ХИРУРГИЧЕСКИЙ АППАРАТ С ВОЗМОЖНОСТЬЮ ЗАПИСИ

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

CHIRURGISCHES INSTRUMENT

Medical instrument

Patient-specific sacroiliac guides and associated methods

A patient-specific alignment guide (100) includes a patient-specific portion (102) and a guiding element (122, 124) having a through opening (123, 125). The patient-specific portion has a patient-specific surface (103) preoperatively configured to mate as a negative of a portion of an iliac crest of a pelvis of a specific patient and mate to the iliac crest only in one position. The guiding element has a preoperatively configured orientation and location relative to the patient-specific portion for preparing a bore in the bone of the patient to direct a bone screw at the preoperatively configured orientation and location for sacroiliac fixation.

Stapler including means for preventing double feeding of staples

A medical stapler including a ram adapted to push a staple along a passageway from an inlet opening into which staples are fed, to an outlet opening where the staple is ejected and closed about an anvil portion. A manually activated drive mechanism is adapted to move the ram and staple from the inlet to the outlet opening, will leave the ram across the outlet opening to prevent another staple from being fed into the channel if manual activation of the stapler is discontinued before the staple is ejected, and will couple the ram to the drive mechanism when the ram reaches its eject position so that the ram will subsequently be retracted with the drive mechanism. Also the stapler clicks when the ram reaches its eject position to provide both an audible and tactile indication that the staple has been fully closed.

Tongue cleaner

A tongue cleaner 10 includes an elongated generally straight scraping member 100 terminated at each end by grip structures 110. The scraping member 100 is constructed of a flexible and resilient material allowing the scraping member 100 to be bendable from its generally straight configuration into at least a curved shape, C shape, V shape or U shape configuration. The scraping member 100 resiliently returns to its straight configuration in the absence of any bending forces. The preferred material is silicone rubber, but may be plastic, metal or wood. The scraping member 100 may comprise a generally T-shaped cross-section and defines three scraping edges. The grip structures 110 may have an aperture, such that the tongue cleaner may be hung on a supporting element.

Sterile ready-to-use surgical tool and attachment system

A biopsy device

Sterile ready-to-use tool and attachment system

HANDLE

SURGICAL INSTRUMENT FOR THE CONTROLLED EXECUTION OF MYOTOMIEN

ANATOMICAL HANDLE FOR A SURGICAL PRÄZISIONSSKALPELL

Medizinisches Instrument

A medical instrument includes a handle, on which at least one electric switch is arranged. The switch has an annular mechanical actuation unit whose outer side forms a grip surface running peripherally of the handle.

NAHTLASCHENEXTENDER FOR A STOMACH VOLUME

THERAPY EQUIPMENT FOR THE SHOCK WAVE TREATMENT OF A PATIENT

Bone material delivery system

A device for delivering a bone material to a surgical site is provided. The device comprises a body having an upper portion and a lower portion. The lower portion of the body is substantially transverse to the upper portion and has an opening for receiving a bone material. An internal chamber is disposed within the upper portion and the lower portion, and a plunger is slidably disposed in at least the internal chamber of the body. The plunger has a distal end configured for delivering the bone material out of the lower portion of the body, wherein movement of the plunger in a first position toward the lower portion of the body delivers the bone material from the lower portion of the body to the surgical site. Methods of delivering the bone material are also provided.

Surgical instrument handle with implant sizing feature

A single-use handle is configured to attach to a working shaft that can support a sounder for measuring the medullary canal of a proximal radius, and a planarizer that is configured to planarize a proximal edge of the proximal radius after the proximal radius has been resected. The handle can further include a plurality of sizing cavities that are configured to receive the resected bone so as to determine the size of the resected bone. The handle can further include an ejector that is configured to decouple the planarizer from the working shaft.

Handle assembly and stapler including the same

A handle assembly and an anastomat comprising same. The handle assembly comprises: a first handle member provided with a sliding slot (41), a first sliding block (42) being slidably provided in the sliding slot (41), one end of the sliding block (42) being provided with a first limiting structure (43), a second section (412) of the sliding slot (41) being provided with a second limiting structure (44), and a compression spring (45) being provided between the two limiting structures (43, 44); and a second handle (2), a first end of the second handle (2) being rotatably connected to the first handle member, and the sliding block (42) moving toward the second section (412) of the sliding slot (41) under external force. When the first handle member is rotated in a first direction, the compression spring (45) is deformed, and the sliding block (42) abuts against the second handle (2) and pushes the second handle (2) to rotate; and when the sliding block (42) is released from the external force ...

Handle assembly and anastomat comprising same

A handle assembly and an anastomat comprising same. The handle assembly comprises: a first handle member provided with a sliding slot (41), a first sliding block (42) being slidably provided in the sliding slot (41), one end of the sliding block (42) being provided with a first limiting structure (43), a second section (412) of the sliding slot (41) being provided with a second limiting structure (44), and a compression spring (45) being provided between the two limiting structures (43, 44); and a second handle (2), a first end of the second handle (2) being rotatably connected to the first handle member, and the sliding block (42) moving toward the second section (412) of the sliding slot (41) under external force. When the first handle member is rotated in a first direction, the compression spring (45) is deformed, and the sliding block (42) abuts against the second handle (2) and pushes the second handle (2) to rotate; and when the sliding block (42) is released from the external force ...

SURGICAL RETRACTOR SYSTEM

Surgical instrument including a cutting accessory extending from a housing and actuators that establish the position of the cutting accessory relative to the housing

An instrument for treating tissue during a medical procedure includes a hand-held portion (502, 1204) and a working portion (202). The hand-held portion is manually supported and moved by a user and the working portion is movably coupled to the hand-held portion. A tracking device (114) is attached to the hand-held portion for tracking the instrument. The tracking device is in communication with a control system (120), which is used to keep the working portion within or outside of a boundary (106). A plurality of actuators are operatively coupled to the working portion. The control system instructs the actuators to move the working portion relative to the hand-held portion during the medical procedure in order to maintain a desired relationship between the working portion and the boundary.

System for delivering an anvil assembly to a surgical site

SYSTEM FOR DELIVERING AN ANVIL ASSEMBLY TO A SURGICAL An anvil assembly delivery system (50) includes an anvil assembly (110) having a center rod (152) and an anvil head assembly (112) pivotally secured to the center rod (152), a flexible tube (52) having a first end (52b) configured for oral insertion into a patient and a second end (52a) engaged with the anvil assembly (110), and a retrieval suture(S 2)connected to the head assembly (112) positioned to extend from the anvil assembly (110) in a direction opposite to the flexible tube (52). The anvil assembly delivery system (50) also includes a spacer suture tube (210) positioned adjacent the anvil head assembly (112) and defining a suture channel (212), which is supported on the retrieval suture(S 2)and is dimensioned to prevent the retrieval suture (S 2)from becoming trapped in the staple line of a stapling device (10). In an embodiment, the spacer (210) is a suture tube (210) defining a suture channel (212) which receives the retrieval ...

System for informational magnetic feedback in adjustable implants

According to some embodiments, systems and methods are provided for non-invasively detecting the force generated by a non-invasively adjustable implantable medical device and/or a change in dimension of a non-invasively adjustable implantable medical device. Some of the systems include a non-invasively adjustable implant, which includes a driven magnet, and an external adjustment device, which includes one or more driving magnets and one or more Hall effect sensors. The Hall effect sensors of the external adjustment device are configured to detect changes in the magnetic field between the driven magnet of the non-invasively adjustable implant and the driving magnet(s) of the external adjustment device. Changes in the magnetic fields may be used to calculate the force generated by and/or a change in dimension of the non-invasively adjustable implantable medical device.

Exchanger surgical access port assembly and methods of use

A surgical access port assembly including a cannula having a diameter of less than about 3 mm and a tapered hub, capable of attachment to a laparoscopic surgical instrument, connected to the proximal end of the cannula.

Endoscopic Suturing System

A treatment device for use with an endoscope having a instrument channel for passage of an endoscopic instrument and a distal end is provided. The treatment device includes an end effector assembly with a base for placement at the distal end of the endoscope, an end effector rotatable relative to the base, and a mounting portion for attaching the base to the endoscope. The mounting portion is resiliently compressible and can be radially compressed for insertion into the instrument channel, whereby an expansion force of the resiliently compressed mounting portion retains the base relative to the distal end of the endoscope. The mounting portion also includes an opening longitudinally extending therethrough and communicable with the instrument chann 1 and sized for receiving an endoscopic instrument therethrough. 1t _ 17 P -~- I ...

ANCHOR DELIVERY SYSTEMS

... -21 Anchor delivery systems include markings on the surfaces of the delivery device which are visually exposed to the user through openings or fenestrations in the anchor, providing visual feedback to the user on the progress of the anchor's insertion. A suture-locking plug is deformable within the anchor tip, thereby enhancing suture entrapment within the tip of the anchor. A compliant component of the handle places the handle components in tension, thereby absorbing built-in axial looseness in the handle. The handle further includes a spin cavity which allows for free spin of the inserter shaft to finalize insertion of the anchor into bone when the anchor has not been fully seated flush with or below the cortical bone surface. C) C'4' ...

Set of cannula tubes

Modular trocar system and methods of assembly

Blood vessel clip and applicator background of the invention

Grasping devices and articles

METHOD AND APPARATUS FOR TREATING PELVIC ORGAN PROLAPSE

MULTI-BUTTON BIOPSY DEVICE

A handheld biopsy device (10) comprises a needle (20), cutter (50), and body (30). The cutter is movable relative to the needle to sever tissue protruding into a transverse aperture (24) of the needle. The body includes a cutter actuation mechanism (60), at least two trigger buttons (302,304), and a control module (330). The biopsy device is configured such that the at least two trigger buttons are selectively enabled and disabled. A selectively enabled trigger button is operable to activate the cutter actuation mechanism. A selectively disabled trigger button is not operable to activate the cutter activation mechanism. The enabled trigger button may be selected electronically, such that the control module receives a user' s button selection input and enables or disables the trigger buttons accordingly. Alternatively, the body may include movable covers (350) to selectively cover or expose trigger buttons in accordance with the user's preference. The biopsy device may thus accommodate different ...

GASTRIC BAND SUTURE TAB EXTENDER

A removable suture tab extender for a gastric band is shaped and dimensioned for selective attachment to a first end of the gastric band, the gastric band including a latching mechanism composed of a first latching member positioned at the first end of the gastric band and a second latching member positioned at a second end of the gastric band. The gastric band extender includes an elongated body member having a first end and a second end. The first end of the elongated body member is shaped and dimensioned for coupling with the first latching member. The second end of the elongated body member includes a gripping section shaped and dimensioned to facilitate gripping thereof as the gastric band extender is passed through the second latching member.

PRECURVED GASTRIC BAND

A low pressure, high volume gastric band includes a balloon shaped and dimensioned to circumscribe the stomach at a predetermined location and a belt extending about the balloon. The gastric band is precurved extend about the stomach and the balloon exhibits 360 degree coverage about the stomach.

SURGICAL INSTRUMENT HANDLE WITH IMPLANT SIZING FEATURE AND METHOD OF USING

A single-use handle is configured to attach to a working shaft that can support a sounder for measuring the medullary canal of a proximal radius, and a planarizer that is configured to planarize a proximal edge of the proximal radius after the proximal radius has been resected. The handle can further include a plurality of sizing cavities that are configured to receive the resected bone so as to determine the size of the resected bone. The handle can further include an ejector that is configured to decouple the planarizer from the working shaft.

TOOLS AND METHODS FOR VAGINAL ACCESS

Trocar components and methods of use are described, wherein the trocar components are configured to provide access to intraperitoneal space via the rectouterine pouch to surgical tools, which optionally include one or more surgical robot members. The surgical tools are optionally 5 mm or more in diameter. In some embodiments, a cannula part has a lumen sized to provide to a plurality of the surgical tools simultaneous transvaginal access to the intraperitoneal space via the rectouterine pouch. In some embodiments, an incision sized to receive a distal aperture of the cannula is created, optionally using one or two dilators. The dilators are sized to create (optionally starting from a puncture by a needle 2 mm in diameter or less) an oblong aperture. In some embodiments, the oblong aperture is at least twice as wide across a long diameter as across a short diameter.

SUTURE REPAIR DEVICE AND METHOD

Devices and methods for the suture repair of tissue are disclosed. An apparatus includes a handle, a needle assembly, and an actuator. The handle has a proximal end portion and a distal end portion. The needle assembly is configured to be transitioned between a first configuration and a second configuration, and includes a first needle and a first capture member. The actuator is movably coupled to the handle and includes a first coupling portion operably coupled to the needle assembly. The first coupling portion is configured to move relative to the handle in response to a first force to transition the first needle assembly from the first configuration in which the first capture member is spaced apart from the first needle to the second configuration in which the first capture member engages the first needle. Methods of suture repair are also disclosed.

HAND-HELD INSTRUMENT WITH BODY-SWIVEL

A hand-held instrument has a distal section and a proximal section joined by an attachment piece. The attachment piece enables the distal section to be swiveled/rotated independent of the proximal section. A tip, such as an electrode tip, is coupled to the distal end of the distal section and rotates with the distal section, enabling a user to adjust the rotational orientation of the tip during use.

PENCIL-GRIP WIRE DRIVER OPERATED WITH DISTALLY LOCATED ACTUATOR

A wire driver for inserting a wire into bone. The wire driver includes a housing having proximal and distal ends, with a handpiece extending to the proximal end. The handpiece is connected to a gripping portion, which extends to the distal end. A channel extends through the gripping portion and is connected to a gripping mechanism. A drive mechanism within the handpiece is connected to the channel. The drive mechanism is configured to rotate the channel when actuated by a first actuator positioned on the handpiece (which can be on the distal end of the handpiece). A second actuator is connected to the gripping portion and the gripping mechanism. The second actuator is movable between a relaxed position and a compressed position. The user can operate both first and second actuators with the same handpiece grip. The gripping portion and second actuator are rotatable relative to the housing and first actuator.

SURGICAL STAPLING INSTRUMENT WITH IMPROVED FIRING TRIGGER ARRANGEMENT

A surgical stapling instrument including an actuator knob which can be moved from one side of the stapling instrument to another side in order to reposition the actuator knob without having to reposition the stapling instrument within a surgical site. A stapling instrument can include a pusher bar, a housing having a first side and a second side, and an actuator knob rotatably mounted to the pusher bar wherein the actuator knob can be configured to be rotated between a first position in which the actuator knob can be moved along the first side of the housing and a second position where the actuator knob can be moved along a second side of the housing. Alternatively, a surgical stapling instrument can comprise one or more actuator knobs which can be operably engaged and disengaged with a pusher bar in order to selectively utilize the actuator knobs.

SURGICAL FASTENER APPLYING APPARATUS

A surgical stapling device including a frame configured to support a proximal portion of an approximation assembly and a proximal portion of a staple pusher assembly and a pair of handle sections pivotally secured to the frame such that the handle sections can be moved from a closed position wherein the handle sections enclose the proximal portion of the approximation assembly and the staple pusher assembly and an open position wherein the proximal portion of the approximation assembly and the staple pusher assembly are exposed.

STERILE READY-TO-USE SURGICAL TOOL AND ATTACHMENT SYSTEM

A surgical tool and attachment system include a powered rotary driver, a power tool accessory for connection to the powered rotary driver, and an adapter. The adapter includes a first end and a second end. The first end includes means for attachment to a non-rotating portion of the power tool accessory. The second end includes a snap-in means for attachment to the powered rotary driver.

STAPLE CARTRIDGE

A staple cartridge (150) for use with a surgical stapling instrument (100), said staple cartridge (150) comprising a cutting member (160) positioned therein. The staple cartridge (150) can comprise alignment features (280) configured to align the cutting member (160) of the staple cartridge (150) with a distal end (201) of a drive bar (202) when the staple cartridge (150) is assembled to the surgical stapling instrument (100).

CLIP SETTING EQUIPMENT WITH MEANS, AROUND A DOUBLE SUPPLY FROM CLIPS TO PREVENTING.

Medical Instrument.

Ein medizinisches Instrument hat einen Handgriff, an dem mindestens ein elektrischer Schalter angeordnet ist. Dieser Schalter weist eine ringförmige mechanische Betätigungseinheit auf, deren Aussenseite eine umfänglich des Handgriffs verlaufende Grifffläche (36) bildet.

Medical instrument.

Ein medizinisches Instrument hat einen Handgriff, an dem mindestens ein elektrischer Schalter angeordnet ist. Dieser Schalter weist eine ringförmige mechanische Betätigungseinheit auf, deren Aussenseite eine umfänglich des Handgriffs verlaufende Grifffläche (36) bildet.

Medical hand instrument.

Die Erfindung bezieht sich auf ein medizinisches Handinstrument, insbesondere chirurgisches oder zahnmedizinisches Handinstrument, mit einem im Betrieb mechanische Vibrationen erzeugenden Bauteil (1) und einem Partikeldämpfungselement (7, 8), welches wenigstens einen Hohlraum (7) aufweist, der die mechanischen Vibrationen empfangend gebildet und zumindest teilweise mit einer Vielzahl granularer Partikel (8) gefüllt ist, die die mechanischen Vibrationen mittels dissipativer Stösse zwischen den granularen Partikeln (8) und/oder zwischen den granularen Partikeln (8) und einer den wenigstens einen Hohlraum (7) umgebenden Wand dämpfen.

Pneumatic impact tool for bone working at hip operations.

