НАЦЕЛИВАНИЯ

... 1. Хирургическое устройство нацеливания, содержащее:рукоятку, присоединенную к проксимальному концу удлиненной лапки, причем удлиненная лапка также имеет дистальный конец;шарнир, прикрепляющий к указанному дистальному концу нацеливатель для обеспечения связи с возможностью вращения вокруг оси шарнира;нацеливатель, имеющий удлиненное острие нацеливателя и точку нацеливания, причем точка нацеливания расположена на дистальном конце острия нацеливателя относительно указанного шарнира, при этом острие нацеливателя на проксимальном конце присоединено к лапке посредством указанного шарнира; ипри этом упомянутый шарнир выполнен с возможностью крепления нацеливателя под заданным углом вращения вокруг оси, заданной вращением шарнира, причем указанная ось проходит через точку нацеливания.2. Устройство по п.1, дополнительно содержащее отверстие в рукоятке и направитель ввода, выполненный с возможностью скольжения сквозь отверстие в рукоятке, причем указанное отверстие задано осью ввода, проходящей ...

ДЕРЖАТЕЛЬ ИЗОГНУТОЙ ИГЛЫ

БЛОКИРУЮЩИЕ МЕХАНИЗМЫ ДЛЯ ОТСОЕДИНЯЕМЫХ УЗЛОВ СТВОЛОВ С ШАРНИРНО ПОВОРАЧИВАЕМЫМИ ХИРУРГИЧЕСКИМИ КОНЦЕВЫМИ ЭФФЕКТОРАМИ

Хирургический инструмент, содержащий отдельные системы для скрепления ткани и разрезания ткани

VORRICHTUNG ZUM DEHNEN DER HAUT

Patient-specific fracture fixation instrument

An instrument for internal bone fracture fixation is disclosed. It includes a shaft 203 having a distal portion and a patient-specific bone holder 220 coupled to the distal portion. The shaft may optionally comprise an arm 202. The bone holder has a three-dimensional curved and patient-specific bone engagement surface 230 designed during a preoperative plan, tailored to the patient and based on a medical scan. It matches and conforms to an outer surface of a bone fragment 82 of the patient in only one position. The instrument may also comprise a second shaft 207 having a second arm 204 with a second distal portion, the second shaft 207 being pivotably coupled to the first shaft 203. Preferably, the two shafts are pivotably coupled for a scissors or forceps like motion. Optionally, the instrument may further comprise a patient-specific implant.

Retractors

Ratcheting handle for medical instrument

A ratcheting handle for a medical instrument is provided that includes a ratchet shifter 200, a tool connector 300, a ratchet coupler 400, and a rear power housing 500. The handle provides clockwise and counterclockwise ratcheting. The ratcheting handle may include a drive shaft removeably connected to a power tool or, alternatively, to a handle grip 600 for manual manipulation.

RATCHETING HANDLE FOR MEDICAL INSTRUMENT

CONNECTION DEVICE FOR COUPLING WITH AN ENDOSCOPE

SURGICAL SEAM INSTRUMENT

Applicator instruments having surgical fastener insertion tools for dispensing surgical fasteners

An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft, and an elongated conduit extending through the elongated shaft. A firing system is disposed within the housing. The firing system has an insertion tool having a top surface that extends proximal and distal ends thereof and a stripper ramp that projects above the top surface. An actuator activates the firing system to commence a firing cycle. During the firing cycle, the firing system drives the insertion tool toward the distal end of the elongated shaft. The elongated conduit has a top wall with a top notch formed therein. The stripper ramp slides through the top notch for guiding movement of the insertion tool as the firing system drives the insertion tool toward the distal end of the elongated shaft.

Bone material dispensing system with locking member

A bone material dispensing device is provided. The bone material dispensing device comprises a housing having a proximal end, a distal end, and a longitudinal axis. The proximal end having a first opening and the distal end having a second opening. The first opening and the second opening configured to slidably receive at least a portion of a plunger. A locking member is provided that is pivotably connected to an upper surface of the housing and extends adjacent to the upper surface of the housing. The locking member comprises a locking surface extending adjacent to the distal end of the housing configured to engage a portion of a tubular member, a funnel, or a combination thereof. The locking member is movable in a locking position to lock the portion of the tubular member, the funnel, or the combination thereof with the housing. A bone material dispensing system and a method of implanting bone material with the bone material dispensing system are also provided.

Reposable multi-fire surgical clip applier

REPOSABLE MULTI-FIRE SURGICAL CLIP APPLIER A reposable surgical clip applier (10), comprising: a handle assembly (100), including: a housing (110); at least one handle (130) movable relative to the housing (110) between a spaced-apart position and an approximated position; and an inner actuation assembly (140) disposed within the housing (110), the inner actuation assembly (140) including a proximal drive member (142) and a proximal pusher bar (148) movable through the proximal drive member (142), the inner actuation assembly (140) operably coupled to the at least one handle (130) such that movement of the at least one handle (130) towards the approximated position moves the proximal drive member (142) distally about the proximal pusher bar (148) and moves the proximal pusher bar (148) proximally about and through the proximal drive member (142), and such that movement of the at least one handle (130) towards the spaced-apart position moves the proximal drive member (142) proximally about ...

Device for the retraction of soft tissue in a patient undergoing arthroscopic surgery

A device for the retraction of soft tissue in a patient undergoing arthroscopic surgery, comprising a pulling element (2) extending in its own main direction (A) between a first end (2a) and a second end (2b), the latter being fitted with a hooking body (4) configured to pass through the soft tissue (ST) of a patient and engage in the soft tissue following the traction of the pulling element (2) towards the first end (2a). The device further comprises a presser body (3) suitable to press on the skin (S) of the patient and connectable to the pulling element (2) in at least one operating position placed at a fixed distance (d) from the second end (2b), wherein the fixed distance (d) is such as to define a housing for the layers of soft tissue (ST) of the patient engaged by the hooking body (4).

Soft tissue cutting instrument with retractable blade or hook

A system and method for cutting soft tissue with a retractable surgical cutting device (10). The device (10) includes a handle (12) having a first channel (24) extending therethrough and a switch (18) located thereon. The switch (18) is movable between a retracted position and an extended position. An actuator (26) with a blade (16) extends through the first channel (24) and connects to the switch (18) within the handle (12). An outer sheath (14) is connected to the handle (12) and surrounds the actuator (26) and at least a portion of the blade (16). A drive mechanism (28) is connected to the switch (18) within the handle (12) such that when the switch (18) moves from the retracted position to the extended position, the actuator (26) moves from a retracted position to an extended position. In the retracted position, the blade (16) can be entirely within the outer sheath (14) and in the extended position, at least a portion of the blade (16) is positioned outside of the outer sheath (14) ...

Device for the retraction of soft tissue in a patient undergoing arthroscopic surgery

A device for the retraction of soft tissue in a patient undergoing arthroscopic surgery, comprising a pulling element (2) extending in its own main direction (A) between a first end (2a) and a second end (2b), the latter being fitted with a hooking body (4) configured to pass through the soft tissue (ST) of a patient and engage in the soft tissue following the traction of the pulling element (2) towards the first end (2a). The device further comprises a presser body (3) suitable to press on the skin (S) of the patient and connectable to the pulling element (2) in at least one operating position placed at a fixed distance (d) from the second end (2b), wherein the fixed distance (d) is such as to define a housing for the layers of soft tissue (ST) of the patient engaged by the hooking body (4).

Reposable multi-fire surgical clip applier

REPOSABLE MULTI-FIRE SURGICAL CLIP APPLIER A reposable surgical clip applier (10) includes a handle assembly (100), a shaft assembly (200) releasably engagable with the handle assembly (100), and a clip cartridge assembly (300) releasably engagable within the shaft assembly (200). The handle assembly (100) includes a proximal drive member (142), a proximal pusher (148), and a proximal biasing member (150) biased to move the proximal drive member (142) proximally such that the proximal pusher bar (148) is moved distally. When the reposable surgical clip applier (10) is assembled, the proximal drive member (142) is positioned proximally adjacent an inner drive assembly (240) of the shaft assembly (200) and the proximal pusher (148) is positioned proximally adjacent a distal pusher (340) of the clip cartridge assembly (300), such that, movement of handle(s) of the handle assembly (100) towards an approximated position actuates a jaw assembly (230) of the shaft assembly (200) and movement of ...

Apparatus for applying surgical clips

APPARATUS FOR APPLYING SURGICAL CLIPS Abstract An apparatus (10) for applying surgical clips (86) has a body portion (14) housing a clip stack (88) and a pair of jaws (16, 18) supported at a distal end of the body 5 portion (14). The body portion (14) includes a camming member (46), a clip follower (44) and a lockout member (66) having a plurality of stop members. The lockout member (66) is movable from a first position in slidable relation to the camming member (46) to a second position interlocked with the camming member (46). The camming member (46) has at least one notch, and in a second position the lockout member (66) has at least one 10 of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member (46). The clip follower (44) actuates the lockout member when the clip follower (44) advances to a predetermined clip (86) in the clip stack (88). - ...

Quick load mechanism for a surgical suturing apparatus

A surgical suturing apparatus includes a flexible member having a proximal end and a distal end. The proximal end has a handle attached thereto and the distal end has a suturing body attached thereto. The handle is operatively connected to the 5 suturing body. The suturing body includes a suture housing in which a needle and drive assembly are housed for movement of the needle with a suture secured thereto about an arcuate path facilitating application of a suture to tissue. A mechanism is provided for accommodating and operating different sized needles and different sized sutures while maintaining the operative connection between the handle and the 10 suturing body. o ...

Surgical clip applier and method of assembly

Endoscopic surgical clip applier with connector plate

ENDOSCOPIC SURGICAL CLIP APPLIER WITH CONNECTOR PLATE Abstract An apparatus (100) for application of surgical clips ("C") to body tissue is provided and includes a handle assembly (102); a shaft assembly (104) including a 5 housing (103) extending distally from the handle assembly (102) and defining a longitudinal axis; a plurality of surgical clips ("C") disposed within the shaft assembly (104); a jaw (106) mounted adjacent a distal end portion of the shaft assembly (104), the jaw (106) being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar (156) reciprocally disposed within the housing 1o (103) of the shaft assembly (104); the pusher bar (156) being configured to load a distal most surgical clip into the jaws (106) during distal movement and remain connected to the housing (103) of the shaft assembly (104) and in a distally advanced position during an approximation of the jaws (106). co/ ...

Biopsy incision closure device

A biopsy incision closure device comprises a base having a frame incorporated therein. Together, the base and frame define an opening for performing a biopsy incision when the device is placed over a tissue surface. The base is typically composed of an elastomeric material and the frame comprises resilient inelastic members which can be used to close the opening in a highly uniform manner with minimum distortion and stress introduced into the tissue edges being drawn together.

Endoscopic surgical clip applier

Spinal access retractor

A retractor (100) configured to retract tissue generally includes a first arm, a second arm, and a translating member. The first arm (126) comprises a proximal portion (127) and a distal portion (137). The portion is configured to retain a first retractor member (112). The distal portion is configured to rotate relative to the proximal portion about a first axis (373). The second arm is configured to retain a second retractor member (110), such that rotation of the distal portion about the first axis causes the first retractor member to pivot toward or away from the second retractor member when the first retractor member and the second retractor member are coupled to the first arm and the second arm, respectively. The translating member (430) is coupled between the proximal portion and the distal portion. The translating member configured to receive a drive force that causes the translating member to bias the distal portion to pivot relative to the proximal portion about the first axis.

Surgical access system and related methods

A surgical access system comprising a tissue dilation assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures. A retractor assembly for creating an operative corridor to a spinal surgical target site is disclosed, comprising: a retractor body and a plurality retractor blades extending generally perpendicularly to the retractor body, the retractor body being operable to separate the at plurality of retractor blades relative to each; and a supplemental retractor blade assembly attachable to at least two of the plurality of retractor blades, the supplemental retractor blade assembly comprising an elongated supplemental retractor blade and a crossbar connector, the crossbar connector configured to be attached to said at least two retractor blades while engaging the supplemental retractor blade.

Adjustable graft attachment

A graft attachment device (100) includes a platform member (200), a ratchet mechanism, and a graft connecting element (206). The ratchet mechanism includes a rack member (204) and a pawl member (202) coupled to the rack member. The rack member has a first end, a second end, and teeth (214) between the first end and the second end. The platform member is coupled to the first end. The pawl member is configured to engage with the teeth of the rack member such that movement of the pawl with respect to the rack member and the platform member is free in a first direction towards the first end of the rack member while being limited in a second direction towards the second end of the rack member. The graft connecting element is coupled to the pawl member and configured for attachment to a graft.

Circular needle driver

A needle cartridge adapted to be attached to a receiver on a surgical suturing device comprises an arced needle having a leading end, a trailing end, and a length of suture. A body is provided having a pair of distally projecting arms and a track receiving the needle and defining a 0 circular path. A needle driver is operable to rotate the needle along the circular path across the body arms. A cover captures the needle in the track, the cover having a pair of distally projecting arms aligned with the body arms. A cage is slideable relative to the body between a distal position where the cage constrains the cover arms against the body arms to capture the needle in the track, and a proximal position where the cage disengages from the cover arms allowing the 5 needle to eject from the track.

Transcutaneous analyte sensors, applicators therefor, and associated methods

The present embodiments relate generally to systems and methods for measuring an analyte in a host. More particularly, the present embodiments provide sensor applicators and methods of use with activation that implant the sensor, withdraw the insertion needle, engage the transmitter with the housing, and disengage the applicator from the housing. Systems and methods according to present principles allow for such steps to occur without significant loss of spring force, and without deleterious effects such as seal slingshotting.

Endoscopic reposable surgical clip applier

ENDOSCOPIC REPOSABLE SURGICAL CLIP APPLIER An overstroke mechanism (600) for use with a surgical instrument, the overstroke mechanism (600) comprising: an overstroke sleeve (610) including an outer surface and defining a counterbore (516n) extending therethrough, the outer surface including a longitudinal slot (616); an overstroke biasing element (620) disposed at least partially within the counterbore (516n) of the overstroke sleeve (610); a spindle (540) including a channel (548), a portion of the spindle (540) configured to longitudinally translate within the counterbore (516n) of the overstroke sleeve (610); an outer shaft (422) including a hole, a portion of the outer shaft (422) configured to longitudinally translate within the counterbore (516n) of the overstroke sleeve (610); and an overstroke pin (630) extending at least partially through the longitudinal slot (616) of the overstroke sleeve (610), extending at least partially through the hole of the outer shaft (422), and extending ...

RESECTION LINE GUIDE FOR A MEDICAL PROCEDURE AND METHOD OF USING SAME

Abstract: The present invention relates to apparatuses and methods of using a resection line guide in various medical procedures. A resection line guide (94) may include a first clamp member (96) and a second clamp member (98) configured to be positioned on a first side (18) and a second side (20) generally opposite that of the first side (18) of an anatomical structure, such as, for example, a stomach (10). The clamp members (96, 98) may be configured to provide a clamping force on the stomach (10) to secure the guide to the stomach (10). Further, at least one flexible member (86) may be operatively coupled to the clamp members (96, 98). The flexible member (86) may be configured to be tensioned so as to provide at least a portion of the clamping force on the stomach (10). WO 2015/095333 PCT/US2014/070869 ...

Handheld devices for use in medical procedures

The invention is a system and a handheld device for use in open or minimally invasive surgical procedures, such as a bone implant fixation procedure. The handheld device is configured to perform various functions during a bone implant fixation procedure, including performing at least one of: penetration of a bone to form a hole or opening for receipt of a screw; neuromonitoring, in cooperation with a neuromonitoring device, of the hole during, or post-, formation of the hole so as to sense any nearby nerves adjacent to the hole that may be in the path of a screw, or otherwise affected, when a screw is placed within the hole; neurostimulation, in cooperation with a neuromonitoring device, of nerves adjacent to the hole during, or post-, formation of the hole; and measuring of a depth of the hole and providing a digital measurement of the depth to assist the surgeon in selecting the appropriate length of screw.

Handheld devices for use in medical procedures

The invention is a system and a handheld device for use in open or minimally invasive surgical procedures, such as a bone implant fixation procedure. The handheld device is configured to perform various functions during a bone implant fixation procedure, including performing at least one of: penetration of a bone to form a hole or opening for receipt of a screw; neuromonitoring, in cooperation with a neuromonitoring device, of the hole during, or post-, formation of the hole so as to sense any nearby nerves adjacent to the hole that may be in the path of a screw, or otherwise affected, when a screw is placed within the hole; neurostimulation, in cooperation with a neuromonitoring device, of nerves adjacent to the hole during, or post-, formation of the hole; and measuring of a depth of the hole and providing a digital measurement of the depth to assist the surgeon in selecting the appropriate length of screw.

REMOTELY ADJUSTABLE INTERACTIVE BONE RESHAPING IMPLANT

Abstract According to some embodiments, systems and methods for reshaping bone are provided. The systems may include an implant body, an actuator coupled to the implant body, a sensor configured to detect a parameter indicative of a biological condition, a transceiver, and a controller. The transceiver may be configured to transmit data associated with the parameter to an external remote control and receive instructions from the external remote control. Finally, the controller is configured to move the actuator in response to the instructions from the external remote control, wherein the actuator adjusts the implant body. The methods may include measuring a parameter indicative of a biological condition; transmitting data associated with the parameter from the implantable device to an external remote control; transmitting instructions from the external remote control to the implantable device; and actuating the bone growth device in response to the instructions from the external remote ...

Apparatus and Method for Surgical Suturing with Thread Management

ENDOSCOPIC SURGICAL CLIP APPLIER

An apparatus for application of surgical clips to body tissue includes an actuator at least partially disposed within a body and longitudinally movable in response to actuation of a handle portion. The apparatus includes a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position and a rack having ratchet teeth connected to the actuator. The apparatus includes a pawl engaging a series of ratchet teeth and capable of preventing an inadvertent return of the actuator before full actuation of the apparatus. A clip pusher incrementally moves distally each time a clip is released from the apparatus. When the clip pusher reaches a predetermined distal point in a clip carrying channel, a feed bar is deflected to a second position to prevent retraction but not advancement of the actuator and thereby manipulates the pawl to engage the ratchet teeth.

