КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, ИМЕЮЩИЙ УЛУЧШЕННУЮ ВИДИМОСТЬ

Изобретение относится к медицинской технике и может быть использовано со скобочным хирургическим сшивающим инструментом. Корпус кассеты имеет опорную часть с множеством гнезд с отверстиями для скоб. По меньшей мере часть каждой скобы съемно хранится внутри гнезда для скобы. Каждая скоба выполнена с возможностью перемещения между неактивированным положением и активированным положением и деформации между неактивированной конфигурацией и активированной конфигурацией. Сжимаемый компенсатор толщины ткани включает средство визуализации, выполнен для захвата внутри скоб и по меньшей мере частично покрывает отверстия гнезд для скоб. Компенсатор толщины ткани имеет возможность принимать разные значения высоты в сжатом состоянии внутри разных скоб. 2 н.п. ф-лы, 258 ил.

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ ЭЛЕМЕНТЫ ВРАСТАНИЯ В ТКАНЬ

Группа изобретений относится к медицинской технике, а именно к хирургическим рассекающим и сшивающим инструментам и используемым в них компенсаторам толщины ткани, содержащим элементы врастания в ткань. Компенсатор, прикрепляемый к упорному элементу сшивающего аппарата, причем упорный элемент содержит формирующую поверхность, и при этом компенсатор содержит крепежный слой, выполненный с возможностью крепления к упорному элементу, и каркас, прикрепленный к крепежному слою. При этом каркас содержит множество каркасных слоев из биосовместимого материала и множество полостей, причем слои и полости образуют матрицу, способствующую врастанию тканей и клеток. Множество каркасных слоев содержит первый слой и второй слой, причем первый лекарственный препарат поглощается в первом слое, а второй лекарственный препарат поглощается во втором слое, при этом первый лекарственный препарат отличается от второго лекарственного препарата. Сшивающий узел для использования с крепежным инструментом содержит ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОСТОЯЩИЙ ИЗ МНОЖЕСТВА МАТЕРИАЛОВ

Изобретение относится к медицинской технике, а именно к хирургическим рассекающим и сшивающим аппаратам и используемым в них компенсаторам толщины ткани, состоящим из множества материалов. Предложен компенсатор, прикрепляемый к упорному элементу сшивающего аппарата, в котором упорный элемент содержит формирующую поверхность, при этом компенсатор содержит первый слой, второй слой и соединительную часть. Первый слой содержит первые волокна и вторые волокна, причем первые волокна состоят из первого материала, а вторые волокна состоят из второго материала. Первый материал отличается от второго материала, и при этом первые волокна и вторые волокна находятся в первом слое в первом соотношении. Второй слой содержит первые волокна и вторые волокна, причем первые волокна и вторые волокна находятся во втором слое во втором соотношении, и при этом первое соотношение отличается от второго соотношения. Вторые волокна вплетены в первые волокна в первом слое, и первые волокна вплетены во вторые волокна ...

ИЗОГНУТЫЙ КОНЦЕВОЙ РАБОЧИЙ ОРГАН ДЛЯ СШИВАЮЩЕГО ИНСТРУМЕНТА

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

ИМПЛАНТИРУЕМЫЕ КОНСТРУКЦИИ ДЛЯ ХИРУРГИЧЕСКИХ КАРТРИДЖЕЙ СО СКОБКАМИ

Изобретение относится к медицине и может быть использовано для наложения хирургического скобочного шва. Картридж содержит корпус, панель с покрывающим слоем и съемные крепежные элементы, которые хранятся внутри корпуса. Корпус имеет продольный паз для приема режущего элемента. Слой включает первый слой и второй слой. Первая часть слоя проходит над пазом. Вторая часть расположена латерально по отношению к первой части и пазу. Характеристики первой части и второй части отличаются. Первая часть может быть толще, чем вторая часть или первая часть может быть жестче, чем вторая часть. Первая часть жестко поддерживает ткани, которые примыкают к продольному разрезу, проходящему через ткани и выполненному с помощью режущего элемента. Вторая часть, расположенная дальше от продольного разреза в тканях, может гибко поддерживать такие ткани. 5 н. и 22 з.п. ф-лы, 90 ил.

ПОВОРОТНЫЕ ПРИВОДНЫЕ КОНСТРУКЦИИ ДЛЯ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

Изобретения относятся к медицинской технике, а именно к хирургическим инструментам, в том числе применяемым с роботизированной системой, и, в частности, к поворотной приводной конструкции для хирургического инструмента. Хирургический инструмент для применения с роботизированной системой, которая включает в себя узел привода инструмента, функционально соединенный с блоком управления роботизированной системы, управление которым осуществляется по входным командам оператора и который выполнен с возможностью генерировать выходные движения, содержит монтажную часть для инструмента, поворотную приводную систему, узел удлиненного стержня, хирургический концевой эффектор и поворотную трансмиссию. Монтажная часть для инструмента выполнена с возможностью функционального взаимодействия с частью роботизированной системы. Поворотная приводная система функционально поддерживается монтажной частью для инструмента и взаимодействует с узлом привода инструмента роботизированной системы, принимая от него выходные ...

СИСТЕМА ХИРУРГИЧЕСКОГО ИНСТРУМЕНТА, ВКЛЮЧАЮЩАЯ СМЕННЫЕ КОНЦЕВЫЕ ЭФФЕКТОРЫ

Группа изобретений относится к медицинской технике, а именно к системе хирургического инструмента, включающей сменные концевые эффекторы. Система хирургического инструмента содержит корпус, первый концевой эффектор и второй концевой эффектор. Корпус включает в себя приводной стержень с приводом от двигателя, причем приводной стержень с приводом от двигателя выполнен с возможностью совершения заданного числа оборотов в течение пусковой активации. Первый концевой эффектор и второй концевой эффектор выполнены с возможностью соединения с корпусом и отсоединения от него. Первый концевой эффектор образует первую пусковую траекторию, имеющую первую пусковую длину. Второй концевой эффектор образует вторую пусковую траекторию, имеющую вторую пусковую длину, причем вторая пусковая длина отличается от первой пусковой длины. Первый концевой эффектор содержит первый пусковой элемент и первый приводной винт. Второй концевой эффектор содержит второй пусковой элемент и второй приводной винт. Первый пусковой ...

СОЕДИНИТЕЛЬНЫЕ КОНСТРУКЦИИ ДЛЯ ПРИКРЕПЛЕНИЯ ХИРУРГИЧЕСКИХ КОНЦЕВЫХ ЭФФЕКТОРОВ К ПРИВОДНЫМ СИСТЕМАМ ДЛЯ НИХ

... 1. Хирургический инструмент, содержащий:концевой эффектор;проксимальный поворотный передаточный узел, функционально соединенный с источником поворотных и осевых управляющих движений, причем проксимальный поворотный передаточный узел дополнительно выполнен с возможностью продольного смещения в результате сообщения ему осевых управляющих движений;дистальный поворотный передаточный узел, функционально соединенный с концевым эффектором для сообщения ему поворотных управляющих движений;проксимальный осевой передаточный узел, функционально соединенный с источником других осевых управляющих движений;дистальный осевой передаточный узел, функционально соединенный с концевым эффектором для сообщения ему осевых управляющих движений; исоединительную конструкцию для одновременного прикрепления проксимального поворотного передаточного узла к дистальному поворотному передаточному узлу и проксимального осевого передаточного узла к дистальному осевому передаточному узлу и их одновременного отсоединения.2 ...

КОМПЕНСАТОРЫ ТОЛЩИНЫ ТКАНИ

... 1. Хирургический сшивающий инструмент, содержащий:картридж со скобками, содержащий корпус картриджа, содержащий множество полостей для скобок и множество скобок, расположенных внутри полостей для скобок;упорный элемент, выполненный для взаимодействия с корпусом картриджа, содержащую по меньшей мере одну формирующую скобку поверхность;первый компенсатор толщины ткани, прикрепленный к корпусу картриджа с возможностью снятия, причем первый компенсатор толщины ткани содержит первую толщину; ивторой компенсатор толщины ткани, прикрепленный к упорному элементу с возможностью снятия, причем второй компенсатор толщины ткани содержит вторую толщину, при этом первый и второй компенсаторы толщины ткани выполнены с возможностью быть захваченными внутри скобок и принимать разные высоты в сжатом состоянии, внутри разных скобок, причем сумма первой толщины и второй толщины равна по меньшей мере минимальной толщине, обеспечивающей должную компенсацию толщины ткани внутри скобок.2. Хирургический сшивающий ...

РОБОТИЗИРОВАННАЯ ХИРУРГИЧЕСКАЯ СИСТЕМА

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ ИНСТРУМЕНТ С ЗАМЕНЯЕМЫМИ КАССЕТАМИ СО СКОБКАМИ

... 1. Хирургический инструмент, включающий:узел рукоятки;удлиненный узел штока, смонтированный на указанном узле рукоятки и выступающий из нее, причем указанный удлиненный узел штока включает:удлиненный центральный элемент, который имеет дистальный конец, предназначенный для съемного присоединения концевого эффектора, а такжепусковую трубку, способную аксиально перемещаться вдоль указанного удлиненного центрального элемента, и взаимодействовать с пусковой системой, которая поддерживается указанным узлом рукоятки, чтобы заставлять указанную пусковую трубку избирательно двигаться на указанном центральном элементе таким образом, что указанная пусковая трубка может выборочно перемещаться в аксиальном направлении из неактивного положения, в котором дистальный конец центрального элемента съемным образом соединяется с частью концевого эффектора, в положение зацепления, в котором дистальная часть указанной пусковой трубки удерживает указанную часть указанного концевого эффектора в зацеплении с указанным ...

ЭЛЕМЕНТЫ УПРАВЛЕНИЯ ШАРНИРНЫМ ХИРУРГИЧЕСКИМ ИНСТРУМЕНТОМ

... 1. Электрохирургическое устройство, содержащий:(a) корпус;(b) концевой зажим, содержащий:(i) первую браншу, и(ii) вторую браншу,где первая бранша способна перемещаться ко второй бранше для зажима ткани между первой и второй браншамигде по меньшей мере одна из браншей содержит по меньшей мере один электрод,где указанный по меньшей мере один электрод выполнен с возможностью доставки высокочастотной энергии в ткань, зажатую между первой и второй браншами;(c) режущий элемент, выполненный с возможностью резать ткань, зажатую между первой и второй браншами; и(d) ствол, проходящий между корпусом и концевым зажимом, где ствол определяет продольную ось, при этом ствол включает в себя шарнирную часть, где шарнирная часть выполнена с возможностью выборочного положения концевого зажима в непараллельной позиции по отношению к продольной оси ствола, в котором корпус включает в себя контроллер, выполненный с возможностью выборочно приводить в движение шарнирную часть.2. Электрохирургическое устройство ...

РАСПОЛОЖЕНИЕ СЛОЕВ ДЛЯ ХИРУРГИЧЕСКИХ КАРТРИДЖЕЙ СО СКОБКАМИ

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ ДЛЯ ХИРУРГИЧЕСКОГО СШИВАЮЩЕГО ИНСТРУМЕНТА, СОДЕРЖАЩИЙ РЕГУЛИРУЕМЫЙ УПОР

... 1. Хирургический сшивающий инструмент, содержащийкассету со скобками, содержащую:корпус кассеты, содержащий множество гнезд для скобок; имножество скобок, расположенных внутри указанных гнезд для скобок;узел упора, содержащий:раму упора;упор, содержащий позиционирующую поверхность и по меньшей мере одну поверхность для формирования скобок, причем указанный упор удерживается с возможностью перемещения по указанной раме упора; ирегулирующий элемент, выполненный с возможностью перемещения и установки между указанной рамой упора и указанным упором, причем указанный регулирующий элемент содержит первую ступень, имеющую первую высоту, и вторую ступень, имеющую вторую высоту, причем указанная вторая высота отличается от указанной первой высоты, и причем указанный регулирующий элемент выполнен с возможностью перемещения между первым положением и вторым положением избирательно для расположения одной из указанной первой ступени и указанной второй ступени между указанной рамой упора и указанной позиционирующей ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ КАПСУЛУ ДЛЯ СРЕДЫ С НИЗКИМ ДАВЛЕНИЕМ

... 1. Картридж со скобками, содержащий:корпус картриджа, содержащий полости для скобок;скобки, размещенные с возможностью извлечения в полостях для скобок, при этом скобки могут выталкиваться из полостей для скобок; икомпенсатор, содержащий емкость, причем емкость образует герметичную внутреннюю полость, причем герметичная внутренняя полость содержит внутреннюю атмосферу, при этом внутренняя атмосфера имеет давление ниже атмосферного давления, если емкость находится в неповрежденном состоянии, причем скобки выполнены с возможностью разрыва емкости, когда скобки выталкиваются из полостей для скобок.2. Картридж со скобками по п. 1, причем компенсатор выполнен с возможностью расширяться между смятым состоянием и расширенным состоянием, когда емкость разрывается скобками.3. Картридж со скобками по п. 2, в котором емкость ограничена стенкой емкости, причем стенка емкости изогнута, например является круглой, когда компенсатор находится в расширенном состоянии, и при этом стенка емкости сплющена, ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ МНОЖЕСТВО КАПСУЛ

... 1. Способ производства компенсатора толщины ткани, включающий:получение раствора, содержащего гидрофильный материал;растворение лекарственного средства в указанном растворе;смешивание раствора с гидрофобным материалом;заливание раствора в форму для литья илиофилизацию раствора.2. Способ по п. 1, в котором лиофилизация включает помещение формы для литья в вакуумную камеру, снижение атмосферного давления внутри вакуумной камеры и снижение температуры внутри вакуумной камеры.3. Способ по п. 1 или 2, в котором в результате лиофилизации получают лист материала, и причем способ дополнительно включает разрезание листа материала.4. Способ по п. 1, в котором лекарственное средство растворяют в микрочастицах в растворе.5. Способ по п. 4, в котором микрочастицы суспендируют в гидрофобном материале после смешивания раствора и гидрофобного материала.6. Компенсатор толщины ткани для применения в сшивающем инструменте, содержащий:сжимаемый слой, выполненный с возможностью по меньшей мере частичного захватывания ...

ПОВОРОТНЫЕ ПРИВОДНЫЕ КОНСТРУКЦИИ ДЛЯ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

... 1. Хирургический инструмент для применения с роботизированной системой, которая включает в себя узел привода инструмента, функционально соединенный с блоком управления роботизированной системы, управление которым осуществляется по входным командам оператора и который выполнен с возможностью генерировать выходные движения, причем указанный хирургический инструмент содержит:монтажную часть для инструмента, выполненную с возможностью функционального взаимодействия с частью роботизированной системы;поворотную приводную систему, которая функционально поддерживается монтажной частью для инструмента и взаимодействует с узлом привода инструмента роботизированной системы, принимая от него выходные движения;узел удлиненного стержня, функционально проходящий от монтажной части для инструмента и включающий в себя узел приводного стержня, который функционально взаимодействует с поворотной приводной системой, причем узел приводного стержня выполнен с возможностью избирательного перемещения по оси между ...

ПОВОРОТНЫЕ ОПОРНО-СОЕДИНИТЕЛЬНЫЕ УЗЛЫ ДЛЯ СОЕДИНЕНИЯ ПЕРВОЙ ЧАСТИ ХИРУРГИЧЕСКОГО ИНСТРУМЕНТА СО ВТОРОЙ ЧАСТЬЮ ХИРУРГИЧЕСКОГО ИНСТРУМЕНТА

... 1. Хирургическое сшивающее устройство, содержащее:узел удлиненного стержня, имеющий дистальный конец и образующий продольную ось инструмента;концевой эффектор, содержащий:узел удлиненного канала, включающий часть, выполненную с возможностью функциональной поддержки в ней хирургической кассеты со скобами; иупор, поддерживаемый с возможностью перемещения относительно узла удлиненного канала, и причем хирургическое сшивающее устройство дополнительно содержит поворотное соединение, соединяющее узел удлиненного канала с дистальным концом узла удлиненного стержня для обеспечения избирательного поворота узла удлиненного канала вокруг продольной оси инструмента относительно дистального конца узла удлиненного стержня.2. Хирургическое сшивающее устройство по п. 1, в котором поворотное соединение содержит:первую кольцеобразную канавку в одном из узла удлиненного стержня или узла удлиненного канала;вторую кольцеобразную канавку в другом из узла удлиненного канала или узла удлиненного стержня, предназначенную ...

Greifinstrument

Greifinstrument (1) mit zwei Maulteilen (2, 4), die über ein Drehgelenk (3) miteinander verbunden und durch Zusammendrücken (Z) zweier mit den Maulteilen (2, 4) verbundener Griffschenkel (12, 14) aufeinander zu beweglich und durch Auseinanderdrücken (A) der Griffschenkel (12, 14) voneinander weg beweglich sind, wobei der Griffschenkel (12) ein Biegegelenk (15) aufweist, durch das beim Zusammendrücken (Z) der Griffschenkel (12, 14) eine durch eine Nachgiebigkeit des Biegegelenks (15) begrenzte Kraft über den das Biegegelenk (15) aufweisenden Griffschenkel (12) auf das entsprechende Maulteil (2, 4) übertragen wird und das einen Richtungsanschlag (9) umfasst, wobei durch den Richtungsanschlag (9) beim Auseinanderdrücken (A) eine aufgeprägte Handkraft unmittelbar wirkt.