Die vorliegende Erfindung betrifft ein pneumatisches Schlagwerkzeug für Hüftoperationen, bestehend aus einem Gehäuse (1) mit einer Zylinder-/Kolbenanordnung mit einem pneumatisch angetriebenen Kolben und einem Werkzeughalter (2). Das Schlagwerkzeug weist zwei oder mehrere Griffe (3) auf, die in regelmässigen Abständen um die Zylinder-/Kolbenanordnung angeordnet sind.

Treatment apparatus

GRIP HANDLE FOR SURGICAL TOOL, METHOD AND MACHINE FOR PRODUCING ONE SUCH GRIP HANDLE

Medical instrument for use during micro surgery of patient under vision of microscope, has actuating arm moved with respect to reference arm for actuating operating head, where reference arm has housing to receive finger of hand of user

Cet instrument médical comporte une tête fonctionnelle (104) actionnable, un bras de référence (116) comportant un premier logement (128) apte à recevoir un premier doigt d'une main d'un utilisateur de l'instrument médical, un bras porteur (102) à une extrémité duquel la tête fonctionnelle (104) est portée et qui est fixe par rapport au bras de référence (116), et un bras d'actionnement (118) comportant un deuxième logement (136) apte à recevoir un deuxième doigt d'une main de l'utilisateur, le bras d'actionnement (118) étant mobile par rapport au bras de référence (116) pour l'actionnement de la tête fonctionnelle (104). Le bras de référence (116) comporte en outre un troisième logement (130) apte à recevoir un troisième doigt d'une main de l'utilisateur.

MANIPULATOR HELD MANUAL AND SYMMETRICAL GRIPPING

Un manipulateur à tenue manuelle selon l'invention comprend une poignée (4) montée fixe en bout d'un bras de liaison (2) dont l'extrémité distale (2b) porte une unité de travail (3). La poignée (4) comporte un tronçon de préhension (4e) ayant une surface de révolution autour d'un axe longitudinal de poignée (III) aligné sur l'axe longitudinal de bras (I). Des organes de commande (4a-4c) sont conformés en structure annulaire proche de l'extrémité distale (4f) du tronçon de préhension (4e) pour être accessibles en toute orientation angulaire de la main tenant la poignée.

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

DEVICE OF TREATMENT OF FEMALE URINARY INCONTINENCE

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

WIRE TWISTER

A device for twisting wire looped about a bone comprises a longitudinal member sized for insertion through an incision to a target location, the longitudinal member defining a passage extending therethrough to a distal opening sized to receive beside one another end portions of a wire in combination with a cross-member extending across the passage, a clearance within the passage on either side of the cross-member being sized to receive one end portion of a wire to be twisted about the bone and first and second wire mounting units on substantially opposite sides of a longitudinal axis of the passage for coupling to first and second ends, respectively, of a wire be twisted about a bone, the first and second wire mounting units being proximal of the cross-member and coupled to the longitudinal member for movement relative thereto along the axis.

METHODS AND SURGICAL KITS FOR MINIMALLY-INVASIVE FACET JOINT FUSION

Disclosed herein are methods and surgical kits that can be used to fuse facet joints via a minimally invasive procedure (including an arthroscopic or percutaneous procedure). An exemplary method includes creating an incision; locating a facet joint with a distal end of a pin; sliding a substantially hollow drill guide over said pin wherein said drill guide comprises a proximal end, a distal end; removing said pin from within said drill guide; inserting a drill bit into said drill guide; drilling a hole into a bone of said facet joint; removing said drill bit; inserting a facet joint bone plug into said hole using a bone plug inserter having a raised portion at or near is proximal end, wherein said raised portion prevents over-insertion of said bone plug; and removing said drill guide.

SUTURING INSTRUMENT WITH SPREADABLE NEEDLE HOLDER MOUNTED FOR ARCUATE MOVEMENT

An instrument for suturing anatomical tissue with a suture needle (156) includes a housing (12), an elongate tubular member (18) mounted by the housing, a needle holder (22) having a distal end movable between an undeployed position disposed laterally inward of a peripheral edge of the elongate tubular member, and a deployed position disposed laterally outward of the peripheral edge. The needle holder is coupled with the housing for arcuate movement about a longitudinal axis of the elongate tubular member. A corresponding distal end of the needle holder is caused to move along an arcuate path extending outwardly of the peripheral edge, and having a radius of curvature commensurate with the radius of curvature of the suture needle.

HANDLE FOR DISSECTION DEVICE

A handle for a dissection device allows a single operator to inflate a balloon on the dissection device with one hand while controlling the dissection device with the other hand. The handle has a vertical post that is attached to the hub of the dissection device. The handle also has horizontal arm, integrally formed with the vertical post, which serves as a hand grip. The hand grip is oriented above and parallel to the dissection device, allowing an operator to easily manipulate and angle the dissection device with one hand. Additionally, the hand grip houses a syringe used to inflate a balloon on the dissection device.

Minimally invasive spinal surgical methods and instruments

Minimally invasive spinal surgical techniques and tools are provided. The methods include separating the iliocostalis lumborum muscle from the anterior leaf of the thoracolumbar fascia to create a channel from the patient's skin to the intertransverse interval. In one embodiment, the method also includes delivering graft material through the channel to the intertransverse interval. A device according to one aspect of the present invention includes a retraction portion having a flattened plate configured to atraumatically retract tissue to create a working space within an endosurgical site and a curved shaft attached to the retraction portion. The shaft includes a bend having a radius of preferably 160 degrees. A gripping portion is attached to the shaft and is configured for manually gripping and manipulating the device.

Trocar assembly with cushioned activator

A trocar assembly is provided which includes an obturator having a sharpened tip supported on one end thereof and a hand grip supported on an opposite end thereof. A cushioned grip member is supported on the hand grip. The cushioned grip member includes a slip resistant surface and is positioned on pressure contact regions of the hand grip.

SYSTEM AND METHOD FOR STAY SUTURE MANAGEMENT

A system for stay suture management is disclosed. The system has a catheter and a hooking manipulator. The hooking manipulator has a distal tip configured as an obturator to help the catheter push through muscle tissue while preventing tissue from entering the catheter. The hooking manipulator also has a hook configured to enter the proximal opening of the catheter, pass all the way through the catheter, and exit a distal opening of the catheter. The hooking manipulator further has a handle. Another system for stay suture management is disclosed, having a catheter and a tube passing through the catheter and extending from both a proximal opening and a distal opening of the catheter. A snare loop extends from the tube extending from the distal opening of the catheter. A handle is coupled to the snare loop on the side of the tube extending from the proximal opening of the catheter.

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.

Blood vessel clip and applicator

An apparatus for applying a blood vessel clip includes a grip assembly having a handle, an applicator barrel attached to the grip assembly, a magazine connected to the applicator barrel, and a plunger connected to the grip assembly. The magazine has a plunger space and a magazine passage separated by a divider shim. A distal end of the magazine defines an exit aperture. The magazine passage is adapted for storing at least one blood vessel clip therein. The magazine includes a constricted region narrower than a head of the blood vessel clip. The constricted region is spaced apart from the exit aperture and has a narrowest point narrower than the exit aperture. The plunger extends into the plunger space. The plunger moves the at least one blood vessel clip distally through the constricted region and the exit aperture.

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.

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.

Mechanically pivoting cartridge channel for surgical instrument

A surgical instrument including a frame, an elongate portion, a drive beam and an end effector is disclosed. The elongate portion extends distally from the frame. The drive beam is disposed at least partially within the elongate portion and is translatable with respect to the elongate portion. The end effector is disposed adjacent a distal end of the elongate portion and includes first and second jaw members. The first jaw member is movable with respect to the second jaw member. The first jaw member includes a proximal camming surface and a distal camming surface thereon. A surgical fastener cartridge is disposed in the first jaw member. an actuation portion of the drive beam has an upper member arranged to contact the distal camming surface causing approximation of the jaw members. Proximal translation of the drive beam causes the actuation portion of the drive beam to contact the proximal camming surface effecting opening of the jaw members.

Endoscope Tool

A tool for use by a surgeon for operating a basket device for capturing an object to be removed from a body of an animal. The tool includes a first controller and a second controller. The first controller is adapted to be coupled to the basket device for selectively controlling the basket device and moving the basket device between a first, closed position and a second, open position. The first controller includes a plunger and cylinder mechanism; and a handle coupled to the plunger for operating the relative position of the plunger with respect to the cylinder. The second controller is positioned adjacent to the first controller and adapted to be coupled to the basket device for selectively independently controlling the rotation of the relative to the first controller.

SURGICAL SUTURE RETRIEVING AND PASSING SYSTEM

A suture retaining device, which has an elongate body having a cross section that is at least partially circular, and a head portion joined to the elongate body. The head portion has a sidewall that defines a cavity for receipt of a suture. The sidewall also has an internal surface that is at least partially flat, and the cavity is enclosed by the sidewall. The suture retaining device may be utilized in conjunction with a suture passing device, which has a body that includes a distal end, proximal end and outer surface; an internal passageway extending through the body from the distal end to the proximal end; and a contoured portion defining a recess in the body, the recess extending radially from the outer surface to the internal passageway, the contoured portion is homogenous.

TREATMENT TOOL

A treatment tool that includes an elongated shaft, a hollow socket connected to the shaft and having a first spherical surface with a constant radius, a ball inside the socket, and a wire extending through the shaft and causing a bending mechanism to bend. The rotation of the ball about a center point of the socket causes advancing and retreating of the wire. The ball includes a second spherical surface that is formed in a partial region of an outer surface of the ball, and that is configured to slide along the first spherical surface of the socket. The ball also includes a fixing portion attaching the wire to the ball, and a wire sliding surface on which the wire slides due to rotation of the ball.

STAPLING INSTRUMENT COMPRISING A TISSUE DRIVE

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

Clamping assembly for external fixation system

A clamping assembly for an external fixation system, comprising a clamp body having an opening for receiving a bone fixation member; a pivotably rotatable locking arm associated with the clamp body, the locking arm being configured to provisionally hold the bone fixation member inside the opening of the clamp body; and a cam arm coupled to the locking arm, the cam arm being pivotably rotatable towards the clamp body to definitively hold the bone fixation member inside the opening of the clamp body.

Guiding trocar and system for connecting to a guiding trocar

Guiding tube, in particular a trocar, for receiving and guiding a medical instrument, wherein the guiding tube includes engaging members for engaging an instrument inside the tube and a substantially spherically shaped ball member provided on an outer surface of said tube, wherein the engaging members are provided movable with respect to the tube in a direction having a radial component, seen with respect to the longitudinal axis of the tube, upon compression of the ball member.

Implantable Slings and Anchor Systems

Various embodiments of a mesh or implant systems are provided. The implants can include one or more anchors, arms and the like. The anchors can include hingeable or patterned finger extension to facilitate tissue penetration and retention. Various tensioning and adjustment mechanisms, devices and methods are further provided for the implant systems.

Systems, devices, and methods for extruding a suture core

Systems, devices, and methods for cutting a filament or suture having an extrudable inner core member are provided. In one exemplary embodiment, a device includes a compression element to compress an inner core away from a knot disposed at a distal end of the suture, and a cutting element disposed within a portion of the compression element to cut the inner core after it has been compressed. As a result, an amount of extrudable inner core that extends distally beyond the knot is minimized without negatively impacting the integrity of the knot. In other embodiments, the compression and cutting elements are separately provided as two different devices. The actions of compressing and cutting can be performed using a variety of techniques, including those known to those skilled in the art. Methods for clamping the inner core and then cutting a portion of the inner core are also provided.

WIRE TWISTER

SURGICAL STAPLING INSTRUMENT

АППЛИКАТОРЫ, ИМЕЮЩИЕ КОНЦЕВЫЕ КОЛПАЧКИ С ЗАХВАТНЫМИ ЭЛЕМЕНТАМИ

Transporteur eines Resektoskopes und Elektrodeninstrument

Die Erfindung betrifft einen Transporteur (10) eines Resektoskopes für endoskopische Chirurgie mit einem Schaftrohr (12) zur Aufnahme einer langgestreckten stabförmigen Optikeinheit (14), einem an dem Schaftrohr (12) längsverschiebbar gelagerten Schlitten (16) zur längsverschiebenden Betätigung eines Elektrodeninstrumentes (18), welches einen mit dem Schlitten (16) koppelbaren Instrumentenschaft (20) und ein an einem distalen Ende des Instrumentenschaftes (20) angeordnetes Elektrodenwerkzeug (22) aufweist, sowie mit einem an dem Schaftrohr (12) gelagerten Dichtkörper (24) für den Anschluss eines die stabförmige Optikeinheit (14) aufnehmenden Hüllrohres (76), wobei der Dichtkörper (24) von einem tunnelartigen Durchlass (26) für eine in einer Durchlassrichtung längsverschieblichen Lagerung des Instrumentenschaftes (20) durchsetzt ist, wobei der Dichtkörper (24) zwei Körperteile (30, 32) aufweist, die derart beweglich zueinander sind, dass der Dichtkörper (24) bei einer Relativbewegung der ...

Surgical circular branching instrument is made of steel and has convertible gripper ring inserts made of thermoplastic soft plastic, where steel gripper ring and ring insert have symmetrical and wide cross-sectional profile

The surgical circular branching instrument is made of steel and has convertible gripper ring inserts made of thermoplastic soft plastic, where a steel gripper ring (2) of the circular branching instrument and a ring insert (1) produced of plastic with pre-tension have a symmetrical and wide cross-sectional profile (5). The cross-sectional profile is integrated complementarily to a symmetric cross-sectional image. The ring insert is overlapped over the gripper ring edges (3) on both sides.

Suturing device

Adhesive applicator

DEVICE FOR THE INVESTIGATION OF THE UTERUS

Medizinisches Instrument

A medical instrument includes a handle, on which at least one electric switch is arranged. The switch has an annular mechanical actuation unit whose outer side forms a grip surface running peripherally of the handle.

Medizinisches Instrument

A medical instrument includes a handle, on which at least one electric switch is arranged. The switch has an annular mechanical actuation unit whose outer side forms a grip surface running peripherally of the handle.

HALTER FÜR KOSMETISCHE ODER MEDIZINISCHE INSTRUMENTE

Halter für kosmetische oder medizinische Instrumente, insbesondere Fußpflegeinstrumente, bestehend aus einem Griff (7) und einer Fingerhalterung (1) mit einer durchgehenden Nut (2) und Durchgangsbohrungen (3), wobei der Griff (7) einen zylindrischen Querschnitt besitzt, am Ende eine gebrochene Kante (8) aufweist und aus eloxiertem Aluminium besteht, und wobei die Fingerhalterung (1) mit einem weichkantig verlaufenden Radius 6) in den zylindrischen Griff (7) übergeht und diverse Linsen durch Vernietung in der Fingerhalterung (1) befestigt werden können.

Suturing instrument with spreadable needle holder mounted for arcuate movement

Apparatus for an improved high pressure medicinal dispenser

Biopsy device handle assembly

Correction guide for femoral neck

A device for correcting a placement of a guide wire in a bone includes a body extending from a proximal end to a distal end; a central channel extending through the body from the proximal end to the distal end along a central axis, the central channel sized and shaped to receive a guide wire slidably therein; and a first correction channel extending through the body from the proximal end to the distal end. The first correction channel is sized and shaped to receive a guide wire therein at an angle relative to the central axis of the central axis of the central channel.

Surgical Tool with Crossbar Lever

A crossbar lever of a surgical tool has a bridge portion which extends forward and a transverse portion. The bridge portion is retained between the second and third fingers of the surgeon's hand, and this retention establishes greater control and stability of the surgical tool. The crossbar lever pivots relative to a handgrip of a handle assembly and a shaft assembly extends from the handle assembly. Tissue contacting or manipulating devices such as jaws are located at the forward end of the shaft assembly. The surgical tool is particularly useful in performing minimally invasive surgical procedures.

Minimal access tool

A minimal access tool includes a frame arranged to be attached to an arm of a user, a tool shaft having a proximal end and a distal end, where the tool shaft proximal end is connected to the frame. The tool further includes an input joint having a first end connected to the frame and a second end arranged to receive user input, the input joint including a virtual center-of-rotation (VC) mechanism which provides a center of rotation that generally coincides with a wrist joint of the user. An output joint is connected to the tool shaft distal end, where the output joint is coupled to the input joint via a mechanical transmission connected therebetween to correlate motion of the input joint to motion of the output joint.

Manipulator with manual hold and comfortable articulation

A manipulator includes a control unit ( 1 ), with handle ( 4 ) and control buttons ( 4 a -4 d ), and a connecting arm ( 2 ) which, at its proximal end ( 2 a ), carries the control unit ( 1 ) and, at its distal end ( 2 b ), carries a work unit ( 3 ). The handle ( 4 ) is articulated about at least one transverse articulation axis ( 4 e ), which is itself situated at an intermediate position along the handle ( 4 ). A particularly ergonomic manipulator is thus obtained which is easy to learn to use and which efficiently separates the stresses arising from movements of the tool support ( 5 ) and the stresses arising from holding and moving the manipulator itself.

Endoscopic imaging system

An endoscopic imaging system includes a reusable control cabinet having a number of actuators that control the orientation of a lightweight endoscope that is connectable thereto. The endoscope is used with a single patient and is then disposed. The endoscope includes an illumination mechanism, an image sensor and an elongate shaft having one or more lumens located therein. A polymeric articulation joint at the distal end of the endoscope allows the distal end to be oriented by the control cabinet. The endoscope is coated with a hydrophilic coating that reduces its coefficient of friction and because it is lightweight, requires less force to advance it to a desired location within a patient.