SURGICAL CLIP APPLIER AND METHOD OF ASSEMBLY

Surgical clip appliers are provided and includes a channel assembly extending distally from a housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within said channel of said clip carrier; a wedge plate reciprocally disposed within said channel assembly, said wedge plate being operatively connected to said handles and including a plurality of apertures formed along a length thereof; and a clip follower slidably disposed within said channel of said clip carrier and disposed proximally of said plurality of clips, said clip follower being configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate. The clip follower is configured and adapted to urge said plurality of clips, in a distal direction relative to said clip carrier, upon reciprocal movement of said wedge plate.

ENDOSCOPIC SURGICAL CLIP APPLIER WITH WEDGE PLATE

An apparatus for application of surgical clips to body tissue is provided an d includes a handle assembly; a shaft assembly including a housing extending distally fro m the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly an d being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.

SINGLE PORT INSTRUMENTS

Surgical tools that can be used in single port laparoscopic procedures can include a low-profile handle assembly to minimize tool interference adjacent the incision site. For example, a handle assembly for a surgical instrument can have a generally in-line configuration extending linearly along a central longitudinal axis of an elongate shaft of the instrument. A linkage mechanism including a trigger ( 20 ), an actuation link ( 24 ), and an actuation shaft ( 26 ) can be positioned within the in-line handle. The linkage mechanism can be pivoted between an open position in which end effectors of the instrument are open and a toggle position in which the end effectors are locked closed. A locking mechanism such as a ratchet mechanism can also be used to lock the end effectors. A surgical dissector can include gripping jaws having a curved profile or an angled elongate shaft to minimize tool interference and maximize visibility within a procedure site.

CLIP ADVANCER WITH LOCKOUT MECHANISM

A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a housing having a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The clip applier can include an advancer assembly disposed within the elongate shaft and configured to advance one of a plurality of clips disposed within the elongate shaft into the opposed jaws. A feeder shoe can be disposed within the elongate shaft and can be configured to engage and prevent the advancer assembly from moving to a proximal position after the advancer assembly has moved to a distal position to advance a proximal-most clip into the opposed jaws. This can indicate to a user that a clip supply of the surgical clip applier is depleted.

SURGICAL SUTURING APPARATUS WITH DETACHABLE HANDLE

A surgical suturing apparatus includes a suture housing, a needle mounted within the suture housing for movement about an arcuate path, a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue, a handle, an elongated flexible member having a distal end attached to the suture housing and a proximal end attached to the handle, and a mechanism for releasing and reattaching the handle to the flexible member.

DEVICE FOR ATRIAL APPENDAGE EXCLUSION

A surgical applicator for a fastener, the surgical applicator comprising: a handle; a trigger movable relative to the handle between an initial position, an actuated position, and an intermediate position between the initial position and the actuated position; and a lockout mechanism movable relative to the trigger between a locked position and an unlocked position, the lockout mechanism operatively arranged to: lock the trigger in the intermediate position when the trigger is moved from the initial position toward the actuated position; and permit movement of the trigger from the intermediate position toward the initial position or the actuated position when the lockout mechanism is moved from the locked position to the unlocked position.

END EFFECTORS, SURGICAL STAPLING DEVICES, AND METHODS OF USING SAME

Embodiments include an end effector for use by a surgeon to staple an anatomical structure of a patient, the end effector including a first jaw having a first end, a second end, a longitudinal axis, and an anvil having an anvil face; a second jaw having a first end, a second end, a longitudinal axis, and a cartridge operably configured to house a plurality of staples, the cartridge having a cartridge face; a first coupling that couples the first end of the first jaw to the first end of the second jaw; and a second coupling that movably couples the second end of the first jaw to the second end of the second jaw, where the second coupling includes a rigid link connected to the first jaw and the second jaw.

PLIANT MEMBERS FOR RECEIVING AND AIDING IN THE DEPLOYMENT OF VASCULAR PROSTHESES

A vascular prosthesis deployment device and related methods are disclosed. In some embodiments the deployment device may include a delivery catheter assembly. The delivery catheter assembly may include a pliant member, wherein the pliant member is configured receive a vascular prosthesis. The pliant member may also be configured to aid in incrementally deploying a vascular prosthesis.

ENDOSCOPIC SURGICAL CLIP APPLIER

A reposable surgical clip applier (10) includes a handle assembly (100) and an endoscopic assembly (200, 300, 400). The handle assembly (100) includes a housing (110) defining a body portion (111) and a fixed handle portion (112) extending from the body portion (111) and a trigger (122) pivotably connected to the housing (110) and movable relative to the fixed handle portion (112) between an un-actuated position and an actuated position. The endoscopic assembly (200, 300, 400) includes a proximal hub (210, 310, 410) configured to be selectively engageable with the housing (110) of the handle assembly (100), an elongated shaft (340) extending distally therefrom, an end effector (350) supported at a distal end of the elongated shaft (340), and an inner drive assembly (320) including a proximal portion (323) and a distal portion (325). The proximal portion (323) may advance within the distal portion (325) upon a blockage of the end effector assembly (350) to permit the trigger (122) to return ...

WIRE PASSER SYSTEM AND METHOD

A wire passer system for passing a surgical wire around a bone. The wire passer system broadly comprises a gun assembly, a flexible push member, and a surgical wire. The gun assembly can comprise a handle, a trigger, a rigid guide section, a support guide, a push rod, and tensioner.

CLIP APPLIER CONFIGURED TO PREVENT CLIP FALLOUT

A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation.

ARTICULATION AND FIRING FORCE MECHANISMS

There is provided a surgical instrument incorporating driving force mechanisms capable of transmitting a driving force through an articulated section of the surgical instrument. In one embodiment, a series of racks connect with a transfer gear to pass forces around the articulated section. In an alternative embodiment a series of cable sections and wheels or pulleys are provided to transmit a driving force through the articulated section of the surgical instrument.

RESECTION LINE GUIDE FOR A MEDICAL PROCEDURE AND METHOD OF USING SAME

The present invention relates to apparatuses and methods of using a resection line guide in various medical procedures. A resection line guide (94) may include a first clamp member (96) and a second clamp member (98) configured to be positioned on a first side (18) and a second side (20) generally opposite that of the first side (18) of an anatomical structure, such as, for example, a stomach (10). The clamp members (96, 98) may be configured to provide a clamping force on the stomach (10) to secure the guide to the stomach (10). Further, at least one flexible member (86) may be operatively coupled to the clamp members (96, 98). The flexible member (86) may be configured to be tensioned so as to provide at least a portion of the clamping force on the stomach (10).

DEVICES FOR APPLYING SURGICAL CLIPS

An actuator is movable between a first position and a second position to move a drive mechanism between a first configuration and a second configuration relative to a housing. A cartridge assembly configured to be removably coupled to the housing to couple such that the cartridge assembly is coupled to the drive mechanism. A first member of the drive mechanism moves a first member of the cartridge assembly to advance a surgical clip of the cartridge assembly in a distal direction when the drive mechanism is placed in the first configuration. A second member of the drive mechanism moves a second member of the cartridge assembly relative to the clamp mechanism when the drive mechanism is placed in the second configuration to transition the clamp mechanism from a first configuration to a second configuration. The clamp mechanism is configured to clamp the surgical clip when in the second configuration.

SURGICAL STAPLER WITH SELF-ADJUSTING STAPLE HEIGHT

A surgical stapler is provided that includes a spring loaded lift that automatically adjusts a staple cartridge and/or staple formation between a range of sizes. The lift is automatically released as the staple firing mechanism begins its forward translation of the firing sequence. The automatic one-way adjustment also adjusts the staple cartridge while maintaining the cartridge parallel to the anvil to provide consistent staple formations.

MINIMALLY OBSTRUCTIVE RETRACTOR

This application presents minimally-obstructive and structurally-adjustable retractors which afford an open work area of desirable size and enhanced visualization for a surgeon about the perineum and the posterior vaginal wall of the patient. The retractors may be lightweight and compact, and also configured and dimensioned to minimize slippage during use. The retractors may retract the engorged labia of the postpartum patient as well as the vaginal walls. The device may also be used as a speculum.

SURGICAL INSTRUMENT

A surgical apparatus for use in endoscopic surgery having a user interface operatively coupled to an articulating tool assembly via an elongate tubular member. Movement at the articulating tool mirrors movement at the user interface thereby providing intuitive operation of the surgical apparatus. The apparatus is configured such that the range of motion of the articulating tool assembly emulates the range of motion of the human wrist.

DETACHABLE RATCHETING SHAFT FOR SPECIMEN RETRIEVAL BAG

A system for retrieving a specimen includes a collapsible bag having a first mating member and a retrieval device having a second mating member. The second mating member cooperates with the first mating member for coupling the collapsible bag with the retrieval device. A rotation mechanism is disposed in the retrieval device. Actuation of the rotation device collapses an excess portion of the collapsible bag.

CLAMPING DEVICE FOR MINIMUM GRIPPING AND ITS FIELD

Surgical clip applier and method of assembly

Surgical clip appliers are provided and include a channel assembly extending distally from a housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within said channel of said clip carrier; a wedge plate reciprocally disposed within said channel assembly, said wedge plate being operatively connected to said handles and including a plurality of apertures formed along a length thereof; and a clip follower slidably disposed within said channel of said clip carrier and disposed proximally of said plurality of clips, said clip follower being configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate. The clip follower is configured and adapted to urge said plurality of clips, in a distal direction relative to said clip carrier, upon reciprocal movement of said wedge plate.

Apparatus for ocular treatment

For dual control of the surgical system and method

SURGICAL CLIP ADVANCEMENT AND ALIGNMENT MECHANISM

system stent delivery catheter with slow speed control pin and slot through clip with rapid speed control

METHOD AND APPARATUS FOR GUIDING A SUTURE THREAD

A suture device is configured to guide a suture thread. The device includes a sleeve that defines an opening, and a plunger to which a suture thread can be attached. The plunger can be inserted into the opening of the sleeve, and movable between a retracted position and an advanced position. When the plunger is in the retracted position, a distal portion of the suture thread is located proximal with respect to the distal end of the suture device. When the plunger is in the advanced position, the distal portion of the suture thread is driven out the distal end of the suture device.

SURGICAL CLIP APPLIER

A surgical clip applier is provided including a housing; a pair of handles; a channel assembly extending from the housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows; a wedge plate slidably disposed within said channel assembly and being operatively connected to said handles, said wedge plate including a plurality of apertures formed along a length thereof; a plurality of clips slidably disposed within said channel of said clip carrier; and a clip follower slidably disposed within said channel of said clip carrier at a location proximal of said plurality of clips. The clip follower is configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate to distally urge said plurality of clips relative to said clip carrier upon a distal advancement of said wedge plate.

SURGICAL DEVICE, SYSTEM, AND METHOD OF USE THEREOF

The present invention includes a surgically implantable device, system, and method of use thereof for the internal compression or distraction of, for example, bone fractures, fusions, and osteotomies. More specifically, the surgical device comprises a bridge with one or more adjustable anti-reversing portions. The adjustable anti-reversing portion(s) may be located in a symmetrical or asymmetrical manner on the bridge between the device's legs. The adjustable anti-reversing portion(s) allow for stronger compression of the bone at a known amount of compression. The adjustable anti-reversing portion(s) can also maintain the device's legs in closer proximity to one another for greater compression or maintain the device's legs apart from one another for distraction. The surgical device can also comprise cannulated or grooved legs. A system and method of use is also described.

DEVICE AND METHOD FOR TREATMENT OF HEMORRHOIDS USING SUCTION

A device includes a handle having a trigger in combination with a distal portion, the distal portion including a rigid elongated hollow member which receives tissue therein and a plunger fitted with and configured to slide longitudinally within the hollow member to induce suction at a distal end of the hollow member as the plunger is moved proximally within the hollow member. The trigger is hingedly coupled to the plunger so that pulling the trigger slides the plunger proximally with respect to the hollow member to generate suction to draw the tissue into the distal end of the hollow member. The device further includes a tissue treatment mechanism for encircling the tissue received at the distal end of the hollow member.

Method and apparatus for guiding a suture thread

A suture device is configured to guide a suture thread. The device includes a sleeve that defines an opening, and a plunger to which a suture thread can be attached. The plunger can be inserted into the opening of the sleeve, and movable between a retracted position and an advanced position. When the plunger is in the retracted position, a distal portion of the suture thread is located proximal with respect to the distal end of the suture device. When the plunger is in the advanced position, the distal portion of the suture thread is driven out the distal end of the suture device.

Prosthetic valve and holder

SURGICAL INSTRUMENT COMPRISING A SHAFT INCLUDING A CLOSURE TUBE PROFILE

A surgical instrument system comprising an elongate shaft is disclosed. The elongate shaft comprises a proximal end, a distal end, a proximal region, a central region, and a distal region. The proximal region comprises a first diameter. The central region comprises a second diameter. The distal region comprises a third diameter. The first diameter is different than the second diameter, and the second diameter is different than the third diameter. The proximal region defines a central longitudinal axis and the central region is centered along the central longitudinal axis. The distal region is laterally offset with respect to the central longitudinal axis.

Surgical instrument including rotating end effector and rotation-limiting structure

A surgical instrument for applying tacks to tissue includes a handle assembly, an elongated portion, an outer tube, an end effector, a rotation assembly, and a rotation-limiting structure. The rotation assembly is configured to rotate at least a portion of the outer tube about a first longitudinal axis and with respect to the handle assembly. The rotation assembly includes a rotation knob rotationally fixed to a proximal portion of the outer tube. The rotation-limiting structure is disposed in mechanical cooperation with at least one of the rotation assembly and the handle assembly, and is configured to limit an amount of rotation of the outer tube with respect to the handle assembly.

CATHETER INCLUDING SLIDABLE PUSH GRIP

A catheter may include an elongate body extending from a proximal end to a distal end and defining a lumen; a push member mechanically coupled to the proximal end of the elongate body; and a slidable push grip disposed about an outer perimeter of the push member. The slidable push grip is controllably engageable with the push member. When the slidable push grip is in an engaged state with the push member, the slidable push grip transmits an axial force to the push member to enable the push member to transmit the axial force to the elongate body. When the slidable push grip is in a disengaged state with the push member, the slidable push grip is movable axially in at least one direction along a length of the push member while transmitting substantially no axial force to the push member.

NON-BALLOON LOW PROFILE FEED DEVICE WITH INSERTION/REMOVAL TOOL

A device for inserting a non-balloon gastrostomic device through an opening in the wall of the abdomen and stomach or other viscera of a patient is provided. The insertion device comprises a body, a stylus, and a trigger device being adapted to selectively maintain a selected position of the stylus relative to the body without the use of an external force. A method of inserting the gastrostomic device utilizing the insertion tool is also provided. In addition or alternatively, a gastrostomic device is provided including a hollow tube member and an enlarged resiliently deformable tip at one end of the tube member. The deformable tip is deformable between a first configuration and a second configuration, each configuration having a cross-sectional area. In addition or alternatively, a method is provided for forming the gastrostomic device using a disposable core.

SURGICAL INSTRUMENT WITH A COUPLING MECHANISM FOR DRIVING A CUTTING ELEMENT

A surgical instrument includes a shaft portion which at least partly houses an axially movable cutting element. A handle receives the shaft portion. A trigger element for the cutting element is movably arranged on the handle. The instrument also includes a coupling mechanism which converts a rotation of the trigger element into an axial movement of the cutting element with the interposition of a pinion. The coupling mechanism is designed such that the rotation of the trigger element produces a rotation of the pinion about the central axis thereof and additionally an axial movement of the central axis. 1. A surgical instrument comprising a shaft portion which at least partly houses or holds an axially movable cutting element , and comprising a handle which receives the shaft portion and on which a manually actuatable trigger element for the cutting element is arranged movably , preferably pivotably ,as well as comprising a coupling mechanism which converts a movement of the trigger element into an axial movement of the cutting element, wherein the coupling mechanism has a pinion which is interposed in the train of movement provided by the coupling mechanism such that the movement of the trigger element produces rotation of the pinion about its central axis and additionally a translational movement of the central axis along the direction of movement of the cutting element itself, whereina tooth area of the pinion engages in a fixed rack, while another tooth area of the pinion engages in a movable rack,whereinthe pinion includes two concentric toothing portions of different diameters along its central axis, with the one toothing portion engaging in the fixed rack, while the other toothing portion engages in the movable rack, andthe movable rack extends in the axial direction of the shaft portion and at least partly in the circumferential direction around the shaft portion so that the pinion engages in the movable rack even in the case of rotation of the shaft portion ...

Shaft assembly comprising a lockout

An end effector is disclosed comprising a cartridge channel, a staple cartridge positionable in the cartridge channel, and a firing assembly configured to lock itself if the staple cartridge is not positioned in the cartridge channel. Moreover, the firing assembly is configured to lock itself if the staple cartridge has been at least partially spent.

SURGICAL INSTRUMENT AND DRIVE MECHANISM THEREOF

A surgical instrument and a drive mechanism, the drive mechanism includes a motor, a planetary gear train, and a bidirectional ratchet mechanism; the input sun gear of the planetary gear train engages the output shaft of the motor; an output carrier of the planetary gear train engages an executing mechanism of the surgical instrument through a transmission mechanism; the bidirectional ratchet mechanism includes a ratchet, a bidirectional pawl assembly, and a selector; the ratchet is in rigid connection with an annular gear of the planetary gear train; the bidirectional pawl assembly includes a bidirectional pawl; the selector selectively drives a first end or a second end of the bidirectional pawl to bias the ratchet, so as to prevent corresponding rotation of the ratchet when the motor drives the planetary gear train, and allow corresponding rotation of the ratchet when the transmission mechanism drives the planetary gear train. 1. A drive mechanism for a surgical instrument , comprising:a motor;a planetary gear train, wherein an input sun gear of said planetary gear train is engaged with an output shaft of said motor, and an output carrier of said planetary gear train is engaged with an executing mechanism of said surgical instrument through a transmission mechanism; anda bidirectional ratchet mechanism comprising a ratchet, a bidirectional pawl assembly, and a selector, wherein said ratchet is in rigid connection with an annular gear of said planetary gear train; said bidirectional pawl assembly comprises a bidirectional pawl; said selector can selectively drive a first end or a second end of said bidirectional pawl to bias said ratchet, and when said planetary gear train is driven by said motor, said annular gear of said planetary gear train can be prevented from rotating in a corresponding direction, or when said planetary gear train is driven manually through said transmission mechanism, said annular gear is allowed to rotate in a corresponding direction.2. ...