Behandlungsinstrument für endoskopische Operation

Behandlungsinstrument für eine endoskopische Operation, das ein an einem Ende eines rohrförmigen Hauptkörpers vorgesehenes Durchführungsteil und ein an dem anderen Ende vorgesehenes Bedienteil aufweist, dadurch gekennzeichnet, dass das Durchführungsteil mindestens zwei Flexionsteile und ein Paar Zangenbranche aufweist, das Bedienteil den jeweiligen Flexionsteilen entsprechende Flexionsbedienteile, ein Schließbedienteil und ein Drehbedienteil aufweist, die Flexionsteile dadurch flexionsbedienbar sind, dass eine mit dem Flexionsbedienteil gekoppeltes erste geradlinige Komponente in dem Hauptkörper in Axiallinienrichtung vor- und zurückbewegt wird, die Zangenbranche dadurch öffen- und schließbar sind, dass eine mit dem Schließbedienteil gekoppelte zweite geradlinige Komponente in dem Hauptkörper in Axiallinienrichtung vor- und zurückbewegt wird, und die Zangenbranche dadurch drehbar sind, dass eine mit dem Drehbedienteil gekoppelte dritte geradlinige Komponente in dem Hauptkörper um die Axiallinie ...

Flexible endoscope controllable between extended and crossed configurations

A surgical endoscope has a straight elongate hollow rod 7. Adjacent to this, short, moveable segments 3 form joint regions arranged between long segments 32, 34, 36, 38, such that the instrument can move between a first, extended configuration and a second, folded configuration in which two spaced parts of the rod cross over each other. The segments may have angled faces (12, see figure 1), with ridges 13 to prevent unwanted movement. Tensioning wires 10 may run through bores 11 in the segments (see figures 1 and 2), and may be tightened to effect folding. The distal end segment 42 may be connected by a control cable 28 to the shaft 7 at recess 32 (see figure 6), which assists folding or relaxing.

Retractor

Surgical instrument articulation

Pulley arrangement for articulating a surgical instrument

Supporting body of a surgical instrument articulation

MANUALLY CONTROL SURGICAL TOOLS WITH JOINT

Apparatus for endoscopic procedures

APPARATUS FOR ENDOSCOPIC PROCEDURES The present disclosure relates to electromechanical surgical systems (10) configured for use with removable disposable loading units and/or single use loading units for clamping, cutting and/or stapling tissue. A force transmitting assembly of surgical instrument (100) transmits a rotation of a rotatable drive member (118, 120, 122) of the surgical instrument (100) to the rotation receiving member (218, 220, 222) of the end effector (400). A distal neck assembly (236) of the surgical instrument (100) includes at least one gear system (240, 250) configured to convert a rotational input of the rotatable drive member (118, 120, 122) into at least two output forces to the end effector (400); and an articulating neck assembly (230) interconnecting the tubular body (210) and the distal neck housing (236). The articulating neck assembly (230) is configured to enable off-axis articulation of the distal neck assembly (236). The rotatable drive member (118, 120 ...

Forceps drive shaft

Surgical forceps can include a drive pin an outer tube, a first jaw, a second jaw, and an inner tube. The outer tube can define a longitudinal axis. The first jaw can be pivotably connected to the outer tube. The first jaw can include a pair of flanges located at a proximal portion of the first jaw, where each flange can include a track receiving the drive pin. The inner tube can be located within the outer tube and can extend along the longitudinal axis. The inner tube can include a pair of arms extending from a distal portion of the inner tube. The drive pin can be securable to the pair of arms. The inner tube can be translatable within the outer tube to drive the drive pin along the tracks to move the second jaw between open and closed positions.

Forceps motion transfer assembly

Forceps including a frame and a motion transfer assembly to transfer forces from or more actuators to an end effector. The motion transfer assembly can include a body having a passageway, a drive shaft extending through the passageway, and a drive link. The body and the drive shaft slidable with respect to the frame, and the body rotationally fixed to the drive shaft to transfer a rotational input received from a first actuator into a rotational motion of the drive shaft relative to the frame. The drive link operably coupled to the frame and the body to transfer a force received from a second actuator into a linear motion of the body and the drive shaft relative to the frame.

Surgical instruments with reconfigurable shaft segments

A surgical instrument having a handle assembly and an elongated shaft assembly protruding therefrom. Various embodiments of the elongated shaft assemblies include reconfigurable shaft segments that have portions that may be selectively arranged in coaxial alignment with each other and in other configurations wherein at least some portions thereof are not in coaxial alignment with each other. Various locking arrangements are disclosed for releasably locking the reconfigurable shaft segments in desired orientations. A movable closure tube is supported on the elongated shaft segment and is oriented to provide actuation motions to an end effector coupled to the distal end of the elongated shaft.

Fastener system comprising a plurality of fastener cartridges

A surgical fastening instrument can comprise a handle and an end effector, wherein the end effector can comprise a first jaw comprising a first cartridge attachment portion and a second jaw comprising a second cartridge attachment portion, and wherein one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw. The surgical fastening instrument can further comprise a first cartridge that is insertable into the first jaw and attachable to the first cartridge attachment portion and, in addition, a second cartridge that is insertable into the second jaw and attachable to the second cartridge attachment portion. In various embodiments, the first cartridge can comprise first fastener portions which are engageable with second fastener portions in the second cartridge.

Fastener system comprising a plurality of connected retention matrix elements

A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by a flexible retention matrix which is assembled to the fasteners in order to capture tissue therebetween. The flexible retention matrix can comprise, one, a plurality of retention matrix elements configured to engage the fasteners and, two, a lattice of connectors which connect one or more retention matrix elements.

Surgical stapler anvil comprising a plurality of forming pockets

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple- deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Articulating surgical tools and tool sheaths, and methods of deploying the same

A system for performing a medical procedure includes an articulating probe including inner and outer sleeves, and a surgical tool including a functional element positioned at a distal end of a tool shaft, the tool shaft having an articulation region. The articulating probe and the surgical tool are independently controllable.

Deployment system for surgical suture

DEPLOYMENT SYSTEM FOR SURGICAL SUTURE Abstract [00103] A suture deployment system (10) is disclosed including a surgical needle (14) having a flexible suture (16) fixedly attached thereto and a target suture (12) releasably S secured to the flexible suture. Either the flexible suture or the target suture may be made of a shape memory polymer. A collar (18) is positioned between the flexible suture and the target suture and is fixedly secured to the flexible suture. The target suture is releasably secured to the collar is such that the target suture may detach from the collar once a surgical procedure has bee completed. The surgical needle is a double pointed i surgical needle specifically configured to be manipulated by a surgical suturing apparatus. 4 34 30 42 104 26 .' 44 16 2 14 F 40 24 18FIG. 3 ...

Surgical tool having positively positionable tendon-actuated multi-disk wrist joint

SURGICAL APPARATUS

A bendable surgical apparatus comprises a steerable member that is bendable and has a plurality of bending segments. A plurality of bending actuation wires pass through the steerable member and cause the steerable member to bend. A flexible member comprising a flexible material is provided at the proximal end of the steerable member. The surgical apparatus also includes least one sleeve forming a path of travel for a wire passing through the steerable member or the flexible member, both ends of which are fixed to the inside thereof. [FIG. 1] ...

SURGICAL APPARATUS

The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.

MINIMALLY INVASIVE DEVICE AND SYSTEM

An introducer device and system are provided. The introducer includes an elongated body including at least one lumen sized and configured for supporting delivery of a medical device therethrough. The first portion of the elongated body is steerable and a second portion of the elongated body is telescopically extendable and retractable.

IMPLANTABLE ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES

A fastener cartridge can comprise a cartridge body comprising a deck, fasteners removably stored within the cartridge body, and a layer covering the deck. The cartridge body can comprise a longitudinal slot which can be configured to receive a cutting member therein. The layer can comprise a first portion extending over the slot and a second portion located laterally with respect to the first portion and the slot. The first portion can comprise different properties than the second portion. For instance, the first portion can be thicker than the second portion. The first portion could also be stiffer than the second portion, for example. The first portion can rigidly support the tissue which is adjacent to a longitudinal cut extending through the tissue which is created by the cutting member. The second portion, positioned further away from the longitudinal cut in the tissue, can flexibly support such tissue.

ENDOLUMINAL CRAWLER

An endoluminal crawler used in endoscopic procedures includes a body and an actuation unit. The body includes a tubular portion. The actuation unit includes an actuator providing a rotational output and a traction belt. The traction belt includes a traction portion and an engaging portion. The traction portion protrudes out of a slot defined in the tubular portion and the engaging portion operatively engages the actuator.

FASTENER SYSTEM COMPRISING A PLURALITY OF CONNECTED RETENTION MATRIX ELEMENTS

A surgical fastener system can comprise a plurality of fasteners which can be connected to each other by a flexible retention matrix which is assembled to the fasteners in order to capture tissue therebetween. The flexible retention matrix can comprise, one, a plurality of retention matrix elements configured to engage the fasteners and, two, a lattice of connectors which connect one or more retention matrix elements.

FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX

A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs.

APPARATUS FOR ENDOSCOPIC PROCEDURES

An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable.

ARTICULATING SURGICAL TOOLS AND TOOL SHEATHS, AND METHODS OF DEPLOYING THE SAME

A system for performing a medical procedure includes an articulating probe including inner and outer sleeves, and a surgical tool including a functional element positioned at a distal end of a tool shaft, the tool shaft having an articulation region. The articulating probe and the surgical tool are independently controllable.

Collapsible fastener cartridge

A fastener cartridge can comprise a crushable cartridge body and fasteners embedded within the crushable cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. A fastener cartridge can comprise a compressible cartridge body having a thickness which can be reduced by the compressive pressure applied by the anvil. In certain embodiments, a fastener cartridge can comprise a cartridge body which can collapse from the compressive pressure.

Manipulator and its use as a surgical instrument.

SURGICAL INSTRUMENT.

ANASTOMOTIC DEVICE USING A PLURALITY OF LINKS ENSURING ENOUGH ROTATING DISPLACEMENT OF AN UPPER JAW AND A LOWER JAW

PURPOSE: An anastomotic device using a plurality of links is provided to make anastomosis and cutting possible irrespective of rotation of an upper jaw and a lower jaw. CONSTITUTION: An anastomotic device includes the first jaw(12), the second jaw(14), an anastomotic device(10), a wedge and a link member. The second jaw is arranged so that it can face the first jaw and relatively moves between an opening and a closing position. The anastomotic device is arranged in the first jaw. A wedge translates in the first jaw according to a longitudinal direction of the first jaw, and includes a blade for cutting one part of a tissue by translation and an inclined face for driving the anastomotic device. The link member includes a plurality of links rotatable in connection with connecting pins and moves with the wedge. COPYRIGHT KIPO 2011 ...

CONTROL FEATURES FOR ARTICULATING SURGICAL DEVICE

TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING A HEMOSTATIC AGENT

A staple cartridge assembly for use with a surgical stapler. The assembly has a cartridge body having a support portion with a plurality of staple cavities with openings. There is also a plurality of staples, wherein at least a portion of each the staple is removably stored within a the staple cavity. Each the staple is movable between an unfired position and a fired position, and is deformable between an unfired configuration and a fired configuration. The assembly also includes a compressible tissue thickness compensator configured to be captured within the staples. The compressible tissue thickness compensator at least partially covers the staple cavity openings. The compressed tissue thickness compensator is configured to assume different compressed heights within different the staples. The compressible tissue thickness compensator comprising a lyophilized foam having an oxygen generating agent embedded therein.

TISSUE THICKNESS COMPENSATOR COMPRISING PORTIONS HAVING DIFFERENT PROPERTIES

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple- deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Surgical manipulator capable of controlling a surgical instrument in multiple modes

A surgical manipulator for manipulating a surgical instrument and an energy applicator extending from the surgical instrument. The surgical manipulator further includes a switch and at least one controller configured to control operation of the surgical manipulator in a first operating mode or a second operating mode. The at least one controller is also configured to determine a commanded pose to which the energy applicator is advanced based on a summation of a plurality of input forces and torques and transition between the operating modes by adjusting the plurality of input forces and torques in response to actuation of the switch.

Flexible laparoscopic device

A laparoscopic device that includes an outer rod having a end connected to a handle and an end having an articulated section formed from links joined with non-diametrical hinges; an actuation rod within the outer rod, having an end connected to the handle and an end connected to a tension element within the articulated section, configured to cause the articulated section to bend when tension is applied; and an attachment rod within the actuation rod having an end connected to the handle and an end having a flexible section connected to a tool. The handle includes an actuator configured to apply tension to the attachment rod such that the tool is activated; a rod actuator configured to apply tension to the actuation rod such that the articulated section of the outer rod bends; and a lockable rotator, configured to rotate the outer rod with respect to the handle.

Anvil layer attached to a proximal end of an end effector

An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer.

Fixation device and methods for engaging tissue

The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

ROTARY DRIVE ARRANGEMENTS FOR SURGICAL INSTRUMENTS

A rotary drive arrangement for a surgical instrument that includes a surgical end effector. In one form, the rotary drive arrangement includes a drive shaft assembly that is selectively axially movable between a first position and a second position. A rotary transmission operably interfaces with the drive shaft assembly such that when the drive shaft assembly is in the first axial position, application of one of the rotary drive motions to the drive shaft assembly causes the rotary transmission to apply a first rotary control motion to the surgical end effector and when the drive shaft assembly is in the second axial position, application of the rotary drive motion to the drive shaft assembly causes the rotary transmission to apply a second rotary control motion to the surgical end effector.

DISPOSABLE SHEATH

A sheath for a medical instrument may include an elongate body extending from a proximal end to a distal face, and a first hollow lumen extending from a first end proximate the proximal end to a second end proximate the distal face. The sheath may also include a transparent window positioned at the second end of the first lumen to seal the first lumen at the second end. The transparent window may be configured to transmit light therethrough.

STAPLING INSTRUMENT COMPRISING A TISSUE DRIVE

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

SURGICAL STAPLER ANVIL COMPRISING A PLURALITY OF FORMING POCKETS

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

FIXATION DEVICES, SYSTEMS AND METHODS FOR ENGAGING TISSUE

The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

ANVIL LAYER ATTACHED TO A PROXIMAL END OF AN END EFFECTOR

An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer. 1. A staple cartridge for use with an end effector of a surgical stapler , wherein the end effector includes a staple cartridge channel configured to receive said staple cartridge , an anvil arranged relative to the staple cartridge channel , and a cutting blade that is movable along a longitudinal axis from a proximal end of the end effector toward a distal end of the end effector , wherein at least one of the staple cartridge channel and the anvil is moveable relative to the other , and wherein the anvil includes a staple forming surface facing the staple cartridge channel , said staple cartridge comprising:a cartridge body comprising a plurality of staple cavities;a plurality of staples positioned within said staple cavities, wherein said cartridge body defines a proximal end portion;a layer configured to be arranged relative to a surface of the anvil of the end effector, said layer comprising a proximal end portion; andattachment means for attaching said proximal end portion of said first layer to said staple cartridge.2. The staple cartridge of claim 1 , wherein said layer is a first layer claim 1 , wherein said cartridge body further comprises a staple deck claim 1 , wherein said staple cartridge further comprises a second layer arranged relative to said staple deck claim 1 , and wherein said staple deck is configured to face the anvil when said staple cartridge is installed in ...

Fixation device delivery catheter, systems and methods of use

Devices, systems, methods and kits are provided for delivering interventional devices to a target location with a body. Such interventional devices particularly include fixation devices or any devices which approximate tissue, such as valve leaflets. The delivery devices and systems direct the interventional device to the target location through a minimally invasive approach, such as through the patient's vasculature, and provide for manipulation of the interventional device at the target location, such as to approximate tissue. Optionally, the delivery devices and systems may provide for decoupling of the interventional device, allowing the interventional device to be left behind as an implant.

Surgical stapling system comprising a grooved forming pocket

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

Dual cable triangulation mechanism

A surgical system is adapted and configured for use in a minimally invasive surgical procedure. The surgical system includes a surgical instrument that is operatively coupled to a seal anchor member for accessing an underlying body cavity and manipulating a target tissue within the body cavity. The surgical instrument includes a plurality of arms that are triangulatable with respect to each other and the target tissue.

Medical Manipulator

This manipulator is provided with: a shaft; a tip operation section having a gripper; and a handle that causes the operation of the gripper. The tip operation section is provided with: a bowing section that is provided between the gripper and the shaft and that causes the tip operation section to bow in a direction differing from the axial direction of the shaft by means of a bending-direction operating force transmitted from the handle; and a hollow tube that is provided to a position overlapping the bowing section, can bow following the bowing section, and transmits to the gripper operating force transmitted from the handle in the rotational direction rotating centered on the axis of the gripper, thus being able to unlimitedly rotate the gripper.

MEDICAL INSTRUMENTS FOR PERFORMING MINIMALLY-INVASIVE PROCEDURES

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

Staple cartridge assembly comprising an implantable layer

An end effector for stapling tissue is disclosed. The end effector comprises a cartridge body comprising a deck, staples removably stored in the cartridge body, and an anvil configured to deform the staples. The end effector further comprises an implantable layer positioned intermediate the deck and the anvil. The layer comprises a tissue-facing surface, raised portions, and grooves defined intermediate the raised portions, wherein the raised portions apply localized compression to the tissue, and wherein the layer is releasably attached to the cartridge body.