Ergonomic surgical instruments

A surgical instrument comprising a trigger configured to be actuated by a proximally directed force and by a distally directed force. The trigger may comprise a proximal trigger portion having a first length and a distal trigger hook comprising a distal portion having a second length. The second length may be less than the first length. The distal trigger hook may be coupled to the proximal trigger portion.

Robotically-controlled surgical instrument with force-feedback capabilities

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

Skin Graft Applicator

A skin graft applicator with a handle member and a roller member is described for use in applying a skin graft to a patient. The skin graft applicator has a manipulator pad for positioning the skin graft, and a roller member for forcing air and fluid from underneath the skin graft ensuring the proper bond between graft and tissue.

System and method for sealing access

The present invention relates to an apparatus and a method for sealing a puncture in a tubular tissue structure or the wall of a body cavity. More specifically, the present invention is directed to an apparatus and method for sealing a puncture site in the wall of a tubular tissue structure, or in the wall of a body cavity with a stabilizer used to stabilize the material used to seal the puncture site as the material is positioned. The material is inserted into the puncture site as a ribbon or sheet on an introducer element such as a needle, a cannula, a guide wire, an introducer element adapted for dialysis, an introducer element adapted for catheterization, a trocar, or any other introducer element used to access the lumen of a tubular tissue structure or used to access a body cavity.

Ergonomic biopsy instrument

Biopsy instruments having an ergonomic design are described. A biopsy instrument comprises a housing, a needle assembly, and a handle. The needle assembly includes a cannula that defines a lumen and a stylet slidably disposed within the lumen. The housing and the handle have longitudinal axes that intersect at an acute angle.

Surgical Instrument Handle and Grip

The Ergonomic Surgical Instrument Handle described herein is designed to efficiently grasp, maneuver and clamp tissues, objects and vessels within the surgical site. Surgical Instruments with the improved handle are ergonomically designed to be in line with the surgeon's wrist and hand as they relate to the surgical site. This novel design makes it easier to maneuver the instrument within the surgical site without awkward angles to the wrist and hand which reduces muscle fatigue and cramping.

Vertebral joint implants and delivery tools

A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

Surgical cutting and fastening device with descendible second trigger arrangement

A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

Patient-specific sacroiliac guides and associated methods

A patient-specific alignment guide includes a patient-specific portion and a guiding element having a through opening. The patient-specific portion has a patient-specific surface preoperatively configured to mate as a negative of a portion of an iliac crest of a pelvis of a specific patient and mate to the iliac crest only in one position. The guiding element has a preoperatively configured orientation and location relative to the patient-specific portion for preparing a bore in the bone of the patient to direct a bone screw at the preoperatively configured orientation and location for sacroiliac fixation.

Method of making customized devices and kit

A method of making a handheld, electromechanical device useful in body-care includes the steps of: forming a one-piece housing having a single opening defined by a rim; selecting a unitary insert; inserting the insert through the opening; selecting a cover; removably applying the cover to close the opening; and attaching the insert to at least one of the housing and cover. The rim of the housing circumscribes a rim area and the housing has a projected area that is substantially larger than the rim area. The insert is selected from a plurality of different inserts. The cover is arranged and configured to cooperate with the selected insert, and each of the plurality of different covers is arranged and configured to cooperate with one or more of the plurality of different inserts. Methods of customizing these devices and kits for consumer use are also described.

Surgical instrument having force feedback capabilities.

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

Medical Instrument With A Lockable Bend Control Mechanism

A medical instrument includes a shaft whose distal end is bendable. Arranged at the proximal end of the shaft there is a handle on which a bend control mechanism for controlling the bending movement is arranged. The bend control mechanism has a pivotable control element. The pivotable control element runs over a friction element, and an actuating element is provided via which the friction element can be brought out of a locking engagement with the control element.

Hemostasis device and method for using the same

A hemostasis device is disclosed. The hemostasis device includes a stem portion including a top end and a bottom end, a handle portion connected to the top end of the stem portion, and a base portion connected to the bottom end of the stem portion. A method for utilizing the hemostasis device is also disclosed.

Surgical instrument

A surgical instrument for minimally invasive surgery. The surgical instrument includes a manipulator, a proximal universal joint mounted to the manipulator, a tube mounted to the proximal joint, a distal universal joint mounted to the tube, and an end effector including at least one movable jaw mounted to the distal joint. Cables operatively couple the manipulator, proximal joint, and distal joints and concurrently operatively couple the manipulator and the end effector. Four cables may control two degrees of freedom of the distal joint and one degree of freedom of the jaw. Pivoting of the manipulator and a proximal yoke of the proximal joint results in a corresponding motion in a distal yoke of the distal joint. Actuation of an anchor in the manipulator results in operation of any moveable jaws in the end effector. The distal universal joint and the end effector may be integrated into one end segment part.

Surgical stapling instrument

A surgical stapler can comprise an anvil comprising a staple pocket formed in a tissue contacting surface. The staple pocket can comprise a midline or centerline, a first forming cup, and a second forming cup. The first forming cup can comprise a first interior sidewall comprising a first vertical portion which is substantially perpendicular to the tissue contacting surface. The second forming cup can comprise a second interior sidewall comprising a second vertical portion which is substantially perpendicular to the tissue contacting surface. The first vertical portion and the second vertical portion can extend through the centerline, wherein the first interior sidewall and the second interior sidewall can comprise a trap for deforming a first staple leg of a staple to a first side of the centerline and for deforming a second staple leg of the staple to a second side of the centerline.

Knee instruments and methods

Instrument systems for knee arthroplasty provide multiple bone pin holes and/or saw slots for making femoral and tibial resections. The systems are directly or indirectly positioned and oriented with respect to the femoral mechanical axis, distal surface of a femoral condyle, Whiteside's line, proximal tibial plateau, and the tibial mechanical axis.

SYSTEMS AND METHODS FOR MANUFACTURING CUSTOM SURGICAL INSTRUMENTS

Systems and methods are disclosed in which customized instruments, e.g., surgical instruments, can be manufactured to provide improved ergonomics, comfort, and accuracy. Instruments can be customized based on various parameters, including a quantitative assessment of the user, desired or intended use of the instrument, user preferences, and so forth. Exemplary instrument properties which can be customized include size, geometry, durometer, mechanical assist, texture, color, markings, modulus of elasticity, sensor inclusion, sensor type, sensor feedback type, balance, finish, and weight. 1. A method for manufacturing a custom surgical instrument , comprising:receiving a data set representing one or more parameters of a user;generating, with a computer system, a custom instrument handle design based on the data set; andcontrolling a manufacturing system based on the generated instrument handle design to produce a custom surgical instrument handle.2. The method of claim 1 , further comprising generating the data set by capturing an image of the user using an imaging device and extracting anthropometric data from the captured image.3. The method of claim 2 , wherein the anthropometric data is anthropometric data of a hand of the user.4. The method of claim 2 , wherein the anthropometric data is derived from distances between anatomical landmarks of the user identified in the captured image.5. The method of claim 2 , wherein the anthropometric data comprises at least one of hand length claim 2 , mid finger length claim 2 , palm length claim 2 , palm width claim 2 , grip diameter claim 2 , and mid finger span.6. The method of claim 1 , wherein the data set includes force measurements of the user.7. The method of claim 6 , wherein the force measurements are indicative of at least one of the user's grip strength claim 6 , torque capability claim 6 , grip shape claim 6 , grip location claim 6 , and pressure point locations.8. The method of claim 6 , further comprising ...

ARTHROSCOPIC DEVICES AND METHODS

An arthroscopic system includes a hand piece with a motor drive. an elongate shaft assembly is detachably secured to a distal end of the hand piece, and the elongate shaft assembly includes an outer sleeve and an inner sleeve rotatably mounted in the outer sleeve. The inner sleeve couples to the motor drive when the elongate shaft assembly is attached to the hand piece, and an inner distal cutting window on the inner sleeve moves in and out of alignment with an outer distal cutting window on the outer sleeve as the motor drive rotates the inner sleeve. A distal electrode is disposed on an outer surface of the outer sleeve at a location opposite to that of the outer distal cutting window, and the outer sleeve member is rotatable relative to the hand piece when the hub is secured to the hand piece such that a user can hold the hand piece in one hand and rotate the outer sleeve to selectively place the outer distal cutting window or the distal electrode in an upward orientation relative to the user while continuing to hold the hand piece in the one hand. 1. An arthroscopic system , comprising:a hand piece with a motor drive; andan elongate shaft assembly detachably secured to a distal end of the hand piece, said elongate shaft assembly including an outer sleeve and an inner sleeve rotatably mounted in the outer sleeve, wherein the inner sleeve couples to the motor drive when the elongate shaft assembly is attached to the hand piece and an inner distal cutting window on the inner sleeve moves in and out of alignment with an outer distal cutting window on the outer sleeve as the motor drive rotates the inner sleeve;a distal electrode on an outer surface of the outer sleeve at a location opposite to that of the outer distal cutting window;wherein the outer sleeve member is rotatable relative to the hand piece when the hub is secured to the hand piece such that a user can hold the hand piece in one hand and rotate the outer sleeve to selectively place the outer distal ...

RETRACTOR

A retractor has a rigid piercing tube and an expansion body. The expansion body has an introduction tube which is received within the piercing tube, a movable wire which is received within the introduction tube, and stationary wires which are arranged around the movable wire. The proximal end of each of the stationary wires is affixed to the distal end of the introduction tube. The distal end of each of the stationary wires is joined to the distal end of the movable wire. The respective proximal ends of the piercing tube, the introduction tube, and the movable wire are respectively joined to first, second, and third grip sections. 1. A retractor for excluding an inside wall of a hollow organ or an organ in a body cavity , the retractor comprising:a rigid perforation tube;a developing body that is configured to be accommodated and extended with respect to the perforation tube; anda grip connected to respective proximal ends of the perforation tube and the developing body, wherein an excluding section configured by a movable wire and a plurality of fixing wires arranged at a periphery of the movable wire, and', 'an introducing tube extended from the excluding section, the movable wire being passed through the introducing tube; and', 'a distal end of the movable wire and a distal end of the fixing wire are joined in the excluding section., 'the developing body includes'}2. The retractor according to claim 1 , whereinthe grip includes a first grip portion, a second grip portion, and a third grip portion from a distal side; a proximal end of the introducing tube of the excluding section is connected to the second grip portion; and', 'a proximal end of the movable wire of the excluding section is connected to the third grip portion., 'a proximal end of the perforation tube is connected to the first grip portion;'}3. The retractor according to claim 1 , wherein the perforation tube is a straight tube.4. The retractor according to claim 1 , wherein a cross-section of the ...

Control of device including mechanical arms

A method of jointed device movement inside a body comprising: measuring movement of at least one input object portion; mapping the measured input object portion movement to a jointed device portion movement; and moving the device portion according to mapped measured movements.

SHAFT-TYPE INSTRUMENT FOR SURGICAL PURPOSES

The shaft-type instrument () has a shaft part (), fixedly connected at one end to a shaft grip (), and a sliding part (). The sliding part () is displaceably mounted relative to the shaft part () and is, at one end, in operative connection with a pretensioned handgrip () such that by actuating the handgrip (), the sliding part () is displaceable counter to the pretension. A respective lever arm (′) is articulated at two spaced apart shaft articulation points (′) on the shaft part () or shaft grip (). The handgrip () has a coupling section () which connects the lever arms (′) and coupling joints (′) to one another such that same can pivot in the same direction. The coupling joints are spaced apart and a grip section () extends transverse to the coupling section () and to the shaft part (). 115-. (canceled)16. A shaft-type instrument for surgical purposes , with a shaft part , which is fixedly connected at one end to a shaft grip , and with a sliding part , which is mounted so as to be displaceable relative to the shaft part in a longitudinal direction thereof and is operatively connected , at one end , to a pretensioned handgrip in such a way that , by actuation of the handgrip , the sliding part is displaceable counter to the pretensioning , and the sliding part being designed as a slide arranged parallel to and adjacent the shaft part ,wherein a respective lever arm is articulated on the shaft part or on the shaft grip at least two shaft joints spaced apart from each other,the handgrip has a coupling portion which connects the at least two lever arms to each other at spaced apart coupling joints so as to be pivotable in the same direction, anda grip portion extends transversely with respect to the coupling portion and to the shaft part.17. The shaft-type instrument according to claim 16 , wherein the coupling joints lie at those ends of the lever arms opposite of the shaft part or shaft grip.18. The shaft-type instrument according to claim 16 , wherein at least one ...

ULTRASONIC SURGICAL BLADE WITH IMPROVED CUTTING AND COAGULATION FEATURES

An ultrasonic surgical blade with improved cutting and coagulation features is disclosed. The blade includes a solid body, a longitudinal portion having a proximal end configured to couple to an ultrasonic transmission waveguide and a transverse portion extending crosswise from the distal end of the longitudinal portion. At least one dissection edge and at least one hemostasis surface is provided on the blade. The transverse portion defines a hook having a free end configured to pull and dissect tissue. Also disclosed is an ultrasonic surgical blade that also includes a sharp central ridge and an end mass for acoustic balance. 1. An ultrasonic surgical blade , comprising:a solid body; a substantially planar longitudinal surface; and', 'a distal hemostasis surface located opposite of the substantially planar longitudinal surface;, 'a longitudinal portion having a proximal end configured to couple to an ultrasonic transmission waveguide and a distal end configured to dissect and coagulate tissue, the longitudinal portion comprising a curved section extending from a distal end of the substantially planar longitudinal surface;', 'a tip surface defined at the free end;', 'a substantially planar proximal inner surface extending from the curved surface to the tip surface; and', 'an outer concave distal surface extending from the tip surface to the distal hemostasis surface; and, 'a transverse portion extending crosswise from the distal end of the longitudinal portion, the transverse portion defining a hook having a free end configured to pull and dissect tissue, the transverse portion comprisinga distal dissection edge defined at a surface inflection of the outer concave distal surface and the distal hemostasis surface.2. The ultrasonic surgical blade of claim 1 , wherein the longitudinal portion comprises a proximal hemostasis surface located opposite of the substantially planar longitudinal surface.3. The ultrasonic surgical blade of claim 2 , comprising first and second ...

METHOD OF SECURING A PLATE TO A BONE AT A FRACTURE SITE UTILIZING A DETACHABLE INSERTER

The combination of a plate and inserter for the plate. The plate is configured to be operatively placed at a bone fracture site and secured with at least one fastener to stabilize bone portions between which a fracture is located. Structure cooperating between the plate and inserter is configured to releasably maintain the plate operatively engaged with the inserter. The operatively engaged plate is movable together with the inserter whereby a user can manipulate the operatively engaged plate through the inserter. The plate has a leading end with a tapered configuration to facilitate dissection of soft tissue from a bone surface to allow a surface on the plate that trails the advancing leading end to be operatively placed against the bone surface across the bone fracture site. 1. In combination:a) a plate configured to be operatively placed at a bone fracture site and secured with at least one fastener to stabilize bone portions between which a fracture is located,the plate having a tapered leading end; andb) an inserter,there being structure cooperating between the plate and inserter configured to releasably maintain the plate operatively engaged with the inserter,the operatively engaged plate movable together with the inserter whereby a user can reorient and advance the operatively engaged plate through the inserter,wherein with the plate operatively engaged with the inserter, the plate and inserter are configured so that by manipulating the inserter the tapered leading end can be advanced to dissect soft tissue along a bone surface to allow a surface portion on the plate that trails the advancing leading end to be operatively placed against the bone surface across the bone fracture site.2. The combination according to wherein the inserter is configured to be changed between a first state claim 1 , wherein the plate may translate in at least one line to be selectively: a) operatively positioned in a receptacle on the inserter; and b) separated from the inserter ...

SYSTEMS, DEVICES, AND METHODS FOR EXTRUDING A SUTURE CORE

Systems, devices, and methods for cutting a filament or suture having an extrudable inner core member are provided. In one exemplary embodiment, a device includes a compression element to compress an inner core away from a knot disposed at a distal end of the suture, and a cutting element disposed within a portion of the compression element to cut the inner core after it has been compressed. As a result, an amount of extrudable inner core that extends distally beyond the knot is minimized without negatively impacting the integrity of the knot. In other embodiments, the compression and cutting elements are separately provided as two different devices. The actions of compressing and cutting can be performed using a variety of techniques, including those known to those skilled in the art. Methods for clamping the inner core and then cutting a portion of the inner core are also provided. 1. A device for cutting a suture having an extrudable core , comprising:a compression element having a first jaw and a second jaw pivotally coupled thereto, the first and second jaws being configured to engage therebetween a suture having an extrudable core, the jaws being configured to close to compress the extrudable core away from a knot associated with the suture;a cutting element configured to pass through the first jaw to cut a suture having an extrudable core that is disposed between the first and second jaws after the jaws have been closed; anda handle assembly operable to first actuate the compression element to close the jaws and subsequently to actuate the cutting element to cut a suture having an extrudable core that is disposed between the closed first and second jaws.2. The device of claim 1 , wherein the first and second jaws are configured to apply a force gradient that is greater at a distal end of the jaws than at a proximal end of the jaws.3. The device of claim 1 , wherein a face of the second jaw is angularly disposed with respect to a face of the first jaw when the ...