Medical retrieval systems and related methods

A medical device may include a stabilizer configured to be coupled to a port of an insertion device. The medical device may further include a shaft configured for telescopic translation within the stabilizer and a grip coupled to the shaft. Further, the medical device may include an actuator coupled to the grip. The actuator may be axially moveable relative to the grip so as to selectively actuate a distal assembly of the medical device.

Methods and appartus for crossing occlusions in blood vessels

This disclosure is directed to a device for facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The device includes an intravascular device including a shaft having a distal end and a proximal end. The device includes a handle assembly fixed about the proximal end of the shaft, the handle assembly including a first portion. Rotation of the first portion in a first direction about a longitudinal axis of the shaft causes rotation of the shaft in the first direction when a torque applied by the first portion to the shaft is below a first maximum torque. Further rotation of the first portion in the first direction about a longitudinal axis of the shaft does not cause rotation of the shaft in the first direction when the torque applied by the first portion to the shaft is equal to or above the first maximum torque.

Wound closure apparatus and method

A wound closure apparatus can be a self-contained device for delivery and deployment of a tissue engineered wound plug that can secure fascial closure of laparoscopic port-site wounds. The wound plug can include a subfascial rivet head, a suprafascial rivet head, and a compressible column. Once in the wound, the wound plug may be deployed with the subfascial rivet head below the fascia of the wound and the suprafascial rivet head above the fascia of the wound. As this occurs, the column of the wound plug can be stationed within the opening of the wound. Once the wound plug is secured above, below, and within the fascial defect, the rivet heads may be interlocked within an inner channel of the column and remaining elements of the apparatus may be removed and discarded.

INTERVENTIONAL MEDICAL SYSTEMS, ASSEMBLIES, AND CONSTRUCTION METHODS

A catheter for delivering a medical device to an implant site within a receptacle of a distal-most portion thereof, includes a coiled spring member, which has one or more proximal turns, secured to a shaft proximal portion, one or more distal turns, secured to the distal-most portion, and a plurality of open-pitch turns that extend between the proximal and distal turns and are, preferably, pre-loaded by longitudinal compression prior to forming a sheath thereover. A deflection assembly pull wire extends through a lumen of the shaft proximal portion and alongside the plurality of open-pitched turns of the spring member, wherein a pull wire proximal end extends proximally out from a proximal opening of the lumen of the proximal portion and into a handle of the catheter, for coupling to a control member subassembly, and a pull wire distal end is secured to the shaft distal-most portion.

Bone graft placement device

A surgical assembly includes a first guidewire and a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop. The locking component has a hole formed therethrough, in which the hole of the locking component is configured to receive the suture, and may be tethered to a suture by knots engaging a counterbore at opposed ends of a bore defined by the hole.

ENDOSCOPIC SURGICAL INSTRUMENT AND HANDLE ASSEMBLIES FOR USE THEREWITH

A handle assembly for use with a surgical instrument includes a housing, a movable handle, and a plunger assembly. The plunger assembly is disposed at least partially within the housing. The plunger assembly includes a proximal portion defining a longitudinal axis, a distal portion and a biasing element. The biasing element is positioned between a part of the proximal portion and a part of the distal portion. Distal translation of the distal portion of the plunger assembly relative to the housing is configured to affect a function of the surgical instrument.

Drill Guide with Depth Stop

The present invention relates to a drill guide for positioning a bone tunnel in which the drill guide comprises a depth stop. The drill guide comprises an aimer arm and a drill sleeve, and includes a sleeve channel. The drill sleeve is moveable towards and away from the distal end of the aimer arm within the sleeve channel, and the depth stop is adjustable to provide a fixed drilling path length, irrespective of the distance between drill sleeve and distal end of the aimer arm.

SURGICAL INSTRUMENT WITH RATCHETING ROTATABLE SHAFT

An ultrasonic surgical instrument comprises a reusable housing including an internal transducer and an internal end effector rotation assembly. An exemplary rotation assembly is a ratchet and pawl assembly, which allows the transducer to rotate in a first direction but not in a second, opposite direction. The end effector, including an integral torque wrench, is attached to the transducer to form a single unit that is rotatable relative to the housing. The transducer attaches to a stationary cable via slip rings. The cable communicates with a generator, which provides electrical power to the transducer. The transducer converts the electrical power into ultrasonic vibrational energy, which is transmitted to the end effector.

Apparatus and method for minimally invasive suturing

An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle.

Orthopedic surgical system including surgical access systems, distraction systems, and methods of using same

A surgical access system includes a connector including an arm, a coupling element, a rod, and a ridged slider. The arm includes first and second notched sections disposed in opposed lateral sides thereof. The coupling element includes a body section defining an opening therethrough, and opposed tabs protruding therefrom that are configured to receive the second notched section therebetween such that the arm is pivotably coupled to the coupling element. The rod includes a shaft having a plurality of angled grooves defined partially along a length thereof. The rod extends through the opening of the coupling element and the first notched section of the arm. The ridged slider includes a first surface having a plurality of ridges extending along a partial length thereof. The ridged slider extends through the coupling element with the plurality of ridges operably engaged with the plurality of angled grooves of the rod.

RATCHET SYSTEM FOR SCREWDRIVERS AND ITS USE

A click system. Also, a screwdriver that includes a ratchet system. The ratchet system includes at least one handle, at least one rod with a male distal end and a proximal end, an element of cooperation that includes at least two lugs and at least two grooves, each of the at least two grooves include a helical portion. The at least two lugs each cooperate in a predetermined rotation direction with one of the at least two grooves so as to allow the driving of the rod. The ratchet system may be used in mechanics, carpentry or surgery.

HIGHLY STABLE GEAR DRIVE ADAPTER

The present invention is a highly stable gear drive adapter featuring a stabilized drive assembly. The drive assembly includes a drive shaft connected to a gear holder assembly, which couples to a gear shaft assembly, which in turn couples to a tool adapter. Each component of the drive assembly stabilizes or is stabilized by another component. A cover aperture and a drive shaft bearing stabilize the drive shaft laterally. Additionally, an interface between a polygonal band on the surface of the drive shaft and a polygonal aperture in the gear holder assembly also stabilizes the drive shaft laterally. A retaining ring and a shaft stop stabilize the drive shaft axially. The gear shaft assembly includes two gear shaft bearings laterally stabilizing a gear shaft and a gear shaft channel that contains the drive shaft bearing. A tool adapter bearing stabilizes the tool adapter. 1. A highly stable gear drive adapter apparatus comprised of: a drive shaft stabilized by a drive shaft bearing;', 'a stabilizing gear holder assembly;', 'a stabilized gear shaft assembly; and', 'a tool adapter stabilized by a tool adapter bearing., 'a stabilized drive assembly for transmitting a force, wherein said stabilized drive assembly is comprised of2. The apparatus of claim 1 , wherein said drive shaft further comprises a retaining ring groove housing a stabilizing retaining ring.3. The apparatus of claim 2 , wherein said retaining ring is selected from a group consisting of: tapered section retaining rings claim 2 , constant section retaining rings and spiral retaining rings.4. The apparatus of claim 2 , wherein said drive shaft bearing is located at a front end of said drive shaft and said retaining ring is located backwards of said drive shaft bearing.5. The apparatus of claim 2 , wherein said drive shaft further comprises a shaft stop located backwards of said retaining ring groove.6. The apparatus of claim 1 , wherein said stabilizing gear holder assembly is comprised of:a front ...

Surgical stapling system comprising a grooved forming pocket

An end effector for use with a surgical fastening instrument is disclosed which comprises a staple cartridge and an anvil. The staple cartridge comprises a cartridge body including a deck and, in addition, fasteners removably stored in the cartridge body, wherein each fastener comprises a base and a leg extending from the base. The anvil comprises a tissue compression surface and forming pockets defined in the tissue compression surface. Each forming pocket comprises a first end configured to receive a staple leg, a second end, a central axis extending between the first end and the second end, a concave turning surface extending between the first end and the second end, and a channel defined in the concave turning surface, wherein the channel is laterally offset from the central axis.

ENDOSCOPIC MEDICAL DEVICE AND METHOD OF USE

A medical device including a handle body having a proximal end and a distal end, a spool on the handle body and to move between the distal end and the proximal end of the handle body, a catheter extending from the distal end of the handle body, an actuator attached to the spool and extending through the catheter, such that the actuator is removably connected to one or more dispensable devices at a distal end of the catheter, a spool controller to prevent connection with another of the dispensable devices to the actuator after a predetermined number of dispensable devices have been dispensed by the medical device.

Method of using surgical device to deploy implants

This disclosure relates to a surgical method for deploying implants for repairing damaged tissue, such as meniscus tears. One exemplary surgical device for use in the method includes a cannula and a pusher moveable within the cannula to deploy a plurality of implants. Movement of the pusher in the distal direction deploys a distal-most implant and moves any additional implants distally within the cannula. Thus, multiple implants can be loaded into the cannula and deployed using one pusher. The disclosed arrangement is easy to use and has fewer component parts compared to prior devices, which in turn increases the ease of manufacture and reduces cost.

LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS

A surgical instrument. In one form, the surgical instrument includes a housing that has an interchangeable shaft assembly removably attached thereto. The interchangeable shaft assembly includes an elongate shaft that has a surgical end effector operably coupled thereto for selective articulation relative to the elongate shaft. An articulation system is configured to selectively apply articulation motions to the surgical end effector when the articulation system is in an actuated orientation. A locking arrangement prevents detachment of the interchangeable shaft assembly from the housing when the articulation system is in the actuated orientation.

Hemostat organizer

An organizer is provided for holding surgical forceps in a ready position. Each surgical forceps includes a pair of shanks with distal tips, proximal ring handles, and a ratchet mechanism adjacent the ring handles. The organizer has a base, and a wedge-shaped core projecting upwards along a vertical axis from the base. The core has a profile adapted to fit within a respective opening of each respective forceps bounded by the shanks and the ratchet mechanism when the ratchet mechanisms are engaged. A plurality of wings project radially from the core to define a plurality of substantially U-shaped channels between adjacent wings. The channels are configured to nest the shanks of the forceps so that the respective forceps are locked in the grooves by their respective ratchet mechanisms.

RIGHT VENTRICULAR PAPILLARY APPROXIMATION

METHODS, SYSTEMS AND DEVICES FOR REDUCING THE SIZE OF AN INTERNAL TISSUE OPENING

Method and apparatus for guiding a suture thread

A suture device is configured to guide a suture thread. The device includes a sleeve that defines an opening, and a plunger to which a suture thread can be attached. The plunger can be inserted into the opening of the sleeve, and movable between a retracted position and an advanced position. When the plunger is in the retracted position, a distal portion of the suture thread is located proximal with respect to the distal end of the suture device. When the plunger is in the advanced position, the distal portion of the suture thread is driven out the distal end of the suture device.

Bone fixation assembly

A bone fixation system includes at least one bone fixation member and a bone fixation instrument. The bone fixation member includes a strap and a locking mechanism. The strap can be pulled through the locking mechanism so as to form a loop about a target bone so as to secure first and second bone segments in an approximated, compressed configuration. The bone fixation instrument is configured to apply tension to the loop about the target bone. The fixation instrument includes a tension assembly that is configured to secure a free end of the bone fixation member to the fixation instrument. The tension assembly is further configured to pull the free end so as to increase tension in the loop while the tension in the loop is less than a select tension. The tension assembly is unable to further increase tension in the bone fixation member once the tension in the bone fixation member has reached the select tension. The fixation instrument further includes a cutter assembly that is configured to cut the free end of the bone fixation member so as to separate the free end from the loop.

Minimally obstructive retractor

This application presents minimally-obstructive and structurally-adjustable retractors which afford an open work area of desirable size and enhanced visualization for a surgeon about the perineum and the posterior vaginal wall of the patient. The retractors may be lightweight and compact, and also configured and dimensioned to minimize slippage during use. The retractors may retract the engorged labia of the postpartum patient as well as the vaginal walls. The device may also be used as a speculum.

Medical Instrument For Grasping An Object, In Particular A Needle Holder

The present invention relates to a medical instrument for grasping an object, in particular a surgical needle holder, with two jaw parts arranged at a distal end of a shaft, at least one of the jaw parts being pivotable with respect to the other one of the jaw parts between a grasp state for grasping the object between the jaw parts and a release state for releasing the object, and with a latching mechanism comprising at least one latching element, wherein the latching element has an elongated opening to accommodate a connection pin for connecting the at least one pivotable jaw part with the latching element, and wherein the elongated opening is divided in several sections along its length by periodical projections, such that the at least one pivotable jaw part pivots stepwise from one stable latched position to another stable latched position.

Surgical instrument

A surgical apparatus for use in endoscopic surgery having a user interface operatively coupled to an articulating tool assembly via an elongate tubular member. Movement at the articulating tool mirrors movement at the user interface thereby providing intuitive operation of the surgical apparatus. The apparatus is configured such that the range of motion of the articulating tool assembly emulates the range of motion of the human wrist.

Suturing assembly providing bi-directional needle movement through uni-directional actuator movement

A suturing assembly includes shaft attached between a handle and a head. The handle includes a brace and an actuator attached to the handle, where the actuator has a neutral position that is distal the brace. The shaft defines a longitudinal axis of the assembly. The head includes a proximal portion housing a needle that is movable through a needle exit port, and a distal end spaced apart from the proximal portion by a throat. The distal end is radially offset from the longitudinal axis and defines a cavity. Movement of the actuator from the neutral position to the brace moves the needle both in a first direction out of the needle exit port into the cavity and in a second direction out of the cavity and into the needle exit port.

Implant retaining loop and guide wire extension

A surgical assembly, the assembly including a first guidewire, a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop.

Bi-directional fixating transvertebral body screws and posterior cervical and lumbar interarticulating joint calibrated stapling devices for spinal fusion

A self-drilling bone fusion screw apparatus is disclosed which includes at least first and second sliding boxes. A first screw member having a tapered end and a threaded body is disposed within the first sliding box, and a second screw member having a tapered end and a threaded body disposed within the second sliding box. An adjuster adjusts the height of the sliding boxes. The screw members are screwed into vertebral bodies in order to fuse the vertebral bodies together. A plurality of the self-drilling bone fusion screw apparatuses may be attached together and/or integrated via a plate or cage. Also disclosed is a cervical facet staple that includes a curved staple base and at least two prongs attached to the bottom surface of the curved staple base.

Tensioning device of a surgical retractor

A tensioning device of a surgical retractor has a tensioning section for applying a tensile force to a tool that is to be arranged thereon, and a holding bar fixed in position relative to the tensioning section, and also a locking device. The locking device is provided between the holding bar and the tensioning section and has a releasable locking function counter to the direction of the tensile force. The tensioning device can be operated comfortably, with minimal force being applied, is optimally accessible and takes up only a small overall volume. This is made possible by the fact that the locking device is configured as a linear ratchet or linear feed mechanism and that the feed mechanism has an actuating lever and an unlocking device.

Blended Shaft Drive

A solid, monolithic shaft member has an engagement end. The engagement end has a proximal end a distal end. The proximal end has a first cross-sectional geometry, and the distal end has a second cross-sectional geometry. The first cross-sectional geometry of the proximal end is different from the second cross-sectional geometry of the distal end. The cross-sectional geometry of the distal end transitions to the a cross-sectional geometry of the proximal end along a longitudinal axis of the engagement end of the solid, monolithic shaft member. This transition provides a gradual, blending, continuously transitioning cross-sectional geometry along the entire length of the longitudinal axis of the engagement end of the solid, monolithic shaft member.

Surgical Instrument With Clamp Release Mechanism

A handle assembly for use with a surgical instrument having an operative distal end portion is disclosed. The handle assembly comprises a handle housing, a drive element, an actuator and a clamp release assembly. The drive element is disposed at least partially within the handle housing and is longitudinally translatable with respect to the handle assembly. The actuator is disposed in mechanical cooperation with the handle housing. At least a partial actuation of the actuator longitudinally translates the drive element. The clamp release assembly is disposed in mechanical cooperation with the drive element. The clamp release assembly includes a clamp pawl configured to releasable lock the longitudinal position of the drive element.

Push-off driver and method for inserting bone screws

A method and device for inserting screws into a patient, such that when the device is removed the device does not stick to the screw. The device, being a push-off driver, may have a handle, an inner driver, and a threaded driver sleeve having a button mechanism and a plurality of spheres, and an inner sleeve. The method includes the steps of assembling a push-off driver attaching a bone screw to the push-off driver inserting the bone screw and detaching the bone screw from the driver by unthreading the threaded driver sleeve from the polyaxial screw which causes the spheres in the recess of the inner driver to back up against the start of the recess and causing the threaded driver sleeve to “push-off” the polyaxial screw from the inner driver.

Methods and appartus for crossing occlusions in blood vessels

This disclosure is directed to a device for facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The device includes an intravascular device including a shaft having a distal end and a proximal end. The device includes a handle assembly fixed about the proximal end of the shaft, the handle assembly including a first portion. Rotation of the first portion in a first direction about a longitudinal axis of the shaft causes rotation of the shaft in the first direction when a torque applied by the first portion to the shaft is below a first maximum torque. Further rotation of the first portion in the first direction about a longitudinal axis of the shaft does not cause rotation of the shaft in the first direction when the torque applied by the first portion to the shaft is equal to or above the first maximum torque.