Pulley arrangement for articulating a surgical instrument

A robotic surgical instrument comprising a shaft and end effector element connected by an articulation. The articulation comprises a first joint driveable by a first pair of driving elements. The first joint permits the end effector element to rotate about a first axis transverse to a longitudinal axis of the shaft, the rotation of the end effector element about the first axis bounded by an extreme rotation angle relative to the longitudinal axis. A second joint is driveable by a second pair of driving elements. A pulley arrangement constrains the second pair of driving elements, and comprises a first set of pulleys rotatable about the first axis, and a second set of pulleys located relative to the first set of pulleys such that at the extreme rotation angle the second pair of driving elements is retained in contact with both the first and second sets of pulleys.

User interface device having grip linkages

User interface devices for manipulating a robotic surgical tool in a surgical robotic system are described. A user interface device can include a device body containing a tracking sensor to generate a spatial state signal in response to movement of the device body. The spatial state signal can be used to control a spatial motion of a surgical robotic system actuator. Several grip linkages can be pivotally coupled to the device body. A grip linkage displacement sensor may monitor movement of the grip linkages relative to the device body, and generate a grip signal in response to the movement. The grip signal can be used to control a grip motion of a robotic surgical tool mounted on the surgical robotic system actuator. Other embodiments are also described and claimed.

Tissue thickness compensator comprising controlled release and expansion

A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.

MEDICAL DEVICE WITH ARTICULATING SHAFT

CURVED END EFFECTOR FOR A STAPLING INSTRUMENT

ENDOSCOPE DEVICE

КОНФИГУРАЦИИ БЛОКИРОВКИ ПУСКОВОЙ СИСТЕМЫ ДЛЯ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

Группа изобретений относится к медицинской технике, а именно к конфигурации блокировки пусковой системы для хирургических инструментов. Хирургическая кассета содержит корпус кассеты и выравнивающий элемент. Корпус кассеты образует траекторию для функционального приема пускового элемента хирургического инструмента. Выравнивающий элемент функционально поддерживается в корпусе кассеты и выполнен с возможностью перемещения пускового элемента из нефункциональной конфигурации, в которой пусковой элемент не выровнен с траекторией, в функциональную конфигурацию, в которой пусковой элемент выровнен с траекторией, при введении пускового элемента в контакт с ним. Выравнивающий элемент содержит узел клиновидных салазок, выполненный с возможностью перемещения и выталкивания хирургических крепежных элементов, удерживаемых в корпусе кассеты при перемещении салазок из исходного в конечное положение внутри корпуса кассеты. Узел клиновидных салазок выполнен с возможностью захвата приводного стержня инструмента ...

УЗЕЛ ОГРАНИЧЕНИЯ, ВКЛЮЧАЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

Изобретение относится к медицинской технике. Система узла кассеты для хирургического сшивающего инструмента включает кассету со скобами, ограничитель и расширитель. Ограничитель содержит первую пластину и вторую пластину, которые связаны соединителем. Первая пластина ограничителя выполнена с возможностью поворота относительно второй пластины вокруг соединителя. Первый биосовместимый съемный слой прикреплен к корпусу кассеты и к первой пластине ограничителя. Второй биосовместимый съемный слой прикреплен ко второй пластине ограничителя. Первый биосовместимый слой и второй биосовместимый слой выполнены с возможностью захвата внутри скоб и принятия разных высот внутри разных скоб в сжатом состоянии. Расширитель размещен между первой пластиной ограничителя и второй пластиной ограничителя и выполнен с возможностью перемещения между первым положением и вторым положением. Перемещение расширителя из первого положения во второе положение заставляет первую пластину ограничителя и вторую пластину ограничителя ...

СШИВАЮЩИЙ ТКАНЬ ИНСТРУМЕНТ, ИМЕЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ, В КОТОРЫЙ ВВЕДЕН ГИДРОФИЛЬНЫЙ АГЕНТ

Изобретение относится к медицинской технике и может быть использовано с хирургическим сшивающим инструментом. Узел включает корпус кассеты, который имеет опорную часть с множеством гнезд для скоб с отверстиями. По меньшей мере часть каждой скобы съемно хранится внутри гнезда для скобы. Каждая скоба выполнена с возможностью перемещения между неактивированным положением и активированным положением и деформации между неактивированной конфигурацией и активированной конфигурацией. Сжимаемый компенсатор толщины ткани выполнен с возможностью захвата внутри скоб. Сжимаемый компенсатор толщины ткани по меньшей мере частично покрывает отверстия гнезд для скоб. Сжимаемый компенсатор толщины ткани выполнен с возможностью принимать разные значения высоты в сжатом состоянии внутри разных скоб и содержит лиофилизированный пеноматериал, имеющий внедренный в него гидрофильный агент. 3 н. и 8 з.п. ф-лы, 540 ил.

ЛИСТОВОЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

Группа изобретений относится к области медицины, а именно к медицинской технике и хирургии, и предназначена для компенсирования различий толщины ткани. Компенсатор толщины ткани содержит первый слой, содержащий первое лекарственное средство; второй слой, содержащий второе лекарственное средство; и третий слой, содержащий третье лекарственное средство, расположенный между первым слоем и вторым слоем. Также обеспечивается компенсатор толщины ткани, содержащий первый слой, содержащий первое лекарственное средство; второй слой, содержащий второе лекарственное средство; и емкость, содержащую третье лекарственное средство, находящееся в емкости. Использование группы изобретений позволяет доставлять множество различных или одинаковых лекарственных средств к целевой ткани, сохраняя возможность надлежащего захвата ткани. 2 н. и 13 з.п. ф-лы, 415 ил.

ЭЛЕМЕНТЫ УПРАВЛЕНИЯ ДЛЯ ШАРНИРНОГО ХИРУРГИЧЕСКОГО УСТРОЙСТВА

Изобретение относится к медицине. Электрохирургическое устройство содержит корпус, концевой эффектор, режущий элемент и стержень. Концевой эффектор содержит пару браншей и, по крайней мере, один электрод. Электрод обеспечивает вывод РЧ энергии в ткани, зажатые между браншами. Режущий элемент предназначен разрезать ткань, зажатую между браншами. Стержень включает шарнирную часть, которая позволяет выборочно поворачивать концевой эффектор по отношению к стержню. Корпус включает механизм управления. Механизм управления может включать спусковой крючок. Крючок приводит в действие режущий элемент. Спусковой элемент может выборочно расцеплять шарнирную часть от механизма управления, что позволяет возвращать шарнирную часть в прямое положение по отношению к стержню. 2 з.п. ф-лы, 43 ил.

ЭЛЕМЕНТЫ УПРАВЛЕНИЯ ШАРНИРНЫМ ХИРУРГИЧЕСКИМ ИНСТРУМЕНТОМ

Изобретение относится к медицине. Электрохирургический инструмент содержит корпус, концевой зажим, режущий элемент и ствол. Концевой зажим содержит пару браншей и, по меньшей мере, один электрод, который выполнен для доставки ВЧ энергии в ткани между браншами. Режущий элемент выполнен с возможностью резать ткань между браншами. Ствол содержит шарнирную часть, которая выполнена с возможностью выборочно располагать концевой зажим в непараллельных позициях по отношению к продольной оси ствола. Корпус содержит контроллер, выполненный с возможностью выборочно задействовать шарнирную часть. Контроллер может включать в себя поворотную ручку, вращающуюся ручку или вращающуюся лопасть. Упруго смещаемый рычаг способствует возвращению триггера из рабочего положения в исходное положение. Инструмент имеет удобное управление. 2 н. и 6 з.п. ф-лы, 37 ил.

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ ОТДЕЛЯЕМЫЕ ЧАСТИ

Группа изобретений относится к медицинской технике, а именно к хирургическим инструментам, и, в частности, к хирургическим рассекающим и сшивающим инструментам и используемым в них кассетам со скобами. Кассета со скобами для применения с хирургическим сшивающим инструментом содержит корпус кассеты, множество скоб и имплантируемую сжимаемую часть. Корпус кассеты включает панель и множество гнезд для скоб, образованных в панели, причем каждое гнездо для скобы содержит отверстие в панели. Множество скоб, в котором по меньшей мере часть каждой скобы хранится с возможностью извлечения в гнезде для скобы. Каждая скоба выполнена с возможностью перемещения между активированным и неактивированным положениями, при этом множество скоб содержит первую группу скоб и вторую группу скоб. Имплантируемая сжимаемая часть проходит над панелью и содержит контактирующую с тканью поверхность, когда перемещена в активированное положение. Имплантируемая сжимаемая часть содержит первую часть и вторую часть. Первая ...

СШИВАЮЩИЙ ТКАНЬ ИНСТРУМЕНТ, ИМЕЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ, В КОТОРЫЙ ВВЕДЕН ГИДРОФОБНЫЙ АГЕНТ

Изобретение относится к медицине и может быть использовано с хирургическим сшивающим инструментом. Узел кассеты со скобами содержит сжимаемый компенсатор толщины ткани и корпус кассеты, имеющий опорную часть с множеством гнезд для скоб с отверстиями. По меньшей мере, часть каждой скобы хранится внутри гнезда для скобы. Каждая скоба выполнена с возможностью перемещения между неактивированным положением и активированным положением и с возможностью деформации между неактивированной конфигурацией и активированной конфигурацией. Сжимаемый компенсатор толщины ткани выполнен с возможностью захвата внутри скоб и, по меньшей мере, частично покрывает отверстия гнезд для скоб. Сжимаемый компенсатор имеет возможность принимать разные значения высоты в сжатом состоянии внутри разных скоб и содержит лиофилизированный пеноматериал с гидрофобным агентом. 3 н. и 13 з.п. ф-лы, 540 ил.

КОМПЕНСАТОРЫ ТОЛЩИНЫ ТКАНИ ДЛЯ КРУГОВЫХ ХИРУРГИЧЕСКИХ СШИВАЮЩИХ АППАРАТОВ

Группа изобретений относится к медицинской технике, а именно к компенсаторам толщины ткани для круговых хирургических сшивающих аппаратов. Предложен компенсатор толщины ткани для использования с круговым хирургическим сшивающим аппаратом, содержащим картридж со скобками с панелью картриджа и упорный элемент, удерживаемый с возможностью движения относительно картриджа со скобками таким образом, чтобы поверхность для формирования скобок упорного элемента находилась напротив панели картриджа, а элемент для рассечения ткани выдвигался аксиально из картриджа со скобками к упорному элементу. При этом компенсатор толщины ткани содержит сжимаемый биоабсорбируемый кольцевой основной элемент и крепежный элемент. Сжимаемый биоабсорбируемый кольцевой основной элемент выполнен с возможностью удержания между поверхностью для формирования скобок и панелью картриджа. Крепежный элемент выступает из сжимаемого основного элемента и выполнен с возможностью прикрепления к упорному элементу для удержания сжимаемого ...

ПОВОРОТНЫЕ ОПОРНО-СОЕДИНИТЕЛЬНЫЕ УЗЛЫ ДЛЯ СОЕДИНЕНИЯ ПЕРВОЙ ЧАСТИ ХИРУРГИЧЕСКОГО ИНСТРУМЕНТА СО ВТОРОЙ ЧАСТЬЮ ХИРУРГИЧЕСКОГО ИНСТРУМЕНТА

Группа изобретений относится к медицинской технике, а именно к хирургическим инструментам, и в частности, к поворотному опорно-соединительному узлу для соединения хирургического концевого эффектора с узлом удлиненного стержня хирургического инструмента и способу соединения первой части хирургического инструмента со второй. Хирургическое сшивающее устройство содержит узел удлиненного стержня и концевой эффектор. Узел удлиненного стержня имеет дистальный конец и образует продольную ось инструмента. Концевой эффектор содержит узел удлиненного канала и упор. Узел удлиненного канала включает часть, выполненную с возможностью функциональной поддержки в ней хирургической кассеты со скобами. Упор поддерживается с возможностью перемещения относительно узла удлиненного канала. Хирургическое сшивающее устройство дополнительно содержит поворотное соединение, соединяющее узел удлиненного канала с дистальным концом узла удлиненного стержня для обеспечения избирательного поворота узла удлиненного канала ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ АППАРАТ С ШАРНИРНО ЗАКРЕПЛЕННЫМ УПОРОМ

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

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ АППАРАТ С ШАРНИРНО ЗАКРЕПЛЕННЫМ УПОРОМ

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

СШИВАЮЩИЙ ТКАНЬ ИНСТРУМЕНТ, ИМЕЮЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ, В КОТОРЫЙ ВВЕДЕН ГИДРОФИЛЬНЫЙ АГЕНТ

Изобретение относится к медицинской технике и может быть использовано с хирургическим сшивающим инструментом. Узел включает корпус кассеты, который имеет опорную часть с множеством гнезд для скоб с отверстиями. По меньшей мере часть каждой скобы съемно хранится внутри гнезда для скобы. Каждая скоба выполнена с возможностью перемещения между неактивированным положением и активированным положением и деформации между неактивированной конфигурацией и активированной конфигурацией. Сжимаемый компенсатор толщины ткани выполнен с возможностью захвата внутри скоб. Сжимаемый компенсатор толщины ткани по меньшей мере частично покрывает отверстия гнезд для скоб. Сжимаемый компенсатор толщины ткани выполнен с возможностью принимать разные значения высоты в сжатом состоянии внутри разных скоб и содержит лиофилизированный пеноматериал, имеющий внедренный в него гидрофильный агент. 3 н. и 8 з.п. ф-лы, 540 ил.

ПРИВОДНОЙ МЕХАНИЗМ ДЛЯ ШАРНИРНОГО СТЕПЛЕРА

... 1. Степлер для наложения циркулярной скрепки, содержащий:приводной вал, соединенный со спусковым механизмом, приведение в действие которого вызывает поворот указанного приводного вала, причем дистальная часть приводного вала проходит в шарнирный манипулятор, удерживающий циркулярные скрепки, и при приведении в действие спускового механизма приводной вал поворачивается с обеспечением размещения указанных скрепок дистально наружу из шарнирного манипулятора,при этом приводной вал содержит трос, на котором с интервалом по оси расположены приводные звенья, выполненные с возможностью преобразования поворотного движения приводного вала в поворот указанных скрепок.2. Степлер по п. 1, в котором приводные звенья отформованы на указанном тросе.3. Степлер по п. 1, в котором приводные звенья присоединены к указанному тросу.4. Степлер по п. 1, в котором внешний контур приводных звеньев соответствует внутреннему контуру скрепок.5. Степлер по п. 4, в котором внешний контур приводных звеньев имеет криволинейные ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ АППАРАТ С ЭЛЕМЕНТАМИ УПРАВЛЕНИЯ, ПРИГОДНЫМИ ДЛЯ РАБОТЫ ОДНОЙ РУКОЙ

... 1. Хирургический сшивающий скобками аппарат, содержащий: ! узел рукоятки, содержащий корпус рукоятки и подвижную рукоятку, при этом подвижную рукоятку можно перемещать относительно корпуса рукоятки при выполнении рабочего хода; ! приводящий стержень, установленный, по меньшей мере, частично в корпус рукоятки и смонтированный с возможностью создания приводящих движений в ответ на манипулирование подвижной рукояткой; ! поворотный кожух, подвижно соединенный с корпусом рукоятки; ! удлиненный корпус, соединенный с поворотным кожухом для поворотного движения вместе с поворотным кожухом вокруг продольной оси, заданной удлиненным корпусом, при этом удлиненный корпус имеет дистальный конец, выполненный с возможностью рабочего соединения с одноразовым загрузочным модулем, и проксимальный конец, сопрягающийся с приводящим стержнем для передачи приводящих движений от приводящего стержня одноразовому загрузочному модулю; и ! фиксируемую систему поворота для селективной фиксации поворотного кожуха, ...

ЛИСТОВОЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

... 1. Компенсатор толщины ткани, содержащий:первый слой, содержащий первое лекарственное средство;второй слой, содержащий второе лекарственное средство; итретий слой, содержащий третье лекарственное средство, расположенный между первым слоем и вторым слоем.2. Компенсатор толщины ткани по п. 1, в котором первое лекарственное средство, второе лекарственное средство и третье лекарственное средство независимо выбраны из гемостатического средства, противовоспалительного средства, антибактериального средства, антимикробного средства, антиадгезивного средства, противосвертывающего средства, фармацевтического действующего вещества, ингибитора матричных металлопротеиназ и их комбинаций.3. Компенсатор толщины ткани по п. 1, в котором первое лекарственное средство представляет собой гемостатическое средство, второе лекарственное средство представляет собой антиадгезивное средство, а третье лекарственное средство представляет собой ингибитор матричных металлопротеиназ.4. Компенсатор толщины ткани по п ...

КОНФИГУРАЦИИ БЛОКИРОВКИ ПУСКОВОЙ СИСТЕМЫ ДЛЯ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

... 1. Хирургическая кассета, содержащая:корпус кассеты, образующий траекторию для функционального приема пускового элемента хирургического инструмента; ивыравнивающий элемент, функционально поддерживаемый в корпусе кассеты и выполненный с возможностью перемещения пускового элемента из нефункциональной конфигурации, в которой пусковой элемент не выровнен с траекторией, в функциональную конфигурацию, в которой пусковой элемент выровнен с траекторией, при введении пускового элемента в контакт с ним.2. Хирургическая кассета по п. 1, в которой выравнивающий элемент содержит салазки, выполненные с возможностью перемещения и выталкивания хирургических крепежных элементов, удерживаемых в корпусе кассеты при перемещении салазок из исходного в конечное положение внутри корпуса кассеты.3. Хирургическая кассета по п. 1, в которой указанная траектория содержит продольный паз, проходящий через указанный корпус кассеты.4. Концевой эффектор для хирургического инструмента, содержащий:опорный элемент, содержащий ...

КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ, СОДЕРЖАЩИЙ ПО МЕНЬШЕЙ МЕРЕ ОДНО ЛЕКАРСТВЕННОЕ СРЕДСТВО

... 1. Система доставки лекарственного средства, выполненная с возможностью прикрепления к упору сшивающего инструмента, причем упор включает в себя формирующую поверхность, и причем система доставки лекарственного средства содержит высвобождающий материал, содержащий полость, причем полость выполнена с возможностью выравнивания с формирующей поверхностью упора; лекарственное средство, расположенное внутри полости; и часть прикрепления, выполненную с возможностью прикрепления к упору.2. Система доставки лекарственного средства по п. 1, в которой полость образована боковой стенкой, причем высвобождающий материал содержит первый слой и второй слой, и причем части первого слоя соединяются со вторым слоем с образованием боковой стенки.3. Система доставки лекарственного средства по п. 1 или 2, в которой формирующая поверхность содержит формирующее углубление, выполненное с возможностью деформации крепежного элемента, причем высвобождающий материал расположен внутри формирующего углубления.4. Система ...

СКОБОЧНЫЙ БЛОК, СОДЕРЖАЩИЙ КОМПЕНСАТОР ТОЛЩИНЫ ТКАНИ

... 1. Узел скобочного блока для применения с хирургическим сшивающим аппаратом, в котором упомянутый узел скобочного блока приспособлен для использования с тканью, имеющей толщину, где упомянутый узел скобочного блока содержит:корпус блока, содержащий опорную часть, при этом упомянутая опорная часть содержит множество полостей скобок, причем каждая упомянутая полость скобки содержит отверстие;множество скобок при этом по меньшей мере часть каждой упомянутой скобки хранится с возможностью извлечения в упомянутой полости скобки, причем каждая упомянутая скобка способна перемещаться между нерабочим положением и приведенным в действие положением, при этом каждая упомянутая скобка выполнена с возможностью деформации между нерабочей конфигурацией и приведенной в действие конфигурацией, когда каждая упомянутая скобка перемещается между упомянутым нерабочим положением и упомянутым приведенным в действие положением; исжимаемый компенсатор толщины ткани, выполненный с возможностью захвата в упомянутые ...

ХИРУРГИЧЕСКИЙ ИНСТРУМЕНТ СО СПУСКОВЫМ КРЮЧКОМ ДЛЯ ОСУЩЕСТВЛЕНИЯ РАЗЛИЧНЫХ ПРИВОДНЫХ ДВИЖЕНИЙ

... 1. Хирургический инструмент, содержащий:рукоятку в сборе;приводную систему, функционально поддерживаемую указанной рукояткой в сборе и предназначенную для реализации, по крайней мере, двух отдельных приводных движений;сцепление в сборе, способное перемещаться между активированным положением, в котором указанное сцепление в сборе взаимодействует с приводной системой, и незадействованным положением; испусковой механизм в сборе, размещаемый на указанной рукоятке в сборе и предназначенный для функционального взаимодействия с указанным сцеплением в сборе и указанной приводной системой, так что первое перемещение указанного спускового механизма приводит к срабатыванию указанной приводной системы и формированию первого из указанных приводных движений, в результате чего указанное сцепление в сборе переходит из указанного незадействованного в указанное активированное положение, после чего второе перемещение указанного спускового механизма вызывает срабатывание указанной приводной системы и формирование ...

Medizinisches Instrument und Verfahren zum Verschwenken eines solchen medizinischen Instruments

Ein Medizinisches Instrument zum Führen eines Werkzeugs in einen Operationsraum umfasst einen Schaft, der ein erstes Schaftsegment und ein zweites Schaftsegment, die gelenkig miteinander verbunden sind, aufweist, und ein Verstellelement, das entlang einer Verstellrichtung längsverschiebbar an einem von erstem und zweitem Schaftsegment angeordnet und verstellbar ist, um das erste Schaftsegment und das zweite Schaftsegment relativ zueinander zu verschwenken. Weiterhin ist ein Verbindungselement (4, 4A, 4B) vorgesehen, das über eine erste Gelenkverbindung (40, 41, 40A, 40B, 41A, 41B, 42) gelenkig mit dem Verstellelement (5, 5A) und über eine zweite Gelenkverbindung (40, 41, 40A, 40B, 41A, 41B, 42) gelenkig mit dem anderen von erstem und zweitem Schaftsegment (20, 21, 22) verbunden ist derart, dass durch Verstellen des Verstellelements (5, 5A, 5B) entlang der Verstellrichtung (V) das erste Schaftsegment (20, 21, 22) und das zweite Schaftsegment (20, 21, 22) zueinander verschwenkbar sind. Auf ...

Symmetrically arranged surgical instrument articulation

Manipulator

Supporting body of a surgical instrument articulation

A robotic surgical instrument comprising: an articulation connecting an end effector element to a shaft. The articulation comprises: joints permitting the end effector element to adopt a range of orientations relative to a longitudinal axis of the shaft; pairs of driving elements configured to drive the joints; a supporting body 509 having a bevelled ( inclined ) surface 1101; and a redirecting pulley 716 mounted on the bevelled surface 1101 such that the redirecting pulley 716 rotates about a redirecting pulley axis transverse to the bevelled surface 1101. The redirecting pulley 716 may be retained to the bevelled surface 1101 by a spindle 1001. The instrument may comprise a further end effector element, where the supporting body 509 has a further bevelled surface 1102 on which is retained a further redirecting pulley 717 configured to direct one of the drive elements from a pair of driving elements. The bevelled and further bevelled surfaces 1101&1102 may be symmetrical about the longitudinal ...

Capturing and fixing leaflets in valve repair

Control features for articulating surgical device

An electrosurgical device includes a body, an end effector, a cutting member, and a shaft. The end effector comprises a pair of jaws and at least one electrode that is operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively articulate the end effector relative to the shaft. The body includes a controller operable to selectively actuate the articulation section. The controller may include a trigger that also drives the cutting member, a rotator that also rotates the shaft and end effector, a wedge-shaped pivoting member, a pivotally coupled pair of housing portions, or a pivoting cam member, etc. A release member may selectively release the articulation section from the controller, allowing a resilient bias to return the end effector into alignment with the shaft.

Fastener system comprising a retention matrix

A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

Compressible fastener cartridge

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of layers wherein at least one of the layers can be detached from the other layers and removed from the surgical site.

Tissue thickness compensator comprising portions having different properties

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Compressible staple cartridge assembly

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Implantable fastener cartridge having a non-uniform arrangement

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a thickness which is not uniform thereacross. In at least one embodiment, the fasteners can comprise different unformed heights and/or different formed heights.

Surgical stapler with floating anvil

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

Staple cartridge comprising a releasable portion

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Surgical device and accessories

The present invention relates to a device developed for surgical interventions comprising (i) an inner end ( 1 ) guidable/steerable to the operation field, (ii) an outer end ( 3 ) operated by the user and (iii) a middle part ( 2 ) which connects both ends ( 1, 3 ) together. According to the main concept of the present invention, it further comprises force transmission units extending between the outer ( 3 ) and the inner ( 1 ) ends, and said force transmission units, the outer and the inner ends and the middle part ( 2 ) are designed to transfer the movements of the outer end ( 3 ) to the inner end ( 1 ) in an identical measure, as if the inner end ( 1 ) were the straight continuation of the outer end ( 3 ).

Surgical instrument

A surgical instrument including an elongate portion arranged, in use, to be inserted through a restricted opening into a body, the elongate portion being movable from a first configuration to a second, different configuration in which two parts of the instrument that are spaced from each other in the first configuration at least partially cross each other in the second configuration.

Tissue thickness compensator comprising structure to produce a resilient load

A fastener cartridge assembly for an end effector of a surgical instrument can comprise a cartridge body, a deformable tube, and a fastener moveable between an initial position and a fired position. The deformable tube can be longitudinally positioned along a length of the cartridge body. When the fastener is moved to the fired position, the fastener can compress a portion of the deformable tube. The deformable tube can comprise a resilient material such that deformation of the deformable tube generates a restoring force. The deformable tube can comprise a lattice of strands woven together to form a tube wall. Further, the deformable tube can be bioabsorbable and can hold a therapeutic agent. The fastener cartridge assembly can comprise multiple, substantially parallel deformable tubes positioned side-by-side and/or within each other.

Drive mechanism for articulating tacker

A tacker for applying a rotary tack, including a drive shaft coupled to a trigger assembly, wherein operating the trigger assembly causes rotation of the drive shaft, a distal portion of the drive shaft passing into an articulated arm that holds rotary tacks, wherein upon operation of the trigger assembly, the drive shaft rotates to cause deployment of the tacks distally out of the articulated arm, and wherein the drive shaft includes a cable on which are located a plurality of axially spaced drive links that transfer rotational motion of the drive shaft to rotation of the tacks.

Medical Tubular Shaft Instrument

A medical tubular shaft instrument comprises a tubular shaft, a handle at a proximal end of the shaft and a movable working part at a distal end of the shaft, wherein the shaft comprises a shaft section having a curvature and being arranged between the distal end and the proximal end of the shaft, wherein the handle and the working part are operatively connected via a force transmission element extending through the shaft and being movable in a longitudinal direction of the shaft, wherein the force transmission element has a section arranged within the curved shaft section of the shaft which is guided on an inner surface of the shaft and which comprises a plurality of interconnected single elements arranged one after the other along the longitudinal direction of the shaft. The single elements are pairwise connected by means of a pin forming a hinged joint, wherein each of the pins defines a rotation axis oriented substantially perpendicular relative to the shaft.

Actuator for releasing a tissue thickness compensator from a fastener cartridge

A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector.

Tissue thickness compensator comprising a plurality of medicaments

In various embodiments, a compensator can comprise a compensator body comprising a plurality of first packets and a plurality of second packets wherein, in at least one embodiment, each second packet is positioned intermediate two or more first packets. The compensator can further comprise a first medicament positioned within each first packet and a second medicament positioned within each second packet, wherein the first medicament is different than the second medicament.

Segmented instrument shaft with antirotation features

Deflectable instrument shafts are formed of a plurality of vertebral segments. One embodiment utilizes alternating segments, each of which has a first end or face contacting an adjacent segment along a first plane, and a second end or face contacting an adjacent segment along a second plane that is transverse to the first plane. In some embodiments, the alternating segments are first and second segments having differently shaped contacting ends/faces. In other embodiment the alternating segments are identical to one another but are positioned such that segments having their first contacting end/face facing distally are alternated with segments having their second contacting ends/faces facing distally. In other embodiments, embodiments having semi-spherical articulating surfaces are used.

Electromechanical Surgical Apparatus Including Wire Routing Clock Spring

An electromechanical surgical system is disclosed including a hand-held surgical instrument, an end effector configured to perform at least one function, and a shaft assembly arranged for selectively interconnecting the end effector and the surgical instrument. The shaft assembly includes a linkage having a proximal housing and a distal housing at least partially received within the proximal housing. The distal housing is rotatable relative to the proximal housing and configured to selectively interconnect the end effector to the shaft assembly. The shaft assembly further includes a wire extending through the linkage having a central portion disposed within an annular groove defined between the proximal and distal housings. The central portion of the wire is annularly wound within the annular groove to define a coil. The coil is configured to at least one of radially expand and contract upon rotation of the distal housing relative to the proximal housing.

Device and Method for Transcatheter Heart Valve Repair under Triangular Resection Technique

Medical device for transcatheter heart valve repair comprising a grasping tweezer () and a plicating tweezer (), said grasping tweezer () being adapted to grasp a leaflet rim () and said plicating tweezer () comprising two rotatable flaps () and a central shaft () around which said flaps () may rotate in a “butterfly manner”, in such a way that the plicating tweezer () may adopt a closed or an open configuration. The invention also relates to a method for using this medical device. 112-. (canceled)13: A medical device for transcatheter heart valve repair comprising:a grasping tweezer configured to grasp a leaflet rim; anda plicating tweezer including two rotatable flaps and a central shaft around which the two rotatable flaps are configured to rotate in a butterfly manner such that the plicating tweezer can adopt a closed configuration or an open configuration.14: The medical device according to claim 13 , wherein each flap has a substantially triangular shape.15: The medical device according to claim 14 , wherein a first side of a triangle that forms the triangular shape is mainly defined by the central shaft claim 14 , and a second side is located on a proximal end of the plicating tweezer claim 14 , and a third side is located on a distal end of the plicating tweezer.16: The medical device according to claim 15 , wherein the central shaft and the third side form an angle between 0° and 90°.17: The medical device according to claim 16 , wherein the angle is between 15° and 35°18: The medical device according to claim 13 , wherein each flap is includes a plurality of segments.19: The medical device according to claim 18 , wherein the plurality of segments are covered by a mesh.20: The medical device according to claim 13 , wherein at least one flap includes a releasable tissue fixing means.21: The medical device according to claim 13 , wherein at least one flap includes a tissue-cutting device.22: The medical device according to claim 13 , wherein the central shaft ...

Compound Angle Laparoscopic Methods and Devices

Methods and devices are provided for performing minimally invasive surgical procedures. In one embodiment, a surgical device is provided that include an elongate shaft having a distal portion configured to be movable between a first configuration in which the distal portion of the shaft is substantially straight or linear and a second configuration in which the distal portion of the shaft is articulated at a compound angle. The shaft's distal portion can include two articulation joints to facilitate formation of the compound angle. 1. An articulating laparoscopic access device , comprising:an elongate shaft;a first linkage having proximal and distal ends, the proximal end of the first linkage being pivotally coupled to a distal end of the elongate shaft at a first pivot point; anda second linkage having proximal and distal ends; anda linkage bar having proximal and distal ends, the proximal end of the linkage bar being pivotally coupled to the distal end of the first linkage by a second pivot point, and the distal end of the linkage bar being pivotally coupled to the proximal end of the second linkage by a third pivot point, a first range of motion of the linkage bar about the third pivot point being less than a second range of motion of the linkage bar about the second pivot point;wherein the distal end of the first linkage, the proximal end of the second linkage, and the linkage bar are movable between a first position longitudinally aligned with a longitudinal axis of the elongate shaft and a second position displaced from the longitudinal axis of the elongate shaft.2. The device of claim 1 , wherein the distal end of the second linkage is pivotally coupled to an actuator at a fourth pivot point.3. The device of claim 2 , wherein the actuator is movable longitudinally relative to the elongate shaft to longitudinally move the distal end of the second linkage.4. The device of claim 1 , wherein the proximal end of the linkage bar is seated within a first groove ...

SELF-ARTICULATING JOINT FOR A MINIMALLY INVASIVE SURGICAL APPARATUS

A self-articulating joint is disclosed for a minimally invasive surgical apparatus. The self-articulating joint has a first elbow component pivotably coupled to a second elbow component, wherein the first and second elbow components are biased to form a non-linear angle relative to each other. The self-articulating joint also has an elbow latch configured to releasably hold the first and second elbow components at a substantially fixed non-linear operating angle. 1. A minimally invasive surgical apparatus , comprising:a manipulation interface;a proximal shaft coupled to the manipulation interface at a first end of the proximal shaft;a surgical end effector configured to be controlled by the manipulation interface;a distal shaft coupled to the end effector at a first end of the distal shaft;at least one self-articulating joint coupled between a second end of the proximal shaft and a second end of the distal shaft;a first elbow component pivotably coupled to a second elbow component, wherein the first and second elbow components are biased to form a non-linear angle relative to each other; andan elbow latch configured to releasably hold the first and second elbow components at a substantially fixed non-linear operating angle.2. A minimally invasive surgical apparatus , comprising:a manipulation interface;a proximal shaft coupled to the manipulation interface at a first end of the proximal shaft;a surgical end effector configured to be controlled by the manipulation interface;a distal shaft coupled to the end effector at a first end of the distal shaft; andat least one self-articulating joint coupled between a second end of the proximal shaft and a second end of the distal shaft.3. The minimally invasive surgical apparatus of claim 2 , wherein the manipulation interface is selected from the group consisting of a hand grip claim 2 , a hand grip with a needle actuating lever claim 2 , a hand grip with a gripper actuator; a handle; and a robotic interface.4. The minimally ...

APPARATUS FOR ENDOSCOPIC PROCEDURES

An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable. 115-. (canceled)16. A surgical instrument , comprising:a first jaw member comprising a proximal end, a distal end, and a channel extending from the proximal end to the distal end, the channel being configured to receive a staple cartridge assembly;a second jaw member including an anvil plate having a plurality of staple forming pockets, the first and second jaw members supported in relation to each other for movement between approximated and spaced positions; anda drive beam movable between the proximal end and the distal end of the first jaw member and having a substantially I-shaped cross-sectional profile, the drive beam having a first strut, a second strut, and a support beam extending between and connecting the first strut and the second strut along a first axis, wherein the first strut protrudes from the support beam along a second axis that is substantially perpendicular to the first axis, wherein the second strut protrudes from the support beam along a third axis that is substantially perpendicular to the first axis, and wherein the first strut is configured to engage with the first jaw member and the second strut is configured to engage with the second jaw member to progressively move the first and second jaw members to the approximated position as the drive beam moves from the proximal end of the first jaw toward the distal end of the first jaw;wherein the staple cartridge assembly comprises a knife, a sled, and a plurality of staples, wherein the knife has a knife blade, and wherein the sled has a plurality of wedge members and is configured to engage a plurality of staple pushers;wherein the knife ...