SURGICAL INSTRUMENT WITH FIRING LOCKOUT

A surgical instrument. The surgical instrument has an end effector and a trigger in communication with the end effector. The surgical instrument also has a first sensor and an externally accessible memory device in communication with the first sensor. The first sensor has an output that represents a first condition of either the trigger or the end effector. The memory device is configured to record the output of the first sensor. In various embodiments, memory device may include an output port and/or a removable storage medium. 121-. (canceled)22. A surgical instrument system , comprising:an end effector comprising a distal end, wherein said end effector is movable between an open configuration and a closed configuration when a closing motion is applied thereto;a firing member movable toward said distal end when a firing motion is applied thereto; a closure actuator operable to generate said closing motion; and', 'a firing actuator;, 'a handle, comprisinga motor configured to generate said firing motion, wherein said firing actuator is operable to operate said motor; andmeans for preventing said firing actuator from being operated prior to sensing the actuation of said closure actuator, wherein said means comprises a switch, wherein said firing actuator is configured to close said switch when said firing actuator is operated, and wherein said firing actuator cannot close said switch until said closure actuator is operated.23. The surgical instrument system of claim 22 , further comprising a staple cartridge.24. The surgical instrument system of claim 22 , wherein said handle is configured to receive a battery.25. The surgical instrument system of claim 24 , further comprising said battery positioned in said handle.26. A surgical instrument system claim 24 , comprising:an end effector comprising a distal end, wherein said end effector is movable between an open configuration and a closed configuration when a closing motion is applied thereto;a firing member movable ...

ACCESSING DATA STORED IN A MEMORY OF A SURGICAL INSTRUMENT

A process and system are disclosed for downloading sensor data, stored in a memory device of a surgical cutting and fastening instrument, to an external or remote computer device. The process may involve storing data from one or more sensors of a surgical cutting and fastening instrument in a memory device of a control unit of the surgical cutting and fastening instrument during a surgical procedure involving the surgical cutting and fastening instrument. Next, after the surgical procedure, a data link between the control unit and the remote computer device is established. Then, the sensor data can be downloaded from the control unit to the remote computer device. 1a. An end effector comprising an anvil with staple forming feature thereon, a housing frame generally opposed to the anvil to hold a cartridge, a replaceable cartridge holding staples that can be urged out the cartridge with a distal actuation of a deploying wedge, and at least one sensor;b. an elongated shaft, said shaft having a motor therein that is operably coupled to an actuation mechanism, said shaft having at least one articulation joint for positioning the cartridge at an angle not parallel to a longitudinal axis of said shaft;c. an electrically coupled remote controlled actuation consol;d. linear drive motion converter to convert rotary motion from said motor to linear motion.. A surgical cutting and fastening instrument comprising: This application is a continuation application claiming priority under 35 U.S.C. §120 to U.S. patent application Ser. No. 15/066,196, entitled ACCESSING DATA STORED IN A MEMORY OF A SURGICAL INSTRUMENT, filed Mar. 10, 2016, now U.S. Patent Application Publication No. 2016/0183939, which is a continuation application claiming priority under 35 U.S.C. §120 to U.S. patent application Ser. No. 14/830,202, entitled SURGICAL INSTRUMENT SYSTEM, filed Aug. 19, 2015, which issued on Apr. 26, 2016 as U.S. Pat. No. 9,320,520, which is a continuation application claiming priority ...

FACET JOINT IMPLANTS AND DELIVERY TOOLS

A spinal joint distraction system is disclosed and may include a delivery device, a driver assembly, and an internal actuator, where the driver assembly is adapted to be hold an implant and be sleevably inserted into the delivery device and the internal actuator is adapted to advance an implant distractor to distract the implant, the system also including an implant, a chisel, an injector, a gripping tool, and a dilator set. Several embodiments of an implant are disclosed as well a method of placing an implant. 121-. (canceled)22. A method for distracting a facet joint of a spinal column , the method comprising:inserting an implant into the facet joint between opposing facet surfaces of two adjacent vertebrae of the spinal column; andadvancing at least a first screw through the implant at an angle and into a superior vertebra of the two adjacent vertebrae to connect the implant to a lateral mass of the superior vertebra.23. A method as in claim 22 , further comprising advancing a second screw through the implant at a different angle and into an inferior vertebra of the two adjacent vertebrae to connect the implant to a lateral mass of the inferior vertebra.24. A method as in claim 22 , wherein inserting the implant comprises inserting the implant from a posterior approach to the spinal column claim 22 , advancing the implant in a posterior-to-anterior direction.25. A method as in claim 24 , wherein the implant is wedge-shaped claim 24 , and wherein inserting the implant comprises inserting a pointed end of the implant into the facet joint first.26. A method as in claim 22 , further comprising preventing migration of the implant out of the facet joint using at least one feature on at least one surface of the implant claim 22 , wherein the at least one feature is selected from the group consisting of teeth claim 22 , spikes claim 22 , cleats claim 22 , surface roughening and keels.27. A method for distracting a facet joint of a spinal column claim 22 , the method ...

MEDICAL TOOL AND WASTE COLLECTION DEVICE

A welled handle device comprising a base with a front and back end having a predetermined grippable silhouette or outer contour, a plurality of open wells formed in the base, and a tool portion connected to the front end of the base. The open wells contain regions which are substantially rough or textured and regions which are substantially smooth. A method of collecting medical waste comprising the steps of having waste on a hand or glove and gripping the grippable outer contour of the welled handle device, wherein at least some of the medical waste is collected within the wells of the handle. 1. A medical waste collection device comprising:a handle comprising a generally elongated shape having a front end and back end, the handle further comprising a central core, a plurality of open wells, and a tool-handle interface; and,a tool portion comprising a body with a proximal end and a distal end with a distal tip, wherein the tool portion is affixed to the handle at its proximal end at the tool-handle interface;wherein the wells are formed by the intersection of horizontal walls and perpendicular walls, regions of which are substantially smooth;wherein the horizontal walls rise from the central core and extend radially; and,wherein the top edges of the horizontal and perpendicular walls form a grippable outer contour.2. The device of wherein the handle with medical waste collected in the wells is disposable.3. The device of claim 1 , wherein the horizontal and perpendicular walls of the medical waste collection device comprise:a region nearest the top edges of the horizontal and perpendicular walls which is substantially smooth;a region near the central core which is substantially rough or textured; andone or more transitions between regions with different surface features.4. The device of claim 1 , wherein at least a portion of the grippable outer contour is one of bulbous claim 1 , oval claim 1 , cylindrical claim 1 , polygonal claim 1 , elongated claim 1 , conical ...

Surgical stapling instrument

A surgical stapler can comprise an anvil comprising a staple pocket formed in a tissue contacting surface. The staple pocket can comprise a midline or centerline, a first forming cup, and a second forming cup. The first forming cup can comprise a first interior sidewall comprising a first vertical portion which is substantially perpendicular to the tissue contacting surface. The second forming cup can comprise a second interior sidewall comprising a second vertical portion which is substantially perpendicular to the tissue contacting surface. The first vertical portion and the second vertical portion can extend through the centerline, wherein the first interior sidewall and the second interior sidewall can comprise a trap for deforming a first staple leg of a staple to a first side of the centerline and for deforming a second staple leg of the staple to a second side of the centerline.

Surgical Drill Handpiece with Adjustable Cutting Tool Guard

A system includes a handpiece and a removable tool assembly including a holder body, a shaft, a medical tool, a guard, and a sleeve. The body engages the handpiece and defines a bore. The shaft extends within the bore and the tool is provided to the distal end of the shaft. The guard is coupled to the body via a snap fit connection at the bore and may be friction fit to a bearing sleeve located between the guard and the shaft, such that longitudinal translation of the guard relative to the body longitudinally displaces the guard. The shaft extends within the bore of the body and the guard. The guard is positioned relative to the body by a distance to define a working length of the tool between the distal end of the guard and the distal tip of the tool. The working length of the tool may be used to cut tissue, without concern that cutting will be deeper than intended. 1. A tool assembly for use with a surgical tool handpiece coupled to a tool mount having a socket for receiving the tool assembly , comprising:a) a tool holder body having a proximal portion with a proximal end, a distal portion with a distal end, and defining a longitudinal bore extending between the proximal and distal ends and defining a longitudinal slot extending through all or a portion of a wall of the tool holder body and in communication with the longitudinal bore, the proximal portion adapted for engagement with the socket of the tool mount, and the bore defining a bore axis;b) a tool shaft having a proximal end and a distal end, the tool shaft extending within the bore and permanently retained relative to the tool holder body, and the tool shaft movable relative to a tool shaft axis, the proximal end of the tool shaft having a structure configured to be moved by the drill handpiece;c) a medical tool coupled relative to the distal end of the tool shaft, such that relative movement of the tool shaft results in a corresponding movement of the tool, the tool having a length;d) a bearing sleeve ...

Mechanical wound cleansing device

The present invention relates to a mechanical wound cleansing device comprising a carrier layer and an abrasive loop system arranged above the carrier layer, whereby the loop system is an intermeshed fiber system which is intermeshed above the carrier layer and/or a loop system comprising highly and softly abrasive loops. The present invention further relates to a method of producing said mechanical wound cleansing device. The present invention finally relates to the use of said wound cleansing device for the abrasive removal of and cleansing of wounds, especially for venous leg ulcers, diabetic foot ulcers (neuropathic and neuro-ischemic), arterial ulcers, mixed etiology ulcers, pressure ulcers or traumatic wounds.

Method and Apparatus for Endoscopic Ligament Release

A method, apparatus, and system for cutting anatomic members, such as ligaments, in surgical procedures such as carpal tunnel release, plantar fasciotomy, gastroc release, cubital tunnel release, and tarsal tunnel release is disclosed. The apparatus includes a guide tool for guiding a knife and a scope during surgery which may be employed with a translating knife. Relevant features include a knife stop for preventing the knife from inadvertently raising out of the knife channel, indicia viewable to show the proper orientation for the guide tool, a self dilating tip and channel design on the guide tool, a cover piece and/or pivotable panel system for preventing ligaments and other anatomy from getting caught in the guide tool, a pivot pin and groove system for stabilizing the knife and also assuring that the knife blade is not inadvertently raised out of the channel, and a use indicator employable to prevent re-use of the device. 1. A guide tool for performing anatomical member release surgery comprising:a longitudinal member having a proximal end, a distal end, a longitudinal axis, and a longitudinal surface extending between the proximal end and the distal end;a first longitudinal channel in the longitudinal surface of the longitudinal member for positioning a knife therein, said longitudinal channel having a bottom surface;said longitudinal channel being open to the proximal end of said longitudinal member and extending toward said distal to an end wall; anda second longitudinal channel formed in said longitudinal surface paralleling said first longitudinal channel and configured for translation of an endoscope therein.2. The guide tool of claim 1 , additionally comprising:two wings extended laterally in opposing directions from the proximal end of said longitudinal member; andsaid wings providing a grip for a user of said tool for imparting force for a surgical insertion or rotation of said guide tool.3. The guide tool of additionally including a partition ...

VASCULAR PUNCH

The invention discloses a novel vascular punch employing compressive normal force for tissue separation from a targeted vessel. This invention is particularly designed for making a large round hole without massive bleeding in vascular surgery. A clean, non-frayed hole-making guided by the normal force cutting principle is realized using a site-biting punch mechanism. The side-biting vascular punch comprises a U-shaped razor blade cutter, a backstop for receiving the cutter, and a linkage mechanism, forming an aligned line of contact for normal compression force generation and thereby severing tissue out of the targeted vessel. 1. A vascular punch comprisingA sharp razor-like cutter curved in a U-shape form and mounted in a cutter seat;A backstop element attached with a semi-rigid pad for receiving the razor-like cutter;A linkage handler that is able to engage the said cutter seat and said backstop element at its distal end, the said engagement of razor blade edge be in alignment with the said backstop surface, while at the proximal end of the said linkage handler hand gripping force can be applied and transmitted through the linkage elements to the distal cutter end intended for cutting.2. The vascular punch as defined in claim 1 , wherein the said punch is made with a four-bar linkage type handler for hand gripping and cutting force transmission; the said handler comprising a first elongated lever to rigidly joined with the cutter seat at one end claim 1 , and likewise a second elongated lever affixed with the backstop; the said first and second levers being rotatably hinged into a four-bar parallelogram linkage mechanism to bring said first lever onto said second lever forming a line contact of the razor blade edge with the backstop surface; the said first and second levers being coupled to a pistol-like handle comprising a handset and a trigger claim 1 , with the second (backstop) lever rigidly connected to the said handset whereas the first (cutter) lever ...

Disposable handle for medical instruments

An apparatus for releasably holding a surgical tool having a body, the body having a longitudinal axis, a monolithic construction, and a shape apportioned to be grasped by a human hand, with body further having a tool engaging portion, a hand receiving portion, and a button pressing portion. A longitudinal bore is disposed along the longitudinal axis of the body, and on one end. A transverse bore is disposed through the body into the longitudinal bore, with the transverse bore disposed such that the longitudinal axis of the transverse bore intersects the longitudinal axis of the longitudinal bore. A button disposed on and pivotably attached at a resilient member to the button pressing portion of the exterior of the body, with the button being proximal to the tool engaging portion. The button has a button bore and a boss extending from the button bore into the transverse bore which is alignable with the longitudinal bore. The button is disposed on the body to be thumb pressable, the button suitable for selectively engaging a corresponding groove on surgical tool.

TISSUE SPECIMEN RETRIEVAL BAGS, DEVICES, AND SYSTEMS

A tissue specimen retrieval device includes a housing, an outer shaft extending distally from the housing, an end effector assembly extending distally from the outer shaft in a deployed position, a tissue specimen bag supported on the end effector assembly and including an open end extending between proximal and distal end portions of the end effector assembly, a cinch loop disposed about the open end of the tissue specimen bag, and a distal cinch tab. The distal cinch tab is disposed at the distal end portion of the end effector assembly and extends from the open end of the tissue specimen bag. The distal cinch tab is operably coupled to the cinch loop such that pulling the distal cinch tab distally relative to the cinch loop constricts the cinch loop about the open end of the tissue specimen bag to cinch the open end of the tissue specimen bag closed. 110-. (canceled)11. A tissue specimen retrieval device , comprising:a housing;an outer shaft extending distally from the housing;an end effector assembly extending distally from the outer shaft in a deployed position thereof;a tissue specimen bag supported on the end effector assembly, the tissue specimen bag defining an open end and elongated body extending from the open end, the elongated body folded back on itself at least once to define at least two folded layers; anda slack ring releasably disposed about the at least two folded layers of the elongated body of the tissue specimen bag.12. The tissue specimen retrieval device according to claim 11 , wherein the end effector assembly is selectively deployable relative to the outer shaft from a retracted position claim 11 , wherein the end effector assembly is disposed within the outer shaft claim 11 , to the deployed position.13. The tissue specimen retrieval device according to claim 12 , wherein the slack ring is disposed about the at least two folded layers of the elongated body of the tissue specimen bag in the retracted position of the end effector assembly.14. ...

APPARATUS FOR PERFORMING AN ARTHROSCOPIC SURGICAL PROCEDURE

A cannula assembly can allow an operator in an arthroscopic surgical procedure to control both an arthroscope and a surgical tool with a single hand. In some embodiments, for example, a scope tube may be combined with a tool tube to allow such control. The tool may be manipulated, for example, by causing the tool to rotate, and/or to move forward and backward in relation to the cannula assembly. 1. An apparatus for performing an arthroscopic surgical procedure , comprising:a cannula including a first tube for housing an arthroscope and a second tube piggybacked on the first tube and for housing a first tool, the first tube including a rigid structure formed of a tubular wall, wherein the tubular wall is structured so that a proximal end of the tubular wall remains parallel to a distal end of the tubular wall during an arthroscopic surgical procedure, and a proximal portion of the second tube extends away from the first tube and includes a manipulation system for moving the first tool relative to the second tube, 'an end piece configured for linear movement between a first position which causes a distal end of the first tool to be disposed within the second tube and a second position which causes the distal end of the first tool to project distally beyond the second tube; a casing fixed to a proximal end of the second tube, the end piece projecting proximally from the casing; and an adjustor disposed inside the casing and configured to bias the end piece to the first position,', 'the manipulation system includingwherein the cannula and manipulation system are arranged such that when the cannula, arthroscope, and first tool are inserted within a joint of a patient using a first hand of a person, and the end piece is depressed by the first hand, the first tool moves from the first position to the second position.2. The apparatus of claim 1 , wherein the adjustor includes a spring.3. The apparatus of claim 1 , further comprising the first tool claim 1 , the first tool ...

CONTROL FOR SURGICAL HANDPIECE

A powered surgical handpiece including a housing, a printed circuit board, a sensor, and an actuator assembly. The housing has a longitudinal axis extending from a first end to a second end of the housing. The printed circuit board has a first face and a second opposing face. The first and second faces extend perpendicular to the longitudinal axis. The sensor is coupled to the first face of the printed circuit board. The sensor is centered along the longitudinal axis of the housing. The actuator assembly includes a lever and an actuator. The lever is pivotally coupled to the housing. The lever maintains a magnet slidably positionable along the lever. The magnet is positionable to be proximal to the sensors. 1. A powered surgical instrument , comprising:a housing having a longitudinal axis extending from a first end to a second end of the housing;a printed circuit board having a first face and a second opposing face, the first and second faces extending perpendicular to the longitudinal axis;a sensor coupled to the first face of the printed circuit board, the sensor centered along the longitudinal axis of the housing; andan actuator assembly including a lever and an actuator, the lever pivotally coupled to the housing, the lever maintaining an actuator slidably positionable along the lever, the actuator positionable to be proximal to the sensor.2. The powered surgical instrument of claim 1 , wherein the lever is pivotable to extend parallel to the housing.3. The powered surgical instrument of claim 1 , wherein the lever and housing are configured to be grasped in a single hand of a user.4. The powered surgical instrument of claim 1 , wherein the actuator includes a magnet positioned within the lever and a switch body coupled to the magnet extends to an exterior of the lever and is slidable along the lever.5. The powered surgical instrument of claim 1 , wherein the sensor is a Hall Effect sensor.6. The powered surgical instrument of claim 4 , wherein the magnet has a ...