Surgical clip applier

Surgical clip appliers are provided and include a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein; and a plurality of clips slidably disposed within the channel of the clip carrier. The surgical clip appliers further include a drive channel reciprocally disposed within at least one of the housing and the channel assembly; a wedge plate reciprocally disposed within the channel assembly; a pusher bar reciprocally positioned within the housing and the channel assembly; and a motion multiplier system having a plurality of linkage members configured to distally move the pusher bar by an incremental amount upon an initial actuation of the handles, and configured to proximally move the pusher bar and the wedge plate subsequent to the initial actuation of the handles.

Endoscopic surgical clip applier

An apparatus for application of surgical clips to body tissue has a handle portion; a body extending distally from the handle portion; a plurality of surgical clips disposed within the body; and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position; an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion; and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.

DRILL ASSEMBLY FOR PREPARATION OF SURGICAL SITES

This disclosure relates to a drill assembly and method for preparing a surgical site. The drill assembly disclosed herein may be utilized for removing bone prior to positioning a graft and/or implant at a surgical site. 1. A drill assembly for preparation of a surgical site , comprising:a drill shaft including one or more cutting surfaces;a depth collar dimensioned to at least partially cover the one or more cutting surfaces, and the depth collar including a first set of teeth;a ratcheting sleeve including a second set of teeth; andwherein the ratcheting sleeve is moveable between a first position and a second position relative to a longitudinal axis of the drill shaft, the second set of teeth are spaced apart from the first set of teeth in the first position such that the depth collar is translatable along the one or more cutting surfaces with respect to the longitudinal axis, and the first set of teeth and the second set of teeth are engaged together in the second position such that the ratcheting sleeve limits axial movement between the depth collar and the drill shaft with respect to the longitudinal axis.2. The assembly as recited in claim 1 , wherein:the drill shaft includes an intermediate portion between a shank portion and a drill body portion, the drill body portion comprising the one or more cutting surfaces;the depth collar includes first threading along a first passageway dimensioned to at least partially receive the intermediate portion; andthe intermediate portion includes second threading dimensioned to engage with the first threading.3. The assembly as recited in claim 2 , wherein the first set of teeth extend axially from a proximal end portion of the depth collar relative to the longitudinal axis claim 2 , and the second set of teeth extend axially from a distal end portion of the ratcheting sleeve relative to the longitudinal axis.4. The assembly as recited in claim 2 , further comprising:a spring member that biases the second set of teeth into ...

ENDOSCOPIC SURGICAL CLIP APPLIER INCLUDING COUNTER ASSEMBLY

A counter assembly includes a first housing half, a second housing half, a stationary post, a counting wheel, an actuation wheel, and an actuator. The stationary post is positioned within the first housing half and includes a plurality of locking teeth. The counting wheel includes indicia. The actuation wheel includes a plurality of actuation features and a plurality of inner fingers configured to selectively engage with the plurality of locking teeth of the stationary post. The engagement of the plurality of inner fingers and the plurality of locking teeth prohibit multidirectional rotation of the counting wheel. The actuator includes a protrusion projecting therefrom. The actuator is positioned to translate between a proximal position and a distal position. The protrusion of the actuator engages the plurality of actuation features to rotate the counting wheel to adjust the indicia thereof when the actuator transitions from the proximal position and the distal position. 1. A surgical clip applier , comprising:a handle assembly;an elongated tubular member extending distally from the handle assembly;a rack bar translatably supported in the handle assembly; a housing including a first housing half and a second housing half;', 'a stationary post positioned within the first housing half and including a plurality of locking teeth;', 'a counting wheel positioned to rotate within the housing, the counting wheel including indicia visible through the handle assembly;', 'an actuation wheel including a plurality of actuation features and a plurality of inner fingers configured to selectively engage with the plurality of locking teeth of the stationary post, wherein the engagement of the plurality of inner fingers of the actuation wheel and the plurality of locking teeth of the stationary post prohibit multidirectional rotation of the counting wheel; and', 'an actuator supported on the rack bar for translation therewith, the actuator including a protrusion projecting therefrom, ...

Surgical instrument comprising an articulation system ratio

A surgical instrument is disclosed comprising a shaft, an end effector, and an articulation system which are configured to provide various mechanical advantages.

ENDOSCOPIC SURGICAL CLIP APPLIER

A reposable surgical clip applier () includes a handle assembly () and an endoscopic assembly (). The handle assembly () includes a housing () defining a body portion () and a fixed handle portion () extending from the body portion () and a trigger () pivotably connected to the housing () and movable relative to the fixed handle portion () between an un-actuated position and an actuated position. The endoscopic assembly () includes a proximal hub () configured to be selectively engageable with the housing () of the handle assembly (), an elongated shaft () extending distally therefrom, an end effector () supported at a distal end of the elongated shaft (), and an inner drive assembly () including a proximal portion () and a distal portion (). The proximal portion () may advance within the distal portion () upon a blockage of the end effector assembly () to permit the trigger () to return to an un-actuated position. 1. A reposable surgical clip applier , comprising: a housing defining a body portion and a fixed handle portion extending from the body portion; and', 'a trigger pivotably connected to the housing and movable relative to the fixed handle portion between an un-actuated position and an actuated position; and, 'a handle assembly, including a proximal hub configured to be selectively engageable with the housing of the handle assembly;', 'an elongated shaft extending distally from the proximal hub;', 'an end effector assembly supported at a distal end of the elongated shaft; and', 'an inner drive assembly disposed within the proximal hub and the elongated shaft and operably coupled to the end effector assembly such that actuation of the trigger of the handle assembly manipulates the end effector assembly, the inner drive assembly including a proximal portion and a distal portion, wherein the distal portion is configured to slidably receive at least a portion of the proximal portion such that the proximal portion may advance within the distal portion upon a ...

DEVICES, SYSTEMS, AND METHODS FOR ARTIFICIAL CHORDAE TENDINEAE

The present disclosure relates generally to the field of medical devices for treating heart disease. In particular, the present disclosure relates to medical devices, systems, and methods for delivering artificial chordae tendineae in a patient. A system for delivering a chordae tendineae into a heart may include a delivery catheter. A clamp catheter may be configured to translate through the delivery catheter. A spreader may be disposed on the clamp catheter. A first clamp may be at least partially contained in the spreader in a closed configuration and may be attached to the chordae tendineae. An anchor catheter may be configured to translate through the delivery catheter and may have an anchor attached to the chordae tendineae. A sheath may be extended over the anchor catheter and anchor and may be configured to restrain an arm of the anchor. 1. A system for delivering a chordae tendineae into a heart of a patient , the system comprising:a delivery catheter;a clamp catheter configured to translate through the delivery catheter;a spreader disposed on the clamp catheter;a first clamp at least partially contained in the spreader in a closed configuration, the first clamp being attached to a first end of the chordae tendineae;an anchor catheter configured to translate through the delivery catheter, the anchor catheter having an anchor attached to a second end of the chordae tendineae; anda sheath extended over the anchor catheter and anchor, the sheath configured to restrain an arm of the anchor.2. The system of claim 1 , wherein the second end of the chordae tendineae extends through a ratchet of the anchor and the second end of the chordae tendineae is coupled to a tether extending through the anchor catheter claim 1 , the tether configured to increase a tension in the chordae tendineae via a translation of the tether.3. The system of claim 2 , further comprising a release filament that extends through a release roller of the ratchet claim 2 , the release filament ...

ENDOSCOPIC REPOSABLE SURGICAL CLIP APPLIER

An overstroke mechanism for use with a surgical instrument includes an overstroke sleeve, an overstroke biasing element, a spindle, an outer shaft, and an overstroke pin. A first condition of the overstroke mechanism is configured to prevent a predetermined closure force from acting on the jaw members of the surgical instrument when a stroke is provided by a handle assembly of the surgical instrument that is greater than the predetermined closure force. A second condition of the overstroke mechanism is configured to prevent a further predetermined closure force from acting on the jaw members of the surgical instrument when the jaw members are approximated on an obstruction. 1. An overstroke mechanism for use with a surgical instrument , the overstroke mechanism comprising:an overstroke sleeve including an outer surface and defining a counterbore extending therethrough, the outer surface including a longitudinal slot;an overstroke biasing element disposed at least partially within the counterbore of the overstroke sleeve;a spindle including a channel, a portion of the spindle configured to longitudinally translate within the counterbore of the overstroke sleeve;an outer shaft including a hole, a portion of the outer shaft configured to longitudinally translate within the counterbore of the overstroke sleeve; andan overstroke pin extending at least partially through the longitudinal slot of the overstroke sleeve, extending at least partially through the hole of the outer shaft, and extending at least partially through the channel of the spindle;wherein a first condition of the overstroke mechanism is configured to prevent a predetermined closure force from acting on the jaw members of the surgical instrument when a stroke is provided by a handle assembly of the surgical instrument that is greater than the predetermined closure force, and wherein a second condition of the overstroke mechanism is configured to prevent a further predetermined closure force from acting on ...

Tamper proof circuit for surgical instrument battery pack

A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached.

Surgical visualization systems and related methods

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.

Surgical device

A surgical device is provided that includes a jaw portion with a first jaw and a second jaw moveable relative to the first jaw. The surgical device also includes a shaft portion coupled to a proximal end of the jaw portion. A driver is configured to cause relative movement of the jaw portion and the shaft portion. The driver may be configured to cause the jaw portion to pivot relative to the shaft portion about a pivot axis that is perpendicular to first and second longitudinal axes defined by the jaw portion and the shaft portion, respectively. The driver may also be configured to cause at least a portion of the jaw portion to rotate relative to the shaft portion about the first longitudinal axis. Advantageously, the surgical device includes a surgical member, e.g., a cutting element and/or a stapling element, disposed within the first jaw.

SURGICAL RETRACTOR

A surgical retractor is disclosed herein. In some embodiments, a surgical retractor includes a body extending from a proximal end to a distal end and having a first portion coupled to a second portion via a hinged connection, wherein the first and second portions are configured to rotate about a body axis; a first radiolucent tip coupled to a distal portion of the first portion; a second radiolucent tip coupled to a distal portion of the second portion; a holder coupled to one of the first or second portions; and a deformable member extending through the holder, wherein the deformable member is configured to be deformed to facilitate fixation of the surgical retractor at a desired location. 1. A method for retracting tissue comprising: a body extending from a proximal end to a distal end and having a first portion coupled to a second portion via a hinged connection, wherein the first and second portions are configured to rotate about a body axis;', 'a first radiolucent tip coupled to a distal portion of the first portion;', 'a second radiolucent tip coupled to a distal portion of the second portion;', 'a holder coupled to one of the first or second portions; and', 'a deformable member extending through the holder and having a first free end and a second free end opposite the first free end, wherein the deformable member is configured to be deformed around human tissue to facilitate fixation of the body at a desired location without attaching the free ends, ad, 'providing a surgical retractor; comprisingpositioning the surgical retractor into a patient.2. The method of claim 1 , wherein the first radiolucent tip includes a first plurality of tines extending from a distal portion of the first radiolucent tip claim 1 , wherein the second radiolucent tip includes a second plurality of tines extending from a distal portion of the second radiolucent tip claim 1 , wherein the second plurality of tines are adjacent to the first plurality of tines when the surgical retractor ...

SYSTEM WITH RELOADABLE HANDLE FOR DELIVERING AN ANCHOR

An anchor delivery system configured for single patient, multiple use applications. The system includes reloading linkages which cooperate with needle, suture and anchor subassemblies and devices. Reloading actions accomplish the acceptance of a subsequent anchor cartridge and the readying of delivery structure. 1. A system for deploying an anchor assembly , comprising:a replaceable cartridge carrying the anchor assembly; anda handle configured to couple with the replaceable cartridge, wherein the handle includes a reloading linkage cooperating with the cartridge, a needle assembly, a needle release and retraction trigger, a reloading lever, a trigger sleeve, and a proximal anchor delivery structure.210.-. (canceled)11. The system of claim 12 , wherein the sliding trigger is connected to a pinion which is meshed with a fixed rack.12. The system of claim 1 , wherein the trigger sleeve configured to interact with a sliding trigger.13. The system of claim 1 , further comprising a needle spring and a suture spring claim 1 , the needle spring and suture spring being arranged laterally side by side.1418.-. (canceled)19. The system of claim 11 , wherein the pinion and the fixed rack are configured to provide a stroke multiplier to the sliding trigger.20. The system of claim 1 , wherein the needle assembly comprises a needle configured to be released by the trigger sleeve.22. The system of claim 1 , wherein the needle assembly comprises a needle configured to be retracted by the trigger sleeve.23. The system of claim 1 , further comprising a suture assembly.24. The system of claim 23 , wherein the suture assembly comprises a suture claim 23 , a suture spring claim 23 , and a suture sled.25. The system of claim 24 , wherein the suture spring and the suture sled are configured to impart tension on the suture.26. The system of wherein imparting tension on the suture is controlled by the trigger sleeve. The present disclosure relates generally to medical devices and methods, ...

NON-INVASIVE WOUND CLOSURE DEVICE

Devices, tools, systems, kits and methods for closing a tissue opening non-invasively are presented. The devices include a tissue closure device that reliably induces eversion of tissue edges that define a tissue opening. 1. A non-invasive wound closure system , comprising: an anchor comprised of a standoff assembly with an opening and an adhesive base below the standoff assembly;', 'a ratcheting mechanism positioned within the opening, wherein a portion of the ratcheting mechanism is held in place by at least one breakaway connector; and', 'a pull tab extending from the anchor and adapted to mate with the opening of the standoff assembly of an opposing closure component;', 'wherein each pull tab comprises teeth adapted to engage the ratcheting mechanism., 'a pair of identical closure components, each closure component comprising2. The non-invasive wound closure system of claim 1 , wherein in each closure component at least one tooth claim 1 , when engaging the ratcheting mechanism is adapted to break the breakaway connector.3. The non-invasive wound closure system of claim 1 , wherein each ratcheting mechanism has two breakaway connectors.4. The non-invasive wound closure system of claim 3 , wherein in each closure component a first breakaway connector is adapted to withstand more force than a second breakaway connector.5. The non-invasive wound closure system of claim 4 , wherein in each closure component there are two teeth are of different heights and a first claim 4 , shorter tooth is adapted to break the second breakaway connector without breaking the first breakaway connector.6. The non-invasive wound closure system of claim 3 , wherein each ratcheting mechanism is a flexible piece of material extending from an upper surface of the opening and one breakaway connector is positioned on either side of the ratcheting mechanism.7. The non-invasive wound closure system of claim 1 , wherein each closure component is a single piece of material.8. The non-invasive ...

A SURGICAL INSTRUMENT ASSEMBLY

The invention comprises a surgical instrument assembly for minimally invasive surgery. The surgical instrument assembly comprises a light emitting arrangement and a surgical instrument. The surgical instrument has a distal end and a proximal end and comprises a handle portion at its proximal end and a grasper at its distal end, the grasper comprising at least two jaws and having a closed grasper position and an open position where a grasping space is formed between the jaws. The light emitting arrangement comprises a light source for generating light and a projector for projecting at least a beam of light comprising a string shape perpendicular to the optical axis of the beam of light. At least the projector of the light emitting arrangement is at least temporally fixed to the surgical instrument proximally to the jaws and is arranged to project the string shaped beam of light such that it will be broken upon a lateral movement of an object into the grasping space. 1. A surgical instrument assembly for minimally invasive surgery , said surgical instrument assembly comprises a light emitting arrangement and a surgical instrument , said surgical instrument has a distal end and a proximal end and comprises a grasper at its distal end , said grasper comprising at least two jaws and having a closed grasper position and an open position where a grasping space is formed between the jaws , wherein said light emitting arrangement comprises a light source for generating light and a projector for projecting at least a beam of light comprising a string shape perpendicular to the optical axis of the beam of light , at least the projector of said light emitting arrangement is at least temporally fixed to said surgical instrument proximally to said jaws and is arranged to project said string shaped beam of light such that it will be broken upon a lateral movement of an object into the grasping space , preferably the surgical instrument comprises a handle portion at its proximal ...

Surgical dilator, retractor and mounting pad

A retractor having an elongated body that provides access to a surgical location within a patient. The elongate body includes a plurality of segments that are connected to one another through a plurality of ratcheting mechanisms. The ratcheting mechanisms permit relative movement of the segments with respect to one another when expander dilators are inserted within the retractor. The segments are surrounded and retained by a resilient elastomeric sleeve or bands. The distal end surfaces of the segments include thin edges that are configured to mobilize, dissect, split and retract the terminal tissues in the surgical area. The retractor may be used in conjunction with a shim.

Bone material dispensing device

A bone material dispensing device is provided. The bone material dispensing device comprises a housing having a proximal end, a distal end, and a longitudinal axis. The proximal end has a first opening and the distal end has a second opening. The first opening and the second opening are configured to slidably receive at least a portion of a plunger. A tubular member is provided that is pivotably connected to the housing and is configured for lateral movement relative to the longitudinal axis of the housing. The tubular member comprises a proximal opening, a distal opening and a channel disposed therebetween. The proximal opening, the distal opening and the channel of the tubular member are configured to receive at least the portion of the plunger. The tubular member is movable in a first position to align the proximal opening of the tubular member with the second opening of the housing to allow the tubular member to receive at least the portion of the plunger to dispense the bone material. A method of implanting bone material with the bone material dispensing device is also provided.

Bone material dispensing system with locking member

A bone material dispensing device is provided. The bone material dispensing device comprises a housing having a proximal end, a distal end, and a longitudinal axis. The proximal end having a first opening and the distal end having a second opening. The first opening and the second opening configured to slidably receive at least a portion of a plunger. A locking member is provided that is pivotably connected to an upper surface of the housing and extends adjacent to the upper surface of the housing. The locking member comprises a locking surface extending adjacent to the distal end of the housing configured to engage a portion of a tubular member, a funnel, or a combination thereof. The locking member is movable in a locking position to lock the portion of the tubular member, the funnel, or the combination thereof with the housing. A bone material dispensing system and a method of implanting bone material with the bone material dispensing system are also provided.