ARTICULABLE SURGICAL INSTRUMENT

An instrument includes, a lumen, a handpiece affixed to the proximal end of the lumen and including an actuator, a proximal articulable segment, the proximal end of the proximal articulable segment pivotably attached to the distal end of the lumen via a proximal hinge pin extending in a direction generally perpendicular to a longitudinal axis of the lumen, an actuation cable extending from the actuator through the lumen and into the proximal articulable segment, and a cable router comprising a proximal pulley assembly rotatable about the proximal hinge pin, wherein the cable is wrapped about the proximal pulley assembly. 1. An instrument comprising:a lumen having a proximal end and a distal end;a handpiece affixed to the proximal end of the lumen and including an actuator;proximal articulable segment having a proximal end and a distal end, the proximal end of the proximal articulable segment pivotably attached to the distal end of the lumen via a proximal hinge pin extending in a direction generally perpendicular to a longitudinal axis of the lumen;an actuation cable extending from the actuator through the lumen and into the proximal articulable segment; anda cable router comprising a proximal pulley assembly rotatable about the proximal hinge pin, wherein the cable is wrapped about the proximal pulley assembly.2. The instrument of claim 1 , wherein the cable is wrapped approximately 360 degrees about the proximal pulley assembly.3. The instrument of claim 1 , wherein during tensioning of the actuation cable to pivot the proximal articulable segment to a position oblique to the lumen claim 1 , the cable translates about the proximal pulley assembly and causes the proximal pulley assembly to rotate.4. The instrument of claim 1 , wherein an outer circumference of the proximal pulley assembly has a helical channel through which the cable is wrapped.5. The instrument of claim 1 , further comprising a distal articulable segment having a proximal end and a distal end ...

Medical Manipulator

This manipulator is provided with: a shaft; a tip operation section having a gripper; and a handle that causes the operation of the gripper. The tip operation section is provided with: a bowing section that is provided between the gripper and the shaft and that causes the tip operation section to bow in a direction differing from the axial direction of the shaft by means of a bending-direction operating force transmitted from the handle; and a hollow tube that is provided to a position overlapping the bowing section, can bow following the bowing section, and transmits to the gripper operating force transmitted from the handle in the rotational direction rotating centered on the axis of the gripper, thus being able to unlimitedly rotate the gripper. 1. A medical manipulator comprising:a shaft;a distal end working unit provided on a distal end of the shaft and having an end effector configured to carry out a treatment on a treatment target; anda main body portion disposed on a proximal end of the shaft and configured to operate the end effector based on an input from a person,wherein the distal end working unit comprises:a bending portion disposed between the end effector and the shaft and which causes the distal end working unit to bend in a direction that differs from an axial direction of the shaft, in accordance with an operating force in a bending direction that is transmitted from the main body portion; anda tube, which is disposed at a position overlapping with the bending portion and is capable of bending in following relation to movement of the bending portion, wherein the tube transmits a rotational operating force, which is transmitted from the main body portion, to the end effector, so as to enable the end effector to be rotated through an unlimited range of rotation.2. The medical manipulator according to claim 1 , wherein:the bending portion comprises a structure in which three or more rigid joint members are arrayed in the axial direction, and the ...

Surgical stapler with floating anvil

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

APPARATUS FOR ENDOSCOPIC PROCEDURES

An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable. 111-. (canceled)12. An electromechanical surgical system , comprising:an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member;an end effector configured to perform at least one function and having a rotation hub; andthe shaft assembly being arranged for selectively interconnecting the end effector and the instrument housing, the shaft assembly including at least one drive member, the at least one drive member of the shaft assembly being connectable to the rotation hub when the shaft assembly is connected to the end effector; the shaft assembly having a clutch mechanism attached to at least one of the at least one drive member of the shaft assembly.13. The electromechanical surgical system according to claim 12 , wherein the clutch mechanism has a plunger member with camming surfaces and a coupling member with camming surfaces.14. The electromechanical surgical system according to claim 13 , wherein the clutch mechanism includes a biasing member engaged with the plunger member to press the plunger member against the coupling member so that the camming surfaces of the plunger member are in engagement with the camming surfaces of the coupling member.15. The electromechanical surgical system according to claim 13 , wherein the clutch mechanism includes a coupler defining an angled inner-annular surface for mating with an angled outer annular profile of the plunger member.16. A shaft assembly for interconnecting a surgical instrument and an end effector claim 13 , comprising:a proximal neck housing;a ...

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 ...

Apparatus for Pitch and Yaw Rotation

The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. A positively positionable multi-disk wrist mechanism includes a plurality of disks or vertebrae stacked in series. Each vertebra is configured to rotate in pitch or in yaw with respect to each neighboring vertebra. Actuation cables are used to manipulate and control movement of the vertebrae. In specific embodiments, some of the cables are distal cables that extend from a proximal vertebra through one or more intermediate vertebrae to a distal vertebra, while the remaining cables are medial cables that extend from the proximal vertebra to one or more of the intermediate vertebrae. The cables are actuated by a pivoted plate cable actuator mechanism. 1. A tendon actuating assembly for a surgical instrument , wherein the instrument includes a shaft-like member having a distal working end for insertion into a patient's body through an aperture , the working end including at least one distal moveable member arranged to be actuated by at least one of a plurality of movable tendon elements , the actuating assembly comprising:a tendon actuator member, the actuator member configured to be movable to at least pivot in one degree of freedom, the actuator member including a plurality of tendon engagement portions, each engagement portion being drivingly couplable to at least one of the plurality of tendons;a drive mechanism drivingly coupled to the actuator member so as to controllably pivot the actuator member in the at least one degree of freedom, so as to move at least one of the tendons relative to the shaft-like member so as to actuate the distal moveable member.2. The actuating assembly of claim 1 , wherein the tendon actuator member is pivotable about at least one pivot axis claim 1 , and each engagement portion is spaced apart from at least one of the pivot axes claim 1 , the drive mechanism ...

Fixation devices, systems and methods for engaging tissue

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

Firing system lockout arrangements for surgical instruments

Surgical end effectors and fastener cartridges having firing lockout arrangements for preventing or limit a firing stroke when a cartridge has not been operably installed in the end effector or a spent cartridge has not been replaced.

Sensor film for endoscopic instruments

An endoscopic instrument for use with a trocar, said endoscopic instrument comprising an elongate shaft body having a proximal end and a distal end; an end effector assembly at said distal end operable by manipulation of actuator mechanism at said proximal end; a substrate core having a first surface and a second surface; at least one sensing element on said first surface, said at least one sensing element located adjacent to said distal end; an electronics module for receiving sensed signals from said at least one sensing element, said electronics module located adjacent to said proximal end; a first conductive layer residing on said first surface, said first conductive layer having first solder mask coated thereon; a second conductive layer residing on said second surface, second conductive layer having a second solder mask coated thereon, and wherein said second conductive layer coupled to said at least one sensing element relays said sensed signals from said at least one sensing element to said electronics module and said a first conductive layer is grounded.

Medical instrument with snake wrist structure

A medical instrument includes a snake wrist structure further including: a first joint disk having a first rim having a first tooth slot and a first toothed gear with the first tooth slot opposite the first toothed gear along the first rim; and a first strut having a first slot bearing and a first hole bearing connected by a first connection strut with the first slot bearing in the first tooth slot.

ARTICULATING SURGICAL TOOLS AND TOOL SHEATHS, AND METHODS OF DEPLOYING THE SAME

A system for performing a medical procedure includes an articulating probe including inner and outer sleeves, and a surgical tool including a functional element positioned at a distal end of a tool shaft, the tool shaft having an articulation region. The articulating probe and the surgical tool are independently controllable. 1. A surgical tool comprising:a functional element positioned at a distal end of a tool shaft; anda tool handle positioned at a proximal end of the tool shaft,wherein the tool shaft includes an articulation region, wherein the articulation region includes a plurality of segment links, and wherein each segment link of the plurality of segment links is constructed and arranged to provide 12° to 15° of articulation between the functional element and an axis of the tool shaft.2. A surgical tool comprising:a functional element positioned at a distal end of a tool shaft; anda tool handle positioned at a proximal end of the tool shaft,wherein the tool shaft includes an articulation region, wherein the articulation region includes a plurality of segment links, and wherein a first segment link of the plurality of segment links is coupled to a first portion of the tool shaft and a second segment of the plurality of segment links is coupled to the functional element.3. The tool of claim 2 , wherein the first segment link includes a body having a first portion and a second portion claim 2 , wherein the second portion includes a semi-spherical body portion.4. The tool of claim 3 , wherein the first portion includes a cylindrical body portion.5. The tool of claim 3 , wherein the second segment link includes a body having a first portion and a second portion claim 3 , wherein the second portion includes a semi-spherical body portion.6. The tool of claim 5 , wherein the first portion includes a cylindrical body portion.7. The tool of claim 5 , wherein the semi-spherical body portion of the first segment link mates with a semi-spherical cavity portion of the ...

Surgical instrument system including replaceable end effectors

A surgical instrument system that includes a housing and a rotatable drive shaft, a motor operably coupled to the drive shaft, and a plurality of replaceable end effectors that can be connected to the housing. Each replaceable end effector includes a drive screw that is turned a fixed number of revolutions by the motor-driven rotatable drive shaft when the end effector is connected to the housing. Each end effector further comprises a firing member operably coupled with the drive screw of the end effector. The drive screw is configured to displace the firing member over a firing length as a result of the fixed number of revolutions. In certain embodiments, each replaceable end effector can include a drive screw with a thread pitch set to the firing length divided by the fixed number of revolutions.

ELECTROMECHANICAL SURGICAL APPARATUS INCLUDING WIRE ROUTING CLOCK SPRING

An electromechanical surgical system is disclosed including a hand-held surgical instrument, an end effector configured to perform at least one function, and a shaft assembly arranged for selectively interconnecting the end effector and the surgical instrument. The shaft assembly includes a linkage having a proximal housing and a distal housing at least partially received within the proximal housing. The distal housing is rotatable relative to the proximal housing and configured to selectively interconnect the end effector to the shaft assembly. The shaft assembly further includes a wire extending through the linkage having a central portion disposed within an annular groove defined between the proximal and distal housings. The central portion of the wire is annularly wound within the annular groove to define a coil. The coil is configured to at least one of radially expand and contract upon rotation of the distal housing relative to the proximal housing. 1. (canceled)2. An electromechanical surgical system , comprising: a proximal housing assembly;', 'a distal housing assembly partially received within the proximal housing assembly and rotatable relative to the proximal housing assembly about the longitudinal axis; and', 'a wire including a proximal portion coupled to the proximal housing assembly, a distal portion coupled to the distal housing assembly, and a central portion wound radially around the longitudinal axis within an annular groove defined between the proximal and distal housing assemblies., 'a shaft assembly including an elongate portion and a linkage extending along a longitudinal axis, the linkage including3. The electromechanical system according to claim 2 , wherein the central portion of the wire lies in a single plane.4. The electromechanical system according to claim 2 , wherein the proximal portion of the wire is longitudinally fixed within the proximal housing assembly and the distal portion of the wire is longitudinally fixed within the ...

Surgical Instrument

A surgical method for placing an implantable medical device for constricting at least one of a patient's rectum, anal channel, anal sphincter or colon. The surgical method comprises creating an incision in a vaginal wall of a patient, inserting a surgical instrument through said incision. The instrument comprising an elongated main part, an elongated member having a proximal end fixed to a distal end of the elongated main part by means of a first adjustable joint having a pivotal axis, for adjusting a first angle between the main part of the instrument and the elongated member between 0 and 180 degrees, wherein the elongated main part and the elongated member lie in a first plane extending perpendicularly to the pivotal axis. The surgical method further comprises a flexible tip attached to a distal end of the elongated member and exhibiting a conformation which is reversibly changeable from an essentially straight conformation to a loop or hook conformation, wherein the flexible tip, when in the loop or hook conformation, defines an opening with an axial hole going there through, and wherein a second plane extends perpendicularly to the axial hole through said loop or hook, so that the flexible tip, in its loop or hook conformation, lies in the second plane. The surgical method further comprises using said flexible tip for placing the implantable medical device encircling the patient's rectum, anal channel, anal sphincter or colon.

Apparatus for endoscopic procedures

An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable.

MEDICAL INSTRUMENT

A medical instrument comprises a housing and an elongated sheath configured to be attached to the housing. The elongated sheath includes opposed distal end and proximal end along a longitudinal axis. An end effector is configured to be attached to the distal end of the elongated sheath. The end effector includes a pair of grasps. A direction changer is used to change a direction of the end effector with respect to the distal end of the elongated sheath. A first drive shaft movable in the elongated sheath in ganged relation for opening and closing movement of the pair of grasps. A second drive shaft movable in the elongated sheath in ganged relation for angular movement of the end effector by the direction changer with respect to the elongated sheath. An operating member is configured to actuate the second drive shaft between a bent positions and a neutral position. 1. A medical instrument comprising:a housing;an elongated sheath configured to be attached to the housing, the elongated sheath includes opposed distal end and proximal end along a longitudinal axis;an end effector configured to be attached to the distal end of the elongated sheath, the end effector includes a pair of grasps;a direction changer used to change a direction of the end effector with respect to the distal end of the elongated sheath;a first drive shaft movable in the elongated sheath in ganged relation for opening and closing movement of the pair of grasps;a second drive shaft movable in the elongated sheath in ganged relation for angular movement of the end effector by the direction changer with respect to the elongated sheath;an operating member configured to actuate the second drive shaft between bent positions to which the end effector is angularly moved and a neutral position to which the end effector extends along the longitudinal axis with respect to the sheath;a slider being movable with respect to the first drive shaft; andan adjusting mechanism adjusts a movable range of the slider ...

Surgical instruments

An electrosurgical instrument includes a housing having an elongated shaft extending therefrom and an end effector assembly coupled thereto. The housing includes a knife drive shaft and a jaw drive shaft disposed therein and movable within the elongated shaft. The end effector assembly includes a pair of opposing jaw members, a knife member, and a driven member. A proximal end of the knife member is selectively engageable to a distal end of the knife drive shaft such that movement of the knife drive shaft moves the knife member. A proximal end of the driven member is configured to operably couple to the jaw drive shaft and a distal end of the driven member is operably coupled to the jaw members to move the jaw members. A coupling member is configured to releasably secure the end effector assembly and the elongated shaft.

PULLEY ARRANGEMENT FOR ARTICULATING A SURGICAL INSTRUMENT

A robotic surgical instrument comprising a shaft and end effector element connected by an articulation. The articulation comprises a first joint driveable by a first pair of driving elements. The first joint permits the end effector element to rotate about a first axis transverse to a longitudinal axis of the shaft, the rotation of the end effector element about the first axis bounded by an extreme rotation angle relative to the longitudinal axis. A second joint is driveable by a second pair of driving elements. A pulley arrangement constrains the second pair of driving elements, and comprises a first set of pulleys rotatable about the first axis, and a second set of pulleys located relative to the first set of pulleys such that at the extreme rotation angle the second pair of driving elements is retained in contact with both the first and second sets of pulleys. 1. A robotic surgical instrument comprising:a shaft extending between an instrument interface at one end and an articulation at the other end; a first joint driveable by a first pair of driving elements, the first joint permitting the end effector element to rotate about a first axis transverse to a longitudinal axis of the shaft, and', 'a second joint driveable by a second pair of driving elements; and, 'the articulation connecting an end effector element to the shaft, the articulation comprising a first set of pulleys rotatable about the first axis, and', 'a second set of pulleys, wherein each pulley of the second set of pulleys is rotatable about an offset axis offset from the first axis in a direction transverse to the longitudinal direction of the shaft, and the second set of pulleys is located between the first set of pulleys and the instrument interface end of the shaft., 'a pulley arrangement around which the second pair of driving elements is constrained to move, the pulley arrangement comprising2. A robotic surgical instrument as claimed in claim 1 , wherein the second set of pulleys is located ...

Surgical instrument system including replaceable end effectors

A surgical instrument system that includes a housing and a rotatable drive shaft, a motor operably coupled to the drive shaft, and a plurality of replaceable end effectors that can be connected to the housing. Each replaceable end effector includes a drive screw that is turned a fixed number of revolutions by the motor-driven rotatable drive shaft when the end effector is connected to the housing. Each end effector further comprises a firing member operably coupled with the drive screw of the end effector. The drive screw is configured to displace the firing member over a firing length as a result of the fixed number of revolutions. In certain embodiments, each replaceable end effector can include a drive screw with a thread pitch set to the firing length divided by the fixed number of revolutions.

STAPLE CARTRIDGE COMPRISING A RELEASABLE PORTION

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened. 1. A staple cartridge for use with a surgical stapler , said staple cartridge comprising: a support portion;', 'a plurality of staple cavities defined within said support portion, wherein each said staple cavity comprises an opening in said support portion;', 'a plurality of guide cleats extending from said support portion, wherein each said guide cleat comprises at least one guide groove; and', 'an implantable compressible portion positioned adjacent to said support portion, wherein said guide cleats are at least partially embedded in said compressible portion; and, 'a cartridge body, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is movable between an unfired position and a fired position, wherein each said staple is deformable between an unfired configuration and a fired configuration when each said staple is moved between said unfired position and said fired position, wherein each said staple comprises at least one deformable leg removably positioned in a said guide groove when said staple is in said unfired position, and wherein said compressible portion is configured to be captured within said staples and ...