APPARATUS FOR HYDRAULIC ASSISTED FRACTURE OF LIVER PARENCHYMA

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

ULTRASONIC SURGICAL INSTRUMENT WITH AD HOC FORMED BLADE

A method of forming a component of an ultrasonic surgical instrument includes accessing a file including a digital model representing the component. The component includes a proximal portion and a distal portion. The proximal portion includes a contact portion. The distal portion includes an ultrasonic blade. The contact portion is configured to transmit ultrasonic vibrations to the ultrasonic blade when the component is acoustically coupled to a complementary portion of an acoustic waveguide of the ultrasonic surgical instrument. The file is used to fabricate the component via an additive manufacturing process. Once the component has been fabricated, the distal portion is secured to a distal end of the complementary portion of the acoustic waveguide. 1. A method of forming a component of an ultrasonic surgical instrument , the method comprising:(a) accessing a file including a digital model representing the component, wherein the component comprises a proximal portion and a distal portion, wherein the proximal portion comprises a contact portion, wherein the distal portion comprises an ultrasonic blade, wherein the contact portion is configured to transmit ultrasonic vibrations to the ultrasonic blade when the component is acoustically coupled to a complementary portion of an acoustic waveguide of the ultrasonic surgical instrument;(b) using the file to fabricate the component via an additive manufacturing process; and(c) securing the proximal portion of the component to a distal end of the complementary portion of the acoustic waveguide.2. The method of claim 1 , wherein the contact portion comprises a predetermined surface roughness claim 1 , wherein the predetermined surface roughness is configured to enable the ultrasonic blade to vibrate at a predetermined vibratory frequency in response to the ultrasonic vibrations transmitted from the transducer.3. The method of claim 2 , wherein the predetermined surface roughness is approximately 32 RMS.4. The method of ...

Contact Activated Lancet Device

A lancet device including a housing and a lancet structure having a puncturing element. The lancet structure disposed within the housing and adapted for movement between a retaining or pre-actuated position wherein the puncturing element is retained within the housing, and a puncturing position wherein the puncturing element extends through a forward end of the housing. The lancet device includes a drive spring disposed within the housing for biasing the lancet structure toward the puncturing position, and a retaining hub retaining the lancet structure in the retracted position against the bias of the drive spring. The retaining hub includes a pivotal lever in interference engagement with the lancet structure. An actuator within the housing pivots the lever, thereby moving the lancet structure toward the rearward end of the housing to at least partially compress the drive spring, and releasing the lever from interference engagement with the lancet structure.

OVERTUBE AND MEDICAL SYSTEM

An overtube is provided with a flexible elongated portion provided with a channel, the channel is configured to pass therethrough in a longitudinal direction of the elongated portion so as to insert a medical device; a shape fixing mechanism provided in the elongated portion, and the shape fixing mechanism switches the state of the elongated portion between a bendable state and a shape-fixed state; and a gate mechanism disposed on a base-end side of the elongated portion, the gate mechanism is configured to close the channel when the state of the elongated portion is switched to the bendable state, and open the channel when the state of the elongated portion is switched to the shape-fixed state. 1. A medical overtube comprising:a flexible elongated portion provided with a channel, the channel is configured to pass therethrough in a longitudinal direction of the elongated portion so as to insert a medical device;a shape fixing mechanism provided in the elongated portion, the shape fixing mechanism is configured to switch the state of the elongated portion between a bendable state and a shaped-fixed state; and close the channel when the state of the elongated portion is switched to the bendable state; and', 'open the channel when the state of the elongated portion is switched to the shaped-fixed state., 'a gate mechanism disposed on a base-end side of the elongated portion, the gate mechanism is configured to2. The medical overtube according to claim 1 , further comprising:a stopper configured to restrict the switching to the bendable state when the medical device is inserted into the channel.3. The medical overtube according to claim 2 ,wherein the shape fixing mechanism further comprises a lever configured to switch between the bendable state and the shaped-fixed state, andthe stopper is configured to restrict movement of the lever so as to block the switching from the shaped-fixed state to the bendable state.4. The medical overtube according to claim 1 , further ...

PERCUTANEOUS SUB-XIPHOID LIFTING DEVICE AND METHODS THEREOF

A percutaneous sub-xiphoid lifting device is disclosed. Also disclosed is a percutaneous sub-xiphoid lifting device including a beam assembly and a lifting assembly. The percutaneous sub-xiphoid lifting device includes a pair of beams, pivotably coupled at a distal end and configured to be releasably attached to the lifter block coupled to a handle. The percutaneous sub-xiphoid lifting device may further include a light source used for improved visualization. A method of using the percutaneous sub-xiphoid lifting device for increasing space beneath the sternum during a minimally invasive surgical procedure is also disclosed. 1. A percutaneous sub-xiphoid lifting device , comprising:a handle;a lifter block coupled to the handle;a first beam having a proximal end coupled to the lifter block; anda second beam having a proximal end coupled to the lifter block.2. The percutaneous sub-xiphoid lifting device of claim 1 , wherein a distal end of the first beam is coupled to a distal end of the second beam.3. The percutaneous sub-xiphoid lifting device of claim 2 , wherein the distal end of the first beam is pivotably coupled to the distal end of the second beam.4. The percutaneous sub-xiphoid lifting device of claim 3 , further comprising a swivel link connecting the distal end of the first beam and the distal end of the second beam claim 3 , configured such that the second beam can be pivoted up to 180 degrees relative to the first beam.5. The percutaneous sub-xiphoid lifting device of claim 1 , wherein the handle further comprises an ergonomic grip.6. The percutaneous sub-xiphoid lifting device of claim 1 , wherein the lifter block defines a slot opening.7. The percutaneous sub-xiphoid lifting device of claim 1 , wherein the lifter block defines a keyed opening.8. The percutaneous sub-xiphoid lifting device of claim 1 , wherein the first beam and the second beam are releasably attached to the lifter block.9. The percutaneous sub-xiphoid lifting device of claim 1 , wherein ...

SURGICAL DRILL GUIDE

Drill guides are disclosed herein that include a tapered projection that hooks under a bone to position the drill guide relative to the bone. The drill guide is used to drill a hole that receives a suture anchor. 1. A drill guide comprising:an elongated body including an end surface at a distal end of the drill guide;a cap at a proximal end of the drill guide, wherein an outer dimension of the cap is greater than an outer dimension of the elongated body;a slot that extends along a longitudinal axis of the drill guide, wherein the slot extends through both the elongated body and the cap, the slot extends less than 180° about the longitudinal axis, and the slot has a width that is uninterrupted along a length of the drill guide;a tapered projection at the distal end of the drill guide that extends at an obtuse angle relative to the planar end surface; anda handle at the proximal end of the drill guide.2. A drill guide comprising:a cap at a proximal end of the drill guide;an elongated body including an end surface at a distal end of the drill guide;a slot that extends along a longitudinal axis of the drill guide, wherein the slot extends through both the elongated body and the cap;a tapered projection at the distal end of the drill guide that extends at an angle relative to the end surface.3. The drill guide as recited in wherein the slot has a width that is uninterrupted along a length of the drill guide.4. The drill guide as recited in wherein the slot extends less than 180° about the longitudinal axis.5. The drill guide as recited in wherein the end surface is a planar end surface.6. The drill guide as recited in wherein the tapered projection extends at an angle of about 110° relative to the end surface.7. The drill guide as recited in including a handle at the proximal end of the drill guide.8. The drill guide as recited in wherein an outer dimension of the cap is greater than an outer dimension of the elongated body.9. The drill guide as recited in wherein the ...

Motor Control and Feedback in Powered Surgical Devices

Surgical devices and methods are described herein that provide improved motor control and feedback, thereby combining advantages of manually-operated and powered surgical devices. In one embodiment, a surgical device includes a proximal handle portion that includes a motor, a distal end effector coupled to the handle portion, and a cutting element configured to cut tissue engaged by the end effector, wherein the motor is configured to supply power that moves the cutting element. The device also includes a motor control mechanism configured to cause the amount of the power to dynamically change in response to a manual user input when the cutting element is moving.

ACCESS SHEATH, ACCESS SYSTEM, AND RELATED METHODS

Embodiments disclosed herein generally relate to an access sheath and access systems. In some embodiments, the access sheath may be non-adjustable access sheath or an adjustable access sheath. For example, a length of the adjustable access sheath may be modified or customized (e.g., before insertion thereof in a patient) to a suitable length for a particular patient. In some embodiments, the access sheath and/or dilator may have a substantially fixed or predetermined length. 1. An access system , comprising: a wall including an interior surface defining a funnel having an opening at a proximal end of the access handle; and', 'a lip positioned near the opening of the funnel and extending outward from an exterior surface of the wall;, 'an access handle includinga tubular access sheath secured to the access handle; a base;', 'a plurality of clips operably connected to the base, the plurality of clips being sized and configured to clamp about the lip of the access handle; and', 'a tapered section that has a generally conical shape and extends outward in a distal direction from the base; and, 'a retainer includinga dilator sized and shaped to be positioned inside the access sheath, the dilator being secured to the retainer.2. The access system of claim 1 , wherein the retainer includes one or more supports claim 1 , a plurality of pivot posts connected to or integrated with the one or more supports claim 1 , and each of the plurality of clips is connected to or integrated with corresponding pivot post of the plurality of pivot posts and is pivotable relative to the one or more supports.3. The access system of claim 2 , wherein the retainer includes a plurality of levers each of which is connected to or integrated with a corresponding pivot post of the plurality of pivot posts and configured to pivot the plurality of clips relative to the one or more supports.4. The access system of claim 2 , wherein the one or more supports are connected to or integrated with the base.5. ...

Gum Graft Collector

A graft collector designed to facilitate and offer greater precision in performing the cutting and “dissection” of an area of the donor tissue in grafting operations. The graft collector is set as an anatomical grip handle based on a support head and fixation of a removable curved or angled blade. The cutting blade is provided with a cutting edge on two opposite sides, being folded in two points at 90°. The constructive arrangement of the graft collector allows the fixation of the cutting blade and its loosening and release for replacement. The said graft collector is a precise and anatomical grip instrument, designed for the good manual performance of the professional when cutting and removing the tissue to be used as a graft. 111. GUM GRAFT COLLECTOR () designed to perform the cutting and dissection of an area of donor tissue in graft operations , said graft collector () characterized by being configured as an anatomical handle found in a head of support and fixation of an angled , removable blade.22. GUM GRAFT COLLECTOR claim 1 , according to claim 1 , characterized by the handle is an elongated body () claim 1 ,anatomical, with a preferably oval profile,{'b': '3', 'which extends to a support belly () with sinuous contours,'}{'b': 4', '5, 'from which the body remains in curvilinear neck () incorporating the head ().'}3325. GUM GRAFT COLLECTOR claim 1 , according to claim 1 , characterized by the support belly () and the union of the body () with the head () receive a pattern of reentrant ribbings (NE) to aid the grip.45. GUM GRAFT COLLECTOR claim 1 , according to claim 1 , characterized by a rounded head () claim 1 , that extends downwards claim 1 ,{'b': '6', 'being interrupted by a semi-circular housing () and'}{'b': 7', '6', '7', '8, 'continuing until a coupling terminal () formed by an inverted U-slot through, said semi-circular housing () and coupling terminal () sharing a central hole ().'}556. GUM GRAFT COLLECTOR claim 1 , according to claim 1 , ...

BONE ANCHOR DELIVERY SYSTEM DEVICE AND METHOD WITH IMPROVED HANDLE

A bone anchor delivery system device () has a retractable punch driver assembly and a locking mechanism (). The punch driver assembly has a retractable punch shaft () and a guide () for receiving the retractable punch shaft (). The guide () is rotatable relative to the punch shaft () and the shaft has an extended length with bone penetrating tip () at a first end (). The locking mechanism () for locking the retractable punch shaft () from linear movement and rotational movement relative to the guide () is positioned at an opposite second end. The retractable punch shaft () has a reduced diameter end () extending from the tip () toward a shoulder stop for receiving a releasable punch (). The releasable punch () has a hollow opening for receiving the reduced diameter end () of the punch shaft (). The punch () is profiled to pierce and form a bone anchor hole. 1. A bone anchor delivery system device comprising:a retractable punch driver assembly, the punch driver assembly having a retractable punch shaft and a guide for receiving the retractable punch shaft, the guide being rotatable relative to the punch shaft and the shaft having an extended length with bone penetrating tip at a first end, and a bent end for locking the retractable punch shaft from linear movement and rotational movement relative to the guide at an opposite second end;a multi-piece handle assembly, the handle assembly having a leading handle rotatable about the guide and a middle handle portion fixed to the guide and a locking knob configured to prevent linear movement of the retractable punch and wherein the middle handle is rotatable independent of said lower portion, the middle handle has a slot to receive the bent end to allow linear movement of the retractable punch shaft; andwherein the punch shaft is a rod or wire and the bent end is integrally formed as part of the rod or wire at the second end by a bending of the punch shaft to fit into the slot of the middle handle and a cylinder of the ...

Ultrasonic surgical instrument with sliding blade sheath

A surgical instrument includes a gripping assembly, a shaft assembly, an end effector, and a pivoting member. The gripping assembly defines a first opening for receiving a finger or a thumb of a user. The gripping assembly includes a first deformable feature that is configured to be moved in order to increase or decrease a cross-sectional area of the first opening. The shaft assembly extends distally from the gripping assembly. The end effector is positioned at a distal end of the shaft assembly and includes a first member. The pivoting member is pivotably coupled with the shaft assembly. The pivoting member is pivotable with respect to the first member of the end effector between an open position and a closed position to thereby clamp tissue between the first member and the pivoting member.

CLIP APPLIER AND METHODS OF USE

A device for closing a tissue opening includes a proximal housing portion having a first portion, a second portion, a third portion, and a fourth portion. The first portion and the fourth portion extending transversely to a longitudinal axis of the proximal housing portion on opposite sides of the proximal housing portion. A distal portion extends from the proximal housing portion. At least the second portion and the third portion are configured to move toward the first portion. 1. A device for closing a tissue opening , the device comprising:a proximal housing portion comprising a first portion, a second portion, a third portion, and a fourth portion, the first portion and the fourth portion extending transversely to a longitudinal axis of the proximal housing portion on opposite sides of the proximal housing portion; anda distal portion extending from the proximal housing portion,wherein, at least the second portion and the third portion are configured to move toward the first portion.2. The device of claim 1 , wherein the distal portion extends from a recess of the proximal housing portion.3. The device of claim 1 , wherein the fourth portion is tapered.4. The device of claim 1 , wherein at least one of the first portion claim 1 , the second portion claim 1 , the third portion claim 1 , and the fourth portion comprises a finger-receiving recess.5. The device of claim 1 , wherein the third portion is configured to deploy a structure to aid with locating the opening.6. The device of claim 1 , wherein the third portion is configured to position a member transverse to the opening.7. The device of claim 1 , wherein the second portion is configured to advance a closure component for deployment.8. A device for closing a tissue opening claim 1 , the device comprising:a proximal housing portion comprising a first portion, a second portion, a third portion, and a fourth portion, the first portion and the fourth portion extending transversely to a longitudinal axis of the ...

SURGICAL DEVICES AND SYSTEMS FOR MINIMALLY-INVASIVE VESSEL-HARVESTING AND OTHER SURGICAL PROCEDURES

A visualization tissue retractor includes a handle defining a proximal end portion and a distal end portion, a dock extending from the proximal end portion of the handle and configured to receive a portable display device, a retractor arm extending from the distal end portion of the handle and defining a guide track disposed along at least a portion of a length thereof, and a surgical camera assembly engaged with the guide track and configured to slide therealong. 1. A visualization tissue retractor , comprising:a handle defining a proximal end portion and a distal end portion;a dock extending from the proximal end portion of the handle, the dock configured to receive a portable display device;a retractor arm extending from the distal end portion of the handle, the retractor arm defining a guide track disposed along at least a portion of a length thereof; anda surgical camera assembly engaged with the guide track and configured to slide therealong.2. The visualization tissue retractor according to claim 1 , wherein the surgical camera assembly includes a camera and a light source.3. The visualization tissue retractor according to claim 1 , wherein the dock includes an electrical connection interface configured to electrically couple to the portable display device.4. The visualization tissue retractor according to claim 1 , wherein the retractor arm defines a generally U-shaped configuration having a concave side and a convex site claim 1 , a proximal portion claim 1 , and a distal portion claim 1 , and wherein the guide track is disposed along at least a portion of a length of the distal portion on the convex side thereof.5. The visualization tissue retractor according to claim 1 , wherein at least one of the handle or the surgical camera assembly includes a motor configured to drive movement of the surgical camera assembly along the guide track.6. The visualization tissue retractor according to claim 1 , wherein at least one of the handle or the surgical camera ...