UNIVERSAL BONE SCREW SCREWDRIVER

The instant invention is directed to a universal bone screw screwdriver and in particular to a universal screwdriver that permits the removal of screws from bone plates that are manufactured by different manufacturers having distinct characteristics. The universal bone screw screwdriver is adapted to removeably receive an elongated tool bit. The elongated tool bits correspond to the screw heads of different manufacturers and comprises a torque limiting and locking spring assembly to secure the elongated tool bit to the driver shaft and inhibit over-tightening of the bone screw into the bone or bone plate as the case may be. 1. An orthopedic universal screwdriver comprising:a handle adapted to receive an elongated tool bit;a recess disposed in said handle; anda torque limiting and locking spring removeably attachable to the handle via said recess for engaging the elongated tool bit with said handle, wherein the torque limiting and locking spring further comprises at least two arms, wherein the first arm has a flat inner surface constructed and arranged to interface with the elongated tool bit when engaged therewith and a second arm that has at least two U-shaped surfaces constructed and arranged to interface with the handle when engaged therewith.2. The orthopedic universal screwdriver of claim 1 , wherein the torque limiting and locking spring is capable of preventing over tightening of the bone screw.3. The orthopedic universal screwdriver of claim 1 , further comprising;a flat surface on the elongated tool bit and configured to align with the recess when said elongated tool bit is inserted into said handle andsaid torque limiting and locking spring being constructed to engage the flat surface on the elongated tool bit. This application is a Continuation of U.S. application Ser. No. 15/700,774, issued as 10,413,345 on Sep. 17, 2019, which is a Continuation-In-Part of U.S. patent application Ser. No. 14/827,929, issued as U.S. Pat. No. 9,757,175 on Sep. 12, 2017, ...

ANCHOR DELIVERY SYSTEM AND METHOD

An apparatus for affixing a first tissue to a second tissue and methods of manufacturing and using the same. The apparatus comprises an elongated needle; a handle disposed at a proximal end of the elongated needle; a superelastic anchor disposed within the elongated needle, the anchor comprises: at least one normally-expanded elongated hook that is biased to a contracted state to fit within the elongated needle; a securing element; and an advancement mechanism triggerable by the handle and being configured to: eject the anchor out of a distal end of said elongated needle to allow the elongated hook to extend distally outward from the longitudinal axis of the elongated needle, into or beyond a tissue, and following the ejection of the anchor, eject the securing element from the apparatus to prevent movement of the anchor in at least one direction. 1. An apparatus comprising:(a) an elongated needle;(b) a handle disposed at a proximal end of said elongated needle;(c) a superelastic anchor disposed within said elongated needle, said anchor comprising:at least one normally expanded elongated hook that is biased to a contracted state to fit within said elongated needle;(d) a securing element; and eject said anchor out of a distal end of said elongated needle to allow said elongated hook to extend distally outward from the longitudinal axis of the elongated needle, into or beyond a tissue, and', 'following the ejection of said anchor, eject said securing element from the apparatus to prevent movement of said anchor in at least one direction., '(e) an advancement mechanism triggerable by said handle and being configured to2. The apparatus of claim 1 , comprising a thread disposed inside said elongated needle and extending along at least a portion of the length of said elongated needle claim 1 , wherein said thread is coupled to said anchor and is threaded through said securing element.3. The apparatus of claim 1 , wherein said securing element is slidably disposed around ...

Surgical Access System and Related Methods

A surgical access system comprising a tissue dilation assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures.

Apparatus and method for minimally invasive suturing

An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween, a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle, and an actuator extending from the proximal end of the proximal section to actuate a reciprocating needle drive having a needle driver for engaging and rotating the suturing needle.

DEVICE, SYSTEM AND METHOD FOR TREATMENT OF HEMORRHOIDS

A device for treating hemorrhoids includes a first ligating member which moves between a first position in which the first member is tightened to a degree required to maintain a desired position of the first member around the first portion without significantly cutting off blood flow and a second configuration in which the first member is cinched down around the first portion to substantially cut off blood flow to the encircled first portion. Also, the device includes a first applicator having a proximal lumen and first and second opposed distal lumens open to the proximal lumen. The first member is extending from a proximal end distally through the proximal lumen into the first lumen to exit a distal end of the first lumen, loop around and enter the distal end of the second lumen. The first member is passing through the second lumen into the proximal lumen. 115-. (canceled)16. A device for treating hemorrhoids comprising:a first ligating member configured to encircle and cut off blood flow to a first portion of target tissue, the first ligating member structured to move from a first position maintaining configuration in which the first ligating member is tightened to a degree required to maintain a desired position of the first ligating member around the first portion of target tissue without significantly cutting off blood flow to the first portion of target tissue and a second configuration in which the first ligating member is cinched down around the first portion of target tissue to substantially cut off blood flow to the encircled first portion of target tissue; anda first applicator including a proximal lumen and first and second opposed distal lumens open to the proximal lumen, the first ligating member extending from a proximal end distally through the proximal lumen of the first applicator into the first distal lumen of the first applicator to exit a distal end of the first distal lumen of the first applicator, loop around and enter the distal end of the ...

Spinal deformity sequential persuader

A persuader instrument for advancing a fixation rod into a vertebral implant includes a housing and at least one arm. The at least one arm can include detents for detachable connection to the vertebral implant. The persuader instrument can also include a shaft coupled to an anchor. The anchor can include a fixation rod engagement surface. The shaft can be axially displaceable through the housing to axially displace the anchor and a rod engaged by the anchor. The persuader instrument can further include an auto-locking ratchet assembly in releasable engagement with the shaft. The auto-locking ratchet assembly can control axial displacement of the shaft through the longitudinal passage of the housing.

Jawed Receiver for Needle Cartridge

A surgical suturing device comprises a cartridge having a needle and suture. An elongate shaft has a proximal end and a distal end. An actuator is connected to the proximal end of the elongate shaft. A pair of jaws is connected to the distal end of the elongate shaft. The jaws have a closed position adapted to receive and retain the cartridge, and wherein the jaws are latched in the closed position. The jaws also have a partially opened position adapted to release the cartridge wherein the jaws are biased by a spring from the first opened position towards the closed position. The jaws also have and a fully opened position spaced apart further than the partially opened position, wherein spring does not bias the jaws towards the closed position. 1. A surgical suturing device , comprising:a cartridge comprising a surgical needle, a length of suture connected to the needle, and a needle driver operative to engage and move the needle relative the cartridge;an elongate shaft having a proximal end and a distal end;an actuator connected to the proximal end of the elongate shaft;a receiver connected to the distal end of the elongate shaft, the receiver comprising a pair of jaws that pivot relative each other having a closed position configured to retain the cartridge between the jaws and an opened position configured to release the cartridge from the receiver.2. The surgical suturing device of claim 1 , wherein the jaws comprise a stationary jaw and a pivoting jaw.3. The surgical suturing device of claim 2 , wherein the stationary jaw comprises a rotary drive and the cartridge comprises a rotary input configured to engage the rotary drive.4. The surgical suturing device of claim 2 , wherein the stationary jaw comprises two longitudinal rails configured to receive the cartridge and laterally retain the cartridge.5. The surgical suturing device of claim 2 , wherein the pivoting jaw comprises a resiliently biased tooth oriented toward the stationary jaw claim 2 , the tooth ...

Method and Apparatus for Clamping Tissue Layers and Occluding Tubular Body Structures

Apparatus and methods for occluding hollow body structures, such as blood vessels, and for attaching tissue layers together by providing implantable elements on opposite sides of the structure or tissue layers and drawing the implants together to occlude the body structure and/or bring the tissue layers together. The implants are deliverable in a low profile configuration and self-expand to an enlarged configuration. The implantable elements are delivered by transfixing the body structure, then releasing the implants on opposite sides of the body structure and drawing the implants together to effect an occlusion or attachment. The implants are configured to apply oppositely directed forces to opposite surfaces of the tissue layers at alternate, circumferentially spaced locations and may constrain the tissue in a serpentine pattern or in a direct clamping pattern. The implants grip the tissue in a manner that defines a pressure zone about the transfixion aperture that prevents leakage from the aperture. 1. Apparatus for clamping tissue layers together comprising:a proximal implant and a distal implant disposed along a common axis, each implant having a plurality of radially extending legs;a latching element associated with each of the implants to cooperatively secure the implants to each other such that tissue layers disposed between the implants may be gripped between the legs of the proximal and distal implants;the implants, when secured together, being oriented about the axis with legs of one of the implants being interdigitated with legs of the other implant and constrain the tissue in a serpentine configuration that circumscribes the axis.2. Apparatus as defined in further comprising:each implant having a delivery configuration in which its legs are arranged in a low profile by which it can be releasably contained in a delivery tube and an expanded profile in which the legs self-expand to extend radially outward of the axis when released from its delivery tube, ...

Adjustable drill guide and methods of use thereof

Drill guide assemblies are adjustable for proper alignment of drill holes in the glenoid with the drill holes in the coracoid during a Latarjet procedure. The drill guide has an aimer arm extending from the body of the drill guide which has a fixed angle with respect to a drill sleeve inserted through the guide. The aimer arm can move up or down relative to the drill sleeve while maintaining the fixed angle relative to the drill sleeve by actuation of a translation member on the body.

SURGICAL INSTRUMENT INCLUDING ROTATING END EFFECTOR AND ROTATION-LIMITING STRUCTURE

A surgical instrument for applying tacks to tissue includes a handle assembly, an elongated portion, an outer tube, an end effector, a rotation assembly, and a rotation-limiting structure. The rotation assembly is configured to rotate at least a portion of the outer tube about a first longitudinal axis and with respect to the handle assembly. The rotation assembly includes a rotation knob rotationally fixed to a proximal portion of the outer tube. The rotation-limiting structure is disposed in mechanical cooperation with at least one of the rotation assembly and the handle assembly, and is configured to limit an amount of rotation of the outer tube with respect to the handle assembly. 1. A method of applying surgical tacks from a surgical instrument to tissue , the method comprising:articulating an end effector of the surgical instrument from a first position where the end effector is longitudinally aligned with an elongated portion of the surgical instrument, to a second position where the end effector is disposed at an angle with respect to the elongated portion;rotating the end effector a first amount in a first direction with respect to a handle assembly of the surgical instrument;limiting the amount of rotation of the end effector in the first direction to a first predetermined amount of rotation; andejecting at least one surgical tack from the surgical instrument.2. The method according to claim 1 , further comprising limiting the first predetermined amount of rotation to about 45°.3. The method according to claim 1 , further comprising rotating the end effector a second amount in a second direction with respect to a handle assembly of the surgical instrument.4. The method according to claim 3 , further comprising limiting the amount of rotation of the end effector in the second direction to a second predetermined amount of rotation.5. The method according to claim 4 , further comprising limiting the second predetermined amount of rotation to about 45°.6. The ...

ARTHROSCOPIC RESECTION DEVICE

The present disclosure relates to an arthroscopic resection device. The device includes an outer member including a hub, an inner member including a hub, the inner member housed within the outer member, a tube coupled to the outer member, and means for allowing longitudinal movement of the outer member relative to the inner member, the means coupled to the tube. A method of tissue repair and other arthroscopic resection devices are also disclosed. 17-. (canceled)8. A method of tissue repair comprising:providing an arthroscopic resection device comprising an outer member including a first hub, an inner member including a burr and a second hub, the inner member housed within the outer member, and a tube coupled to the outer member, and wherein the outer member is configured to move longitudinally relative to the inner member;causing the outer member to move relative to the inner member; andoperating the device to repair tissue.9. The method of claim 8 , wherein moving the outer member relative to the inner member allows for a portion of the burr to be covered by the outer member or none of the burr to be covered by the outer member.10. The method of claim 8 , wherein a distal end of the tube includes threads and a proximal end of the tube includes a slot.11. The method of claim 10 , wherein the arthroscopic resection device further comprises a pin coupled to the outer member claim 10 , the pin housed within the slot.12. The method of claim 10 , wherein the proximal end of the tube is partially housed within the first hub of the outer member.13. The method of claim 8 , wherein the outer member is movable along a length of the device.14. The method of claim 8 , wherein the burr includes a flat end.15. The method of claim 8 , wherein the tissue is an acetabulum.16. The method of claim 8 , wherein the outer member includes detents.1718-. (canceled)19. The method of claim 8 , wherein the arthroscopic resection device further comprises a knob comprising threads in ...

Endoscopic surgical clip applier

An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.

Tongue manipulation device, bone anchor for use in such devices and an adjustment method

A bone anchor for a tongue manipulation device which has a tissue anchor for attachment to the tongue, the bone anchor, for example for attachment to the mandible and a tether line which fixes the tissue anchor to the bone anchor. The bone anchor has a spool arrangement with a indexing part and a spool part. In a first configuration the spool part is operable to spool the tether line without operation of the indexing part, and in a second configuration the spool part is operable to spool the tether line with operation of the indexing part. This means the spooling to take up slack in the tether line does not cause wear to the indexing springs, and it also means the user can feel when the slack has been taken up.

Method and implant for bone lengthening

A new bone lengthening method using a force generated by own energy of a patient to activate a system based on an intramedullary telescopic nail 1 , inserted into a broken bone. An outer driving module 30 connected by a cord 29, spanning either knee or elbow or femur-hip joint, where one end of the cord 29 connected to an inner driving module of the telescopic nail inserted into a broken bone and another end of said cord connected to the outer driving module attached to the second bone. The said system converts a tensile force into an axial displacement of a distal bone segment of the broken bone. It is important to attach the outer driver 30 to an appropriate spot of skeleton in consideration that the cord starts pulling anchor 31 by active or passive leg movements only after passing 80% of natural range of motion.

BLENDED SHAFT DRIVE

A solid, monolithic shaft member has an engagement end. The engagement end has a proximal end a distal end. The proximal end has a first cross-sectional geometry, and the distal end has a second cross-sectional geometry. The first cross-sectional geometry of the proximal end is different from the second cross-sectional geometry of the distal end. The cross-sectional geometry of the distal end transitions to the a cross-sectional geometry of the proximal end along a longitudinal axis of the engagement end of the solid, monolithic shaft member. This transition provides a gradual, blending, continuously transitioning cross-sectional geometry along the entire length of the longitudinal axis of the engagement end of the solid, monolithic shaft member. 1. A delivery device , comprising: a) the proximal end has a first cross-sectional geometry and the distal end has a second cross-sectional geometry, the first cross-sectional geometry of the proximal end being different from the second cross-sectional geometry of the distal end; and', 'b) the cross-sectional geometry of the distal end transitions to the a cross-sectional geometry of the proximal end along a longitudinal axis of the engagement end of the solid, monolithic shaft member providing a gradual, blending, continuously transitioning cross-sectional geometry along the entire length of the longitudinal axis of the engagement end of the solid, monolithic shaft member., 'a solid, monolithic shaft member having an engagement end, the engagement end having a proximal end a distal end, wherein2. The delivery device of claim 1 , wherein the cross-sectional geometry of the distal end is in a shape of at least one of a triangle claim 1 , a square claim 1 , a rectangle claim 1 , a hex claim 1 , a circle claim 1 , an ellipse claim 1 , a cross claim 1 , and a torx.3. The delivery device of claim 1 , wherein the cross-sectional geometry of the proximal end is in a shape of at least one of a triangle claim 1 , a square claim 1 , ...

RESET MECHANISM, STAPLER, AND MEDICAL DEVICE

The present teaching relates to a reset apparatus including a first transmission mechanism, a first rotary transmission mechanism, a one-way rotary transmission mechanism, and a second rotary transmission mechanism; a stapler; and a medical device. The one-way rotary transmission mechanism only rotates in a set direction, and is connected with the second rotary transmission mechanism, and drives the same to rotate towards the set direction. In a first state, the first transmission mechanism is connected with the first rotary transmission mechanism which drives the first transmission mechanism to act along the set direction. In a second state, the first transmission mechanism is connected with the second rotary transmission mechanism which drives the first transmission mechanism to act along the set direction. The present invention achieves manual resetting when the device is accidentally shut down, and is simple in structure, and safe and reliable in use. 1. A resetting device comprising:a first transmission mechanism,a first rotation transmission mechanism,a one-way rotation transmission mechanism, anda second rotation transmission mechanism, whereinunder action of external force, the one-way rotation transmission mechanism is configured to rotate only in one direction toward a preset direction; and the one-way rotation transmission mechanism is connected with the second rotation transmission mechanism and is configured to drive the second rotation transmission mechanism to rotate toward the preset direction;when the first rotation transmission mechanism is in a first state, the first transmission mechanism is connected to the first rotation transmission mechanism, wherein rotation of the first rotation transmission mechanism drives the first transmission mechanism to move in a preset direction; andwhen the first rotation transmission mechanism is in a second state, the first transmission mechanism is connected to the second rotation transmission mechanism, and ...

Surgical clip applier comprising an automatic clip feeding system

A surgical clip applier is disclosed which is configured to automatically feed a clip from a clip cartridge once the surgical clip applier is positioned in the patient.

TISSUE SPECIMEN BAG FURLING DEVICE AND METHOD

A device for furling a tissue specimen retrieval bag includes a housing supporting a spindle assembly therein, the spindle assembly including a drive shaft having a proximal end, a distal end, and a gear disposed therebetween. An activation switch is pivotably coupled to the housing and is configured for selective, operable engagement with the gear. The activation switch is selectively positionable relative to the gear between a first position wherein the gear and drive shaft are locked from rotation in a first direction and a second position wherein the gear and drive shaft are free to rotate in the first direction. An elongated shaft is operably coupled to the distal end of the drive shaft and is configured for rotation therewith. A biasing element is configured to provide a rotational load to the drive shaft. 1. A device for furling a tissue specimen retrieval bag , comprising:a housing supporting a spindle assembly therein, the spindle assembly including a drive shaft having a proximal end, a distal end, and a gear disposed therebetween;an activation switch pivotably coupled to the housing and configured for selective, operable engagement with the gear, the activation switch selectively positionable relative to the gear between a first position wherein the gear and drive shaft are locked from rotation in a first direction and a second position wherein the gear and drive shaft are free to rotate in the first direction;an elongated shaft operably coupled to the distal end of the drive shaft and configured for rotation therewith; anda biasing element configured to provide a rotational load to the drive shaft.2. The device for furling a tissue specimen bag according to wherein the biasing element is a constant force spring claim 1 , a torsion spring claim 1 , a compression spring claim 1 , or an extension spring.3. The device for furling a tissue specimen bag according to wherein the biasing element is selectively loadable by rotating the distal end of the drive ...