Surgical tool

A surgical tool for minimally invasive surgery. In one embodiment, the surgical tool includes a proximal joint and a distal joint at opposite ends of a tube that constrain pivoting of adjacent parts to be about two perpendicular, intersecting axes. Three articulation control cable lengths engage and operatively couple the joints to control the two degrees of freedom of the distal joint. A manipulator and an end effector may be operatively coupled, with one cable controlling the opening and closing of jaws. In another embodiment, a surgical tool includes two flexible articulation elements mounted to opposite ends of a tube assembly. The tube assembly includes a proximal tube element and a distal tube element, with their ends rotatably mounted to each other. The mode of operation the tool may be changed between motion-following and motion-mirroring by rotating the distal tube element relative to the proximal tube element.

TISSUE THICKNESS COMPENSATOR COMPRISING CAPSULES DEFINING A LOW PRESSURE ENVIRONMENT

A tissue thickness compensator can comprise a compensator body and at least one vessel contained in the compensator body. The vessel can define an inner cavity which can comprise an inner atmosphere having a pressure which is lower than the atmospheric pressure of the atmosphere surrounding the tissue thickness compensator. In at least one embodiment, the vessel and the compensator body can be maintained in a collapsed state until staples are fired through the vessel. At such point, the vessel can re-expand and apply a biasing force to tissue captured within the staples. 119-. (canceled)20. A staple cartridge , comprising:a cartridge body, wherein a plurality of staple cavities are defined in said cartridge body;a plurality of staples removably positioned in said staple cavities; and a first zone comprising a tissue-supporting surface;', 'a second zone comprising a cartridge body contacting surface; and', 'an intermediate zone positioned intermediate said first zone and said second zone,, 'an absorbable tissue thickness compensator releasably secured to said cartridge body, wherein said absorbable tissue thickness compensator compriseswherein said first zone comprises a first spring rate, wherein said second zone comprises a second spring rate greater than said first spring rate, and wherein said intermediate zone comprises a third spring rate less than said first spring rate.21. A staple cartridge , comprising:a cartridge body, wherein a plurality of staple cavities are defined in said cartridge body;a plurality of staples removably positioned in said staple cavities; and a first zone comprising a tissue-supporting surface, wherein said first zone comprises a first compressibility;', 'a second zone comprising a cartridge body contacting surface, wherein said second zone comprises a second compressibility that is less than said first compressibility; and', 'an intermediate zone positioned between said first zone and said second zone, wherein said intermediate zone ...

STAPLE CARTRIDGE COMPRISING A RELEASABLE PORTION

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened. 1. A staple cartridge for use with a surgical stapler , said staple cartridge comprising: a support portion;', 'a plurality of staple cavities defined within said support portion, wherein each said staple cavity comprises an opening in said support portion;', 'a plurality of guide cleats extending from said support portion, wherein each said guide cleat comprises at least one guide groove; and', 'an implantable compressible portion positioned adjacent to said support portion, wherein said guide cleats are at least partially embedded in said compressible portion; and, 'a cartridge body, comprisinga plurality of staples, wherein at least a portion of each said staple is removably stored within a said staple cavity, wherein each said staple is movable between an unfired position and a fired position, wherein each said staple is deformable between an unfired configuration and a fired configuration when each said staple is moved between said unfired position and said fired position, wherein each said staple comprises at least one deformable leg removably positioned in a said guide groove when said staple is in said unfired position, and wherein said compressible portion is configured to be captured within said staples and ...

Staple cartridge comprising a releasable portion

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

MANIPULATOR

A manipulator including an elongated shaft, at least one joint disposed at a distal end of the shaft, a manipulating part via which a movement instruction for the joint is input, and a driving unit that drives the joint according to the movement instruction input via the manipulating part. The manipulating part includes a handle fixed to the shaft and gripped in one hand of an operator, a displaceable member that is disposed at a position along which at least one finger of the hand gripping the handle can be extended and that can be displaced by a movement of the finger extending therealong, and a sensor that detects displacement of the displaceable member and outputs it as the movement instruction. 1. A manipulator comprising:an elongated shaft;at least one joint disposed at a distal end of the shaft;a manipulating part via which a movement instruction for the joint is input; anda driving unit that drives the joint according to the movement instruction input via the manipulating part,wherein the manipulating part includes a handle fixed to the shaft and gripped in one hand of an operator, a displaceable member that is disposed at a position along which at least one finger of the hand gripping the handle can be extended and that can be displaced by a movement of the finger extending therealong, and a sensor that detects a displacement of the displaceable member and outputs it as the movement instruction.2. The manipulator according to claim 1 , wherein the displaceable member is a plate spring fixed to the handle in a cantilever manner.3. The manipulator according to claim 2 , wherein the sensor detects an amount of displacement of a distal end of the plate spring.4. The manipulator according to claim 2 , wherein the sensor is a strain gauge that detects a strain of the plate spring.5. The manipulator according to claim 1 , whereinthe displaceable member is pivotably attached to the handle, andthe sensor is an encoder that detects a pivot angle of the displaceable ...

MOTIVE-POWER TRANSMITTING MECHANISM AND TREATMENT TOOL

A motive-power transmitting mechanism includes: an elongated driving member that passes through a joint portion that can be flexed or bent and connects an end effector and a motive-power generating portion, and that transmits a motive power generated by the motive-power generating portion to the end effector; and a biasing member that expands/contracts between the driving member and a stationary member disposed in an area surrounding the driving member to bias the driving member, wherein the driving member generates a component force in a direction parallel to a longitudinal axis of the driving member on a basis of a biasing force of the biasing member, and the component force increases in a same direction as a direction of the motive power with an increase in a displacement amount of the driving member in a direction along the longitudinal axis in association with flexing or bending of the joint portion. 1. A motive-power transmitting mechanism comprising:an elongated driving member that passes through a joint portion that can be flexed or bent and connects an end effector and a motive-power generating portion, and that transmits a motive power generated by the motive-power generating portion to the end effector; anda biasing member that expands/contracts between the driving member and a stationary member disposed in an area surrounding the driving member to bias the driving member,wherein the driving member generates a component force in a direction parallel to a longitudinal axis of the driving member on a basis of a biasing force of the biasing member, and the component force increases in a same direction as a direction of the motive power with an increase in a displacement amount of the driving member in a direction along the longitudinal axis in association with flexing or bending of the joint portion.2. The motive-power transmitting mechanism according to claim 1 , further comprising:a force receiving portion that is provided in one of the driving member and ...

ACTUATOR FOR RELEASING A TISSUE THICKNESS COMPENSATOR FROM A FASTENER CARTRIDGE

A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector. 1. A fastener cartridge assembly , comprising:a cartridge body comprising a plurality of fastener cavities;a plurality of fasteners, wherein each said fastener is removably positioned in a said fastener cavity;a tissue thickness compensator releasably secured relative to said cartridge body;a connector, wherein said connector secures said tissue thickness compensator to said cartridge body at a location, and wherein the location is distal to at least one said fastener cavity; andan actuator configured to overcome said connector when actuated, wherein said actuator overcomes said connector prior to the removal of said fasteners from said fastener cavities.2. The fastener cartridge assembly of claim 1 , wherein said tissue thickness compensator is released from said cartridge body when said actuator overcomes said connector.3. The fastener cartridge assembly of claim 1 , wherein said actuator shifts distally to cut said connector when actuated.4. The fastener cartridge assembly of claim 1 , wherein said actuator comprises a slot extending from a proximal end of said actuator claim 1 , and wherein said slot comprises a release stop.5. The fastener cartridge assembly of ...

FIRING SYSTEM LOCKOUT ARRANGEMENTS FOR SURGICAL INSTRUMENTS

Surgical end effectors and fastener cartridges having firing lockout arrangements for preventing or limit a firing stroke when a cartridge has not been operably installed in the end effector or a spent cartridge has not been replaced. 1. A surgical cartridge comprising:a cartridge body defining a path therethrough for operably receiving a firing member of a surgical instrument; andan alignment member operably supported in the cartridge body and being configured to move the firing member from an inoperable configuration wherein firing member is misaligned with the path to an operable configuration wherein the firing member is in alignment with the path when the firing member is driven into contact therewith.2. The surgical cartridge of claim 1 , wherein the alignment member comprises a movable sled configured to eject surgical fasteners supported in the cartridge body as the sled is moved from a starting to ending position within the cartridge body.3. The surgical cartridge of claim 1 , wherein said path comprises a longitudinal slot through said cartridge body.4. An end effector for a surgical instrument claim 1 , the end effector comprising: a slot; and', 'a lockout notch adjacent to said slot and wherein said end effector further comprises:, 'a support member comprisinga firing member movable between an inoperable configuration and an operable configuration, wherein said firing member is aligned with said slot and is structured to translate in said slot when in said operable configuration, and wherein said firing member is engaged with said lockout notch and misaligned with said slot when in said inoperable configuration.5. The end effector of claim 4 , wherein said support member comprises:a first jaw, wherein said first jaw comprises said slot and said lockout notch; anda second jaw, wherein said second jaw obstructs the translation of said firing member in said slot when said firing member is in said inoperable configuration.6. The end effector of claim 5 , ...

Surgical stapling apparatus with control features operable with one hand

A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

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.

Cannula, cannula system, and manipulator

A cannula includes a first tubular member having a first longitudinal axis, a second tubular member having a second longitudinal axis, a connector that connects the first and second tubular members in series, and a rear bearing that supports the second tubular member in a three-dimensionally pivotable manner around an axis intersecting the second longitudinal axis. The first tubular member has a first through-hole into which a flexible and elongated medical treatment device is insertable, and is supported by a trocar in a state where the first tubular member extends through the trocar attached to a body wall of a patient. The second tubular member has a second through-hole into which the medical treatment device is insertable. The connector connects the first and second tubular members in a pivotable manner around an axis orthogonal to a plane including the first longitudinal axis and the second longitudinal axis.

Surgical stapling apparatus with control features operable with one hand

A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

Steerable instrument comprising a radial spacers between coaxial cylindrical elements

A steerable instrument () has an actuator () at a proximal side and a bendable zone () at a distal side. The actuator () controls bending of the flexible zone () by means of one or more longitudinal elements. The instrument has a first cylindrical element (), a second cylindrical element () and a third cylindrical element (). The second cylindrical element () has a zone () with a longitudinal element portion () with a first height in a radial direction of the instrument. Radial spacers () are located at mutual sides of the longitudinal element portion (), which have, at least locally, a second height in the radial direction larger than the first height. 1. A steerable instrument for endoscopic and/or invasive type of applications , such as in surgery , the instrument comprising an elongated tubular body extending in a longitudinal direction and having at least one actuation means at a proximal side of the steerable instrument and at least one bendable zone at a distal side of the steerable instrument , said at least one actuation means being arranged to control bending of said at least one flexible zone by means of at least one longitudinal element ,the instrument comprising a first cylindrical element, a second cylindrical element and a third cylindrical element, the first cylindrical element surrounding the second cylindrical element and the second cylindrical element surrounding the third cylindrical element,the second cylindrical element comprising at least a zone with a longitudinal element portion of said at least one longitudinal element, said longitudinal element portion having a first height in a radial direction of said instrument,wherein the instrument is provided with at least two radial spacers at mutual sides of said longitudinal element portion, each one of said radial spacers having, at least locally, a second height in the radial direction larger than the first height.2. The steerable instrument according to claim 1 , wherein said second height is ...

Minimally invasive surgery tool having variable bend

The present invention relates to a minimally invasive surgery tool having a variable bend. According to one embodiment of the present invention, provided is the minimally invasive surgery tool comprising: a shaft; an end constituent element which is connected to one end of the shaft; and a first joint portion which is arranged between the shaft and the end constituent element, wherein the first joint portion comprises a modifiable link portion which can variably form the bend by means of the reaction of at least one wire.

Articulation Control Mechanisms

A surgical access port and method for achieving articulation is disclosed, the surgical access port including a housing, at least one lumen extending through the housing, and an articulation structure. The housing comprises an access member having a proximal end and a distal end, and defines a longitudinal axis. The lumen in the housing extends from the proximal to the distal end of the access member along the longitudinal axis. The articulation structure comprises a first tubular member and a second tubular member, the second tubular member hingably attached to the first tubular member, and an articulation element slidably attached to the first tubular member. 1. A surgical access port comprising:an access member having proximal and distal ends; and a first tubular member;', 'a second tubular member distal of the first tubular member, the second tubular member rotatably coupled with the first tubular member; and', 'a flexible pusher operatively coupled with the second tubular member, wherein relative movement between the flexible pusher and at least one of the first or second tubular members transitions the articulation mechanism between a first position, in which, the first and second tubular members are axially aligned and a second position, in which, the first and second tubular members are axially offset from one another., 'an articulation mechanism at least partially received in the access member, the articulation mechanism including2. The surgical access port according to claim 1 , wherein the access member defines a lumen dimensioned to receive at least a portion of the articulation mechanism therein.3. The surgical access port according to claim 2 , wherein the lumen of the access member is tapered along a longitudinal axis defined by the access member.4. The surgical access port according to claim 1 , wherein the flexible pusher includes a distal portion securely fixed with the second tubular member.5. The surgical access port according to claim 1 , ...

DEXTEROUS SURGICAL MANIPULATOR AND METHOD OF USE

A surgical manipulator includes an internal working end having an internal joint, and an external control interface linked to the internal working end for controlling the internal working end. The external control interface includes at least one lever defining a grip volume for a surgeon's hand when gripping and operating the at least one lever, and an external joint linked to the internal joint for controlling the internal joint. The external joint is positioned substantially within the grip volume. 1. A surgical manipulator , comprising:an internal working end having an internal joint; and ["a first lever and a second lever that together define a grip volume for a surgeon's hand when gripping and operating the first lever and the second lever, wherein at least one of the first lever and the second lever is pivotable about a first pivot axis (J), and", 'an external wrist joint linked to the internal joint for controlling the internal joint;, 'an external control interface linked to the internal working end for controlling the internal working end, the external control interface includingwherein the external wrist joint is positioned at least substantially within the grip volume, wherein the external wrist joint includes a second pivot axis (H) and a third pivot axis (G) that are offset from one another, the second pivot axis (H) being disposed between the first pivot axis (J) and the third pivot axis (G);wherein the first lever, the second lever, and the first pivot axis (J) together are rotatable about the third pivot axis (G).2. The surgical manipulator of claim 1 , wherein the grip volume is a spherical grip volume that is defined by distal end portions of both the first and second levers.3. The surgical manipulator of claim 1 , wherein the first lever and the second lever are substantially the same shape and size and mirror one another across a centerline (F) that extends from the first pivot axis toward the internal working end.4. The surgical manipulator of ...

ROBOTICALLY POWERED SURGICAL DEVICE WITH MANUALLY-ACTUATABLE REVERSING SYSTEM

A surgical tool for use with a robotic system that includes a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to robotically-generate output motions. A drive system is configured to interface with a corresponding portion of the tool drive assembly for receiving the robotically-generated output motions and applying the output motions to a drive shaft assembly which is configured to apply control motions to a surgical end effector operably coupled thereto. A manually-actuatable control system operably interfaces with the drive shaft assembly to facilitate the selective application of manually-generated control motions to the drive shaft assembly. 1. A surgical tool for use with a robotic system that includes a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to robotically-generate output motions , said surgical tool comprising:a drive system configured to interface with a corresponding portion of the tool drive assembly of the robotic system for receiving the robotically-generated output motions therefrom;a drive shaft assembly operably interfacing with the drive system and configured to receive the robotically-generated output motions from the drive system and apply control motions to a surgical end effector operably interfacing with the drive shaft assembly; anda manually-actuatable control system operably interfacing with the drive shaft assembly to selectively apply manually-generated control motions to the drive shaft assembly.2. The surgical tool of claim 1 , wherein the drive system is configured to transfer a first one of the robotically-generated output motions to the drive shaft assembly for causing the drive shaft assembly to apply a first one of the control motions in first direction and wherein the drive system is further configured to transfer a second ...

MULTI-FUNCTION SURGICAL INSTRUMENTS

A surgical instrument including housing having a shaft extending distally therefrom, an outer sleeve disposed about the shaft and selectively translatable relative to the shaft, a first drive shaft disposed within the shaft and translatable relative to the shaft independently of the outer sleeve, a second drive shaft disposed within the first drive shaft and coupled to the outer sleeve to translate in conjunction with the outer sleeve, and a rotatable nose wheel. The rotatable nose wheel is mounted about a distal end of the housing and is rotatably coupled to each of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft such that rotation of the rotatable nose wheel effects corresponding rotation of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft in conjunction with one another and relative to the housing. 120-. (canceled)21. A surgical instrument , comprising:a housing having a first elongated member extending distally therefrom, the first elongated member longitudinally fixed relative to the housing;a second elongated member disposed externally about the first elongated member and longitudinally translatable relative to the first elongated member;a third elongated member disposed within the first elongated member and longitudinally translatable relative to the first elongated member independently of the second elongated member; anda rotatable wheel associated with the housing, the rotatable wheel operably coupled to each of the first elongated member, the second elongated member, and the third elongated member such that rotation of the rotatable wheel relative to the housing effects rotation of the first elongated member, the second elongated member, and the third elongated member in conjunction with one another and relative to the housing.22. The surgical instrument according to claim 21 , wherein the rotatable wheel is a nose wheel rotatably mounted about a distal end portion of the housing.23. The surgical ...