APPARATUS AND METHODS FOR TISSUE CLOSURE

Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture during the procedure. The resiliently flexible target material may be included as part of a removable mating component for use with a movable wing. Introducers can be used having a suture holder, an alignment indicator and insertion limits. 1. A device for use in suturing tissue , the device comprising:a proximal portion for being positioned on a first side of tissue and a distal portion for being positioned on a second side of tissue,wherein at least one of the proximal and distal portions of the device includes a first structure defining a first mating component, and a second mating component for the first mating component,wherein the second mating component includes first and second elements where the first and second elements have different characteristics, andwherein at least one of the first and second elements is configured to receive a suture.2. The device of claim 1 , wherein the first and second elements are different materials.3. The device of claim 1 , wherein the first and second elements have different hardnesses.4. The device of claim 1 , wherein the first element is a carrier and the second element is a suture receiving portion supported by the carrier.5. The device of claim 4 , wherein the suture receiving portion includes a receptacle configuration and the carrier has a configuration complementary to the receptacle configuration.6. The device of claim 5 , wherein the receptacle includes a cavity having an opening configuration complementary to a configuration of the carrier.7. The device of claim 5 , wherein the receptacle and the mating component have complementary keying ...

Centering guide system for arthroplasty

Disclosed herein are systems and methods for identifying the proper implant for use in an arthroplasty procedure and preparing a bone surface for the placement of such implant. In one embodiment, a centering guide system includes a cannulated post and a translucent surface trial where the cannulated post includes a slit defining legs that flex to engage the post when inserted in a hole of the surface trial. The system is used to confirm a suitable implant size and place a pilot wire in preparation for implant placement. The cannulated post and the translucent surface trial provide comprehensive visibility of the glenoid surface. When inserted into the surface trial, an extension of the cannulated post beyond an articulating surface of the surface trial is minimal or nonexistent. In this way, the congruence of a reamed glenoid surface can be evaluated prior to implantation of the implant.

Correction guide for femoral neck

A device for correcting a placement of a guide wire in a bone includes a body extending from a proximal end to a distal end; a central channel extending through the body from the proximal end to the distal end along a central axis, the central channel sized and shaped to receive a guide wire slidably therein; and a first correction channel extending through the body from the proximal end to the distal end. The first correction channel is sized and shaped to receive a guide wire therein at an angle relative to the central axis of the central axis of the central channel.

SYSTEMS AND METHODS FOR MESH AUGMENTATION AND PREVENTION OF INCISIONAL HERNIA

Techniques for mesh augmentation and prevention of incisional hernia, including systems and methods for affixing mesh to a fascial incision. A mesh strip can be integrated with one or more uni-directional fasteners. Each fastener can include an anchoring mechanism adapted for affixation to anterior abdominal wall fascia and a mating interface. An applicator can include tension arms adapted to interface with the mating interfaces of the fasteners to maintain a vertical tension of the mesh strip and a handle coupled with the tension arms adapted to spread the tension arms and thereby control a horizontal tension of the mesh strip. The mesh strip can be configured to be aligned over a fascial incision using the applicator and affixed under tension to anterior abdominal wall fascia by tissue penetration of the anchoring mechanisms of the one or more fasteners. 1. A method for positioning and onlay affixation of pretensioned reinforcing material to abdominal wall fascia to reinforce and augment a fascial incision closure , comprising:aligning a reinforcing material over the fascial incision using an applicator;tensioning the reinforcing material by using the applicator to increase a distance between opposing sides of the reinforcing material from a first distance to a second distance, wherein the tensioned reinforcing material is in a planar condition when the opposing sides are at the second distance; andmechanically anchoring the tensioned reinforcing material to an anterior abdominal wall fascia.2. The method of claim 1 , wherein the reinforcing material is mechanically anchored over a primary repair of the fascial incision such that the reinforcing material decreases a tension across the primary repair.3. The method of claim 2 , wherein mechanically anchoring the tensioned reinforcing material unloads the primary repair.4. The method of claim 2 , wherein the primary repair comprises sutures.5. The method of claim 1 , wherein the reinforcing material is affixed to the ...

Contact Activated Lancet Device

A lancet device including a housing and a lancet structure having a puncturing element. The lancet structure disposed within the housing and adapted for movement between a retaining or pre-actuated position wherein the puncturing element is retained within the housing, and a puncturing position wherein the puncturing element extends through a forward end of the housing. The lancet device includes a drive spring disposed within the housing for biasing the lancet structure toward the puncturing position, and a retaining hub retaining the lancet structure in the retracted position against the bias of the drive spring. The retaining hub includes a pivotal lever in interference engagement with the lancet structure. An actuator within the housing pivots the lever, thereby moving the lancet structure toward the rearward end of the housing to at least partially compress the drive spring, and releasing the lever from interference engagement with the lancet structure.

Pencil-grip wire driver operated with distally located actuator

A wire driver for inserting a wire into bone. The wire driver includes a housing having proximal and distal ends, with a handpiece extending to the proximal end. The handpiece is connected to a gripping portion, which extends to the distal end. A channel extends through the gripping portion and is connected to a gripping mechanism. A drive mechanism within the handpiece is connected to the channel. The drive mechanism is configured to rotate the channel when actuated by a first actuator positioned on the handpiece (which can be on the distal end of the handpiece). A second actuator is connected to the gripping portion and the gripping mechanism. The second actuator is movable between a relaxed position and a compressed position. The user can operate both first and second actuators with the same handpiece grip. The gripping portion and second actuator are rotatable relative to the housing and first actuator.

Vertebral joint implants and delivery tools

A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

MEDICAL APPARATUS AND METHOD FOR ATTACHING A SUTURE TO A BONE

A method of forming a channel in a bone, the method comprising: providing a first bore in the bone; and forming, a second bore in the bone at a predefined angle from said first bore, using said first bore as a reference point for defining the location of the second bore in the bone, wherein the first and second bores intersect in the bone. 1. A medical implement comprising:an elongate element comprising a proximal end for manual grasping and a distal end for engagement with a bone;a first passageway formed in the elongate element and extending from said proximal end to said distal end of the elongate element; andan arm formed in said distal end of the elongate element,wherein a part of the elongate element formed with the first passage way is movable by retraction and extension of a resilient member from a retracted position to an extended position along or parallel to an axis of said elongate element and wherein the arm, the part of the elongate element and the resilient member provide for clamping the bone.2. An implement according to claim 1 , wherein said implement further comprises a manually manipulatable member coupled to said resilient member for moving said resilient member to said extended and retracted positions.3. A medical implement according to claim 1 , wherein the arm comprises a second passageway including a grasper movable to an extended position with respect to the second passageway where the grasper extends from the second passageway and to a retracted position where the grasper is entirely positioned inside the second passageway.4. An implement according to claim 3 , wherein the grasper is permanently coupled to said second passageway.5. An implement according to claim 3 , wherein said elongate element includes a second manually manipulatable member coupled to said grasper for moving the grasper to its extended and retracted positions.6. An implement according to claim 1 , wherein said arm is formed as a single piece with bends.7. An implement ...

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.

ROTATION KNOB ASSEMBLIES AND SURGICAL INSTRUMENTS INCLUDING THE SAME

A rotation knob assembly, handle assembly including the same, and surgical instrument including the same are disclosed. An outer knob of the assembly defining a longitudinal lumen and at least one transverse aperture having a threaded portion and a smooth portion. An inner sleeve of the assembly includes a body defining a longitudinal lumen and at least one transverse. At least one stepped pin of the assembly includes a body portion disposed within the smooth portion of the at least one outer knob transverse aperture and a tip portion disposed within the at least one inner sleeve transverse aperture to fix the outer knob and the inner sleeve with one another. At least one screw of the assembly is threadingly engaged within the threaded portion of the at least one outer knob transverse aperture to retain the outer knob and the inner sleeve fixed with one another. 1. A rotation knob assembly for a surgical instrument , the rotation knob assembly comprising:an outer knob defining an outer knob lumen extending longitudinally therethrough and at least one outer knob transverse aperture extending transversely therethrough into communication with the outer knob lumen, the at least one outer knob transverse aperture including a threaded portion and a smooth portion, the smooth portion defining a first diameter;an inner sleeve disposed within the outer knob lumen, the inner sleeve including a body defining an inner sleeve lumen extending longitudinally therethrough and at least one inner sleeve transverse aperture extending transversely through the body into communication with the inner sleeve lumen, the at least one inner sleeve transverse aperture defining a second diameter less than the first diameter;at least one stepped pin including a body portion disposed within the smooth portion of the at least one outer knob transverse aperture and a tip portion disposed within the at least one inner sleeve transverse aperture to fix the outer knob and the inner sleeve with one ...

Medical tools for and methods of gaining access to extravascular spaces

In some examples, a tool for, e.g., creating a sub-sternal tunnel in a patient or other use, is described. The tool may include a handle and a tunneling shaft coupled to the handle. The tunneling shaft extends from a proximal end to a distal end, and at least a portion of the tunneling shaft extends in a curved orientation between the first end to the distal end. The distal end of the tunneling shaft includes a cutting tool having a sharp edge. The cutting tool is moveable from a recessed position in which the sharp edge of the cutting tool is recessed into the distal end of the tunneling shaft to a deployed position in which the sharp edge of the cutting tool extends beyond the distal end of the tunneling shaft in the deployed position, e.g., to cut pericardium, scar tissue, and/or connective tissue with the sharp edge.

Powered surgical tack applier

A powered surgical tack applier is configured to deploy a surgical tack through tissue or a surgical mesh. The surgical tack applier is articulatable to facilitate placement of the surgical tack to a desired surgical location. The powered surgical tack applier includes a power module that includes a battery, a motor, and a gear box. The power module provides a high-speed/low-toque output and a low-speed/high-torque output.

End-effector jaw closure transmission systems for remote access tools

A jaw closure transmission system is presented comprising an input sub-system, output sub-system and a transmission sub-system.

INSTRUMENT FOR SURGERY

Provided is an instrument for surgery and, more specifically, to an instrument for surgery which can be manually operated in order to be used for laparoscopic surgery or various types of surgery. 1. A surgical instrument comprising:a handle for receiving a user input for manipulating the instrument, wherein the handle includes a first handle member configured to rotate along a first input axis and a second handle member configured to rotate along a second input axis, wherein the first handle member includes a first elongated portion and the second handle member includes a second elongated portion, and the handle has an input angle defined by an angular relationship of the two elongated portions;an end-effector for performing a surgical operation, wherein the end-effector includes a first jaw member and a second jaw member, each configured to rotate along an output axis,wherein the first jaw member includes a first contact surface and the second jaw member includes a second contact surface, the first contact surface and the second contact surface are configured to face each other, and the end-effector has a closed configuration when the two surfaces are contacted to each other or an open configuration when the two surfaces are separated to each other; anda pulley-wire mechanism for coupling, operatively, the handle and the end-effector, wherein the mechanism includes a first input pulley operatively connected to the first handle member, a first output pulley operatively connected to the first jaw member and operatively coupled to the first input pulley via a first wire, a second input pulley operatively connected to the second handle member, and a second output pulley operatively connected to the second jaw member and operatively coupled to the second input pulley via a second wire; andwherein when the handle has the input angle being greater than a first predetermined angle, the end-effector has the open configuration and the user input inducing a rotation of at ...

SURGICAL INSTRUMENTS INCLUDING ADJUSTABLE HANDLE ASSEMBLIES

A handheld surgical instrument is provided, including a housing, a handle and a trigger mounted on the housing, and an elongated tubular portion extending distally from the housing. The surgical instrument includes a hand grip having a top surface, a bottom surface, and at least one opening disposed therebetween, wherein the handle of the handheld surgical instrument is insertable into the at least one opening of the hand grip for engagement therewith. When the hand grip is engaged to the handle of the handheld surgical instrument, the hand grip affects a distance defined between the handle and the trigger. 1. A handheld surgical instrument , comprising:a housing;a handle and a trigger mounted on the housing; andan elongated tubular portion extending distally from the housing;a hand grip having a top surface, a bottom surface, and at least one opening disposed therebetween;wherein the handle of the handheld surgical instrument is insertable into the at least one opening of the hand grip for engagement therewith; andwherein when the hand grip is engaged to the handle of the handheld surgical instrument, the hand grip affects a distance defined between the handle and the trigger.2. The handheld surgical instrument of claim 1 , wherein the hand grip is selectively engageable with the trigger of the handheld surgical instrument.3. The handheld surgical instrument of claim 2 , wherein when the hand grip is engaged with the trigger of the handheld surgical instrument claim 2 , the hand grip affects the distance defined between the handle and the trigger.4. The handheld surgical instrument of claim 1 , wherein the hand grip includes finger grips for placement of fingers therein.5. The handheld surgical instrument of claim 1 , wherein the hand grip has at least one protuberance or at least one indentation to enhance grip.6. The handheld surgical instrument of claim 1 , wherein the at least one opening is a cavity extending through the top surface of the hand grip to the ...

SYSTEMS, DEVICES, AND METHODS FOR ADJUSTING BLOOD FLOW IN A BODY LUMEN

Embodiments of the present disclosure are directed to blood-flow regulation systems and associated methods, and, in some embodiments, includes an adjustable blood flow regulation device that includes an inner tube, an expandable member coupled to the inner tube, a proximal control handle that includes a controller operatively coupled to the member and configured to control expansion of the member, and a downstream tip member coupled to a distal portion of the inner tube which is distal to the member. The tip member is coupled to a first fluid pressure sensor. A second fluid pressure sensor is coupled to a portion of the inner tube proximal to the member.

ERGONOMIC LOCKING MECHANISM

The disclosed subjects matter relates to a surgical instrument handle for a surgical instrument, that includes a first handle element, which can be rigidly connected to one of a shaft component and an actuating element of a surgical instrument, wherein an index-finger rest and a ball-of-the-thumb rest are formed on the first handle element, and a second handle element, which is articulated to the first handle element and can be coupled to the other of the shaft component and the actuating element of the surgical instrument, wherein at least one further finger rest is formed on the second handle element. A locking element is rotatably attached to the first handle element, wherein the locking element has an actuation segment and a first locking member. A second locking member is provided on the second handle element, and the first locking member is elastically preloaded toward the second locking member. 2. The surgical instrument handle according to claim 1 , wherein the locking element is rotatably attached on the first handle element between the actuation segment and the first locking member.3. The surgical instrument according to claim 1 , whereinan elastic element is arranged between the first handle element and the second handle element, which is adapted to push the handle elements into an open position, wherein the elastic element is preferably a leaf spring which more preferably is attached to the first handle element and lies against the second handle element.4. The surgical instrument according to claim 1 , whereinthe index-finger rest, the ball-of-the-thumb rest and/or at least one further finger rest are formed as an essentially closed ring.5. The surgical instrument according to claim 1 , whereinthe index-finger rest and the ball-of-the-thumb rest are connected to a bar and the thumb rest is arranged at least in the initial position above the bar.6. The surgical instrument according to claim 1 , whereinthe first locking member has a locking tooth that ...

SYSTEMS AND METHODS FOR TREATMENT OF COMPRESSED NERVES

Disclosed herein is a system for releasing a ligament. In one embodiment, the system includes a proximal handle, a tubular body, and a flexible body. The tubular body includes a proximal end and a distal end. The handle is coupled to the proximal end. The flexible body extends through the tubular body and includes a tissue cutting portion. The flexible body is longitudinally displaceable relative to the tubular body to move the tissue cutting portion between a non-deployed state and a deployed state. 1 a tubular wall defining a lumen extending longitudinally through the tubular body;', 'a proximal end;', 'a distal end opposite the proximal end; and', 'a window extending through the tubular wall, the window including a length greater than a width of the window, the length of the window being generally parallel with a length of the tubular body;, 'a tubular body including a proximal end;', 'a distal end opposite the proximal end;', 'an exterior surface located between the proximal and distal ends of the inner body; and', 'a plurality of saw teeth defined in the exterior surface and fixed relative to the exterior surface; and, 'an inner body occupying at least a portion of the lumen and includinga handle coupled to the proximal end of the tubular body, the handle including an actuator coupled to the proximal end of the inner body and configured to displace the inner body within the lumen between a non-deployed state and a deployed state,wherein: the plurality of saw teeth are hidden within the tubular body so as to be covered by the wall of the tubular body when the inner body is in the non-deployed state, and the plurality of saw teeth are exposed at the window when the inner body is in a deployed state.. A medical device for severing tissue in a minimally invasive medical procedure, the device comprising: This application is a continuation application of Ser. No. 14/274,966 filed May 12, 2014, entitled “Systems and Methods for Treatment of Compressed Nerves,” which ...

HAND STABILIZING DEVICES

Disclosed herein is a unique surgical device that assists medical practitioners to stabilize and support their hand while conducting a surgical procedure. Specifically exemplified is a hand stabilizing device that includes a stem, having a shaft, a bent portion, and a base portion. The device may also be flexible. The device serves to support and stabilize the hand during a surgical procedure. 1. A hand stabilizing device comprising: a shaft,', 'a bent portion, and', 'a base portion,', 'the shaft extending from a first end of the stem to the bent portion,', 'the base portion extending from a second end of the stem to the bent portion; and, 'a stem, having'}a first grip, associated at the first end of the stem, the first grip defining a first annular aperture.2. The hand stabilizing device according to claim 1 , further comprising a second grip affixed to the first grip claim 1 , the second grip defining a second annular aperture.3. The hand stabilizing device according to any of or claim 1 , wherein the base portion extends laterally relative to the shaft claim 1 , such that the base portion is laterally wider than the shaft.4. The hand stabilizing device according to claim 3 , wherein the base portion is laterally wider than the shaft by a factor of about 1.1 to about 4.5. The hand stabilizing device according to any of - claim 3 , wherein the bent portion forms an angle between the shaft and the base portion of greater than 90 degrees.6. The hand stabilizing device according to claim 5 , wherein the angle is from about 90 to about 180 degrees.7. The hand stabilizing device according to claim 5 , wherein the angle is about 90 claim 5 , 91 claim 5 , 92 claim 5 , 93 claim 5 , 94 claim 5 , 95 claim 5 , 96 claim 5 , 97 claim 5 , 98 claim 5 , 99 claim 5 , 100 claim 5 , 101 claim 5 , 102 claim 5 , 103 claim 5 , 104 claim 5 , 105 claim 5 , 106 claim 5 , 107 claim 5 , 108 claim 5 , 109 claim 5 , 110 claim 5 , 111 claim 5 , 112 claim 5 , 113 claim 5 , 114 claim 5 , 115 ...