Surgical rib retractor

A surgical rib retractor is disclosed. The surgical rib retractor has a housing and a body pivotably coupled to the housing and movable between a closed position and an open position. The surgical rib retractor further has a first arm unit pivotably coupled to the first shoulder and configured to receive one rib. The first arm unit may include a first arm, and a first strut movable relative to the first arm in a first plane defined by the first arm. The surgical rib retractor also has a second arm unit pivotably coupled to the second shoulder and configured to receive another rib. The second arm unit may include a second arm and a second strut movable relative to the second arm in a second plane define by the second arm, where the second plane is not parallel to the first plane when the body is in the closed position.

DRILL ASSEMBLY FOR PREPARATION OF SURGICAL SITES

This disclosure relates to a drill assembly and method for preparing a surgical site. The drill assembly disclosed herein may be utilized for removing bone prior to positioning a graft and/or implant at a surgical site. 1. A drill assembly for preparation of a surgical site , comprising:a drill shaft including one or more cutting surfaces;a depth collar dimensioned to at least partially cover the one or more cutting surfaces, and the depth collar including a first set of teeth;a ratcheting sleeve including a second set of teeth; andwherein, when the first set of teeth and the second set of teeth are engaged together, the ratcheting sleeve limits movement of the depth collar.2. The assembly as recited in claim 1 , wherein:the drill shaft includes an intermediate portion between a shank portion and a drill body portion, the drill body portion comprising the one or more cutting surfaces;the depth collar includes first threading along a first passageway dimensioned to at least partially receive the intermediate portion; andthe intermediate portion includes second threading dimensioned to engage with the first threading such that relative rotation between the depth collar and the intermediate portion causes the depth collar to move along a longitudinal axis of the drill shaft.3. The assembly as recited in claim 2 , wherein:the depth collar includes a first set of teeth; andthe ratcheting sleeve includes a second set of teeth dimensioned to mate with the first set of teeth to oppose relative rotation between the depth collar and the drill shaft.4. The assembly as recited in claim 3 , wherein the first set of teeth extend axially from a proximal end portion of the depth collar relative to the longitudinal axis claim 3 , and the second set of teeth extend axially from a distal end portion of the ratcheting sleeve relative to the longitudinal axis.5. The assembly as recited in claim 3 , further comprising:a spring member that biases the second set of teeth towards the first ...

Vascular and Intestinal Occlusion

A device for occluding a conduit includes first and second members, each with first and second ends. The second ends are connected by a hinge. The first ends interlock to close the device about the conduit. The members are shaped such that they can occlude the conduit without causing the development of damaged or necrotic tissue. If desired, a flexible cover can be provided and the first and second members can be disposed within the cover. If such a cover is used, it will contact the conduit in order to cushion the contact between the members and the conduit, minimize the tendency of the conduit to bleed, and increase traction relative to the conduit. The invention also includes methods for using the device to occlude a conduit. 117-. (canceled)18. A method for occluding a conduit , comprising the steps of:providing a first, elongate member having first and second ends, the first member having a cross-section that will minimize stress concentrations in the conduit, the first member being long enough to extend from one side of the conduit to the other;providing a second, elongate member having first and second ends, the second member having a cross-section that will minimize stress concentrations in the conduit, the second member being long enough to extend from one side of the conduit to the other;disposing the first and second members on either side of the conduit with the longitudinal axes of the first and second members generally parallel with each other;moving the first and second members sufficiently close to each other while maintaining the longitudinal axes generally parallel with each other to compress the conduit between the first and second members without causing the development of damaged or necrotic tissue; andmaintaining the first and second members in a compressed position relative to the conduit.19. The method of claim 18 , further comprising the steps of:providing a flexible container for the first and second members, the container being long enough ...

DEVICE AND METHOD FOR INSTALLING FEMORAL PROSTHETIC KNEE JOINT

Devices and method for performing replacement prosthetic knee surgery are disclosed in which a spacing means is introduced between the femur () and tibia () while the patella () is in place. The spacing means separates the femur () from the tibia () by an amount essentially equal to or greater than the required flexion gap (). An alignment device () is used for performing femoral bone cuts, which device attaches temporarily to a fitted tibial plate. 14-. (canceled)5. An alignment device for aligning a block for cutting the posterior femoral condyles during prosthetic knee surgery , which device comprises:(i) a securing means for temporary attachment to a fitted tibial plate, which securing means fixes the position and orientation of the alignment device relative to the tibial plate,(ii) a coupling means for temporary attachment to a posterior femoral cutting block, which coupling means prevents rotation of the posterior femoral cutting block, around a z-axis, where the z-axis is parallel to the intermedular femoral axis, and(iii) an extending means joining (i) and (ii), which extending means is configured to adjust the distance between (i) and (ii) along a y-axis, where the y-axis is defined as being parallel to the intermedular tibial axis.6. The alignment device of wherein the securing means comprises a pair of pins configured for insertion into a corresponding pair of holes present on the edge of the tibial plate.7. The alignment device according to wherein said coupling means permits displacement of the posterior femoral cutting block parallel to the x-axis.8. The alignment device according to claim 5 , wherein said coupling means is a finger-like protrusion having an upper surface disposed with a flat groove claim 5 , which groove is configured to engage with a pointed ridge of a receiving elongate slot present in said posterior femoral cutting block.9. The alignment device according to wherein said extending means is connected to the coupling means by way of a ...

ORTHOPEDIC TRIGGER APPARATUS

The present invention is an orthopedic trigger apparatus including a rack assembly, a trigger housing assembly and a trigger assembly. The rack assembly includes a linear rack rotatably connected to a first handle of an orthopedic instrument. The trigger housing assembly includes a trigger housing connected to a second handle of the orthopedic instrument, with a rack engagement cylinder and a spring enclosed within the trigger housing. The rack engagement cylinder includes a toothed rack. The spring contacts a second surface of the toothed rack stop, biasing a first pawled surface into meshing with the rack and preventing the rack from sliding through the trigger housing in more than one direction. Actuating the trigger assembly causes an actuator protrusion on the trigger to press against the rack engagement cylinder, moving the first pawled surface of the toothed rack stop away from the rack and allowing the rack to slide freely. 1. An orthopedic trigger apparatus comprising: a linear rack having a plurality of rack teeth and', 'a handle pin rotatably connecting said linear rack to a first handle;, 'a rack assembly comprising a trigger housing having a plurality of rack apertures, wherein a plurality of housing pins connect said trigger housing to a second handle,', 'a rack engagement cylinder slidably enclosed within said trigger housing and having a plurality of cylinder apertures and a toothed rack stop, wherein a connector pin connects said rack engagement cylinder to said toothed rack stop, wherein said a first pawled surface of said toothed rack stop meshes with said plurality of rack teeth, and', 'a spring enclosed within said trigger housing and contacting a second surface of said toothed rack stop, wherein said spring biases said first pawled surface of said toothed rack stop into meshing with said plurality of rack teeth; and, 'a trigger housing assembly comprising'} trigger having an actuator protrusion and a stop protrusion, wherein said actuator ...

Devices and methods for surgical fastening

An apparatus and a method for surgical fastening is disclosed. An illustrative apparatus for tissue suturing includes a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis, a reciprocating needle drive, and an actuator capable of releasably engaging the needle drive to rotate the needle. A method for suturing tissue is provided that includes placing a suturing device having a cartridge containing a suturing needle to span at least one tissue segment, activating an actuator to cause rotational movement of the suturing needle through the at least one tissue segment, and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the at least one tissue segment forming a stitch.

MANUALLY DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT

A surgical cutting and fastening instrument that includes an elongate channel that is attached to a handle assembly by an elongate shaft assembly. The elongate channel is configured to receive a cartridge and has a pivotally translatable anvil attached thereto and a knife bar supported therein. The anvil may be selectively opened and closed by manipulating a closure trigger supported by the handle assembly. The knife bar may be distally advanced through the elongate channel by actuating a firing trigger that cooperates with a reversible rotary drive supported by the handle assembly. The knife bar may also be retracted to its starting position by actuating the firing trigger after the reversible rotary drive has been shifted to a retraction orientation. 1. A surgical instrument comprising:a handle assembly;a closure drive supported by said handle assembly and configured to generate a closing motion and an opening motion;a firing drive supported by said handle assembly and configured to selectively generate a rotary firing motion upon actuation of a firing trigger operably coupled to said handle assembly and a rotary retraction motion upon another actuation of the firing trigger;an elongate shaft assembly coupled to said handle assembly and communicating with said closure drive and said firing drive to separately transfer said closing and opening motions and said rotary firing motion; and an elongate channel sized to receive a staple cartridge therein;', 'an anvil pivotally coupled to said elongate channel and being pivotally responsive to said open and closing motions from said elongate shaft assembly; and', 'a cutting and severing member operably supported within said elongate channel and being responsive to said rotary firing and retraction motions from said elongate shaft assembly., 'an end effector coupled to said elongate shaft assembly, said end effector comprising2. The surgical instrument of claim 1 , wherein said elongate channel is metal and formed by ...

RATCHET RETRACTING HANDLES AND METHODS OF USING THE SAME

Disclosed herein are ratchet retracting handles and related methods for automatically retracting a stylet during insertion of a bone anchor.

SAFETY DEVICE FOR SURGICAL INSTRUMENT

A surgical instrument () with a safety mechanism includes an end effector, an intermediate connector, and a controller (), wherein the controller () includes housings (), a drive mechanism, the safety mechanism, and a reset mechanism, the drive mechanism, the safety mechanism and the reset mechanism being arranged or partially arranged in the housings (); the safety mechanism includes a safety trigger (), a dry firing function block (), and a biasing member (). The surgical instrument can solve the problem that the instrument cannot be fired and reset when an automatic reset mechanism thereof fails, thereby protecting patient safety, and having a simple structure and a low cost. 1. A surgical instrument , comprising an end effector , an intermediate connector and a controller which are sequentially connected , wherein the controller comprises housings , and a drive mechanism and a safety mechanism which are arranged or partially arranged in the housings; andthe safety mechanism comprises a safety trigger, a dry firing function block, and a biasing member.2. The surgical instrument according to claim 1 , wherein the drive mechanism comprises a firing trigger claim 1 , and a driving pawl and a toothed rack which are arranged in the firing trigger; the biasing member keeps the dry firing function block away from the toothed rack; and when the safety mechanism is not armed claim 1 , the dry firing function block limits the engagement between the driving pawl and the toothed rack.3. The surgical instrument according to claim 2 , wherein the toothed rack comprises a first set of teeth and a second set of teeth; the biasing member keeps the dry firing function block away from the second set of teeth of the toothed rack; and when the safety mechanism is not armed claim 2 , the dry firing function block limits the engagement between the driving pawl and the second set of teeth.4. The surgical instrument according to claim 3 , wherein the surgical instrument comprises an ...

Buttress systems and methods for surgical stapling devices and end effectors

Embodiments include a surgical instrument having an end effector, the end effector including a first jaw having a first end, a second end, and an anvil, the anvil having an anvil face, a second jaw having a first end, a second end, and a cartridge to house a plurality of staples, the cartridge having a cartridge face, a first coupling that couples the first end of the first jaw to the first end of the second jaw, and a second coupling that movably couples the second end of the first jaw to the second end of the second jaw, where the second coupling includes a rigid link, an elongate tube, where a distal end is coupled with the end effector, a handle, where a distal end of the handle is coupled with a proximal end of the elongate tube, and a drive assembly comprising a motor.

Buttress systems and methods for surgical stapling devices and end effectors

Embodiments include a method of stapling an anatomical structure of a patient during a minimally invasive procedure, the anatomical structure having a first side and a second side, the method comprising the steps of providing an end effector, the end effector comprising a first jaw having an anvil, a second jaw having a cartridge housing a plurality of staples, providing a buttress, the buttress comprising a first buttress member and a second buttress member, attaching the first buttress member to the anvil, attaching the second buttress member to the cartridge, deploying the plurality of staples, and cutting the first buttress member and the second buttress member.

Endoscopic reposable surgical clip applier

The present disclosure relates to a hub assembly for use with an endoscopic assembly of a reposable surgical clip applier having an outer housing defining a channel therethrough, a driver gear slidably disposed within the channel, and a display gear slidably and rotatably disposed within the channel and including first and second plurality of teeth. Distal advancement of the driver gear causes the display gear to advance in a distal direction such that the second plurality of teeth engage a portion of the driver gear and causes the display gear to rotate in a first direction. Retraction of driver gear causes the display gear to translate in a proximal direction such that the first plurality of teeth engage a portion of the channel and causes the drive gear to further rotate in the first direction.

ORTHOPAEDIC FIXATION DEVICES, SYSTEMS AND METHODS

Implantable fixation devices for rejoining opposed portions of a separated bone. The devices include plates that may be affixed to a rib and realign separated portions of the rib or other body part. The devices may also include various locking mechanisms that receive a cable that may be used to realign and bring together separated portions of a bone or other body part. The devices may further include plates that may be affixed to a sternum and realign separated portions of the sternum or other body part. 1. An implantable fixation device , comprising:a longitudinal first portion including first apertures; anda second portion including second apertures, the second apertures being offset with respect to a longitudinal axis extending across of the first apertures.2. The device of claim 1 , wherein the first apertures or the second apertures are configured to receive sutures or fasteners.3. An implant positioning device claim 1 , comprising:a fastener guide including a through bore; anda compression mechanism configured to removably couple to an implant device and align the fastener guide with an aperture of the implant device.4. An implantable locking device claim 1 , comprising:a body;an through bore extending through the body; andteeth configured to receive a tension element, the teeth configured to allow the tension element to move in a first direction through the through bore and prevent the tension element from moving in a second direction opposite the first direction. This application claims the benefit of U.S. Provisional Patent Application Ser. No. 62/306,937, filed Mar. 11, 2016, entitled Orthopaedic Fixation Devices, Systems and Methods, the content of which is incorporated herein by reference in its entirety.The present disclosure relates generally to orthopaedic fixation devices, systems and methods of such fixation. More particularly the present disclosure relates to the use of in bone fixation where adjacent sections of a bone are intended to be rejoined, ...

Tensionable Surgical Clamp

The present disclosure provides surgical clamps. The clamp has a body with a mouth that opens and closes to permit the body to encircle a bundle of tissue containing a blood vessel which a surgeon wishes to occlude. The clamp also has an articulating arm that rotates on a hinge and passes through apertures of the clamp body. The apertures and/or the articulating arm include ratchet components that permit the surgeon to apply dynamic adjustable tensioning to the tissue and vessel in real time. This dynamic tension permits a surgeon to ensure a specific reduction of blood flow through the vessel. 1. A surgical clamp comprising:a clamp body having a first surface containing a first aperture, a second surface, and a connecting surface containing a second aperture, wherein the clamp body is resiliently biased such that the first surface and the second surface contact each other at an edge;a hinge located at the edge; andan actuating arm, rotatably secured to the first surface by the hinge, wherein the actuating arm in conjunction with at least one other element of the surgical clamp comprises a ratchet component;wherein the first aperture and second aperture are configured to permit the actuating arm to rotate through planes of the first surface and the connecting surface.2. The surgical clamp of claim 1 , further comprising a temporary latching mechanism secured to the first surface and second surface at the edge.3. The surgical clamp of claim 1 , wherein the clamp body is comprised of more than three surfaces.4. The surgical clamp of claim 3 , wherein the clamp body includes more than two apertures.5. The surgical clamp of claim 1 , wherein at least one of the first surface claim 1 , second surface claim 1 , or connecting surface is curved.6. The surgical clamp of claim 5 , wherein the clamp body is substantially circular in shape.7. The surgical clamp of claim 1 , further comprising a second hinge secured to the second surface.8. The surgical clamp of claim 7 , ...

Fixation devices, systems and methods for engaging tissue

System for fixation of leaflets of a heart valve including a delivery catheter having an elongated shaft, a proximal end portion and a distal end portion configured to be positioned proximate native leaflets of a heart valve from a remote vascular access point, the delivery catheter further includes a rotatable actuator rod having a threaded fastener at a distal end thereof, and a fixation device releasably coupled by a threaded connection to the threaded fastener of the actuator rod. The fixation device includes a first arm moveable between a closed position and an open position, a second arm moveable between a closed position and an open position. The fixation device further includes a first gripping element movable relative to the first arm in the open position, the first gripping element biased toward the first arm to capture a first leaflet of the heart valve therebetween, and a second gripping element movable relative to the second arm in the open position, the second gripping element biased toward the second arm to capture a second leaflet of the heart valve therebetween. The first gripping element and the second gripping element each includes a plurality of barbs extending therefrom, the plurality of barbs of each of the first gripping element and the second gripping element being aligned transversely in at least one row. The fixation device further includes a covering disposed on each of the first gripping element and the second gripping element, wherein the plurality of barbs of the first gripping element and the second gripping element, respectively, protrude through the covering.

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.