DEVICES AND METHODS FOR INCREASING ROTATIONAL TORQUE DURING END EFFECTOR ARTICULATION

Devices and methods for increasing rotational torque during end effector articulation are provided. In general, a surgical device can include an end effector configured to articulate. The end effector can be configured to move between different angular orientations relative to an elongate shaft of the device having the end effector at a distal end thereof. The elongate shaft and the end effector can be configured to be rotated relative to a handle portion of the device. The device can include at least one friction member configured to provide increased resistance to rotation of the elongate shaft and the end effector when the end effector is articulated as compared to when the end effector is not articulated. The at least one friction member can thus be configured to increase rotational torque when the end effector is articulated as compared to when the end effector is not articulated. 1. A surgical device , comprising:a handle;an elongate shaft extending distally from the handle and being configured to rotate relative to the handle; andan end effector at a distal end of the elongate shaft and having first and second jaws configured to engage tissue therebetween, the end effector being configured to articulate relative to the elongate shaft such that the end effector is angularly oriented relative to the elongate shaft;wherein, when the end effector is articulated relative to the elongate shaft, a force required to rotate the elongate shaft relative to the handle is greater than a force required to rotate the elongate shaft relative to the handle when the end effector is in a non-articulated, substantially linear orientation relative to the elongate shaft.2. The device of claim 1 , further comprising a friction member disposed within the handle and configured to apply an increased frictional force to the elongate shaft when the end effector is articulated as compared to when the end effector is in the non-articulated claim 1 , substantially linear orientation.3. The ...

GRIPPING INSTRUMENT

A gripping instrument with two jaw parts, which are connected to each other by a pivot joint and are movable toward each other, by pushing together of two grip arms connected to the jaw parts, and are movable away from each other, by pushing apart of the grip arms, wherein the grip arm has a bending joint, by means of which, when the grip arms are pushed together, a force limited by a resiliency of the bending joint is transmitted, via the grip arm with the bending joint, to the corresponding jaw part, and which bending joint includes a directional abutment, wherein an applied manual force acts directly through the directional abutment during the pushing apart. 1. A gripping instrument with two jaw parts , which are connected to each other by a pivot joint and are movable toward each other , by pushing together of two grip arms connected to the jaw parts , and are movable away from each other , by pushing apart of the grip arms , wherein the grip arm has a bending joint , by means of which , when the grip arms are pushed together , a force limited by a resiliency of the bending joint is transmitted , via the grip arm with the bending joint , to the corresponding jaw part , and which bending joint comprises a directional abutment , wherein an applied manual force acts directly through the directional abutment during the pushing apart.2. The gripping instrument as claimed in claim 1 , wherein the bending joint is formed in the grip arm and integral with the grip arm.3. The gripping instrument as claimed in claim 1 , wherein the bending joint is formed by a cross-sectional tapering of the grip arm claim 1 , by means of one or more slits made in one side.4. The gripping instrument as claimed in claim 3 , wherein the grip arm is slit on one side and/or starting from a side facing away from the other grip arm.5. The gripping instrument as claimed in claim 3 , wherein the slit or the slits are formed substantially transversely or obliquely with respect to the longitudinal ...

ONE-DEGREE-OF-FREEDOM LINK DEVICE, A ROBOT ARM USING THE SAME AND A SURGICAL ROBOT COMPRISING THE SAME

The present invention comprises: a fixed four-node link in which four links are joined together in a hinged fashion, comprising a fixed link of which the position is fixed, a connecting rod positioned on the opposite side of the first link, an input-side transmission link connecting the end on one side of the connecting rod and the first link, and an output-side transmission link positioned on the opposite side of the input-side transmission link; an input link part to which an actuator is attached, and which is joined in hinged fashion between the two ends of the input-side transmission link; and an output link part which is fixedly joined to the output-side transmission link and is rotated by means of the output-side transmission link, and the one-degree-of-freedom link device according to the present invention and the robot arm using the same can be used to allow easy attachment and detachment between link devices and achieve smooth action in a robot arm in accordance with what is desired. 1. A one-degree-of-freedom link device , comprising:a fixed four-node link comprising four links hingedly joined together, the four links comprising a fixed link whose position is fixed, a connecting rod positioned at an opposite side of the fixed link, an input-side transmission link connecting the fixed link to one end of the connecting rod, and an output-side transmission link positioned at an opposite side of the input-side transmission link;an input link part hingedly coupled between two ends of the input-side transmission link and having an actuator mounted thereon; andan output link part fixedly coupled to the output-side transmission link to be rotated by the output-side transmission link.2. An n-degree-of-freedom robot driving mechanism , comprising:{'claim-ref': {'@idref': 'CLM-00001', 'claim 1'}, 'the one-degree-of-freedom link device according to ; and'}n−1 link devices coupled to each other and to the one-degree-of-freedom link device in a stacking arrangement, ...

Surgical instrument articulation

A robotic surgical instrument comprising a shaft and end effector element connected by an articulation. The articulation comprises first and second joints, driveable by first and second pairs of driving elements. The first joint permits the end effector element to rotate about a first axis transverse to a longitudinal axis of the shaft. A pulley arrangement comprises a first set of pulleys rotatable about the first axis and a redirecting pulley between the first set of pulleys and the second joint, both of which constrain the second pair of driving elements. The redirecting pulley is rotatable about a redirecting pulley axis which is angled to the first axis so as to cause the redirecting pulley to redirect a first one of the second pair of driving elements from a take-off point of a first pulley of the first set of pulleys to a pick-up point of the second joint.

ARTICULATABLE SURGICAL INSTRUMENT

A surgical instrument that includes a surgical end effector that is articulatable relative to a proximal shaft segment of the surgical instrument. The surgical end effector is attached to the proximal shaft segment by an articulation joint that comprises a plurality of movably interconnected links that interface with a centrally disposed drive member to apply articulation motions thereto and which serve to provide improved lateral stability to the articulation joint. 1. A surgical instrument , comprising:a surgical end effector comprising an end effector frame assembly; and [ a first link proximal end pivotally coupled to said proximal shaft segment; and', 'a first link distal end, and wherein said articulation system further comprises:, 'a first link comprising, a second link proximal end pivotally coupled to said first link distal end; and', 'a second link distal end pivotally coupled to said end effector frame assembly, and wherein said articulation system further comprises an axially movable articulation actuator operably interfacing with said first link at a location between said first link proximal end and said first link distal end to apply articulation motions thereto., 'a second link, comprising], 'a proximal shaft segment defining a shaft axis, wherein said proximal shaft segment is attached to said end effector frame assembly by an articulation system to facilitate articulation of said end effector frame assembly relative to said proximal shaft segment about an articulation axis that is transverse to said shaft axis, wherein said articulation system comprises2. The surgical instrument of claim 1 , wherein said first link comprises: a right proximal link proximal end pivotally coupled to said proximal shaft segment on a right side of said shaft axis; and', 'a right proximal link distal end, and wherein said first link further comprises:, 'a right proximal link, comprising a left proximal link proximal end pivotally coupled to said proximal shaft segment on ...

Instrument for Endoscopic Surgery

The invention provides an instrument for endoscopic surgery comprising a shaft tube (), a pull rod () which can move axially inside the shaft tube () and jaws () located at the distal end which are mounted on a single hinge pin () and can be pivoted towards each other. Relative axial motion of the shaft tube () and the pull rod () is converted into the pivot motion of the jaws () via contact eccentric to the hinge pin (). The hinge pin () is mounted on the distal end of the pull rod (). Each jaw () has a nib () which protrudes radially eccentric to the hinge pin (). Each nib () engages in a cut-out () in a sheath (). The cut-outs () are covered by the shaft tube (). 2. Instrument as in claim 1 ,{'b': 40', '50', '12', '12', '28, 'characterised in that a shaft retainer (, ) fitted to the pull rod () serves as a limit stop to limit distal movement of the pull rod () when it is pushed in a distal direction inside the sheath ().'}3. Instrument as in claim 2 ,{'b': '40', 'characterised in that the shaft retainer () is a circlip.'}4. Instrument as in{'b': 50', '12', '50', '136', '128', '12, 'characterised in that the shaft retainer is a limit pin () through the pull rod (), the pin () having at least one protruding end accommodated in an aperture () in the sheath (), to limit distal movement of the pull rod ().'}5. Instrument as in claim 4 ,{'b': 50', '12', '136', '128, 'characterised in that the limit pin () has each end protruding from the pull rod () and accommodated in an aperture () in the sheath ().'}6. Instrument as in of claim 1 ,{'b': 28', '128', '10, 'characterised in that the sheath (, ) is screwed, pressed or glued into the shaft tube ().'}7. Instrument as in claim 6 ,{'b': 28', '128', '10', '28', '128', '10, 'characterised in that the sheath (, ) has an external thread which is screwed into an internal thread in the shaft tube (), whereby the thread determines the defined axial position of the sheath(, ) inside the shaft tube ().'}8. Instrument as in claim 1 ...

Pulley arrangement for articulating a surgical instrument

A robotic surgical instrument comprising a shaft and end effector element connected by an articulation. The articulation comprises a first joint driveable by a first pair of driving elements. The first joint permits the end effector element to rotate about a first axis transverse to a longitudinal axis of the shaft, the rotation of the end effector element about the first axis bounded by an extreme rotation angle relative to the longitudinal axis. A second joint is driveable by a second pair of driving elements. A pulley arrangement constrains the second pair of driving elements, and comprises a first set of pulleys rotatable about the first axis, and a second set of pulleys located relative to the first set of pulleys such that at the extreme rotation angle the second pair of driving elements is retained in contact with both the first and second sets of pulleys.

WRIST ASSEMBLY FOR ARTICULATING LAPAROSCOPIC SURGICAL INSTRUMENTS

An articulating laparoscopic instrument including a handle, an outer shaft, an end effector, and a wrist assembly. The wrist assembly connects the end effector to the shaft and includes torque and articulation mechanisms. The torque mechanism includes a plurality of links disposed over the rod and connected with one another in a pivotable yet rotationally locked fashion. The articulation mechanism includes a plurality of articulation member disposed over the rod to collectively define a deflection section. The links freely rotate relative to the articulation members, with the rod and links collectively bending in response to a change in shape of the deflection section. 1. An articulating surgical instrument comprising: a torque mechanism including a plurality of links disposed between the shaft end and the end effector, where the links are constructed and operate to transfer a rotational force from a proximal-most link to the end effector, and', 'an articulation mechanism including a plurality of articulation members that collectively define a deflection section, where the articulation mechanism is configured and operates to spatially articulate the end effector along a single plane relative to a proximal-most articulation member;, 'an end effector attached to a distal end of a wrist assembly, where the wrist assembly includeswhere the wrist assembly is configured such that the links spatially articulate with articulation of the deflection section relative to a common longitudinal axis of the wrist assembly, and the links rotate independently of articulation of the articulation members;where each of the articulating members defines a central bore, a first side channel and a second side channels opposite the first side channel relative to the central bore, the articulation mechanism further including a first cable segment threaded through the first side channel of each of the articulation members; and a second cable segment threaded through the second side channel of ...

SURGICAL INSTRUMENTS WITH DUAL ARTICULATION DRIVERS

A surgical instrument including a shaft and an end effector that is articulatable relative to the shaft is disclosed. First and second independently movable articulation drivers are coupled to the surgical end effector to apply articulation motions thereto. The first articulation driver is attached to the surgical end effector by a first link that extends transversely relative to a longitudinal axis defined by the shaft. The second articulation driver is attached to the surgical end effector by a second link that extends transversely relative to the longitudinal axis and the first link. 1. A surgical instrument , comprising: a proximal end;', 'a distal end; and', 'a longitudinal axis extending between said proximal end and said distal end;, 'a shaft, comprisingan end effector comprising an end effector frame rotatably coupled to said shaft about an articulation pivot, wherein said articulation pivot defines a fixed articulation axis, and wherein said fixed articulation axis is positioned laterally offset with respect to said longitudinal axis;a first articulation driver selectively movable between a first neutral position, a first distal position, and a first proximal position in response to corresponding first articulation control motions applied thereto;a first articulation link operably coupled to said first articulation driver, said first articulation link extending transverse to said longitudinal axis and coupled to said end effector frame at a first attachment location;a second articulation driver selectively movable between a second neutral position, a second distal position, and a second proximal position in response to corresponding second articulation control motions applied thereto; anda second articulation link operably coupled to said second articulation driver and extending transverse to said longitudinal axis and said first articulation link to be coupled to said end effector frame at a second attachment location.2. The surgical instrument of claim 1 ...

Tissue thickness compensator comprising a reservoir

In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsothable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule.

Self-guiding stapling instrument

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

SURGICAL INSTRUMENT COMPRISING AN ARTICULATABLE DISTAL HEAD

A surgical instrument comprising a shaft, a distal head, and an articulation joint rotatably connecting the distal head to the shaft is disclosed. 1. A surgical instrument configured to treat the tissue of a patient , comprising:a shaft;a distal head; andan articulation joint rotatably connecting said distal head to said shaft, wherein said distal head is not lockable in position.2. The surgical instrument of claim 1 , wherein said distal head can float relative to said shaft in response to exterior forces applied to said distal head.3. The surgical instrument of claim 1 , wherein said distal head is passively articulated relative to said shaft in response to exterior forces applied to said distal head.4. The surgical instrument of claim 3 , wherein said shaft defines a longitudinal shaft axis claim 3 , and wherein said distal head is articulatable in two different planes with respect to said longitudinal shaft axis.5. The surgical instrument of claim 4 , wherein said distal head is configured to assume a compound angle with respect to said longitudinal shaft axis.6. The surgical instrument of claim 3 , wherein said shaft defines a longitudinal shaft axis claim 3 , and wherein said distal head is only articulatable in one plane with respect to said longitudinal axis.7. The surgical instrument of claim 6 , wherein said distal head comprises a tissue opening claim 6 , wherein said tissue opening defines a front of said distal head claim 6 , wherein said plane extends through said front claim 6 , and wherein said distal head is articulatable in a forward-to-back motion.8. The surgical instrument of claim 6 , wherein said distal head comprises a tissue opening claim 6 , wherein said tissue opening defines a front of said distal head claim 6 , wherein said plane extends transversely to said front claim 6 , and wherein said distal head is articulatable in a side-to-side motion.9. The surgical instrument of claim 1 , wherein said surgical instrument does not comprise an ...

Surgical instrument having a display comprising image layers

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

Stapling instrument comprising a staple feeding system

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

Endoscopic Instrument

Endoscopic instrument including first, second and third portions, a first main hinge with a first main-hinge part, a further first main-hinge part and a first sub-hinge, a second main hinge with a second main-hinge part, a further second main-hinge part and a second sub-hinge, and a rigid main pressure rod. The first and second portions are connected via the first main hinge, such that they can be angled. The first and third portions are connected via the second main hinge such that they can be angled. The main pressure rod is coupled to the first and second sub-hinges, so that displacement of the first main hinge by angling the second portion relative to the first portion transmits a force, via the main pressure rod, to the second main hinge and causes there an angling of the third portion relative to the first portion.

Articulating electrosurgical tools

Various exemplary systems, devices, and methods for articulating electrosurgical tools are provided. In general, a surgical tool can be configured to articulate in two planes by selectively pivoting at first and second joints of the surgical tool. The surgical tool can include a plurality of cables configured to facilitate the articulation. Each of the cables can be configured to flex or bend at the first and second joints and can be configured to be selectively actuated to cause the pivoting at the first and second joints. The surgical tool can be configured to releasably couple to a robotic surgical system configured to control a variety of movements and actions associated with the surgical tool, such as the pivoting at the first and second joints.

Native valve repair devices and procedures

A system for implanting a repair device onto a native valve of a natural heart to repairing the native valve of a patient during a non-open-heart procedure. The system includes a surgical delivery instrument, a valve repair device, and a gripper control mechanism. The surgical delivery instrument has at least one lumen. The valve repair device is configured to be delivered through the lumen of the surgical delivery instrument and to be attached to a native valve of a patient. The valve repair device includes a pair of paddles, and at least four gripping members. The paddles are movable between an open position and a closed position, and the paddles and the at least four gripping members are configured to attach to the native valve of a patient. The gripper control mechanism is configured to independently move each of the at least four gripping members.

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.

Surgical instruments with multiple link articulation arrangements

A surgical instrument comprising an elongate shaft assembly that defines a shaft axis. A surgical end effector is pivotally coupled to the elongate shaft assembly for selective pivotal travel about an articulation axis that extends transversely relative to the shaft axis. An articulation driver is supported for selective longitudinal travel relative to the elongate shaft assembly. A central articulation link is pivotally coupled to the elongate shaft assembly for pivotal travel relative thereto. An intermediate link is movably coupled to the articulation driver and the central articulation link. An end effector driver is movably coupled to the central articulation link and the surgical end effector.

Surgical instrument with contained dual helix actuator assembly

An apparatus comprises an end effector, an elongate shaft, and a handle assembly. The shaft includes an articulation section that is operable to deflect the end effector away from the longitudinal axis of the shaft. The handle assembly includes a rotary member positioned within an intermediate section of the handle assembly. The rotary member is rotatable about an axis that is parallel to the longitudinal axis of the shaft. The rotary member is operable to control the articulation section of the shaft. The rotary member may include opposing thread sections that simultaneously drive lead screws in opposite longitudinal directions, to thereby control the articulation section. The shaft may be rotatable relative to the handle assembly, and the apparatus may selectively lock or resist such rotation based on the articulation state of the articulation section.