LINKAGE ASSEMBLY FOR REUSABLE SURGICAL HANDLE ASSEMBLIES

A handle assembly for actuating an end effector is provided. The handle assembly includes an actuation mechanism with a linkage assembly configured to maximize the output force. The linkage assembly includes first, second, and third linkage members operably disposed between a trigger and a drive member. 1. A handle assembly , comprising:a housing defining a longitudinal axis;a trigger operably coupled to the housing and movable to cause actuation of the handle assembly;a drive member movable within the housing from an initial position to an advanced position in response to actuation of the trigger; anda linkage assembly operably disposed between the trigger and the drive member to move the drive member from the initial position to the advanced position, the linkage assembly including first, second, and third linkage members, the first linkage member being pivotally secured to the trigger on a first end and to first ends of the second and third linkage members on a second end, the second linkage member being pivotally secured to the drive member on a second end, and the third linkage member being pivotally secured to the housing on a second end.2. The handle assembly of claim 1 , wherein the first and third linkage members each include a pair of linkage members.3. The handle assembly of claim 1 , wherein a first end of the first linkage member is pivotally secured to the trigger by a first pivot pin.4. The handle assembly of claim 3 , wherein the housing defines a track and the first pivot pin extends within the track.5. The handle assembly of claim 1 , wherein the housing includes a body portion and a trigger portion.6. The handle assembly of claim 1 , further including a friction reducing mechanism operably disposed within the housing relative to the drive member.7. The handle assembly of claim 6 , wherein the friction reducing mechanism includes first and second bearing assemblies claim 6 , each of the bearing assemblies including a sleeve rotatably disposed ...

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 ...

CONTROL FOR SURGICAL HANDPIECE

A powered surgical handpiece including a housing, a printed circuit board, a sensor, and an actuator assembly. The housing has a longitudinal axis extending from a first end to a second end of the housing. The printed circuit board has a first face and a second opposing face. The first and second faces extend perpendicular to the longitudinal axis. The sensor is coupled to the first face of the printed circuit board. The sensor is centered along the longitudinal axis of the housing. The actuator assembly includes a lever and an actuator. The lever is pivotally coupled to the housing. The lever maintains a magnet slidably positionable along the lever. The magnet is positionable to be proximal to the sensors. 1. A powered surgical instrument , comprising:a housing having a central longitudinal axis extending from a first end to a second end of the housing along a center of the housing;a printed circuit board having a face extending perpendicular to the central longitudinal axis;a sensor coupled to the face and disposed on and centered along the central longitudinal axis; andan actuator assembly including a lever and an actuator, the actuator assembly coupled to the housing to rotate about the central longitudinal axis with respect to the housing, the lever pivotally coupled to the housing, the lever maintaining an actuator slidably positionable along the lever, the actuator positionable to be proximal to the sensor, the actuator assembly having a magnet and operable to vary a magnetic field relative to the sensor.2. The powered surgical instrument of claim 1 , wherein the lever is pivotable to extend parallel to the housing.3. The powered surgical instrument of claim 1 , wherein the lever and housing are configured to be grasped in a single hand of a user.4. The powered surgical instrument of claim 1 , wherein the magnet is positioned within the lever claim 1 , and a switch body coupled to the magnet extends to an exterior of the lever and is slidable along the lever. ...

END EFFECTOR WITH STAPLE CARTRIDGE EJECTOR

An end effector for a surgical stapling device includes an anvil, a multiple use loading unit, and an ejector assembly. The multiple use loading unit is pivotally secured to the anvil and includes a channel member defining a cavity and a staple cartridge received within the cavity. The staple cartridge has a distal portion having an angled lower surface. The ejector assembly includes an ejector button that is supported on the channel member and engages the angled lower surface of the staple cartridge such that movement of the ejector button from an advanced position to a retracted position in relation to the channel member lifts the distal portion of the staple cartridge from the cavity of the channel member. 1. An end effector for a surgical stapling device comprising: a multiple use loading unit including pivotally secured to the anvil, the multiple use loading unit including a channel member defining a cavity and a staple cartridge received within the cavity, the staple cartridge having a body having a second tissue contact surface and defining a knife slot and a plurality of staple receiving slots positioned on opposite sides of the knife slot, the staple cartridge having a distal portion having a lower surface that is angled towards the plane defined by the first tissue contact surface in a distal direction; and', 'an ejector assembly including an ejector button supported on the channel member and being movable from an advanced position to a retracted position in relation to the channel member, the ejector button having a body including an upper surface that is angled towards the plane defined by the first tissue contact surface in the distal direction, the upper surface of the body of the ejector button being positioned to engage the lower surface of the distal portion of the staple cartridge such that movement of the ejector button from the advanced position to the retracted position lifts the distal portion of the staple cartridge from the cavity of the ...

FEEDBACK MECHANISMS FOR HANDLE ASSEMBLIES

A handle assembly for actuating an end effector includes a feedback mechanism for providing an audible and/or tactical response to indicate to the user that the handle assembly is fully actuated. The feedback mechanism may include a hammer member configured to strike a surface of the handle assembly to create the audible and/or tactical response. 1. A handle assembly , comprising:a housing defining a longitudinal axis;a trigger operably coupled to the housing and movable to cause actuation of the handle assembly;a drive member movable within the housing from an initial position to an advanced position in response to actuation of the trigger; anda feedback mechanism in operable engagement with the trigger, the feedback mechanism including a torsion spring having a hammer portion, wherein upon complete actuation of the handle assembly the hammer portion of the torsion spring strikes a surface to create at least one of an audible or a tactile response.2. The handle assembly of claim 1 , wherein the housing includes a body portion and a trigger portion.3. The handle assembly of claim 2 , wherein the feedback mechanism includes a ramp portion.4. The handle assembly of claim 3 , wherein the hammer portion of the torsion spring engages the ramp portion during actuation of the handle assembly to transition the torsion spring to a loaded condition.5. The handle assembly of claim 4 , wherein upon complete actuation of the handle assembly claim 4 , the hammer portion of the torsion spring disengages the ramp portion to unload the torsion spring.6. The handle assembly of claim 5 , wherein upon unloading of the torsion spring claim 5 , the hammer portion strikes the surface to create the at least one audible or tactile response.7. The handle assembly of claim 1 , wherein a first end of the torsion spring is secured relative to the trigger.8. The handle assembly of claim 7 , wherein the torsion spring includes a spring portion claim 7 , the spring portion being received about a ...

Surgical Instrument Handle With Implant Sizing Feature And Method Of Using

A single-use handle is configured to attach to a working shaft that can support a sounder for measuring the medullary canal of a proximal radius, and a planarizer that is configured to planarize a proximal edge of the proximal radius after the proximal radius has been resected. The handle can further include a plurality of sizing cavities that are configured to receive the resected bone so as to determine the size of the resected bone. The handle can further include an ejector that is configured to decouple the planarizer from the working shaft. 1. A handle configured to removably attach to an orthopedic device , the handle comprising:a handle body having a connection end that is configured to connect the handle to the orthopedic device; anda plurality of sizing cavities having different known maximum cross-sectional dimensions that each correspond to a size of an orthopedic implant, wherein the sizing cavities are configured to receive resected bone so as to determine a size of the resected bone.2. The handle of claim 1 , further comprising an actuator supported by the handle body and resiliently movable from a neutral position to a locked position that causes the actuator to lock the orthopedic device.3. The handle of claim 2 , wherein the actuator is configured to lock the orthopedic device with respect to translation claim 2 , and the handle body is configured to prevents the orthopedic device from rotating with respect to the handle.4. The handle of claim 2 , wherein the handle defines a receiving aperture that extends into the handle body claim 2 , the receiving aperture sized to receive the orthopedic device in the handle so as to lock to the actuator.5. The handle of claim 4 , wherein the actuator comprises a blocking plate that is configured to interfere with the orthopedic device to prevent full insertion of the orthopedic device into the handle claim 4 , wherein the actuator is movable to remove the interference and allow full insertion of the orthopedic ...

Guiding Trocar and System for Connecting to a Guiding Trocar

Guiding tube, in particular a trocar, for receiving and guiding a medical instrument, wherein the guiding tube comprises engaging members for engaging an instrument inside the tube and a substantially spherically shaped ball member provided on an outer surface of said tube, wherein the engaging members are provided movable with respect to the tube in a direction having a radial component, seen with respect to the longitudinal axis of the tube, upon compression of the ball member. 1. A guiding tube for receiving and guiding a medical instrument , wherein the guiding tube comprises engaging members for engaging an instrument inside the tube and a substantially spherically shaped ball member provided on an outer surface of said tube , wherein the engaging members are provided movable with respect to the tube in a direction having a radial component , seen with respect to the longitudinal axis of the tube , upon compression of the ball member.2. The guiding tube according to claim 1 , wherein the ball member comprises a plurality of mutually movable claim 1 , substantially wedge shaped parts claim 1 , wherein the wedge shaped parts form the ball member.3. The guiding tube according to claim 2 , wherein an engaging member is located at a radially inward end of at least one of the wedge shaped parts.4. The guiding tube according to claim 3 , wherein the inward end of the wedge shape part has a height claim 3 , seen in the direction of the longitudinal axis of the tube claim 3 , that is larger than a height of the engaging member claim 3 , wherein the wedge part comprises a bridge part for connection with the tube at the inward end claim 3 , wherein the height of the bridge corresponds to the height of the engaging member.5. The guiding tube according to claim 2 , wherein a wedge shaped part comprises two side walls under angle with respect to each other claim 2 , the side walls being shaped as a circular segment having an inner edge and an arc shaped outer edge claim 2 , ...

Threaded, locking handle mechanism for attaching to shaft

A catheter assembly comprising a catheter handle () with a collet () disposed at a distal end. The collet is coupled to a strain relief () comprising a nut () and a strain relief projection (). The collet comprises at least one leaflet () and at least one collet spur (), and the nut comprises at least one ratchet (). The collet is configured to couple to the nut, and the at least one ratchet is configured to interact with the at least one collet spur to securely fasten the strain relief to the catheter handle. The at least one leaflet is configured to couple to a catheter shaft. 1. A strain relief , comprising:a strain relief projection; and a nut thread;', 'a nut recess;', 'a through-hole; and', 'a plurality of ratchets,, 'a nut comprisingwherein the strain relief projection is configured to couple to the nut recess and to secure the nut to the strain relief.2. The strain relief according to claim 1 , wherein the nut further comprises a tapered edge that is configured for interaction with a catheter handle.3. The strain relief according to claim 1 , wherein at least one of the plurality of ratchets comprises a resisting portion and a sloping portion.4. The strain relief according to claim 1 , wherein the plurality of ratchets comprises a plurality of differently shaped ratchets.5. The strain relief according to claim 1 , wherein the strain relief is further configured to interact with the distal end of a catheter handle to secure a catheter shaft to the catheter handle.6. The strain relief according to claim 1 , wherein the nut recess extends around an outer circumference of the nut.7. The strain relief according to claim 6 , wherein the strain relief projection extends around an inner circumference of the strain relief.8. The strain relief according to claim 6 , wherein the strain relief projection extends around a portion of an inner circumference of the strain relief.9. The strain relief according to claim 1 , wherein the nut recess extends partially around an ...

Surgical system including an anchor insertable into a cannula of an introducer

A surgical system includes an anchor and an introducer provided to deliver the anchor into tissue. The anchor includes a body having a pointed leading end that is configured to pierce the tissue, a spine projecting radially away from the body and having a width and a height configured to allow the spine to engage with the tissue, an eyelet attached to a trailing end of the body, and a length of suture attached to the eyelet. The introducer includes a cannula with a pointed distal end, an opening formed in the cannula that is sized to receive the body of the anchor, and a slot formed in a wall of the cannula at a distal end portion of the cannula and sized to receive the width of the spine.

MODULAR SURGICAL INSTRUMENT

A modular surgical instrument includes an ergonomic handle, one or more service lines and a surgical tip. The handle is configured to be grasped by an operator, and includes a proximal portion, a distal portion, and a central portion. The one or more service lines are releasably coupled to the proximal portion of the handle, and the surgical tip is releasably coupled to the distal portion of the handle. The one or more service lines are operably coupled with the surgical tip. An optional control module may be disposed in a receptacle in the central portion of the handle and the control module may be adapted to control the operation of the surgical tip. 1. A modular surgical instrument , said surgical instrument comprising:an ergonomic handle configured to be grasped by an operator, the handle having a proximal portion, a distal portion, and a central portion therebetween;one or more service lines releasably coupled to the proximal portion of the handle; anda surgical tip releasably coupled to the distal portion of the handle, wherein the one or more service lines are operably coupled with the surgical tip.2. The surgical instrument of claim 1 , wherein the one or more service lines comprise a vacuum line configured to deliver suction to the surgical tip claim 1 , a fiber optic cable configured to deliver light to the surgical tip claim 1 , a power cable configured to deliver power to the working tip claim 1 , or a data line configured to transmit data to or from the working tip.3. The surgical instrument of claim 1 , wherein the surgical tip comprises a suction tip claim 1 , an illumination element claim 1 , an electrosurgical tip with an electrode claim 1 , a sensing element claim 1 , an imaging element claim 1 , or combinations thereof.4. The surgical instrument of claim 3 , wherein the illumination element is an optical waveguide claim 3 , and the surgical tip comprises the optical waveguide disposed around the suction tip.5. The surgical instrument of claim 1 , ...

DEVICES AND METHODS FOR MINIMALLY INVASIVE REPAIR OF HEART VALVES

Methods and apparatus for heart valve repair utilize a heart valve repair device including a generally annular ring-like structure and a net structure. The ring-like structure is seated in the valve annulus with the net structure extending from the ring-like structure through the coaptation zone between leaflets. The net structure can then be anchored to a heart structure with a suture. Net structure extending between leaflets helps prevent prolapse of leaflets and can aid in coaptation. 119-. (canceled)20. A method of repairing a heart valve in a beating heart of a patient , comprising:minimally invasively accessing an interior of the heart with a suture deployment mechanism, the suture deployment mechanism carrying a suture and a needle;grasping a valve leaflet in the heart with the suture deployment mechanism;inserting the suture through the valve leaflet with the needle by operation of the suture deployment mechanism;withdrawing the suture deployment mechanism and a portion of the suture from the heart after inserting the suture through the valve leaflet such that the suture extends from the valve leaflet out of the heart;advancing a repair device into the heart along the suture with the suture functioning as a guidewire for the repair device; andinserting the portion of the suture into the heart and anchoring the suture to a wall of the heart.21. The method of claim 20 , wherein the repair device is a mechanical anchor.22. The method of claim 21 , wherein anchoring the suture to a wall of the heart includes anchoring the suture with the mechanical anchor.23. The method of claim 20 , wherein minimally invasively accessing the interior of the heart with the catheter includes percutaneously accessing the interior of the heart with the catheter.24. The method of claim 20 , wherein withdrawing the suture deployment mechanism and a portion of the suture from the heart after inserting the suture through the valve leaflet such that the suture extends from the valve ...

SURGICAL DEVICE HAVING ACTUATOR BIASING AND LOCKING FEATURES

Surgical devices and methods are described. The surgical devices can generally include a housing having one or more actuators such as a closure actuator. An elongate shaft can extend distally from the housing and an end effector can be selectively coupled to a distal end of the shaft. The surgical device can include various features that prevent a user from actuating the device when the end effector is not properly coupled to the shaft. More specifically, the housing can include a locking member that can be pivoted or otherwise move relative the housing to cause various internal features of the housing to move to a ready-to-load position. With the locking member and actuator so positioned, an end effector can be loaded onto the shaft and the locking member can be moved from the ready-to-load position to the ready-to-actuate position, thus allowing the closure actuator to be in a ready-to-actuate position. 1. A surgical device , comprising:a housing;a closure actuator coupled to the housing and configured to pivot with respect to the housing;an elongate shaft extending distally from the housing, the elongate shaft having a loading zone located at a distal end of the elongate shaft, the loading zone being configured to receive an end effector; anda locking member operably coupled to one or more actuation components disposed within the housing, the one or more actuation components also being coupled to the closure actuator such that movement of the locking member effects movement of the closure actuator,wherein the locking member is configured to move to a load position in which the closure actuator is held at a fixed location with respect to the housing such that an end effector can be loaded onto the distal end of the elongate shaft at the loading zone.2. The device of claim 1 , further comprising:an inner shaft disposed within an inner lumen of the elongate shaft, the inner shaft having a proximal end coupled to the one or more actuation components disposed within ...