LATCH ASSEMBLIES AND SURGICAL INSTRUMENTS INCLUDING THE SAME

A latch assembly for a surgical instrument includes a lever having a distal engagement section, an intermediate section, and a proximal manipulatable section. The proximal manipulatable section includes an exterior surface including lateral sides, a side wall depending from the exterior surface along the lateral sides of the exterior surface and about a proximal end of the exterior surface, a lip extending from the side wall to define a shelf extending outwardly from the side wall along the lateral sides of the exterior surface and about the proximal end of the exterior surface, and a proximal stop disposed on the shelf at the proximal end of the exterior surface and extending towards the exterior surface. 1. A latch assembly for a surgical instrument , comprising: an exterior surface including lateral sides;', 'a side wall depending from the exterior surface along the lateral sides of the exterior surface and about a proximal end of the exterior surface;', 'a lip extending from the side wall to define a shelf extending outwardly from the side wall along the lateral sides of the exterior surface and about the proximal end of the exterior surface; and', 'a proximal stop disposed on the shelf at the proximal end of the exterior surface and extending towards the exterior surface., 'a lever including a distal engagement section, an intermediate section, and a proximal manipulatable section, the proximal manipulatable section including2. The latch assembly according to claim 1 , wherein the side wall extends in a generally perpendicular orientation relative to the exterior surface.3. The latch assembly according to claim 1 , wherein the lip extends in a generally perpendicular orientation relative to the side wall.4. The latch assembly according to claim 1 , wherein the proximal stop defines a stop surface and first and second angled guide surfaces disposed on either side of the stop surface.5. The latch assembly according to claim 1 , further comprising:a pivot pin ...

ROTATION KNOB ASSEMBLIES AND SURGICAL INSTRUMENTS INCLUDING SAME

A rotation knob assembly for a surgical instrument includes an outer knob, an intermediate collar, an inner sleeve, a retaining clip, and screws. The outer knob defines a knob lumen extending longitudinally therethrough and longitudinal apertures disposed in radially spaced relation relative to a distal lumen portion of the knob lumen. The intermediate collar is disposed within the knob lumen and defines a collar lumen extending longitudinally therethrough. The inner sleeve is disposed within the knob lumen and extends through the collar lumen. The retaining clip includes a curved body disposed within an annular groove defined in an exterior surface the inner sleeve and prongs disposed at opposed ends of the curved body that are aligned with the longitudinal apertures of the outer knob. The screws extend through the prongs and into the longitudinal apertures to secure the outer knob and the inner sleeve with one another. 1. A rotation knob assembly for a surgical instrument , the rotation knob assembly comprising:an outer knob defining a knob lumen extending longitudinally therethrough and longitudinal apertures disposed in radially spaced relation relative to a distal lumen portion of the knob lumen;an intermediate collar disposed within the knob lumen, the intermediate collar defining a collar lumen extending longitudinally therethrough;an inner sleeve disposed within the knob lumen and extending through the collar lumen of the intermediate collar, the inner sleeve including an annular groove defined in an exterior surface thereof;a retaining clip including a curved body and prongs disposed at opposed ends of the curved body, the curved body disposed within the annular groove of the inner sleeve and the prongs aligned with the longitudinal apertures of the outer knob; andscrews extending through the prongs of the retaining clip and into the longitudinal apertures of the outer knob to secure the outer knob and the inner sleeve with one another such that the outer ...

ADJUSTABLE MOTION LIMITER FOR A MINIMALLY INVASIVE SURGICAL DEVICE

An adjustable motion limiter for a minimally invasive surgical device is disclosed. The adjustable motion limiter includes a cam surface and a positioning interface. Another adjustable motion limiter for a minimally invasive surgical device is disclosed. The adjustable motion limiter has a positioning interface comprising a grooved protrusion. The adjustable motion limiter also has a cam surface comprising an arcuate surface and facing a direction which is substantially perpendicular to a direction the positioning interface faces. The adjustable motion limiter further has an adjustment key and one or more locking teeth. A minimally invasive surgical device having an adjustable motion limiter is also disclosed. 1. An adjustable motion limiter for a minimally invasive surgical device , the adjustable motion limiter comprising:a cam surface; anda positioning interface.2. The adjustable motion limiter of claim 1 , wherein the cam surface comprises an arcuate surface.3. The adjustable motion limiter of claim 1 , wherein the cam surface comprises a varying arcuate surface.4. The adjustable motion limiter of claim 1 , wherein the cam surface comprises a continuously varying arcuate surface.5. The adjustable motion limiter of claim 1 , wherein the cam surface comprises multiple discrete arcuate surfaces.6. The adjustable motion limiter of claim 1 , wherein the cam surface faces a direction which is substantially perpendicular to a direction the positioning interface faces.7. The adjustable motion limiter of claim 1 , wherein the positioning interface comprises a tapered protrusion.8. The adjustable motion limiter of claim 1 , wherein the positioning interface comprises a grooved protrusion.9. The adjustable motion limiter of claim 1 , wherein the positioning interface comprises a hole.10. The adjustable motion limiter of claim 1 , wherein the positioning interface comprises multiple protrusions.11. The adjustable motion limiter of claim 1 , further comprising an adjustment ...

MICRO SURGICAL INSTRUMENT AND LOADING UNIT FOR USE THEREWITH

A loading unit configured for engagement with a surgical instrument is disclosed. The loading unit comprises a proximal body portion and a tool assembly. The proximal body portion defines a longitudinal axis. The tool assembly is disposed in mechanical cooperation with the proximal body portion and includes a cartridge assembly and an anvil assembly. At least one of the cartridge assembly and the anvil assembly is movable with respect to the other between an open position and an approximated position to engage tissue therebetween. The cartridge assembly is configured to house a plurality of fasteners therein. The diameter of the tool assembly is less than or equal to about 8 mm. 1. (canceled)2. A loading unit configured for engagement with a surgical instrument , the loading unit comprising:a proximal body portion defining a longitudinal axis; anda tool assembly disposed in mechanical cooperation with the proximal body portion, the tool assembly including a clamping member, a first jaw, and a second jaw, wherein the clamping member includes a top portion for engaging the second jaw and a bottom portion for engaging the first jaw, and wherein a distance between a lower-most surface of the bottom portion of the clamping member and the top portion of the clamping member is less than a distance between an upper-most surface of an actuation sled and the top portion of the clamping member, at least one of the first jaw and the second jaw being movable with respect to the other between an open position and an approximated position to engage tissue therebetween.3. The loading unit of claim 2 , wherein the clamping member includes an I-shaped cross-section.4. The loading unit of claim 2 , wherein distal translation of the actuation sled sequentially engages a plurality of pushers.5. The loading unit of claim 2 , wherein the clamping member includes a cutting edge on a distal face thereof.6. The loading unit of claim 2 , wherein the loading unit has a diameter between 7 mm ...

Firing member retraction devices for powered surgical instruments

A surgical instrument that includes a motor-powered drive unit that drives a portion of a firing member assembly in an axial direction to actuate a surgical end effector coupled to the instrument. The instrument may further include a retraction system configured to interact with the firing member assembly to permit a clinician to manually retract the portion of the firing member assembly should it become jammed or inadvertently stopped during a firing process. The surgical instrument includes a locking arrangement that interfaces with the retraction system and the motor-powered drive unit to prevent the transfer of the retraction forces generated by the retraction system to the motor shaft without physically separating portions of the motorized drive unit.

Secondary battery arrangements for powered surgical instruments

A power system, for powering a surgical instrument including an end effector and a motor configured to generate at least one motion to effectuate the end effector, includes a primary power source configured to supply a first power to operate the surgical instrument, wherein the primary power source is detachable from the surgical instrument, a secondary power source configured to supply a second power to operate the surgical instrument when the primary power source is detached from the surgical instrument, wherein the secondary power source is rechargeable, and wherein the primary power source is configured to charge the secondary power system, and a power management circuit configured to selectively transmit the first power from the primary power source and the secondary power from the secondary power source to operate the surgical instrument.

System for containment and organization of medical wire

A system for containment and organization of a medical wire features a clamp. A first ridged and grooved clamping block is located on a clamp first side posterior end and a second ridged and grooved clamping block is located on a clamp second side posterior end. A first side compression member is located on an inside surface of a clamp first side and a second side compression member is located on an inside surface of the clamp second side. An adjustable ratcheting lock attaches the clamp first side and the clamp second side. A first finger grip is located on an outside surface of the clamp first side and a second finger grip is located on an outside surface of the clamp second side. A Medical wire is placed between the first side compression member and the second side compression member then the clamp is compressed against the medical wire.

CONTINUOUS RATCHET MEDICAL INSTRUMENT DRIVE

The present invention is a continuous medical instrument adapter that safely provides a 180-degree torque force during a surgical procedure while accommodating the range of motion of the surgeon's hand during the surgical procedure. The drive mechanism of said adapter is capable of non-lubricated function, enabling it to be used in a medical environment and to be sterilized without loss of function. 1. A medical instrument adapter apparatus comprised of:a rotating outer collar having an internal square adapter;at least one non-rotating rear outer cap;a cylindrical housing secured by a rear end cap; a front drive gear shaft comprising front drive gear shaft teeth;', 'a front pawl housing;', 'a rear drive gear shaft comprising rear drive gear shaft teeth;', 'a rear pawl housing;', 'a triple-square drive gear;', 'two differential drive gear shafts each comprising differential drive gears; and', 'a one-quarter inch square input shaft., 'a bi-directional motion converting mechanism comprised of2. The apparatus of wherein said rotating outer collar is capable of clockwise or counter-clockwise rotation.3. The apparatus of wherein said non-rotating rear outer cap further comprises multiple holes traversing the circumference of said rear outer cap for flushing during cleaning and sterilization.4. The apparatus of wherein said non-rotating rear outer cap further comprises a selector switch assembly comprised of a three-position selector switch capable of front claim 1 , reverse claim 1 , and locked position.5. The apparatus of wherein said cylindrical housing comprises a silicone sleeve molded to the outer surface of said cylindrical housing for positive user grip during surgical procedures.6. The apparatus of wherein said internal square adapter is configured to automatically engage and release an output shaft for the purpose of attaching and releasing medical instruments.7. The apparatus of wherein said front pawl housing further comprises an s-shaped aperture.8. The ...

Tamper proof circuit for surgical instrument battery pack

A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached.

REPOSABLE MULTI-FIRE SURGICAL CLIP APPLIER

A reposable surgical clip applier includes a handle assembly, a shaft assembly, and a clip cartridge assembly. The shaft assembly includes a pair of jaws and a drive assembly. The clip cartridge assembly includes a stack of surgical clips supported therein and a clip pusher. When the shaft assembly is releasably engaged with the handle assembly and the clip cartridge assembly is releasably engaged within the shaft assembly, a pusher bar of the drive assembly is operably positioned relative to the clip pusher and the handle assembly is operably associated with the drive assembly such that actuation of a trigger of the handle assembly moves the pusher bar distally to load the distal-most clip of the stack of surgical clips into the pair of jaws and moves the jaws-engaging portion distally to cam the pair of jaws towards one another to form the distal-most clip about tissue. 1. A reposable surgical clip applier , comprising:a handle assembly including a housing, a trigger movable relative to the housing, and a drive bar operably coupled to the trigger such that actuation of the trigger moves the drive bar distally through the housing;a shaft assembly releasably engagable with the handle assembly, the shaft assembly including an outer tube, a pair of jaws supported at a distal end portion of the outer tube, and a drive assembly slidably disposed within the outer tube, the drive assembly including a jaws-engaging portion and a pusher bar; anda clip cartridge assembly releasably engagable within the shaft assembly, the clip cartridge assembly including a clip carrier, a stack of surgical clips supported on the clip carrier, and a clip pusher slidable relative to the clip carrier, the clip pusher including a leg depending therefrom;wherein, when the shaft assembly is releasably engaged with the handle assembly and the clip cartridge assembly is releasably engaged within the shaft assembly, the pusher bar is operably positioned relative to the leg of the clip pusher and the ...

Catheter-based system for delivery and retrieval of a leadless pacemaker

Catheter-based delivery systems for delivery and retrieval of a leadless pacemaker include features to facilitate improved manipulation of the catheter and improved capture and docking functionality of leadless pacemakers. Such functionality includes mechanisms directed to deflecting and locking a deflectable catheter, maintaining tension on a retrieval feature, protection from anti-rotation, and improved docking cap and drive gear assemblies.

RATCHET-SLIDE HANDLE AND SYSTEM FOR FIDUCIAL DEPLOYMENT

Embodiments include a fiducial deployment system with a handle configured for actuation of same. A fiducial may include one or more protuberances configured to engage one or more slots in a needle of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. The handle includes an actuation mechanism with a recessible-toothed rack and actuation member(s) configured for incrementally or otherwise controlledly deploying one or more fiducials at a time by advancing a stylet through and/or retracting the body of a slotted needle in which fiducials are disposed with a fiducial protrusion extending into the needle slot, which needle slot also includes retaining structures that do not impede the needle lumen. 1. A fiducial deployment system including a ratcheted handle , the system comprising:a fiducial deployment needle configured to retain and to distally deploy, in a controlled serial manner, a plurality of fiducials; an elongate handle member defining a central longitudinal axis;', 'a stylet disposed longitudinally through the needle, extending proximally into the handle member;', 'a central rack member affixed to the stylet and longitudinally movable in the handle, the central rack member including a plurality of laterally-protruding teeth; and', disposed movably through a wall of the handle member and', 'engaged into contact with at least one tooth of the central rack member;, 'at least one tooth-engagement actuation member'}], 'an advancement mechanism for said fiducial deployment, the advancement mechanism comprisingwhere the at least one tooth-engagement actuation member includes a at least one tooth-engagement slider, disposed longitudinally, reciprocatingly slidably through a handle aperture that limits the longitudinal sliding reciprocation distance,where moving the slider distally along a full length of the handle aperture engages and moves the central rack member with the stylet distally ...

Method for operating a powered articulatable surgical instrument

A method for operating a surgical instrument. The method includes linking a second drive member to a first drive member such that the second drive member moves with the first drive member. The method further includes applying first control motions to the first drive member to cause the second drive member to apply actuation motions to a surgical end effector. The method also includes discontinuing application of the first control motions to the first drive member and de-linking the second drive member from the first drive member such that the second drive member is locked in place by a locking system. The method also includes re-applying control motions to the first drive member.

Surgical System and Method

A surgical system comprises at least one implant support including a first implant support that is engageable with a receiver of a first fastener having a shaft fixed with vertebral tissue. At least one adaptor includes a first adaptor extending longitudinally along and being engageable with the first implant support. The first adaptor is rotatable relative to the first implant support to connect the first implant support with a surgical instrument to manipulate the vertebral tissue. Surgical instruments, constructs, implants and methods are disclosed. 1. A surgical system comprising:at least one implant support including a first implant support that is engageable with a receiver of a first fastener having a shaft fixed with vertebral tissue; andat least one adaptor including a first adaptor extending longitudinally along and being engageable with the first implant support,the first adaptor being rotatable relative to the first implant support to connect the first implant support with a surgical instrument to manipulate the vertebral tissue.2. A surgical system as recited in claim 1 , wherein the first implant support includes a first longitudinal member and a second longitudinal member that are relatively rotatable to capture the first fastener.3. A surgical system as recited in claim 2 , wherein the longitudinal members and the first adaptor are connected via a hinge disposed adjacent a connection with the receiver.4. A surgical system as recited in or claim 2 , wherein the first implant support includes a translation element engageable with the members such that the first implant support is moveable between an open orientation and a closed orientation to capture the first fastener.5. A surgical system as recited in one of to claim 2 , further comprising an alignment guide that mates with the receiver of the first fastener and is connectable with the first implant support.6. A surgical system as recited in one of to claim 2 , further comprising an angulation ...

Pull wire and spool for vascular intervention device delivery system

A vascular intervention device delivery system, such as for implanting a self expanding stent, includes a thumbwheel rotatably mounted in a handle. The thumbwheel includes a radially outward thumb surface and a spool. A catheter has a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device thereon. A retractable sheath is movable from a first position covering the distal carrier segment to a second position retracted proximally uncovering the distal carrier segment. A pull extends between the thumbwheel and the retractable sheath. The pull terminates at a proximal end with an integral anchor that extends through an opening in a wall that separates an inner surface of spool from a collection surface. The retractable sheath moves responsive to rotation of the thumbwheel in a first direction.

Surgical instrument comprising separate tissue securing and tissue cutting systems

A surgical instrument is disclosed which comprises a staple firing system and a tissue cutting system. In various instances, the instrument is configured to prevent the tissue cutting system from being operated before the staple firing system has been fully actuated. In certain instances, the instrument is configured to prevent the tissue cutting system from being operated before the staple firing system has been actuated to sufficiently deform the staples.

Mechanical Method and Apparatus for Bilateral Tissue Fastening

A mechanical system for bilaterally securing skin tissue preferably utilizes a tissue manipulator apparatus to approximate a portion of an interior surface of each of two pieces of living dermis tissue along a vertical interface below an exterior surface without overlapping either interior surface across the vertical interface. An applicator apparatus includes a driving head portion positioned in the vertical interface and at least partially below the exterior surface and a handle portion positioned at least partially above the exterior surface. The applicator apparatus bilaterally drives at least one portion of the fastener through each piece of the living dermis tissue behind the interior surface of that piece of tissue such that the fastener is positioned below the exterior surface and a portion of the fastener is positioned generally transverse to the vertical interface. The applicator can include guide features to direct tissue with respect to the driving head portion. 1. (canceled)2. A mechanism for deploying a bioabsorbable fastener into skin tissue having an incision or wound , comprising: a first tissue form configured to contact an external surface of the skin tissue on a first side of the incision or wound; and', 'a second tissue form configured to contact the external surface of the skin tissue on a second side of the incision or wound,, 'a tissue manipulation assembly havingthe tissue manipulation assembly configured to evert the skin tissue on the first side and the second side relative to the external surface of the skin tissue to expose a dermal layer of each of the first side and the second side of the incision or wound;a generally U-shaped bioabsorbable fastener having a first leg connected to a second leg by a cross member; and a first piercing member adapted to releasably hold the first leg; and', 'a second piercing member adapted to releasably hold the second leg,, 'an applicator assembly configured to deploy the bioabsorbable fastener into the ...

Tamper proof circuit for surgical instrument battery pack

A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached.