Articulating surgical instrument and method of assembling the same

An articulating surgical instrument includes a distal retainer, a proximal shaft segment, a first articulating section extending between the distal retainer and the proximal shaft segment, a proximal base extending proximally from the proximal shaft segment, a proximal retainer, a second articulating section extending between the proximal base and proximal retainer. A plurality of articulation cables is secured at distal end portions thereof to the distal retainer and at proximal end portions thereof to the proximal retainer. The proximal shaft segment, first articulating section, proximal base, and second articulating section cooperate to define a central longitudinal lumen therethrough and a plurality of radial longitudinal lumens therethrough that are radially disposed about the central longitudinal lumen. The articulation cables extend through the radial longitudinal lumens. Articulation of the second articulating section affects articulation of the first articulating section.

INSTRUMENT FLUSHING SYSTEM

A medical instrument includes an instrument shaft with exit holes near a distal end of the shaft, a tool coupled to the distal end of the shaft, and a backend. The backend may include a mechanism that manipulates a drive element that extends through the shaft and couples to the tool, a fluid inlet, and a fluid channel assembly providing fluid communication between the fluid inlet and the proximal end of the shaft. Cleaning fluid is directed into the fluid inlet, through the fluid channel assembly, and into the shaft. A chassis or other structural piece of the backend may form part of the fluid channel assembly. 1. A medical device , comprising:a housing;a shaft extending from the housing;a drive element manipulation mechanism within the housing;a drive element coupled to the drive element;a cap comprising a cap opening; anda guide comprising a guide opening;wherein the guide opening overlaps with the cap opening to form a through hole smaller than the cap opening and smaller than the guide opening;wherein the drive element extends from the drive element manipulation mechanism through the through hole and into the shaft; andwherein the through hole is sized to provide a close fit around the drive element to prevent a fluid from passing through the through hole.2. The medical device of claim 1 , wherein:the medical device further comprises a second drive element;the cap comprises a second cap opening;the guide opening overlaps with the second cap opening to form a second through hole;the second drive element extends from the drive element manipulation mechanism through the second through hole and into the shaft; andthe second through hole is sized to provide a close fit around the second drive element to prevent the fluid from passing through the second through hole.3. The medical device of claim 1 , wherein:the drive element comprises a push-pull rod.4. The medical device of claim 1 , wherein:the drive element comprises a drive cable.5. The medical device of claim 4 ...

SUPPORTING BODY OF A SURGICAL INSTRUMENT ARTICULATION

A robotic surgical instrument comprising: a shaft; an end effector element; an articulation connecting the end effector element to the shaft, the articulation comprising: joints permitting the end effector element to adopt a range of orientations relative to a longitudinal axis of the shaft; pairs of driving elements configured to drive the joints; a supporting body having a bevelled surface; and are directing pulley mounted on the bevelled surface such that the redirecting pulley rotates about a redirecting pulley axis transverse to the bevelled surface. 1. A robotic surgical instrument comprising:a shaft;an end effector element; and joints permitting the end effector element to adopt a range of orientations relative to a longitudinal axis of the shaft;', 'pairs of driving elements configured to drive the joints;', 'a supporting body having a bevelled surface and a groove adjacent to the bevelled surface; and', 'a redirecting pulley mounted on the bevelled surface such that the redirecting pulley rotates about a redirecting pulley axis transverse to the bevelled surface so as to redirect a driving element between two joints, that driving element being seated in the groove, and being constrained to move around the redirecting pulley., 'an articulation connecting the end effector element to the shaft, the articulation comprising2. A robotic surgical instrument as claimed in claim 1 , wherein the redirecting pulley comprises:a mounting surface which faces the bevelled surface and is flush with the bevelled surface; andan opposing surface which opposes the mourning surface.3. A robotic surgical instrument as claimed in claim 1 , wherein the redirecting pulley is retained to the bevelled surface by a spindle claim 1 , and wherein the spindle body is retained in a bore of the supporting body which loosely fits the spindle body.4. (canceled)5. (canceled)6. (canceled)7. A robotic surgical instrument as claimed in claim 1 , wherein the bevelled surface is not parallel to a ...

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. An end tool comprising:a first jaw and a second jaw rotatable independently of each other;{'b': 11', '11, 'a J pulley coupled to the first jaw and rotatable around a first axis, the J pulley comprising a first first-jaw-wire coupling part to which an end portion of a first jaw wire is coupled and a second first-jaw-wire coupling part to which another end portion of the first jaw wire is coupled;'}{'b': 12', '14', '11, 'a J pulley and a J pulley provided at a side of the J pulley and rotatable around a second axis forming a predetermined angle with the first axis;'}{'b': 21', '21, 'a J pulley coupled to the second jaw and rotatable around an axis that is substantially the same as the first axis or parallel to the first axis, the J pulley comprising a first second-jaw-wire coupling part to which an end portion of a second jaw wire is coupled and a second second-jaw-wire coupling part to which another end portion of the second jaw wire is coupled; and'}{'b': 22', '24', '21, 'a J pulley and a J pulley provided at a side of the J pulley and rotatable around an axis that is substantially the same as the second axis or parallel to the second axis,'}{'b': 12', '11', '14, 'wherein at least a portion of the first jaw wire makes contact with the J pulley, the J pulley, and the J pulley, and'}{'b': 22', '21', '24, 'at least a portion of the second jaw wire makes contact with the J pulley, the J pulley, and the J pulley.'}2. The end tool of claim 1 , wherein the first first-jaw-wire coupling part and the second first-jaw-wire coupling part are configured such that both end portions of the first jaw wire overlap each other.31112. The end tool of claim 1 , wherein the first jaw wire or the second jaw wire is input from one side of one plane claim 1 , which is perpendicular to the first ...

Surgical stapling apparatus with control features operable with one hand

A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

Articulating endoscopic surgical clip applier

An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly and a shaft assembly. The handle assembly includes a drive assembly; and a trigger operatively connected to the drive assembly. The shaft assembly extends from the handle assembly and includes an articulating neck assembly; and an end effector assembly supported on a distal end of the articulating neck assembly and being configured to form a surgical clip in place on the body tissue.

SURGICAL INSTRUMENT WITH DISENGAGEABLE HANDLE

The invention relates to a surgical instrument comprising: 2. The surgical instrument of claim 1 , wherein the motorized means and electronic components are enclosed in a sealed compartment claim 1 , the switch elements being located out of said sealed compartment.3. The surgical instrument of claim 1 , wherein the switch elements comprise at least eight hall sensors claim 1 , two of said at least eight hall sensors being arranged for providing signal to the motorized means upon translation of the outer knob claim 1 , two others of said at least eight hall sensors being arranged for providing signal to the motorized means upon rotation of the outer knob claim 1 , and the four remaining of said at least eight hall sensors being arranged for providing signal to the motorized means upon combined translation and rotation of the outer knob.4. The surgical instrument of claim 1 , wherein the hall sensors are used as potentiometers.5. The surgical instrument of claim 1 , wherein the hall sensors are used for controlling the speed of the motorized means.6. The surgical instrument of claim 1 , wherein a translation of the outer knob controls the motorized means for actuation of the distal tool through a rotation around the pivot axis claim 1 , and wherein a rotation of the outer knob controls the motorized means for actuation of the distal tool through a rotation around the axis collinear to the own axis of the distal tool.7. The surgical instrument of claim 1 , wherein the handle comprises a lever mechanically coupled to the distal tool for actuation of said distal tool via an actuation cable extending coaxially within said elongated arm and rotation shaft.8. The surgical instrument of claim 1 , wherein the actuation unit further comprises complementary motorized means for actuation of said distal tool via an actuation cable extending coaxially within said elongated arm and rotation shaft.9. The surgical instrument of claim 1 , further comprising a first actuation cable and ...

Ultrasonic surgical instruments with distally positioned transducers

Various embodiments are direct to a surgical instrument comprising and end effector, an articulating shaft and an ultrasonic transducer assembly. The end effector may comprise an ultrasonic blade. The articulating shaft may extend proximally from the end effector along a longitudinal axis and may comprise a proximal shaft member and a distal shaft member pivotably coupled at an articulation joint. The ultrasonic transducer assembly may comprise an ultrasonic transducer acoustically coupled to the ultrasonic blade. The ultrasonic transducer assembly may be positioned distally from the articulation joint.

ULTRASONIC SURGICAL INSTRUMENT WITH ARTICULATING END EFFECTOR HAVING A CURVED BLADE

An apparatus comprises a body assembly and a shaft extending distally therefrom. The shaft defines a longitudinal axis. The apparatus further comprises an acoustic waveguide and an articulation section coupled with the shaft. A portion of the articulation section encompasses a flexible portion of the waveguide. The articulation section further comprises first member and a second member that is longitudinally translatable relative to the first member. The apparatus further comprises an end effector including an ultrasonic blade in acoustic communication with the waveguide. A distal portion the ultrasonic blade is disposed in a first direction away from the longitudinal axis at a bend angle. The end effector also includes a clamp arm that is coupled with the first member and the second member, and an articulation drive assembly operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis in the first direction. 120-. (canceled)21. A surgical instrument , comprising:(a) an end effector including an ultrasonic blade longitudinally extending from a proximal blade portion toward a distal blade portion and configured to cut a tissue from the proximal blade portion to the distal blade portion; and (i) a proximal shaft defining a longitudinal axis,', '(ii) an acoustic waveguide in communication with the ultrasonic blade and including a single, unitarily formed flexible portion, and', '(iii) an articulation section projecting between the proximal shaft and the end effector and configured to articulate from a straight configuration to an articulated configuration thereby deflecting the end effector a first direction away from the longitudinal axis,', 'wherein the articulation section receives the flexible portion of the acoustic waveguide and defines a space radially therebetween surrounding the flexible portion of the acoustic waveguide such that the articulation section does not contact the acoustic waveguide upon ...

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.

TISSUE THICKNESS COMPENSATOR COMPRISING A RESERVOIR

In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsorbable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule. 1. A staple cartridge assembly , comprising: a first row of staple cavities; and', 'a second row of staple cavities;, 'a cartridge body, comprisingstaples, wherein each said staple is at least partially positionable within a said staple cavity, and wherein each said staple is movable between an unfired position and a fired position;a compressible tissue thickness compensator, wherein said staples are configured to at least partially capture said tissue thickness compensator when said staples are moved between their unfired positions and their fired positions; anda medicament capsule positioned intermediate said first row of staple cavities and said second row of staple cavities, wherein said staple cavities and said staples are configured and arranged such that said staples do not puncture said medicament capsule when said staples are moved between their unfired positions and their fired positions, and wherein said medicament capsule comprises a shell at least partially comprised of a bioabsorbable material.2. The staple cartridge assembly of claim 1 , wherein said medicament capsule further comprises a medicament positioned within said shell claim 1 , and wherein after sufficient bioapsorption of said shell said medicament can be released from said medicament ...

Intravascular articulating retrieval apparatus

An intravascular articulating retrieval apparatus may be used to move objects within the vasculature, such as to remove an intravascular filter, tissue and other items from the vasculature. The apparatus has a user interface to manipulate a first and second actuating portion that are coupled to the distal end of the apparatus conduit. A retrieval apparatus may include forceps coupled to the second actuating portion whereby the retrieval actuator opens and closes the forceps for retrieval of an IVF or other device, such as stent or stent graft. An intravascular articulating retrieval apparatus may be used to dissect thrombus from the interior of the vascular wall, move a stent or remove a portion of a stent or stent graft to provide better blood flow or to allow blood flow into a branched vessel.

STAPLE CARTRIDGE COMPRISING A VARIABLE THICKNESS COMPRESSIBLE PORTION

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

Treatment tool for endoscopic surgery

To provide a treatment tool for endoscopic surgery which has, in an insertion part, two or more bending parts that can be independently operated to bend, and which has distal forceps pieces that can be opened and closed, and rotated. A treatment tool for endoscopic surgery comprising an insertion part provided on one end of a pipe-shaped main body and an operation part provided on another end, wherein: the insertion part has two or more bendable parts and a pair of forceps pieces; the operation part has a bending operation part that correspond to each of the bendable parts, an open and close operation part, and a rotation operation part; the bendable parts can be operated to bend by operating a first wire member connected to the bending operation part to move back and forth inside the main body in an axial direction; the forceps pieces can be operated to open and close by operating a second wire member connected to the open and close operation part to move back and forth inside the main body in an axial direction; and the forceps pieces can be operated to rotate by operating a third wire member connected to the rotation operation part to rotate about the axis inside the main body.

Fixation devices, systems and methods for engaging tissue

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

Retainer assembly including a tissue thickness compensator

A retainer for assembling tissue thickness compensators to a surgical stapler can comprise a grip, a first surface for supporting a first tissue thickness compensator, a second surface for supporting a second tissue thickness compensator, and clips for aligning and attaching the retainer to the surgical stapler. The clips may align and attach the retainer to a staple cartridge of the surgical instrument. The clips may align the retainer with an anvil of the surgical instrument. An insertion tool may be used in combination with the retainer to insert the retainer into the surgical stapler and to push the tissue thickness compensators against the anvil and/or the staple cartridge of the surgical instrument.

Surgical stapling instrument comprising multiple lockouts

A surgical stapling attachment is disclosed. The surgical stapling attachment comprises an attachment portion, a shaft assembly, an articulation joint, and an end effector assembly. The end effector assembly comprises a drive system comprising a main drive and a lockout drive driven by a single rotary input. The main drive is configured to capture, clamp, and staple tissue. The lockout drive is configured to prevent the main drive from being driven in the event a staple cartridge is not installed within the end effector assembly. Another lockout is provided to prevent the drive system from being actuated when a spent staple cartridge is installed within the end effector assembly.

Adhesive film laminate

A surgical stapler, or fastening instrument, may generally comprise a layer, such as a tissue thickness compensator, for example, releasably attached to a fastener cartridge and/or anvil by a flowable attachment portion. The flowable attachment portion may be indefinitely flowable. The flowable attachment portion may be flowable from the time that layer is installed to the fastener cartridge to the time in which the layer is implanted to patient tissue. The flowable attachment portion may comprise a pressure sensitive adhesive. The flowable attachment portion may comprise an adhesive laminate comprising a base layer comprising the tissue thickness compensator and an adhesive layer on at least a portion of a surface of the base layer comprising the pressure sensitive adhesive. Articles of manufacture comprising flowable attachment portion and methods of making and using the flowable attachment portion are also described.

Forceps with intentionally misaligned pin

A forceps having at least a first jaw with a longitudinal axis is disclosed. The first jaw can include a body portion, a first flange, a second flange and a cam pin. The first flange can define a first cam slot with a longitudinal extent along the longitudinal axis. The second flange can be spaced from the first flange a distance transverse to the longitudinal axis of the first jaw and can have a second cam slot. The cam pin, with a longitudinal axis, can be moveably secured within the first cam slot and the second cam slot. A diameter of the cam pin can be less than a width between a first longitudinal edge that defines a first side of each of the first cam slot and the second cam slot and a second longitudinal edge that defines a second opposing side of each of the first cam slot and the second cam slot so that the cam pin is moveably received by both the first cam slot and the second cam slot. With the first jaw pivoted to at least a first position, the cam pin and first flange can be configured such that the first longitudinal edge is contacted by the cam pin but the second longitudinal edge is spaced from the cam pin. The cam pin and second flange can be configured such that the first longitudinal edge is spaced from the cam pin but the second longitudinal edge is contacted by the cam pin.

INSTRUMENT FLUSHING SYSTEM

A medical instrument includes an instrument shaft with exit holes near a distal end of the shaft, a tool coupled to the distal end of the shaft, and a backend. The backend may include a mechanism that manipulates a drive element that extends through the shaft and couples to the tool, a fluid inlet, and a fluid channel assembly providing fluid communication between the fluid inlet and the proximal end of the shaft. Cleaning fluid is directed into the fluid inlet, through the fluid channel assembly, and into the shaft. A chassis or other structural piece of the backend may form part of the fluid channel assembly. 1. A medical instrument comprising:a shaft having one or more exit holes near a distal end of the shaft;a tool coupled to the distal end of the shaft; and a mechanism that manipulates a drive element that extends through the shaft and couples to the tool,', 'a fluid inlet, and', 'a fluid channel assembly in communication with the fluid inlet and containing a proximal end of the shaft., 'a backend including2. The medical instrument of claim 1 , wherein:the fluid channel assembly comprises a cap adjacent to the proximal end of the shaft; andthe drive element extends through the cap and into the shaft.3. The medical instrument of claim 2 , further comprising:a chassis comprising the fluid inlet, the chassis further comprising a trough with sidewalls extending from a surface of the chassis for securing the cap to the chassis.4. The medical instrument of claim 3 , wherein the cap comprises a flexible portion that seals against the sidewalls of the trough.5. The medical instrument of claim 2 , further comprising:a guide secured on the cap;wherein the guide comprises a resilient surface that redirects the drive element.6. The medical instrument of claim 5 , wherein:the cap comprises a first opening;the guide comprises a second opening; andthe first opening and the second opening overlap to create a through hole that is smaller than the first opening, that is smaller ...