Articulating surgical devices and loaders having stabilizing features

Surgical devices and methods are described. The loading devices can include an elongate shaft extending distally from a housing and a hinge can be disposed between the elongate shaft and an articulating distal portion. The articulating distal portion can hold an end effector to be loaded onto a surgical device. The loading device can have features for stabilizing and holding the distal portion at a particular angular position relative to the elongate shaft, such as washers having protrusions that seat in corresponding recesses formed in the hinge. During articulation of the distal portion, an articulation rack can be advanced which can deform the protrusions on the washers. The washers can rotate and seat in the recesses at the next angular position and change the degree of articulation. The deformable washer and corresponding recesses can apply a biasing force that holds the articulating distal portion in a desired angled position.

THREADED SPINAL ROD REDUCER

A spinal rod reducer for reducing a rod into a rod-receiving opening of a bone anchor comprises an elongate tubular body having a lumen extending therethrough and a pair of spaced flexible anchor attachment members at the distal end of the tubular body. A threaded rod reduction member having a rod contacting surface is supported for axial movement within the lumen. A threaded rotatable reduction knob is threadably engaged with the rod reduction member rotation of which causes the rod reduction member with the rod contacting surface to move axially distally toward the bone anchor. A locking sleeve is configured to axially slide on the tubular body over the attachment members, the locking sleeve including a locking element for releasably coupling the locking sleeve and the rod reduction member for selective independent and joint movement relative to the tubular body. 1. A spinal rod reducer for reducing a spinal rod into a rod-receiving opening of a bone anchor , comprising:an elongate tubular body having a proximal end, a distal end and a lumen extending therethrough, and a pair of spaced flexible anchor attachment members adjacent the distal end of said tubular body, said spaced attachment members defining a slot therebetween, the distal end of said attachment members being configured to engage said bone anchor in a manner to align said slot with said rod-receiving opening of said bone anchor;a threaded rod reduction member supported for axial movement within said lumen of said tubular body, said rod reduction member including a rod contacting surface movable to a position between said attachment members;a threaded rotatable reduction knob threadably engaged with said reduction rod member, rotation of said reduction knob causing said rod reduction member to move axially relative to said tubular body and thereby move said rod contacting surface within said slot between said attachment members; anda locking sleeve supported for axial movement on said tubular body, ...

SURGICAL STAPLER BUTTRESS APPLICATOR WITH STATE INDICATOR

An apparatus includes a housing, a platform, a buttress assembly, at least one retainer member, and an indicator. A portion of the platform is exposed in a gap defined by the housing. The buttress assembly is exposed in the gap defined by the housing. The retainer member is configured to selectively retain the buttress assembly against the platform. The retainer member is further configured to release the buttress assembly from the platform in response to a clamping action of an end effector positioned in the gap defined by the housing. The indicator is configured to provide indication of a state of one or both of the buttress assembly or the at least one retainer member. The indicator is further configured to change state in response to a change of state of one or both of the buttress assembly or the at least one retainer member. 1. An apparatus comprising:(a) a housing defining a gap configured to receive a portion of an end effector of a surgical stapler;(b) a platform, wherein a portion of the platform is exposed in the gap defined by the housing;(c) a buttress assembly positioned on the platform, wherein the buttress assembly is exposed in the gap defined by the housing;(d) at least one retainer member configured to selectively retain the buttress assembly against the platform, wherein the at least one retainer member is further configured to release the buttress assembly from the platform in response to a clamping action of an end effector positioned in the gap defined by the housing; and(e) an indicator, wherein the indicator is configured to provide indication of a state of one or both of the buttress assembly or the at least one retainer member, wherein the indicator is further configured to change state in response to a change of state of one or both of the buttress assembly or the at least one retainer member.2. The apparatus of claim 1 , wherein the indicator is configured to move concomitantly with the at least one retainer member.3. The apparatus of ...

TOOLS AND METHODS FOR VAGINAL ACCESS

Trocar components and methods of use are described, wherein the trocar components are configured to provide access to intraperitoneal space via the rectouterine pouch to surgical tools, which optionally include one or more surgical robot members. The surgical tools are optionally 5 mm or more in diameter. In some embodiments, a cannula part has a lumen sized to provide to a plurality of the surgical tools simultaneous transvaginal access to the intraperitoneal space via the rectouterine pouch. In some embodiments, an incision sized to receive a distal aperture of the cannula is created, optionally using one or two dilators. The dilators are sized to create (optionally starting from a puncture by a needle 2 mm in diameter or less) an oblong aperture. In some embodiments, the oblong aperture is at least twice as wide across a long diameter as across a short diameter. 1. A method of using a cannula to provide intraperitoneal access to a body cavity via a body recess , comprising:inserting a distal end of the cannula into a dilated aperture of a rectouterine pouch via transvaginal access;wherein an edge defining an aperture at the distal end of the cannula comprises a first edge portion extending along one side of the aperture, and a second edge portion extending along an opposite side of the aperture, and the first edge portion is positioned more distally along the cannula and from the dilated aperture than the second edge portion; andwherein the cannula is inserted so that the aperture at the distal end of the cannula is oriented to open toward the side of the second edge portion and facing toward a rectum adjacent to the rectouterine pouch.2. The method of claim 1 , comprising inserting a flexible robotic arm through the cannula and into the rectouterine pouch claim 1 , so that it exits the aperture in a direction oriented away from the rectum.3. The method of claim 1 , wherein:the inserting a distal end of the cannula into the rectouterine pouch comprises sliding ...

Apparatus and method to apply buttress to end effector of surgical stapler via fixed base

An apparatus includes a body with a first body portion, a second body portion opposed from the first body portion, and a connecting portion that couples a proximal end of the first body portion with a proximal end of the second body portion. The connecting portion is configured to permit the first and second body portions to move toward and away from one another between a plurality of angular orientations. The first and second body portions define a distally opening angle. A first adjunct element and a second adjunct element are disposed on outwardly facing surfaces of the first and second body portions. The first and second body portions may be fixed in each of the angular orientations and may simultaneously apply the first and second adjunct elements to first and second jaws, respectively, of a surgical stapler end effector.

LOCKING APPARATUS

The disclosure relates to a locking apparatus, and more particularly, to a locking apparatus with improved locking performance as a locking unit is stuck between different members capable of moving relative to each other and in which locking is released as an unlocking unit pushes the locking unit. 1. A locking apparatus comprising:a first body part;a second body part capable of a relative movement with respect to the first body part;a locking unit capable of moving within an interval between the first body part and the second body part and simultaneously contacting the first body part and the second body part; andan unlocking unit disposed on a movement path of the locking unit and capable of pushing the locking unit in a direction away from the first body part or the second body part,wherein, when the locking unit simultaneously contacts the first body part and the second body part, a movement of the second body part with respect to the first body part in at least one direction is prevented,wherein the interval between the first body part and the second body part decreases in any one direction in a certain section where the first body part and the second body part face each other, andwhen the locking unit simultaneously contacts the first body part and the second body part in the section, the second body part is prevented from moving in a direction in which the interval with the first body part decreases.2. (canceled)3. The locking apparatus of claim 1 , wherein the unlocking unit pushes the locking unit in a direction in which an interval between one side of the first body part and one side of the second body part claim 1 , which face each other claim 1 , in a certain section increases claim 1 , so as to enable a relative movement between the first body part and the second body part claim 1 , which is prevented by the locking unit.4. The locking apparatus of claim 3 , wherein the locking unit comprises a locking main body part claim 3 , and the locking main body ...

SURGICAL INSTRUMENT

The invention relates to a surgical instrument with a grip area, which has a first handle part, which is fixed in the position of use, and a second handle part, which can be moved relative to the first handle part along an adjustment direction, wherein a ratio between a first distance between the first handle part and the second handle part and a second distance between the first handle part and the second handle part is constant or almost constant in the direction of the first handle part, at least over a partial area of the actuating path, during a movement of the second handle part. 114-. (canceled)15. A surgical instrument for tissue separation comprising:a grip area which has a first handle part that is fixed in a position of use, and a second handle part which can be moved in an adjustment direction relative to the first handle part; andwherein, on the second handle part, at least two points of articulation are formed, through which an adjustment direction of the second handle part is defined relative to the first handle part, wherein the adjustment direction of the second handle part is determined by at least two guide elements, each guide element being connected to the first handle part via a respective point of articulation and connected to the second handle part via a respective point of articulation; andwherein the points of articulation on the first handle part are arranged offset to each other; andwherein the points of articulation on the second handle part are arranged offset to each other; andthe surgical instrument has a drive element which is connected to the first and/or second handle part via a bearing point.16. The surgical instrument according to claim 15 , wherein the drive element is connected to the first and/or second handle parts via a moving pivot axis; andwherein the bearing point of the drive element on the first and/or second handle part is offset to the point of articulation of at least one of the guide elements on the first and/or ...

Surgical screwdriver

Various implementations include a surgical screwdriver that comprises a first rotating shaft configured to be rotated about a respective longitudinal axis, a second rotating shaft extending along a respective development axis transverse to the longitudinal axis of the first shaft and having a shaped end tip that can be inserted into the head of a screw, and a transmission member interposed between respective first ends of the shafts to transfer the rotation from the first shaft to the second shaft. The transmission member comprises a pair of hemispherical elements, hinged together about a respective junction axis that is perpendicular to the longitudinal axis of the first shaft, and each hemispherical element is in turn hinged to a first end of one of said shafts.

NEEDLE BIOPSY DEVICE

A device for needle biopsy is provided. The device includes a handle member having proximal and distal portions. A proximal handle member is disposed to the proximal portion of the handle member and a distal handle member is disposed to the distal portion of the handle member. A sheath lumen is disposed within the handle member and extends from the distal portion of the handle member. A needle housing member is partially disposed to the proximal portion of the handle member and a needle is disposed within the sheath lumen. A plurality of protrusions are disposed upon the needle. 1. A device for needle biopsy , comprising:a handle member having proximal and distal portions;a proximal handle member disposed to the proximal portion of the handle member;a distal handle member disposed to the distal portion of the handle member, including a connector having a release member that connects axially to a medical device and engages and disengages to a channel port of the medical device;a sheath lumen disposed within the handle member and extending from the distal portion of the handle member; anda needle housing member partially disposed to the proximal portion of the handle member, including a needle disposed within the sheath lumen.2. The device of claim 1 , wherein the channel port is a luer port of the medical device.3. The device of claim 1 , wherein the connector includes at least two adaptations to connect to the medical device.4. The device of claim 1 , wherein the at least two adaptations connect relative to the longitudinal axis of the medical device.5. The device of claim 1 , wherein the connector is disposed to the distal portion of the distal handle member.6. The device of claim 1 , wherein the release member is depressible.7. The device of claim 1 , wherein at least a portion of the needle includes materials or design features to enhance echogenicity and ultrasonic visibility.8. The device of claim 1 , wherein the needle further includes a stylet disposed ...

GUIDE DEVICE SUITABLE FOR PERFORMING TEMPOROMANDIBULAR JOINT ARTHROSCOPY

A guide device for TMJ arthroscopy including one or more pairs of arms pivotly connected at one end to a working cannula holder and defining a working cannula axis; and at the opposite end to at one or more arms via one or more pivot connections to form with the arm one or more adjustable parallelograms, an end of the arm is connected to an irrigation cannula holder defining an irrigation cannula axis, the irrigation cannula axis intersecting with the working cannula axis at an intersection, intersection and one or more of the pivot connections between connecting the arms are located at opposing vertices of one or more of the adjustable parallelograms. 1. A guide device useful for assisting in performance of TMJ arthroscopy , comprising:a working channel holder defining a working channel axis and an irrigation channel holder defining an irrigation channel axis, said working channel axis and said irrigation channel axis substantially intersecting at an intersection that is within a specific empty volume, at an intersection angle;a plurality of linkages mutually connected by a plurality of parallel-axis revolute joints, said revolute joints defining the vertices of a plurality of parallelograms having sides with fixed lengths with angles changeable by rotation of said linkages around said revolute joints;wherein a first of said plurality of parallelograms comprises as vertices two of said revolute joints that are connected to said working channel holder;wherein a second of said plurality of parallelograms comprises as vertices two of said revolute joints that are connected to said irrigation channel holder; andwherein a third of said plurality of parallelograms comprises said intersection as a vertex; andwherein said parallelograms are physically linked so that the distance of said intersection from said working channel holder and from said irrigation channel holder remains constant while said intersection angle changes during said rotation of said linkages around ...

ARTHROSCOPIC POSITIONING INSTRUMENT

An arthroscopic positioning instrument is provided to overcome the problem of inconvenient operation of the modern arthroscopic positioning instrument. The arthroscopic positioning instrument includes a handle, a positioning member and a guiding cylinder is disclosed. The handle includes a finger holding member, a palm holding member and at least one connecting member. The palm holding member is connected to the finger holding member via the at least one connecting member. The finger holding member includes one end provided with an engaging portion and an arched guiding groove. The palm holding member does not intrude into a maximum axial range of the engaging portion. The positioning member includes an arched end and a hook end. The arched end is received in the arched guiding groove. The guiding cylinder is coupled with the engaging portion of the finger holding member. 1. An arthroscopic positioning instrument comprising:a handle having a finger holding member, a palm holding member and at least one connecting member, wherein the palm holding member is connected to the finger holding member via the at least one connecting member, wherein the finger holding member comprises one end provided with an engaging portion and an arched guiding groove, and wherein the palm holding member does not intrude into a maximum axial range of the engaging portion;a positioning member having an arched end and a hook end, wherein the arched end is received in the arched guiding groove; anda guiding cylinder coupled with the engaging portion of the finger holding member.2. The arthroscopic positioning instrument as claimed in claim 1 , wherein the arched guiding groove extends to another end of the finger holding member claim 1 , so that the arched end of the positioning member is able to extend into the arched guiding groove via the other end of the finger holding member.3. The arthroscopic positioning instrument as claimed in claim 1 , wherein both the finger holding member and the ...

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

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

OSTEOTOME GUIDE

An osteotome guide is provided. The osteotome guide includes a handle, a shaft within the handle and slidable to a selected longitudinal position with respect to the handle, a tool coupler attached to a distal end of the shaft for receiving a working tool, and a lock assembly to lock the shaft into the selected longitudinal position with respect to the handle. 1. An osteotome guide comprising:a handle;a shaft within the handle and slidable to a selected longitudinal position with respect to the handle;a tool coupler attached to a distal end of the shaft for receiving a working tool; anda lock assembly to lock the shaft into the selected longitudinal position with respect to the handle.2. The osteotome guide of claim 1 , wherein the handle includes a central longitudinal bore.3. The osteotome guide of claim 1 , wherein the handle includes screw threads about its distal end for coupling to a threaded collar.4. The osteotome guide of claim 1 , wherein the shaft is elongated.5. The osteotome guide of claim 1 , wherein the shaft includes a plurality of grooves.6. The osteotome guide of claim 1 , wherein the shaft includes a distal end having a shaft slot for receiving the working tool.7. The osteotome guide of claim 1 , wherein the tool coupler includes a tool guide having an internal cavity and a clasp positioned within the internal cavity.8. The osteotome guide of claim 7 , wherein the clasp is positionable between a clasped position and an unclasped position.9. The osteotome guide of claim 8 , wherein the tool coupler further includes a biasing member to bias the clasp into the clasped position.10. The osteotome guide of claim 1 , wherein the lock assembly comprises:a housing; anda clamp mounted within and moveable relative to the housing between a clamped position and an unclamped position, wherein in the clamped position the clamp engages the shaft to lock the shaft into the selected longitudinal position.11. The osteotome guide of claim 10 , wherein the clamp ...

Adjustable Length Medical Instrument Assembly with Localization Elements for Tracking Medical Instrument Extension

A medical instrument assembly including a handle assembly having a first handle portion and a second handle portion proximate the second end, wherein the second handle portion is slidably engaged with the first handle portion. A first localization element is attached to the first handle portion and a second localization element is attached to the second handle portion. A medical instrument is mechanically coupled to the second handle portion and a translation of the second handle portion with respect to the first handle portion causes a coincident and coextensive translation of the medical instrument. The amount of translation of the medical instrument is adapted to be determined by calculating the distance between the first localization element and the second localization element. The first and second localization elements may be electromagnetic sensors which positions may be determined by a navigation system.

Rotational Action Needle Driver

A rotational action needle driver that comprises an cumbersome ergonomically designed handle, rotational mechanism and an integrated locking/unlocking system that permits surgeons to perform the surgical suturing procedure in a less complicated and more secure way by allowing more control over the suturing needle and the area to be stitched, even when the suturing area is small, deep, and/or restricted. 1. A rotational driver comprising:interactive portions comprising a first elongated element and a second elongated element;a rotational transfer element;a resilient member;a locking mechanism;a unlocking mechanism;an actuator;wherein said first elongated element comprises a second first detachable tip at a first distal end, a first proximal end and a first elongated body, wherein said first elongated body is between said first distal end and said first proximal end, wherein said first elongated body comprises a set of wall generating a clearance;wherein said second elongated element comprises a second detachable tip at second distal end, a second proximal end and a second elongated body, wherein said second elongated body is between said second distal end and said second proximal end;wherein said rotational transfer element is mechanically coupled the second distal end;wherein said actuator comprises a radial displacement element coupled to the rotational transfer element; andwherein said unlocking mechanism comprises a flange; wherein said flange is configured to unlocked said locking mechanism.2. The rotational driver of claim 1 , wherein said first tip comprises a first contact distal end including at least a first recess; wherein said second tip comprises a second contact distal end including a second recess; and wherein first recess and second recess are aligned.3. The rotational driver of claim 1 , wherein rotational transfer element comprises a rotational bar claim 1 , wherein said rotational bar is attached to the second elongated body by a support element; ...