Systems and Methods for a Dual-Control Surgical Instrument

A method comprises receiving a surgical instrument into engagement with a grip actuator of a teleoperational activation system. The surgical instrument includes movable jaws, and the surgical instrument is received in a prearranged gripping configuration with the jaws gripping a surgical accessory. The method includes generating a first control signal for manipulating the surgical instrument while maintaining the surgical instrument in the prearranged gripping configuration. The method further includes generating a second control signal for manipulating the surgical instrument to move from the prearranged gripping configuration to a second configuration. 1. A method comprising:receiving a surgical instrument into engagement with a grip actuator of a teleoperational activation system, wherein the surgical instrument includes movable jaws and wherein the surgical instrument is received in a prearranged gripping configuration with the jaws gripping a surgical accessory;generating a first control signal for manipulating the surgical instrument while maintaining the surgical instrument in the prearranged gripping configuration; andgenerating a second control signal for manipulating the surgical instrument to move from the prearranged gripping configuration to a second configuration.2. The method of wherein the prearranged gripping configuration is a closed gripping configuration of the jaws.3. The method of wherein the prearranged gripping configuration is an open gripping configuration of the jaws.4. The method of wherein maintaining the surgical instrument in the prearranged gripping configuration includes engaging a lever of the surgical instrument with the grip actuator.5. The method of wherein moving from the surgical instrument from the prearranged gripping configuration to the second configuration includes moving the lever with the grip actuator.6. The method of wherein moving the surgical instrument from the prearranged gripping configuration to the second ...

SURGICAL RETRACTOR WITH ASYMMETRIC BLADE

A surgical retraction system may include one or more surgical retractor blades connected to a surgical support shaft or frame. Each retractor blade may extend at an angle from said shaft axis and have a transverse bend that forms an acute angle with the shaft axis. Such transverse bend may result in each retractor blade being asymmetrical with respect to said shaft axis. Each retractor blade may further include a tissue contacting side and an opposing side. The tissue contacting side may include holes or other texturing that hold tissue being retracted. 1. A surgical retractor blade assembly , comprising:a retractor arm configured to be attached to a frame of a surgical retraction system; andan asymmetric retractor blade extending along a longitudinal line from a proximal end coupled to the retractor arm toward a lower portion of the retractor blade, said retractor blade having a transverse bend forming an acute angle with a horizontal line perpendicular to the longitudinal line.2. The surgical retractor blade assembly of claim 1 , wherein the proximal end of the retractor blade comprises a connector configured to connect the retractor blade to the retractor arm.3. The surgical retractor blade assembly of claim 1 , wherein said retractor blade is permanently attached to the retractor arm.4. The surgical retractor blade assembly of claim 1 , wherein said surgical retractor blade assembly swivels relative to a handle.5. The surgical retractor blade assembly of claim 1 , wherein the retractor blade comprises an upper blade portion associated with the proximal end of the retractor blade and a lower blade portion associated with a distal end of the retractor blade claim 1 , said upper and lower blade portions meeting in at the transverse bend.6. The surgical retractor blade assembly of claim 5 , wherein:the upper blade portion comprises a central area and a pair of side panels;the central area is integrally connected to the lower blade portion along the transverse bend; ...

TORQUE LIMITING SURGICAL SCREW DRIVER

Described herein are devices and methods for limiting the torque applied to surgical screw during a surgical procedure in which a surgical screw is passed into a vertebra, such as, for example, a spinal fusion procedure. A surgical screw driver is configured to prevent an excessive amount of torque from being delivered to the vertebrae through a surgical screw. When an excessive amount of torque is delivered to the handle of a surgical screw driver, it is prevented from being transmitted to the surgical screw and is thus not delivered to the vertebrae. Excessive force in the form of excessive torque transmitted to a vertebrae may cause a fracture along with possible mispositioning or displacement of a surgical screw. 1. A torque limiting surgical screw driver , comprisinga driver shaft having a proximal end and a distal end, wherein the proximal end comprises a first torque limiting element, and wherein the distal end is configured to engage with a screw head used in a surgical procedure; and a first opening configured to receive the proximal end of the driver shaft;', 'a hollow interior continuous with the opening, and', 'a second torque limiting element within the hollow interior positioned to engage the first torque limiting element on the proximal end of the driver shaft;', 'a track positioned on the hollow interior of the handle and contiguous with the second torque limiting element;, 'a handle coupled with the proximal end of the driver shaft, wherein the handle comprises'}wherein the first torque limiting element and the second torque limiting element are configured to disengage from each other when a torque above a first threshold torque is applied to the handle when the handle is rotated in a clockwise direction; andwherein the first torque limiting element comprises a leaflet comprising a first and a second portion, wherein the first portion and the second portion are joined to form an elbow in the leaflet;wherein the second portion of the leaflet ...

SURGICAL ACCESS SYSTEM

A surgical access system, includes a gas insufflation device, a multi-instrument access platform and a surgical smoke evacuation device, wherein the gas insufflation device is connected to a connector of the multi-instrument access platform, and an outlet and an inlet of the multi-instrument access platform are respectively connected to an inflow tube and an outflow tube of the surgical smoke evacuation device. 1. A surgical access system , comprising an gas insufflation device , a multi-instrument access platform and a surgical smoke evacuation device; wherein the air blowing device is connected to a connector of the multi-instrument access platform , and an outlet and an inlet of the multi-instrument access platform are respectively connected to an inflow tube and an outflow tube of the surgical smoke evacuation device.2. The surgical access system of claim 1 , wherein the multi-instrument access platform comprises an access platform cover or cap and an access tube claim 1 , and the access platform cover or cap is covered on the access tube;the access platform cover or cap comprises a semi-flexible rubber top cover and a rigid annular frame which are fixed together, at least three instrument channels are arranged on the semi-flexible rubber top cover, and the instrument channels are connected with the semi-flexible rubber top cover through a fold; the rigid annular frame is butted cooperatively with the access tube;the rigid annular frame is further provided with an integrally formed inflation inlet, and an outlet and an inlet on a side of the access platform cover or cap opposite to the inflation inlet; anda variable ratchet is arranged on the access tube, and the variable ratchet is connected with a support ring.3. The surgical access system of claim 2 , wherein one end of the inlet leading to the access tube is connected with a smoke ring evacuation port; the inlet has a lumen diameter gradually decreasing along a direction of entering the access tube; and the ...

Surgical Clip Applier

A surgical clip applier is provided and includes a ratchet mechanism having a rack member connected to a drive channel such that axial translation of the drive channel results in axial translation of the rack member, the rack member defining a first set of teeth along a first side thereof and a second set of teeth along a second side thereof. The ratchet mechanism including a first pawl and a second pawl each tiltably supported in the housing and disposed on respective opposed sides of the rack member; and a buckling spring interposed between the first pawl and the second pawl and constrained in a slot formed in the rack member, wherein the buckling spring is dimensioned so as to bow in one of a proximal direction and a distal direction. 1. (canceled)2. A surgical clip applier , comprising:a housing;a handle connected to the housing;a channel assembly extending from the housing;a clip carrier disposed within the channel assembly and defining a channel;a plurality of clips loaded in the channel of the clip carrier;a drive channel supported in the housing and the channel assembly; and a rack member associated with the drive channel;', 'a first pawl and a second pawl supported in the housing adjacent to the rack member; and', 'a spring interposed between the first pawl and the second pawl, the spring configured to enable movement of the rack member., 'a ratchet mechanism including3. The surgical clip applier of claim 2 , further comprising a clip follower movably disposed within the channel of the clip carrier.4. The surgical clip applier of claim 3 , further comprising a biasing member positioned to urge the clip follower in a distal direction.5. The surgical clip applier of claim 4 , wherein the clip follower is incrementally advanceable to urge the plurality of clips into a pair of jaws.6. The surgical clip applier of claim 5 , further comprising a clip pusher bar positioned within at least one of the housing and the channel assembly.7. The surgical clip applier of ...

RATCHET OPERATED VASCULAR INTERVENTION DEVICE DELIVERY SYSTEM

A vascular intervention device delivery system, such as for implanting a self expanding stent, includes a thumbwheel rotatably mounted in a handle. The thumbwheel includes a radially outward thumb surface and a radially inward ratchet surface of a ratchet. A catheter has a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device thereon. A retractable sheath is movable from a first position covering the distal carrier segment to a second position retracted proximally uncovering the distal carrier segment. A pull extends between the thumbwheel and the retractable sheath. A ratchet pawl is mounted in the handle and has a catch in contact with the ratchet surface. The ratchet holds the thumbwheel against rotation in a forward direction, and the retractable sheath moves responsive to rotation of the thumbwheel in a reverse direction. 1. A vascular intervention device delivery system comprising:a handle;a thumbwheel rotatably mounted in the handle and having a radially outward thumb surface and a radially inward ratchet surface of a ratchet;a catheter with a proximal end attached to the handle, and a distal carrier segment for mounting a vascular intervention device thereon;a retractable sheath movable from a first position covering the distal carrier segment, and a second position retracted proximally uncovering the distal carrier segment; anda pull extending between the thumbwheel and the retractable sheath;a ratchet pawl of the ratchet being mounted in the handle and having a catch in contact with the ratchet surface; andthe ratchet locking the thumbwheel against rotation in a forward direction, and the retractable sheath moving responsive to rotation of the thumbwheel in a reverse direction.2. The vascular intervention device delivery system of including a lock movable between a locked position and an unlocked position;the lock includes a latch positioned in the handle and movable along a line between the locked ...

INSTRUMENTS FOR USE DURING SPINE SURGERY

Surgical instruments and devices including drivers, inserters, and reducers. The driver includes a ratcheting mechanism configured to provide uni-directional motion when engaged. The inserter includes a rack, pinion, and cam system designed to secure an implant and release an implant in-situ. The reducer includes a geared system for persuading together surgical components and aligning misaligned vertebrae. 1. A method for inserting a surgical device comprising:attaching a surgical device to a distal tip of a surgical instrument, the surgical instrument comprising a body having an outer housing and a handle, the outer housing having a longitudinal body with a channel extending therethrough, a shaft including a release shaft having a distal end configured to contact the surgical device and a second end, the shaft being housed within the channel of the outer housing, the shaft including a rack having a longitudinal body with a plurality of teeth, a pinion having a wheel-like body with a plurality of teeth radially extending therefrom and configured to mate with the plurality of teeth of the rack, a cam having a generally circular body with at least one projection which is rotatably attached to the pinion and the body, and a trigger coupled to the handle and a linkage connecting the trigger to the second end of the shaft; andinitially depressing the trigger such that the linkage moves the shaft and secures the surgical device to the distal tip.2. The method of claim 1 , further comprising fully depressing the trigger such that the linkage moves the rack linearly claim 1 , thereby rotating the pinion and the cam and moving the release shaft distally to release the surgical device.3. The method of claim 1 , wherein the release shaft comprises at least one tab which extends past the distal tip of the outer housing when the trigger is fully depressed.4. The method of claim 1 , wherein the trigger is connected to the second end of the shaft with a coupling element which is ...

Bone Distraction Device Having a Quick Release Disengagement Mechanism

A bone distraction device having a ratchet and pawl assembly such that incremental rotation is allowed in one direction and prevented in the other, and further having a quick release mechanism such that the ratchet and pawl mechanism can be released to allow free rotation in both directions. The device has a pawl housing mounted onto a rod housing, the pawl housing having a sloping transition shoulder diminishing to transition onto the outer surface of the rod housing. In other embodiments, the device has a sleeve housing with an enlarged end telescopically mounted onto a rod housing, the enlarged end having a sloping transition shoulder diminishing to transition onto the outer surface of the sleeve housing. 1. A bone distraction device comprising: a threaded rod retained within an elongated, linear rod housing having an outer surface, whereby rotation of said threaded rod within said rod housing in a distraction direction results in relative separation of said bone plate members and rotation of said threaded rod in the opposite direction results in relative contraction of said bone plate members;', 'a drive head positioned at one end of said rod housing and connected to said threaded rod, whereby rotation of said drive head rotates said threaded rod, said drive head having teeth and notches disposed annularly thereon;', 'a pawl housing positioned on and extending outwardly from said rod housing, said pawl housing retaining a pawl biased into one of said notches on said drive head to define an engaged position, said pawl and said notches configured such that said drive head is rotatable only in said distraction direction when said pawl is in said engaged position;', 'said pawl housing comprising a sloping transition shoulder diminishing to transition onto said outer surface of said rod housing;, 'a pair of bone plate members;'}a slot disposed in said pawl housing and a post member connected to said pawl and extending through said slot, said slot having a ...

BONE GRAFT DELIVERY SYSTEM AND METHOD FOR USING SAME

A bone graft delivery system can include an elongate tube, a handle having a trigger, and a tip. The trigger is actuated to deliver bone graft material through the tube. The tip has one or more openings to deliver the bone graft material to a desired location and includes a surface suitable to act as a rasp for decorticating bone. A method for delivering bone graft material to a desired surgical location includes providing a bone graft delivery device, positioning the device adjacent the surgical location, decorticating bone, and delivering bone graft material to the surgical location. 1. A bone graft delivery system , comprising:an elongate tube;a handle at a proximal end of the tube configured to be actuated to deliver bone graft material through the tube; anda tip at a distal end of the tube, the tip having one or more openings configured to deliver the bone graft material to a desired location, wherein the tip includes a surface suitable to serve as a rasp for scraping bone.2. The system of claim 1 , wherein the surface of the tip includes jagged edges.3. The system of claim 1 , wherein the tip is made of metal.4. The system of claim 1 , wherein the tip is made of a radiopaque material.5. The system of claim 1 , wherein the tip is made of a durable medical plastic.6. The system of claim 1 , wherein the tip is made of a composite material.7. The system of claim 5 , wherein the tip includes one or more radiopaque markers.8. The system of claim 6 , wherein the tip includes one or more radiopaque markers.9. The system of claim 1 , wherein the tip has a blunt end.10. The system of claim 1 , wherein the elongate tube is rigid.11. The system of claim 1 , wherein the elongate tube includes a permanent bend.12. The system of claim 1 , wherein the handle comprises a trigger configured to be actuated to deliver bone graft material through the tube.13. The system of claim 1 , wherein the tip is removably attachable to the distal end of the tube.14. The system of claim 1 , ...

Surgical retractor and method of use

A surgical retractor includes a first member defining a longitudinal axis. The first member includes a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. A second member has a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. The grip surfaces are configured to be drawn together along the longitudinal axis such that the blades are engageable with tissue and connected with the grip surfaces such that the grip surfaces provide a tactile feedback of the tissue engagement. Systems and methods of use are disclosed.

Wind up deployment mechanisms for surgical instruments

A surgical instrument includes a handle assembly having an actuating rod extending therefrom, a rotating member, a release member, and a stop, the actuating rod translatable along a longitudinal axis defined therethrough. The rotating member is disposed within the handle assembly and is configured to operably engage the actuating rod via a cam and link arrangement. The release member includes a first catch configured to lock the rotating member against the force of an energy storage device in a first condition and release the rotating member to rotate in an opposite direction with the force of the energy storage device in a second condition. The stop is disposed on a peripheral edge of the rotating member and is configured to operably engage the first catch when the release member is disposed in the first condition to limit the rotational movement of the rotating member.

ENDOSCOPIC SURGICAL CLIP APPLIER AND HANDLE ASSEMBLIES FOR USE THEREWITH

A handle assembly for use with a surgical instrument including a housing, a movable handle, a plunger, a first linkage, and a second linkage. The movable handle is pivotably mounted to the housing about a handle pin. The plunger is disposed at least partially within the housing. Distal translation of the plunger relative to the housing is configured to affect a function of the surgical instrument. The first linkage is disposed at least partially within the housing. A first portion of the first linkage is pivotable about the housing, and a second portion of the first linkage is slidable relative to the handle pin. The second linkage is disposed at least partially within the housing. A first portion of the second linkage is pivotable about the plunger, and a second portion of the second linkage is pivotable about a third portion of the first linkage. 1. A handle assembly for use with a surgical instrument , the handle assembly comprising:a housing;a movable handle pivotably mounted to the housing about a handle pin;a plunger disposed at least partially within the housing, wherein distal translation of the plunger relative to the housing is configured to affect a function of the surgical instrument;a first linkage disposed at least partially within the housing, a first portion of the first linkage being pivotable about the housing, a second portion of the first linkage being slidable relative to the handle pin; anda second linkage disposed at least partially within the housing, a first portion of the second linkage being pivotable about the plunger, a second portion of the second linkage being pivotable about a third portion of the first linkage.2. The handle assembly according to claim 1 , wherein the second portion of the first linkage includes a slot claim 1 , the handle pin being slidable within the slot.3. The handle assembly according to claim 1 , wherein the first portion of the second linkage is pivotable about a plunger pin claim 1 , the plunger pin extending ...

CLIP COUNTING MECHANISM FOR SURGICAL CLIP APPLIER

A clip counting mechanism for use with a surgical clip applier includes a display gear rotatably supported within a handle housing of the surgical clip applier and including an outer surface having a plurality of numbers disposed thereon, a biasing element in mechanical communication with the display gear and rotatably biasing the display gear, a counter switch reciprocally disposed within the handle housing and defining a cam slot therethrough, and an escapement gear rotatably supported within the handle housing and defining a proximal end portion in mechanical communication with the display gear and a distal end portion in mechanical communication with the cam slot. Translation of the counter switch causes the cam slot to cam the escapement gear and selectively disengage and then re-engage the display gear to enable the display gear to rotate a predetermined angle of rotation. 1. A clip counting mechanism for use with a surgical clip applier , comprising:a display gear rotatably supported within a handle housing of a surgical clip applier and including an outer surface, the outer surface includes a plurality of numbers disposed thereon;a biasing element in mechanical communication with the display gear, the biasing element rotatably biasing the display gear;a counter switch reciprocally disposed within the handle housing and defining a proximal end portion and a distal end portion and opposed side surfaces extending therebetween, the opposed side surfaces defining a cam slot therethrough; andan escapement gear rotatably supported within the handle housing and defining a proximal end portion and a distal end portion, wherein the distal end portion is in mechanical communication with the cam slot of the counter switch and the proximal end portion is in mechanical communication with the display gear,wherein translation of the counter switch causes the cam slot to cam the escapement gear and selectively disengage the display gear and permit the display gear to rotate ...